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AURORA, Colo. -- An undercover investigation by Scripps station KMGH in Denver has revealed another unlicensed person practicing health care in defiance of multiple state cease and desist orders handed down by regulators. A February KMGH?revealed 28 people had received such cease and desist orders from state regulators, but the state did little to ensure they actually stopped, and most never faced criminal charges. One of those people was Alfredo Ruiz, also known as Alfredo Ruiz Rueda, who received cease and desist orders from the Colorado Medical Board in 2013 and again in 2017. A search of the state’s professional license database shows Ruiz does not hold any kind of license in Colorado. In the orders, the board said Ruiz used laser equipment only appropriate for licensed medical professionals, and ordered him to stop providing skin injections.State records show Ruiz previously operated clinics called CI Laser Clinic and Central Integral de Belleza y Salud in the Denver area.It appeared Ruiz closed his clinics after receiving each order, but KMGH recently called the number posted online for those clinics and discovered Ruiz had reopened his business at another location.A producer left a message and received a phone call back in Spanish and a text with the clinic’s new address. The producer made an appointment for a Botox treatment.  Outside of the clinic’s door, a sign is posted listing various skin care services, injections and laser treatments in Spanish along with Ruiz’s name. Two KMGH producers brought hidden cameras into the office to speak to Ruiz about Botox.  When asked if he was a doctor, Ruiz responded affirmatively multiple times. He said he had 12 years experience and estimated he sees 10 patients per day. He showed the producers needles he would use to administer Botox, and he estimated one 28-year-old producer would likely need extra treatment costing between 5-0. When confronted after the appointment by KMGH reporter Ryan Luby, Ruiz claimed he was a doctor in Mexico. He also pointed out the certificates -- not state licenses -- on his wall indicating he had completed laser training. Ruiz indicated he works under the supervision of two licensed doctors whose names were posted on the sign outside of his clinic. Neither doctor was present in the office. When KMGH reached one of the doctors by phone, he said he had not worked with Ruiz in years and was surprised to learn his name was posted at the office. The other doctor could not be reached.When KMGH returned to the office days after the initial confrontation, the sign bearing the names of the other two doctors had been removed from the door, but the sign with Ruiz’s name and the services he offers remained. State rules allow some unlicensed individuals to provide medical-aesthetic treatmentThe state does allow for some “medical-aesthetic services” including laser treatment and injections to be administered by unlicensed individuals under the close supervision of a licensed physician.The medical board’s rules for such agreements requires documentation of the arrangement be “available to the public at the site where the delegated medical services are performed.” Ruiz did not produce any such documentation nor was it readily visible in his office.The board’s rules also require that patients are fully informed of such arrangements and sign forms affirming they have been made aware they are receiving care from an unlicensed person. “When the delegating physician is not actively involved in the patient encounter, the disclosure shall include: the service the patient is receiving is a medical service; the delegatee of the service is not licensed by the state of Colorado or is acting beyond the scope of his or her Colorado license, certification or registration; the delegatee is providing the service pursuant to the delegated authority of a physician; and, the delegating physician is available personally to consult with them or provide appropriate evaluation or treatment in relation to the delegated medical services,” the rules say in part.KMGH’s undercover producers received no such information during their discussion with Ruiz about Botox treatments.   State regulators, police take actionThe Department of Regulatory Agencies (DORA) acted quickly upon learning from KMGH that Ruiz was still practicing. The state’s medical board convened an emergency meeting and the state obtained a temporary restraining order against Ruiz. The state also referred the case to law enforcement for potential criminal charges for the second time.In 2017, DORA alerted the Denver district attorney about Ruiz but the DA’s office did not pursue an investigation because his previous office was already closed.Aurora police are now investigating Ruiz’s latest clinic, which police say is now vacant. Attorney General subpoenas KMGH again The office of Colorado Attorney General Cynthia Coffman sent subpoenas to KMGH seeking its video and a producer’s testimony to present as evidence in court as it seeks a permanent injunction against Ruiz. That marked the second time the state has subpoenaed KMGH’s investigative materials as evidence in court to seek court orders against unlicensed individuals.Last month, a KMGH producer testified in court in response to a subpoena in injunctive proceedings against Randy Flynt, who claimed to be a clinical psychologist and kept his office open more than a year after the state issued three cease and desist orders against him. In that case, the attorney general’s office played a portion of KMGH’s undercover video in court and the judge granted the temporary injunction. Pueblo police have also issued a warrant for Flynt’s arrest.In the Ruiz case, an injunction hearing is set for April 23. DORA is making changes DORA said it is making numerous improvements to its process for handling unlicensed individuals in the wake of KMGH’s investigation – changes first ordered by Governor John Hickenlooper in the days after the initial stories aired.The changes include: 6166

