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‘We haven’t forgotten about you’ – Eastern Ky. flood recovery continues, supported by UK providers

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‘We haven’t forgotten about you’ – Eastern Ky. flood recovery continues, supported by UK providers


LEXINGTON, Ky. (Aug. 7, 2024) – It’s been two years. Two years since portions of Eastern Kentucky changed — both her landscape and her people. 

“The holes. That is the thing that jumps out at me still on my drives each day,” said Key Douthitt, M.D., medical director for UK HealthCare’s North Fork Valley Clinic in Hazard, Kentucky. “The places where I knew there was a big building, and it is not there anymore. It is the absence of what was.” 

The scars left behind by the 2022 flood are also not something those just passing through might notice at this point. But for those who call the area home, it is all still very fresh.

“Seeing those holes where you know people once lived or was someone’s once longstanding business … that is something that sort of hits you in the face every day,” said Douthitt, who makes his commute to work each day in Perry County through some of the hardest-hit areas. 

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Douthitt says just because there are remnants of crumbled buildings and properties wiped away, that doesn’t mean progress is not happening.

“It is a grind. There’s a reason why they call it long-term recovery,” he said. “It’s because you must go in knowing in that we’re not going to turn this around in six months and get everybody fixed. You have to keep in mind that it is a long process — a marathon, not a sprint.”

As the housing chair for the Breathitt County Long Term Recovery committee, he knows firsthand about the grind. He also sees the slow but steady progress being made. “We are up to 11 houses that we’ve built for flood survivors through Mennonite Disaster Services,” said Douthitt. 

Eleven might not seem like much, but considering the challenges and work it takes on the front end just to find a place for a new home to be built, 11 homes and all those that will follow are critical in the big picture.

“Each new home that goes up, it helps people not lose hope,” said Douthitt. 

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After all, this is far from a small task, with hundreds of homes destroyed or majorly damaged in Breathitt County alone. Plus, the 2022 flooding came on the heels of a FEMA-declared flooding disaster in 2021 that the county is also still recovering from.

“You sort of feel sometimes like you’re spinning your wheels trying to get things moving in the right direction,” said Douthitt. “But I’m hopeful.”

Douthitt continues to help flood survivors navigate the process of applying for and receiving relief assistance money from the government to get back into permanent housing. Some of the money can be used for reconstruction. That means someone’s home was destroyed, but they can rebuild on that same plot of land but at a different location on the land. Then other money can be used for what is considered new housing. New housing is for somebody who does not have any land out of the floodplain and must find new property to build on.

“The big issue is there is not a whole lot of land that is suitable,” said Douthitt. “The whole point is to get people out of the floodplain so they are safer from future floods and not exposed to that trauma again.”

In Eastern Kentucky, it’s common for generations of families to put their homes on the same stretch of land. Douthitt has found many people do not want to leave their property. He cites a common refrain: “I was born and raised here, and this is where I’m going to die.”

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Douthitt and others on the housing committee watched people in their communities living in campers, mobile homes and even tents. They knew they had to get people out of those temporary homes. This led Douthitt to walking unoccupied areas to find strips of land suitable for building. After a few weeks of trekking the terrain, including a 200-acre property that took about eight hours, he realized he needed to work smarter, not harder. The family medicine doctor tapped into his resources as part of the UK family and connected with Doug Curl at UK’s Kentucky Geological Survey (KGS).

“I’m so fortunate that as a part of UK, I’ve had these resources. We have never felt alone,” said Douthitt.

With the expertise and resources through KGS, they were able to make headway and a quicker rate and use their time and energy more efficiently. Now roughly two years out from starting the process, some promise is being seen thanks to the mapping work. 

“The city did purchase a property we identified through the maps,” said Douthitt. “It is currently undergoing environmental review with the plan to build at least seven new houses on the property. There are some other properties we identified and referred that are being looked at by the county.” 

There are some properties also being referred to or that they plan to refer to Gov. Andy Beshear’s office to see what resources are available for engineering and development costs to make the land suitable for homes. Douthitt says these properties are promising sites for dozens of homes.

