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"content": "\u003cp>Californians defeated Proposition 23, with 64% of voters saying no to the measure that would have required dialysis clinics to have a doctor on-site at all times.\u003c/p>\n\u003cp>The loss is not surprising after the opposition, led by the two largest dialysis companies in the country — DaVita and Fresenius — invested more than $104 million into defeating the measure, while proponents, the Service Employees International Union – United Healthcare Workers West (SEIU-UHW), put up roughly $9 million in support.\u003c/p>\n\u003cp>“Proposition 23 was never about anything other than UHW’s political motivations. It wasn’t about improving patient care. It wasn’t about helping patients,” said Kathy Fairbanks, spokesperson for the No on 23 campaign. “It was on the ballot for the wrong reasons and voters saw that.”\u003c/p>\n\u003cp>For the last five years, UHW has been trying to unionize workers at dialysis clinics in California, without success. The union has long turned to the ballot box to seek leverage in its labor disputes. It sponsored a similar initiative in 2018, Proposition 8, aimed at limiting profits at dialysis clinics. When that was voted down, the union went to work almost immediately on Proposition 23, according to spokesman Steve Trossman, with the intention of writing an initiative that would be easier for voters to understand.\u003c/p>\n\u003cp>But dialysis companies waged a fierce opposition campaign, blanketing the state with ads featuring dialysis patients who were either angry, saying that they were being put in the middle of a labor dispute, or scared, arguing that the cost of complying with the measure would bankrupt and close their clinics, leaving them without the three-times-per-week treatments they need to stay alive.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If the proposition had passed, those mass closures would have been unlikely, as DaVita and Fresenius operate 75% of California’s 600 dialysis clinics and together earned $2 billion in profits last year. However, there is little scientific evidence that the measure would have improved patient health. \u003ca href=\"https://jasn.asnjournals.org/content/29/12/2777\">Research\u003c/a> from a decade-long experiment in the Medicare program found that dialysis patients who saw their doctors four or more times per month had the same health outcomes and mortality rates as patients who saw their doctors once or twice a month.\u003c/p>\n\u003cp>A long list of doctors’ associations and patient groups also opposed the measure. Some argued it was not only unnecessary, but dangerous. The measure did not specify that the doctor on-site needed to be a kidney specialist – any kind of doctor would have been allowed – and that raised \u003ca href=\"https://www.kqed.org/news/11842376/kidney-failure-disproportionately-affects-people-of-color-will-proposition-23-improve-care\">concerns among patients\u003c/a> on both sides that a doctor without specialized training in kidney failure and dialysis care could do more harm than good.\u003c/p>\n\u003cp>The union insists that its efforts were aimed at improving patient health and getting the dialysis industry to reinvest more of its ample profits into improving care. It vowed to continue pursuing these goals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We are in this for the long haul until the dialysis industry does the right thing,” said Carmen Cartagena, a dialysis patient with the Yes on 23 campaign. “We intend to continue seeking to hold the dialysis industry accountable through all means, including in the state Legislature and through ballot initiatives. We won’t stop until it is truly reformed and puts patients before profits.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Californians defeated Proposition 23, with 64% of voters saying no to the measure that would have required dialysis clinics to have a doctor on-site at all times.\u003c/p>\n\u003cp>The loss is not surprising after the opposition, led by the two largest dialysis companies in the country — DaVita and Fresenius — invested more than $104 million into defeating the measure, while proponents, the Service Employees International Union – United Healthcare Workers West (SEIU-UHW), put up roughly $9 million in support.\u003c/p>\n\u003cp>“Proposition 23 was never about anything other than UHW’s political motivations. It wasn’t about improving patient care. It wasn’t about helping patients,” said Kathy Fairbanks, spokesperson for the No on 23 campaign. “It was on the ballot for the wrong reasons and voters saw that.”\u003c/p>\n\u003cp>For the last five years, UHW has been trying to unionize workers at dialysis clinics in California, without success. The union has long turned to the ballot box to seek leverage in its labor disputes. It sponsored a similar initiative in 2018, Proposition 8, aimed at limiting profits at dialysis clinics. When that was voted down, the union went to work almost immediately on Proposition 23, according to spokesman Steve Trossman, with the intention of writing an initiative that would be easier for voters to understand.\u003c/p>\n\u003cp>But dialysis companies waged a fierce opposition campaign, blanketing the state with ads featuring dialysis patients who were either angry, saying that they were being put in the middle of a labor dispute, or scared, arguing that the cost of complying with the measure would bankrupt and close their clinics, leaving them without the three-times-per-week treatments they need to stay alive.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If the proposition had passed, those mass closures would have been unlikely, as DaVita and Fresenius operate 75% of California’s 600 dialysis clinics and together earned $2 billion in profits last year. However, there is little scientific evidence that the measure would have improved patient health. \u003ca href=\"https://jasn.asnjournals.org/content/29/12/2777\">Research\u003c/a> from a decade-long experiment in the Medicare program found that dialysis patients who saw their doctors four or more times per month had the same health outcomes and mortality rates as patients who saw their doctors once or twice a month.\u003c/p>\n\u003cp>A long list of doctors’ associations and patient groups also opposed the measure. Some argued it was not only unnecessary, but dangerous. The measure did not specify that the doctor on-site needed to be a kidney specialist – any kind of doctor would have been allowed – and that raised \u003ca href=\"https://www.kqed.org/news/11842376/kidney-failure-disproportionately-affects-people-of-color-will-proposition-23-improve-care\">concerns among patients\u003c/a> on both sides that a doctor without specialized training in kidney failure and dialysis care could do more harm than good.\u003c/p>\n\u003cp>The union insists that its efforts were aimed at improving patient health and getting the dialysis industry to reinvest more of its ample profits into improving care. It vowed to continue pursuing these goals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“We are in this for the long haul until the dialysis industry does the right thing,” said Carmen Cartagena, a dialysis patient with the Yes on 23 campaign. “We intend to continue seeking to hold the dialysis industry accountable through all means, including in the state Legislature and through ballot initiatives. We won’t stop until it is truly reformed and puts patients before profits.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Feeling overwhelmed? Maybe the parent of a preschooler in your family just called to say they need extra help with child care, and a sick neighbor wants to know if you can pick up some groceries for her. Meanwhile, your best friend keeps calling, wanting to vent.\u003c/p>\n\u003cp>In less stressful times, perhaps, you’d have jumped to help out and lend an ear. But after months of social isolation, juggling work demands, and caring for loved ones, the balance has started to tip. Suddenly your own need for emotional support is outweighing your capacity for kindness.\u003c/p>\n\u003cp>That’s understandable, and OK. If you’re feeling numb or overburdened these days in response to another’s pain or request for help, that doesn’t make you unkind. What you’re feeling could instead be what we mental health professionals call \u003ca href=\"https://www.naadac.org/assets/2416/sharon_foley_ac15_militarycultureho2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">“compassion fatigue.”\u003c/a>\u003c/p>\n\u003cp>Anxiety, sadness and low self-worth can also be \u003ca href=\"https://www.stress.org/military/for-practitionersleaders/compassion-fatigue\" target=\"_blank\" rel=\"noopener noreferrer\">symptoms\u003c/a> of this sort of emotional exhaustion, the American Institute of Stress notes in guidance to therapists. Often we associate this \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356120/\" target=\"_blank\" rel=\"noopener noreferrer\">stress condition\u003c/a> with counselors and other health care workers, but the \u003ca href=\"https://www.apa.org/topics/covid-19/compassion-fatigue\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association \u003c/a>warns that anyone who continually cares for others or who witnesses trauma is also at risk.\u003c/p>\n\u003cp>\u003ca href=\"https://www.tandfonline.com/doi/abs/10.1300/J189v01n03_03\" target=\"_blank\" rel=\"noopener noreferrer\">Research\u003c/a> shows compassion fatigue \u003ca href=\"https://academic.oup.com/swr/article-abstract/42/1/33/4788592\" target=\"_blank\" rel=\"noopener noreferrer\">can be successfully treated\u003c/a> — with stress-reduction techniques, such as meditation, as well as with therapy. The key is learning how to recognize the symptoms so that you can get help.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When the two of us — a psychologist and a social worker — feel like we have “nothing left to give,” supporting our own grieving friends or caring for a sick relative can feel like running a marathon with sore muscles. But showing compassion — and avoiding emotional burnout — doesn’t have to be painful for therapists or anyone else. As Stanford psychologist \u003ca href=\"https://profiles.stanford.edu/jamil-zaki\" target=\"_blank\" rel=\"noopener noreferrer\">Jamil Zaki\u003c/a> notes in his book “The War for Kindness,” “empathy is a skill we can all strengthen through effort.”\u003c/p>\n\u003cp>Here are some exercises we use to keep ourselves fresh that might help you replenish your empathy stores, too.\u003c/p>\n\u003cfigure id=\"attachment_11842749\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842749\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-800x449.jpg\" alt=\"\" width=\"800\" height=\"449\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-800x449.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-1020x573.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-1536x863.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-2048x1150.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-1920x1078.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Social workers know ‘compassion fatigue’ is a risk of the job, and have learned ways stay healthy and empathetic. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Shift your perspective \u003c/strong>\u003c/h3>\n\u003cp>How we perceive someone’s suffering can impact our own well-being. In one \u003ca href=\"https://isiarticles.com/bundles/Article/pre/pdf/122495.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">study,\u003c/a> researchers found that individuals who \u003cem>feel\u003c/em> someone’s pain may be more likely to experience distress than those who \u003cem>think\u003c/em> about how the person is feeling. Apparently, when we not only imagine ourselves in the suffering person’s shoes but actually feel as they do, the body’s stress response gets triggered.\u003c/p>\n\u003cp>The solution is to get a little \u003ca href=\"https://urldefense.com/v3/__https://www.nature.com/articles/s41598-017-04047-3__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzBWPd2zvA%24\" target=\"_blank\" rel=\"noopener noreferrer\">psychological distance\u003c/a> between your thoughts and feelings by trying a technique called, \u003ca href=\"https://urldefense.com/v3/__https://www.frontiersin.org/articles/10.3389/fnsys.2014.00175/full__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzA_3Lh0eA%24\" target=\"_blank\" rel=\"noopener noreferrer\">“cognitive reappraisal,”\u003c/a> which is reframing how you see a stressful situation. \u003ca href=\"https://urldefense.com/v3/__https://pubmed.ncbi.nlm.nih.gov/29384468/__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzA7dBWNMQ%24\" target=\"_blank\" rel=\"noopener noreferrer\">Research \u003c/a>suggests it can help you diffuse negative emotions, which can make a real difference physically.\u003c/p>\n\u003cp>For instance, if your dear friend’s heartache feels like your own, pause and ask yourself: “What are some of the different feelings they might be experiencing right now?” If their sorrow overtakes you, take a few deep breaths, or reach out to them to ask, “What do you need right now?”\u003c/p>\n\u003cp>Both tactics can help you recognize your friend’s point of view, researchers who study empathy say, while \u003ca href=\"https://urldefense.com/v3/__https://www.sciencedirect.com/science/article/abs/pii/S0272735811001115__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzCDNAIJzg%24\" target=\"_blank\" rel=\"noopener noreferrer\">tamping down your own stress response\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11842750\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842750\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-2048x1152.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-1920x1080.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Your acts of kindness don’t have to be huge for others to feel nurtured. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Show up in small ways\u003c/strong>\u003c/h3>\n\u003cp>When someone’s suffering is immense, it’s easy to feel you have to show up in grand ways. When you hear a friend has cancer, for instance, you may feel you need to jump in to set up a meal train, and send daily text messages and flowers. When a coworker loses their home to wildfire or flood, your first impulse may be to organize a fundraiser or a clothing drive. But if you’re also struggling to keep your own life and household afloat, these well-meant gestures may be too much for you.\u003c/p>\n\u003cp>The good news: Your acts of kindness don’t have to be huge for others to feel nurtured. In a \u003ca href=\"https://journals.sagepub.com/doi/10.1177/0265407517724600\" target=\"_blank\" rel=\"noopener noreferrer\">2017 study\u003c/a>, 495 men and women answered a series of questions about what makes them feel loved. Results showed that the participants saw human connection as more meaningful expressions of care than receiving lavish gifts.\u003c/p>\n\u003cp>Start by deciding how much time you can spare, and identify kind acts that sync with your schedule. If you’re working full time and helping your children with remote learning, 30 minutes may be your max, and that’s OK. Decide on a few gestures, such as sending a handwritten card or a gift certificate for groceries. Or send a text message that says, “I’m sorry you’re going through this. I’m thinking of you.”\u003c/p>\n\u003cfigure id=\"attachment_11842751\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842751\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-800x449.jpg\" alt=\"\" width=\"800\" height=\"449\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-800x449.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-1020x573.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-1536x863.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-2048x1150.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-1920x1078.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">When we feel compassion fatigue, it’s because our desire and ability to help are incompatible. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Practice self-compassion\u003c/strong>\u003c/h3>\n\u003cp>When we feel compassion fatigue, it’s because our desire and ability to help are incompatible.\u003c/p>\n\u003cp>If a friend’s been in an accident or is seriously ill, for example, you may wish you could drive them to every medical appointment, even though devoting that much time may not be realistic for you. That can set up a negative loop if the guilt and shame of not being able to meet your own standards keeps you from doing anything at all – which only amplifies your feelings of self-loathing. The result: Nobody is helped.\u003c/p>\n\u003cp>Learn instead to \u003ca href=\"https://www.tandfonline.com/doi/abs/10.1080/15298868.2011.649546\" target=\"_blank\" rel=\"noopener noreferrer\">start with self-compassion\u003c/a>, which psychologist \u003ca href=\"https://self-compassion.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kristin Neff\u003c/a> defines as “personal acceptance, regardless if we succeed or fail.” That can help \u003ca href=\"https://www.tandfonline.com/doi/abs/10.1080/17439760.2013.831465\" target=\"_blank\" rel=\"noopener noreferrer\">break this cycle of self-blame\u003c/a> and help deploy your empathy for others. With self-compassion guiding us, we may say: “At this moment, I accept that I’m exhausted. It’s OK to take care of myself,” or “I accept that I can’t do everything, but I’ll help in small ways.”\u003c/p>\n\u003cp>If self-directed kindness is challenging, \u003ca href=\"https://self-compassion.org/exercise-1-treat-friend/\" target=\"_blank\" rel=\"noopener noreferrer\">Neff\u003c/a> recommends imagining a friend who’s in a dilemma similar to the one you’re facing. What advice might you give? You’d probably be kind and understanding, which can serve as a reminder to treat yourself that way, too.\u003c/p>\n\u003cfigure id=\"attachment_11842752\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842752\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-2048x1152.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-1920x1080.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">In times of grief, people benefit from the support of a community, research suggests. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Enlist the help of others\u003c/strong>\u003c/h3>\n\u003cp>Showing up for others doesn’t mean you have to manage someone’s difficulty all by yourself. In times of grief, people \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29754514/\" target=\"_blank\" rel=\"noopener noreferrer\">benefit from the support of a community\u003c/a>, research suggests. In a \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29754514/\" target=\"_blank\" rel=\"noopener noreferrer\">study\u003c/a> of 678 bereaved individuals, researchers found that having the support of friends, family and community helpers made a more significant difference than having just one professional’s help.\u003c/p>\n\u003cp>So, if a lonely neighbor needs company, see if someone in their \u003ca href=\"https://www.npr.org/2020/05/17/857531803/the-pros-and-cons-of-social-bubbles\" target=\"_blank\" rel=\"noopener noreferrer\">social bubble\u003c/a> can pay them a visit that day, or have a tech-savvy friend set up a video chat. Other friends who bake can leave cookies on their doorstep, and those who enjoy writing can pen heartfelt notes.\u003c/p>\n\u003cp>An online support group is another resource you might help your neighbor tap. Directories like \u003ca href=\"https://www.supportgroupscentral.com/index.cfm\" target=\"_blank\" rel=\"noopener noreferrer\">Support Groups Central\u003c/a> and \u003ca href=\"https://www.psychologytoday.com/us\" target=\"_blank\" rel=\"noopener noreferrer\">Psychology Today\u003c/a> provide a list of groups for people coping with depression, anxiety or grief. It can help to connect, even virtually, with a community of people who share the same struggles.\u003c/p>\n\u003cp>During this year of collective suffering, we need each other more than ever. Expressing empathy in small ways, while also extending kindness toward ourselves, can once again \u003ca href=\"https://www.tandfonline.com/doi/full/10.1080/00223980.2018.1495170?scroll=top&needAccess=true\" target=\"_blank\" rel=\"noopener noreferrer\">make helping other people feel like a joy\u003c/a>, instead of a burden. And \u003ca href=\"https://www.npr.org/sections/health-shots/2019/05/05/719780061/from-gloom-to-gratitude-8-skills-to-cultivate-joy\" target=\"_blank\" rel=\"noopener noreferrer\">cultivating joy in your life\u003c/a> can make any burden \u003cem>you’re\u003c/em> carrying feel lighter, too.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Juli Fraga is a psychologist and writer in San Francisco. You can find her on Twitter \u003c/em>\u003ca href=\"https://twitter.com/dr_fraga\">\u003cem>@dr_fraga\u003c/em>\u003c/a>\u003cem>. Kelsey Crowe teaches social work at California State University and is the author of \u003c/em> \u003ca href=\"https://www.empathybootcamp.com/pages/the-book\">“There Is No Good Card For This: What To Say And Do When Life Is Scary, Awful And Unfair To People You Love.”\u003c/a>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2020 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Helping+Hands+Need+A+Break%2C+Too%3A+How+To+Lend+Support+Without+Burning+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"excerpt": "These days, there are hundreds of reasons to open your heart to others, but it's easy to get exhausted. Try these tips honed by social workers for staying healthy and empathetic. ",
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"title": "Helping Hands Need a Break, Too: How to Lend Support Without Burning Out | KQED",
