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medicine

SPORTS MEDICINE: Drew Brees poster boy for wreck of a football season | John Doherty

Name: Walter Payton

Best decade: 1970s

Nickname: Sweetness

Position: Running back

Seasons played with Bears: 13

Career Highlights: Walter Payton might be regarded as the greatest Chicago Bear of all time and one of the best to ever play, according to fans and media. 

Payton’s professional origin began in 1975 when the Bears selected him in the first round of the NFL Draft. He was the fourth overall pick.

The Bears hadn’t had a winning season or a great running back since Gale Sayers retired in 1972. Payton was a gift the Bears needed from the football gods. 

However, his rookie season showed otherwise. He finished with 679 yards and seven touchdowns, but led the league in yards per kickoff return.

Payton was ready to improve for the following season. 

In 1976, Payton rushed for 1,390 yards and scored 13 touchdowns. He played in the 1977 Pro Bowl and won the MVP award for the game. 

Payton’s early years of improving never stopped. In his 1977 season, Payton rushed for 1,852 yards and scored 16 touchdowns. He was the league’s leading scorer that season. 

On October 7, 1984 Payton broke the NFL’s career rushing record. 

In 1985 — the best year in the history of Chicago football — Payton rushed for more than 1,500 yards and helped the Bears get to Super Bowl XX. 

Mike Ditka, who coached the winning Super Bowl team, said that one of the biggest regrets he made in his life was not letting Payton score a touchdown in the game, using quarterback Jim McMahon and defensive tackle William Perry to run the ball instead.

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fitness

Man City’s Bundesliga midfield target is ‘keen to move’ at the end of the season

Sky Germany, as translated by Inside Futbol, have reported on Tuesday morning that Manchester City target Denis Zakaria is ‘keen to move‘ on from Borussia Monchengladbach at the end of the season – providing fans with even more to speculate about when it comes to midfield targets ahead of next summer. 

The Swiss midfielder reportedly wants a ‘fresh start‘ and feels he is ‘ready to play for a bigger club on a bigger stage‘, as per the claims of Sky Germany.

However, what is interesting to note from the latest claims surrounding the midfielder is that any potential transfer is reportedly hinging on the player proving his fitness in the second-half of the season, after sustaining a serious knee injury in the spring.

fbl-ger-bundesliga-moenchengladbach-mainz (3)

His potential suitors, presumably including Manchester City, are monitoring his fitness closely and will watch how well he returns to action in the second-half of the season.

Denis Zakaria could be the powerful, ball-carrying midfielder that City have been missing since club legend Yaya Toure departed in 2018. The ‘Gladbach midfielder has scored eight goals and assisted on six occasions in his 96 appearances for the Bundesliga side.

borussia-moenchengladbach-v-eintracht-frankfurt-bundesliga

Popular statistics website Transfermarkt value the 23 year-old at £33 million, however at his age and the high-esteem in which clubs around Europe hold him, a player of his skillset and potential could possibly cost nearly double that. A previous report from BILD last month suggested that Manchester City were preparing a bid in the region of £40 million for the player – thus defending the view that the player could be worth significantly more than his valuation.

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You can follow us for live transfer updates here: @City_Xtra

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medicine

Clackamas Volunteers in Medicine helps patients prioritize their own health care: Season of Sharing 2020

In the 21 years since Miriam Patino Sanchez came to Oregon, things haven’t always been easy.

The mother of four, who emigrated from Mexico at 26, is a full-time caregiver for her daughter with special needs and has faced health problems herself. It wasn’t always possible to address her own issues.

A few years ago at the urging of a friend, she applied to Clackamas Volunteers in Medicine, a free clinic in Oregon City.

For the first time in years, she found she was getting her health needs met without worrying about getting turned away or encountering a language barrier.

“I’ve found that no matter where you’re from, there’s no discrimination — that’s not a factor in receiving treatment,” Patino Sanchez told The Oregonian/OregonLive through an interpreter.

