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SAN DIEGO (KGTV) - Amid rising health care costs, some San Diegans are turning to telehealth appointments. On a Monday afternoon, young Josephine sits in an exam room. She's come down with cold-like symptoms after recovering from enlarged tonsils. So her mom, Josie Ruiz, brought her to their neighborhood clinic, La Maestra Community Health Center in City Heights. For this appointment, one doctor is waiting in the exam room, and another is on a computer screen.Dr. Anthony Magit is an Ear, Nose and Throat specialist and pediatrician at Rady Children's Hospital. As he watches from his office, the clinic's Chief Medical Officer, Dr. Javier Rodriguez, conducts an exam. Cameras and camera-equipped scopes feed real-time data to the specialist, who then asks questions. The exam is part of La Maestra's telehealth program, which offers virtual appointments to underserved patients."Before telehealth, my previous appointments ... some of them I had to cancel or reschedule," said Ruiz.Ruiz is a single mom who works full time."This is great because in my case I don't have to request a day off to take her to the hospital, which I can't afford to do," said Ruiz.Most of the patients at this clinic don't own cars. For them, getting to Rady Children's Hospital means hours on buses, which can lead to major issues related to work and child care.Six years ago, doctors at the clinic discovered many referrals to Rady Children's Hospital weren't showing up. That has changed. No-show rates went from about 50% to 13% within two years. Across the county, other hospitals are tuning in to telemedicine, from home appointments for rural patients to consultations with specialists across the country. In some cases, the only doctor is on a screen.List of links for local telehealth programs:https://healthy.kaiserpermanente.org/hawaii/why-kp/experience/telehealth?kpSearch=TELEHEALTHhttps://health.ucsd.edu/specialties/telehealth/Pages/default.aspxhttps://www.sharp.com/patient/phone-or-video-visits.cfm 2008

SAN DIEGO (KGTV) — A woman involved in a fiery multi-vehicle crash in the College Area on Wednesday died several hours after being taken to the hospital.Casey Diane Hargis, 22, was pronounced dead at UCSD Medical Center on Thursday morning, after a vehicle slammed into the Ford Fusion she was in as it was stopped at an intersection the night before.Hargis and the driver, a 22-year-old woman, were both taken to the hospital suffering from second- and third-degree burns on more than 70% of their bodies, along with internal bleeding.RELATED: Several hurt in multi-vehicle crash at College Area intersectionHargis died of vascular injuries from pelvic fractures, according to the county medical examiner's report.The condition of the driver has not been officially released.Wednesday, a 63-year-old man was driving in his Mercedes when he suffered an unknown medical issue and slammed into the back of the Ford that Hargis was traveling in at 70th Street and El Cajon Blvd.The force of the crash pushed both vehicles into the opposite lanes of El Cajon Blvd, where they were struck by three other vehicles, causing the Ford to ignite and leaving the women trapped inside before witnesses could pull them from the vehicle.The Mercedes driver was taken to the hospital for treatment, but his condition wasn't immediately released. The other drivers involved were taken to the hospital for minor injuries. 1412

SAN DIEGO (KGTV) — About 70 members of the FEMA Urban Search and Rescue team in San Diego helped in the recovery effort after 9/11. Wednesday, they remembered the tragedy and reflected on how firefighting has changed in years since.On Sept. 11, 2001, terrorists hijacked two planes and flew into the Twin Towers of the World Trade Center in New York City. Nearly 3,000 lives were taken. The work that followed days later brought in crews from around the country."On the pile is even more daunting than being off of it and figuring out where you've been and where you've looked and where's the potential to find someone who might still be alive," Battalion Chief Matt Nilsen said.Nilsen was sent to New York to set up communications, using his mechanical engineering degree. He returned to the West Coast with an unforgettable experience."Everybody wanted to do something to help and I was fortunate to have a job that was doing that," Nilsen said. Back home, he said firefighting has changed."It used to be a big thing that the dirtier your gear is, the saltier you are. Now it's the cleaner your gear are, is the smarter way to be," he said. In the years since the attack, the team focuses more on cancer prevention and how their gear plays an important role in that focus."When we go to a structure fire, when we go there, when we went to the World Trade Center, in all those circumstances you get exposed and once you have it on your body, it's the prolonged exposure that can contribute more to it," Nilsen said, speaking of the toxins that firefighters face on the job.While the phrase "We Will Never Forget" is tied to the historic date, 18 years later there are many who don't know or understand the impact of 9/11, like those who were in New York."We do need to remember the lessons from this, and remember how we came together as a country after this attack," Nilsen said. 1889

