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ESCONDIDO, Calif. (KGTV) — California Gov. Gavin Newsom says the state is activating the federal medical station at Palomar Medical Center in Escondido, while ICU bed capacity is strained in several regions.It wasn't immediately clear when the medical station could begin accepting patients."We are bringing a fifth alternative care site out of warm status, we're standing up that site, an FMS site, down in San Diego," Newsom said during an online press conference on Wednesday.RELATED: Hospital staffing concerns as COVID-19 hospitalizations increase in San Diego CountyPalomar Health preparing for increase in San Diego County COVID-19 hospitalizations as cases surge in CaliforniaDuring a Wednesday press conference, Chris Van Gorder, CEO of Scripps Health, said that San Diego County is not all that far from running short of ICU beds and staffing is a significant issue."The reality is, we're facing a significant situation here with our capacity and it's made worse because back in the summer, the spring and summer, it was a regional situation and not a national situation. So back then, we could get traveling nurses, we could get registry nurses, we could hire more nurses locally," Van Gorder said. "Today, this is a national situation and we cannot recruit travelers, we cannot recruit registry nurses, and unfortunately, a number of our healthcare providers are also getting sick."Van Gorder said the county has 24 staffed ICU beds left, out of about 670 available. He added that as hospitals get full and resources are strained, the type of care for anyone needing hospital care will change to crisis care.The top two floors of the Escondido hospital have been set up to serve as an FMS site. The site includes 202 beds that can be used for patients that don't require ICU care. The site could take in patients from other county hospitals that become overwhelmed, Dr. Omar Khawaja, the Chief Medical Officer for Palomar Health, told ABC 10News a few weeks ago."It could be beds that we would offload some of the less sick patients from other systems into there so they can handle the sicker patients; we don’t have a solid plan for it yet," he said.California's cumulative ICU bed capacity hit 1.1% on Wednesday, with the Southern California region at 0%. Three other regions were also under the state's regional stay-at-home orders activated after a region dips under 15% ICU capacity.San Diego County reported 348 coronavirus ICU cases on Wednesday and an additional 2,598 COVID-19 cases.Van Gorder said the county and hospitals project that hospitalizations will continue to grow and peak on Jan. 10, 2021, with about 1,827 patients, and ICU cases will peak on Jan. 11, with about 483 patients."Today, the governor announced the federal medical station at Palomar Medical Center is going to be activated. It's a developing situation. We'll share more information as we get it. But we're doing everything that we can to address the impact of the transmission of COVID, but each and every one of us now need to do everything we can to impact the situation our hospitals face," county Supervisor Nathan Fletcher said during Wednesday's press conference. 3175

ESCONDIDO, Calif. (KGTV) - Westfield Mall will be terminating its leases with two pet stores operating on their properties in San Diego County.It comes after two animal rights groups filed a lawsuit against Westfield and Bark Avenue, the pet store in the North County Fair mall.“We want to shut them down,” said Bryan Pease, attorney for the Animal Protection and Rescue League and Not One Animal Harmed.The complaint accuses Bark Avenue of unfair business practices. Despite a new state law that prohibits the retail sale of cats, dogs and rabbits, except for rescues, Bark Avenue has continued to sell purebred and designer puppies. RELATED: California limits pet store sales of cats, dogs and rabbits to rescue or shelter animals only“On the surface of it, the store is claiming these are from a rescue called Bark Adoptions. Well, Bark Adoptions is a fraudulent rescue that is run by the same people that own the store,” said Pease.A 10News investigation into Bark Adoptions is included as a resource in the lawsuit.Jasmin Ramirez, the manager of Bark Avenue told 10News she had not been served yet so she could not comment on the lawsuit.RELATED: Investigation into pet stores reveals 'puppy laundering scheme'She acknowledged that they will be leaving their location in the North County Fair, but said it was due to recent thefts.“We are currently in our efforts to move locations,” said Ramirez.Pease said lawyers for Westfield also told him they will terminate a lease with the Puppy Patch, a pet store in their National City mall.A spokesperson for Westfield only told 10News, “we don’t comment on litigation.”Both of the store’s leases will end in January. 1674

