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Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

ESCONDIDO, Calif. (KGTV) - City leaders voted Wednesday night to support the federal lawsuit against California's sanctuary laws. The Escondido City Council voted 4-1in favor of backing the litigation. In response to the discussion, immigrant communities in Escondido believe their leaders are out of touch."What's being discussed inside chambers is not representative of the values in my community,” said Lilian Serrano.Escondido Mayor Sam Abed, on the other hand, believes coordination with local authorities and ICE is critical to keeping Escondido safe. He believes that California’s sanctuary laws place citizens in danger.RELATED: President Trump signs order, sending the National Guard to the US-Mexican border"I am proud immigrant who came to U.S. and I believe in the rule of law. My number one goal is to make Escondido a safe city,” said Abed. 882

ENCINITAS, Calif. (KGTV) - People who live on Bonita Drive in Encinitas want the city to stop a 10-home development on their street. They say it will make the area more dangerous if a wildfire breaks out."It's a huge concern," says Sione Schad-Siebert. "When the fire starts, and Santa Ana winds blow, they move fast, and you need to get out fast."Plans for the project call for 10 single-family homes to be built on a mostly empty 2.4-acre lot. People who live around it say adding the homes will allow fires to spread faster and cause more congestion on the street if people need to evacuate.Schad-Siebert showed 10News parts of the street where the road narrows to just over the width of a couple of cars. She says fire engines can hardly get through as it is. She also worries that a nearby open-space nature trail could catch fire and decimate the neighborhood."If there's ever a fire in the canyon or if a house here catches on fire, the fire department will not get here in time to stop the fire from spreading through the neighborhood because of poor access," she says.The City Planning Commission approved the project in November, but the residents have filed an appeal.In the appeal, they list fire danger as one of six problems the new homes will bring to the area. Among the other claims are traffic issues, environmental concerns, and questions about ways they say the project skirted city rules during the approval process."I feel like the city's kind of losing its soul," says Schad-Siebert. "I feel it's selling out to developers from out of town that just want to make a lot of money."Housing has been a problem in Encinitas, where city leaders have traditionally shunned large developments. Until 2019, it had been more than two decades since the city successfully submitted a housing and growth plan to the state. The mayor says that has to change.As for the appeal, the Planning Department staff issued a 23-page memo refuting the claims point-by-point. It says the City Council should deny the appeal and move forward with the project.Schad-Siebert says if that happens, she and her neighbors plan to file a lawsuit to stop the construction.The Encinitas City Council will vote on the appeal at Wednesday night's meeting, which begins at 6 pm. They will also allow for public comment before voting. 2327

ENCINITAS (KGTV) -- The Encinitas Environmental Commission is considering a proposal to ban natural gas hookups in all new construction projects as a way to combat climate change.The plan, which will be heard by the commission again next month, was authored by environmental commissioner Jim Wang. Wang spearheaded the city’s bans on plastic bags and polystyrene containers, commonly known as styrofoam.“The problem is that methane is a much more potent global warming gas than CO2, it’s approximately 85 times as potent,” he said. “Even a small amount of natural gas causes a big problem with global warming.”RELATED: Encinitas proposes ban on gas-powered leaf blowersWang’s proposal would impact both residential and commercial construction, but would not affect existing buildings. In July, Berkley passed a ban on natural gas infrastructure in new construction that will take effect next year. Twenty other California cities are considering similar bans, Wang said.“I’ve never seen a restaurant run on electric stove-tops. It would be quite the challenge,” said Daniel England, the corporate chef behind Union Kitchen and Tap in Encinitas and other restaurants.England said he would not consider renting a building for a restaurant if it lacked natural gas.RELATED: Encinitas restaurant fined for allowing customers to dance“As a chef, it’s something we’ve been trained on from day one from culinary school. I couldn’t imagine cooking without natural gas. I’ve tried to cook on an electric stove at home and you don’t get the same consistency,” he said.Michael McSweeney of the Building Industry Association of San Diego County said the cost of electricity is typically about three times more than natural gas, so the cost of home ownership in Encinitas would rise.“It seems that they want to reduce their carbon footprint, which is great, but the biggest source of greenhouse gas emissions in Encinitas is automobile transportation,” he said. “Cutting down on car transportation, they’d get more bang for their buck.”Transportation accounts for 54 percent of the greenhouse gas emissions in Encinitas. Electricity accounts for 23 percent. Natural gas ranks third on the list, at 13 percent, according to the city’s 2018 Climate Action Plan.“Yes, it may be a little more expensive but it’s for the greater good,” Wang said.In addition to cutting greenhouse gas emissions, restrictions on natural gas could provide safety and health benefits, Wang argued, citing the 2010 San Bruno pipeline explosion that killed 8 people.Homes that cook with natural gas at least once per week have air quality that would be illegal outdoors, he said, with levels of nitrogen dioxide and formaldehyde that exceed outdoor federal air quality standards.The Environmental Commission will consider the proposal at its Dec. 12 meeting at 5:30 pm. If the commission approves it, the plan will move to the city council for consideration. 2925

