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Artist Draws Wholesome Watercolor Comics Where A Cat Is Giving Out Mental Health Advice (20 Pics)

Artist Hector Janse van Rensburg aka ‘S**tty Watercolour’ aka ‘Swatercolour’ is making us happier and our lives more wholesome with his comics that feel like miniature hugs and feature a meowtivational cat. The UK-based painter has become a global phenomenon and is now known as the world’s favorite self-deprecating artist.

“The comics that came before this series were less optimistic, and this series is a bit like a response to that. They sometimes approach difficult issues like mental health, but the aim of the comics is not to solve the issues but to show a different perspective on them. That new perspective often comes from the cat, who is based on my cat Ona who passed away a few years ago,” Hector told Bored Panda about his newest work.

We’ve collected some of Hector’s best work featuring the lovely cat, so scroll down, upvote your fave comics, and read on for our full interview with the painter about his art, as well as for his advice when drawing “happy little wobbly blobs of color.”

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“Before I started painting online about 8 years ago, I had never had any interest in art and now it looks like that’s where my life is going,” Hector said. “Ostensibly, that just means I’m sitting at my desk with a brush more often than a keyboard, but it is a whole different type of challenge to think of things about human nature that I want to communicate in my paintings.”

He added: “One part of that is that it’s like I’m living through my art, which can be difficult.”

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We wanted to find out how the painter manages to stay passionate about art. However, Hector told us that passion might be the wrong thing to focus on. Instead, the key is discipline.

“I think if you rely on some feeling of passion to motivate you then you will have a hard time. I’ve been doing a comic every day recently and I tend to wake up, think of an idea, and then have it painted by lunchtime,” he revealed a bit about his disciplined schedule.

“The schedule around my painting process is quite robotic by now, and I think doing it that way opens up a clear space where you can be more creatively free. If I didn’t have a schedule and instead waited around for inspiration that was good enough to motivate me to paint, then I probably wouldn’t be as productive.”

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Hector said that the ideas for his comics come from negative thoughts that he can turn into more positive ones.

“So I think about the ways in which people can feel bad and how you might approach them as a friend would. I don’t think I find it too difficult to think of ideas which is probably a testament to how nice my cat was,” he complimented his cat Ona for being a fantastic feline.

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Bored Panda also wanted to hear what advice Hector would give other potential artists who are dabbling with watercolor paintings. He said that a lot depends on each individual artist’s end-goal: there are two paths that they can take.

“For me, it’s that the niceness and technical ability of a painting are different things and you can aim at either,” he said.

“It’s perfectly possible to make happy little wobbly blobs of color and people will enjoy them if the message is good and sincere. There’s probably a boundary of neatness that you should stay within but messiness is cool too. Also, most of my pictures look very bad at first, and then it’s only after a while that they come together. I think that’s because a few wobbly blobs on their own look like an accident, but a finished painting of wobbly blobs looks purposeful.”

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Hector, who has a Philosophy, Politics, and Economics degree from the University of York, has been experimenting with watercolors since December 2011. He revisited an old watercolor set when he felt bored and depressed. Originally, he started uploading his illustrations on Reddit in 2012, then he spread his gaze wider and moved on to Tumblr and Twitter.

The cartoonist admits that he’s inspired by Sir Quentin Blake who illustrated the children’s books written by beloved author Roald Dahl. So if you felt that you found his art style oddly familiar and felt nostalgia for your childhood when looking at Hector’s drawings, this is why!

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This content was originally published here.

Whitmer signs order calling racism a public health crisis

Whitmer signs order calling racism a public health crisis

Beth LeBlanc
The Detroit News
Published 3:15 PM EDT Aug 5, 2020

Gov. Gretchen Whitmer signed Wednesday an order declaring racism a public health crisis and creating the Black Leadership Advisory Council to “elevate Black voices.”

The executive directive asks the Michigan Department of Health and Human Services to have all state employees undergo implicit bias training for employees and “make health equity a major goal.”

Gov. Gretchen Whitmer addresses the state during a speech in Lansing, Mich., Wednesday, Aug. 5, 2020.
Michigan Office of the Governor via AP

People applying to the leadership council must do so by Aug. 19. 

“We must confront systemic racism head on so we can create a more equitable and just Michigan,” Whitmer said in a statement. “This is not about one party or person. I hope we can continue to work towards building a more inclusive and unbiased state that works for everyone.” 

Early in the virus’ path through Michigan, the virus has hurt the Black community more than other communities, and the trend has held true through the summer. 

African-American individuals have made up about 27% of the confirmed cases in Michigan and 39% of the deaths, despite making up 14% of the state’s population, according to state data. 

In April, Whitmer appointed the Michigan Coronavirus Task Force on Racial Disparities chaired by Lt. Gov. Garlin Gilchrist to study the issue of racial disparity. 

While the virus has been challenging for all state residents, “they have been especially tough for Black and Brown people who for generations have battled the harms caused by a system steeped in persistent inequalities,” Gilchrist said.

“These are the same inequities that have motivated so many Americans of every background to confront the legacy of systemic racism that has been a stain on our state and nation from the beginning,” he said.

Whitmer’s Wednesday executive order would task the council with reviewing state laws that perpetuate inequities, promoting legislation seeking “to remedy structural inequities,” providing advice to community groups seeking to benefit the Black community and promoting cultural arts in the African-American community. 

The task force will consist of 16 members and will fall under the Michigan Department of Labor and Economic Opportunity. 

“We are blessed to have a governor who is willing to hear us, march with us and use her office to build a better, more equal world.” Flint Mayor Sheldon Neeley said. 

Whitmer’s separate directive to the state health department requires it to review data and find ways to advocate for communities of color. Data on health disparities among Black people should be analyzed and made available.

The directive requires all existing state employees to complete implicit bias training and new hires to do so within 60 days. 

The department will use an Equity Impact Assessment tool to guide state officials through the potential implications their decisions may have on minorities, according to Whitmer’s office. 

The governor’s remarks come a day after the state of Michigan upped its tally of confirmed cases to 84,050 and its count of deaths related to the virus to 6,220. Hospitalizations linked to the virus have remained relatively low despite upward trends in cases since June. 

“Overall we are seeing a plateau in cases after a slight uptick in June and July,” Khaldun said. 

The Detroit, Grand Rapids and Kalamazoo regions have a little more than 40 cases per million people per day, the Jackson and Upper Peninsula regions about 35 cases per million people per day and the Saginaw and Lansing regions have just under 30 cases per million people per day, the chief medical executive said.  

All of those regions, with the exception of Lansing, have seen decreasing daily case averages over the last weeks, Khaldun said. 

The Traverse City region, which recently came under stricter rules by Whitmer, is averaging about 10 cases per million people per day, she said. 

The state considers daily case incidences that rise above 20 cases per million people per day to be cause for concern, while a safer level is one that stays below 10 cases per million people per day. 

“These are all good signs and we will continue to monitor these metrics,” Khaldun said. But “these plateauing trends are not reason to let our guard down.”

eleblanc@detroitnews.com

This content was originally published here.

Canadian Man Accused Of Unauthorized Horse Dentistry: ‘A Display of Lawless Bravado’

A Canadian man is facing a lifetime ban on practicing veterinary medicine after accusations he’s been performing unauthorized horse dentistry.

The Manitoba Veterinary Medical Association (MVMA) is seeking a permanent injunction against Kelvin Brent Asham, accused of treating horses—including giving one horse a sedative—without veterinary certification.

An investigator described Asham’s actions as “a display of lawless bravado,” according to court documents.

The MVMA says it’s been trying to stop Asham for the past three years: It first became aware of his activities in 2015, when a complaint was filed about a 16-year-old gelding he had treated. Asham sedated the horse, filed down its teeth—a process known as “floating”—pulled one tooth and tried to extract another.

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The sharp edges of horses’ teeth occasionally needs to be filed down to save the horse from pain when eating or holding a bit in its mouth. The term “floating” comes from the file used in the process, known as a “float.”
Anna Elizabeth/Getty

Leon Flannigan, an animal protection officer in Manitoba, investigated the claims and determined the horse had suffered “irreparable damage.” In an affidavit, Flannigan said he’d met with Asham in 2016 at a Tim Horton’s donut shop in Selkirk. Asham allegedly told Flannigan he’d been floating horse teeth since 1996 and had performed the procedure on four other horses owned by the same person as the gelding.

Asham also told Flannigan that most vets float teeth improperly, and that he had different tools than vets use. “Off the record, I do thousands of horses,” Asham allegedly told Flannigan. “I do a good job. I am willing to fight this in court.”

This incident caused the MVMA to send Asham a cease-and-desist letter in 2017, as he is not a licensed veterinarian.

But last year, the MVMA found out that Asham was still working as a equine dentist and was recommended on Facebook. The MVMA hired private investigator Russ Waugh to go undercover and try to hire Asham.

According to Waugh’s affidavit, Asham told him the horse Waugh brought in could be treated for $200 CAD (about $150), the average price for floating teeth. After the investigation, the MVMA filed suit against Asham, asking a judge to ban Asham from acting as a vet.

“By engaging in the unauthorized practice of veterinary medicine, the respondent effectively declares himself to be outside the law,” writes Robert Dawson, an attorney for the association.

This isn’t Asham’s first run-in with the law: In December 2001, the then-37-year-old was arrested after admitting to carrying 10 one-kilogram bricks of cocaine in his truck. Asham and Barry Vaughan Hancock, who was also in the truck when it was pulled over, were each charged with possession of cocaine for the purposes of trafficking.

At the time, Hancock was an equine dentist.

This content was originally published here.

Texas attorney general says local health authorities cannot “indiscriminately” shut down schools

After Texas ordered schools to reopen their classrooms this fall, county and city public health officials began to push back.
After Texas ordered schools to reopen their classrooms this fall, county and city public health officials began to push back.
Miguel Gutierrez Jr./The Texas Tribune

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Local health officials do not have the authority to shut down all schools in their vicinity while COVID-19 cases rise, Texas Attorney General Ken Paxton said in nonbinding guidance Tuesday that contradicts what the Texas Education Agency has told school officials.

Shortly after Paxton’s announcement, the Texas Education Agency updated its guidance to say it will not fund school districts that keep classrooms closed because of a local health mandate, citing the attorney general’s letter. Districts can receive state funding if they obtain TEA’s permission to stay closed, as allowed for up to eight weeks with some restrictions.

The change represents an about-face for the agency, which previously said it would fund districts that remained closed under a mandate. It will impact schools in at least 16 local authorities, many in the most populous counties, that have issued school closure mandates in the past month.

Dallas County Judge Clay Jenkins, whose county is among those with a mandate to close schools, said local officials will continue to make decisions to keep students safe “regardless of what opinion General Paxton comes up with.”

“The only way that it would really screw things up is if Abbott tried to take away the control from the local groups,” Jenkins said.

The guidance is non-binding, but local health authorities could face lawsuits especially now that Paxton has weighed in. Paxton’s office declined to comment on whether it would sue local health officials that don’t retract mandates, saying it could not comment on hypothetical or potential litigation.

After Texas ordered schools to reopen their classrooms this fall, county and city public health officials began to push back, ordering all public and private schools in their areas to stay closed through August and in some cases September.

The officials cited a state law giving health officials authority to control communicable diseases. But Paxton said in the letter that “nothing in the law gives health authorities the power to indiscriminately close schools — public or private — as these local orders claim to do. … It does not allow health authorities to issue blanket quarantine orders that are inconsistent with the law.”

The governor’s executive order allowing all school districts to operate overrules local mandates to close, Paxton said. Local health officials have some authority to order schools closed if people in it are infected by COVID-19, but not as a preventive measure.

Earlier this month, Texas revised its statewide order that schools open classrooms to give officials more local flexibility on how long to continue with entirely remote education, especially in areas where the virus is spreading quickly.

The TEA’s previous guidance says that schools could ban in-person classes if ordered to do so “by an entity authorized to issue an order under state law.” And the agency confirmed to The Texas Tribune earlier this month that school districts under such mandates would not lose state funding if they closed classrooms. But it was confusing to education officials and school communities exactly which entities were allowed to issue orders, and when state guidance trumped local law.

Gov. Greg Abbott‘s office did not respond to a request to clarify this earlier this month.

The confusion resulted in anger and panic in some communities that wanted their schools to reopen. Families protested outside the Tarrant County administration building Monday demanding that officials allow their schools to hold in-person classes before Sept. 28, according to The Dallas Morning News.

Paxton said religious private schools were exempt from following the order in guidance released earlier this month.

Stacy Fernández contributed to this report.

This content was originally published here.

Phil Murphy to Slap 2.5% Tax on Health Insurance Premiums in New Jersey – Shore News Network

TRENTON, NJ – A new bill in Trenton has been passed and is headed for Governor Phil Murphy’s desk that includes a 2.5% tax on health insurance for everyone in New Jersey.  That money will be put in a health insurance affordability fund to provide health insurance for illegal aliens and to support the NJ FamilyCareAdvantage program.

The bill requires entities to pay an annual assessment that is 2.5% of the entity’s net written premiums as defined by the bill.

The bill requires the commissioner to calculate and issue to the health provider a certified assessment that is 2.5% of the entity’s net written premiums. The bill requires entities to pay the assessment issued by the commissioner to the State Treasurer no later than May 1 of each year, as prescribed by the commissioner.

The bill reads:

The bill provides that if the commissioner determines that the amount of the assessment will reduce the State’s total revenue, the commissioner may reduce the assessment. The bill establishes in the Department of the Treasury a nonlapsing revolving fund to be known as the “Health Insurance Affordability Fund.” This fund is to be the repository for all monies collected pursuant to the bill. As directed by the commissioner, in consultation with the Commissioners of the Department of Human Services and the Department of Health, the monies in the fund are to be used only for the purposes of increasing affordability in the individual market and providing greater access to health insurance to the uninsured, including minors, with a primary focus on households with an income below 400 percent of the federal poverty level, expanding eligibility, or modifying the definition of affordability in the individual market, through subsidies, reinsurance, tax policies, outreach and enrollment efforts, buy-in programs, such as the NJ FamilyCare Advantage 2 Program, or any other efforts that can increase affordability for individual policyholders or that can reduce racial disparities in coverage for the uninsured. The bill provides that a report currently required to be issued by the Commissioner of Banking and Insurance by June 1, 2022 shall also set forth the impacts of the measures taken pursuant to the bill on affordability and reductions in racial disparities in health insurance coverage, including impacts by income level, race, and immigration status. The report shall make recommendations to increase affordability and reduce the uninsured rate in New Jersey, as appropriate, based on the data available to the department. The bill also requires that the assessments collected pursuant to the bill be used only for the purposes contained in the bill, with certain provisions to ensure the assessments are used for those purposes in future fiscal years.

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Important Studies on Opioid Prescribing: Implications for Dentistry – TeethRemoval.com

Recently on this site several articles have appeared discussing opioid prescribing after wisdom teeth removal see for example the posts Do Oral Surgeons Give Too Many Opioids for Wisdom Teeth Removal? and Opioid Prescriptions From Dental Clinicians for Young Adults and Subsequent Opioid Use and Abuse. Very recently several interesting studies regarding opioid prescribing have published.

The first study is titled “Trends in Opioid Prescribing for Adolescents and Young Adults in Ambulatory Care Settings” written by Hudgins et al. appearing in Pediatrics in June 2019 (vol.143, no. 6, e20181578). The article explored opioid prescribing for adolescents (ages 13 to 17) and young adults (ages 18 to 22) receiving care in emergency departments and outpatient clinics. Data from the National Hospital Ambulatory Medical Care Survey (NHAMCS) and National Ambulatory Medical Care Survey (NAMCS) over the time period from January 1, 2005, to December 31, 2015 was used. It was found the most common conditions associated with opioid prescribing among adolescents visiting emergency departments was dental disorders (59.7%), clavicle fractures (47%) and ankle fractures (38.1%) and among young adults visiting emergency departments was dental disorders (57.9%), low back pain (38%), and neck sprain (34.8%). Thus in both cases when someone ages 13 to 22 goes to an emergency department because of a dental disorder they are nearly 60% likely to leave with an opioid prescription. Studies suggest that adolescents and young adults are the most likely to misuse and abuse opioid medications. Thus the authors imply it is possible that many of these opioids being prescribed for dental disorders are being used for non medical use.

An accompanying commentatory of the article by Hudgins also provides additional insights into the article titled “Opioids and the Urgent Need to Focus on the Health Care of Young Adults” written by Callahan also appearing in Pediatrics in June 2019 (vol. 143, no. 6, e20190835). Callahan says that research looking at young adults is often not available as they often get grouped into adolescents in studies. Callahan states:

“Efforts to improve research and health care for young adults are further hindered by (1) the lack of a consensus definition of young adulthood, (2) the false perception that young adults are healthy, (3) fragmented health insurance coverage during young adulthood, and (4) little organized advocacy on behalf of young adults.”

Callahan thus calls for more research tailored to young adults. Young adults are of course a target demographic for wisdom teeth surgery.

The second study is titled “Comparison of Opioid Prescribing by Dentists in the United States and England” written by Suda et al. appearing in JAMA Network Open in 2019 (vol. 2, no. 5,e194303). The article explored opioid prescribing differences by dentists in the United States of America and England. The authors looked at data from IQVIA LRx in the U.S. and the NHS Digital Prescription Cost Analysis in England. The authors found in 2016 dentists prescribed more than 11,440,198 opioid prescriptions in the U.S. and 28,082 opioid prescriptions in England. Dental prescriptions for opioids were 37 times greater in the US than in England. In the U.S. various opioids were prescribed including hydrocodone-based opioids (62.3% of time), codeine (23.2% of the time), oxycodone (9.1% of the time), and tramadol (4.8% of the time) whereas in England only the codeine derivative dihydrocodeine was prescribed. The authors state:

“The significantly higher opioid prescribing occurs despite similar patterns of receiving dental care by children and adults, no difference in oral health quality indicators, including untreated dental caries and edentulousness, and no evidence of significant differences in patterns of dental disease or treatment between the 2 countries.”

The authors in the article by Suda point out that the patients included in the study from England were limited to receiving medications from the U.K.’s National Health Service. However they feel that their study shows that U.S. dentists prescribe too many opioids and this practice is contributing to the opioid epidemic in the U.S.

In both studies above it seems that the authors feel that patients in the U.S. are receiving too many opioids for dental related issues and that other medications that can provide pain relief should be given. When opioids are given they should be prescribed in the shortest duration necessary to deal with the expected amount of pain the patient is dealing with. However, a limitation of both studies is the authors were unable to assess the appropriateness of the opioid prescriptions given.

This content was originally published here.

The Democrats’ Baffling Silence as Millions of Americans Lose Their Health Insurance

One of the many things that made the United States uniquely vulnerable to the coronavirus pandemic is the relationship between health care and employment in this country. About half of all Americans have employer-provided insurance; if you don’t, you are left to a mass of overlapping state and federal programs, though depending on where you live, you might find none of them overlap with you. It has been clear from the start that this patchwork health care nonsystem would cause unique problems fighting the coronavirus, and people are undoubtedly dead directly because of these problems. Months into the pandemic, the twin crises of Covid-19 and gaps in insurance are compounding each other: A new report from Families USA suggests that more than five million people have lost their insurance already; another report, from the Urban Institute, predicts another 10 million will lose their coverage by the end of the year.

It is easy to look at any issue plaguing America, from the coronavirus and health care to crumbling schools or roads, and say that the Republicans are standing in the way of progress, which they are. But there’s another dynamic at play with health care. It plainly doesn’t matter very much to our leaders—whether it’s Nancy Pelosi or Donald Trump—whether people have insurance and whether they get health care. Once a government gets used to a situation where tens of millions of people don’t have health insurance, which has always been the case in the U.S., how do we get our leaders to care when another five or 10 million are added to that number? Once you have accepted that some people don’t get to have health care, as if they’re just part of the scenery, why would another five million people at risk of financial ruin or death spur action?

The Trump administration’s response to the health insurance crisis has been predictably nonexistent. The Los Angeles Times noted Tuesday that the Trump administration has not made any sort of push to stem the loss of health insurance, with no effort to encourage people to sign up for Affordable Care Act marketplace coverage, for example. Larry Levitt, executive vice president of the Kaiser Family Foundation, told the paper that this is because the ACA is such a “political football,” adding, “what you’d normally think would be good government simply isn’t happening.” Expecting Republicans to practice good government is like expecting a dog to practice good hygiene.

On the Democratic side, there has been a range of proposals, but none that have been advocated for very forcefully. The Heroes Act, a $3 trillion stimulus bill passed by the House that was never intended to survive whole in the Senate, would fully subsidize Cobra, the program that allows laid-off workers to keep their employer-provided insurance. This usually comes at a laughably unaffordable cost, as employees must pay both their portion and the employer’s portion of the premium, but the Democratic bill would pay insurers to make it free for ex-employees instead. The left-wing criticism of this is that it provides a huge giveaway to insurers, who charge far more than they need to in premiums to rake in massive profits, instead of expanding government health insurance to laid-off people. (And, of course, many employer-sponsored insurance plans are too expensive for people to use even if their premiums are paid, because of high deductibles and co-insurance.)

That’s all true, but put that aside for a moment and think strategically. Even if making Cobra free for ex-workers were the best possible thing Democrats could get out of the Senate, why roll it into this bill that will never pass? Minimizing the loss of health insurance is among the most urgent tasks of this pandemic, along with controlling the spread of disease, providing economic relief, and preventing a wave of evictions. (Not on the list: getting bailout funds to lobbyists.)

If the Democrats wanted to run on health care against Trump, which worked in 2018 and which Joe Biden has shown an interest in doing despite struggling to articulate basic facts about his health care plan, this would be a perfect time to introduce a bluff-calling bill. Expanding Cobra is the barest minimum the government could do to provide health insurance in this crisis; Republicans don’t even have a counterproposal, because they fundamentally do not want more people to have health insurance. Expanding Cobra is such a centrist, even right-wing idea that Republican strategists write in their memos that Republicans should do it, because the alternative is expanding Medicaid, which is increasingly popular. And we can’t have that.

The Democrats could cut and paste the Cobra segment of the Heroes Act, introduce a stand-alone bill, call it the Health Access Protection Act or something suitably Third Way–ish, and dare the Republicans to vote against keeping laid-off workers on their health insurance—if, that is, they really believed in and wanted this solution to happen. There’s plenty of money for ads on the Democratic side, still. You could argue that splitting off any one part of the bill would damage the chances for success on the overall bill, or you could see the Democrats’ inability to capitalize on the fact that more than five million people have lost their health insurance as further evidence that they do not understand what a crisis American health care was already in long before the first Covid-19 case.

The lack of urgency that has characterized the federal response to this crisis—in 10 days, the expanded unemployment benefits expire, and we have no idea whether anything will be done to extend them—is simply a continuation of how the government has tolerated the obvious failures of the system up to this point. People without health insurance, like those with insurance, have bodies that break down, stop working, throw out weird symptoms and lumps and fluids, produce anxiety or depression. When these things happen to uninsured people, they often end up going to the emergency room, and rack up bills that they can’t pay, costing hospitals and the government money and often ruining their lives.

A person without health insurance can still catch the coronavirus, infect others, and get dangerously or fatally sick, without knowing that they are supposed to be able to go to the doctor about that for free: The Department of Health and Human Services reported last week that it has paid out far fewer claims for Covid-19 testing and treatment for the uninsured than it expected. Everything about the health care system is complicated, hostile, and potentially ruinous for people without health insurance, so it’s not surprising if a lot of people couldn’t shake that experience off within a matter of weeks and months. It’s true that our health care system was not designed to handle a pandemic, but it would be more accurate to say that our system was not designed to provide health care to people en masse, whether that is regular checkups or chemotherapy.

All of this would be fixed by passing Medicare for All, which Democratic voters like and which gets favorability ratings comparable to or better than the Affordable Care Act’s. It would not pass the Senate, of course, but it would provide a club to beat Republicans with. Barring a sudden change of heart on single-payer, it would still be easy and beneficial for Democratic leadership to do anything at all to show they care about people who have lost their health insurance. Propose a bill. Hold a press conference. Take a camera and go to a hospital, a homeless shelter, or a McDonald’s and talk to uninsured people who would tell you that yes, actually, I would like it if Mitch McConnell would allow me to have health insurance. All of this would be better than nothing, as inadequate as expanding Cobra would be. But Democrats won’t do these things, because they don’t really care. Once you’ve accepted 27 million uninsured, what’s another five million lives?

This content was originally published here.

Health Service Blames ‘Error’ After Telling 600,000 Healthy People They’d Had COVID-19

More than 600,000 military-connected Americans affiliated with the Tricare health plan were told in error Friday that they had been diagnosed with COVD-19.

The individuals and families were in the military health system’s East Region, according to Military.com.

The foul-up began when beneficiaries received an email that began with some very jarring news.

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“As a survivor of COVID-19, it’s safe to donate whole blood or blood plasma, and your donation could help other COVID-19 patients,” the email stated.

The email then went on to explain itself.

“Your plasma likely has antibodies (or proteins) present that might help fight the coronavirus infection. Currently, there is no cure for COVID-19. However, there is information that suggests plasma from COVID-19 survivors, like you, might help some patients recover more quickly from COVID-19,” it said.

A few hours later, Humana Military, which manages Tricare across 31 states and the District of Columbia, tried to calm the waters it had roiled.

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“In an attempt to educate beneficiaries who live close to convalescent plasma donation centers about collection opportunities, you received an email incorrectly suggesting you were a COVID-19 survivor. You have not been identified as a COVID-19 survivor and we apologize for the error and any confusion it may have caused,” Humana’s email said.

