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SAN DIEGO (KGTV) -- Many doctors across San Diego County have seen a recent surge in positive COVID-19 cases. Five hundred one new cases were reported Thursday.But, most people don’t require hospitalization and can isolate at home.“We just do video visits with patients and talk to them about their symptoms,” said Dr. Michele Ritter, an infectious disease specialist at UC San Diego Health and an associate professor of medicine.“At the end of April, May, we were getting maybe four or five new referrals a day to be seen, and then it went up to about 40 a day.”Ritter is also the medical director of the COVID-19 clinic. She said many of her patients live with other people.“There are times there are three of four generations of a family living in a house together and sometimes very close quarters, so that’s a challenge,” she explained.If someone in your household has COVID-19 the Centers for Disease Control and Prevention recommends they stay in a separate room and use a different bathroom if possible, avoid contact with other members of the household and pets, don’t share personal household items, and wear a cloth face covering when around others“The absolute ideal situation is your own room, your own bathroom. Not everybody has that, we have patients who live in two-bedroom apartments with six other people and a single bathroom.,” said Ritter.While isolation is critical, Ritter said if you must use a shared space, like a bathroom, it’s essential to disinfect after every use. That includes using a shower, toilet, or sink.“When you’re done if you’re able to have something like a Clorox wipe, or a washcloth with some Clorox bleach on it wipe down the surfaces that you’ve used and wash your hands,” she said. “In terms of laundering clothing, it’s probably fine to launder them together if you’re using high temperatures to wash your clothes.”She said to wash all dishes and utensils used by someone with COVID-19 in hot water and soap or run them through a dishwasher.“A lot of patients have their family members bring meals to them and set it outside their door so they can eat,” she said.Another challenge is parents who test positive for COVID-19 and have mild symptoms, but still, have to take care of their kids.“I find that most parents do well wearing a mask; the kids get used to it,” she said. “You can still be around your kids; just do the best you can.”Ritter said many of her patients have been able to keep the virus from spreading to their loved ones at home by following simple steps.“Wearing masks, washing hands, cleaning frequently touched surfaces is the best you can do,” she said. “We don’t always have perfect situations, so we do the best we can with what we have.” 2720

SAN DIEGO (KGTV) -- Immigration and Customs Enforcement issued new guidelines that could have a big impact on many international students studying in the U.S.The modifications were posted to ICE's website, outlining the new rules for students on F-1 or M-1 visas. The guidelines say students may not take a full online course load and remain in the United States and that the Department of State won't issue visas to students enrolled in programs that are fully online or allow them to enter the country. The news comes as many schools including San Diego State University and UC San Diego have moved to online only or a hybrid format because of the COVID-19 pandemic.In their modified guidelines, ICE said they had issued a temporary exemption regarding online courses for the spring and summer semesters. If a student attends a school with a hybrid model, the school must certify that the program isn't online only and that the student is only taking the minimal number of online courses. To read ICE's full statement on the modifications click here. 1060

SAN DIEGO (KGTV) -- Kreg Van Hoesen has had to fight for his life for much of his life, born with congenital heart defects in 1986 when doctors didn't know until after he was born. Two surgeries at two months of age would be followed by two more at two years old. Then when Kreg was six, doctors tried to correct the defects in his heart. Unfortunately it didn't work. His mother, Pam Van Hoesen remembers every detail of the family's hard fought battle to keep Kreg alive. "His outlook was bleak," she says, "but he managed to get through it and within a week, he got a heart." They know the donor heart came from a family in the Midwest who lost a child traumatically, but they've never heard back from them after writing letters, and they understand. Pam says, "for someone else to lose a child in order for your child to live is mind boggling."To pay forward that most precious gift, the family became champions of organ donation. It started eight years after Kreg got his heart. Pam Van Hoesen's friend needed a kidney. Pam tested and hers was the best match. Then in 2003 Kreg went into kidney failure. The anti-rejection drugs from Kreg's heart transplant were very hard on his kidneys, and when he needed a kidney transplant, his dad Mark stepped in. Kreg initially rejected Mark's kidney however, and he almost lost his battle to survive again. Eventually his body accepted it, and he had 16 years with that kidney. But Kreg's health took a turn for the worse early this year. All three of his sisters tested to find the best match. Kreg's sister Kendyl was the closest match. Kendyl's mother-in-law also happened to be a kidney donor as well, and with both of her own parents living healthy lives with just one kidney, Kendyl didn't hesitate to agree to donate hers to her brother. She explains that the entire family was nervous going into this surgery. They knew as the donor, their family had a long track record of success living with just one kidney, but they worried about how Kreg would do, undergoing his third transplant surgery. "He's a real fighter and real survivor... but most of his surgeries didn't go as planned." It so happens that Kreg was due for success however, and this transplant, which was done at UCSD Medical Center, has been his easiest so far. The family, including Kreg, believe their mission is to get out the word about organ donation. Kreg says he's shocked by how many people are apprehensive about it, whether a living donation, or a donation after someone dies. "I do hope this can change the perspective," he says. 2568

