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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 the holidays fast approaching, giving back to the community is top-of-mind for many San Diegans. This holiday season brings plenty of chances to help others in San Diego County. From ringing a bell over a Salvation Army red kettle to feeding homeless individuals and even making DIY pet toys, there are plenty of opportunities available. Check out the list below for more: The Salvation ArmyVolunteer opportunities abound throughout the holiday season with the Salvation Army. You can sign up to ring a bell while collecting red kettle donations during the holiday fundraising drive. The money collected pays for holiday meals among other programs that last all year. San Diego Food BankThis holiday season, a great way to give back is by giving your time to the San Diego Food Bank. Before heading out, you'll need to sign up. Only children 11 and older can volunteer with the food bank. To learn more or sign up, click here. Father Joe's VillagesFather Joe's Villages is the largest rehabilitation program for the homeless in San Diego. Each year, more than 10,000 San Diegans donate their time. Individuals, families, religious organizations, community groups, military, corporations and anyone over 10 years of age can volunteer. As with most volunteering opportunities, you'll need to sign up in advance. For more information, click here. San Diego Humane SocietyWant to help pets in need this holiday season? The San Diego Humane Society has a list of DIY dog toys you can make yourself at home with the kids, then drop off for a pet to enjoy. Click here for a list of DIY pet projects and donation drop-off locations. RELATED STORIESSkate away on one of San Diego's outdoor ice rinks this holiday seasonTrees aglow: San Diego holiday tree lightings to catch this seasonWinter returns to Southern California mountains 1856

SAN DIEGO (KGTV) - Backers of the two competing plans to replace the stadium site in Mission Valley are making their final pitches to voters in a campaign in which each side has spent millions of dollars."We've learned a lot about the politics of San Diego," said Nick Stone, Project Manager for Soccer City, which is Measure E on the ballot.Stone and his team of developers want the centerpiece of the land to be a new stadium for a Major League Soccer team. Measure E also includes promises for new housing, retail, an entertainment complex, and San Diego River park."That's what people care about," Stone told 10News in an interview the day before the election. "They want to know they're getting fair value, that something's going to happen, and that we're going to live up to the commitments we're making. And we are."Should Measure G win, the city would sell the land to the CSU system with plans for a new west campus for San Diego State University. The centerpiece to this plan is also a stadium, in this case, for the Aztecs football team. SDSU West also includes housing, retail, and a river park, along with new research and classroom space and a science center."San Diegans want their kids and their grandkids to be able to have a great education at San Diego State University. And they know that SDSU needs to expand in order for that to happen," said Yes on G spokesperson Laura Fink.Fink points to Measure G's unique coalition of supporters. "It is very rare that you see the League of Women Voters, the Sierra Club, and the conservative Lincoln Club on the same side as the Democratic Party and elected officials on both sides of the aisle."Either measure needs to top 50% of the vote to pass. If both clear 50%, the measure with the most votes will win. If neither measure gets more than 50%, neither will be enacted. 1847

San Diego (KGTV)- After spending nearly months in the ICU, a local healthcare worker, who tested positive for COVID-19, is sharing his story."At that time, I thought for certain I was going to die."Ezequiel Melendez Jr., also known as Zeke, spent 57 days in the hospital after contracting COVID-19.The Respiratory Care Technician says he's always been an active and healthy person. He did not have any underlying medical conditions. His struggle with coronavirus started in early March with flu-like symptoms."I didn't meet the criteria at the time for COVID testing," says Melendez. "You were supposed temperature of 102; mine was 100. They told me don't go back to work until 24 hours with no symptoms."Melendez says seven days later, his symptoms got worse."Next thing I know, I'm laying on a gurney preparing for intubation with an endotracheal tube."Melendez's girlfriend, Grace Carbajal, who is also a healthcare worker, says it was a challenge seeing him sick."Being a nurse and not being able to be there at the bedside, also being a loved one and not being able to be there for him and with him, was very difficult," says Carbajal.After spending weeks in the hospital, Melendez was released in late May. He says it will be a while until he feels like himself again. He is still under doctors' care and has physical therapy weekly.He also has a message for everyone as the pandemic continues."We need protection and everyone doing their part to wear masks," says Melendez. "I was one who thought it was just something like the flu, maybe exaggerated at the time. But when it happened to me, it was a smack to the face."Melendez says he would like to thank everyone for the support and those who donated to the GoFund Me that was created while he was in the hospital. The funds are being used for his medical expenses and physical therapy sessions. 1863

SAN DIEGO (KGTV) - When President Trump visited San Diego in September, he made a special trip down to the border to tout the wall and its technological advances. The president has made border security a major part of his term, even calling for the addition of 5,000 border patrol agents.A new study from San Diego State University says the increased emphasis on stopping illegal crossings and drug smuggling could make those very agents the targets of corruption and bribe offers. "When one door is closed, they try to find another one which is open," said David Janscisc, the public affairs professor at SDSU who authored the study. Janscisc says the harder it gets for smugglers to get people or drugs into the U.S., the more likely they are to seek help from agents at ports of entry. "You can clear a car full of drugs just by not inspecting it," he said. Janscisc isn't saying Customs and Border Protection is corrupt, but wanted to study how corruption occurs. He based his study off of 160 cases of CBP corruption over 10 years, noting the agency has 60,000 employees. Janscisc found the employees with less than five years of experience were more likely to be involved in drug-related corruption. However, those who were there longer were more likely to commit immigration-related offenses, such as falsifying paperwork to help get someone into the country. In a statement, Customs and Border Protection said applicants go through a strict hiring process that could include polygraph tests. "After the hiring process, CBP applies proactive measures in the form of training, rules geared to ensure workplace integrity and oversight and management of frontline officers and agents by CBP leadership at every level," the statement said. Janscisc said it took two years to complete his study, relying largely on court documents and investigative news reports. 1873

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