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"content": "\u003cp>Sister Donna Maria Moses, a Catholic nun and hospital chaplain who has seen the coronavirus pandemic firsthand, has adapted her ministry to provide solace to the dying over the phone, instead of the usual in-person visits.\u003c/p>\n\u003cp>She manages three staff chaplains and dozens of volunteers from many faiths at Santa Clara Valley Medical Center, one of the first hospitals to treat coronavirus patients returning from China and ill-fated cruise trips.\u003c/p>\n\u003cp>\u003ca href=\"https://www.scvmc.org/patients-and-visitors/services/Pages/Chaplain-and-Spiritual-Care-Services.aspx\">The chaplains\u003c/a> can’t visit patients, or even the units where COVID-19 patients are being treated. Moses is no longer able to hug or hold hands with someone who’s sick or with grieving family members, but she’s determined to provide other kinds of spiritual and emotional comfort.\u003c/p>\n\u003cp>“Most of our work is listening,” she said. “Asking an open-ended question and continuing to ask questions until we have a sense of what their real prayer is. Are they afraid? Are they grief stricken? Are they angry? Are they in despair? So we can offer the appropriate kind of prayer for them,” Moses added.\u003c/p>\n\u003ch3>Adapting Hospital Ministry to Coronavirus Conditions\u003c/h3>\n\u003cp>At first, she and her colleagues didn’t realize how contagious and dangerous it was to visit COVID-19 patients in their rooms, or how challenging it would be to establish an emotional connection with patients in distress when chaplains must hide behind protective masks, gowns and shields.\u003c/p>\n\u003cfigure id=\"attachment_11812030\" class=\"wp-caption alignnone\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-11812030\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-800x1083.jpg\" alt=\"\" width=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-800x1083.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-160x217.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-1020x1381.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut.jpg 1381w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The desk of Sister Donna Maria Moses — a senior chaplain at the Santa Clara Valley Medical Center. \u003ccite>(Courtesy of Sr. Donna Maria Moses)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We don’t have to touch. Sometimes eye contact is enough,\" Moses said. \"We use a vocal tone that conveys peace and acceptance and compassion.\" But with layers of protective gear, it hasn't felt the same for her or the people she strives to support.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>She suited up to visit two patients one day in early March. But the N95 mask muffled her voice and obscured her eyes.\u003c/p>\n\u003cp>“That's not comforting to see another person in all that gear,” Moses said. “It’s not anything anyone would want to see in their last moment on earth. You could see there’s a person, but you can’t see that you’re looking at them in a loving way.\"\u003c/p>\n\u003ch3>Last Rites in the Time of COVID-19\u003c/h3>\n\u003cp>In early March, Moses ended the volunteer program to protect hospital patients from exposure to outside visitors, and to protect volunteers from the virus. Now they call patients by phone — a mixture of cellphones, hospital phones and Zoom calls.\u003c/p>\n\u003cp>For Catholics like her, the last rites for the dying are more than just a prayer. There are three sacraments performed by a priest. She and her colleagues had to make small adjustments at first, like dispensing holy oil individually for each patient, leaving their Bibles at home and printing verses out because anything brought into the room of a contagious patient had to stay there.\u003c/p>\n\u003cfigure id=\"attachment_11812031\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11812031\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-800x484.jpg\" alt=\"\" width=\"800\" height=\"484\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-800x484.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-160x97.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-1020x617.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut.jpg 1707w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sister Donna Maria Moses is a senior chaplain at the Santa Clara Valley Medical Center. She and her colleagues minister to dying COVID-19 patients by phone. \u003ccite>(Courtesy of Sister Donna Maria Moses)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eventually, once it was clear that the virus could be transmitted asymptomatically, Moses decided that even staff clergy shouldn’t visit patient rooms anymore, even with the same protective equipment that nurses use.\u003c/p>\n\u003cp>\"It was just about that time that Pope Francis came out with a Plenary Indulgence,\" an order absolving Catholics of their usual duties to perform the required sacraments during the pandemic, she said. \"He’s in Italy so he could see it firsthand. There weren’t enough priests to get to everyone (who was dying). And if they did, and the person was still alive and conscious enough to pray, the sight of a priest in all that gear — it’s distressing.\"\u003c/p>\n\u003ch3>Protecting Elderly Clergy and Supporting Nurses\u003c/h3>\n\u003cp>Many Catholic clergy live together in rectories or convents, so they risk infecting their entire communities. They also tend to be older and therefore are at higher risk. Moses lives with three other nuns at a parish house in Los Altos. The 64-year-old nun has decided to skip events at the Fremont mother house of her order, the Dominican Sisters of Mission San Jose. [aside tag=\"coronavirus\" label=\"More Coronavirus Coverage\"]\u003c/p>\n\u003cp>Moses and her staff have turned their attention to the spiritual and emotional needs of medical workers at the public hospital. \"Oftentimes, the entire unit is experiencing spiritual and emotional distress,\" Moses said. \"The nursing supervisor calls a debrief. We work with a therapist and open it up – it's really just venting. It’s good to talk so they’re not bringing it home and dumping that stress on their families,” she said. Moses added that since many families are \u003ca href=\"https://www.kqed.org/news/11806988/sheltering-in-place-what-you-need-to-know\" target=\"_blank\" rel=\"noopener noreferrer\">sheltering in place\u003c/a>, relationships at home can be particularly strained.\u003c/p>\n\u003cp>Moses said the phone visits are going well. Many of her previous volunteers have signed up. They reflect the South Bay’s demographics with people who speak Spanish, Vietnamese, Tagalog and Punjabi, with a diversity of faiths and spiritual practices.\u003c/p>\n\u003ch3>How to Celebrate Holy Week During Physical Isolation\u003c/h3>\n\u003cp>As Moses planned for Holy Week, the holiest time of the year for Christians, she said she won’t miss Mass on Easter Sunday because she has a wealth of online services to participate in. She can choose from Masses at St. Patrick’s Cathedral in New York, at the Vatican in Rome, or join the other nuns in her parish community who plan to tune in to Masses in their home countries of the Philippines or Vietnam.\u003c/p>\n\u003cp>Moses said she takes comfort in reading from the Bible daily because the text takes on new meaning in a crisis.\u003c/p>\n\u003cp>\"Almost daily I'll find something in the Scripture,\" she said. This week she found an encouraging verse from Isaiah: \"The Lord God has given me a well trained tongue so that I may know how to speak a word to the weary.\"\u003c/p>\n\u003cp>\"That's really what we're trying to do in this phone ministry. We're asking God to give us the words, to speak to the weary,” she said.\u003c/p>\n\u003cp>She’s also recited a version of the Jewish Passover Seder with her fellow nuns this week, and reflected on how the whole world is praying for this plague to ‘pass them over.’\u003c/p>\n\u003cp>\"In the midst of the signs of new hope of Spring, there's bitterness and sorrow and tears,” she said. “And on Good Friday, as Jesus is crying, ‘My God, my God, why have you abandoned me?’ We have so many people isolated at home or in a hospital bed alone, probably praying that prayer with their very last breath.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>She insists that there is hope: \"The one truth is we are not alone. This has united us in a way unlike anything in our lifetime. Just look at all the acts of kindness,” she said. \"This will pass. We will get a vaccine... and we’ll be better prepared next time.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Sister Donna Maria Moses, a Catholic nun and hospital chaplain who has seen the coronavirus pandemic firsthand, has adapted her ministry to provide solace to the dying over the phone, instead of the usual in-person visits.\u003c/p>\n\u003cp>She manages three staff chaplains and dozens of volunteers from many faiths at Santa Clara Valley Medical Center, one of the first hospitals to treat coronavirus patients returning from China and ill-fated cruise trips.\u003c/p>\n\u003cp>\u003ca href=\"https://www.scvmc.org/patients-and-visitors/services/Pages/Chaplain-and-Spiritual-Care-Services.aspx\">The chaplains\u003c/a> can’t visit patients, or even the units where COVID-19 patients are being treated. Moses is no longer able to hug or hold hands with someone who’s sick or with grieving family members, but she’s determined to provide other kinds of spiritual and emotional comfort.\u003c/p>\n\u003cp>“Most of our work is listening,” she said. “Asking an open-ended question and continuing to ask questions until we have a sense of what their real prayer is. Are they afraid? Are they grief stricken? Are they angry? Are they in despair? So we can offer the appropriate kind of prayer for them,” Moses added.\u003c/p>\n\u003ch3>Adapting Hospital Ministry to Coronavirus Conditions\u003c/h3>\n\u003cp>At first, she and her colleagues didn’t realize how contagious and dangerous it was to visit COVID-19 patients in their rooms, or how challenging it would be to establish an emotional connection with patients in distress when chaplains must hide behind protective masks, gowns and shields.\u003c/p>\n\u003cfigure id=\"attachment_11812030\" class=\"wp-caption alignnone\" style=\"max-width: 600px\">\u003cimg class=\"size-medium wp-image-11812030\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-800x1083.jpg\" alt=\"\" width=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-800x1083.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-160x217.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut-1020x1381.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42654_SrDonna2-qut.jpg 1381w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">The desk of Sister Donna Maria Moses — a senior chaplain at the Santa Clara Valley Medical Center. \u003ccite>(Courtesy of Sr. Donna Maria Moses)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“We don’t have to touch. Sometimes eye contact is enough,\" Moses said. \"We use a vocal tone that conveys peace and acceptance and compassion.\" But with layers of protective gear, it hasn't felt the same for her or the people she strives to support.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She suited up to visit two patients one day in early March. But the N95 mask muffled her voice and obscured her eyes.\u003c/p>\n\u003cp>“That's not comforting to see another person in all that gear,” Moses said. “It’s not anything anyone would want to see in their last moment on earth. You could see there’s a person, but you can’t see that you’re looking at them in a loving way.\"\u003c/p>\n\u003ch3>Last Rites in the Time of COVID-19\u003c/h3>\n\u003cp>In early March, Moses ended the volunteer program to protect hospital patients from exposure to outside visitors, and to protect volunteers from the virus. Now they call patients by phone — a mixture of cellphones, hospital phones and Zoom calls.\u003c/p>\n\u003cp>For Catholics like her, the last rites for the dying are more than just a prayer. There are three sacraments performed by a priest. She and her colleagues had to make small adjustments at first, like dispensing holy oil individually for each patient, leaving their Bibles at home and printing verses out because anything brought into the room of a contagious patient had to stay there.\u003c/p>\n\u003cfigure id=\"attachment_11812031\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11812031\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-800x484.jpg\" alt=\"\" width=\"800\" height=\"484\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-800x484.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-160x97.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut-1020x617.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42653_SrDonna-qut.jpg 1707w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sister Donna Maria Moses is a senior chaplain at the Santa Clara Valley Medical Center. She and her colleagues minister to dying COVID-19 patients by phone. \u003ccite>(Courtesy of Sister Donna Maria Moses)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Eventually, once it was clear that the virus could be transmitted asymptomatically, Moses decided that even staff clergy shouldn’t visit patient rooms anymore, even with the same protective equipment that nurses use.\u003c/p>\n\u003cp>\"It was just about that time that Pope Francis came out with a Plenary Indulgence,\" an order absolving Catholics of their usual duties to perform the required sacraments during the pandemic, she said. \"He’s in Italy so he could see it firsthand. There weren’t enough priests to get to everyone (who was dying). And if they did, and the person was still alive and conscious enough to pray, the sight of a priest in all that gear — it’s distressing.\"\u003c/p>\n\u003ch3>Protecting Elderly Clergy and Supporting Nurses\u003c/h3>\n\u003cp>Many Catholic clergy live together in rectories or convents, so they risk infecting their entire communities. They also tend to be older and therefore are at higher risk. Moses lives with three other nuns at a parish house in Los Altos. The 64-year-old nun has decided to skip events at the Fremont mother house of her order, the Dominican Sisters of Mission San Jose. \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Moses and her staff have turned their attention to the spiritual and emotional needs of medical workers at the public hospital. \"Oftentimes, the entire unit is experiencing spiritual and emotional distress,\" Moses said. \"The nursing supervisor calls a debrief. We work with a therapist and open it up – it's really just venting. It’s good to talk so they’re not bringing it home and dumping that stress on their families,” she said. Moses added that since many families are \u003ca href=\"https://www.kqed.org/news/11806988/sheltering-in-place-what-you-need-to-know\" target=\"_blank\" rel=\"noopener noreferrer\">sheltering in place\u003c/a>, relationships at home can be particularly strained.\u003c/p>\n\u003cp>Moses said the phone visits are going well. Many of her previous volunteers have signed up. They reflect the South Bay’s demographics with people who speak Spanish, Vietnamese, Tagalog and Punjabi, with a diversity of faiths and spiritual practices.\u003c/p>\n\u003ch3>How to Celebrate Holy Week During Physical Isolation\u003c/h3>\n\u003cp>As Moses planned for Holy Week, the holiest time of the year for Christians, she said she won’t miss Mass on Easter Sunday because she has a wealth of online services to participate in. She can choose from Masses at St. Patrick’s Cathedral in New York, at the Vatican in Rome, or join the other nuns in her parish community who plan to tune in to Masses in their home countries of the Philippines or Vietnam.\u003c/p>\n\u003cp>Moses said she takes comfort in reading from the Bible daily because the text takes on new meaning in a crisis.\u003c/p>\n\u003cp>\"Almost daily I'll find something in the Scripture,\" she said. This week she found an encouraging verse from Isaiah: \"The Lord God has given me a well trained tongue so that I may know how to speak a word to the weary.\"\u003c/p>\n\u003cp>\"That's really what we're trying to do in this phone ministry. We're asking God to give us the words, to speak to the weary,” she said.\u003c/p>\n\u003cp>She’s also recited a version of the Jewish Passover Seder with her fellow nuns this week, and reflected on how the whole world is praying for this plague to ‘pass them over.’\u003c/p>\n\u003cp>\"In the midst of the signs of new hope of Spring, there's bitterness and sorrow and tears,” she said. “And on Good Friday, as Jesus is crying, ‘My God, my God, why have you abandoned me?’ We have so many people isolated at home or in a hospital bed alone, probably praying that prayer with their very last breath.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "hospitals-lack-ppe-the-3d-printing-community-is-working-to-pick-up-the-slack",
"title": "Hospitals Lack PPE. The 3D Printing Community Is Working to Pick Up the Slack",
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"headTitle": "Hospitals Lack PPE. The 3D Printing Community Is Working to Pick Up the Slack | KQED",
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"content": "\u003cp>Since the COVID-19 pandemic began sweeping the world, hospitals have been scrambling to acquire enough personal protective equipment (PPE) to allow workers to care for those who’ve contracted the disease, without contracting it themselves.\u003c/p>\n\u003cp>As traditional manufacturers struggle to produce PPE fast enough, tech companies and members of the 3D printing community have stepped up to create the supplies desperately needed by doctors and nurses.\u003c/p>\n\u003cp>For the uninitiated, 3D printers can create objects from a digital file by stacking layers of material on top of each other until the design is finished.\u003c/p>\n\u003cp>In the interest of helping out first responders, small-time manufacturers and at-home printers have been sharing \u003ca href=\"https://m.facebook.com/groups/670932227050506\">open-source designs online\u003c/a> to help meet the need for PPE. But that desire to help isn’t without limitations. Many items that hospitals need — like N95 masks or nasal swabs — have complex designs and have to go through an approvals and sterilization process before they can be shipped out to hospitals.\u003c/p>\n\u003cp>But some items are easier to get through the process than others, like face shields.\u003c/p>\n\u003cfigure id=\"attachment_11811876\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11811876\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-1020x680.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Face shields being 3D printed at Moddler in San Francisco on April 8, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jared Murnan, director of operations at San Francisco’s Moddler, a service-based 3D printing company, said he was wondering how the company could contribute to the PPE effort when officials with UCSF reached out for help.\u003c/p>\n\u003cp>“One of the people we talked to was almost in tears, explaining the situation and how dire it was,” said Murnan.\u003c/p>\n\u003cp>Since then, Murnan and his colleagues have been working with UCSF to create a face shield design that workers could use. As of April 7, the design has been approved by the hospital, and Murnan said they’re now in contact with Sutter and Kaiser to get the design approved there.\u003c/p>\n\u003cp>One roadblock Murnan said he and his more small-time colleagues encounter is capacity.\u003c/p>\n\u003cfigure id=\"attachment_11811877\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11811877\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-1020x680.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jared Murnan pauses the 3D printing machine at Moddler in San Francisco on April 8, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Most people have … one to 10 machines. Most people don’t have a fleet bigger than that unless they’re a company that actually makes the printers themselves,” said Murnan. “And so this is going to be a collective thing. Where we’re only going to be one piece of the puzzle.”\u003c/p>\n\u003cp>And some large companies \u003cem>have\u003c/em> stepped up to meet that need.\u003c/p>\n\u003cp>HP, which manufactures the HP Multi Jet Fusion 3D printer, has several 3D printing centers with capacity — more than 100 systems — in Spain, Oregon and California. To meet the global need for PPE, the company has teamed up with its partners and customers to widely manufacture it.\u003c/p>\n\u003cp>“Basically what we’re doing is working with partners and customers, but also internally … to come up with these designs, make them available, use our own capacity, actually reach out to some of our customers and partners and use their capacity for their local areas and provide parts to the medical industry,” said Tim Weber, HP’s global head for 3D metals.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So far, Weber said HP and its affiliates have delivered tens of thousands of parts to hospitals and service providers across the world.\u003c/p>\n\u003cp>One of those partners is Oakland-based FATHOM, which has been working to create face shields, masks, ventilators and nasal swabs for COVID-19 test kits.\u003c/p>\n\u003cp>Rich Stump, the co-founder of FATHOM, says they’re currently partnering with multiple different stakeholders — including experts at HP, Harvard, Stanford and Lawrence Livermore National Labs — to get the swabs approved by the U.S. Food and Drug Administration, and then put into production.\u003c/p>\n\u003cp>“We’ve been driving the swabs from Livermore to Stanford, getting feedback and changing the design very quickly to try to get this into production,” said Stump.\u003c/p>\n\u003cp>FATHOM is currently leveraging those bigger partners to try to find medical companies who can help get the 3D printed swabs “sterilized, packaged and [then] get them out with their test kits.”\u003c/p>\n\u003cp>Stump said they hope to get the swabs into production over the next week.\u003c/p>\n\u003cp>So far, the PPE printed by FATHOM has been delivered to several different organizations, including the Alameda County Fire Department.\u003c/p>\n\u003cp>And some of the designs they’ve made are rather surprising. Stump said the company has partnered with Dolphin Scuba Center in Sacramento to convert scuba masks into PPE.\u003c/p>\n\u003cfigure id=\"attachment_11811914\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11811914\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut-1020x680.