According to Military Times, Marvin Hill, Humana’s corporate communications lead, said the company apologized “for the confusion caused by the original message.”

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The initial, potentially panic-inducing message went to some of those living near a plasma collection facility and was not based “on any medical information or diagnosis,” Hill said.

Plasma from individuals who have had COVID-19, which is called “convalescent plasma,” can be used as a possible treatment for the disease.

“As a part of an effort to educate military beneficiaries about convalescent plasma donation opportunities, Humana was asked to assist our partner, the Defense Health Agency. Language used in email messages to approximately 600k beneficiaries gave the impression that we were attempting to reach only people who had tested positive for COVID-19. We quickly followed the initial email with a clear and accurate second message acknowledging this. We apologize,” Hill said in a statement, Military Times reported.

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Have you recovered from #COVID19 and live near @FtBraggNC? Your plasma could help save a life. The @WomackAMC is holding blood drives July 27-31.

Donors are needed to fuel a study about the effectiveness of convalescent plasma.

“Our goal is to encourage all personnel who have fully recovered from COVID-19 to donate their convalescent plasma as a way to help their friends, family, or colleagues who may be suffering from the disease now or who may contract the disease in the future. The need is now,” Army Col. Audra Taylor, chief of the Armed Services Blood Program, told Military Times.

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The U.S. Food and Drug Administration approved convalescent plasma as an investigational therapy in March for those hospitalized with the illness, and more than 35,000 patients in the U.S. have received it.

To date, there have been “encouraging reports and a lot of mechanistic reasoning that in fact convalescent plasma may be helpful,” said Dr. Janet Woodcock, director of the Center for Drug Evaluation and Research at the Food and Drug Administration, according to Military Times.

“These studies are being done as we speak … we need donors. Blood drives are ongoing, and the U.S. government will be trying to accelerate these drives for convalescent plasma,” Woodcock said.

We are committed to truth and accuracy in all of our journalism. Read our editorial standards.

This content was originally published here.

Updated Sedation Guidelines in Dentistry for Children – TeethRemoval.com

Recently new guidelines have been issued regarding the use of sedation for dental procedures performed on children. In the past on this site some scrutiny has been placed on sedation provided to children during dental procedures because of many deaths that have occurred, see for example What to Ask the Dentist Before Children Have Sedation and Pediatric Dental Death in Cambridge, Ontario, Canada Spurs Comments on Dental Anesthesia. In the June 2019 edition (vol. 143, no. 6) of Pediatrics in an article titled Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures written by Coté and Wilson updated guidelines for the use of sedation in dentistry is provided. These guidelines were updated for the American Academy of Pediatric Dentistry (AAPD) and American Academy of Pediatrics (AAP) for the first time in three years. These recommendations apply to all of those whom are providing deep sedation or general anesthesia in an office environment to children even if the state board does not mandate such a recommendation.

What has changed in these recommendations has been intensely contested when it comes to giving sedation to those undergoing wisdom teeth removal. The guidelines in the 2019 edition of Pediatrics call for two trained personnel to be present when deep sedation or general anesthesia is given to a child at a dental facility. The previous guidelines called for one trained person to be present when deep sedation or general anesthesia is given to a child at a dental facility. Specifically the June 2019 guidelines state:

“During deep sedation and/or general anesthesia of a pediatric patient in a dental facility, there must be at least 2 individuals present with the patient throughout the procedure. These 2 individuals must have appropriate training and up-to-date certification in patient rescue… including drug administration and PALS [ pediatric advanced life support] or Advanced Pediatric Life Support (APLS). One of these 2 must be an independent observer who is independent of performing or assisting with the dental procedure. This individual’s sole responsibility is to administer drugs and constantly observe the patient’s vital signs, depth of sedation, airway patency, and adequacy of ventilation.”

The guidelines call that the independent observer must one of: a certified registered nurse anesthetist, a physician anesthesiologist, an oral surgeon, or a dentist anesthesiologist. The independent observer must be trained in PALS or APLS and capable of managing any airway, ventilatory, or cardiovascular emergency resulting from deep sedation or general anesthesia given to the child. The person performing the dental procedure must be trained in PALS or APLS and be able to provide assistance to the independent observer if a child experiences any adverse events while sedated.

It is reported that the guidelines developed rely mostly on medical data because data for sedation in dental offices is not as readily available. Steps are being taken to incorporate more data regarding dental sedation into new guidelines. The reason for the updated guidelines is to increase safety for children having dental procedures in dental offices.

It is not clear how the American Association of Oral and Maxillofacial Surgeons may react to these June 2019 guidelines. They have long argued that their care model of having an oral and maxillofacial surgeon administer the sedation and perform the dental surgery is safe and cost effective (as seen in a recent May 2019 tweet below). Even so other physician organizations in the past have questioned their care model and it has long been suggested on this site that it may be safer to have oral surgery performed at a hospital if you are receiving sedation or anesthesia, see for example Anesthesia in the Oral and Maxillofacial Surgeons Office.

Oral and maxillofacial surgery anesthesia teams have the extensive training and experience needed to assist patients with pain and anxiety during procedures. https://t.co/sN9C5LCVHo #oralsurgery #myoms pic.twitter.com/fDhR3Jiz2d

— AAOMS (@aaoms)

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Our November Practice of the Month — Zammitti & Gidaly Orthodontics

mysocialpractice.com

Congratulations to our November Practice of the Month — Zammitti & Gidaly Orthodontics!

This month we’d like to spotlight an absolute social media powerhouse practice, Zammitti & Gidaly Orthodontics! They’re using social media dental marketing to reach new audiences, strengthen relationships with current patients, and stand out in their community.

They also impressed us with their phenomenal reviews presence, with over 350 positive patient reviews across Facebook and Google.

We reached out to Michelle Camp, patient care and marketing coordinator of the practice, for some insight on how social media is growing their business and what’s been working for them. Take something from what their team has learned to apply in your own social media strategy!

Ready for a quick demo of our reviews service? Fill out the form below.

Q&A With Michelle Camp, Marketing Coordinator

(Responses edited for length and clarity.)

What has been the biggest surprise of social media marketing for you?

The biggest surprise of using social media in our practice is how fun and exciting it is creating the posts. Our staff has really loved getting involved in taking pictures, sharing their fun facts or just listening to our silly post ideas. Taking pictures of the staff and patients is a fun and quick way to break up the day/week and add some excitement to our patient’s visits.

Which of your team’s social media efforts have shown to be most effective?

The social media tool or tactic that has been most successful has been our “Fun Fact Friday”–where each staff member shares a little fact about themselves that our patients may not otherwise know. People love getting to know our staff and doctors through these posts. Our patients look forward to this post in particular because it is fun to see everyone’s unique answers while also thinking about what their answer would be for each week’s fun fact.

What has been the biggest challenge of using social media in your practice?

The biggest challenge of social media marketing has been staying fresh and current. We have a large multi-doctor, multi-location practice and it can be difficult to make sure all employees/doctors/locations are included while being sure we are not posting the same thing each week. My Social Practice has helped us with this challenge by providing interesting new content ideas.

What has been the biggest benefit to your patients since you started using social media?

The number one benefit of our social media for our patients is that it helps patients to develop a more intimate relationship with our practice. With our daily posts our patients get a little glimpse behind the scenes while also getting to know our employees and doctors more. Our patients can see that we are a family that works hard while having fun too.

What has been the biggest benefit to your practice since you started using social media?

The #1 benefit social media has brought to our practice is the ability to always stay on people’s minds. Everyone is scrolling through Facebook and Instagram at some point throughout the day. When they scroll past our posts it helps people to think about us when they otherwise wouldn’t. If they are current patients it may be a reminder to tell a friend about our office. If they are not patients yet it may be that extra reminder to call our office to schedule a consultation. Social Media brings our practice into people’s homes and into their everyday conversations.

What kind of feedback have you gotten from patients about your social media?

Luckily, the feedback we have received from our patients about our social media efforts has been positive. We have had parents of patients and older patients themselves tell us how much they enjoy our posts. I personally have been able to use this feedback to get to know our patients more, asking them what they dressed up as for Halloween or what their least favorite food is.

What do you do in your office to promote your social media presence?

Right now our employees promote our social media presence in a low-key, laid-back manner. It may be as simple as mentioning a recent post or telling a patient to look for an upcoming post. Of course, taking pictures of patients and telling them to look for their photo on our social media is a great way to promote also! We don’t ever want a patient or parent to feel pressured or uncomfortable so something as simple as “check us out on Facebook/Instagram” has done the trick so far.

What advice would you have for a dental practice just starting to build their social media presence?

For a dental practice just starting out on social media I would tell them to stay true to their values and beliefs. Social media is an amazing platform that can reach a lot of people, it is important that what is being displayed on your practice’s social media is a great representation of who you are and what you believe in. Put your best qualities out there and let social media be another marketing platform that keeps you on people’s minds.

Which My Social Practice product or service has been the most help to you?

My Social Practice’s Engagement Boxes have been the biggest help for our practice. Each engagement box has included a great variety of fun and interesting tools/props/ideas to help our posts stay fun and fresh. Each engagement box has been filled with fun props along with well-made signs and ideas for each post. We have always been impressed with the content delivered within each box!

Thank you for sharing, Michelle! Your team really understands how social media grows dental practices, and we’ve loved watching your online presence grow!

Dental social media marketing is about growing practices through increasing your reach, enhancing your local reputation, and building relationships with patients and potential patients. My Social Practice has remained laser-focused on these key objectives for over a decade as we’ve built the perfect dental social media solution.

Even if you have no social media experience and no time to learn, My Social Practice can do all the heavy lifting for you—growing your practice while you focus on serving your patients.

and we’d love to show you step-by-step how we can make your practice shine online!

Ready for a quick demo of our social media service? Fill out the form below.

The post Our November Practice of the Month — Zammitti & Gidaly Orthodontics appeared first on My Social Practice – Social Media Marketing for Dental & Dental Specialty Practices.

This content was originally published here.

EXPLOSIVE – About All These “New” Positive COVID Cases – State Health Departments Manipulating Data, Changing Definitions.. | The Last Refuge

This is very interesting.  The document described in the video below is available HERE.  Research into state health regulations by Fog City Midge shows that new guidance for the definition of COVID-19 positive infections is likely the biggest background cause in a dramatic upswing in positive test results.  WATCH:

This revelation would explain exactly why those who construct the reporting systems are pushing so hard for contact tracing.  According to the new guidance anyone who comes into contact with a person who tests positive is now also considered positive. [pdf link]

Nice convenient way to inflate the infection rate.  The verified source is Here

In order to support the most important political objectives of the DNC writ large in the 2020 election, COVID-19 hype is essential:

♦Without COVID-19 panic Democrats cannot easily achieve ‘mail-in’ voting; which they desperately need in key battleground states in order to control the outcome.

♦Without COVID-19 panic Democrats cannot shut down rallies and political campaigning efforts of President Trump; which they desperate need to do in key battleground states.

♦Without COVID-19 panic Democrats cannot block the campaign contrast between an energetic President Trump and a physically tenuous, mentally compromised, challenger.

♦Without COVID-19 panic Democrats do not have an excuse for cancelling the DNC convention in Milwaukee; thereby blocking Team Bernie Sanders from visible opposition while protecting candidate gibberish from himself.

♦Without COVID-19 panic Democrats do not have a mechanism to keep voters isolated from each-other; limiting communication and national debate adverse to their interests.  COVID-19 panic pushes the national conversation into the digital space where Big Tech controls every element of the conversation.

♦Without COVID-19 panic Democrats cannot keep their Blue state economies easily shut-down and continue to block U.S. economic growth.  All thriving economies are against the political interests of Democrats.

♦Without COVID-19 panic Democrats cannot easily keep club candidate Joe Biden sealed in the basement; where the electorate is not exposed to visible signs of his dementia.

♦Without COVID-19 panic it becomes more difficult for Big Tech to censor voices that would outline the fraud and scheme.  With COVID-19 panic they have a better method and an excuse.

♦Without COVID-19 panic Democrats cannot advance, influence, or organize their preferred presidential debate format, a ‘virtual presidential debate’ series.

[Comrade Gretchen Whitmer knows this plan, hence she cancelled the Michigan venue]

All of these, and more, strategic outcomes are based on the manufactured weaponization of the COVID-19 virus to achieve a larger political objective.  There is ZERO benefit to anyone other than Democrats for the overwhelming hype surrounding COVID-19.

It is not coincidental that all corporate media are all-in to facilitate the demanded fear that Democrats need in order to achieve their objectives.  Thus there is an alignment of all big government institutions and multinationals to support the same.

Nothing is coincidental. Everything is political.

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NM Restaurant Association ‘devastated’ by governor’s latest public health order

Under Governor Michelle Lujan Grisham’s new public health order, restaurants will have to stop indoor dining on Monday.

“Restaurants didn’t do this to New Mexicans. New Mexicans did this to restaurants,” she said when making the announcement during a virtual news conference on Thursday.

Outdoor and patio dining at 50% capacity, along with carry out are still allowed.

“Right now, it’s over 100 degrees outside so outdoor dining doesn’t really help us much,” said Wight.

Restaurants were closed for more than two months before being allowed to resume indoor dining at 50% capacity on June 1.

“It’s going to be harder to come back from this closure then it was the last closure,” said Wight. “Last time we had PPP money, we had ways to get open, we had some savings left. We have no more savings. Our inventory – we’ve got fresh inventory right now we’ve got to get through and three days is not enough. So what are we going to do, right? We’re all just throwing our hands up saying, ‘What can we do?’”

She doesn’t have the latest number but estimates New Mexico will lose 20% of its restaurants – or 700 restaurants – with the new regulations in place.

Wight says the association is also considering a legal challenge and is planning a protest on Monday.

KOB 4 reached out to the governor’s office for a response. Press Secretary Nora Meyers Sackett said in a statement: 

It’s not accurate to say the group was not consulted before the decision. The governor has been very clear that if New Mexico’s COVID-19 cases continued to trend upwards, the state would need to retract some of the reopening measures we had been able to enact, including indoor dining. As the governor and Dr. Scrase noted yesterday, a high percentage of the state’s workplace rapid responses have been to restaurants. The governor was also very clear yesterday that this is not meant to “punish” restaurants, but it is an unavoidable consequence of New Mexicans continuing to conduct themselves in a way that continues to spread COVID-19 throughout the state. Everyone is suffering the effects of this deadly virus, and we have to do everything we can to slow the spread of it. Restaurant owners are prominent members of their communities and must, like all of us, do everything they can to save lives.
 

This content was originally published here.

Dental House NYC: Dentistry with a Pampering Spa Twist – Beauty News NYC – The First Online Beauty Magazine

Start 2019 with a dental re-boot. There’s nothing typical about the newly opened Dental House apart from its efficiency and professionalism. Located on the NE corner of 13th Street and Seventh Avenue in Greenwich Village, it’s an art-filled, airy, modern neighborhood dental practice – where things are carried out with more thought and pampering than your typical dental practice. For example, your lips are slathered with a softening, aromatic Rose Salve for your comfort, you’ll savor dark chocolate treats, sunglasses to cut any machine glare, and glasses of water to stay hydrated. Here you can enjoy all of the typical dental office treatments: x-rays, cleanings, whitening treatments, and more.

If you’ve ever hoped for a dental visit that would be soothing and reassuring while offering a full suite of typical services, then Dental House is indeed your dream dental office. Dr. Sonya Krasilnikov is well-experienced, charming, and able to thoroughly explain every aspect of your necessary treatments. You may have just found your favorite new dentist! Her partner, Dr. Irina Sinensky, is equally awesome.

Check out the Dental House website, and schedule and appointment to check off those health-oriented New Year’s resolutions:

You’ll leave Dental House with a Theo Dark Chocolate bar. Dark chocolate is a healthy snack option for dental care because cocoa beans contain beneficial ingredients that disrupt plaque formation and strengthen enamel. The less sugar in the chocolate, the better the chocolate is for you. Enjoy!

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This content was originally published here.

‘It’s absolutely horrifying’: Coronavirus expert warns of dire health crisis amid Texas surge – Houston Chronicle

Dr. Peter Hotez and his science partner, Dr. Maria Elena Bottazzi, in their vaccine lab at Texas Children’s Hospital Center for Vaccine Development – Baylor College of Medicine, in February 2020.

Dr. Peter Hotez and his science partner, Dr. Maria Elena Bottazzi, in their vaccine lab at Texas Children’s Hospital Center for Vaccine Development – Baylor College of Medicine, in February 2020.

Photo: Mark Mulligan, Houston Chronicle / Staff Photographer

Dr. Peter Hotez and his science partner, Dr. Maria Elena Bottazzi, in their vaccine lab at Texas Children’s Hospital Center for Vaccine Development – Baylor College of Medicine, in February 2020.

Dr. Peter Hotez and his science partner, Dr. Maria Elena Bottazzi, in their vaccine lab at Texas Children’s Hospital Center for Vaccine Development – Baylor College of Medicine, in February 2020.

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Houston and Texas must take significant action before the weekend arrives to fight the spread of COVID-19, warns Houston’s internationally-renowned infectious disease expert, Dr. Peter Hotez.

Throughout the COVID-19 pandemic, Hotez has lent his expertise on Texas’ response to the deadly coronavirus. He serves as dean of the National School of Tropical Medicine at Baylor College of Medicine and is currently developing a vaccine for COVID-19.

On Tuesday, Texas saw 5,489 new confirmed cases of COVID-19. In an interview with Chron.com on Wednesday, Hotez called that uptick “horrifying.”

TRIPLING THE CASES: Houston Methodist hospitals see triple the number of COVID-19 patients in expanding pandemic

Question: Now that Texas has hit 5,489 new COVID-19 cases yesterday, what are your thoughts about Houston becoming the next epicenter of the pandemic?

Hotez:  “It’s absolutely horrifying. I’m terribly upset about what I see happening. There were some predictive models out of Pennsylvania that actually showed this. This is why I didn’t want Texas to open up as early it did. “

Question:  What are your thoughts about the possibility of a second shutdown? What do you think should be done?

Hotez: “We have to implement a significant level of social distancing. Now, we have no choice.  We have to take action before the weekend.  At the minimum, we must focus on the metropolitan areas–Houston, San Antonio and Austin.  We are already reaching a dire health crisis in Houston, and it will only get worse.”

NEW COVID-19 RULES: Abbott orders new COVID-19 rules for Texas child care centers after prior restrictions dropped

Question: Do you think after yesterday’s high numbers that Houston should actually be at a red alert on coronavirus threat level?

Hotez: “I think we should be red alert for coronavirus threat level. We need to head in that direction.  Six months into this epidemic, and we’re basically to square one.”

Question: During a U.S. House Energy and Commerce committee meeting yesterday,  Rep. Pete Olson (R-Sugar Land) warned that the current trajectory in Houston has the city on pace to be one of the worst affected cities in the U.S. comparing it to Brazil. Olson even called it, “damn scary.” Thoughts on this?

Hotez:  “I think the congressman has been reading my social media page. That unfortunately is the situation we may be in, unless we do something. The default plan if we don’t do anything is that the cases rise until we reach herd immunity.  Those numbers would continue to rise vertically.”

Question: What is your message to Texans and all Americans about the COVID-19 surge?

Hotez: “Nationally, this is one of the biggest public health failings in the history of the U.S. We have a vaccine that we are hoping to advance this time next year.  This pandemic is not getting better on its own. This is a public health crisis that we share with Dallas, Austin, and San Antonio. We need to make an urgent plan to take action before the weekend.”

alison.medley@chron.com

This content was originally published here.

Early findings grim on the health of Flint kids after water crisis – 60 Minutes – CBS News

You may remember the pictures from the water crisis six years ago in Flint, Michigan. Hundreds of angry residents holding up bottles of rust-colored water and demanding answers. Months of protests were waved off by officials who denied anything was wrong. The turning point came when a local pediatrician found conclusive proof that the children of Flint were being exposed to high levels of lead in their water and prompted the state to declare an emergency. Now, that same doctor is working to solve a mystery that still worries parents in Flint: what lasting damage did the water do to their kids? As we first reported in March, her initial findings were worse than she feared. But we begin with the legacy of Flint’s water crisis.

Once a week, hundreds of cars line up for bottled water at the Greater Holy Temple Church of God in Flint.

Sandra Jones is in command. She is a pastor’s wife with the voice of a four-star general. Jones keeps the cars moving and the water coming. Each family is allowed four cases of water. On this day, they gave away 36,000 bottles.

Sharyn Alfonsi: It just strikes me. It’s been five years and you’re still doing this.

Sandra Jones: Five years. And– and the thing about it is it’s not lightening up. I could see it if it was lightening up. But it isn’t.

It is not. The state stopped giving away bottled water two years ago because it said the water is safe. Sandra Jones relies on donations of water.

Sharyn Alfonsi: What’s it been like?

Larry Marshall: It’s been kinda hard…

Larry Marshall was second in line. The widowed father of four got here at 5 a.m. He’s been waiting five hours for water.

Larry Marshall: Water should be a basic necessity that — we shouldn’t have to wait or stand in line for, you know. This is not a third world country. But we’re living like one.

Marshall, like many in Flint, still refuses to drink tap water.

Sharyn Alfonsi: And if they come to you the city or the state and they say, “You’re drinking water’s safe. Are you gonna believe them?
Larry Marshall: No. They lie so much and we know they lie, and I– when they say something, it’s like– talking to the wind, you know. I don’t believe nothing they say. None of the politicians, none of them.

Flint, once a prosperous hub of the American auto industry was nearly bankrupt back in 2014. Officials hoped to save money by switching the city water source from the Great Lakes to the Flint River.

Almost immediately, residents began noticing something wasn’t right. The water was rust colored and many people had rashes.

But Michigan’s department of environmental quality and the city insisted the water in Flint is safe. Later, a state investigation found those officials hid the fact that the river water was not treated with chemicals that would prevent the pipes from corroding. So, for months the water ate away at Flint’s old pipes, releasing lead into residents’ tap water.

Dr. Mona Hanna-Attisha: They were poisoned. I mean they were poisoned by this water.  They were all exposed to toxic water.

Dr. Mona Hanna-Attisha is a pediatrician in Flint, who her patients call “Dr. Mona.”

Dr. Mona is a bit of a superhero herself here because she was the first to link the water to high levels of lead in the children of Flint.

Dr. Mona Hanna-Attisha: So within a few months of– of being on this water, General Motors, which was born in Flint, and still has plants in Flint, noticed that this water, our drinking water, was corroding their engine parts. Let’s pause. Like, the drinking (LAUGH) water was corroding engine parts. So they were allowed to go back to Great Lakes water.

Sharyn Alfonsi: Didn’t anybody at that point say, “If it’s corroding an engine, maybe this shouldn’t be going into our bodies, into our kids?”

Dr. Mona Hanna-Attisha: I mean that should have been like fire alarm bells. Like, red flags.

Sharyn Alfonsi: So what did it take before your– it– your eyes opened about this?

Dr. Mona Hanna-Attisha: Yeah. It– it– it was the word lead.

Sharyn Alfonsi: Because the word lead, when you’re a physician or a pediatrician signals what in your brain?

Dr. Mona Hanna-Attisha: There is no safe level of lead. We’re never supposed to expose a population or a child to lead. Because we can’t do much about it. It is an irreversible neurotoxin. It attacks the core of what it means to be you, and impacts cognition– how children think. Actually drops IQ levels. It impacts behavior, leading to things like developmental delays. And it has these life-altering consequences.

In 2015, Dr. Mona and a colleague started digging through blood test records of 1,700 Flint children.   Including the kids she sees at the Hurley Children’s Clinic.

The non-profit clinic serves most of Flint’s kids. The city is 53% black and has one of the highest poverty rates in the country.

Dr. Mona Hanna-Attisha: So we looked at the children’s blood lead levels before the water switch. And we compared them to the children’s blood lead levels after the water switch. And in the areas where the water lead levels were the highest, in those parts of the city, we saw the greatest increase in children’s lead levels.

Armed with the first medical evidence that kids were being exposed to lead from the water, Dr. Mona did something controversial. She quickly held a press conference to share the blood test study, before other doctors reviewed her work.

Dr. Mona Hanna-Attisha:  So it was a bit of an academic no-no. Kind of a form of academic disobedience. But I l–

Sharyn Alfonsi: And you knew that?

Dr. Mona Hanna-Attisha: I– I knew that. But, like, but there was no choice– there was no way I was going to wait to have this this research vetted.

Two weeks later, Michigan Governor Rick Snyder ordered the water switched back to the Great Lakes and declared a state of emergency.

Rick Snyder at State of the State: I say tonight as I have before I am sorry and I will fix it.

But the damage was done. Dr. Mona estimates 14,000 kids in Flint under the age of six may have been exposed to lead in their water.

Dr. Mona Hanna-Attisha: I never should have had to do the research that literally used the blood of our children as detectors of environmental contamination.

Three years after the crisis began, the percentage of third graders in Flint who passed Michigan’s standardized literacy test dropped from 41% to 10%.

Kenyatta Dotson: I’m very concerned about my children. And not only my children, but I’m concerned about the children of Flint.

Kenyatta Dotson is still fearful of the water, even though the state is spending more than $300 million to fix the water system.

The city promised to replace all 12,000 supply lines that may have been contaminated with lead by last fall. Now, they say the work won’t be done until summer. 

Dotson says she and her daughters will continue to use bottled water for cooking and brushing their teeth.

Kenyatta Dotson: I need time to come back to a place where I feel whole again.

Sharyn Alfonsi: You don’t feel whole right now?

Kenyatta Dotson: Oh no.

