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TennCare non-emergency ER visits cost $84 million – WATE 6 On Your Side

JOHNSON CITY, TN (WJHL) TennCare recipients cost taxpayers nearly $85 million by going to the emergency room for common colds, headaches, toothaches and other non-emergencies, according to the most recent available state data.

The data show federally and state-funded non-emergent ER visits resulted in a 25% increase in cost in the 2016 fiscal year compared to the prior year.

State records identified at least 126,000 visits in one year alone, including 24,257 visits for acute upper respiratory infections, 14,178 visits for headaches, 11,420 visits for strep throat, 10,115 visits for nausea with vomiting, 9,918 visits for lower back pain, 9,098 visits for viral infections, 8,323 visits for fevers and 8,161 visits for toothaches.

(Division of TennCare)

This is a long-term problem, TennCare Chief Medical Officer Dr. Victor Wu said.

Dr. Wu said the states Medicaid program is trying to come up with a solution by working to convince its 1.5 million patients, which include low-income pregnant women, children, the elderly and people with disabilities, to get regular checkups with a primary care physician and not just go to the doctor when they are sick.

Everyone needs to have a relationship with their primary care provider, Dr. Wu said. I think if we can begin to turn the tide more toward prevention and turn the tide more toward focusing on wellness I think that will help, in general, offload some of the challenges we see when people do get sick and where they need to go.

In addition to that effort, Dr. Wu said TennCare is increasing patient interventions, including face-to-face meetings, phone calls, text messages and letters and working with hospitals to help direct patients through the proper path of care.

I think were still trying to work through all different avenues and all different channels, he said. It is really challenging.

TennCare also reports it implemented a new policy several years ago that caps the amount of money it reimburses hospitals at $50 per non-emergent ER visit, which incentivizes hospitals to better educate the public. However, the states own numbers show more education is needed, particularly in East Tennessee, which is responsible for more than $30 million of the total $84 million expense.

Its an opportunity, Dr. Shari Rajoo said. It also is a signal that there is definitely a misunderstanding of the purpose of the emergency room. I think we really have to reorient ourselves to the emergency room is for life or limb threatening situations and Is this one of those situations? Can I wait until the morning?

Mountain States Health Alliances AnewCare Collaborative has spent the last several years trying to drive the message home that primary care is not only more affordable, but ultimately better for a person and societys overall health. At the ER, doctors arent specialists in treating chronic health problems. Instead, theyre focused strictly on emergency care and often times, only have a snapshot of a patients medical history. AnewCare Collaborative President Paige Younkin said MSHA is also trying to give patients support so they can call their care coordinator for advice about how best to treat their health issue and avoid the ER altogether.

The patients better off because their care if coordinated, Younkin said. There is, for lack of a better word, theres a captain of their ship.

The AnewCare Collaborative, led by both women, is targeting certain patient demographics, using disease-specific initiatives to spread the message and trying to make primary care and urgent care more convenient.

Were working on establishing easier scheduling, open scheduling, maybe looking at different hours, so that theyre more flexible, so the patient is able to go there instead of the emergency department, Younkin said.

Even with all of these efforts, the chairman of the Tennessee Senate committee in charge of TennCare oversight said there is only so much the state can do.

It really is troubling, Sen. Rusty Crowe (R), District 3, said.

Like his counterpart in Congress Rep. Phil Roe (R), District 1, Sen. Crowe said states need flexibility too that will only come from federal healthcare reform.

The federal laws restrict our hospitals with regard to what we can do with Medicaid patients, Sen. Crowe said. Untie our hands and let us do what we need to do at the state level.

I strongly agree that states need more flexibility in how they structure their Medicaid programs so first-class people arent receiving second-class care, Congressman Roe said in a statement. This is why we prioritized Medicaid reform as part of the American Health Care Act that will help move towards a health care system that lowers the cost of care and empowers patients so they arent relying on emergency rooms for primary care.

Experts say non-emergent visits arent just costing taxpayers money and costing TennCare patients better care, theyre also tying up the ERs critical service, which delays care for people who really need emergency help.

It just increases the wait time, Dr. Wu said. We want to help shift them to more prevention and wellness as opposed to just acute sickness.

MSHA said patients should contact their primary care office for most medical problems, including urinary symptoms, cough/congestion, flu, earaches, sore throats, migraines, fever, constipation, rashes, minor cuts and burns, regular physicals, prescription refills, vaccinations, screenings and advice.

Meanwhile, the health system said patients should use urgent care when it is not an emergency, but waiting to see your primary care provider is not an option. Urgent care facilities can order any necessary bloodwork and can assist with urinary symptoms, cough/congestion, flu, earaches, sore throats, migraines, fever, constipation, rashes, sprains, back pain, minor cuts and burns, minor broken bones or minor eye injuries, MSHA said.

