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‘Music makes everything better’: A Texas doctor spins vinyl to give patients relief

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‘Music makes everything better’: A Texas doctor spins vinyl to give patients relief

Dr. Tyler Jorgensen sets “A Charlie Brown Christmas” on a record player at Dell Seton Medical Center in Austin Texas. He uses vinyl records as a form of music therapy for palliative care patients.

Lorianne Willett/KUT News


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Lorianne Willett/KUT News

AUSTIN, TEXAS — Lying in her bed at Dell Seton Medical Center at the University of Texas at Austin, 64-year-old Pamela Mansfield sways her feet to the rhythm of George Jones’ “She Thinks I Still Care.” Mansfield is still recovering much of her mobility after a recent neck surgery, but she finds a way to move to the music floating from a record player that was wheeled into her room.

“Seems to be the worst part is the stiffness in my ankles and the no feeling in the hands,” she says. “But music makes everything better.”

The record player is courtesy of the ATX-VINyL program, a project dreamed up by Dr. Tyler Jorgensen to bring music to the bedside of patients dealing with difficult diagnoses and treatments. He collaborates with a team of volunteers who wheel the player on a cart to patients’ rooms, along with a selection of records in their favorite genres.

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“I think of this record player as a time machine,” he said. “You know, something starts spinning — an old, familiar song on a record player — and now you’re back at home, you’re out of the hospital, you’re with your family, you’re with your loved ones.”

UT Public Health Sophomore Daniela Vargas pushes a cart through Dell Seton Medical Center on December 9, 2025. The ATX VINyL program is designed to bring volunteers in to play music for patients in the hospital, and Vargas participates as the head volunteer. Lorianne Willett/KUT News

Daniela Vargas, a volunteer for the ATX-VINyL program, wheels a record player to the hospital room of a palliative care patient in Austin, Texas.

Lorianne Willett/KUT News


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The healing power of Country music… and Thin Lizzy

Mansfield wanted to hear country music: Willie Nelson, Merle Haggard, George Jones. That genre reminds her of listening to records with her parents, who helped form her taste in music. Almost as soon as the first record spins, she starts cracking jokes.

“I have great taste in music. Men, on the other hand … ehhh. I think my picker’s broken,” she says.

Other patients ask for jazz, R&B or holiday records.

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The man who gave Jorgensen the idea for ATX-VINyL loved classic rock. That was around three years ago, when Jorgensen, a long-time emergency medicine physician, began a fellowship in palliative care — a specialty aimed at improving quality of life for people with serious conditions, including terminal illnesses.

Shortly after he began the fellowship, he says he struggled to connect with a particular patient.

“I couldn’t draw this man out, and I felt like he was really struggling and suffering,” Jorgensen said.

He had the idea to try playing the patient some music.

He went with “The Boys Are Back in Town,” by the 1970s Irish rock group Thin Lizzy, and saw an immediate change in the patient.

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“He was telling me old stories about his life. He was getting more honest and vulnerable about the health challenges he was facing,” Jorgensen said. “And it just struck me that all this time I’ve been practicing medicine, there’s such a powerful tool that is almost universal to the human experience, which is music, and I’ve never tapped into it.”

Dr. Tyler Jorgensen, a palliative care doctor at Dell Seton Medical Center, holds a Willie Nelson album in an office on December 9, 2025. Ferguson said patients have been increasingly requesting country music and they had to source that genre specifically.

Dr. Tyler Jorgensen plays vinyl records as a form of music therapy for palliative care patients in Austin, Texas. Willie Nelson’s albums are a perennial hit.

Lorianne Willett/KUT News


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Creating new memories

Jorgensen realized records could lift the spirits of patients dealing with heavy circumstances in hospital spaces that are often aesthetically bare. And he thought vinyl would offer a more personal touch than streaming a digital track through a smartphone or speaker.

“There’s just something inherently warm about the friction of a record — the pops, the scratches,” he said. “It sort of resonates through the wooden record player, and it just feels different.”

Since then, he has built up a collection of 60 records and counting at the hospital. The most-requested album, by a landslide, is Fleetwood Mac’s Rumours from 1977. Willie is also popular, along with Etta James and John Denver. And around the holidays, the Vince Guaraldi Trio’s A Charlie Brown Christmas gets a lot of spins.

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These days, it’s often a volunteer who rolls the record player from room to room after consulting nursing staff about patients and family members who are struggling and could use a visit.

Daniela Vargas, the UT Austin pre-med undergraduate who heads up the volunteer cohort, became passionate about music therapy years ago when she and her sister began playing violin for isolated patients during the COVID-19 pandemic. She said she sees similar benefits when she curates a collection of records for a patient today.

