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Several of President Donald Trump's outside advisers have told him over the past week he requires neither a chief of staff nor a communications director, at least in the traditional definition of those jobs, according to a person familiar with the conversations.Trump has absorbed the advice, but offered little indication whether he's interested in taking it, the person said. He's been warned by other confidants that it's impossible to run the West Wing without a chief of staff.There are no signs Trump is ready to dismiss top aide John Kelly. But the option of running his White House without a chief of staff has been planted in Trump's mind, and he's not rejected it outright, the person said. 708

Some of the COVID-19 vaccine candidates call for more than one shot, so how do we make sure patients come back?Three experts all tell us preparing people for the side effects will be critical.A nursing researcher described those side effects in a JAMA article. She suspects she had the experimental vaccine as part of Pfizer’s Phase III clinical trials.After the second shot, she said she was light-headed, nauseous, had a headache, ran a fever, and was hardly able to lift her arm from muscle aches. She wasn't warned and it scared her into thinking she might have COVID-19.“The immune system is revving up,” said LJ Tan, Chief Strategy Officer at the Immunization Action Coalition. “It's responding to that vaccine, and I think we need to tell our patients that so that they expect that. Otherwise, they're going to say, ‘wow that thing hurt, I'm not coming back for that second dose.’”For comparison, a recent shingles vaccine also requires more than one dose and can be painful. Providers and advocates lead education efforts on what to expect. The return rate after the first shot for shingles is about 80%, which is considered high.One suggestion is to put information on side effects in COVID-19 vaccine distribution kits.The Centers for Disease Control and Prevention (CDC) has already said it plans to include index cards that tell patients what they had and when their next dose is due. That's on top of electronic reminders like email or texts.The federal government has also promised to cover most costs for the vaccine.One doctor says he'd take that a step further.“I feel extremely strongly that we should do everything we can in terms of customized, personalized patient support programs, and even recommend that the federal government go beyond free and provide small rewards or incentives for people who complete the two-dose program,” said Dr. A. Mark Fendrick, Director of the University of Michigan's Center for Value-Based Insurance Design.There's some protection for people who only get one dose of the Pfizer vaccine, but nearly full protection is better. The second dose also boosts antibodies.“That's important because of waning immunity. The higher your antibodies when you start, the longer it takes for that to decrease over time, and potentially make you more susceptible,” said Dr. Gregory Poland, Director of the Mayo Clinic's Vaccine Research Group.That means the best thing is to get both doses as was tested in the study. 2463

SOLANA BEACH, Calif. (KGTV)- As San Diego county's COVID-19 cases continue to climb, restaurant owners hope outdoor dining isn't banned next. Los Angeles County shut down outdoor dining last Wednesday for a minimum of three weeks due to a surge in infection rates.Piero Tarantino owns Parioli Italian Bistro on Highway 101 in Solana Beach.He's down to just two employees, with the restaurant open only four days a week."We have a problem retaining employees cause we have to cut their hours since we don't have a lot of business, and we have to close a few days cause there are not enough sales to even pay one employee," said Tarantino.He says outdoor dining was going well in the summer, but it's a struggle now that cooler weather is here even when using heaters. "It's not comfortable cause you have heat coming from one side, but then the rest of your body is cold," said Tarantino.Restaurants across the country are trying to continue with outdoor dining even as the weather gets cold. Some owners are getting creative using everything from igloos, to individual pods, to tents and canopies.Dr. Anne Rimoin is an epidemiologist at UCLA. She said eating outside is only safe if you are truly outside."The issue is it needs to be completely open, wide open, ventilation if you have a roof, if you have sides, that's not outdoors, outdoors means in the open air," said Dr. Rimoin. Rimoin said everyone needs to do their part to bring down the infection rates."Right now, we're at the most dangerous point of this pandemic that we've been in, so far," said Dr. Rimoin.San Diego County Supervisor said right now there is no talk of banning outdoor dining locally."I have not seen evidence to suggest there's significant spread, at least from outdoors settings," said Supervisor Fletcher. Tarantino doesn't know how much longer his family owned business can survive."A lot of uncertainty, and you don't know what to do. It's a day by day situation," said Tarantino. 1973

South Korea said Saturday that North Korea has accepted its proposal to hold high-level inter-Korean talks next week.In a statement, South Korea's Unification Ministry said the talks are planned for Thursday.The talks were first proposed by South Korea to be held in the Panmunjom truce village in the Korean Demilitarized Zone.North Korea said it will be represented by a three-member delegation led by Ri Son Kwon, chairman of the Peaceful Reunification of the Fatherland Committee.South Korea stated earlier that its three-member delegation will be led by Unification Minister Cho Myoung-gyon.The announcement came a day after South Korean President Moon Jae-in teased the possibility of another meeting, this one among the United States, North Korea and South Korea.Moon said negotiations are continuing ahead of the "historic talks" planned for next month with North Korean dictator Kim Jong Un. He's expected to meet with Kim in April, the first time the North Korean leader has publicly met with a foreign head of state."Through these talks and future talks, we must end the nuclear and peace issue on the Korean Peninsula. It is necessary to make it possible for the two Koreas to live together peacefully without interfering with each other or damaging each other," Moon said this week.The meeting between Moon and Kim is just a warm-up for the main event, however, with US President Donald Trump accepting an invitation to meet with the North Korean leader sometime before the end of May.It will be the first time a sitting US president has met with a member of North Korea's ruling Kim family.  1618

SOLANA BEACH, Calif. (KGTV) -- A new outdoor art museum showcasing art from around the world is opening in Solana Beach. Called the Art Alley on Cedros, the museum is free to the public. The grand opening of the new alley will be held during the last Cedros Stroll of the summer.The first exhibit is surf-themed and will feature 12 surfboards designed by various international artists displayed along the alley. The entire museum was designed to withstand the elements and, after its opening, will never close. The grand opening of the alley will be held on September 26 from 5 to 8 p.m. at 320 South Cedros Avenue in Solana Beach. Music will continue until 10 p.m. 674