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It's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails.3D surgery seeing huge success rate for those who suffer from bunionsIt's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails. 5829

It may not be a hospital, but these essential workers are on the frontlines teaching children while schools are shut down and relieving parents who can’t work from home.“We can be open for those parents who have nowhere else to go, who have no one else to turn to,” said Katie Taves, the lead teacher for remote learning at Boingo’s Academy in Visalia, California.This program is making an incredible impact on parents like Lorraine Filimeno. The single mother of five is also an essential worker. She helps families sign up for unemployment benefits and financial assistance.“We are out in the community. We deal with people every day, but we’re also parents,” said Filimeno.When schools closed, Filimeno needed some help herself figuring out how to balance work and her kids’ remote learning.“My employer wasn’t going to wait for me. You know, everyone is replaceable,” she said. The mother was worried she might end up needing help from her own office. “Was I going to have to get on unemployment? I had seen people come into our office and start asking for applications and being worried, and I said, ‘Is that going to be me?’” recalled Filimeno.She reached out to the day care her daughters went to for after-school care and found the teachers were ready to help.“If it wasn’t for child care like Boingo’s, I don’t know what I would do,” she said.Before COVID-19 hit, a large part of the day care was used as an after-school playground. Now, it’s turned into a remote learning classroom for dozens of students in different schools and grades.The Boingo’s Academy pre-school got a waiver from the state to take on extra elementary school students for all-day distance learning and spots filled up almost instantly.“Some of these kids can’t even read yet, let alone find the link you’re telling them to find. They need somebody there with the computer,” said Taves.This relief comes with a cost. For Filimeno, keeping the career she loves and paying for childcare meant training for a second job.“Without a second income, I cannot afford childcare for 40 hours a week for three kids. It’s very costly," she said. "I know there’s resources out there for me-- cash aid and food stamps--but as I’ve worked for over 25 years. I had gotten off of those assistances."Now, the single mom is worried, like so many parents in her shoes, that COVID-19 will erase her years of financial stability.“When this all hit, it felt almost like I was rewinding my life. I wanted to give up as a parent and say, ‘I’m done with working. I can’t afford this.’ But you look at your children, and you say, ‘I gotta get back together, I gotta get going,” said Filimeno.The mother even battled COVID-19 and was sick for a month, but now, she is back to work and is making sure she can provide for her kids.With the many layers of stress falling onto parents and teachers, the children have a tough time, too.“When I see a child not able to follow along, it’s heartbreaking,” said Taves. “Sometimes, it just becomes so overwhelming and they’re just not able to do it, and there’s not much I can do but encourage them. Their little spirits get broken; it’s so sad."But, these teachers won’t give up, and these parents can’t give up, because they’re working for a future only these children can dream up. 3286

In retrospect, the warning signs were there.Before Devin Patrick Kelley carried out the deadliest mass shooting in Texas history on Sunday, the former airman:? Was charged in military court with assaulting his then-wife and stepson, spent 12 months in a military prison and received a bad-conduct discharge;? Was obsessed with a family dispute and sent threatening text messages to his mother-in-law, investigators said;? Was charged with animal cruelty on suspicion of beating a dog;? Posted pro-gun violence content and a picture of a rifle on his Facebook page, according to former classmates and community members. 626

It’s that time when San Diegans start to focus on a healthy start to the New Year. Regardless of what resolutions you make, the goal is to make positive changes. Although a popular choice like living healthier through the year is great, how can you do that? If you have a plan, and a coach or support from someone you trust, it makes success that much easier. Regular exercise. Drinking more water. Adding fresh fruits and whole grains can keep your body healthy. Making sure you get your flu shot and knowing your numbers! Whether it’s eating healthy, adopting a pet or getting out in your community there is something out there for you! ? Get more exercise in by hiking trails at our County parks. ? Get a new furry family member and adopt a pet from Animal Services. ? Trying to eat healthier? Visit a certified farmers market.What are some simple steps to take that will help you get moving in the right direction? Checking your mental health is equally important. Taking time to relax, reducing stress or beginning your day with easy meditation techniques. NAMI San Diego has some great APPS available for free download that have guided meditations, helpful resources, education and more. Available on iOS, Android and Windows platforms, oscER will give you information, resources and peace of mind. YMCA of San Diego County is a proud Live Well partner helping families thrive every day with our focus on youth development, healthy living and social responsibility. The YMCA is much more than a gym or a pool. And while they ARE so much more than a gym, NOW is a great time to join the Y and work on your resolutions! January is FREE when you join in the New Year. The YMCA offers a variety of tools to support individuals health & wellness goals. ? KickStart program- a personalized wellness plan to get you started ? Free Child Watch and Kids Club during workouts ? Over 100 free group exercise classes throughout our locations ? Indoor and outdoor swimming pools for lap swimming, aquatic classes ? State-of-the-art fitness centers ? Workshops, seminars and health screenings ? Build friendships, strengthen your body, your relationships and so much more.For more details or to locate a YMCA near you, visit ymca.org.There are a lot of ways to Live Well San Diego. Make it a great year! 2315