ESCONDIDO, Calif. (KGTV)- While many business owners were forced to make the painful decision to shut down during the pandemic, some still took the risk of opening for the first time.Samantha and Weston Nawrocki weren’t going to let the COVID-19 pandemic stop their goal of opening a new café locally.“For coffee, the great thing is most people treat it even non-pandemic as a to go item,” said Weston Nawrocki.The couple has a coffee shop and roasting location in Rancho Bernardo, but their new business is up and running in their own city, Escondido, just six blocks away from their home.Manzanita Roasting Company opened Friday inside The Grand, which is home to the historic Ritz Theater, now newly renovated.“I’ve been a resident since I was a kid,” said Samantha Nawrocki. “I always drove by and said ‘I wish something would go in there’ and now we’re in there.”The City of Escondido shut down a couple of lanes on Grand Avenue and helped businesses transition to provide outdoor services under the current COVID-19 restrictions.Now, more new businesses are opening on busy Grand Avenue.“We have Daydream, which is a lovely gift store, we also have Off The Grid Surplus, let’s say you’re an off-road enthusiast of the jeep crowd, that’s definitely going to be your place,” said Amber Tarrac, the Deputy Director of Economic Development for the City of Escondido. “We also have Good Omen Mead, a meadery which is amazing stuff to try.”Tony Pepperoni Pizzeria and Barrel republic are currently still under construction, but Tarrac said they should be opening on Grand Avenue sometime soon, although a specific date is not clear.“We’re really excited about them, they’ve been under construction for a while,” she said.Tarrac said it’s not just Grand Avenue doing well with new businesses; from March 1st through November 23rd, Tarrac said hundreds of new businesses opened across the city.“We’ve had 696 new businesses; these are new permanent, in city businesses,” she said. “The bulk of those businesses are actually home occupations, so we’ve had quite a few folks that have decided to become entrepreneurs and start different businesses out of their home. We also had a number of retailers and restaurants open up.”The Nawrocki’s say they were able to hire ten new employees right before the holidays. For them, it’s the positivity, help from the city, outpouring of local support, and the love of coffee that’s gotten them through this year.“I feel like there’s more people kind of walking around and excited to support small business,” said Samantha Nawrocki. “We come down here to grand avenue and support local businesses, so it’s really great to be a part of that.”Businesses in historic downtown Escondido will be participating in Small Business Saturday on the 28th, in an effort to get more people to shop local.Discounts and bonuses may be offered at some locations.The City of Escondido is helping small businesses with outdoor moves; to find out more, click here.Complimentary fencing is also available for businesses that want to move services outdoors. Tarrac said business owners can submit an order for a limited supply of fencing by emailing Business@Escondido.org 3195