MSHA said patients should go to the ER for chest pain, severe abdominal pain, coughing up or vomiting blood, severe burns, deep cuts or bleeding that wont stop, sudden blurred vision, sudden difficulty breathing or shortness of breath that is not relieved by inhalers, sudden dizziness, weakness, or loss of coordination or balance, sudden, new numbness in the face, arm, or leg, sudden slurred speech, sudden severe headache (not a migraine), seizures and any other condition you believe is life-threatening.

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TennCare non-emergency ER visits cost $84 million – WATE 6 On Your Side

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Emergency Room Lexington, Kentucky (KY) – Saint Joseph East …

At Saint Joseph East, we understand how stressful a trip to the emergency room (ER) can be. That’s why we are continuously improving our services, policies and processes so you are in and out of the hospital as fast as possible, while still receiving the same great care that you expect from us.

Emergency Department 859.967.5176

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Emergency Room Lexington, Kentucky (KY) – Saint Joseph East …

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Medical Monday-When to go to the Emergency Room vs. Your Primary Care Physician – WAGM

When youre sick, its hard enough to function, much less try and decide where to go to see a doctor. Pines Health Services is sending out pamphlets to help with Cary Medical Centers overcrowded emergency room.

“The ER is extremely busy. Every single bed I think even the hallways are full. Patients are in the waiting room that might be able to be seen here so we really can take away the wait time in the ER making it more convenient for the patient,” said RN Practice Manager Libby Gardner.

To help with overcrowding, Pines health services is educating the community on when to see a primary care physician or head to the Emergency room.

“So we sent out five thousand mailers today to community members just stating the differences for where they should seek treatment,” said Gardner.

The pamphlet includes when to see your primary care physician including sprains, sports injuries, and even getting a pregnancy test.

“The reason that were doing this is because weve seen an influx of patients going to the ER seeking treatment there rather than coming here to see a primary care provider. Seeing increase wait times, costs, those kinds of things when were readily available to help here,” said Gardner.

But if youre experiencing a symptom with more severity Gardner says you should be going to the emergency room.

“If someone is experiencing some chest pain, numbness on one side of the body, those are signs of a much more severe condition and they should seek expert advice in the emergency department,” said Gardner.

Gardner also says you could be saving money if you see your primary doctor rather than heading to the ER.

“If you come to your primary care physician depending on the insurance that you have or copay. If you go to the emergency department you might have a copay thats 5 times as high than coming to the office,” said Gardner.

In order to encourage patients to come in to see their primary care physicians Gardner says the staff at pines health does their best to see their patients as soon as possible.

“We strive to be able to get our own patients in the very same day that they are calling with their needs. Although they may not see their own primary care provider we have a team of providers ready to help who have access to a patient’s medical records making it a safe, smoother transition for the patient,” said Gardner.

And when in doubt, call your physician to determine where you should go.

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Neighbors ER: Market saturation forced closure of College Station location – KBTX

COLLEGE STATION, Tex. (KBTX) – One of the many free-standing emergency rooms that have popped up around town is no longer open for business.

Neighbors Emergency Center on University Drive across from the campus had only been open since October of 2016. At least 30 employees lost their positions with the closure last weekend.

The Houston-based company says the local market is simply too saturated with freestanding ERs.

In a statement to KBTX, a spokesperson for the company says, the entire industry is compressing due to oversaturation in some markets. College station is fortunate to have multiple points of access to care in the community. Many towns across Texas, especially in rural areas, are not as lucky.

Dr. Andy Wilson of Caprock ER, the first free-standing ER in College Station, says while over saturation locally is a concern, there’s also an ongoing battle between all types of licensed emergency rooms and insurance companies. He says that’s also making it difficult to stay in business.

Insurance companies have spent millions of dollars to try and convince there enrollees that emergency care is ever out of network, said Wilson.

The Texas Department of Insurance says under the law you can go to any emergency room, but payment responsibilities may vary depending on the type of insurance plan you carry.

A spokesperson sent KBTX the following statement:

Consumers in a health maintenance organization (HMO) plan or exclusive provider organization (EPO) plan who get emergency care from an out-of-network provider in an emergency situation arent responsible for amounts above their normal copay’s and coinsurance for in-network care. Consumers with coverage through preferred provider organizations (PPO) who get out-of-network care may be balance billed even for emergency services meaning the consumer may be responsible for the amount not paid by the plan.

Wilson says balance billing is usually not the practice of most free-standing emergency rooms.

It will always be in network, said Wilson. If its not appeal it and we will appeal it with you and we will win.

The Texas Department of Insurance says its a good idea to know the closest emergency room in your health plan’s provider network.

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HMH completes Phase II of emergency room expansion – Elizabethtown News Enterprise

Hardin Memorial Hospital has completed Phase II of its 14,000-square-foot emergency department expansion.

Phase II, which wrapped up last week, included adding nine renovated rooms for patient care and new CT scan and digital X-ray rooms to the department.

Hardin Memorial Health Assistant Vice President for Emergency Services Deanna Parker said the new CT scan and digital X-ray rooms allow patients to receive quicker access to diagnostic tools.

We no longer have to take patients across the hospital for these important treatments, Parker said. Because minutes matter, quick access for CT scan is an especially critical tool for stroke patients.

