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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
IMPERIAL BEACH, Calif. (KGTV) - South Bay residents have an opportunity to sound off over the sewage coming up from Mexico, leading to beach closures.The U.S. section of the International Boundary and Water Commission is holding a forum on the topic Thursday. The sewage either comes from Tijuana runoff or the Punta Bandera treatment plant."I would love to surf everyday without worry," said Imperial Beach councilwoman Paloma Aguirre. "I would love for my friends to be able to take their babies to the beach, and sit on the sand and not worry about bacteria."Meanwhile, officials in Imperial Beach and Coronado are expressing new optimism. A meeting this week identified 0 million in projects that could help: funding still unclear.The meeting starts at 5:30 p.m. Thursday at the Tijuana Estuary Meeting Room, 301 Caspian Way in Imperial Beach. 859

House Minority Leader Nancy Pelosi said at Wednesday's CNN town hall that she doesn't think campaigning on a potential impeachment of President Donald Trump is a good issue to run on."I do not think that impeachment is a policy agenda," she said.The California Democrat pointed to the ongoing special counsel investigation led by former FBI Director Robert Mueller, saying everyone should "let it take its course" before judging the outcome, and noting the difficult, divisive nature of moving to oust a president."Impeachment is, to me, divisive," Pelosi said. "Again, if the facts are there, if the facts are there, then this would have to be bipartisan to go forward. But if it is viewed as partisan, it will divide the country, and I just don't think that's what we should do." 789
In a small town in Utah, life moves at a slower pace, and social distancing there is easy.“I think it’s quiet,” said Kelton Wells. “I think it’s a beautiful valley and I just love it up here.”Wells owns Keystone Cabinets, where he employs 12 people, including Ned Miller.“I’ve lived here in the valley my whole life,” said Miller. “It’s fun because I can create what I consider works of art.”In a flurry of dust and noise, solid pieces of wood transform, all while people keep their distance.“We have a little bit better spacing here. We don’t have the close shoulder-to-shoulder contact that somebody would over there, Miller said as he motioned with his hand towards JBS Beef Plant.“I feel bad for the people who work there.”Meatpacking may be a world away from cabinetry, but in terms of distance, they are practically neighbors.In June, COVID-19 swept through the facility, infecting nearly 300 of its workers, but the facility stayed open.“Nobody was running around in panic, throwing picket signs up and wanting everybody to put a ‘C’ on their forehead down at the plant,” Miller said with a smile. “I didn’t get that type of a feeling for it.”They still don’t.“What comes will come and we’ll take it as it goes, I guess,” Well said with a shrug of the shoulders. “I don’t think a lot of people were super alarmed by it.”In a town where everyone knows someone who works at the facility, there is a feeling of “life must go on.”“I mean, we all got to survive. Our work has to get done so we do what we can to keep it going and keep people happy,” Wells said.The CDC set up shop for weeks at the health department, making sure people in this community stayed safe and JBS stayed open.“We’ve got a good plan going with JBS,” Josh Greer, with Bear River Health Department, said. “(JBS) has got great controls in place.”The people in Hyrum, Utah are not alone.JBS has had outbreaks at plants in Colorado, Kentucky, Minnesota, Nebraska, Texas and Wisconsin.“I think people are just trying to do the best they can,” Wells said.In Hyrum, the work will go on, whether it is with meat or with wood.In a place where people come to escape the noise of city life, it is hard to escape the question on everyone’s minds.“When will we return to normal and what is the new normal going to be?” Miller asked. 2304
Imagine Kevin James as Frank Underwood on "House of Cards."There is an online petition suggesting just that -- believe it or not -- and as of Tuesday, nearly 30,000 people have signed on to endorse the idea."Losing a great show is hard, no matter the circumstances," the petition reads. "However with hardship comes the opportunity for a great show to become one of the greatest television shows of all time. I think Kevin James can elevate 'House of Cards' to a globally adored franchise like 'Game of Thrones' and make the entire world focus on one of the most important Netflix original series there is."It's doubtful one Kevin will replace the other, but let's not pretend that television hasn't pulled big swaps before.Here are a few examples:Donna's death on "Kevin Can Wait"James is currently starring in the CBS sitcom "Kevin Can Wait," which recently killed off his character's wife, played by Erinn Hayes.Now, killing off a character is not out of the ordinary, but the show managed to make this particular plot twist especially awkward.Some "Kevin Can Wait" viewers complained that series treated the character's death too lightly, making a joke about her gym sending a postcard saying she was missed.James's character tells his daughter not to toss the card because "on the bottom, there's a coupon for a Kung-Fu lesson. I want to go there."James's former "King of Queens" costar, Leah Remini, was added to the cast, effectively making the show feel like "King of Queens 2.0."Original vs. new Becky on "Roseanne"Fans still like to argue over who was the better Becky on the hit 1990s sitcom "Roseanne."Actress Lecy Goranson played the eldest Conner child for the first five seasons, before leaving to go to college.Sarah Chalke was then recast in the role for Season 6, which some viewers didn't love.Goranson tried to work with the show -- reprising her role in Season 8 -- but ultimately Chalke became Becky full time.The whole thing turned into a running gag on "Rosanne," which would sometimes include jokes about the missing Goranson.The forthcoming "Roseanne" revival is set to have Goranson back as Becky and Chalke in another role.What happened to Judy on "Family Matters?"Judy Winslow went upstairs to her room one day and was never seen or heard from again.At least that's how fans of ABC's "Family Matters" felt like it all went down.The sitcom, which ran from 1989 to 1997, made the character Steve Urkle famous. But it was the disappearance of young Judy after four seasons that many viewers still talk about.Jaimee Foxworth, the actress who portrayed Judy, is now 37."The producers felt that they could do it [disappear her character] and no one would notice," Foxworth recently told The Root "They'd done it with previous shows they had," she said. "They figured no one would really care. My fans took notice of it."A tale of two Morgan Matthews on "Boy Meets World""Boy Meets World" thought they could pull one over on us when they swapped out actress Lily Nicksay, who played the scene-stealing sister Morgan, for actress Lindsay Ridgeway. Well, the second Morgan became forever known as "the other Morgan."Disney gave the 1990s show a bit of a reboot in 2014 with "Girl Meets World," which at the end of Season 3 brought both actresses back for the finale.It got ugly with Aunt Viv on "Fresh Prince of Bel Air"The original Aunt Viv, Janet Hubert, was beloved by fans for the first three seasons of the series which debuted in 1990.But the actress departed the NBC sitcom in 1993, and cast Daphne Maxwell Reid to play rapper Will Smith's aunt.In 2013, Hubert told "The Insider" that Smith fired her."He said 'We're just going to replace her and act like nothing happened," Hubert said at the time. "Well, honey, that is not what happened is it?"For his part, Smith reportedly said in a 1993 radio interview that he expected Hubert's anger."I can say straight up that Janet Hubert wanted the show to be 'The Aunt Viv of Bel Air Show,' because I know she is going to dog me in the press," he said. "She has basically gone from a quarter of a million dollars a year to nothing. She's mad now, but she's been mad all along."The-CNN-Wire 4169
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