Debbie de los Angeles woke up on March 3 to two voicemails from nurses at the Seattle-area care home that housed her 85-year-old mother, Twilla Morin.
In the first one, left at 4:15 a.m., a nurse asked a troubling question - whether the “do not resuscitate” instructions for her mother’s end-of-life care were still in force.
“We anticipate that she, too, has coronavirus, and she’s running a fever of 104,” the woman on the recording said. “We do not anticipate her fighting, so we just want to make sure that your goal of care would be just to keep her here and comfortable.”
The nursing home in Kirkland, Washington was dealing with the beginnings of an outbreak that has since been linked to more than 30 deaths. De los Angeles had not yet fully grasped the grave threat; she comforted herself with the thought that her mother had made it through flu outbreaks at the center before.
Then she took in the next voicemail, left three hours after the first by a different nurse.
“Hi Debbie, my name is Chelsey … I need to talk to you about your Mom if you could give us a call. Her condition is declining, so if you can call us soon as possible that would be great. Thanks. Bye.”
De los Angeles called the home immediately. Her mom was comfortable, she was told. She did not change the “do not resuscitate” instruction. She wanted to visit, but held off: She is 65, and her husband Bob is 67; both have underlying medical conditions that pose serious risks if they contract coronavirus. She thought they had more time to find the best way to comfort her mother in what might be her final hours.
At 3 a.m. the next morning, Wednesday, March 4, de los Angeles woke up and reached for her phone. Life Care Center had called – leaving another voice message just a few minutes earlier, at 2:39 a.m.
“I know it’s early in the morning but Twilla did pass away at 2:10 because of the unique situation,” the nurse said. “The remains will be picked up from the coroner’s office. They’ve got your contact.”
The “unique situation” has of course become tragically common worldwide, as thousands of families have been separated from their loved ones in the last days before they died in isolation, often after deteriorating quickly. The three voicemails - eerily routine and matter-of-fact - would be de los Angeles’ final connection to her mother. She had gone from knowing relatively little about the threat of COVID-19 to becoming a bereaved daughter in the span of one day.
The hurried voicemails with such sensitive information were one sign of the chaos inside the facility at the time, as nurses worked feverishly to contain the outbreak while residents died from a virus that was just hitting the United States. One of the nurses who called de los Angeles, Chelsey Earnest, had been director of nursing at another Life Care facility and volunteered to come to Kirkland to care for patients through the outbreak. She never expected the disease would cause dozens of deaths and the mass infection of patients and staff.
Earnest worked the night shift, when patients with the disease seemed to struggle the most, and many, like Morin, succumbed to the disease. Infected patients developed a redness in and around their eyes. The center’s phones rang constantly as worried families called for updates. About a third of the center’s 180 staff members started showing symptoms of the disease; the rest started a triage operation.
“There were no protocols,” said Life Care spokesman Tim Killian, as nurses found themselves thrust into a situation more dire than any faced by an elderly care facility “in the history of this country.”
The center’s nurses, he said, would not normally leave such sensitive information about dying relatives in voicemails, but they had little time to do anything else – and did not want anyone to hear about a loved one’s condition in the news before the center could inform them. Outside the home, journalists and family members gathered for the latest scraps of information on the home’s fight against the virus. Many relatives, barred from going inside for safety reasons, stood outside the windows of their loved ones’ rooms, looking at them through the glass as they conversed over the phone.
Leaving the emergency voicemails, Killian said, made “the best of a difficult situation."
From the outside, the messages appear abrupt and impersonal, but may well have been the best or only way to properly notify families in such a crisis, said Ruth Faden, professor of biomedical ethics at John Hopkins University’s Berman Institute of Bioethics. While medical professionals should normally aim to impart such urgent information in person, the circumstances - an overwhelmed staff, dealing with dozens of dying patients - likely made that impossible, she said.
“The way to find out is difficult, always,” Faden said. “What people remember is how much the nurse cared about the person.”
When de Los Angeles heard of her mother’s death in one of those voicemails, she immediately called one of the nurses back, looking for any bits of information about her mother’s final hours. The nurse sounded upset.
“She told me my Mom was one of her favorite people there; she was going to miss seeing my Mom going up and down the hallway in her wheelchair,” de los Angeles said.
They had given her mother morphine and Ativan to keep her calm and comfortable, the nurse told her.
“My Mom was asleep, and then she just went to sleep permanently,” de los Angeles said.
De los Angeles, an only child, aches over not having spoken to her mother before she died. Morin had been a bookkeeper for several companies. De los Angeles fondly remembers doing household chores with her mother on Saturday mornings, then going to the local mall or to Woolworth’s for lunch.
