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DUNCAN, Okla. -- Rural hospitals faced unique challenges preparing for a rush of COVID-19 patients. From financial struggles to attaining PPE, smaller facilities did everything they could to get ready.One regional hospital in Oklahoma has waited for months for coronavirus cases to flood their emergency room, but that wave of patients is just now starting to trickle in.“We saw cases increasing, but as of now, it hasn’t come to Duncan quite like we expected,” said Dr. Michael Hemphill, a pulmonary and critical care physician and Duncan Regional’s Director of the ICU.As coronavirus cases overload emergency rooms across the country, this rural hospital—one of few medical centers in Southern Oklahoma—has only seen a handful of cases. After the holiday weekend, their facility is starting to see cases increase.As they wait for the surge, the fear of what would happen if beds or supplies ran out looms over the staff.“The most difficult thing is, there’s not a lot of backup,” said Hemphill. “I’m the only pulmonogist in Duncan,” he said.So, the hospital gathered as much personal protective equipment as possible—preparing for the worst.Chief Nursing Officer Kristen Webb said it’s been tougher to get critical supplies as a smaller hospital.“The last time we were able to receive N95’s was probably in December,” said Webb. She said they needed them again come February, but were never able to fill any of the orders they placed.When she was able to find supplies, she spent every penny she could to make sure staff would be safe.“We probably spent close to a million dollars on equipment, PPE, or other supplies and equipment towards a pandemic that we didn’t fully realize at this point,” said Webb.That massive expense was made tougher because the hospital had to cancel all elective procedures and appointments.“We spent quite a bit of money at a time where we weren’t bringing in our normal resources,” said Webb.“Rural hospitals are especially financially strained, especially here in Oklahoma, so when everything shut down…our elective procedures shut down. So, there is a financial burden the hospital had to bear,” said Dr. Hemphill.The burden extends past these walls to Jefferson County Hospital. Duncan Regional helps the critical access hospital stay open. It’s a facility with only 18 beds that was on the verge of shutting down just a couple years ago.But if the pandemic hits, that critical access facility and Duncan Regional are the places people will turn to. So it’s necessary these facilities maintain enough revenue to stay open so communities have access to care. 2601

Dr. Anthony Fauci told NBC News on Wednesday that he is concerned that the United States could see a spike in coronavirus cases if Americans aren’t cautious for the upcoming holiday weekend.Fauci, the director of the National Institute of Allergy and Infectious Diseases, said that there were a number of cases tied to the Memorial Day and Fourth of July holidays.While coronavirus cases generally declined in the US in the weeks following Memorial Day, there was a sizeable surge in cases in the weeks following the Fourth of July."Wear a mask, keep social distancing, avoid crowds," Fauci told NBC News about the upcoming weekend. "You can avoid those kind of surges. You don't want to be someone who's propagating the outbreak. You want to be part of the solution, not part of the problem."Holiday gatherings have been a concern for some public health experts amid the pandemic. While Labor Day is the last major warm-weather holiday of the year, concerns following Labor Day will begin to shift to the Thanksgiving and Christmas holidays. Dr. Christopher Murray, the director of the Institute for Health Metrics and Evaluation at the University of Washington, said he is opting not to see extended relatives amid the pandemic. And looking forward to the holiday season, Murray does not plan on seeing extended relatives then, either.“Personally, in our family, we will not have our family get together,” Murray said. “I am particularly cautious. That would be our strategy.But Fauci is hopeful that by the end of the year, some Americans will begin getting coronavirus vaccinations."I believe that by the time we get to the end of this calendar year, that we will feel comfortable that we do have a safe and effective vaccine," he told NBC News. 1757

EL CAJON, Calif. (KGTV) — FBI investigators are searching for two men wanted for robbing an East County bank last month.Two men entered the Citi Bank location at 402 Fletcher Parkway in El Cajon on Dec. 27, 2019, just before 1:30 p.m. One men approached a teller and made a verbal demand for money while the second suspect remained in the bank lobby.After receiving an undisclosed amount of money, the suspects left the bank on foot in an unknown direction.The first suspect is described as a Caucasian man, in his late 40s to 50s, about 5-foot-9, with slender build. He had dark, possibly dyed, hair and a dark handlebar mustache. He was last seen wearing reading glasses, a camouflaged baseball cap, long sleeve blue shirt with a short sleeve red shirt on top, and boots.The second suspect was also described as a Caucasian man, in his late 30s, standing about 5-foot 10-inches tall, and with slender build. He was last seen wearing a navy blue baseball cap with a San Diego Chargers logo, dark-colored zip-up jacket, jeans, and sunglasses.Anyone with information is asked to call the FBI Violent Crimes Task Force at 858-320-1800 or Crime Stoppers at 888-580-8477. 1175

Do you know how much taxpayer money is being spent to fight climate change? In the next decade, our elected leaders could be spending billions.This time of year, in the Miami Beach area, is known as king tide season. It’s a time when tides wash to record levels.Residents like Chris Johnson wonder why the salty seas seem to keep rising."It makes you think, is global warming real?” Johnson says. “Or is it just the moon that pulls the tide up?”Many people seem to pose the same question, and if you ask local leaders, they all agree climate is changing."Something is going on that wasn't going on 40 to 50 years ago,” says Jimmy Morales, a Miami Beach city manager.Most leaders in the area say there’s no questioning climate change."Places that used to be above water are now below water,” Morales says. “Islands that are disappearing, you see it, it's there.”Morales is attending the annual Global Action Climate Summit, where policy makers discuss ways to curb the consequences that come with shrinking shorelines.Over 10 years, the plan is to invest up to a billion to raise roads and install more pumps, in order to prevent the Atlantic from swallowing the city. It’s an issue he says everyone should care about."Don't think, 'Well, I don't live in a coastal town, it doesn't matter.’ It does matter,” Morales says. “The only way to really make a change and a difference is to throw your vote in a box and hope that enough people agree with you.” 1467

EL CAJON, Calif. (KGTV) — A family jewelry shop in El Cajon is out tens of thousands of dollars after a brazen robbery Friday.A couple entered Ishtar Jewelry Store on Avocado Avenue and began browsing around. It was a seemingly ordinary evening."They were looking for different pieces of jewelry, bracelets, necklaces," said Nadin Toma, the store owner's daughter. "My mom was the one who was helping them out. The female found a piece that she liked."After that, Toma said the woman claimed she needed to get her wallet from the car to purchase the piece of jewelry."Our door to get in is an electric door," explained Toma. "We have to buzz anyone in and out just for security purposes."So, the woman was buzzed out, but Toma said she held the door open.That's when the man by her side made his move, jumping over the display counter, snatching up a handful of gold chains, then running out of the wide-open front door."They just grabbed and ran as fast as they could," Toma said. "They got away."Toma estimates the cost of the gold chains were anywhere from ,000 to ,000.But, the thief also left something behind. His fanny pack hooked onto the front door and broke off his body as he ran away.Toma said inside the fanny pack was the suspect's identification card, which she gave to police.She also said a Good Samaritan wrote down the license plate number of the car the couple used to get away."With any robbery, it's very painful for anyone who goes through it," said Toma. "Unfortunately, it happened to us."Toma is hoping the ID card and the license plate number will help police track down the suspect.El Cajon Police is actively investigating. 1666

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