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If you've ever had a surgical procedure, you know it can often mean a high hospital bill. Now, more people are turning to surgery centers for a lower cost.Sandi Bowen is one of those people.Something as simple as picking out a shirt is more challenging for Bowen than she ever thought it'd be. On Easter, she found a lump in her breast. Doctors told her it was cancer."It was very very very confusing," Bowen says. "It still is. It brings tears to my eyes, because I don't understand how I got it."Instead of a lumpectomy, she decided to remove her entire breast. And instead of going to a hospital for breast reconstruction, Bowen opted for the Kaiser Permanente Ambulatory Surgery Center, where she got the surgery. In less than 24 hours, she was back home recovering.  "I felt very special," Bowen says. "They were there every time I moved. They came in and talked to me, even goofed around with me."Dr. Mike Sawyer, the director at the center, says they've worked hard to address concerns regarding patient care."If it's a patient that just needs physicians to kind of come to the bedside, and maybe we have to have some kind of intervention, we're able to do that because are here and we are present," Dr. Sawyer says. "On site, as they say. If it's really something that requires a higher level of care, that again allows us to do a pretty quick transfer process over to one of our partner hospitals."Compared with hospitals, Kaiser Permanente says its patients are seeing an average cost savings of 30 percent on their procedures. It can be anything from simple orthopedic procedure to joint procedures.However, Dr. Sawyer says there are important questions you need to ask before determining if a surgery center is the best option for you."Does your physician feel comfortable with this operation there?" Dr. Sawyer says. "Have you and your physician discussed all the ramifications of that procedure? And then what sort of plans does that ambulatory surgery center have if you were required a higher level of care?" 2037

In a news conference Wednesday afternoon, officials released new information about the seventh-grade student who shot himself at Jackson Memorial Medical School near Akron, Ohio.The shooting 203

IMPERIAL BEACH, Calif. (KGTV) — A suspected drunk driver nearly hit several beach-goers Sunday, before his SUV ended up in the ocean.The driver, identified as 50-year-old Jorge Mosti, was driving in the 1600 block of Seacoast Dr. just after 6:30 p.m., when witnesses say his SUV left the roadway and onto the beach, according to San Diego Sheriff's Department.As he continued onto the beach, SDSO said Mosti nearly hit several people as he drove about a mile down the beach. His vehicle ended came to a stop partially submerged on IB's coastline.Mosti reportedly then jumped out of the vehicle and started walking toward Tijuana. He made it about half a mile before deputies caught up to him. Deputies said Mosti was holding an open beer can as they took him into custody.MAP: Track crime happening in your neighborhoodImperial Beach Lifeguards also responded to help pull the SUV from the water.Witnesses at the beach identified Mosti in a curbside lineup, SDSO said, and he was arrested on charges of reckless driving and driving under the influence of alcohol. 1091

House Democrats overwhelmingly picked Nancy Pelosi to be their nominee for House speaker on Wednesday at a closed-door meeting, bringing the long-time Democratic leader one step closer to reclaiming the gavel when Democrats take control of the House of Representatives in the new year.Pelosi was nominated as speaker by House Democrats by a 203-32 vote, according to attendees in the room. Three ballots were blank. One was absent.A small, but vocal, faction of Democrats have been attempting to derail Pelosi's run for speaker, but she has succeeded in winning over a number of critics in recent days and was expected to easily win the nomination since it required only a majority of House Democrats. The make-or-break moment for Pelosi isn't expected to come until January, when the full House holds a final floor vote to elect the speaker.House Democrats are also holding elections on Wednesday for positions lower in the leadership hierarchy.The first election to be decided was for the position of Democratic caucus chair. Rep. Hakeem Jeffries of New York was elected to the post, making him the No. 5-ranked Democrat next Congress. The vote was close, 123-113. He defeated Rep. Barbara Lee, who would have been the first African-American woman in Democratic leadership.At 48, Jeffries is relatively young compared to the rest of the caucus and a rising star in the Democratic Party. Winning the position of caucus chair will elevate him further in the party's hierarchy and give him an opportunity to wield more power and influence. With Rep. Jim Clyburn's expected ascent to the majority whip position, Jeffries' win means that two of the top five leadership positions in the Democratic caucus will be held by African-American members.Lee, who is 72, said on Wednesday that she felt there were "institutional barriers" in her way."You feel some disappointment only with the institutional barriers that I recognized that were out there during this campaign. I'm really disappointed in that, knowing this was an uphill battle," she said.Asked if she felt ageism and sexism were at place, Lee said yes. "You heard and saw what took place, so absolutely, I think that is the case," she said."We still have many glass ceilings to break," she added.Speaking to reporters after winning his election, Jeffries said he wanted to thank Lee "for her tremendous service to this nation" and characterized the race very differently: "From the very beginning through the very end, this was a friendly contest of ideas."The elections are currently ongoing at the Capitol and will continue throughout the day.Inside the room where Democrats are voting, Rep. Joe Crowley, the outgoing caucus chair who lost his primary to incoming freshman lawmaker Alexandria Ocasio-Cortez in an upset, sang an Irish ballad to the House Democratic Caucus, two members present told CNN. The caucus gave him a standing ovation. 2906

Hundreds of rescue personnel dressed in white overalls are sifting through smoldering rubble and mangled cars, searching for the remains of the victims of California's deadliest wildfire.The Camp Fire killed at least 56 people in Northern California and turned the hardest-hit town of Paradise into ash and debris. In the devastating aftermath, cadaver dogs, deputies and coroners are searching the ruins where the town of 27,000 once stood.PHOTOS: California wildfires devastationWith at least 130 people unaccounted for and the number expected to go up, investigators will start collecting DNA samples from relatives of the missing Thursday. More than a quarter of Paradise's residents are senior citizens and most on the list of the missing are 65 or older."This is a daunting task. We feel really bad for the people who don't know what happened to their loved ones and our hearts go out to them," Butte County Sheriff's Investigations Sgt. Steve Collins said. "We want to give them some answers."In Southern California, two people were killed in the Woolsey Fire, bringing the total number of state fire deaths to 58. 1129