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SAN DIEGO (KGTV) -- Kidney dialysis affects thousands of people a day. Proposition 23 attempts to regulate some aspects of treatment. If passed, it would require a physician, nurse practitioner on-site during dialysis treatment.There are several ads on television, urging Californians to vote against the measure.Dialysis has been a part of DeWayne Cox’s life for years. “I was diagnosed 12 years ago with kidney failure and I began dialysis 10 years ago,” he said.Cox said he goes to a dialysis center three days a week. He calls Proposition 23 “unnecessary.”“I am taken care of from the moment I walk in the door to the moment I take my walkout,” Cox said. “It makes me angry that these propositions keep being placed on public voting for people who have no idea what dialysis is.”One No on 23 ad shows a dialysis patient saying “I could die if Prop. 23 passes because if my clinic closes, I don’t know where I’ll go for treatment.”According to the Legislative Analyst’s Office some clinics could close. “Given the higher costs due to the measure, some governing entities, particularly those with fewer clinics, may decide to close some clinics,” the report said.It also said clinics could respond in other ways, like continuing current operations but with lower profits.About 600 licensed clinics in California provide dialysis to roughly 80,000 patients each month, according to the LAO. If passed, the measure would also require the centers to regularly report dialysis-related infection information to the state.The No campaign has major committee funding from DaVita and Fresenius—two of the biggest kidney dialysis companies—as well as U.S. Renal Care.Californians have seen kidney dialysis propositions before. Proposition 8 in 2018 attempted to limit dialysis clinics’ revenues. The measure failed.The Legislative Analyst’s Office said the measure could increase health care costs for state and local governments by the low tens of millions of dollars a year. Under the measure, the LAO said state Medi-Cal costs, and state and local employee and retiree health insurance costs could increase due to governing entities negotiating higher payment rates and patients requiring treatment in more costly settings like hospitals. 2243

SAN DIEGO (KGTV) -- Kreg Van Hoesen has had to fight for his life for much of his life, born with congenital heart defects in 1986 when doctors didn't know until after he was born. Two surgeries at two months of age would be followed by two more at two years old. Then when Kreg was six, doctors tried to correct the defects in his heart. Unfortunately it didn't work. His mother, Pam Van Hoesen remembers every detail of the family's hard fought battle to keep Kreg alive. "His outlook was bleak," she says, "but he managed to get through it and within a week, he got a heart." They know the donor heart came from a family in the Midwest who lost a child traumatically, but they've never heard back from them after writing letters, and they understand. Pam says, "for someone else to lose a child in order for your child to live is mind boggling."To pay forward that most precious gift, the family became champions of organ donation. It started eight years after Kreg got his heart. Pam Van Hoesen's friend needed a kidney. Pam tested and hers was the best match. Then in 2003 Kreg went into kidney failure. The anti-rejection drugs from Kreg's heart transplant were very hard on his kidneys, and when he needed a kidney transplant, his dad Mark stepped in. Kreg initially rejected Mark's kidney however, and he almost lost his battle to survive again. Eventually his body accepted it, and he had 16 years with that kidney. But Kreg's health took a turn for the worse early this year. All three of his sisters tested to find the best match. Kreg's sister Kendyl was the closest match. Kendyl's mother-in-law also happened to be a kidney donor as well, and with both of her own parents living healthy lives with just one kidney, Kendyl didn't hesitate to agree to donate hers to her brother. She explains that the entire family was nervous going into this surgery. They knew as the donor, their family had a long track record of success living with just one kidney, but they worried about how Kreg would do, undergoing his third transplant surgery. "He's a real fighter and real survivor... but most of his surgeries didn't go as planned." It so happens that Kreg was due for success however, and this transplant, which was done at UCSD Medical Center, has been his easiest so far. The family, including Kreg, believe their mission is to get out the word about organ donation. Kreg says he's shocked by how many people are apprehensive about it, whether a living donation, or a donation after someone dies. "I do hope this can change the perspective," he says. 2568

SAN DIEGO (KGTV) - Long wait times have always been a problem at the DMV, the way to avoid that was to make an appointment online to skip the long lines. For people needing to renew their license like Debby Herscovitz, they had to plans months in advance, “I went online, booked an appointment, but I had no idea it was going to be in March”. Herscovitz got a notification from the DMV in the mail to renew her license back in December and immediately tried to make an appointment. She tells us the first available time slot was at the end of March, “I absolutely had no idea it was going to take that long”. A DMV representative tells 10News, drivers are trying to avoid the hours long line at the DMV by making an appointment online. Because so many people are scheduling appointments, the appointments are filling up faster than ever before. For Herscovitz, her appointment would have taken a total of 15 minutes to get her Real ID, however she didn’t have all the necessary documents. The DMV tells 10News to help people adjust to the new requirements and be prepared for their appointments they have a video people can watch before they make the trip in. Despite having to plan months in advance, the DMV says it’s still the best idea to schedule an appointment online before heading to a nearby office. Tips to keep in mind that could help with the scheduling process: don’t rule out nearby offices because some might not be as busy as others. Also, continue to check back online to see if any cancellations were made. Here in San Diego, there are also a few offices with extended hours and that are open on Saturdays. The Chula Vista DMV opens an hour earlier on certain days of the week. Poway, San Marcos, Chula Vista and Clairemont have Saturday appointments available. 1788

SAN DIEGO (KGTV) -- Lifeguards are working to rescue a man stuck on a rock near Border Field State Park Monday afternoon. Lifeguards say they received a call from Border Patrol before noon Monday about a man stuck in the middle of an estuary bear the park. San Diego and Imperial Beach lifeguards as well as the Coastguard is helping with the rescue. The man was taken to the hospital and is expected to be okay. 421

SAN DIEGO (KGTV) -- Los Angeles County health officials are scrambling to prevent the spread of hepatitis A after three people became infected with the potentially deadly virus while in San Diego two months ago.In a motion filed by Los Angeles County's Fifth District Supervisor Kathryn Barger, she is asking the Dept. of Public Health to provide a report within 14 days on current efforts to stop an outbreak and a plan for response should one occur."At this time Public Health does not consider there to be a hepatitis A outbreak in Los Angeles County, however it is important that the County proactively educate the community on ways to prevent hepatitis A infection, and have a response plan in the event that the County does see an increase in hepatitis A cases," Barger said in her prevention plan.Citing public health officials, Barger says that the three people who acquired the infection had been in San Diego in mid-July.READ: Most hand sanitizers will not kill Hepatitis A?San Diego County health officials are in the midst of an hepatitis A epidemic with the first cases reported early this year. The virus is known to have sickened at least 421 people and killed 16 in San Diego County.The outbreak started with the homeless and drug using population, according to health officials.Now it has spread to the general population, with nearly 50 documented cases of people becoming sick, who have no ties to homeless or drug users, said the San Diego County Public Health Department.READ:?City opens bathrooms for homeless during hep A crisisCrews are power-washing sidewalks with a bleach solution in East Village downtown.Last week, San Diego county health officials warned customers of a Pacific Beach restaurant that they may have been exposed to a person with hepatitis A on several specific dates and times.San Diego County health officials confirmed the patient worked at World Famous Restaurant while infected. READ: Statement from World Famous RestaurantHepatitis A varies in severity, with mild cases lasting two weeks or less and in more severe cases lasting four to seven weeks or longer. Some individuals, especially children, may not develop jaundice or any symptom at all. However, even mildly ill people can still be highly infectious and should consult a physician, according to County Public Health Officer Dr. Wilma Wooten.Someone with hepatitis can be contagious to others before they develop symptoms, according to the HHSA.READ:?How can you tell if you have hepatitis A? 2569