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">FATHOM, in partnership with Dolphin Scuba, is manufacturing adaptors that attach filters to scuba masks, allowing them to be repurposed by medical personnel who need PPE. \u003ccite>(Courtesy of Dolphin Scuba)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to HP’s Weber, that kind of innovation and quick turnaround is one of the highlights of 3D printing.\u003c/p>\n\u003cp>“The power of 3D is you can design and react very quickly and go straight into digital manufacturing,” said Weber. But he also notes that the dynamic nature of the pandemic requires a flexible response. “We will do what we can to help as this thing evolves on us.”\u003c/p>\n\u003cp>For Moddler’s Jared Murnan, he said having a way to contribute and help people get through this pandemic has helped him process what’s happening.\u003c/p>\n\u003cp>“There was a significant call to action and then there’s a little bit of a game plan moving forward,” said Murnan. He said having something to do “feels rewarding and like we’re doing something to help.”\u003c/p>\n\u003cp>\u003ci>If you have a 3D printer and want to get involved, you can find the design for Moddler’s face shield \u003ca href=\"https://www.prusaprinters.org/prints/25857-prusa-face-shield\">here.\u003c/a> They plan to add the updated face shield design to their website once they have approval from Sutter and Kaiser.\u003c/i>\u003c/p>\n\u003cp>\u003ci>You can find HP’s designs \u003c/i>\u003ca style=\"font-style: italic\" href=\"https://enable.hp.com/us-en-3dprint-COVID-19-containment-applications\">here\u003c/a>\u003ci>. Hospitals can also make \u003ca href=\"https://app.smartsheet.com/b/form/86efe6ce7d70463da130e4d6be670d6b\">printing requests\u003c/a> or requests for \u003ca href=\"https://app.smartsheet.com/b/form/0f85fb04e2d44f09a799ba9475fd5d0a\">new designs\u003c/a>.\u003c/i>\u003c/p>\n\u003cp>\u003cem>If you have manufacturing capacity, or would like to request PPE from FATHOM, you can sign up \u003ca href=\"https://studiofathom.com/blog/covid-19-response\">here\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"excerpt": "As traditional manufacturers struggle to produce PPE fast enough, tech companies and members of the 3D printing community have stepped up to create supplies desperately needed by doctors and nurses.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Since the COVID-19 pandemic began sweeping the world, hospitals have been scrambling to acquire enough personal protective equipment (PPE) to allow workers to care for those who’ve contracted the disease, without contracting it themselves.\u003c/p>\n\u003cp>As traditional manufacturers struggle to produce PPE fast enough, tech companies and members of the 3D printing community have stepped up to create the supplies desperately needed by doctors and nurses.\u003c/p>\n\u003cp>For the uninitiated, 3D printers can create objects from a digital file by stacking layers of material on top of each other until the design is finished.\u003c/p>\n\u003cp>In the interest of helping out first responders, small-time manufacturers and at-home printers have been sharing \u003ca href=\"https://m.facebook.com/groups/670932227050506\">open-source designs online\u003c/a> to help meet the need for PPE. But that desire to help isn’t without limitations. Many items that hospitals need — like N95 masks or nasal swabs — have complex designs and have to go through an approvals and sterilization process before they can be shipped out to hospitals.\u003c/p>\n\u003cp>But some items are easier to get through the process than others, like face shields.\u003c/p>\n\u003cfigure id=\"attachment_11811876\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11811876\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42634_014_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-1020x680.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Face shields being 3D printed at Moddler in San Francisco on April 8, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Jared Murnan, director of operations at San Francisco’s Moddler, a service-based 3D printing company, said he was wondering how the company could contribute to the PPE effort when officials with UCSF reached out for help.\u003c/p>\n\u003cp>“One of the people we talked to was almost in tears, explaining the situation and how dire it was,” said Murnan.\u003c/p>\n\u003cp>Since then, Murnan and his colleagues have been working with UCSF to create a face shield design that workers could use. As of April 7, the design has been approved by the hospital, and Murnan said they’re now in contact with Sutter and Kaiser to get the design approved there.\u003c/p>\n\u003cp>One roadblock Murnan said he and his more small-time colleagues encounter is capacity.\u003c/p>\n\u003cfigure id=\"attachment_11811877\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11811877\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42633_013_KQED_SanFrancisco_Moddler3DPrinting_04082020-qut-1020x680.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Jared Murnan pauses the 3D printing machine at Moddler in San Francisco on April 8, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Most people have … one to 10 machines. Most people don’t have a fleet bigger than that unless they’re a company that actually makes the printers themselves,” said Murnan. “And so this is going to be a collective thing. Where we’re only going to be one piece of the puzzle.”\u003c/p>\n\u003cp>And some large companies \u003cem>have\u003c/em> stepped up to meet that need.\u003c/p>\n\u003cp>HP, which manufactures the HP Multi Jet Fusion 3D printer, has several 3D printing centers with capacity — more than 100 systems — in Spain, Oregon and California. To meet the global need for PPE, the company has teamed up with its partners and customers to widely manufacture it.\u003c/p>\n\u003cp>“Basically what we’re doing is working with partners and customers, but also internally … to come up with these designs, make them available, use our own capacity, actually reach out to some of our customers and partners and use their capacity for their local areas and provide parts to the medical industry,” said Tim Weber, HP’s global head for 3D metals.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So far, Weber said HP and its affiliates have delivered tens of thousands of parts to hospitals and service providers across the world.\u003c/p>\n\u003cp>One of those partners is Oakland-based FATHOM, which has been working to create face shields, masks, ventilators and nasal swabs for COVID-19 test kits.\u003c/p>\n\u003cp>Rich Stump, the co-founder of FATHOM, says they’re currently partnering with multiple different stakeholders — including experts at HP, Harvard, Stanford and Lawrence Livermore National Labs — to get the swabs approved by the U.S. Food and Drug Administration, and then put into production.\u003c/p>\n\u003cp>“We’ve been driving the swabs from Livermore to Stanford, getting feedback and changing the design very quickly to try to get this into production,” said Stump.\u003c/p>\n\u003cp>FATHOM is currently leveraging those bigger partners to try to find medical companies who can help get the 3D printed swabs “sterilized, packaged and [then] get them out with their test kits.”\u003c/p>\n\u003cp>Stump said they hope to get the swabs into production over the next week.\u003c/p>\n\u003cp>So far, the PPE printed by FATHOM has been delivered to several different organizations, including the Alameda County Fire Department.\u003c/p>\n\u003cp>And some of the designs they’ve made are rather surprising. Stump said the company has partnered with Dolphin Scuba Center in Sacramento to convert scuba masks into PPE.\u003c/p>\n\u003cfigure id=\"attachment_11811914\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11811914\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut.jpg\" alt=\"\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42666_FATHOM_ScubaMasksON_50-qut-1020x680.jpg 1020w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">FATHOM, in partnership with Dolphin Scuba, is manufacturing adaptors that attach filters to scuba masks, allowing them to be repurposed by medical personnel who need PPE. \u003ccite>(Courtesy of Dolphin Scuba)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>According to HP’s Weber, that kind of innovation and quick turnaround is one of the highlights of 3D printing.\u003c/p>\n\u003cp>“The power of 3D is you can design and react very quickly and go straight into digital manufacturing,” said Weber. But he also notes that the dynamic nature of the pandemic requires a flexible response. “We will do what we can to help as this thing evolves on us.”\u003c/p>\n\u003cp>For Moddler’s Jared Murnan, he said having a way to contribute and help people get through this pandemic has helped him process what’s happening.\u003c/p>\n\u003cp>“There was a significant call to action and then there’s a little bit of a game plan moving forward,” said Murnan. He said having something to do “feels rewarding and like we’re doing something to help.”\u003c/p>\n\u003cp>\u003ci>If you have a 3D printer and want to get involved, you can find the design for Moddler’s face shield \u003ca href=\"https://www.prusaprinters.org/prints/25857-prusa-face-shield\">here.\u003c/a> They plan to add the updated face shield design to their website once they have approval from Sutter and Kaiser.\u003c/i>\u003c/p>\n\u003cp>\u003ci>You can find HP’s designs \u003c/i>\u003ca style=\"font-style: italic\" href=\"https://enable.hp.com/us-en-3dprint-COVID-19-containment-applications\">here\u003c/a>\u003ci>. Hospitals can also make \u003ca href=\"https://app.smartsheet.com/b/form/86efe6ce7d70463da130e4d6be670d6b\">printing requests\u003c/a> or requests for \u003ca href=\"https://app.smartsheet.com/b/form/0f85fb04e2d44f09a799ba9475fd5d0a\">new designs\u003c/a>.\u003c/i>\u003c/p>\n\u003cp>\u003cem>If you have manufacturing capacity, or would like to request PPE from FATHOM, you can sign up \u003ca href=\"https://studiofathom.com/blog/covid-19-response\">here\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"slug": "californians-are-resorting-to-mindfulness-and-meditation-even-more-than-usual",
"title": "Californians Turning to Meditation and Mindfulness (Even More Than Usual)",
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"content": "\u003cp>Until recently, Elizabeth Sale wouldn’t have described herself as someone who was serious about meditating.\u003c/p>\n\u003cp>“I mean, I’ve been a patchwork, hit-and-miss, erratic meditator, on and off, forever,” she told KQED via video chat from her home in Vallejo.\u003c/p>\n\u003cp>But over the past few weeks, Sale has started doing breathing exercises and other simple, mind-focusing practices every morning.\u003c/p>\n\u003cp>“It’s the first thing I do when I wake up,” she said. “I treat it like brushing your teeth.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Elizabeth Sale\"]‘It reminds me that there’s a tiny, safe place to kind of come back to every day.’[/pullquote]\u003c/p>\n\u003cp>In times of high stress and anxiety, experts say having a mindfulness practice like meditation can be helpful.\u003c/p>\n\u003cp>It’s no surprise that \u003ca href=\"https://trends.google.com/trends/explore?date=all&q=meditation\" target=\"_blank\" rel=\"noopener noreferrer\">Google searches\u003c/a> for the word “meditation” are now at an all-time high thanks to the heightened level of anxiety brought on by the coronavirus.\u003c/p>\n\u003cp>Sale, a video producer, has experienced her fair share of disasters, including the 1989 Loma Prieta earthquake, Hurricane Sandy in New York and several wildfires — so she’s no stranger to stress.\u003c/p>\n\u003cp>But Sale said the COVID-19 pandemic is testing her limits. She’s worried for the safety of close family members working on the frontlines. And she’s grappling with her own health issues that make her particularly vulnerable.\u003c/p>\n\u003cp>“Every time you wake up and leave the house, you have to think about masks and social distancing,” she said. “And do we have, you know, disinfectants?”\u003c/p>\n\u003cp>Sale has come to rely on her daily meditation practice to stay grounded.\u003c/p>\n\u003cp>“It reminds me that there’s a tiny, safe place to kind of come back to every day,” she said.\u003c/p>\n\u003cp>California is a hub for mindfulness traditions.\u003c/p>\n\u003cp>The state is home to some of the country’s best known meditation centers, like the \u003ca href=\"https://www.esalen.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Esalen Institute\u003c/a> in Big Sur and \u003ca href=\"https://www.spiritrock.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Spirit Rock\u003c/a> in Marin County.\u003c/p>\n\u003cp>Californians have a long history of turning to meditation during difficult times, said Craig Chalquist, a professor in the East-West Psychology program at the \u003ca href=\"https://www.ciis.edu/\" target=\"_blank\" rel=\"noopener noreferrer\">California Institute of Integral Studies\u003c/a> (CIIS) in San Francisco, where he teaches classes on psychology, folklore, storytelling and mindfulness practices.\u003c/p>\n\u003cp>Chalquist recalled the aftermath of the 1994 Northridge earthquake that violently shook the San Fernando Valley.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“My clients were asking for mindfulness techniques to help them deal with not only the emotional aftereffects of the earthquake, but aftershocks as well,” Chalquist said.\u003c/p>\n\u003cp>Mindfulness apps like \u003ca href=\"https://www.headspace.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Headspace\u003c/a> and \u003ca href=\"https://www.calm.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Calm\u003c/a>, both headquartered in California, have seen a surge in user signups over the past month.\u003c/p>\n\u003cp>“Since mid-March, as news of the global health crisis steadily increased, Headspace saw, in comparison to the previous 30 days of usage, more than double spike in new users installing and signing up,” said Headspace spokeswoman Olivia DeJesse.\u003c/p>\n\u003cp>And meditation coaches and centers across the state are also reporting an uptick in interest.\u003c/p>\n\u003cp>“I’ve never been busier,” \u003ca href=\"https://www.youtube.com/watch?v=n_ZZqJ-vZWE\">Los Angeles meditation teacher Laurie Cousins\u003c/a> said.\u003c/p>\n\u003cp>Cousins said she’s glad people are considering meditation at this volatile time, whether it’s through individual coaching, group classes, online videos or apps.\u003c/p>\n\u003cp>“It’s becoming more accessible, which is wonderful,” she said.\u003c/p>\n\u003cp>Cousins said individuals should explore different offerings to find what works best for them.\u003c/p>\n\u003cp>“Maybe it’s formal or maybe it’s informal. \u003cb>\u003c/b>Maybe it’s a concentration practice, maybe it’s an open awareness practice, maybe it’s a compassionate practice,” she said. “There are many ways you can meditate.”\u003c/p>\n\u003cp>\u003cem>Interested in exploring the world of mindfulness? Here are some useful resources suggested by the people featured in this story:\u003c/em>\u003c/p>\n\u003ch3>\u003cstrong>Craig Chalquist’s Suggestions\u003c/strong>\u003c/h3>\n\u003cp>\u003cem>A five-minute meditation break\u003c/em>\u003c/p>\n\u003cp>https://youtu.be/inpok4MKVLM\u003c/p>\n\u003cp>\u003cem>On the power of mindfulness\u003c/em>\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=IeblJdB2-Vo&feature=youtu.be\u003c/p>\n\u003cp>\u003cem>Breathing techniques\u003c/em>\u003c/p>\n\u003cp>https://youtu.be/4Lb5L-VEm34\u003c/p>\n\u003cp>\u003cem>A nice, little visual meditation from CIIS\u003c/em>\u003c/p>\n\u003cp>https://www.instagram.com/p/B-F-LwphJYi/?utm_source=ig_web_button_share_sheet\u003c/p>\n\u003cp>\u003cem>A short video by Chalquist on “staying sane during the coronavirus” \u003c/em>\u003c/p>\n\u003cp>https://youtu.be/Bg5pY1SynZU\u003c/p>\n\u003ch3>\u003cstrong>Elizabeth Sales’ suggestions\u003c/strong>\u003c/h3>\n\u003cp>“\u003ca href=\"https://www.rickhanson.net\">Rick Hanson\u003c/a> is one of the most trusted psychologists, Buddhists and neuroscientists in the Bay Area. He has great meditations, exercises, lectures and talks (podcasts) on mindfulness and the power of meditation to help rewire the brain for resilience, steadiness, strength and courage during tough times.”\u003c/p>\n\u003cp>“\u003ca href=\"https://www.tarabrach.com/guided-meditations/\">Tara Brach’s guided meditations\u003c/a> are good for relaxing and soothing through deep triggers, emotional stress and finding loving kindness in ourselves. Her exercise ‘RAIN’ is exceptionally helpful for calming emotional stress and paying attention to calming breath and bodies when we feel flooded.”\u003c/p>\n\u003cp>“\u003ca href=\"https://self-compassion.org\">Kristen Neff\u003c/a> is one of the pioneers in the self-compassion movement. Her meditations, in particular, connect us with soothing ourselves through self-kindness.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"mindfulness\"]“\u003ca href=\"https://zivameditation.com\">Ziva Meditation\u003c/a> is the practice I’ve been sticking with during the COVID shelter in place. It’s got a basic and easy foundational framework for busy people who want something steady that’s fairly easy to commit to everyday. There is a cost involved in the training after a 15-day trial, so that may not be as appealing to some people.”\u003c/p>\n\u003ch3>Laurie Cousins’ suggestions\u003c/h3>\n\u003cp>“\u003ca href=\"https://www.uclahealth.org/marc/\">UCLA Mindful Awareness Research Center \u003c/a>offers a secular approach to mindful awareness through education, research and training for students and the public to promote well-being and a more compassionate society.”\u003c/p>\n\u003cp>“\u003ca href=\"https://medschool.ucsd.edu/som/fmph/research/mindfulness/Pages/default.aspx\">University of California, San Diego Center of Mindfulness\u003c/a> is a multifaceted program of professional training, education, research and outreach intended to further the practice and integration of mindfulness and compassion into all aspects of society.\u003c/p>\n\u003cp>“\u003ca href=\"https://insightla.org/\">Insight LA\u003c/a> is a nonprofit meditation center teaching the highest quality mindfulness practices in locations throughout the greater Los Angeles area as well as online. They offer practices of inner peace, compassion and mindfulness to all people, and no one is turned away for a lack of funds.”\u003c/p>\n\u003cp>“The \u003ca href=\"https://denmeditation.com/\">Den Meditation\u003c/a> offers guided meditations led by teachers in a variety of contemplative disciplines and other non-traditional styles.”\u003c/p>\n\u003cp>“\u003ca href=\"https://insighttimer.com/\">Insight Timer\u003c/a> is a top-rated free app for guided meditations. The app is helpful for dealing with anxiety, stress and sleep issues.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Until recently, Elizabeth Sale wouldn’t have described herself as someone who was serious about meditating.\u003c/p>\n\u003cp>“I mean, I’ve been a patchwork, hit-and-miss, erratic meditator, on and off, forever,” she told KQED via video chat from her home in Vallejo.\u003c/p>\n\u003cp>But over the past few weeks, Sale has started doing breathing exercises and other simple, mind-focusing practices every morning.\u003c/p>\n\u003cp>“It’s the first thing I do when I wake up,” she said. “I treat it like brushing your teeth.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In times of high stress and anxiety, experts say having a mindfulness practice like meditation can be helpful.\u003c/p>\n\u003cp>It’s no surprise that \u003ca href=\"https://trends.google.com/trends/explore?date=all&q=meditation\" target=\"_blank\" rel=\"noopener noreferrer\">Google searches\u003c/a> for the word “meditation” are now at an all-time high thanks to the heightened level of anxiety brought on by the coronavirus.\u003c/p>\n\u003cp>Sale, a video producer, has experienced her fair share of disasters, including the 1989 Loma Prieta earthquake, Hurricane Sandy in New York and several wildfires — so she’s no stranger to stress.\u003c/p>\n\u003cp>But Sale said the COVID-19 pandemic is testing her limits. She’s worried for the safety of close family members working on the frontlines. And she’s grappling with her own health issues that make her particularly vulnerable.\u003c/p>\n\u003cp>“Every time you wake up and leave the house, you have to think about masks and social distancing,” she said. “And do we have, you know, disinfectants?”\u003c/p>\n\u003cp>Sale has come to rely on her daily meditation practice to stay grounded.\u003c/p>\n\u003cp>“It reminds me that there’s a tiny, safe place to kind of come back to every day,” she said.\u003c/p>\n\u003cp>California is a hub for mindfulness traditions.\u003c/p>\n\u003cp>The state is home to some of the country’s best known meditation centers, like the \u003ca href=\"https://www.esalen.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Esalen Institute\u003c/a> in Big Sur and \u003ca href=\"https://www.spiritrock.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Spirit Rock\u003c/a> in Marin County.\u003c/p>\n\u003cp>Californians have a long history of turning to meditation during difficult times, said Craig Chalquist, a professor in the East-West Psychology program at the \u003ca href=\"https://www.ciis.edu/\" target=\"_blank\" rel=\"noopener noreferrer\">California Institute of Integral Studies\u003c/a> (CIIS) in San Francisco, where he teaches classes on psychology, folklore, storytelling and mindfulness practices.\u003c/p>\n\u003cp>Chalquist recalled the aftermath of the 1994 Northridge earthquake that violently shook the San Fernando Valley.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“My clients were asking for mindfulness techniques to help them deal with not only the emotional aftereffects of the earthquake, but aftershocks as well,” Chalquist said.\u003c/p>\n\u003cp>Mindfulness apps like \u003ca href=\"https://www.headspace.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Headspace\u003c/a> and \u003ca href=\"https://www.calm.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Calm\u003c/a>, both headquartered in California, have seen a surge in user signups over the past month.\u003c/p>\n\u003cp>“Since mid-March, as news of the global health crisis steadily increased, Headspace saw, in comparison to the previous 30 days of usage, more than double spike in new users installing and signing up,” said Headspace spokeswoman Olivia DeJesse.\u003c/p>\n\u003cp>And meditation coaches and centers across the state are also reporting an uptick in interest.