Emergency Department Manager Chris Stucker said the rooms are some of our largest wins in this department.

Its a lot of improvement, he said.

Stucker said additional rooms include one designed for bariatric patients and an isolation room for those undergoing radiation treatments.

The expanded space was designed to serve everyone, he said, with rooms also for victims of sexual assault and those with behavioral health needs. HMH is one of only four emergency departments in Kentucky with certified Sexual Assault Nursing Examiners, officials said.

Stucker also said the new space has state-of-the-art trauma suites for better care of severely injured patients.

All of our rooms are set up to treat any type of patient. We didnt want to limit ourselves to where you could only see a certain type of patient in a room, but we do have specialized rooms, he said. There was definitely a lot of work put in from all around to try to determine the need of the community.

Phase III of the expansion, which began Thursday, is scheduled for completion in early 2018. When complete, the expanded department will have 65 rooms in a ribbon-shaped design meant to provide enhanced security, improved flow and more personalized treatment.

During the final phase, walk-in emergency department patients are being asked to enter the hospital at the covered overhang entrance, formerly the main admitting entrance facing Dixie Avenue.

Patients, visitors and staff who park in the parking garage have access to the entrance by a sidewalk connecting the garage to the new entrance. Signage has been added to the new entrance overhang, the parking garage and throughout the hospital campus to direct visitors.

A campus map that highlights the new entrance can be seen at http://www.hmh.net.

Parker said Hardin Memorial Health is growing its emergency department to meet the needs of a growing region. Originally designed to serve 44,000 patients annually, the emergency department now sees more than 70,000 patients each year. Stucker said he projects they are on track for 72,000 to 75,000 patients this year.

Each day, we are taking steps to improve. … Its a journey, Parker said, also thanking the community for showing patience during the transition. We are committed to making this the best (emergency department) possible for them.

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Baton Rouge General gets early nod for neighborhood hospital, emergency room in Ascension Parish – The Advocate

GONZALES A $30 million micro-hospital and office complex that Baton Rouge General wants to build along La. 73 in Ascension Parish sailed through its first layer of development review Monday.

The parish’s Planning and Zoning Commission recommended a major use change that Baton Rouge General needs to install a 10-bed hospital and 14-bed emergency room in the lower floor of an already approved 60,000-square foot medical building.

Baton Rouge General officials announced Monday the hospital and emergency room would operate 24 hours a day, seven days a week, and accept all patients, whether uninsured, insured by government programs or by private companies.

GONZALES A key Ascension Parish panel will get a look Monday night at plans for Baton Roug

The vote, which was unopposed with two members absent, after a handful of speakers aired divided views on the facility. Those views included support for the hospital, worries about traffic and other growth-related troubles, and opposition to Baton Rouge General’s business model.

The Parish Council will make a final decision on the proposed hospital, which would bring a second sizable medical facility to populous eastern Ascension.

St. Elizabeth Hospital, which is owned by a rival hospital corporation, is in Gonzales. Prevost Memorial Hospital is in Donaldsonville, across the Mississippi River.

Just 13 months earlier, amid major traffic concerns for La. 73, the same commission had recommended denying the original three-story medical office building that then would have been without a hospital or emergency room. At the time, Baton Rouge General was not identified as the owner of the facility slated for 8.1 acres just northeast of the I-10/La. 73 interchange.

Projections then suggested drivers exiting I-10 eastbound at La. 73 would have a more than two-minute delay in the afternoons due to the new office plaza. Despite the commission’s recommendation to deny, the Parish Council approvedthe zoning change for the building.

On Monday, Commissioner Aaron Chaisson, who was among the “no” votes last year, noted that denying changes that Baton Rouge General now wants would not stop the 60,000-square-foot office complex, but would stop a revised plan with reduced traffic impact.

Traffic engineers for Baton Rouge General have projected trading the hospital and emergency room for the bottom 20,000-square-feet of office space would reduce traffic impact at peak travel times by 18 percent to 20 percent.

Michael Bruce, senior principal with Stantec, the firm that did Baton Rouge General’s traffic analysis, said Baton Rouge General has since decided to add a right turn lane along La. 73 southbound for incoming traffic.

Bruce said the turn lane, improved timing among signal lights around the intersections of I-10, La. 621 and La. 73, and a planned expansion of I-10 in that area should help mitigate traffic. He noted the hospital is also paying Ascension government more than $300,000 in traffic impact fees.

Valarie Mohamed, 49, who lives next to the site, ticked off drainage, noise, light and traffic as her major worries. She also questioned the need for the hospital when there are hospitals a few miles away in Baton Rouge and Gonzales, as well as urgent care clinics even closer.

But, Ely Brooks, 69, of Geismar, said he is for a hospital closer to where he lives. Brooks said hospitals in Baton Rouge and Gonzales can take as much as an hour to reach in traffic.

As part of the recommendation, the commission required a privacy fence along the property line with The Quarters, the neighboring condominium complex.

Follow David J. Mitchell on Twitter, @NewsieDave.