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"headline": "Helping Hands Need a Break, Too: How to Lend Support Without Burning Out",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Feeling overwhelmed? Maybe the parent of a preschooler in your family just called to say they need extra help with child care, and a sick neighbor wants to know if you can pick up some groceries for her. Meanwhile, your best friend keeps calling, wanting to vent.\u003c/p>\n\u003cp>In less stressful times, perhaps, you’d have jumped to help out and lend an ear. But after months of social isolation, juggling work demands, and caring for loved ones, the balance has started to tip. Suddenly your own need for emotional support is outweighing your capacity for kindness.\u003c/p>\n\u003cp>That’s understandable, and OK. If you’re feeling numb or overburdened these days in response to another’s pain or request for help, that doesn’t make you unkind. What you’re feeling could instead be what we mental health professionals call \u003ca href=\"https://www.naadac.org/assets/2416/sharon_foley_ac15_militarycultureho2.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">“compassion fatigue.”\u003c/a>\u003c/p>\n\u003cp>Anxiety, sadness and low self-worth can also be \u003ca href=\"https://www.stress.org/military/for-practitionersleaders/compassion-fatigue\" target=\"_blank\" rel=\"noopener noreferrer\">symptoms\u003c/a> of this sort of emotional exhaustion, the American Institute of Stress notes in guidance to therapists. Often we associate this \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7356120/\" target=\"_blank\" rel=\"noopener noreferrer\">stress condition\u003c/a> with counselors and other health care workers, but the \u003ca href=\"https://www.apa.org/topics/covid-19/compassion-fatigue\" target=\"_blank\" rel=\"noopener noreferrer\">American Psychological Association \u003c/a>warns that anyone who continually cares for others or who witnesses trauma is also at risk.\u003c/p>\n\u003cp>\u003ca href=\"https://www.tandfonline.com/doi/abs/10.1300/J189v01n03_03\" target=\"_blank\" rel=\"noopener noreferrer\">Research\u003c/a> shows compassion fatigue \u003ca href=\"https://academic.oup.com/swr/article-abstract/42/1/33/4788592\" target=\"_blank\" rel=\"noopener noreferrer\">can be successfully treated\u003c/a> — with stress-reduction techniques, such as meditation, as well as with therapy. The key is learning how to recognize the symptoms so that you can get help.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When the two of us — a psychologist and a social worker — feel like we have “nothing left to give,” supporting our own grieving friends or caring for a sick relative can feel like running a marathon with sore muscles. But showing compassion — and avoiding emotional burnout — doesn’t have to be painful for therapists or anyone else. As Stanford psychologist \u003ca href=\"https://profiles.stanford.edu/jamil-zaki\" target=\"_blank\" rel=\"noopener noreferrer\">Jamil Zaki\u003c/a> notes in his book “The War for Kindness,” “empathy is a skill we can all strengthen through effort.”\u003c/p>\n\u003cp>Here are some exercises we use to keep ourselves fresh that might help you replenish your empathy stores, too.\u003c/p>\n\u003cfigure id=\"attachment_11842749\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842749\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-800x449.jpg\" alt=\"\" width=\"800\" height=\"449\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-800x449.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-1020x573.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-1536x863.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-2048x1150.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-4_wide-4e60a6ef51b0d151984731b1047e1fbc53613f8f-1920x1078.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Social workers know ‘compassion fatigue’ is a risk of the job, and have learned ways stay healthy and empathetic. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Shift your perspective \u003c/strong>\u003c/h3>\n\u003cp>How we perceive someone’s suffering can impact our own well-being. In one \u003ca href=\"https://isiarticles.com/bundles/Article/pre/pdf/122495.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">study,\u003c/a> researchers found that individuals who \u003cem>feel\u003c/em> someone’s pain may be more likely to experience distress than those who \u003cem>think\u003c/em> about how the person is feeling. Apparently, when we not only imagine ourselves in the suffering person’s shoes but actually feel as they do, the body’s stress response gets triggered.\u003c/p>\n\u003cp>The solution is to get a little \u003ca href=\"https://urldefense.com/v3/__https://www.nature.com/articles/s41598-017-04047-3__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzBWPd2zvA%24\" target=\"_blank\" rel=\"noopener noreferrer\">psychological distance\u003c/a> between your thoughts and feelings by trying a technique called, \u003ca href=\"https://urldefense.com/v3/__https://www.frontiersin.org/articles/10.3389/fnsys.2014.00175/full__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzA_3Lh0eA%24\" target=\"_blank\" rel=\"noopener noreferrer\">“cognitive reappraisal,”\u003c/a> which is reframing how you see a stressful situation. \u003ca href=\"https://urldefense.com/v3/__https://pubmed.ncbi.nlm.nih.gov/29384468/__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzA7dBWNMQ%24\" target=\"_blank\" rel=\"noopener noreferrer\">Research \u003c/a>suggests it can help you diffuse negative emotions, which can make a real difference physically.\u003c/p>\n\u003cp>For instance, if your dear friend’s heartache feels like your own, pause and ask yourself: “What are some of the different feelings they might be experiencing right now?” If their sorrow overtakes you, take a few deep breaths, or reach out to them to ask, “What do you need right now?”\u003c/p>\n\u003cp>Both tactics can help you recognize your friend’s point of view, researchers who study empathy say, while \u003ca href=\"https://urldefense.com/v3/__https://www.sciencedirect.com/science/article/abs/pii/S0272735811001115__;!!Iwwt!EWBKXuCBnuHkH0U3iRdvvlC4SPHk_dUiVdSlpXvkqjBClQnW26QRpzCDNAIJzg%24\" target=\"_blank\" rel=\"noopener noreferrer\">tamping down your own stress response\u003c/a>.\u003c/p>\n\u003cfigure id=\"attachment_11842750\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842750\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-2048x1152.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-5_wide-de08d7de04954d5b6a4b515b57b3231abe74ab95-1920x1080.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Your acts of kindness don’t have to be huge for others to feel nurtured. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Show up in small ways\u003c/strong>\u003c/h3>\n\u003cp>When someone’s suffering is immense, it’s easy to feel you have to show up in grand ways. When you hear a friend has cancer, for instance, you may feel you need to jump in to set up a meal train, and send daily text messages and flowers. When a coworker loses their home to wildfire or flood, your first impulse may be to organize a fundraiser or a clothing drive. But if you’re also struggling to keep your own life and household afloat, these well-meant gestures may be too much for you.\u003c/p>\n\u003cp>The good news: Your acts of kindness don’t have to be huge for others to feel nurtured. In a \u003ca href=\"https://journals.sagepub.com/doi/10.1177/0265407517724600\" target=\"_blank\" rel=\"noopener noreferrer\">2017 study\u003c/a>, 495 men and women answered a series of questions about what makes them feel loved. Results showed that the participants saw human connection as more meaningful expressions of care than receiving lavish gifts.\u003c/p>\n\u003cp>Start by deciding how much time you can spare, and identify kind acts that sync with your schedule. If you’re working full time and helping your children with remote learning, 30 minutes may be your max, and that’s OK. Decide on a few gestures, such as sending a handwritten card or a gift certificate for groceries. Or send a text message that says, “I’m sorry you’re going through this. I’m thinking of you.”\u003c/p>\n\u003cfigure id=\"attachment_11842751\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842751\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-800x449.jpg\" alt=\"\" width=\"800\" height=\"449\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-800x449.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-1020x573.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-1536x863.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-2048x1150.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-3_wide-a3f684354ad1ca5b18411fec4f723731a1bad219-1920x1078.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">When we feel compassion fatigue, it’s because our desire and ability to help are incompatible. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Practice self-compassion\u003c/strong>\u003c/h3>\n\u003cp>When we feel compassion fatigue, it’s because our desire and ability to help are incompatible.\u003c/p>\n\u003cp>If a friend’s been in an accident or is seriously ill, for example, you may wish you could drive them to every medical appointment, even though devoting that much time may not be realistic for you. That can set up a negative loop if the guilt and shame of not being able to meet your own standards keeps you from doing anything at all – which only amplifies your feelings of self-loathing. The result: Nobody is helped.\u003c/p>\n\u003cp>Learn instead to \u003ca href=\"https://www.tandfonline.com/doi/abs/10.1080/15298868.2011.649546\" target=\"_blank\" rel=\"noopener noreferrer\">start with self-compassion\u003c/a>, which psychologist \u003ca href=\"https://self-compassion.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kristin Neff\u003c/a> defines as “personal acceptance, regardless if we succeed or fail.” That can help \u003ca href=\"https://www.tandfonline.com/doi/abs/10.1080/17439760.2013.831465\" target=\"_blank\" rel=\"noopener noreferrer\">break this cycle of self-blame\u003c/a> and help deploy your empathy for others. With self-compassion guiding us, we may say: “At this moment, I accept that I’m exhausted. It’s OK to take care of myself,” or “I accept that I can’t do everything, but I’ll help in small ways.”\u003c/p>\n\u003cp>If self-directed kindness is challenging, \u003ca href=\"https://self-compassion.org/exercise-1-treat-friend/\" target=\"_blank\" rel=\"noopener noreferrer\">Neff\u003c/a> recommends imagining a friend who’s in a dilemma similar to the one you’re facing. What advice might you give? You’d probably be kind and understanding, which can serve as a reminder to treat yourself that way, too.\u003c/p>\n\u003cfigure id=\"attachment_11842752\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11842752\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-800x450.jpg\" alt=\"\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-2048x1152.jpg 2048w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/compassionfatigue-2_wide-a6b459a95d9fe0fc8946c233cff11a661eb557dd-1920x1080.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">In times of grief, people benefit from the support of a community, research suggests. \u003ccite>(Hanna Barczyk for NPR)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>\u003cstrong>Enlist the help of others\u003c/strong>\u003c/h3>\n\u003cp>Showing up for others doesn’t mean you have to manage someone’s difficulty all by yourself. In times of grief, people \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29754514/\" target=\"_blank\" rel=\"noopener noreferrer\">benefit from the support of a community\u003c/a>, research suggests. In a \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/29754514/\" target=\"_blank\" rel=\"noopener noreferrer\">study\u003c/a> of 678 bereaved individuals, researchers found that having the support of friends, family and community helpers made a more significant difference than having just one professional’s help.\u003c/p>\n\u003cp>So, if a lonely neighbor needs company, see if someone in their \u003ca href=\"https://www.npr.org/2020/05/17/857531803/the-pros-and-cons-of-social-bubbles\" target=\"_blank\" rel=\"noopener noreferrer\">social bubble\u003c/a> can pay them a visit that day, or have a tech-savvy friend set up a video chat. Other friends who bake can leave cookies on their doorstep, and those who enjoy writing can pen heartfelt notes.\u003c/p>\n\u003cp>An online support group is another resource you might help your neighbor tap. Directories like \u003ca href=\"https://www.supportgroupscentral.com/index.cfm\" target=\"_blank\" rel=\"noopener noreferrer\">Support Groups Central\u003c/a> and \u003ca href=\"https://www.psychologytoday.com/us\" target=\"_blank\" rel=\"noopener noreferrer\">Psychology Today\u003c/a> provide a list of groups for people coping with depression, anxiety or grief. It can help to connect, even virtually, with a community of people who share the same struggles.\u003c/p>\n\u003cp>During this year of collective suffering, we need each other more than ever. Expressing empathy in small ways, while also extending kindness toward ourselves, can once again \u003ca href=\"https://www.tandfonline.com/doi/full/10.1080/00223980.2018.1495170?scroll=top&needAccess=true\" target=\"_blank\" rel=\"noopener noreferrer\">make helping other people feel like a joy\u003c/a>, instead of a burden. And \u003ca href=\"https://www.npr.org/sections/health-shots/2019/05/05/719780061/from-gloom-to-gratitude-8-skills-to-cultivate-joy\" target=\"_blank\" rel=\"noopener noreferrer\">cultivating joy in your life\u003c/a> can make any burden \u003cem>you’re\u003c/em> carrying feel lighter, too.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>Juli Fraga is a psychologist and writer in San Francisco. You can find her on Twitter \u003c/em>\u003ca href=\"https://twitter.com/dr_fraga\">\u003cem>@dr_fraga\u003c/em>\u003c/a>\u003cem>. Kelsey Crowe teaches social work at California State University and is the author of \u003c/em> \u003ca href=\"https://www.empathybootcamp.com/pages/the-book\">“There Is No Good Card For This: What To Say And Do When Life Is Scary, Awful And Unfair To People You Love.”\u003c/a>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2020 NPR. To see more, visit https://www.npr.org.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Helping+Hands+Need+A+Break%2C+Too%3A+How+To+Lend+Support+Without+Burning+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Looking back now, DeWayne Cox says his path to kidney failure started in childhood. He lives in Los Angeles now, but he grew up on the South Side of Chicago.\u003c/p>\n\u003cp>“In the projects mostly, so I fought off gangs. I also had two parents that were both heroin addicts,” he says. “So there was lots of stress and a poor diet.” He was diagnosed with high blood pressure when he was 16, which he managed well with medications, but they made him tired and he had to pee all the time. That really became a problem in his 40s when he got a job with Barack Obama’s presidential campaign in 2008.\u003c/p>\n\u003cp>“Because I was out in the field and I always had to go to the bathroom,” he says. “And most of the volunteers were young kids. It meant I had to keep up with all the college students.”\u003c/p>\n\u003cp>So for three months, he stopped taking his medications. Even now, he says he would do it again, but it was a turning point in his health. In 2009, his doctor told him he had kidney failure and he would have to start dialysis.\u003c/p>\n\u003cp>“I, like most people, didn’t even know what my kidneys were, where they were or what they did,” he says.\u003c/p>\n\u003cp>But now, after going to dialysis for three-hour treatments three times a week for the last 10 years to have his blood cleaned, Cox is well versed in the science and policy of kidney disease.\u003c/p>\n\u003cp>He has taken a special interest in \u003ca href=\"https://ballotpedia.org/California_Proposition_23,_Dialysis_Clinic_Requirements_Initiative_(2020)\">Proposition 23\u003c/a>, the California ballot measure that would require all dialysis clinics in the state to have a doctor on site at all times patients are receiving treatment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Disproportionate Impact\u003c/h3>\n\u003cp>The measure has gotten attention from several minority health groups, including the California NAACP and the National Hispanic Medical Association, because of the disproportionate impact kidney disease has on communities of color — 57 percent of dialysis patients in California are African American or Latino, according to Medicare data.\u003c/p>\n\u003cp>In particular, African Americans like Cox are \u003ca href=\"https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease\">almost four times more likely\u003c/a> to end up with kidney failure than whites.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Magellan Handford, dialysis nurse\"]‘I grew up in South Central L.A., and when I was growing up, there was a liquor store on every corner. Now, there’s a dialysis clinic on every corner.’[/pullquote]\u003c/p>\n\u003cp>Various \u003ca href=\"https://jasn.asnjournals.org/content/27/9/2576\">socioeconomic\u003c/a> and \u003ca href=\"https://kidney360.asnjournals.org/content/1/1/58\">genetic\u003c/a> factors make African Americans more likely to develop high blood pressure or diabetes, the main conditions that cause kidney disease. And African Americans are less likely to have \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5418094/\">access to regular health care\u003c/a> to prevent these conditions from advancing to kidney failure.\u003c/p>\n\u003cp>But policies around care are drastically different once kidney failure sets in. In 1972, President Richard Nixon signed a law creating a special benefit under Medicare, requiring the government to cover the cost of all treatment for end-stage renal disease, regardless of age or income.\u003c/p>\n\u003cp>“Essentially, we have universal health care in this country — for one organ in the body,” is how comedian John Oliver described it in a \u003ca href=\"https://www.youtube.com/watch?v=yw_nqzVfxFQ&list=ULBgyqAD5Z6_A&index=203\">2017 episode\u003c/a> of Last Week Tonight. “It’s like your kidneys, and only your kidneys, are Canadian.”\u003c/p>\n\u003ch3>‘A Dialysis Clinic on Every Corner’\u003c/h3>\n\u003cp>In the beginning, the program paid for dialysis for about 10,000 patients. Now, there are \u003ca href=\"https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease\">468,000 dialysis patients\u003c/a> in the U.S., and a massive industry has emerged to care for them. Nearly \u003ca href=\"https://healthcareappraisers.com/2020-outlook-dialysis-clinics-and-esrd/\">three quarters\u003c/a> of dialysis clinics in the U.S. are owned by two companies: \u003ca href=\"https://pressreleases.davita.com/2020-02-10-DaVita-Inc-4th-Quarter-2019-Results\">DaVita, Inc.\u003c/a> and \u003ca href=\"https://www.freseniusmedicalcare.com/fileadmin/data/com/pdf/About_us/Company_Profile/FME_Factsheet_2019_EN.pdf\">Fresenius Medical Care\u003c/a>. Together, they earned $2 billion in profits last year.\u003c/p>\n\u003cp>It’s a business built on the backs of people of color, says Magellan Handford, who has worked as a dialysis nurse for both companies over the last 20 years.\u003c/p>\n\u003cp>“I grew up in South Central L.A., and when I was growing up, there was a liquor store on every corner,” he says. “Now, there’s a dialysis clinic on every corner in L.A.”\u003c/p>\n\u003cp>[aside postID=news_11842100 hero='https://ww2.kqed.org/app/uploads/sites/10/2020/10/dialysis-1020x574.jpg']The companies don’t invest enough of their profits into care, Handford says, resulting in mice and roaches in clinics, “patients dripping blood all over the place,” and nurses and technicians that are so stretched and rushed, they are forced to take shortcuts and can’t follow proper infection control protocols.\u003c/p>\n\u003cp>“The industry is built on numbers,” he says. “We need to get patients in and we need to get patients out.”\u003c/p>\n\u003cp>This is why Handford has been trying to help unionize staff at California dialysis clinics, so they can have more say in clinic operations like this. But for the last four years, they haven’t succeeded. So they turned to the ballot box. SEIU-UHW, the health care workers union, put Proposition 23 on the ballot, it says, to force improvements in patient care the companies aren’t willing to make.\u003c/p>\n\u003cp>“Doing propositions is the only voice that we have as workers,” Handford says.\u003c/p>\n\u003ch3>Do More Doctors Mean Better Care?\u003c/h3>\n\u003cp>But it’s not clear the specific policies outlined in Proposition 23 can fix Handford’s complaints. There’s little evidence in medical literature that having doctors in clinics at all times will \u003ca href=\"https://jasn.asnjournals.org/content/29/12/2777\">improve patient health at all\u003c/a>.\u003c/p>\n\u003cp>Medicare tested this. In 2004, it reformed payment policies to incentivize doctors to visit their dialysis patients more often. Instead of one or two times a month, it pushed them to go four or more times a month. Then they studied which patients did better.\u003c/p>\n\u003cp>“Guess what? Doesn’t matter. It doesn’t affect outcomes,” says Jay Wish, a nephrologist at Indiana University. “So after a 13 year or so experiment in trying to bribe physicians to see the patients more often, they realize it doesn’t matter.”\u003c/p>\n\u003cp>Various studies found no difference in \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/16183416/\">health outcomes\u003c/a> or improvements in the \u003ca href=\"https://jasn.asnjournals.org/content/29/12/2777\">quality of care\u003c/a>. In fact, one study showed patients who were seen less often by their doctors had \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500158/\">better survival rates\u003c/a>.\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Jay Wish, Indiana University\"]‘A doctor that knows nothing about dialysis — that’s dangerous. That’s even more dangerous than having nobody there.’[/pullquote]\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877739/\">An international study\u003c/a> suggests countries like Germany or France have better mortality rates than the U.S. because doctors have a greater presence in dialysis clinics. But Wish says there are too many differences between the health systems and patient populations to draw any meaningful conclusions from the association.\u003c/p>\n\u003cp>“We dialyze a lot sicker patients than they do,” he says. “In France, you get dialyzed for eight hours, not four … and they serve you wine and cheese during the dialysis. So it really isn’t only about there being a doctor there. There’s just so many other variables that it’s inappropriate to make these comparisons.”