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SAN DIEGO (KGTV) - Following a surge in 911 calls from COVID-19 patients, the County of San Diego is now allowing hospitals to divert ambulances if their emergency rooms are already too full. The County reports that the new protocol was tested last weekend and proved to be successful.The County reports that this new type of diversion goes above and beyond the routine ambulance diversion of only a subset of patients that hospitals use on a regular basis.Hospitals across San Diego that are saturated are now allowed to request total ambulance diversion, meaning ambulances have to stop bringing in more patients. A letter posted this Tuesday from the County's Director of Emergency Medical Services details how the new protocol will help area hospitals recover from the rapid influx of patients.According to the County, “Hospitals on County Ambulance Diversion only accept patients who are so critical that they cannot survive transport to another facility (e.g., cardiac arrest, breathing problems that cannot be managed in the ambulance); thus, nearly all basic and advanced life support (BLS and ALS) ambulances must bypass a hospital on County Ambulance Diversion.”The County reports that a hospital can only implement the diversion in 4-hour blocks which must be approved or initiated by the County.Rob Lawrence with the California Ambulance Association explained Wednesday that this type of diversion allows for decompression. “It allows [hospitals] to get a bit of time to process those patients that have already come into their emergency departments. It also means that ambulances aren't sitting in the parking areas for up to four hours with a patient on board.”He added that it also aids the ambulance services because they can then move patients to hospitals where the wait times are lower. “What that means is [that] they can then return to service quicker which is of course good for the next patient or person that's going to call 911,” he told ABC10 News.According to the County, the new diversion protocol has been implemented by local emergency departments several times over the past few days. 2123

SAN DIEGO (KGTV) — Holiday Bowl officials said Thursday that its 43rd annual football game will not be played this year.Due to the pandemic, the bowl's Board of Directors voted unanimously to cancel the December game, which has been played since 1978. The bowl’s traditional Bowl Week events had already been canceled for this year, including the Holiday Bowl Parade.Holiday Bowl CEO Mark Neville said that in addition to challenges in holding the game safely for fans, the virus had, "created a situation in that we wouldn’t be able to welcome fans, ultimately resulting in no tourism. Couple that with the financial and potential health risks of trying to play the game during this pandemic and it was clear this was the right decision for us.""This has been the most difficult decision our Board has ever had to make since our bowl game started in 1978," said Neville. "While it’s not the decision we wanted to make, it’s the right decision for our non-profit association and the community for the long term."The game has brought in an average million in economic benefit and led to more than 28,000 hotel room nights annually for the region, the board said. December is typically San Diego's slowest tourism period."People come in, either stay here, or they come to the restaurants, they enjoy a cocktail or a bite to eat, whether it be lunch or dinner," said Chuck Abbott, general manager of the Intercontinental, which overlooks the Holiday Bowl Parade along the waterfront. "Obviously it increaeses the revenue for the hotel, which is fantastic."The 2020 Holiday Bowl was supposed to be the first of a new six-year cycle to match top teams in the PAC-12 and ACC. The game is expected to return in 2021, according to 2020 Bowl Association President Dan Moore."We are fortunate to have a strong relationship with our title sponsor SDCCU, FOX Sports, the ACC, the Pac-12 and many others. While we all share the disappointment with the decision, each has been understanding and very supportive," Moore said.It is uncertain, however, where the game will be played. SDCCU Stadium is being torn down, and it is unclear if a football field could fit inside Petco Park."I'd love Petco because I own several restaurants right around there," said Todd Brown, who owns Bub's downtown. "It's a beautiful facility, you've got all the hotels and everything down there, and if they can figure it out logistically to put a field in there, it'd be a great spot."A bowl spokesman said Friday it was too soon to discuss venues for 2021, but said the game would not be moving to Dignity Health Center in Carson, where the Chargers played from 2016 to 20`19, and where San Diego State will host its games this season. 2715