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“Since this process uses government funds, they have to do an environmental review and check off other criteria. It is just a long, long process,” he said. “In the meantime, our neighbors are living in substandard conditions. Every week that passes, it’s just going really slow, because you want to get these people recovered. You want to get them back in a safe place that they can call home and that gets them out of the floodplain. It definitely isn’t happening as quick as we would like, but we’re seeing some progress, and I expect next year it will really explode.”

The community doctor is among several UK and UK HealthCare employees who have literally had their boots on the ground from the beginning. They jumped into action to help their neighbors in the immediate aftermath. They were part of the teams traveling by foot, ATVs and even horseback to get to survivors in those first days. They were joined by other UK HealthCare providers in the area, UK Retail Pharmacy members and others who knew the terrain. The horseback teams were led by members of the Breathitt Horseman’s Association, which is part of the Breathitt County Cooperative Extension. The teams provided tetanus shots, medications, water, first aid and connections with other needed resources.

Their work to help flood survivors has been tireless and continues today. At times they use their field of expertise to help and at other times their compassion as humans drives them to help however they can. The UK Center of Excellence in Rural Health (UK CERH) and their Kentucky Homeplace program have certainly stood in as a resource for basic needs and source of comfort for survivors throughout the impacted counties. Kentucky Homeplace is recognized at the national, state and local levels as a community health worker model that works. For more than three decades , Kentucky Homeplace has been linking rural Kentuckians with medical, social and environmental services they otherwise might have gone without.

“Our community health workers at Kentucky Homeplace continue to receive referrals related to the flooding, even at the two-year mark. Our team will continue reaching out to help those in need of access to services and other essentials for daily living,” said Fran Feltner, D.N.P., director of the UK CERH. “As far as recovery, it will take years to recover from the damage of the flood and the interruption of daily living for the people in eastern Kentucky. There is still work to be done.”

Kentucky Homeplace leaders spoke at a national conference earlier this year to share how their community health workers have helped, both in the early response and in long-term recovery efforts. They emphasized the important role community health workers can play during disaster response and recovery.

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“We haven’t forgotten about you,” said Douthitt. “We are out here every day trying to move this process forward, from the governor on down to our individual case managers and volunteers throughout the community. Everyone is going to have a safe place to live. Everyone deserves that and we are not going to stop till we get there.”

Douthitt says he often refers back to an old saying: How do you walk around the world? One step at a time.

“We just have to keep putting those feet forward,” he said. “If we keep moving the right direction, eventually we will get everyone completely recovered and until then we will celebrate our small victories – keeping the hope alive.”

 

 

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Mo Dioubate wishes Kentucky’s scouting report was better at Alabama: ‘The way they played, I was kind of expecting that’

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Mo Dioubate wishes Kentucky’s scouting report was better at Alabama: ‘The way they played, I was kind of expecting that’


If you thought Kentucky’s approach to its matchup at Alabama was bizarre, you’re not alone — Mo Dioubate, the former Crimson Tide forward under Nate Oats, was left scratching his head on the way home from Tuscaloosa, too. How did the Wildcats get caught with their pants down on so many wide-open looks for a team leading the country in three-point volume? How did they get shut down offensively with the Tide ranked among the worst high-major defenses in the country? There was plenty to dislike about the 89-74 loss, especially for a guy who was in that other locker room a year ago for three successful scouting reports leading to three wins in Mark Pope’s debut season in Lexington.

He was excited to hand his old coach and teammates a loss as a friend-turned-enemy. Instead, they were able to get the last laugh, making juggling the emotions of his homecoming and the frustrations of a loss tough.

“It was quite fun (being back), a little emotional. That’s a school that I played for for two years, where I created a lot of bonds with people over there,” he told KSR on Tuesday. “It was fun. I was looking forward to that game for a long time. We didn’t get the result we wanted, but just being back there in that environment felt good. … I was really, really excited going into that game. I’ve been looking forward to that game all year.”

