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With New Year's Eve right around the corner, a new San Diego company says it can deliver the cure to a hangover right to your front door. But the cost-benefit of the service is up for debate. The company, called CureDash, is an app on the iPhone and GooglePlay stores. It connects San Diegans to providers that offer house calls with licensed nurses who administer an I.V. with a saline-based solution to help rehydrate. They promise to arrive within an hour. "Me and my co-founder both got it and we felt the results within minutes," said Emil Juboori, who co-founded CureDash. "You can request our service through our app. You'll have a short video call with our doctor, you'll do a quick assessment and then we dispatch a nurse to your location."Juboori said the nurses do check patients vitals and ask them health questions once they arrive at their homes. CureDash costs 5 and does not take insurance. "I wouldn't consider this to be effective medical therapy," said Dr. Shawn Evans, an emergency room physician at Scripps Memorial Hospital in La Jolla. "My strong preference is if you think you need somebody coming out to your house to put a needle into your arm to give you massive resuscitative fluids, ultimately you should be in front of a qualified medical professional and making sure you don't have something more significant."Evans said an I.V. can make you feel better in the short term, but you will urinate a good portion of the extra fluids within an hour. Evans said a trip to urgent care is likely more affordable and that he remains concerned about at-home services like these. Evans said an affordable way to rehydrate is to mix:Six teaspoons of sugarA half teaspoon of saltFour cups of warm waterEvans said to drink a mouthful every five minutes and it will stay in your system. 1814

When he was diagnosed with two autoimmune diseases, Joel Hechler knew he’d be in for a battle. He didn’t realize maybe his toughest one would be with his insurance company.“I think they put the dollars ahead of a patient’s health,” Hechler said. “I don’t think they fully understand the impact the medicine will have on my long-term health and well-being."Hechler suffers from Crohn’s disease and ulcerative colitis, diseases that attack the lining of his digestive tract. Autoimmune conditions like his can’t be cured but, with the right medication, the symptoms can be controlled.  Finding the right medicine can be hard for those suffering from autoimmune diseases. Even if there are scores of drugs on the market, some patients might only respond to one. In Joel’s case, his doctor thought he’d have a better chance trying a drug called Remicade.“I received a letter from my insurance company that denied the Remicade on the basis that I have to try a different drug before I can get to Remicade," Hechler said.Hechler's insurance company, Premera Blue Cross, wouldn’t approve the drug his doctor prescribed because they wanted him to try a cheaper one first.It’s part of a program that health insurers nationwide use called step therapy, requiring that patients try less-costly drugs before “stepping up” to more expensive ones — even if doctors believes the cheaper drug won’t work.Dr. Larry Adler is president of Huron Gastro in Ypsilanti, Michigan and says he spends virtually every day battling insurance companies over step therapy drugs.“They have to fail this medicine first before they get the new drug,” Adler said. “That doesn’t make any sense.”Adler says it's common for patients to get sicker while waiting for step therapy to run its course.In Hechler's case, it took six weeks of fighting with his insurer to convince them that the cheaper drug wouldn’t be effective. As he was waiting, he was getting worse.“It got to the point where I had to be admitted to the hospital,” Hechler said. "I was very, very sick.”Step therapies are used by insurers to try to control skyrocketing prescription medicine costs, says Glen Perry, Director of Pharmacy Contracting and Sales for Blue Cross Blue Shield of Michigan.“These drugs can cost up to 0,000 per year. These are not cheap medications,” Perry said.“It seems like you’re telling patients that, in many cases, your insurer knows what’s best for you, rather than your doctor,” Jones said.“We are trying to provide the most cost effective and safe medication use,” Perry said, adding that when a doctor and insurer disagree over a drug, they can usually resolve the case within a few days without putting a patient at serious risk.