SAN DIEGO (KGTV) - Life is changing on Marine Corps Air Station Miramar, as dozens go into precautionary quarantine after exposure to COVID-19.The protocols you see around San Diego County are in effect on base, bringing the Health Protection Condition on base up to Level Bravo, according to Public Information Officer Capt. Matthew Gregory.The spectrum ranges from Alpha to Delta.RELATED: Third MCAS Miramar Marine tests positive for coronavirusThat means changes to daily life, starting at the gate."Our gate guards are now under a no touch ID policy, so the driver will keep hold of their ID. They'll get looked at by the MPs [Military Police] and wave them through," Capt. Gregory said.Restaurants on base are carry-out only. The chapel, tax center and gym are closed. Anyone on base who can work from home is mandated to.RELATED: Kearny Mesa hotel to be used as coronavirus quarantine site"The events around the coronavirus are unprecedented. I cannot remember in my lifetime anything that has happened on this scale," Capt. Gregory said.No tight formations, like you would see at Color Guard practice, or group meetings are allowed to comply with social distancing protocol.The base learned key practices from the CDC and Health and Human Services during the waves of Americans quarantined on base after returning from China, or a cruise. That helped them prepare for the cases they're now seeing on base.RELATED: San Diego-based Navy hospital ship to assist hospitals amid COVID-19 outbreak"We proactively set aside another barracks, cleaned it up, and that way we have a place for people who may be sick, who live on base, or require quarantine can go," Capt. Gregory said.As of Wednesday they have about 45 Marines in the building. Three tested positive for COVID-19. The others are there out of precaution after being exposed."Along with that comes plans for... having meals brought to them, laundry services, all those things, so units here on base are going to be responsible for their Marines who may be in quarantine or may be sick," he said.RELATED: San Diego and national closures, cancellations, postponements due to COVID-19Capt. Gregory said it's better to over prepare and look back thinking it was easy, than to under prepare and make things harder.He said the base is ready to take on any mission that comes their way as they continue to balance the community's needs, their Marine's needs, as well as their ability to protect. 2458

SAN DIEGO (KGTV) - Inside the 3D Innovations Lab at Rady Children's Hospital, the hearts, bones, skulls, and spines of patients are brought to life in a new way.Justin Ryan, Ph.D. is director of the lab. Using 3D printers, they can replicate a patient's anatomy down to every precise detail, giving doctors critical information before surgery.“The concept is by giving our doctors more information they can perform a better procedure; they can even perform it with less time. So that means less time under bypass, less time under anesthesia, which is great for the patients themselves," said Ryan.For example, if a patient is a candidate for a stent or valve, doctors could use the 3D model to try different sizes before entering the operating room. “We give them more information to plan a better procedure," said Ryan. While some of the models take several hours, many can be created within the day. “There isn’t an average day, I might have a cardiac case in the morning, an ortho case in the evening, I'll have a doctor have an idea for a medical device that they wanted to design or develop, and that all happens here," said Ryan. Ryan says the 3D models are also useful when explaining the procedure to families. The technology is currently being funded by grants and donations, at no extra cost to families. Ryan believes insurance eventually will help cover costs. 1381