\u003c/p>\n\u003cp>“I’ve never been busier,” \u003ca href=\"https://www.youtube.com/watch?v=n_ZZqJ-vZWE\">Los Angeles meditation teacher Laurie Cousins\u003c/a> said.\u003c/p>\n\u003cp>Cousins said she’s glad people are considering meditation at this volatile time, whether it’s through individual coaching, group classes, online videos or apps.\u003c/p>\n\u003cp>“It’s becoming more accessible, which is wonderful,” she said.\u003c/p>\n\u003cp>Cousins said individuals should explore different offerings to find what works best for them.\u003c/p>\n\u003cp>“Maybe it’s formal or maybe it’s informal. \u003cb>\u003c/b>Maybe it’s a concentration practice, maybe it’s an open awareness practice, maybe it’s a compassionate practice,” she said. “There are many ways you can meditate.”\u003c/p>\n\u003cp>\u003cem>Interested in exploring the world of mindfulness? Here are some useful resources suggested by the people featured in this story:\u003c/em>\u003c/p>\n\u003ch3>\u003cstrong>Craig Chalquist’s Suggestions\u003c/strong>\u003c/h3>\n\u003cp>\u003cem>A five-minute meditation break\u003c/em>\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/inpok4MKVLM'\n title='//www.youtube.com/embed/inpok4MKVLM'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cem>On the power of mindfulness\u003c/em>\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/IeblJdB2-Vo'\n title='//www.youtube.com/embed/IeblJdB2-Vo'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cem>Breathing techniques\u003c/em>\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/4Lb5L-VEm34'\n title='//www.youtube.com/embed/4Lb5L-VEm34'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cem>A nice, little visual meditation from CIIS\u003c/em>\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>A short video by Chalquist on “staying sane during the coronavirus” \u003c/em>\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/Bg5pY1SynZU'\n title='//www.youtube.com/embed/Bg5pY1SynZU'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003ch3>\u003cstrong>Elizabeth Sales’ suggestions\u003c/strong>\u003c/h3>\n\u003cp>“\u003ca href=\"https://www.rickhanson.net\">Rick Hanson\u003c/a> is one of the most trusted psychologists, Buddhists and neuroscientists in the Bay Area. He has great meditations, exercises, lectures and talks (podcasts) on mindfulness and the power of meditation to help rewire the brain for resilience, steadiness, strength and courage during tough times.”\u003c/p>\n\u003cp>“\u003ca href=\"https://www.tarabrach.com/guided-meditations/\">Tara Brach’s guided meditations\u003c/a> are good for relaxing and soothing through deep triggers, emotional stress and finding loving kindness in ourselves. Her exercise ‘RAIN’ is exceptionally helpful for calming emotional stress and paying attention to calming breath and bodies when we feel flooded.”\u003c/p>\n\u003cp>“\u003ca href=\"https://self-compassion.org\">Kristen Neff\u003c/a> is one of the pioneers in the self-compassion movement. Her meditations, in particular, connect us with soothing ourselves through self-kindness.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“\u003ca href=\"https://zivameditation.com\">Ziva Meditation\u003c/a> is the practice I’ve been sticking with during the COVID shelter in place. It’s got a basic and easy foundational framework for busy people who want something steady that’s fairly easy to commit to everyday. There is a cost involved in the training after a 15-day trial, so that may not be as appealing to some people.”\u003c/p>\n\u003ch3>Laurie Cousins’ suggestions\u003c/h3>\n\u003cp>“\u003ca href=\"https://www.uclahealth.org/marc/\">UCLA Mindful Awareness Research Center \u003c/a>offers a secular approach to mindful awareness through education, research and training for students and the public to promote well-being and a more compassionate society.”\u003c/p>\n\u003cp>“\u003ca href=\"https://medschool.ucsd.edu/som/fmph/research/mindfulness/Pages/default.aspx\">University of California, San Diego Center of Mindfulness\u003c/a> is a multifaceted program of professional training, education, research and outreach intended to further the practice and integration of mindfulness and compassion into all aspects of society.\u003c/p>\n\u003cp>“\u003ca href=\"https://insightla.org/\">Insight LA\u003c/a> is a nonprofit meditation center teaching the highest quality mindfulness practices in locations throughout the greater Los Angeles area as well as online. They offer practices of inner peace, compassion and mindfulness to all people, and no one is turned away for a lack of funds.”\u003c/p>\n\u003cp>“The \u003ca href=\"https://denmeditation.com/\">Den Meditation\u003c/a> offers guided meditations led by teachers in a variety of contemplative disciplines and other non-traditional styles.”\u003c/p>\n\u003cp>“\u003ca href=\"https://insighttimer.com/\">Insight Timer\u003c/a> is a top-rated free app for guided meditations. The app is helpful for dealing with anxiety, stress and sleep issues.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>By now, you’ve heard of “Zoom bombing,” where trolls hijack an online video conference. \u003ca href=\"https://zoom.us\" target=\"_blank\" rel=\"noopener noreferrer\">Zoom\u003c/a> has quickly become the most popular software for group meetings in recent weeks. Another word to add to the coronavirus pandemic lexicon: Zoom bouncer.\u003c/p>\n\u003cp>Meet Liza P: “clean and sober for seven years,” as she puts it. We’re not sharing her last name or location because she’s a member of \u003ca href=\"https://www.aa.org/p\" target=\"_blank\" rel=\"noopener noreferrer\">Alcoholics Anonymous\u003c/a>. Privacy is paramount in AA.\u003c/p>\n\u003cp>[aside tag=\"zoom\" label=\"More Related Stories\"]Many local AA chapters pivoted online when shelter-in-place orders took hold a few weeks ago. P co-hosts two Zoom meetings, publicly listed, of course — which is how Zoom bombers get access. As a co-host, her role includes serving as a digital bouncer, “to make sure that nothing funny is going on in the background.”\u003c/p>\n\u003cp>Already, she’s had to tackle a group of male zoom bombers spewing obscenities in a women-only meeting. It started with the ostensible husband of a woman attendee getting into an argument during the meeting.\u003c/p>\n\u003cp>“I think it was rehearsed,” P said. “So I’m watching the photo gallery like a hawk and saying OK, where is the sound coming from. One by one deleting them.” This was just the first in a series of steps Zoom recommends taking to regain control of a meeting from those seeking to disrupt it. “Then I went in and I locked the meeting down,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Within the Zoom settings a host can “lock” the meeting to prevent anyone else from joining, even if they have the ID and password. Zoom has recently publicized a\u003ca href=\"https://aasfmarin.org/handling-meeting-disruptions-in-the-moment\" target=\"_blank\" rel=\"noopener noreferrer\"> suite of options\u003c/a> to handle trolls, and the Electronic Frontier Foundation, a nonprofit focused in privacy and civil liberties, has compiled a \u003ca href=\"https://www.eff.org/deeplinks/2020/04/harden-your-zoom-settings-protect-your-privacy-and-avoid-trolls\" target=\"_blank\" rel=\"noopener noreferrer\">list of tips\u003c/a> to safeguard privacy.\u003c/p>\n\u003cp>As Zoom states on their \u003ca href=\"https://blog.zoom.us/wordpress/2020/03/20/keep-uninvited-guests-out-of-your-zoom-event/\" target=\"_blank\" rel=\"noopener noreferrer\">website\u003c/a>, “You do not want random people in your public event taking control of the screen and sharing unwanted content with the group.” Zoom suggests restricting this — before the meeting and during the meeting in the host control bar — so the host is the only one who can screen-share.\u003c/p>\n\u003cp>P has no problem using all the tools available to her in the software. She also takes advantage of a “waiting room” feature, that requires would-be participants to linger in digital purgatory until the host lets them in — or not. There’s also a default setting to limit screen sharing to only the host.\u003c/p>\n\u003cp>[youtube https://www.youtube.com/watch?v=ySas2Rgi6yA]P doesn’t know if the same trolls will attempt to disrupt future meetings. “I don’t know who they were, why they were doing it. I can only guess, and my guess is [they were doing it] to create theater, to create fear,” she said.\u003c/p>\n\u003cp>P worries the newcomers in her women’s groups could be put off. “Just the fact of knowing that someone can do such a thing scares some women to begin with. It’s one more barrier,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She’s not intimidated though. P will be monitoring the digital doors in weeks to come — a Zoom bouncer on a mission to keep her AA groups open to the public.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By now, you’ve heard of “Zoom bombing,” where trolls hijack an online video conference. \u003ca href=\"https://zoom.us\" target=\"_blank\" rel=\"noopener noreferrer\">Zoom\u003c/a> has quickly become the most popular software for group meetings in recent weeks. Another word to add to the coronavirus pandemic lexicon: Zoom bouncer.\u003c/p>\n\u003cp>Meet Liza P: “clean and sober for seven years,” as she puts it. We’re not sharing her last name or location because she’s a member of \u003ca href=\"https://www.aa.org/p\" target=\"_blank\" rel=\"noopener noreferrer\">Alcoholics Anonymous\u003c/a>. Privacy is paramount in AA.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Many local AA chapters pivoted online when shelter-in-place orders took hold a few weeks ago. P co-hosts two Zoom meetings, publicly listed, of course — which is how Zoom bombers get access. As a co-host, her role includes serving as a digital bouncer, “to make sure that nothing funny is going on in the background.”\u003c/p>\n\u003cp>Already, she’s had to tackle a group of male zoom bombers spewing obscenities in a women-only meeting. It started with the ostensible husband of a woman attendee getting into an argument during the meeting.\u003c/p>\n\u003cp>“I think it was rehearsed,” P said. “So I’m watching the photo gallery like a hawk and saying OK, where is the sound coming from. One by one deleting them.” This was just the first in a series of steps Zoom recommends taking to regain control of a meeting from those seeking to disrupt it. “Then I went in and I locked the meeting down,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Within the Zoom settings a host can “lock” the meeting to prevent anyone else from joining, even if they have the ID and password. Zoom has recently publicized a\u003ca href=\"https://aasfmarin.org/handling-meeting-disruptions-in-the-moment\" target=\"_blank\" rel=\"noopener noreferrer\"> suite of options\u003c/a> to handle trolls, and the Electronic Frontier Foundation, a nonprofit focused in privacy and civil liberties, has compiled a \u003ca href=\"https://www.eff.org/deeplinks/2020/04/harden-your-zoom-settings-protect-your-privacy-and-avoid-trolls\" target=\"_blank\" rel=\"noopener noreferrer\">list of tips\u003c/a> to safeguard privacy.\u003c/p>\n\u003cp>As Zoom states on their \u003ca href=\"https://blog.zoom.us/wordpress/2020/03/20/keep-uninvited-guests-out-of-your-zoom-event/\" target=\"_blank\" rel=\"noopener noreferrer\">website\u003c/a>, “You do not want random people in your public event taking control of the screen and sharing unwanted content with the group.” Zoom suggests restricting this — before the meeting and during the meeting in the host control bar — so the host is the only one who can screen-share.\u003c/p>\n\u003cp>P has no problem using all the tools available to her in the software. She also takes advantage of a “waiting room” feature, that requires would-be participants to linger in digital purgatory until the host lets them in — or not. There’s also a default setting to limit screen sharing to only the host.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/ySas2Rgi6yA'\n title='//www.youtube.com/embed/ySas2Rgi6yA'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>P doesn’t know if the same trolls will attempt to disrupt future meetings. “I don’t know who they were, why they were doing it. I can only guess, and my guess is [they were doing it] to create theater, to create fear,” she said.\u003c/p>\n\u003cp>P worries the newcomers in her women’s groups could be put off. “Just the fact of knowing that someone can do such a thing scares some women to begin with. It’s one more barrier,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>She’s not intimidated though. P will be monitoring the digital doors in weeks to come — a Zoom bouncer on a mission to keep her AA groups open to the public.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "Palliative Care Doctors Turn to Technology to Help Those Dying Alone",
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"content": "\u003cp>When Dr. Steve Pantilat asks his patients what they want most at the end of life, the answer is almost always the same: To be comfortable and surrounded by people they love.\u003c/p>\n\u003cp>“I’ve been in rooms where there are 35 family members, people are playing music and holding a vigil, saying prayers and singing,” said Pantilat, chief of palliative medicine at UCSF and author of \u003ca href=\"https://www.stevepantilat.com/latdbook\">Life After the Diagnosis\u003c/a>. “They’re even having weddings in the hospital. Just last month, we had another wedding for someone who was dying.”\u003c/p>\n\u003cp>But in the age of coronavirus, none of this is happening. There’s too much risk of visitors getting sick or infecting critical frontline staff, and there’s not enough protective equipment to go around. So the new policy at UCSF and hospitals across the country is: One visitor, and only for patients who are actively dying.\u003c/p>\n\u003cp>“I think that’s really, really, really distressing for everyone involved,” Pantilat said. “We’ve never really faced this before, trying to make these really gut wrenching decisions about visitation of when and who and how many. It’s a very sacred time, and yet, for this pandemic, it’s really important to limit spread.”\u003c/p>\n\u003cp>Between 100,000 and 240,000 Americans are expected to die from COVID-19, according to the latest projections from the Trump administration’s pandemic scientists. Palliative care specialists, whose expertise is managing pain and disease symptoms as well as having difficult conversations about the end of life, are already feeling overstretched.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Steve Pantilat, chief of palliative care at UCSF\"]“No harm in saying, I love you and thank you and forgive me and I forgive you to the people you care about at any time. It’s a really good time to do that now.”[/pullquote]\u003c/p>\n\u003cp>Dozens of hospitals in the Bay Area and beyond are racing to move their palliative care services online, using video visits and phone calls to keep patients connected with their families and their doctors. Apple donated 140 iPads to UCSF to use in their telemedicine program, and the Stupski Foundation gave $275,000 to Highland Hospital in Oakland to fast-track the building of their telemedicine program so it can be operational for the pandemic.\u003c/p>\n\u003cp>“Is a remote visit from a palliative care service as effective as an in-person visit where we’re sitting on the side of a bed and holding someone’s hand? I would say no,” said Jessica Zitter, a palliative care doctor at Highland and author of the book \u003ca href=\"https://jessicazitter.com/extreme-measures/\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures\u003c/a>.\u003c/p>\n\u003cp>But the technology will have to do. Her team is small, she said, and if one or two doctors get sick, the whole service would be wiped out.\u003c/p>\n\u003cp>“If we want to stay in the game here and offer our services as I think we’ll need to, I think we’re going to do better if we are working from a remote virtual platform,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11810595\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810595\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter, a palliative care specialist at Highland Hospital in Oakland, is working from home during coronavirus shelter-in-place orders.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter, a palliative care specialist at Highland Hospital in Oakland, is working from home during coronavirus shelter-in-place orders. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Palliative care doctors have been fighting for permission to use telemedicine for years. Especially in rural areas, they’ve wanted the ease of video visits so patients who are ill and in pain don’t have to go to the trouble of coming in to a doctor’s office. But the federal government has refused to pay doctors for most video visits and insisted on various rules and restrictions, including making patients in rural areas drive to local clinics for a telemedicine appointment rather than doing it from their own home.\u003c/p>\n\u003cp>The coronavirus has forced some changes, and just two weeks ago, the feds abruptly shifted policy. At a White House press briefing on March 17, Seema Verma, administrator of the Centers for Medicare and Medicaid Services, said the agency was dropping the restrictions, as well as the fines doctors faced for using unapproved technology. She encouraged doctors to go digital.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Doctors can provide telehealth with their own phones,” Verma said. “In an emergency, those on the frontlines shouldn’t have to worry about federal rules and red tape hamstringing them when they need flexibility above all else.”\u003c/p>\n\u003cp>Doctors can now get reimbursed for a video visit at the same rate as an in-person office visit, whether the patient or the doctor is at home.\u003c/p>\n\u003cp>“We’re in a system where the only way physicians’ practices keep the lights on is through what they’re able to bill,” said Chris Acevedo, who runs Acevedo Consulting, a health care billing firm in Delray Beach, Florida. “Without the changes that the government put in place, there would really be zero access to telehealth because the doctors wouldn’t have any remuneration for it.”\u003c/p>\n\u003cp>[aside tag=\"coronavirus\" label=\"Related Coverage\"]\u003c/p>\n\u003cp>The policy changes will encourage the uptake of telemedicine, Acevedo said, and by extension, increase access to palliative care for patients. That includes people who are sick and dying from COVID-19, but also patients who are sick at home with other serious illnesses, some of whom are dying and some who will recover.\u003c/p>\n\u003cp>Rae Anne McLaughlin was one of those patients a few years ago. After she went through 12 rounds of chemotherapy and 35 radiation treatments to treat her stage four head and neck cancer, the last thing she wanted was to drive 70 miles from her home on Long Island to the hospital in the city. She had a palliative care team that would call her up and have normal conversations — not science jargon — about how she was feeling, what she could do about the tingling in her hands and feet and how to manage the opioids she was taking for pain. All of this was over the phone.\u003c/p>\n\u003cp>“It was fabulous,” McLaughlin recalled. “I didn’t have to shower if I didn’t feel like it. Imagine just feeling really, really crummy and then having to get in a car and drive an hour and a half. I didn’t want to do it.”\u003c/p>\n\u003cp>She had private insurance that covered the telephone calls. She’s fully recovered now, three years later, but she can still email her palliative care team. And she did recently to ask whether she was more at risk for becoming ill from coronavirus and to get advice about how to protect herself. They told her to stay home and get her exercise in her house and backyard.\u003c/p>\n\u003cp>Even before the coronavirus pandemic, palliative care specialists — including doctors, nurses and social workers — were in short supply. The subspecialty “didn’t get formal approval until 2007, and we didn’t start training palliative care specialists in any kind of serious numbers until recently,” said Dr. Diane Meier, director of the national Center to Advance Palliative Care and a gerontologist at Mount Sinai Health Systems in New York.\u003c/p>\n\u003cp>Meier knew they wouldn’t have enough palliative care specialists at her hospital to meet the demand of COVID-19 patients needing pain and symptom relief, especially shortness of breath. Her plan was to train frontline emergency department doctors and nurses how to do this themselves, but patients overwhelmed the hospital so fast, they didn’t have time.\u003c/p>\n\u003cp>“They’re getting a new patient in the door of the ED (emergency department) every 30 seconds,” she said. “So we’re creating things like pocket cards and 24/7 hotline numbers that a clinician can call at any hour of the day or night to get very specific advice: ‘What dose do I use? What do I do if it doesn’t work? How long do I wait before I give more?’”\u003c/p>\n\u003cp>But delivering bad news and having tough conversations is a skill they can’t easily delegate. And because COVID-19 can progress so quickly — with patients going from okay to barely able to breathe in an hour — there’s so little time to talk with patients about what kind of care they’re willing to have, what’s important to them and what they want for the end of their lives.\u003c/p>\n\u003cfigure id=\"attachment_11810593\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810593\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-800x533.jpg\" alt=\"Dr. Steve Pantilat, chief of palliative care at University of California, San Francisco (UCSF) is working to provide care remotely during coronavirus shelter-in-place orders.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Steve Pantilat, chief of palliative care at University of California, San Francisco (UCSF) is working to provide care remotely during coronavirus shelter-in-place orders. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UCSF’s Pantilat says everyone should be having these conversations with their loved ones now. Some older people who have had a few tours of the medical system already may not want to be intubated and sedated on a ventilator, he said. They may not want to be in the hospital at all, especially if it means they will be separated from their families.\u003c/p>\n\u003cp>But younger people are dying, too, he added, and should think about where they stand on advanced directives for medical care and do-not-resuscitate orders. They should be thinking about how to say goodbye.