“A delay of one or two days I don’t think is really going to make that much of a difference for the medical outcome of the patient," he said.But for many patients, like Phyllis Toole, the delay is longer than a few days.Phyllis suffers from rheumatoid arthritis, a condition where her body attacks her joints. When her doctor wanted to put her on Orencia, her insurance company HAP said she needed to first try a less expensive drug, Humira.But Phyllis’ doctor was worried about possible side effects and thought Humira could be risky.After battling for months, Phyllis says the whole thing made her feel more like a number than a patient. With her doctor and insurer in a standoff, she was forced to rely on samples of the drug she got from her doctor. HAP never approved her prescription.“They’re playing doctor, is what it feels like,” Toole said. “They’re saying this is what you can have for the symptoms you have. It may make you sicker, but this is what you can have.”HAP issued the following statement to Scripps station WXYZ in Detroit: 3800

White House senior adviser Jared Kushner's family real estate group obtained business loans after Kushner met with the company heads in his official government capacity, The New York Times reported Wednesday.According to the Times, Kushner met with Joshua Harris, one of the founders of Apollo Global Management, on multiple occasions while advising the Trump administration on infrastructure policy, three people familiar with the meetings said.The topic of a job at the White House was also brought up, though never materialized. In November 2017, Apollo's real estate group lent Kushner Companies 4 million to refinance the mortgage of a Chicago skyscraper. The size of the loan, according to the Times, was triple the size of their average property loan.  775

cent.Over seven days, Martin County climbed by 483 cases for 21.5 percent, St. Lucie County rose by 753 for 35.7 percent, Indian River County by 253 for 27.1 percent and Okeechobee County by 104 for 24.6 percent.Mortality rateThe mortality rate, which compares positive cases against deaths, has been trending down in the state.It is 1.6 percent in the state for all deaths and cases, including nonresidents, compared with 4.0 percent in the United States and 4.4 percent worldwide, which passed 571,000 deaths and passed 13 million cases Sunday.Florida has 198 deaths per 1 million people compared with the U.S. average of 416 per million. New York, which represents one-quarter of the deaths in the nation, has 1,666 per million. Worldwide, the figure is 73.3 per million.Age breakdownThe youngest deaths are two 11-year-olds: a boy in Miami-Dade and a girl in Broward, who are the only two in the 5-14 age class.There are 12 deaths in the 15-24 class, including a 20-year-old male and two 22-year-old females from Broward (one was listed Sunday), a 16-year-old girl from Lee, a 17-year-old boy from Pasco County and a 22-year-old woman from Palm Beach County.Twenty-four people from 25 to 34 also have died from the virus.The oldest is a 108-year-old women from Miami-Dade. A total of 1,489 people 85 and older have died in the state from the virus, an increase of 11 in one day.Ninety-two percent of the fatalities are 55 and older and 63 percent 75 and older. A smaller percentage of older people have tested positive – 26 percent age 55 and older and 7 percent 75 and older.At the other end of the age spectrum, there are 4,211 cases of infants to 4 years old, an increase of 176, and 91` were hospitalized, which is an increase of `1 in one day. In all, there were 1,182 cases of children under 1. From ages 5-14, there are 9,026, an increase of 462 with 69 in the hospital at one time, a rise of 2.From the infant to 54 age group, 195,921 of the 266,119 residents have tested positive. But in that group, 301 have died, an increase of 4, for a 0.15 death percentage.From infant to 65, there are 228,733 cases. A total of 699 have died, an increase of 6, for a 0.31 percentage.CitiesWest Palm Beach is in first place among Palm Beach County cities with 5,040, an increase of 311. Lake Worth, which includes the city and county portion, rose 104 to 4,001, followed by Boynton Beach at 1,828 from 1,742, Boca Raton at 2,511, up from 2,336, Delray Beach at 1,376 from 1,284. A total of 397 in the county not designated by a city.Port St. Lucie leads the Treasure Coast with 1,805, an increase of 71, followed by Stuart with 1,354 vs. 1,325.In Indian River County, Fellsmere, which has a population of 5,754, increased by 2 to 249, compared with only 3 on May 31.HospitalizationsA total of 18,271 people in the state have been hospitalized, a rise from 15,895 last Sunday. That means it is a running total and includes people who have been released or died.Long-term careNearly half of the deaths, 2,100, are residents and staff of long-term care. The state increase was 18 and in Palm Beach County it was 