As for what went wrong in Tuscaloosa that prevented the blue and white from leaving Coleman Coliseum with a victory? He brought up the scout multiple times after allowing 38 attempts from deep with 15 makes for a team coming off a 54-attempt, 22-make effort against Yale just days before.

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They inexplicably played right into Alabama’s strengths.

“I feel like the game could have been a lot better if we had made more of an emphasis on the scout,” Dioubate said. “The way they played, I was kind of expecting that in a way because I played for Oats at Alabama. I was expecting a lot of threes, a lot of flare screens going into that game. I feel like we could have emphasized that more, being on the catch. Knowing that they’re an isolation team, being in the gaps early to build out, I think there’s a lot of things we could have done better.”

The film breakdown wasn’t fun once the Wildcats returned to Lexington, as Pope made clear on his radio show Monday evening. That includes his own personal coaching evaluation.

“There were some brutal moments in the film session, where you know you just have to watch yourself — me included — not perform the way that you expect to, where you don’t live up to your standard,” he said.

What got under Dioubate’s skin the most during the postgame autopsy after the dust settled? Well, again, the scout.

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“The most frustrating part was seeing that we could have done better at the scouting report. It felt like they were doing the same thing over and over,” he continued. “Just thinking we could have done a lot better on the defensive side. With the attention to detail and the personnel, we should have taken it more seriously.”

What did he learn about this group in Tuscaloosa? That attention to detail could have been better when coming up with the scout.

“I didn’t learn something that I didn’t know already. It was just the attention to detail. I feel like we could have emphasized that a lot more in the scout. Some of the plays they were doing, the offensive movements, the peel to a flare (screen) — I feel like we could have studied it a little more and emphasized it more. I think that would have been a major difference in the game.”

It wasn’t just finger-pointing for Dioubate, either — he knows he’s partially to blame, too. No one crushed it for Kentucky on both sides of the floor across 40 minutes of game action.

He could’ve done more to will the Wildcats to victory, setting the tone early before the wheels fell off without a serious shot to recover.

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“As far as me, I think I could have impacted the game more — I had a mismatch on me the whole game,” he added. “I felt like I could have been more dominant there. The game was just going really fast and we were just trying to stop the bleeding. We could have done better in-game adjustments when they started making all those threes. I think there was a lot that we could have done better for this game.”

You may have heard Nate Oats’ analysis of the Wildcats’ struggles after the matchup, saying he knew he could exploit Kentucky’s questionable passing tendencies — particularly in the frontcourt.

The way he saw it on film going into the game, this team struggles to move the ball, despite its misleading assist rates when considering high-major competition vs. cupcakes. More specifically, the bigs don’t look to pass once they’re fed the ball in the post.

“Our thing was, they throw it in and these guys aren’t trying to pass,” Oats said. “They’re trying to score the ball.”

Pope didn’t necessarily agree with the opposing coach’s assessment of his bigs, but Dioubate himself doesn’t mind the criticism.

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“That’s just the kind of guy he is,” he said of his former coach. “He’s super intelligent when it comes to knowing basketball. He does his research a lot. He’s probably better than a lot of people in the country. That’s what he does. I didn’t know that, honestly. I was kind of surprised hearing that. I think him saying that allowed us to see what we could work on better. From the post scoring and all of the options from there.”

Needless to say, it’s clear Dioubate wanted this one against his former school.



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‘This doesn’t define him’: KY toddler completes fourth phase of aggressive chemotherapy

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‘This doesn’t define him’: KY toddler completes fourth phase of aggressive chemotherapy


(LEX18) — A toddler from eastern Kentucky has completed his fourth round of chemotherapy, marking a significant milestone in his battle against an aggressive form of leukemia.

It’s a story LEX18 first brought to you back in May.

Three-year-old Axel Combs was first diagnosed with T-cell acute lymphoblastic leukemia in April while on vacation in Florida. Nine months later, he has completed four rounds of aggressive chemotherapy and recently finished his frontline treatment.

Over the past several months, Axel has undergone surgeries, blood transfusions, and many aggressive treatments to reach this point.