\u003c/p>\n\u003cp>“Some of us who might not have thought about these issues and thought, ‘Oh, I’ve got a lot of time before I have to worry about this,’ are suddenly facing the reality that you could get suddenly sick and suddenly very, very sick,” he said. “No harm in saying, I love you and thank you and forgive me and I forgive you to the people you care about at any time. It’s a really good time to do that now.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Dr. Steve Pantilat asks his patients what they want most at the end of life, the answer is almost always the same: To be comfortable and surrounded by people they love.\u003c/p>\n\u003cp>“I’ve been in rooms where there are 35 family members, people are playing music and holding a vigil, saying prayers and singing,” said Pantilat, chief of palliative medicine at UCSF and author of \u003ca href=\"https://www.stevepantilat.com/latdbook\">Life After the Diagnosis\u003c/a>. “They’re even having weddings in the hospital. Just last month, we had another wedding for someone who was dying.”\u003c/p>\n\u003cp>But in the age of coronavirus, none of this is happening. There’s too much risk of visitors getting sick or infecting critical frontline staff, and there’s not enough protective equipment to go around. So the new policy at UCSF and hospitals across the country is: One visitor, and only for patients who are actively dying.\u003c/p>\n\u003cp>“I think that’s really, really, really distressing for everyone involved,” Pantilat said. “We’ve never really faced this before, trying to make these really gut wrenching decisions about visitation of when and who and how many. It’s a very sacred time, and yet, for this pandemic, it’s really important to limit spread.”\u003c/p>\n\u003cp>Between 100,000 and 240,000 Americans are expected to die from COVID-19, according to the latest projections from the Trump administration’s pandemic scientists. Palliative care specialists, whose expertise is managing pain and disease symptoms as well as having difficult conversations about the end of life, are already feeling overstretched.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "“No harm in saying, I love you and thank you and forgive me and I forgive you to the people you care about at any time. It’s a really good time to do that now.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Dozens of hospitals in the Bay Area and beyond are racing to move their palliative care services online, using video visits and phone calls to keep patients connected with their families and their doctors. Apple donated 140 iPads to UCSF to use in their telemedicine program, and the Stupski Foundation gave $275,000 to Highland Hospital in Oakland to fast-track the building of their telemedicine program so it can be operational for the pandemic.\u003c/p>\n\u003cp>“Is a remote visit from a palliative care service as effective as an in-person visit where we’re sitting on the side of a bed and holding someone’s hand? I would say no,” said Jessica Zitter, a palliative care doctor at Highland and author of the book \u003ca href=\"https://jessicazitter.com/extreme-measures/\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures\u003c/a>.\u003c/p>\n\u003cp>But the technology will have to do. Her team is small, she said, and if one or two doctors get sick, the whole service would be wiped out.\u003c/p>\n\u003cp>“If we want to stay in the game here and offer our services as I think we’ll need to, I think we’re going to do better if we are working from a remote virtual platform,” she said.\u003c/p>\n\u003cfigure id=\"attachment_11810595\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810595\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter, a palliative care specialist at Highland Hospital in Oakland, is working from home during coronavirus shelter-in-place orders.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42538_005_KQED_Oakland_JessicaZitter_04032020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter, a palliative care specialist at Highland Hospital in Oakland, is working from home during coronavirus shelter-in-place orders. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Palliative care doctors have been fighting for permission to use telemedicine for years. Especially in rural areas, they’ve wanted the ease of video visits so patients who are ill and in pain don’t have to go to the trouble of coming in to a doctor’s office. But the federal government has refused to pay doctors for most video visits and insisted on various rules and restrictions, including making patients in rural areas drive to local clinics for a telemedicine appointment rather than doing it from their own home.\u003c/p>\n\u003cp>The coronavirus has forced some changes, and just two weeks ago, the feds abruptly shifted policy. At a White House press briefing on March 17, Seema Verma, administrator of the Centers for Medicare and Medicaid Services, said the agency was dropping the restrictions, as well as the fines doctors faced for using unapproved technology. She encouraged doctors to go digital.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Doctors can provide telehealth with their own phones,” Verma said. “In an emergency, those on the frontlines shouldn’t have to worry about federal rules and red tape hamstringing them when they need flexibility above all else.”\u003c/p>\n\u003cp>Doctors can now get reimbursed for a video visit at the same rate as an in-person office visit, whether the patient or the doctor is at home.\u003c/p>\n\u003cp>“We’re in a system where the only way physicians’ practices keep the lights on is through what they’re able to bill,” said Chris Acevedo, who runs Acevedo Consulting, a health care billing firm in Delray Beach, Florida. “Without the changes that the government put in place, there would really be zero access to telehealth because the doctors wouldn’t have any remuneration for it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The policy changes will encourage the uptake of telemedicine, Acevedo said, and by extension, increase access to palliative care for patients. That includes people who are sick and dying from COVID-19, but also patients who are sick at home with other serious illnesses, some of whom are dying and some who will recover.\u003c/p>\n\u003cp>Rae Anne McLaughlin was one of those patients a few years ago. After she went through 12 rounds of chemotherapy and 35 radiation treatments to treat her stage four head and neck cancer, the last thing she wanted was to drive 70 miles from her home on Long Island to the hospital in the city. She had a palliative care team that would call her up and have normal conversations — not science jargon — about how she was feeling, what she could do about the tingling in her hands and feet and how to manage the opioids she was taking for pain. All of this was over the phone.\u003c/p>\n\u003cp>“It was fabulous,” McLaughlin recalled. “I didn’t have to shower if I didn’t feel like it. Imagine just feeling really, really crummy and then having to get in a car and drive an hour and a half. I didn’t want to do it.”\u003c/p>\n\u003cp>She had private insurance that covered the telephone calls. She’s fully recovered now, three years later, but she can still email her palliative care team. And she did recently to ask whether she was more at risk for becoming ill from coronavirus and to get advice about how to protect herself. They told her to stay home and get her exercise in her house and backyard.\u003c/p>\n\u003cp>Even before the coronavirus pandemic, palliative care specialists — including doctors, nurses and social workers — were in short supply. The subspecialty “didn’t get formal approval until 2007, and we didn’t start training palliative care specialists in any kind of serious numbers until recently,” said Dr. Diane Meier, director of the national Center to Advance Palliative Care and a gerontologist at Mount Sinai Health Systems in New York.\u003c/p>\n\u003cp>Meier knew they wouldn’t have enough palliative care specialists at her hospital to meet the demand of COVID-19 patients needing pain and symptom relief, especially shortness of breath. Her plan was to train frontline emergency department doctors and nurses how to do this themselves, but patients overwhelmed the hospital so fast, they didn’t have time.\u003c/p>\n\u003cp>“They’re getting a new patient in the door of the ED (emergency department) every 30 seconds,” she said. “So we’re creating things like pocket cards and 24/7 hotline numbers that a clinician can call at any hour of the day or night to get very specific advice: ‘What dose do I use? What do I do if it doesn’t work? How long do I wait before I give more?’”\u003c/p>\n\u003cp>But delivering bad news and having tough conversations is a skill they can’t easily delegate. And because COVID-19 can progress so quickly — with patients going from okay to barely able to breathe in an hour — there’s so little time to talk with patients about what kind of care they’re willing to have, what’s important to them and what they want for the end of their lives.\u003c/p>\n\u003cfigure id=\"attachment_11810593\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810593\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-800x533.jpg\" alt=\"Dr. Steve Pantilat, chief of palliative care at University of California, San Francisco (UCSF) is working to provide care remotely during coronavirus shelter-in-place orders.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/RS42522_001_KQED_SanFrancisco_StevePantilatMD_04032020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Steve Pantilat, chief of palliative care at University of California, San Francisco (UCSF) is working to provide care remotely during coronavirus shelter-in-place orders. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>UCSF’s Pantilat says everyone should be having these conversations with their loved ones now. Some older people who have had a few tours of the medical system already may not want to be intubated and sedated on a ventilator, he said. They may not want to be in the hospital at all, especially if it means they will be separated from their families.\u003c/p>\n\u003cp>But younger people are dying, too, he added, and should think about where they stand on advanced directives for medical care and do-not-resuscitate orders. They should be thinking about how to say goodbye.\u003c/p>\n\u003cp>“Some of us who might not have thought about these issues and thought, ‘Oh, I’ve got a lot of time before I have to worry about this,’ are suddenly facing the reality that you could get suddenly sick and suddenly very, very sick,” he said. “No harm in saying, I love you and thank you and forgive me and I forgive you to the people you care about at any time. It’s a really good time to do that now.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Nurses at Daly City Coronavirus Hospital Sound Alarm Over Shortage of N95 Masks, Medical Supplies",
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"content": "\u003cp>Two weeks after Daly City’s Seton Medical Center was designated a COVID-19 hospital and \u003ca href=\"https://www.sfexaminer.com/news/emergency-coronavirus-funding-keeps-embattled-seton-hospital-open/\">saved from closure\u003c/a>, nurses are sounding the alarm that they are ill-prepared to take in a projected wave of coronavirus patients.\u003c/p>\n\u003cp>The hospital is setting aside 177 beds to receive patients as part of a state-funded move to keep all hospitals open during the current public health crisis. But nurses said the state also needs to provide them with the necessary equipment to do their jobs.\u003c/p>\n\u003cp>“We have not received any PPE (personal protective equipment) from the state of California,” said intensive care nurse Phoebe Minkler at a press conference Thursday. “As we prepare for this surge, we are critically low and we are already utilizing our emergency stockpile here at Seton Medical Center.”\u003c/p>\n\u003cfigure id=\"attachment_11810381\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810381\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"Phoebe Minkler, a registered nurse in the intensive care unit at Seton Medical Center, speaks during a press conference at the hospital on April, 2, 2020. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Phoebe Minkler, a registered nurse in the intensive care unit at Seton Medical Center, speaks during a press conference at the hospital on April, 2, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Minkler said each nurse is now being issued only one N95 mask for each 12-hour shift, to help conserve supplies.\u003c/p>\n\u003cp>“Nurses and frontline healthcare providers, we want to work, we want to be able to take care of patients. But we also have to be able to take care of ourselves and stay safe,” said Minkler.\u003c/p>\n\u003cp>“We’re losing healthcare providers, we’re losing nurses, physicians all over the country are falling ill to this disease,” she added. “In some places like New York they’re having to wear bandannas, they’re having to wear trash bags and things like that. We are hoping that we do not have to resort to that.”\u003c/p>\n\u003cp>[aside label=\"More Resources\" postID=news_11807823]\u003c/p>\n\u003cp>Seton Medical Center President Anthony Armada said that a recent delivery of N95 masks from San Mateo County’s supplies will last the hospital another 26 to 30 days, at the current rate of issuing one mask per shift.\u003c/p>\n\u003cp>Armada said the hospital is following \u003ca href=\"https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html\">guidance\u003c/a> from the Centers for Disease Control and Prevention (CDC) about extending the use of N95 masks.\u003c/p>\n\u003cp>“All of us are being responsible to make sure we are following their guidelines,” he said.\u003c/p>\n\u003cp>The hospital is currently treating 15 COVID-19 patients, according to Armada.\u003c/p>\n\u003cfigure id=\"attachment_11810382\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810382\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"Debra Amour, a 62-year-old intensive care nurse at Seton Medical Center participates in a rally at the hospital on April 2, 2020.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Debra Amour, a 62-year-old intensive care nurse at Seton Medical Center participates in a rally at the hospital on April 2, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But many nurses are concerned about using the same masks to see multiple patients. ICU nurse Debra Amour pointed out the importance of protective equipment to slow transmission of the virus to healthy people.\u003c/p>\n\u003cp>“If you don’t have the right equipment, our choice is not to go into a room or go into a room and become part of the problem. We ourselves will get sick, and we can spread it into the community,” she said. “We have open heart patients. We have really sick, fragile patients. So for me to be in a room without a mask, without a gown, you’re just spreading the germs around.”\u003c/p>\n\u003cp>The California Nurses Association represents about 400 nurses at Seton, according to labor representative Julie Tran.\u003c/p>\n\u003cfigure id=\"attachment_11810383\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810383\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"John Avalos, former San Francisco Supervisor and an organizer for the National Union of Healthcare Workers, speaks at a press conference at Seton Medical Center on April 2, 2020. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">John Avalos, former San Francisco Supervisor and an organizer for the National Union of Healthcare Workers, speaks at a press conference at Seton Medical Center on April 2, 2020. \u003ccite>(Beth LaBerge/KQEd)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Former San Francisco supervisor John Avalos, who is now an organizer for the National Union of Healthcare Workers which represents clerks and janitorial staff at Seton, said the union has been in touch with state and county officials about the need for more medical supplies like masks and gowns.\u003c/p>\n\u003cp>“You can’t just designate this hospital as a facility to receive lots of patients and not have the protective equipment that workers are going to need to know they’re safe when they’re saving lives,” Avalos said.\u003c/p>\n\u003cfigure id=\"attachment_11810384\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810384\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"Medical workers and supporters rally to raise awareness of the lack of N95 masks and other medical supplies at Seton Medical Center at a demonstration organized by the California Nurses Union on April 2, 2020.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Medical workers and supporters rally to raise awareness of the lack of N95 masks and other medical supplies at Seton Medical Center at a demonstration organized by the California Nurses Union on April 2, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As of Saturday, March 28, the California Department of Public Health released data that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR20-036.aspx\">73 healthcare workers statewide\u003c/a> had tested positive for COVID-19. That number was up from just \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR20-035.aspx\">48 the day before\u003c/a>. This week, the state stopped releasing data on the number of healthcare workers infected by coronavirus, saying it wanted to better focus its resources.\u003c/p>\n\u003cp>On Wednesday, April 8, Seton Medical Center will be holding a donation drive to collect N95 masks, sanitizing wipes, and gloves. Items can be dropped off at Holy Child & St. Martin Episcopal Church at 777 Southgate Avenue in Daly City from 10 a.m. to 1 p.m.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Two weeks after Daly City’s Seton Medical Center was designated a COVID-19 hospital and \u003ca href=\"https://www.sfexaminer.com/news/emergency-coronavirus-funding-keeps-embattled-seton-hospital-open/\">saved from closure\u003c/a>, nurses are sounding the alarm that they are ill-prepared to take in a projected wave of coronavirus patients.\u003c/p>\n\u003cp>The hospital is setting aside 177 beds to receive patients as part of a state-funded move to keep all hospitals open during the current public health crisis. But nurses said the state also needs to provide them with the necessary equipment to do their jobs.\u003c/p>\n\u003cp>“We have not received any PPE (personal protective equipment) from the state of California,” said intensive care nurse Phoebe Minkler at a press conference Thursday. “As we prepare for this surge, we are critically low and we are already utilizing our emergency stockpile here at Seton Medical Center.”\u003c/p>\n\u003cfigure id=\"attachment_11810381\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810381\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"Phoebe Minkler, a registered nurse in the intensive care unit at Seton Medical Center, speaks during a press conference at the hospital on April, 2, 2020. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/007_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Phoebe Minkler, a registered nurse in the intensive care unit at Seton Medical Center, speaks during a press conference at the hospital on April, 2, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Minkler said each nurse is now being issued only one N95 mask for each 12-hour shift, to help conserve supplies.\u003c/p>\n\u003cp>“Nurses and frontline healthcare providers, we want to work, we want to be able to take care of patients. But we also have to be able to take care of ourselves and stay safe,” said Minkler.\u003c/p>\n\u003cp>“We’re losing healthcare providers, we’re losing nurses, physicians all over the country are falling ill to this disease,” she added. “In some places like New York they’re having to wear bandannas, they’re having to wear trash bags and things like that. We are hoping that we do not have to resort to that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Seton Medical Center President Anthony Armada said that a recent delivery of N95 masks from San Mateo County’s supplies will last the hospital another 26 to 30 days, at the current rate of issuing one mask per shift.\u003c/p>\n\u003cp>Armada said the hospital is following \u003ca href=\"https://www.cdc.gov/niosh/topics/hcwcontrols/recommendedguidanceextuse.html\">guidance\u003c/a> from the Centers for Disease Control and Prevention (CDC) about extending the use of N95 masks.\u003c/p>\n\u003cp>“All of us are being responsible to make sure we are following their guidelines,” he said.\u003c/p>\n\u003cp>The hospital is currently treating 15 COVID-19 patients, according to Armada.\u003c/p>\n\u003cfigure id=\"attachment_11810382\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810382\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"Debra Amour, a 62-year-old intensive care nurse at Seton Medical Center participates in a rally at the hospital on April 2, 2020.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/018_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Debra Amour, a 62-year-old intensive care nurse at Seton Medical Center participates in a rally at the hospital on April 2, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But many nurses are concerned about using the same masks to see multiple patients. ICU nurse Debra Amour pointed out the importance of protective equipment to slow transmission of the virus to healthy people.\u003c/p>\n\u003cp>“If you don’t have the right equipment, our choice is not to go into a room or go into a room and become part of the problem. We ourselves will get sick, and we can spread it into the community,” she said. “We have open heart patients. We have really sick, fragile patients. So for me to be in a room without a mask, without a gown, you’re just spreading the germs around.”\u003c/p>\n\u003cp>The California Nurses Association represents about 400 nurses at Seton, according to labor representative Julie Tran.\u003c/p>\n\u003cfigure id=\"attachment_11810383\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810383\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"John Avalos, former San Francisco Supervisor and an organizer for the National Union of Healthcare Workers, speaks at a press conference at Seton Medical Center on April 2, 2020. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/009_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">John Avalos, former San Francisco Supervisor and an organizer for the National Union of Healthcare Workers, speaks at a press conference at Seton Medical Center on April 2, 2020. \u003ccite>(Beth LaBerge/KQEd)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Former San Francisco supervisor John Avalos, who is now an organizer for the National Union of Healthcare Workers which represents clerks and janitorial staff at Seton, said the union has been in touch with state and county officials about the need for more medical supplies like masks and gowns.\u003c/p>\n\u003cp>“You can’t just designate this hospital as a facility to receive lots of patients and not have the protective equipment that workers are going to need to know they’re safe when they’re saving lives,” Avalos said.\u003c/p>\n\u003cfigure id=\"attachment_11810384\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11810384\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg\" alt=\"Medical workers and supporters rally to raise awareness of the lack of N95 masks and other medical supplies at Seton Medical Center at a demonstration organized by the California Nurses Union on April 2, 2020.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020-1020x679.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/04/005_KQED_DalyCity_SetonMedicalCenter_04022020.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Medical workers and supporters rally to raise awareness of the lack of N95 masks and other medical supplies at Seton Medical Center at a demonstration organized by the California Nurses Union on April 2, 2020. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As of Saturday, March 28, the California Department of Public Health released data that \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR20-036.aspx\">73 healthcare workers statewide\u003c/a> had tested positive for COVID-19. That number was up from just \u003ca href=\"https://www.cdph.ca.gov/Programs/OPA/Pages/NR20-035.aspx\">48 the day before\u003c/a>. This week, the state stopped releasing data on the number of healthcare workers infected by coronavirus, saying it wanted to better focus its resources.\u003c/p>\n\u003cp>On Wednesday, April 8, Seton Medical Center will be holding a donation drive to collect N95 masks, sanitizing wipes, and gloves. Items can be dropped off at Holy Child & St. Martin Episcopal Church at 777 Southgate Avenue in Daly City from 10 a.m. to 1 p.m.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "social-distancing-may-be-a-rare-chance-to-get-our-sleep-patterns-closer-to-what-nature-intended",
