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Caregivers already deal with a lot of stress and it's rising.The Caregiver Action Network has been seeing more calls coming into its free help desk recently. It says one out of every three has something to do with a challenge raised by the pandemic.“By the end of the call, I actually will hear them breathing like a deep breath of like sigh of relief almost and that they're actually feeling better at the end of the call, having been able to express some of their thoughts, some of their worries,” said Jennifer Piscitello, caregiving expert with the Caregiver Help Desk.Piscitello says people calling in are expressing a lot of pandemic fatigue. They're overwhelmed, because they don't have the same resources or outlets they had previously.The pandemic may also be keeping loved ones at home longer.“Aging in place has gone from being a desire, a wish, to almost a mandate or something that really has to happen because families are just afraid to have their elderly loved ones put in a nursing home,” said John Schall, CEO of the Caregiver Action Network.Schall says we need more training and financial support for the caregivers in this situation.The expansion of telehealth has been helpful, but one challenge is when caregivers can't be present when that virtual visit is happening, like they would be with an in-person doctor's visit.Experts at the help desk are making sure caregivers focus on their self-care now more than ever. They say you can help any caregivers you know by checking in on them and offering whatever support they need.The number for the help desk is 855-227-3640. You can also find more resources specific to the pandemic at CaregiverAction.org. 1684

Charles Manson is being treated in a Bakersfield, California hospital, according to TMZ.Manson, 83, was reportedly rushed to the local hospital for "various treatments," TMZ said.The California Department of Corrections and Rehabilitation gave this statement when asked to confirm that Manson was in Bakersfield:“CDCR cannot confirm or deny this. Federal and state medical privacy laws preclude CDCR from commenting on protected health information for any inmate in our custody.”Adventist Health confirmed that Manson is not being treated there.In January, the notorious, convicted mass murderer was hospitalized for gastrointestinal issues. TMZ is reporting that Manson looks "ashen" and that his health is deteriorating. "It's not going to get any better for him," an unnamed TMZ source said. 822

California health officials are warning residents not to eat oysters from British Columbia, Canada, following a norovirus outbreak.About 100 people got sick in California after they consumed the raw oysters, health officials said."As of April 27, approximately 100 individuals have reported illness after they consumed raw British Columbian oysters sold by restaurants and retailers throughout the state," the California Department of Public Health said."Laboratory testing has confirmed norovirus infection in several patients from both California and Canada. Although the number of reported new illnesses has decreased during the last week, the investigation is ongoing."Canada has reported 172 cases of gastrointestinal illness linked to consumption of raw oysters."Avoid eating raw and undercooked shellfish, including oysters, to reduce your risk of illness," said Dr. Karen Smith, a public health officer in California."If you do eat shellfish, cook it until it reaches an internal temperature of at least 145°F. Quick steaming isn't sufficient to kill norovirus."Norovirus is spread through the ingestion of infectious virions, which grow in the small intestine before being expelled in feces. Infection usually occurs when someone eats food or drinks liquids that have been contaminated, touches surfaces or objects that are contaminated and then puts their hands in their mouth, or has contact with someone who has been infected, such as by sharing food.Norovirus causes inflammation of the stomach, the intestines or both. A person usually develops symptoms 12 to 48 hours after being exposed.Common symptoms include vomiting, diarrhea, nausea and stomach cramps.  1687

CHERRY VALLEY, Calif. (KGTV) -- The Apple Fire in Riverside County has almost doubled in the last day. As of 5:00 p.m. Sunday, it has grown to 20,516 acres, with 0% containment. Mandatory evacuations are in place for more than 7,000 people. Authorities believe this may have been caused by arson.This weekend, multiple San Diego fire agencies are helping fight the Apple Fire. Experts say our local agencies are equipped to support the fight in Riverside and any incidents at home.The conditions are almost too perfect for the raging Apple Fire."Fuel, weather, and topography - All three of those things come together in that part of the state," CAL FIRE San Diego Fire Captain, Issac Sanchez said.The Apple Fire is burning just north of the city of Beaumont in Riverside County. Sanchez says the flames are relentless, and crews on the ground need all the help they can get."Any agency, regardless of their size, cannot handle anything of this nature, in size and complexity," Sanchez said.Overnight, the fire erupted into the San Bernadino National Forest, which officially made it a federal incident. But multiple local crews from San Diego County are now at ground zero to help."It's not just a CAL FIRE show. It's not just a US Forest Service show," Sanchez said. "Everybody is on deck. Everybody is contributing. Everybody is engaged right now."Some of the local crews assisting in Riverside County include San Diego Fire-Rescue, Poway Fire Department, Coronado Fire Department, and the North County Fire District.Early Sunday afternoon, maintenance crews were doing final checks for CAL FIRE San Diego's air fleet, stationed at the Ramona Airport. These are valuable assets on stand-by to help attack the flames from above.ABC 10News learned that just before 3 pm Sunday, one of CAL FIRE San Diego's small tactical planes out of Ramona were dispatched for emergency assistance. It is now guiding large air tankers above the Apple Fire.But with so many local resources being taken out of the mix, many wonder if we are prepared if something like the Apple Fire erupts now in San Diego county."We never will give more than what we can afford to give," Sanchez answered.Sanchez says allocating resources is carefully calculated. Even if local crews are being good neighbors to assist others, crews here are still ready."We can still maintain an aggressive initial attack, and that is absolutely what we will do locally should any fire break out," Sanchez said.CAL FIRE reminds us that it is vital to be fire ready, especially during these dry, hot summers. 2568