Clackamas Volunteers in Medicine is a beneficiary of The Oregonian/OregonLive’s 2020 Season of Sharing holiday fundraising campaign.

>>To donate: Season of Sharing GoFundMe page

In the five years that Patino Sanchez, 47, attended the clinic, she got treatment for her hyperthyroidism and fibromyalgia, and a free inhaler for her asthma.

The clinic also took its own measures to help Patino Sanchez, offering her services before she even asked for them. After she had hemorrhoid surgery, Patino Sanchez was still in a lot of pain. A doctor from the clinic determined that the surgery had not been done well, and called in a specialist to fix the problem.

“If I hadn’t had anyone to go to, I would have been suffering — I’d have been in a world of hurt for who knows how long,” she said.

Clackamas Volunteers in Medicine’s development director, Rebekah Singh, said many patients, like Patino Sanchez, are in a position where it’s difficult to prioritize their own health care.

“Most of our patients are $15-per-hour wage workers, who are sometimes holding multiple jobs,” Singh said. “Their employers hold them under 32 hours (a week) to avoid having to provide benefits.”

Many also have chronic health issues like hypertension or diabetes, which could be easily managed with proper care.

The Volunteers in Medicine organization has clinics nationwide, but the Clackamas branch, the first in Oregon, opened in 2011. It was started by local doctors with the goal of providing health care to those who couldn’t get it elsewhere.

The clinic is staffed by about 200 volunteers and five paid employees. Volunteers include doctors, some of whom are retired, as well as lab technicians, nurses and nurse practitioners. There are five paid administrative staff members. The clinic serves about 700 people a year, many of whom don’t have health insurance, or earn just above the rate to qualify for the Oregon Health Plan for low-income earners.

The organization operates on a budget of $400,000 annually, with 60% of its revenue coming from grant funding. About 40% comes from community funds, including donations and a yearly fundraiser.

Although Patino Sanchez received health insurance this year through Project Access NOW, which helps insure Oregonians, she has urged friends to seek out Clackamas Volunteers

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health

Ferry Season Returns To St. Pete With COVID-19 Safety Precautions

ST. PETERSBURG, FL — Ferry season opens in St. Petersburg on Sunday as Cross Bay Ferry returns to its fourth season with coronavirus safety precautions aboard the boat.

The ferry, Provincetown III, will operate at full capacity with everyone being required to wear masks while indoors, according to a news release.

A crew will sanitize door handles, rails and other areas of the ferry before every group of passengers gets on and during the 50-minute trip across the bay.

Courted off sections are indoors to maintain social distancing and plastic dividers have been placed in areas to keep sections separated.

“We are confident that we can provide reliable and safe service even at full capacity and still maintain social distancing guidelines, but we are monitoring it and will adjust as needed,” Kevin Fisher, general manager of the Cross Bay Ferry said.

Food and beverage services are offered on the ferry, and bikes are allowed. Wi-Fi is also provided.

The ferry can hold a maximum of 149 passengers.

Ferry trips run from The St. Petersburg Ferry Terminal, 375 Bayshore Drive NE to the Tampa Convention Center.

Services are offered Wednesday through Sunday and can be booked online at Cross Bay Ferry or dockside ticket booths.

Ferry season is from Nov. 1 through Apr. 30.

Provincetown III departs St. Pete on Wednesdays and Thursdays at 4:45 p.m. and 9:30 p.m, and makes its round trip back from Tampa at 6:15 p.m. and 10:45 p.m. For the full schedule, click here.

A one way ticket for adults is $10 and $20 for a round trip. For the full list of prices and discounts, visit its website.

The Cross Bay Ferry is a collaboration between St. Petersburg, Tampa, Hillsborough County and Pinellas County.

