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DUNCAN, Okla. -- Rural hospitals faced unique challenges preparing for a rush of COVID-19 patients. From financial struggles to attaining PPE, smaller facilities did everything they could to get ready.One regional hospital in Oklahoma has waited for months for coronavirus cases to flood their emergency room, but that wave of patients is just now starting to trickle in.“We saw cases increasing, but as of now, it hasn’t come to Duncan quite like we expected,” said Dr. Michael Hemphill, a pulmonary and critical care physician and Duncan Regional’s Director of the ICU.As coronavirus cases overload emergency rooms across the country, this rural hospital—one of few medical centers in Southern Oklahoma—has only seen a handful of cases. After the holiday weekend, their facility is starting to see cases increase.As they wait for the surge, the fear of what would happen if beds or supplies ran out looms over the staff.“The most difficult thing is, there’s not a lot of backup,” said Hemphill. “I’m the only pulmonogist in Duncan,” he said.So, the hospital gathered as much personal protective equipment as possible—preparing for the worst.Chief Nursing Officer Kristen Webb said it’s been tougher to get critical supplies as a smaller hospital.“The last time we were able to receive N95’s was probably in December,” said Webb. She said they needed them again come February, but were never able to fill any of the orders they placed.When she was able to find supplies, she spent every penny she could to make sure staff would be safe.“We probably spent close to a million dollars on equipment, PPE, or other supplies and equipment towards a pandemic that we didn’t fully realize at this point,” said Webb.That massive expense was made tougher because the hospital had to cancel all elective procedures and appointments.“We spent quite a bit of money at a time where we weren’t bringing in our normal resources,” said Webb.“Rural hospitals are especially financially strained, especially here in Oklahoma, so when everything shut down…our elective procedures shut down. So, there is a financial burden the hospital had to bear,” said Dr. Hemphill.The burden extends past these walls to Jefferson County Hospital. Duncan Regional helps the critical access hospital stay open. It’s a facility with only 18 beds that was on the verge of shutting down just a couple years ago.But if the pandemic hits, that critical access facility and Duncan Regional are the places people will turn to. So it’s necessary these facilities maintain enough revenue to stay open so communities have access to care. 2601

EL CAJON, Calif. (KGTV) - Plans for a new high school in El Cajon are facing opposition from neighbors.Literacy First Charter Schools wants to relocate their high school from its Lemon Grove location to a new spot near the intersection of Jamacha Blvd. and Chase Street. They bought an 8-acre plot of land five years ago on which they hope to build.Plans for the school call for a two-story building. It will have 22 classrooms, athletic fields, a 161-spot parking lot, and room for up to 450 students and 33 teachers.Officials with the Literacy First system say the old school is too small and too far away for their growing needs. They believe the new location will help them serve more families, and keep their current families from leaving after 8th grade."We hope it becomes what every one of our schools is," says Executive Director Debbie Beyer. "We hope it becomes a model for what great schools can be."But neighbors in the Rancho San Diego area worry that it will bring more traffic and congestion to an area that already has problems along Jamacha Boulevard."It's just incredible out here on Jamacha," says Veronica McGowan, who lives a block away. "People go about 50 miles an hour, and they're anxious to get in and out of these side streets. If you're turning right, you're safe, but if you're turning left, it could take a while."Social media posts on neighborhood Facebook groups raise concerns about delays at the intersection because of the addition of another school. They say nearby Valhalla and Steele Canyon High Schools already make the commute frustrating.Beyer says her school's small size will minimize the impact, as many students won't be driving. She adds the charter school system is ready to do their part to improve the roads and mitigate the traffic along both Chase and Jamacha."We have to add another lane. We're adding turning lanes. We're widening the street. We're adding sidewalks," she says. "We're paying hundreds of thousands of dollars to improve that intersection."She also says they're looking into staggering the start times, so not all grades begin at the same time, and having different start times from the other schools in the neighborhood.As for the complaint that the area already has enough schools, Beyer believes families will welcome another option."We let the market bear everything that there is when it comes to business and commerce and entrepreneurship," she says. "Why can't we do that in education? Why don't parents have a choice?"Beyer and Literacy First presented environmental review plans for the new school to the Valle Del Oro Community Planning Group last week. They hope to bring those same plans to the San Diego County Board of Supervisors this spring.There's still no official timeline for when they hope to start construction or open the new campus. 2833