SAN DIEGO (KGTV) - Doctors at UC San Diego are beginning to understand the long-term impacts that COVID-19 has on the brain."I think that people should be just as afraid now as they should have been at the start of the epidemic," says Dr. Navaz Karanjia, the Director of Neuro-Critical care at UC San Diego.Dr. Karanjia says she sees COVID patients in the ICU with brain-related issues ranging from hemorrhages and strokes to confusion and delirium. Other patients report a phenomenon called "Brain Fog," where they feel confused or slow to process the world around them."This is a very real phenomenon that is resulting from the fact that COVID has a much more widespread effect on the body than many other viruses do," she says.Studies show as many as 30% of all COVID-19 patients report some kind of brain related problem. That number climbs to 70-80% for patients who land in the ICU. And 30% of hospitalized COVID-19 patients report neurological problems, including concentration and memory issues that last as long as three months after the infection ends.RELATED: In-Depth: Doctors discuss long-term effects of COVID-19Dr. Jennifer Graves is the Director of Neuroimmunology Research at UC San Diego. She's leading a 10-year study of Coronavirus patients to find out why the disease has such a drastic impact on the brain.Already the doctors at UC San Diego have found a handful of reasons."We know this family of coronaviruses, the beta family of coronaviruses, has the potential to be neurotropic, and to invade neural cells," says Dr. Graves.She says the disease could infect cerebral spinal fluid or trigger an immune response that leads to brain problems.Dr. Karanjia says she sees inflammation of blood vessel lining that could lead to some of the more severe reactions like hemorrhages, strokes, or comas.And the damage Coronavirus does to other organs, like the lungs and heart, could lead to lower blood flow to the brain."We're trying to tease apart these possibilities and look at what are the relative contribution of these mechanisms," Dr. Graves says of her research.In addition to the physical damage, Coronavirus can also lead to mental issues like PTSD or depression."We know the overall stress, the systemic stress, the psychiatric stress of going through this disease, or possibly being admitted to an ICU with this disease, or going through an entire outbreak in your family with this disease can lead to some neuropsychiatric symptoms as well," says Dr. Graves.Fortunately, doctors are starting to find ways to help with the problems, from medication to therapy."It's so important for people to know that if they experience symptoms, there is help out there, and they need just to seek it out," says Dr.Karanjia.Patients can also become part of the study by contacting UC San Diego Health. 2824

SAN DIEGO (KGTV) - Eighteen-year-old Joseph Preissman is getting ready for his very first day as a college student. But a mistake he made last December is dragging down his final days of summer."It'd be really great to just figure out why we're getting charged so much for something so little, and something that was, like, an accident," he said. The accident happened near Idyllwild. Preissman and a friend were returning from a hiking trip, when he said it hailed. Preissman was coming around a bend and lost control of his car, running into a freeway directional sign and splitting its wooden post. Nobody was hurt, so Preissman thought the accident was ancient history. That is, until July 31, when the Preissman family got a bill from Caltrans to replace the sign - totaling 7.95. All but about of that bill was for labor. "I could even understand half that cost, but I can't understand how it could possibly take three people, let's say from 8 in the morning to 12 in the afternoon, to repair that sign," said Daniel Preissman, Joseph's father. Caltrans spokeswoman Emily Leinen stood behind the bill. She said about 0 of it went to administrative fees. Much of the rest reimbursed the crews for going out to the area and replacing the 16-foot-tall post. They had to make sure it had the proper breaking points for driver safety. Leinen added one crew member had to keep watch for other cars coming around the bend."It's rocky road terrain out there, it’s a mountain, so unfortunately they had to do everything by hand on a blind corner," Leinen said. Caltrans did offer the Preissman's a 10% discount and a payment plan, but Daniel Preissman said even with that the bill is excessive. 1710

SAN DIEGO (KGTV) - Folk singer Art Garfunkel will perform in San Diego in April.Garfunkel was half of the duo Simon & Garfunkel in the 1960's. He's expected to perform fan favorites including "Scarborough Fair," "Homeward Bound," "The Sound of Silence" and "Bridge Over Troubled Water".Tickets for the "In Close-Up" show at the Balboa Theatre go on sale Friday at 10 a.m.City News Service contributed to this report. 433

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