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Baton Rouge General gets early nod for neighborhood hospital, emergency room in Ascension Parish – The Advocate

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133% leap in children admitted to ER for marijuana, study finds – CNN

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While other states have voted yes, the outcome here could be a game changer. CNN’s Sara Sidner reports. “,”descriptionText”:”On Election Day in California, a proposition to legalize the use of recreational marijuana in the state is on the ballot. While other states have voted yes, the outcome here could be a game changer. CNN’s Sara Sidner reports. “},{“title”:”Weed pumpkin pie, it exists. Happy Thanksgiving. “,”duration”:”01:10″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/politics/2014/11/25/weed-pumpkin-pie.cnn/index.xml”,”videoId”:”politics/2014/11/25/weed-pumpkin-pie.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/141125151701-pumpkin-pie-thumb-story-top.jpg”,”videoUrl”:”/videos/politics/2014/11/25/weed-pumpkin-pie.cnn/video/playlists/legalized-marijuana/”,”description”:”We went out to Sweet Grass Kitchen in Colorado to learn how they make their signature holiday treat, cannabis infused pumpkin pie. “,”descriptionText”:”We went out to Sweet Grass Kitchen in Colorado to learn how they make their signature holiday treat, cannabis infused pumpkin pie. “},{“title”:”What’s worse — pot or booze?”,”duration”:”00:58″,”sourceName”:”CNNMoney”,”sourceLink”:”http://money.cnn.com”,”videoCMSUrl”:”/video/data/3.0/video/tv/2015/04/16/compare-marijuana-and-alcohol.cnnmoney/index.xml”,”videoId”:”tv/2015/04/16/compare-marijuana-and-alcohol.cnnmoney”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150416162316-compare-marijuana-and-alcohol-00002510-large-169.jpg”,”videoUrl”:”/videos/tv/2015/04/16/compare-marijuana-and-alcohol.cnnmoney/video/playlists/legalized-marijuana/”,”description”:”The Federal Government considers marijuana a schedule 1 narcotic, which means it has a higher potential for abuse. Just how bad is it?”,”descriptionText”:”The Federal Government considers marijuana a schedule 1 narcotic, which means it has a higher potential for abuse. Just how bad is it?”},{“title”:”Your brain on weed”,”duration”:”01:39″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/health/2014/03/10/orig-brain-on-weed-sanjay-jr-jt.cnn/index.xml”,”videoId”:”health/2014/03/10/orig-brain-on-weed-sanjay-jr-jt.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/140310200119-orig-jr-brain-on-weed-story-top.jpg”,”videoUrl”:”/videos/health/2014/03/10/orig-brain-on-weed-sanjay-jr-jt.cnn/video/playlists/legalized-marijuana/”,”description”:”Dr. Sanjay Gupta explains how marijuana affects the brain and how pot can be used to treat certain conditions.”,”descriptionText”:”Dr. Sanjay Gupta explains how marijuana affects the brain and how pot can be used to treat certain conditions.”},{“title”:”Former pop star could become pot kingpin”,”duration”:”00:48″,”sourceName”:”CNN”,”sourceLink”:”http://www.cnn.com”,”videoCMSUrl”:”/video/data/3.0/video/us/2015/11/03/nick-lachey-ohio-marijuana-vote-nr.cnn/index.xml”,”videoId”:”us/2015/11/03/nick-lachey-ohio-marijuana-vote-nr.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/140716095324-nick-lachey-vanessa-january-2014-story-top.jpg”,”videoUrl”:”/videos/us/2015/11/03/nick-lachey-ohio-marijuana-vote-nr.cnn/video/playlists/legalized-marijuana/”,”description”:”Former pop star Nick Lachey could be the next weed kingpin of Ohio if the state passes a law legalizing medical and recreational marijuana.”,”descriptionText”:”Former pop star Nick Lachey could be the next weed kingpin of Ohio if the state passes a law legalizing medical and recreational marijuana.”},{“title”:”New products unveiled at Cannabis Cup “,”duration”:”01:58″,”sourceName”:”CNN”,”sourceLink”:”http://www.cnn.com/shows/newsroom”,”videoCMSUrl”:”/video/data/3.0/video/us/2015/04/20/nr-live-cabrera-4-20-holiday-cannabis-cup.cnn/index.xml”,”videoId”:”us/2015/04/20/nr-live-cabrera-4-20-holiday-cannabis-cup.