\u003c/p>\n\u003cp>Wish says there could even be negative consequences of Proposition 23 because it doesn’t specify that the doctor has to be a kidney specialist. It can be any licensed physician.\u003c/p>\n\u003cp>“A doctor that knows nothing about dialysis — that’s dangerous. That’s even more dangerous than having nobody there,” Wish says.\u003c/p>\n\u003cp>This is why patient DeWayne Cox is against Proposition 23. He’s had his own experiences in the hospital, being cared for by general doctors who didn’t understand the complexities of his condition, prescribed the wrong medication, and made other mistakes.\u003c/p>\n\u003cp>But he’s scared that Proposition 23 sounds good on the surface and that voters won’t understand the nuances. He accuses the union backing the measure of not truly being interested in patients, but rather, of using the ballot box to gain leverage in its own labor disputes and advance its own agenda.\u003c/p>\n\u003cp>“When I see these propositions that are put before the voters, who have no idea what we go through and what’s necessary to keep us alive, it makes me angry,” he says. “They’re playing politics. But they’re putting patients like me in the middle of it.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"title": "Kidney Failure Disproportionately Affects People of Color. Will Proposition 23 Improve Care? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Looking back now, DeWayne Cox says his path to kidney failure started in childhood. He lives in Los Angeles now, but he grew up on the South Side of Chicago.\u003c/p>\n\u003cp>“In the projects mostly, so I fought off gangs. I also had two parents that were both heroin addicts,” he says. “So there was lots of stress and a poor diet.” He was diagnosed with high blood pressure when he was 16, which he managed well with medications, but they made him tired and he had to pee all the time. That really became a problem in his 40s when he got a job with Barack Obama’s presidential campaign in 2008.\u003c/p>\n\u003cp>“Because I was out in the field and I always had to go to the bathroom,” he says. “And most of the volunteers were young kids. It meant I had to keep up with all the college students.”\u003c/p>\n\u003cp>So for three months, he stopped taking his medications. Even now, he says he would do it again, but it was a turning point in his health. In 2009, his doctor told him he had kidney failure and he would have to start dialysis.\u003c/p>\n\u003cp>“I, like most people, didn’t even know what my kidneys were, where they were or what they did,” he says.\u003c/p>\n\u003cp>But now, after going to dialysis for three-hour treatments three times a week for the last 10 years to have his blood cleaned, Cox is well versed in the science and policy of kidney disease.\u003c/p>\n\u003cp>He has taken a special interest in \u003ca href=\"https://ballotpedia.org/California_Proposition_23,_Dialysis_Clinic_Requirements_Initiative_(2020)\">Proposition 23\u003c/a>, the California ballot measure that would require all dialysis clinics in the state to have a doctor on site at all times patients are receiving treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Disproportionate Impact\u003c/h3>\n\u003cp>The measure has gotten attention from several minority health groups, including the California NAACP and the National Hispanic Medical Association, because of the disproportionate impact kidney disease has on communities of color — 57 percent of dialysis patients in California are African American or Latino, according to Medicare data.\u003c/p>\n\u003cp>In particular, African Americans like Cox are \u003ca href=\"https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease\">almost four times more likely\u003c/a> to end up with kidney failure than whites.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Various \u003ca href=\"https://jasn.asnjournals.org/content/27/9/2576\">socioeconomic\u003c/a> and \u003ca href=\"https://kidney360.asnjournals.org/content/1/1/58\">genetic\u003c/a> factors make African Americans more likely to develop high blood pressure or diabetes, the main conditions that cause kidney disease. And African Americans are less likely to have \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5418094/\">access to regular health care\u003c/a> to prevent these conditions from advancing to kidney failure.\u003c/p>\n\u003cp>But policies around care are drastically different once kidney failure sets in. In 1972, President Richard Nixon signed a law creating a special benefit under Medicare, requiring the government to cover the cost of all treatment for end-stage renal disease, regardless of age or income.\u003c/p>\n\u003cp>“Essentially, we have universal health care in this country — for one organ in the body,” is how comedian John Oliver described it in a \u003ca href=\"https://www.youtube.com/watch?v=yw_nqzVfxFQ&list=ULBgyqAD5Z6_A&index=203\">2017 episode\u003c/a> of Last Week Tonight. “It’s like your kidneys, and only your kidneys, are Canadian.”\u003c/p>\n\u003ch3>‘A Dialysis Clinic on Every Corner’\u003c/h3>\n\u003cp>In the beginning, the program paid for dialysis for about 10,000 patients. Now, there are \u003ca href=\"https://www.niddk.nih.gov/health-information/health-statistics/kidney-disease\">468,000 dialysis patients\u003c/a> in the U.S., and a massive industry has emerged to care for them. Nearly \u003ca href=\"https://healthcareappraisers.com/2020-outlook-dialysis-clinics-and-esrd/\">three quarters\u003c/a> of dialysis clinics in the U.S. are owned by two companies: \u003ca href=\"https://pressreleases.davita.com/2020-02-10-DaVita-Inc-4th-Quarter-2019-Results\">DaVita, Inc.\u003c/a> and \u003ca href=\"https://www.freseniusmedicalcare.com/fileadmin/data/com/pdf/About_us/Company_Profile/FME_Factsheet_2019_EN.pdf\">Fresenius Medical Care\u003c/a>. Together, they earned $2 billion in profits last year.\u003c/p>\n\u003cp>It’s a business built on the backs of people of color, says Magellan Handford, who has worked as a dialysis nurse for both companies over the last 20 years.\u003c/p>\n\u003cp>“I grew up in South Central L.A., and when I was growing up, there was a liquor store on every corner,” he says. “Now, there’s a dialysis clinic on every corner in L.A.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>The companies don’t invest enough of their profits into care, Handford says, resulting in mice and roaches in clinics, “patients dripping blood all over the place,” and nurses and technicians that are so stretched and rushed, they are forced to take shortcuts and can’t follow proper infection control protocols.\u003c/p>\n\u003cp>“The industry is built on numbers,” he says. “We need to get patients in and we need to get patients out.”\u003c/p>\n\u003cp>This is why Handford has been trying to help unionize staff at California dialysis clinics, so they can have more say in clinic operations like this. But for the last four years, they haven’t succeeded. So they turned to the ballot box. SEIU-UHW, the health care workers union, put Proposition 23 on the ballot, it says, to force improvements in patient care the companies aren’t willing to make.\u003c/p>\n\u003cp>“Doing propositions is the only voice that we have as workers,” Handford says.\u003c/p>\n\u003ch3>Do More Doctors Mean Better Care?\u003c/h3>\n\u003cp>But it’s not clear the specific policies outlined in Proposition 23 can fix Handford’s complaints. There’s little evidence in medical literature that having doctors in clinics at all times will \u003ca href=\"https://jasn.asnjournals.org/content/29/12/2777\">improve patient health at all\u003c/a>.\u003c/p>\n\u003cp>Medicare tested this. In 2004, it reformed payment policies to incentivize doctors to visit their dialysis patients more often. Instead of one or two times a month, it pushed them to go four or more times a month. Then they studied which patients did better.\u003c/p>\n\u003cp>“Guess what? Doesn’t matter. It doesn’t affect outcomes,” says Jay Wish, a nephrologist at Indiana University. “So after a 13 year or so experiment in trying to bribe physicians to see the patients more often, they realize it doesn’t matter.”\u003c/p>\n\u003cp>Various studies found no difference in \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/16183416/\">health outcomes\u003c/a> or improvements in the \u003ca href=\"https://jasn.asnjournals.org/content/29/12/2777\">quality of care\u003c/a>. In fact, one study showed patients who were seen less often by their doctors had \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4500158/\">better survival rates\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877739/\">An international study\u003c/a> suggests countries like Germany or France have better mortality rates than the U.S. because doctors have a greater presence in dialysis clinics. But Wish says there are too many differences between the health systems and patient populations to draw any meaningful conclusions from the association.\u003c/p>\n\u003cp>“We dialyze a lot sicker patients than they do,” he says. “In France, you get dialyzed for eight hours, not four … and they serve you wine and cheese during the dialysis. So it really isn’t only about there being a doctor there. There’s just so many other variables that it’s inappropriate to make these comparisons.”\u003c/p>\n\u003cp>Wish says there could even be negative consequences of Proposition 23 because it doesn’t specify that the doctor has to be a kidney specialist. It can be any licensed physician.\u003c/p>\n\u003cp>“A doctor that knows nothing about dialysis — that’s dangerous. That’s even more dangerous than having nobody there,” Wish says.\u003c/p>\n\u003cp>This is why patient DeWayne Cox is against Proposition 23. He’s had his own experiences in the hospital, being cared for by general doctors who didn’t understand the complexities of his condition, prescribed the wrong medication, and made other mistakes.\u003c/p>\n\u003cp>But he’s scared that Proposition 23 sounds good on the surface and that voters won’t understand the nuances. He accuses the union backing the measure of not truly being interested in patients, but rather, of using the ballot box to gain leverage in its own labor disputes and advance its own agenda.\u003c/p>\n\u003cp>“When I see these propositions that are put before the voters, who have no idea what we go through and what’s necessary to keep us alive, it makes me angry,” he says. “They’re playing politics. But they’re putting patients like me in the middle of it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>When a fire \u003ca href=\"https://www.eastbaytimes.com/2020/09/16/three-alarm-fire-burning-in-oakland/\">tore through a large commercial building\u003c/a> in the heart of Oakland’s Chinatown last month, Oakland Fire Department Captain Christopher Foley was one of the first on the scene, leading the battalion that quashed the flames within just a few hours.\u003c/p>\n\u003cp>That intense but brief firefight was a marked contrast to his experience the previous week on a strike team battling the massive \u003ca href=\"https://www.fire.ca.gov/incidents/2020/8/18/scu-lightning-complex/\">SCU Lighting Complex\u003c/a>, a blaze that burned for well over a month, devouring nearly 400,000 acres on the southeastern edges of the Bay Area before it was fully contained on Oct. 1 — one of the largest wildfires in California history.\u003c/p>\n\u003cp>“The fires in the urban areas, everybody is moving very, very quickly, whereas the wildland fires are more of a methodical [process],” said Foley, who’s based at Station 4 on International Boulevard. “You might be working four days ahead of the fire.”\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"James Bowron, OFD battalion chief\"]‘These are the times where borders and boundaries drop and it’s all hands on deck and everyone has got to do their part to help bring these emergencies under control.’[/pullquote]\u003c/p>\n\u003cp>And when you’re working a wildfire, you don’t get any breaks.\u003c/p>\n\u003cp>“It’s a different pace because you are working literally for 24 hours straight,” he said. “You are on your feet, working a tool, working a saw, putting in hose line for 24 hours. Whereas, the fire [in Chinatown], which is the biggest fire the city has seen in this calendar year, the fire is over in two hours.”\u003c/p>\n\u003cp>For years, Foley has helped battle wildfires as part of California’s mutual aid system, a sprawling network of first responders from scores of local fire departments across the state, called on to assist Cal Fire and federal crews when extra hands are needed — which is almost always, these days.\u003c/p>\n\u003cp>First \u003ca href=\"https://www.caloes.ca.gov/FireRescueSite/Documents/CalOES%20-%20History%20and%20Organization%20-%2020141201ua.pdf\">conceived in the 1950s\u003c/a>, California’s Fire and Rescue Mutual Aid System is one of the oldest and most robust of its kind. And as fires here continue to grow bigger and more ferocious, the state is relying on it more than ever before.\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"2020-wildfires\"]In recent years, Foley, 51, has gotten used to being deployed for weeks at a time, fighting some of the state’s biggest and most destructive blazes, often having to hit the road with his Oakland engine crew within an hour of getting the call.\u003c/p>\n\u003cp>That experience includes the 2018 \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">Camp Fire\u003c/a>, which incinerated most of the northern California town of Paradise, killing 85 people.\u003c/p>\n\u003cp>“Having to do two-plus weeks of search and recovery efforts after two days of fighting fire is something I hope I never have to do again,” he said.\u003c/p>\n\u003cp>But despite the physical and emotional toll of the work, Foley, who has two young children, said he looks forward to heading into the wild.\u003c/p>\n\u003cp>“I love going out there. It’s just a whole different world — the challenge, it’s just a totally different playing field,” he said. “And then also it’s just an interesting opportunity to go help communities in need that you didn’t even know were on the map.”\u003c/p>\n\u003cp>California’s fire season started alarmingly early this year, thanks to intensely dry conditions and a barrage of lightning strikes in mid-August that ignited hundreds of blazes across the state. By the first week of October, flames had charred a record 4 million acres — more than double the area that burned all of last year — with about two months still left to go in the season. That unprecedented early onslaught of huge, simultaneous blazes, coupled with COVID-19 restrictions that have sidelined many inmate firefighter crews and other first responders, are stretching the state’s emergency resources.\u003c/p>\n\u003cp>“Definitely the drawdown of resources was extraordinarily apparent,” Foley said of his recent stint on the SCU Complex. “You know, a fire of that size by itself would probably have 3,000 people or more, and there were less than 2,000. So, with resources being spread so thin, it was very complicated because we just don’t have the ability to move as quickly as you might under different circumstances.”\u003c/p>\n\u003cp>For mutual aid assistance, the Oakland Fire Department deploys up to five of its engines, with 25 firefighters and command staff at any one time. This season, Foley said, the department has consistently “maxed out” its resources, with crews currently deployed to four fires around the state, including the \u003ca href=\"https://www.fire.ca.gov/incidents/2020/9/27/glass-fire/\">Glass Fire\u003c/a> in North Bay.\u003c/p>\n\u003cp>https://twitter.com/AlamedaCoFire/status/1311329622018068480\u003c/p>\n\u003cp>“We have a minimum staffing level [in Oakland] that we maintain regardless of the circumstances, regardless of what’s going on around us,” he said. But that often requires firefighters at home to work extra shifts to fill in the gaps, he said, and gives those returning from wildland assignments less time to recuperate. “As the seasons get longer and longer, you definitely do start to feel it.”\u003c/p>\n\u003cp>In late summer, at the peak of the fire siege, more than 800 engines and over 3,000 personnel, mostly from city and county fire departments, were helping battle blazes across the state, said Brian Ferguson, a spokesman for the California Office of Emergency Services, which oversees the mutual aid system.\u003c/p>\n\u003cp>“The mutual aid system is a really critical part of our ability to respond to wildfires,” he said. “It’s basically surge capacity for the state’s firefighting ability, particularly when we have great need, like this year.”\u003c/p>\n\u003cp>In addition to help from local departments, California has also become accustomed to requesting firefighting support from out of state, and even internationally, Ferguson said, noting that at one point in September, more than 18,000 firefighters — including those from local jurisdictions, National Guard troops and crews from Canada and \u003ca href=\"https://www.kqed.org/news/11839556/in-a-first-100-mexican-firefighters-arrive-in-california-to-help-battle-wildfires\">Mexico\u003c/a> — were battling blazes across the state.\u003c/p>\n\u003cp>There’s no doubt that current conditions are stretching the state’s firefighting system “to its limits,” he said. “There’s fears of what the impacts are on our system as a whole.”\u003c/p>\n\u003cp>That comes as little surprise to James Bowron, an OFD battalion chief from Station 17 in East Oakland, who in 2016, was the incident commander for the deadly \u003ca href=\"https://www.kqed.org/news/11747823/ghost-ship-trial-defense-accuses-fire-officials-of-shielding-city-from-civil-liability\">Ghost Ship fire\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“We did the math the other day. I think out of [the last] 42 days, I was deployed for 36 of them,” said Bowron, 43, who recently returned from two weeks on a strike team fighting the El Dorado Fire in San Bernardino National Forest. Shortly before that, he had worked the SCU Complex.\u003c/p>\n\u003cp>“I think everybody is pretty tired. I mean, back-to-back big fires; [the] season has been pretty relentless,” he said. “It’s really starting to tax the mutual aid system to the point that I haven’t seen before.”\u003c/p>\n\u003cp>Bowron had his first exposure to wildland firefighting more than 30 years ago, as part of a youth program in his hometown of Kenwood in rural Sonoma County, a region plagued by wildfires in recent years. At 18, just out of high school, he started working seasonally for Cal Fire before eventually finding longer-term jobs in city departments.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Christopher Foley, OFD captain\"]‘It’s a different pace because you are working literally for 24 hours straight. You are on your feet, working a tool, working a saw, putting in hose line for 24 hours.’[/pullquote]Bowron acknowledges that he’s hired to serve the city of Oakland, but feels duty bound to fight fires wherever help is needed.\u003c/p>\n\u003cp>“The way I look at it is that, you know, even though each of us, we represent the city we work for, when the state gets to a level like this, I mean, really, we do represent a state fire department,” he said. “These are the times where borders and boundaries drop and it’s all hands on deck and everyone has got to do their part to help bring these emergencies under control.”\u003c/p>\n\u003cp>But that comes with some serious sacrifices. Bowron has three young daughters who he often doesn’t even get a chance to say goodbye to when having to deploy at a moment’s notice.\u003c/p>\n\u003cp>“It’s very taxing on the family,” said Bowron, whose wife, a nurse at a Vallejo hospital, is also steeped in emergency work. “I have been very upfront with our daughters about what I do and the importance of sacrifice for the community … And they’re aware of that. But, you know, still, it’s not easy to have dad be gone for long stretches of time. I mean, there are definitely times where I get on the phone and they ask me when I’m coming home. And, you know, I’ve got to be like, ‘I’m coming home when the fire’s done.'”\u003c/p>\n\u003cp>But even as California’s wildfires intensify year over year, claiming additional ground and threatening more communities, Bowron remains optimistic that the state will be able to meet the challenge.\u003c/p>\n\u003cp>“Our state mutual aid system is probably the best. I mean, it’s really good,” he said. “It’s probably a blessing and a curse that just by the sheer amount of times we get to do it, we get pretty good at it.”\u003c/p>\n\u003cp>Bowron pauses for moment.\u003c/p>\n\u003cp>“Is it sustainable? It kind of has to be. We don’t really have a lot of other choices.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>When a fire \u003ca href=\"https://www.eastbaytimes.com/2020/09/16/three-alarm-fire-burning-in-oakland/\">tore through a large commercial building\u003c/a> in the heart of Oakland’s Chinatown last month, Oakland Fire Department Captain Christopher Foley was one of the first on the scene, leading the battalion that quashed the flames within just a few hours.\u003c/p>\n\u003cp>That intense but brief firefight was a marked contrast to his experience the previous week on a strike team battling the massive \u003ca href=\"https://www.fire.ca.gov/incidents/2020/8/18/scu-lightning-complex/\">SCU Lighting Complex\u003c/a>, a blaze that burned for well over a month, devouring nearly 400,000 acres on the southeastern edges of the Bay Area before it was fully contained on Oct. 1 — one of the largest wildfires in California history.\u003c/p>\n\u003cp>“The fires in the urban areas, everybody is moving very, very quickly, whereas the wildland fires are more of a methodical [process],” said Foley, who’s based at Station 4 on International Boulevard. “You might be working four days ahead of the fire.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And when you’re working a wildfire, you don’t get any breaks.\u003c/p>\n\u003cp>“It’s a different pace because you are working literally for 24 hours straight,” he said. “You are on your feet, working a tool, working a saw, putting in hose line for 24 hours. Whereas, the fire [in Chinatown], which is the biggest fire the city has seen in this calendar year, the fire is over in two hours.”