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A doctor is opening up about working at one of the first hospitals in the country dedicated solely to treating people with severe cases of COVID-19.“Hope gave way to frustration as heartwarming images of mutual sacrifice were replaced by images of protest about the sanctity of dining out and getting haircuts,” said Dr. Ben Trappey at Bethesda Hospital in St. Paul, Minnesota. “Now, even frustration has given way to bone deep sense of weariness and resignation. I’m running on fumes.”Trappey spent nearly three months away from his wife, quarantining at a hotel while caring for patients at Bethesda Hospital near Minneapolis.He destresses through reflective writing and teaches it to other residents and physicians.His essay “Running on Fumes” was recently published in the Journal of the American Medical Association (JAMA). It reflects how he feels still being on the front lines of COVID-19, but not feeling like the rest of the world is behind him.“The thing that made me feel most supported early on was just that everybody was making these sacrifices together and now when there are so many people who refuse to acknowledge that a sacrifice even needs to be made is really frustrating,” said Trappey.He says one of his challenges is not knowing which COVID-19 patients will get better.Many hospitals have provided support like counseling and buddy systems.Trappey is now on parental leave at home with his wife and newborn son.“It’s hard to think about what things will be like as we get further into the fall and we have other respiratory viruses in place as well. It’s pretty worrisome, so I’m just trying not to let myself think too much about that,” said Trappey.The doctor says he hopes people realize they're not alone in the pandemic. 1758

A do-it-yourself approach for home improvement projects may reduce your initial costs — but for certain jobs, the risks far outweigh any potential savings. If any of these projects are on your to-do list, call in the pros unless you’ve got plenty of related experience.1. Roof replacementRoofing is extremely hard and dangerous work. Any upfront savings you might get with a DIY roof replacement could easily be eclipsed by the costs of making expensive mistakes or causing dangerous accidents. Aside from having the skills and tools needed to do a decent job, you’ll also need to climb ladders, lift heavy materials and navigate a steeply pitched surface high above the ground. Risks include:Severe injury or death: Roofers face among the highest risks of work-related injuries and fatalities of any profession, according to the Bureau of Labor Statistics — and that’s for trained professionals. In addition to possible slips and falls from significant heights, there’s also risk of burns from hot bitumen (a petroleum-based roofing material) and electric shock from accidentally touching power lines.Warranty issues: Manufacturer warranties for roofing materials may cover workmanship for a limited time if the materials are installed by qualified contractors, but they generally don’t cover DIY installation.Costly damage: Improper material choice or installation may damage the roof — and if water leaks in, your home’s ceilings, walls, flooring, furnishings and wiring will suffer too.Cost of hiring a proRoofers charge about 0 to 0 per roofing square in addition to the cost of materials, which typically brings the total price of installing a new roof over your existing one to about ,400 to ,900, according to the home services company HomeAdvisor. Removing the old roof or repairing damage can add to that cost.In some cases, homeowners insurance might cover some or all of these expenses. Opting for less-expensive materials can also lower the bill. And if you’re installing an energy-efficient roof that meets certain criteria, you might qualify for a tax credit.2. Mold removalEveryone’s cleaned up a bit of mold at some point, and even the U.S. Environmental Protection Agency gives the green light on DIY mold removal for areas under 10 square feet. But once mold infestation becomes widespread, it might become necessary to open up walls, lift up carpeting or take out fixtures to fully remove it and clean and dry the space thoroughly. A DIY approach, in this case, means risking:Mold exposure: Contact with mold may cause asthmatic reactions, sore throat, skin reactions, allergic reactions, eye and nasal irritation, cough, wheezing, shortness of breath and other lung issues. This is especially a concern if you don’t have access to the proper protective gear. During the COVID-19 pandemic, N95 respirator masks — which offer protection from exposure to mold and other particles — have been largely unavailable for public purchase.Harsh chemical exposure: Chemical cleaners commonly used to kill mold are also harmful to lungs, eyes, nasal passages, throats and skin.Making the problem worse: Improper removal or sealing may release mold spores into the air. If spores get into HVAC systems, mold will blow throughout the house. DIYers may also miss mold lurking in unexpected places like crawl spaces or flooring, which could lead to further damage.Incomplete cleanup: Not properly cleaning up after the job may leave traces of mold behind that will just grow back again.Cost of hiring a proProfessional mold remediation generally costs about ,500 to ,150, or to per square foot, according to HomeGuide, a home services referral website.To make sure that money is well-spent, go with an experienced, well-reviewed mold remediation specialist who can do a thorough job.3. Toilet replacementTo install a new toilet, you’ll have to shut off the water; disconnect, drain and remove the old toilet; and seal and connect the new one. That’s a manageable task for someone with basic plumbing knowledge. But if you’re a DIY newbie, it’s trickier. Risks include:Injury: A toilet can weigh about 100 pounds and is awkward to handle. Homeowners may become injured lifting or carrying the toilet.Fumes: Sewage gasses are odorous, unhealthy and potentially flammable. Failing to stuff a rag in the exposed drain pipe after the old toilet is removed may expose you to dangerous fumes — especially in poorly ventilated spaces. (And forgetting to remove the rag before seating the new toilet will cause a very disturbing plumbing issue.)Toilet damage: Improper installation, overtightening connections or simply dropping the toilet may cause serious damage.Leaks and mold: If the base isn’t sealed properly, water can leak into the floor, damaging and weakening the area while creating just the right conditions for mold and mildew growth.Cost of hiring a proThe average labor cost for basic toilet installation runs between and 0, according to the services marketplace website Thumbtack, and that doesn’t include the price of the toilet. Underlying problems your plumber finds (such as leaky pipes, a cracked flange or leaky valves) can increase costs; disposing of your old toilet also runs about to 0, the site notes.If you’re installing a water-saving toilet, you might qualify for a rebate from your state, which could defray some of these costs.4. Window replacementReplacing drafty old windows can reduce your utility bills — but only if it’s done correctly. Installing a window is a meticulous process, and any mistakes may leave your home unexpectedly vulnerable to the elements. Other pitfalls include:Injury: Windows are heavy and fragile, bringing risk of injuries from broken glass and lifting. Falls from ladders are also a concern, along with harming passersby if a window falls out to the street.Poor energy efficiency: Improper fit or sealing can result in drafts, air leaks and higher energy bills.Water damage: A poor seal could allow water leaks that damage your home’s wood, drywall and even wiring.Home damage: You could accidentally hit a plumbing or electrical line.Warranty issues: Installing your own windows improperly may void all or part of the manufacturer’s warranty.Cost of hiring a proProfessional window installation usually runs between 5 to 0 per window, but can be much more expensive for high-end windows, according to Angie’s List, a website that provides referrals for home services pros. If the frame needs to be replaced, that’s extra.Choosing less-expensive materials reduces upfront costs. And if you’re switching to more energy-efficient windows that meet certain specifications and are professionally installed, you might qualify for rebates in some states.More From NerdWalletHome Inventory Tightened in Q3, and First-Time Buyers Felt the SqueezeMortgage Outlook: Rates Stay Low as December Deadlines LoomThe Property Line: 8 Housing and Mortgage Trends for 2021Roberta Pescow is a writer at NerdWallet. Email: USexpansion@nerdwallet.com. 7040