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150420154552-nr-live-cabrera-4-20-holiday-cannabis-cup-00011804-large-169.jpg”,”videoUrl”:”/videos/us/2015/04/20/nr-live-cabrera-4-20-holiday-cannabis-cup.cnn/video/playlists/legalized-marijuana/”,”description”:”CNN’s u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile”>Ana Cabrerau003c/a> is in Colorado reporting on the Cannabis Cup during 4/20, the unofficial holiday for pot smokers. “,”descriptionText”:”CNN’s u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile”>Ana Cabrerau003c/a> is in Colorado reporting on the Cannabis Cup during 4/20, the unofficial holiday for pot smokers. “},{“title”:”Being Moody: Growing pot next door to Congress “,”duration”:”02:12″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/politics/2015/04/20/being-moody-marijuana-dc-ar-orig-wx.cnn/index.xml”,”videoId”:”politics/2015/04/20/being-moody-marijuana-dc-ar-orig-wx.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150419225717-being-moody-marijuana-dc-ar-orig-wx-00004116-large-169.jpg”,”videoUrl”:”/videos/politics/2015/04/20/being-moody-marijuana-dc-ar-orig-wx.cnn/video/playlists/legalized-marijuana/”,”description”:”Marijuana has been legal within the District of Columbia for nearly two months now despite threats from Congress. “,”descriptionText”:”Marijuana has been legal within the District of Columbia for nearly two months now despite threats from Congress. “},{“title”:”New app is like Facebook for pot lovers”,”duration”:”02:39″,”sourceName”:”CNN”,”sourceLink”:”http://www.cnn.com/shows/erin-burnett-out-front”,”videoCMSUrl”:”/video/data/3.0/video/us/2015/04/17/erin-pkg-cabrera-marijuana-social-media-app.cnn/index.xml”,”videoId”:”us/2015/04/17/erin-pkg-cabrera-marijuana-social-media-app.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150417201256-erin-pkg-cabrera-marijuana-social-media-app-00023322-large-169.jpg”,”videoUrl”:”/videos/us/2015/04/17/erin-pkg-cabrera-marijuana-social-media-app.cnn/video/playlists/legalized-marijuana/”,”description”:”MassRoots is the latest app that’s similar to Facebook or Instagram but specially caters to people who love weed. u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile” target=”_blank”>CNN’s Ana Cabrerau003c/a> has more.”,”descriptionText”:”MassRoots is the latest app that’s similar to Facebook or Instagram but specially caters to people who love weed. u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile” target=”_blank”>CNN’s Ana Cabrerau003c/a> has more.”},{“title”:”Weed laws by state”,”duration”:”01:16″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/us/2015/01/06/weed-laws-by-state-ts-orig-chris-boyette.cnn/index.xml”,”videoId”:”us/2015/01/06/weed-laws-by-state-ts-orig-chris-boyette.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/140419123735-marijuana-jar-file-story-top.jpg”,”videoUrl”:”/videos/us/2015/01/06/weed-laws-by-state-ts-orig-chris-boyette.cnn/video/playlists/legalized-marijuana/”,”description”:”What happens if you’re caught with marijuana? It depends on where you are. CNN’s Chris Boyette breaks down pot laws and how they vary per state.”,”descriptionText”:”What happens if you’re caught with marijuana? It depends on where you are. 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Having 1 ounce or less of pot is now OK, but you can’t do it in public or if you’re under 21. u003ca href=”http://www.ktuu.com/” target=”_blank”>KTUU reports.u003c/a>”},{“title”:”Mapping out a legal marijuana empire”,”duration”:”01:11″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/tv/2015/04/06/high-profits-plans.cnn/index.xml”,”videoId”:”tv/2015/04/06/high-profits-plans.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150407113439-high-profits-plans-00000614-large-169.jpg”,”videoUrl”:”/videos/tv/2015/04/06/high-profits-plans.cnn/video/playlists/legalized-marijuana/”,”description”:”Brian Rogers and Caitlin McGuire, owners of Breckenridge Cannabis Club and stars of CNN’s “u003ca href=”http://www.cnn.com/shows/high-profits/”>High Profitsu003c/a>,” talk about the “green rush” of legal marijuana. Series premieres Sunday, April 19 at 10 p.m. ET/PT.”,”descriptionText”:”Brian Rogers and Caitlin McGuire, owners of Breckenridge Cannabis Club and stars of CNN’s “u003ca href=”http://www.cnn.com/shows/high-profits/”>High Profitsu003c/a>,” talk about the “green rush” of legal marijuana. 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Just how bad is it?”,”descriptionText”:”The Federal Government considers marijuana a schedule 1 narcotic, which means it has a higher potential for abuse. Just how bad is it?”},{“title”:”Your brain on weed”,”duration”:”01:39″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/health/2014/03/10/orig-brain-on-weed-sanjay-jr-jt.cnn/index.xml”,”videoId”:”health/2014/03/10/orig-brain-on-weed-sanjay-jr-jt.