\u003c/p>\n\u003cp>For years, Foley has helped battle wildfires as part of California’s mutual aid system, a sprawling network of first responders from scores of local fire departments across the state, called on to assist Cal Fire and federal crews when extra hands are needed — which is almost always, these days.\u003c/p>\n\u003cp>First \u003ca href=\"https://www.caloes.ca.gov/FireRescueSite/Documents/CalOES%20-%20History%20and%20Organization%20-%2020141201ua.pdf\">conceived in the 1950s\u003c/a>, California’s Fire and Rescue Mutual Aid System is one of the oldest and most robust of its kind. And as fires here continue to grow bigger and more ferocious, the state is relying on it more than ever before.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>In recent years, Foley, 51, has gotten used to being deployed for weeks at a time, fighting some of the state’s biggest and most destructive blazes, often having to hit the road with his Oakland engine crew within an hour of getting the call.\u003c/p>\n\u003cp>That experience includes the 2018 \u003ca href=\"https://www.kqed.org/news/tag/camp-fire\">Camp Fire\u003c/a>, which incinerated most of the northern California town of Paradise, killing 85 people.\u003c/p>\n\u003cp>“Having to do two-plus weeks of search and recovery efforts after two days of fighting fire is something I hope I never have to do again,” he said.\u003c/p>\n\u003cp>But despite the physical and emotional toll of the work, Foley, who has two young children, said he looks forward to heading into the wild.\u003c/p>\n\u003cp>“I love going out there. It’s just a whole different world — the challenge, it’s just a totally different playing field,” he said. “And then also it’s just an interesting opportunity to go help communities in need that you didn’t even know were on the map.”\u003c/p>\n\u003cp>California’s fire season started alarmingly early this year, thanks to intensely dry conditions and a barrage of lightning strikes in mid-August that ignited hundreds of blazes across the state. By the first week of October, flames had charred a record 4 million acres — more than double the area that burned all of last year — with about two months still left to go in the season. That unprecedented early onslaught of huge, simultaneous blazes, coupled with COVID-19 restrictions that have sidelined many inmate firefighter crews and other first responders, are stretching the state’s emergency resources.\u003c/p>\n\u003cp>“Definitely the drawdown of resources was extraordinarily apparent,” Foley said of his recent stint on the SCU Complex. “You know, a fire of that size by itself would probably have 3,000 people or more, and there were less than 2,000. So, with resources being spread so thin, it was very complicated because we just don’t have the ability to move as quickly as you might under different circumstances.”\u003c/p>\n\u003cp>For mutual aid assistance, the Oakland Fire Department deploys up to five of its engines, with 25 firefighters and command staff at any one time. This season, Foley said, the department has consistently “maxed out” its resources, with crews currently deployed to four fires around the state, including the \u003ca href=\"https://www.fire.ca.gov/incidents/2020/9/27/glass-fire/\">Glass Fire\u003c/a> in North Bay.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>“We have a minimum staffing level [in Oakland] that we maintain regardless of the circumstances, regardless of what’s going on around us,” he said. But that often requires firefighters at home to work extra shifts to fill in the gaps, he said, and gives those returning from wildland assignments less time to recuperate. “As the seasons get longer and longer, you definitely do start to feel it.”\u003c/p>\n\u003cp>In late summer, at the peak of the fire siege, more than 800 engines and over 3,000 personnel, mostly from city and county fire departments, were helping battle blazes across the state, said Brian Ferguson, a spokesman for the California Office of Emergency Services, which oversees the mutual aid system.\u003c/p>\n\u003cp>“The mutual aid system is a really critical part of our ability to respond to wildfires,” he said. “It’s basically surge capacity for the state’s firefighting ability, particularly when we have great need, like this year.”\u003c/p>\n\u003cp>In addition to help from local departments, California has also become accustomed to requesting firefighting support from out of state, and even internationally, Ferguson said, noting that at one point in September, more than 18,000 firefighters — including those from local jurisdictions, National Guard troops and crews from Canada and \u003ca href=\"https://www.kqed.org/news/11839556/in-a-first-100-mexican-firefighters-arrive-in-california-to-help-battle-wildfires\">Mexico\u003c/a> — were battling blazes across the state.\u003c/p>\n\u003cp>There’s no doubt that current conditions are stretching the state’s firefighting system “to its limits,” he said. “There’s fears of what the impacts are on our system as a whole.”\u003c/p>\n\u003cp>That comes as little surprise to James Bowron, an OFD battalion chief from Station 17 in East Oakland, who in 2016, was the incident commander for the deadly \u003ca href=\"https://www.kqed.org/news/11747823/ghost-ship-trial-defense-accuses-fire-officials-of-shielding-city-from-civil-liability\">Ghost Ship fire\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“We did the math the other day. I think out of [the last] 42 days, I was deployed for 36 of them,” said Bowron, 43, who recently returned from two weeks on a strike team fighting the El Dorado Fire in San Bernardino National Forest. Shortly before that, he had worked the SCU Complex.\u003c/p>\n\u003cp>“I think everybody is pretty tired. I mean, back-to-back big fires; [the] season has been pretty relentless,” he said. “It’s really starting to tax the mutual aid system to the point that I haven’t seen before.”\u003c/p>\n\u003cp>Bowron had his first exposure to wildland firefighting more than 30 years ago, as part of a youth program in his hometown of Kenwood in rural Sonoma County, a region plagued by wildfires in recent years. At 18, just out of high school, he started working seasonally for Cal Fire before eventually finding longer-term jobs in city departments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>Bowron acknowledges that he’s hired to serve the city of Oakland, but feels duty bound to fight fires wherever help is needed.\u003c/p>\n\u003cp>“The way I look at it is that, you know, even though each of us, we represent the city we work for, when the state gets to a level like this, I mean, really, we do represent a state fire department,” he said. “These are the times where borders and boundaries drop and it’s all hands on deck and everyone has got to do their part to help bring these emergencies under control.”\u003c/p>\n\u003cp>But that comes with some serious sacrifices. Bowron has three young daughters who he often doesn’t even get a chance to say goodbye to when having to deploy at a moment’s notice.\u003c/p>\n\u003cp>“It’s very taxing on the family,” said Bowron, whose wife, a nurse at a Vallejo hospital, is also steeped in emergency work. “I have been very upfront with our daughters about what I do and the importance of sacrifice for the community … And they’re aware of that. But, you know, still, it’s not easy to have dad be gone for long stretches of time. I mean, there are definitely times where I get on the phone and they ask me when I’m coming home. And, you know, I’ve got to be like, ‘I’m coming home when the fire’s done.'”\u003c/p>\n\u003cp>But even as California’s wildfires intensify year over year, claiming additional ground and threatening more communities, Bowron remains optimistic that the state will be able to meet the challenge.\u003c/p>\n\u003cp>“Our state mutual aid system is probably the best. I mean, it’s really good,” he said. “It’s probably a blessing and a curse that just by the sheer amount of times we get to do it, we get pretty good at it.”\u003c/p>\n\u003cp>Bowron pauses for moment.\u003c/p>\n\u003cp>“Is it sustainable? It kind of has to be. We don’t really have a lot of other choices.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"slug": "nurses-begin-5-day-strike-at-several-alameda-county-hospitals",
"title": "Nurses Begin 5-Day Strike at Several Alameda County Hospitals",
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"content": "\u003cp>Hundreds of nurses walked off their jobs Wednesday at three hospitals in Alameda County as part of a five-day strike to call attention to stalled contract negotiations and their concerns about workplace and patient safety.\u003c/p>\n\u003cp>“[Personal protective equipment] is probably the biggest thing that we want. And safe staffing levels. We definitely don’t want to be laid off,” said Adrian Jackson, a respiratory care nurse at Highland Hospital in Oakland. “We just want to keep what we do have and make sure that we’re safely staffed.”\u003c/p>\n\u003cp>Wages are at stake, too, said Pete Castelli, public sector director for the California Nurses Association (CNA), which represents some of the nurses on strike.\u003c/p>\n\u003cp>“We’re at an impasse because management refuses to offer any substantive gains for nurses or even a market price so they can retain nurses and keep them working here,” Castelli said.\u003c/p>\n\u003cfigure id=\"attachment_11841461\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>About 150 nurses at San Leandro Hospital and 175 at Alameda Hospital are represented by the CNA, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union (SEIU) Local 1021, according to union representatives.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In addition to nurses, other SEIU members at Highland Hospital who work as technicians, clerks, housekeepers and social workers are joining the strike, bringing the total number of striking employees there to about 3,200, according to John Pearson, an SEIU chapter president.\u003c/p>\n\u003cp>The unions said they worked together to coordinate strikes at the same time.\u003c/p>\n\u003cp>[aside tag=\"nurses-strike\" label=\"related coverage\"]\u003c/p>\n\u003cp>The organization that manages all three hospitals, Alameda Health System (AHS), said it has brought in hundreds of replacement workers but has had to adjust service levels by canceling elective procedures and rescheduling appointments.\u003c/p>\n\u003cp>“We apologize to our patients and community health partners for any inconvenience they may experience due to postponement or reduction of some services during the strike,” wrote Terry Lightfoot, director of public affairs and community engagement for AHS, in a statement.\u003c/p>\n\u003cp>“While we are disappointed that the unions called this strike at a time when there are already extraordinary strains on health care providers, we encourage them to return to the bargaining table, where we can resolve our differences and reach agreement on a fair, mutually beneficial contract.”\u003c/p>\n\u003cp>In a memo to the Alameda County Board of Supervisors, the hospital system’s CEO, Delvecchio Finley, shared details of the management’s offers, which include a 2.5% raise in wages every year for the next three years and an additional 12 weeks of paid leave for anyone needing to care for a family member because of the COVID-19 pandemic.\u003c/p>\n\u003cp>“I implore the unions to please call off these strikes and let’s get back to trying to work together,” Finley wrote.\u003c/p>\n\u003cfigure id=\"attachment_11841465\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841465\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But union representatives said there are additional provisions they want to see, including guarantees of higher staffing levels, better access to PPE, more space for treating COVID-19 patients and better maintenance of hospital equipment.\u003c/p>\n\u003cp>“They have to respect the fact that we know what we need in order to take care of our patients,” said Karen Rothblatt, an operating room nurse at Alameda Hospital and a nurse’s representative for the CNA.\u003c/p>\n\u003cp>Representatives for both the CNA and SEIU are calling for the county Board of Supervisors to intervene in contract negotiations.\u003c/p>\n\u003cp>“We want to get back to work. We want to get back to taking care of our patients,” Rothblatt said. “The last thing nurses want to do is be on strike.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Shannon Lin contributed additional reporting to this story.\u003c/em>\u003c/p>\n\n",
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"title": "Nurses Begin 5-Day Strike at Several Alameda County Hospitals | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Hundreds of nurses walked off their jobs Wednesday at three hospitals in Alameda County as part of a five-day strike to call attention to stalled contract negotiations and their concerns about workplace and patient safety.\u003c/p>\n\u003cp>“[Personal protective equipment] is probably the biggest thing that we want. And safe staffing levels. We definitely don’t want to be laid off,” said Adrian Jackson, a respiratory care nurse at Highland Hospital in Oakland. “We just want to keep what we do have and make sure that we’re safely staffed.”\u003c/p>\n\u003cp>Wages are at stake, too, said Pete Castelli, public sector director for the California Nurses Association (CNA), which represents some of the nurses on strike.\u003c/p>\n\u003cp>“We’re at an impasse because management refuses to offer any substantive gains for nurses or even a market price so they can retain nurses and keep them working here,” Castelli said.\u003c/p>\n\u003cfigure id=\"attachment_11841461\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841461\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations.\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45249_011_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020, during a planned five-day strike over COVID-19 safety concerns and stalled contract negotiations. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>About 150 nurses at San Leandro Hospital and 175 at Alameda Hospital are represented by the CNA, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union (SEIU) Local 1021, according to union representatives.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In addition to nurses, other SEIU members at Highland Hospital who work as technicians, clerks, housekeepers and social workers are joining the strike, bringing the total number of striking employees there to about 3,200, according to John Pearson, an SEIU chapter president.\u003c/p>\n\u003cp>The unions said they worked together to coordinate strikes at the same time.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The organization that manages all three hospitals, Alameda Health System (AHS), said it has brought in hundreds of replacement workers but has had to adjust service levels by canceling elective procedures and rescheduling appointments.\u003c/p>\n\u003cp>“We apologize to our patients and community health partners for any inconvenience they may experience due to postponement or reduction of some services during the strike,” wrote Terry Lightfoot, director of public affairs and community engagement for AHS, in a statement.\u003c/p>\n\u003cp>“While we are disappointed that the unions called this strike at a time when there are already extraordinary strains on health care providers, we encourage them to return to the bargaining table, where we can resolve our differences and reach agreement on a fair, mutually beneficial contract.”\u003c/p>\n\u003cp>In a memo to the Alameda County Board of Supervisors, the hospital system’s CEO, Delvecchio Finley, shared details of the management’s offers, which include a 2.5% raise in wages every year for the next three years and an additional 12 weeks of paid leave for anyone needing to care for a family member because of the COVID-19 pandemic.\u003c/p>\n\u003cp>“I implore the unions to please call off these strikes and let’s get back to trying to work together,” Finley wrote.\u003c/p>\n\u003cfigure id=\"attachment_11841465\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11841465\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg\" alt=\"Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/10/RS45244_006_KQED_Alameda_AlamedaHospitalStrike_10072020-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Alameda Health System employees and supporters march outside of Alameda Hospital on Oct. 7, 2020. About 175 nurses at Alameda Hospital and 150 at San Leandro Hospital are represented by the California Nurses Association, while about 900 nurses at Highland Hospital are represented by the Service Employees International Union Local 1021, according to union representatives. \u003ccite>(Beth LaBerge/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But union representatives said there are additional provisions they want to see, including guarantees of higher staffing levels, better access to PPE, more space for treating COVID-19 patients and better maintenance of hospital equipment.\u003c/p>\n\u003cp>“They have to respect the fact that we know what we need in order to take care of our patients,” said Karen Rothblatt, an operating room nurse at Alameda Hospital and a nurse’s representative for the CNA.\u003c/p>\n\u003cp>Representatives for both the CNA and SEIU are calling for the county Board of Supervisors to intervene in contract negotiations.\u003c/p>\n\u003cp>“We want to get back to work. We want to get back to taking care of our patients,” Rothblatt said. “The last thing nurses want to do is be on strike.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED’s Shannon Lin contributed additional reporting to this story.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "cuando-debo-vacunarme-para-la-gripe",
"title": "¿Cuándo debo vacunarme para la gripe?",
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"content": "\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Leer en ingl\u003cspan style=\"font-weight: 400\">és\u003c/span>\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Los Centros para el Control y Prevención de Enfermedades (CDC por sus siglas en inglés) calculan que la influenza, o gripe, ha causado \u003ca href=\"https://espanol.cdc.gov/flu/about/burden/index.html\">entre 12,000 a 61,000 muertes\u003c/a> cada año desde 2010. La gripe es una enfermedad sumamente seria.\u003c/p>\n\u003cp>Además, con el impacto que ha tenido la pandemia este año, es importante hacer todo lo posible para mantenerse libre de la gripe.\u003c/p>\n\u003cp>Recibir una vacuna contra la gripe es la manera más segura para protegerse del virus de la influenza pero además reduce la probabilidad que transmita el virus a otras personas, en especial personas que corren un riesgo mayor de padecer complicaciones graves o hasta la muerte si es que son infectadas.\u003c/p>\n\u003cp>En una rueda de prensa el oficial ejecutivo del Condado de Santa Clara en la cual también presentó la disponibilidad de vacunas contra la influenza gratis, el Dr. Jeff Smith recalcó que esas vacunas no protegen contra el coronavirus que causa covid-19. Pero lo que la vacuna contra la influenza sí hará es “prevenir que acabes en el hospital”, lo que asegurará que las camillas en los centros médicos sigan disponibles para pacientes de covid-19.\u003c/p>\n\u003cp>Siga leyendo para saber si es mejor que reciba su vacuna para la gripe ahora o después, y también donde puede encontrar centros para vacunarse a bajo o sin costo cerca de usted.\u003c/p>\n\u003ch1>\u003cstrong>¿Debo vacunarme contra la gripe ahora o después?\u003c/strong>\u003c/h1>\n\u003cul>Toma dos semanas para que el sistema inmune desarrolle los anticuerpos luego de recibir la vacuna contra la gripe. Este hecho influye en las recomendaciones que expertos médicos hacen sobre cuándo vacunarse, según el profesor de medicina Dr. Peter Chin-Hong de UCSF.\u003c/ul>\n\u003cp>Los CDC \u003ca href=\"https://espanol.cdc.gov/flu/about/season/flu-season-2018-2019.htm\">recomiendan\u003c/a> que planeé recibir su vacuna contra la gripe “a inicios del otoño, antes de que inicie la temporada de gripe” y a más tardar antes de que termine octubre.\u003c/p>\n\u003cfigure id=\"attachment_11839377\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839377\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Luego de recibir la vacuna, toma dos semanas para que el cuerpo humano desarrolle los anticuerpos necesarios para protegerlo del virus de la influenza. (Queen’s University/Flickr) \u003ccite>((Queen's University/Flickr))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">Existe evidencia\u003c/a> de que el riesgo de contraer la influenza aumenta cada mes después de recibir la vacuna, dice Chin-Hong. Esto se debe a que el nivel de anticuerpos disminuye a lo largo del tiempo. Por su parte el Dr. Anthony Fauci, director del Instituto Nacional de Alergias y Enfermedades Infecciosas, mencionó recientemente que \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">él recibe su vacuna\u003c/a> a mediados o finales de octubre debido a su inmunidad decreciente.\u003c/p>\n\u003cp>Pero cuando expertos médicos mencionan que uno debe de esperar para recibir su vacuna contra la gripe, se refieren a personas que corren cierto riesgo de desarrollar complicaciones graves vinculadas a esta enfermedad, afirma Chin-Hong. Esto incluye a personas mayores de 65 años, personas con condiciones médicas crónicas, mujeres que planean un embarazo o que ya están embarazadas, y niños menores de 5 años.\u003c/p>\n\u003cp>La época ideal para que estas personas sean vacunadas es a mediados de octubre, recomienda Chin-Hong. Dos semanas después, al inicio de noviembre, el sistema inmune ha desarrollado los anticuerpos, justo a tiempo para cuando se intensifique la temporada de gripe. De esta manera, se aprovecha lo más que puede el impacto positivo de la vacuna, señala él.\u003c/p>\n\u003cp>¿Y si está en una de esas categorías vulnerables? Entonces sí puede considerar esperarse, dijo Chin-Hong. Quienes sean mayores de 65 años también pueden solicitar una vacuna diseñada en especial para este grupo demográfico, la cual contiene una dosis con cuatro veces más antígenos. Antígenos son las estructuras moleculares que inician la producción de los anticuerpos. Pero lo más importante es “no dudar tanto de que fecha es la ideal, ya que al final puede resultar que se le olvide recibir la vacuna”, dice Chin-Hong.