As the USPS is collecting letters from children across the United States, someone will need to respond to all of those children. Starting Friday, the USPS will begin Operation Santa, which will allow adults to respond to letters written by children. According to the USPS, potential adopters can read the letters and pick one, or more, that they’d like to fulfill. USPS says for security reasons, potential adopters must be vetted by going through a short registration and ID verification process before they are allowed to adopt any letter.The USPS says that the program is intended to help millions of less fortunate children. The program is for every person of every belief, or non-belief, USPS says.This is the first time Operation Santa has gone nationwide because of the pandemic.USPS says children who want to be a possible recipient of holiday gifts can write a letter, put it in a stamped envelope with a return address, and send it to Santa’s official workshop address. Letters will be accepted Nov. 16 – Dec. 15.The address is:Santa Claus123 Elf RoadNorth Pole, 88888Those who want to respond to a child’s letter can do so by going to the Operation Santa website here. 1187

ATLANTA (AP) — Georgia’s governor, who has opposed local mask mandates and even sued over one in Atlanta, has signed a new executive order that allows local governments to enact mask requirements to help fight the coronavirus pandemic.As with previous orders, the one issued by Gov. Brian Kemp on Saturday says residents and visitors of the state are “strongly encouraged” to wear face coverings when they are outside of their homes, except when eating, drinking or exercising outside.But unlike previous orders, this one allows local governments in counties that have reached a “threshold requirement” to require the wearing of masks on government-owned property.A county meets that threshold if it has had 100 or more confirmed cases of COVID-19 per 100,000 people over the past two weeks. Very few of the state’s counties are below that threshold.The order says mask mandates can’t lead to fines, fees or penalties against private businesses or organizations. For individuals, the order says penalties cannot include a fine more than or prison time.The order also extends shelter-in-place requirements for people who are considered to be at a higher risk of severe illness from the coronavirus.It also bans gatherings larger than 50 people if individuals are closer than 6 feet apart. 1299

As we head into cold and flu season, you can expect things will be handled differently at workplaces, schools, day cares and medical offices because of COVID-19.Anyone with symptoms like a runny nose, a cough or sneezing will likely be asked to stay home.“So, I think there's going to be a requirement for any of these symptoms for employee health at the workplace to take a larger role in screening patients probably a lot more testing,” said Dr. Scott Joy, Chief Medical Officer at Englewood Primary Care.Joy spoke with us about how people should handle these symptoms during the COVID-19 pandemic. He recommends staying home for 24 hours when you have a cold without a fever.If you have a fever, isolate for up to six days or until you've been fever free for a full 24 hours. If you're coughing or sneezing more than four times in an hour, you should probably stay home and see a doctor.“We haven't had a metric like that before, so we're going to experiment with that data point and see what it does to our workforce and our clinic infection control over this season,” said Joy.Joy also reminds people to get the flu shot.A study in the New England Journal of Medicine found people who got the vaccine had 25% fewer episodes of upper respiratory infections than those who didn't. That means fewer sick days from work and fewer doctor visits.The hope is that COVID-19 measures like handwashing, mask wearing and watching your distance will lead to fewer respiratory infections overall. But should you experience those symptoms, you may be directed to urgent care centers instead.The idea is to keep doctor offices sterile, so people with chronic conditions and other issues feel safe coming in to see their primary care physician.“In the last couple of months, people that have been putting off their care, I just diagnosed a gentleman, new diagnosis with pancreatic cancer,” said Joy. “We're detecting breast cancer, heart disease blood pressure that is out of control.”Urgent care centers are equipped with personal protective equipment and are typically faster, and cheaper than a visit to a hospital emergency room. But you should call your doctor's office first to see what they recommend based on your symptoms. 2228

As the world sputters amid a global coronavirus pandemic that may have originated from bats in China, researchers released a study on Monday indicating that pigs could transmit a pandemic-level flu strain to humans.The Chinese and British based researchers, who published their findings in the Proceedings of the National Academy of Sciences on Monday, said that G4 EA H1N1 viruses in pigs should be closely monitored in human populations, especially among workers in the swine industry.The researchers said that pigs are intermediate hosts for the strain of influenza, which researchers are concerned could spread to humans. A further concern is that humans could spread the virus to other humans, prompting a pandemic. While the study notes that the virus had spread to workers in the swine industry, it likely has not been transmitted from humans to humans.“G4 viruses have all the essential hallmarks of a candidate pandemic virus,” the team of UK researchers wrote.The researchers said G4 viruses bind to human-type receptors, produce much higher progeny virus in human airway epithelial cells, and show efficient infectivity and aerosol transmission in ferrets.While the study indicates cause for some concern, Martha Nelson, an evolutionary biologist at the U.S. National Institutes of Health’s Fogarty International Center, told Science Magazine the chances of a pandemic from G4 viruses are “low,” but added that no one knew the pandemic risk of H1N1 until 2009.“Influenza can surprise us,” Nelson told Science. “And there’s a risk that we neglect influenza and other threats at this time” of COVID-19.Nelson added to Science that given the warning, it would be ideal to produce a human G4 vaccine as the world still needs to be vigilant on other pandemics besides COVID-19.Domestically, the University of Missouri reviewed the research. 1855

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