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/140310200119-orig-jr-brain-on-weed-story-top.jpg”,”videoUrl”:”/videos/health/2014/03/10/orig-brain-on-weed-sanjay-jr-jt.cnn/video/playlists/legalized-marijuana/”,”description”:”Dr. Sanjay Gupta explains how marijuana affects the brain and how pot can be used to treat certain conditions.”,”descriptionText”:”Dr. Sanjay Gupta explains how marijuana affects the brain and how pot can be used to treat certain conditions.”},{“title”:”Former pop star could become pot kingpin”,”duration”:”00:48″,”sourceName”:”CNN”,”sourceLink”:”http://www.cnn.com”,”videoCMSUrl”:”/video/data/3.0/video/us/2015/11/03/nick-lachey-ohio-marijuana-vote-nr.cnn/index.xml”,”videoId”:”us/2015/11/03/nick-lachey-ohio-marijuana-vote-nr.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/140716095324-nick-lachey-vanessa-january-2014-story-top.jpg”,”videoUrl”:”/videos/us/2015/11/03/nick-lachey-ohio-marijuana-vote-nr.cnn/video/playlists/legalized-marijuana/”,”description”:”Former pop star Nick Lachey could be the next weed kingpin of Ohio if the state passes a law legalizing medical and recreational marijuana.”,”descriptionText”:”Former pop star Nick Lachey could be the next weed kingpin of Ohio if the state passes a law legalizing medical and recreational marijuana.”},{“title”:”New products unveiled at Cannabis Cup “,”duration”:”01:58″,”sourceName”:”CNN”,”sourceLink”:”http://www.cnn.com/shows/newsroom”,”videoCMSUrl”:”/video/data/3.0/video/us/2015/04/20/nr-live-cabrera-4-20-holiday-cannabis-cup.cnn/index.xml”,”videoId”:”us/2015/04/20/nr-live-cabrera-4-20-holiday-cannabis-cup.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150420154552-nr-live-cabrera-4-20-holiday-cannabis-cup-00011804-large-169.jpg”,”videoUrl”:”/videos/us/2015/04/20/nr-live-cabrera-4-20-holiday-cannabis-cup.cnn/video/playlists/legalized-marijuana/”,”description”:”CNN’s u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile”>Ana Cabrerau003c/a> is in Colorado reporting on the Cannabis Cup during 4/20, the unofficial holiday for pot smokers. “,”descriptionText”:”CNN’s u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile”>Ana Cabrerau003c/a> is in Colorado reporting on the Cannabis Cup during 4/20, the unofficial holiday for pot smokers. “},{“title”:”Being Moody: Growing pot next door to Congress “,”duration”:”02:12″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/politics/2015/04/20/being-moody-marijuana-dc-ar-orig-wx.cnn/index.xml”,”videoId”:”politics/2015/04/20/being-moody-marijuana-dc-ar-orig-wx.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150419225717-being-moody-marijuana-dc-ar-orig-wx-00004116-large-169.jpg”,”videoUrl”:”/videos/politics/2015/04/20/being-moody-marijuana-dc-ar-orig-wx.cnn/video/playlists/legalized-marijuana/”,”description”:”Marijuana has been legal within the District of Columbia for nearly two months now despite threats from Congress. “,”descriptionText”:”Marijuana has been legal within the District of Columbia for nearly two months now despite threats from Congress. “},{“title”:”New app is like Facebook for pot lovers”,”duration”:”02:39″,”sourceName”:”CNN”,”sourceLink”:”http://www.cnn.com/shows/erin-burnett-out-front”,”videoCMSUrl”:”/video/data/3.0/video/us/2015/04/17/erin-pkg-cabrera-marijuana-social-media-app.cnn/index.xml”,”videoId”:”us/2015/04/17/erin-pkg-cabrera-marijuana-social-media-app.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150417201256-erin-pkg-cabrera-marijuana-social-media-app-00023322-large-169.jpg”,”videoUrl”:”/videos/us/2015/04/17/erin-pkg-cabrera-marijuana-social-media-app.cnn/video/playlists/legalized-marijuana/”,”description”:”MassRoots is the latest app that’s similar to Facebook or Instagram but specially caters to people who love weed. u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile” target=”_blank”>CNN’s Ana Cabrerau003c/a> has more.”,”descriptionText”:”MassRoots is the latest app that’s similar to Facebook or Instagram but specially caters to people who love weed. u003ca href=”http://www.cnn.com/profiles/ana-cabrera-profile” target=”_blank”>CNN’s Ana Cabrerau003c/a> has more.”},{“title”:”Weed laws by state”,”duration”:”01:16″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/us/2015/01/06/weed-laws-by-state-ts-orig-chris-boyette.cnn/index.xml”,”videoId”:”us/2015/01/06/weed-laws-by-state-ts-orig-chris-boyette.