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SAN DIEGO (KGTV) - Sunday, doctors revealed President Donald Trump is taking a steroid, called Dexamethasone, as the latest medication for his coronavirus treatment."We just don't know what's going to happen next, things are very unpredictable," Dr. Christian Ramers, Chief of Population Health at Family Health Centers, said.Ramers has seen thousands of COVID-19 patients and says the disease has two phases, virus production and inflammatory. He said the shift generally happens seven to ten days in."Once things kind of shift, the damage actually comes more from the immune system's response than the virus itself," Ramers said, which is why a steroid like Dexamethasone is prescribed."Where it showed a decrease in mortality was in people who already required oxygen or if they were even sicker than that and were on ventilation," said Ramers, citing a study.Sunday, doctors stated the president received oxygen Friday before being taken to Walter Reed Medical Center, but said his oxygen levels only dipped to 94% and 93%. Normal levels are 95% and above.Ramers said studies show if you give the steroid too early or to someone who has a mild case, it could cause harm. "If you dial down the immune system too early or in a case that is really mild, you might have the opposite effect you're looking for," Ramers said.There's also a list of side effects."If you use them for a chronic basis or for more than a couple of days there is a long list of things it can cause. They can make your bones thinner, it can give you high blood sugar, diabetes, it can make people have trouble sleeping," Ramers said.With the president, as in any case, Ramers said we need to keep watching, "watching very carefully to what's happening day by day, it's going to be very important especially in this 7-10 day period because things could take a turn at any moment."Ramers said there are experimental coronavirus drug trials coming to San Diego, click here for more information or to sign up. 1988

SAN DIEGO (KGTV) - The Golden State Killer crime spree may have ties to San Diego, according to District Attorney Summer Stephan.Investigators say DNA evidence tied Joseph DeAngelo to the series of killings, rapes and burglaries that occurred between 1976 and 1986 across California.Stephan said Thursday that unsolved cases may be linked to the crimes. 361

SAN DIEGO (KGTV) -- The California Department of Public Health made a quiet announcement late Monday night that could be a welcoming relief for families all over the state looking for outdoor activities amid the pandemic.Health officials are allowing counties to reopen outdoor playgrounds located in parks, campgrounds, and other publicly accessible locations.But guidance is firm and strict as the state continues to battle the deadly coronavirus pandemic."COVID-19 continues to pose a severe risk to communities and requires all people in California to follow necessary precautions and to adapt the way they live and function in light of this ongoing risk," state health officials said.At the top of the list of requirements is the rule on face coverings. "Face masks over the mouth and nose are required for everyone 2 years of age or older with caregiver supervision at all times to ensure face mask use," officials said.Other rules include a 30-minute limit on visits when others are present, no eating or drinking in playgrounds, and elderly persons and others with underlying medical conditions should avoid playground when others are present."This guidance does not apply to indoor playgrounds or family entertainment centers," the state said.San Diego County has not yet issued a timeline for when the caution tape wrapped around local playgrounds since March will finally come down.Last Tuesday, a group of two dozen state lawmakers sent a letter to Governor Gavin Newsom asking him to create clear guidelines for reopening. San Diego Mayor Kevin Faulconer tweeted his support for the letter.A recent report from the American Academy of Pediatrics reinforced guidelines that say kids 3-5 years old should get three hours of physical activity every day. Kids 6-17 need at least one hour.Doctors, however, still urge caution."Playgrounds are gold mines for transmissions for other diseases," says Dr. Christian Ramers, an Infectious Disease Specialist at Family Health Centers of San Diego."Kids get runny noses. There's a lot of touching there. Kids are touching everything with their hands. So I think there's uncertainty."READ STATE GUIDANCE BELOWOutdoor Playground Definition:Fully outdoorsPublicly accessibleFree to enter and useOperated by a city, state, county, or federal governmentDesigned primarily to serve nearby residents within a half a mileCan provide State-mandated outdoor space for preschools (which could be scheduled in advance to avoid overlapping use)Typically includes recreational equipment, like play structures, slides, swings, etc. intended to enrich children's physical health and developmentVisitors to outdoor community playgrounds must comply with the following requirements:1. Face masks over the mouth and nose are required for everyone 2 years of age or older with caregiver supervision at all times to ensure face mask use2. Do not use the playground when different households are unable to maintain a physical distance of 6 feet or when the capacity limit of [number of children and number of adults] has been reached3. Caregivers must monitor to keep adults and children from different households at least 6 feet apart4. Consider coming on different times or days to avoid wait times and potential crowded times5. No eating or drinking in playground, to ensure face masks are worn at all times6. Wash or sanitize hands before and after using the playground.7. Elderly and persons with underlying medical conditions should avoid playground when others are present8. Limit visit to 30 min per day when others are presentNote: Facility operators should download and print this flyer to post at all outdoor playgrounds.All playground facilities operators should review and follow these recommendations:1. An adult must actively supervise each child at all times to make sure that children two years of age or older keep their face covering over their nose and mouth and stay 6 feet away from adults and children outside their household.a. Children who are supervised by the same adult must stay together in the same play area or play structure at all times, to allow active supervision.b. If an infant or child requires attention (nursing, diapering) that precludes an adult from actively supervising other children using the playground, the adult should ask the other children to leave the play structure/area and stay by the adult's side until needed care is complete.2. People standing outside the playground, including people waiting to enter the playground, should remain 6 feet away from areas of the playground used by children and adults.3. Maintain six-foot distancing between children and adults from different households including children using or waiting to use play structures or play areas, and families waiting to enter the playground.4. Increase cleaning of frequently touched surfaces, daily as practicable.5. To the extent feasible, provide handwashing stations or sanitizer to facilitate hand hygiene, especially during times of heavy usage. Use a hand sanitizer containing (60% ethanol or 70% isopropanol). Never use hand sanitizers with methanol due to its high toxicity to both children and adults.6. Post the maximum number of children allowed at the entrance of each playground.a. Determine and post the maximum occupancy of each play structure, (e.g., climbing structures, slides, swings, spinning structures, and sand areas) with 6 foot vertical and horizontal distancing.b. Determine and post the maximum occupancy for supervising adults to ensure that each adult can maintain six feet of distance from other adults and children.c. Provide directions on how to wait in line when maximum playground occupancy has been reached.7. Mark playgrounds to help children and adults maintain 6 foot distancing.a. Mark spaces for families to stand while waiting to enter the playground. The spaces should be far enough apart to allow 6 feet of distance between households.b. For play structures or play areas that can hold more than one child while allowing 6 foot distancing:i. Post the maximum number of children allowed on each structure/in each area to allow 6 foot distancing vertically and horizontally.ii. For play structures or areas that can hold more than 1 child, consider marking with tape or other visual indicators to help children assess whether they are 6 feet apart.c. Mark designated spaces 6 feet apart for children to stand while waiting to use a play structure/area.Additional ConsiderationsIf there is a pre-scheduled activity that will access the playground, the playground must be closed to the broader public during that time.Child care programs, schools, out-of-school time programs and other programs for children and youth where children must remain in cohorts may not use playgrounds during times when they are open to the public. However, if the playground operator permits, the childcare, school or other program may reserve a time for the exclusive use of the playground by the program. While on the playground, cohorts should maintain separation and avoid mixing. 7063