Exhaustion, sadness, stress and anger. That is how one Arizona nurse describes working inside one of the busiest COVID-19 units in the state right now.Charge Nurse Debra, who requested we not use her last name or the name of the hospital in which she works, said she wanted to share "her truth" with a community that seemed divided over wearing masks and social distancing."I never ever want to get this virus, and I don't wish this on anybody," said Debra.After almost 20 years of working in an intensive care unit, nurses like Debra are used to seeing pain and suffering, but Debra said what she is seeing with COVID-19 is on another level."It's intense, very stressful, very, very challenging. I never would have guessed that this would have happened in my career," said Debra.In March, Debra and her team were informed their unit would be turning into a COVID-19 unit."At that time, I think we had about eight patients. Now we're full, we're overflowing into other units. It's difficult. It's challenging," said Debra.Debra began posting about what it was like inside her hospital. In one social media post, she said:"On the very first night there, we only had about 8 patients and by looking at how sick each of them were, I got teary/emotional and thought to myself, I can’t do this!!!! The amount of tubes, machines and continuous IV meds attached to these patients was barbaric!!!As each bed opened, or became available due to a patient’s untimely demise, I have witnessed an amazing team of healthcare providers work relentlessly for each patient. But in a lot of cases, it was never enough. I have watched us try every concoction of ventilator settings and continuous IV infusions to help a patient let the ventilator do its work for them, but in many cases, it still didn’t work.We try everything we can if the patient tolerates it. Five team members will go into rooms and sort out a vast array of tubes, IV lines, cables, equipment and wires, so we can flip a patient onto their stomach. This will sometimes help patients through the extremely severe inflammatory process that COVID causes.Most people are not in perfect shape – we have to position pillows and foam pieces underneath their body just right to avoid pressure sores, to avoid their belly from pushing against the mattress which can also prevent the ventilator from working adequately and to prevent the lines, tubes and cables from becoming detached. This process can take an hour depending on the situation."Debra also admitted she, along with experienced team members, had moments where they broke down and cried during their shifts."We all understand and are just there to help each other through it," said Debra. Their supervisors often asked them if they needed a break or some time off, but Debra said for her, that was not an option. She knew her team members and her patients needed her.For Debra, it is hard to describe the suffering she witnessed."Some patients, they cannot breathe. They're struggling to get comfortable. I don't know if you've ever felt you cannot get your breath, you cannot catch that breath, the anxiety that goes with it," said Debra.There is also a fine line when giving patients medication to calm down. There is a risk the medication could slow down or stop a patient’s breathing.Debra says she is sharing her experience with the community because she knows that numbers, charts and graphs shown by the state's health officials may be difficult for people to understand. Numbers can also be interpreted differently, based on how you looked at them. So, her clear message to people: what is happening inside our hospitals’ COVID-units today is very real."The last night that I worked, we had one COVID bed available. There are other intensive care unit beds, but people are still having car accidents, heart attacks, strokes, things like that. We need to keep those open for them," said Debra.In her social media post, Debra stated medical professionals were doing everything they possibly could to save patients’ lives, but they desperately needed more medical professionals. She also further described how they must flip patients several times during a shift and how complicated that process can be:"Placing a patient on their stomach is called proning. There are some shifts I work where we may flip patients 16 times (total flips for all patients). If anything emergent happens, we have to flip them back. This can happen to multiple patients at once and we only have so many staff members. A respiratory therapist has to be in the rooms when we flip as well. If they are in another room or we don’t have enough hands on deck to help, the patient in need just waits while their body suffers the lack of oxygen. Kidneys are being damaged and many patients have to go on dialysis.Some may be from the lack of oxygen, some are from the problems caused in the blood by COVID and others because of the septic shock and lack of adequate vital signs to ensure the kidneys actually receive enough blood flow. If a patient can not tolerate regular dialysis due to how badly their body is in shock, they are placed on a continuous type of dialysis. This requires one nurse to provide dedicated care to that patient. This nurse cannot take care of other patients.(Side note, we do not have enough nurses so every patient can have one for themselves) When everything we do is no longer enough, some patients may qualify for a treatment called ECMO. Very large tubes are placed into the patient. Blood flows out of the patient through this tube, goes through a machine that works like lungs should and puts oxygen into the blood, then the blood is returned to the body so it can deliver oxygen to the body."Nurses like Debra are also doing what they can to comfort patients in the last moments of their lives. The hospitals have chaplains, but sometimes it is too late by the time the chaplain arrives. Debra says some hospitals are allowing family members in to say their last goodbyes, but often, a nurse is the only one holding the patient's hand as they pass away."We never let them pass alone. One of us is always in the room when they do pass away, but I've definitely prayed over patients," said Debra.In her letter to the community, Debra went on to say:"As our hospital has been told to go into emergency mode, we are preparing for things to get worse. We are barely afloat now. My words here cannot do the gravity of the situation enough justice but I hope they leave you considering a few things. Imagine not being able to breathe, struggling for air and no help comes. Imagine the same for your parents, siblings, children and no help comes.People are tired of being advised to stay home, people disagree with what the numbers say, people don’t grasp exactly what it takes to make and staff an ICU room. People don’t understand the supplies and equipment needed and just how far that stuff goes.What can you do? Be a little more cautious and considerate. Be more mindful of how you interact and whether things can wait a bit longer. Be safe! Be smart! It is so much easier than being a patient right now." 7128

ESCONDIDO, Calif. (KGTV) - A brush fire broke out in Escondido’s Kit Carson Park Friday, sending a plume of smoke above the area. The flames started just before noon in a riverbed of the park at 3333 Bear Valley Parkway near Westfield North County mall, Escondido Fire reported. At least 10 engines and a firefighting helicopter responded to the scene to put out the fire in brush and trees. No structures were threatened because winds were blowing the flames away from nearby homes.By 2 p.m., the fire's forward rate of progress was stopped with two acres burned and 80 percent containment.San Pasqual High and LR Green elementary schools were briefly put on lockdown to safely keep students inside during the firefighting efforts.The North County Transit District rerouted its BREEZE route 350 to the mall because police and fire personnel blocked its route for firefighting efforts. A temporary bus stop was set up at Bear Valley and Beethoven just before 2 p.m., the NCTD tweeted. The route resumed normal operations about 5:30 p.m.RELATED: Check 10News Traffic 1073

FALLBROOK, Calif. (KGTV) - You could experience a delay in receiving your package from Amazon, due to a carjacking in Fallbrook on Sunday night. According to authorities, the suspect had barricaded a street with trash cans and began yelling at the delivery truck driver. 283

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