This article originally appeared on the St. Pete Patch

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health

US death toll could rise to 256,000 by Thanksgiving season, CDC says

As the number of coronavirus cases in the United States nears 9 million, the Centers for Disease Control and Prevention forecast the death toll from Covid-19 could rise to as high as 256,000 just before Thanksgiving.



a group of people sitting in a chair: AUSTIN, TEXAS - AUGUST 04: (EDITORIAL USE ONLY) Medics with Austin-Travis County EMS transport a man with potential COVID-19 symptoms to a hospital on August 04, 2020 in Austin, Texas. Texas has had the third-highest number of coronavirus cases in the United States, following Florida and California. (Photo by John Moore/Getty Images)


© John Moore/Getty Images North America/Getty Images
AUSTIN, TEXAS – AUGUST 04: (EDITORIAL USE ONLY) Medics with Austin-Travis County EMS transport a man with potential COVID-19 symptoms to a hospital on August 04, 2020 in Austin, Texas. Texas has had the third-highest number of coronavirus cases in the United States, following Florida and California. (Photo by John Moore/Getty Images)

The ensemble forecast, published by the CDC Thursday, projects the best-case scenario is 243,000 deaths — and the worst-case is 256,000 deaths — by November 21.

At least 228,143 people have already died from Covid-19 in the United States, according to data compiled by Johns Hopkins University, and about 8.92 million cases have been reported as of Thursday afternoon.

Across the country, 41 states had at least 10% more new Covid-19 cases this past week compared to the previous week, according to data from the university.

Dr. Scott Gottlieb, former commissioner of the US Food and Drug Administration, said he believes 100,000 new cases per day in the US is imminent.

“We’ll cross 100,000 infections at some point in the next couple of weeks, probably. We might do it this week, if all the states report on time,” Gottlieb said.

Gottlieb, who was appointed by President Donald Trump to lead the FDA in 2017, said this surge is due to the public’s behavior and lack of caution.

“The reality is that I think we’re not going to start to see a slowdown in the pandemic until you see consumer behavior change, and until you see mobility data start to decline,” he said.

“That’s been the lesson of the past surges in the virus.”

States continue to see Covid-19 cases at all-time highs

These days, many Covid-19 high marks are short-lived as states grapple with skyrocketing infections and hospitalizations.

For the second time in five days, Ohio set a new high for most new Covid-19 cases in one day — 3,590, Gov. Mike DeWine said Thursday.

Ohio also saw its third-highest day of Covid-19 hospitalizations in the past 24 hours.

“The virus is raging throughout the state, and there is no place to hide,” DeWine said.

“We must face this virus head-on with the tools that we know can beat this virus back: masks, social distancing, washing hands frequently, and good ventilation when inside.”

North Dakota broke its record for daily new cases Thursday — the second time in a week — with 1,222 new infections reported. About 13% of staffed hospital beds remain available in the state.

The number of new cases keeps outpacing the number of new tests.

The average number of daily new cases this past week is up 24% compared to the previous week, according to Johns Hopkins.

But testing has increased only 8.52% over the same time frame, according to

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health

Arkansas reports first flu death of the season

As several areas of the country struggle to contain surging cases of the novel coronavirus, another infectious disease poses a threat to many: the seasonal flu, which has already killed at least one person in Arkansas. 

The Arkansas Department of Health in its most recent weekly influenza report announced the first flu death in the state of the 2020-21 season in a resident who was 65 or older, per the report, which is current as of Oct. 24. No other details were provided. 

Medical experts have urged Americans to remain diligent this year in protecting themselves against the flu amid the ongoing coronavirus epidemic in the country.  

Medical experts have urged Americans to remain diligent this year in protecting themselves against the flu amid the ongoing coronavirus epidemic in the country.  
(iStock)

Additionally, since the end of September, some 118 people have tested positive for the flu in the state. At least 11 of the positives were included in the health department’s most recent report. 

Medical experts have urged Americans to remain diligent this year in protecting themselves against the flu amid the ongoing coronavirus pandemic.  

