(302,0,'2020-04-24 04:03:00','2020-04-24 04:03:00','<p>Long-term care providers across the country want assurances that they&rsquo;ll have enough personal protective equipment as several states look to resume elective surgeries.&nbsp;</p>\n\n\n\n<p>In a recent <a href=\"https://twitter.com/GovMikeDeWine/status/1253024358576066562\">series of tweets</a> Wednesday, Ohio Gov. Mike DeWine (R) called on providers to reassess procedures that were postponed due to the coronavirus pandemic in a move to resume some elective surgeries in the state.&nbsp;</p>\n\n\n\n<p>Providers, however, are cautioning that several factors &mdash; like adequate supplies of personal protective equipment &mdash; must be in place before procedures can be restarted and patients start coming into their facilities for recovery. Enough PPE supplies was also among the <a href=\"https://www.asahq.org/about-asa/newsroom/news-releases/2020/04/joint-statement-on-elective-surgery-after-covid-19-pandemic\">guidance for resuming elective surgeries</a> recently issued by the American Hospital Association, American College of Surgeons, American Society of Anesthesiologists and the Association of periOperative Registered Nurses.</p>\n\n\n\n<p>&ldquo;At this moment, many post-acute care providers in Ohio still do not have the adequate supplies of PPE needed to react to COVID-19, let alone elective procedures,&rdquo; LeadingAge Ohio President and CEO Kathryn Boyd told <em>McKnight&rsquo;s</em>.&nbsp;</p>\n\n\n\n<p>&ldquo;Resuming elective surgery speaks to the continuing need for increased collaboration throughout the health system &mdash; understanding the capabilities of all providers within a system is critical when making decisions that shift patients across care settings,&rdquo; Boyd said.&nbsp;</p>\n\n\n\n<p>She added that immediately quarantining patients from hospitals will be a key factor in preventing the asymptomatic spread of the disease.&nbsp;</p>\n\n\n\n<p>&ldquo;If a long-term care facility has the space to effectively quarantine this patient, has the staff to care for them, and has adequate PPE to protect the patient and the staff, then it can help patients and businesses alike,&rdquo; Boyd said.&nbsp;</p>\n\n\n\n<p>In Arizona, state officials <a href=\"https://www.azcentral.com/story/news/local/arizona-health/2020/04/23/arizona-governor-ducey-lifts-coronavirus-restrictions-elective-surgeries/3007723001/\">recently laid out plans</a> that would allow hospitals and outpatient centers to resume elective surgeries starting May 1.&nbsp;</p>\n\n\n\n<p>Under those plans, medical facilities must meet a series of requirements before resuming procedures, which include developing discharge plans for patients being transferred to nursing facilities. Those plans must include COVID-19 testing.</p>\n\n\n\n<p>They include: having more than 14 days worth of PPE for medical staff on hand; painting adequate staffing and bed capacity; screening staff, patients and visitors for COVID-19 symptoms; and implementing an enhanced cleaning process for waiting areas.&nbsp;</p>\n\n\n\n<p><strong>In other coronavirus-related news:&nbsp;</strong></p>\n\n\n\n<p>&bull; The federal government <a href=\"https://www.cms.gov/newsroom/press-releases/trump-administration-releases-covid-19-telehealth-toolkit-accelerate-state-use-telehealth-medicaid\">released a new toolkit</a> Thursday that aimed at accelerating the adoption of telehealth coverage during the coronavirus pandemic.</p>\n\n\n\n<p>&bull; In brighter news, a nursing home resident in England was <a href=\"https://www-foxla-com.cdn.ampproject.org/c/s/www.foxla.com/news/nursing-home-resident-cries-after-receiving-pillow-with-late-wifes-photo-on-it.amp\">brought to tears</a> after an employee gifted him a pillow that featured a picture of his late wife. The resident burst into tears and held the pillow tightly to his chest after receiving the surprise.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/more-ppe-supplies-needed-before-elective-surgeries-can-resume-providers/\">More PPE supplies needed before elective surgeries can resume: providers</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','More PPE supplies needed before elective surgeries can resume: providers','Long-term care providers across the country want assurances that they’ll have enough personal protective equipment as several states look to resume elective surgeries. \nThe post More PPE supplies needed before elective surgeries can resume: providers appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','more-ppe-supplies-needed-before-elective-surgeries-can-resume-providers','','','2020-04-24 04:03:00','2020-04-24 04:03:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=302',0,'wprss_feed_item','',0),(303,0,'2020-04-24 04:02:00','2020-04-24 04:02:00','<p>Providers are being urged to prepare for a dramatic increase in coronavirus testing as federal regulators and states continue to emphasize the importance of testing everyone in nursing facilities.&nbsp;</p>\n\n\n\n<p>The preparation should include knowing how to prioritize testing among residents and staff members, access reliable testing, and knowing the potential costs and what to do once results have come back, according to the American Health Care Association/National Center for Assisted Living.</p>\n\n\n\n<p>&ldquo;Providers need to increase efforts around testing and document efforts,&rdquo; the organization stated in <a href=\"https://www.ahcancal.org/facility_operations/disaster_planning/Documents/Testing-in-LTC.pdf\">recent guidance</a>.&nbsp;</p>\n\n\n\n<p>&ldquo;[The Centers for Medicare &amp; Medicaid Services] has recently emphasized the importance of testing for COVID-19 in nursing facilities. Surveyors are increasingly looking for evidence that nursing facilities are testing symptomatic residents and isolating them while results are pending. In addition, a growing number of states are requiring testing of all residents and/or staff.&rdquo;&nbsp;</p>\n\n\n\n<p>Among those states are California, which recently announced plans that allow <a href=\"https://www.mcknights.com/news/asymptomatic-covid-19-carriers-start-getting-tested-as-nursing-homes-pleas-for-help-intensify/\">asymptotic people in nursing homes</a> to be tested, and West Virginia, which announced a <a href=\"https://governor.wv.gov/News/press-releases/2020/Pages/COVID-19-UPDATE-West-Virginia-becomes-first-state-in-nation-to-begin-testing-all-nursing-home-residents-and-staff.as\">first-of-its-kind move</a> for everyone in nursing homes to be tested.</p>\n\n\n\n<p>The organization noted that providers should be aware of all local and state guidelines for testing priority. General prioritization order should go as follows: residents; then staff members, showing symptoms or those who&rsquo;ve been exposed to someone with COVID-19; followed by asymptomatic residents and staff members.&nbsp;</p>\n\n\n\n<p>Additionally, providers should look to their local or state health departments on steps they should take to access testing, noting that some states may have specific vendor and testing protocols.&nbsp;</p>\n\n\n\n<p>The group also noted that not all testing labs will bill Medicare directly so providers should ensure the lab they&rsquo;re receiving tests from will bill the program.&nbsp;&nbsp;</p>\n\n\n\n<p>&ldquo;If a lab does not have the ability to bill Medicare, the facility will need to pay for the tests up-front. Tests range in cost from $115 to $500. Medicare Part B will only reimburse $51 for the PCR and $35 for other tests,&rdquo; AHCA/NCAL explained.&nbsp;</p>\n\n\n\n<p>There has yet to be guidance on who should collect test samples, but providers should follow the test instructions and check state regulations.&nbsp;</p>\n\n\n\n<p>Once providers receive results back, AHCA/NCAL cautioned that results only capture information from a specific point in time, and a resident&rsquo;s condition could change with subsequent exposure.&nbsp;</p>\n\n\n\n<p>&ldquo;Considering test results are not 100 percent accurate, nor do test results always identify when a person is actually infected due to the incubation period, considering every interaction as a risk is important,&rdquo; AHCA/NCAL wrote.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/long-term-care-providers-urged-to-prepare-for-widespread-coronavirus-testing/\">Long-term care providers urged to prepare for widespread coronavirus testing</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Long-term care providers urged to prepare for widespread coronavirus testing','Providers are being urged to prepare for a dramatic increase in coronavirus testing as federal regulators and states continue to emphasize the importance of testing everyone in nursing facilities. \nThe post Long-term care providers urged to prepare for widespread coronavirus testing appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','long-term-care-providers-urged-to-prepare-for-widespread-coronavirus-testing','','','2020-04-24 04:02:00','2020-04-24 04:02:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=303',0,'wprss_feed_item','',0),(304,0,'2020-04-24 04:01:00','2020-04-24 04:01:00','<p>Staff members and residents must be able to trust that providers are working to keep them safe as the coronavirus pandemic continues to take a toll on both staff and residents, one expert stressed Thursday during a <em>McKnight&rsquo;s</em> Online Forum on the topic of the coronavirus.&nbsp;</p>\n\n\n\n<p>&ldquo;Your staff needs to be able to trust that you&rsquo;re doing everything in your control to protect them from virus exposure through isolation procedures, administrative control and adequate [personal protective equipment],&rdquo; Jessica Castner, Ph.D., president and principal investigator/consultant for Castner Inc., said.&nbsp;</p>\n\n\n\n<p>Castner, along with Maureen Style, a program development manager for HealthStar Home Health, provided several strategies for providers to address the mental health of LTC residents and workforce during this period of social distancing. Two other Online Forum sessions Thursday addressed leadership and staffing amid the COVID-19 crisis.&nbsp;&nbsp;</p>\n\n\n\n<p>&ldquo;Your leadership toolkit for the psychosocial disaster response begins with Maslow&rsquo;s hierarchy of needs. It&rsquo;s basic physiological needs, such as adequate sleep, nutrition, hydration, must be addressed first and foremost,&rdquo; Castner added.&nbsp;</p>\n\n\n\n<p>Education is also a key tool for providers during the pandemic, and providers should strive to communicate &ldquo;honestly, consistently and often&rdquo; with their workforce and residents. Castner explained that the Center for Disease Control and Prevention&rsquo;s coronavirus web page is a great resource for guidance.&nbsp;</p>\n\n\n\n<p>&ldquo;Consistently educate yourself, staff and residents with the most updated facts using reliable resources,&rdquo; she said.</p>\n\n\n\n<p>Providers should also refresh themselves and staff members on psychological first aid and potentially harmful coping strategies residents may use as a means to deal with the pandemic. Shared community coping could help improve psychosocial health in facilities experiencing mass fatalities and cases.</p>\n\n\n\n<p>Style explained that some nonverbal cues from residents may include: yelling; issues with food, like overeating or not eating; and tapping. Residents may also show signs of fear, depression, loneliness or anger.&nbsp;</p>\n\n\n\n<p>&ldquo;We all know what is happening in today&rsquo;s world. If you are managing a senior living setting, the challenges you face are compounded with what is happening in the real world. Fear and anxiety are escalating,&rdquo; Style said.&nbsp;</p>\n\n\n\n<p>Interventions for residents could include: self-directing them to activities they enjoy, and encouraging relaxation techniques to address anxiety and physical activity. </p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/ensuring-safety-education-key-in-mitigating-stress-during-pandemic-expert-says/\">Ensuring safety, education key in mitigating stress during pandemic, expert says</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Ensuring safety, education key in mitigating stress during pandemic, expert says','Staff members and residents must be able to trust that providers are working to keep them safe as the coronavirus pandemic continues to take a toll on both staff and residents, one expert stressed Thursday during a McKnight’s Online Forum on the topic of the coronavirus. \nThe post Ensuring safety, education key in mitigating stress during pandemic, expert says appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','ensuring-safety-education-key-in-mitigating-stress-during-pandemic-expert-says','','','2020-04-24 04:01:00','2020-04-24 04:01:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=304',0,'wprss_feed_item','',0),(305,0,'2020-04-24 04:00:00','2020-04-24 04:00:00','<p>Feds <a href=\"https://www.mcknightsseniorliving.com/home/news/business-daily-news/hhs-announces-additional-40-billion-in-distributions-to-healthcare-providers/\">release additional funding</a> to providers from CARES Act &hellip; OSHA <a href=\"https://khn.org/news/osha-probing-health-worker-deaths-but-urges-inspectors-to-spare-the-penalties/\">probing healthcare worker deaths</a> during pandemic &hellip; NY nursing homes <a href=\"https://www.npr.org/2020/04/22/841463120/in-new-york-nursing-homes-death-comes-to-facilities-with-more-people-of-color\">with more people of color</a> have more deaths: analysis &hellip; Visitor <a href=\"https://www.wgbh.org/news/local-news/2020/04/20/state-watchdogs-have-been-banned-from-nursing-homes-along-with-all-visitors\">ban at nursing homes includes ombudsmen,</a> as advocates express concern about lack of oversight &hellip; Workers describe challenges of <a href=\"https://www.kwtx.com/content/news/Essential-workers-struggling-to-care-for-loved-ones-battling-Alzheimers-569772201.html\">caring for Alzheimer&rsquo;s patients</a> amid coronavirus </p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/also-in-the-news-for-friday-april-24-2/\">Also in the News for Friday, April 24</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Also in the News for Friday, April 24','Feds release additional funding to providers from CARES Act … OSHA probing healthcare worker deaths during pandemic … NY nursing homes with more people of color have more deaths: analysis … Visitor ban at nursing homes includes ombudsmen, as advocates express concern about lack of oversight … Workers describe challenges of caring for Alzheimer’s patients amid coronavirus \nThe post Also in the News for Friday, April 24 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','also-in-the-news-for-friday-april-24','','','2020-04-24 04:00:00','2020-04-24 04:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=305',0,'wprss_feed_item','',0),(306,0,'2020-04-24 04:00:00','2020-04-24 04:00:00','<p>Now that all the serious life-and-death stuff has been taken care of regarding COVID-19, let&rsquo;s get down to what matters most. The money.</p>\n\n\n\n<p>OK, that&rsquo;s being a bit facetious. It&rsquo;s always been about the money, hasn&rsquo;t it?</p>\n\n\n\n<p>If money were no object, long-term care facilities would be flooded with personal protective equipment, and plenty of test kits &mdash;&nbsp;including ones that get processed quicker than the four to five day limbo some employees now find themselves trapped in.</p>\n\n\n\n<p>Some might say it&rsquo;s not about the funding, but have you taken a look lately at how much is NOT flowing toward the acknowledged front lines of the COVID-19 pandemic? That would be the front line called &ldquo;nursing homes&rdquo; and senior care facilities. It&rsquo;s the front line American Health Care Association President and CEO Mark Parkinson warned about over a month ago on CNN, and then again a couple of weeks ago. Lately, he&rsquo;s been releasing official statements about it nearly every day.</p>\n\n\n\n<p>And long-term care is the front line, or ground zero, that Centers for Medicare &amp; Medicaid Services Administrator Seema Verma acknowledged earlier this week. Six weeks ago, we in the U.S. learned that a nursing home in Kirkland, WA, became the first flashpoint of novel coronavirus deaths in this country. (Never mind that evidence has now been found that people here had it before then &mdash;&nbsp;still, that wasn&rsquo;t an acknowledged, clustered outbreak.)</p>\n\n\n\n<p>And lately comes word that half of European COVID-19 deaths involve nursing home inhabitants. The percentage stateside is believed to be a more modest one-fourth or one-third. But the accountants aren&rsquo;t done yet, so that portion very well could rise.</p>\n\n\n\n<p>So where is the funding that&rsquo;s so badly needed to extinguish the deadliest origin of this &ldquo;fire&rdquo;? It&rsquo;s not going to the nursing homes. It&rsquo;s almost as if the keepers of the purse strings are trying to put out the fire at the tip of the flames, not at their source. Like spraying a hose through the top of the campfire, but neglecting to douse the burning logs and embers that will burn forever if you don&rsquo;t soak them until they&rsquo;re cold to the touch.</p>\n\n\n\n<p>Nursing homes have been fairly patient players in this deadly game, as they&rsquo;ve watched hospitals get the lion&rsquo;s share of the attention and funding. They even had to act openly grateful when regulators decided to pony up more for labs who would otherwise be content to sit on their potentially lifesaving test kits and services if they didn&rsquo;t get their palms better greased. Yes, they care about the seniors most vulnerable to this scourge.</p>\n\n\n\n<p>Now comes word that the latest $100 billion worth of stimulus is really going to be more like $20 billion. And not all of that is coming nursing homes&rsquo; way by any means. Dentists and others understandably want their piece of the pie. But barring some life-threatening accident that pushed molars incisors into unimaginable positions, nobody has ever had to stack bodies in makeshift morgues at a dentist&rsquo;s office. At least as far as we know.</p>\n\n\n\n<p>Circling back to the PPE crisis. It turns out that, like many things in life, this still has come down to the haves and the have-nots. There&rsquo;s no doubt that there&rsquo;s not enough to go around, but those who have connections aren&rsquo;t complaining as much as others, you&rsquo;ll notice.</p>\n\n\n\n<p>So as you fight through this deadly game of chicken with suppliers of funding and equipment-for-auction, get ready to hear somebody utter the now cliched phrase, &ldquo;Show me the money.&rdquo; Instead, show them something else. Hint: You have five of them in each hand. You can pick your favorite, or not even dignify it with a response.</p>\n\n\n\n<p><em>James M. Berklan is Executive Editor of McKnight&rsquo;s Long-Term Care News.</em></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/daily-editors-notes/show-them-what-you-really-think-from-ground-zero/\">Show them what you really think from ground zero</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Show them what you really think from ground zero','Now that all the serious life-and-death stuff has been taken care of regarding COVID-19, let’s get down to what matters most. The money.\nThe post Show them what you really think from ground zero appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','show-them-what-you-really-think-from-ground-zero','','','2020-04-24 04:00:00','2020-04-24 04:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=306',0,'wprss_feed_item','',0),(307,0,'2020-04-24 11:53:36','2020-04-24 11:53:36','<p>In a refrain that seems to be repeating itself as time wears on, long-term care providers will be looking for more federal funding to start flowing next week, as expanded and newly created programs may spring into action, or at least get closer to it.<br></p>\n\n\n\n<p>With one eye on the possible ramping up of elective medical procedures and opening of other businesses that would consume resources, post-acute players will continue to press their case for a spot at the front of the line. Supply chain triggers have started to create more personal protective equipment for the pipeline but the full flow is not expected to occur until June, leaving providers in an extremely precarious position for another month or more.<br></p>\n\n\n\n<p>For now, the experts&rsquo; best advice is to work business relationships anyway you can to secure whatever&rsquo;s possible for your staff and buildings. There is no national strategy or delivery mechanism to get long-term care providers what they need, despite talk of plans and promises.</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/weekly-roundup/ltc-providers-cast-eye-for-more-funding-gear/\">LTC providers cast eye for more funding, gear</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','LTC providers cast eye for more funding, gear','Long-term care providers will be looking for more federal funding to start flowing next week, as expanded and newly created programs may spring into action, or at least get closer to it.\nThe post LTC providers cast eye for more funding, gear appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','ltc-providers-cast-eye-for-more-funding-gear','','','2020-04-24 11:53:36','2020-04-24 11:53:36','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=307',0,'wprss_feed_item','',0),(308,0,'2020-04-24 09:01:42','2020-04-24 09:01:42','<p>Mallory Pease&rsquo;s contractions grew stronger as her husband, Mitchell, drove her to Oaklawn Hospital in Marshall, Michigan, to give birth to their second child. It had been a routine pregnancy, but she told her doctor she&rsquo;d recently developed a sore throat, aches, coughing and shortness of breath &mdash; symptoms her provider knew could indicate COVID-19.</p>\n<p>So, when she arrived at the hospital, she was taken to an isolation area, tested for the coronavirus and given oxygen. She took shallow, panting breaths as she delivered her daughter on March 23 in about five hours.</p>\n<p>But she could hold little Alivia for only five minutes before the newborn was whisked off to a nursery. Pease, 27, was transferred to a COVID-19 floor, where she was told her test came back positive. By the next morning, she was so ill that her doctors discussed putting her on a ventilator.</p>\n<p>As she struggled to breathe and worried for her life, her heart ached to hold her newborn. Instead, she held tight to the memory of that brief glimpse.</p>\n<div><img aria-describedby=\"caption-attachment-1090280\" src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/moms_02.jpg\" alt=\"\" width=\"435\" height=\"557\"><p>(From left) Mallory, baby Alivia, daughter Emma Jean and husband Mitchell.<span>(Courtesy of the Pease family)</span>\n</p></div>\n<p>When she finally got to cradle Alivia in her arms four days later, she said, &ldquo;it was kind of like meeting her all over again.&rdquo;</p>\n<p>Across the U.S., COVID-19 is radically altering medical care, not only for vulnerable elders but also for pregnant women and their babies entering the world. &ldquo;In the last six weeks, our entire world that was known as being normal has completely turned around,&rdquo; said Dr. Edith Cheng, division chief for maternal fetal medicine at the University of Washington.</p>\n<p>Hospitals from Seattle to St. Louis are recommending separating infected mothers from their newborns for days, and asking the women to forgo the intimacy of skin-to-skin contact, and sometimes breastfeeding, to help prevent their infants from contracting the disease.</p>\n<p>The actions are based on guidance from medical associations. Officials with the Centers for Disease Control and Prevention had advised separation across the board until <a href=\"https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html\" target=\"_blank\" rel=\"noopener noreferrer\">updating their guidance on April 4 </a>to consider it case by case.</p>\n<p>Separation runs counter to most any parent&rsquo;s birth plan &mdash; and to the best research on family-centered care. But experts say it&rsquo;s important to put protections in place, given the still-evolving understanding of the effects of COVID-19 during pregnancy and childbirth.</p>\n<p>&ldquo;Can babies be infected if the mother is infected at birth? The answer is yes, not commonly, but yes,&rdquo; said Dr. Karen Puopolo, an associate professor of pediatrics at the University of Pennsylvania School of Medicine and co-author of the<a href=\"https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/faqs-management-of-infants-born-to-covid-19-mothers/\" target=\"_blank\" rel=\"noopener noreferrer\"> American Academy of Pediatrics guidelines</a> on COVID-19 and newborns.</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Don\'t Miss A Story	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Weekly Edition newsletter.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>It&rsquo;s not clear how many pregnant women have been infected with COVID-19 across the U.S. They accounted for just 2% of cases tallied in <a href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6913e2.htm#T1_down\" target=\"_blank\" rel=\"noopener noreferrer\">one early report</a>. With more than 830,000 confirmed infections in the U.S. as of Wednesday afternoon, that&rsquo;s still many thousands of expectant women potentially affected by the deadly respiratory virus.</p>\n<p>Many pregnant women may be infected and not know it. Of 215 women admitted for delivery at New York-Presbyterian Allen Hospital and Columbia University Irving Medical Center in New York City from March 22 to April 4, <a href=\"https://www.nejm.org/doi/full/10.1056/NEJMc2009316\" target=\"_blank\" rel=\"noopener noreferrer\">about 15% tested positive</a> for the coronavirus, but the vast majority showed no symptoms upon admission.</p>\n<p>Scattered reports of infants possibly being sickened by the coronavirus are surfacing nationwide. A 9-month-old baby in Chicago who tested positive for COVID-19 died in March, though <a href=\"https://www.chicagotribune.com/coronavirus/ct-coronavirus-chicago-baby-death-20200418-vm6bsba45rfptpyrcmml4u3nh4-story.html\" target=\"_blank\" rel=\"noopener noreferrer\">further investigation</a> has raised questions about whether the virus was to blame. This month, a 6-week-old girl who tested positive for the virus died in Connecticut; <a href=\"https://www.courant.com/breaking-news/hc-br-infant-death-coronavirus-positive-20200404-54z75ceqzfei7ajtwskc4ncrua-story.html\" target=\"_blank\" rel=\"noopener noreferrer\">investigation also continues</a> into her cause of death. Kentucky&rsquo;s governor recently announced that the state&rsquo;s new cases included a 10-day-old boy.