"title": "Social Distancing May Be a Rare Chance to Get Our Sleep Patterns Closer to What Nature Intended",
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"content": "\u003cp>The COVID-19 pandemic is disrupting daily routines around the world. Overwhelmed hospitals, desolate schools, ghostly towns and self-isolation echo a campy horror flick, but an all too real one.\u003c/p>\n\u003cp>Companies are \u003ca href=\"https://www.washingtonpost.com/business/2020/03/19/unemployment-insurance-today-coronavirus/\">laying people off\u003c/a> by the thousands, the service industry is teetering on the brink of collapse and \u003ca href=\"https://www.nytimes.com/2020/03/18/business/economy/coronavirus-evictions.html?action=click&module=Top%20Stories&pgtype=Homepage\">socialist ideas suddenly don’t sound so bad to an average citizen \u003c/a>. According to a recent poll by the University of Southern California, around \u003ca href=\"https://www.mercurynews.com/2020/03/13/coronavirus-poll-shows-how-americans-are-changing-behavior/\">40% of individuals feel anxiety\u003c/a> about the pandemic, and more than half have been avoiding some or all other people. \u003c/p>\n\u003cp>As a \u003ca href=\"https://scholar.google.com/citations?hl=en&user=CPsb1PoAAAAJ\">psychologist\u003c/a> who aims to understand the role of sleep in what makes us tick, I focus mostly on how the sleep-wake cycle impacts our day-to-day social lives. Which makes me think of one thing thing we can do, especially for those of us at home. That is to sleep.\u003c/p>\n\u003ch2>Sleep at the dawn of COVID-19\u003c/h2>\n\u003cp>This reversible state of disengagement with the world is one of the most important protective and restorative factors in human life. Slumber is essential for thinking clearly and staying upbeat \u003ca href=\"https://doi.org/10.1177/1745691615598509\">during any time \u003c/a>. Moreover, sleep is indispensable for maintaining immunological function, which is key to preventing and \u003ca href=\"https://doi.org/10.1152/physrev.00010.2018\">recovering from infectious diseases like COVID-19 \u003c/a>. Losing sleep makes people more susceptible to viral infections, and it undermines recovery from the common cold as well as \u003ca href=\"https://doi.org/%2010.1001/archinternmed.2008.505\">more serious conditions \u003c/a>. For this lethally stealthy bug, it may be even more important.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Unfortunately, it is exactly during times of social uncertainty and anxiety, when we need sleep the most, that it is most disrupted. Anxiety over the future and fear for health of loved ones threaten calm nights and impinge on sleep by increasing hyper-arousal and rumination – reactions known to \u003ca href=\"https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167\">intensify insomnia \u003c/a>. Isolation from regular social rhythms and natural light will further mess with our body clock, confusing us about when we are \u003ca href=\"https://doi.org/10.1007/s11818-019-00215-x\">supposed to feel tired and when to perk up\u003c/a>.\u003c/p>\n\u003cp>Most Americans are not meeting this crisis well-rested. Research we have conducted over the past few years using Centers for Disease Control and Prevention data on hundreds of thousands of Americans suggests that the smartphone age has led to \u003ca href=\"https://www.news.iastate.edu/news/2017/10/19/smartphonesleep\">substantial deterioration in both duration and quality of sleep\u003c/a>. A case in point, a recent analysis that my team conducted suggests that over the past five years, \u003ca href=\"https://www.yahoo.com/lifestyle/nearly-five-million-americans-struggling-161805004.html\">millions more Americans\u003c/a> report sleeping problems.\u003c/p>\n\u003cp>[aside label=\"More Coronavirus Coverage\" tag=\"coronavirus\"]\u003c/p>\n\u003cp>And the psychological toll is not too far away, but it will register most forcefully after the infection rates start to decline. Once the pandemic peaks and the physical damage to bodies start to wane, only then will the full consequences of this pandemic on our well-being be apparent. Inevitable increases in psychological complaints, suicide and substance-use disorders need to be anticipated and mitigated now. Recall that after the “Great Recession” of 2008-09 there were \u003ca href=\"https://www.sciencedaily.com/releases/2018/03/180301094841.htm;%20https://www.npr.org/sections/krulwich/2014/06/11/318885533/suicide-rate-in-u-s-and-europe-climbed-during-great-recession\">millions more people with health and psychological problems in both U.S. and Europe\u003c/a>.\u003c/p>\n\u003cp>So how to go about protecting our sleep? Besides the threats and challenges, this time actually provides hidden opportunities as well. When is the last time that the majority of any population stayed at home for days, often without need to use alarm clocks?!\u003c/p>\n\u003cp>Besides connecting with those closest to us, many of us can sleep in and organize lives in ways that suit our biological ticker. Larks can go to bed earlier and owls can snooze in. Families can synchronize their meal and play routines in new ways, honoring the time of their internal clock (what chrono-biologists call the \u003ca href=\"https://www.sleepfoundation.org/articles/what-circadian-rhythm\">“circadian’ phase”\u003c/a>). \u003c/p>\n\u003cp>For most of our history we slept with one another when our bodies told us too, \u003ca href=\"https://www.nytimes.com/2017/03/01/books/wild-nights-benjamin-reiss.html\">not by ourselves and only when work allowed\u003c/a>. This may be an unprecedented opportunity to embrace a basic human need to switch off on a regular basis, helping human bodies fight the wars only those bodies know how. \u003c/p>\n\u003cp>[\u003cem>Get facts about coronavirus and the latest research.\u003c/em> \u003ca href=\"https://theconversation.com/us/newsletters?utm_source=TCUS&utm_medium=inline-link&utm_campaign=newsletter-text&utm_content=upper-coronavirus-facts\">Sign up for our newsletter.\u003c/a>]\u003c!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. -->\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://counter.theconversation.com/content/128524/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" style=\"border: none !important;margin: 0 !important;max-height: 1px !important;max-width: 1px !important;min-height: 1px !important;min-width: 1px !important;padding: 0 !important\">\u003c!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines -->\u003c/p>\n\u003cp>\u003ca href=\"https://theconversation.com/profiles/zlatan-krizan-688061\">Zlatan Krizan\u003c/a>, professor of psychology, \u003cem>\u003ca href=\"https://theconversation.com/institutions/iowa-state-university-1322\">Iowa State University\u003c/a>\u003c/em>\u003c/p>\n\u003cp>This article is republished from \u003ca href=\"https://theconversation.com\">The Conversation\u003c/a> under a Creative Commons license. Read the \u003ca href=\"https://theconversation.com/coronavirus-social-distancing-may-be-a-rare-chance-to-get-our-sleep-patterns-closer-to-what-nature-intended-128524\">original article\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The COVID-19 pandemic is disrupting daily routines around the world. Overwhelmed hospitals, desolate schools, ghostly towns and self-isolation echo a campy horror flick, but an all too real one.\u003c/p>\n\u003cp>Companies are \u003ca href=\"https://www.washingtonpost.com/business/2020/03/19/unemployment-insurance-today-coronavirus/\">laying people off\u003c/a> by the thousands, the service industry is teetering on the brink of collapse and \u003ca href=\"https://www.nytimes.com/2020/03/18/business/economy/coronavirus-evictions.html?action=click&module=Top%20Stories&pgtype=Homepage\">socialist ideas suddenly don’t sound so bad to an average citizen \u003c/a>. According to a recent poll by the University of Southern California, around \u003ca href=\"https://www.mercurynews.com/2020/03/13/coronavirus-poll-shows-how-americans-are-changing-behavior/\">40% of individuals feel anxiety\u003c/a> about the pandemic, and more than half have been avoiding some or all other people. \u003c/p>\n\u003cp>As a \u003ca href=\"https://scholar.google.com/citations?hl=en&user=CPsb1PoAAAAJ\">psychologist\u003c/a> who aims to understand the role of sleep in what makes us tick, I focus mostly on how the sleep-wake cycle impacts our day-to-day social lives. Which makes me think of one thing thing we can do, especially for those of us at home. That is to sleep.\u003c/p>\n\u003ch2>Sleep at the dawn of COVID-19\u003c/h2>\n\u003cp>This reversible state of disengagement with the world is one of the most important protective and restorative factors in human life. Slumber is essential for thinking clearly and staying upbeat \u003ca href=\"https://doi.org/10.1177/1745691615598509\">during any time \u003c/a>. Moreover, sleep is indispensable for maintaining immunological function, which is key to preventing and \u003ca href=\"https://doi.org/10.1152/physrev.00010.2018\">recovering from infectious diseases like COVID-19 \u003c/a>. Losing sleep makes people more susceptible to viral infections, and it undermines recovery from the common cold as well as \u003ca href=\"https://doi.org/%2010.1001/archinternmed.2008.505\">more serious conditions \u003c/a>. For this lethally stealthy bug, it may be even more important.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Unfortunately, it is exactly during times of social uncertainty and anxiety, when we need sleep the most, that it is most disrupted. Anxiety over the future and fear for health of loved ones threaten calm nights and impinge on sleep by increasing hyper-arousal and rumination – reactions known to \u003ca href=\"https://www.mayoclinic.org/diseases-conditions/insomnia/symptoms-causes/syc-20355167\">intensify insomnia \u003c/a>. Isolation from regular social rhythms and natural light will further mess with our body clock, confusing us about when we are \u003ca href=\"https://doi.org/10.1007/s11818-019-00215-x\">supposed to feel tired and when to perk up\u003c/a>.\u003c/p>\n\u003cp>Most Americans are not meeting this crisis well-rested. Research we have conducted over the past few years using Centers for Disease Control and Prevention data on hundreds of thousands of Americans suggests that the smartphone age has led to \u003ca href=\"https://www.news.iastate.edu/news/2017/10/19/smartphonesleep\">substantial deterioration in both duration and quality of sleep\u003c/a>. A case in point, a recent analysis that my team conducted suggests that over the past five years, \u003ca href=\"https://www.yahoo.com/lifestyle/nearly-five-million-americans-struggling-161805004.html\">millions more Americans\u003c/a> report sleeping problems.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And the psychological toll is not too far away, but it will register most forcefully after the infection rates start to decline. Once the pandemic peaks and the physical damage to bodies start to wane, only then will the full consequences of this pandemic on our well-being be apparent. Inevitable increases in psychological complaints, suicide and substance-use disorders need to be anticipated and mitigated now. Recall that after the “Great Recession” of 2008-09 there were \u003ca href=\"https://www.sciencedaily.com/releases/2018/03/180301094841.htm;%20https://www.npr.org/sections/krulwich/2014/06/11/318885533/suicide-rate-in-u-s-and-europe-climbed-during-great-recession\">millions more people with health and psychological problems in both U.S. and Europe\u003c/a>.\u003c/p>\n\u003cp>So how to go about protecting our sleep? Besides the threats and challenges, this time actually provides hidden opportunities as well. When is the last time that the majority of any population stayed at home for days, often without need to use alarm clocks?!\u003c/p>\n\u003cp>Besides connecting with those closest to us, many of us can sleep in and organize lives in ways that suit our biological ticker. Larks can go to bed earlier and owls can snooze in. Families can synchronize their meal and play routines in new ways, honoring the time of their internal clock (what chrono-biologists call the \u003ca href=\"https://www.sleepfoundation.org/articles/what-circadian-rhythm\">“circadian’ phase”\u003c/a>). \u003c/p>\n\u003cp>For most of our history we slept with one another when our bodies told us too, \u003ca href=\"https://www.nytimes.com/2017/03/01/books/wild-nights-benjamin-reiss.html\">not by ourselves and only when work allowed\u003c/a>. This may be an unprecedented opportunity to embrace a basic human need to switch off on a regular basis, helping human bodies fight the wars only those bodies know how. \u003c/p>\n\u003cp>[\u003cem>Get facts about coronavirus and the latest research.\u003c/em> \u003ca href=\"https://theconversation.com/us/newsletters?utm_source=TCUS&utm_medium=inline-link&utm_campaign=newsletter-text&utm_content=upper-coronavirus-facts\">Sign up for our newsletter.\u003c/a>]\u003c!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. -->\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://counter.theconversation.com/content/128524/count.gif?distributor=republish-lightbox-basic\" alt=\"The Conversation\" width=\"1\" height=\"1\" style=\"border: none !important;margin: 0 !important;max-height: 1px !important;max-width: 1px !important;min-height: 1px !important;min-width: 1px !important;padding: 0 !important\">\u003c!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines -->\u003c/p>\n\u003cp>\u003ca href=\"https://theconversation.com/profiles/zlatan-krizan-688061\">Zlatan Krizan\u003c/a>, professor of psychology, \u003cem>\u003ca href=\"https://theconversation.com/institutions/iowa-state-university-1322\">Iowa State University\u003c/a>\u003c/em>\u003c/p>\n\u003cp>This article is republished from \u003ca href=\"https://theconversation.com\">The Conversation\u003c/a> under a Creative Commons license. Read the \u003ca href=\"https://theconversation.com/coronavirus-social-distancing-may-be-a-rare-chance-to-get-our-sleep-patterns-closer-to-what-nature-intended-128524\">original article\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Back in January, Jiayue He’s father in China asked her to mail him some masks. By the time they reached him, three or four weeks later, he didn’t need them anymore. Now, he's mailing them to other family members in Toronto.\u003c/p>\n\u003cp>Jiayue He, who also goes by Jenny, is the co-founder of Ergeon, a tech-enabled home improvement company in Palo Alto. She spent the first 10 years of her life in China and has family in Wuhan, where the coronavirus is believed to have started.\u003c/p>\n\u003cp>After living in England and Canada, Jenny came to the U.S. in 2004 to earn her doctorate in computer science. She went on to work at McKinsey & Company with industrial conglomerates on issues related to the global supply chain, and became familiar with the ins and outs of moving goods internationally.\u003c/p>\n\u003cp>Jenny said that while she was initially worried about her family in China, now they're worried about her, as the U.S. has quickly become the epicenter of the outbreak.\u003c/p>\n\u003cp>“They're very nervously watching the death figures in the U.S., and they've been telling me to not go outside — at all,” she said.\u003c/p>\n\u003cp>When Jenny heard that a friend had sourced 20 million N95 masks from China, she thought, “Gosh, maybe I should do something.”\u003c/p>\n\u003cp>[aside tag=\"coronavirus, covid-19\" label=\"More Coronavirus Coverage\"]\u003c/p>\n\u003cp>She sent a note to her dad, who runs a company that helps process industrial waste. Since he services factories in China, Jenny thought he might know where to find masks and other personal protective equipment likes gloves.\u003c/p>\n\u003cp>On March 21, Jenny’s dad told her he had found suppliers for masks and gowns and test kits.\u003c/p>\n\u003cp>“How much are you looking for?” he asked.\u003c/p>\n\u003cp>But there was one major catch: The equipment her father found was not all certified by the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>Because of this, it would be difficult to export to the U.S. However, some of the goods from China were CE certified, meaning they met the standards of the European Economic Area, and could be sold there. Jenny noted that the CE certification takes around 10 days, while FDA certification can take closer to nine months.\u003c/p>\n\u003cp>So Jenny and her husband, John Craig, decided to do something. Last week, they started \u003ca href=\"https://www.change.org/p/allow-us-entities-during-crisis-to-import-and-use-non-fda-ppe-and-diagnostic-tests?\" target=\"_blank\" rel=\"noopener noreferrer\">a petition on Change.org\u003c/a>, asking the FDA to relax its regulations on imports.\u003c/p>\n\u003cp>\"The U.S. federal government should allow for PPE [personal protective equipment], diagnostic tests and ventilators that have been certified by other reputable bodies besides the FDA to be easily imported and used,\" the petition states.\u003c/p>\n\u003cp>“What I’m proposing is very similar to what the Chinese government actually did,\" Craig said. “Because the U.S. is unfortunately a fairly decentralized health care system, and the government is not stepping up to manage the supply chain, I think it's best to kind of just throw the doors open and flood the market.”\u003c/p>\n\u003cp>Craig was born in Minnesota, grew up in Canada and worked in Asia for seven years for an elevator manufacturer. He said he understands why the standards for importing medical gear are stricter in normal times, but argues they should be relaxed during a pandemic.\u003c/p>\n\u003cp>\"China relaxed their own standards, and that's part of how they got on top of things,” he said.\u003c/p>\n\u003cp>On Saturday, the FDA relaxed some restrictions on the import of protective gear and other devices. It is also offering manufacturers more guidance on \u003ca href=\"https://content.govdelivery.com/bulletins/gd/USDHSCBP-282c648?wgt_ref=USDHSCBP_WIDGET_2?utm_source=csms.cbp.gov&utm_medium=csms.cbp.gov&utm_term=undefined&utm_content=undefined&utm_campaign=(not%20set)&gclid=undefined&dclid=undefined&GAID=1278996374.1567630590\" target=\"_blank\" rel=\"noopener noreferrer\">how to get clearance for those products\u003c/a> (this resource links to a 334 page document). But Craig said the process is still too complicated and difficult for people who simply want to help out.\u003c/p>\n\u003cp>As they outlined in their petition, the couple thinks the FDA should allow products with different certifications — like the CE certification — to be sold in the U.S.\u003c/p>\n\u003cp>As long as it's been approved by a reputable body, Craig said, companies and residents in the U.S. should be able to import them, especially when “it looks like people are literally gonna die because we don't have enough stuff.”\u003c/p>\n\u003cfigure id=\"attachment_11809499\" class=\"wp-caption alignleft\" style=\"max-width: 600px\">\u003cimg class=\"wp-image-11809499\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-800x1423.jpg\" alt=\"\" width=\"600\" height=\"1067\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-800x1423.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-160x285.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-1020x1814.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020.jpg 1920w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">California Gov. Gavin Newsom speaks during a press conference at the Bloom Energy Sunnyvale campus on March 28, 2020. Bloom Energy is a fuel cell generator company that has switched over to refurbishing ventilators as an increasing number of patients experience respiratory issues as a result of COVID-19. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California Gov. Gavin Newsom said the state wants to work with the FDA to loosen some standards. For example, California has 21 million N95 masks, most of which have expired. He’s working to get the federal agency’s approval to use them.\u003c/p>\n\u003cp>\u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-takes-further-steps-help-mitigate-supply-interruptions-food-and\" target=\"_blank\" rel=\"noopener noreferrer\">FDA Commissioner Stephen M. Hahn said Saturday \u003c/a>that the agency is partnering with the Federal Emergency Management Agency to address supply chain issues, “including importation of needed medical products to support the U.S. response.”