Sharyn Alfonsi: Would this have happened in a rich, white suburb?

Kenyatta Dotson:  Maybe it would’ve happened in– in a rich, white suburb. Would it have continued for as long as it has? I don’t believe so.

We found many parents in Flint still bathe their young children with bottled water — first warmed on the stove then brought to the tub.

Dr. Mona Hanna-Attisha: When I’m in clinic– almost every day– a mom asks me, “Is my kid gonna be okay”? So that’s a number one kind of anxiety and– and concern right now–

Sharyn Alfonsi: How do you answer that?

Dr. Mona Hanna-Attisha: Oh, I– I sit down. I sometimes hold their hand. And I reassure my patients and their parents just as I would before the crisis… to keep doing everything that you’re supposed to be doing to promote your children’s development.

In January of 2019, she launched the Flint registry, the first comprehensive look at the thousands of kids exposed to lead in Flint. The goal of the federal and state-funded program is to track the health of those kids and get them the help they need.

The registry refers hundreds of kids to specialists who conduct 8 hours of neuro-psychological assessments of their behavior and development.

Dr. Mona shared her preliminary findings with 60 Minutes.

Before the crisis, about 15% of the kids in Flint required special education services. But of the 174 children who went through the extensive neuro-exams, specialists determined that 80% will require help for a language, learning or intellectual disorder.

Sharyn Alfonsi: What are you gonna do?

Dr. Mona Hanna-Attisha: So there’s not much we can do. So there’s no magic pill. There’s no antidote.  There’s no cure. We can’t take away this exposure. But incredible science has taught us that there’s a lot we can do to promote the health and development of children and that’s exactly what we’re doing.

Through the registry, already 2,000 Flint children who were exposed to lead have been connected to services such as speech and occupational therapy, which some may need for the rest of their lives.

Dr. Mona Hanna-Attisha: But we also realized that our research, our science, this data and facts was also an underestimation of the exposure.

Sharyn Alfonsi: Why underestimated?

Dr. Mona Hanna-Attisha: Because we were looking at blood lead data done as part of these surveillance programs, which are done at the ages of 1 and 2. Lead in water impacts a younger age group. It impacts the unborn.

To determine that impact, Dr. Mona turned to a novel technique developed by Dr. Manish Arora at New York’s Mount Sinai Hospital. He examines baby teeth. Baby teeth begin to grow in utero.
Dr. Manish Arora: And just like growth rings in trees, every day a tooth forms a ring. And anything that we’re exposed to in our diet, what we eat, what we breathe, what we drink gets trapped in those growth rings.

A laser cuts through the tooth to analyze whether lead is embedded in the growth rings of teeth. Dr. Mona has sent teeth from 49 Flint kids to be analyzed. This was a scan on the tooth of a child who was 6 months old when the water source switched in Flint.

Dr. Manish Arora: As we hit that six month mark where the–

Sharyn Alfonsi: Oh, my gosh–

Dr. Manish Arora: –water– the water supply was change, you can see how–

Sharyn Alfonsi: Look at that.

Dr. Manish Arora: You can see how the lead levels go up and then they just keep– keep going up as more and more lead’s entering the body.

Sharyn Alfonsi: It shoots straight up.

Dr. Manish Arora: Exactly.

Sharyn Alfonsi: Wow.

For the first time, researchers can pinpoint to the day, even before birth, when a child was exposed to lead from the water and at what levels. Those early years are a critical time for brain development.

As we were following Dr. Mona’s work in Flint, another American city was forced to hand out cases of water. Testing on the drinking water in Newark, New Jersey, found lead levels four times higher than the federal limit. In some places, higher than Flint. Newark officials were warned about it’s water more than two years ago.

Dr. Mona Hanna-Attisha: Newark, New Jersey is like living Flint all over again. If we cannot guarantee that all kids have access to safe drinking water, not just privileged kids, but all kids have access to safe drinking water. That’s just one issue. Like, who are we?

Sharyn Alfonsi: This is not isolated to Flint–

Dr. Mona Hanna-Attisha: This is– this is an everywhere story. This is an America story.

Last month, we made another visit to Flint to check in with Sandra Jones.

She was still in command despite temperatures in the single digits. Hundreds in Flint are still coming to her church parking lot for their weekly supply of water, more than five years after the crisis began.

Produced by Guy Campanile and Lucy Hatcher. Broadcast associate, Cristina Gallotto. Edited by Matt Richman.

This content was originally published here.

Health expert Zeke Emanuel says 250,000 Americans could die of COVID by end of year – CBS News

Bioethicist Dr. Zeke Emanuel is predicting that up to 250,000 Americans could die directly from the coronavirus by the end of the year. In an interview with CBS News chief Washington correspondent Major Garrett, Emanuel, who is the vice provost for Global Initiatives and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, slammed the Trump administration’s response to the pandemic as “incompetent and pretty disastrous.”

“Before the year is out, we’ll probably have, I would think, between 220,000 and 250,000 Americans who died directly from COVID, not to mention those people who are dying indirectly,” Emanuel said in this week’s episode of “The Takeout” podcast. Emanuel singled out people with heart conditions or in need of cancer treatment who may not visit the doctor due to concerns about catching the virus as factors contributing to high indirect mortality rates.

“You’ll have a huge increase in mortality because of COVID, and that is, it seems to me, to be a failure,” Emanuel said. Emanuel is also a senior fellow for the left-leaning think tank Center for American Progress, and he is also on former Vice President Joe Biden’s campaign task force to address the coronavirus.

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Highlights from this week’s episode:

Emanuel noted that several states have seen an uptick in cases in recent weeks, and that the daily death tolls are comparable to what they were at the onset of the pandemic in the U.S. in March.

“That’s not progress, that’s regression. In some ways, you can say we’ve wasted four months,” Emanuel said. He also shot down President Trump’s claim that 40 million people had been tested. Forty million tests have been administered, with some people receiving multiple tests.

“We were extremely slow to develop good testing, and we still don’t have the best testing that we should,” Emanuel said.

However, Emanuel and the Trump administration do agree on one point: Schools should be reopened safely in the fall.

“We need to open up primary and secondary schools in the fall. I think it’s really important. I think you can do it safely. But whenever I say it, I don’t mean ‘no COVID,’ I mean ‘you will get COVID and kids will get COVID,’ but you can do it in a way that tries to minimize those cases,” Emanuel said. “It’s not risk-free. Life is not risk-free. But I think it’s probably worth it.”

Emanuel bemoaned how wearing a mask has become politicized, in part because the president has largely avoided wearing a mask in public.

“I heard someone saying, ‘Oh only sissies wear masks.’ Baloney! You wear a mask because you don’t want to spread it to someone else, and you don’t want to catch it from someone else,” Emanuel said. “Will it absolutely protect you? No. Will it decrease your chance of getting COVID? Yes.”

For more of Major’s conversation with Emanuel, download “The Takeout” podcast on Art19, iTunesGooglePlaySpotify and Stitcher. New episodes are available every Friday morning. Also, you can watch “The Takeout” on CBSN Friday at 5pm, 9pm, and 12am ET and Saturday at 1pm, 9pm, and 12am ET. For a full archive of “The Takeout” episodes, visit www.takeoutpodcast.com. And you can listen to “The Takeout” on select CBS News Radio affiliates (check your local listings).  

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This content was originally published here.

Airway Perspective on AAO Obstructive Sleep Apnea and Orthodontics White Paper – Spear Education

Author’s note: The topic of the impact of tooth extraction on the airway can be very contentious. My hope is this article serves as a tool to allow collegial discourse between restorative dentists concerned with airway and the orthodontists who they look to for solutions.

Recently, I had a new patient come to see me “looking for some veneers.” She had four bicuspids removed for orthodontics in the early 1970s and was given a headgear, but routinely found it on the floor at night. Also, her tonsils and adenoids were removed when she was very young due to recurrent infections.

She complains of a lifetime of poor sleep and never feeling refreshed. She is on multiple high blood pressure medications and has reflux. Ten years ago, she was snoring so badly her husband requested a sleep study.

The study diagnosed her with snoring and apnea. The treatment was UPPP (palatal surgery) and repair of a deviated septum. She feels that she can breathe better than before the surgery, but the symptoms never cleared. She still snores and has unrefreshing sleep.

My examination revealed multiple teeth with recession, some significant. Generalized pathologic wear and erosion. The maxillary anterior teeth were retroclined with lingual facets from pathway wear. The lower anteriors were over erupted. The tongue volume appeared normal, but the oral volume was limited. Her airway, on examination, was constricted with an exaggerated protective retraction of her tongue during examination of the oropharynx.

I thought to myself, “Could the removal of four teeth and subsequent retraction of the anterior teeth be culpable in her medical and dental history?”

The OSA and orthodontics relationship is relatively new

In 2019, the American Association of Orthodontists (AAO) released its “Obstructive Sleep Apnea and Orthodontics” white paper. It was the culmination of a two-year project by a panel of sleep medicine and dental sleep experts. They were tasked to produce guidelines for the role of orthodontists in the management of obstructive sleep apnea (OSA).

In the end, the group could not develop any formal OSA guidance for orthodontists. This is interesting given that orthodontists are charged with managing the anatomy of the airway and they work with medical providers on airway anatomy issues like cleft palates and orthognathic surgery.

While it was not stated in the paper, in my opinion, the reason for the lack of specificity of recommendations comes from the nature of the science that was being evaluated. When medical colleagues review dental literature, routinely they are struck by the poor quality of the data. Dental research is typically not well funded, the numbers of participants are limited, the follow-up is short, and it lacks untreated control subjects.

Orthodontics takes years to complete and many years to determine any impact. And finally, the relationship between OSA and orthodontics is a relatively new concept that has rarely been tested in sleep laboratories. Instead, most studies on airway change look at cephalometric or CBCT volumetric alteration and infer (all be it incorrectly) that bigger is better. The conclusions of the AAO white paper are, therefore, going to be constrained by this lack of quality evidence.

Bicuspid extraction addressed

Curiously, section 12 of the AAO white paper, “Fallacies About Orthodontics in Relation to OSA,” addresses the issue of bicuspid extraction. It begins, “Conventional orthodontic treatment never has been proven to be an etiologic factor in the development of obstructive sleep apnea. When one considers the complex multifactorial nature of the disease, assigning cause to any one minor change in dentofacial morphology is not possible.”

This conclusion is true, but the key word is “proven.” There is also a lack of proof orthodontics is not a factor in the development of OSA. The disease is multifactorial but minor changes in oral volume, vertical dimension, and mandibular protrusion have been shown to change the airway and sleep apnea significantly. To argue that removal of four teeth is an unremarkable change is, at least, questionable given available data.

The paper continues, “The specific effects on the dental arches and the muscles and soft tissues of the oral cavity following orthodontic extractions can differ significantly, depending on the severity of dental crowding, the amount of protrusion of the anterior teeth and the specific mechanics used to close the extraction spaces.”

Zhiai Hu1 published a systematic review evaluating the effect of teeth extraction on the upper airway. It included only seven articles. They were divided by the reason for treatment:

The Class I bimax group all had anterior tooth retraction without boney changes. Three of the four articles showed a reduction in upper airway dimension, the last showed a reduction but not to the level of significance.

The one article on crowding differed because the orthodontic technique allowed the molars to move forward ~3mm. That created an increase in the airway dimension.

Finally, the unspecified group did not provide a discussion of the direction of movement (retractive or molar movement) and found small increases for both extraction and non-extraction groups. A conclusion that can be reached from this review is if you retract the anterior teeth, the airway size reduces and if the molars move forward, the airway improves or remains the same.

Impact of volumetric change

The white paper goes on to state, “The impact that orthodontic treatment with or without dental extractions may have on the dimensions of the upper airway also has been examined directly, first with two-dimensional cephalograms and more recently with three-dimensional CBCT imaging…

“In discussing orthodontic treatment to changes in the dimensions of the upper airway, it also is helpful to understand that an initial small or subsequently reduced or increased size does not necessarily result in a change in airway function.”

This is one of the issues medicine has with dental literature. Dental researchers rarely study the actual impact of the volumetric change. It is not enough to say the space is smaller. It needs to be quantified with sleep data. It also needs to be followed over time.

However, Christian Guilleminault highlighted a reduction in the ideal size of the upper airway can lead to abnormal breathing over time, initially with flow limitation, then with a progressive worsening toward full-blown OSA.2> Rarely would testing at the completion of orthodontics demonstrate a compromise. It is the stressful breathing night after night that compromises the airway and makes people more prone to breathing issues during sleep.

Existing evidence suggests the opposite

The AAO white paper does highlight a paper that attempts to answer the question about compromise later in life.

“One such study assessed dental extractions as a cause of OSA later in life with a large retrospective examination of dental and medical records… The study concluded that the prevalence of OSA was essentially the same in both groups, and that dental extractions were not a causative factor in OSA.”

A.J. Larsen3 reviewed insurance records for 5,500 patients between the ages of 40-70. Dental radiographs determined if the subjects were missing four bicuspids or had a full complement of teeth. They matched the two groups for age, BMI, etc. Then they reviewed their medical records to see if the subject had received a diagnosis for apnea.

The results showed that 9.56% of the non-extraction and 10.71% of the extraction group had a diagnosis of OSA. This was not significantly different. Thus, the authors’ conclusion was there was not a relationship between OSA and premolar extractions.

It is currently estimated that 80-90% of OSA patients are undiagnosed. Larsen’s paper states because the subjects all have insurance, they would expect physicians would note the symptoms and get them a sleep study and diagnosis.

There is absolutely no evidence to support that assertion and the existing evidence suggests just the opposite. From pediatricians to primary care, physicians are not diagnosing apnea effectively. The conclusion of the article should be extraction and non-extraction individuals are underdiagnosed at almost the same rate.

Orthodontic literature is not conclusive

The AAO paper goes on to state, “Overall it can be stated that existing evidence in the literature does not support the notion that arch constriction or retraction of the anterior teeth facilitated by dental extractions, and which may (or may not) be the objective of orthodontic treatment, has a detrimental effect on respiratory function.”

Once again, it is true existing evidence does not support that position because there is no quality evidence at this time, not that the relationship does not exist. This should, in my opinion, be a call for more research rather than posturing the topic as a fallacy.

Orthodontic literature is not conclusive on whether premolar extractions impact the airway. A weakness of all the studies is they are based on CBCT or cephalometric radiographic measurements and not sleep data. How a patient uses the existing airway volume is more critical than the size and that’s never measured.

Is there ever a time when I agree with an orthodontic recommendation of extractions? Absolutely. I will, however, ask my specialist:

The most important take away should be the need to intervene earlier. Attempting to direct craniofacial development may keep us from ever needing to know the answer to, “Does the extraction of four bicuspids impact the airway?”

Jeffrey Rouse, D.D.S., is a member of Spear Resident Faculty.

1. Hu Z, Yin X, Liao J, Zhou C, Yang Z, Zou S. The effect of teeth extraction for orthodontic treatment on the upper airway: a systematic review. Sleep and Breathing. 2015;19(2):441-451.

2. Guilleminault C, Huseni S, Lo L. A frequent phenotype for paediatric sleep apnoea: short lingual frenulum. ERJ Open Research. 2016;2(3):00043-02016.

3. Larsen AJ, Rindal DB, Hatch JP, et al. Evidence Supports No Relationship between Obstructive Sleep Apnea and Premolar Extraction: An Electronic Health Records Review. Journal of Clinical Sleep Medicine. 2015;11(12);1443-1448.

This content was originally published here.

Millions Have Lost Health Insurance in Pandemic-Driven Recession – The New York Times

The White House and Congress have done little to help. The Trump administration has imposed sharp cuts on the funding for outreach programs that assist people in signing up for coverage under the health law. And while House Democrats have passed legislation intended to help people to keep their health insurance, the bill is stuck in the Republican-controlled Senate.

Rather than expand access to subsidized insurance under the Affordable Care Act, Mr. Trump has promised to directly reimburse hospitals for the care of coronavirus patients who have lost their insurance. But there is little evidence that has begun.

“Helping people keep their insurance through a public health crisis surprisingly has not gotten much attention,” said Larry Levitt, executive vice president for health policy at the Kaiser Family Foundation. “This is the first recession in which the A.C.A. is there as a safety net, but it’s an imperfect safety net.”

The Families USA study is a state-by-state examination of the effects of the pandemic on laid-off adults younger than 65, the age at which Americans become eligible for Medicare. It found that nearly half — 46 percent — of the coverage losses from the pandemic came in five states: California, Texas, Florida, New York and North Carolina.

In Texas alone, the number of uninsured jumped from about 4.3 million to nearly 4.9 million; three out of every 10 Texans are uninsured, the research found. In the 37 states that expanded Medicaid under the Affordable Care Act, 23 percent of laid-off workers became uninsured; the percentage was nearly double that — 43 percent — in the 13 states that did not expand Medicaid, which include Texas, Florida and North Carolina.

Five states have experienced increases in the number of uninsured adults that exceed 40 percent, the analysis found. In Massachusetts, the number nearly doubled, rising by 93 percent — a figure Mr. Dorn attributed to a large number of people losing employer-based coverage there. Across the country as a whole, more than one in seven adults — 16 percent — is now uninsured, the analysis found.

To generate the estimates, Mr. Dorn examined the number of laid-off workers in each state and calculated how many had become uninsured based on coverage patterns since 2014, when the central provisions of the Affordable Care Act went into effect. The underlying data for those patterns comes from work published by the Urban Institute in April.

This content was originally published here.

As Pandemic Toll Rises, Science Deniers in Louisiana Shun Masks, Comparing Health Measures to Nazi Germany

Science denial in America didn’t begin with the Trump administration, but under the leadership of President Trump, it has blossomed. From the climate crisis to the COVID-19 pandemic, this rejection of scientific authority has become a hallmark of and cultural signal among many in conservative circles. This phenomenon has been on recent display in Louisiana, where a clear anti-mask sentiment has emerged in the streets and online even as COVID-19 cases rise.
“Are you a masker or a free breather?” Pastor Tony Spell asked the crowd while speaking from the bed of a pickup truck at a July 4 “Save America” rally in Baton Rouge. At the end of March Spell gained international attention for his refusal to stop his church’s services despite Gov. John Bel Edwards’ stay-at-home order, which was issued to slow the Louisiana’s rapid rise in COVID-19 cases.
 
“It has never been about a virus — it is about destroying America,” Spell claimed, before equating a government whose public health measures restrict church gatherings and require protective face coverings in public to Germany under Hitler. A crowd of less than 200 roared in agreement at the rally that was held across from the governor’s mansion. 

Pastor Tony Spell
Pastor Tony Spell speaking at the “Save America” rally in Baton Rouge on July 4.

Attendees of a "Save America" rally in Baton Rouge on July 4
Attendees of the “Save America” rally in Baton Rouge on July 4 including one holding a fan.

On July 8, another conservative voice, Louisiana State Representative Danny McCormick, posted a video on Facebook making a similar comparison to Nazi Germany. “This isn’t about whether you want to wear a mask or you don’t want to wear a mask — this is about your right to wear a mask or not,” McCormick said. “This is about liberty. Your body is your private property … People who don’t wear a mask will be soon painted as the enemy — just as they did the Jews in Nazi Germany. Now is the time to push back before it is too late.”

 At a press conference the day after McCormick posted his video, Gov. Edwards announced that the state had lost its previous gains against the coronavirus. 

McCormick’s statements come about six months into a public health crisis that has infected 71,884 Louisiana residents and killed 3,247, as of July 9. Despite the pandemic’s accelerating and deadly spread, the complaints by McCormick, Pastor Spell, and the others joining them at a handful of protests in Baton Rouge  illustrate a pervasive disdain for science held by many associated with the Republican Party. 

Louisiana State Rep. Danny McCormick
State Representative Danny McCormick at an “End the Shutdown” protest in Baton Rouge, Louisiana, on April 25.

State Rep. Danny McCormick's talking points at an "end the shutdown" rally in Louisiana
State Representative Danny McCormick’s talking points on an index card he held while making a speech during an “End the Shutdown” rally in Baton Rouge on April 25.

A DeSmog investigation found that a number of groups behind protests against pandemic stay-home orders are also part of the climate change countermovement, a term coined by sociologist Robert Brulle. U.S. Sen. Sheldon Whitehouse (D-RI) has called this network of individuals and organizations disputing climate science the “web of denial.”

April and May rallies in Louisiana pushing to open the state followed larger rallies in Idaho, Michigan, and North Dakota. Helping tie together what Trump has called the “liberate” movement is the State Policy Network (SPN). As DeSmog has reported, SPN is “a network of state-level conservative think tanks advancing pro-corporate agendas, [and] has received money from the likes of the Koch family, the Devos family, the Mercer Family Foundation, and others.” 

Woman with a COVID-19 denial sign at an "end the shutdown" rally in Baton Rouge
Woman with a Covid-19 denial sign at an “End the Shutdown” protest in Baton Rouge, Louisiana, on April 25.

Woman with a COVID-19 denial sign targeting Bill Gates, a common target of the right wing
Woman with a Covid-19 denial sign sporting a message for Bill Gates, a common target of the right wing, at an “End the Shutdown” protest in Baton Rouge, Louisiana, on April 25.

At an April 25 “End the Shutdown” rally in Baton Rouge, rally-goers, led by Rep. McCormick, marched from the State Capitol building to the nearby lawn across from the governor’s mansion to express their anger with his handling of the crisis. In a speech, McCormick offered talking points to counter Gov. Edwards’ emergency orders meant to address the COVID-19 pandemic. The talking points mirrored a memo sent by GOP political operative Jay Connaughton to Republican State Sen. Sharon Hewitt and shared with GOP state legislators. Hewitt is one of Louisiana’s top conservative leaders. In 2018 she was named “National Legislator of the Year” by the American Legislative Exchange Council (ALEC).

Veronica Lemoa, a stay-at-home mom, at the "end the shutdown" protest on April 25 in Baton Rouge
Veronica Lemoa, a stay-at-home mother, at an “End the Shutdown” protest on April 25, 2020 in Baton Rouge, Louisiana. 

Young girl at an "Open Louisiana" event in Baton Rouge May 2
Young girl at an “Open Louisiana” event in Baton Rouge on May 2 across from the Governor’s Mansion. 

Despite President Trump’s praise for Gov. Edwards, a Democrat, for his handling of the pandemic, anti-mask protesters are equating the governor’s stay-at-home order and mask mandate with the first step to tyranny. Spell, who was arrested for defying the mask mandate, did not stop with his sharp criticism of the governor — and also had some for Trump. While he is glad the Trump administration deemed churches “essential,” in order to reopen them, Spell proclaimed that he doesn’t need the president’s permission, and warned: “If they can give you your right to go to church, then they can take from you your right to go to church.”


Pastor Tony Spell speaking on the July 4 at rally in Baton Rouge. 

At the July 4 rally, many expressed their support for Trump, and saw the upcoming presidential election as the most important in their lifetime. They labeled those who wear protective face coverings “sheep.” Out of the less than 200 rally-goers, I saw only two people with face masks. One was worn by a man that had the words “Dixie Beer” painted on it, which was expressing his disdain over the decision by the owner of the New Orleans beer company to change the beer’s name in response to anti-racism demonstrations. The other mask I noticed at the rally was worn on a woman’s arm. 

The only man wearing a face mask at a "save America" rally on July 4
The only man wearing a mask on his face at a “Save America” rally in Baton Rouge on July 4. He expressed his displeasure that the owner of Dixie Beer is changing the New Orleans beer’s name. 

Woman with a mask on her arm at the "save America" July 4 rally
Woman wearing a face mask on her arm at the “Save America” rally in Baton Rouge on July 4. 

In an April 1 op-ed in Newsweek, Rochester Institute of Technology philosophy professor Lawrence Torcello, and Pennsylvania State University climate scientist Michael E. Mann wrote: “Unfortunately, President Trump has again emerged as a leading source of disinformation. Having called COVID-19, as he previously did with climate change, a ’hoax,’ he now resorts to calling COVID-19 the ‘Chinese Virus.’ In the case of both COVID-19 and climate change, he has outsourced policy decision-making to science deniers. In both cases he is as wrong as he is xenophobic — and in both cases his predictable disinformation endangers lives.”

In February, before the first COVID-19 cases were identified in Louisiana, Gov. Edwards finally broke away from Trump on espousing climate science denial. 

Louisiana will not just accept or adapt to climate change impacts,” Edwards stated at a news conference in Baton Rouge. “Louisiana will do its part to address climate change.” In a reversal of his previous statements that questioned humans’ well-established role in driving the climate crisis, he said, “Science tells us that rising sea level will become the biggest challenge we face, threatening to overwhelm our best efforts to protect and restore our coast. Science also tells us that sea level rise is being driven by global greenhouse gas emissions.”

But Sharon Lavigne, founder of RISE St. James, a community group fighting petrochemical industry expansion in Louisiana’s Cancer Alley, doubts his sincerity. “If the governor is serious about reducing carbon emissions, he needs to pull the plug on Formosa.” Plastics giant Formosa is poised to start building a petrochemical complex in St. James Parish that has received permits to spew the emissions equivalent of 2.6 million cars. 

Petrochemical companies are one of Louisiana’s top producers of carbon dioxide, one of the globe-warming gases linked to human-caused climate change. However, the governor has not walked back his support of Formosa’s project. 

Edwards was the first governor in the country to point out that African Americans are being disproportionately impacted by the pandemic. But he has yet to address the impact which ongoing pollution from the petrochemical industry plays in the poor health of predominantly Black communities living near existing plants, or future ones, such as Formosa’s in St. James Parish.