EL CAJON (KGTV) - A San Diego woman said she paid thousands for an SUV she picked up from an East County used car dealership, but she still can't get behind the wheel. Chika Starks said she currently does not have the vehicle because the business shut down.She moved to San Diego with her toddler shortly after her husband died.“I’m a single mother,” Starks told Team 10. “Having a car was for my convenience. To help my life, my son’s life.”She and her mother-in-law found a 2007 Jeep Commander in January on Craigslist, sold by Carbox, Incorporated on El Cajon Boulevard.“The price was right,” Starks said.It cost her ,500. Starks said there was an unusual way to process the payment--an employee ran the credit card through a La Jolla restaurant, Olive and Basil. She said the employee told her it was a family business.Starks told Team 10 there were problems shortly after she paid for it. First, she said the key fob was not working correctly. Then, with the car driven about 40 miles, there were more issues. She said a mechanic told her the catalytic converter needed to be replaced, along with the vehicle’s computer. On top of that, she was told the smog check failed. Starks also said the title was never transferred to her name.When Team 10 checked the car’s registration in September, it was still registered to Carbox, Inc. Starks blames the owner for broken promises.“It’s stressful. A lot of money,” Starks said.  According to the DMV, a used car dealer has 30 days to transfer title to the new owner. The penalty is if it is not transferred. A DMV spokesman said it is an additional if the total application does not clear within a certain time. The DMV confirmed there is an open investigation into Carbox.“This place is not really honest to us,” Starks told Team 10.There is now a new car dealership in the old Carbox location. The man who runs the new business told Team 10 he worked for Carbox’s former owner, Peyman Abdipoorzahandeh. Abdipoorzahandeh's name is listed on the Secretary of State filing for Carbox.Team 10 contacted Abdipoorzahandeh in mid-October. The former owner would not grant an in-person interview until mid-November, but told Team 10 over the phone that he is working with a DMV investigator and that this is “not a normal situation.” He did not explain the title transfer delay of nearly 10 months. He said he is not doing anything illegal and said he is trying to help Starks get her money back.That is what Starks hopes for.“I don’t want other people to go through what I went through,” she said.Hal Rosner with Rosner, Barry & Babbitt specializes in auto fraud. He says consumers should run not only a Carfax report, but also a report through AutoCheck and the National Motor Vehicle Title Transfer Information System (NMVTIS) to check a vehicle's history.If a dealership goes bankrupt, Rosner said there are options for consumers. Rosner said every car lot is required to have a ,000 bond. You can contact the DMV and get the bond information to make a claim. If the dealer assisted in obtaining your financing, Rosner said the loan company or bank is required to return your money through what's called the "Holder Rule."Rosner added that consumers can also contact the victim's restitution fund if you are dealing with a closed dealership.  3354

EL CAJON (KGTV) -- Crews are working to clear the scene of a semi truck fire that shut down a portion of Interstate 8 early Sunday morning.The semi truck caught on fire about 5 a.m. along westbound I-8 between 2nd Street and Mollison Avenue, according to California Highway Patrol.Responding fire crews said that 40 ft trailer was completely engulfed in flames. The fire blocked the far right lane for a couple of hours.A sig alert was issued about 7:45 am for the 2nd Street on ramp to westbound I-8.Crews remain on the scene working to clear the area of debris.The Sig-alert remained in effect as of 10:45 a.m., and motorists are asked to proceed through the area with caution or use alternate routes.  717

EL CAJON (CNS) - A 49-year-old man was arrested Saturday on suspicion of fatally shooting a 31-year-old man in an unincorporated area near El Cajon.Daniel Christopher Allen, a resident of that unincorporated area, was booked into the San Diego Central Jail on suspicion of murdering James Owen who also lived in unincorporated El Cajon, according to the San Diego County Sheriff's Department.The shooting was reported in the 6000 block of Stallion Oaks Road, southeast of Dehesa Road and northeast of the Sycuan Resort, around 10:30 p.m. Thursday, sheriff's Lt. Thomas Seiver said.Before deputies arrived, an acquaintance of Owen drove him about a mile and a half from the shooting scene, Seiver said.Deputies stopped the vehicle on Stallion Oaks near Dehesa and found Owen inside suffering from a gunshot wound. It was not immediately clear if Allen was the driver.Owen was pronounced dead at the scene, he said. 921

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