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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

In a bizarre twist following the Parkland, Florida school shooting that killed 17 people, the confessed shooter Nikolas Cruz has been receiving "fan letters" from across the nation. The Sun Sentinel reported that Cruz not only has been receiving letters from admirers, he has also received money for his commissary account, which allows inmates to purchase snacks and accessories. So far, Cruz has been given 0. The letters, many of which are coming from teenage girls, are not being shown to Cruz as he is on suicide watch at the jail.Broward County Public Defender Howard Finkelstein told the Sun Sentinel the craze is "perverted." Some of the letters have included suggestive photos of young women. According to the Sun Sentinel, one woman from Chicago sent nine photos of herself that were sexually suggestive. "In my 40 years as public defender, I've never seen this many letters to a defendant," he said. “We read a few religious ones to him that extended wishes for his soul and to come to God,” Finkelstein added, “but we have not and will not read him the fan letters or share the photos of scantily-clad teenage girls.”The Sun Sentinel reported that one person from Texas sent a letter that included hand-drawn hearts and happy faces. "Your eyes are beautiful and the freckles on your face make you so handsome," the woman said in a letter to Cruz. “I’m really skinny and have 34C sized breasts.”A teenager wrote, “I’m 18-years-old. I’m a senior in high school. When I saw your picture on the television, something attracted me to you," the Sun Sentinel reported.Cruz, who admitted to killing 17 people last month at Stoneman Douglas High School in Parkland, awaits trial. Cruz could face the death penalty for the deaths, according to Florida law.  1840

IMPERIAL BEACH, Calif. (KGTV) - Loved ones are mourning the COVID-19 death of a beloved Imperial Beach grandmother."I have no words. So hard," said a tearful Angelica Madrigal, the daughter of Juana Barajas.Barajas, 61, first became sick last week. By the next day, a fever had arrived."Chest congested and shortness of breath," said Madrigal. "She called me and said, 'I can’t breathe well.'"An ambulance rushed Barajas to the hospital. She tested positive for COVID-19 and that night, she was placed on a ventilator.Barajas, who lived with diabetes and a heart condition, suffered four heart attacks in the ICU. On Saturday, just five days after she first became ill, Barajas, a mother of three and grandmother of three, passed away."I couldn’t touch her. I couldn’t say goodbye. Had to see her through a window," said Madrigal.Madrigal says her mother was hard-working, humble, and loved to joke around."Since I was kids, she always had two or three jobs," said Madrigal. "She was my best friend. She was everything to me."Madrigal isn’t sure how her mom contracted the virus, but says her health issues meant she did have many doctor's appointments.Madrigal says her mother otherwise stuck close to home and wore a mask.In the days after her mother's death, she and several other members of her family have come down with symptoms, including a fever and a cough. They spent Friday morning waiting in line to receive a COVID-19 test."This is serious, this is not a joke. People need to take this seriously. If it happened to me, it can happen to you," said Madrigal.A GoFundMe campaign has been set up to help the family with expenses. 1646

If not for an attorney taking her case pro bono, a Barberton, Ohio woman’s request for 40 cents nearly landed her a 30-day stay in jail and a 0 fine under the city’s strict panhandling ordinance.Enacted in 1980, that ordinance could be repealed by the city council next month. If not, the woman’s attorney has threatened legal action over the “unconstitutional” ordinance.In February, Samantha Stevens, a single mother of one, was asking patrons of a McDonald’s in downtown Barberton for 40 cents so she could cover bus fare. A city police officer then issued the woman a summons for soliciting alms — better known as panhandling. Under city ordinance, it is considered a fourth-degree misdemeanor, which carries a potential 30-day jail sentence and a 0 fine.Civil rights attorney Becky Sremack came across the incident by reading the police blotter in the local newspaper, the Barberton Herald.“I wrote her a letter and offered pro-bono legal assistance at that point,” Sremack said. “It doesn’t really add up to charge someone criminally for asking another citizen for a small amount of money.”Not only does it not add up, it’s also unconstitutional, Sremack said.Laws prohibiting panhandling in public places have been repeatedly deemed unconstitutional by federal courts because soliciting or requesting money is considered protected speech under the First Amendment.Last week, Sremack filed a motion to dismiss the charge against Stevens on the grounds that the city’s anti-panhandling ordinance was unconstitutional. City prosecutors have since dismissed the charge.“The fundamental problem is that the government does not have the right to ban solicitation in a public place,” Sremack said. “Solicitation of money asking someone for help is free speech and is protected along with every other type of speech. It’s a basic free speech issue. The Constitution has to apply to the poor as well as to the rich.”Sremack then took the matter a step further, penning a letter to Barberton city leaders that if the city’s anti-panhandling ordinance isn’t repealed within a reasonable amount of time, she would be filing a lawsuit against the city. According to police records, a total of 30 panhandling summonses have been issued since January 2017.“Criminalizing is going to do nothing to reduce the need amongst the poor for help, for assistance,” Sremack said. “These resources would be better put into programs that address the underlying issue.”City Law Director Lisa Miller told Scripps station WEWS in Cleveland on Tuesday that city leaders had begun the process of repealing the 38-year-old ordinance before Sremack sent the letter. The possible repeal of the ordinance could go before a city council committee on May 7th. A vote on the measure could come as early as May 14th.Craig Megyes, the president of the Barberton City Council, said he anticipates that the ordinance will be repealed.The possibly unconstitutional ordinance only applies to soliciting in public places like sidewalks and street corners. Private property owners still have the right to prohibit panhandling on their property.“The Constitution protects speech that we like as well as speech we don’t like,” Sremack said. “Simply being made uncomfortable by seeing a neighbor in need is not enough to call it a crime.” 3315

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