</p>\n<p>Very young babies may be at higher risk for serious complications from COVID-19 than other children. Although those 18 and younger make up fewer than 2% of all COVID-19 cases in the U.S., infants accounted for most of the hospitalizations in pediatric cases, <a href=\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6914e4.htm\" target=\"_blank\" rel=\"noopener noreferrer\">according to the CDC</a>. Of 95 children younger than 1 hospitalized between Feb. 12 and April 2, at least 59 were hospitalized, and five were admitted to the ICU.</p>\n<p>That information &mdash; plus <a href=\"https://jamanetwork.com/journals/jamapediatrics/fullarticle/2763787\" target=\"_blank\" rel=\"noopener noreferrer\">limited data</a> on infections in babies in China &mdash; has shifted the thinking of many obstetrics specialists, said Cheng.</p>\n<p>In recent weeks, several pregnant women infected with COVID-19 have delivered babies at Cheng&rsquo;s hospital, the UW Medical Center in Seattle. Their newborns were sent to a special section in the neonatal intensive care unit. At other facilities, separation might involve taking the newborn to another room, or letting the mother and baby stay in the same room, but 6 feet apart and often separated by a curtain.</p>\n<p>They&rsquo;re kept apart from moms &mdash; and sometimes dads, who also may be sick &mdash; until the parents have had no symptoms for three days or for a week after their first symptoms, whichever is greater.</p>\n<p>Given the still-scant data about the effects of COVID-19, some experts question whether separating mothers and newborns is wise or warranted. Disrupting the bonding that occurs in the first days of life could have far-reaching consequences, said Dr. Yalda Afshar, an OB-GYN at UCLA Health in Los Angeles.</p>\n<p>&ldquo;Being completely data-blind but counseling women on their outcomes and their babies&rsquo; outcomes is just wrong,&rdquo; she said.</p>\n<p>To fill the data void, Afshar and colleagues at the University of California-San Francisco have created a nationwide <a href=\"https://ucsf.co1.qualtrics.com/jfe/form/SV_8cyexkjt9NrcGdD\" target=\"_blank\" rel=\"noopener noreferrer\">pregnancy registry </a>to track the effects of COVID-19 on pregnant women and their newborns. Already, more than 1,000 people have signed up for the study.</p>\n<p>Silvana Vergara Tobin, 33, who runs an online art gallery in New York City, is among them. Tobin fell ill with COVID-19 in mid-March and is worried about the potential effects on the baby boy she expects to deliver in August.</p>\n<p>&ldquo;What really scares me is that I might get it again,&rdquo; said Tobin, whose symptoms included sinus headaches, body aches and a persistent cough. &ldquo;Or that the baby didn&rsquo;t get immunity and he might get it once he&rsquo;s born.&rdquo;</p>\n<p>The registry will track women and their babies from early pregnancy through a year postpartum, trying to answer basic questions. &ldquo;Do pregnant women with COVID have more severe, less severe or different disease?&rdquo; Afshar said. &ldquo;Does it transmit in utero? Does it cause birth defects?&rdquo;</p>\n<p>Doctors and patients said it&rsquo;s frustrating that so much remains unknown.</p>\n<p>Alaine Gilpin, who lives near Louisville, Kentucky, tested positive for COVID-19 in early April after coughing for a month but showing no other symptoms. She gave birth at Norton Women&rsquo;s &amp; Children&rsquo;s Hospital on April 11 at 5&frac12; months&rsquo; gestation. The baby boy weighed just 1 pound, 9 ounces and needed the aid of a ventilation machine. She now wonders: &ldquo;Could this be a result of COVID?&rdquo;</p>\n<p>To protect moms and babies, many hospitals with enough test kits are starting to test all women who show up to give birth. Dr. Chemen Neal, an OB-GYN with Indiana University Health, said her colleagues bathe the babies of COVID-positive moms just after birth. And like medical professionals elsewhere, they talk to each mom about pumping breast milk for her baby or breastfeeding only after washing her torso and hands and wearing a surgical mask.</p>\n<p>At some hospitals, COVID-19 births can be especially challenging. At Barnes-Jewish Hospital in St. Louis, for example, women with symptoms can&rsquo;t give birth in the normal labor and delivery area because it&rsquo;s in a building that also houses severely immunocompromised patients. A triage tent has been set up outside, and moms with known or suspected COVID-19 are routed through the emergency room into a special delivery area.</p>\n<p>Another challenge is keeping babies safe after they are discharged from the hospital. Ideally, experts recommend infected moms stay 6 feet from their babies while another caretaker provides daily care, but often this is difficult, particularly for women who lack family support.</p>\n<p>Pease worried about passing the virus to her baby after getting home. Before embracing Alivia at her aunt&rsquo;s house, and for the next few days, she said, she wore a mask and &ldquo;washed my hands like crazy.&rdquo;</p>\n<p>But over time, Pease&rsquo;s symptoms have eased and she&rsquo;s gotten stronger. Though she still gets tired in the evenings, she&rsquo;s now able to feed, change and care for her newborn. And she said her bond with the baby is strong.</p>\n<p>&ldquo;Alivia is good. She&rsquo;s happy,&rdquo; Pease said. &ldquo;She never skipped a beat.&rdquo;</p>','Born Into A Pandemic: Virus Complicates Births For Moms And Babies','COVID-19 is changing medical care, not only for vulnerable elders but also for pregnant women and their babies entering the world.','publish','closed','closed','','born-into-a-pandemic-virus-complicates-births-for-moms-and-babies','','','2020-04-24 09:01:42','2020-04-24 09:01:42','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=308',0,'wprss_feed_item','',0),(309,0,'2020-04-24 09:01:31','2020-04-24 09:01:31','<p>In 2018, opioid overdoses claimed about <a href=\"https://www.drugabuse.gov/related-topics/trends-statistics/overdose-death-rates\" target=\"_blank\" rel=\"noopener noreferrer\">47,000 American lives</a>. Last year, federal authorities reported that <a href=\"https://www.cdc.gov/tobacco/data_statistics/fact_sheets/youth_data/tobacco_use/index.htm\" target=\"_blank\" rel=\"noopener noreferrer\">5.4 million middle</a> and high school students vaped. And just <a href=\"https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html\" target=\"_blank\" rel=\"noopener noreferrer\">two months ago</a>, about 2,800 cases of vaping-associated lung injuries resulted in hospitalizations; 68 people died.</p>\n<p>Until mid-March, these numbers commanded attention. But as the coronavirus death toll climbs and the economic costs of attempting to control its spread wreak havoc, the public health focus is now dramatically different.</p>\n<p>In the background, though, these other issues &mdash; the opioid epidemic and vaping crisis &mdash; persist in heaping complications on an overwhelmed public health system.</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Don\'t Miss A Story	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Weekly Edition newsletter.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>It is creating a distinctly American problem, said Dr. Nora Volkow, who heads the National Institute on Drug Abuse.</p>\n<p>Volkow spoke with Kaiser Health News about the emerging science around COVID-19&rsquo;s relationship to vaping and to opioid use disorder, as well as how these underlying epidemics could increase people&rsquo;s risks. Her remarks have been edited for length and clarity.</p>\n<p><strong>Q: We&rsquo;ve already been experiencing two epidemics at once &mdash; vaping and the opioid crisis &mdash; and now we&rsquo;re in the midst of a third. Does that change the nature of addressing the coronavirus in the United States? </strong></p>\n<p>It makes a different kind of situation than we see abroad. It forces us as a country to be urgently multitasking, to focus on the urgent needs of COVID while not ignoring the other epidemics devastating America. That&rsquo;s certainly challenging.</p>\n<p><strong>Q: What is the evidence around the relationship between vaping and the coronavirus? </strong></p>\n<p>Because of the recency, there&rsquo;s no data to show if there are differences in outcomes between people who vape and people who do not vape. There&rsquo;s no reported scientific evidence. We will start seeing it.</p>\n<p>We know from all the cases of acute lung injury that vaping, particularly certain combinations of chemicals that were related to vaping of THC, actually led to death. The cause of death was pulmonary dysfunction. We know from animal experiments that vaping itself &mdash; not even giving any drugs with it &mdash; can produce inflammatory changes in the lung.</p>\n<p>We already know for COVID that, with comorbid conditions &mdash; particularly those that affect the lungs, the heart, the immune system &mdash; [patients] are more likely to have negative outcomes.</p>\n<p>One can predict an association. In the meantime, because of the data that already exist, we should be very cautious. The prudent thing is to strongly advise individuals who are vaping to stop.</p>\n<p><strong>Q: Young people so far appear to have lower risks of COVID complications. Does vaping change that?</strong></p>\n<p>We know there have been fatalities among young people. One very important area of research is to try to understand the specific vulnerabilities among young people.</p>\n<p>Why would you want to risk it when you already know vaping produces inflammatory changes in the lungs? We know in medicine, a tissue that has suffered harm is more vulnerable.</p>\n<p>The big centers where you are observing the rise in COVID-19 cases, that&rsquo;s where you are more likely to see the comorbidity of vaping.</p>\n<p>It&rsquo;s young people that are mostly vaping, but also older people, many of whom otherwise would be smoking tobacco. [Smoking] also raises the risk. Even though the samples have not been large enough, overall, smokers have done worse than nonsmokers when they have COVID.</p>\n<p><strong>Q: Let&rsquo;s talk about opioid use disorder. What kind of comorbidities are we starting to see between opioid use disorder and COVID-19?</strong></p>\n<p>People who have opioid use disorder are also likely to be smokers. Smoking itself increases harm to your lungs.</p>\n<p>We do know that opioids actually are immunosuppressants. This has been extensively studied. Nicotine also can disrupt immunity and actually impair the capacity of the cell to respond to viral infections.</p>\n<p>One of the things opioids do is they depress your respiration. If it&rsquo;s severe enough, they stop breathing. That&rsquo;s what leads to death.</p>\n<p>Whether you overdose or not, when you are taking opioids, the frequency of your breathing is down, and the oxygen in your blood tends to be lower.</p>\n<p>The [COVID] infection targets the respiratory tissues in the lungs. It interferes with the capacity to transfer oxygen into the blood.</p>\n<p>If you get COVID and you are taking opioids, the physiological consequences are going to be much worse. You&rsquo;re not only going to have the effects of the virus itself, but you&rsquo;ll have the depressive effects of opioids in the respiratory system [and] in the brain that lead to much less circulation in the lungs.</p>\n<p><strong>Q: What about other supports for people in recovery?</strong></p>\n<p>Community support systems like syringe exchange programs are closing. Methadone clinics are closing. If they&rsquo;re not closing, they&rsquo;re unable to process the same number of patients &mdash; because the staff is getting sick or the place where the methadone clinic was does not allow for so many people. Public transportation is not available for people to attend their methadone clinics.</p>\n<p>We&rsquo;re also hearing from our investigators they have observed a significant reduction in the capacity of the health care system to initiate people on medication for opioid use disorder &mdash; especially buprenorphine. Many of the buprenorphine initiations were done in health care facilities that are saturated with COVID.</p>\n<p><strong>Q: What&rsquo;s happening to address those problems?</strong></p>\n<p>If in the past, if you were a physician or a nurse practitioner and you wanted to initiate someone on buprenorphine, the laws were that you needed to see that person physically. That&rsquo;s changed. It&rsquo;s now possible you can initiate someone on buprenorphine through telehealth. That&rsquo;s incredibly valuable.</p>\n<p>There&rsquo;s extended reimbursement for telehealth, which expands access to treatment. There are also apps that have been created that provide individuals who have addiction [access] to mentors or coaches, as well as access to therapies and group therapies.</p>\n<p>That is one of the aspects that has actually been accelerated by the COVID crisis. These may facilitate treatment into the future, even when COVID&rsquo;s no longer there.</p>','Vaping, Opioid Addiction Accelerate Coronavirus Risks, Says NIDA Director','Dr. Nora Volkow, who heads the National Institute on Drug Abuse, details how emerging science points to added challenges for these patient populations and the public health system.','publish','closed','closed','','vaping-opioid-addiction-accelerate-coronavirus-risks-says-nida-director','','','2020-04-24 09:01:31','2020-04-24 09:01:31','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=309',0,'wprss_feed_item','',0),(310,0,'2020-04-24 09:00:14','2020-04-24 09:00:14','<aside><div>\n													<h3>\n					<a href=\"https://khn.org/topics/navigating-aging/\">\n		Navigating Aging			</a>\n			</h3>\n<div>	<div>\n		<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2016/08/judygraham_100x100.jpg\" alt=\"\" width=\"100\" height=\"100\"></p>\n<p><a href=\"https://khn.org/topics/navigating-aging/\" target=\"_blank\" rel=\"noopener noreferrer\">Navigating Aging</a>&nbsp;focuses on medical issues and advice associated with aging and end-of-life care, helping America&rsquo;s 45 million seniors and their families navigate the health care system.</p>\n<p>To contact Judith Graham with a question or comment,&nbsp;<a href=\"http://khn.org/columnists\" target=\"_blank\" rel=\"noopener noreferrer\">click here</a>.</p>\n<p>Join the <a href=\"https://www.facebook.com/groups/navigatingaging/\" target=\"_blank\" rel=\"noopener noreferrer\">Navigating Aging Facebook Group</a>.</p>\n	</div>\n	<div>\n		<a href=\"https://khn.org/topics/navigating-aging/\">\n			See All Columns		</a>\n	</div>\n	</div><!--/.slab-container -->						</div>\n									</aside><p>Older adults with COVID-19, the illness caused by the coronavirus, have several &ldquo;atypical&rdquo; symptoms, complicating efforts to ensure they get timely and appropriate treatment, according to physicians.</p>\n<p>COVID-19 is typically signaled by three symptoms: a fever, an insistent cough and shortness of breath. But older adults &mdash; the age group most at risk of severe complications or death from this condition &#8213; may have none of these characteristics.</p>\n<p>Instead, seniors may seem &ldquo;off&rdquo; &mdash; not acting like themselves &#8213; early on after being infected by the coronavirus. They may sleep more than usual or stop eating. They may seem unusually apathetic or confused, losing orientation to their surroundings. They may become dizzy and fall. Sometimes, seniors stop speaking or simply collapse.</p>\n<p>&ldquo;With a lot of conditions, older adults don&rsquo;t present in a typical way, and we&rsquo;re seeing that with COVID-19 as well,&rdquo; said Dr. Camille Vaughan, section chief of geriatrics and gerontology at Emory University.</p>\n<p>The reason has to do with how older bodies respond to illness and infection.</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Don\'t Miss A Story	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Weekly Edition newsletter.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>At advanced ages, &ldquo;someone&rsquo;s immune response may be blunted and their ability to regulate temperature may be altered,&rdquo; said Dr. Joseph Ouslander, a professor of geriatric medicine at Florida Atlantic University&rsquo;s Schmidt College of Medicine.</p>\n<p>&ldquo;Underlying chronic illnesses can mask or interfere with signs of infection,&rdquo; he said. &ldquo;Some older people, whether from age-related changes or previous neurologic issues such as a stroke, may have altered cough reflexes. Others with cognitive impairment may not be able to communicate their symptoms.&rdquo;</p>\n<p>Recognizing danger signs is important: If early signs of COVID-19 are missed, seniors may deteriorate before getting needed care. And people may go in and out of their homes without adequate protective measures, risking the spread of infection.</p>\n<p>Dr. Quratulain Syed, an Atlanta geriatrician, describes a man in his 80s whom she treated in mid-March. Over a period of days, this patient, who had heart disease, diabetes and moderate cognitive impairment, stopped walking and became incontinent and profoundly lethargic. But he didn&rsquo;t have a fever or a cough. His only respiratory symptom: sneezing off and on.</p>\n<p>The man&rsquo;s elderly spouse called 911 twice. Both times, paramedics checked his vital signs and declared he was OK. After another worried call from the overwhelmed spouse, Syed insisted the patient be taken to the hospital, where he tested positive for COVID-19.</p>\n<p>&ldquo;I was quite concerned about the paramedics and health aides who&rsquo;d been in the house and who hadn&rsquo;t used PPE [personal protective equipment],&rdquo; Syed said.</p>\n<p>Dr. Sam Torbati, medical director of the Ruth and Harry Roman Emergency Department at Cedars-Sinai Medical Center, describes treating seniors who initially appear to be trauma patients but are found to have COVID-19.</p>\n<p>&ldquo;They get weak and dehydrated,&rdquo; he said, &ldquo;and when they stand to walk, they collapse and injure themselves badly.&rdquo;</p>\n<p>Torbati has seen older adults who are profoundly disoriented and unable to speak and who appear at first to have suffered strokes.</p>\n<p>&ldquo;When we test them, we discover that what&rsquo;s producing these changes is a central nervous system effect of coronavirus,&rdquo; he said.</p>\n<p>Dr. Laura Perry, an assistant professor of medicine at the University of California-San Francisco, saw a patient like this several weeks ago. The woman, in her 80s, had what seemed to be a cold before becoming very confused. In the hospital, she couldn&rsquo;t identify where she was or stay awake during an examination. Perry diagnosed hypoactive delirium, an altered mental state in which people become inactive and drowsy. The patient tested positive for coronavirus and is still in the ICU.</p>\n<p>Dr. Anthony Perry, an associate professor of geriatric medicine at Rush University Medical Center in Chicago, tells of an 81-year-old woman with nausea, vomiting and diarrhea who tested positive for COVID-19 in the emergency room. After receiving IV fluids, oxygen and medication for her intestinal upset, she returned home after two days and is doing well.</p>\n<p>Another 80-year-old Rush patient with similar symptoms &mdash; nausea and vomiting, but no cough, fever or shortness of breath &#8213; is in intensive care after getting a positive COVID-19 test and due to be put on a ventilator. The difference? This patient is frail with &ldquo;a lot of cardiovascular disease,&rdquo; Perry said. Other than that, it&rsquo;s not yet clear why some older patients do well while others do not.</p>\n<p>So far, reports of cases like these have been anecdotal. But a few physicians are trying to gather more systematic information.</p>\n<p>In Switzerland, Dr, Sylvain Nguyen, a geriatrician at the University of Lausanne Hospital Center, put together a list of typical and atypical symptoms in older COVID-19 patients for a paper to be published in the Revue M&eacute;dicale Suisse. Included on the atypical list are changes in a patient&rsquo;s usual status, delirium, falls, fatigue, lethargy, low blood pressure, painful swallowing, fainting, diarrhea, nausea, vomiting, abdominal pain and the loss of smell and taste.</p>\n<p>Data comes from hospitals and nursing homes in Switzerland, Italy and France, Nguyen said in an email.</p>\n<p>On the front lines, physicians need to make sure they carefully assess an older patient&rsquo;s symptoms.</p>\n<p>&ldquo;While we have to have a high suspicion of COVID-19 because it&rsquo;s so dangerous in the older population, there are many other things to consider,&rdquo; said Dr. Kathleen Unroe, a geriatrician at Indiana University&rsquo;s School of Medicine.</p>\n<p>Seniors may also do poorly because their routines have changed. In nursing homes and most assisted living centers, activities have stopped and &ldquo;residents are going to get weaker and more deconditioned because they&rsquo;re not walking to and from the dining hall,&rdquo; she said.</p>\n<p>At home, isolated seniors may not be getting as much help with medication management or other essential needs from family members who are keeping their distance, other experts suggested. Or they may have become apathetic or depressed.</p>\n<p>&ldquo;I&rsquo;d want to know &lsquo;What&rsquo;s the potential this person has had an exposure [to the coronavirus], especially in the last two weeks?&rsquo;&rdquo; said Vaughan of Emory. &ldquo;Do they have home health personnel coming in? Have they gotten together with other family members? Are chronic conditions being controlled? Is there another diagnosis that seems more likely?&rdquo;</p>\n<p>&ldquo;Someone may be just having a bad day. But if they&rsquo;re not themselves for a couple of days, absolutely reach out to a primary care doctor or a local health system hotline to see if they meet the threshold for [coronavirus] testing,&rdquo; Vaughan advised. &ldquo;Be persistent. If you get a &lsquo;no&rsquo; the first time and things aren&rsquo;t improving, call back and ask again.&rdquo;</p>','Seniors With COVID-19 Show Unusual Symptoms, Doctors Say','Older bodies respond to infection in different ways. Seniors may sleep more or stop eating. They may be confused or dizzy. They might simply collapse.','publish','closed','closed','','seniors-with-covid-19-show-unusual-symptoms-doctors-say','','','2020-04-24 09:00:14','2020-04-24 09:00:14','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=310',0,'wprss_feed_item','',0),(311,0,'2020-04-24 09:00:00','2020-04-24 09:00:00','<p>While most of the world hungers for a vaccine to put an end to the death and economic destruction wrought by COVID-19, some anti-vaccine groups are joining with anti-lockdown protesters to challenge restrictions aimed at protecting public health.</p>\n<p>Vaccine critics suffered serious setbacks in the past year, as states <a href=\"https://www.ncsl.org/research/health/school-immunization-exemption-state-laws.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">strengthened immunization laws</a> in response to <a href=\"https://www.cdc.gov/measles/cases-outbreaks.html\" target=\"_blank\" rel=\"noopener noreferrer\">measles outbreaks</a> sparked by vaccine refusers. California tightened its vaccine requirements last fall despite protests during which anti-vaccine activists <a href=\"https://www.latimes.com/california/story/2019-10-02/vaccine-law-protester-blood-california-state-senate\" target=\"_blank\" rel=\"noopener noreferrer\">threw blood on state senators</a>, <a href=\"https://www.latimes.com/california/story/2019-08-21/richard-pan-confronted-anti-vaccine-activist\" target=\"_blank\" rel=\"noopener noreferrer\">assaulted</a> the vaccine bill&rsquo;s sponsor and <a href=\"https://www.theguardian.com/us-news/2019/sep/09/california-legislature-protest-vaccine-bills\" target=\"_blank\" rel=\"noopener noreferrer\">shut down the legislature</a>.</p>\n<p>Now, many of these same vaccine critics are joining a fight against stay-at-home orders and business shutdowns intended to stem the spread of the coronavirus, which had <a href=\"https://coronavirus.jhu.edu/map.html\" target=\"_blank\" rel=\"noopener noreferrer\">killed more than 47,000</a> Americans as of Thursday afternoon.</p>\n<p>&ldquo;This is just a fresh coat of paint for the anti-vaccine movement in America, and an exploitative means for them to try to remain relevant,&rdquo; said Dr. Peter Hotez, a professor at Baylor College of Medicine in Houston.</p>\n<p>Hotez said anti-vaccine groups are seizing on the anti-government sentiment stoked by conservative-leaning protesters to advance their cause.</p>\n<p>&ldquo;Unfortunately, their strategy may work.&rdquo;</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		Email Sign-Up	</h3>\n	<div>\n		<p>Subscribe to KHN&rsquo;s free Morning Briefing.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>A group calling itself the <a href=\"https://www.facebook.com/FreedomAngelsFoundation/\" target=\"_blank\" rel=\"noopener noreferrer\">Freedom Angels</a>, whose members last year <a href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article234564137.html\" target=\"_blank\" rel=\"noopener noreferrer\">stood on chairs and chanted</a> at public hearings on the California vaccine bill, say governors are abusing their power by shutting down gun shops and other businesses.</p>\n<p>Many anti-vaccine activists &mdash; who have claimed that diseases such as <a href=\"https://www.npr.org/sections/health-shots/2019/04/28/717595757/brady-bunch-episode-fuels-campaigns-against-vaccines-and-marcia-s-miffed\" target=\"_blank\" rel=\"noopener noreferrer\">measles aren&rsquo;t that serious</a> &mdash; now contend the coronavirus isn&rsquo;t dangerous enough to justify staying home. They agree with <a href=\"https://www.nytimes.com/2020/03/23/us/politics/trump-coronavirus-restrictions.html\" target=\"_blank\" rel=\"noopener noreferrer\">President Donald Trump</a> that the &ldquo;cure&rdquo; for the pandemic could be worse than the disease itself.</p>\n<p>That&rsquo;s led some vaccine foes to join the protesters &mdash; whom Trump has encouraged on Twitter &mdash; in staging demonstrations in state capitals to &ldquo;reopen America.