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SAN DIEGO (KGTV) - Amid rising health care costs, some San Diegans are turning to telehealth appointments. On a Monday afternoon, young Josephine sits in an exam room. She's come down with cold-like symptoms after recovering from enlarged tonsils. So her mom, Josie Ruiz, brought her to their neighborhood clinic, La Maestra Community Health Center in City Heights. For this appointment, one doctor is waiting in the exam room, and another is on a computer screen.Dr. Anthony Magit is an Ear, Nose and Throat specialist and pediatrician at Rady Children's Hospital. As he watches from his office, the clinic's Chief Medical Officer, Dr. Javier Rodriguez, conducts an exam. Cameras and camera-equipped scopes feed real-time data to the specialist, who then asks questions. The exam is part of La Maestra's telehealth program, which offers virtual appointments to underserved patients."Before telehealth, my previous appointments ... some of them I had to cancel or reschedule," said Ruiz.Ruiz is a single mom who works full time."This is great because in my case I don't have to request a day off to take her to the hospital, which I can't afford to do," said Ruiz.Most of the patients at this clinic don't own cars. For them, getting to Rady Children's Hospital means hours on buses, which can lead to major issues related to work and child care.Six years ago, doctors at the clinic discovered many referrals to Rady Children's Hospital weren't showing up. That has changed. No-show rates went from about 50% to 13% within two years. Across the county, other hospitals are tuning in to telemedicine, from home appointments for rural patients to consultations with specialists across the country. In some cases, the only doctor is on a screen.List of links for local telehealth programs:https://healthy.kaiserpermanente.org/hawaii/why-kp/experience/telehealth?kpSearch=TELEHEALTHhttps://health.ucsd.edu/specialties/telehealth/Pages/default.aspxhttps://www.sharp.com/patient/phone-or-video-visits.cfm 2008

SAN DIEGO (KGTV) -- All evacuation orders and warnings have been lifted following a brush fire that erupted in San Diego's Talmadge neighborhood Tuesday afternoon. The fire started after 1 p.m. on Fairmont Avenue and Aldine Drive near Central Elementary School. The fire could be seen burning up a canyon in the area as smoke billowed into nearby neighborhoods. At times, flames came within 200 feet of homes. Evacuations were briefly ordered for Norma Drive, Constance Drive and Natalie Drive. The Hoover High School football field had been set up as a temporary shelter.RELATED: Check today's forecastThe fire also knocked out power to thousands in the area, but electricity was restored around 5 p.m. The fire sparked amid elevated fire weather concerns. Gusty offshore winds are expected in the mountains and foothills through Wednesday with afternoon humidity between 15 and 25 percent. East winds are expected to be strongest in the east-west passes of San Diego and Riverside Counties with gusts reaching 20 to 30 miles per hour. Watch video of the fire in the players below: 1091

SAN DIEGO (KGTV) — A San Diego teen took a jump when she decided to quit social media. At just 16-years-old, many teens today couldn't think of doing so.Alexa Mendes said she knew she had to cut the cord after recognizing that she was addicted to the likes, shares, and interactions online."It is difficult enough to try and manage our overwhelming lives already filled with extracurriculars, sports teams, clubs, honors societies, difficult classes, insane amounts of homework, the pressures of applying to prestigious universities, and an abundance of other expectations," Mendes writes. "On top of that, we are always thinking about our online profiles."So she curbed her online presence back. In doing so, she learned a lot and turned those lessons into a book: #Unsubscribed: How I am thriving in high school without social media (and you can, too)."It wasn't that difficult. It's something I'm passionate about since it's part of my life and my experience and story to tell," Mendes said.Now, Mendes' message isn't that teens should drop social media entirely. Instead, she hopes her story can help others strike a healthy balance."Over time, I realized that the key wasn’t to abolish my usage completely--it was all about becoming balanced and finding a way to use social media in moderation," she writes. "There are suggestions on how to transition from addiction to moderation — all while maintaining a social life."Mendes' book is available on Amazon. 1469

SAN DIEGO (KGTV) — A University City postal worker is getting some well-earned R&R after 50 years.Elizabeth West has worked for the postal service since she was 18. She told 10News that postal work runs in her family and her dad was the very first postal carrier in University City.That's where the beloved employee has spent the last 35 years of her career. MORE GOOD NEWS:Fans help fund comeback of San Diego artist's beloved comic bookVietnam veteran's legacy showcased in new Carlsbad art exhibitCoronado gym creates 'March Madness' acts of kindness challengeFriday was her last day at work and the community and co-workers celebrated her achievement.While it will be tough to walk away from the job she's known for half a century, West says she's excited for the next chapter of life."I have very good friends in Washington; I'll be able to spend more time with them and I won't have to ask when I can go," West jokes. "And I have grandchildren that are in Arizona. I'll be able to spend more time with them and then not have to drive and then run to get home on time so I'm not late for work and be able to just see family more." 1147

SAN DIEGO (KGTV) -- A second lawsuit has been filed by family members of a mother and daughter killed by a YouTube star in a deadly wrong-way crash last year.18-year-old Trevor Heitmann, known as McSkillet on YouTube, drove his McLaren the wrong way on I-805 in August 2018. The crash killed Aileen Pizarro and her 12-year-old daughter Aryana. This latest lawsuit was filed August 22nd by Angelo Pizarro and Arcelio Garcia. Pizarro is one of the sons of Aileen Pizarro. Garcia is the father of Aryana. A lawsuit earlier this summer was filed by Aileen Pizarro's other son, Dominic, and her father. The lawsuit claims wrongful death and negligence by the City of San Diego and the County of San Diego. The family is also suing Heitmann’s estate. It states that San Diego police received a “mental case” call that Heitmann was “screaming, paranoid and delusional and threatening to harm his mom.”Police were advised by a licensed psychiatrist that Heitmann needed to be “possibly placed on a 5150 mental hold,” according to court records. However, officers did not speak to or evaluate Heitmann to determine if he was a danger to himself or others. The lawsuit also states that “one or more of the Police Officers represented or implied that they were part of a San Diego County Psychiatric Emergency Team.”Team 10 reached out to both county and city officials. As of Wednesday afternoon, there was no comment regarding the lawsuit from the city. A county spokesperson said they have not seen the lawsuit yet. Cynthia Chihak, the attorney for Pizarro and Garcia, sent Team 10 a statement which reads in part:"I am privileged to represent Angelo Pizarro, the son of Aileen Pizarro, and Arcelio Garcia, the father and sole heir of twelve year old Aryana Pizarro, who were killed on August 23, 2018 when their car was struck head-on by a McLaren automobile driven by Trevor Heitmann... This family is not excusing Mr. Heitmann’ s reckless behavior, but believe this tragic loss of three lives could have been prevented if the City of San Diego has taken seriously earlier reports of his violent and dangerous behavior. The loss suffered by this young man Angelo, of his mother and sister and the loss to Mr. Garcia of his daughter can never be rectified. But with this lawsuit they hope to bring to light the inaction of the City and prevent any other family from suffering their grief."10NEWS RELATED COVERAGE:Popular YouTuber identified in wrong-way I-805 crash that killed mother, 12-year-old daughterYouTuber's parents requested psychiatric evaluation before deadly I-805 crashNeighbor says police were called to YouTuber's home the day he died in wrong-way freeway crashHow YouTuber in I-805 crash made small fortune with gaming videosSon remembers mother and sister after release of driver's autopsy in deadly 805 crash 2829