Israel has launched air strikes on Gaza after Hamas militants fired rockets into its territory amid efforts to achieve a long-term ceasefire agreement.The fighting Wednesday left three Palestinians dead in Gaza, including a pregnant mother and her young daughter, according to the Palestinian Ministry of Health, with injuries reported in Israel and Gaza.According to the Israel Defense Forces (IDF), at least 100 rockets were launched from Gaza toward Israel, with rocket alarms ringing into the early hours of the morning. Twenty rockets were intercepted by Israel's Iron Dome aerial defense system, while most others landed in open fields in southern Israel.Three people were taken to the hospital with light to moderate injuries when four rockets landed in Sderot adjacent to Gaza, a spokesman for Magen David Adom, Israel's emergency response service, said.Following the rocket launches, the Israeli air force struck more than 140 military targets across 20 sites in Gaza, including a factory for manufacturing facilities, training complexes, a maritime tunnel shaft, and other sites, according to the IDF.The Palestinian Ministry of Health identified the deceased as 34-year-old Ali Ghandour, 23-year-old Inas Khamash, and her 18-month-old daughter, Bayan Khamash. Twelve others were injured, the Ministry said.Warning of the imminent dangers of continued escalation, UN Special Coordinator for the Middle East Peace Process Nickolay Mladenov tweeted a statement early Thursday morning: "Our collective efforts have prevented the situation from exploding until now. If current escalation however is not contained immediately, the situation can rapidly deteriorate with devastating consequences for all people."The escalation came after Hamas leaders traveled to Cairo in recent days to discuss the possibility of a long-term ceasefire with Israel.Khalil al-Hayya, a member of Hamas' political bureau, said in a televised Al Jazeera interview Wednesday that the general layout of a ceasefire agreement was in "advanced stages."Israel's security cabinet has also discussed possible options relating to Gaza.Israel's Minister of Transportation, Israel Katz, said over the weekend on Twitter, "The situation in Gaza is reaching a decision -- or an arrangement or a war." Katz said he would support an Egyptian-backed agreement that provided aid and rehabilitation to Gaza.But on Sunday, following a security cabinet meeting to discuss the situation in Gaza, a readout of the meeting from the Prime Minister's Office said only that the IDF Chief of Staff had briefed the cabinet on the latest developments in Gaza. No decisions had been made.Earlier Wednesday, an Israeli tank struck a Hamas post in northern Gaza, after gunfire from Gaza damaged an Israeli engineering vehicle near the border fence.In a separate incident on Tuesday, an Israeli tank struck a Hamas military post in northern Gaza, killing two militants. Israel carried out the strike after the IDF claimed Hamas snipers fired at Israeli security forces near the border. Hamas says the two men were taking part in an exercise and did not fire at Israel.Hamas vowed to avenge the deaths, prompting Israel to shut down roads near Gaza for security reasons.Efforts to achieve a comprehensive ceasefire come after months of violence along the Israel-Gaza border.In late-March, Palestinians began weekly protests dubbed the "Great March of Return" along the border fence. More than 160 Palestinians have been killed by Israeli fire in the protests, according to the Palestinian Ministry of Health.Israel has accused Hamas, which controls Gaza, of orchestrating the protests, during which the IDF says rioters have thrown Molotov cocktails, burned tires, and hurled grenades. An Israeli soldier was killed by sniper fire from Gaza in late-July, the first soldier killed along the Gaza border since the 2014 war.Israel has maintained a land, sea and air blockade on the coastal enclave since June 2007, when Hamas took over Gaza.The blockade effectively locks the more than two million Gaza residents inside the territory and is seen by the UN as a major contributor to the deterioration of living conditions there. Israel says it's a necessary security measure. 4250