“We are usually not in the room for the entire time, so it’s a more intimate experience for the patient or family, but being able to interact with the patient in the beginning and at the end can be really transformative,” Vargas said.

Often, the palliative care patients visited by ATX-VINyL are near the end of life.

Jorgensen feels that the record player provides an interruption of the heaviness those patients and their families are experiencing. Suddenly, it’s possible to create a new, positive shared experience at a profoundly difficult time.

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“Now you’re sort of looking at it together and thinking, ‘What are we going to do with this thing? Let’s play something for Mom, let’s play something for Dad.’” he said. “And you are creating a new, positive, shared experience in the setting of something that can otherwise be very sad, very heavy.”

Other patients, like Pamela Mansfield, are working painstakingly toward recovery.

She has had six neck surgeries since April, when she had a serious fall. But on the day she listened to the George Jones album, she had a small victory to celebrate: She stood up for three minutes, a record since her most recent surgery.

With the record spinning, she couldn’t help but think about the victories she’s still pursuing.

“It’s motivating,” she said. “Me and my broom could dance really well to some of this stuff.”

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ICE detention deaths are on a record pace. One Texas facility bears the brunt

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ICE detention deaths are on a record pace. One Texas facility bears the brunt

Entrance to Camp East Montana in El Paso, Texas.

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Sergio Martínez-Beltrán/NPR

EL PASO, Texas — A long paved road, flanked by desert sand, leads to the big white tents usually housing some 3,000 immigrants with beds for up to 2,000 more.

The Immigration and Customs Enforcement, or ICE, detention center is located on the grounds of the U.S. Army’s Fort Bliss military base and is known as Camp East Montana.

Opened in August 2025, it’s currently the largest immigrant detention center in the U.S. and one of the facilities with the most detainee deaths. Out of 25 people who died in ICE detention since October, 3 were at Camp East Montana.

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Concerns are rising among immigration advocates, lawmakers and former detainees about the company that initially ran the detention center, Acquisition Logistics, which had never run a center before securing a $1.3 billion federal contract. Advocates and multiple members of Congress are calling for the facility to be shut down.

“When they say in the news that this is the worst facility in the country, they damn right,” said Owen Ramsingh, a man from the Netherlands who was detained at Camp East Montana for more than four months before being deported in February.

He called the living conditions, food, bathrooms, and treatment by the facility’s staff “horrible.”

Ramsingh said he saw detainees battling mental health crises due to being detained for long periods in large cells that could house up to 72 men. He says they were served small portions of food, and suffered in cramped quarters with foul excrement odor emanating from the bathrooms in the cells.

ICE inspectors in February found 49 violations to detention standards at the facility, including inadequate medical care and failure from staff to “accurately document required checks to prevent significant self-harm and suicide.”

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More than 45 people interviewed by the ACLU at Camp East Montana “reveal alarming conditions of confinement and repeated instances of coercion, physical force, and threats against immigrants facing third-country deportations, in violation of agency policies and standards, as well as statutory and constitutional protections,” the civil liberties group said in its December letter to ICE.

Multiple detainee deaths raise big concerns

In December, Francisco Gaspar-Andres, a Guatemalan man, died of kidney failure after being hospitalized for two weeks, DHS said.

A month later, Cuban national Geraldo Luna Campos died while in detention. Initially, DHS said he died after experiencing “medical distress.” The agency said he had become “disruptive while in line for medication” and was placed in segregation.

However, an autopsy conducted by the El Paso County Medical Examiner’s Office ruled his death a homicide. The report said he died from “asphyxia due to neck and torso compression.” No one has been charged in his death.

A third death happened on Jan. 14, according to DHS. Victor Manuel Diaz, a national of Nicaragua died by suicide, DHS said in a statement.

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But Diaz’s family do not believe that to be true.

“When we talked to Victor after he had been detained by ICE in Minnesota and brought to Camp East Montana at Fort Bliss Army Base in El Paso, we were not worried because Victor would just be returned to Nicaragua to us. It was a very brief call,” the family said in a statement to NPR. “Little did we know it was the last time we would ever hear his voice.”

Attorney Randall Kallinen holds a photo of the burial of Victor Manuel Diaz, a Nicaraguan man who died while in detention at Camp East Montana.

Attorney Randall Kallinen holds a photo of the burial of Victor Manuel Diaz, a Nicaraguan man who died while in detention at Camp East Montana.

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The family’s attorney, Randall Kallinen, told reporters last month Diaz’s autopsy was performed by the Army’s medical examiner.

“It was said that he died in a room by himself, in a clinic room. And we haven’t received word of why he was in the clinic,” Kallinen said. “Because they’re not saying he he tried to commit suicide somewhere else and then went to the clinic room — they’re saying he was in the clinic. That’s what their story is.”