&rdquo;</p>\n<p>&ldquo;This is the time for people to take notice and really evaluate the freedoms they&rsquo;re giving up, all in the name of perceived safety,&rdquo; said Freedom Angels co-founder Heidi Munoz Gleisner in a Facebook video.</p>\n<p>The group <a href=\"https://capitolpermits.chp.ca.gov/Event/Detail/7330?AspxAutoDetectCookieSupport=1\" target=\"_blank\" rel=\"noopener noreferrer\">organized a Monday rally</a> in Sacramento called &ldquo;Operation Gridlock.&rdquo;</p>\n<p>&ldquo;People need to get back to work, get back to life, get back into contact with their loved ones who they&rsquo;re isolated from, they need to be able to have a paycheck,&rdquo; group co-founder Tara Thornton told <a href=\"https://www.sacbee.com/article242129761.html\" target=\"_blank\" rel=\"noopener noreferrer\">The Sacramento Bee</a>, which interviewed her during the demonstration. &ldquo;This is the grounds they will enslave us upon.&rdquo;</p>\n<p>Freedom Angels did not respond to requests for interviews. The group&rsquo;s website mentions <a href=\"https://www.facebook.com/pg/FreedomAngelsFoundation/events/?ref=page_internal\" target=\"_blank\" rel=\"noopener noreferrer\">plans for additional rallies</a> and includes photos from Monday&rsquo;s demonstration, such as one in which a protester holds a sign proclaiming &ldquo;No Mandatory Vaccines.&rdquo;</p>\n<p>But after the Monday event, the California Highway Patrol announced it had revoked the group&rsquo;s permit for future protests because the gathering &mdash; which included dozens of people &mdash; violated the governor&rsquo;s social distancing order. The highway patrol has now <a href=\"https://www.sacbee.com/news/politics-government/capitol-alert/article242198781.html\" target=\"_blank\" rel=\"noopener noreferrer\">banned all group events at the Capitol</a> during the pandemic to avoid spreading the coronavirus.</p>\n<p><strong>A Big Tent</strong></p>\n<p>The anti-vaccine movement has never been limited to one political party. Left-leaning vaccine critics &mdash; such as Children&rsquo;s Health Defense, led by Robert F. Kennedy Jr. &mdash; include environmentalists who are suspicious of chemical pollutants, corporations and &ldquo;Big Pharma.&rdquo; The Kennedy group&rsquo;s website attacks Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, for rushing <a href=\"https://childrenshealthdefense.org/video/dr-fauci-and-covid-19-priorities-therapeutics-now-or-vaccines-later-video/\" target=\"_blank\" rel=\"noopener noreferrer\">&ldquo;risky and uncertain coronavirus vaccines&rdquo;</a> into development as part of a &ldquo;sweetheart deal&rdquo; for drug companies.</p>\n<p>On the other side of the political spectrum, many anti-vaccine conservatives oppose state immunization requirements because they distrust &ldquo;big government.&rdquo;</p>\n<ul><li>A group called <a href=\"https://www.facebook.com/TexansForVaccineChoice/photos/rpp.1557722217817482/2563706657219028/?type=3&amp;theater\" target=\"_blank\" rel=\"noopener noreferrer\">Texans for Vaccine Choice</a> has called on the governor to promise that no one will be forced to get a coronavirus vaccine in order to go to work or school.</li>\n<li>Posts on the Facebook page of <a href=\"https://www.facebook.com/CaliforniansAgainstSB277/\" target=\"_blank\" rel=\"noopener noreferrer\">Californians for Health Choice</a>, which also opposed California&rsquo;s vaccine laws, question stay-at-home orders and accuse government officials of refusing to admit the orders are a mistake.</li>\n<li>In a <a href=\"https://www.facebook.com/watch/live/?v=207796693824846&amp;ref=watch_permalink\" target=\"_blank\" rel=\"noopener noreferrer\">video on the Freedom Angels&rsquo; Facebook page</a>, its founders describe stay-at-home orders as an abuse of government authority, and the closure of California gun shops as an assault on the Second Amendment. The group notes that guns could be essential for protection from rioters and looters looking to steal food during the pandemic.</li>\n</ul><p>In many ways, the conservative arm of the anti-vaccine movement is a natural ally for those leading &ldquo;reopen America&rdquo; rallies, said Dr. David Gorski, an oncologist and managing editor of the <a href=\"https://sciencebasedmedicine.org/about-science-based-medicine/website-terms-of-use/\" target=\"_blank\" rel=\"noopener noreferrer\">Science-Based Medicine site</a>. Both harbor suspicions about government authority.</p>\n<p>Vaccine critics, for example, have long championed the false claim that vaccines cause autism, and that the Centers for Disease Control and Prevention has tried to cover up that information, Gorski said. Trump has at times linked vaccines with autism, although he came out <a href=\"https://www.statnews.com/2019/04/26/trump-vaccinations-measles/\" target=\"_blank\" rel=\"noopener noreferrer\">strongly in favor of vaccinations</a> during the 2019 measles epidemic.</p>\n<p>Anti-vaccine groups are now rebranding themselves as advocates of &ldquo;medical freedom,&rdquo;</p>\n<p>Protests against social distancing began in Michigan but have spread to state capitols in Texas, Colorado, Nevada, Maryland, Wisconsin and elsewhere, with more planned. Most protests have been small, limited to a few hundred or fewer people.</p>\n<p>Yet the anti-vaccine movement doesn&rsquo;t speak for everyone on the right.</p>\n<p>Stephen Moore, the senior economic contributor for FreedomWorks, a conservative advocacy group that has been helping publicize the protests, said he&rsquo;s unfamiliar with the Freedom Angels or their rallies.</p>\n<p>&ldquo;I&rsquo;m personally pro-vaccine,&rdquo; said Moore, a member of the White House council to reopen the economy. &ldquo;Especially when it comes to coronavirus.&rdquo;</p>\n<p>And some heroes of the anti-vaccine movement say they support coronavirus lockdowns.</p>\n<p>Dr. Jay Gordon, a Santa Monica, California, pediatrician popular among vaccine foes for <a href=\"https://www.cbsnews.com/news/doctor-explains-why-he-lets-kids-avoid-the-measles-vaccine/\" target=\"_blank\" rel=\"noopener noreferrer\">downplaying the risks of measles</a>, said the risk of COVID-19 is real. Gordon said he approves of the lockdown, &ldquo;and we have to keep it up.&rdquo;</p>\n<p><strong>Containing The Pandemic</strong></p>\n<p>Dr. Richard Pan, a pediatrician and California state senator who has championed stronger vaccine mandates, described anti-vaccine and anti-lockdown protesters as &ldquo;essentially selfish&rdquo; because they put other people at risk.</p>\n<p>&ldquo;One of the hallmarks of the anti-vaccine movement is this sense of selfishness and lack of concern for other people&rsquo;s health,&rdquo; Pan said. &ldquo;They like to talk about rights and freedom. But what they really want is freedom without consequences.&rdquo;</p>\n<p>Both anti-vaccine parents and those who want to relax social distancing assume that the medical system will come to their rescue if they become sick, said Pan, who noted that thousands of health care workers have died while fighting the pandemic.</p>\n<p>Fauci has said that relaxing stay-at-home orders is dangerous as long as the virus &mdash; for which there are no approved treatments or vaccines &mdash; is actively spreading. Reopening businesses too soon could spark a second wave of infections.</p>\n<p>More than 75 companies and research groups worldwide are trying to develop vaccines, which are seen as a key weapon against the novel coronavirus.</p>\n<p>In the meantime, the CDC says that <a href=\"https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/social-distancing.html\" target=\"_blank\" rel=\"noopener noreferrer\">social distancing</a> measures &mdash; such as working from home and avoiding large gatherings &mdash; are critical to <a href=\"https://healthblog.uofmhealth.org/wellness-prevention/flattening-curve-for-covid-19-what-does-it-mean-and-how-can-you-help\" target=\"_blank\" rel=\"noopener noreferrer\">slowing the spread of the coronavirus</a> and preventing patients from overwhelming hospitals. <a href=\"https://healthpolicy.duke.edu/sites/default/files/atoms/files/covid-19_surveillance_roadmap_final.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Health leaders</a> say it won&rsquo;t be safe to reopen the county until widespread testing shows the coronavirus has died down.</p>\n<p>Americans overwhelmingly support vaccination, according to surveys, and polling by <a href=\"https://www.kff.org/global-health-policy/issue-brief/kff-health-tracking-poll-late-april-2020/\" target=\"_blank\" rel=\"noopener noreferrer\">the Kaiser Family Foundation</a> found that 80% of Americans want lockdowns to continue. Only 19% said social distancing orders placed an unnecessary burden on the economy. (Kaiser Health News is an editorially independent program of the foundation.)</p>\n<p>Neither the anti-vaccine nor anti-lockdown demonstrators represent the opinions of most Americans, Pan said.</p>\n<p>&ldquo;Let&rsquo;s put this movement into proper context,&rdquo; he said. &ldquo;They&rsquo;re loud, they&rsquo;re noisy and they&rsquo;re small.&rdquo;</p>','Anti-Vaccine Activists Latch Onto Coronavirus To Bolster Their Movement','Activists failed to convince state legislators that diseases like measles aren’t serious enough to require vaccination. Now they’re joining with conservatives and other anti-lockdown demonstrators who contend the coronavirus isn’t dangerous enough to justify staying home.','publish','closed','closed','','anti-vaccine-activists-latch-onto-coronavirus-to-bolster-their-movement','','','2020-04-24 09:00:00','2020-04-24 09:00:00','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=311',0,'wprss_feed_item','',0),(312,0,'2020-04-24 20:43:20','2020-04-24 20:43:20','<div><figure><img src=\"https://www.mcknights.com/wp-content/uploads/sites/5/2020/04/Tina-Sandri-819x1024.jpg\" alt=\"\" width=\"205\" height=\"256\"><figcaption>Tina Sandri</figcaption></figure></div>\n\n\n\n<p>Nursing homes are cruise ships on land; they have conditions that create the Perfect Storm. Physically, even with communal dining and group activities cancelled, often residents are in shared bedrooms with limited space making social distancing difficult. And, everyone has an underlying condition and age going against them as two more risk factors for complications for COVID-19. Cognitively, per the Alzheimer&rsquo;s association, over half of all nursing home residents have some level of dementia or memory impairment, making compliance with self-masking and social distancing a challenge. </p>\n\n\n\n<p>Socially, many of the employees, which make up the backbone of nursing home care, have multiple jobs to put food on the table. They go directly from one job to the next, often without going home to shower/change, and many use public transportation and frequently live in close quarters that do not allow for social distancing at home even when someone tests positive. These conditions enable COVID-19, wearing its invisible cloak, to take a free ride on unsuspecting healthcare workers as they rush from place to place all along the way to and within senior living communities. </p>\n\n\n\n<p>Current Centers for Disease Control &amp; Prevention guidelines suggest diagnostic testing for the presence of COVID-19 only for <em>symptomatic</em> residents or employees. (Our mayor announced this week expanding the CDC criteria to <em>allow some asymptomatic individuals who have high exposure and are in high-risk groups to be prioritized for testing</em>; guidance will be forthcoming.)&nbsp;We knew early on that we needed more than symptomatic testing access to protect our residents. Instead, we aggressively began testing all of our residents and our workforce that serve them.&nbsp;We chose to pursue universal testing through private resources with LabCorp to assess the<em> asymptomatic</em> presence of COVID-19.</p>\n\n\n\n<p>In a world of limited resources, knowing the answer to &ldquo;What would you do differently with the data from universal testing than you already are with universal masking and appropriate PPE usage?&rdquo; is important. At Knollwood Military Life Plan Community, in Washington, DC, we charted a path out of our Perfect Storm.</p>\n\n\n\n<p>The big picture</p>\n\n\n\n<p>Our goals:</p>\n\n\n\n<ol><li>To give the current CDC guidelines for universal masking time to work, we needed to help bend the curve internally to prevent further, potentially      widespread outbreak. Now that we know that COVID-19 is transmitted mostly asymptomatically, we are using universal masking. This is the reverse of  what we knew a month ago; then it was thought that the most active transmission period was during active symptoms, so universal masking      guidelines had not been in place. <br></li><li>We tested all SNF residents and all employees in two days to proactively manage an outbreak in our secured, skilled area for residents needing      memory care. At that time, utilizing Department of Health testing reserved for symptomatic persons, we had one COVID-19-positive resident, and a few days later, potentially five more positive residents pending. With a dementia unit, the challenges included residents in shared rooms with limited space for consistent social distancing, residents with wandering behaviors, residents with very limited abilities to self-mask due to memory impairments, and residents unable to self-communicate if they were feeling symptoms of COVID-19. This is a unique environment. </li></ol><p>Our process to universally test residents and employees of\nour skilled nursing unit once medical orders for testing and consent were\ngranted utilized an interdisciplinary team which:</p>\n\n\n\n<ol><li>Formed an agreement for diagnostic testing with a vetted and Food and Drug Administration-approved local commercial lab.<br></li><li>Brought aboard temporary help of a physician and two nurse practitioners to help swab for samples. The CDC also sent three people to help on testing day. Three of our RNs and one LPN worked alongside the experienced professionals we brought in to quickly learn the testing protocols for future testing.<br></li><li>Prepared the test kits the day before testing to include completed lab test request forms, labeling stickers to pair test request forms with swab test tubes containing transport medium, storing kits alphabetically by resident or employee list. This was key to efficiently collecting samples on test day.<br></li><li>Formed teams of two to collect samples. One &ldquo;helper&rdquo; person from our team provided positive visual verification of the person being tested, name, and date of birth, against the pre-assembled, pre-labeled test kits.&nbsp;The &ldquo;helper&rdquo; person received the sample from the person conducting the swabbing, and placed the sample in the sample bag, and then into a portable cooler. Note the full PPE burn rate was two outfits of gowns and gloves per test kit. Testing teams wore goggles, N-95s and face shields, which were not touched throughout the testing process with residents and did not need to be changed until all testing was done.<br></li><li>Prepared rolling carts were set up for each unit to travel form room to room with the teams. They held PPE supplies, hand sanitizer, coolers for sample  storage and discarded PPE.<br></li><li>Planned to minimize resident resistance, given our dementia unit. Residents were tested starting at 8 a.m. since most would still be in bed or their rooms rather than up and about. A social worker was placed in each of our two units that were tested to be able to work with residents that were      confused, or didn&rsquo;t recognize the person swabbing; we found this very effective. There were a total of five teams of two people to swab approximately 50 residents. It took about 2 hours to complete the collection of samples. The CDC team noted it was the most efficient team effort they had seen particularly given the residents being tested. <br></li><li>Created  a separate, walk-up testing site on our patio for asymptomatic employees with 4 stations over a few days. The optimal time to catch staff was after their shift or before their shift, when they were not in PPE. If staff had to change out of their PPE during the shift we also sent them over for testing.  All staff were tested. Employees were reminded via text by HR to report for testing.<br></li><li>Created a drive-up station in our parking lot for symptomatic employees at home on self-isolation for a small window of time. This limited potential exposure to those conducting the tests, as well as eliminated the need to sanitize any testing area between tests.<br></li><li>Samples were stored in smaller coolers with ice packs until the lab did a special pickup of all the samples each day during testing. We stayed in close      communication with our lab account manager throughout testing and specimen pickups to ensure proper collection, handling and storage of the      specimens.</li></ol><p>Our results:</p>\n\n\n\n<ol><li>We identified 13 asymptomatic residents we would not have known about without universal testing. &nbsp;<br></li><li>We moved three residents temporarily using the CMS blanket wavier to 42 CFR 483.10 related to transfer/discharge and resident roommates and groupings to move residents in order to cohort for COVID-19, placing positive residents with positive residents and negative residents with negatives.<br></li><li>We found 11 asymptomatic, positive employees which we sent home for to self-isolate 10 days per CDC guidelines.<br></li><li>We discovered three asymptomatic residents in a different skilled unit and moved that unit to full PPE usage to include gowns, goggles, bonnets and shoe covers in addition to the masks and gloves already in place. We would not have done this without the testing since there were no symptoms on the unit. Current convention by CDC says to conserve PPE for when symptoms appear in a time with national and regional mask and gown shortages. Yet, to start a full burn on PPE for residents with asymptomatic residents makes full sense, given the vulnerability of our population. <br></li><li>We created a day room space for positive residents and another space for negative residents, knowing that residents with dementia and other memory care needs will not self-isolate. Many need supervision during the day for wandering and other behaviors. </li></ol><p>Testing is a huge part of being able to chart your way out of the COVID-19 storm.&nbsp;An out-of-the-box vision, private labs and a strong commitment to testing was super-important to our efforts. Finally, leadership was the crucial ingredient in navigating our waters. Our entire C-Suite and all of our Directors rolled up their sleeves to get it done and stem the spread. Key lessons learned on testing in our nursing home have informed our subsequent COVID-19 strategy across our assisted living and independent communities.</p>\n\n\n\n<p>Each community has to answer the starting question of &ldquo;What\nwould you do differently than you are doing now if you knew the data from\nuniversal testing than you already are with universal masking and appropriate\nPPE usage?&rdquo; If you have a case to make, then engaging your team, your community\nresources, and your passions to care for people make sense as an option to bend\nthe curve in nursing homes. It takes a village.</p>\n\n\n\n<p><em>Tina Sandri, MHSA, LNHA, is administrator of Knollwood Retirement Community in Washington, D.C. </em></p>\n\n\n\n<p></p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/blogs/making-the-case-for-universal-on-demand-testing-in-nursing-homes-and-assisted-living-facilities/\">Making the case for universal, on-demand testing in nursing homes and assisted living facilities</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Making the case for universal, on-demand testing in nursing homes and assisted living facilities','Nursing homes are cruise ships on land; they have conditions that create the Perfect Storm. Physically, even with communal dining and group activities cancelled, often residents are in shared bedrooms with limited space making social distancing difficult. And, everyone has an underlying condition and age going against them as two more risk factors for complications…\nThe post Making the case for universal, on-demand testing in nursing homes and assisted living facilities appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','making-the-case-for-universal-on-demand-testing-in-nursing-homes-and-assisted-living-facilities','','','2020-04-24 20:43:20','2020-04-24 20:43:20','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=312',0,'wprss_feed_item','',0),(313,0,'2020-04-24 19:53:25','2020-04-24 19:53:25','<p>Globally, risk of death from COVID-19 is 50% higher in <a href=\"https://www.monash.edu/medicine/news/latest/2020-articles/international-study-highlights-diabetes-risks-in-covid-19\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">elderly with diabetes</a> &hellip; COVID-19 has disproportionate effect on <a href=\"https://www.mcknightsseniorliving.com/home/news/covid-19-has-disproportionate-effect-on-long-term-care-study/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">long-term care</a>: study &hellip; Ensuring <a href=\"https://www.mcknights.com/news/ensuring-safety-education-key-in-mitigating-stress-during-pandemic-expert-says/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">safety, education</a> key in mitigating stress during pandemic, expert says &hellip; <a href=\"https://www.nature.com/articles/s41467-020-15686-y\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">Insulin sensitivity</a> determines body weight and weight-loss potential</p>\n<p>The post <a rel=\"nofollow\" href=\"https://www.mcknights.com/news/clinical-news/clinical-briefs-for-monday-april-27/\">Clinical Briefs for Monday, April 27</a> appeared first on <a rel=\"nofollow\" href=\"https://www.mcknights.com/\">McKnight\'s Long Term Care News</a>.</p>','Clinical Briefs for Monday, April 27','Globally, risk of death from COVID-19 is 50% higher in elderly with diabetes … COVID-19 has disproportionate effect on long-term care: study … Ensuring safety, education key in mitigating stress during pandemic, expert says … Insulin sensitivity determines body weight and weight-loss potential\nThe post Clinical Briefs for Monday, April 27 appeared first on McKnight\'s Long Term Care News.','publish','closed','closed','','clinical-briefs-for-monday-april-27','','','2020-04-24 19:53:25','2020-04-24 19:53:25','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=313',0,'wprss_feed_item','',0),(314,0,'2020-04-24 20:25:26','2020-04-24 20:25:26','<p>America&rsquo;s health care workers are dying. In some states, medical staff account for as many as 20% of known coronavirus cases. They tend to patients in hospitals, treating them, serving them food and cleaning their rooms. Others at risk work in nursing homes or are employed as home health aides.</p>\n<p>Some of them do not survive the encounter. Many hospitals are overwhelmed and some workers lack protective equipment or suffer from underlying health conditions that make them vulnerable to the highly infectious virus.</p>\n<p>Many cases are shrouded in secrecy. &ldquo;Lost on the Frontline&rdquo; is a collaboration between The Guardian and Kaiser Health News that <a href=\"https://www.theguardian.com/us-news/2020/apr/15/why-were-tracking-every-us-health-worker-who-dies-from-coronavirus\" target=\"_blank\" rel=\"noopener noreferrer\">aims to document</a> the lives of health care workers in the U.S. who die of COVID-19, and to understand why so many are falling victim to the pandemic.</p>\n<p>These are some of the first tragic cases.</p>\n<p>&nbsp;</p>\n<figure><div><a href=\"https://khn.org/#accad\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Accad-1.jpg\" alt=\"Debbie Accad\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#baumbach\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Baumbach-1.jpg\" alt=\"Jeff Baumbach\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#buendia\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_BuendiaIlagan-1.jpg\" alt=\"Araceli Buendia Ilagan \" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#cruz\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_DelaCruz-1.jpg\" alt=\"Leo Dela Cruz\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#doronila\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Doronila-1.jpg\" alt=\"Daisy Doronila\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#echeverri\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_EcheverriCasarez-1.jpg\" alt=\"Monica Echeverri Casarez\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#gabrin\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Gabrin-1.jpg\" alt=\"Frank Gabrin\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#harrison\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Harrison-1.jpg\" alt=\"Rose Harrison\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#hunt\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Hunt-1.jpg\" alt=\"Curtis Hunt\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#king\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_King-Smith-1.jpg\" alt=\"Kim King-Smith\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#sclar\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Sclar-1.jpg\" alt=\"Gary Sclar\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#simmons\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Simmons-1.jpg\" alt=\"Alvin Simmons\"></a></div>\n<div><a href=\"https://khn.org/#thompson\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Thompson-1.jpg\" alt=\"Vianna Thompson\" width=\"100%\"></a></div>\n<div><a href=\"https://khn.org/#verrier\"><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Nav-Image_Verrier-1.jpg\" alt=\"J. Ronald Verrier\" width=\"100%\"></a></div>\n</figure><div></div>\n				<aside><div>\n													<h3>\n		Lost On The Frontline	</h3>\n<div>	<div>\n		<p>This project<a href=\"https://www.theguardian.com/us-news/2020/apr/15/why-were-tracking-every-us-health-worker-who-dies-from-coronavirus\"> aims to document</a> the life of every health care worker in America who dies from COVID-19. If you have a colleague or loved one we should include, please <a href=\"https://www.theguardian.com/us-news/2020/apr/13/lost-on-the-frontline-us-healthcare-coronavirus-deaths\" target=\"_blank\" rel=\"noopener noreferrer\">share their story</a>.</p>\n<p>&nbsp;</p>\n	</div>\n</div><!