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/140419123735-marijuana-jar-file-story-top.jpg”,”videoUrl”:”/videos/us/2015/01/06/weed-laws-by-state-ts-orig-chris-boyette.cnn/video/playlists/legalized-marijuana/”,”description”:”What happens if you’re caught with marijuana? 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CNN’s Chris Boyette breaks down pot laws and how they vary per state.”},{“title”:”Art class allows you to smoke pot and paint”,”duration”:”01:41″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/us/2015/02/19/marijuana-art-class-puff-pass-paint-orig.cnn/index.xml”,”videoId”:”us/2015/02/19/marijuana-art-class-puff-pass-paint-orig.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150219105748-marijuana-art-class-puff-pass-paint-orig-00012409-large-169.jpg”,”videoUrl”:”/videos/us/2015/02/19/marijuana-art-class-puff-pass-paint-orig.cnn/video/playlists/legalized-marijuana/”,”description”:”Students in this cannabis-friendly art class paint and smoke marijuana with their fellow artists. “,”descriptionText”:”Students in this cannabis-friendly art class paint and smoke marijuana with their fellow artists. “},{“title”:”Alaska becomes 3rd state to legalize marijuana use”,”duration”:”02:20″,”sourceName”:”KTUU”,”sourceLink”:”http://www.ktuu.com/”,”videoCMSUrl”:”/video/data/3.0/video/us/2015/02/25/pkg-alaska-marijuana-legalization.ktuu/index.xml”,”videoId”:”us/2015/02/25/pkg-alaska-marijuana-legalization.ktuu”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150225011254-pkg-alaska-marijuana-legalization-00002415-large-169.jpg”,”videoUrl”:”/videos/us/2015/02/25/pkg-alaska-marijuana-legalization.ktuu/video/playlists/legalized-marijuana/”,”description”:”Alaska is the third state to legalize marijuana use. Having 1 ounce or less of pot is now OK, but you can’t do it in public or if you’re under 21. u003ca href=”http://www.ktuu.com/” target=”_blank”>KTUU reports.u003c/a>”,”descriptionText”:”Alaska is the third state to legalize marijuana use. Having 1 ounce or less of pot is now OK, but you can’t do it in public or if you’re under 21. u003ca href=”http://www.ktuu.com/” target=”_blank”>KTUU reports.u003c/a>”},{“title”:”Mapping out a legal marijuana empire”,”duration”:”01:11″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/tv/2015/04/06/high-profits-plans.cnn/index.xml”,”videoId”:”tv/2015/04/06/high-profits-plans.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150407113439-high-profits-plans-00000614-large-169.jpg”,”videoUrl”:”/videos/tv/2015/04/06/high-profits-plans.cnn/video/playlists/legalized-marijuana/”,”description”:”Brian Rogers and Caitlin McGuire, owners of Breckenridge Cannabis Club and stars of CNN’s “u003ca href=”http://www.cnn.com/shows/high-profits/”>High Profitsu003c/a>,” talk about the “green rush” of legal marijuana. Series premieres Sunday, April 19 at 10 p.m. ET/PT.”,”descriptionText”:”Brian Rogers and Caitlin McGuire, owners of Breckenridge Cannabis Club and stars of CNN’s “u003ca href=”http://www.cnn.com/shows/high-profits/”>High Profitsu003c/a>,” talk about the “green rush” of legal marijuana. Series premieres Sunday, April 19 at 10 p.m. ET/PT.”},{“title”:”‘I never thought I’d be smoking weed in the hospital'”,”duration”:”05:24″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/tv/2015/04/16/cnn-tonight-sanjay-gupta-weed-3-brooke-baldwin-marijuana.cnn/index.xml”,”videoId”:”tv/2015/04/16/cnn-tonight-sanjay-gupta-weed-3-brooke-baldwin-marijuana.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/150413171707-cnn-weed-3-4-19-2015-00000921-large-169.jpg”,”videoUrl”:”/videos/tv/2015/04/16/cnn-tonight-sanjay-gupta-weed-3-brooke-baldwin-marijuana.cnn/video/playlists/legalized-marijuana/”,”description”:”Brooke Baldwin invites Dr. Sanjay Gupta to share a preview of his forthcoming special, ‘Weed 3: The Marijuana Revolution'”,”descriptionText”:”Brooke Baldwin invites Dr. Sanjay Gupta to share a preview of his forthcoming special, ‘Weed 3: The Marijuana Revolution'”},{“title”:”How to buy pot (legally)”,”duration”:”02:32″,”sourceName”:”CNN”,”sourceLink”:””,”videoCMSUrl”:”/video/data/3.0/video/us/2014/12/29/orig-how-to-buy-pot-cabrera.cnn/index.xml”,”videoId”:”us/2014/12/29/orig-how-to-buy-pot-cabrera.cnn”,”videoImage”:”//i2.cdn.cnn.com/cnnnext/dam/assets/141229123721-orig-how-to-buy-pot-cabrera-00010416-story-top.jpg”,”videoUrl”:”/videos/us/2014/12/29/orig-how-to-buy-pot-cabrera.cnn/video/playlists/legalized-marijuana/”,”description”:”Smokable, edible or topical? 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133% leap in children admitted to ER for marijuana, study finds – CNN