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In a statement to NPR, the Department of Homeland Security said “When there are signs of a detainee self-harming, staff abides by strict prevention and intervention protocol to ensure the detainee’s health and wellbeing is protected.”

The agency said ICE conducts mental health intake screenings for detainees within 12 hours of their arrival to any detention facility.

Lack of nutrition, mental health crises

45-year-old Owen Ramsingh has lived in the U.S. since 1986, when he came to Omaha, Nebraska with his mother when he was just five years old.

When he was a teenager, Ramsingh was convicted of possession of crack cocaine. He served 25 months in prison, part of that time in a state penitentiary.

After his release, Ramsingh said he “changed my life around.” He worked in construction for 15 years, had kids, later worked in security and even started his own power washing business.

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Ramsingh had been a permanent resident all of these years, and he renewed his green card multiple times over the years. He says he often visited the Netherlands without any issues. But in March 2025, when he returned from Europe, he was detained at the Chicago O’Hare Airport by immigration agents. He said they told him he was being detained due to his nearly three decades old conviction.

Ramsingh was eventually transferred to Camp East Montana.

He said he saw at least one detainee collapse.

“We were beating on the windows,” he said, adding he yelled at the guards, “‘You guys are killing us!’ And they just laughed at us.”

Talking from his father’s home in the Netherlands, after being deported in mid-March, Ramsingh told NPR he also heard guards betting on which detainee was going to die by suicide.

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“This is so screwed up that you’re trying to bet on our lives, you know, with these other officers thinking this s- – – is funny,” Ramsingh said. For him it was personal — he told NPR he talked three detainees out of killing themselves.

Acquisition Logistics LLC, the private company in charge of the detention center when Ramsingh was there, did not respond to NPR’s questions about this incident or its past management of the facility. DHS said in a statement that the agency inherited the contract from the Department of War.

The agency pointed out Ramsingh’s past conviction as the reason for his removal. “A green card is a privilege, not a right, and under our nation’s laws, our government has the authority to revoke a green card if our laws are broken and abused,” DHS said.

A woman who was detained at Camp East Montana told NPR she lost 35 pounds in her months-long detention there. The woman asked NPR for anonymity because she fears retaliation from immigration authorities.

“It was a horrible experience,” the woman said.

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She told NPR the food was often inedible, and that the portions provided were very small. Detainees had to ration their food by hiding fruits and crackers under their shirts.

She said most of the women in her pod had stomach issues “because nobody wanted to eat.” People would eat a tortilla with water to feel full because they didn’t want to eat the food, which the woman said tasted bad.

The woman said she had trouble sleeping. She told NPR when she or others would get sick, the medical staff would most of the time tell them to drink water and offer acetaminophen.

An inexperienced company

Public complaints surfaced soon after Camp East Montana was opened in August 2025.

Several measles and tuberculosis outbreaks sparked multiple lockdowns.

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Imelda Maynard, the legal director of the immigration legal clinic Estrella de El Paso, told NPR her team has repeatedly encountered roadblocks since the opening of the facility.

“We’ve always run into hiccups here and there, but with this camp in particular, there’s been issues from the get go on just trying to establish baseline communication with people there,” Maynard said.

Advocates have placed much of the blame on Acquisition Logistics, LLC, A Virginia-based small company that secured a $1.3 billion contract with the federal government to run Camp East Montana. However, the company had never operated a detention facility before.

“At that facility … it really does feel like one side doesn’t know what the other side is doing and everyone’s just kind of doing their own thing,” Maynard said. “It doesn’t seem like there’s coordinated efforts, and I really feel like that’s a management problem, and I think that’s on the contractor side of things.”

DHS replaced Acquisition Logistics’ contract last month. The company did not reply to NPR’s request for comment.

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A new, $453 million contract was given to Amentum Services, a company that was working as a subcontractor for Acquisition Logistics. Amentum Services didn’t respond to NPR’s request for comment.

“ICE is always looking at ways to improve our detention facilities to ensure we are providing the best care to illegal aliens in our custody,” a DHS official said.

DHS said in a statement Amentum Services has been a partner of ICE in managing Camp East Montana. The contract, the agency said, “will allow Camp East Montana to continue abiding by the highest detention standards WITH the ability to provide MORE medical care on-site. This contract also allows more on-site staff and a PRECISE quality assurance surveillance plan.”

The agency said ICE will have “even more oversight of the contractors at this facility,” although it didn’t provide details of what that entails.

“Far from closing, Camp East Montana is upgrading,” DHS said.

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But immigrant rights activists and members of Congress have called for the facility to shut down.

Congresswoman Veronica Escobar, D-Texas, called Acquisition Logistics LLC’s contract and the complaints from the detainees “very troubling.”