--/.slab-container -->						</div>\n									</aside><h3>Surgical Technician Made Friends Everywhere She Went</h3>\n<div><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/EcheverriCasarez_400sq.jpg\" alt=\"Monica Echeverri Casarez\" width=\"100%\"> (Courtesy of Jorge Casarez)\n</div>\n<div>\n<h3>Monica Echeverri Casarez</h3>\n<p><strong>Age:</strong> 49<br><strong>Occupation:</strong> Surgical technician<br><strong>Place of Work:</strong> Detroit Medical Center Harper University Hospital in Detroit<br><strong>Date of Death:</strong> April 11, 2020<br><a></a></p>\n</div>\n<div></div>\n<p>Monica Echeverri Casarez was in constant motion, said her husband, Jorge Casarez. The daughter of Colombian immigrants, she worked as a Spanish-English interpreter in clinical settings. She was the kind of person whose arrival at a mom and pop restaurant would elicit hugs from the owners. She also co-founded Southwest Detroit Restaurant Week, a nonprofit that supports local businesses.</p>\n				<aside><div>\n													<h3>\n		Read More	</h3>\n<div>	<ul><li>\n			<a href=\"https://khn.org/news/osha-probing-health-worker-deaths-but-urges-inspectors-to-spare-the-penalties/\">\n				<img width=\"170\" height=\"113\" src=\"https://khn.org/wp-content/uploads/sites/2/2020/05/GettyImages-1210579275_1350.jpg?w=170&amp;h=113&amp;crop=1\" alt=\"\"></a>\n			<p>\n			<a href=\"https://khn.org/news/osha-probing-health-worker-deaths-but-urges-inspectors-to-spare-the-penalties/\">OSHA Probing Health Worker Deaths But Urges Inspectors To Spare The Penalties</a>\n			Apr 22</p>\n	</li>\n			<li>\n			<a href=\"https://khn.org/news/true-toll-of-covid-19-on-u-s-health-care-workers-unknown/\">\n				<img width=\"170\" height=\"113\" src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/GettyImages-1209373304_1350.jpg?w=170&amp;h=113&amp;crop=1\" alt=\"\"></a>\n			<p>\n			<a href=\"https://khn.org/news/true-toll-of-covid-19-on-u-s-health-care-workers-unknown/\">True Toll Of COVID-19 On U.S. Health Care Workers Unknown</a>\n			Apr 15</p>\n	</li>\n	</ul></div><!--/.slab-container -->						</div>\n									</aside><p>Twice a month, she scrubbed in as a surgical technician at Harper University Hospital. &ldquo;She liked discovering the beauty of how the body works and how science is clear and orderly,&rdquo; Casarez said. She was organized and intuitive, qualities that are assets in the operating room. On March 21, she <a href=\"https://www.facebook.com/photo.php?fbid=909415092829473&amp;set=a.133575220413468&amp;type=3&amp;theater\" target=\"_blank\" rel=\"noopener noreferrer\">posted a photo</a> of herself in protective gear with the caption: &ldquo;I&rsquo;d be lying if I said I wan&rsquo;t at least a bit nervous to be there now.&rdquo; Since many elective surgeries had been canceled, Echeverri Casarez was tasked with taking the temperatures of people who walked into the hospital and making sure their hands were sterilized.</p>\n<p>Soon after, Echeverri Casarez and Casarez began feeling ill. Quarantined together, Echeverri Casarez tried to make the best of the situation. She baked her husband a cake &mdash; chocolate with white frosting. She died a few days later.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 24, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>A Whip-Smart Neurologist Endlessly Fascinated With The Brain</h3>\n<div><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Sclar2_400sq.jpg\" alt=\"Gary Sclar\" width=\"100%\"> (Courtesy of Jennifer Sclar)\n</div>\n<div>\n<h3>Gary Sclar</h3>\n<p><strong>Age:</strong> 66<br><strong>Occupation:</strong> Neurologist<br><strong>Place of Work:</strong> Mount Sinai Queens in New York City<br><strong>Date of Death:</strong> April 12, 2020</p>\n</div>\n<div></div>\n<p>Gary Sclar was a whip-smart neurologist who loved comic books, &ldquo;Game of Thrones&rdquo; and &ldquo;Star Wars,&rdquo; said his daughter, Jennifer Sclar. He was deeply compassionate with a blunt bedside manner.</p>\n<p>&ldquo;My dad was fascinated with the brain and with science,&rdquo; Jennifer Sclar said. &ldquo;His work was his passion, and it&rsquo;s what made him the happiest, besides my brother and me.&rdquo; Set to retire in June, he was looking forward to writing about politics and neurology.</p>\n<p>Gary Sclar saw patients who were showing COVID-19 symptoms and knew his age and underlying health conditions &#8213; he had diabetes &mdash; put him at risk for developing complications from the illness. His daughter pleaded with him to stop going to the hospital.</p>\n<p>In early April, he mentioned having lost his sense of smell, and on April 8 he collapsed in his home. He was hospitalized a few days later and agreed to be intubated. &ldquo;I don&rsquo;t think he realized, like, that this was the end,&rdquo; Jennifer Sclar said. &ldquo;He brought his keys. He brought his wallet.&rdquo;</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 24, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>An Exacting But Loving Aunt, She Was A Mentor Until The End</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/BuendiaIlagan1_400sq.jpg\" alt=\"Araceli Buendia Ilagan \" width=\"100%\"> (Courtesy of Jhoanna Mariel Buendia)</p>\n</div>\n<div>\n<h3>Araceli Buendia Ilagan</h3>\n<p><strong>Age:</strong> 63<br><strong>Occupation:</strong> Intensive care unit nurse<br><strong>Place of Work:</strong> Jackson Memorial Hospital in Miami<br><strong>Date of Death:</strong> March 27, 2020</p>\n</div>\n<div></div>\n<p>For Jhoanna Mariel Buendia, her aunt was a constant &#8213; if distant &mdash; presence. Araceli Buendia Ilagan emigrated from their hometown Baguio, in the Philippines, to the U.S. before Buendia was born, but she remained close to her family and communicated with them nearly every day.</p>\n<p>&ldquo;She was one of the smartest people I ever knew,&rdquo; Buendia, 27, said. Buendia Ilagan, who at one point looked into adopting her niece so she could join her and her husband the United States, encouraged Buendia to become a nurse, and talked her through grueling coursework in anatomy and physiology. Buendia is now a nurse in London.</p>\n<p>Buendia Ilagan was also demanding. &ldquo;Whenever she visited the Philippines, she wanted everything to be organized and squeaky-clean,&rdquo; Buendia said.</p>\n<p>The last time the two spoke, in late March, Buendia Ilagan didn&rsquo;t mention anything about feeling ill. Instead, the two commiserated over their experiences of treating patients with COVID-19; as always, her aunt offered her advice on staying safe while giving the best possible care. She died four days later.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 22, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>A Beloved Geriatric Psychiatrist And Church Musician Remembered For His Cooking Skills</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/DelaCruz_400sq.jpg\">(Courtesy of Nida Gonzales)</p>\n</div>\n<div>\n<h3>Leo Dela Cruz</h3>\n<p><strong>Age:</strong> 57<br><strong>Occupation:</strong> Geriatric psychiatrist<br><strong>Place of Work:</strong> Christ Hospital and CarePoint Health in Jersey City, New Jersey<br><strong>Date of Death:</strong> April 8, 2020</p>\n</div>\n<div></div>\n<p>Dr. Leo Dela Cruz was nervous about going to work in the weeks before he died, his friends said. Like many in the region, Christ Hospital had an influx of COVID-19 patients and <a href=\"https://www.nj.com/hudson/2020/03/the-greatest-challenge-this-hospital-ever-faces-christ-hospital-losing-ground-in-the-war-with-coronavirus.html\" target=\"_blank\" rel=\"noopener noreferrer\">faced a shortage</a> of ventilators and masks.</p>\n<p>Dela Cruz was a geriatric psychiatrist and didn&rsquo;t work in coronavirus wards. But he continued to see patients in person. In early April, Dela Cruz, who lived alone, complained only of migraines, his friends said. Within a week, his condition worsened, and he was put on a ventilator at a nearby hospital. He died soon after.</p>\n<p>Friends said he may have been exposed at the hospital. (In a statement, hospital representatives said he didn&rsquo;t treat COVID-19 patients.)</p>\n<p>Dela Cruz, the oldest of 10 siblings, came from a family of health care professionals. His friends and family &mdash; from Cebu, Philippines, to Teaneck, New Jersey &mdash; remembered his jovial personality on Facebook. He won &ldquo;best doctor of the year&rdquo; awards, played tennis and cooked traditional Cebu dishes.</p>\n<p>Nida Gonzales, a colleague, said he always supported people, whether funding a student&rsquo;s education or running a church mental health program. &ldquo;I feel like I lost a brother,&rdquo; she said.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/ankita-rao\" target=\"_blank\" rel=\"noopener noreferrer\">Ankita Rao, The Guardian</a></em> | <em>Published April 22, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Alabama Nurse Remembered As Selfless But Sassy</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Harrison2_400sq.jpg\" alt=\"Rose Harrison\" width=\"100%\"> (Courtesy of Amanda Williams)</p>\n</div>\n<div>\n<h3>Rose Harrison</h3>\n<p><strong>Age:</strong> 60<br><strong>Occupation:</strong> Nurse<br><strong>Place of Work:</strong> Marion Regional Nursing Home in Hamilton, Alabama<br><strong>Date of Death:</strong> April 6, 2020</p>\n</div>\n<div></div>\n<p>Rose Harrison, 60, lived to serve others &#8213; her husband, three daughters, grandchildren and the residents of the nursing home where she worked. Though the Alabama nurse was selfless, she also had a sassy edge to her personality and a penchant for road rage, her daughter, Amanda Williams said.</p>\n<p>&ldquo;Her personality was so funny, you automatically loved her,&rdquo; Williams said. &ldquo;She was so outspoken. If she didn&rsquo;t agree with you, she&rsquo;d tell you in a respectful way.&rdquo;</p>\n<p>Williams was not wearing a mask when she cared for a patient who later tested positive for COVID-19 at Marion Regional Nursing Home in Hamilton, Alabama, her daughter said. She later developed a cough, fatigue and a low-grade fever, but kept reporting to duty all week. Officials from the nursing home did not return calls for comment.</p>\n<p>On April 3, Williams drove her mother to a hospital. The following evening, Harrison discussed the option of going on a ventilator with loved ones on a video call, agreeing it was the best course. Williams believed that her mother fully expected to recover. She died April 6.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/christina-jewett/\" target=\"_blank\" rel=\"noopener noreferrer\">Christina Jewett, Kaiser Health News</a></em> | <em>Published April 22, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Connecticut Social Worker Had Angelic Singing Voice And A Zest For Life</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Hunt1_400sq.jpg\">(Courtesy of the Hunt family)</p>\n</div>\n<div>\n<h3>Curtis Hunt</h3>\n<p><strong>Age:</strong> 57<br><strong>Occupation:</strong> Social worker<br><strong>Places of Work:</strong> Cornell Scott-Hill Health Center and New Reach, both in New Haven, Connecticut<br><strong>Date of Death:</strong> March 23, 2020</p>\n</div>\n<div></div>\n<p>At a shelter for adults recovering from addiction, residents looked forward to the days when Marion &ldquo;Curtis&rdquo; Hunt would take the stage, emceeing talent shows and belting out Broadway and gospel tunes.</p>\n<p>It wasn&rsquo;t part of his job description as a social worker. It was just one of the ways he went &ldquo;above and beyond,&rdquo; said his supervisor at Cornell Scott-Hill Health Center, Daena Murphy. &ldquo;He had a beautiful voice,&rdquo; she said. &ldquo;He was just a wonderful person &mdash; funny, engaging, always a huge smile on his face.&rdquo;</p>\n<p>Hunt, the youngest of four brothers, earned his master&rsquo;s in social work from Fordham University at 52, and was baptized at his brother&rsquo;s Pentecostal church at 54. He was a devoted uncle who doted on his dog and cat, Mya and Milo.</p>\n<p>It&rsquo;s unclear how Hunt got infected, but one patient he worked with had tested positive for COVID-19, as did two co-workers, according to Dr. Ece Tek, another supervisor at Cornell Scott-Hill Health Center. Hunt died on March 23, one week after developing flu-like symptoms, said his brother John Mann Jr.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/melissa-bailey/\" target=\"_blank\" rel=\"noopener noreferrer\">Melissa Bailey</a></em> | <em>Published April 22, 2020 </em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>To The End, King-Smith Was Driven By A Desire To Help Others</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/King-Smith1_400sq.jpg\" alt=\"Kim King-Smith\" width=\"100%\"> (Courtesy of Hassana Salaam-Rivers)</p>\n</div>\n<div>\n<h3>Kim King-Smith</h3>\n<p><strong>Age:</strong> 53<br><strong>Occupation:</strong> Electrocardiogram technician<br><strong>Place of Work:</strong> University Hospital in Newark, New Jersey<br><strong>Date of Death:</strong> March 31, 2020</p>\n</div>\n<div></div>\n<p>Kim King-Smith was a natural caregiver. An only child, she grew up close to her extended family, including her cousins Hassana Salaam-Rivers and Sharonda Salaam. After Salaam developed multiple sclerosis, King-Smith visited her every day.</p>\n<p>&ldquo;She&rsquo;d bring her sweets that she wasn&rsquo;t supposed to have and share them with her,&rdquo; Salaam-Rivers said. King-Smith&rsquo;s desire to care for others was the reason she became an electrocardiogram technician, her cousin added. &ldquo;If a friend of a friend or family member went to the hospital, she would always go and visit them as soon as her shift was over,&rdquo; she said.</p>\n<p>In March, King-Smith cared for a patient she said had symptoms of COVID-19; she soon fell ill herself and tested positive for the virus. It seemed like a mild case at first, and she stayed in touch with family via FaceTime while trying to isolate from her husband, Lenny.</p>\n<p>On March 29, Salaam-Rivers checked in on her cousin and noticed she was struggling to breathe. She urged her to call an ambulance. After King-Smith was hospitalized, she exchanged text messages with her mother and cousin. As the day progressed, her messages carried increasingly grave news, Salaam-Rivers said. Then she stopped responding.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 22, 2020 </em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>On The Eve Of Retirement, VA Nurse Succumbs To COVID-19</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Accad_FB_1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Mark Accad)</p>\n</div>\n<div>\n<h3>Debbie Accad</h3>\n<p><strong>Age:</strong> 72<br><strong>Occupation:</strong> Clinical nursing coordinator<br><strong>Place of Work:</strong> Detroit VA Medical Center in Detroit, Michigan<br><strong>Date of Death:</strong> March 30, 2020</p>\n</div>\n<div></div>\n<p>Nurse Divina &ldquo;Debbie&rdquo; Accad had cared for veterans for over 25 years and was set to retire in April. But after contracting the novel coronavirus, she spent her final 11 days on a ventilator &mdash; and didn&rsquo;t survive past March.</p>\n<p>She joined a growing list of health care professionals working on the front lines of the pandemic who have died from COVID-19.</p>\n<p>Accad, 72, a clinical nursing coordinator at the Detroit VA Medical Center, dedicated her life to nursing, according to her son Mark Accad.</p>\n<p>&ldquo;She died doing what she loved most,&rdquo; he said. &ldquo;That was caring for people.&rdquo;</p>\n<p>She was born Divina Amo in the Philippine town of Alimodian, known for its sweet bananas. The eldest of four children, she was a precocious student. She finished high school at age 14 and had to wait a year to pursue her dream of nursing school. She graduated from Central Philippine University with a bachelor&rsquo;s in nursing in 1969.</p>\n<p>Yearning to move abroad, she applied to a &ldquo;fly now, pay later&rdquo; program for nurses and landed a job in Chicago, joining <a href=\"https://news.berkeley.edu/2019/05/28/filipino-nurses-in-the-us-podcast/\" target=\"_blank\" rel=\"noopener noreferrer\">tens of thousands of Filipino nurses</a> who have migrated to the United States. She later moved to Taylor, Michigan, where she married William Accad in 1985 and raised four children with him.</p>\n<p>Her niece April Amada lives in Accad&rsquo;s hometown. She remembers her aunt as a generous cook: A visit from Tita Debbie (Aunt Debbie) meant <em>unli-kainan</em>, or &ldquo;unlimited food&rdquo;: She served up big American breakfasts, cooked spicy kielbasa with cabbage and introduced her family to Jell-O.</p>\n<p>Accad was the &ldquo;pillar of the family,&rdquo; Amada said, improving their quality of life by sending home money, and even supporting her younger sister through nursing school.</p>\n<p>Amada said her aunt first signaled she was sick on the evening of March 16, telling relatives she had a fever and loose stool. On March 19, she reported feeling better by taking Tylenol. But the following day, she was hospitalized with pneumonia, a complication of COVID-19. She told her family in the Philippines that she had tested positive for the disease caused by the coronavirus and asked them to pray for her and to spread the word to local pastors, Amada said.</p>\n<p>Amada, who is also a nurse, said her family felt helpless watching their beloved matriarch suffer from afar, and being unable to travel to her bedside because of the infectious nature of the disease. They last saw her face on a video call.</p>\n<p>Mark Accad, 36, who lives across the street from his parents, said his mother had diabetes, <a href=\"https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/groups-at-higher-risk.html\" target=\"_blank\" rel=\"noopener noreferrer\">a risk factor</a> for serious complications from COVID-19. In her last phone call with him, he said, she was preoccupied with her family&rsquo;s health more than her own. But he could hear in her voice that she was worried.</p>\n<p>&ldquo;It&rsquo;s just terrible that we all couldn&rsquo;t be there for her,&rdquo; he said.</p>\n<p>Mark Accad said he believes his mother was exposed by infected co-workers, though that hasn&rsquo;t been confirmed. She was a nursing supervisor who often stepped in to care for patients, he said.</p>\n<p>The Department of Veterans Affairs is <a href=\"https://www.wsj.com/articles/veterans-affairs-hospitals-facing-serious-shortage-of-protective-gear-internal-memos-show-11586384293\" target=\"_blank\" rel=\"noopener noreferrer\">facing serious shortages</a> in protective equipment for its health care workers, according to internal memos obtained by The Wall Street Journal. Mark Accad said he doesn&rsquo;t know whether his mother had adequate protective gear.</p>\n<p>In a statement, the Detroit VA Medical Center declined to comment on Accad&rsquo;s case, citing privacy concerns, but confirmed that an employee of her age died from coronavirus complications.</p>\n<p>The VA has &ldquo;implemented appropriate measures to ensure the safest health care environment for each Veteran, visitor and employee,&rdquo; including immediately isolating patients known to be at risk for a COVID-19 infection. As of Monday, nine VA health care workers systemwide had died of COVID-19 complications, and over 1,500 were being quarantined because of coronavirus infections, according to VA spokesperson Christina Noel.</p>\n<p>Mark Accad said he would like his mother&rsquo;s story to raise awareness of the risks health care workers face in the global pandemic.</p>\n<p>&ldquo;She&rsquo;s a hero for what she did,&rdquo; he said.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/melissa-bailey/\" target=\"_blank\" rel=\"noopener noreferrer\">Melissa Bailey</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>California Nurse Thrived In ER and ICU, But Couldn&rsquo;t Survive COVID-19</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Baumbach1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of the Baumbach family)</p>\n</div>\n<div>\n<h3>Jeff Baumbach</h3>\n<p><strong>Age:</strong> 57<br><strong>Occupation:</strong> Nurse<br><strong>Place of Work:</strong> St. Joseph&rsquo;s Medical Center in Stockton, California<br><strong>Date of Death:</strong> March 31, 2020</p>\n</div>\n<div></div>\n<p>Jeff Baumbach, 57, was a seasoned nurse of 28 years when the novel coronavirus began to circulate in California. He&rsquo;d worked in the ER, the ICU and on a cardiac floor. Hepatitis and tuberculosis had been around over the years but never posed a major concern. He&rsquo;d cared for patients who had tuberculosis.</p>\n<p>Jeff and his wife, Karen Baumbach, also a nurse, initially didn&rsquo;t consider it significantly riskier than challenges they&rsquo;d faced for years.</p>\n<p>&ldquo;He&rsquo;d worked in the ICU. He was exposed to so many things, and we never got anything,&rdquo; she said. &ldquo;This was just ramping up.&rdquo;</p>\n<p>One day during work, Jeff sent a sarcastic text to his wife: &ldquo;I love wearing a mask every day.&rdquo;</p>\n<p>Within weeks, he would wage a difficult and steady fight against the virus that ended with a sudden collapse. Across the U.S., dozens of other health care workers have died, according to reports compiled by The Guardian and Kaiser Health News. The CDC has not yet issued a full tally, and many states have said little about how many health workers are dying.</p>\n<p>Jeff was working at St. Joseph&rsquo;s Medical Center in Stockton, California, about an hour south of Sacramento, where he was a case manager for Kaiser Permanente patients treated there. (Kaiser Health News is not affiliated with Kaiser Permanente.)</p>\n<p>In mid-March, Jeff and his wife traveled to New York City to help their younger son, one of four adult children, settle into an apartment. As they were leaving, bars and restaurants were starting to shut down. The feeling set in that something serious was taking place.</p>\n<p>Back home, Karen said her husband was notified that he may have been around a co-worker who tested positive for the coronavirus. Jeff would need to wear a mask. On March 23, he called in sick. The next day, he was told to get a COVID-19 test.</p>\n<p>Jeff&rsquo;s test was positive. Soon after, so was Karen&rsquo;s. The couple hunkered down together at home, Karen with body aches and congestion and Jeff with a fever and cough.</p>\n<p>Their home had been the site of countless family brunches and barbecues, for which Jeff was often the chef. It was where he solved massive jigsaw puzzles with his kids, sealed them together and put them on the ceiling of the garage.</p>\n<p>Kaila Baumbach, 26, the last child living in their Lodi home, had moved out as a precaution. She and her dad were close. They had gotten tattoos together on a family trip to Hawaii. Hers, a peace sign. His had two large Celtic hearts and four smaller ones to represent his children. Kaila said she didn&rsquo;t text or call her dad when he was sick.</p>\n<p>&ldquo;I thought he was invincible,&rdquo; she said during a phone interview, through tears.</p>\n<p>Karen took Jeff to the emergency room on March 26, where he was diagnosed with pneumonia, but chose to recuperate at home. On March 31, he collapsed in an upstairs bathroom.</p>\n<p>&ldquo;It was just like that,&rdquo; Karen said. &ldquo;It went downhill really fast.&rdquo;</p>\n<p>Karen called 911 and went with him to Adventist Health Lodi Memorial, the hospital where she worked. She sat in her car getting updates by phone. Kaila waited in another car.</p>\n<p>The ventilator Jeff was connected to had little effect and he remained unresponsive.</p>\n<p>When it seemed hopeless, Karen went in, suited with full protective medical gear, and told Jeff, her husband of 33 years, she loved him. The kids love him. And she was sorry.</p>\n<p>&ldquo;We both sat here all those days with him getting worse before my eyes and me not seeing it,&rdquo; she said. &ldquo;The doctor reassured me that several times people have seemed to be OK and then they just fall off and then it&rsquo;s just too late.&rdquo;</p>\n<p>Karen returned home alone, still in quarantine.</p>\n<p>The next day, Kaila organized about 50 family and loved ones to drive by the couple&rsquo;s home and shine their phone flashlights to show support. Karen&rsquo;s mother, Sharleen Leal, called her at 8 p.m.: &ldquo;Look outside.&rdquo;</p>\n<p>Karen looked out an upstairs window. Lights from lines of cars going in both directions on the avenue shone bright. Grieving, and awash with gratitude, she cried.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/christina-jewett/\" target=\"_blank\" rel=\"noopener noreferrer\">Christina Jewett, Kaiser Health News</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Nurse&rsquo;s Faith Led Her To Care For Prisoners At A New Jersey Jail</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Doronila1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Denise Rendor)</p>\n</div>\n<div>\n<h3>Daisy Doronila</h3>\n<p><strong>Age:</strong> 60<br><strong>Occupation:</strong> Nurse<br><strong>Place of Work:</strong> Hudson County Correctional Facility in Kearny, New Jersey<br><strong>Date of Death:</strong> April 5, 2020</p>\n</div>\n<div></div>\n<p>Daisy Doronila had a different perspective than most who worked at the Hudson County Correctional Facility, a New Jersey lockup 11 miles from Manhattan. It was a place where the veteran nurse could put her Catholic faith into action, showing kindness to marginalized people.</p>\n<p>&ldquo;There would be people there for the most heinous crimes,&rdquo; said her daughter, Denise Rendor, 28, &ldquo;but they would just melt towards my mother because she really was there to give them care with no judgment.&rdquo;</p>\n<p>Doronila, 60, died April 5, two weeks after testing positive for the coronavirus that causes COVID-19. The jail has been hit hard by the virus, with 27 inmates and 68 staff members having tested positive. Among those, another nurse, a correctional officer and a clerk also died, according to Ron Edwards, Hudson County&rsquo;s director of corrections.</p>\n<p>Doronila fell ill before the scope of the jail infections were known. She was picking up extra shifts in the weeks before, her daughter said, and planning on a trip to Israel soon with friends from church.</p>\n<p>That plan began to fall apart March 14, when someone at the jail noticed her coughing and asked her to go home and visit a doctor.</p>\n<p>Doronila, of Nutley, New Jersey, went to her doctor and a local hospital in the coming days but was told she had strep throat, so she wouldn&rsquo;t get a coronavirus test. Then she was told her fever wasn&rsquo;t high enough to merit a test.