\u003c/p>\n\u003cp>Also on Saturday, the Journal of American Medical Association (JAMA) \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2764031\" target=\"_blank\" rel=\"noopener noreferrer\">published an editorial\u003c/a> saying medical professionals need more protection. They also asked the medical community for ideas on how to solve this problem.\u003c/p>\n\u003cp>The number one suggestion was to import: “Purchase from international suppliers,” the journal wrote in its summary of responses. “China proposed as a primary market given manufacturing capacity, experience with and decline in COVID-19 incidence.”\u003c/p>\n\u003cp>“Loosen import regulations,” was another popular suggestion.\u003c/p>\n\u003cp>There are risks to this strategy. \u003ca href=\"https://www.aljazeera.com/news/2020/03/netherlands-recalls-defective-masks-imported-china-200329141715106.html\" target=\"_blank\" rel=\"noopener noreferrer\">The Netherlands recalled defective masks imported from China\u003c/a> earlier this month, while Spain and Turkey have said some testing kits from that country have proven faulty.\u003c/p>\n\u003cp>Craig admits that he’d have a different opinion if the U.S. was relaxing standards on drugs or internal medicine. But he says when it comes to protective gear, “We’re just staring down the gun of this tsunami of patients.”\u003c/p>\n\u003cp>More than a 1,000 people have signed the couple's Change.org petition. But Craig and Jenny would still like to see a simpler process and hope Congress will pass a law changing the policy for importing medical gear during major health emergencies.\u003c/p>\n\u003cp>Craig says it’s a question of organizational inertia as well as ego. “It's a matter of pride. Basically by doing this, you're admitting that, well, we have to go and ask for foreign help to solve the problem,” he said. “I think most politicians might have trouble doing that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>She sent a note to her dad, who runs a company that helps process industrial waste. Since he services factories in China, Jenny thought he might know where to find masks and other personal protective equipment likes gloves.\u003c/p>\n\u003cp>On March 21, Jenny’s dad told her he had found suppliers for masks and gowns and test kits.\u003c/p>\n\u003cp>“How much are you looking for?” he asked.\u003c/p>\n\u003cp>But there was one major catch: The equipment her father found was not all certified by the U.S. Food and Drug Administration.\u003c/p>\n\u003cp>Because of this, it would be difficult to export to the U.S. However, some of the goods from China were CE certified, meaning they met the standards of the European Economic Area, and could be sold there. Jenny noted that the CE certification takes around 10 days, while FDA certification can take closer to nine months.\u003c/p>\n\u003cp>So Jenny and her husband, John Craig, decided to do something. Last week, they started \u003ca href=\"https://www.change.org/p/allow-us-entities-during-crisis-to-import-and-use-non-fda-ppe-and-diagnostic-tests?\" target=\"_blank\" rel=\"noopener noreferrer\">a petition on Change.org\u003c/a>, asking the FDA to relax its regulations on imports.\u003c/p>\n\u003cp>\"The U.S. federal government should allow for PPE [personal protective equipment], diagnostic tests and ventilators that have been certified by other reputable bodies besides the FDA to be easily imported and used,\" the petition states.\u003c/p>\n\u003cp>“What I’m proposing is very similar to what the Chinese government actually did,\" Craig said. “Because the U.S. is unfortunately a fairly decentralized health care system, and the government is not stepping up to manage the supply chain, I think it's best to kind of just throw the doors open and flood the market.”\u003c/p>\n\u003cp>Craig was born in Minnesota, grew up in Canada and worked in Asia for seven years for an elevator manufacturer. He said he understands why the standards for importing medical gear are stricter in normal times, but argues they should be relaxed during a pandemic.\u003c/p>\n\u003cp>\"China relaxed their own standards, and that's part of how they got on top of things,” he said.\u003c/p>\n\u003cp>On Saturday, the FDA relaxed some restrictions on the import of protective gear and other devices. It is also offering manufacturers more guidance on \u003ca href=\"https://content.govdelivery.com/bulletins/gd/USDHSCBP-282c648?wgt_ref=USDHSCBP_WIDGET_2?utm_source=csms.cbp.gov&utm_medium=csms.cbp.gov&utm_term=undefined&utm_content=undefined&utm_campaign=(not%20set)&gclid=undefined&dclid=undefined&GAID=1278996374.1567630590\" target=\"_blank\" rel=\"noopener noreferrer\">how to get clearance for those products\u003c/a> (this resource links to a 334 page document). But Craig said the process is still too complicated and difficult for people who simply want to help out.\u003c/p>\n\u003cp>As they outlined in their petition, the couple thinks the FDA should allow products with different certifications — like the CE certification — to be sold in the U.S.\u003c/p>\n\u003cp>As long as it's been approved by a reputable body, Craig said, companies and residents in the U.S. should be able to import them, especially when “it looks like people are literally gonna die because we don't have enough stuff.”\u003c/p>\n\u003cfigure id=\"attachment_11809499\" class=\"wp-caption alignleft\" style=\"max-width: 600px\">\u003cimg class=\"wp-image-11809499\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-800x1423.jpg\" alt=\"\" width=\"600\" height=\"1067\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-800x1423.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-160x285.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020-1020x1814.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2020/03/1920_058_KQED_BethLaBerge_BloomEnergy_Newsom_03282020.jpg 1920w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003cfigcaption class=\"wp-caption-text\">California Gov. Gavin Newsom speaks during a press conference at the Bloom Energy Sunnyvale campus on March 28, 2020. Bloom Energy is a fuel cell generator company that has switched over to refurbishing ventilators as an increasing number of patients experience respiratory issues as a result of COVID-19. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>California Gov. Gavin Newsom said the state wants to work with the FDA to loosen some standards. For example, California has 21 million N95 masks, most of which have expired. He’s working to get the federal agency’s approval to use them.\u003c/p>\n\u003cp>\u003ca href=\"https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-takes-further-steps-help-mitigate-supply-interruptions-food-and\" target=\"_blank\" rel=\"noopener noreferrer\">FDA Commissioner Stephen M. Hahn said Saturday \u003c/a>that the agency is partnering with the Federal Emergency Management Agency to address supply chain issues, “including importation of needed medical products to support the U.S. response.”\u003c/p>\n\u003cp>Also on Saturday, the Journal of American Medical Association (JAMA) \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/2764031\" target=\"_blank\" rel=\"noopener noreferrer\">published an editorial\u003c/a> saying medical professionals need more protection. They also asked the medical community for ideas on how to solve this problem.\u003c/p>\n\u003cp>The number one suggestion was to import: “Purchase from international suppliers,” the journal wrote in its summary of responses. “China proposed as a primary market given manufacturing capacity, experience with and decline in COVID-19 incidence.”\u003c/p>\n\u003cp>“Loosen import regulations,” was another popular suggestion.\u003c/p>\n\u003cp>There are risks to this strategy. \u003ca href=\"https://www.aljazeera.com/news/2020/03/netherlands-recalls-defective-masks-imported-china-200329141715106.html\" target=\"_blank\" rel=\"noopener noreferrer\">The Netherlands recalled defective masks imported from China\u003c/a> earlier this month, while Spain and Turkey have said some testing kits from that country have proven faulty.\u003c/p>\n\u003cp>Craig admits that he’d have a different opinion if the U.S. was relaxing standards on drugs or internal medicine. But he says when it comes to protective gear, “We’re just staring down the gun of this tsunami of patients.”\u003c/p>\n\u003cp>More than a 1,000 people have signed the couple's Change.org petition. But Craig and Jenny would still like to see a simpler process and hope Congress will pass a law changing the policy for importing medical gear during major health emergencies.\u003c/p>\n\u003cp>Craig says it’s a question of organizational inertia as well as ego. “It's a matter of pride. Basically by doing this, you're admitting that, well, we have to go and ask for foreign help to solve the problem,” he said. “I think most politicians might have trouble doing that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.sweetfarm.org\" target=\"_blank\" rel=\"noopener noreferrer\">Sweet Farm\u003c/a>, an animal sanctuary south of Half Moon Bay, has had to shut its doors to public events and tours during the coronavirus pandemic. But the animals are getting out and about online.\u003c/p>\n\u003cp>Few things drop your cortisol levels as quickly as staring at Stella the sheep, Juno the goat, and roosters Steve, Dan, Gregory and SuSu — all of them nibbling happily in fields of green.\u003c/p>\n\u003cp>“There is a strong need for people to really get out, even through this vicarious video screen,” said Sweet Farm co-founder Nate Salpeter.\u003c/p>\n\u003cp>The concept is simple: Whether you’re an elementary school class looking for a virtual field trip or a Silicon Valley startup starved for an amusing diversion at the top of a business meeting, you can book a visit to Sweet Farm via Zoom. Some individuals are even booking farm visits to spice up happy hour video calls with their friends.\u003c/p>\n\u003cfigure id=\"attachment_11809436\" class=\"wp-caption aligncenter\" style=\"max-width: 1448px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11809436 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM.jpeg\" alt=\"Well hello there, gorgeous. Sweet Farm's clients booking virtual trips to the farm include schools and groups of friends looking for a rustic, calming distraction that doesn't require travel. \" width=\"1448\" height=\"1096\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM.jpeg 1448w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM-160x121.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM-800x606.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM-1020x772.jpeg 1020w\" sizes=\"(max-width: 1448px) 100vw, 1448px\">\u003cfigcaption class=\"wp-caption-text\">Sweet Farm’s clients booking virtual trips to the farm include schools and groups of friends looking for a rustic, calming distraction that doesn’t require travel. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Especially for a lot of these companies that are doing things like Zoom yoga, this is one that gets people out of their routine, which is good right now,” Salpeter said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Goat 2 Meetings,” started just a few days ago, and already, Sweet Farm is beaming bucolic happiness several hours a day to homes all across the country. It’s not exactly a moneymaker. School Zooms, for instance, are free. Corporate “visits” range from $64 to $150, depending on the length of the engagement.\u003c/p>\n\u003cp>[aside tag=\"zoom\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Christie Lagally is the founder and CEO of \u003ca href=\"https://rebellyous.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Rebellyous Foods\u003c/a> out of Seattle, a food tech firm making plant-based chicken nuggets, patties and strips. She says Paco the llama is going to be a surprise guest at the company’s weekly strategy meeting this Monday.\u003c/p>\n\u003cp>“One of our executives is on [Sweet Farm’s] board, so she recommended it as an opportunity to raise morale given all the things we’re dealing with, particularly with the coronavirus here in Seattle,” Lagally says.\u003c/p>\n\u003cfigure id=\"attachment_11809399\" class=\"wp-caption aligncenter\" style=\"max-width: 1566px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11809399\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut.jpg\" alt='Sweet Farm co-founder Nate Salpeter uses his phone to help remote \"visitors\" tour the animal sanctuary south of Half Moon Bay.' width=\"1566\" height=\"1186\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut.jpg 1566w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut-160x121.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut-800x606.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut-1020x772.jpg 1020w\" sizes=\"(max-width: 1566px) 100vw, 1566px\">\u003cfigcaption class=\"wp-caption-text\">Sweet Farm co-founder Nate Salpeter uses his phone to help remote “visitors” tour the animal sanctuary south of Half Moon Bay. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The nonprofit’s end goal, both online and off, is to raise awareness about the evils of industrialized agriculture and the joys of treating animals \u003ca href=\"https://www.kqed.org/news/11625451/pigs-fleeing-north-bay-fires-find-refuge-in-half-moon-bay\" target=\"_blank\" rel=\"noopener noreferrer\">like friends\u003c/a> instead of meat at a moment most of us are starving for the sight of something good going on.\u003c/p>\n\u003cp>“Each of these animals has their own personal story: abuse, abandonment, factory farming. It really spans the entire spectrum. Of course, these animals [at Sweet Farm] are living out their lives to the fullest without fear of meeting the ultimate end of a slaughterhouse,” Salpeter said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sweet Farm’s message does have more urgency at this cultural moment. At a time many of us are cooking more enthusiastically \u003ca href=\"https://www.latimes.com/food/story/2020-03-23/butcher-shop-coronavirus-sales\" target=\"_blank\" rel=\"noopener noreferrer\">with meat\u003c/a>, knowing the names of a handful of animals just might encourage some people to use this time to shift in a vegetarian or vegan direction. \u003ca href=\"https://www.bonappetit.com/recipe/cacio-e-pepe\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Cacio e Pepe\u003c/em>\u003c/a>, anyone?\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.sweetfarm.org\" target=\"_blank\" rel=\"noopener noreferrer\">Sweet Farm\u003c/a>, an animal sanctuary south of Half Moon Bay, has had to shut its doors to public events and tours during the coronavirus pandemic. But the animals are getting out and about online.\u003c/p>\n\u003cp>Few things drop your cortisol levels as quickly as staring at Stella the sheep, Juno the goat, and roosters Steve, Dan, Gregory and SuSu — all of them nibbling happily in fields of green.\u003c/p>\n\u003cp>“There is a strong need for people to really get out, even through this vicarious video screen,” said Sweet Farm co-founder Nate Salpeter.\u003c/p>\n\u003cp>The concept is simple: Whether you’re an elementary school class looking for a virtual field trip or a Silicon Valley startup starved for an amusing diversion at the top of a business meeting, you can book a visit to Sweet Farm via Zoom. Some individuals are even booking farm visits to spice up happy hour video calls with their friends.\u003c/p>\n\u003cfigure id=\"attachment_11809436\" class=\"wp-caption aligncenter\" style=\"max-width: 1448px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11809436 size-full\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM.jpeg\" alt=\"Well hello there, gorgeous. Sweet Farm's clients booking virtual trips to the farm include schools and groups of friends looking for a rustic, calming distraction that doesn't require travel. \" width=\"1448\" height=\"1096\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM.jpeg 1448w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM-160x121.jpeg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM-800x606.jpeg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42355_Screen-Shot-2020-03-27-at-3.58.39-PM-1020x772.jpeg 1020w\" sizes=\"(max-width: 1448px) 100vw, 1448px\">\u003cfigcaption class=\"wp-caption-text\">Sweet Farm’s clients booking virtual trips to the farm include schools and groups of friends looking for a rustic, calming distraction that doesn’t require travel. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Especially for a lot of these companies that are doing things like Zoom yoga, this is one that gets people out of their routine, which is good right now,” Salpeter said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Goat 2 Meetings,” started just a few days ago, and already, Sweet Farm is beaming bucolic happiness several hours a day to homes all across the country. It’s not exactly a moneymaker. School Zooms, for instance, are free. Corporate “visits” range from $64 to $150, depending on the length of the engagement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Christie Lagally is the founder and CEO of \u003ca href=\"https://rebellyous.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Rebellyous Foods\u003c/a> out of Seattle, a food tech firm making plant-based chicken nuggets, patties and strips. She says Paco the llama is going to be a surprise guest at the company’s weekly strategy meeting this Monday.\u003c/p>\n\u003cp>“One of our executives is on [Sweet Farm’s] board, so she recommended it as an opportunity to raise morale given all the things we’re dealing with, particularly with the coronavirus here in Seattle,” Lagally says.\u003c/p>\n\u003cfigure id=\"attachment_11809399\" class=\"wp-caption aligncenter\" style=\"max-width: 1566px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11809399\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut.jpg\" alt='Sweet Farm co-founder Nate Salpeter uses his phone to help remote \"visitors\" tour the animal sanctuary south of Half Moon Bay.' width=\"1566\" height=\"1186\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut.jpg 1566w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut-160x121.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut-800x606.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS42352_Screen-Shot-2020-03-27-at-3.40.15-PM-qut-1020x772.jpg 1020w\" sizes=\"(max-width: 1566px) 100vw, 1566px\">\u003cfigcaption class=\"wp-caption-text\">Sweet Farm co-founder Nate Salpeter uses his phone to help remote “visitors” tour the animal sanctuary south of Half Moon Bay. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The nonprofit’s end goal, both online and off, is to raise awareness about the evils of industrialized agriculture and the joys of treating animals \u003ca href=\"https://www.kqed.org/news/11625451/pigs-fleeing-north-bay-fires-find-refuge-in-half-moon-bay\" target=\"_blank\" rel=\"noopener noreferrer\">like friends\u003c/a> instead of meat at a moment most of us are starving for the sight of something good going on.\u003c/p>\n\u003cp>“Each of these animals has their own personal story: abuse, abandonment, factory farming. It really spans the entire spectrum. Of course, these animals [at Sweet Farm] are living out their lives to the fullest without fear of meeting the ultimate end of a slaughterhouse,” Salpeter said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Sweet Farm’s message does have more urgency at this cultural moment. At a time many of us are cooking more enthusiastically \u003ca href=\"https://www.latimes.com/food/story/2020-03-23/butcher-shop-coronavirus-sales\" target=\"_blank\" rel=\"noopener noreferrer\">with meat\u003c/a>, knowing the names of a handful of animals just might encourage some people to use this time to shift in a vegetarian or vegan direction. \u003ca href=\"https://www.bonappetit.com/recipe/cacio-e-pepe\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cem>Cacio e Pepe\u003c/em>\u003c/a>, anyone?\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Maricruz Ladino spends long nights in a freezing lettuce cooler, inspecting and packaging pre-washed salad mixes. She usually starts her shift around 4 p.m., after the pickers are done in the fields, working until at least 2 or 3 in the morning.\u003c/p>\n\u003cp>“Imagine, what happens if one of us gets sick and we still have to work?” asked Ladino in Spanish. She worries about getting exposed to the coronavirus at the packing plant where she stands on a line only about a foot apart from other workers. They come into even closer contact when passing off packages.\u003c/p>\n\u003cp>Although farming and food production are considered “essential businesses” exempt from California’s statewide shelter-in-place order, agricultural employers are having a hard time navigating guidance from public health officials on how to keep workers safe.\u003c/p>\n\u003cp>Ladino said her boss held a meeting recently to remind workers to wash their hands more frequently. They need to wear gloves and a hair net as usual, but now they’re also wearing masks over their noses and mouths. Ladino said the truck drivers who transport the produce can’t come into the plant directly anymore but must wait outside in their trucks.\u003c/p>\n\u003cp>\u003cstrong>‘If They Get Sick … The Whole Country’s Going to Suffer’\u003c/strong>\u003c/p>\n\u003cp>California’s farm belt pumps out more than a third of the country’s vegetables and two-thirds of its fruits and nuts every year. But during the COVID-19 pandemic, employers who manage the state’s orchards, packing sheds and fields of row crops are faced with a dilemma: continue operating and hope that workers don’t get sick or shutter their doors, forcing workers to file for unemployment and putting the country’s food supply at risk.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.fda.gov/food/food-safety-during-emergencies/food-safety-and-coronavirus-disease-2019-covid-19\">Food and Drug Administration is reassuring\u003c/a> consumers that there’s no evidence of COVID-19 transmission through food or food packaging. Another question, however, is how to keep farmworkers safe from exposure on the job when social distancing is often difficult.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Miguel Arias, Fresno City Council president\"]“My biggest concern with the undocumented residents is that they’re going to be scared to come in and be checked and ask for a test, even though we know that they’re sick.”