MAJORITY OF AMERICANS SAY FLU SHOT IS BEST PREVENTATIVE MEASURE, BUT ONLY THIS MANY WILL GET IT

“It’s particularly important to get vaccinated [against the flu] this year because of the ongoing COVID pandemic: We want people to stay as healthy as possible,” Michelle Lin, an emergency room doctor and professor of emergency medicine at Mount Sinai in New York City, previously told Fox News. “Since people are trying to stay home and out of the doctor’s office [and/or] ER, there has been a push to make the vaccine available widely earlier.”

Interestingly, however, the results of a survey commissioned by the National Foundation for Infectious Disease (NFID) and conducted by NORC at the University of Chicago found that while most participants agreed the vaccine is the best protection against flu, a smaller percentage actually plan to be inoculated.

In a survey of 1,000 adults ages 18 or older from across the country, 68% agreed that receiving the flu vaccine is the “best preventive measure against flu-related deaths and hospitalizations,” up from 61% the year before.

SHOULD YOU GET THE FLU SHOT? WHAT TO KNOW ABOUT THE 2020-21 FLU SEASON

But by comparison, only 59% of respondents said they actually plan to be vaccinated against the flu, with 15% saying they are unsure. (For context, 52% of respondents in 2019 said they planned to receive the flu vaccine that year.)

“The flu shot is incredibly important because it reduces your risk of contracting the flu,“ added Lin, noting the vaccine “also reduces your risk for complications and passing it to other people, especially pregnant women, young children and the elderly,” who are more susceptible to the virus.

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health

Wisconsin breaks Covid-19 records as hospitals brace for flu season

MADISON, Wis. – Inside UW Health, the Covid-19 units keep growing — and the stress is rising.

“The people we’re seeing in here are very sick,” nurse Katie Lanoway said. “They are lonely. They are dealing with this alone and it’s becoming increasingly harder for us to try to manage, and playing all these different roles: playing the nurse, playing the support person. It’s very difficult.”

NBC News received a rare tour of one of thee units, which had previously reached its capacity of 28 beds. It’s currently down to about 20 patients. At first, the unit stretched just one hallway. Now, it’s four.

Image: Dr Gavinski (NBC News)
Image: Dr Gavinski (NBC News)

On Friday, Wisconsin reported a seven-day rolling average of its positivity rate: 22.7 percent. (That’s the percentage of tests that come back positive.) The same rate in New York is currently barely above 1 percent — and even that’s considered risky.

Wisconsin also set several records: most cases in a seven-day period (24,292)l the highest average cases per day (3,470) and the highest average coronavirus-related deaths per day (24).

Almost all of the state’s 72 counties now have what public health officials say is a “very high” level of the virus.

“It’s terrifying,” said Dr. Katie Gavinski, who started working at UW Health in Madison this summer. “I’m very scared that if this doesn’t stop soon, we’re going to end up with a much bigger problem come winter and flu season.”

The shifts are taking their toll.

“It’s devastating to see someone struggling to breathe,” Gavinski said. “You can see the fear in their eyes. You can see how scared they are.”

UW Health has had months to prepare, putting it in a better position than most. It has adequate personal protective equipment and it has the space to be able to rearrange Covid-19 wards. But if the flu season creates another surge of patients, staffing could be a challenge.

Dr. Jeff Pothof is UW Health’s chief quality officer and an emergency medicine physician.

“What I can’t do by the snap of my fingers is create critical care nurses, create critical care physicians and bring their expertise to the bedside,” he said.

Just across town, the Big Ten conference is set to kick off its college football season Friday night. There will be no fans in the stadium, no tailgating allowed and police plan to enforce rules banning outdoor gatherings of more than 25 people.

Image: UW Hospital Madison (NBC News)
Image: UW Hospital Madison (NBC News)

But health care workers have an urgent warning for those who don’t plan to take the virus seriously and will congregate anyway.

“The Badger game this evening does worry us,” Pothof said. “We have a very healthy culture of celebrating the Badgers, tailgating, parties — and if that happens this year, with how much Covid is in our communities, it is certain to cause a super-spreader event. … We need to celebrate the Badgers, but we need to do it differently.”