</p>\n<p>Edwards, the jail chief, said Doronila offered to come back to work after she started feeling ill, not wanting to let him down. He told her to stay home and rest.</p>\n<p>&ldquo;She was one of my hardest workers,&rdquo; he said, describing her as sophisticated, intelligent and compassionate. &ldquo;Daisy could handle herself. If someone got obnoxious with her, she&rsquo;d put them in their place and call for help if she needed to.&rdquo;</p>\n<p>As days went by in March, her condition got worse. Feeling breathless, she went to an urgent care center on March 21.</p>\n<p>Her oxygen saturation level was 77 &#8213; far below levels that should be close to 100 &mdash; so she was sent by ambulance to the hospital. The next day, she was transferred to the ICU, where she was put on a ventilator, never to talk to her family again.</p>\n<p>Rendor, who was not allowed to visit her mother, said time crawled as she awaited updates from nurses and doctors.</p>\n<p>On her fifth day in the hospital, her mother went into cardiac arrest and was revived. On Day Nine, she was put on dialysis.</p>\n<p>By Day 14, it was futile.</p>\n<p>Rendor said her mother emigrated from the Philippines as a young nurse. She loved to dress in fashionable clothes and eat seafood on the waterfront in New York City.</p>\n<p>The two loved to shop together and were looking forward to the next chapters in life. For the mother, retirement at 65. For Rendor, marriage and perhaps starting her own family.</p>\n<p>&ldquo;It was about to get really, really good,&rdquo; Rendor said.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/christina-jewett/\" target=\"_blank\" rel=\"noopener noreferrer\">Christina Jewett, Kaiser Health News</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>An Army Veteran, Hospital Custodian &lsquo;Loved Helping People&rsquo;</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Simmons_400sq-1.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Michelle Wilcox)</p>\n</div>\n<div>\n<h3>Alvin Simmons</h3>\n<p><strong>Age:</strong> 54<br><strong>Occupation:</strong> Environmental service assistant<br><strong>Place of Work:</strong> Rochester General Hospital in Rochester, New York<br><strong>Death:</strong> March 17, 2020</p>\n</div>\n<div></div>\n<p>Alvin Simmons started working as a custodian at Rochester General Hospital, in New York state, weeks before he fell ill. &ldquo;He loved helping people and he figured the best place to do that would be in a hospital,&rdquo; his sister, Michelle Wilcox said.</p>\n<p>An Army veteran who had served in the first Gulf War, Simmons loved karaoke and doted on his three grandchildren, Wilcox said. &ldquo;He was a dedicated, hardworking individual who had just changed his life around&rdquo; since a prison stint, she said.</p>\n<p>According to Wilcox, Simmons began developing symptoms shortly after cleaning the room of a woman he believed was infected with the novel coronavirus. &ldquo;Other hospital employees did not want to clean the room because they said they weren&rsquo;t properly trained&rdquo; to clean the room of someone potentially infected, she said. &ldquo;They got my brother from a different floor, because he had just started there,&rdquo; she said. (In an email, a hospital spokesperson said they had &ldquo;no evidence to suggest that Mr. Simmons was at a heightened risk of exposure to COVID-19 by virtue of his training or employment duties at RGH.&rdquo;)</p>\n<p>On March 11, he visited the emergency room at Rochester General, where he was tested for&nbsp;COVID-19, Wilcox said. Over the next few days, as he rested at his girlfriend&rsquo;s home, his breathing became more labored and he began to cough up blood. He was rushed to the hospital on March 13, where he was later declared brain-dead. Subsequently,&nbsp;he received a COVID-19 diagnosis. Simmons died on March 17.</p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/danielle-renwick\" target=\"_blank\" rel=\"noopener noreferrer\">Danielle Renwick, The Guardian</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Nurse At Nevada VA Dies After Caring For Infected Colleague</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Thompson2_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Bob Thompson)</p>\n</div>\n<div>\n<h3>Vianna Thompson</h3>\n<p><strong>Age:</strong> 52<br><strong>Occupation:</strong> Nurse<br><strong>Places of Work:</strong> VA Sierra Nevada Health Care System and Northern Nevada Medical Center in Reno, Nevada<br><strong>Date of Death:</strong> April 7, 2020</p>\n</div>\n<div></div>\n<p>Nurse Vianna Thompson, 52, spent two night shifts caring for a fellow Veterans Affairs health care worker who was dying from COVID-19.</p>\n<p>Two weeks later, she too was lying in a hospital intensive care unit, with a co-worker holding her hand as she died.</p>\n<p>Thompson and the man she treated were among <a href=\"https://mynews4.com/news/local/third-reno-va-hospital-employees-dies-from-coronavirus\" target=\"_blank\" rel=\"noopener noreferrer\">three VA health care workers</a> in Reno, Nevada, to die in two weeks from complications of the novel coronavirus.</p>\n<p>&ldquo;It&rsquo;s pretty devastating. It&rsquo;s surreal. Reno&rsquo;s not that big of a city,&rdquo; said Robyn Underhill, a night nurse who worked with Thompson in the ER at Reno&rsquo;s VA hospital the past two years.</p>\n<p>Thompson, who dreamed of teaching nursing one day, died April 7, joining a growing list of health care professionals killed in the pandemic.</p>\n<p>Born Vianna Fye in Port Huron, Michigan, she became a go-getter nurse who worked almost exclusively at night, putting in five or six 12-hour shifts a week, according to her husband, Bob Thompson, 60.</p>\n<p>The couple met in 1991 on the Osan Air Base in South Korea, where he was an inventory management specialist in the Air Force, and she was a veterinary technician in the Army, caring for military police dogs. They bonded over two-step dancing and country music.</p>\n<p>Vianna was a &ldquo;proud momma,&rdquo; often showing off photos and videos of their three sons on her phone, her husband said. As the main breadwinner for over eight years, she juggled two jobs to make sure her boys had everything they needed, including saxophones, drums and keyboards so they could play jazz and country music. &ldquo;She was just sweet, big-hearted, caring, unselfish,&rdquo; he said.</p>\n<p>Before she died, Thompson was working two jobs: full time in the ER at the VA Sierra Nevada Health Care System in Reno, and part time in the ICU at Northern Nevada Medical Center.</p>\n<p>In the ICU, she tended to a fellow VA health care worker who had fallen ill with COVID-19, according to nurse Underhill. Two days later, on March 29, Thompson arrived at work with a cough.</p>\n<p>&ldquo;She came to work sick, and we were all very concerned,&rdquo; Underhill said. &ldquo;Call it intuition, call it &lsquo;Spidey sense,&rsquo; but I knew that moment that she was coughing that this was not going to end well.&rdquo;</p>\n<p>Underhill said Thompson already had a slight smoker&rsquo;s cough, so she may have overlooked the fact that her cough was a classic symptom of COVID-19.</p>\n<p>&ldquo;She was in denial that she was taking care of this high-risk population,&rdquo; Underhill said. And she was reluctant to miss work.</p>\n<p>That Sunday shift would be Thompson&rsquo;s last. Over the next four days, she wrestled with fever, weakness and shortness of breath. The following Thursday, she texted her husband from the bedroom: &ldquo;Call the ambulance, I can hardly breathe.&rdquo;</p>\n<p>She was taken to the VA hospital where she worked and immediately sedated and put on a ventilator.</p>\n<p>The next Tuesday, her organs were failing and it was time to remove life support, her husband said. They connected him on FaceTime to say goodbye, and a nurse held her hand as she died.</p>\n<p>As a veteran, she qualified for an &ldquo;honor flight,&rdquo; in which the patient&rsquo;s body is covered with a black box, draped with an American flag and wheeled through the hospital while others line up and salute.</p>\n<p>Because of the infectious nature of the coronavirus, a flag could not be safely draped over her body, so someone walked in front of her with a flag.</p>\n<p>Bob Thompson said the honor flight ceremony drew more people into the hallways than staff had seen in 20 years, &ldquo;all the way from the ICU to the morgue.&rdquo;</p>\n<p>&ldquo;God&rsquo;s getting a hell of a nurse,&rdquo; he said.</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/melissa-bailey/\" target=\"_blank\" rel=\"noopener noreferrer\">Melissa Bailey</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>Dr. J. Ronald Verrier Was Busy Saving Lives Before The Pandemic</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Verrier1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Christina Pardo)</p>\n</div>\n<div>\n<h3>J. Ronald Verrier</h3>\n<p><strong>Age:</strong> 59<br><strong>Occupation:</strong> Surgeon<br><strong>Place of Work:</strong> St. Barnabas Hospital in the Bronx, New York<br><strong>Date of Death:</strong> April 8, 2020</p>\n</div>\n<div></div>\n<p>Dr. J. Ronald Verrier, a surgeon at St. Barnabas Hospital in the Bronx, spent the final weeks of his audacious, unfinished life tending to a torrent of patients inflicted with COVID-19. He died April 8 at Mount Sinai South Nassau Hospital in Oceanside, New York, at age 59, after falling ill from the novel coronavirus.</p>\n<p>Verrier led the charge even as the financially strapped St. Barnabas Hospital struggled to find masks and gowns to protect its workers &mdash; many nurses continue to make cloth masks &mdash; and makeshift morgues in the parking lot held patients who had died.</p>\n<p>&ldquo;He did a good work,&rdquo; said Jeannine Sherwood, a nurse manager at St. Barnabas Hospital who worked closely with Verrier.</p>\n<p>&ldquo;He can rest.&rdquo;</p>\n<p>Born in Port-au-Prince, Haiti, Verrier graduated from the Facult&eacute; de M&eacute;decine et de Pharmacie in 1986 and trained at Lincoln Medical Center in the Bronx. He worked at St. Barnabas for two decades, performing thousands of surgeries on critically ill patients and trauma victims, while overseeing the general surgery residency program.</p>\n<p>A towering presence with a wide, dimpled smile, Verrier watched his large flock closely &mdash; popping into patients&rsquo; rooms for impromptu birthday parties, pressing his medical school residents to sharpen their surgical skills and extinguishing doubt in bright, young minds.</p>\n<p>&ldquo;He kept pushing me forward,&rdquo; said Dr. Christina Pardo, a cousin who became an obstetrician and gynecologist. &ldquo;I would call him and say, &lsquo;I swear I failed that test,&rsquo; and he would laugh. He was my confidence when I didn&rsquo;t have it.&rdquo;</p>\n<p>&ldquo;He was someone you&rsquo;d love to see if you were having a bad day,&rdquo; said Dr. Ridwan Shabsigh, chairman of the Department of Surgery at SBH Health System. &ldquo;He would comfort your heart.&rdquo;</p>\n<p>The Verrier family stretches across continents &mdash; a boisterous crew of cousins who grew up as brothers and sisters, a pot of <em>joumou</em>, a spicy Haitian soup, always boiling somewhere.</p>\n<p>Verrier, who spoke English, French and Creole, zipped around to a niece&rsquo;s wedding in Belgium, a baptism in Florida, another wedding in Montreal. In February, he ferried medical supplies to Haiti, returning to St. Barnabas to fortify the hospital for the surge of coronavirus patients.</p>\n<p>Verrier helped steer the hospital&rsquo;s efforts to increase &mdash; by 500% &mdash; the number of critically ill patients it could care for, an effort he worked on until he became ill.</p>\n<p>&ldquo;He was at the hospital every day,&rdquo; Shabsigh said. &ldquo;This was a nonstop effort, day and night.&rdquo;</p>\n<p>Verrier discovered he was infected in early April. After developing symptoms, he worked from his Woodmere, New York, home.</p>\n<p>Undaunted, he did not want to talk about being sick. &ldquo;He has this personality that, &lsquo;Everything is going to be OK,&rsquo;&rdquo; said Pardo.</p>\n<p>Shabsigh spoke with him the day before his death.</p>\n<p>&ldquo;He understood the coronavirus, he understood the pandemic,&rdquo; he said. &ldquo;He still maintained a high morale and hope that he would recover.&rdquo;</p>\n<p>When his condition worsened suddenly, according to Pardo, Verrier was taken by ambulance to a nearby hospital where he died.</p>\n<p>After a powerful earthquake struck Haiti in 2010, Verrier tended to victims, treating dozens of patients who required amputations at a Port-au-Prince hospital.</p>\n<p>&ldquo;Sometimes you use a little anesthesia and you cut the limb,&rdquo; Verrier said soberly in a video recorded at the time. &ldquo;Because you have to save a life.&rdquo;</p>\n<p><em>&mdash; <a href=\"https://khn.org/news/author/sarah-varney/\" target=\"_blank\" rel=\"noopener noreferrer\">Sarah Varney, Kaiser Health News</a></em> | <em>Published April 15, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)<br><a></a></p>\n<hr><h3>America&rsquo;s First ER Doctor To Die In The Heat Of COVID-19 Battle</h3>\n<div>\n<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2020/04/Garbin1_400sq.jpg\" alt=\"\" width=\"400\" height=\"400\"> (Courtesy of Debra Vasalech Lyons)</p>\n</div>\n<div>\n<h3>Frank Gabrin</h3>\n<p><strong>Age:</strong> 60<br><strong>Occupation:</strong> Doctor<br><strong>Places of Work:</strong> St. John&rsquo;s Episcopal in Queens, New York, and East Orange General in New Jersey<br><strong>Date of Death:</strong> March 26, 2020</p>\n</div>\n<div></div>\n<p>At about 5 a.m. on March 19, a New York City ER physician named Frank Gabrin texted a friend about his concerns over the lack of medical supplies at hospitals.</p>\n<p>&ldquo;It&rsquo;s busy &#8213; everyone wants a COVID test that I do not have to give them,&rdquo; he wrote in the message to Eddy Soffer. &ldquo;So they are angry and disappointed.&rdquo;</p>\n<p>Worse, though, was the limited availability of personal protective equipment (PPE) &mdash; the masks and gloves that help keep health care workers from getting sick and spreading the virus to others. Gabrin said he had no choice but to don the same mask for several shifts, against Food and Drug Administration guidelines.</p>\n<p>&ldquo;Don&rsquo;t have any PPE that has not been used,&rdquo; he wrote. &ldquo;No N95 masks &#8213; my own goggles &mdash; my own face shield,&rdquo; he added, referring to the N95 respirators considered among the best lines of defense.</p>\n<p>Less than two weeks later, Gabrin became the first ER doctor in the U.S. known to have died as a result of the COVID-19 pandemic, according to the American College of Emergency Physicians.</p>\n<p><a href=\"https://khn.org/news/baby-i-cant-breathe-americas-first-er-doctor-to-die-in-heat-of-covid-19-battle/\" target=\"_blank\" rel=\"noopener noreferrer\">Read more here.</a></p>\n<p><em>&mdash; <a href=\"https://www.theguardian.com/profile/alastair-gee\" target=\"_blank\" rel=\"noopener noreferrer\">Alastair Gee, The Guardian</a></em> | <em>Published April 10, 2020</em></p>\n<p>(<a href=\"https://khn.org/#top\">Return to top.</a>)</p>\n<hr><p><em>This story is part of &ldquo;<a href=\"https://khn.org/news/tag/lost-on-the-frontline/\" target=\"_blank\" rel=\"noopener noreferrer\">Lost on the Frontline</a>,&rdquo; a project from <a href=\"https://www.theguardian.com/us\" target=\"_blank\" rel=\"noopener noreferrer\">The Guardian</a> and Kaiser Health News that aims to document the life of every health care worker in America who dies from COVID-19 during the pandemic. If you have a colleague or loved one we should include, please <a href=\"https://www.theguardian.com/us-news/2020/apr/13/lost-on-the-frontline-us-healthcare-coronavirus-deaths\" target=\"_blank\" rel=\"noopener noreferrer\">share their story</a>.</em></p>','Lost On The Frontline','“Lost on the Frontline” is a collaboration between The Guardian and Kaiser Health News that aims to document the lives of health care workers in the U.S. who die from COVID-19, and to understand why so many are falling victim to the pandemic.','publish','closed','closed','','lost-on-the-frontline','','','2020-04-24 20:25:26','2020-04-24 20:25:26','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=314',0,'wprss_feed_item','',0),(315,0,'2020-04-24 18:19:36','2020-04-24 18:19:36','<aside><div>\n													<h3>\n		The Friday Breeze	</h3>\n<div>	<div>\n		<p><img src=\"https://khn.org/wp-content/uploads/sites/2/2015/12/labuskes-100.jpg?w=100&amp;h=133&amp;crop=1\" alt=\"\" width=\"100\" height=\"133\"></p>\n<p>Newsletter editor Brianna Labuskes, who reads everything on health care to compile our daily Morning Briefing, offers the best and most provocative stories for the weekend.</p>\n	</div>\n</div><!--/.slab-container -->						</div>\n									</aside><p>We have made it to Friday once again! Where I am doffing my hat to the SEO genius who managed to get &ldquo;Labradoodle&rdquo; into one of the more attention-grabbing headlines of the week. (Though any dog-related news is like a shiny object to me, so I may be biased.) Anyway, read on to figure out how they did it!</p>\n<p>First, though, here&rsquo;s what you might have missed in the tsunami of news coverage.</p>\n<p>There have now been more than 50,000 deaths in the country (<a href=\"https://coronavirus.jhu.edu/map.html\" target=\"_blank\" rel=\"noopener noreferrer\">50,031 as of writing this</a>, in fact). But, as a <a href=\"https://www.nytimes.com/interactive/2020/04/21/world/coronavirus-missing-deaths.html\" target=\"_blank\" rel=\"noopener noreferrer\">very cool data project from The New York Times</a> shows, that&rsquo;s likely an undercount. What the NYT team did was look at year-over-year rates to find a percentage of deaths that were either attributed to COVID-19 or related to the pandemic (for example, a patient not having access to care because of an overwhelmed hospital system). New York City is reporting a 300% increase in deaths, which works out to 19,200 &ldquo;excess deaths.&rdquo; But only 15,411 have been officially attributed to the coronavirus. That leaves 3,800 that possibly should be included in the totals.</p>\n				<aside><div>\n												<div>\n	<div>\n			<h3>\n		The Friday Breeze	</h3>\n	<div>\n		<p>Want a roundup of the must-read stories this week chosen by KHN Newsletter Editor Brianna Labuskes? Sign up for The Friday Breeze today.</p>\n	</div>\n	</div>\n\n	<div>\n		\n		<div>\n\n			\n				<div>\n					<span></span> </div>\n				<button type=\"submit\">\n					Sign Up				</button>\n			\n\n			\n			<div>\n							</div>\n\n			\n				\n				\n\n					<span></span> <label>\n						Please confirm your email address below:						</label>\n\n					<div></div><span></span>					<button type=\"submit\">\n						Sign Up					</button>\n				\n					</div>\n	</div><!--/.slab-container -->\n</div><!--/.email-signup -->\n						</div>\n									</aside><p>Now take that reasoning and multiply it across the globe. So far, they&rsquo;ve identified at least 36,000 &ldquo;missing&rdquo; deaths.</p>\n<hr><p>I&rsquo;m not sure Lysol PR folks woke up yesterday thinking they&rsquo;d have to warn people of the fatal consequences of injecting disinfectant into their bodies, but that&rsquo;s exactly what ended up happening after President Donald Trump floated the suggestion while spitballing coronavirus treatments in his press briefing. <a href=\"https://www.washingtonpost.com/nation/2020/04/24/disinfectant-injection-coronavirus-trump/\" target=\"_blank\" rel=\"noopener noreferrer\">Doctors and other health experts are worried</a> that some might take Trump&rsquo;s words seriously &mdash; especially considering a <a href=\"https://www.cnn.com/2020/03/23/health/arizona-coronavirus-chloroquine-death/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">recent fatality</a> that occurred after Trump championed hydroxychloroquine as a possible treatment.</p>\n<p>While the disinfectant portion of the briefing grabbed the nation and the Twittersphere&rsquo;s attention, Trump also touted sunlight as a &ldquo;cure,&rdquo; pointing to research that showed the <a href=\"https://www.washingtonpost.com/weather/2020/04/23/lab-study-coronavirus-summer-weather/\" target=\"_blank\" rel=\"noopener noreferrer\">virus&rsquo;s half-life is shortened by heat and humidity</a>. Trump used the study to bolster <a href=\"https://www.nytimes.com/2020/04/22/us/politics/trump-coronavirus-fall.html\" target=\"_blank\" rel=\"noopener noreferrer\">his belief that the virus will disappear in the summer for good,</a> even though his own health advisers remain insistent that there will be a second wave in the fall, made worse by a likely overlap with the start of flu season.</p>\n<p>(Experts have long warned that we shouldn&rsquo;t count on the weather to be the silver bullet that ends this crisis, pointing to warm states and humid countries where the pandemic has flourished.)</p>\n<p>The topic of whether the virus will have another surge in the fall &mdash; as well as the idea that sunlight could be used as a cure in the body &mdash; were just two of a handful of examples this week of scientists performing rhetorical contortions to present <a href=\"https://www.washingtonpost.com/politics/under-trump-coronavirus-scientists-can-speak--as-long-as-they-toe-the-line/2020/04/22/a0a67c12-84b9-11ea-878a-86477a724bdb_story.html\" target=\"_blank\" rel=\"noopener noreferrer\">scientifically accurate information while avoiding displeasing the president</a>. The trend was made even more worrisome after a federal official claimed he was ousted from his position because he disagreed about the use of hydroxychloroquine. Scientists are worried the Trump administration&rsquo;s actions are creating an atmosphere where officials don&rsquo;t feel free to offer the best information available if it contradicts Trump&rsquo;s messaging.</p>\n<p>Side note: <a href=\"https://www.nytimes.com/2020/04/21/health/coronavirus-poison-hotlines-rise-in-accidents-disinfectants.html\" target=\"_blank\" rel=\"noopener noreferrer\">Poison control hotlines</a> have already seen a rise in accidents with cleaning products, so feel free to spread the word that people should not be dosing themselves with Lysol.</p>\n<hr><p>Is &ldquo;everyone who wants a test can get one&rdquo; going to become Trump&rsquo;s version of former President Barack Obama&rsquo;s promise &ldquo;if you like your health care plan, you&rsquo;ll be able to keep it&rdquo;? Trump&rsquo;s advisers are eyeing his bumpy testing rollout as a major vulnerability in the coming election. One even said that testing could be &ldquo;<a href=\"https://www.politico.com/news/2020/04/21/trump-coronavirus-testing-197839\" target=\"_blank\" rel=\"noopener noreferrer\">another nail in an almost closed coffin</a>.&rdquo; So why is the country still not at full throttle with testing, even after months of scrambling? <a href=\"https://www.politico.com/news/2020/04/22/coronavirus-testing-problem-america-201372\" target=\"_blank\" rel=\"noopener noreferrer\">A few reasons</a>: It&rsquo;s extremely expensive to ramp up to the needed level, shortages on the different components are complicating the process, and sometimes fixing one bottleneck creates another.</p>\n<p>Meanwhile, the very first stumble all those weeks ago came when the CDC sent out faulty testing kits. <a href=\"https://www.washingtonpost.com/investigations/contamination-at-cdc-lab-delayed-rollout-of-coronavirus-tests/2020/04/18/fd7d3824-7139-11ea-aa80-c2470c6b2034_story.html\" target=\"_blank\" rel=\"noopener noreferrer\">Scientists with knowledge of what went wrong</a> say that violations of sound manufacturing practices led to contamination at the CDC facilities.</p>\n<p>And the FDA has <a href=\"https://www.cbsnews.com/news/coronavirus-test-pixel-fda-approval/\" target=\"_blank\" rel=\"noopener noreferrer\">authorized the first at-home test</a> that will be available with a doctor&rsquo;s order.</p>\n<hr><p>Georgia Gov. Brian Kemp <a href=\"https://www.washingtonpost.com/politics/gov-brian-kemp-sets-georgia-on-aggressive-course-to-reopen-putting-his-state-at-center-of-deepening-national-debate/2020/04/21/36545638-8372-11ea-ae26-989cfce1c7c7_story.html\" target=\"_blank\" rel=\"noopener noreferrer\">set his state on an aggressive path</a> toward reopening by allowing some nonessential businesses to resume operations Friday. Included in that list are gyms, barbershops, tattoo parlors and bowling alleys (all of which seem like odd choices if you&rsquo;re still trying to discourage the spread of a highly contagious virus). Even Trump, who has been more eager than other authorities to reopen the country, said he <a href=\"https://www.politico.com/news/2020/04/22/trump-kemp-georgia-reopen-coronavirus-202117\" target=\"_blank\" rel=\"noopener noreferrer\">disagreed with the decision and thought it was premature</a>.</p>\n<p>The move worried public health experts across the country who look at conditions in the Southern states &mdash;&nbsp;<a href=\"https://www.npr.org/2020/04/24/843463707/sun-rays-disinfectants-and-false-hopes-misinformation-litters-the-road-to-reopen\" target=\"_blank\" rel=\"noopener noreferrer\">and Georgia, in particular </a>&mdash; and see <a href=\"https://www.politico.com/states/florida/story/2020/04/21/southern-governors-create-a-covid-19-coalition-and-experts-fear-a-perfect-storm-1278753\" target=\"_blank\" rel=\"noopener noreferrer\">the perfect storm</a> for COVID-19. The states were slow to shut down, lag in testing, have rural health systems that are likely to buckle under a surge of patients, and rank among the worst states for medical conditions like obesity that have been linked to poor outcomes in coronavirus patients.</p>\n<p>While most states aren&rsquo;t moving to lift their restrictions yet, they do acknowledge they&rsquo;ll need to even if there isn&rsquo;t yet a vaccine or treatment available. In doing so, they&rsquo;ll have <a href=\"https://www.nytimes.com/2020/04/22/us/politics/coronavirus-reopening-governors-trump.html\">to make cold calculations</a> on just how many deaths are acceptable. Considering the economic devastation can lead to a longer-term increase in deaths from despair, hunger and the loss of health coverage, the answer isn&rsquo;t always easy.