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MURRAY, Utah – Dr. Todd Vento has spent most of his professional life preparing for the worst-case scenario.“I still have a lot of connections because of things I’ve done in the past,” said Dr. Vento while sitting in the lobby of Intermountain Medical Center in Murray, Utah.He is an infectious disease specialist who previously worked for the Department of Defense, managing the Ebola outbreak in West Africa.He’s since been recruited to fight on the COVID-19 front lines.“When you prepare and constantly live in that world of preparing for a true threat, you do expect that this could happen,” Vento said.In video provided by Intermountain Healthcare and University of Utah Health, you can see states in the Mountain West are reaching a critical tipping point.The talk of moving to a crisis level of care is imminent.One example, the Utah Hospital Association is reporting double the numbers of COVID-19 patients in hospitals from two weeks ago, and five times the number of patients from two months ago.So, what happens at hospitals when numbers surge? The process of load leveling happens first.“(Load leveling is) balancing out where the patients are so you don’t have one facility that might have 110% of capacity, while another facility is at 70%,” Vento said.A patient management system called “Care Traffic Control” covers seven westerns states. Like other systems in the country, it tells first responders where they can take patients.Next comes contingency care.“That contingency plan might be that we need to take care of more COVID-19 patients, so that means we convert another hospital that takes care of non-COVID-19 patients,” Vento explained.Part of the contingency plan also means canceling noncritical surgeries.Finally, there are crisis levels of care.“The concept of the term, crisis standards of care really gets down to a similar concept used in combat and the military,” Vento said. “I know that may sound harsh, but it’s really about the triage process.”That means doctors will be forced to make tough decisions about who gets care and what that will look like.As many states smash records of COVID-19 cases, health care workers are being stretched thin and asking for help.“It’s up to us to allow all our livelihoods to continue,” Vento said. 2276

MILWAUKEE — Two strangers met for the first time at Versiti Blood Center Tuesday morning, those strangers now say they are connected for life.Meeting Kris Klug was an anxious and emotional moment for plasma recipient Unique Edwards. She said Kris is the reason why she is alive today.“I almost didn’t make it. If we didn’t have the plasma, I wouldn’t be here, just thankful,” said Unique.In May, Kris tested positive for COVID-19 and recovered. She then started donating her plasma as an effort to help others fight the virus.“If you have something to give, somewhere down the road it’s going to come back to you,” said Klug. 633

MOYOCK, N.C. – Three-year-old Vernon Smith is passionate about fire trucks and got a major surprise from dozens of first responders this weekend. Crawford Township Volunteer Fire Department in North Carolina hosted a drive-by parade for the little boy who is about to have his third open heart surgery.Vernon’s dad, Blake Smith, wanted to put a smile on his son’s face, so he asked if the local fire truck could drive by. Word got around about Vernon’s story, and dozens of firefighters, police and others wanted to be part of the surprise.Other surrounding departments learned about the event and joined in: Moyock Volunteer Fire Department, the Lower Currituck Volunteer Fire Department, the South Camden Volunteer Fire Department, Currituck County Fire-EMS, the Currituck County Sheriff’s Department, the Camden County Sheriff’s Department, Pasquotank EMS, Lantz’s Towing, and North Carolina State Highway Patrol.One of the assistant chiefs for the Crawford Township Volunteer Fire Department, Keith Storf, said the support they got from the neighboring departments was just phenomenal.Vernon’s mom, Brittany Blackwelder, said when she was 21 weeks pregnant, they learned that Vernon had a heart defect called hypoplastic left heart syndrome. It is a rare disease that causes the left side of his heart to not work properly, which causes the right side to work double-time.Blackwelder said this will be his third reconstructive surgery, and said hopefully it will stabilize him. She said he can never play competitive sports and gets tired easily, but she said otherwise he should be able to live a normal life.Storf said the little boy has gone through more than most adults. He said they were delighted to see him jumping up and down in the driveway during the surprise visit from the firefighters and first responders.“They gave him so many gifts and presents, and it was all about him and he was in heaven and excited,” said Blackwelder.“That was the best feeling in the world - to see his face,” said Blake Smith. “He was stoked.”This story originally reported by Margaret Kavanagh on wtkr.com. 2111

Mira Ricardel barely lasted seven months as deputy national security adviser before First Lady Melania Trump issued an unprecedented call for her dismissal and President Donald Trump moved to fire her.In those few months on the job, Ricardel generated a long list of enemies and developed a reputation for shouting at subordinates, plotting against White House officials she disliked and leaking stories about her administration opponents to the press. One source familiar with the situation said Ricardel's firing is due in part to her "bullying" of aides both above and below her.Current and former colleagues of Ricardel paint a picture of a committed conservative and national security expert with a strong personality. One former colleague described her as someone who doesn't "suffer fools" or have a nuanced touch when it comes to navigating the shoals of internal politics. A White House official was blunter, describing the California native as ideologically driven and "obstinate".The former State Department and Pentagon official made enemies of heavyweights within the Trump administration, feuding with chief of staff John Kelly, his deputy Zach Fuentes, and locked horns with Defense Secretary James Mattis, according to people familiar with the White House intrigue.But her spat with the first lady's staff over Mrs. Trump's trip to Africa -- apparently over seating on the plane and the use of National Security Council resources -- seems to have earned her the enmity of the person who may wield the most weight with Trump: his wife.The President told people on Tuesday that he had made the decision to fire Ricardel, but that he was giving her time to clear her desk, making her the latest in a long list of high ranking officials who have left or been booted from the Trump administration.Ricardel did not return requests for comment.Ricardel was raised in Pasadena, the child of a Croatian immigrant and went on to study at Georgetown University's School of Foreign Service and then do doctoral work at Tufts University's Fletcher School of Law and Diplomacy. 2097

Much like fired FBI Director James Comey, former FBI Deputy Director Andrew McCabe wrote memos documenting his conversations with President Donald Trump, a source with knowledge of the matter told CNN.A person familiar with the matter told CNN McCabe's memos are now in the hands of special counsel Robert Mueller, who is investigating Russian interference in the 2016 election.The memos also detail what Comey told McCabe about his own interactions with Trump while he was FBI director and are seen as a way to corroborate Comey's account in Mueller's probe.Attorney General Jeff Sessions fired McCabe on Friday, about a day before his 50th birthday and the date he was set to retire and begin receiving his anticipated pension, over accusations that McCabe directed FBI officials to speak to the media about an investigation tied to the Clinton Foundation and misled investigators about his actions. Following his firing Friday, McCabe told CNN in an interview that he had four interactions with the President last May, while he was acting FBI director.McCabe revealed that he had three in-person interactions and one phone call with Trump, in which the President berated him each time about his wife's failed Virginia Senate campaign.It is unclear exactly what is in McCabe's memos and if he memorialized every interaction he had with the President."In May, when Director Comey was fired and I had my own interactions with the President, he brought up my wife every time I ever spoke to him," McCabe told CNN. "Of course, I disagreed with him."McCabe also confirmed that the President asked him who he voted for in the 2016 election, which was reported back in January and which Trump denied.The former No. 2 official at the FBI told CNN that Trump did not bring up the agency's investigation into Russia meddling in the 2016 election. 1846

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