3.NationalFlorida's 45 deaths Sunday were second-most in the nation behind 86 in Arizona, which is in 16th place overall.Florida, which is the third-most-populous state, is in ninth place, 106 behind No. 8 Connecticut, which reported no data Sunday.Since the first death was reported on Feb. 29, the nationwide death toll has risen to 137,782, including an increase of 380 Sunday after 731 Saturday.The last time deaths were more than 1,000 was June 9 with 1,105. Johns Hopkins reports 135,190.Cases reached 3,413,995, with an increase of 58,349. Cases passed 70,000 Friday.California had the second-most cases with 8,460 and Texas was third with 8,196.Last Sunday in the U.S., there were 262 more deaths and 45,931 more cases.The one week U.S. death increase was 4,801 at 3.6 percent.New York has the most deaths in the nation with 32,403, including 11 more Sunday after a high of 799 in April. Its percentage share has been decreasing for weeks to 23.5 percent.Among other states in the top 10: No. 2 New Jersey with 11, No. 3 Massachusetts 15, No. 4 Illinois 19, No. 5 California 25, No. 6 Pennsylvania 5, No. 7 Michigan 1 and No. 10 Louisiana 13.No. 14 Georgia added 5 and Washington, which was the original epicenter in the United States, is in 21th place, with no reported deaths for two days in a row but 615 cases.WorldwideThe U.S. represented 9.6 percent of the 3,956 additional deaths Sunday – and 24.1 percent of the world total though its population is only 4.3 percent of the global total. The one week world death increase was 34,449 at 6.4 percent.The additional death toll last Saturday was 5,015.Cases increased by 194,677 after a record 236,918 Friday.Brazil, which is second behind the United States for deaths, reported a world-high 659 deaths after 968 Saturday for a total of 72,151. The record is 1,492 on June 4. Brazil added 25,364 cases after a record 55,209 one week ago Friday. The South American nation has a total of 1,866,176 cases – more than half as many as No. 1 U.S.Mexico reported 276 more deaths late Sunday compared with 539 the day before and high of 1,092 on June 4, to move past Italy by 52 deaths into fourth place with 35,006. In addition, there were 4,482 cases, behind the record 7,280 Thursday.India added 500 deaths after 543 Saturday to rise to 23,187 in eighth place. The Asian nation also reported a record 29,108 cases, beating the record of 27,761 two days ago for a third-place total of 879,466, behind the U.S. and Brazil.Four European nations are in the top 10. The United Kingdom's deaths increased from 43 to 21 for third place with 44,819, which is behind the United States and Brazil. The high was 1,172.Italy, which at one time was the world's epicenter and reached 919 in one day, reported 9 deaths, among the lowest since the pandemic. No. 6 France and No. 7 Spain didn't report any data this weekend.Germany, which at one time was in the top 10 and now is in 13th place, reported no deaths for the first time since the pandemic.Also in the top 10, No. 9 Iran reported 194 after a record 221 Thursday. No. 10 Peru had 188.Russia is in fourth place in the world in cases with 727,162, including an additional 6,615. The nation gained 130 deaths for 11th place.No. 14 Canada added 10 deaths for a total of 8,783 and well as 243 cases.Sweden, which has been doing "herd immunity, reported no data this weekend after 11 deaths Friday for a total of 5,526 in 17th and 163 cases. Neighboring Norway, which had a lockdown, reported no deaths for the third day in a row to stay at 252 as well as 3 more cases.No. 22 China, the original epicenter of the world, hasn’t reported a death since April 26 and added 8 cases Monday.This story originally reported by Allen Cone on WPTV.com. 9951

WEST PALM BEACH, Fla. — The hurricane season continues to be active with the formation of a new tropical storm and a depression in the last 12 hours.Tropical depression 17 formed Sunday night in the Atlantic and became Tropical Storm Paulette just before 11 a.m. Monday.The storm has 40 mph winds with higher gusts and is moving west, northwest at 3 mph.Paulette is the earliest forming 16th named storm on record, breaking an old record set by Philippe on September 17, 2005, according to hurricane expert Philip Klotzbach.A slow-motion toward the northwest or north-northwest is expected tonight. Paulette is then forecast to move a little faster and generally westward on Tuesday and Wednesday.Early indications are it may curve before it reaches the Bahamas, but we will keep an eye on it just in case. It may interact with tropical depression 18, located behind it, which also formed Monday morning.Paulette's path and/or intensity might change because of its proximity to tropical depression 18. 1009