</p>\n<p>As governors grapple with that question, protesters continue to take to the streets over the shutdown orders. While the rallies may appear to be grassroots gatherings, a <a href=\"https://khn.org/morning-breakout/well-financed-campaign-is-at-heart-of-protests-that-appear-at-first-glance-to-be-grassroot-movements/\" target=\"_blank\" rel=\"noopener noreferrer\">well-financed, influential campaign</a> is being waged to stoke the anger driving them. Meanwhile, polls throughout the week <a href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/04/23/843175656/8-in-10-americans-support-covid-19-shutdown-kaiser-health-poll-finds\" target=\"_blank\" rel=\"noopener noreferrer\">continue to report</a> that most Americans view the restrictions as worthwhile.</p>\n<hr><p>Anyone who was holding onto high hopes about a miracle treatment suffered a crushing blow this week when not one but two front-runners were tripped up by cold, hard data. <a href=\"https://www.statnews.com/2020/04/23/data-on-gileads-remdesivir-released-by-accident-show-no-benefit-for-coronavirus-patients/\" target=\"_blank\" rel=\"noopener noreferrer\">An inadvertent leak</a> (caught by Stat! Kudos!) of trial data showed that Gilead&rsquo;s antiviral drug remdesivir, which has long been touted as promising, had no benefit for coronavirus patients. The company said the statement misrepresented the results and that more research is needed. But outside experts are not hopeful.</p>\n<p>A harsh reality check also came this week for those touting hydroxychloroquine (not long after Trump and Fox News <a href=\"https://khn.org/morning-breakout/trumps-effusive-praise-of-malaria-drug-has-diminished-in-recent-days/\" target=\"_blank\" rel=\"noopener noreferrer\">went quiet on the subject</a>). A VA study showed that not only did the drug not benefit patients, it was <a href=\"https://www.washingtonpost.com/business/2020/04/21/anti-malarial-drug-trump-touted-is-linked-higher-rates-death-va-coronavirus-patients-study-says/\" target=\"_blank\" rel=\"noopener noreferrer\">linked to higher death rates</a> for those who took it. While the small study might not completely rule out the use of the drug, scientists say it&rsquo;s a reminder not to rush the use of unproven treatments.</p>\n<hr><p>(Ahem, for those scavenger-hunting for the aforementioned Labradoodle headline, you have found it!)</p>\n<p><a href=\"https://www.reuters.com/article/us-health-coronavirus-usa-hhschief-speci/special-report-former-labradoodle-breeder-tapped-to-lead-u-s-pandemic-task-force-idUSKCN2243CE\" target=\"_blank\" rel=\"noopener noreferrer\">Reuters reports that HHS Secretary Alex Azar</a> tapped a trusted aide who was inexperienced in public health matters to lead the day-to-day response efforts in the early days of pandemic. The aide, Brian Harrison, had joined the department after running a dog-breeding business for six years. That decision is just one of several missteps that seem to have <a href=\"https://www.wsj.com/articles/health-chiefs-early-missteps-set-back-coronavirus-response-11587570514\" target=\"_blank\" rel=\"noopener noreferrer\">gotten Azar sidelined from the fight</a>.</p>\n<p>Meanwhile, <a href=\"https://www.nytimes.com/2020/04/23/world/europe/coronavirus-american-exceptionalism.html\" target=\"_blank\" rel=\"noopener noreferrer\">the crisis and America&rsquo;s failure to contain it</a> are shaking any remaining global belief in U.S. exceptionalism. &ldquo;When people see these pictures of New York City they say, &lsquo;How can this happen? How is this possible?&rsquo;&rdquo; said one public policy expert in Germany. &ldquo;We are all stunned. Look at the jobless lines.&rdquo;</p>\n<hr><p>In how-was-that-not-already-happening news: <a href=\"https://www.politico.com/news/2020/04/19/trump-nursing-homes-covid-coronavirus-195589\" target=\"_blank\" rel=\"noopener noreferrer\">CMS will require nursing homes</a> to report COVID-19 cases to the CDC. Nursing homes have been absolutely ravaged by the pandemic, with at least <a href=\"https://apnews.com/e34b42d996968cf9fa0ef85697418b01\" target=\"_blank\" rel=\"noopener noreferrer\">11,000 confirmed deaths reported</a>.</p>\n<hr><p>Congress managed to pass the $484 billion stimulus package that will supplement the depleted pot of funds to aid small businesses. Banks say the money allocated in the new measure will be used up in a matter of days, at most. But Democrats did manage to secure money for hospitals and expanded testing.</p>\n<p>Although this one did take a bit more time and negotiation, it still managed to eke through. But Capitol Hill watchers say it could be the last measure that gets through before the gloves truly come off and the <a href=\"https://www.wsj.com/articles/lawmakers-set-to-take-gloves-off-in-next-coronavirus-aid-fight-11587655822\" target=\"_blank\" rel=\"noopener noreferrer\">partisan fighting turns brutal.&nbsp;</a></p>\n<hr><p>Most of the food news is pretty grim (like the fact that a <a href=\"https://www.wsj.com/articles/grocers-hunt-meat-as-coronavirus-hobbles-beef-and-pork-plants-11587679833\" target=\"_blank\" rel=\"noopener noreferrer\">ballooning number of cases</a> in meat-packaging plants could lead to shortages) but one cool story that emerged this week is on a potential government <a href=\"https://www.washingtonpost.com/business/2020/04/23/fixing-food-dumping-food-banks/\" target=\"_blank\" rel=\"noopener noreferrer\">matchmaking program</a> between farmers with excess food and hungry Americans. Of course, there are hurdles in the path to success &mdash; like transportation issues &mdash; but it&rsquo;s heartening they&rsquo;re at least trying.</p>\n<hr><p>And it&rsquo;s likely the food banks will need all the help they can get as new unemployment numbers push America closer to Great Depression <a href=\"https://www.npr.org/sections/coronavirus-live-updates/2020/04/23/841876464/26-million-jobs-lost-in-just-5-weeks\" target=\"_blank\" rel=\"noopener noreferrer\">levels of joblessness</a>. Another 4.4 million filed for benefits last week, bringing the total number of claims in just five weeks to more than 26 million people.</p>\n<p>While the health care industry has long been considered &ldquo;recession-proof&rdquo; (e.g., people will always need health care), it&rsquo;s proving, <a href=\"https://www.politico.com/news/2020/04/20/health-care-workforce-crisis-197468\" target=\"_blank\" rel=\"noopener noreferrer\">in a very cruel twist</a>, not to be &ldquo;pandemic- proof.&rdquo;</p>\n<hr><p>I think we all know one or two people who are convinced they had COVID-19 sometime over the winter &mdash; and emerging data from the first wave of serological testing might prove them right. Small studies in California suggest there could be somewhere between 221,000 to 442,000 <a href=\"https://www.latimes.com/california/story/2020-04-20/coronavirus-serology-testing-la-county\" target=\"_blank\" rel=\"noopener noreferrer\">people who were infected in L.A. County</a> (which had fewer than 8,000 confirmed cases at the time). And <a href=\"https://www.nytimes.com/2020/04/23/nyregion/coronavirus-antibodies-test-ny.html\" target=\"_blank\" rel=\"noopener noreferrer\">tests out of New York</a> suggest that 1 in 5 NYC residents have been infected. Those results, in addition to the fact that the <a href=\"https://www.nytimes.com/2020/04/22/us/coronavirus-first-united-states-death.html\" target=\"_blank\" rel=\"noopener noreferrer\">first U.S. death that can be confirmed</a> happened in early February rather than at the end of that month, hint that the virus may have been here a lot longer than originally thought.</p>\n<p>Experts say to take the results with a grain of salt, though. The serological tests can be an important tool in the battle to contain the virus, but they aren&rsquo;t infallible. They offer advice on how to &ldquo;<a href=\"https://www.statnews.com/2020/04/24/the-results-of-coronavirus-serosurveys-are-starting-to-be-released-heres-how-to-kick-their-tires/\" target=\"_blank\" rel=\"noopener noreferrer\">kick the tires</a>&rdquo; of the research.</p>\n<hr><p>So apparently this illness is WEIRD. Every week, doctors are finding out new and strange ways that it&rsquo;s not acting as it should. The latest revelation: <a href=\"https://www.cnn.com/2020/04/22/health/strokes-coronavirus-young-adults/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">excessive blood clotting</a> that&rsquo;s causing younger patients to have strokes and is being seen at such consistent rates that some are wondering whether the standard course of treatment should include blood thinners.</p>\n<p>Some other medical developments from the week: more data on severe cases and <a href=\"https://www.nytimes.com/2020/04/23/health/coronavirus-patients-risk.html\" target=\"_blank\" rel=\"noopener noreferrer\">chronic health conditions</a>; <a href=\"https://www.washingtonpost.com/health/2020/04/22/coronavirus-ventilators-survival/\" target=\"_blank\" rel=\"noopener noreferrer\">rethinking the use of ventilators</a>; and <a href=\"https://www.nytimes.com/2020/04/20/health/treatment-delays-coronavirus.html\" target=\"_blank\" rel=\"noopener noreferrer\">the silent epidemic</a> of people who aren&rsquo;t getting treated for non-coronavirus illnesses.</p>\n<hr><p>And in interesting reads for your weekend:</p>\n<p>&rarr; <a href=\"https://www.nytimes.com/2020/04/18/health/coronavirus-america-future.html\" target=\"_blank\" rel=\"noopener noreferrer\">The New York Times: The Coronavirus in America: The Year Ahead</a></p>\n<p>&rarr;&nbsp;<a href=\"https://www.politico.com/news/2020/04/21/race-coronavirus-outreach-197470\" target=\"_blank\" rel=\"noopener noreferrer\">Politico: &lsquo;I&rsquo;m Not Going to Go There and Die&rsquo;</a></p>\n<p>&rarr;&nbsp;<a href=\"https://undark.org/2020/04/22/tijuana-disease-migrant/\" target=\"_blank\" rel=\"noopener noreferrer\">Undark: The Myth of the Disease-Spreading Migrant</a></p>\n<p>&rarr;&nbsp;<a href=\"https://www.politico.com/news/magazine/2020/04/22/trump-emergency-suspend-immigration-history-200406\" target=\"_blank\" rel=\"noopener noreferrer\">Politico: Another Time a President Used the &lsquo;Emergency&rsquo; Excuse to Restrict Immigration</a></p>\n<p>&rarr; <a href=\"https://www.themarshallproject.org/2020/04/16/infected-incarcerated-and-coming-to-an-icu-near-you\" target=\"_blank\" rel=\"noopener noreferrer\">The Marshall Project: Infected, Incarcerated &mdash; and Coming to an ICU Near You?</a></p>\n<p>&rarr; <a href=\"https://www.nytimes.com/2020/04/20/us/coronavirus-states-masks.html\" target=\"_blank\" rel=\"noopener noreferrer\">The New York Times: Doctors and Governors Vie for Coronavirus Masks in Cloak-and-Dagger Deals</a></p>\n<hr><p>That&rsquo;s it from me! Have a safe weekend everyone!</p>','Must-Reads Of The Week From Brianna Labuskes','Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don\'t have to.','publish','closed','closed','','must-reads-of-the-week-from-brianna-labuskes','','','2020-04-24 18:19:36','2020-04-24 18:19:36','',0,'https://digiwised.com/hvper/?post_type=wprss_feed_item&p=315',0,'wprss_feed_item','',0),(2000,1,'2020-04-20 18:10:19','2020-04-20 18:10:19','{\"id\":\"2000\",\"field_id\":5,\"fields\":{\"0\":{\"id\":\"0\",\"type\":\"name\",\"label\":\"Name\",\"format\":\"first-last\",\"description\":\"\",\"required\":\"1\",\"size\":\"medium\",\"simple_placeholder\":\"\",\"simple_default\":\"\",\"first_placeholder\":\"\",\"first_default\":\"\",\"middle_placeholder\":\"\",\"middle_default\":\"\",\"last_placeholder\":\"\",\"last_default\":\"\",\"css\":\"\"},\"1\":{\"id\":\"1\",\"type\":\"email\",\"label\":\"Email\",\"description\":\"\",\"required\":\"1\",\"size\":\"medium\",\"placeholder\":\"\",\"confirmation_placeholder\":\"\",\"default_value\":\"\",\"css\":\"\"},\"3\":{\"id\":\"3\",\"type\":\"text\",\"label\":\"Compensation ( In USD per hour )\",\"description\":\"\",\"size\":\"medium\",\"placeholder\":\"\",\"default_value\":\"\",\"css\":\"\",\"input_mask\":\"\"},\"2\":{\"id\":\"2\",\"type\":\"textarea\",\"label\":\"Writing Examples\",\"description\":\"\",\"required\":\"1\",\"size\":\"medium\",\"placeholder\":\"\",\"css\":\"\"}},\"settings\":{\"form_title\":\"Write For Us\",\"form_desc\":\"\",\"form_class\":\"\",\"submit_text\":\"Submit\",\"submit_text_processing\":\"Sending...\",\"submit_class\":\"\",\"honeypot\":\"1\",\"notification_enable\":\"1\",\"notifications\":{\"1\":{\"email\":\"{admin_email}\",\"subject\":\"New Entry: Simple Contact Form\",\"sender_name\":\"{field_id=\\\"0\\\"}\",\"sender_address\":\"{admin_email}\",\"replyto\":\"{field_id=\\\"1\\\"}\",\"message\":\"{all_fields}\"}},\"confirmation_type\":\"message\",\"confirmation_message\":\"Thanks for contacting us! We will be in touch with you shortly.\",\"confirmation_message_scroll\":\"1\",\"confirmation_redirect\":\"\"},\"meta\":{\"template\":\"contact\"}}','Write For Us','','publish','closed','closed','','79','','','2020-04-20 18:10:19','2020-04-20 18:10:19','',0,'https://digiwised.com/hvper/?post_type=wpforms&#038;p=79',0,'wpforms','',0);
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Experts offer COVID-19 insights at McKnight’s Online Forum\"','251'),(47,'2020-04-23 03:13:19','debug','Saving item \"Clinical Briefs for Thursday, April 23\"','251'),(48,'2020-04-23 03:13:19','debug','Saving item \"We are #ActivitiesStrong\"','251'),(49,'2020-04-23 03:13:19','debug','Saving item \"Netsmart launches telehealth app\"','251'),(50,'2020-04-23 03:13:19','debug','Saving item \"Get the latest on COVID-19 during Thursday’s McKnight’s Online Forum\"','251'),(51,'2020-04-23 03:13:19','debug','Saving item \"Recruiting firms help SNFs address turnover due to COVID-19\"','251'),(52,'2020-04-23 03:13:19','info','Import completed!','251'),(53,'2020-04-23 03:15:58','info','Starting import of feed 240','240'),(54,'2020-04-23 03:15:58','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(55,'2020-04-23 03:16:00','debug','10 items in the feed, 6 items after applying limit','240'),(56,'2020-04-23 03:16:00','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(57,'2020-04-23 03:16:00','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(58,'2020-04-23 03:16:00','debug','2 will be skipped','240'),(59,'2020-04-23 03:16:00','info','Deleted the oldest 4 items','240'),(60,'2020-04-23 03:16:00','debug','Saving item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\"','240'),(61,'2020-04-23 03:16:00','debug','Saving item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\"','240'),(62,'2020-04-23 03:16:00','debug','Saving item \"Home Care May Help Reduce Social Isolation Among Seniors\"','240'),(63,'2020-04-23 03:16:00','debug','Saving item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\"','240'),(64,'2020-04-23 03:16:00','info','Import completed!','240'),(65,'2020-04-23 13:26:52','info','Beginning import for all feed sources',NULL),(66,'2020-04-23 14:21:19','info','Starting import of feed 251','251'),(67,'2020-04-23 14:21:19','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(68,'2020-04-23 14:21:22','debug','Item \"Have you learned how to play SPADEs in the new world of PDPM?\" already exists in the database','251'),(69,'2020-04-23 14:21:22','debug','Item \"NIH releases COVID-19 treatment guidelines, warns against drug combo\" already exists in the database','251'),(70,'2020-04-23 14:21:22','debug','Item \"Activity options can help lower depression risks during lockdown, researchers find\" already exists in the database','251'),(71,'2020-04-23 14:21:22','debug','Item \"Same-day physician access leads to fewer resident hospitalizations, ED visits\" already exists in the database','251'),(72,'2020-04-23 14:21:22','debug','Item \"Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum\" already exists in the database','251'),(73,'2020-04-23 14:21:22','debug','5 will be skipped','251'),(74,'2020-04-23 14:21:22','debug','Saving item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\"','251'),(75,'2020-04-23 14:21:22','debug','Saving item \"NYC under fire for placing COVID-19 patients in nursing home\"','251'),(76,'2020-04-23 14:21:22','debug','Saving item \"Coronavirus testing paused after labeling, leakage issues with kits\"','251'),(77,'2020-04-23 14:21:22','debug','Saving item \"Also in the News for Thursday, April 23\"','251'),(78,'2020-04-23 14:21:22','debug','Saving item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\"','251'),(79,'2020-04-23 14:21:22','info','Import completed!','251'),(80,'2020-04-23 14:21:22','info','Starting import of feed 240','240'),(81,'2020-04-23 14:21:22','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(82,'2020-04-23 14:21:23','debug','10 items in the feed, 6 items after applying limit','240'),(83,'2020-04-23 14:21:23','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(84,'2020-04-23 14:21:23','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(85,'2020-04-23 14:21:23','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(86,'2020-04-23 14:21:23','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(87,'2020-04-23 14:21:23','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(88,'2020-04-23 14:21:23','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(89,'2020-04-23 14:21:23','debug','6 will be skipped','240'),(90,'2020-04-23 14:21:23','info','Import completed!','240'),(91,'2020-04-23 14:21:23','info','Starting import of feed 233','233'),(92,'2020-04-23 14:21:23','debug','Feed source URL: https://khn.org/feed/','233'),(93,'2020-04-23 14:21:23','debug','10 items in the feed, 6 items after applying limit','233'),(94,'2020-04-23 14:21:23','info','Deleted the oldest 6 items','233'),(95,'2020-04-23 14:21:23','debug','Saving item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; Who Is Really Pushing The Reopen Protests?\"','233'),(96,'2020-04-23 14:21:23','debug','Saving item \"‘Uncharted Territory’: Pandemic Set To Push Millions More To Brink Of Starvation In Poor Nations, UN Food Agency Reports\"','233'),(97,'2020-04-23 14:21:23','debug','Saving item \"Nearly Half Of Primary Care Physicians Expect Pay Cuts This Month\"','233'),(98,'2020-04-23 14:21:23','debug','Saving item \"Treatment Experts Question Penalties For Opioid Overdose Victims Breaking Stay-At-Home Orders\"','233'),(99,'2020-04-23 14:21:23','debug','Saving item \"Hospitals Plan To Restart Non-Coronavirus Procedures, But Risk Of Infections Hovers Like A Dark Cloud\"','233'),(100,'2020-04-23 14:21:23','debug','Saving item \"For Weeks, VA Told Public And Veterans That Agency Didn’t Face Shortages And Wasn’t Rationing Equipment\"','233'),(101,'2020-04-23 14:21:23','info','Import completed!','233'),(102,'2020-04-23 14:21:23','info','Starting import of feed 222','222'),(103,'2020-04-23 14:21:23','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(104,'2020-04-23 14:21:24','debug','10 items in the feed, 10 items after applying limit','222'),(105,'2020-04-23 14:21:24','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(106,'2020-04-23 14:21:24','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(107,'2020-04-23 14:21:24','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(108,'2020-04-23 14:21:24','debug','Item \"Coronavirus Daily Update: Interim Launches PPE Tool; FDA Approves In-Home COVID-19 Test\" already exists in the database','222'),(109,'2020-04-23 14:21:24','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(110,'2020-04-23 14:21:24','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(111,'2020-04-23 14:21:24','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(112,'2020-04-23 14:21:24','debug','Item \"CMS Plan to Resume Elective Procedures Could End Home Health Business Lull\" already exists in the database','222'),(113,'2020-04-23 14:21:24','debug','Item \"Best Life Brands, Synergy HomeCare Tap New CEOs\" already exists in the database','222'),(114,'2020-04-23 14:21:24','debug','Item \"Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight\" already exists in the database','222'),(115,'2020-04-23 14:21:24','debug','10 will be skipped','222'),(116,'2020-04-23 14:21:24','info','Import completed!','222'),(117,'2020-04-23 14:21:24','info','Beginning import for all feed sources',NULL),(118,'2020-04-23 14:21:26','info','Starting import of feed 251','251'),(119,'2020-04-23 14:21:26','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(120,'2020-04-23 14:21:27','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(121,'2020-04-23 14:21:27','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(122,'2020-04-23 14:21:27','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(123,'2020-04-23 14:21:27','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(124,'2020-04-23 14:21:27','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(125,'2020-04-23 14:21:27','debug','Item \"Have you learned how to play SPADEs in the new world of PDPM?\" already exists in the database','251'),(126,'2020-04-23 14:21:27','debug','Item \"NIH releases COVID-19 treatment guidelines, warns against drug combo\" already exists in the database','251'),(127,'2020-04-23 14:21:27','debug','Item \"Activity options can help lower depression risks during lockdown, researchers find\" already exists in the database','251'),(128,'2020-04-23 14:21:27','debug','Item \"Same-day physician access leads to fewer resident hospitalizations, ED visits\" already exists in the database','251'),(129,'2020-04-23 14:21:27','debug','Item \"Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum\" already exists in the database','251'),(130,'2020-04-23 14:21:27','debug','10 will be skipped','251'),(131,'2020-04-23 14:21:27','info','Import completed!','251'),(132,'2020-04-23 14:21:27','info','Starting import of feed 240','240'),(133,'2020-04-23 14:21:27','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(134,'2020-04-23 14:21:28','debug','10 items in the feed, 6 items after applying limit','240'),(135,'2020-04-23 14:21:28','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(136,'2020-04-23 14:21:28','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(137,'2020-04-23 14:21:28','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(138,'2020-04-23 14:21:28','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(139,'2020-04-23 14:21:28','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(140,'2020-04-23 14:21:28','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(141,'2020-04-23 14:21:28','debug','6 will be skipped','240'),(142,'2020-04-23 14:21:28','info','Import completed!','240'),(143,'2020-04-23 14:21:28','info','Starting import of feed 233','233'),(144,'2020-04-23 14:21:28','debug','Feed source URL: https://khn.org/feed/','233'),(145,'2020-04-23 14:21:28','debug','10 items in the feed, 6 items after applying limit','233'),(146,'2020-04-23 14:21:28','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; Who Is Really Pushing The Reopen Protests?\" already exists in the database','233'),(147,'2020-04-23 14:21:28','debug','Item \"‘Uncharted Territory’: Pandemic Set To Push Millions More To Brink Of Starvation In Poor Nations, UN Food Agency Reports\" already exists in the database','233'),(148,'2020-04-23 14:21:28','debug','Item \"Nearly Half Of Primary Care Physicians Expect Pay Cuts This Month\" already exists in the database','233'),(149,'2020-04-23 14:21:28','debug','Item \"Treatment Experts Question Penalties For Opioid Overdose Victims Breaking Stay-At-Home Orders\" already exists in the database','233'),(150,'2020-04-23 14:21:28','debug','Item \"Hospitals Plan To Restart Non-Coronavirus Procedures, But Risk Of Infections Hovers Like A Dark Cloud\" already exists in the database','233'),(151,'2020-04-23 14:21:28','debug','Item \"For Weeks, VA Told Public And Veterans That Agency Didn’t Face Shortages And Wasn’t Rationing Equipment\" already exists in the database','233'),(152,'2020-04-23 14:21:28','debug','6 will be skipped','233'),(153,'2020-04-23 14:21:28','info','Import completed!','233'),(154,'2020-04-23 14:21:28','info','Starting import of feed 222','222'),(155,'2020-04-23 14:21:28','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(156,'2020-04-23 14:21:29','debug','10 items in the feed, 10 items after applying limit','222'),(157,'2020-04-23 14:21:29','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(158,'2020-04-23 14:21:29','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(159,'2020-04-23 14:21:29','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(160,'2020-04-23 14:21:29','debug','Item \"Coronavirus Daily Update: Interim Launches PPE Tool; FDA Approves In-Home COVID-19 Test\" already exists in the database','222'),(161,'2020-04-23 14:21:29','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(162,'2020-04-23 14:21:29','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(163,'2020-04-23 14:21:29','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(164,'2020-04-23 14:21:29','debug','Item \"CMS Plan to Resume Elective Procedures Could End Home Health Business Lull\" already exists in the database','222'),(165,'2020-04-23 14:21:29','debug','Item \"Best Life Brands, Synergy HomeCare Tap New CEOs\" already exists in the database','222'),(166,'2020-04-23 14:21:29','debug','Item \"Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight\" already exists in the database','222'),(167,'2020-04-23 14:21:29','debug','10 will be skipped','222'),(168,'2020-04-23 14:21:29','info','Import completed!','222'),(169,'2020-04-23 15:49:20','info','Beginning import for all feed sources',NULL),(170,'2020-04-23 16:36:27','info','Starting import of feed 251','251'),(171,'2020-04-23 16:36:27','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(172,'2020-04-23 16:36:29','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(173,'2020-04-23 16:36:29','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(174,'2020-04-23 16:36:29','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(175,'2020-04-23 16:36:29','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(176,'2020-04-23 16:36:29','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(177,'2020-04-23 16:36:29','debug','Item \"Have you learned how to play SPADEs in the new world of PDPM?