SAN DIEGO (KGTV) - Tempers flared at a meeting of the Community Review Board On Police Practices Tuesday night. Dozens spoke out against the San Diego Police Department’s chokehold policy. Members of the Racial Justice Coalition wants to ban the practice, saying it’s excessive force and potentially deadly.  San Diego’s new police Chief David Nisleit called the comments at the meeting “passionate.” He said he heard them loud and clear but had questions about the doing away with the chokehold as some law enforcement agencies around the country have done.“Anytime you take a use of force tactic away from an officer, they generally have to go a higher level,” Nisleit said. “So my concern on that, and why I’m hitting pause to take a hard look at this, is I want to make sure that if we continue or discontinue, it's for the very right reasons. I want to look at the LAPD and the Chicago Police Department and their information on what has happened prior to and more importantly, what has happened afterward to see if more higher level of force had to be used.”The chokehold is expected to come to the review board again at their May meeting. 1163

SAN DIEGO (KGTV) - The invisible wounds of war are a heavy burden to carry, long after deployment. Tom Voss, an Army veteran who served in a scout-sniper platoon, knows this feeling well. "I took shrapnel to the head from a rocket-propelled grenade. And then I also had a lot of survivors guilt around the death of my platoon sergeant because that day I was given the day off," said Voss.He says while deployed, there's no time to process these war injuries. "You have a lot of these questions come up, years and years later. A lot of veterans struggle with, could I have done more, can I be forgiven? A lot of these moral questions," said Voss.After serving, he wanted to bury the traumas of war; in the beginning, he was incapable of dealing with the stresses caused by combat experience. "I was using alcohol and then on top of it abusing the medications that were given to me to kind of numb myself to the experiences, because I didn't know how to process them or move through them or move on from them on my own," said Voss. "I had a lot of suicidal ideations, so that's getting to the point of like, how am I going to take my own life?"Voss decided he needed to make a drastic change. He and a fellow veteran walked 2,700 miles across the country, from Wisconsin to California. It was on that trek where he began to heal and learned about holistic approaches to deal with trauma, like meditation and yoga. Voss now travels the world, teaching veterans and their families these techniques. "It's really up to us as veterans to educate the community about the experiences of what it's really like in combat and how it impacts veterans coming home, how it impacts communities, coming home. And most importantly, how it impacts families," said Voss. Voss chronicled his trek across the country in a memoir Where War Ends.It's available through Amazon, Barnes and Noble, and most places where books are sold. 1917