The separation continued even after her mother’s death. De los Angeles telephoned the crematorium where her mother had been taken, as Morin had arranged years earlier, to ask if she could view the body.
“Absolutely not,” the woman told her, out of concern de los Angeles could be infected.
Morin had been tested for coronavirus shortly after she died, on March 4. The results confirmed her coronavirus infection a week later. Soon afterwards, she was cremated.
“We picked up her ashes on Saturday,” she said. “I never saw or spoke to mom. It’s put off the closure.”
It’s also put off the funeral. De los Angeles had planned the ceremony for April 4 - the birthday of her father, who died ten years ago. Her ashes would be placed next to his. But the service will have to wait because Washington’s governor, Jay Inslee, has banned gatherings of 10 people or more.
In the meantime, de los Angeles has worked to make sure her mother’s death certificate records her as a causality of the pandemic. The doctor who signed it did not have confirmed test results showing a COVID-19 infection at the time of her death, de los Angeles said, and listed the cause as “a viral illness, coronary artery disease and a respiratory disorder.” But the doctor has since moved to include coronavirus as a cause, at de los Angeles’ request.
As she waits for the funeral, de los Angeles has put the urn holding her mother's ashes behind some flowers on the mantle in her living room. She says she can’t bear to look at it.
A daughter learns in voicemails that coronavirus has killed her mother
https://arab.news/8xm8x
A daughter learns in voicemails that coronavirus has killed her mother
India’s successful test of hypersonic missile puts it among elite group
- Missile is designed to carry payloads for ranges exceeding 1,500 km for armed forces
- India is striving to develop long-range missiles along with China, Russia and United States
NEW DELHI: India has successfully tested a domestically developed long-range hypersonic missile, it said on Sunday, attaining a key milestone in military development that puts it in a small group of nations possessing the advanced technology.
The global push for hypersonic weapons figures in the efforts of some countries, such as India, which is striving to develop advanced long-range missiles, along with China, Russia and the United States.
The Indian missile, developed by the state-run Defense Research and Development Organization and industry partners, is designed to carry payloads for ranges exceeding 1,500 km (930 miles) for the armed forces, the government said in a statement.
“The flight data ... confirmed the successful terminal maneuvers and impact with high degree of accuracy,” it added.
The test-firing took place from Dr. APJ Abdul Kalam island off the eastern coast of Odisha state on Saturday, it said.
Defense Minister Rajnath Singh called the test a “historic achievement” in a post on X, adding that it placed India among a select group of nations possessing such critical and advanced technologies.
Russia targets Ukraine’s power grid in ‘massive’ missile strike, officials say
- Ukrainians have been bracing for a major attack on the hobbled power system for weeks
- A crippling damage to the grid that would cause long blackouts and build psychological pressure
KYIV: Blasts rang out across Ukraine’s capital Kyiv and other cities early on Sunday, as Russia staged its biggest missile attack since August and targeted power facilities with the winter setting in, officials said.
Ukrainians have been bracing for a major attack on the hobbled power system for weeks, fearing crippling damage to the grid that would cause long blackouts and build psychological pressure at a critical moment in the war Russia launched in February 2022.
“Another massive attack on the power system is under way. The enemy is attacking electricity generation and transmission facilities throughout Ukraine,” Ukrainian Energy Minister German Galushchenko wrote on Facebook.
Air defenses could be heard engaging drones over the capital in the night, and a series of powerful blasts rang out across the city center as the missile attack was under way in the morning.
The scale of the damage was not immediately clear. Officials cut power supply to numerous city districts, including in Kyiv, the surrounding region and Dnipropetrovsk region, in what they said was a precaution to prevent a surge in case of damage.
Authorities in the Volyn region in northwestern Ukraine said energy infrastructure had sustained damage but did not elaborate. Officials often withhold information on the state of the power system because of the war.
In Mykolaiv in the south, two people were killed in the overnight drone attack, the regional governor said. Blasts shook the southeastern city of Zaporizhzhia and the Black Sea port of Odesa, Reuters witnesses said. More blasts were reported in the regions of Kryvyi Rih in the south and Rivne in the west.
“Russia launched one of the largest air attacks: drones and missiles against peaceful cities, sleeping civilians, critical infrastructure,” said Foreign Minister Andrii Sybiha.
He described the strike as Moscow’s “true response” to leaders who had interacted with President Vladimir Putin, an apparent swipe at German Chancellor Olaf Scholz, who placed a phone call to the Russian leader on Friday for the first time since late 2022.
NATO member Poland, which borders Ukraine to the west, said it had scrambled its air force within its airspace as a security precaution due to the Russian attack, which it said used cruise missiles, ballistic missiles and drones.