\" already exists in the database','251'),(178,'2020-04-23 16:36:29','debug','Item \"NIH releases COVID-19 treatment guidelines, warns against drug combo\" already exists in the database','251'),(179,'2020-04-23 16:36:29','debug','Item \"Activity options can help lower depression risks during lockdown, researchers find\" already exists in the database','251'),(180,'2020-04-23 16:36:29','debug','Item \"Same-day physician access leads to fewer resident hospitalizations, ED visits\" already exists in the database','251'),(181,'2020-04-23 16:36:29','debug','Item \"Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum\" already exists in the database','251'),(182,'2020-04-23 16:36:29','debug','10 will be skipped','251'),(183,'2020-04-23 16:36:29','info','Import completed!','251'),(184,'2020-04-23 16:36:29','info','Starting import of feed 240','240'),(185,'2020-04-23 16:36:29','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(186,'2020-04-23 16:36:29','debug','10 items in the feed, 6 items after applying limit','240'),(187,'2020-04-23 16:36:29','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(188,'2020-04-23 16:36:29','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(189,'2020-04-23 16:36:29','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(190,'2020-04-23 16:36:29','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(191,'2020-04-23 16:36:29','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(192,'2020-04-23 16:36:29','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(193,'2020-04-23 16:36:29','debug','6 will be skipped','240'),(194,'2020-04-23 16:36:29','info','Import completed!','240'),(195,'2020-04-23 16:36:29','info','Starting import of feed 233','233'),(196,'2020-04-23 16:36:29','debug','Feed source URL: https://khn.org/feed/','233'),(197,'2020-04-23 16:36:30','debug','10 items in the feed, 6 items after applying limit','233'),(198,'2020-04-23 16:36:30','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; 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FDA Approves In-Home COVID-19 Test\" already exists in the database','222'),(213,'2020-04-23 16:36:32','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(214,'2020-04-23 16:36:32','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(215,'2020-04-23 16:36:32','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(216,'2020-04-23 16:36:32','debug','Item \"CMS Plan to Resume Elective Procedures Could End Home Health Business Lull\" already exists in the database','222'),(217,'2020-04-23 16:36:32','debug','Item \"Best Life Brands, Synergy HomeCare Tap New CEOs\" already exists in the database','222'),(218,'2020-04-23 16:36:32','debug','Item \"Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight\" already exists in the database','222'),(219,'2020-04-23 16:36:32','debug','10 will be skipped','222'),(220,'2020-04-23 16:36:32','info','Import completed!','222'),(221,'2020-04-23 16:44:11','info','Beginning import for all feed sources',NULL),(222,'2020-04-23 16:44:56','info','Starting import of feed 251','251'),(223,'2020-04-23 16:44:56','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(224,'2020-04-23 16:45:04','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(225,'2020-04-23 16:45:04','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(226,'2020-04-23 16:45:04','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(227,'2020-04-23 16:45:04','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(228,'2020-04-23 16:45:04','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(229,'2020-04-23 16:45:04','debug','Item \"Have you learned how to play SPADEs in the new world of PDPM?\" already exists in the database','251'),(230,'2020-04-23 16:45:04','debug','Item \"NIH releases COVID-19 treatment guidelines, warns against drug combo\" already exists in the database','251'),(231,'2020-04-23 16:45:04','debug','Item \"Activity options can help lower depression risks during lockdown, researchers find\" already exists in the database','251'),(232,'2020-04-23 16:45:04','debug','Item \"Same-day physician access leads to fewer resident hospitalizations, ED visits\" already exists in the database','251'),(233,'2020-04-23 16:45:04','debug','Item \"Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum\" already exists in the database','251'),(234,'2020-04-23 16:45:04','debug','10 will be skipped','251'),(235,'2020-04-23 16:45:04','info','Import completed!','251'),(236,'2020-04-23 16:45:04','info','Starting import of feed 240','240'),(237,'2020-04-23 16:45:04','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(238,'2020-04-23 16:45:07','debug','10 items in the feed, 6 items after applying limit','240'),(239,'2020-04-23 16:45:07','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(240,'2020-04-23 16:45:07','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(241,'2020-04-23 16:45:07','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(242,'2020-04-23 16:45:07','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(243,'2020-04-23 16:45:07','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(244,'2020-04-23 16:45:07','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(245,'2020-04-23 16:45:07','debug','6 will be skipped','240'),(246,'2020-04-23 16:45:07','info','Import completed!','240'),(247,'2020-04-23 16:45:07','info','Starting import of feed 233','233'),(248,'2020-04-23 16:45:07','debug','Feed source URL: https://khn.org/feed/','233'),(249,'2020-04-23 16:45:07','debug','10 items in the feed, 6 items after applying limit','233'),(250,'2020-04-23 16:45:07','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; 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FDA Approves In-Home COVID-19 Test\" already exists in the database','222'),(265,'2020-04-23 16:45:08','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(266,'2020-04-23 16:45:08','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(267,'2020-04-23 16:45:08','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(268,'2020-04-23 16:45:08','debug','Item \"CMS Plan to Resume Elective Procedures Could End Home Health Business Lull\" already exists in the database','222'),(269,'2020-04-23 16:45:08','debug','Item \"Best Life Brands, Synergy HomeCare Tap New CEOs\" already exists in the database','222'),(270,'2020-04-23 16:45:08','debug','Item \"Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight\" already exists in the database','222'),(271,'2020-04-23 16:45:08','debug','10 will be skipped','222'),(272,'2020-04-23 16:45:08','info','Import completed!','222'),(273,'2020-04-23 20:33:49','info','Beginning import for all feed sources',NULL),(274,'2020-04-23 20:41:35','info','Starting import of feed 251','251'),(275,'2020-04-23 20:41:35','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(276,'2020-04-23 20:41:39','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(277,'2020-04-23 20:41:39','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(278,'2020-04-23 20:41:39','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(279,'2020-04-23 20:41:39','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(280,'2020-04-23 20:41:39','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(281,'2020-04-23 20:41:39','debug','Item \"Have you learned how to play SPADEs in the new world of PDPM?\" already exists in the database','251'),(282,'2020-04-23 20:41:39','debug','Item \"NIH releases COVID-19 treatment guidelines, warns against drug combo\" already exists in the database','251'),(283,'2020-04-23 20:41:39','debug','Item \"Activity options can help lower depression risks during lockdown, researchers find\" already exists in the database','251'),(284,'2020-04-23 20:41:39','debug','Item \"Same-day physician access leads to fewer resident hospitalizations, ED visits\" already exists in the database','251'),(285,'2020-04-23 20:41:39','debug','Item \"Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum\" already exists in the database','251'),(286,'2020-04-23 20:41:39','debug','10 will be skipped','251'),(287,'2020-04-23 20:41:39','info','Import completed!','251'),(288,'2020-04-23 20:41:39','info','Starting import of feed 240','240'),(289,'2020-04-23 20:41:39','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(290,'2020-04-23 20:41:40','debug','10 items in the feed, 6 items after applying limit','240'),(291,'2020-04-23 20:41:40','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(292,'2020-04-23 20:41:40','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(293,'2020-04-23 20:41:40','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(294,'2020-04-23 20:41:40','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(295,'2020-04-23 20:41:40','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(296,'2020-04-23 20:41:40','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(297,'2020-04-23 20:41:40','debug','6 will be skipped','240'),(298,'2020-04-23 20:41:40','info','Import completed!','240'),(299,'2020-04-23 20:41:40','info','Starting import of feed 233','233'),(300,'2020-04-23 20:41:40','debug','Feed source URL: https://khn.org/feed/','233'),(301,'2020-04-23 20:41:40','debug','10 items in the feed, 6 items after applying limit','233'),(302,'2020-04-23 20:41:40','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; 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Experts offer COVID-19 insights at McKnight’s Online Forum\" already exists in the database','251'),(339,'2020-04-23 20:44:19','debug','10 will be skipped','251'),(340,'2020-04-23 20:44:19','info','Import completed!','251'),(341,'2020-04-23 20:44:19','info','Starting import of feed 240','240'),(342,'2020-04-23 20:44:19','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(343,'2020-04-23 20:44:20','debug','10 items in the feed, 6 items after applying limit','240'),(344,'2020-04-23 20:44:20','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(345,'2020-04-23 20:44:20','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(346,'2020-04-23 20:44:20','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(347,'2020-04-23 20:44:20','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(348,'2020-04-23 20:44:20','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(349,'2020-04-23 20:44:20','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(350,'2020-04-23 20:44:20','debug','6 will be skipped','240'),(351,'2020-04-23 20:44:20','info','Import completed!','240'),(352,'2020-04-23 20:44:20','info','Starting import of feed 233','233'),(353,'2020-04-23 20:44:20','debug','Feed source URL: https://khn.org/feed/','233'),(354,'2020-04-23 20:44:20','debug','10 items in the feed, 6 items after applying limit','233'),(355,'2020-04-23 20:44:20','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(356,'2020-04-23 20:44:20','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(357,'2020-04-23 20:44:20','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; Who Is Really Pushing The Reopen Protests?\" already exists in the database','233'),(358,'2020-04-23 20:44:20','debug','Item \"‘Uncharted Territory’: Pandemic Set To Push Millions More To Brink Of Starvation In Poor Nations, UN Food Agency Reports\" already exists in the database','233'),(359,'2020-04-23 20:44:20','debug','Item \"Nearly Half Of Primary Care Physicians Expect Pay Cuts This Month\" already exists in the database','233'),(360,'2020-04-23 20:44:20','debug','Item \"Treatment Experts Question Penalties For Opioid Overdose Victims Breaking Stay-At-Home Orders\" already exists in the database','233'),(361,'2020-04-23 20:44:20','debug','6 will be skipped','233'),(362,'2020-04-23 20:44:20','info','Import completed!','233'),(363,'2020-04-23 20:44:20','info','Starting import of feed 222','222'),(364,'2020-04-23 20:44:20','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(365,'2020-04-23 20:44:20','debug','10 items in the feed, 10 items after applying limit','222'),(366,'2020-04-23 20:44:20','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(367,'2020-04-23 20:44:20','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(368,'2020-04-23 20:44:20','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(369,'2020-04-23 20:44:20','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(370,'2020-04-23 20:44:20','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(371,'2020-04-23 20:44:20','debug','Item \"Coronavirus Daily Update: Interim Launches PPE Tool; FDA Approves In-Home COVID-19 Test\" already exists in the database','222'),(372,'2020-04-23 20:44:20','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(373,'2020-04-23 20:44:20','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(374,'2020-04-23 20:44:20','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(375,'2020-04-23 20:44:20','debug','Item \"CMS Plan to Resume Elective Procedures Could End Home Health Business Lull\" already exists in the database','222'),(376,'2020-04-23 20:44:20','debug','10 will be skipped','222'),(377,'2020-04-23 20:44:21','info','Import completed!','222'),(378,'2020-04-23 21:43:29','info','Beginning import for all feed sources',NULL),(379,'2020-04-23 21:43:44','info','Starting import of feed 251','251'),(380,'2020-04-23 21:43:44','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(381,'2020-04-23 21:43:47','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(382,'2020-04-23 21:43:47','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(383,'2020-04-23 21:43:47','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(384,'2020-04-23 21:43:47','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(385,'2020-04-23 21:43:47','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(386,'2020-04-23 21:43:47','debug','Item \"Have you learned how to play SPADEs in the new world of PDPM?\" already exists in the database','251'),(387,'2020-04-23 21:43:47','debug','Item \"NIH releases COVID-19 treatment guidelines, warns against drug combo\" already exists in the database','251'),(388,'2020-04-23 21:43:47','debug','Item \"Activity options can help lower depression risks during lockdown, researchers find\" already exists in the database','251'),(389,'2020-04-23 21:43:47','debug','Item \"Same-day physician access leads to fewer resident hospitalizations, ED visits\" already exists in the database','251'),(390,'2020-04-23 21:43:47','debug','Item \"Today is the day! Experts offer COVID-19 insights at McKnight’s Online Forum\" already exists in the database','251'),(391,'2020-04-23 21:43:47','debug','10 will be skipped','251'),(392,'2020-04-23 21:43:47','info','Import completed!','251'),(393,'2020-04-23 21:43:47','info','Starting import of feed 240','240'),(394,'2020-04-23 21:43:47','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(395,'2020-04-23 21:43:49','debug','10 items in the feed, 6 items after applying limit','240'),(396,'2020-04-23 21:43:49','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(397,'2020-04-23 21:43:49','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(398,'2020-04-23 21:43:49','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(399,'2020-04-23 21:43:49','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(400,'2020-04-23 21:43:49','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(401,'2020-04-23 21:43:49','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(402,'2020-04-23 21:43:49','debug','6 will be skipped','240'),(403,'2020-04-23 21:43:49','info','Import completed!','240'),(404,'2020-04-23 21:43:49','info','Starting import of feed 233','233'),(405,'2020-04-23 21:43:49','debug','Feed source URL: https://khn.org/feed/','233'),(406,'2020-04-23 21:43:50','debug','10 items in the feed, 6 items after applying limit','233'),(407,'2020-04-23 21:43:50','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(408,'2020-04-23 21:43:50','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(409,'2020-04-23 21:43:50','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; Who Is Really Pushing The Reopen Protests?\" already exists in the database','233'),(410,'2020-04-23 21:43:50','debug','Item \"‘Uncharted Territory’: Pandemic Set To Push Millions More To Brink Of Starvation In Poor Nations, UN Food Agency Reports\" already exists in the database','233'),(411,'2020-04-23 21:43:50','debug','Item \"Nearly Half Of Primary Care Physicians Expect Pay Cuts This Month\" already exists in the database','233'),(412,'2020-04-23 21:43:50','debug','Item \"Treatment Experts Question Penalties For Opioid Overdose Victims Breaking Stay-At-Home Orders\" already exists in the database','233'),(413,'2020-04-23 21:43:50','debug','6 will be skipped','233'),(414,'2020-04-23 21:43:50','info','Import completed!','233'),(415,'2020-04-23 21:43:50','info','Starting import of feed 222','222'),(416,'2020-04-23 21:43:50','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(417,'2020-04-23 21:43:52','debug','10 items in the feed, 10 items after applying limit','222'),(418,'2020-04-23 21:43:52','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(419,'2020-04-23 21:43:52','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(420,'2020-04-23 21:43:52','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(421,'2020-04-23 21:43:52','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(422,'2020-04-23 21:43:52','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(423,'2020-04-23 21:43:52','debug','Item \"Coronavirus Daily Update: Interim Launches PPE Tool; FDA Approves In-Home COVID-19 Test\" already exists in the database','222'),(424,'2020-04-23 21:43:52','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(425,'2020-04-23 21:43:52','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(426,'2020-04-23 21:43:52','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(427,'2020-04-23 21:43:52','debug','9 will be skipped','222'),(428,'2020-04-23 21:43:52','debug','Saving item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\"','222'),(429,'2020-04-23 21:43:52','info','Import completed!','222'),(430,'2020-04-23 23:21:07','info','Beginning import for all feed sources',NULL),(431,'2020-04-23 23:22:45','info','Starting import of feed 251','251'),(432,'2020-04-23 23:22:45','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(433,'2020-04-23 23:22:50','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(434,'2020-04-23 23:22:50','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(435,'2020-04-23 23:22:50','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(436,'2020-04-23 23:22:50','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(437,'2020-04-23 23:22:50','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(438,'2020-04-23 23:22:50','debug','Item \"Have you learned how to play SPADEs in the new world of PDPM?\" already exists in the database','251'),(439,'2020-04-23 23:22:50','debug','6 will be skipped','251'),(440,'2020-04-23 23:22:50','debug','Saving item \"Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue\"','251'),(441,'2020-04-23 23:22:50','debug','Saving item \"Food combinations may affect dementia risk, researchers suggest\"','251'),(442,'2020-04-23 23:22:50','debug','Saving item \"Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds\"','251'),(443,'2020-04-23 23:22:50','debug','Saving item \"Clinical Briefs for Friday, April 24\"','251'),(444,'2020-04-23 23:22:50','info','Import completed!','251'),(445,'2020-04-23 23:22:50','info','Starting import of feed 240','240'),(446,'2020-04-23 23:22:50','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(447,'2020-04-23 23:22:51','debug','10 items in the feed, 6 items after applying limit','240'),(448,'2020-04-23 23:22:51','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(449,'2020-04-23 23:22:51','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(450,'2020-04-23 23:22:51','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(451,'2020-04-23 23:22:51','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(452,'2020-04-23 23:22:51','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(453,'2020-04-23 23:22:51','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(454,'2020-04-23 23:22:51','debug','6 will be skipped','240'),(455,'2020-04-23 23:22:51','info','Import completed!','240'),(456,'2020-04-23 23:22:51','info','Starting import of feed 233','233'),(457,'2020-04-23 23:22:51','debug','Feed source URL: https://khn.org/feed/','233'),(458,'2020-04-23 23:22:52','debug','10 items in the feed, 6 items after applying limit','233'),(459,'2020-04-23 23:22:52','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(460,'2020-04-23 23:22:52','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(461,'2020-04-23 23:22:52','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; Who Is Really Pushing The Reopen Protests?\" already exists in the database','233'),(462,'2020-04-23 23:22:52','debug','Item \"‘Uncharted Territory’: Pandemic Set To Push Millions More To Brink Of Starvation In Poor Nations, UN Food Agency Reports\" already exists in the database','233'),(463,'2020-04-23 23:22:52','debug','Item \"Nearly Half Of Primary Care Physicians Expect Pay Cuts This Month\" already exists in the database','233'),(464,'2020-04-23 23:22:52','debug','Item \"Treatment Experts Question Penalties For Opioid Overdose Victims Breaking Stay-At-Home Orders\" already exists in the database','233'),(465,'2020-04-23 23:22:52','debug','6 will be skipped','233'),(466,'2020-04-23 23:22:52','info','Import completed!','233'),(467,'2020-04-23 23:22:52','info','Starting import of feed 222','222'),(468,'2020-04-23 23:22:52','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(469,'2020-04-23 23:22:54','debug','10 items in the feed, 10 items after applying limit','222'),(470,'2020-04-23 23:22:54','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(471,'2020-04-23 23:22:54','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(472,'2020-04-23 23:22:54','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(473,'2020-04-23 23:22:54','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(474,'2020-04-23 23:22:54','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(475,'2020-04-23 23:22:54','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(476,'2020-04-23 23:22:54','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(477,'2020-04-23 23:22:54','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(478,'2020-04-23 23:22:54','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(479,'2020-04-23 23:22:54','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(480,'2020-04-23 23:22:54','debug','10 will be skipped','222'),(481,'2020-04-23 23:22:54','info','Import completed!','222'),(482,'2020-04-24 00:10:59','info','Beginning import for all feed sources',NULL),(483,'2020-04-24 00:11:00','info','Starting import of feed 251','251'),(484,'2020-04-24 00:11:00','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(485,'2020-04-24 00:11:04','debug','Item \"Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue\" already exists in the database','251'),(486,'2020-04-24 00:11:04','debug','Item \"Food combinations may affect dementia risk, researchers suggest\" already exists in the database','251'),(487,'2020-04-24 00:11:04','debug','Item \"Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds\" already exists in the database','251'),(488,'2020-04-24 00:11:04','debug','Item \"Clinical Briefs for Friday, April 24\" already exists in the database','251'),(489,'2020-04-24 00:11:04','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(490,'2020-04-24 00:11:04','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(491,'2020-04-24 00:11:04','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(492,'2020-04-24 00:11:04','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(493,'2020-04-24 00:11:04','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(494,'2020-04-24 00:11:04','debug','9 will be skipped','251'),(495,'2020-04-24 00:11:04','debug','Saving item \"Post-intensive Care Syndrome — what SNFs need to know\"','251'),(496,'2020-04-24 00:11:04','info','Import completed!','251'),(497,'2020-04-24 00:11:04','info','Starting import of feed 240','240'),(498,'2020-04-24 00:11:04','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(499,'2020-04-24 00:11:07','debug','10 items in the feed, 6 items after applying limit','240'),(500,'2020-04-24 00:11:07','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(501,'2020-04-24 00:11:07','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(502,'2020-04-24 00:11:07','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(503,'2020-04-24 00:11:07','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(504,'2020-04-24 00:11:07','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(505,'2020-04-24 00:11:07','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(506,'2020-04-24 00:11:07','debug','6 will be skipped','240'),(507,'2020-04-24 00:11:07','info','Import completed!','240'),(508,'2020-04-24 00:11:07','info','Starting import of feed 233','233'),(509,'2020-04-24 00:11:07','debug','Feed source URL: https://khn.org/feed/','233'),(510,'2020-04-24 00:11:07','debug','10 items in the feed, 6 items after applying limit','233'),(511,'2020-04-24 00:11:07','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(512,'2020-04-24 00:11:07','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(513,'2020-04-24 00:11:07','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; Who Is Really Pushing The Reopen Protests?