Many U.S. leaders have failed to take to heart scientists’ warnings that half-measures to combat climate change and the COVID-19 pandemic won’t work. Meanwhile, temperatures across America are hitting new record highs, and cases of the coronavirus continue to rise exponentially, leading top U.S. infectious disease official Dr. Anthony Fauci to advise states “having a serious problem” with a surge in coronavirus cases to “seriously look at shutting down.” 

Protester across from the Louisiana Governor's Mansion on May 2
Protester across from the Governor’s Mansion in Baton Rouge on May 2 with a protest sign against Anthony Fauci, Bill Gates, and the “New World Order.”  

Protesters across from the Louisiana Governor's Mansion on May 2
Protesters across from the Governor’s Mansion in Baton Rouge on May 2.   

As with climate change, theoretical models have proven essential for anticipating what is likely to happen in the future. In the case of coronavirus, the initial spread of this virus is occurring at an exponential rate as models predicted,” Torcello and Mann pointed out in their Newsweek op-ed. “This means we can anticipate that larger sums of people will become infected in the coming weeks. We know the majority of those infected by COVID-19 will experience mild or no symptoms while remaining highly contagious, and we know that for others, COVID-19 will create the need for ventilators and other emergency medical supports that we do not yet have in sufficient supply. It is worth emphasizing: The fact that most people will experience mild symptoms is irrelevant to a crisis, like COVID-19, which is grounded in the math of large numbers.”

In his 1995 book The Demon-Haunted World, astronomer and science writer Carl Sagan presaged, with trepidation, an America wherein “our critical faculties in decline, unable to distinguish between what feels good and what’s true, we slide, almost without noticing, back into superstition and darkness…a kind of celebration of ignorance.”

After viewing some of my photos from the recent “Save America” rally, Mann wrote in an email: “These people, sadly, are the purest embodiment of Sagan’s chilling prophecy.”

Protester across from the Governor’s Mansion on May 2 with a protest sign that is a variation of the Gandsen Flag. 
Protester across from the Governor’s Mansion on May 2 with a protest sign that is a variation of the Gandsen Flag. 

Trump supporters at a rally across from the Governor’s Mansion on July 4.
Trump supporters at a rally across from the Governor’s Mansion on July 4.

Protesters at an “End the Shutdown" event in Baton Rouge on April 25 march from the Capital Building to the Governor’s Mansion nearby. 
Protesters at an “End the Shutdown” event in Baton Rouge on April 25 march from the Capital Building to the Governor’s Mansion nearby. 

Main image: Woman holding an anti-mask sign at a July 4 “Save America” rally in Baton Rouge. Credit: All photos and video by Julie Dermansky for DeSmog

This content was originally published here.

Dr. Scott Atlas disputes COVID-19 fear mongering tactics from our health officials –

Dr. Scott Atlas disputes COVID-19 fear mongering tactics from our health officials

SAN DIEGO (KUSI) – As coronavirus cases continue to increase across the United States, health officials and Democrat politicians seem to be using that statistic to fear monger and justify closure orders.

Dr. Scott Atlas of the Hoover Institute, discussed why we don’t need to be scared of the increase spread of coronavirus on Good Morning San Diego with KUSI’s Paul Rudy.

Atlas said that he has done more than a superficial analysis of the numbers, and after analyzing them, he doesn’t get scared.

Explaining, “When you look all over at the states who are seeing a lot of new cases, you have to look at who is getting infected because we should know by now, that the goal is not to eliminate all cases, that’s not rational, it’s not necessary, if we just protect the people who are going to have serious complications. We look at the cases, yes there’s a lot more cases, by the way they do not correlate in a time sense to any kind of reopening of states. If you look at the timing, that’s just a misstatement, a false narrative. The reality is they may correlate to the new protests and massive demonstrations, but it’s safe to say the majority of new cases are among younger, healthier people.”

Furthermore, Dr. Atlas emphasized the fact that the death rates are not going up, despite the increase in cases. “And that’s what really counts, are we getting people who are really sick and dying, and we’re not, and when we look at the hospitalizations, yes, hospitals are more crowded, but that’s mainly due to the re-installation of medical care for non COVID-19 patients.”

Dr. Atlas used Texas of an example saying, “90+% of ICU beds are occupied, but only 15% are COVID patients. 85% of the occupied beds are not COVID patients. I think we have to look at the data and be aware that it doesn’t matter if younger, healthier people get infected, I don’t know how often that has to be said, they have nearly zero risk of a problem from this. The only thing that counts are the older, more vulnerable people getting infected. And there’s no evidence that they really are.”

Dr. Atlas then pointed out the hospitalization length of stay is about half of what it once was.

This content was originally published here.

China Never Reported Existence of Coronavirus to World Health Organization

Contrary to claims from both Chinese officials and the World Health Organization, China did not report the existence of the coronavirus in late 2019, according to a WHO timeline tracking the spread of the virus. Rather, international health officials discovered the virus through information posted to a U.S. website.

The quiet admission from the international health organization, which posted an “updated” timeline to its website this week, flies in the face of claims from some of its top officials, including WHO director general Tedros Adhanom, who maintained for months that China had informed his organization about the emerging sickness.

China and its allies at the WHO insisted in multiple interviews and press conferences that China came to the health organization with information about the virus. This is now known to be false. The WHO’s backtracking lends credibility to a recent congressional investigation that determined China concealed information about the virus and did not initially inform the WHO, as it was required to do.

The WHO’s updated timeline, posted online this week, now states that officials first learned about the virus on Dec. 31, 2019, through information posted on a U.S. website by doctors working in Wuhan, where the virus first emerged. This contradicts the agency’s initial timeline, which said that China first presented this information at that date.

That initial timeline stated that the “Wuhan Municipal Health Commission, China, reported a cluster of cases of pneumonia in Wuhan, Hubei Province” on Dec. 31.

These claims were carried in numerous American media outlets that relied on the WHO’s inaccurate timeline, including CNN and Axios.

Chinese officials and state-controlled media also claimed for months that the communist regime informed the WHO on or around Dec. 31. In recent days, however, Chinese officials have dropped that talking point.

Rep. Michael McCaul (Texas), lead Republican on the House Foreign Affairs Committee and a member of Congress’s China Task Force, was one of the first lawmakers to expose China’s lies about reporting the virus. An interim congressional report on the virus’s origins published last month first disclosed the fact that the WHO found out about the virus from online postings, not China.

“I’m glad to see the WHO and the Chinese Communist Party have both read my interim report on the origins of the pandemic and are finally admitting to the world the truth—the CCP never reported the virus outbreak to the WHO in violation of WHO regulation,” McCaul told the Washington Free Beacon in a statement. “The question now is whether the CCP will continue their false propaganda campaign that continues to claim they warned the world, or whether they will come clean and begin to work with the world health community to get to the bottom of this deadly pandemic.”

McCaul’s report makes clear that WHO director general Adhanom parroted China’s claim about self-reporting the virus.

“Director General Tedros actively engaged in an effort to defend the CCP’s leadership from criticism, negatively impacting the world’s understanding of the virus and hampering the global response effort,” the report concluded.

The WHO’s initial timeline “leaves out the fact that the WHO China Country Office was ‘informed’ by the WHO headquarters in Geneva—not PRC health authorities,” according to McCaul’s findings, which are now verified by the WHO’s revised timeline.

While initial reports of the virus did in fact originate in Wuhan, WHO officials in its headquarters found the information on an American early-warning site.

“Director General Tedros’s comments seem to suggest that Wuhan or the PRC informed the WHO of the outbreak, which is untrue,” according to the congressional report.

This content was originally published here.

Here’s What I Can Tell You About My Health – The Rush Limbaugh Show

RUSH: I’ve got a bunch of emails from you people. You’re not complaining. I understand you’re not complaining. You’re genuinely, heartfelt curious. You’re pointing out that I have not given you a health update in longer than you can remember. And you’re right, I haven’t. And I told you that it was going to be this way. I told you that A, I didn’t want to burden anybody with that. That is not why you’re here.

Number two, no matter how you do it, it’s gonna sound like a complaint, and I just don’t complain. And number three, I have — as have you, I have seen people, public figures who get cancer, who then live it publicly, and it’s somehow — I don’t know. It’s just over the top to me. And then sometimes they make the mistake of saying, “Hey, I just saw the doctors and, man, I’m cancer free,” and then six weeks later… so I have vowed that’s not gonna happen. I’m not gonna in any way perform here or host this program as an ongoing cancer patient with weekly, daily reports, because, as I’ve said, there are good days, bad days; there are good weeks, bad weeks.

Here’s what I can tell you. The last treatment that I had, which is an infusion, was 10 days ago. And today is the first day I feel like being alive after that infusion. You’ve heard me, I say I feel normal, meaning I feel like I’m not taking any medicine. Now, the last infusion, that happened after five days. This one it has taken 10 days to reach this level, which only stands to reason because this infusion was the second one.

So there now are two doses of this treatment medication running throughout the deep, dark crevices of my body and my system. So the more you add to it, the more impact that it’s gonna have. And I actually am very lucky. I am not suffering any of the typical or the worst side effects that you hear about. For example, no nausea, no gastric or gastrointestinal distress at all. The primary side effect I have is a debilitating fatigue. I can’t even describe it because it’s so much more than being tired.

Everything has a rotten taste. Everything has a rotten smell. I surround myself with key lime scented candles and lavender and lemon candles just to get the rotten sense of smell at bay. And, of course, that bleeds over to sense of taste, which does nothing for the appetite, obviously. So I’m forcing myself to eat a bunch of stuff that literally tastes like horrible stuff. But these are the things you have to do and I don’t want to tell you this kind of stuff every day.

As far as overall how it is going, every day I wake up, I thank God I did. And that’s pretty much it. So I’m not trying to hide anything, and I’m not trying to shield you from anything. I’m actually simply trying to take what I’ve learned in this process and understand that it changes frequently and constantly, that nothing is guaranteed. And so you take every day as it comes, when you get a good one, you rejoice. When you get a good one you try to maximize it, make the most out of it as you can. When you get a bad day, you try to limit it, you live through it, you don’t complain about it.

This content was originally published here.

Straighten Out Your Orthodontics Billing

Managing billing at your orthodontics practice can take up as much time as you spend with your patients. If your current payment software doesn’t integrate with other platforms like QuickBooks Online, you could be spending hours reconciling payments.

Integrated technology cuts through the red tape for orthodontic payment processing. Integrated payments means that your billing, credit card processing, customer management, and business analytics are all in one place. In this blog, we’ll explore how you can straighten out your orthodontics billing and save money with integrated technology.

Use ACH to Save on Fees

ACH, or “automated clearinghouse,” payments are great for invoicing patients. ACH payments are a secure, low-cost option, especially if you send invoices through a virtual terminal.

ACH costs less than $1 per transaction to providers, unlike credit cards that vary in percentages, usually between 3-4% per transaction. Those savings add up, especially if you’re billing a patient for a high-cost procedure. Once you send a patient an invoice, they can enter their bank account information and complete the payment. Patients can also set up autopay for recurring invoices so you don’t have to worry about late payments. You’ll get paid faster and at a much lower cost.

Use Practice Management Software to Track Your Payer Mix

Your payer mix is crucial to your practice’s cash flow. A payer mix is the total distribution of how your patients pay for their care. They can pay through private insurance, government-funded options, or completely out of their own pocket. Having a good balance between the three creates a steady cash flow for your practice. For instance, if your payer mix leans towards federal insurance programs like Medicaid, changes in regulations can upset your cash flow and revenue.

You can track your payer mix through practice management software like OrthoTrac. You can even check the status of insurance claims and reimbursement so you get paid faster. To stay competitive, you should assess your payer mix and make adjustments as necessary, like accepting more forms of insurance. And to work even more efficiently, choose a payment processor like Fattmerchant that integrates seamlessly with OrthoTrac and other practice management software.

Sync Your Data to End Reconciliation

Integrated technology means you don’t have to stop using the tools you already love, like QuickBooks Online. Integrated technology will work with other tools to create a seamless experience. You can manage patients, their insurance information, payments, and outstanding invoices all without needing to log into separate tools.

Fattmerchant integrates with practice management software like OrthoTrac and DentalXchange, plus 200 other applications and platforms. You can manage the most vital aspects of your orthodontic practice’s billing from one platform. Plus, with our 2-way sync with QuickBooks Online, your data is automatically transferred between the two platforms, making reconciling a thing of the past.

See how integrated payment technology can help your orthodontics practice.

The post Straighten Out Your Orthodontics Billing appeared first on Fattmerchant.

This content was originally published here.

Bumpy’s owner arrested over health code violation in Schenectady

SCHENECTADY — The owner of a city soft ice cream stand has been arrested for allegedly keeping the business open despite a Schenectady County Department of Health order.

David Elmendorf, 35, the owner of Bumpy’s Polar Freeze on State Street, was arrested by city police on Wednesday on a charge of obstructing government administration, County Attorney Christopher Gardner said. He was released without bail pending a future City Court appearance.

Gardner said that Elmendorf also faces two citations under Public Health Law for operating without Health Department authorization since May 9, and for not properly securing a kitchen sink spray nozzle that was first brought to his attention as a code violation last fall. For each of those two charges, Gardner said Elmendorf could be fined up to $1,000 per day.

The Bumpy’s property has been posted with a Department of Health violation notice, Gardner said, and Elmendorf has removed it and continued to operate the business.

“[County Public Health] has been on his property several times and he has been uncooperative,” Gardner said on Thursday. “He just does not seem to want to obey the law.”

Gardner said the spray nozzle violation could have been settled with a small repair and a $100 fine, but the situation escalated this spring when an inspector returned and the spray nozzle issue had not been addressed and the fine hadn’t been paid. That led to the orders to close the business — the orders Elmendorf is accused of ignoring.

“His behavior is one of obstruction, non-cooperation and not obeying rule of law,” Gardner said.

Bumpy’s is located at 2013 State St., next door to the county Department of Motor Vehicles office, and has been in business for decades. Elmendorf, a former Schenectady County corrections officer, has operated it since 2012.

David Byrne and his wife ran Bumpy’s from 1996 until 2012, when they leased it to Elmendorf, and have since moved to Florida. Byrne said on Thursday that Elmendorf has never made good on a plan to buy the business and he continues to operate there even though the lease has expired.

“We have not been paid since February,” Byrne said. “We want to evict him and have sent him an eviction notice to come into eviction court, but we haven’t got into court [because of the pandemic.] We can’t physically remove him because we don’t have a court order. He doesn’t communicate with us. It’s very difficult.”

The arrest isn’t Elmendorf’s first brush with municipal code violations. In 2017, after a parking lot that customers had used was fenced off as part of the county DMV construction next door, Elmendorf was cited for not getting a permit before tearing down the car wash on the other side of Bumpy’s, which he owned, to create new parking.

Elmendorf would not respond to a request for comment Thursday. “We are not taking any questions at all,” said a man who answered the phone at Bumpy’s and identified himself as an employee.

Reach staff writer Stephen Williams at 518-395-3086, [email protected] or @gazettesteve on Twitter.

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This content was originally published here.

Outcomes Data Registry for Dentistry – TeethRemoval.com

Using large amounts of data from many different dentists or surgeons is a way to improve the quality of healthcare. From such clinical data registries in healthcare
many things can be gleaned regarding information about individual surgeries or medical devices. The American Association of Oral and Maxillofacial Surgeons (AAOMS) has recently launched OMS Quality Outcomes Registry or OMSQOR for short which is discussed on pages 7-12 of the March/April 2019 issue of AAOMS Today. The groundwork for OMSQOR actually began in 2014 and OMSQOR officially launched in January 2019. The way OMSQOR works is that treatment data from all members who participate will be collected in a national registry that will be used to help improve the quality of care and patient outcomes. Such quality data will allow for tracking surgical outcomes, complications, and possible gaps in treatment. OMSQOR will even allow an individual surgeon to compare their patients to all patients in the database to identify areas in their practice they may be lacking and improvement is needed. AAOMS is encouraging all of their members to sign up and participate.

The data registry will be used to help AAOMS be able to better advocate on behalf of oral and maxillofacial surgeons along with conduct additional research to improve outcomes. Practice patterns across the entire specialty can be tracked. This can allow for better reimbursement for services that is fair where insurance companies may be challenging them. This can also allow for better data showing how often an anesthesia death occurs by oral and maxillofacial surgeons. This is important to them because many have challenged their delivery model of having the surgeon both perform surgery and deliver anesthesia which is not how surgeries are conducted in other specialties. The data registry can allow for the frequency of particular complications after particular surgeries to be identified. Of particular interest is identifying the frequency of nerve injuries after wisdom teeth surgery. The data registry can also be used to explore medical prescription prescribing habits which is of particular interest with recent studies demonstrating possible over prescribing of opioids which are then diverted to non medical use. According to the AAOMS Today article:

“Often, anesthesia advocacy stalls because AAOMS does not know how many anesthetics OMSs safely and routinely use. With OMSQOR, relevant aggregate data can be collected and safety statistics shared with federal and state agencies as well as insurance companies.”

Currently the safety of oral and maxillofacial surgeons delivery anesthesia is measured by several morbidity and mortality studies that have been conducted over time see for exaxmple http://www.teethremoval.com/mortality_rates_in_dentistry.html along with anecdotal reports and hearing about patient death or serious injury from media reports. Included with OMSQOR, is a Dental Anesthesia Incident Reporting System (DAIRS) which is an anonymous self-reporting system used to gather and analyze
information about dental anesthesia incidents. For example if an equipment fails or a cardiac event occurs in a patient a surgeon could report this anonymously using DAIRS. All dental dental anesthesia providers are being encouraged to report to DAIRS in order to help improve patient outcomes.

Even with the advantages of OMSQOR it is true that some members may be hesitant to want to use the system. This is because it can potentially be a significant time burden involved with the initial set-up to import all the data and surgeons may frankly just not like everyone else knowing intimate details about their practice. In addition their may be concerns with patient privacy. Both patient information and surgeon information will however be de-identified in the data registry so these concerns should not be subdued. Even so it may be possible to re-identify de-identified data. For example if there is a rare complication or death that occurs and is then picked up by the news media it may be possible to piece together who the patient and doctor is. Even with the limitations it seems that if many oral and maxillofacial surgeons and dental anesthesia providers use both OMSQOR and DAIRS then patient outcomes for dental procedures including wisdom teeth surgery may improve in the future.

This content was originally published here.

Health Officials Had to Face a Pandemic. Then Came the Death Threats. – The New York Times

“There’s a big red target on their backs,” Ms. Freeman said. “They’re becoming villainized for their guidance. In normal times, they’re very trusted members of their community.”

Some critics of the public health directors have said that they believe that allowing businesses to operate is worth the risk of spreading the coronavirus, and that health directors are too cautious about reopenings. Others have cited conspiracy theories that claim that the coronavirus is a hoax; that the development of a vaccine is part of a massive effort to track citizens and monitor their movements; and that wearing a mask or cloth face covering is a practice that impedes personal freedom.

In Washington State, where rural counties are struggling with new outbreaks and trying to warn residents to take basic precautions to stem the spread of the virus, pleas from local health officials have often been answered with hostility and threats.

In Yakima County, which has more than six times as many cases per capita as the county that includes Seattle, hospitals have reached capacity and patients were being taken elsewhere for medical care. Gov. Jay Inslee warned over the weekend that “we are frankly at the breaking point,” and has said he would require Yakima residents to wear face coverings in an effort to slow the virus’s spread.

“I’ve been called a Nazi numerous times,” said Andre Fresco, the executive director of the Yakima Health District. “I’ve been told not to show up at certain businesses. I’ve been called a Communist and Gestapo. I’ve been cursed at and generally treated in a very unprofessional way. It’s very difficult.”

Updated June 22, 2020

Is it harder to exercise while wearing a mask?

A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.

I’ve heard about a treatment called dexamethasone. Does it work?

The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.

What is pandemic paid leave?

The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.

Does asymptomatic transmission of Covid-19 happen?

So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.

What’s the risk of catching coronavirus from a surface?

Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.

How does blood type influence coronavirus?

A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.

How many people have lost their jobs due to coronavirus in the U.S.?

The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.

My state is reopening. Is it safe to go out?

States are reopening bit by bit. This means that more public spaces are available for use and more and more businesses are being allowed to open again. The federal government is largely leaving the decision up to states, and some state leaders are leaving the decision up to local authorities. Even if you aren’t being told to stay at home, it’s still a good idea to limit trips outside and your interaction with other people.

What are the symptoms of coronavirus?

Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.

How can I protect myself while flying?

If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)

What should I do if I feel sick?

If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.

How do I get tested?

If you’re sick and you think you’ve been exposed to the new coronavirus, the C.D.C. recommends that you call your healthcare provider and explain your symptoms and fears. They will decide if you need to be tested. Keep in mind that there’s a chance — because of a lack of testing kits or because you’re asymptomatic, for instance — you won’t be able to get tested.

In California, angry protesters have tracked down addresses of public health officers and gathered outside their homes, chanting and holding signs. Last week, a group called the Freedom Angels did just that in Contra Costa County, Calif., filming themselves and posting the videos on Facebook.

“We came today to protest in front of our county public health officer’s house, and some people might have issues with that, that we took it to their house,” one woman said in a video. “But I have to tell you guys, they’re coming to our houses. Their agenda is contact tracing, testing, mandatory masks and ultimately an injection that has not been tested,” she said, apparently referring to a vaccine even though none have been approved.

This content was originally published here.

Henry Ford Health study: Hydroxychloroquine lowers COVID-19 death rate

Hydroxychloroquine lowers COVID-19 death rate, Henry Ford Health study finds

Sarah Rahal and Beth LeBlanc
The Detroit News
Published 6:42 PM EDT Jul 2, 2020

A Henry Ford Health System study shows the controversial anti-malaria drug hydroxychloroquine helps lower the death rate of COVID-19 patients, the Detroit-based health system said Thursday.

Officials with the Michigan health system said the study found the drug “significantly” decreased the death rate of patients involved in the analysis.

The study analyzed 2,541 patients hospitalized among the system’s six hospitals between March 10 and May 2 and found 13% of those treated with hydroxychloroquine died while 26% of those who did not receive the drug died.

Among all patients in the study, there was an overall in-hospital mortality rate of 18%, and many who died had underlying conditions that put them at greater risk, according to Henry Ford Health System. Globally, the mortality rate for hospitalized patients is between 10% and 30%, and it’s 58% among those in the intensive care unit or on a ventilator.

An arrangement of hydroxychloroquine pills.
John Locher, AP

“As doctors and scientists, we look to the data for insight,” said Steven Kalkanis, CEO of the Henry Ford Medical Group. “And the data here is clear that there was a benefit to using the drug as a treatment for sick, hospitalized patients.”

The study, published in the International Society of Infectious Disease, found patients did not suffer heart-related side effects from the drug. 

Patients with a median age of 64 were among those analyzed, with 51% men and 56% African American. Roughly 82% of the patients began receiving hydroxychloroquine within 24 hours and 91% within 48 hours, a factor Dr. Marcus Zervos identified as a potential key to the medication’s success. 

“We attribute our findings that differ from other studies to early treatment, and part of a combination of interventions that were done in supportive care of patients, including careful cardiac monitoring,” said Zervos, division head of infectious disease for the health system who conducted the study with epidemiologist Dr. Samia Arshad. 

Other studies, Zervos noted, included different populations or were not peer-reviewed.

“Our dosing also differed from other studies not showing a benefit of the drug,” he said. “We also found that using steroids early in the infection associated with a reduction in mortality.”

But Zervos cautioned against extrapolating the results for treatment outside hospital settings and without further study. 

Lynn Sutfin, spokeswoman for the Michigan Department of Health and Human Services, respond to the study Thursday by noting “prescribers have a responsibility to apply the best standards of care and use their clinical judgment when prescribing and dispensing hydroxychloroquine or any other drugs to treat patients with legitimate medical conditions.”

Dr. Marcus Zervos identified administering steroids early in the infection as a potential key to the medication’s success.
Zoom screenshot

The study found about 20% of patients treated with a combination of hydroxychloroquine and azithromycin died and 22% who were treated with azithromycin alone compared with the 26% of patients who died after not being treated with either medication. 

Henry Ford Health has been working on multiple clinical trials of hydroxychloroquine, including one that is testing whether the drug can prevent COVID-19 infections in first responders who work with coronavirus patients. The first responder clinical trial was trumpeted by Trump administration officials early in the pandemic.

Many health care institutions, including the World Health Organization, suspended clinical trials of the drug touted by President Donald Trump after a faulty study was published in the British medical journal The Lancet on May 22. The WHO restarted the trials in June.

The study is vital, Zervos said, as medical workers prepare for a possible second wave of the virus and there is plenty of research that still needs to be conducted to solidify an effective treatment.

In this May 18, 2020 file photo, President Donald Trump tells reporters that he is taking zinc and hydroxychloroquine. Results published Wednesday, June 3, 2020, by the New England Journal of Medicine show that hydroxychloroquine was no better than placebo pills at preventing illness from the COVID-19 coronavirus. The drug did not seem to cause serious harm, though – about 40% on it had side effects, mostly mild stomach problems.
Evan Vucci, AP, File

Still, use of the malaria drug became highly controversial.

Doctors at Michigan Medicine, the University of Michigan’s health system, remain steadfast in their decision not to use hydroxychloroquine on coronavirus patients, which they stopped using in mid-March after their own early tracking of the treatment found little benefit to patients with some serious side effects.

Michigan’s largest system of hospitals, Southfield-based Beaumont Health, also stopped using the decades-old anti-malarial drug as a coronavirus treatment after deciding it was ineffective. 