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“I feel two totally different ways all at the same time. Like part of me is so sad, but then part of me is so grateful and appreciative at the same time,” said Sasha Combs, Axel’s mother.

The family now waits for Axel’s Absolute Neutrophil Count to reach 750, so he can move forward with a less aggressive chemotherapy treatment for the next two years.

Combs says doctors are hopeful Axel will reach that number by Tuesday once his labs are rechecked.

Axel has even started acting like himself again, which has given his family hope.

“Up until probably like July or August, those personality changes were still there,” Combs said. “When we started seeing him act more like himself, that kind of gave us a glimpse of hope.”

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Despite his treatment, Axel has been able to enjoy special moments, including serving as an honorary captain with the Cincinnati Reds and seeing the lights at the Kentucky Horse Park.

Combs says Axel had to undergo chemotherapy on Thanksgiving and Christmas Eve, but was able to wake up together Christmas morning.

“We were able to spend Christmas here at the temporary home together. It was the four of us,” Combs said.

Beyond Axel’s health challenges, the family faces significant financial burdens. From April to December, their insurance was billed $2.4 million for his cancer treatments. Some chemotherapy treatments cost $50,000 for a single dose.

Combs says the family’s faith has only grown, along with a newfound perspective, as they navigate this journey.

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She thanks the community for its overwhelming support and outreach, especially on her Facebook page, Angels for Axel, where she shares every step of his journey.

“You can still find happiness and beauty among really horrible, horrible, horrible situations,” Combs said. “There’s hope for the future. That this doesn’t define us or this doesn’t ruin his life. Our life. Like that, there is still beauty that can be in this, after this.”

Those who want to follow Axel’s journey can visit the Facebook page “Angels for Axel.”

If you’d like to help the family through donations, you can donate to the following payment systems:

PayPal: Sasha Combs
Venmo: @SashaAlexisCombs
Cashapp: $SashaAlexisCombs

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Combs hopes to one day turn Angels for Axel into a nonprofit has she wants to help advocate for both children with cancer and their families.





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Kentucky woman, 35, charged with homicide after using abortion pills then burying fetus in backyard

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Kentucky woman, 35, charged with homicide after using abortion pills then burying fetus in  backyard


A Kentucky woman was charged with fetal homicide after allegedly using abortion pills and burying the fetus in a Christmas-wrapped lightbulb box in her backyard — when she got pregnant following an affair.

Melinda Spencer, 35, was arrested Wednesday after going to a Campton health care clinic, where she told staff members she used medication purchased online to end her pregnancy, which is illegal in the state, according to Kentucky State Police, FOX 56 reported.

Police said Spencer allegedly admitted to taking the pills on Dec. 26 and burying the fetus — described as a “developed male infant” — two days later in a shallow grave at her Flat Mary Road home.

Melinda Spencer, 35, was charged with fetal homicide after taking abortion pills to end her pregnancy in Kentucky, where that is illegal. Kentucky State Police

After obtaining a search warrant, cops found the remains wrapped in a white rag and stuffed in the holiday-decorated box inside a plastic bag, court documents showed.

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Spencer later confessed that she allegedly ordered the pregnancy-ending drugs after conceiving with a man who was not her boyfriend, claiming she didn’t want him to find out, police said, per the outlet.

Authorities said she wanted to “abort the fetus on her own.”

Cops found the remains wrapped in a white rag and stuffed in the holiday-decorated box inside a plastic bag in her backyard. AP

It’s unclear how long she was pregnant before taking the pills.

An autopsy has reportedly been scheduled to establish how developed the fetus was.

In Kentucky, nearly all abortions are illegal, with a doctor only authorized to perform one to prevent death or serious injury to the mother.

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The deadly offense makes her eligible for the death penalty. Getty Images

There are no exceptions for rape or incest.

State law also bars the distribution of abortion medication.

Spencer was charged with first-degree fetal homicide, abuse of a corpse, tampering with physical evidence, and first-degree promoting contraband, the outlet reported.

The homicide offense makes her eligible for the death penalty. She also faces life behind bars if convicted.

Spencer is being held at Three Forks Regional Jail in Beattyville.

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