\" already exists in the database','233'),(514,'2020-04-24 00:11:07','debug','Item \"‘Uncharted Territory’: Pandemic Set To Push Millions More To Brink Of Starvation In Poor Nations, UN Food Agency Reports\" already exists in the database','233'),(515,'2020-04-24 00:11:07','debug','Item \"Nearly Half Of Primary Care Physicians Expect Pay Cuts This Month\" already exists in the database','233'),(516,'2020-04-24 00:11:07','debug','Item \"Treatment Experts Question Penalties For Opioid Overdose Victims Breaking Stay-At-Home Orders\" already exists in the database','233'),(517,'2020-04-24 00:11:07','debug','6 will be skipped','233'),(518,'2020-04-24 00:11:07','info','Import completed!','233'),(519,'2020-04-24 00:11:07','info','Starting import of feed 222','222'),(520,'2020-04-24 00:11:07','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(521,'2020-04-24 00:11:11','debug','10 items in the feed, 10 items after applying limit','222'),(522,'2020-04-24 00:11:11','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(523,'2020-04-24 00:11:11','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(524,'2020-04-24 00:11:11','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(525,'2020-04-24 00:11:11','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(526,'2020-04-24 00:11:11','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(527,'2020-04-24 00:11:11','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(528,'2020-04-24 00:11:11','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(529,'2020-04-24 00:11:11','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(530,'2020-04-24 00:11:11','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(531,'2020-04-24 00:11:11','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(532,'2020-04-24 00:11:11','debug','10 will be skipped','222'),(533,'2020-04-24 00:11:11','info','Import completed!','222'),(534,'2020-04-24 00:44:49','info','Beginning import for all feed sources',NULL),(535,'2020-04-24 00:46:50','info','Starting import of feed 251','251'),(536,'2020-04-24 00:46:50','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(537,'2020-04-24 00:46:53','debug','Item \"Post-intensive Care Syndrome — what SNFs need to know\" already exists in the database','251'),(538,'2020-04-24 00:46:53','debug','Item \"Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue\" already exists in the database','251'),(539,'2020-04-24 00:46:53','debug','Item \"Food combinations may affect dementia risk, researchers suggest\" already exists in the database','251'),(540,'2020-04-24 00:46:53','debug','Item \"Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds\" already exists in the database','251'),(541,'2020-04-24 00:46:53','debug','Item \"Clinical Briefs for Friday, April 24\" already exists in the database','251'),(542,'2020-04-24 00:46:53','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(543,'2020-04-24 00:46:53','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(544,'2020-04-24 00:46:53','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(545,'2020-04-24 00:46:53','debug','Item \"Also in the News for Thursday, April 23\" already exists in the database','251'),(546,'2020-04-24 00:46:53','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(547,'2020-04-24 00:46:53','debug','10 will be skipped','251'),(548,'2020-04-24 00:46:53','info','Import completed!','251'),(549,'2020-04-24 00:46:53','info','Starting import of feed 240','240'),(550,'2020-04-24 00:46:53','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(551,'2020-04-24 00:46:56','debug','10 items in the feed, 6 items after applying limit','240'),(552,'2020-04-24 00:46:56','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(553,'2020-04-24 00:46:56','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(554,'2020-04-24 00:46:56','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(555,'2020-04-24 00:46:56','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(556,'2020-04-24 00:46:56','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(557,'2020-04-24 00:46:56','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(558,'2020-04-24 00:46:56','debug','6 will be skipped','240'),(559,'2020-04-24 00:46:56','info','Import completed!','240'),(560,'2020-04-24 00:46:56','info','Starting import of feed 233','233'),(561,'2020-04-24 00:46:56','debug','Feed source URL: https://khn.org/feed/','233'),(562,'2020-04-24 00:46:57','debug','10 items in the feed, 6 items after applying limit','233'),(563,'2020-04-24 00:46:57','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(564,'2020-04-24 00:46:57','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(565,'2020-04-24 00:46:57','debug','Item \"Perspectives: Responsible Public Health Plans Need To Follow Governors’ Decisions To Reopen States; Who Is Really Pushing The Reopen Protests?\" already exists in the database','233'),(566,'2020-04-24 00:46:57','debug','Item \"‘Uncharted Territory’: Pandemic Set To Push Millions More To Brink Of Starvation In Poor Nations, UN Food Agency Reports\" already exists in the database','233'),(567,'2020-04-24 00:46:57','debug','Item \"Nearly Half Of Primary Care Physicians Expect Pay Cuts This Month\" already exists in the database','233'),(568,'2020-04-24 00:46:57','debug','Item \"Treatment Experts Question Penalties For Opioid Overdose Victims Breaking Stay-At-Home Orders\" already exists in the database','233'),(569,'2020-04-24 00:46:57','debug','6 will be skipped','233'),(570,'2020-04-24 00:46:57','info','Import completed!','233'),(571,'2020-04-24 00:46:57','info','Starting import of feed 222','222'),(572,'2020-04-24 00:46:57','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(573,'2020-04-24 00:47:00','debug','10 items in the feed, 10 items after applying limit','222'),(574,'2020-04-24 00:47:00','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(575,'2020-04-24 00:47:00','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(576,'2020-04-24 00:47:00','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(577,'2020-04-24 00:47:00','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(578,'2020-04-24 00:47:00','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(579,'2020-04-24 00:47:00','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(580,'2020-04-24 00:47:00','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(581,'2020-04-24 00:47:00','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(582,'2020-04-24 00:47:00','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(583,'2020-04-24 00:47:00','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(584,'2020-04-24 00:47:00','debug','10 will be skipped','222'),(585,'2020-04-24 00:47:00','info','Import completed!','222'),(586,'2020-04-24 01:43:27','info','Beginning import for all feed sources',NULL),(587,'2020-04-24 01:45:27','info','Starting import of feed 251','251'),(588,'2020-04-24 01:45:27','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(589,'2020-04-24 01:45:30','debug','Item \"Post-intensive Care Syndrome — what SNFs need to know\" already exists in the database','251'),(590,'2020-04-24 01:45:30','debug','Item \"Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue\" already exists in the database','251'),(591,'2020-04-24 01:45:30','debug','Item \"Food combinations may affect dementia risk, researchers suggest\" already exists in the database','251'),(592,'2020-04-24 01:45:30','debug','Item \"Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds\" already exists in the database','251'),(593,'2020-04-24 01:45:30','debug','Item \"Clinical Briefs for Friday, April 24\" already exists in the database','251'),(594,'2020-04-24 01:45:30','debug','Item \"Asymptomatic COVID-19 carriers getting tested as nursing homes’ pleas for help intensify\" already exists in the database','251'),(595,'2020-04-24 01:45:30','debug','Item \"NYC under fire for placing COVID-19 patients in nursing home\" already exists in the database','251'),(596,'2020-04-24 01:45:30','debug','Item \"Coronavirus testing paused after labeling, leakage issues with kits\" already exists in the database','251'),(597,'2020-04-24 01:45:30','debug','Item \"First responders ‘sound off’ to honor NY nursing home after it releases first COVID-19 patient\" already exists in the database','251'),(598,'2020-04-24 01:45:30','debug','9 will be skipped','251'),(599,'2020-04-24 01:45:30','debug','Saving item \"Things to remember when submitting PBJ data\"','251'),(600,'2020-04-24 01:45:30','info','Import completed!','251'),(601,'2020-04-24 01:45:30','info','Starting import of feed 240','240'),(602,'2020-04-24 01:45:30','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(603,'2020-04-24 01:45:33','debug','10 items in the feed, 6 items after applying limit','240'),(604,'2020-04-24 01:45:33','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(605,'2020-04-24 01:45:33','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(606,'2020-04-24 01:45:33','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(607,'2020-04-24 01:45:33','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(608,'2020-04-24 01:45:33','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(609,'2020-04-24 01:45:33','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(610,'2020-04-24 01:45:33','debug','6 will be skipped','240'),(611,'2020-04-24 01:45:33','info','Import completed!','240'),(612,'2020-04-24 01:45:33','info','Starting import of feed 233','233'),(613,'2020-04-24 01:45:33','debug','Feed source URL: https://khn.org/feed/','233'),(614,'2020-04-24 01:45:34','debug','10 items in the feed, 6 items after applying limit','233'),(615,'2020-04-24 01:45:34','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(616,'2020-04-24 01:45:34','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(617,'2020-04-24 01:45:34','debug','2 will be skipped','233'),(618,'2020-04-24 01:45:34','info','Deleted the oldest 4 items','233'),(619,'2020-04-24 01:45:34','debug','Saving item \"Coronavirus Crisis Opens Access To Online Opioid Addiction Treatment\"','233'),(620,'2020-04-24 01:45:34','debug','Saving item \"Biden Says OSHA Isn’t Doing Enough To Protect Workers’ From COVID-19\"','233'),(621,'2020-04-24 01:45:34','debug','Saving item \"The Other COVID Risks: How Race, Income, ZIP Code Influence Who Lives Or Dies\"','233'),(622,'2020-04-24 01:45:34','debug','Saving item \"OSHA Probing Health Worker Deaths But Urges Inspectors To Spare The Penalties\"','233'),(623,'2020-04-24 01:45:34','info','Import completed!','233'),(624,'2020-04-24 01:45:34','info','Starting import of feed 222','222'),(625,'2020-04-24 01:45:34','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(626,'2020-04-24 01:45:35','debug','10 items in the feed, 10 items after applying limit','222'),(627,'2020-04-24 01:45:35','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(628,'2020-04-24 01:45:35','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(629,'2020-04-24 01:45:35','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(630,'2020-04-24 01:45:35','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(631,'2020-04-24 01:45:35','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(632,'2020-04-24 01:45:35','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(633,'2020-04-24 01:45:35','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(634,'2020-04-24 01:45:35','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(635,'2020-04-24 01:45:35','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(636,'2020-04-24 01:45:35','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(637,'2020-04-24 01:45:35','debug','10 will be skipped','222'),(638,'2020-04-24 01:45:35','info','Import completed!','222'),(639,'2020-04-24 03:53:00','info','Beginning import for all feed sources',NULL),(640,'2020-04-24 05:05:53','info','Starting import of feed 251','251'),(641,'2020-04-24 05:05:53','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(642,'2020-04-24 05:05:57','debug','Item \"Things to remember when submitting PBJ data\" already exists in the database','251'),(643,'2020-04-24 05:05:57','debug','Item \"Post-intensive Care Syndrome — what SNFs need to know\" already exists in the database','251'),(644,'2020-04-24 05:05:57','debug','Item \"Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue\" already exists in the database','251'),(645,'2020-04-24 05:05:57','debug','Item \"Food combinations may affect dementia risk, researchers suggest\" already exists in the database','251'),(646,'2020-04-24 05:05:57','debug','Item \"Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds\" already exists in the database','251'),(647,'2020-04-24 05:05:57','debug','5 will be skipped','251'),(648,'2020-04-24 05:05:57','debug','Saving item \"More PPE supplies needed before elective surgeries can resume: providers\"','251'),(649,'2020-04-24 05:05:57','debug','Saving item \"Long-term care providers urged to prepare for widespread coronavirus testing\"','251'),(650,'2020-04-24 05:05:57','debug','Saving item \"Ensuring safety, education key in mitigating stress during pandemic, expert says\"','251'),(651,'2020-04-24 05:05:57','debug','Saving item \"Also in the News for Friday, April 24\"','251'),(652,'2020-04-24 05:05:57','debug','Saving item \"Show them what you really think from ground zero\"','251'),(653,'2020-04-24 05:05:57','info','Import completed!','251'),(654,'2020-04-24 05:05:57','info','Starting import of feed 240','240'),(655,'2020-04-24 05:05:57','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(656,'2020-04-24 05:06:00','debug','10 items in the feed, 6 items after applying limit','240'),(657,'2020-04-24 05:06:00','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(658,'2020-04-24 05:06:00','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(659,'2020-04-24 05:06:00','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(660,'2020-04-24 05:06:00','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(661,'2020-04-24 05:06:00','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(662,'2020-04-24 05:06:00','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(663,'2020-04-24 05:06:00','debug','6 will be skipped','240'),(664,'2020-04-24 05:06:00','info','Import completed!','240'),(665,'2020-04-24 05:06:00','info','Starting import of feed 233','233'),(666,'2020-04-24 05:06:00','debug','Feed source URL: https://khn.org/feed/','233'),(667,'2020-04-24 05:06:02','debug','10 items in the feed, 6 items after applying limit','233'),(668,'2020-04-24 05:06:02','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(669,'2020-04-24 05:06:02','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(670,'2020-04-24 05:06:02','debug','Item \"Coronavirus Crisis Opens Access To Online Opioid Addiction Treatment\" already exists in the database','233'),(671,'2020-04-24 05:06:02','debug','Item \"Biden Says OSHA Isn’t Doing Enough To Protect Workers’ From COVID-19\" already exists in the database','233'),(672,'2020-04-24 05:06:02','debug','Item \"The Other COVID Risks: How Race, Income, ZIP Code Influence Who Lives Or Dies\" already exists in the database','233'),(673,'2020-04-24 05:06:02','debug','Item \"OSHA Probing Health Worker Deaths But Urges Inspectors To Spare The Penalties\" already exists in the database','233'),(674,'2020-04-24 05:06:02','debug','6 will be skipped','233'),(675,'2020-04-24 05:06:02','info','Import completed!','233'),(676,'2020-04-24 05:06:02','info','Starting import of feed 222','222'),(677,'2020-04-24 05:06:02','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(678,'2020-04-24 05:06:04','debug','10 items in the feed, 10 items after applying limit','222'),(679,'2020-04-24 05:06:04','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(680,'2020-04-24 05:06:04','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(681,'2020-04-24 05:06:04','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(682,'2020-04-24 05:06:04','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(683,'2020-04-24 05:06:04','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(684,'2020-04-24 05:06:04','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(685,'2020-04-24 05:06:04','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(686,'2020-04-24 05:06:04','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(687,'2020-04-24 05:06:04','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(688,'2020-04-24 05:06:04','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(689,'2020-04-24 05:06:04','debug','10 will be skipped','222'),(690,'2020-04-24 05:06:04','info','Import completed!','222'),(691,'2020-04-24 05:06:04','info','Beginning import for all feed sources',NULL),(692,'2020-04-24 05:06:14','info','Starting import of feed 251','251'),(693,'2020-04-24 05:06:14','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(694,'2020-04-24 05:06:15','debug','Item \"More PPE supplies needed before elective surgeries can resume: providers\" already exists in the database','251'),(695,'2020-04-24 05:06:15','debug','Item \"Long-term care providers urged to prepare for widespread coronavirus testing\" already exists in the database','251'),(696,'2020-04-24 05:06:15','debug','Item \"Ensuring safety, education key in mitigating stress during pandemic, expert says\" already exists in the database','251'),(697,'2020-04-24 05:06:15','debug','Item \"Also in the News for Friday, April 24\" already exists in the database','251'),(698,'2020-04-24 05:06:15','debug','Item \"Show them what you really think from ground zero\" already exists in the database','251'),(699,'2020-04-24 05:06:15','debug','Item \"Things to remember when submitting PBJ data\" already exists in the database','251'),(700,'2020-04-24 05:06:15','debug','Item \"Post-intensive Care Syndrome — what SNFs need to know\" already exists in the database','251'),(701,'2020-04-24 05:06:15','debug','Item \"Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue\" already exists in the database','251'),(702,'2020-04-24 05:06:15','debug','Item \"Food combinations may affect dementia risk, researchers suggest\" already exists in the database','251'),(703,'2020-04-24 05:06:15','debug','Item \"Hearing loss ‘profoundly alters’ the brain and contributes to memory loss, study finds\" already exists in the database','251'),(704,'2020-04-24 05:06:15','debug','10 will be skipped','251'),(705,'2020-04-24 05:06:15','info','Import completed!','251'),(706,'2020-04-24 05:06:15','info','Starting import of feed 240','240'),(707,'2020-04-24 05:06:15','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(708,'2020-04-24 05:06:16','debug','10 items in the feed, 6 items after applying limit','240'),(709,'2020-04-24 05:06:16','debug','Item \"How Home Care Agencies Can Help Clients If They Don’t Need (or Qualify for) Services Any Longer\" already exists in the database','240'),(710,'2020-04-24 05:06:16','debug','Item \"New Medicare Rules Make It Harder for Some Clients to Continue Receiving In-Home Therapy Care Services\" already exists in the database','240'),(711,'2020-04-24 05:06:16','debug','Item \"Home Care May Help Reduce Social Isolation Among Seniors\" already exists in the database','240'),(712,'2020-04-24 05:06:16','debug','Item \"Medicare Reimbursement Rate Cuts Having a Direct Negative Impact on Accessibility to In-Home Care\" already exists in the database','240'),(713,'2020-04-24 05:06:16','debug','Item \"Throughout Much of Rural America, Home Care Needs Continue to Grow\" already exists in the database','240'),(714,'2020-04-24 05:06:16','debug','Item \"Home Care Makes a Difference Following a Hospital Stay\" already exists in the database','240'),(715,'2020-04-24 05:06:16','debug','6 will be skipped','240'),(716,'2020-04-24 05:06:16','info','Import completed!','240'),(717,'2020-04-24 05:06:16','info','Starting import of feed 233','233'),(718,'2020-04-24 05:06:16','debug','Feed source URL: https://khn.org/feed/','233'),(719,'2020-04-24 05:06:16','debug','10 items in the feed, 6 items after applying limit','233'),(720,'2020-04-24 05:06:16','debug','Item \"Abbott’s Fast COVID Test Poses Safety Issues, Lab Workers Say\" already exists in the database','233'),(721,'2020-04-24 05:06:16','debug','Item \"KHN’s ‘What The Health?’: Whom Do We Trust For COVID Info?\" already exists in the database','233'),(722,'2020-04-24 05:06:16','debug','Item \"Coronavirus Crisis Opens Access To Online Opioid Addiction Treatment\" already exists in the database','233'),(723,'2020-04-24 05:06:16','debug','Item \"Biden Says OSHA Isn’t Doing Enough To Protect Workers’ From COVID-19\" already exists in the database','233'),(724,'2020-04-24 05:06:16','debug','Item \"The Other COVID Risks: How Race, Income, ZIP Code Influence Who Lives Or Dies\" already exists in the database','233'),(725,'2020-04-24 05:06:16','debug','Item \"OSHA Probing Health Worker Deaths But Urges Inspectors To Spare The Penalties\" already exists in the database','233'),(726,'2020-04-24 05:06:16','debug','6 will be skipped','233'),(727,'2020-04-24 05:06:16','info','Import completed!','233'),(728,'2020-04-24 05:06:16','info','Starting import of feed 222','222'),(729,'2020-04-24 05:06:16','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(730,'2020-04-24 05:06:17','debug','10 items in the feed, 10 items after applying limit','222'),(731,'2020-04-24 05:06:17','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(732,'2020-04-24 05:06:17','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(733,'2020-04-24 05:06:17','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(734,'2020-04-24 05:06:17','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(735,'2020-04-24 05:06:17','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(736,'2020-04-24 05:06:17','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(737,'2020-04-24 05:06:17','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(738,'2020-04-24 05:06:17','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(739,'2020-04-24 05:06:17','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(740,'2020-04-24 05:06:17','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(741,'2020-04-24 05:06:17','debug','10 will be skipped','222'),(742,'2020-04-24 05:06:17','info','Import completed!','222'),(743,'2020-04-24 13:00:14','info','Beginning import for all feed sources',NULL),(744,'2020-04-24 13:07:55','info','Starting import of feed 251','251'),(745,'2020-04-24 13:07:55','debug','Feed source URL: https://www.mcknights.com/feed/','251'),(746,'2020-04-24 13:07:59','debug','Item \"More PPE supplies needed before elective surgeries can resume: providers\" already exists in the database','251'),(747,'2020-04-24 13:07:59','debug','Item \"Long-term care providers urged to prepare for widespread coronavirus testing\" already exists in the database','251'),(748,'2020-04-24 13:07:59','debug','Item \"Ensuring safety, education key in mitigating stress during pandemic, expert says\" already exists in the database','251'),(749,'2020-04-24 13:07:59','debug','Item \"Also in the News for Friday, April 24\" already exists in the database','251'),(750,'2020-04-24 13:07:59','debug','Item \"Show them what you really think from ground zero\" already exists in the database','251'),(751,'2020-04-24 13:07:59','debug','Item \"Things to remember when submitting PBJ data\" already exists in the database','251'),(752,'2020-04-24 13:07:59','debug','Item \"Post-intensive Care Syndrome — what SNFs need to know\" already exists in the database','251'),(753,'2020-04-24 13:07:59','debug','Item \"Seniors with COVID-19 showing unusual symptoms, plus: blood clotting an issue\" already exists in the database','251'),(754,'2020-04-24 13:07:59','debug','Item \"Food combinations may affect dementia risk, researchers suggest\" already exists in the database','251'),(755,'2020-04-24 13:07:59','debug','9 will be skipped','251'),(756,'2020-04-24 13:07:59','debug','Saving item \"LTC providers cast eye for more funding, gear\"','251'),(757,'2020-04-24 13:07:59','info','Import completed!','251'),(758,'2020-04-24 13:07:59','info','Starting import of feed 240','240'),(759,'2020-04-24 13:07:59','debug','Feed source URL: https://www.homecaredaily.com/feed','240'),(760,'2020-04-24 13:08:02','debug','10 items in the feed, 6 items after applying limit','240'),(761,'2020-04-24 13:08:02','debug','Item \"How Home Care Agencies Can Help 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13:08:02','debug','Saving item \"Seniors With COVID-19 Show Unusual Symptoms, Doctors Say\"','233'),(779,'2020-04-24 13:08:03','debug','Saving item \"Anti-Vaccine Activists Latch Onto Coronavirus To Bolster Their Movement\"','233'),(780,'2020-04-24 13:08:03','info','Import completed!','233'),(781,'2020-04-24 13:08:03','info','Starting import of feed 222','222'),(782,'2020-04-24 13:08:03','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(783,'2020-04-24 13:08:06','debug','10 items in the feed, 10 items after applying limit','222'),(784,'2020-04-24 13:08:06','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(785,'2020-04-24 13:08:06','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(786,'2020-04-24 13:08:06','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great 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exists in the database','251'),(802,'2020-04-24 23:44:28','debug','Item \"Ensuring safety, education key in mitigating stress during pandemic, expert says\" already exists in the database','251'),(803,'2020-04-24 23:44:28','debug','Item \"Also in the News for Friday, April 24\" already exists in the database','251'),(804,'2020-04-24 23:44:28','debug','Item \"Show them what you really think from ground zero\" already exists in the database','251'),(805,'2020-04-24 23:44:28','debug','Item \"Things to remember when submitting PBJ data\" already exists in the database','251'),(806,'2020-04-24 23:44:28','debug','Item \"Post-intensive Care Syndrome — what SNFs need to know\" already exists in the database','251'),(807,'2020-04-24 23:44:28','debug','8 will be skipped','251'),(808,'2020-04-24 23:44:28','debug','Saving item \"Making the case for universal, on-demand testing in nursing homes and assisted living facilities\"','251'),(809,'2020-04-24 23:44:28','debug','Saving item \"Clinical 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in the database','233'),(827,'2020-04-24 23:44:29','debug','Item \"Seniors With COVID-19 Show Unusual Symptoms, Doctors Say\" already exists in the database','233'),(828,'2020-04-24 23:44:29','debug','Item \"Anti-Vaccine Activists Latch Onto Coronavirus To Bolster Their Movement\" already exists in the database','233'),(829,'2020-04-24 23:44:29','debug','4 will be skipped','233'),(830,'2020-04-24 23:44:29','info','Deleted the oldest 2 items','233'),(831,'2020-04-24 23:44:29','debug','Saving item \"Lost On The Frontline\"','233'),(832,'2020-04-24 23:44:29','debug','Saving item \"Must-Reads Of The Week From Brianna Labuskes\"','233'),(833,'2020-04-24 23:44:29','info','Import completed!','233'),(834,'2020-04-24 23:44:29','info','Starting import of feed 222','222'),(835,'2020-04-24 23:44:29','debug','Feed source URL: https://homehealthcarenews.com/feed/','222'),(836,'2020-04-24 23:44:30','debug','10 items in the feed, 10 items after applying limit','222'),(837,'2020-04-24 23:44:30','debug','Item \"Coronavirus Daily Update: House Passes $484B Relief Package; Unemployment Rises\" already exists in the database','222'),(838,'2020-04-24 23:44:30','debug','Item \"HHS Hoping to Remedy Emergency Payment Shortcomings in New $40B Funding Round\" already exists in the database','222'),(839,'2020-04-24 23:44:30','debug','Item \"Home Helpers CEO: FDA’s Approval of At-Home COVID-19 Test Is ‘a Great First Step’\" already exists in the database','222'),(840,'2020-04-24 23:44:30','debug','Item \"Providence Home Health Hopes Data Tracking Could Help With Financial Recovery Post-Coronavirus\" already exists in the database','222'),(841,'2020-04-24 23:44:30','debug','Item \"Possible COVID-19 Hotspots for Home Health Providers to Watch\" already exists in the database','222'),(842,'2020-04-24 23:44:30','debug','Item \"The New Normal: Day in the Life of BrightSpring’s Home Health Leader Amid COVID-19\" already exists in the database','222'),(843,'2020-04-24 23:44:30','debug','Item \"Humana, National Quality Forum Execs: Future Payment Models Must Consider Social Determinants of Health\" already exists in the database','222'),(844,'2020-04-24 23:44:30','debug','Item \"Home Care Companies Accelerate Medicare Advantage Strategies Despite COVID-19 Uncertainty\" already exists in the database','222'),(845,'2020-04-24 23:44:30','debug','Item \"Fast-Growing Home Care Industry Still Dominated by Small Providers\" already exists in the database','222'),(846,'2020-04-24 23:44:30','debug','Item \"Coronavirus Paving the Way for Home Infusion Services Moving Forward\" already exists in the database','222'),(847,'2020-04-24 23:44:30','debug','10 will be skipped','222'),(848,'2020-04-24 23:44:30','info','Import completed!','222');




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