[/pullquote]\u003cbr>\nLupe Sandoval, managing director of the California Farm Labor Contractor Association, said guidelines released by agencies like the state’s Division of Occupational Safety and Health, the California Department of Public Health and the federal Centers for Disease Control and Prevention so far have been generic and lack the specific guidance agricultural employers need.\u003c/p>\n\u003cp>“How many industries do you see where the employer provides group transportation?” Sandoval said. “Ag is a little different. A lot of workers will get together in vans to drive to the job site. Or an employer will be registered with the federal government to bus workers to the job site. When you have 20-25 workers in a bus, or fewer in a van, it makes it difficult for social distancing and would entail more extensive disinfecting of common surfaces in vehicles before and after rides.”\u003c/p>\n\u003cp>Workers also often share drinking water dispensers in the fields and sometimes work in close proximity to one another, which can make social distancing a challenge.\u003c/p>\n\u003cp>Frank Polizzi, a spokesperson for the California Department of Industrial Relations (DIR), said the agency recently began working on industry-specific guidance for agricultural workers, after receiving questions from employers. DIR plans to publish the guidance in English this week and in Spanish soon after, Polizzi said.\u003c/p>\n\u003cp>Erica Rosasco, an agricultural employment attorney in Roseville, said she has received a flood of calls from employers with questions about how to comply with labor laws during the coronavirus outbreak.\u003c/p>\n\u003cp>“They want to know how to deal with the virus and how to deal with sick employees. I have had some clients whose employees are sick and they believe they do have the virus,” Rosasco said. “So, what are their responsibilities, what are their obligations, what’s best practice?”\u003c/p>\n\u003cfigure id=\"attachment_11808286\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11808286\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS407_farmlabor20120427-800x437.jpg\" alt=\"Farmworkers harvest strawberries at a farm in Carlsbad, California, in April 2006.\" width=\"800\" height=\"437\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-800x437.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-160x87.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-1020x558.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-1920x1050.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Farmworkers harvest strawberries at a farm in Carlsbad, California, in April 2006. \u003ccite>(Sandy Huffaker/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At least workers are unlikely to be laid off, Rosasco said. She said she is advising employers to move forward with agricultural work and give workers assurance they will continue to have a job during the pandemic.\u003c/p>\n\u003cp>“Because [workers are] nervous about the idea of the shelter-in-place orders, what’s going to happen to them? They live paycheck to paycheck. They’re worried about it,” Rosasco said.\u003c/p>\n\u003cp>“It’s part of the supply chain. If our ag workers don’t keep working, we’re not going to have fruits and veggies in the markets,” she added.\u003c/p>\n\u003cp>In fact, Fresno City Council President Miguel Arias said he’s worried about undocumented farmworkers who lack health care coverage and might wait as long as possible before seeking treatment.\u003c/p>\n\u003cp>“My biggest concern with the undocumented residents is that they’re going to be scared to come in and be checked and ask for a test, even though we know that they’re sick,” Arias said. “They’re so used to going to work, irrespective of their health conditions or whether they’re under the weather and running a fever, that once they begin to use our health care system for the coronavirus, our health care system will be overwhelmed.”\u003c/p>\n\u003cp>Last week, Fresno City Councilman Luis Chavez sent a letter to Democratic Fresno congressman Jim Costa requesting additional federal funding for protective gear for health workers and support for rural clinics to help treat a “potential overflow of patients.”\u003c/p>\n\u003cp>“That needs to be a part of this conversation as we’re preparing a response — to have [farmworkers] be prioritized,” Chavez said. “Because if they get sick and they’re not there, the whole country’s going to suffer.”\u003c/p>\n\u003cp>[aside tag=\"coronavirus\" label=\"more coronavirus coverage\"]\u003c/p>\n\u003cp>\u003cstrong>Workplace Benefits\u003c/strong>\u003c/p>\n\u003cp>State labor officials said they are committed to enforcing California law when it comes to protections for low-wage workers, including farmworkers who may be undocumented.\u003c/p>\n\u003cp>“The current public health crisis has really highlighted the differences between those workers who have ‘Cadillac’ operations and have protections and paid benefits, versus the majority of workers in California who do not have those protections or privileges,” said Lilia Garcia-Brower, California’s labor commissioner. Her staff of 700 investigates and adjudicates workplace violations ranging from unpaid wages to retaliation.\u003c/p>\n\u003cp>Garcia-Brower said her office is trying to “ensure that we reach the most vulnerable workers, those workers providing critical services, and that everyone understands that regardless of your immigration status, you do have basic protections for unpaid time, for paid sick leave and \u003ca href=\"https://www.dir.ca.gov/dlse/2019-Novel-Coronavirus.htm\">other protections in the labor code.\u003c/a>”\u003c/p>\n\u003cp>California law mandates three days of sick leave. Beyond that, workers can also apply for \u003ca href=\"https://www.kqed.org/news/11806938/how-to-file-for-unemployment-in-california-during-the-coronavirus-pandemic\">disability and paid family leave\u003c/a>.\u003c/p>\n\u003cp>But undocumented workers cannot collect unemployment. To qualify, workers must show legal work authorization and immigration status, said a spokesperson for California’s Economic Development Department (EDD) in an email. EDD also confirmed that it verifies immigration status with the Department of Homeland Security.\u003c/p>\n\u003cp>A Facebook poll conducted in early March by the United Farm Workers union found over 90% of roughly 270 respondents — the majority from California, Washington and Oregon — said they had not received any information about the coronavirus from their employer.\u003c/p>\n\u003cp>The UFW has \u003ca href=\"https://ufw.org/wp-content/uploads/2020/03/COVID-19-2020-Open-Letter-from-UFW-FINAL.pdf\">called on employers\u003c/a> to extend worker sick pay to 40 hours or more and to eliminate the 90-day waiting period for new employees to be eligible for sick pay, among other changes.\u003c/p>\n\u003cp>https://twitter.com/UFWupdates/status/1241726492717076482?ref_src=twsrc%5Etfw%7Ctwcamp%5Etweetembed&ref_url=https%3A%2F%2Fwww.kqed.org%2Fnews%2F11808267%2F11808267-autosave-v1\u003c/p>\n\u003cp>\u003cstrong>‘I’ll Pay for the Test’\u003c/strong>\u003c/p>\n\u003cp>Whether farmworkers get sick, have to stay home and care for children or can’t get a visa to work in the U.S., the coronavirus could threaten the country’s supply of farm labor.\u003c/p>\n\u003cp>U.S. farms have become \u003ca href=\"https://www.kqed.org/news/11778033/can-a-costly-guest-worker-program-meet-californias-need-for-farm-labor\">increasingly reliant\u003c/a> on the H-2A program over the years, which allows workers to come to the U.S. to plant, prune and harvest crops on a seasonal basis.\u003c/p>\n\u003cp>Last week, U.S. consulates in Mexico \u003ca href=\"https://mx.usembassy.gov/status-of-u-s-consular-operations-in-mexico-in-light-of-covid-19/?fbclid=IwAR2GCu9JbyZaV8Gj2jDnz_ZuXcu44so90R90tKNG1zUU_z5tfPKKpgkH6Rs\">announced\u003c/a> they would scale back their operations to maintain social distancing while prioritizing applications for returning H-2A guest workers who are eligible for an interview waiver.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a statement, a spokesperson for the U.S. Department of Agriculture said the agency is “directly engaged with the State Department and working diligently to ensure minimal disruption in H-2A visa applications,” and that the Trump administration is “doing everything possible” to keep the program going.\u003c/p>\n\u003cp>“We’re all scared to death,” said Ileana Arvizu, a farm labor contractor and president of ISA Contracting Services based in Firebaugh, west of Fresno. “We need those workers.”\u003c/p>\n\u003cp>Arvizu said she would be willing to pay for H-2A workers to be tested for the coronavirus if it meant the workers would arrive in the U.S. in time for the season.\u003c/p>\n\u003cp>“If they decide that they want to make sure that they’re clear and safe, [that] they’re not coming in with the virus, I’ll pay for the test. Whether it’s in Mexico, before they actually depart, or at any point,” Arvizu said.\u003c/p>\n\u003cfigure id=\"attachment_11780792\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11780792\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/RS18893_GettyImages-453973236-800x531.jpg\" alt=\"A worker harvests cantaloupes on a farm near Firebaugh, California, on August 22, 2014.\" width=\"800\" height=\"531\">\u003cfigcaption class=\"wp-caption-text\">A worker harvests cantaloupes on a farm near Firebaugh, California, on Aug. 22, 2014. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The degree of impact a loss of workers will have depends on how long the current restrictions stay in place, said Daniel Costa (no relation to Rep. Jim Costa), director of immigration law and policy research at the Economic Policy Institute, a think tank based in a Washington, D.C.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.epi.org/publication/coronavirus-and-farmworkers-h-2a/\">report\u003c/a> out Tuesday, Costa and UC Davis professor Philip Martin project that if only returning H-2A workers are processed for the next two months, the impact will likely be minor because farm employment in March and April is typically low.\u003c/p>\n\u003cp>“But if this practice stays in place for six months or more, during which no new applicants for H-2A visas can enter the United States,” Costa and Martin write, “the impact could be significant.”\u003c/p>\n\u003cp>If fewer guest workers are allowed into the U.S. and domestic farm workers get sick or have to stay home to care for children, farms will either have to pay overtime or recruit new workers. That means U.S.-born workers could be recruited to work in agriculture, Daniel Costa said.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Maricruz Ladino, farmworker\"]“This crisis is going to touch all of us. It’s a time for reflecting, re-evaluating what’s important.”[/pullquote]\u003c/p>\n\u003cp>“That’s obviously the big question,” he said. “In California, there’s about to be 1.6 million unemployed workers. Will those workers take those jobs? It’s an experiment that’s about to happen.”\u003c/p>\n\u003cp>But farm labor contractor Jasmine Quintanilla said she thinks that’s unlikely, even if many people are out of a job due to the coronavirus.\u003c/p>\n\u003cp>Quintanilla said she tried hiring U.S.-born workers during past labor shortages, but they quit on their own after just a couple of hours. Workers who are new to agriculture lack experience, which presents a problem for labor contractors under pressure to work quickly and meet the expectations of growers, Quintanilla said.\u003c/p>\n\u003cp>“We can’t really afford new people … inexperienced people,” Quintanilla said. “People that have never worked in the field, they won’t even come out there. They’ll be like, ‘Heck no, this is too hard.’ ”\u003c/p>\n\u003cp>\u003cstrong>Uncertainty in the Fields\u003c/strong>\u003c/p>\n\u003cp>While many farms are scrambling to send more produce to supermarkets these days, farmworker Maricruz Ladino says her shifts at the packing house have become more irregular over the last week. Sometimes, there’s only a few hours of work, or workers are told to stand by to see if there will be shifts at all.\u003c/p>\n\u003cp>“We do see some hiccups … given the restaurant shutdowns across the country. Those orders have suddenly stopped,” said Dave Puglia, president and CEO of \u003ca href=\"https://www.wga.com/\">Western Growers\u003c/a>, representing fresh produce growers in California and Arizona.\u003c/p>\n\u003cp>“You would think that we could simply redirect those fresh produce crops into the retail sector, especially because we have shortages in stores. But it unfortunately isn’t that simple,” Puglia said.\u003c/p>\n\u003cp>That’s because farms have to work out new contracts, Puglia said, and figure out the capacity of shipping companies.\u003c/p>\n\u003cfigure id=\"attachment_11808285\" class=\"wp-caption alignnone\" style=\"max-width: 540px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11808285\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS5166_5Maricruz-sfi.jpg\" alt=\"Maricruz Ladino inspecting lettuce at a Salinas packing plant. \" width=\"540\" height=\"360\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS5166_5Maricruz-sfi.jpg 540w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS5166_5Maricruz-sfi-160x107.jpg 160w\" sizes=\"(max-width: 540px) 100vw, 540px\">\u003cfigcaption class=\"wp-caption-text\">Maricruz Ladino inspecting lettuce at a Salinas packing plant. \u003ccite>(Andres Cediel/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ladino earns about $16 an hour as a supervisor in the packing cooler. Her rent on the one-bedroom she shares with her daughter in Salinas is $1,600. Every hour she’s not paid to work, she’s farther from making rent.\u003c/p>\n\u003cp>“It could get really tough. Work is how we feed our families. If things change, it’s so uncertain. How will we ever get ahead?” Ladino said.\u003c/p>\n\u003cp>A formerly undocumented immigrant, Ladino is also worried that the coronavirus will stall immigration reform.\u003c/p>\n\u003cp>“This crisis is going to touch all of us,” Ladino said. “It’s a time for reflecting, re-evaluating what’s important.”\u003c/p>\n\u003cp>\u003cem>KQED’s The California Report first profiled Ladino in 2013 for “Rape in the Fields,” a \u003ca href=\"https://www.pbs.org/wgbh/frontline/film/rape-in-the-fields/\">Frontline film\u003c/a> and \u003ca href=\"https://www.kqed.org/news/10341215/farmworkers-face-rape-and-a-system-that-doesnt-aid-them\">radio series\u003c/a> about farmworkers facing sexual harassment and assault, which was produced in collaboration with the Investigative Reporting Program at UC Berkeley and the Center for Investigative Reporting.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Maricruz Ladino spends long nights in a freezing lettuce cooler, inspecting and packaging pre-washed salad mixes. She usually starts her shift around 4 p.m., after the pickers are done in the fields, working until at least 2 or 3 in the morning.\u003c/p>\n\u003cp>“Imagine, what happens if one of us gets sick and we still have to work?” asked Ladino in Spanish. She worries about getting exposed to the coronavirus at the packing plant where she stands on a line only about a foot apart from other workers. They come into even closer contact when passing off packages.\u003c/p>\n\u003cp>Although farming and food production are considered “essential businesses” exempt from California’s statewide shelter-in-place order, agricultural employers are having a hard time navigating guidance from public health officials on how to keep workers safe.\u003c/p>\n\u003cp>Ladino said her boss held a meeting recently to remind workers to wash their hands more frequently. They need to wear gloves and a hair net as usual, but now they’re also wearing masks over their noses and mouths. Ladino said the truck drivers who transport the produce can’t come into the plant directly anymore but must wait outside in their trucks.\u003c/p>\n\u003cp>\u003cstrong>‘If They Get Sick … The Whole Country’s Going to Suffer’\u003c/strong>\u003c/p>\n\u003cp>California’s farm belt pumps out more than a third of the country’s vegetables and two-thirds of its fruits and nuts every year. But during the COVID-19 pandemic, employers who manage the state’s orchards, packing sheds and fields of row crops are faced with a dilemma: continue operating and hope that workers don’t get sick or shutter their doors, forcing workers to file for unemployment and putting the country’s food supply at risk.\u003c/p>\n\u003cp>The \u003ca href=\"https://www.fda.gov/food/food-safety-during-emergencies/food-safety-and-coronavirus-disease-2019-covid-19\">Food and Drug Administration is reassuring\u003c/a> consumers that there’s no evidence of COVID-19 transmission through food or food packaging. Another question, however, is how to keep farmworkers safe from exposure on the job when social distancing is often difficult.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cbr>\nLupe Sandoval, managing director of the California Farm Labor Contractor Association, said guidelines released by agencies like the state’s Division of Occupational Safety and Health, the California Department of Public Health and the federal Centers for Disease Control and Prevention so far have been generic and lack the specific guidance agricultural employers need.\u003c/p>\n\u003cp>“How many industries do you see where the employer provides group transportation?” Sandoval said. “Ag is a little different. A lot of workers will get together in vans to drive to the job site. Or an employer will be registered with the federal government to bus workers to the job site. When you have 20-25 workers in a bus, or fewer in a van, it makes it difficult for social distancing and would entail more extensive disinfecting of common surfaces in vehicles before and after rides.”\u003c/p>\n\u003cp>Workers also often share drinking water dispensers in the fields and sometimes work in close proximity to one another, which can make social distancing a challenge.\u003c/p>\n\u003cp>Frank Polizzi, a spokesperson for the California Department of Industrial Relations (DIR), said the agency recently began working on industry-specific guidance for agricultural workers, after receiving questions from employers. DIR plans to publish the guidance in English this week and in Spanish soon after, Polizzi said.\u003c/p>\n\u003cp>Erica Rosasco, an agricultural employment attorney in Roseville, said she has received a flood of calls from employers with questions about how to comply with labor laws during the coronavirus outbreak.\u003c/p>\n\u003cp>“They want to know how to deal with the virus and how to deal with sick employees. I have had some clients whose employees are sick and they believe they do have the virus,” Rosasco said. “So, what are their responsibilities, what are their obligations, what’s best practice?”\u003c/p>\n\u003cfigure id=\"attachment_11808286\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11808286\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS407_farmlabor20120427-800x437.jpg\" alt=\"Farmworkers harvest strawberries at a farm in Carlsbad, California, in April 2006.\" width=\"800\" height=\"437\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-800x437.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-160x87.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-1020x558.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS407_farmlabor20120427-1920x1050.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Farmworkers harvest strawberries at a farm in Carlsbad, California, in April 2006. \u003ccite>(Sandy Huffaker/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>At least workers are unlikely to be laid off, Rosasco said. She said she is advising employers to move forward with agricultural work and give workers assurance they will continue to have a job during the pandemic.\u003c/p>\n\u003cp>“Because [workers are] nervous about the idea of the shelter-in-place orders, what’s going to happen to them? They live paycheck to paycheck. They’re worried about it,” Rosasco said.\u003c/p>\n\u003cp>“It’s part of the supply chain. If our ag workers don’t keep working, we’re not going to have fruits and veggies in the markets,” she added.\u003c/p>\n\u003cp>In fact, Fresno City Council President Miguel Arias said he’s worried about undocumented farmworkers who lack health care coverage and might wait as long as possible before seeking treatment.\u003c/p>\n\u003cp>“My biggest concern with the undocumented residents is that they’re going to be scared to come in and be checked and ask for a test, even though we know that they’re sick,” Arias said. “They’re so used to going to work, irrespective of their health conditions or whether they’re under the weather and running a fever, that once they begin to use our health care system for the coronavirus, our health care system will be overwhelmed.”\u003c/p>\n\u003cp>Last week, Fresno City Councilman Luis Chavez sent a letter to Democratic Fresno congressman Jim Costa requesting additional federal funding for protective gear for health workers and support for rural clinics to help treat a “potential overflow of patients.”\u003c/p>\n\u003cp>“That needs to be a part of this conversation as we’re preparing a response — to have [farmworkers] be prioritized,” Chavez said. “Because if they get sick and they’re not there, the whole country’s going to suffer.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Workplace Benefits\u003c/strong>\u003c/p>\n\u003cp>State labor officials said they are committed to enforcing California law when it comes to protections for low-wage workers, including farmworkers who may be undocumented.\u003c/p>\n\u003cp>“The current public health crisis has really highlighted the differences between those workers who have ‘Cadillac’ operations and have protections and paid benefits, versus the majority of workers in California who do not have those protections or privileges,” said Lilia Garcia-Brower, California’s labor commissioner. Her staff of 700 investigates and adjudicates workplace violations ranging from unpaid wages to retaliation.\u003c/p>\n\u003cp>Garcia-Brower said her office is trying to “ensure that we reach the most vulnerable workers, those workers providing critical services, and that everyone understands that regardless of your immigration status, you do have basic protections for unpaid time, for paid sick leave and \u003ca href=\"https://www.dir.ca.gov/dlse/2019-Novel-Coronavirus.htm\">other protections in the labor code.\u003c/a>”\u003c/p>\n\u003cp>California law mandates three days of sick leave. Beyond that, workers can also apply for \u003ca href=\"https://www.kqed.org/news/11806938/how-to-file-for-unemployment-in-california-during-the-coronavirus-pandemic\">disability and paid family leave\u003c/a>.