Poland “activated all available forces and resources at his disposal, the on-duty fighter pairs were scrambled, and the ground-based air defense and radar reconnaissance systems reached the highest state of readiness,” the operational command of its armed forces posted on X.
Ukraine’s air force urged residents to take cover, providing regular updates on the progress of Russian cruise, ballistic and hypersonic missiles it said were hurtling through Ukrainian air space.
In Kyiv, the roof of a residential building caught fire due to falling debris and at least two people were hurt, city officials said on the Telegram messaging app.
“Emergency services were dispatched to the scene,” Kyiv’s Mayor Vitali Klitschko said.
Russia last conducted a major missile strike on Kyiv on Aug. 26, when officials said it fired a salvo of more than 200 drones and missiles across the country in an attack that attack killed seven people.
Trump and team get warm welcome at UFC fight night
- US President-elect enters arena shortly before the start of the main card accompanied by UFC chief executive Dana White
- Trump frequently attends UFC events and attended three fights during his campaign for the White House
NEW YORK: US President-elect Donald Trump was greeted by chanting fans as he attended the Ultimate Fighting Championship heavyweight bout at New York’s Madison Square Garden on Saturday.
Trump entered the arena shortly before the start of the main card accompanied by UFC chief executive Dana White, who was a prominent backer during his election campaign.
Several political allies of Trump were also in attendance for the mixed-martial arts fights, including entrepreneurs Elon Musk and Vivek Ramaswamy, who have been asked by Trump to lead efforts to cut government inefficiency.
Robert F. Kennedy Jr., who Trump has nominated to be health secretary, was also at the fight and a photo posted on X showed the pair flying to the event together on Trump’s private plane.
The night had the feel of a post-election night out for the Republicans.
Tulsi Gabbard, the former Democratic congresswoman tapped for the role of director of national intelligence, was also in the crowd along with Trump’s sons Eric and Don Jr and musician Kid Rock — a regular at Trump rallies.
After waving to the chanting crowd, Trump warmly greeted UFC broadcast analyst Joe Rogan, the popular podcast host who also endorsed Trump after he appeared as a guest on his show.
The venue’s “jumbotron” giant screen above the cage where fighters did battle then showed a video featuring highlights of the election campaign with soundbites from Trump.
The film ended with the numbers 45 and 47 on the screen, representing the Republican’s previous and upcoming presidency.
Fans chanted “USA, USA,” a refrain frequently heard at Trump rallies, including one he held at Madison Square Garden last month.
Trump watched the fights alongside Musk from front row seats next to the caged octagon.
After Jon Jones defended his heavyweight title with a third-round technical knockout against fellow American Stipe Miocic in the main event, the fighter celebrated with Trump’s trademark ‘YMCA’ dance.
“I want to say a big thank you to President Donald Trump for being here tonight,” said Jones, receiving a huge roar of approval from the crowd.
After leading the crowd in another round of “USA, USA” chant, Jones then passed his heavyweight championship belt to Trump and spent some time in conversation with the President-elect.
Trump frequently attends UFC events and attended three fights during his campaign for the White House.
His ties to the fight world run deep. He featured retired WrestleMania star Hulk Hogan at the Republican convention in August and hosted UFC bouts at his casinos in the early days, when the series struggled to gain traction and well before it became today’s multi-billion success.
Indigenous peoples, impacted by climate change, raise alarm about the planet at COP29
- 12 Indigenous people attending this year’s negotiations say one thing about how climate change is impacting their community
BAKU: They share stories of rising seas, burning trees, contaminated water and disease. But they also come ready to discuss solutions, sharing work their communities are doing to help confront a major threat to life on Earth: climate change.
For the many Indigenous peoples who attend the annual UN climate talks, this year being held in Azerbaijan, it’s a chance to make their voices heard. Their communities are often hard hit by weather extremes that are made worse by climate change. At the same time, traditional practices make many such communities vital in efforts to combat global warming. After all, for thousands of years Indigenous peoples around the world have successfully cared for lands, finding a balance with nature.
The Associated Press asked 12 Indigenous people attending this year’s negotiations to say one thing about how climate change is impacting their community, or how their community is helping to combat climate change. Here are their reflections:
Saina Ekaterina Savvinova, 53
Indigenous community: Yakut
Location: Yakutsk, Russia
“When I was a child, we had a lot of snow. We played in it. We made labyrinths with it. Now we don’t have much snow.”
Antumalen Ayelen Antillanca Urrutia, 26
Indigenous community: Mapuche Huilliche
Location: Huapi Island, Chile
“As a young Mapuche, I denounce the contamination of my home of Ranco Lake in southern Chile. I live on the third largest lake, on an island in the middle of it, and we do not have drinking water.”