A Las Vegas police officer "accidentally" fired his gun in the Mandalay Bay suite where mass shooter Stephen Paddock fired into a crowd at a music festival on Oct. 1.This is according to the sheriff for Las Vegas. He said the officer was not shooting at anything and it did not happen in the same area where Paddock's body was discovered.The sheriff also said that the 32nd floor where the suite is located did not have security cameras facing the gunman's suite or the stairwell.The sheriff spoke to the Las Vegas Review-Journal.In the shooting, 58 people were killed and hundreds more were injured. The shooter's motive is still unknown and the investigation is ongoing. 685

A magnitude 6.1 earthquake has struck off the coast of Japan, United States Geological Survey reports.The earthquake's epicenter is located  in the Pacific Ocean, about 175 miles away from the coastal city of Kamaishi.The magnitude 6.1 quake occurred about 6 miles below the surface of the earth.The Japan Meteorological Agency currently has no tsunami warnings or advisories in affect, nor does the National Oceanic and Atmospheric Administration.The earthquake occurred one day after more than 200 people died in an earthquake near Mexico City. 569

A brutal attack on a McDonald's drive-thru worker in Michigan has the victim speaking out against her attacker."He drove up and I opened the window halfway to take his money. He shot me with a paintball gun and drove off," the victim said. She also recalls that the customer's weapon closely resembled a real handgun. The entire terrifying ordeal still has her in shock."It wasn't like I was being nasty or anything. I just took his order and he wasn't satisfied with the answer he had got," she says. It happened at 1:30 am, at McDonald's in Dearborn, Michigan at Michigan and Gulley.The shooter is described as a black male in his 30s, heavy set with a hat, driving a late model black colored Ford Crown Victoria. The victim is expected to make a full recovery. However, she hasn't decided if she'll return to work at McDonald's.  870