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SAN DIEGO (KGTV) — With hospital beds running short, healthcare workers are trying to care for COVID-19 patients as efficiently as possible, using everything they’ve learned over the last nine months.Improvements in medications and methods have helped shorten hospital stays, said Sharp Memorial Hospital chief medical officer Dr. Tom Lawrie.In March, Sharp said COVID-19 patients stayed 12 days in the hospital on average. In November, the average dropped to 5.3 days. Other institutions have reported similar drops in the length of patient stays.COVID-19 patients now receive a three drug regimen: Remdesivir to fight the virus, a powerful steroid called dexamethasone to prevent the immune system from going haywire, and medications like heparin to reduce blood clotting.On top of that, hospitals have improved techniques like when to use ventilators.“Initially, we were in this conundrum where we weren't sure whether we should intubate patients early or whether we should wait a little later,” Dr. Lawrie said. “Over the last several months we've figured out a really good progression.”The progression now starts with a surprisingly simple technique called proning. Doctors around the country discovered that turning COVID-19 patients onto their stomachs rapidly improved breathing.Early research suggests proning may keep COVID patients off ventilators.“By putting people on their stomach in these positions and by proning them, you allow blood to get where the air is and therefore you get better oxygenation,” Dr. Lawrie said. “It makes the oxygen levels better. It makes their work of breathing better. It makes them feel better generally.”Proning helps move blood from one area of the lung to another where it can receive more oxygen. These regions are called West’s zones of the lung, named after research in the 1960’s by UC San Diego Professor Emeritus John B. West.Proning has been used as a medical intervention since 1976, when a doctor and a nurse in central Michigan published a study showing it could benefit patients in respiratory distress.Dr. Lawrie said there are also two outside factors contributing to shorter hospital stays across the country. The patients that are showing up now tend to be younger than early in the pandemic. Younger patients are more likely to respond well to treatment.There’s also evidence the virus has mutated over time, possibly making it more contagious but slightly less severe, Dr. Lawrie said.However, patients lately have been showing up faster than hospitals can care for them, threatening to overwhelm already crowded facilities. "If that happens, they won't have access to an ICU bed or to the medications that they need," he said. 2699

SAN DIEGO (KGTV) -  There are disturbing allegations that the foster system in San Diego County failed children it was supposed to protect.Critics question whether the rules of confidentiality designed to protect children are doing more to shield social services from scrutiny."My children are going to have to live a lifetime trying to get over and deal with this trauma,” said Melanie. 10News is not sharing Melanie’s last name to protect her adopted children. She is an adoptive mother and foster parent."I became a foster parent because I did want to make a difference in children's lives that didn't have families,” she said.Melanie said she became a foster parent about a decade ago. She wanted to give children in need a safe, loving home.However, Melanie says a potential adoptive child placed with her in 2015 ripped the joy right out of her home.The foster child “ended up sexually assaulting all three of Melanie's adopted sons,” said Melanie’s attorney Jomo Stewart.Stewart said they filed a lawsuit against the County of San Diego, several county employees, and a national foundation that focuses on foster care alleging they all were negligent in placing the child with Melanie’s family.The lawsuit said the county assured Melanie the potential foster child had no history of sexual misconduct, mental illness or any history of wrongdoing.The suit claims that social services concealed the child's past issues and put her sons in unreasonable harm.According to Melanie’s lawyer, Melanie "asked social services whether or not these children had any type of mental health issues, had any previous history of being sexually abused or any previous history of sexually acting out and all answers to those questions were no.”Court documents claim about a month after taking the child into her home the child began to act out, including incidents such as smearing feces on the wall and downloading and watching pornography. Court documents stated that the child “took one of the boys’ cell phones and again downloaded homosexual child pornography.”Then things escalated.The suit claims there were several incidents of sexual violence against the other children in the home over the next year.Melanie says her son was traumatized and is still in counseling trying to deal with it.After each incident, Melanie said she reached out to county social services employees seeking help."Sometimes there was no response at all,” Melanie said. “Sometimes they said that they were going to place a report, I'd follow up on the report, I wouldn’t get any information.”According to a representative with the County of San Diego’s Child Welfare Services division, as of July 2017, there were more than 3,692 open child welfare cases and more than 2,365 kids placed in foster care, which is less than the year before There are 712 caseworkers but not everyone directly handles a foster child's case.Although there is no mandate for how many cases a social worker can carry the county says caseloads are monitored and assigned on a monthly basis. Case count per caseworker often fluctuates based on changing circumstances of every case.A spokesperson for the county denied all interview requests for this story. However, attorneys for the county did respond to the lawsuit in a court filing asking that it be dismissed.The response noted the records in the county's possession at the time the foster child was placed in the home didn't include any information that would have alerted them that the child may pose a risk of harm.They also claim there are no factual allegations to support that they failed to take appropriate action. After each incident, they did take action by filing a report and commencing an investigation, according to the county's court filing.Team 10 investigator Adam Racusin asked San Diego attorney Shawn McMillan if it’s surprising to see allegations like the ones in Melanie’s complaint against San Diego County and the foster system. “No, no the foster system not just in San Diego County, but statewide is completely and totally broken,” McMillan said. McMillan is one of only a handful of attorneys in California who specializes in child welfare cases. He said one of the most significant problems in the system is that everything is done in secret."I've dealt with San Diego County for a long time,” he said. “These specific attorneys defending this case, I have cases with them right now, and it's typical to see what they're doing here, it's blame assignment, denial -- a refusal to be held accountable.”According to Melanie's lawsuit, the district attorney's office filed felony delinquency charges against the foster child for sexual abuse, after the placement with Melanie.Melanie said had she known the child's history there's no way the placement would have taken place. 4928