SAN DIEGO (KGTV) - After moving to San Diego almost three years ago, Derek and Terri Ruff are on a mission to experience everything the city has to offer. “Yes we are, it’s fantastic! We hardly leave the county, there’s just so much to do," said Derek.The couple moved here from New Mexico, and for nine years Derek's colon cancer seemed to be behind them. “I won’t say cancer-free, but I didn’t have any symptoms for years, until last May, whenever I came in for a checkup, and they discovered cancer again," said Derek.It was stage IV metastatic colon cancer.“It’s a lot. It’s a tough diagnosis, it’s really difficult to live through.”After three months of aggressive chemotherapy, Ruff's condition only got worse. His journey brought him to UC San Diego Health's Moores Cancer for a clinical trial, which unfortunately did not work. But he Ruff became a candidate for another trial involving natural killer cells created from stem cells.“These are patients who don’t have a lot of good options in terms of chemotherapy or immunotherapy," said Dr. Sandip Patel, a medical oncologist who is leading the trial at UCSD. Decades of research on natural killer cells have culminated in the new cancer treatment being developed by San Diego-based Fate Therapeutics.Fate is the first to mass produce cancer-killing cells from a type of stem cell called a human-induced pluripotent stem cell (iPSC). "The concept of utilizing the stem cells that are within us, within our blood factory, within our blood marrow, to create a master bank of cells that we can utilize to program in different ways to fight cancer with cellular immunotherapy."The off-the-shelf, iPSC-derived natural killer cell cancer immunotherapy received U.S. Food and Drug Administration approval to move into clinical trials in November 2018. Ruff is the first person in the world to receive the treatment and got his first dose in February.“Being the first is exciting but it was less so hearing that you have stage iv cancer and you don’t have much of a future, and now I feel hopeful, again," said Ruff.While it's too early to tell if the treatment is working, researchers are hopeful this treatment will one day help many cancer patients. 2212

SAN DIEGO (KGTV) - A San Diego veteran and father is defending his son's right to sit during the national anthem.Ray Everett is responding to a letter sent to Lincoln High School's principal, complaining that students on the basketball team were sitting and talking during the national anthem.The man who wrote the letter is a U.S. Air Force veteran and grandfather to a player on the opposing team. Another parent who was offended used her phone to film the students sitting."At the end of the day our students do not have to stand," said Everett. "But you will not make them feel like they did something wrong. They did not harm anyone and they did not break the law."Everett was in the U.S. Army for 15 years. He says he served his country in order to protect the rights of Americans, including the right to sit during the national anthem.Everett's brother-in-law, Antoine Jarvis, says while he was offended by the letter he respects everyone's right to their own opinion. "I think that the biggest challenge in voicing your opinion is when you're close-minded to other's opinions," said Jarvis. "When you're close-minded to their beliefs."Jarvis says he no longer stands during the national anthem after learning more about its history. He only asks that others respect his right to do so.The principal of Lincoln High School, a veteran himself, has been responsive to complaints and plans to sit down with the veteran who wrote the letter about the student's actions.On Thursday the San Diego Unified School District released a statement:Public school districts do not have the authority to require students to observe patriotic or religious rituals in the classroom or at school functions. We believe in our students right to free-speech, but also encourage students to be respectful in the way they choose to exercise their rights.School Administration is reaching out to the students involved and taking the opportunity to use this as a teachable moment. 1980