California's attorney general sued Sutter Health, accusing the hospital giant of illegally quashing competition and for years overcharging consumers and employers.The lawsuit marked a bold move by state Attorney General Xavier Becerra against the dominant health care system in Northern California as concerns mount nationally about consolidation among hospitals, insurers and other industry middlemen."It's time to hold health care corporations accountable," Becerra said at a news conference Friday. "We seek to stop Sutter from continuing this illegal conduct."The antitrust suit, filed in San Francisco County Superior Court, asks the court to prevent Sutter from engaging in anticompetitive practices and "overcharges."It said Sutter employs a variety of improper tactics, such as gag clauses on prices, "punitively high" out-of-network charges and "all-or-nothing" contract terms that require all of its facilities to be included in insurance networks.Taken together, Sutter's actions "improperly block any and all practical efforts to foster or encourage price competition between Sutter and any rival Healthcare Providers or Hospital Systems," according to the state's complaint. "Sutter's conduct injured the general economy of Northern California and thus of the state.Sutter, which owns 24 hospitals, reported net income of 3 million last year on .4 billion in revenue. Sutter's nonprofit health system also has 35 surgery centers, 32 urgent-care clinics and more than 5,000 physicians in its network.In a statement, Sutter it was reviewing the complaint and couldn't comment on specific claims.Overall, Sutter said, "healthy competition and choice exists across Northern California" for consumers seeking medical care. It also said its charges for an inpatient stay are lower than what other nearby hospitals charge."Sutter Health is proud to save patients, government payers and health plans hundreds of millions of dollars each year by providing more efficient and integrated care," the statement said.This high-profile legal fight caught the attention of employers and policymakers across the country amid growing alarm about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physicians' practices.Martin Gaynor, a health care economist at Carnegie Mellon University, said California's lawsuit may portend more litigation at the state level."There are a number of markets in the U.S. that are dominated by one very large, powerful health system," Gaynor said. "It could be that we're going to see a new level of activity by state antitrust enforcers looking at competition in their own backyards."Glenn Melnick, an economist and expert on hospital finances at the University of Southern California, said if the state prevails against Sutter it could put "a chill on anticompetitive practices that are being adopted across the U.S. and that could help slow down hospital price increases. That would be good news for consumers."The complaints about Sutter's high prices and market power have persisted for years.The state said its investigation started in 2012 under Kamala Harris, California's previous attorney general and now a U.S. senator. Six years ago, her office sent subpoenas to several health systems and insurers seeking information about market concentration and its effect on medical prices.A 2016 study found that hospital prices at Sutter and Dignity Health, the two biggest hospital chains in California, were 25% higher than at other hospitals around the state. Researchers at the University of Southern California said the giant health systems used their market power to drive up prices — making the average patient admission at both chains nearly ,000 more expensive.Last week, researchers at University of California, Berkeley issued a report that examined the consolidation of the hospital, physician and health insurance markets in California from 2010 to 2016. The authors said 44 of California's 58 counties had "highly concentrated" hospital markets.After the report was issued Monday, Becerra said his office would be reviewing those findings and pledged to apply more scrutiny to health care mergers and anti-competitive practices across the state.Sutter Health has gobbled up doctors' practices across the Bay Area, gaining market muscle that has pushed costs upward. Obstetricians employed by Sutter Health, for example, are reimbursed about three times more for the same service than independent doctors, according to a KHN review of OB-GYN charges on several insurers' online cost estimators. It's a key reason why Northern California is the most expensive place in the country to have a baby.At his news conference, Becerra said he's committed to scrutinizing other players besides Sutter in the health care industry who may be engaging in anticompetitive behavior and potentially harming consumers.Consumer advocates and state lawmakers applauded Becerra's aggressive action because of the toll high prices take on millions of Californians. Many residents struggle to pay rising insurance premiums and out-of-pocket expenses for emergency room visits or routine hospital tests."Consumers bear the burden of these monopolistic activities," said state Sen. Ed Hernandez (D-West Covina), chairman of the Senate health committee. "To ensure health care is affordable and accessible to all, we have to get a handle on predatory pricing."In many ways, Becerra's lawsuit mirrors a similar civil case filed in 2014 by a grocery workers' health plan.The attorney general's office filed a motion in court asking for its lawsuit and the class action to go to trial together before the same judge. The trial is scheduled for June 2019 in San Francisco."While we certainly would have preferred this happened earlier, we respect the attorney general's care in conducting a thorough investigation before filing charges," said Richard Grossman, the lead plaintiffs' lawyer representing the class of more than 1,500 employer-funded health plans.In its lawsuit, the attorney general's office blamed Sutter for much of the increase in health care costs across Northern California because "Sutter embarked on an intentional, and successful, strategy of securing market power in certain local markets." State lawyers also pointed out that Sutter's conduct triggered an "umbrella effect" by encouraging other providers to raise their own prices.The state's lawsuit said Sutter used its windfall from excessive prices to acquire more hospitals and medical groups. It also enabled Sutter to "bestow extremely high salaries for its officers and upper management," according to the state complaint.Patrick Fry, Sutter's chief executive from 2005 to 2016, had .4 million in total compensation during his last year there, according to Sutter's 990 tax filing for 2016, the most recent year available.Overall, 18 executives at Sutter had million or more in total compensation during 2016, the federal tax filing shows.Karen Garner, a Sutter spokeswoman, said Fry's compensation in 2016 reflects retirement benefits he accrued over many years. She added that "industry comparisons show our salaries are reasonable and competitive, given the size, scope and complexity of our organization." 7370