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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

IMPERIAL BEACH, Calif. (KGTV) -- The City of Imperial Beach announced Tuesday that it will be asking for a federal investigation into a toxic sewage spill at Playas de Tijuana that polluted U.S. beaches.According to the city, the spill on October 26 and 27 sickened local surfers at Imperial Beach, including Mayor Serge Dedina.RELATED: 'Stop the Poop' group protests cross-border sewage spillsWater testing by Tijuana Waterkeeper revealed elevated levels of pollution at Playas de Tijuana. Officials in Mexico have denied there was any sewage spill.“We are asking for State Department investigation into this sewage spill that significantly impacted public health in Imperial Beach. Like the massive February spill, it appears that authorities in Baja California who run the sewage agency, CESPT, are more concerned with covering up pollution than protecting public health,” said Imperial Beach, Mayor Serge Dedina.RELATED: Frustrated Imperial Beach mayor to file a lawsuit to protect city from Mexican raw sewage spill“Federal authorities in Mexico must improve efforts to provide real time information on spills so that we can protect the health of recreational beach users on both sides of the border,” said Mayor Dedina. 1243

HUNTINGTON BEACH (CNS) - Two firefighters and two Oktoberfest celebrants remain hospitalized Sunday with injuries resulting from an electrical vault that exploded at the Old World Village's seasonal celebration in Huntington Beach, authorities said. Witnesses at the scene claimed there were actually three explosions. A witness using the Twitter handle kylen1972 posted video on the platform of what he claimed was the second explosion, in which flames can be seen shooting into the air. Restaurant patron Dawn Orlow-Townsend told KCAL9 the lights flickered before the explosions and that she could feel the heat through the walls. She said that after the initial blast, ``you could hear a pin drop.'' She then described a scene of panic as patrons struggled to get out of the building. ``I pray those firefighters are okay,'' she said. ``It was crazy, it was so intense. There was a second explosion and then a third. We just started running, we left our cellphones. We were freaking out. People were running all over. It was crazy.'' She added, ``It's the world we live in right now. After the first explosion, you just don't know what to think. We didn't know what was going on. The first one, the second one -- then there was mass pandemonium. By the third one, we just couldn't get out of there fast enough.'' KCAL9 also talked to Adam Carlson. ``Everyone was just happy and drinking beer and then the first explosion hit and people started backing away, and security tried to calm everyone,'' he said. ``I didn't see anyone get hurt in my immediate response, but while evacuating, we saw -- I personally saw two people that appeared hurt, one had burns. I just tried to comfort who I could.'' At 8:10 p.m., the Huntington Beach Fire Department received news of the explosion at 7561 Center Ave., a dispatcher said. The flames were out at 8:33 p.m., he said. The injured firefighters were already at Old World Village, investigating reports of a possible electrical fire, Huntington Beach Fire Department Battalion Chief Jeff Lopez told reporters at the scene. They were met by the first explosion when they opened an electrical vault, he said. The second explosion happened within minutes. The injured firefighters and civilians were taken to hospitals for treatment of minor injuries, Lopez said, but added that they were taking those injuries ``very seriously.'' Firefighters and police worked to evacuate employees and patrons of Old World Village, he said. Broadcast reports indicate there were more than 100 visitors at the celebration. A lengthy investigation was begun that will involve the fire department and Edison, Lopez said. 2652

In a since-deleted tweet, Roseanne Barr blamed the sleep drug ambien for the racist tweets that eventually got her popular television show canceled."guys I did something unforgiveable (sic) so do not defend me. It was 2 in the morning and I was ambien tweeting-it was memorial day too-i went 2 far & do not want it defeneded-it was egregious Indefensible. I made a mistake I wish I hadn't but...don't defend it please. ty," Barr tweeted Tuesday evening.Throughout the evening on Tuesday, Barr posted multiple times on Twitter — despite promising to leave the platform earlier in the day after her first controversial tweet. "hey guys, don't defend me, it's sweet of you 2 try, but...losing my show is 0 compared 2 being labelled a racist over one tweet-that I regret even more," Barr tweeted around midnight on Tuesday. She also thanked her supporters before logging off early Wednesday morning.Barr retweeted 38 tweets on Tuesday evening and Wednesday morning — including news stories, commentary, and a few tweets promoting right-wing conspiracy theories.Her tweets came hours after she said she was "leaving Twitter" when the controversy broke Tuesday morning.The fallout comes as networks continue to distance themselves from the comedienne. Viacom networks will no longer air reruns of the program, as well as the Laff Network (note: The E.W. Scripps company, the owner of this station, also owns the Laff Network).Las Vegas venues are also distancing themselves from Barr. On May 5, she had performed at a Orleans Casino. But Tuesday, Boyd Gaming Scripps station KTNV in Las Vegas that they have no existing agreements for any more shows with Barr at any of their properties in future.Alex Hider is a writer for the E.W. Scripps National Desk. Follow him on Twitter @alexhider. 1860

In a college town like San Luis Obispo, California, the local economy relies heavily on student spending.Since the pandemic hit in mid-March, however, COVID-19 has been costing colleges and this community big bucks.“It’s affected us business-wise; it’s not as many employees nor as many students,” said Darnell Harris, manager of Firestone Grill.Harris says pre-COVID, the college hotspot was selling up to 3,000 meals a day. Now, that number has been cut almost in half.“It affects me and it hits me because it is my livelihood,” Harris said. “This is what I’ve done for a living for 25 years.”Coronavirus concerns have resulted in fewer college students living in this area, especially on campus at nearby California Polytechnic State University, San Luis Obispo.“I can’t remember the last time a had a full night’s sleep,” said Keith Humphrey, Cal Poly Vice President of Student Affairs.Humphrey is projecting a million operating deficit for 2020-21 after the college refunded about million in student rent and food plans after the school went all online back in March.With the dorms now about half full, Cal Poly is spending about 5,000 a month in COVID testing.“There’s no playbook or script for something like this,” Humphrey said. “We will be okay. We budget for rainy days. It’s raining.”San Luis Obispo city leaders say the last economic impact report shows Cal Poly’s and nearby Cuesta College’s direct impact to this entire region was worth .1 billion.With more classes being taught virtually, some students say the cost of college during this crisis doesn’t add up.“It’s not worth it to pay out-of-state tuition to essentially have online school,” said Keaton Foster-Adams, who left the University of Colorado, Boulder and returned to his hometown on California’s Central Coast, where he’s now studying automotive technology at Cuesta College.“I’m hesitant to go back just because I’m feeling less and less connected to what I was doing there,” Foster-Adams said of CU Boulder. “I’m kind of thinking about just going to a trade school at this point.”The California State University system, which includes Cal Poly, SLO, is the nation’s largest four-year public university system.It recently announced classes will continue being held online during the upcoming spring term, which means an economic rebound for college towns could take a while.Despite the economic challenges college towns are facing, businesses like Firestone Grill are focusing on keeping people healthy and keeping their doors open.“As long as we stay together, we’ll make it to the end of this,” Harris said. “We’ll get back to whatever our new normal is going to be.” 2671