\u003c/p>\n\u003cp>Pero si es que acaba demorando la fecha en que se vacuna, o simplemente se le olvida, no deje que esto prevenga que sea vacunado durante la temporada de gripe, dijo él. Chin-Hong se refiere a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\">un estudio publicado por UCSF\u003c/a>, el cual revela que tan solo un tercio de 437,000 estadounidenses entrevistados en una encuesta recibieron la vacuna entre el 2017 al 2019. No importa cuándo se vacune, lo que importa es que lo haga.\u003c/p>\n\u003cp>El Dr. Jeff Smith del condado de Santa Clara también señaló en su rueda de prensa que cuanto más se espere, menos protección contra el virus de la gripe tendrá. Por esa razón, vacunese “lo más pronto posible” ya que “esperar sólo resultará en una probabilidad más alta que contraiga la enfermedad”.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839378 alignnone\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna contra la gripe si tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si tiene seguro médico, una vacuna contra la gripe es gratis ya que es considerada como un servicio de cuidado preventivo si se la administra su doctor regular o alguna de las farmacias que incluimos a continuación.\u003c/ul>\n\u003cp>Asegúrese de usar su cubrebocas, guardar el distanciamiento social mientras espera por su vacuna, y llevar puesta una camisa que tenga mangas que se puedan alzar fácilmente, para facilitar la inyección.\u003c/p>\n\u003cp>\u003cstrong>Lugares comunes en donde puede recibir su vacuna contra la gripe, que no requieren cita o que puede llegar en su vehículo.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">La herramienta de los CDC para encontrar centros de vacunaci\u003cspan style=\"font-weight: 400\">ón\u003c/span>\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente en el norte de California\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://es.cvs.com/immunizations/flu\">Vacunas para la gripe de CVS\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñol)\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Vacunas para la gripe de Walgreens\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñ\u003c/span>ol)\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Vacunas para la gripe de Costco Pharmacy\u003c/a> (en inglés)\u003c/li>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna para la gripe si no tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si necesita una vacuna para la gripe pero no tiene seguro médico, puede recibir la vacuna sin costo alguno de ciertos proveedores de cuidado médico alrededor del Área de la Bahía. Si es que sí tiene seguro, también puede usar estos servicios pero puede elegir no hacerlo para que estos recursos sigan disponibles para quienes más los necesitan .\u003c/ul>\n\u003cp>El departamento de salud pública de su condado puede estar ofreciendo las vacunas. Por ejemplo, cada sábado hasta mediados de diciembre, el condado de Santa Clara está ofreciendo vacunas para la gripe gratis en los terrenos de la feria del condado en San José.\u003c/p>\n\u003cp>Cualquiera puede llegar a los terrenos de la feria caminando o en bicicleta (lugares de estacionamiento también están disponibles para personas con discapacidades), recibir su vacuna sin haber hecho cita y sin importar su estatus migratorio o falta de seguro médico. El único requisito es que lleve puesto su cubrebocas. El condado también ofrece vacunas contra la influenza en los centros Valley Health en San José y Sunnyvale.\u003c/p>\n\u003cp>Más información \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/home-es.aspx\">aquí\u003c/a>.\u003c/p>\n\u003ch1>\u003cstrong>Algunos lugares para recibir una vacuna contra la gripe gratis o de bajo costo en el Área de la Bahía:\u003c/strong>\u003c/h1>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">La clínica de salud p\u003cspan style=\"font-weight: 400\">ú\u003c/span>blica AITC de San Francisco\u003c/a> (ofrece una opción para que pague lo que pueda y sostiene que nadie será rechazado por no poder pagar)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Clínica de salud pública e inmunización de Contra Costa\u003c/a> (vacunas para la gripe cuestan $15 para adultos mayores de 19 años pero no tiene que pagar si no puede pagar)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Clínicas de inmunización del condado de Alameda\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch1>\u003cb>Y recuerde…la vacuna para la gripe no lo puede contagiar de la gripe\u003c/b>\u003c/h1>\n\u003cp>\u003cspan style=\"font-weight: 400\">La vacuna para la gripe contiene un virus que ha sido inactivado o debilitado, y por esa razón uno no se puede “contagiar de la gripe” cuando se vacuna, \u003ca href=\"https://espanol.cdc.gov/flu/prevent/misconceptions.htm\">según los CDC\u003c/a>. La vacuna contra la gripe puede provocar efectos secundarios de la misma manera que cualquier otro producto médico pero \u003ca href=\"https://espanol.cdc.gov/flu/prevent/general.htm\">la dependencia sostiene\u003c/a> que estos “son generalmente leves y desaparecen por sí solos en pocos días”.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Algunos efectos secundarios comunes pueden ser dolores o inflamación cerca del sitio en donde fue inyectado, dolores de cabeza, fiebres, náusea o hasta dolores musculares. Pero nunca será la gripe. \u003c/span>\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca>Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/kqedenespanol\" target=\"_blank\" rel=\"noopener noreferrer\">Leer más reportajes de KQED en Español. \u003c/a>\u003c/em>\u003cbr>\n[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"excerpt": "¿Debería vacunarse contra la gripe ahora mismo? Dónde encontrar vacunas contra la gripe gratuitas cerca de usted.",
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"title": "¿Cuándo debo vacunarme para la gripe? | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/news/11838604/when-should-you-get-your-flu-shot\">Leer en ingl\u003cspan style=\"font-weight: 400\">és\u003c/span>\u003c/a>\u003c/em>\u003c/p>\n\u003cp>Los Centros para el Control y Prevención de Enfermedades (CDC por sus siglas en inglés) calculan que la influenza, o gripe, ha causado \u003ca href=\"https://espanol.cdc.gov/flu/about/burden/index.html\">entre 12,000 a 61,000 muertes\u003c/a> cada año desde 2010. La gripe es una enfermedad sumamente seria.\u003c/p>\n\u003cp>Además, con el impacto que ha tenido la pandemia este año, es importante hacer todo lo posible para mantenerse libre de la gripe.\u003c/p>\n\u003cp>Recibir una vacuna contra la gripe es la manera más segura para protegerse del virus de la influenza pero además reduce la probabilidad que transmita el virus a otras personas, en especial personas que corren un riesgo mayor de padecer complicaciones graves o hasta la muerte si es que son infectadas.\u003c/p>\n\u003cp>En una rueda de prensa el oficial ejecutivo del Condado de Santa Clara en la cual también presentó la disponibilidad de vacunas contra la influenza gratis, el Dr. Jeff Smith recalcó que esas vacunas no protegen contra el coronavirus que causa covid-19. Pero lo que la vacuna contra la influenza sí hará es “prevenir que acabes en el hospital”, lo que asegurará que las camillas en los centros médicos sigan disponibles para pacientes de covid-19.\u003c/p>\n\u003cp>Siga leyendo para saber si es mejor que reciba su vacuna para la gripe ahora o después, y también donde puede encontrar centros para vacunarse a bajo o sin costo cerca de usted.\u003c/p>\n\u003ch1>\u003cstrong>¿Debo vacunarme contra la gripe ahora o después?\u003c/strong>\u003c/h1>\n\u003cul>Toma dos semanas para que el sistema inmune desarrolle los anticuerpos luego de recibir la vacuna contra la gripe. Este hecho influye en las recomendaciones que expertos médicos hacen sobre cuándo vacunarse, según el profesor de medicina Dr. Peter Chin-Hong de UCSF.\u003c/ul>\n\u003cp>Los CDC \u003ca href=\"https://espanol.cdc.gov/flu/about/season/flu-season-2018-2019.htm\">recomiendan\u003c/a> que planeé recibir su vacuna contra la gripe “a inicios del otoño, antes de que inicie la temporada de gripe” y a más tardar antes de que termine octubre.\u003c/p>\n\u003cfigure id=\"attachment_11839377\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839377\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Luego de recibir la vacuna, toma dos semanas para que el cuerpo humano desarrolle los anticuerpos necesarios para protegerlo del virus de la influenza. (Queen’s University/Flickr) \u003ccite>((Queen's University/Flickr))\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\">Existe evidencia\u003c/a> de que el riesgo de contraer la influenza aumenta cada mes después de recibir la vacuna, dice Chin-Hong. Esto se debe a que el nivel de anticuerpos disminuye a lo largo del tiempo. Por su parte el Dr. Anthony Fauci, director del Instituto Nacional de Alergias y Enfermedades Infecciosas, mencionó recientemente que \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">él recibe su vacuna\u003c/a> a mediados o finales de octubre debido a su inmunidad decreciente.\u003c/p>\n\u003cp>Pero cuando expertos médicos mencionan que uno debe de esperar para recibir su vacuna contra la gripe, se refieren a personas que corren cierto riesgo de desarrollar complicaciones graves vinculadas a esta enfermedad, afirma Chin-Hong. Esto incluye a personas mayores de 65 años, personas con condiciones médicas crónicas, mujeres que planean un embarazo o que ya están embarazadas, y niños menores de 5 años.\u003c/p>\n\u003cp>La época ideal para que estas personas sean vacunadas es a mediados de octubre, recomienda Chin-Hong. Dos semanas después, al inicio de noviembre, el sistema inmune ha desarrollado los anticuerpos, justo a tiempo para cuando se intensifique la temporada de gripe. De esta manera, se aprovecha lo más que puede el impacto positivo de la vacuna, señala él.\u003c/p>\n\u003cp>¿Y si está en una de esas categorías vulnerables? Entonces sí puede considerar esperarse, dijo Chin-Hong. Quienes sean mayores de 65 años también pueden solicitar una vacuna diseñada en especial para este grupo demográfico, la cual contiene una dosis con cuatro veces más antígenos. Antígenos son las estructuras moleculares que inician la producción de los anticuerpos. Pero lo más importante es “no dudar tanto de que fecha es la ideal, ya que al final puede resultar que se le olvide recibir la vacuna”, dice Chin-Hong.\u003c/p>\n\u003cp>Pero si es que acaba demorando la fecha en que se vacuna, o simplemente se le olvida, no deje que esto prevenga que sea vacunado durante la temporada de gripe, dijo él. Chin-Hong se refiere a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\">un estudio publicado por UCSF\u003c/a>, el cual revela que tan solo un tercio de 437,000 estadounidenses entrevistados en una encuesta recibieron la vacuna entre el 2017 al 2019. No importa cuándo se vacune, lo que importa es que lo haga.\u003c/p>\n\u003cp>El Dr. Jeff Smith del condado de Santa Clara también señaló en su rueda de prensa que cuanto más se espere, menos protección contra el virus de la gripe tendrá. Por esa razón, vacunese “lo más pronto posible” ya que “esperar sólo resultará en una probabilidad más alta que contraiga la enfermedad”.\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11839378 alignnone\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3-1-800x533.png\" alt=\"\" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1-1536x1024.png 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1.png 1900w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna contra la gripe si tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si tiene seguro médico, una vacuna contra la gripe es gratis ya que es considerada como un servicio de cuidado preventivo si se la administra su doctor regular o alguna de las farmacias que incluimos a continuación.\u003c/ul>\n\u003cp>Asegúrese de usar su cubrebocas, guardar el distanciamiento social mientras espera por su vacuna, y llevar puesta una camisa que tenga mangas que se puedan alzar fácilmente, para facilitar la inyección.\u003c/p>\n\u003cp>\u003cstrong>Lugares comunes en donde puede recibir su vacuna contra la gripe, que no requieren cita o que puede llegar en su vehículo.\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">La herramienta de los CDC para encontrar centros de vacunaci\u003cspan style=\"font-weight: 400\">ón\u003c/span>\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente en el norte de California\u003c/a> (en inglés)\u003c/li>\n\u003cli>\u003ca href=\"https://es.cvs.com/immunizations/flu\">Vacunas para la gripe de CVS\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñol)\u003c/span>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Vacunas para la gripe de Walgreens\u003c/a> (en espa\u003cspan style=\"font-weight: 400\">ñ\u003c/span>ol)\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Vacunas para la gripe de Costco Pharmacy\u003c/a> (en inglés)\u003c/li>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003cul>\n\u003cli style=\"list-style-type: none\">\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch1>\u003cstrong>¿Dónde puedo recibir una vacuna para la gripe si no tengo seguro médico?\u003c/strong>\u003c/h1>\n\u003cul>Si necesita una vacuna para la gripe pero no tiene seguro médico, puede recibir la vacuna sin costo alguno de ciertos proveedores de cuidado médico alrededor del Área de la Bahía. Si es que sí tiene seguro, también puede usar estos servicios pero puede elegir no hacerlo para que estos recursos sigan disponibles para quienes más los necesitan .\u003c/ul>\n\u003cp>El departamento de salud pública de su condado puede estar ofreciendo las vacunas. Por ejemplo, cada sábado hasta mediados de diciembre, el condado de Santa Clara está ofreciendo vacunas para la gripe gratis en los terrenos de la feria del condado en San José.\u003c/p>\n\u003cp>Cualquiera puede llegar a los terrenos de la feria caminando o en bicicleta (lugares de estacionamiento también están disponibles para personas con discapacidades), recibir su vacuna sin haber hecho cita y sin importar su estatus migratorio o falta de seguro médico. El único requisito es que lleve puesto su cubrebocas. El condado también ofrece vacunas contra la influenza en los centros Valley Health en San José y Sunnyvale.\u003c/p>\n\u003cp>Más información \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/home-es.aspx\">aquí\u003c/a>.\u003c/p>\n\u003ch1>\u003cstrong>Algunos lugares para recibir una vacuna contra la gripe gratis o de bajo costo en el Área de la Bahía:\u003c/strong>\u003c/h1>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">La clínica de salud p\u003cspan style=\"font-weight: 400\">ú\u003c/span>blica AITC de San Francisco\u003c/a> (ofrece una opción para que pague lo que pueda y sostiene que nadie será rechazado por no poder pagar)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Clínica de salud pública e inmunización de Contra Costa\u003c/a> (vacunas para la gripe cuestan $15 para adultos mayores de 19 años pero no tiene que pagar si no puede pagar)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Clínicas de inmunización del condado de Alameda\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch1>\u003cb>Y recuerde…la vacuna para la gripe no lo puede contagiar de la gripe\u003c/b>\u003c/h1>\n\u003cp>\u003cspan style=\"font-weight: 400\">La vacuna para la gripe contiene un virus que ha sido inactivado o debilitado, y por esa razón uno no se puede “contagiar de la gripe” cuando se vacuna, \u003ca href=\"https://espanol.cdc.gov/flu/prevent/misconceptions.htm\">según los CDC\u003c/a>. La vacuna contra la gripe puede provocar efectos secundarios de la misma manera que cualquier otro producto médico pero \u003ca href=\"https://espanol.cdc.gov/flu/prevent/general.htm\">la dependencia sostiene\u003c/a> que estos “son generalmente leves y desaparecen por sí solos en pocos días”.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Algunos efectos secundarios comunes pueden ser dolores o inflamación cerca del sitio en donde fue inyectado, dolores de cabeza, fiebres, náusea o hasta dolores musculares. Pero nunca será la gripe. \u003c/span>\u003c/p>\n\u003cp>\u003cem>Este artículo fue traducido por el periodista, \u003ca>Carlos Cabrera-Lomelí\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003cem>\u003ca href=\"https://www.kqed.org/kqedenespanol\" target=\"_blank\" rel=\"noopener noreferrer\">Leer más reportajes de KQED en Español. \u003c/a>\u003c/em>\u003cbr>\n\u003c/p>\u003c/div>",
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"content": "\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it’s always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it’s especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, “is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot “early in fall, before flu season begins,” and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> “towards the middle and end of October” because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, says Chin-Hong, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So if you’re in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, “Don’t hem and haw about when to get it,” — because there’s a risk you may wind up forgetting to get it at all. ”\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn’t stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot “as early as you possibly can,” he said, because “waiting only means that you have a higher likelihood of getting the flu.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you’re wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC’s Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county’s own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health’s AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">[ad fullwidth]\u003c/span>\u003c/p>\n\u003ch3>And a reminder … the flu vaccine can’t ‘give you the flu’\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren’t physically able to “get the flu” from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they’re “generally mild and go away on their own within a few days,” the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Centers for Disease Control and Prevention estimates that the flu has caused between \u003ca href=\"https://www.cdc.gov/flu/about/burden/\">12,000 and 61,000 deaths\u003c/a> annually since 2010. So it’s always serious business.\u003c/p>\n\u003cp>But this year, amid the coronavirus pandemic, it’s especially crucial to do everything you can to stay flu-free. Especially as \u003ca href=\"https://www.kqed.org/coronavirusliveupdates/news/11839496/california-officials-warn-the-flu-covid-19-could-overwhelm-hospitals\">officials are already warning\u003c/a> that a severe flu season could overwhelm California hospitals that are preparing for an uptick in COVID-19 cases as the economy further reopens.\u003c/p>\n\u003cp>Getting your flu shot is the best, safest way to not only protect yourself against the influenza virus, but also to minimize the chance you will spread it to others — folks who could be at far higher risk for serious complications or even death if they were to become infected.\u003c/p>\n\u003cp>In a recent press conference announcing the availability of free flu shots in Santa Clara County, county Executive Officer Dr. Jeff Smith issued a reminder that the flu vaccine will not protect against the coronavirus that causes COVID-19. But what the flu vaccine \u003cem>will\u003c/em> do, he said, “is prevent you from ending up in the hospital,” which will help ensure that beds are available for COVID-19 patients.\u003c/p>\n\u003cp>Read on to find out if you should be getting your flu shot right now, and where to find free or low-cost flu shot options near you.\u003c/p>\n\u003ch3>Should you get a flu shot now, or wait?\u003c/h3>\n\u003cp>The recommendations medical professionals make about when to get a flu shot are based on the fact that it takes about two weeks after you get vaccinated for antibodies to develop and provide protection against the flu, says UCSF professor of medicine Dr. Peter Chin-Hong.\u003c/p>\n\u003cp>The CDC \u003ca href=\"https://www.cdc.gov/flu/about/season/flu-season-2018-2019.htm#:~:text=It%20takes%20about%20two%20weeks,by%20the%20end%20of%20October.\">recommends\u003c/a> that you plan to get your flu shot “early in fall, before flu season begins,” and definitely by the end of October.\u003c/p>\n\u003cfigure id=\"attachment_11838737\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11838737\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots2.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots2-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">It takes two weeks after your flu shot for your body to develop the antibodies it needs to protect you from the flu virus. \u003ccite>(Queen's University/Flickr)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>There is \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/28039340/\" target=\"_blank\" rel=\"noopener noreferrer\">evidence\u003c/a>, Chin-Hong says, that your risk of getting the flu increases every month after your flu shot, due to the antibodies waning over time. (Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, recently said he \u003ca href=\"https://www.cnbc.com/2020/09/16/when-dr-anthony-fauci-gets-his-flu-shot-and-why.html\">gets his shot\u003c/a> “towards the middle and end of October” because of this diminishing immunity.)\u003c/p>\n\u003cp>But when medical professionals talk about strategically “waiting” to get a flu shot, says Chin-Hong, they’re aiming that advice at those who are at particularly high risk for more serious complications related to the flu. That includes people over 65, those with chronic medical conditions, women who are pregnant or planning a pregnancy, and kids under 5.\u003c/p>\n\u003cp>Delaying inoculations for these populations is based on the idea of getting the shot at a time Chin-Hong calls “the sweet spot,” around mid-to-late October. Two weeks later, right around early November, the antibodies should have developed, just as flu season is getting serious. Think of it as getting the “biggest bang for your buck,” he said.