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SAN DIEGO (KGTV) — With hospital beds running short, healthcare workers are trying to care for COVID-19 patients as efficiently as possible, using everything they’ve learned over the last nine months.Improvements in medications and methods have helped shorten hospital stays, said Sharp Memorial Hospital chief medical officer Dr. Tom Lawrie.In March, Sharp said COVID-19 patients stayed 12 days in the hospital on average. In November, the average dropped to 5.3 days. Other institutions have reported similar drops in the length of patient stays.COVID-19 patients now receive a three drug regimen: Remdesivir to fight the virus, a powerful steroid called dexamethasone to prevent the immune system from going haywire, and medications like heparin to reduce blood clotting.On top of that, hospitals have improved techniques like when to use ventilators.“Initially, we were in this conundrum where we weren't sure whether we should intubate patients early or whether we should wait a little later,” Dr. Lawrie said. “Over the last several months we've figured out a really good progression.”The progression now starts with a surprisingly simple technique called proning. Doctors around the country discovered that turning COVID-19 patients onto their stomachs rapidly improved breathing.Early research suggests proning may keep COVID patients off ventilators.“By putting people on their stomach in these positions and by proning them, you allow blood to get where the air is and therefore you get better oxygenation,” Dr. Lawrie said. “It makes the oxygen levels better. It makes their work of breathing better. It makes them feel better generally.”Proning helps move blood from one area of the lung to another where it can receive more oxygen. These regions are called West’s zones of the lung, named after research in the 1960’s by UC San Diego Professor Emeritus John B. West.Proning has been used as a medical intervention since 1976, when a doctor and a nurse in central Michigan published a study showing it could benefit patients in respiratory distress.Dr. Lawrie said there are also two outside factors contributing to shorter hospital stays across the country. The patients that are showing up now tend to be younger than early in the pandemic. Younger patients are more likely to respond well to treatment.There’s also evidence the virus has mutated over time, possibly making it more contagious but slightly less severe, Dr. Lawrie said.However, patients lately have been showing up faster than hospitals can care for them, threatening to overwhelm already crowded facilities. "If that happens, they won't have access to an ICU bed or to the medications that they need," he said. 2699
SAN DIEGO (KGTV) — With another round of coronavirus closures set to begin Saturday, several San Diego County businesses are fighting back legally.Despite the change to California's most restrictive reopening tier, Pacers and Cheetah's adult entertainment clubs won't be shutting their doors. Last week, the businesses won a suit against the county and a judge granted a temporary restraining order allowing them to stay open.An attorney representing Pacers told ABC 10News their argument centered around first amendment rights, and adult entertainment is a protected form of expression. It's unclear if that argument could apply to other businesses, but he added that there are other legal paths to challenging the closures.Another suit has also been filed by a group of San Diego County gyms, but no decision has been made yet.San Diego County Supervisor Kristin Gaspar says the legal actions are understandable given the tough situation."Now we're threatening the workforce again we're threatening the closure of these businesses again and I think this is entirely unsustainable for our business community," Gaspar said. Gaspar added that the county has appealed to the state to avoid the tier change, asking them to take into account other factors, including where a majority of outbreaks are linked to and the county's hospitalization rate."At this point in time our hospitalizations for COVID-19 are at 6%, there's a lot of capacity left in our hospitals system," Gaspar said.On the heels of the successful adult entertainment lawsuit, Gaspar says it stands to reason other businesses could do the same."You could make the case as a restaurant owner as a gym owner that our data does not support this decision to close down and closing down will create undue financial harm to these businesses it has already I think they have a strong compelling case," she said.Although individual businesses are fighting back legally, Gaspar says at this point, it doesn't appear the county has plans to file suit against the state."So far there hasn't been anything that's come out of those closed sessions to suggest that the County of San Diego will proceed along that route," said Gaspar. 2192

SAN DIEGO (KGTV) — With nearly all New Year's Eve celebrations canceled this year, the San Diego Symphony will host a virtual event to help ring in 2021 at home.The symphony's hour-long concert will be hosted on Thursday at 7 p.m. and requires a minimum donation to enjoy online.Viewers will enjoy music by Johannes Brahms, Duke Ellington, J. Strauss Jr. and Sr., plus a special performance of George Gershwin's "Rhapsody in Blue," featuring young piano star Ray Ushikubo, led by music director Rafael Payare.The musical lineup will include:Gershwin - Rhapsody in Blue (arr. Cliff Colnot) (feat. Ray Ushikubo, piano)Brahms - Selected Hungarian Dances (arr. Peter Stangel)Ellington - "Sophisticated Lady" (arr. Morton Gould)J. Strauss, Sr. - Radetzky March (arr. Peter Stangel)J. Strauss, Jr. - Emperor Waltz (arr. Schoenberg)The concert will be available for registered viewers to access for one week after the event. To purchase access, visit the concert's page here. 980
SAN DIEGO (KGTV) -- With the announcement that Pfizer's coronavirus vaccine has been given an Emergency Use Authorization by the U.S. Food and Drug Administration, questions now focus on when it will be available in San Diego County and who will be receiving it first.Guidelines set by the CDC's Advisory Committee on Immunization Practices, recommends health care workers receive the vaccination first, along with residents and workers of nursing homes and long-term care facilities.California is set to receive 327,000 doses of the vaccine in the first round of allocation. Of those San Diego County is scheduled to receive 28,275 doses, which is expected to only cover about 70% of the first group of recipients identified in Phase 1. San Diego County is expected to receive 28,275 doses of California's first allocation of 327,000 vaccine doses in mid-December. Wooten said there is about 39,000 personnel in the acute care hospital section alone.WATCH MORE IN OUR REPORT ABOVEMore on COVID-19 VaccineIf COVID-19 vaccine is approved, UC San Diego Health anticipates first vaccinations soon afterAmid rollout of COVID-19 vaccines, officials warn of fake vaccines sold onlineHow first COVID-19 vaccines will be distributed to San Diego County's health care workersEXPANDED COVERAGE OF CORONAVIRUS IN SPECIAL SECTION 1325
SAN DIEGO (KGTV) — Whether or not the Padres head to the World Series, Petco Park may still see playoff baseball this season.Under a plan by the MLB, a neutral-site playoff format with teams living in a "bubble" may be finalized next week, though it is awaiting approval by the Players Association, according to ESPN.The plan states that playoffs would start with the top four seeds in the AL and NL hosting all the games in a best-of-three wild-card series: the AL games between Sept. 29 and Oct. 1 and the NL games between Sept. 30 and Oct. 2.The highest AL seed would be the home team for the division series at Petco Park in San Diego, while the other series heads to Dodger Stadium in Los Angeles. The AL championship series would then be played at Petco Park.On the NL side, the top seed into the division series would play at Globe Life Field in Arlington, Texas, and the next-highest seed would play at Minute Maid Park in Houston. The NL championship series would be hosted in Arlington.The MLB's reported plan would begin the World Series on Oct. 20 at Arlington and end no later than Oct. 28.ESPN reports that the Players Association is considering concerns from players who have lived outside of the bubble format, similar to how the NBA has operated this season, with the ability to be around family and friends. Inside the proposed playoff plan, teams would operate in a bubble to prevent exposure between players, staff, and others. 1455
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