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Hospital evacuated after reports of odor in emergency room – Atlanta Journal Constitution

EXETER, N.H.

Exeter Hospital in New Hampshire was evacuated Friday morning and extra ambulances were called in after reports of an odor in the emergency room, according to the local firefighters’ union.

New Hampshire One reports employees were asked to leave the hospital around 11:30 a.m. when police and other first responders were called.

The Exeter firefighters union tweeted crews were called to the scene for an “unknown odor” in the emergency room.

According to a spokesperson for the hospital, five staff members began showing symptoms like dizziness around 8:30 Friday morning.

The number of patients increased to about 20 as the morning went on and the emergency department and operating room were closed out an “abundance of caution,” Deb Vasapoli told Boston 25 News.

Officials say they have not been able to find the source of what is making people sick at the hospital. Some of the patients were transferred to other hospitals in the area.

According to Vasapoli, the only people affected by the symptoms were staff members and they were all from the operating room.

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Hospital evacuated after reports of odor in emergency room – Atlanta Journal Constitution

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Exeter Hospital emergency room evacuated after suspected chemical leak – CBS News

Last Updated Aug 11, 2017 2:28 PM EDT

Seventeen staff members were evacuated from the Exeter Hospital operating room in New Hampshire after they began to feel dizzy.

In a statement, Exeter Hospital said staff and patients in the operating room complained of dizziness Friday morning due to “an unknown cause.” The hospital said it closed the emergency and operating rooms “out of an abundance of caution.”

The Epping Fire Department said it was dispatched for a carbon monoxide problem.

The emergency room, which is located near the operating room, was evacuated as a precaution, CBS Boston reports, even though no patients in that area complained of dizziness.

Aerial footage from CBS Bostonshowed multiple patients in hospital beds outside the facility.

The scene outside Exeter Hospital in Exeter, New Hampshire, after the emergency room and operating room were evacuated on Aug. 11, 2017.

CBS Boston

No odor was detected prior to staff members feeling ill.

“What we know is patients were being treated in the [operating room] with flu-like symptoms when those treating them also started feeling ill, so the OR was shut down and people were moved to the ER for treatment,” said town manager Russell Dean. “The same thing happened there, so the ER was shut down and a staging area has been set up outside the main hospital, with patients being transported to area hospitals.”

Dean said “source of the issue is being investigated as a possible leak of some kind.”

2017 CBS Interactive Inc. All Rights Reserved.

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Exeter Hospital emergency room evacuated after suspected chemical leak – CBS News

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ER data: More weather-related injuries, less flu in 2017 – Bend Bulletin

A-A+

Bend residents will remember the winter of 2017 as one of the worst in a long time. And data from the emergency room at St. Charles Bend supports that notion.

Doctors saw an increase in head and neck injuries in the first quarter of the year that may reflect a larger number of slips and falls, according to emergency room data.

Reports from early in the year suggested a number of people had fallen while trying to clean the snow off their roofs. The number of emergency room patients with head injuries rose 45 percent, from 55 in the first quarter of 2016 to 80 this year.

Cases of neck strain rose 28 percent, from 67 patients last year to 86 in 2017.

Another large change was the number of flu and pneumonia cases it decreased. The number of patients presenting with flu symptoms was cut in half, from 130 in 2016 to 61 in 2017. Pneumonia cases, which often start with flu infections, dropped from 91 to 59.

That could represent the cyclical nature of the flu. Some years, flu strains spread more easily and cause more severe illness. Other years, flu seasons are much more mild.

Whats odd about the 2017 flu numbers, however, is that most of Oregon experienced its worst flu season in a long time.

By all of our measures this year, flu was particularly bad, said Dr. Ann Thomas, public health physicians with Oregon Public Health Division.

OHA tracks flu hospitalizations in the Portland tri-county area, and by that measure, the state had never seen a flu season this bad. Before 2017, flu hospitalizations had peaked around 800. This year, they hit 1,614.

Thomas attributes that to the circulating strain, an influenza A H3N2 strain that is associated with more severe illness and deaths, especially in older people and young children. Oregon also broke the record for the number of flu outbreaks reported to the state this past flu season.

So why were emergency visits for flu cut in half from the previous year in Bend?

It may also be due to the record snowfall. The heavy snows and concerns over the safety of school roofs resulted in an almost unprecedented number of snow days for Bend-La Pine Schools. After not a single snow day in the first quarter of 2016, schools were closed six to eight days in 2017. (Not all schools reopened at the same time.)

Scores of studies have documented that schools play a major role in the community transmission of the flu virus. Kids are enclosed in tight quarters through much of the day, allowing them to pass on the virus quickly and efficiently.

Studies have shown the usual winter break impacts flu transmission rates, with cases dropping during the vacation then picking up again when students return.

Thats why many public health emergency plans for dealing with flu pandemics include the possibility of closing schools. The Centers for Disease Control and Prevention analyzed the experiences of two school districts in Texas during the 2009 H1N1 pandemic, one of which shut down schools as a precaution. In the district where schools were closed, there was no increase in flu-related emergency room visits. But in the district that kept schools opened, emergency room visits doubled.

While it would be difficult to conclusively prove school closures in Bend kept flu in check, Thomas said its a viable theory.

School-age kids are the ones that spread it around a lot, especially in middle school and high school, where youre not just infecting 30 other kids, its like 150 going to different classes each period, she said. And then they bring it home and spread it to their families and grandparents.

Then again, flu behavior is notoriously hard to predict and often just as difficult to explain.

You never know enough, Thomas said.

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ER data: More weather-related injuries, less flu in 2017 – Bend Bulletin

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