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SOUTH LAKE TAHOE, Calif. (AP) -- Health officials have confirmed a case of plague at South Lake Tahoe -- the first in California in five years.El Dorado County officials said Monday the California Department of Public Health notified them of the positive test of a local resident who is under medical care while recovering at home.Plague bacteria are most often transmitted by fleas that have acquired it from infected squirrels, chipmunks and other wild rodents.Health officials believe the South Tahoe resident may have been bitten by an infected flea while walking a dog along the Truckee River corridor or in the Tahoe Keys area on Tahoe's south shore. 664

Some people who have been dealing with COVID-19 symptoms for months are getting hope with a new diagnosis.Doctors are starting to recognize a syndrome called POTS in some of them. It stands for postural orthostatic tachycardia syndrome.POTS is a disorder of the autonomic nervous system, which is responsible for controlling things like our heart rate and blood pressure.It's estimated as many as 3 million people in the U.S. have POTS, not connected to COVID-19, but it's a new diagnosis for some post-COVID patients.“One has to have pots like symptoms at least more than 6 months before we can diagnose pots and that's another reason we are only beginning to recognize pots now because the pandemic started earlier this year and although we feel like it’s been going on forever, we are only recognizing it now,” said Dr. Tae Chung, Director of the Johns Hopkins POTS Clinic.Chung just opened a clinic dedicated to post-COVID patients with POTS-like symptoms about a month ago. Those symptoms include lightheadedness, prolonged fatigue and brain fog.It is a hard condition to recognize and doctors are being cautious in diagnosing it.“The symptoms to a medical provider, they may seem kind of non-specific. Oh you've had an infection, you're going to be tired, but no when people have lightheadedness that is severe and seems to be disabling and limiting activity, we need to be thinking about the possibility of an autonomic disorder,” said Dr. Brent Goodman, who runs the Autonomic Lab at the Mayo Clinic in Scottsdale, Arizona.Goodman has also been seeing post-COVID-19 patients who have developed POTS.The treatment is individualized but can include exercise, changing up how much salt is in your diet, and medication.It's not clear yet how recovery will be for post-COVID-19 patients. Both doctors agree that the sooner someone can be diagnosed, the better for starting treatment. 1894

SHELLTOWN (CNS) - A 21-year-old man broke his right femur today when he crashed his car into a median in Shelltown.It occurred at 12:30 a.m., according to Officer Robert Heims of the San Diego Police Department.The driver was speeding westbound along Division Street and crashed when he was midway through the 700 block, Heims said.He was taken to a hospital with non-life-threatening injuries.Anyone with information is encouraged to call SDPD at 619-531-2000 or Crime Stoppers at 888-580-8477. 503

Sgt. Ron Helus had been set to retire in the next year from the Ventura County, California Sheriff's Office when, responding late Wednesday to a call of a shooting, he entered the Borderline Bar & Grill.It would be the last act of a 29-year law enforcement veteran described as hardworking and dedicated and, now, as a hero.Helus was among the first officers through the door at the Borderline. He died trying to stop the rampaging gunman, who killed 11 others in the attack in Thousand Oaks, California."He went into save lives, to save other people." Ventura County Sheriff Geoff Dean said of Helus, his voice breaking."He was totally committed, he gave his all, and tonight, as I told his wife, he died a hero," he said.Helus succumbed to his wounds at a hospital, police said. He is also survived by a son. 822

Sheriffs in at least eight counties in Texas have said that they will not fine or cite those who violate Gov. Greg Abbott's executive order that requires Texans to wear masks in public.According to The Washington Post, sheriffs in Denton, Nacogdoches, Smith, Upshur, Kerr, Gillespie, Panola and Montgomery Counties have already said they cannot — or will not — enforce the order. CBS News also included Houston County in a list of countries not requiring masks.Abbott — who previously blocked cities and countries from instituting orders requiring masks — signed the executive order last week. It says those who repeatedly violate the order could face a citation and a fine of up to 0, but adds that violators cannot be detained or jailed.The Post reports that the sheriffs object to enforcing the order for a number of reasons. Some said that they could not enforce the order because stopping a person on the street constituted "detaining" them. Other sheriffs said the citing violators was discriminatory because the order includes exemptions for those attending religious services. Still others say they lack the resources to track repeat offenders properly.In a lengthy Facebook post, Denton County Sheriff Tracy Murphee took issue with the order because it was not passed by the Texas legislature."The order is not a law, there is no requirement that any police officer enforce it, and it's unenforceable," Murphee said. "We can't spend our time running from place to place for calls about mask we can really do nothing about. Like I said I will comply because I want to comply. I won't and I don't believe I can take any enforcement action on this order."After Murphee announced his opposition to enforcing the order, a Denton County resident launched a Change.org petition calling for his removal. The petition has received nearly 5,000 signatures.Abbott's order says his order does not apply in counties with less than 20 confirmed COVID-19 cases. Some sheriffs in rural counties have said they will not enforce the order if they reach that threshold. 2070