SAN DIEGO (KGTV) - Want to enjoy your time off but you’re on a budget? San Diego and Carlsbad are among the top ten cities in the nation for staycations. San Diego County’s beautiful landscape, sunshine, activities and theme parks drew 35 million tourists to the region in 2018. When Porch.com tallied the number of staycation hashtags around the country, Carlsbad came in third for locals finding another world in their own backyard. San Diego came in tenth place for its bay, boardwalk, and world-famous San Diego Zoo. RELATED: Break from town: Where to take a day trip from San DiegoKerri Kapich, COO of the San Diego Tourism Authority, says San Diegans love the outdoors and doing something a little out of the norm. “And to camp and have that experience, take your kids, get on the beach, stay overnight, have a campfire, its a really fun experience,” said Kapich. 7 percent of hotel rooms in San Diego are taken by locals who leave the house, and sometimes the car behind to feel a million miles away without the cost of an airline ticket. San Diegan Edna Gutierrez chose a staycation at a hotel by the bay when her father was visiting from out of town. RELATED: Tour nearly 100 iconic San Diego sites for free during 'Open House' event“And I've never been a morning person, and I would wake up early every day so I could walk to the bay....take it all in, in the morning,” Gutierrez said. “So if you can have an escape where someone is going to make your breakfast, make your bed...spoil you a little bit...that's a nice thing to have,” Kapich said. “It changes your perspective because sometimes you don't take advantage of the things you have in San Diego,” Gutierrez said. San Diego native Robert Arends chooses to take vacations two hours away in East County. RELATED: San Diego County park rangers recommend these trails in 2019“It’s pretty close, whole ‘nother world…desert oasis to yourself,” said Arends. Arends said many San Diegans don’t know about the small town of Borrego Springs, where he goes to recharge. “There's this isolation and peace and calm out there, that's a little different from the hustle and bustle of being on the coast,” said Arends. This year’s wildflower super bloom is drawing crowds but Arends plans to brave the traffic and bring back beautiful photos. Wondering where to get away? Check our 10News Exploring San Diego section for top entertainment picks and a list of staycation ideas around San Diego County.You can also find discounts on hotels, food and attractions at Visit SD. 2533

SAN DIEGO (KGTV) — Two puppies soon to be up for adoption in San Diego are already capturing hearts around the world.Two 3-month-old terrier-blends, named Star and Denver, were taken to Helen Woodward Animal Center on Feb. 11 after their mother had been dumped in a rural location in Louisiana. They were taken by van about 1,900 miles through a partnership with the rescue group Heart of Louisiana.Once in San Diego, it wasn't long before staff learned about Star's unique challenges and special bond with her brother. Star is blind and deaf and Denver had taken on the role of guide dog for his sister.RELATED: Assemblyman Todd Gloria announces bill to end puppy mills in California"While the rest of [Star's] littermates frolicked without her, her brother Denver kept a protective eye on her," the animal center wrote. "Choosing Star as his main playmate, the two were rarely apart and when separated, Denver would come running back to love on Star and let her know he was there."The pair's heartwarming story has made its way across the world, according to the animal center. Helen Woodward workers say they've fielded calls from New Zealand, Canada, and states across the U.S. inquiring about the duo.Lucky for San Diego, the animal center says the pair's next family must be local so that the center's trainer can help them begin their lives with a special needs puppy.RELATED: Pet stores at Westfield malls in Escondido and National City close amid legal pressure“It’s really extraordinary,” stated Helen Woodward Adoption Services Manager Dora Dahlke. “We never stop learning from animals. These two really can teach us all a thing or two about sibling love and how much we can achieve with the love of a good friend.”Though the duo was supposed to placed up for adoption together this week, the center says Denver was recently stung by a bee. Once the swelling goes down, the puppies will be available for a new family. 1936

SAN DIEGO (KGTV) -- With temperatures expected to soar into the 80s and 90s along San Diego's coast this weekend, lifeguards say they'll be extra vigilant at beaches and bays."We still want people to come and enjoy the beach," said San Diego Lifeguards Lt. Rich Stropky. "But come talk to us first; We will describe the do's and don'ts and any safety issues."In addition to the usual rip currents and stingrays, lifeguards say people need to be careful about over-exertion and heat-related illness like heat stroke or dehydration.Study: Longer and more frequent heatwaves expected for Southern California"Especially if you're at a beach like Torrey Pines, where you have to hike in or hike out," said Stropky. "So, bring lots of water. Hydrate often, not just when you're thirsty. And then stay cool, get some shade and make sure that sunscreen's on."Lifeguards also say they expect big crowds, which means swimmers and boaters will have to share the water.Tragedy struck last weekend when a Jet Ski and boat collided, killing one person. Stropky said everyone needs to have a heightened sense of awareness and keep their head on a swivel."It's very very dangerous," he said. "We've had several accidents. There's no reason for these things to be happening, except for lack of awareness."RELATED: Stretch of scorching heat begins in San Diego CountyAt boat and Jet Ski rental companies, like Action Sport Rentals on Mission Bay, staff are putting extra emphasis on safety as they send people onto the water.Action Sport Rental has people fill out safety forms, watch a video produced by the San Diego Police Department, and go through one-on-one safety training before they get on the boat."Most of the time, for people out on the bay, it's very hectic," said Action Sports Rentals Manager Alexes Pelzer. "Just make sure to learn the rules of the bay and look out for things floating in the water."STAYING COOL: San Diego County opens cool zones amid heat waveAnd while the air temperature could be too hot, Stropky warns the water temperature is still very cold. Measurements this week have been in the low to mid-60s, and he said anyone who has a wet suit should wear it in the water. 2194