St. Joseph Mercy health system has also backed away from the treatment. The system has St. Joseph hospitals in Ann Arbor, Chelsea, Howell, Livonia and Pontiac, as well as the Mercy Health hospitals in Grand Rapids, Muskegon and Shelby. 

Heidi Pillen, director of pharmacy at Beaumont Health, confirmed on Thursday that the health system is not using hydroxychloroquine to treat COVID-19 patients. 

A recent United Kingdom study evaluating hydroxychloroquine in hospitalized patients with coronavirus was stopped after preliminary analysis found it didn’t have any benefit. About 26% of patients in the trial using the drug died, compared with about 24% receiving the usual care, according to the Oxford University study. 

But doctors at Detroit Medical Center’s Sinai-Grace told The Detroit News in April, when the hospital was overloaded with senior COVID patients, that they were giving the drug to anyone they could.

srahal@detroitnews.com

Twitter: @SarahRahal_

This content was originally published here.

The Oral-Systemic Connection & Our Broken Healthcare System – International Academy of Biological Dentistry and Medicine

Say Ahh, the world’s first documentary on oral health, takes a sobering look at the state of our national healthcare system. Despite being one of the wealthiest nations in the world, home to some of the most advanced medicine and technology, America is suffering from a drastic decline in the overall health of its citizens. …

This content was originally published here.

Public Health Experts Have Undermined Their Own Case for the COVID-19 Lockdowns – Reason.com

In theory, the mass protests following the alleged murder of George Floyd put public health officials who have ceaselessly inveighed against mass gatherings in a difficult position. They have called for a moratorium on most types of public activities, but particularly gathering in large crowds where increased aerosolization from loud talking and yelling could spread the COVID-19 virus to massive groups.

But when it comes to the protests against police brutality, many medical experts think there should be an exemption to the COVID-19 lockdown logic.

More than a thousand public health experts signed an open letter specifically stating that “we do not condemn these gatherings as risky for COVID-19 transmission. We support them as vital to the national public health and to the threatened health specifically of Black people in the United States.”

The letter conceded that mass protests carried the risk of spreading coronavirus, and offered some good—if naive—advice for people who are going out anyway: wear masks, stay home if sick, attempt to maintain six feet of distance from other protesters. Many protesters are wearing masks, but others are not. And while we can blame the police for forcefully corralling people into close quarters, it’s a bit rich for public health experts to endorse protesting under conditions that they know are impossible for protesters to meet.

Indeed, for the purposes of offering health care advice, the only thing that should matter to doctors is whether their harm-reduction recommendations are being followed: how big is the event, is it outdoors, are masks being worn, etc. However, the letter distinguishes police violence protesters from “white protesters resisting stay-home orders,” as if the virus could distinguish between the two types of events. While I am not a doctor, my understanding is that it cannot.

The letter led a Slate writer to claim that “Public Health Experts Say the Pandemic Is Exactly Why Protests Must Continue.” The argument here is that coronavirus is more deadly for black people because of systemic racism and that protesting systemic racism is a sort of medical intervention.

“White supremacy is a lethal public health issue that predates and contributes to COVID-19,” the letter continues.

There is much truth to this! Black people in America do have worse health outcomes, but so do low-income people of every race and ethnicity. Is it medically acceptable for a poor person to protest against lockdown-induced economic insecurity? For people who live paycheck to paycheck to protest looming evictions and foreclosures? What about people experiencing loneliness, depression, and bereavement? Again, my understanding is that the virus does not think and thus does not choose to infect us based on what we’re protesting.

Many people all over the country were prevented from properly mourning lost loved ones because policymakers and health officials limited public funerals to just 10 people. For months, public health officials urged people to stay inside and avoid gathering in large groups; at their behest, governments closed American businesses, discouraged non-essential travel, and demanded that we resist the basic human instinct to seek out companionship, all because COVID-19 could hurt us even if we were being careful, even if we were going to a funeral rather than a nightclub. All of us were asked to suffer a great deal of second-order misery for the greater good, and many of us complied with these orders because we were told that failing to slow the spread of COVID-19 would be far worse than whatever economic impact we would suffer as a result of bringing life to a complete standstill.

People who failed to follow social distancing orders have faced harsh criticism and even formal sanction for violating these public health guidelines. To take just one extreme example, New York City Mayor Bill de Blasio threatened to use law enforcement to break up a Jewish funeral.

After saying no to so many things, a significant number of public health experts have determined that massive protests of police brutality are an exception to the rules of COVID-19 mitigation. Yes, these protests are outdoors, and yes, these experts have encouraged protesters to wear masks and observe six feet of social distance. But if you watch actual footage of protests—even the ones where cops are behaving badly themselves—you will see crowds that are larger and more densely packed than the public beaches and parks that many mayors and governors have heavily restricted. Every signatory to the letter above may not have called for those restrictions, but they also didn’t take to a public forum to declare them relatively safe under certain conditions.

“For many public health experts who have spent weeks advising policymakers and the public on how to reduce their risk of getting or inadvertently spreading the coronavirus, the mass demonstrations have forced a shift in perspective,” The New York Times tells us.

But they could have easily kept the same perspective: Going out is dangerous, here’s how to best protect yourself. The added well, this cause is important, though, makes the previous guidance look rather suspect. It also makes it seem like the righteousness of the cause is somehow a mitigating factor for spreading the disease.

Examples of this new framing abound. The Times interviewed Tiffany Rodriguez, an epidemiologist “who has rarely left her home since mid-March,” but felt compelled to attend a protest in Boston because “police brutality is a public health epidemic.” NPR joined in with a headline warning readers not to consider the two crises—racism and coronavirus—separately. Another recent New York Times article began: “They are parallel plagues ravaging America: The coronavirus. And police killings of black men and women.”

Police violence, white supremacy, and systemic racism are very serious problems. They produce disparate harms for marginalized communities: politically, economically, and also from a medical standpoint. They exacerbate health inequities. But they are not epidemics in the same way that the coronavirus is an epidemic, and it’s an abuse of the English language to pretend otherwise. Police violence is a metaphorical plague. COVID-19 is a literal plague.

These differences matter. You cannot contract racism if someone coughs on you. You cannot unknowingly spread racism to a grandparent or roommate with an underlying health condition, threatening their very lives. Protesting is not a prescription for combatting police violence in the same way that penicillin is a prescription for a bacterial infection. Doctors know what sorts of treatments cure various sicknesses. They don’t know what sorts of protests, policy responses, or social phenomena will necessarily produce a less racist society, and they shouldn’t leverage their expertise in a manner that suggests they know the answers.

It’s clear that we’ve come to the point where people can no longer be expected to stay at home no matter what. Individuals should feel empowered to make choices about which activities are important enough to incur some exposure to COVID-19 and possibly spreading it to someone else, whether that activity is reopening a business, going back to work, socializing with friends, or joining a protest against police brutality. Health experts can help inform these choices. But they can’t declare there’s just one activity that’s worth the risk.

This content was originally published here.

Some in Melbourne’s COVID-19 hotspots dismiss the health risks as testing blitz gets underway – ABC News

On the streets of Broadmeadows in Melbourne’s north, there is both deep concern and general indifference to the Victorian Government’s coronavirus testing blitz, with some locals saying that not even a deadly virus would cause them to change their behaviour.

A team of 800 health workers will try to test 10,000 people a day in Melbourne’s 10 problem suburbs, with the aim to carry out about 100,000 tests in 10 days.

Broadmeadows is one of the hotspots with a worrying spike in the number of cases of COVID-19.

A child getting a test for COVID-19 with a man putting a swab in her mouth.

But while some Broadmeadows locals expressed fear and urged their fellow residents to heed health warnings, others described the virus as “rubbish”.

“I’ve been out and about, and everyone has, and I haven’t met a person that’s got it,” one man said.

He said he was still hugging and kissing people in greeting and said COVID-19 was not dangerous.

“It’s not deadly, it’s like any other virus,” he said.

“A person who’s 99 years old is dying, 100 years old is dying … they’re going to die the next day regardless, so why does it matter?

“I’m not going to stop my whole life for coronavirus, I’ve got to work, I’ve got a business to run … just like everyone else in Broadmeadows.”

A man in a black top with a beard.

Others said they were not surprised to learn that Broadmeadows was a hotspot.

“No-one listens to the rules … not staying home, hugging, kissing,” one man said.

Some urged the Government to introduce heftier fines for failing to practice social distancing.

“People think they don’t get sick, but this is not a game anymore,” one woman said, describing the behaviour of some as “stupid”.

“[They] are hugging, they’re kissing, they’re too close to each other,” she said.

But other locals said they were not worried about hugging and were not practising social distancing.

“In our community everybody does that,” one man said.

Why are some suburbs hotspots? We may never know

Deputy Chief Health Officer Annaliese van Diemen called the comments that everyone was going to get coronavirus “concerning”.

She urged people to continue to keep their distance in order “to keep this at bay in our community”.

“People need to avoid hugging each other and they need to avoid shaking hands. They need to stay 1.5 metres apart,” she told ABC News Breakfast.

“I would thoroughly disagree that everybody has it and that everybody is going to get it.”

Four health workers wearing PPE speak to a woman in a dressing gown at a coronavirus testing station on a residential street.

Dr van Diemen said the testing blitz was underway and had been going well.

“We’ve had good engagement from the community, lots of tests done yesterday,” she told ABC Radio Melbourne.

“We’re expecting that to increase over coming days.”

But we may never know why some suburbs were hotspots and others were not.

“It’s clear there was still some virus lurking around, that there [were] some transmission chains,” she said.

“With significantly increased movement, increased mixing, increased gathering sizes and frequency, those last few infections have just had the chance to take off.”

She said there was a complex set of factors at play, like, for example the fact some workforces in these hotspots had to continue to physically attend work during the lockdown.

Two men greet and embrace each other in a street.

Elsewhere, as the testing blitz got underway, people said they were unfazed to be living or working in one of Melbourne’s coronavirus hotspots.

One woman from Keilor Downs in Melbourne’s north-west said she was getting on with life and had been dismissing the concerns expressed by her relatives for her safety as “rubbish”.

“I ignore the hotspot, Keilor’s a wonderful place to live, hotspot or not,” she said.

She was unimpressed by the testing blitz.

“I reckon we’re crushing a peanut with a sledgehammer.”

In Pakenham, some said they were living life as normal, despite the virus.

“I haven’t seen anybody with COVID,” one woman said.

But Kay from Cafe Transylvania in Hallam said she was praying for people to listen.

“It’s better for everyone to do the right thing,” she said.

A woman holds a swab to her mouth as an ambulance officer watches.

Premier urges everyone to be cooperative

The first three days of Victoria’s testing blitz will focus on Keilor Downs and Broadmeadows, where health workers will aim to test half the population.

The focus will then move to other hotspot suburbs over the course of the 10-day program.

Stay up-to-date on the coronavirus outbreak

A map highlighting eight suburbs in Melbourne's north and west.

The other suburbs central to the ramped-up testing program are Maidstone, Albanvale, Sunshine West, Brunswick West, Fawkner, Reservoir as well as Hallam and Pakenham in the outer south-eastern suburbs.

A map showing Hallam and Pakenham highlighted in orange.

Victoria’s Premier Daniel Andrews said ambulances and other testing vans would be at the end of many streets to make it easy for residents to be tested.

“They will be invited to come and get a test, and they’ll only have to travel 50 metres or 100 metres in order to complete that test,” Mr Andrews said.

The blitz was announced on a day when Victoria recorded 33 more coronavirus infections and another childcare centre, Connie Benn Early Learning Centre in Fitzroy, was forced to close after a parent of a child who attended the centre tested positive to COVID-19.

Mr Andrews said he was “confident” the strategy would help contain community transmission in Victoria.

He urged everyone to be cooperative and get tested.

What you need to know about coronavirus:

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Dentists say mandating COVID-19 tests for patients before procedures will ‘shut down’ dentistry

(Creative Commons photo by Allan Foster)

When Gov. Mike Dunleavy and state health officials said elective health care procedures could restart in a phased approach, many of Alaska’s dentists were hoping to take non-emergency patients again.

But they said a state mandate largely prevents that from happening. 

State officials said they want to work with the dentists, but point to federal guidelines that dentists are at very high risk of being exposed to the virus.

Find more stories about coronavirus and the economy in Alaska.

The mandate said patients must have a negative result of a test for the coronavirus within 48 hours of a procedure that generates aerosols — tiny, floating airborne particles that can carry the virus. Aerosols are produced by many dental tools, from drills to the ultrasonic scalers used to remove plaque.

Dr. David Nielson is the president of the Alaska Board of Dental Examiners, which licenses dentists. In a meeting with the state, he told state Chief Medical Officer Dr. Anne Zink that it’s a challenge for patients to get test results within 48 hours of an appointment.

“Basically, what that means is, in your view, dentistry is just shut down indefinitely,” Nielson told Zink.

“That’s not true. That’s not what I feel at all,” Zink said.

“Well, that’s what it says to most of us,” Nielson said.

Nielson said dentists can ensure that patients are safe without testing for the virus.

“We do believe that waiting for the availability of testing to ramp up to the levels that would be necessary will jeopardize the oral health of the public,” he said.  

Nielson also said dentists are already taking steps to practice safely and could start taking more patients if they didn’t have to follow the testing mandate. 

“Based on everything that we’re doing with all our, you know, really, really intense screening protocols and all the different PPE requirements and stuff like that, that we’re basically good to go, as long as we do all of the things that we’ve already recommended,” he said.

Zink said Alaska is among the first states to reopen non-urgent health care. She says the state’s testing capacity is increasing, and that other groups affected by the mandate are working to have patients tested. 

“We are seeing numerous groups, including surgeons, stand up ways to be able to get testing available,” she said. 

The state mandate is less restrictive than what’s currently recommended by the federal Centers for Disease Control and Prevention. The CDC said all non-urgent dental appointments should be postponed. The CDC is revising the recommendation, but it’s not clear when there will be new recommendations. 

The dental board would like to replace the mandate with guidelines that require that every patient be screened, including answering questions about their travel, symptoms and contacts before an appointment, as well as to be checked for whether they have a fever before an appointment. 

Zink noted a problem with relying on screening. 

“It’s increasingly challenging to identify COVID patients,” she said. “This is an incredibly sneaky disease that appears to be most contagious in the presymptomatic or early symptomatic people with symptoms that can look almost like anything else.”

The draft framework proposed by the dental board also differs from CDC recommendations on personal protective equipment. The CDC recommends both an N95 respirator and either goggles or a full face shield. The framework said that if goggles or face shields aren’t available, dentists should understand there is a higher risk for infection and should use their professional judgment. 

Dentists working to start seeing more patients say they already take precautions against infectious diseases. 

Dr. Paul Anderson of Timbercrest Dental in Delta Junction said it would be challenging to have timely tests done for patients who live far from an urban center. 

Anderson said dentists have been working to prevent the spread of infectious diseases since at least HIV/AIDS in the 1980s. 

“We’ve been following these protocols, and it just seems odd to me that all of a sudden the government feels that it’s necessary to add all of these additional regulations,” he said. 

Anderson said screening patients — including checking their temperatures — is a significant safety measure dentists can take.

Zink said the state is open to working with the dental board to revise the mandate, or to issue a new mandate specific to dentistry. It’s not clear if the issue can be resolved before Monday, when the state will begin allowing elective procedures under the mandate. 

This content was originally published here.

Cranston orthodontist fears a burglary, but finds a turkey

John Hill Journal Staff Writer jghilliii

CRANSTON, R.I. — It was Columbus Day and Joseph E. Pezza and his wife had gotten back from a weekend in Nashville. The Pontiac Avenue orthodontist decided to stop by the office to check the mail and make sure everything was set for Tuesday morning.

But someone was already waiting in the office. He’d come through the office window, a fully grown wild turkey.

The waiting area was strewn with broken glass, Pezza said, and at first he thought he been the victim of a burglary. He went into his office to leave a message for the building manager and while he was wondering if he should call the police, the reason for the carnage became apparent.

“I went back into the room and all of a sudden this bird flies over my head,” Pezza said.

Pezza said he immediately headed back to his office, closed the door and waited for the building crew.

Pezza and his son Gregory are Pezza Orthodontics, located in a four-story office building off Pontiac Avenue near the interchange with Pontiac Avenue and Route 37. Birds sometimes bump into the back windows of the building, some of the office staff said, but the turkey was a first.

“It was double-pane glass, “ Pezza said, in wonder that the bird could fly high enough and fast enough to smash through the window. And survive

The maintenance crew worked to get the bird into a large bucket to get the bird out of the building, Pezza said, but it collapsed and died, possibly of shock or injuries suffered in the crash.

For now, the window is covered with a square of wood, with a felt turkey hanging from the center.

He declined to say if the incident was going to affect his plans for Thanksgiving.

This content was originally published here.

G.O.P. Faces Risk From Push to Repeal Health Law During Pandemic – The New York Times

“People now see a clear and present threat when others don’t have health care,” he said. “Republicans have no response to that because their entire worldview on health care is built on an assumption that’s now out of date.”

And with Mr. Trump making dubious claims about health care — like suggesting people inject or drink bleach, and promoting an unproven malaria drug — Democrats are seeking to paint him and his party as ignorant on an important issue.

In a recent survey, Mr. Ayres asked swing-state voters how government should help workers who have recently lost insurance coverage. The poll found that 47 percent supported a major government expansion of health care, 31 percent believed the best option for laid-off workers was to go on Medicaid, and only 16 percent preferred federal subsidies for Affordable Care Act premiums.

Based on that research, and given the Republican inclination to favor a private-sector approach, Mr. White, who is president of a business-oriented coalition called the Council for Affordable Health Coverage, has called for the government to help pay for premiums under COBRA, the program that allows unemployed workers to buy into their former employers’ plan.

“Republicans must offer private market coverage solutions that are preferable to Medicaid (which is now more popular than Obamacare),” Mr. White wrote in a policy memo.

Ms. Pelosi’s bill is aimed at shoring up the Affordable Care Act, which she helped muscle through Congress during her first speakership, and reducing premiums, which are skyrocketing. Ms. Pelosi had intended to unveil the measure in early March, for the health law’s 10th anniversary, at a joint appearance with former President Barack Obama. But the event was canceled amid the mounting coronavirus threat.

The bill would expand subsidies for health care premiums under the Affordable Care Act so families would pay no more than 8.5 percent of their income for health coverage; allow the government to negotiate prices with pharmaceutical companies; provide a path for uninsured pregnant women to be covered by Medicaid for a year after giving birth; and offer incentives to those states that have not expanded Medicaid under the law to do so.

One thing it will not have, aides to Ms. Pelosi say, is a “public option” to create a government-run health insurer, an idea embraced by former Vice President Joseph R. Biden Jr., the presumptive Democratic presidential nominee. The bill being introduced by Ms. Pelosi has no chance of passing the Senate and becoming law, but it will give Democrats another talking point to use against Republicans.

The health law has already survived two court challenges. In the current Supreme Court case, 20 states, led by Texas, argue that when Congress eliminated the so-called individual mandate — the penalty for failing to obtain health insurance — lawmakers rendered the entire law unconstitutional. The Trump administration, though a defendant, supports the challenge.

The justices are expected to hear arguments in the fall, just as the presidential and congressional races are heating up. But Mr. Cole, the Republican congressman, said other issues related to the coronavirus pandemic would also be at play in November.

“If we look like we’re on top of it in September or October and we’re on the way to a vaccine, then it will break to the president’s advantage,” he said. “If we’re in the middle of a second wave, obviously not.”

This content was originally published here.

Virginia Health Dept Urges Citizens to Snitch on Churches and Gun Ranges | Dan Bongino

Virginia’s Department of Health is joining others who have encouraged their state’s citizens to snitch on each other – but only for select reasons.

As the Washington Free Beacon’s Andrew Stiles reports:

The Virginia Department of Health is encouraging citizens to lodge anonymous complaints against small businesses for violating Gov. Ralph Northam’s (D.) coronavirus-related restrictions on public gatherings.

Virginia residents can report alleged violations of Northam’s executive orders regarding the use of face masks and capacity requirements in indoor spaces via a portal on the health department’s website, a practice commonly known as “snitching.” 

The webpage gives snitchers several options regarding the “type of establishment” on which they are intending to snitch. These include “indoor gun range” and “religious service,” among others. Republican state senator Mark Obenshain expressed concern that churches and gun ranges were “specifically” singled out, noting, “there is nothing to prevent businesses from snitching on competitors, or to prevent the outright fabrication of reports.”

Meanwhile, when protesters were out in full force in the tens of thousands earlier in the month, VA’s health department merely encouraged them to wear masks and wash their hands. They also recommended social distancing, which would obviously be impossible in such an environment. “We support the right to protest, and we also want people to be safe” they said.

What do they think is going to do more to spread the virus, a dozen people at a gun range, or tens of thousands in the streets? Even if those at the gun range transmitted the virus at a higher rate, the latter would still infect more people due to sheer volume.

It is indeed the case that coronavirus cases are on the rise nationally (as you’d expect after weeks of mass protest), but not all cases are created equal. The vast majority of cases are mild and asymptomatic, and the median age of those infected is drastically lower than it was months ago (meaning most new cases are among those least likely to die of the virus).

That’s evident in Florida, where cases are exploded – but the death rate has precipitously declined because the average person infected is now only 37 years old. In March it averaged in the mid fifties.

In many states more people above the age of 100 have died of the virus than those under 40. On the day coronavirus deaths peaked, for every person aged 24 or younger that died of the virus, 319 people above the age of 85 died of it.

This content was originally published here.

Among U.S. Health Workers, COVID-19 Deaths Near 300, With 60,000 Sick : Shots – Health News : NPR

Registered nurses and other health care workers at UCLA Medical Center in Santa Monica, Calif., protest in April what they say was a lack of personal protective equipment for the pandemic’s front-line workers.

Mario Tama/Getty Images


hide caption

Registered nurses and other health care workers at UCLA Medical Center in Santa Monica, Calif., protest in April what they say was a lack of personal protective equipment for the pandemic’s front-line workers.

The coronavirus continues to batter the U.S. health care workforce.

More than 60,000 health care workers have been infected and close to 300 have died from COVID-19, according to new data from the Centers for Disease Control and Prevention.

The numbers mark a staggering increase from six weeks ago when the CDC first released data on coronavirus infections and deaths among nurses, doctors, pharmacists, EMTs, technicians and other medical employees. On April 15, the agency reported 27 deaths and more than 9,000 cases of infection in health care workers.

The latest tally doesn’t provide a full picture of illness in this essential workforce, because only 21% of the case reports sent to the CDC included information that could help identify the patient as a health care worker. Among known health care workers, there was also missing information about how many of those people actually died.

Still, the growing number of health care workers infected by the coronavirus provides sobering evidence that many are still working in high-risk settings without reliable or adequate protection against the virus.

“It is underreported,” says Zenei Cortez, president of National Nurses United (NNU), the largest union of nurses in the country.

The union has compiled its own count of more than 530 health care fatalities from COVID-19, using publicly available information like obituaries. A recent NNU survey of 23,000 nurses found that more than 80% had not yet been tested for the coronavirus.

Across the country, many nurses say they still don’t have enough personal protective equipment (PPE) such as masks and gowns and are required to reuse N95 masks and other supplies — practices that were considered substandard before the pandemic. Many hospitals and nursing homes continue to operate with inadequate supplies and are rationing them.

“Everything is under lock and key. If you are going to respond to an emergency, you sometimes have to wait for someone to unlock a cabinet,” Cortez says of some hospitals’ PPE supplies.

Cortez cites the death of a nurse from Southern California who rushed to the bedside of a COVID-19 patient who had stopped breathing. The nurse was wearing only a surgical mask, which offers less protection against airborne infection than the closer-fitting N95 respirator mask.

“Fourteen days after that incident, she died because she contracted the virus,” Cortez says. “If the PPE was readily available, she maybe could have put on the N95 mask and been prevented from getting the virus.”

Cortez worries that some of these unsafe practices around infection control have become normalized in U.S. health care settings and will persist in the coming months as the country reopens.

NPR recently reported that in the spring of 2017 the Trump administration halted the final implementation of new federal regulations that would have required the health care industry to prepare for an airborne infectious disease pandemic. Consequently, there are no federal workplace rules that specifically protect health care workers from deadly airborne pathogens such as influenza, tuberculosis or the coronavirus.

“The really sad thing is not having solid numbers from many states,” Pat Kane, executive director of the New York State Nurses Association, says regarding the number of COVID-19 cases and deaths among health care workers.

Early in the outbreak, Kane says, many nurses could not get tested. Her own statewide union has lost more than 30 nurses in the pandemic.

“Some of them actually died outside of the hospital, trying to recover at home,” she says.

More than half of the nurses in the New York state union still report not having enough personal protective equipment.

“In some places, we still see people operating under contingency and crisis guidelines,” she says.

In early May, New York Gov. Andrew Cuomo touted the results of an antibody testing survey that showed a 12% infection rate among health care workers in New York City, compared with the 20% infection rate among residents citywide.

But Kane says that lower number isn’t something to celebrate.

“Our members showed up and many of them made the ultimate sacrifice,” she says. “And many of them got sick. That was Round 1. We should be better informed by our experience.”

As more regions in the United States reopen, the safety of health care workers needs to be a key benchmark for decision-makers, Kane says, and must include enforceable precautionary standards — not just voluntary guidelines for employers, which shift according to the amount of PPE available.

At Northwestern University, Dr. James Adams says the number of health care workers with COVID-19 dropped significantly after his hospital started requiring everyone on-site to wear masks.