“These people are playing with the taxpayer dollars of hardworking Americans,” Escobar, who has visited Camp East Montana multiple times, said. “It’s unacceptable.”

She wants the Department of Justice to investigate the contract issued to Acquisition Logistics LLC.

“It’s not enough to just switch contractors,” Escobar said. “Acquisition Logistics needs to be investigated.”

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Trump does not have to turn over presidential records, Justice Department says

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Trump does not have to turn over presidential records, Justice Department says

The Justice Department has issued a legal opinion arguing that President Donald Trump does not have to turn over his presidential records to the National Archives at the end of his administration.

The Presidential Records Act of 1978 requires presidential documents be sent to the National Archives and Records Administration. In an opinion released Thursday, the Justice Department’s Office of Legal Counsel found the law “is unconstitutional for two independent but interlocking reasons.”

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It exceeds Congress’ powers and it does so at the expense of the autonomy of the presidency, T. Elliot Gaiser wrote in the opinion, noting that Congress can’t order the papers of Supreme Court justices to be sent to the archives.

The president “need not further comply with its dictates.”

If the Trump administration chooses to follow the opinion from the office, which offers legal advice to the executive branch but does not set law, he could face outside legal challenges should he violate the Presidential Records Act in the future.

The determination is a signal that the president will not turn over his documents to the archives. Trump was accused violating the Presidential Records Act by refusing to turn over documents he kept after leaving office following his first term.

According to federal prosecutors, Trump willfully retained national defense documents at his private home in Mar-a-Lago, obstructed justice and concealed materials, including a classified military map reportedly shown to unauthorized individuals. The case was dismissed by Judge Aileen Cannon in 2024 before he won re-election.

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A memo by the special prosecutor’s office later released found that the president kept a document that was previously accessible by only a few people at his home.

“Trump had in his possession some highly sensitive documents — the type of documents that only presidents and officials with the most sensitive authority have,” the memo said.

Trump has long argued he did nothing wrong. Shortly after he took office, he dismissed the head of the National Archives, following through on a vow to change the leadership atop the agency, which was involved in the criminal case against him.

The office of legal counsel serves as a quasi-judicial office within the executive branch. It was once involved in the George W. Bush- era memos authorizing the use of “enhanced interrogation techniques” like waterboarding against terrorism suspects.

Axios first reported details of the opinion. Gaiser, who previously clerked for Supreme Court Justice Samuel Alito, was part of Trump’s 2020 campaign team, and was named in testimony before the Jan. 6 committee in which former White House press secretary Kayleigh McEnany named him as someone she “really trusted on the matters of election integrity.”

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McEnany said that Gaiser advised that the vice president had a “substantive” role to play in the election certification process, the type of view which gave Trump supporters hope that Mike Pence could overturn Trump’s 2020 election loss.

Responding to written questions during his nomination process, Gaiser declined to discuss his views in detail, and wrote that his “ethical duties as an attorney include a duty of confidentiality regarding the advice I provided to a former client.”

The Presidential Records Act, signed into law by President Jimmy Carter in 1978 following the Watergate scandal, requires official records of the president and vice president, created or received after January 1981, to be made public, and for the National Archives to manage a president’s records after the individual leaves office.

The act requires that the president “take all practical steps” to keep presidential records separate from personal records, and it allows the president — once the archivist weighs in — to dispose of records that no longer have “administrative, historical, informational, or evidentiary value.”

The act also states that presidential records are automatically transferred into the legal custody of the archivist as soon as the president leaves office.

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Map: 4.6-Magnitude Earthquake Shakes Northern California

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Map: 4.6-Magnitude Earthquake Shakes Northern California

Note: Map shows the area with a shake intensity of 4 or greater, which U.S.G.S. defines as “light,” though the earthquake may be felt outside the areas shown.  All times on the map are Pacific time. The New York Times

A light, 4.6-magnitude earthquake struck in Northern California on Thursday, according to the United States Geological Survey.

The temblor happened at 1:41 a.m. Pacific time about 1 mile southeast of Boulder Creek, Calif., data from the agency shows.

U.S.G.S. data earlier reported that the magnitude was 5.1.

As seismologists review available data, they may revise the earthquake’s reported magnitude. Additional information collected about the earthquake may also prompt U.S.G.S. scientists to update the shake-severity map.

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Source: United States Geological Survey | Notes: Shaking categories are based on the Modified Mercalli Intensity scale. When aftershock data is available, the corresponding maps and charts include earthquakes within 100 miles and seven days of the initial quake. All times above are Pacific time. Shake data is as of Thursday, April 2 at 5:41 a.m. Eastern. Aftershocks data is as of Thursday, April 2 at 6:11 a.m. Eastern.

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