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The use of telehealth has become a common practice during the pandemic. Now, some doctors hope it continues to be an important tool in the healthcare industry."There are a number of bills have been proposed," said Dr. Tesh Monteith, a neurologist and fellow with the American Academy of Neurology.Dr. Monteith says Congress is considering several bills to keep telehealth, which allows patients to video conference with a doctor instead of going in for a physical appointment, around for the long run.When the pandemic hit, rules regarding telehealth changed, allowing for doctors to be financially reimbursed for the virtual appointments."It's allowed patients to access care. They're patients that would normally have to take days off, or to keep providers, multiple providers, and if they can do that, they may have childcare issues and not be able to get to a clinic," said Dr. Monteith.The bills would allow for everything from permanent reimbursement for physicians to allowing doctors to virtually see patients across state lines."Some of these bills are proposing that there are not limitations within states. For example, there are issues of licensing. A doctor licensed in New York should they be able to see a patient with a specialized disorder in Minnesota or does that patient have to come in Minnesota," explained Dr. Monteith.While telemedicine has been an important part of making sure people received medical care and diagnoses during the pandemic, doctors agree that the virtual visits in no way can replace seeing your physician in person."Because I know my patients well, I’m a pediatrician, I can do so much over telehealth with the kids I know. When they're sick I can look at them. I can watch them breathe. I can ask them to jump up and down and have the parents press on their tummy, but I can’t look in their ears. I can’t listen to their heart, and if it’s a family that I don’t know, there is concern that I might miss something," said Dr. Tanya Altmann, a pediatrician in California.Dr. Altmann says telehealth can also be a very valuable tool.As for reimbursement for physicians, Dr. Altmann says, "anyway that a physician or healthcare provider reaches out to a family to help with anything medical, it should be compensated."Dr. Altmann says pediatricians can sometimes spend hours on the phone with patients at night, work they don't get paid for. Getting reimbursed for telehealth visits with patients would be a plus."Patients need to empower themselves to learn about telemedicine, to learn what questions to ask a doctor. Have an advocate or family member there to even help with the physical examination," suggested Dr. Monteith.Dr. Monteith says medical professionals estimate there have been more than one billion telemedicine appointments since the pandemic began. She hopes Congress passes the telehealth-related bills to further expand medical access to people across the country. 2932
The Time Warner building in New York City, where CNN has a studio, is one of several places to receive a potentially explosive device this week. It is being investigated as an act of terrorism.The package was located in the building's mailroom, CNN reported on air today. Employees said authorities told them it looked like a pipe bomb and had wires attached.Police believe it is a very serious incident and a real explosive that was delivered. The Time Warner building's other businesses were evacuated and folks moved farther away from the location at what is a busy time of day in metro New York City. 617

The Trump administration announced Wednesday plans to remove 12,000 US troops from Germany with some being returned to the United States, and others being relocated to other NATO allies.The Department of Defense says that 5,600 troops will be repositioned to other NATO nations, while 6,400 will be returned to the US.Defense Secretary Mark Esper told CNN that the move to relocate troops will cost in the billions.President Donald Trump said the move was made because Germany is taking “advantage” of the US.“They are there to protect Europe and there to protect Germany and Germany is supposed to pay for it,” Trump said on Wednesday. “And we don't want to be -- the United States has been taken advantage of for 25 years with trade and on the military. It's very simple, they are delinquent. Very simple. And there are other NATO countries also, there are 28 countries “While there have been concerns that removing troops from the region diminishes the US presence in Europe in keeping Russia in check, Esper said that the move will enhance its deterrence against Russia.“The repositioning of our forces in Europe constitutes a major strategic and positive shift, wholly in line with the NDS, and consistent with other adjustments the United States has made within NATO in previous times,” Esper said. “These changes achieve the core principles of enhancing U.S. and NATO deterrence of Russia; strengthening NATO; reassuring Allies; and, improving U.S. strategic flexibility and EUCOM operational flexibility.”The reduced presence in Germany cuts the number of troops stationed there by one-third. 1608
The U.S. Geological Survey recorded two earthquakes in Tennessee early Wednesday.The first happened at about 3:15a.m. and was reported to be a magnitude 4.4. The second was recorded at about 3:30a.m. and was a magnitude 3.3.According to the USGS Intensity map, as of 3:45a.m., more than 2000 people reported feeling the earthquakes across Tennessee, North Carolina, Alabama, and Georgia.Some people reported feeling weak shaking in areas of Middle Tennessee, like Hendersonville, Cookeville, and Murfreesboro. According to the National Weather Service office in Morristown, the largest earthquake on record in East Tennessee was a magnitude 4.7 near Marysville in 1973. The USGS?studied the reason why earthquakes are felt at much farther distances on the east coast, compared with earthquakes that hit the west coast. Researchers found that some factors have to do with tectonic plates and their geological history. The east coast has older rocks, which researchers said allow seismic waves "to cross them more effectively during an earthquake." 1084
The recommended amount of sleep for adults is six to eight hours a night. Sleeping more than those hours is associated with an increased risk of death and cardiovascular diseases, says a global study published Wednesday in the European Heart Journal.Looking at data from 21 countries, across seven regions, the research team found that people sleeping more than the recommended upper limit of eight hours increased their risk of risk of major cardiovascular events, like stroke or heart failure, as well as death by up to 41%.But a possible reason for this could be that people have underlying conditions causing them to sleep longer, which in turn could raise the risk of cardiovascular disease or mortality, explain the authors of the study.The team, led by Chuangshi Wang, a Ph.D. student at McMaster and Peking Union Medical College in China, also identified a rising risk among daytime nappers."Daytime napping was associated with increased risks of major cardiovascular events and deaths in those with [more than] six hours of nighttime sleep but not in those sleeping [less than] 6 hours a night," Wang said.In those who underslept, "a daytime nap seemed to compensate for the lack of sleep at night and to mitigate the risks," Wang explained.Previous studies into this topic were mainly carried out in North America, Europe and Japan. The new study brings a global picture.But the findings are observational, meaning the cause of this association remains unknown."Even though the findings were very interesting they don't prove cause and effect," said Julie Ward, a senior cardiac nurse at the British Heart Foundation, who was not involved in the study.Having less sleep -- under six hours -- was also shown to increase these risks by 9%, compared with people who slept for the recommended six to eight hours, but this finding was not considered to be statistically significant by the team.In 2014, 35.2% of American adults reported not getting enough sleep with less than seven hours per night, according to the CDC. 2049
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