Adams says closely tracking the full extent of the COVID-19 burden among health workers will be crucial as access to testing improves.

“Up to this point, we have largely not known what is going on with the workforce and this infection rate,” says Adams, a professor of emergency medicine. “What we need is the confidence of health care workers, and we should track this in order to ensure their health.”

This content was originally published here.

Unarmed specialists, not LAPD, would handle mental health, substance abuse calls under proposal

Several Los Angeles City Council members called Tuesday for a new emergency-response model that uses trained specialists, rather than LAPD officers, to render aid to homeless people and those suffering from mental health and substance abuse issues.

A motion submitted by City Council members Nury Martinez, Herb Wesson, Marqueece Harris-Dawson, Curren Price and Bob Blumenfield asks city departments to work with the Los Angeles Police Department and Los Angeles Homeless Services Authority to develop a model that diverts nonviolent calls for service away from the LAPD and to “appropriate non-law enforcement agencies.”

The LAPD now has a “greater role in dealing with homelessness, mental health and even COVID-19-related responses” the motion states, blaming budget cuts to social service programs for the city’s increased reliance on police officers.

“We have gone from asking the police to be part of the solution, to being the only solution for problems they should not be called on to solve in the first place,” the motion said.

The petition is the latest eruption of a longstanding debate within the Los Angeles Homeless Services Authority over how — or whether — to work with law enforcement.

It’s unclear how large the new response team would be, but in a statement, council members cast the program as part of an effort to reimagine public safety and reduce unnecessary police interactions.

Representatives for the Los Angeles Police Protective League, the union representing rank-and-file officers, have previously pointed to the increased demands placed upon police officers, saying officers now perform the duties of therapists, drug treatment counselors, social workers and EMTs.

Jerretta Sandoz, vice president of the union’s board of directors, said Tuesday that the union agreed that “not every call our city leaders have asked us to respond to should be a police response.”

“We are more than willing to talk about how, or if, we respond to noncriminal and nonemergency calls so we can free up time to respond quickly to 911 calls, crackdown on violent crime, and property crime and expand our community policing efforts,” Sandoz said.

The council members’ motion comes after tens of thousands of people have protested in Los Angeles streets in recent weeks, decrying police brutality and calling for a new approach to long-held strategies over policing, particularly in Black communities.

The City Council on Tuesday also voted to move ahead with studying ways to cut the LAPD’s budget by $100 million to $150 million and put the money into community programs. The council vote was 11-3, with Councilmen Paul Koretz, Joe Buscaino and John Lee dissenting.

A report back to the council on those proposed budget cuts is expected in the coming weeks.

The People’s Budget effectively calls for the dismantling of the LAPD, with the proceeds devoted to housing, healthcare, mental health, parks and many other services.

Buscaino, a former police officer who now serves as a reserve officer, told The Times that his no vote reflected his belief that “real police reform” will come from expanding an existing LAPD program focused on building relationships between police officers and communities.

Separately, the council members’ motion submitted Tuesday also asks for a report back on crisis intervention models, including the “Cahoots” program in Eugene, Ore. The program, short for Crisis Assistance Helping Out on the Streets, sends in teams of medics and mental health counselors if 911 operators determine armed intervention isn’t needed.

The program’s teams handled 18% of the 133,000 calls to 911 last year, requesting police backup only 150 times, Chris Hecht, executive coordinator of White Bird Clinic, which runs the operation, said in an interview.

The program operated on a $2-million budget last year that Hecht said saved the Eugene-Springfield, Ore., area about $14 million in costs of ambulance transport and emergency room care.

Times staff writer Richard Read, in Seattle, contributed to this report.

This content was originally published here.

Ontario’s health minister shopped at Toronto LCBO while awaiting COVID-19 test results | CP24.com

Ontario’s health minister says she was following the advice of medical professionals when she decided to shop at a Toronto LCBO on Wednesday afternoon while awaiting her COVID-19 test results.

Health Minister Christine Elliott and Premier Doug Ford, who have since tested negative for the virus, underwent COVID-19 testing on Wednesday after learning that the province’s education minister, Stephen Lecce, had earlier come in contact with someone who tested positive for the virus.

Ford and Elliott, who had held a joint press conference with Lecce one day earlier, decided to skip their daily briefing at Queen’s Park on Wednesday afternoon out of an abundance of caution.

Elliott also cancelled an appearance at a Brampton mobile testing site that was scheduled for 3 p.m.

Lecce released a statement shortly before 2 p.m. on Wednesday confirming that his test results had come back negative and about an hour-and-a-half later, Elliott was seen shopping at an LCBO near Dupont Street and Spadina Avenue.

A photo sent to CP24 shows Elliott, who is wearing a surgical mask, standing beside a basket and looking at the store’s VQA wine selection.

“Minister Lecce’s results came back negative before I went for testing and so while there was no real need for me to go to be tested, I had made a public commitment to do so and so that’s where I went,” Elliott told reporters at Queen’s Park on Thursday.

“I went and while I was at the assessment centre having the test, I was advised that because I had not directly been in contact with anyone with COVID that I did not need to self-isolate…That was the medical advice I was given and that is what I did and my test results came back negative of course.”

Elliott and Ford returned to Queen’s Park for their daily COVID-19 update on Thursday afternoon.

“To be clear, both Premier Ford and Minister Elliott have had no known contact with anyone who has tested positive for COVID-19, and as a result, there is no need for either of them to self-isolate,” a statement from the premier’s office read.

“They will continue to follow public health guidelines.”

Lecce’s office confirmed Thursday that he will continue to self-isolate.

“Minister Lecce is feeling well and continues to work from home. He is following the advice of his doctor by continuing to monitor for any symptoms,” a statement from the education minister’s office read.

“Out of an abundance of caution, although the exposure risk was extremely low, he will be self-isolating for the remainder of the 14 days since the time of exposure, on June 6. The Minister again would like to offer his sincere thanks to the team at UHN and everyone yesterday who sent positive thoughts and messages.”

Public health experts have cautioned that negative test results are not always an indication that a person isn’t infected with the virus, especially when tests are conducted a short time after exposure.

Those who have tested negative for the virus are still advised to monitor for symptoms as the virus has an incubation period of 14 days.

“As we outlined our testing criteria at the assessment centres… if you have signs and symptoms and you’re suspected of being a COVID case, you will get your test and then you are supposed to stay in self-isolation until you get results,” Dr. David Williams, Ontario’s chief medical officer of health, said at a news conference on Thursday.

“Other criteria, you say, ‘Well, I was in contact with a known positive.’ That is another reason to get tested and you still have to self-isolate until you get that result back, including people who say, ‘Well I’m not sure but I was in a highly risky area, I don’t know.’’”

He noted that the rules are different for people who are not experiencing symptoms of the virus and have not been in contact with a known case.

“Testing asymptomatic people… say 5,000 workers, none of them have symptoms, none of them are cases, we are not going to say all 5,000 wait for five, six days to get results back. They just continue going to work because it is asymptomatic testing,” he added.

“They have no signs and symptoms, they have no contact with a case, no possible contact with a case, and there is no evidence of an outbreak. So it is a different situation altogether.”

This content was originally published here.

Motivated by his son Beau, Joe Biden pledges help for veterans with burn pit health issues – CBS News

Throughout his presidential campaign, one of the most striking elements of Joe Biden‘s appeal has been his empathy. The personal tragedies he has suffered inform his interactions with voters who are also experiencing loss. And his sorrow could also guide policy decisions as commander-in-chief, offering assistance to veterans who may be suffering from service-related medical conditions — as he believes his son did. 

With a familiar quiver in his voice, Biden regularly on the campaign trail shares memories of his son Beau, who died in 2015 from glioblastoma brain cancer. A handful of times Biden detailed how he thinks his son’s cancer may have been related in part to the large, military base burn pits during his 2009 service in the Iraq War.

“He volunteered to join the National Guard at age 32 because he thought he had an obligation to go,” Biden told a Service Employees International Union convention in October. “And because of exposure to burn pits — in my view, I can’t prove it yet — he came back with Stage Four glioblastoma.”

Biden’s precise language — “in my view, I can’t prove it yet” — appears to be intentional as he lends his voice to the ongoing and somewhat controversial debate over whether the burn pits caused lasting health issues for American veterans.

“We don’t have 20 years”  

As the Iraq and Afghanistan military operations grew, so did the installations of bigger burn pits on military bases, rather than the smaller burn barrels that had previously been used. The pits were meant to dispose of everything from garbage to sensitive documents and even more hazardous materials. 

“They build as big as this auditorium,” Biden said to a CNN town hall audience in February, “It’s about 8-to-10-feet-deep and they put everything in it they want to dispose of and can’t leave behind, from flammable fuel to plastics to all range of things.”

But in the middle of a war zone, concern about the burn pits was sometimes considered secondary to other safety issues. 

“You’ve got dust storms, you have the enemy, you have all sorts of things going on that some smoke in the air doesn’t really seem like as important of an issue at the moment,” Jim Mowrer, who befriended Beau at Camp Victory in Iraq in 2009, told CBS News. Other times, Mowrer, 34, who now serves as co-chair for the Veterans for Biden committee, said he tried to filter the air by wearing a face covering.

“The concern factor became more of a concern after we came home,” Beau’s overseas boss, Command JAG Kathy Amalfitano, 59, told CBS News. Amalfitano said she remembers discussing the burn pits with Beau a few times, but added “I know our thought process was that this was part of the deployment.”

Biden is not alone in thinking burn pits impacted soldiers’ health.

Since 2014, more than 200,000 Afghanistan and Iraq War veterans have registered in the “Airborne Hazards and Open Burn Pit Registry” run by the Department of Veterans Affairs (VA), detailing exposure to service-related airborne hazards from burn pit smoke and other pollution.

And while these veteran health concerns seem widespread, the VA’s policy only recognizes “temporary” irritation from burn pit exposure. Citing a range of studies, the department states that “research does not show evidence of long-term health problems from exposure to burn pits.”

One ongoing study is by National Jewish Health and funded by the Defense Department, and is examining lung issues and has yielded “a spectrum of diseases that are related to deployment,” the study’s principal investigator Dr. Cecile Rose told CBS News last year. ” [The diseases] weren’t there before, and they are clearly there after people have returned from these arid and extreme environments.” However, Rose cautioned that findings are complicated by other possible culprits, like desert dust and diesel exhaust.

Advocates for veterans say not enough is being done to address veterans’ health claims regarding the burn pits.

From 2007 to 2018, the VA processed 11,581 disability compensation claims that had “at least one condition related to burn pit exposure,” a department spokesman told The New York Times last year. But the department only accepted 2,318 of these claims. The department said the rest did not show evidence connected to military service or the condition in the claim was not “officially diagnosed,” the Times noted. 

The VA did not respond to CBS News’ request this week for updated numbers.

“I always push back on…the VA administration folks who try to use the ‘perfect study’ as a criteria to show proof,” California Representative Raul Ruiz, a doctor and vocal burn pits critic, told CBS News. Ruiz criticized the VA’s reliance on long-term studies to validate clams. 

“We don’t have 20 years because then these veterans are going to be dying without the care they need,” Ruiz said.

A report five years ago by a Defense Department inspector general said it was “indefensible” that military personnel “were put at further risk from the potentially harmful emissions from the use of open-air burn pits.” But the Supreme Court last year rejected a victims’ lawsuit against contractors who oversaw some of the burn pits.

“If these [burn pits] had happened in the United States, the Environmental Protection Agency and Centers for Disease and Control would have this corrected immediately,” said Iraq War veteran Jeremy Daniels, adding he believes burn pits caused him to be wheelchair bound.

Modern-day “Agent Orange”?

Biden on the campaign trail invoked the healthcare struggles of Vietnam veterans exposed to the herbicide Agent Orange to explain the need to address burn pits.

“You were entitled to military compensation if you could prove that Agent Orange caused whatever the immune system damage was to you,” Biden said, accenting the word “prove” during a Veterans Day town hall in Oskaloosa, Iowa. “But you had to prove it and it’s very hard to prove.”

After reading a book on burn pits detailing Beau’s case, Biden has advocated easing this burden of proof for veterans who say the burn pits have harmed them in some way, as he first told PBS.

Biden has a plan that pushes for congressional approval to expand the list of “presumptive conditions”– meaning veterans’ health conditions would be presumed causal to the burn pits making them eligible for greater VA healthcare. He also aims to expand the claim eligibility period for toxic exposure conditions to five years after service instead of one year and increase federal research by $300 million in part to focus on toxic exposure from burn pits.

This push has intensified in recent years on Capitol Hill, and bills funding more research into burn pits have already been signed by President Trump. The recent National Defense Authorization Act also required the Department of Defense to implement a plan to phase out burn pits and disclose the locations of the still-operating pits. Enclosed incinerators are an alternative.

There were nine active military burn pits in the Middle East as of last year, according to the Defense Department’s April 2019 “Open Burn Pit Report to Congress” shared with CBS News, though some advocates think the actual number is higher. 

Some veterans expressed doubt that recent efforts will lead to more aid for veterans exposed to burn pits, given the slow-moving bureaucracy and concern over higher health care costs. And others question whether a Biden administration would act more decisively than the Obama administration, which primarily focused on long-term studies.

But Biden says that his motivation is far greater than his family’s own personal loss, and that the “only sacred” commitment the United States has is to American soldiers.

“It’s not because my son died…[he] went from very, very healthy but he lived in the bloom of those burn pits for a long time. He’s passed—it doesn’t affect him,” Biden said in Oskaloosa. “But the point is that every single veteran shouldn’t have to prove and wait until science demonstrates beyond a doubt…We just have to change the way we think a little bit.”

May 30 will mark the five-year anniversary of Beau Biden’s death.

This content was originally published here.

Myant partners with Canadian expert for dentistry PPE innovation

Myant Inc., a world leader in Textile Computing, has announced a partnership with Dr Natalie Archer DDS, a recognized Canadian dental expert, to collaboratively develop a new line of personal protective equipment (PPE) designed to address the extreme risks that dental professionals face as they reopen their practices to serve their communities.

The types of PPE under development include both washable textile masks intended for support staff in dental practices, and washable textile-based respirators that meet NIOSH N95 standards for dental professionals who work in critical proximity to patients.

Risks for dental professionals

Social distancing is one of the basic ways to mitigate the spread of the coronavirus, with health officials advising people to maintain distancing of two metres with others. With governments progressively reopening their economies and allowing businesses to begin serving their communities again, the challenge of maintaining two metre distancing will become a potential source of danger for both front-line workers and for those that they serve.

“This is especially true for people working in the dental industry whose work environment is literally at the potential source of infection: the mouths and noses of their patients,” Myant said in an article on its website. “An analysis conducted by Visual Capitalist, leveraging data from the Occupational Information Network, suggests that dentists, dental hygienists, dental assistants, and dental administrative staff are among the professions and support staff at the highest risk of exposure to coronavirus. Their work requires close proximity / physical contact with others, and they are routinely exposed to potential sources of infectious diseases.”

“The public health risk is magnified when you consider the volume of patients coming in and out of a dental practice,” Myant adds. “Consider the contact tracing challenge if a single asymptomatic dental hygienist tests positive for COVID-19. That dental hygienist may work in a practice with two dentists, a billing coordinator, a receptionist, and perhaps three other dental hygienists who each see 100 patients a week (with each patient coming with a loved one in the waiting room). It is clear that dental professionals will need to be among the most vigilant in our communities when it comes to the adoption of effective PPE in order to protect themselves and society from a potential second-wave of the virus.”

Partnership to drive innovation in dental PPE

Recognizing this challenge Myant, the textile innovator that pivoted to innovation in PPE as a response to COVID-19, has partnered with one of Canada’s pre-eminent dental experts to design a line of PPE geared specifically to meet the challenges that dentists, other dental professionals and their staff will face, in the Post-COVID normal. Dr. Natalie Archer DDS was the youngest dentist ever elected to serve on the Board of the Royal College of Dental Surgeons of Ontario and served as the governing body’s Vice President between 2011 and 2012. As a recognized and trusted subject matter expert on dentistry-related topics, she is regularly asked to speak to the public in the Canadian media. Dr. Archer will be working closely with the Myant team, advising on the design and the certification process for a new line of PPE for dental professionals currently under development.

Reflecting on her motivations, Dr. Archer told Myant: “Dental professionals feel a tremendous responsibility to get back to serving their communities, but as both members and servants of the community, we must be safe and responsible for both patients and the people that treat them. Like other dental professionals, I am concerned about maintaining levels of PPE.”

“With disposable PPE I feel there will always be a concern of running out, the expense, uncertain quality, not to mention environmental concerns because of all of the waste. Also, there is a real problem with the discomfort that currently available PPE poses for dental professionals who typically work long shifts and whose work is physical. I am excited to be innovating with the team at Myant to address the real world clinical problems that we are facing now in dentistry by producing PPE that is protective, comfortable, and reusable, which will help all of us stay safe and allow us to do our jobs.”

The PPE for dental professionals will be designed and manufactured at Myant’s Toronto-based, 80,000 square foot facility which has the current capacity to produce 340,000 units of PPE a month. Plans are underway to expand that capacity to produce over one million units per month as communities across Canada and the United States start looking for ways to re-open in a safe and responsible manner.

 “This new development highlights the agility with which Myant is able to operate, rapidly integrating the domain expertise of our partners to unlock the potential behind our core textile design and commercialization capabilities,” said Myant Executive Vice President Ilaria Varoli. “Textiles are everywhere in our daily lives and we look forward to working with partners like Dr. Archer to make life better, easier, and safer for all people.”

Ilaria Varoli, EVP, Myant Inc.(c) Myant.Ilaria Varoli, EVP, Myant Inc.(c) Myant.

Further information

To stay up to date on Myant’s dental PPE developments, join the Myant PPE Dental Mailing List.

For consumers interested in purchasing non-dental PPE, please visit www.myantppe.ca.

For B2B inquiries about Myant’s non-dental PPE, please contact us at .

This content was originally published here.

Arizona coronavirus: Banner Health reaches capacity on ECMO lung machines

Arizona’s largest health system reaches capacity on ECMO lung machines as COVID-19 cases in the state continue to climb

Stephanie Innes
Arizona Republic
Published 2:24 PM EDT Jun 6, 2020
Coronavirus 2019-nCoV vials
solarseven, Getty Images/iStockphoto

Hospitalizations in Arizona of patients with suspected and confirmed COVID-19 have hit a new record and the state’s largest health system has reached capacity for patients needing external lung machines.

Arizona’s total identified cases rose to 25,451 on Saturday according to the most recent state figures. That’s an increase of 4.4%, since Friday when the state reported 24,332 identified cases and 996 deaths. 

Some experts are saying that Arizona is experiencing a spike in community spread, pointing to indicators that as of Saturday continued to show increases — the number of positive cases, the percent of positive cases and hospitalizations.

Also, ventilator and ICU bed use by patients with suspected and confirmed COVID-19 in Arizona hit record highs on Friday, the latest numbers show.

Statewide hospitalizations as of Friday jumped to 1,278 inpatients in Arizona with suspected and confirmed COVID-19, which was a record high since the state began reporting the data on April 9. It was the fifth consecutive day that hospitalizations statewide have eclipsed 1,000.

On Saturday morning, officials with Banner Health notified the Arizona centralized COVID-19 surge line that  Banner hospitals are unable to take any new patients needing ECMO — extracorporeal membrane oxygenation.

ECMO is an an external lung machine that’s used if a patient’s lungs get so damaged that they don’t work, even with the assistance of a ventilator.

The Arizona surge line is a 24/7 statewide phone line for hospitals and other providers to call when they have a COVID-19 patient who needs a level of care they can’t provide. An electronic system locates available beds and appropriate care, evenly distributing the patients so that no one system or hospital is overwhelmed by patients.

Banner Health, which is the state’s largest health system, is also nearing its usual ICU bed capacity, officials said Friday and if current trends continue is at risk of exceeding capacity. Banner Health typically has about half of Arizona’s suspected and confirmed COVID-19 hospitalized patients.

The state’s death toll on Saturday was 1,042, with 30 new deaths reported. On Friday the tally for the first time reached four figures — 1,012 total deaths —  three weeks after Gov. Doug Ducey’s stay-at-home order expired.

What we know about the known deaths, based on the state data:

Ducey said at a Thursday news conference that “we mourn every death in the state of Arizona.”

“… I’m confident that we’ve made the best and most responsible decisions possible, guided by public health, the entire way,” Ducey said.  

Saturday marked Arizona’s fifth consecutive day of high numbers of new coronavirus cases reported, with 1,119 positives reported Saturday, a record 1,579 reported on Friday, 530 on Thursday, 973 on Wednesday and 1,127 new cases reported on Tuesday.

Dr. Cara Christ, director of the Arizona Department of Health Services, said at a Thursday news conference that the increase in cases was expected given increased testing and reopening. 

“As people come back together, we know that there is going to be transmission of COVID-19,” Christ said. “We are seeing an increase in cases, and so we will continue to monitor at this time. But we have to weigh the impacts of the virus versus the impacts of what a stay-at-home order can have on long-term health as well.”

Before this week, new cases reported daily have typically been in the several hundreds. The state has reported new cases each day, typically in the several hundreds. The daily increase in case numbers also reflects a lag in obtaining results from the time a test was conducted.

Additional deaths are reported each day as well and have varied between single- and double-digit increases. The number of deaths reported each day represents the additional known deaths reported by the Health Department that day, but could have occurred weeks prior and on different days.

The date with the most deaths in a single day so far is April 30 with 26 deaths, followed by May 7 with 25 deaths and April 23 and May 8 with 24 deaths each. Next comes April 20 with 23 deaths and April 19, May 3 and May 5 with 22 deaths on each of those days, according to Friday’s data, which is likely to change in the days ahead as more deaths are identified.

Maricopa County’s confirmed case total was at 12,761 on Saturday according to state numbers. 

“We are seeing some indicators that the number of cases in Maricopa County are starting to rise,” county spokesman Ron Coleman said this week in an email. “This is in addition to an increase from increased testing.”

The number of Arizona cases likely is higher than official numbers because of limits on supplies and available tests, especially in early weeks of the pandemic. 

The percentage of positive tests per week increased from 5% a month ago to 6% three weeks ago to 9% two weeks ago, and 11% last week. The ideal trend is a decrease in percent of positives tests out of all tests. 

In addition to an increase in hospitalizations, ventilator use in Arizona by suspected and positive COVID-19 patients statewide jumped to 292 on Friday, which was the highest number reported since the state data began on April 9.

Also, ICU bed use by patients with positive and suspected COVID-19 on Friday was 391 — a record high and the 11th consecutive day that the number has been higher than 370.

The latest Arizona data

As of Saturday morning, the state reported death totals from these counties: 489 in Maricopa, 205 in Pima, 85 in Coconino, 72 in Navajo, 57 in Mohave, 49 in Apache, 41 in Pinal, 24 in Yuma, six in Yavapai, 4 in Cochise, three in Santa Cruz and three in Gila.

La Paz County officials reported two deaths and Graham County reported one death, although the state site listed them as just having fewer than three deaths. Greenlee County reported no deaths.

Of the statewide identified cases overall, 47% are men and 53% are women. But men made up a higher percentage of deaths, with 54% of the deaths men and 46% women as of Saturday.

Overall, Arizona has 354 cases and 14.49 deaths per 100,000 residents, according to state data.

The scope of the outbreak differs by county, with the highest rates in Apache, Navajo, Santa Cruz, Yuma and Coconino counties.

Of all confirmed cases, 9% are younger than 20, 42% are aged 20 to 44, 16% are aged 45 to 54, 14% are aged 55 to 64 and 17% are over 65. This aligns with the proportions of testing done for each age range.

The state Health Department website said both state and private laboratories have completed a total of  271,646 diagnostic tests for COVID-19, and 109,266 serology, or antibody, tests.

Most COVID-19 diagnostic tests come back negative, the state’s dashboard shows, with 7.2% positive. For serology tests, 3% have come back positive.

Maricopa County’s Department of Public Health provided more detailed information on a total of 12,685 cases Friday (the state reported the county case total at 12,761):

Cases rise in other counties

According to Friday’s state update, Pima County reported 2,950 identified cases. Navajo County reported 2,152 cases, while Yuma County reported 1,850; Apache County 1,692; Coconino County 1,267; Pinal County 1,067; Santa Cruz County 530; Mohave County 485; and Yavapai County 326. 

La Paz County reported 158 cases, Cochise County 122, Gila County 43, Graham County 39 and Greenlee County nine, according to state numbers.

The Navajo Nation reported a total of 5,808 cases and at least 269 confirmed deaths as of Friday. The Navajo Nation includes parts of Arizona, New Mexico and Utah.

237 cases in Arizona prisons

The Arizona Department of Corrections’ online dashboard said 237 inmates had tested positive for COVID-19 as of Friday, up from 198 one day prior. 

The cases were at these eight facilities: 75 in Florence, 97 in Yuma, 28 in Tucson, 12 in Phoenix, nine in Marana, six in Eyman, six in Perryville, two in Kingman and two in Lewis.

Four inmate deaths have been confirmed — two in Florence and two in Tucson, and three deaths are under investigation, the dashboard says.

Ninety-nine staff members have self-reported positive for the virus, and 69 have been certified as recovered, the department said. 

Both legal and nonlegal visitations have been suspended through June 13, at which point the department will reassess. Temporary video visitation will be available to approved visitors and inmates who have visitation privileges, the department announced. Inmates are eligible for one 15-minute video visit per week. CenturyLink also is giving inmates two additional 15-minute calls for free during each week visitation is restricted.