\u003c/p>\n\u003cp>So if you’re in one of those vulnerable categories? Yes, you can think about waiting, says Chin-Hong. People over 65 might also consider requesting the special flu vaccines for this age group, which contain four times the dosage of antigens that trigger the production of antibodies. But ultimately, he says, “Don’t hem and haw about when to get it,” — because there’s a risk you may wind up forgetting to get it at all. ”\u003c/p>\n\u003cp>And if you do delay and change your mind, or just forget, that shouldn’t stop you from getting the shot at a later date in the flu season, he says. Chin-Hong references\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7453691/\"> a recent UCSF study\u003c/a> that found just one-third of 437,000 Americans interviewed in an annual survey reported getting a flu shot from 2017-19. So, anytime is better than no time.\u003c/p>\n\u003cp>Santa Clara’s Dr. Jeff Smith also pointed out in his press conference that the longer you wait to get your flu shot, the more unprotected exposure to the virus you’ll put yourself through. So get your flu shot “as early as you possibly can,” he said, because “waiting only means that you have a higher likelihood of getting the flu.”\u003c/p>\n\u003cp>\u003cimg loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-11838740\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/shots3.png\" alt=\"\" width=\"1900\" height=\"1267\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-800x533.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1020x680.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-160x107.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/shots3-1536x1024.png 1536w\" sizes=\"auto, (max-width: 1900px) 100vw, 1900px\">\u003c/p>\n\u003ch3>Where can I get a flu shot if I have insurance?\u003c/h3>\n\u003cp>If you have health insurance, a flu shot is available free without cost as a preventive service from your usual doctor, or most pharmacies. (See below.)\u003c/p>\n\u003cp>Make sure you’re wearing your mask, maintain social distancing wherever possible while waiting for your shot, and dress in a top with sleeves you can easily pull up to your shoulder, to make receiving the injection even easier (and quicker.)\u003c/p>\n\u003cp>\u003cstrong>Common places to find a flu shot appointment, walk-in site or drive-thru flu shot:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://vaccinefinder.org/find-vaccine\">CDC’s Vaccine Finder tool\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://mydoctor.kaiserpermanente.org/ncal/cold-and-flu/prevention#/prevention\">Kaiser Permanente flu shots (Northern California) \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.cvs.com/immunizations/flu\">CVS flu shots\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.walgreens.com/topic/pharmacy/seasonal-flu.jsp?ban=flu_fy21_influenzapage\">Walgreens flu shots \u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.costco.com/Pharmacy/adult-immunization-program.html\">Costco Pharmacy flu shots\u003c/a>\u003c/li>\n\u003c/ul>\n\u003ch3>Where can I get a flu shot if I \u003cem>don’t\u003c/em> have health insurance?\u003c/h3>\n\u003cp>If you want a flu shot but don’t have health insurance, you can get the vaccine free of charge from several providers and community clinics around the Bay Area. (You can also technically use these free services even if you do have insurance, but you may consider choosing to free up these particular resources for those who are not covered.)\u003c/p>\n\u003cp>For a start, your county’s own public health department might offer them. For example, Santa Clara County is now offering free flu shots at the County Fairgrounds in San Jose, every Saturday until mid-December.\u003c/p>\n\u003cp>Anyone can walk or bike up to the fairgrounds (parking is also available for those with disabilities) without an appointment and get vaccinated, regardless of insurance or immigration status; you only need to wear a mask. Free flu shots are also available from the county at the Valley Health Centers in San Jose and Sunnyvale.\u003c/p>\n\u003cp>More info \u003ca href=\"https://www.sccgov.org/sites/covid19/Pages/press-release-09-17-20-free-flu-shots.aspx\">here\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Places to get a free or low-cost flu shot in the Bay Area include:\u003c/strong>\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.sfcdcp.org/aitc/aitc-regular-prices-low-cost-or-free-vaccines/\">San Francisco Public Health’s AITC Clinic\u003c/a> (offers a pay-what-you-can option, and says that nobody will be refused for inability to pay)\u003c/li>\n\u003cli>\u003ca href=\"https://cchealth.org/immunization/clinics.php#Uninsured\">Contra Costa Public Health Immunization Clinic\u003c/a> (flu shots are $15 for adults over 19, but fees may be waived if you’re unable to pay)\u003c/li>\n\u003cli>\u003ca href=\"http://www.acphd.org/media/394923/general-vaccinations-clinics-20200913-eng.pdf\">Alameda County Immunization Clinics\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cspan style=\"font-weight: 400;\">\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003ch3>And a reminder … the flu vaccine can’t ‘give you the flu’\u003c/h3>\n\u003cp>The virus that the flu shot contains has been inactivated or severely weakened, so you just aren’t physically able to “get the flu” from your flu shot, according to the \u003ca href=\"https://www.cdc.gov/flu/prevent/misconceptions.htm#:~:text=Can%20a%20flu%20vaccine%20give,protein%20from%20the%20flu%20virus.\" target=\"_blank\" rel=\"noopener noreferrer\">CDC\u003c/a>. The flu vaccine can cause side effects like any medical product, but they’re “generally mild and go away on their own within a few days,” the agency \u003ca href=\"https://www.cdc.gov/flu/prevent/general.htm\" target=\"_blank\" rel=\"noopener noreferrer\">says\u003c/a>.\u003c/p>\n\u003cp>Common flu shot side effects can include soreness or swelling at the injection site, headache, fever, nausea and muscle aches. But not flu.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Dr. Jessica Zitter specializes in critical and palliative care medicine and practices at Highland Hospital in Oakland, where she helps people with serious illness talk about how they want to live, all the way to the end.\u003c/p>\n\u003cp>Zitter says those are conversations we all should be having with our loved ones — even if we’re healthy and young. She is the author of \u003ca href=\"https://protect-us.mimecast.com/s/GEp6CyPmRxsNByzzfZXprl?domain=jessicazitter.com\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures: Finding a Better Path to the End of Life,\u003c/a> and her work has been featured in the documentary \u003ca href=\"https://www.netflix.com/title/80106307\">“Extremis”\u003c/a> on Netflix, as well as the forthcoming film \u003ca href=\"https://protect-us.mimecast.com/s/YsLqCzpn0ysRjmppUXnBtw?domain=caregiveralovestory.com\">“Caregiver: A Love Story.” \u003c/a>\u003c/p>\n\u003cp>Here are three stories about her patients, followed by some concrete tools you can use for planning and talking about the end of your life with loved ones.\u003c/p>\n\u003ch3>Michael Thomas: ‘Enjoying Every Moment’\u003c/h3>\n\u003cp>Michael Thomas is 64 and has COPD, a lung disease that makes it hard to breathe. He has already been in and out of the hospital several times this year and is particularly vulnerable if he were to get sick with COVID-19.\u003c/p>\n\u003cp>When Zitter talked with him over Zoom this spring, she asked him what he wanted most. His answer? To be with his children and grandchildren in Ohio. But he also said he didn’t feel a sense of urgency to visit them, because he believed he had plenty of time left.\u003c/p>\n\u003cfigure id=\"attachment_11838731\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838731\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg\" alt=\"Michael Thomas' family visits him in an Ohio hospital.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Thomas’ family visits him in an Ohio hospital. \u003ccite>(Courtesy of Michael Thomas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You are a more confident person than I am about myself!” Zitter told him. “I want to be totally frank with you, because I think you deserve that. I’m concerned you may not have as much time to live as you think you do. If someone told me, ‘Michael is going to die within the next six months,’ I would not be surprised.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Zitter said she has to steel herself to deliver this kind of news. But she believes her patients deserve to know the truth.\u003c/p>\n\u003cp>“I know you have some serious goals, and they include being with family,” she told Thomas. “I would hate for you to miss that opportunity.”\u003c/p>\n\u003cp>[pullquote size=\"medium\" align=\"right\" citation=\"Dr. Jessica Zitter, critical and palliative care specialist\"]‘This is really what palliative care is all about. It’s about how people want to live their lives. That informs how people want to die. But it really starts with how they want to live.’[/pullquote]\u003c/p>\n\u003cp>Thomas has since moved to Ohio to be close to his family — a decision sparked by his conversation with Zitter and Highland Hospital’s chaplain, Pastor Betty Clark.\u003c/p>\n\u003cp>“I didn’t want to come home. I didn’t want my family to see me in the condition that I’m in,” Thomas told Zitter over zoom after his move to Ohio. “That’s why I was hesitant to come. But then I know they love me so much. And here I am today, enjoying every moment.”\u003c/p>\n\u003cp>“It just shows that if we can just bring ourselves to just face our mortality and plan for it, we can get what Michael got,” Zitter said. “We can get this precious time with the people that he loved the most or whatever it is that’s most important to you.”\u003c/p>\n\u003cfigure id=\"attachment_11838351\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838351\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \u003ccite>(Courtesy of Jessica Zitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evelyn Jarillo: ‘It Makes You Think About Others’\u003c/h3>\n\u003cp>Evelyn Jarillo is a grocery store worker in Los Angeles who got sick with COVID-19 in March. She recovered, but her husband, who has diabetes, also tested positive and is still suffering from health complications. She’s also worried about her 22-year-old son.\u003c/p>\n\u003cp>“When you’re sick and you’re feeling the way you feel, it makes you think about others,” Jarillo told Zitter when they spoke by Zoom recently. “It made you think about what happens if my son gets sick, what happens if he doesn’t make it? No mother will be able to deal with [talking to] their kids about, ‘Son, if you die tomorrow, what do you want me to do?’ ”\u003c/p>\n\u003cp>“Wait, let me make sure I understand,” Zitter said. “Are you saying you can’t ask your son, ‘What you want me to do if you got COVID and you were in the hospital on a ventilator?’ You don’t feel like you could talk to him about that?”\u003c/p>\n\u003cp>“I can’t,” Jarillo told her.\u003c/p>\n\u003cp>“Evelyn saw something that most of us don’t get a chance to see,” said Zitter. “She saw the potential for death.”\u003c/p>\n\u003cp>Like many of us, when Jarillo thought about members of her family dying, she faced a mental block, Zitter said. It seemed easier for Jarillo to share her thoughts about flower arrangements for her own funeral than to think about tough topics like a do-not-resuscitate order or discussing it with her children.\u003c/p>\n\u003cp>[aside tag=\"end-of-life\" label=\"related coverage\"]\u003c/p>\n\u003cp>Zitter had a similar conversation with her own son on his 18th birthday by playing a game called \u003ca href=\"http://www.gowish.org/\">Go Wish\u003c/a>. The game helps families talk about their preferences around death and the important things they want to hold on to throughout the course of their life.\u003c/p>\n\u003cp>“Like Evelyn, the last thing I want to do is think about my children dying,” said Zitter. “It’s just grim. It’s horrifying. It feels in some ways like not what a mother does, right? A mother is supposed to focus on the positives, the weddings. We’re not supposed to focus on the deathbed moments of a child. But asking open-ended questions is something you can and should do with your family. Just leaving space for more.”\u003c/p>\n\u003cp>Zitter has conducted workshops on death and dying with teenagers. Just like sex education, she says, there should be a place for death education in high schools.\u003c/p>\n\u003ch3>Andrew Rich: ‘This Is Where I Want to Die’\u003c/h3>\n\u003cfigure id=\"attachment_11838192\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838192\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg\" alt=\"\" width=\"800\" height=\"803\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1020x1024.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-160x161.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1530x1536.jpg 1530w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut.jpg 1904w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Rich with his dad, Neville Rich. \u003ccite>(Courtesy of Andrew Rich.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrew Rich traveled to Sonoma early in the pandemic to celebrate his dad’s 92nd birthday. During the visit, his father got sick. They didn’t realize it was COVID-19, and when his father had great difficulty breathing, the family decided to bring him to an emergency room. He spent two weeks on a ventilator and then died alone in the hospital, because COVID-19 rules meant no one could visit him.\u003c/p>\n\u003cp>Rich said that was not what his dad had planned when he imagined his death.\u003c/p>\n\u003cp>“If we could rewind the clock two weeks to that Sunday morning when he collapsed, if we could have put him back in bed and said, ‘Dad, there’s the high likelihood that you have COVID and you’re 92, what do you want to do?’ He absolutely would have said, ‘Leave me here. This is where I want to be. I want to be in this bedroom looking out in the valley. And if I die, this is where I want to die,’ ” Rich said.\u003c/p>\n\u003cp>“The best-laid plans can get completely upended in the face of fear and illness and symptoms and your family not being there with you,” said Zitter, who recommends that families talk proactively about their wishes. “These conversations have to happen early and frequently. We have to get over the fear of talking about it and make it part of our family’s conversations around the dinner table.”\u003c/p>\n\u003cp>Zitter said that she is “very much committed” to critical care medicine and said that it is “in some ways miraculous.” But Zitter says the medicine that keeps us alive should not distract us from the truth of our mortality.\u003c/p>\n\u003cp>“We’ve watched the rise of the hospital and the intensive care unit to the point that we’ve become enamored of the many interventions and treatments that we consider to be the offerings of our modern medical system,” she said. “We’ve really lost the discriminating power and allowed ourselves to get completely distracted from making the preparations we need to face death, from thinking about our deaths and how we want to live, right to the end.”\u003c/p>\n\u003cp>“This is really what palliative care is all about. It’s about how people want to live their lives,” Zitter said. “That informs how people want to die. But it really starts with how they want to live.”\u003c/p>\n\u003ch3>\u003cstrong>Resources\u003c/strong>\u003c/h3>\n\u003cp>Here are things you can do to prepare, no matter your age or health.\u003c/p>\n\u003cul>\n\u003cli>Play “\u003ca href=\"http://gowish.org/\">Go Wish\u003c/a>” with your loved ones. The game helps people start talking about what is most important to them in terms of health and life.\u003c/li>\n\u003cli>Have a conversation about death at the dinner table. The interactive website \u003ca href=\"https://deathoverdinner.org/\">Death Over Dinner\u003c/a> can help you plan your conversation.\u003c/li>\n\u003cli>Write up an \u003ca href=\"https://www.nhpco.org/patients-and-caregivers/advance-care-planning/advance-directives/downloading-your-states-advance-directive/\">Advance Directive\u003c/a> and give it to your doctors and your loved ones. This document should be reviewed whenever your medical condition changes or you learn new information about an illness or condition.\u003c/li>\n\u003cli>People with advanced illness who are considered to be at risk for a life-threatening clinical event should talk to their doctor about completing a \u003ca href=\"https://polst.org/form-patients\">POLST\u003c/a> form. A POLST form is a medical order that documents a person’s preferences for receiving or not receiving certain types of medical interventions (for example, chest compressions, a feeding tube or a breathing tube).\u003c/li>\n\u003cli>If needed, execute a \u003ca href=\"https://www.nolo.com/legal-encyclopedia/california-financial-power-of-attorney-31871.html\">Durable Financial Power of Attorney\u003c/a>, a simple way to arrange for someone to handle your finances, such a bills or insurance matters, if you are unable to do so yourself.\u003c/li>\n\u003cli>Write your \u003ca href=\"https://money.usnews.com/money/personal-finance/family-finance/articles/steps-to-writing-a-will\">last will and testament\u003c/a> and/or a \u003ca href=\"https://www.nextavenue.org/do-you-need-a-trust-for-your-estate-plan/\">revocable trust \u003c/a>to clarify and determine how your assets are distributed after death.\u003c/li>\n\u003cli>Consider what your preferences are for a memorial ceremony, and discuss it with your loved ones.\u003c/li>\n\u003c/ul>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=TJiY8duVgz0\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dr. Jessica Zitter specializes in critical and palliative care medicine and practices at Highland Hospital in Oakland, where she helps people with serious illness talk about how they want to live, all the way to the end.\u003c/p>\n\u003cp>Zitter says those are conversations we all should be having with our loved ones — even if we’re healthy and young. She is the author of \u003ca href=\"https://protect-us.mimecast.com/s/GEp6CyPmRxsNByzzfZXprl?domain=jessicazitter.com\" target=\"_blank\" rel=\"noopener noreferrer\">Extreme Measures: Finding a Better Path to the End of Life,\u003c/a> and her work has been featured in the documentary \u003ca href=\"https://www.netflix.com/title/80106307\">“Extremis”\u003c/a> on Netflix, as well as the forthcoming film \u003ca href=\"https://protect-us.mimecast.com/s/YsLqCzpn0ysRjmppUXnBtw?domain=caregiveralovestory.com\">“Caregiver: A Love Story.” \u003c/a>\u003c/p>\n\u003cp>Here are three stories about her patients, followed by some concrete tools you can use for planning and talking about the end of your life with loved ones.\u003c/p>\n\u003ch3>Michael Thomas: ‘Enjoying Every Moment’\u003c/h3>\n\u003cp>Michael Thomas is 64 and has COPD, a lung disease that makes it hard to breathe. He has already been in and out of the hospital several times this year and is particularly vulnerable if he were to get sick with COVID-19.\u003c/p>\n\u003cp>When Zitter talked with him over Zoom this spring, she asked him what he wanted most. His answer? To be with his children and grandchildren in Ohio. But he also said he didn’t feel a sense of urgency to visit them, because he believed he had plenty of time left.\u003c/p>\n\u003cfigure id=\"attachment_11838731\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838731\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg\" alt=\"Michael Thomas' family visits him in an Ohio hospital.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped-1536x864.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44913_Michael-Thomas-with-family_cropped.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Michael Thomas’ family visits him in an Ohio hospital. \u003ccite>(Courtesy of Michael Thomas)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“You are a more confident person than I am about myself!” Zitter told him. “I want to be totally frank with you, because I think you deserve that. I’m concerned you may not have as much time to live as you think you do. If someone told me, ‘Michael is going to die within the next six months,’ I would not be surprised.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zitter said she has to steel herself to deliver this kind of news. But she believes her patients deserve to know the truth.\u003c/p>\n\u003cp>“I know you have some serious goals, and they include being with family,” she told Thomas. “I would hate for you to miss that opportunity.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "‘This is really what palliative care is all about. It’s about how people want to live their lives. That informs how people want to die. But it really starts with how they want to live.’",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Thomas has since moved to Ohio to be close to his family — a decision sparked by his conversation with Zitter and Highland Hospital’s chaplain, Pastor Betty Clark.\u003c/p>\n\u003cp>“I didn’t want to come home. I didn’t want my family to see me in the condition that I’m in,” Thomas told Zitter over zoom after his move to Ohio. “That’s why I was hesitant to come. But then I know they love me so much. And here I am today, enjoying every moment.”\u003c/p>\n\u003cp>“It just shows that if we can just bring ourselves to just face our mortality and plan for it, we can get what Michael got,” Zitter said. “We can get this precious time with the people that he loved the most or whatever it is that’s most important to you.”\u003c/p>\n\u003cfigure id=\"attachment_11838351\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838351\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg\" alt=\"Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \" width=\"800\" height=\"533\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut-1536x1024.jpg 1536w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44911_Jessica-Zitter-Evan-Rusoja-with-patient-qut.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Jessica Zitter with a patient at Highland Hospital in Oakland. \u003ccite>(Courtesy of Jessica Zitter)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003ch3>Evelyn Jarillo: ‘It Makes You Think About Others’\u003c/h3>\n\u003cp>Evelyn Jarillo is a grocery store worker in Los Angeles who got sick with COVID-19 in March. She recovered, but her husband, who has diabetes, also tested positive and is still suffering from health complications. She’s also worried about her 22-year-old son.