\u003c/p>\n\u003cp>But undocumented workers cannot collect unemployment. To qualify, workers must show legal work authorization and immigration status, said a spokesperson for California’s Economic Development Department (EDD) in an email. EDD also confirmed that it verifies immigration status with the Department of Homeland Security.\u003c/p>\n\u003cp>A Facebook poll conducted in early March by the United Farm Workers union found over 90% of roughly 270 respondents — the majority from California, Washington and Oregon — said they had not received any information about the coronavirus from their employer.\u003c/p>\n\u003cp>The UFW has \u003ca href=\"https://ufw.org/wp-content/uploads/2020/03/COVID-19-2020-Open-Letter-from-UFW-FINAL.pdf\">called on employers\u003c/a> to extend worker sick pay to 40 hours or more and to eliminate the 90-day waiting period for new employees to be eligible for sick pay, among other changes.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>\u003cstrong>‘I’ll Pay for the Test’\u003c/strong>\u003c/p>\n\u003cp>Whether farmworkers get sick, have to stay home and care for children or can’t get a visa to work in the U.S., the coronavirus could threaten the country’s supply of farm labor.\u003c/p>\n\u003cp>U.S. farms have become \u003ca href=\"https://www.kqed.org/news/11778033/can-a-costly-guest-worker-program-meet-californias-need-for-farm-labor\">increasingly reliant\u003c/a> on the H-2A program over the years, which allows workers to come to the U.S. to plant, prune and harvest crops on a seasonal basis.\u003c/p>\n\u003cp>Last week, U.S. consulates in Mexico \u003ca href=\"https://mx.usembassy.gov/status-of-u-s-consular-operations-in-mexico-in-light-of-covid-19/?fbclid=IwAR2GCu9JbyZaV8Gj2jDnz_ZuXcu44so90R90tKNG1zUU_z5tfPKKpgkH6Rs\">announced\u003c/a> they would scale back their operations to maintain social distancing while prioritizing applications for returning H-2A guest workers who are eligible for an interview waiver.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a statement, a spokesperson for the U.S. Department of Agriculture said the agency is “directly engaged with the State Department and working diligently to ensure minimal disruption in H-2A visa applications,” and that the Trump administration is “doing everything possible” to keep the program going.\u003c/p>\n\u003cp>“We’re all scared to death,” said Ileana Arvizu, a farm labor contractor and president of ISA Contracting Services based in Firebaugh, west of Fresno. “We need those workers.”\u003c/p>\n\u003cp>Arvizu said she would be willing to pay for H-2A workers to be tested for the coronavirus if it meant the workers would arrive in the U.S. in time for the season.\u003c/p>\n\u003cp>“If they decide that they want to make sure that they’re clear and safe, [that] they’re not coming in with the virus, I’ll pay for the test. Whether it’s in Mexico, before they actually depart, or at any point,” Arvizu said.\u003c/p>\n\u003cfigure id=\"attachment_11780792\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11780792\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2019/10/RS18893_GettyImages-453973236-800x531.jpg\" alt=\"A worker harvests cantaloupes on a farm near Firebaugh, California, on August 22, 2014.\" width=\"800\" height=\"531\">\u003cfigcaption class=\"wp-caption-text\">A worker harvests cantaloupes on a farm near Firebaugh, California, on Aug. 22, 2014. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The degree of impact a loss of workers will have depends on how long the current restrictions stay in place, said Daniel Costa (no relation to Rep. Jim Costa), director of immigration law and policy research at the Economic Policy Institute, a think tank based in a Washington, D.C.\u003c/p>\n\u003cp>In a \u003ca href=\"https://www.epi.org/publication/coronavirus-and-farmworkers-h-2a/\">report\u003c/a> out Tuesday, Costa and UC Davis professor Philip Martin project that if only returning H-2A workers are processed for the next two months, the impact will likely be minor because farm employment in March and April is typically low.\u003c/p>\n\u003cp>“But if this practice stays in place for six months or more, during which no new applicants for H-2A visas can enter the United States,” Costa and Martin write, “the impact could be significant.”\u003c/p>\n\u003cp>If fewer guest workers are allowed into the U.S. and domestic farm workers get sick or have to stay home to care for children, farms will either have to pay overtime or recruit new workers. That means U.S.-born workers could be recruited to work in agriculture, Daniel Costa said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“That’s obviously the big question,” he said. “In California, there’s about to be 1.6 million unemployed workers. Will those workers take those jobs? It’s an experiment that’s about to happen.”\u003c/p>\n\u003cp>But farm labor contractor Jasmine Quintanilla said she thinks that’s unlikely, even if many people are out of a job due to the coronavirus.\u003c/p>\n\u003cp>Quintanilla said she tried hiring U.S.-born workers during past labor shortages, but they quit on their own after just a couple of hours. Workers who are new to agriculture lack experience, which presents a problem for labor contractors under pressure to work quickly and meet the expectations of growers, Quintanilla said.\u003c/p>\n\u003cp>“We can’t really afford new people … inexperienced people,” Quintanilla said. “People that have never worked in the field, they won’t even come out there. They’ll be like, ‘Heck no, this is too hard.’ ”\u003c/p>\n\u003cp>\u003cstrong>Uncertainty in the Fields\u003c/strong>\u003c/p>\n\u003cp>While many farms are scrambling to send more produce to supermarkets these days, farmworker Maricruz Ladino says her shifts at the packing house have become more irregular over the last week. Sometimes, there’s only a few hours of work, or workers are told to stand by to see if there will be shifts at all.\u003c/p>\n\u003cp>“We do see some hiccups … given the restaurant shutdowns across the country. Those orders have suddenly stopped,” said Dave Puglia, president and CEO of \u003ca href=\"https://www.wga.com/\">Western Growers\u003c/a>, representing fresh produce growers in California and Arizona.\u003c/p>\n\u003cp>“You would think that we could simply redirect those fresh produce crops into the retail sector, especially because we have shortages in stores. But it unfortunately isn’t that simple,” Puglia said.\u003c/p>\n\u003cp>That’s because farms have to work out new contracts, Puglia said, and figure out the capacity of shipping companies.\u003c/p>\n\u003cfigure id=\"attachment_11808285\" class=\"wp-caption alignnone\" style=\"max-width: 540px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11808285\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/03/RS5166_5Maricruz-sfi.jpg\" alt=\"Maricruz Ladino inspecting lettuce at a Salinas packing plant. \" width=\"540\" height=\"360\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS5166_5Maricruz-sfi.jpg 540w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/03/RS5166_5Maricruz-sfi-160x107.jpg 160w\" sizes=\"(max-width: 540px) 100vw, 540px\">\u003cfigcaption class=\"wp-caption-text\">Maricruz Ladino inspecting lettuce at a Salinas packing plant. \u003ccite>(Andres Cediel/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ladino earns about $16 an hour as a supervisor in the packing cooler. Her rent on the one-bedroom she shares with her daughter in Salinas is $1,600. Every hour she’s not paid to work, she’s farther from making rent.\u003c/p>\n\u003cp>“It could get really tough. Work is how we feed our families. If things change, it’s so uncertain. How will we ever get ahead?” Ladino said.\u003c/p>\n\u003cp>A formerly undocumented immigrant, Ladino is also worried that the coronavirus will stall immigration reform.\u003c/p>\n\u003cp>“This crisis is going to touch all of us,” Ladino said. “It’s a time for reflecting, re-evaluating what’s important.”\u003c/p>\n\u003cp>\u003cem>KQED’s The California Report first profiled Ladino in 2013 for “Rape in the Fields,” a \u003ca href=\"https://www.pbs.org/wgbh/frontline/film/rape-in-the-fields/\">Frontline film\u003c/a> and \u003ca href=\"https://www.kqed.org/news/10341215/farmworkers-face-rape-and-a-system-that-doesnt-aid-them\">radio series\u003c/a> about farmworkers facing sexual harassment and assault, which was produced in collaboration with the Investigative Reporting Program at UC Berkeley and the Center for Investigative Reporting.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>When Grace Taylor was in her first year of medical school, she took an ethics class with this hypothetical: You have two ventilators and three patients who need them. Who gets one?\u003c/p>\n\u003cp>“I remember thinking that was a classroom situation that would never come up in the real world,” says Taylor, who is now a third-year physician resident at San Francisco General Hospital. “And I really didn’t expect that that situation could be looming the way it is now.”\u003c/p>\n\u003cp>These are the kinds of decisions local and state officials are trying to avoid by ordering people to stay at home to \u003ca href=\"https://www.kqed.org/science/1958635/coronavirus-californias-best-response-may-be-to-flatten-the-curve-heres-what-that-means\" target=\"_blank\" rel=\"noopener noreferrer\">slow the spread of the coronavirus.\u003c/a> But just as hospitals across the Bay Area are preparing their supplies and facilities for a surge in sick patients, hospital ethics committees are still writing guidelines for the kinds of worst-case-scenarios that will arise when medical resources, especially ventilators, become scarce.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jessica Zitter, palliative care doctor\"]“I don’t know that this can be as much of a two-way conversation and a back and forth as it has been in this crisis period, because we just don’t have the resources. When you don’t have something, you don’t have it.”[/pullquote]\u003c/p>\n\u003cp>“So that no individual doctors or providers are making decisions about rationing, in the middle of the night, alone,” Taylor says, “both because it takes the moral distress off of the individual and also because it decreases the possibility of bias taking place.”\u003c/p>\n\u003cp>The U.S. ventilator supply was already limited before the coronavirus began to spread, with 70% to 80% of them already being used for flu, cancer and other patients, says David Magnus, a biomedical ethics professor at Stanford University and a member of the ethics committee at Stanford Hospital.\u003c/p>\n\u003cp>“Then you have this thing that comes along that might double or triple the number that are needed,” he says.\u003c/p>\n\u003cp>The coronavirus attacks the lungs, making it very difficult to breathe for some patients. Magnus says clinical data indicates these patients need to be put on ventilators sooner in the disease process than flu patients, further straining the supply. Intubating earlier happens for two reasons. First, COVID-19 patients tend to “crash” quickly, and it appears they may need ventilators sooner to be effective. Second, other types of intermediary respiratory support that health care providers usually turn to before ventilators, like oxygen delivered through a nasal cannula, put health care workers at risk of getting sick.\u003c/p>\n\u003cp>“That is very dangerous for everybody in the environment because you’re essentially aerosolizing their droplets and shooting them up into the atmosphere,” Magnus says.\u003c/p>\n\u003cp>Magnus says we will very likely reach the point where ventilators need to be rationed. This is a difficult concept for Americans in the U.S. health care system, who are used to getting whatever care they ask for, even at the end of life, when drastic treatments will not help at all.\u003c/p>\n\u003cp>“If families tell us, ‘We’re not ready to stop yet,’ even though the chances of a good outcome are really terrible, we will put patients on ventilators, send them to the ICU and essentially prolong the dying process in ICUs often for days, or weeks, sometimes even for months,” Magnus says. “But in circumstances of extreme scarcity, then we don’t do that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Magnus says, if care needs to be rationed, the guiding principle will be around who is most likely to benefit from the care. Patients with a less than 1% chance of benefiting from ventilator support, will not get it.\u003c/p>\n\u003cp>The more difficult decisions are for patients who have a 10%, 15% or 20% chance of benefitting. For these categories, doctors and researchers are turning to data from other countries hit by the virus, scouring the electronic medical records of patients to learn what characteristics of their health profile make them more or less likely to recover.\u003c/p>\n\u003cp>“The early data does seem to indicate that patients who have more than one organ system down are less likely to benefit, especially if they’re older,” Magnus says.\u003c/p>\n\u003cp>[aside tag=\"coronavirus, COVID-19\" label=\"More Coronavirus Coverage\"]\u003c/p>\n\u003cp>The biggest ethical responsibility for hospital staff will be communicating with patients and their families about exactly how and why certain decisions are being made. At Highland Hospital in Oakland, a lot of those conversations will fall to palliative care doctor \u003ca href=\"https://jessicazitter.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Jessica Zitter\u003c/a>.\u003c/p>\n\u003cp>“We’ve never done this before,” she says. “This is completely uncharted territory.”\u003c/p>\n\u003cp>Conversations that are normally meant to empower patients to make their own decisions will be more focused on the public good.\u003c/p>\n\u003cp>“Ultimately, we want our conversations to be as filled with compassion and support and validation and reflection as we can for people and their families,” she says. “But I don’t know that this can be as much of a two-way conversation and a back and forth as it has been in this crisis period, because we just don’t have the resources. When you don’t have something, you don’t have it.”\u003c/p>\n\u003cp>Some ethicists in the U.S. are also considering talking to people who are in the category of 10% to 20% chance of benefit from treatment, early, right when they arrive at the hospital, to see if some of them might be willing to forego certain treatment.\u003c/p>\n\u003cp>“Really assessing if people are willing to voluntarily say, ‘Look, I don’t want to take up that resource.’ Or, ‘Look, I understand I may not get that resource and I’d rather really highly prioritize and focus on comfort,’ ” Zitter says.\u003c/p>\n\u003cp>But Zitter desperately wants to avoid having these conversations. She pleads with the public, everyone young and old, to stay home. Help slow the spread of this virus so doctors aren’t forced to make these difficult decisions.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When Grace Taylor was in her first year of medical school, she took an ethics class with this hypothetical: You have two ventilators and three patients who need them. Who gets one?\u003c/p>\n\u003cp>“I remember thinking that was a classroom situation that would never come up in the real world,” says Taylor, who is now a third-year physician resident at San Francisco General Hospital. “And I really didn’t expect that that situation could be looming the way it is now.”\u003c/p>\n\u003cp>These are the kinds of decisions local and state officials are trying to avoid by ordering people to stay at home to \u003ca href=\"https://www.kqed.org/science/1958635/coronavirus-californias-best-response-may-be-to-flatten-the-curve-heres-what-that-means\" target=\"_blank\" rel=\"noopener noreferrer\">slow the spread of the coronavirus.\u003c/a> But just as hospitals across the Bay Area are preparing their supplies and facilities for a surge in sick patients, hospital ethics committees are still writing guidelines for the kinds of worst-case-scenarios that will arise when medical resources, especially ventilators, become scarce.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "“I don’t know that this can be as much of a two-way conversation and a back and forth as it has been in this crisis period, because we just don’t have the resources. When you don’t have something, you don’t have it.”",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“So that no individual doctors or providers are making decisions about rationing, in the middle of the night, alone,” Taylor says, “both because it takes the moral distress off of the individual and also because it decreases the possibility of bias taking place.”\u003c/p>\n\u003cp>The U.S. ventilator supply was already limited before the coronavirus began to spread, with 70% to 80% of them already being used for flu, cancer and other patients, says David Magnus, a biomedical ethics professor at Stanford University and a member of the ethics committee at Stanford Hospital.\u003c/p>\n\u003cp>“Then you have this thing that comes along that might double or triple the number that are needed,” he says.\u003c/p>\n\u003cp>The coronavirus attacks the lungs, making it very difficult to breathe for some patients. Magnus says clinical data indicates these patients need to be put on ventilators sooner in the disease process than flu patients, further straining the supply. Intubating earlier happens for two reasons. First, COVID-19 patients tend to “crash” quickly, and it appears they may need ventilators sooner to be effective. Second, other types of intermediary respiratory support that health care providers usually turn to before ventilators, like oxygen delivered through a nasal cannula, put health care workers at risk of getting sick.\u003c/p>\n\u003cp>“That is very dangerous for everybody in the environment because you’re essentially aerosolizing their droplets and shooting them up into the atmosphere,” Magnus says.\u003c/p>\n\u003cp>Magnus says we will very likely reach the point where ventilators need to be rationed. This is a difficult concept for Americans in the U.S. health care system, who are used to getting whatever care they ask for, even at the end of life, when drastic treatments will not help at all.\u003c/p>\n\u003cp>“If families tell us, ‘We’re not ready to stop yet,’ even though the chances of a good outcome are really terrible, we will put patients on ventilators, send them to the ICU and essentially prolong the dying process in ICUs often for days, or weeks, sometimes even for months,” Magnus says. “But in circumstances of extreme scarcity, then we don’t do that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Magnus says, if care needs to be rationed, the guiding principle will be around who is most likely to benefit from the care. Patients with a less than 1% chance of benefiting from ventilator support, will not get it.\u003c/p>\n\u003cp>The more difficult decisions are for patients who have a 10%, 15% or 20% chance of benefitting. For these categories, doctors and researchers are turning to data from other countries hit by the virus, scouring the electronic medical records of patients to learn what characteristics of their health profile make them more or less likely to recover.\u003c/p>\n\u003cp>“The early data does seem to indicate that patients who have more than one organ system down are less likely to benefit, especially if they’re older,” Magnus says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The biggest ethical responsibility for hospital staff will be communicating with patients and their families about exactly how and why certain decisions are being made. At Highland Hospital in Oakland, a lot of those conversations will fall to palliative care doctor \u003ca href=\"https://jessicazitter.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Jessica Zitter\u003c/a>.\u003c/p>\n\u003cp>“We’ve never done this before,” she says. “This is completely uncharted territory.”\u003c/p>\n\u003cp>Conversations that are normally meant to empower patients to make their own decisions will be more focused on the public good.\u003c/p>\n\u003cp>“Ultimately, we want our conversations to be as filled with compassion and support and validation and reflection as we can for people and their families,” she says. “But I don’t know that this can be as much of a two-way conversation and a back and forth as it has been in this crisis period, because we just don’t have the resources. When you don’t have something, you don’t have it.”\u003c/p>\n\u003cp>Some ethicists in the U.S. are also considering talking to people who are in the category of 10% to 20% chance of benefit from treatment, early, right when they arrive at the hospital, to see if some of them might be willing to forego certain treatment.\u003c/p>\n\u003cp>“Really assessing if people are willing to voluntarily say, ‘Look, I don’t want to take up that resource.’ Or, ‘Look, I understand I may not get that resource and I’d rather really highly prioritize and focus on comfort,’ ” Zitter says.\u003c/p>\n\u003cp>But Zitter desperately wants to avoid having these conversations. She pleads with the public, everyone young and old, to stay home. Help slow the spread of this virus so doctors aren’t forced to make these difficult decisions.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
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"marketplace": {
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"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
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"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"politicalbreakdown": {
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"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
"id": "science-friday",
"title": "Science Friday",
"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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},
"snap-judgment": {
"id": "snap-judgment",
"title": "Snap Judgment",
"tagline": "Real stories with killer beats",
"info": "The Snap Judgment radio show and podcast mixes real stories with killer beats to produce cinematic, dramatic radio. Snap's musical brand of storytelling dares listeners to see the world through the eyes of another. This is storytelling... with a BEAT!! Snap first aired on public radio stations nationwide in July 2010. Today, Snap Judgment airs on over 450 public radio stations and is brought to the airwaves by KQED & PRX.",
"airtime": "SAT 1pm-2pm, 9pm-10pm",
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},
"soldout": {
"id": "soldout",
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