Separately, the Maricopa County Jail system as of Friday was reporting 30 inmates who had tested positive for COVID-19, county officials said. That was up from six positive inmates one week prior.

Arizona Republic reporter Alison Steinbach contributed to this article

Reach the reporter at Stephanie.Innes@gannett.com or at 602-444-8369. Follow her on Twitter @stephanieinnes

Support local journalism. Subscribe to azcentral.com today.

This content was originally published here.

Pennsylvania teen who tortured dying deer avoids prison sentence; case highlights need for mental health evaluations in animal cruelty instances

This case has set a precedent in Pennsylvania for future wildlife cruelty cases to be charged under Libre’s Law. Photo by Maura Flaherty

A Pennsylvania court this week allowed an 18-year-old to avoid prison time for a crime that shocked Americans when a viral video of it surfaced earlier this year: in the video, the young man and his friend were seen torturing a dying deer, kicking him in the head and even ripping off his antler as the frightened animal cried in pain and tried to escape.

The two young men were charged soon after with felony animal cruelty under Libre’s Law, a landmark 2017 Pennsylvania law that increased penalties for egregious animal cruelty. This was a heartening development, because we often find that in most animal cruelty cases the punishment doesn’t fit the crime, and the new law finally gave Pennsylvania a strong tool to ensure that those who commit such terrible animal cruelty are held accountable. It also set a precedent in Pennsylvania for future wildlife cruelty cases to be charged under Libre’s Law.

This week, the older teen was sentenced to two years of probation and 200 hours of community service after pleading guilty to a misdemeanor charge of cruelty to animals and summary counts of violating state hunting regulations. His hunting license was also revoked for 15 years. The more serious charges, including a felony count of aggravated cruelty to animals that carried a penalty of up to seven years in prison, were withdrawn. (The other teen, who is 17, has been charged as a juvenile).

However one may feel about the outcome, one thing is clear: there is a lot more that remains to be done to ensure that animal cruelty crimes are treated with the seriousness that they deserve.

One of the most disturbing aspects of this case was the apparent apathy of the young men to the pain and suffering of a dying animal: they could be seen laughing as they videotaped themselves on their phones hurting the terrified deer in his final moments.

Research has drawn a clear link time and again between animal cruelty and acts of human violence. It is a link we ourselves have often reported, including in the case of the high school shooter who boasted of killing animals before he shot and killed 17 people in Parkland, Florida. Just last week, we heard of this case in South Carolina where a dog was found shot inside the home of a man facing multiple charges after a domestic violence investigation.

That’s why the Humane Society of the United States is now asking prosecutors in Pennsylvania to consider mental health evaluations and counseling for cases involving such egregious animal cruelty. We are working closely with state organizations, including the State’s Center for Children’s Justice, the Pennsylvania Coalition Against Domestic Violence and the Pennsylvania Coalition Against Rape, to develop a free seminar for law enforcement and social service professionals centered around the important relationship between animal cruelty and family violence.

We are also supporting a state bill, the Animal Welfare Cooperation Act, HB 1655, which will encourage cross-agency partnerships and collaboration that will be particularly helpful with complicated cases under Libre’s Law or investigations that cover multiple jurisdictions. The bill would, among other provisions, allow the office of the attorney general to provide free training for district attorneys and humane police officers on handling complicated animal abuse investigations. In one year alone there are more than 18,000 animal abuse offenses reported in Pennsylvania, and this law would better equip law enforcement agencies to address them.

We need your support to get this bill passed so if you live in Pennsylvania, please call your state lawmakers and ask them to support H.B. 1655. This case also highlights the importance for each one of us to be vigilant and report animal cruelty when we see it happening, so those who cause such intense animal suffering do not have a chance to repeat it.

The post Pennsylvania teen who tortured dying deer avoids prison sentence; case highlights need for mental health evaluations in animal cruelty instances appeared first on A Humane World.

This content was originally published here.

O’Leary retires; Tsunoda to take over orthodontics practice – Wisconsin Rapids City Times

For the City Times

WISCONSIN RAPIDS – Dr. Michael O’Leary, of O’Leary Orthodontics, will retire after 42 years practicing orthodontics in the Wisconsin Rapids area.

“I extend my deepest and sincere thanks for the confidence, trust, and support shown throughout the years by my patients and the community,” Dr. Michael O’Leary said. “Superior care for my patients is of utmost importance to me. We took some time to find the right doctor and I am thrilled to announce that Dr. Kan Tsunoda joined the practice in May. I will miss all of you very much, but I know you will really like him.”

Dr. Kan Tsunoda will continue to provide orthodontic treatment under the new practice name “Rapids Orthodontics.”

“Rest assured, the familiar faces on the orthodontic support team will still be at Rapids Orthodontics to provide the same level of personalized care,” the company said in a release.

Tsunoda attended dental school at Midwestern University College of Dental Medicine-IL and completed his masters in oral biology and orthodontic specialty certificate at the University of Illinois at Chicago.

Tsunoda said he enjoys the outdoors and is excited to be a part of the community with his wife and four daughters.

For more information, call 715-421-5255 or visit www.RapidsOrthodontics.com.

Rapids Orthodontics is located at 440 Chestnut Street, Wisconsin Rapids.

This content was originally published here.

44 Black Mental Health Support Resources for Anyone Who Needs Them | SELF

Black lives matter. Black bodies matter. Black mental health matters. This latest string of rampant and wanton brutality against Black people flies in the face of these indisputable truths. As a Black woman myself, I’ve spent years trying to process the violence and racism that are part and parcel of living in this country in this skin. But I’ve never had to do it during a pandemic that, of course, is decimating Black lives, health, and communities the most.

In my years as a mental health reporter and editor, I’ve been heartened to slowly see the collection of mental health resources for Black people start to grow. It’s still not where it needs to be, but there is solidarity and support out there if you need help processing what’s happening (and there’s nothing weak about needing it, either). Here’s a list of resources that may help if you’re looking for mental health support that validates and celebrates your Blackness.

It starts with people to follow on Instagram who regularly drop mental health gems, then goes into groups and organizations that do the same, followed by directories and networks for finding a Black mental health practitioner. Lastly, I’ve added a few tips to keep in mind when seeking out this kind of mental health support, especially right now.

People to follow

Alishia McCullough, L.P.C.: McCullough’s Instagram places an emphasis on Black mental wellness and self-love, along with social justice issues like fat liberation. She also posts about participating in live virtual panels on issues like living with an abuser while social distancing and having to live with toxic family during the new coronavirus crisis, so if you’re craving that kind of content, consider following along.

Bassey Ikpi: Ikpi is a mental health advocate who I first became familiar with when she appeared on The Read podcast, where she talked about her now best-selling debut essay collection, I’m Telling the Truth But I’m Lying, in which she writes about her experiences having bipolar II and anxiety. Ikpi is also the founder of the Siwe Project, a global non-profit that increases awareness around mental health in people of African descent.

Cleo Wade: The best-selling author of Heart Talk and Where to Begin: A Small Book About Your Power to Create Big Change in Our Crazy World, Wade’s poetic Instagram dispatches offer quiet meditations on life, love, spirituality, current events, relationships, and finding inner peace.

Donna Oriowo, Ph.D.: I first heard about Oriowo, a sex and relationship therapist, when a friend told me I had to listen to a recent Therapy for Black Girls podcast episode where Oriowo discussed whether Issa and Molly can repair their friendship on Insecure. Oriowo shared so much insight into Issa and Molly’s psyches that I was having lightbulb moment after lightbulb moment. And as a sex and relationship therapist, her Instagram feed destigmatizes Black sexuality and relationships specifically, which is essential.

Jennifer Mullan, Psy.D.: Mullan’s mission is, as her Instagram handle so succinctly sums up, decolonizing therapy. Check out her feed for ample conversation about how mental health (and access to related services) are impacted by trauma and systemic inequities, along with hope that healing is indeed possible.

Jessica Clemons, M.D.: Dr. Clemons is a board-certified psychiatrist who spotlights Black mental health. Her Instagram encompasses everything from mindfulness to motherhood, and her live Q + As and #askdrjess video posts really make it feel like you’re not only following her, but connecting with her, too.

Joy Haven Bradford, Ph.D.: Bradford is a psychologist who aims to make discussions about mental health more accessible for Black women, particularly by bringing pop culture into the mix. She’s also the founder of Therapy for Black Girls, a much-loved resource that includes a great Instagram feed and podcast.

Mariel Buquè, Ph.D.: Click the follow button if you could use periodic “soul check” posts asking how your soul is holding up, gentle ways to practice self-care, help sorting through your feelings, advice on building resilience, and so much more.

Morgan Harper Nichols: If you don’t already follow Nichols but like stirring art mixed with uplifting messages, you’re in for a treat. Her Instagram feed is a swirly, colorful dream of what she describes as “daily reminders through art”—reminders of how valid it is to still seek joy, and of your worth, and of the fact that “small progress is still progress.”

Nedra Glover Tawwab: In Tawwab’s Instagram bio, the licensed clinical social worker describes herself as a “boundaries expert.” That expertise is critical right now, given that safeguarding our mental health as much as possible pretty much always requires firm boundaries. Tawwab also holds weekly Q+A sessions on Instagram, so stay tuned to her feed if you have a question you’d like to submit.

Thema Bryant-Davis, Ph.D.: A licensed psychologist and ordained minister, some of Bryant-Davis’s clinical background focuses on healing trauma and working at the intersection of gender and race. If you happen to be avoiding Twitter as much as possible for the sake of your mental health, like I am, you might like that her feed is mainly a collection of her great mental health tweets that you would otherwise miss.

Brands, collectives, and organizations to follow

Balanced Black Girl: This gorgeous feed features photos and art of Black people along with summaries of their podcast episode topics, worthwhile tweets you can see without having to scroll through Twitter, and advice about trying to create a balanced life even in spite of everything we’re dealing with. Balanced Black Girl also has a great Google Doc full of more mental health and self-care resources.

Black Female Therapists: On this feed, you’ll find inspirational messages, self-care Sunday reminders, and posts highlighting various Black mental health practitioners across the country. They have also recently launched an initiative to match Black people in need with therapists who will do two to three free virtual sessions.

Black Girls Heal: This feed focuses on Black mental health surrounding self-love, relationships, and unresolved trauma, along with creating a sense of community. (Like by holding “Saturday Night Lives” on Instagram to discuss self-love.) Following along is also an easy way to keep track of the topics on the associated podcast, which shares the same name.

Black Girl in Om: This brand describes their vision as “a world where womxn of color are liberated, empowered & seen.” On their feed, you can find helpful resources like meditations, along with a lot of joyful photos of Black people, which I personally find incredibly restorative at this time.

Black Mental Wellness: Founded by a team of Black psychologists, this organization offers a ton of mental health insight through posts about everything from destigmatizing therapy, to talking about Black men’s mental health, to practicing gratitude, to coping with anxiety.

Brown Girl Self-Care: With a mission described as “Help Black women healing from trauma go from ‘every once in a while’ self-care to EVERY DAY self-care,” this feed features tons of affirmations and self-care reminders that might help you feel a little bit better. Plus, in June, they’re running a free virtual Self-Care x Sisterhood circle every Sunday.

Ethel’s Club: This social and wellness club for people of color, originally based in Brooklyn, has pivoted hard during the pandemic and now offers a digital membership club featuring virtual workouts, book clubs, wellness salons, creative workshops, artist Q+As, and more. Membership is $17 a month, or you can follow their feed for free tidbits if that’s a better option for you.

Heal Haus: This cafe and wellness space in Brooklyn has of course closed temporarily due to the pandemic. In the meantime, they’ve expanded their online offerings. Follow their Instagram to stay up to date with what they’re rolling out, like their free upcoming Circle of Care for Black Womxn on June 5.

The Hey Girl Podcast: This podcast features Alexandra Elle, who I mentioned above, in conversation with various people who inspire her. Its Instagram counterpart is a pretty and calming feed of great takeaways from various episodes, sometimes layered over candy-colored backgrounds, other times over photos of the people Elle has spoken to.

Inclusive Therapists: This community’s feed specializes in regular doses of mental health insight, a lot of which seems especially geared towards therapists. With that said, you don’t have to be a therapist to see the value in posts like this one that notes, “You are whole. The system is broken.”

The Loveland Foundation: Founded by writer, lecturer, and activist Rachel Elizabeth Cargle, The Loveland Foundation works to make mental health care more accessible for Black women and girls. They do this through multiple avenues, such as their Therapy Fund, which partners with various mental health resources to offer financial assistance to Black women and girls across the nation who are trying to access therapy. Their Instagram feed is a great mix of self-care tips and posts highlighting various Black mental health experts, along with information about panels and meditations.

The Nap Ministry: If you ever feel tempted to underestimate the pure power of just giving yourself a break, The Nap Ministry is a great reminder that, as they say, “rest is a form of resistance.” Rest also allows for grieving, which is an unfortunately necessary practice as a Black person in America, especially now. In addition to peaceful and much-needed photos of Black people at rest, there are great takedowns of how harmful grind/hustle culture can be to our health.

OmNoire: Self-described as “a social wellness club for women of color dedicated to living WELL,” this mental health resource actually just pulled off a whole virtual retreat. Follow along for affirmations, self-care tips, and images that are inspirational, grounding, or both. (Full disclosure: I went on a great OmNoire retreat a year ago.)

Saddie Baddies: Gorgeous feed, gorgeous mission. Along with posts exploring topics like respectability politics, obsessive-compulsive disorder, self-harm, and loneliness, this Instagram features beautiful photos of people of color with the goal of making “a virtual safe space for young WoC to destigmatize mental health and initiate collective healing.”

Sad Girls Club: This account is all about creating a mental health community for Gen Z and millennial women who have mental illness, along with reducing stigma and sharing information about mental health services. Scroll through the feed and you’ll see many people of color, including Black women, openly discussing mental health—a welcome sight.

Sista Afya: This Chicago-based organization focuses on supporting Black women’s mental health in a number of ways, like connecting Black women to affordable and accessible mental health practitioners and running mental health workshops. They also offer a Thrive in Therapy program for Illinois-based Black women making less than $1,500 a month. For $75 a month, members receive two therapy sessions, free admission to the monthly support groups, and more.

Transparent Black Girl: Transparent Black Girl aims to redefine the conversation around what wellness means for Black women. Their feed is a mix of relatable memes, hilarious pop culture commentary, beautiful images and art of Black people, and mental health resources for Black people. Transparent Black Guy, the brother resource to Transparent Black Girl, is also very much worth a follow, particularly given the stigma and misconceptions that often surround Black men being vulnerable about their mental health.

Directories and networks for finding a Black (or allied) therapist

Here are various directories and networks that have the goal of helping Black people find therapists who are Black, from other marginalized racial groups, or who describe themselves as inclusive. This list is not exhaustive, and some of these resources will be more expansive than others. They also do different levels of vetting the experts they include. If you find a therapist via one of these sites who seems promising, be sure to do some follow-up searches to learn more about them.

This content was originally published here.

Minn. health officials urge caution after news of ICU beds filling up – StarTribune.com

Metro hospitals are running short on intensive care unit beds due to an increase in patients with COVID-19 and other medical issues, prompting health officials to call for more public adherence to social distancing to slow the spread of the infectious disease.

The Minnesota Department of Health on Friday reported a record 233 patients with COVID-19 in ICU beds, but doctors and nurses said patients with other illnesses resulted in more than 95% of those beds in the Twin Cities to be filled.

Patients with unrelated medical problems needed intensive care, along with patients recovering from surgeries — including elective procedures that resumed May 11 after they had been suspended due to the pandemic.

“We are tight,” said Dr. John Hick, an emergency physician directing Minnesota’s Statewide Healthcare Coordination Center. “Resuming elective surgeries plus an uptick in ICU cases has constricted things pretty quickly.”

At different times, Hennepin County Medical Center and North Memorial Health Hospital were diverting patients to other hospitals. Almost all heart-lung bypass machines were in use for severe COVID-19 patients and others at the University of Minnesota Medical Center and Abbott Northwestern Hospital in Minneapolis.

As planned, Children’s Minnesota took on some young adult patients to take pressure off the general hospitals.

People might think the pandemic is over because public restrictions are being scaled back, but “in the hospitals, it is not over and it is not getting back to normal,” said nurse Emily Sippola, adding that her United Hospital was opening a third COVID-specific unit ahead of schedule. “The pace is picking up.”

The pressure on hospitals comes at a crossroads in Minnesota’s response to the pandemic, which is caused by a novel coronavirus for which there is yet no vaccine. Infections and deaths are rising even as Gov. Tim Walz lifted his statewide stay-at-home order on Monday and faced pressure this week to pull back even more restrictions on businesses and churches.

Despite talks with Walz on Friday, leaders of the Catholic Archdiocese of St. Paul and Minneapolis issued no change in guidance for their churches to defy the governor’s order and hold indoor masses at one-third seating capacity starting Tuesday. President Donald Trump might have altered those talks when he threatened to supersede any state government that tried to keep churches closed any longer, although the White House didn’t cite any law giving him the right to do so.

A single-day record of 33 COVID-19 deaths was reported Friday in Minnesota — with 25 in long-term care and one in a behavioral health group home — raising the death toll to 842. Infections confirmed by diagnostic testing increased by 813 on Friday to 19,005 overall, and Dr. Deborah Birx, the White House’s coronavirus response coordinator, called out Minneapolis for having one of the nation’s highest rates of diagnostic tests being positive for COVID-19.

People can slow the spread of COVID-19 if they continue to wear masks, practice social distancing, wash hands and cover coughs, said Dr. Ruth Lynfield, state epidemiologist.

“There are those among us who will not do well with this virus and will develop severe disease, and I think we need to be very mindful of that,” she said. “It’s not high-tech. We know what to do to prevent transmission of this virus.”

While as many as 80% of people suffer mild to moderate symptoms from infection, the virus spreads so easily that it will still lead to a high number of people needing hospital care. Health officials are particularly concerned about people with underlying health problems — including asthma, diabetes, smoking, and diseases of the heart, lungs, kidneys or immune system.

Individuals with such conditions and long-term care facility residents have made up around 98% of all deaths. The state’s total number of long-term care deaths related to COVID-19 is now 688.

The University of Minnesota’s Center for Infectious Disease Research and Policy estimates that only 5% of Minnesotans have been infected so far and that this rate will increase substantially.

Hospitals working together

Part of the state response strategy is aggressive testing of symptomatic patients to identify the course of the virus and hot spots of infection before they spread further. Widespread testing is being scheduled in long-term care facilities that have confirmed cases, and testing has taken place in eight food processing plants with cases as well.

The state averaged nearly 7,000 diagnostic tests per day this week, and the state should get a boost from a new campaign of testing clinics at six National Guard Armory locations across Minnesota from Saturday through Monday, said Jan Malcolm, state health commissioner.

The state’s pandemic preparedness website as of Friday indicated that 1,045 of 1,257 available ICU beds were occupied by patients with COVID-19 or other unrelated medical conditions — and that another 1,093 beds could be readied within 72 hours.

Several hospitals are already activating those extra beds, though in some cases they are finding it difficult to find the critical care nurses to staff existing ICU beds — much less new ones, said Dr. Rahul Koranne, president of the Minnesota Hospital Association. Staffing difficulties, rather than a lack of physical bed space, caused some of the hospitals to divert patients.

Nurses in the Twin Cities reported being called in for overtime shifts for the Memorial Day weekend, which in typical years also launches a summerlong increase of car accidents and traumatic injuries. North Memorial, HCMC and Regions Hospital in St. Paul are trauma centers.

“This increased trauma volume typically persists throughout the summer season and into fall,” North Memorial said in a statement provided by spokeswoman Katy Sullivan. “To be able to provide the needed level of care for the community and honor our commitments to our healthcare partners throughout Minnesota and western Wisconsin, we need to preserve some capacity for emergency trauma care.”

An increase in surgeries might have contributed to the ICU burden, but Koranne said many didn’t fit the definition of elective. Some patients delayed the removal of tumors due to the pandemic but can no longer afford to do so.

“They are patients who have been waiting for critical time-sensitive procedures that their physician is worried might be getting worse,” Koranne said. “To call those type of procedures elective could not be further from the truth.”

Competing hospitals have long cooperated when others needed to divert patients, but that has increased with the help of the state COVID-19 coordinating center and is showing in how they are managing ICU bed shortages, hospital leaders said.

“We all have surge plans in place,” said Megan Remark, Regions president, “but more than ever before, everyone is working together and with the state to ensure that we can provide care for all patients.”

This content was originally published here.

Suddenly, Public Health Officials Say Social Justice Matters More Than Social Distance – POLITICO

“The injustice that’s evident to everyone right now needs to be addressed,” Abraar Karan, a Brigham and Women’s Hospital physician who’s exhorted coronavirus experts to use their platforms to encourage the protests, told me.

It’s a message echoed by media outlets and some of the most prominent public health experts in America, like former Centers for Disease Control and Prevention director Tom Frieden, who loudly warned against efforts to rush reopening but is now supportive of mass protests. Their claim: If we don’t address racial inequality, it’ll be that much harder to fight Covid-19. There’s also evidence that the virus doesn’t spread easily outdoors, especially if people wear masks.

The experts maintain that their messages are consistent—that they were always flexible on Americans going outside, that they want protesters to take precautions and that they’re prioritizing public health by demanding an urgent fix to systemic racism.

But their messages are also confounding to many who spent the spring strictly isolated on the advice of health officials, only to hear that the need might not be so absolute after all. It’s particularly nettlesome to conservative skeptics of the all-or-nothing approach to lockdown, who point out that many of those same public health experts—a group that tends to skew liberal—widely criticized activists who held largely outdoor protests against lockdowns in April and May, accusing demonstrators of posing a public health danger. Conservatives, who felt their own concerns about long-term economic damage or even mental health costs of lockdown were brushed aside just days or weeks ago, are increasingly asking whether these public health experts are letting their politics sway their health care recommendations.

“Their rules appear ideologically driven as people can only gather for purposes deemed important by the elite central planners,” Brian Blase, who worked on health policy for the Trump administration, told me, an echo of complaints raised by prominent conservative commentators like J.D. Vance and Tim Carney.

Conservatives also have seized on a Twitter thread by Drew Holden, a commentary writer and former GOP Hill staffer, comparing how politicians and pundits criticized earlier protests but have been silent on the new ones or even championed them.

“I think what’s lost on people is that there have been real sacrifices made during lockdown,” Holden told me. “People who couldn’t bury loved ones. Small businesses destroyed. How can a health expert look those people in the eye and say it was worth it now?”

Some members of the medical community acknowledged they’re grappling with the U-turn in public health advice, too. “It makes it clear that all along there were trade-offs between details of lockdowns and social distancing and other factors that the experts previously discounted and have now decided to reconsider and rebalance,” said Jeffrey Flier, the former dean of Harvard Medical School. Flier pointed out that the protesters were also engaging in behaviors, like loud singing in close proximity, which CDC has repeatedly suggested could be linked to spreading the virus.

“At least for me, the sudden change in views of the danger of mass gatherings has been disorienting, and I suspect it has been for many Americans,” he told me.

The shift in experts’ tone is setting up a confrontation amid the backdrop of a still-raging pandemic. Tens of thousands of new coronavirus cases continue to be diagnosed every day—and public health experts acknowledge that more will likely come from the mass gatherings, sparked by the protests over George Floyd’s death while in custody of the Minneapolis police last week.

“It is a challenge,” Howard Koh, who served as assistant secretary for health during the Obama administration, told me. Koh said he supports the protests but acknowledges that Covid-19 can be rapidly, silently spread. “We know that a low-risk area today can become a high-risk area tomorrow,” he said.

Yet many say the protests are worth the risk of a possible Covid-19 surge, including hundreds of public health workers who signed an open letter this week that sought to distinguish the new anti-racist protests “from the response to white protesters resisting stay-home orders.”

Those protests against stay-at-home orders “not only oppose public health interventions, but are also rooted in white nationalism and run contrary to respect for Black lives,” according to the letter’s nearly 1,300 signatories. “Protests against systemic racism, which fosters the disproportionate burden of COVID-19 on Black communities and also perpetuates police violence, must be supported.”

“Staying at home, social distancing, and public masking are effective at minimizing the spread of COVID-19,” the letter signers add. “However, as public health advocates, we do not condemn these gatherings as risky for COVID-19 transmission.”

Was it fair to decry conservatives’ protests about the economy while supporting these new protests? And if tens of thousands of people get sick from Covid-19 as a result of these mass gatherings against racism, is that an acceptable trade-off? Those are questions that a half-dozen coronavirus experts who said they support the protests declined to directly answer.

“I don’t know if it’s really for me to comment,” said Karan. He did add: “Addressing racism, it can’t wait. It should’ve happened before Covid. It’s happening now. Perhaps this is our time to change things.”

“Many public health experts have already severely undermined the power and influence of their prior message,” countered Flier. “We were exposed to continuous daily Covid death counts, and infections/deaths were presented as preeminent concerns compared to all other considerations—until nine days ago,” he added.

“Overnight, behaviors seen as dangerous and immoral seemingly became permissible due to a ‘greater need,’” Flier said.

The frustration from some conservatives is an outgrowth of how Covid-19 has affected the United States so far. In Blue America, the pandemic is a dire threat that’s killed tens of thousands in densely packed urban centers like New York City—and warnings from infectious-disease experts like Tony Fauci carry the weight of real-world implications. In many parts of Red America, rural states like Alaska and Wyoming still have fewer than 1,000 confirmed cases, and some residents are asking why they shuttered their economies for a virus that had little visible effect over the past three months.

