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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) - An apologetic teenage girl explained how she crashed her mother’s car into her neighbor’s garage in Encanto Friday.13-year-old Akasha Alexander had been taught how to start the BMW in the morning to help her mother. On Friday, the car was parked a big too close to the edge of a steep hill.The girl pulled the clutch and the car took off, crashing through the neighbor’s fence, clipping a water line, and ending up in the garage.“I see the fence go down and i'm like, oh no, and then all I see is boom,” said Alexander.Neighbor Melvin Glover’s daughter and grandchildren are visiting him for Easter. They said the impact shook the Glover home and frightened them all.The car was towed from the home.Alexander said she plans to bake Glover a red velvet cake. 784

SAN DIEGO (KGTV) - A Seattle hiker arrived in San Diego over the weekend, where he'll begin a 2,600-mile trek to raise awareness and money for Alzheimer's disease.Toby Gallier's family was first impacted by the disease four years ago when his mom's partner was diagnosed. Gallier's seen the toll it takes on both patient and caregiver.Gallier will be hiking the Pacific Crest Trail, a grueling five-month trek that will take him through desert, forest and mountains.He's raising money for "The Longest Day" fundraiser through the Alzheimer's Association - you can donate here.You can also follow along on his journey here, Gallier will be posting blog updates whenever he can find WiFi.On Monday the San Diego/Imperial Chapter of the Alzheimer's Association greeted and thanked Gallier for his commitment to this cause. 827

SAN DIEGO (KGTV) -- Ahead of the United Nations Climate Summit next week, 10News is diving deeper into the affects of climate change. Climate change is leading to more dangerous and deadly wildfires and so often after fires scorch the ground in the fall, the heavy winter rains in atmospheric rivers lead to mudslides and flooding.The scary reality is that these types of storms are going to get stronger. According to Alexander Gershunov, a research meteorologist at the Scripps Institution of Oceanography at UCSD, "we know for certain that atmospheric rivers are going to get stronger in the future, in a warmer atmosphere more water vapor can be held so atmospheric rivers are basically plumes of very intense concentrated moisture and they're just going to get wetter as they get warmer. As those wetter atmospheric rivers hit the coast and coastal mountain ranges the moisture is squeezed out of them and we get more extreme precipitation events."He goes on to say, "climate change is definitely making atmospheric rivers warmer and wetter as well as longer and fatter so they carry more moisture. In the future they will produce even more of the precipitation extremes and be an even bigger contributor to the water resources of the region as well as to flooding."Climate change may lead to a more devastating threat, called the ARkStorm.The ARkStorm is patterned after the historic flooding of 1861 to 1862, but uses modern modeling methods and data from large storms in 1969 and 1986. The ARkStorm draws heat and moisture from the tropical pacific, forming a series of atmospheric rivers that approach hurricane-strength and then slam the west coast creating a statewide disaster.In 2010, scientific experts met to create the ARkStorm Scenario Report for the USGS, imagining aspects of flooding of biblical proportions reaching the Western U.S. with weeks of rain and snow followed by catastrophic floods, landslides and property and infrastructure damage which would cripple California's economy.CLIMATE CHANGE:-- A growing wildfire season-- Sea-level rise and the impacts to San Diego-- Living in a warming world"What was found that the cost could exceed 0 billion. To put that into perspective, the economy of California is .7 trillion so that’s almost a third of our state product," explained Tom Corringham, a post-doctoral research economist at the Scripps Institution of Oceanography at UCSD.Move these flooding models yourself: click here.Models in the ARkStorm report show multiple areas of submergence in central San Diego. Mission Beach, which routinely sees flooding during heavy rain, is underwater in the ARkStorm scenario. Fiesta island, ordinarily dry, disappears under Mission Bay.West-facing beaches, including those near Highway 1 in north county, are covered in water and Imperial beach fares no better in its known run-off spots."The ARkStorm scenario isn’t too far-fetched and it becomes increasingly possible with the effects of climate change." Says Tom Corringham.The timing of the next ARkStorm is uncertain, according to the National Weather Service, it could be next year, or it could be 120 years from now. 3158

SAN DIEGO (KGTV) - A San Diego man thanked lifeguards Thursday for saving his life after he fell from the Ocean Beach pier.Adrian Castillo, 19, was drinking alcohol with his brother and friends in January when he suddenly fell backwards into the cold water.Castillo’s brother called 911 and after nine minutes, lifeguards Marc Brown and Jim Lockwood found him floating face-down in the water.Castillo was technically dead for five minutes.He spent three days in a coma and also suffered pneumonia from the cold water.“I have a scar in the back of my head,” said Castillo. “I have a couple of scars on my chest from grabbing on the poles.”Castillo is now fully recovered.“I’m very grateful,” said Castillo.  “If it wasn’t for them I probably would have been lost out in the ocean for like a month or something.”“We’re happy that you’re back and safe and alive,” Brown said to Castillo. “You have a second chance in life now.”San Diego Lifeguards, Police and city officials want everyone who heads outdoors this summer to be educated on rip current safety, drowning prevention, bonfires and know what they should not bring to our local beaches.The city has created a website to help guide locals and visitors to safety. 1230

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