Compared to the beginning of the pandemic,

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health

Concerns rise as coronavirus, flu season overlap

Flu season has officially begun in the United States, but many are still wondering how the global coronavirus pandemic may exacerbate its effect. Medical professionals are referring to the confluence as a “twindemic.”

“We know that flu seasons can be very severe and historically, can lead to thousands of deaths every year,” said Dr. Nicole Iovine, an epidemiologist at the University of Florida. “That added on to the ongoing pandemic … is extremely, extremely concerning,”

For some, it may be hard to recognize which symptoms go with each illness.

CORONAVIRUS DEATHS 5 TIMES HIGHER THAN FLU IN HOSPITALIZED PATIENTS, CDC SAYS

“Influenza typically will have a pretty sudden onset. You might feel okay in the morning and then feel really bad by the evening and coronavirus does more of a slow burn, so to speak. So that can sort of start out very, very mild and stay mild for days and days and some people will just get better, but others will become severely ill, typically in the second week of illness,” Iovine said.

Dr. Marissa Levine, a professor of public health at the University of South Florida, said there is a silver lining. With travel down and social distancing up, doctors say this year’s flu season may be less severe because of the safety measures already in use for COVID-19.

With travel down and social distancing up, doctors say this year’s flu season may be less severe because of the safety measures already in place for COVID.

With travel down and social distancing up, doctors say this year’s flu season may be less severe because of the safety measures already in place for COVID.
(Elina Shirazi)

“The symptoms are very similar, so the best advice I can give is you don’t want either,” Levine said. “They’re both respiratory infections. So if we keep our distance, if we use face coverings, if we wash our hands and do all the hygienic activities we’ve talked about, we could actually see a very limited flu season.”

Levine said events on the other side of the world — in regions that have already experienced winter — may help predict what we’ll face. 

“Australia, for example, reported a very mild flu season, and some people believe that’s related to all of the precautions for COVID. It’s not a guarantee, it’s a hopeful sign,” Levine said.

Doctors want people to wear their masks, keep socially distant and with rare exceptions, get their flu shots this year.

Doctors want people to wear their masks, keep socially distant and with rare exceptions, get their flu shots this year.
(Elina Shirazi)

Iovine said one of the worst-case scenarios is having community outbreak of both COVID-19 and the flu at the same time. A new test from the Centers for Disease Control and Prevention (CDC) checks for both viruses with one swab. Doctors at the University of Florida Health say they plan to use it soon.

“One of the reasons we really need these tests, who can distinguish between flu and coronavirus, is that it’s because the symptoms overlap,” Iovine said.

CLICK HERE FOR COMPLETE CORONAVIRUS COVERAGE

Doctors want people to wear their masks, keep socially distant and with rare exceptions, get their flu shots this year.

Iovine says one of the worst case scenarios is having both COVID and the flu at the same time. A new CDC test checks for both viruses with one swab. Doctors at University of Florida Health say they plan to use it soon.

Iovine says one of the worst case

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health

Covid is accelerating across the globe as U.S. and Europe head into flu season

Members of the medical personnel move a patient suffering from the coronavirus disease (COVID-19) at the CHR Centre Hospitalier Regional de la Citadelle hospital, in Liege, Belgium October 20, 2020.

Yves Herman | Reuters

The coronavirus pandemic is accelerating across the globe as U.S. cases climb and at least 10 other countries, half in Europe, report record highs in average daily new cases.

Argentina, Canada, France, Germany, Iran, Italy, Russia, Spain, Ukraine and the United Kingdom all hit record highs in average daily new Covid-19 cases on Monday, according to a CNBC analysis of data from Johns Hopkins University. Figures are based on a weekly average to smooth out fluctuations in daily reporting. Iran, Russia and Ukraine each hit record highs for deaths, Hopkins data shows.