Pollsters also have consistently found a partisan split on how Americans view the pandemic, with Democrats believing that the media is underplaying the risks of Covid-19 while Republicans say that the threat has been exaggerated. That attitude may change with virus numbers on the march in states like Alabama and Arkansas.

People on both sides are already trying to figure out whom to blame if coronavirus cases jump as widely expected after hundreds of thousands of Americans spilled into the streets this past week, sometimes in close proximity for hours at a time. When we discussed the possible risks of a large public gathering, protest supporters like Karan and Koh seized on police behaviors —like using pepper spray and locking up protesters in jail cells—which they noted created significant risks of their own to spread Covid-19.

“Trump will try to blame protestors for [the] spike in coronavirus cases he caused,” a spokesperson for Protect Our Care, a progressive-aligned health care group, wrote in a memo circulated to media members on Wednesday. While acknowledging the risks of mass protests, “the reality is that the spikes in cases have been happening well before the protests started—in large part because Trump allowed federal social distancing guidelines to expire, failed to adequately increase testing, and pushed governors to reopen against the advice of medical experts,” the spokesperson claimed.

Contra those claims, public health experts like Koh generally acknowledge that it’s going to be difficult to tease apart why Covid-19 cases could jump in the coming weeks, given the sheer number of Americans joining mass gatherings, states relaxing restrictions and other factors that could pose challenges for disease-tracing on a large scale.

Some experts also are cautious of condemning states for rolling back restrictions after inconclusive evidence from states that already moved to do so. For instance, a widely shared Atlantic article in April framed the decision by Georgia’s GOP governor to relax social-distancing restrictions as an “experiment in human sacrifice.” A month later, Georgia’s daily coronavirus cases have stayed relatively level and it’s not clear whether the rollback led to significant new outbreaks.

What is clear is that the only successful tactic to stop Covid-19 remains social distancing and, failing that, thoroughly wearing personal protective equipment. Yet there’s also considerable video and photo evidence of maskless protesters, sometimes closely huddled together with public officials—also sans mask—in efforts to defuse tensions, or recoiling from police attacks that forced them to remove protection.

That means a collision between the protests and coronavirus is coming, which will force decisions big and small. Will local leaders need to reimpose restrictions when cases go up? Will that advice be trusted? Or is it possible that their guidance was too draconian all along?

Some participants in the new protests—whether marching themselves or drawn in from the sidelines—say they recognize the threat they’re facing.

A Washington, D.C., man named Rahul Dubey attracted national attention for sheltering protesters from the police inside his home on Monday night. On Wednesday, he told me that he was on the way to get a coronavirus test and was planning to self-quarantine himself for two weeks—having spent hours in close proximity to dozens of maskless people.

It’s a reminder of a line often heard from medical experts: Public health should be above politics. Now some conservatives are invoking it too.

“The virus doesn’t care about the nature of a protest, no matter how deserving the cause is,” Holden said.

This content was originally published here.

Embracing the future of dentistry: Rendezvous Dental now offering Tele-dentistry

The future of medicine as we know it is evolving, whether we like it or not. You may have even heard the term “telemedicine” in recent talks about healthcare.

With the introduction of internet and technology, a world of possibilities could open up; from access to top medical professionals all over the world, to medical assessments conducted from the comfort of your home.

The ability to diagnose (and in some cases, treat) remotely are made possible. For obvious reasons, this new technology could have some positive implications for rural communities like ours.

As healthcare as we know it evolves, the same rings true for oral health. The dental field is adopting Tele-dentistry which involves “the exchange of clinical information and images over remote distances for dental consultation and treatment planning.” .

What does this mean for patients?
For you, the patient, this could mean access to better oral healthcare, online consultations, and in some cases lower costs. For example, you can now get a professional opinion from your dentist without taking time off work or pulling your kid out of school.

Here locally, Rendezvous Dental is embracing the future of dentistry.
Forward-thinking dentists, like Dr. Colton Crane at Rendezvous Dental are already using this cutting-edge technology to improve the patient experience.

Let’s try it!
Tele-dentistry with Rendezvous Dental is easy. Visit their website and follow the instructions. Fill out the online form, describe your concern in detail, and attach two images from different angles. For just $25, you can have a response from Dr. Crane within 2-3 hours (during business hours)!

In most cases this is enough for Crane to decide if your problem is cause for immediate concern or something that can wait until your next cleaning. In a pinch, antibiotics could be prescribed too. Should an x-ray or further exam be in order, Rendezvous Dental will apply your $25 as a credit.

This new service is currently available online at rendezvousdental.com/tele-dentistry. For more information, call Rendezvous Dental at  or stop by their office at 312 N 8th St. W. in Riverton.

This content was originally published here.

How The ‘Lost Art’ Of Breathing Impacts Sleep And Stress : Shots – Health News : NPR

Breathing slowly and deeply through the nose is associated with a relaxation response, says James Nestor, author of Breath. As the diaphragm lowers, you’re allowing more air into your lungs and your body switches to a more relaxed state.

Sebastian Laulitzki/ Science Photo Library


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Breathing slowly and deeply through the nose is associated with a relaxation response, says James Nestor, author of Breath. As the diaphragm lowers, you’re allowing more air into your lungs and your body switches to a more relaxed state.

Humans typically take about 25,000 breaths per day — often without a second thought. But the COVID-19 pandemic has put a new spotlight on respiratory illnesses and the breaths we so often take for granted.

Journalist James Nestor became interested in the respiratory system years ago after his doctor recommended he take a breathing class to help his recurring pneumonia and bronchitis.

While researching the science and culture of breathing for his new book, Breath: The New Science of a Lost Art, Nestor participated in a study in which his nose was completely plugged for 10 days, forcing him to breathe solely through his mouth. It was not a pleasant experience.

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Nestor says the researchers he’s talked to recommend taking time to “consciously listen to yourself and [to] feel how breath is affecting you.” He notes taking “slow and low” breaths through the nose can help relieve stress and reduce blood pressure.

“This is the way your body wants to take in air,” Nestor says. “It lowers the burden of the heart if we breathe properly and if we really engage the diaphragm.”

Interview Highlights

On why nose breathing is better than mouth breathing

The nose filters, heats and treats raw air. Most of us know that. But so many of us don’t realize — at least I didn’t realize — how [inhaling through the nose] can trigger different hormones to flood into our bodies, how it can lower our blood pressure … how it monitors heart rate … even helps store memories. So it’s this incredible organ that … orchestrates innumerable functions in our body to keep us balanced.

On how the nose has erectile tissue

The nose is more closely connected to our genitals than any other organ. It is covered in that same tissue. So when one area gets stimulated, the nose will become stimulated as well. Some people have too close of a connection where they get stimulated in the southerly regions, they will start uncontrollably sneezing. And this condition is common enough that it was given a name called honeymoon rhinitis.

James Nestor’s previous book, Deep, focused on the science behind free diving.

Julie Floersch/Riverhead Books


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James Nestor’s previous book, Deep, focused on the science behind free diving.

Another thing that is really fascinating is that erectile tissue will pulse on its own. So it will close one nostril and allow breath in through the other nostril, then that other nostril will close and allow breath in. Our bodies do this on their own. …

A lot of people who’ve studied this believe that this is the way that our bodies maintain balance, because when we breathe through our right nostril, circulation speeds up [and] the body gets hotter, cortisol levels increase, blood pressure increases. So breathing through the left will relax us more. So blood pressure will decrease, [it] lowers temperature, cools the body, reduces anxiety as well. So our bodies are naturally doing this. And when we breathe through our mouths, we’re denying our bodies the ability to do this.

On how breath affects anxiety

I talked to a neuropsychologist … and he explained to me that people with anxieties or other fear-based conditions typically will breathe way too much. So what happens when you breathe that much is you’re constantly putting yourself into a state of stress. So you’re stimulating that sympathetic side of the nervous system. And the way to change that is to breathe deeply. Because if you think about it, if you’re stressed out [and thinking] a tiger is going to come get you, [or] you’re going to get hit by a car, [you] breathe, breathe, breathe as much as you can. But by breathing slowly, that is associated with a relaxation response. So the diaphragm lowers, you’re allowing more air into your lungs and your body immediately switches to a relaxed state.

On why exhaling helps you relax

Because the exhale is a parasympathetic response. Right now, you can put your hand over your heart. If you take a very slow inhale in, you’re going to feel your heart speed up. As you exhale, you should be feeling your heart slow down. So exhaling relaxes the body. And something else happens when we take a very deep breath like this. The diaphragm lowers when we take a breath in, and that sucks a bunch of blood — a huge profusion of blood — into the thoracic cavity. As we exhale, that blood shoots back out through the body.

On the problem with taking shallow breaths

You can think about breathing as being in a boat, right? So you can take a bunch of very short, stilted strokes and you’re going to get to where you want to go. It’s going to take a while, but you’ll get there. Or you can take a few very fluid and long strokes and get there so much more efficiently. … You want to make it very easy for your body to get air, especially if this is an act that we’re doing 25,000 times a day. So, by just extending those inhales and exhales, by moving that diaphragm up and down a little more, you can have a profound effect on your blood pressure, on your mental state.

On how free divers expand their lung capacity to hold their breath for several minutes

The world record is 12 1/2 minutes. … Most divers will hold their breath for eight minutes, seven minutes, which is still incredible to me. When I first saw this, this was several years ago, I was sent out on a reporting assignment to write about a free-diving competition. You watch this person at the surface take a single breath there and completely disappear into the ocean, come back five or six minutes later. … We’ve been told that whatever we have, whatever we’re born with, is what we’re going to have for the rest of our lives, especially as far as the organs are concerned. But we can absolutely affect our lung capacity. So some of these divers have a lung capacity of 14 liters, which is about double the size for a [typical] adult male. They weren’t born this way. … They trained themselves to breathe in ways to profoundly affect their physical bodies.

Sam Briger and Joel Wolfram produced and edited this interview for broadcast. Bridget Bentz, Molly Seavy-Nesper and Deborah Franklin adapted it for the Web.

This content was originally published here.

‘This is not about politics’: GOP governor says wearing masks is public health issue

WASHINGTON — Ohio Republican Gov. Mike DeWine on Sunday dismissed the politicization of wearing masks in public to help contain the spread of the coronavirus, imploring Americans during the Memorial Day Weekend to understand “we are truly all in this together.”

With many states like Ohio beginning to relax stay-at-home restrictions, DeWine underscored the importance of following studies that show masks are beneficial to limiting the spread of the virus in an exclusive interview with “Meet the Press.”

“This is not about politics. This is not about whether you are liberal or conservative, left or right, Republican or Democrat,” DeWine said.

“It’s been very clear what the studies have shown, you wear the mask not to protect yourself so much as to protect others. This is one time where we are truly all in this together. What we do directly impacts others.”

DeWine made the comments in response to an emotional plea from North Dakota Gov. Doug Burgum, who last week denounced the idea that mask-wearing should be a partisan issue.

Public health experts continue to say mask usage can help stunt the spread of the virus and recommend that people wear masks where social distancing is not feasible. But the White House has sent mixed signals on the practice.

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President Trump has repeatedly bucked the practice of wearing a mask in public, reportedly telling advisers he thought doing so would send the wrong message and distract from the push to reopen the economy.

He did not wear one during a visit to an Arizona mask production facility earlier this month. And while he did wear one for part of his trip to a Ford manufacturing plant in Michigan last week, he took it off before speaking to reporters and said “I didn’t want to give the press the pleasure of seeing it.”

Vice President Pence did not wear a mask while touring the Mayo Clinic in Minnesota last month, but donned one during another tour days later in Indiana after criticism.

O’Brien: The president wears masks ‘when necessary’

Robert O’Brien, Trump’s national security adviser, told “Meet the Press” Sunday that he and many other members of White House staff wear masks during work and hope that will set an “example” for Americans looking to return to the office. And he defended the president’s conduct by arguing that if proper social-distancing measures are taken, Trump doesn’t always need to wear a mask.

“I think Gov. DeWine was spot on when he talked about office-workers wearing the masks, and mask usage is going to help us get this economy reopened,” he said.

“And we do need to get the country reopened because we can’t get left behind by China or others with respect to our economy.”

The question of how to safely reopen the American economy is weighing heavy this Memorial Day weekend, as every state across the country is beginning to move toward relaxing coronavirus-related restrictions.

There have been more than 1.6 million coronavirus cases in America including more than 97,700 deaths as of Sunday morning, according to NBC News’ count. And 38 million Americans have filed unemployment claims since March 14.

As governors like DeWine are trying to balance the public health risks of removing restrictions with the economic risks of keeping most of America shut in their homes, the Ohio governor said that he’s confident “we can do two things at once.”

“We want to continue to up that throughout the state because it is really what we need as we open up the economy. This is a risk, but it’s also a risk if we don’t open up the economy, all the downsides of not opening up the economy,” he said.

This content was originally published here.

Using AI to improve dentistry, VideaHealth gets a $5.4 million polish

Florian Hillen, the chief executive officer of a new startup called VideaHealth, first started researching the problems with dentistry about three years ago.

The Massachusetts Institute of Technology and Harvard educated researcher had been doing research in machine learning and image recognition for years and wanted to apply that research in a field that desperately needed the technology.

Dentistry, while an unlikely initial target, proved to be a market that the young entrepreneur could really sink his teeth into.

“Everyone goes to the dentist [and] in the dentist’s office, x-rays are the major diagnostic tool,” Hillen says. “But there is a lack of standard quality in dentistry. If you go to three different dentists you might get three different opinions.”

With VideaHealth (and competitors like Pearl) the machine learning technologies the company has developed can introduce a standard of care across dental practices, say Hillen. That’s especially attractive as dental businesses become rolled up into large service provider plays in much of the U.S.

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Image courtesy of VideaHealth

Dental practitioners also present a more receptive audience to the benefits of automation than some other medical health professionals (ahem… radiologists). Because dentists have more than one role in the clinic they can see enabling technologies like image recognition as something that will help their practices operate more efficiently rather than potentially put people out of a job.

“AI in radiology competes with the radiologist,” says Hillen. “In dentistry we support the dentist to detect diseases more reliably, more accurately, and earlier.”

The ability to see more patients and catch problems earlier without the need for more time consuming and invasive procedures for a dentist actually presents a better outcome for both practitioners and patients, Hillen says.

It’s been a year since Hillen launched the company and he’s already attracted investors including Zetta Venture Partners, Pillar and MIT’s Delta V, who invested in the company’s most recent $5.4 million seed financing.

Already the company has collaborations with dental clinics across the U.S. through partnerships with organizations like Heartland Dental, which operates over 950 clinics in the Midwest. The company has seven employees currently and will use its cash to hire broadly and for further research and development.

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Photo courtesy of VideaHealth

This content was originally published here.

Wealthiest Hospitals Got Billions in Bailout for Struggling Health Providers – The New York Times

But it is not just another deep-pocketed investor hunting for high returns. It is the Providence Health System, one of the country’s largest and richest hospital chains. It is sitting on nearly $12 billion in cash, which it invests, Wall Street-style, in a good year generating more than $1 billion in profits.

With states restricting hospitals from performing elective surgery and other nonessential services, their revenue has shriveled. The Department of Health and Human Services has disbursed $72 billion in grants since April to hospitals and other health care providers through the bailout program, which was part of the CARES Act economic stimulus package. The department plans to eventually distribute more than $100 billion more.

Those cash piles come from a mix of sources: no-strings-attached private donations, income from investments with hedge funds and private equity firms, and any profits from treating patients. Some chains, like Providence, also run their own venture-capital firms to invest their cash in cutting-edge start-ups. The investment portfolios often generate billions of dollars in annual profits, dwarfing what the hospitals earn from serving patients.

Representatives of the American Hospital Association, a lobbying group for the country’s largest hospitals, communicated with Alex M. Azar II, the department secretary, and Eric Hargan, the deputy secretary overseeing the funds, said Tom Nickels, a lobbyist for the group. Chip Kahn, president of the Federation of American Hospitals, which lobbies on behalf of for-profit hospitals, said he, too, had frequent discussions with the agency.

One formula based allotments on how much money a hospital collected from Medicare last year. Another was based on a hospital’s revenue. While Health and Human Services also created separate pots of funding for rural hospitals and those hit especially hard by the coronavirus, the department did not take into account each hospital’s existing financial resources.

“This simple formula used the data we had on hand at that time to get relief funds to the largest number of health care facilities and providers as quickly as possible,” said Caitlin B. Oakley, a spokeswoman for the department. “While other approaches were considered, these would have taken much longer to implement.”

That pattern is repeating in the hospital rescue program.

For example, HCA Healthcare and Tenet Healthcare — publicly traded chains with billions of dollars in reserves and large credit lines from banks — together received more than $1.5 billion in federal funds.

Angela Kiska, a Cleveland Clinic spokeswoman, said the federal grants had “helped to partially offset the significant losses in operating revenue due to Covid-19, while we continue to provide care to patients in our communities.” The Cleveland Clinic sent caregivers to hospitals in Detroit and New York as they were flooded with coronavirus patients, she added.

Critics argue that hospitals with vast financial resources should not be getting federal funds. “If you accumulated $18 billion and you are a not-for-profit hospital system, what’s it for if other than a reserve for an emergency?” said Dr. Robert Berenson, a physician and a health policy analyst for the Urban Institute, a Washington research group.

Hospitals that serve poorer patients typically have thinner reserves to draw on.

Even before the coronavirus, roughly 400 hospitals in rural America were at risk of closing, said Alan Morgan, the chief executive of the National Rural Hospital Association. On average, the country’s 2,000 rural hospitals had enough cash to keep their doors open for 30 days.

At St. Claire HealthCare, the largest rural hospital system in eastern Kentucky, the number of surgeries dropped 88 percent during the pandemic — depriving the hospital of a crucial revenue source. Looking to stanch the financial damage, it furloughed employees and canceled some vendor contracts. The $3 million the hospital received from the federal government in April will cover two weeks of payroll, said Donald H. Lloyd II, the health system’s chief executive.

This content was originally published here.

Coronavirus Map And Graphics: Track The Spread In The U.S. : Shots – Health News : NPR

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Since the first coronavirus case was confirmed in the United States on Jan. 21, more than 1 million people in the U.S. have confirmed cases of COVID-19. On April 12, the U.S. became the nation with the most deaths globally, but there are early signs that the U.S. case and death counts may be leveling off, as the growth of new cases and deaths plateaus. The pattern isn’t consistent across the country, as new hot spots emerge and others subside.

To see how quickly your state’s case count is growing, click here.

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Click here to see a global map of confirmed cases and deaths.

In response to mounting cases, state and federal authorities have emphasized a social distancing strategy, widely seen as the best available means to slow the spread of the virus. Most states have put in place measures such as closing schools and nonessential businesses and ordering citizens to stay home as much as possible.

It’s not clear how long such measures need to be in place to see a lasting effect. In Wuhan, the city in China where the virus originated, a strictly enforced lockdown and widespread testing have slowed the outbreak dramatically, enough to bring an end to the 76-day lockdown.

A large portion of U.S. cases are centered on New York City. Since March 20, New York state, Connecticut and New Jersey have accounted for about 50% of all U.S. cases. As of April 9, nearly 60% of all deaths from COVID-19 have been in these three states. While New York state appears to be reaching a plateau, as seen below, it notched between 8,000 and 10,000 new cases each day between March 31 and April 12.

To understand how one state’s outbreak compares with another’s, it’s helpful to look at not just the daily counts but the rate of change day over day. In the following chart, we display cases on a logarithmic scale, meaning that every axis line is 10 times greater than the previous one. This type of scale emphasizes the rate of change.

When case counts grow very quickly, a state’s curve trends sharply upward, as New York’s does over the first 15 days past 100 cases. Generally, this is evidence of unbridled community transmission of the disease. As new cases slow, the curve bends toward horizontal, showing that the state’s outbreak may be leveling off. This doesn’t mean the number of cases has stopped growing, but the rate of growth has slowed, which could signify that social distancing measures are having an effect.

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In some areas, there are signs of hope. The areas with the earliest outbreaks — such as California and Washington — seem to be having success at suppressing the disease. The outlook in Washington has improved to the point that the state has returned unused Army hospital beds it had received in preparation for a peak in cases.

Elsewhere, limited access to testing may make the number of cases look smaller than it really is. As testing becomes more readily available, we are likely to see the number of confirmed cases continue to grow, even if not at the pace previously seen.

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The data used here are compiled by the Center for Systems Science and Engineering at Johns Hopkins University from several sources, including the Centers for Disease Control and Prevention; the World Health Organization; national, state and local government health departments; 1point3acres; and local media reports. The JHU team automates its data uploads and regularly checks them for anomalies. State-by-state testing and hospitalization data are still being assessed for reliability. State-by-state recovery data are unavailable at this time. There may be discrepancies between what you see here and what you see on your local health department’s website.

Stephanie Adeline, Alyson Hurt, Connie Hanzhang Jin, Ruth Talbot and Thomas Wilburn contributed to this story.

This content was originally published here.

How USC students deal with physical stress caused by dentistry

Minalie Jain had experienced pain before, but when she started to work in the simulation lab at USC, the shooting pain in her arm caught her attention.

The sim lab involves a lot of fine handwork, with students bent over molds of teeth. The intensity of the muscle contractions left Jain in stabbing and throbbing pain.

Fortunately for her, the Herman Ostrow School of Dentistry of USC and the university’s physical therapy program have teamed up to use physical therapy skills that can help dental students deal with the physical stress caused by dentistry. Jain now does physical therapy to help her in day-to-day work.

Physical stress: Ergonomics and body mechanics offer relief

Dental students had always had one lecture on ergonomics from a physical therapy professor, but when Kenneth Kim, instructor of clinical physical therapy, took over that lecture, he thought the schools could do more together.

“I felt like a lecture once a year wasn’t enough — especially because we were seeing so many dental students at the clinic,” he said. “Sometimes the students were getting pretty emotional because of all the pain.”

Kim worked with Jin-Ho Phark, associate professor of clinical dentistry, to set up the ergonomics and body mechanics collaboration after the lecture. This is the first year that physical therapy students go to the dental students’ sim lab once a week, for two hours in the morning and two hours in the afternoon. “We can follow up on body position and patient position, and they have been really receptive,” Kim said.

The biggest issues that dental students face are forces on their hands, necks and arms as they work on models of patients.

They sometimes forget to adjust the patient to make their own bodies work more easily.

Kenneth Kim

“They sometimes forget to adjust the patient to make their own bodies work more easily,” Kim said. “That means that students can stay hunched over, in that position for hours, which causes neck and back pain. We come in and make a small adjustment, which results in a huge outcome.”

Musculoskeletal disorders: a widespread problem

Dentists are particularly prone to musculoskeletal disorders: 70 percent of dentists suffer from them, compared to 12 percent of surgeons. That’s mainly because dentistry requires lots of repetitive motions, especially by the hand and wrist, as well as sustained postures, said Phark says, who explained that students in the sim lab work on mannequins, learning to use drills inside tooth models. The way they position their necks forward or slouch their backs can often result in lower back and shoulder pain.

“We see that throughout the years students in dental school don’t always take care of their posture while they perform procedures,” he said. That’s hard on a body, especially considering students are working in the same position for eight hours a day.

In addition to the lectures and hands-on help, students can often position themselves better by using their loupes, which allows them to maintain a certain distance from a patient.

“With lenses on the loupes, you can’t really adjust them so there is a working length in which they have to position themselves,” Phark said.

Sit for some patients and stand for others

Kenneth Gozali uses his loupes to remind himself to keep a good posture and position with patients. He focuses on sitting straight, having the right chair height and patient height — all of which make it easier to do his work.

“It was a little strange because I was not all that used to sitting all day, but now I like to switch it up: I’ll sit down for two or three patients and then stand up for the next ones,” he says, adding that in dentistry it’s all about keeping your hands and arms in good working order. “You can’t do much with a bad back or bad arm.”

Phark has used the collaboration as a refresher in his own work: He noticed there were days when he came home in pain.

“My back is hurting, my neck is hurting, I have to maintain a proper posture myself,” he said. “It’s not just preaching — we have to practice ourselves.”

Phark works on Wednesdays in the USC Dental Faculty Practice for 12 hours. “I basically cannot survive the day if I’m not sitting properly,” he said.

Two-way education

The dental students have been very receptive to the instruction and advice, since many of them experience a variety of issues that we can help them navigate and problem solve, whether it is pain, fatigue or difficulty visualizing target areas within the mouth, said Ashley Wallace, who has also learned things from the dental students

“I’ve learned the dentistry-specific language in regards to quadrants and tooth surfaces, and how the position of both the patient and dentist change depending on the target surface, procedure and tools required or whether direct or indirect vision is used.”

Wallace said it’s been valuable to adapt her training to a specific audience such as the dental students.

“My hope is that if they implement proper body mechanics now, they will have less need for physical therapy down the road.”

It takes three weeks to break a habit

Kim hopes to continue and expand the collaboration in the coming years. This year, physical therapy students are only working in the dental school for five weeks — and they are trying to figure out how to do more in the future.

“For the first year, five weeks is pretty good,” Kim said. “It takes three weeks to break a bad habit, like slouching or stooping. With our presence, we can get them to be more mindful about their posture going forward.”

Jain will continue to do physical therapy exercises, which she said are helping her pain. An X-ray showed calcified tendonitis in her rotator cuff, a genetic condition that was exacerbated by her dental school work. She’s grateful for the extra perspective and help she gained from the collaboration.

“Ergonomics is very crucial in dental school because forming a bad habit is really easy since it is very difficult seeing in the mouth,” she said. “It is important to keep the back straight and the arms in appropriate positioning so it doesn’t cause strain on it, even for people who do not have arm issues.”

This content was originally published here.