\u003c/p>\n\u003cp>“When you’re sick and you’re feeling the way you feel, it makes you think about others,” Jarillo told Zitter when they spoke by Zoom recently. “It made you think about what happens if my son gets sick, what happens if he doesn’t make it? No mother will be able to deal with [talking to] their kids about, ‘Son, if you die tomorrow, what do you want me to do?’ ”\u003c/p>\n\u003cp>“Wait, let me make sure I understand,” Zitter said. “Are you saying you can’t ask your son, ‘What you want me to do if you got COVID and you were in the hospital on a ventilator?’ You don’t feel like you could talk to him about that?”\u003c/p>\n\u003cp>“I can’t,” Jarillo told her.\u003c/p>\n\u003cp>“Evelyn saw something that most of us don’t get a chance to see,” said Zitter. “She saw the potential for death.”\u003c/p>\n\u003cp>Like many of us, when Jarillo thought about members of her family dying, she faced a mental block, Zitter said. It seemed easier for Jarillo to share her thoughts about flower arrangements for her own funeral than to think about tough topics like a do-not-resuscitate order or discussing it with her children.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Zitter had a similar conversation with her own son on his 18th birthday by playing a game called \u003ca href=\"http://www.gowish.org/\">Go Wish\u003c/a>. The game helps families talk about their preferences around death and the important things they want to hold on to throughout the course of their life.\u003c/p>\n\u003cp>“Like Evelyn, the last thing I want to do is think about my children dying,” said Zitter. “It’s just grim. It’s horrifying. It feels in some ways like not what a mother does, right? A mother is supposed to focus on the positives, the weddings. We’re not supposed to focus on the deathbed moments of a child. But asking open-ended questions is something you can and should do with your family. Just leaving space for more.”\u003c/p>\n\u003cp>Zitter has conducted workshops on death and dying with teenagers. Just like sex education, she says, there should be a place for death education in high schools.\u003c/p>\n\u003ch3>Andrew Rich: ‘This Is Where I Want to Die’\u003c/h3>\n\u003cfigure id=\"attachment_11838192\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11838192\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg\" alt=\"\" width=\"800\" height=\"803\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-800x803.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1020x1024.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-160x161.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut-1530x1536.jpg 1530w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/RS44908_Andrew-Neville-smiling-qut.jpg 1904w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrew Rich with his dad, Neville Rich. \u003ccite>(Courtesy of Andrew Rich.)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrew Rich traveled to Sonoma early in the pandemic to celebrate his dad’s 92nd birthday. During the visit, his father got sick. They didn’t realize it was COVID-19, and when his father had great difficulty breathing, the family decided to bring him to an emergency room. He spent two weeks on a ventilator and then died alone in the hospital, because COVID-19 rules meant no one could visit him.\u003c/p>\n\u003cp>Rich said that was not what his dad had planned when he imagined his death.\u003c/p>\n\u003cp>“If we could rewind the clock two weeks to that Sunday morning when he collapsed, if we could have put him back in bed and said, ‘Dad, there’s the high likelihood that you have COVID and you’re 92, what do you want to do?’ He absolutely would have said, ‘Leave me here. This is where I want to be. I want to be in this bedroom looking out in the valley. And if I die, this is where I want to die,’ ” Rich said.\u003c/p>\n\u003cp>“The best-laid plans can get completely upended in the face of fear and illness and symptoms and your family not being there with you,” said Zitter, who recommends that families talk proactively about their wishes. “These conversations have to happen early and frequently. We have to get over the fear of talking about it and make it part of our family’s conversations around the dinner table.”\u003c/p>\n\u003cp>Zitter said that she is “very much committed” to critical care medicine and said that it is “in some ways miraculous.” But Zitter says the medicine that keeps us alive should not distract us from the truth of our mortality.\u003c/p>\n\u003cp>“We’ve watched the rise of the hospital and the intensive care unit to the point that we’ve become enamored of the many interventions and treatments that we consider to be the offerings of our modern medical system,” she said. “We’ve really lost the discriminating power and allowed ourselves to get completely distracted from making the preparations we need to face death, from thinking about our deaths and how we want to live, right to the end.”\u003c/p>\n\u003cp>“This is really what palliative care is all about. It’s about how people want to live their lives,” Zitter said. “That informs how people want to die. But it really starts with how they want to live.”\u003c/p>\n\u003ch3>\u003cstrong>Resources\u003c/strong>\u003c/h3>\n\u003cp>Here are things you can do to prepare, no matter your age or health.\u003c/p>\n\u003cul>\n\u003cli>Play “\u003ca href=\"http://gowish.org/\">Go Wish\u003c/a>” with your loved ones. The game helps people start talking about what is most important to them in terms of health and life.\u003c/li>\n\u003cli>Have a conversation about death at the dinner table. The interactive website \u003ca href=\"https://deathoverdinner.org/\">Death Over Dinner\u003c/a> can help you plan your conversation.\u003c/li>\n\u003cli>Write up an \u003ca href=\"https://www.nhpco.org/patients-and-caregivers/advance-care-planning/advance-directives/downloading-your-states-advance-directive/\">Advance Directive\u003c/a> and give it to your doctors and your loved ones. This document should be reviewed whenever your medical condition changes or you learn new information about an illness or condition.\u003c/li>\n\u003cli>People with advanced illness who are considered to be at risk for a life-threatening clinical event should talk to their doctor about completing a \u003ca href=\"https://polst.org/form-patients\">POLST\u003c/a> form. A POLST form is a medical order that documents a person’s preferences for receiving or not receiving certain types of medical interventions (for example, chest compressions, a feeding tube or a breathing tube).\u003c/li>\n\u003cli>If needed, execute a \u003ca href=\"https://www.nolo.com/legal-encyclopedia/california-financial-power-of-attorney-31871.html\">Durable Financial Power of Attorney\u003c/a>, a simple way to arrange for someone to handle your finances, such a bills or insurance matters, if you are unable to do so yourself.\u003c/li>\n\u003cli>Write your \u003ca href=\"https://money.usnews.com/money/personal-finance/family-finance/articles/steps-to-writing-a-will\">last will and testament\u003c/a> and/or a \u003ca href=\"https://www.nextavenue.org/do-you-need-a-trust-for-your-estate-plan/\">revocable trust \u003c/a>to clarify and determine how your assets are distributed after death.\u003c/li>\n\u003cli>Consider what your preferences are for a memorial ceremony, and discuss it with your loved ones.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>Blazing New Paths to Better Study and Respond to Wildfires\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Record-breaking, deadly wildfires are ripping through the West Coast, burning millions of acres, destroying thousands of structures and leading to the evacuation of half a million people in Oregon alone. In California, October is the month historically associated with the most destructive wildfires in the state. But this year, California wildfires have already burned more than 3 million acres, shattering the previous record set in 2018. According to Cal Fire, nearly 15,000 firefighters are currently battling 28 major blazes across the state that have claimed at least 12 lives and forced thousands of residents to flee their homes. But amid the destruction comes opportunity, guided by science. Last week, San José State University recently unveiled a new academic wildfire research center, the largest one of its kind in the nation. The scientists and professors there span a range of disciplines — from meteorology to ecology to social science — to pioneer new tools and techniques to better study, predict and adapt to living with wildfires made more intense by climate change. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Craig Clements, professor of meteorology and director, Wildfire Interdisciplinary Research Center, San José State University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Amanda Stasiewicz, assistant professor of wildfire management, Wildfire Interdisciplinary Research Center, San José State University \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>The COVID-19 Vaccine Arms Race\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">There are roughly 170 COVID-19 vaccine candidates being developed around the world right now, according to the World Health Organization. This week, a Phase 3 clinical trial of a vaccine candidate being developed by AstraZeneca and Oxford University was halted temporarily to investigate whether the vaccine was responsible for one of the study participants falling ill. Earlier this month, the Centers for Disease Control and Prevention informed public health officials across the U.S. to prepare to distribute a vaccine as early as October or November. The Trump administration has already spent $10 billion to invest in the development of a coronavirus vaccine with the goal of distributing 300 million doses by January 2021. But concerns are mounting that the race to develop a vaccine is being politicized and rushed out to help President Trump win reelection in November. Access to a safe and effective vaccine may also be an issue, with priority being given to health care workers and first responders but not necessarily to communities who have been disproportionately impacted by the coronavirus. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Yvonne Maldonado, professor of pediatrics and infectious disease epidemiologist, Stanford University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Peter Chin-Hong, professor of medicine and infectious disease specialist, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>Blazing New Paths to Better Study and Respond to Wildfires\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Record-breaking, deadly wildfires are ripping through the West Coast, burning millions of acres, destroying thousands of structures and leading to the evacuation of half a million people in Oregon alone. In California, October is the month historically associated with the most destructive wildfires in the state. But this year, California wildfires have already burned more than 3 million acres, shattering the previous record set in 2018. According to Cal Fire, nearly 15,000 firefighters are currently battling 28 major blazes across the state that have claimed at least 12 lives and forced thousands of residents to flee their homes. But amid the destruction comes opportunity, guided by science. Last week, San José State University recently unveiled a new academic wildfire research center, the largest one of its kind in the nation. The scientists and professors there span a range of disciplines — from meteorology to ecology to social science — to pioneer new tools and techniques to better study, predict and adapt to living with wildfires made more intense by climate change. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Craig Clements, professor of meteorology and director, Wildfire Interdisciplinary Research Center, San José State University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Amanda Stasiewicz, assistant professor of wildfire management, Wildfire Interdisciplinary Research Center, San José State University \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>The COVID-19 Vaccine Arms Race\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">There are roughly 170 COVID-19 vaccine candidates being developed around the world right now, according to the World Health Organization. This week, a Phase 3 clinical trial of a vaccine candidate being developed by AstraZeneca and Oxford University was halted temporarily to investigate whether the vaccine was responsible for one of the study participants falling ill. Earlier this month, the Centers for Disease Control and Prevention informed public health officials across the U.S. to prepare to distribute a vaccine as early as October or November. The Trump administration has already spent $10 billion to invest in the development of a coronavirus vaccine with the goal of distributing 300 million doses by January 2021. But concerns are mounting that the race to develop a vaccine is being politicized and rushed out to help President Trump win reelection in November. Access to a safe and effective vaccine may also be an issue, with priority being given to health care workers and first responders but not necessarily to communities who have been disproportionately impacted by the coronavirus. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Yvonne Maldonado, professor of pediatrics and infectious disease epidemiologist, Stanford University\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Peter Chin-Hong, professor of medicine and infectious disease specialist, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It’s been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that’s turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you’re feeling the strain right now, you’re in no way alone. So we compiled a list of KQED’s most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don’t find what you’re looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">We have resources on finding culturally competent therapy that’s affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED’s Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, “As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.”\u003c/p>\n\u003cp>If you’re seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of… Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can’t take any more of what 2020 has to throw at you. Everyone’s situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it’s actively harmful to “put on a brave face”\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn’t feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn’t enough to preoccupy you, you’ve now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body’s health while you’re taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home’s interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can’t escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that’s not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn’t mean the world is ending. If that’s you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on “Doing the Best We Can” when you’re living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you’re at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>[hearken id=\"5870\" src=\"https://modules.wearehearken.com/kqed/embed/5870.js\"]\u003c/p>\n\u003cp>\u003cem>This post has been updated.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ca href=\"https://www.kqed.org/news/11838360/recursos-para-cuidar-su-salud-mental-durante-la-situacion-actual\">\u003cem>Leer en español\u003c/em>\u003c/a>\u003c/p>\n\u003cp>It’s been a week. A month. A year.\u003c/p>\n\u003cp>Even before wildfires devastated large parts of our home state, we were all dealing with a lot.\u003c/p>\n\u003cp>Most notably, a pandemic that continues to kill and sicken so many nationwide, and that’s turned our lives upside down. And much more besides.\u003c/p>\n\u003cp>If you’re feeling the strain right now, you’re in no way alone. So we compiled a list of KQED’s most useful, expert-verified resources and advice posts, for you to use and potentially share with your community.\u003c/p>\n\u003cp>Don’t find what you’re looking for? \u003ca href=\"#tellus\">Tell us what we can do to support you right now.\u003c/a>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">Where to Find Affordable, Culturally Competent Therapy in Bay Area and Beyond\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11837589\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837589\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/therapy.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/therapy-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">We have resources on finding culturally competent therapy that’s affordable \u003ccite>(Gender Spectrum Collection/Broadly)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>As KQED’s Nastia Voynovskaya writes in \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">this guide\u003c/a>, “As if being human in a world rife with systemic racism, patriarchy, homophobia, transphobia, ableism, environmental destruction and labor exploitation wasn’t already hard enough, the global pandemic and attendant economic crisis are making things that much more difficult for everyone, especially the most vulnerable among us.”\u003c/p>\n\u003cp>If you’re seeking professional support, or need extra assistance right now, consult the \u003ca href=\"https://www.kqed.org/arts/13881725/where-to-find-affordable-culturally-competent-therapy-in-bay-area-and-beyond\">list\u003c/a> of affordable and culturally competent therapy services and directories, as well as crisis hotlines. This guide focuses on low-cost and sliding scale practices, and how to find a therapist of color.\u003c/p>\n\u003cp>\u003cem>For further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/461/youre-ok-im-not-black-men-and-therapy\">You’re OK, I’m Not: Black Men and Therapy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003ch3>\u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">Specific Advice for Managing Anxiety in the Age of… Well, Everything\u003c/a>\u003c/h3>\n\u003cfigure id=\"attachment_11835622\" class=\"wp-caption alignnone\" style=\"max-width: 1900px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11835622\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/Anxiety.png\" alt=\"\" width=\"1900\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety.png 1900w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-800x539.png 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1020x687.png 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-160x108.png 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/Anxiety-1536x1035.png 1536w\" sizes=\"(max-width: 1900px) 100vw, 1900px\">\u003cfigcaption class=\"wp-caption-text\">Amid so many stressors, how can you safeguard your mental health? \u003ccite>(Loannes Marc/Pexels)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>We consulted experts on anxiety and stress management for these \u003ca href=\"https://www.kqed.org/news/11835324/managing-anxiety-in-the-age-of-everything\">concrete tips\u003c/a> on how to cope when it feels like you can’t take any more of what 2020 has to throw at you. Everyone’s situation and personal stressors are different, of course. But hopefully these ideas can provide at least some ways of working with your experiences and emotions, including:\u003c/p>\n\u003cul>\n\u003cli>Why it’s actively harmful to “put on a brave face”\u003c/li>\n\u003cli>Why you should learn to talk to yourself in the same voice you talk to friends with\u003c/li>\n\u003cli>How to channel positivity in a way that doesn’t feel fake\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading/listening: “\u003ca href=\"https://www.kqed.org/podcasts/521/holding-on-to-joy\">Holding on to Joy\u003c/a>” from podcast Truth Be Told.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>Be Sure to Protect Your Body From Wildfire Smoke\u003c/h3>\n\u003cfigure id=\"attachment_11834613\" class=\"wp-caption alignnone\" style=\"max-width: 1920px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11834613\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg\" alt=\"3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California.\" width=\"1920\" height=\"1280\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-800x533.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1020x680.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-160x107.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/08/RS44514_GettyImages-1261921915-qut-1536x1024.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">3M brand N95 particulate respirators are displayed on a table on July 28, 2020 in San Anselmo, California. \u003ccite>(Justin Sullivan/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cdiv>As if working to reduce your personal risk of transmitting or contracting COVID-19 wasn’t enough to preoccupy you, you’ve now got another very real threat to your lungs to consider: Wildfire smoke. The danger that unhealthy air quality poses to everyone affects everyone, so take the necessary steps protect your body’s health while you’re taking care of your mental wellbeing:\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cul>\n\u003cli>Check the air quality near you with \u003ca href=\"https://www.kqed.org/science/1930023/map-heres-your-daily-air-quality-report-for-the-bay-area\">our map\u003c/a>\u003c/li>\n\u003cli>See how to \u003ca href=\"https://www.kqed.org/science/1926793/protecting-your-health-from-toxic-wildfire-smoke\">protect your home’s interior\u003c/a> from wildfire smoke\u003c/li>\n\u003cli>Check which \u003ca href=\"https://www.kqed.org/news/11834305/masks-for-smoke-and-covid-19-what-kind-is-best\">masks are best for smoke\u003c/a> and which are most effective at reducing the risk of transmitting COVID-19\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>Further reading: \u003ca href=\"https://www.kqed.org/news/11837317/not-everyone-can-escape-the-smoke-inside-heres-how-to-support-them\">How you can directly support \u003c/a>vulnerable groups that can’t escape the smoke outside right now, including unhoused people.\u003c/em>\u003c/p>\n\u003ch3>Find Resources (and Comfort) for Parents and Caregivers\u003c/h3>\n\u003cfigure id=\"attachment_11837561\" class=\"wp-caption alignnone\" style=\"max-width: 797px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11837561\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/09/Motion-Light-Lab.png\" alt=\"\" width=\"797\" height=\"550\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab.png 797w, https://cdn.kqed.org/wp-content/uploads/sites/10/2020/09/Motion-Light-Lab-160x110.png 160w\" sizes=\"(max-width: 797px) 100vw, 797px\">\u003cfigcaption class=\"wp-caption-text\">Find a wealth of educational support from Mindshift, including ASL resources for Deaf students \u003ccite>(Motion Light Lab/YouTube)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With the start of the school year and the demands of supporting kids through remote, parents and caregivers are stretched beyond belief right now. And that’s not even \u003cem>including\u003c/em> how to explain to a child why the sky being smoky and dark doesn’t mean the world is ending. If that’s you, you might find the following helpful:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://www.kqed.org/podcasts/564/under-one-roof-doing-the-best-we-can\">Hear or read this episode\u003c/a> on “Doing the Best We Can” when you’re living, working and schooling under one roof during a pandemic, from our podcast Truth Be Told (and while you’re at it, take a look at the wisdom in their \u003ca href=\"https://www.kqed.org/podcasts/truthbetold\">archives\u003c/a>)\u003c/li>\n\u003cli>Check out \u003ca href=\"https://www.kqed.org/mindshift\">this wealth\u003c/a> of educational resources from our \u003ca href=\"https://www.kqed.org/mindshift\">Mindshift\u003c/a> team, from \u003ca href=\"https://www.kqed.org/mindshift/56220/why-deaf-students-need-access-to-asl-stories-during-distance-learning\">ASL resources\u003c/a> for Deaf students to \u003ca href=\"https://www.kqed.org/mindshift/56580/how-fan-fiction-inspires-kids-to-read-and-write-and-write-and-write\">how to use fan fiction\u003c/a> to encourage kids to write. (Mindshift also has a \u003ca href=\"https://www.kqed.org/podcasts/mindshift\">podcast\u003c/a>.)\u003c/li>\n\u003c/ul>\n\u003ch3>\u003ca id=\"tellus\">\u003c/a>Tell Us: How Can We Further Support You?\u003c/h3>\n\u003cp>\u003c/p>\u003c/div>",