Sydney Males, 27
Indigenous community: Kichwa Otavalo
Location: Otavalo, Ecuador
“We have a connection, like an energy, with the lakes, with the water in general. We have a connection with fire, we have a connection with the the air and other things that you in the Occident don’t have a connection with. So, we have solutions for climate change.”
Big Wind Carpenter, 31
Indigenous community: Northern Arapaho
Location: Wind River Reservation, United States
“We have been in a drought since I was born. We have been in extreme drought the last 30 years and completely surrounded by wildfires.”
Flora Vano, 39
Indigenous community: Melenasian
Location: Port Vila, Vanuatu
“Sea level rise is eating us up. It threatens our food security, contaminates our water source, infrastructure is destroyed and the increase in gender-based violence goes sky high.”
Puyr dos Santos Tembé, 47
Indigenous community: Tembé
Location: Belem, Brazil
“Think about the Amazon. You have trees and rivers, and then you see the rivers, which are the mode of transport for many people, drying up.”
Mingma Chhiri, 40
Indigenous community: Sherpa
Location: Khumbu Pasanglhamu Municipality District, Nepal
“As ethnic people in the area, we don’t destroy any natural beauty. We don’t cut trees. We plant them.”
Hindou Oumarou Ibrahim, 41
Indigenous community: Mbororo
Location: N’Djamena, Chad
“Right now we are experiencing the biggest floods we have ever had. Two million people have been displaced and thousands are dead.”
Ninawa Inu Pereira Nunes, 50
Indigenous community: Huni Kui
Location: Feijo, Brazil
“The main work we do is to raise awareness among people to stop deforestation. But we are also restoring degraded areas by planting trees. And we are working very hard to strengthen the spirituality of our people by restoring the sources of the rivers and repopulating the streams and rivers.
Marynne Rimbao, 42
Indigenous community: Tombekin
Location: Unda village, Papua New Guinea
“My place is located in one of the remotest places in Papua New Guinea, where there are mining activities. Especially when mining activities are involved, my area is being impacted by climate change when it comes to the environment — the land, the water, the resources, the food and forests — that sustains our livelihood.
Didja Tchari Djibrillah, 30
Indigenous community: Peul Mbororo
Location: Mayo-Kebbi East, Chad
“The community (of pastoralists) contributes to combatting the effects of climate change. When moving from one place to another, we leave cow dung that allows the soil to be fertilized and the ecosystem to regenerate.”
Jackson Michael, 40
Indigenous community: Iban
Location: Borneo, Malaysia
“Heavy rainfall is affecting wildlife. Now the government is making a lot of effort to protect and preserve wildlife.”
Japanese troops to train with Australia, US militaries in Darwin
- The deployment has special significance given Darwin was a major base for Allied forces in World War Two
SYDNEY: Japanese troops will begin regular deployments in northern Australia as part of military cooperation with Australia and the US, Australia’s Defense Minister Richard Marles said on Sunday.
Around 2,000 US Marines are already hosted in Darwin, the capital of the Northern Territory, for six months of the year amid growing concern among Washington and its allies about China’s growing military power in the Indo Pacific region.
“Today we are announcing that there will be regular deployments of Japan’s amphibious Rapid Deployment Brigade to Australia,” Marles said at a televised press conference in Darwin, alongside US Defense Secretary Lloyd Austin and Japanese Defense Minister Gen Nakatani.
“Having a more forward leaning opportunity for greater training with Japan and the US together is a really fantastic opportunity for our defense,” Marles told Sky News on Sunday, according to a transcript.
The deployment has special significance given Darwin was a major base for Allied forces in World War Two and was heavily bombed by Japanese forces. The wartime air raids on the port city are sometimes described as Australia’s Pearl Harbor.
Austin said on Sunday he was confident the US will provide the capabilities set out in the AUKUS deal, which will see Australia buy US nuclear submarines and develop a new class of nuclear-powered submarines with the US and Britain.
The US Defense Department was focused “on a smooth and effective transition” to the incoming administration of President-elect Donald Trump, Austin said.
“I’m really proud of the things that this administration has accomplished over the last four years, in terms of what we’ve done in this region to strengthen alliances and to work with countries that share the vision of a free and open Indo Pacific,” Austin added.
Sunday’s trilateral meeting between Australia, the US and Japan in Darwin is the 14th meeting of its kind between the three allies.
At the last trilateral, held in Singapore in June, the nations expressed serious concern about security in the East China Sea and said they opposed “any destabilizing and coercive unilateral actions” there, a veiled reference to China.
China, building its military capacity in the Indo Pacific, in September carried out the rare launch of intercontinental ballistic missile that landed in the Pacific Ocean. The test launch was described as concerning by several Pacific nations including Australia.