When adjusting for population, the number of new infections in Europe has now overtaken that in the United States, with Europe reporting 231 new Covid-19 cases per 1 million people, based on a seven-day average, compared with 177 new Covid-19 cases per 1 million people in the U.S. Overall, Europe, which includes 27 European Union countries and the UK, is seeing nearly 120,000 new cases per day, Hopkins data shows.

In the United States, cases are also accelerating. New daily U.S. cases, as a seven-day average, totaled 58,397 on Monday, almost 18% higher than last week’s levels, according to Hopkins data. Cases are growing by at least 5% in 35 states, with 16 states reporting record high averages in daily cases Monday, according to the data. The U.S. still has the worst outbreak in the world with more than 8.2 million cases.

President Donald Trump, who tested positive for the virus earlier this month, has repeatedly insisted that the U.S. has more cases than any other country because the nation tests more people. But health officials and infectious disease experts dispute that claim, saying the rate of positive tests in the U.S. and hospitalizations are high in some states.

The overall U.S. positivity rate, or the percentage of Covid-19 tests that come back positive, is at 5.3%, according to Hopkins. Wisconsin, which hit a record high in average daily cases Monday, has a positivity rate of 12.6%. Kansas, another state that hit a new high, has a positivity rate of 19.4%, according to the tracker.

Additionally, Covid-19 hospitalizations were growing by 5% or more in 36 states Monday, according to a CNBC analysis of data collected by the Covid Tracking Project. Eleven states hit record highs in hospitalizations. The increase in hospitalizations could be especially dire as flu season approaches and more people seek treatment, medical experts warn.

“We are clearly in the second wave in many parts of the Northern Hemisphere and we really need to have more control of this infection at the community level,” said Dr. Isaac Bogoch, an infectious disease specialist and professor at the University of Toronto.

Bogoch, also a member of the data and safety monitoring board, an independent group of experts that oversees U.S. clinical trials, said

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health

CVS adding 15,000 employees ahead of flu season, coronavirus vaccine rollout

CVS Health announced Monday that the company would hire thousands of workers to fill positions ahead of an anticipated rise in coronavirus and seasonal flu cases this fall and the rollout of a COVID-19 vaccine.

The company said in a statement that the hirings would take place across the fourth quarter of 2020. Many of the positions are temporary with the potential of being extended to full employment.

“Additional team members typically are needed every flu season,” said Lisa Bisaccia, the company’s top HR official. “However, we’re estimating a much greater need for trained pharmacy technicians this year given the continued presence of COVID-19 in our communities.”

“These jobs offer a rewarding career opportunity, with flexible hours, advancement potential and a supportive environment while helping people on their path to better health,” Bisaccia added.

CVS executives added in the news release that the company was advocating for regulations to be amended to allow for pharmacy technicians to administer vaccines under the supervision of a certified pharmacist, a move CVS argued would “help fill the urgent need to safely and quickly scale distribution of a vaccine and extend the capacity of the health care workforce to address the pandemic.”

“By leveraging CVS Health’s innovation and technology, we can help get more Americans back to work from the convenience of their own homes, where they can contribute to the company’s ongoing efforts to help solve the country’s health care challenges,” said Jeffrey Lackey, CVS’s vice president of talent acquisition.

More than 8 million Americans have been infected with coronavirus since the pandemic began. The White House launched Operation Warp Speed, a program aimed at providing funding and cutting red tape for companies working to develop vaccines and treatments for COVID-19, earlier this year but it remains unclear if a workable vaccine will finish development this year.

Pfizer, a leading company at work developing a COVID-19 vaccine, said in recent days that it would not seek emergency authorization for its vaccine before the election, a possibility that President TrumpDonald John TrumpPolice say man dangling off Trump Tower Chicago demanding to speak with Trump Fauci says he was ‘absolutely not’ surprised Trump got coronavirus after Rose Garden event Biden: Trump ‘continues to lie to us’ about coronavirus MORE has raised in recent months.

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