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"title": "Dentists at San Quentin Say Their Pleas to Reduce Risk of COVID-19 Spread Were Ignored",
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"content": "\u003cp>Dentists at the San Quentin State Prison clinic said they’d been pushing for crucial workplace safety improvements for months before state regulators intervened and shut down key operations.\u003c/p>\n\u003cp>Regulators with the California Division of Occupational Safety and Health (\u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/Health-Care-General-Industry.html\" target=\"_blank\" rel=\"noopener noreferrer\">Cal/OSHA\u003c/a>) had posted a red tag Wednesday at the clinic, declaring certain parts off limits and certain procedures as “dangerous.” Regulators said the hazardous work conditions “contributed to the spread of SARS-CoV-2 in the workplace.”\u003c/p>\n\u003cp>San Quentin has seen the largest coronavirus outbreak in the state prison system. More than 2,200 people incarcerated there have \u003ca href=\"https://www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">tested positive\u003c/a> for COVID-19 and 26 have died from the virus. More than 270 \u003ca href=\"https://www.cdcr.ca.gov/covid19/cdcr-cchcs-covid-19-status/\" target=\"_blank\" rel=\"noopener noreferrer\">staff\u003c/a> have been infected and one has died, according to the California Department of Corrections and Rehabilitation (CDCR).\u003c/p>\n\u003cp>The dental clinic, which treats people incarcerated at the prison, employs six dentists, three of whom agreed to share their concerns with KQED on the condition that they not to be named, for fear of losing their jobs.\u003c/p>\n\u003cp>The dentists, who are members of a public policy committee for the Union of American Physicians and Dentists, said San Quentin officials had repeatedly failed to address their concerns about the risks of spreading COVID-19 through dental exams and procedures.\u003c/p>\n\u003cp>“I could not trust my job to keep me safe,” one of the dentists said Friday. “I was terrified of bringing it home.”\u003c/p>\n\u003cp>A few days after statewide shelter-in-place orders were imposed, the California Dental Association issued \u003ca href=\"https://www.cda.org/Portals/0/pr_0320_CDA_recommends_suspending_nonurgent_care.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> that dentists should immediately suspend all non-essential, non-emergency procedures for the next 14 days.\u003c/p>\n\u003cp>At San Quentin, however, the dentists said their supervisor ordered them to continue routine screenings of inmates transferring in from county jails, a task that entailed putting dozens of men together in holding cages and checking each person for broken jaw bones or signs of infection. Adding to their concerns, the dentists said incoming inmates were not being quarantined upon arrival for 14 days at that time.\u003c/p>\n\u003cp>“Just looking in their mouths is putting us at risk,” one dentist said. “We were just told, ‘Do your job.’ ”\u003c/p>\n\u003cp>On March 23, all but one of the San Quentin dentists refused to do the screenings.\u003c/p>\n\u003cp>One day later, on March 24, the head of dentistry at CDCR adopted a new policy to end non-urgent dental screenings.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nonetheless, a month later, the dentists who had refused to do the screenings said they were “written up” for defying orders, a first step in a progressive disciplinary process that can lead to a cut in pay or termination.\u003c/p>\n\u003cp>Some of the dentists said they were also disciplined for questioning the prison’s COVID-19 safety guidelines.\u003c/p>\n\u003cp>“We have a saying down there [in dental],” one of them said. “You want to get a write up? Ask a question, especially one about safety.”\u003c/p>\n\u003cp>Some of the questions the dentists said they asked included, “We don’t know what the level of filtration is for the air in the dental unit. Can you evaluate these rooms? Do we have proper ventilation? What is our risk?”\u003c/p>\n\u003cp>One dentist said, “They tried to muzzle us!”\u003c/p>\n\u003cp>In an email last Friday, CDCR spokeswoman Dana Simas called the health and safety of employees the agency’s “top priority.”\u003c/p>\n\u003cp>Simas said prison officials will work closely with the Department of Industrial Relations, Cal/OSHA’s parent agency, “to fully explain all of the actions San Quentin’s Dental Program has taken during the COVID-19 pandemic and to directly address OSHA’s concerns.”\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"cdcr\"]\u003c/p>\n\u003cp>Many emergency or urgent dental procedures, such as tooth extraction, involve drilling and spraying water and air inside a patient’s mouth and can produce droplets that can spread and infect others.\u003c/p>\n\u003cp>All three dentists who spoke with KQED said their repeated requests for better safety equipment protections were ignored or refused.\u003c/p>\n\u003cp>The dentists said they asked for specialized masks called PAPRs that include respirators to purify air for the wearer, but were told to make do with N95s.\u003c/p>\n\u003cp>They also asked for an auxiliary air filtering device that suctions and disinfects exhaled air from a patient’s mouth.\u003c/p>\n\u003cp>And they asked for air scrubbers to clean the air inside the dental clinic and prevent potentially infectious particles from being recirculated to the rest of the prison.\u003c/p>\n\u003cp>None of those requests were honored, they said.\u003c/p>\n\u003cp>“We went through this whole crisis at San Quentin and they didn’t give us one damn additional piece of equipment,” said one dentist.\u003c/p>\n\u003cp>In August, a Cal/OSHA inspector arrived at the dental clinic and started asking questions.\u003c/p>\n\u003cp>In a report last week, Cal/OSHA wrote that dental staff were being asked to perform “high-hazard” dental procedures that generated aerosols, or fine airborne particles, without the protection of specialized equipment, in locations that did not adequately limit the spread of airborne infections.\u003c/p>\n\u003cp>Cal/OSHA issued an Order Prohibiting Use, directing the clinic to stop all dental work that generates aerosols from a patient’s mouth, including drilling, until the prison can meet a list of safety conditions.\u003c/p>\n\u003cp>CDCR immediately requested a hearing, but after meeting with Cal/OSHA representatives Friday, said it is now working with the agency on an agreement.\u003c/p>\n\u003cp>Cal/OSHA is expected to issue an updated order this week.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Dentists at the San Quentin State Prison clinic said they’d been pushing for crucial workplace safety improvements for months before state regulators intervened and shut down key operations.\u003c/p>\n\u003cp>Regulators with the California Division of Occupational Safety and Health (\u003ca href=\"https://www.dir.ca.gov/dosh/coronavirus/Health-Care-General-Industry.html\" target=\"_blank\" rel=\"noopener noreferrer\">Cal/OSHA\u003c/a>) had posted a red tag Wednesday at the clinic, declaring certain parts off limits and certain procedures as “dangerous.” Regulators said the hazardous work conditions “contributed to the spread of SARS-CoV-2 in the workplace.”\u003c/p>\n\u003cp>San Quentin has seen the largest coronavirus outbreak in the state prison system. More than 2,200 people incarcerated there have \u003ca href=\"https://www.cdcr.ca.gov/covid19/population-status-tracking/\" target=\"_blank\" rel=\"noopener noreferrer\">tested positive\u003c/a> for COVID-19 and 26 have died from the virus. More than 270 \u003ca href=\"https://www.cdcr.ca.gov/covid19/cdcr-cchcs-covid-19-status/\" target=\"_blank\" rel=\"noopener noreferrer\">staff\u003c/a> have been infected and one has died, according to the California Department of Corrections and Rehabilitation (CDCR).\u003c/p>\n\u003cp>The dental clinic, which treats people incarcerated at the prison, employs six dentists, three of whom agreed to share their concerns with KQED on the condition that they not to be named, for fear of losing their jobs.\u003c/p>\n\u003cp>The dentists, who are members of a public policy committee for the Union of American Physicians and Dentists, said San Quentin officials had repeatedly failed to address their concerns about the risks of spreading COVID-19 through dental exams and procedures.\u003c/p>\n\u003cp>“I could not trust my job to keep me safe,” one of the dentists said Friday. “I was terrified of bringing it home.”\u003c/p>\n\u003cp>A few days after statewide shelter-in-place orders were imposed, the California Dental Association issued \u003ca href=\"https://www.cda.org/Portals/0/pr_0320_CDA_recommends_suspending_nonurgent_care.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">guidance\u003c/a> that dentists should immediately suspend all non-essential, non-emergency procedures for the next 14 days.\u003c/p>\n\u003cp>At San Quentin, however, the dentists said their supervisor ordered them to continue routine screenings of inmates transferring in from county jails, a task that entailed putting dozens of men together in holding cages and checking each person for broken jaw bones or signs of infection. Adding to their concerns, the dentists said incoming inmates were not being quarantined upon arrival for 14 days at that time.\u003c/p>\n\u003cp>“Just looking in their mouths is putting us at risk,” one dentist said. “We were just told, ‘Do your job.’ ”\u003c/p>\n\u003cp>On March 23, all but one of the San Quentin dentists refused to do the screenings.\u003c/p>\n\u003cp>One day later, on March 24, the head of dentistry at CDCR adopted a new policy to end non-urgent dental screenings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nonetheless, a month later, the dentists who had refused to do the screenings said they were “written up” for defying orders, a first step in a progressive disciplinary process that can lead to a cut in pay or termination.\u003c/p>\n\u003cp>Some of the dentists said they were also disciplined for questioning the prison’s COVID-19 safety guidelines.\u003c/p>\n\u003cp>“We have a saying down there [in dental],” one of them said. “You want to get a write up? Ask a question, especially one about safety.”\u003c/p>\n\u003cp>Some of the questions the dentists said they asked included, “We don’t know what the level of filtration is for the air in the dental unit. Can you evaluate these rooms? Do we have proper ventilation? What is our risk?”\u003c/p>\n\u003cp>One dentist said, “They tried to muzzle us!”\u003c/p>\n\u003cp>In an email last Friday, CDCR spokeswoman Dana Simas called the health and safety of employees the agency’s “top priority.”\u003c/p>\n\u003cp>Simas said prison officials will work closely with the Department of Industrial Relations, Cal/OSHA’s parent agency, “to fully explain all of the actions San Quentin’s Dental Program has taken during the COVID-19 pandemic and to directly address OSHA’s concerns.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Many emergency or urgent dental procedures, such as tooth extraction, involve drilling and spraying water and air inside a patient’s mouth and can produce droplets that can spread and infect others.\u003c/p>\n\u003cp>All three dentists who spoke with KQED said their repeated requests for better safety equipment protections were ignored or refused.\u003c/p>\n\u003cp>The dentists said they asked for specialized masks called PAPRs that include respirators to purify air for the wearer, but were told to make do with N95s.\u003c/p>\n\u003cp>They also asked for an auxiliary air filtering device that suctions and disinfects exhaled air from a patient’s mouth.\u003c/p>\n\u003cp>And they asked for air scrubbers to clean the air inside the dental clinic and prevent potentially infectious particles from being recirculated to the rest of the prison.\u003c/p>\n\u003cp>None of those requests were honored, they said.\u003c/p>\n\u003cp>“We went through this whole crisis at San Quentin and they didn’t give us one damn additional piece of equipment,” said one dentist.\u003c/p>\n\u003cp>In August, a Cal/OSHA inspector arrived at the dental clinic and started asking questions.\u003c/p>\n\u003cp>In a report last week, Cal/OSHA wrote that dental staff were being asked to perform “high-hazard” dental procedures that generated aerosols, or fine airborne particles, without the protection of specialized equipment, in locations that did not adequately limit the spread of airborne infections.\u003c/p>\n\u003cp>Cal/OSHA issued an Order Prohibiting Use, directing the clinic to stop all dental work that generates aerosols from a patient’s mouth, including drilling, until the prison can meet a list of safety conditions.\u003c/p>\n\u003cp>CDCR immediately requested a hearing, but after meeting with Cal/OSHA representatives Friday, said it is now working with the agency on an agreement.\u003c/p>\n\u003cp>Cal/OSHA is expected to issue an updated order this week.\u003c/p>\n\u003cp>\u003c/p>\n\u003c/div>\u003c/p>",
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}
},
"baycurious": {
"id": "baycurious",
"title": "Bay Curious",
"tagline": "Exploring the Bay Area, one question at a time",
"info": "KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/news/series/baycurious",
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"source": "kqed",
"order": 3
},
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"npr": "https://www.npr.org/podcasts/500557090/bay-curious",
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}
},
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"id": "bbc-world-service",
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"info": "The day's top stories from BBC News compiled twice daily in the week, once at weekends.",
"airtime": "MON-FRI 9pm-10pm, TUE-FRI 1am-2am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.bbc.co.uk/sounds/play/live:bbc_world_service",
"meta": {
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"source": "BBC World Service"
},
"link": "/radio/program/bbc-world-service",
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"apple": "https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2",
"tuneIn": "https://tunein.com/radio/BBC-World-Service-p455581/",
"rss": "https://podcasts.files.bbci.co.uk/p02nq0gn.rss"
}
},
"californiareport": {
"id": "californiareport",
"title": "The California Report",
"tagline": "California, day by day",
"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-California-Report-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/californiareport",
"meta": {
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"source": "kqed",
"order": 8
},
"link": "/californiareport",
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"amazon": "https://music.amazon.com/podcasts/26099305-72af-4542-9dde-ac1807fe36d5/kqed-s-the-california-report",
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}
},
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"title": "The California Report Magazine",
"tagline": "Your state, your stories",
"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
"airtime": "FRI 4:30pm-5pm, 6:30pm-7pm, 11pm-11:30pm",
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"officialWebsiteLink": "/californiareportmagazine",
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"order": 10
},
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM3NjkwNjk1OTAz",
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},
"city-arts": {
"id": "city-arts",
"title": "City Arts & Lectures",
"info": "A one-hour radio program to hear celebrated writers, artists and thinkers address contemporary ideas and values, often discussing the creative process. Please note: tapes or transcripts are not available",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/05/cityartsandlecture-300x300.jpg",
"officialWebsiteLink": "https://www.cityarts.net/",
"airtime": "SUN 1pm-2pm, TUE 10pm, WED 1am",
"meta": {
"site": "news",
"source": "City Arts & Lectures"
},
"link": "https://www.cityarts.net",
"subscribe": {
"tuneIn": "https://tunein.com/radio/City-Arts-and-Lectures-p692/",
"rss": "https://www.cityarts.net/feed/"
}
},
"closealltabs": {
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"officialWebsiteLink": "/podcasts/closealltabs",
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"source": "kqed",
"order": 1
},
"link": "/podcasts/closealltabs",
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"title": "Code Switch / Life Kit",
"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"meta": {
"site": "radio",
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},
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
"airtime": "THU 10pm, FRI 1am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg",
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"meta": {
"site": "news",
"source": "Commonwealth Club of California"
},
"link": "/radio/program/commonwealth-club",
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"apple": "https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2",
"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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}
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"id": "forum",
"title": "Forum",
"tagline": "The conversation starts here",
"info": "KQED’s live call-in program discussing local, state, national and international issues, as well as in-depth interviews.",
"airtime": "MON-FRI 9am-11am, 10pm-11pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Forum-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED Forum with Mina Kim and Alexis Madrigal",
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"meta": {
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"source": "kqed",
"order": 9
},
"link": "/forum",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM5NTU3MzgxNjMz",
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"freakonomics-radio": {
"id": "freakonomics-radio",
"title": "Freakonomics Radio",
"info": "Freakonomics Radio is a one-hour award-winning podcast and public-radio project hosted by Stephen Dubner, with co-author Steve Levitt as a regular guest. It is produced in partnership with WNYC.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/freakonomicsRadio.png",
"officialWebsiteLink": "http://freakonomics.com/",
"airtime": "SUN 1am-2am, SAT 3pm-4pm",
"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"apple": "https://itunes.apple.com/us/podcast/freakonomics-radio/id354668519",
"tuneIn": "https://tunein.com/podcasts/WNYC-Podcasts/Freakonomics-Radio-p272293/",
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},
"fresh-air": {
"id": "fresh-air",
"title": "Fresh Air",
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"link": "/radio/program/fresh-air",
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=214089682&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/381444908/podcast.xml"
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"rss": "https://feeds.npr.org/510051/podcast.xml"
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},
"hidden-brain": {
"id": "hidden-brain",
"title": "Hidden Brain",
"info": "Shankar Vedantam uses science and storytelling to reveal the unconscious patterns that drive human behavior, shape our choices and direct our relationships.",
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"officialWebsiteLink": "https://www.npr.org/series/423302056/hidden-brain",
"airtime": "SUN 7pm-8pm",
"meta": {
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"source": "NPR"
},
"link": "/radio/program/hidden-brain",
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},
"how-i-built-this": {
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"title": "How I Built This with Guy Raz",
"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
"imageSrc": "https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/05/howIBuiltThis.png",
"officialWebsiteLink": "https://www.npr.org/podcasts/510313/how-i-built-this",
"airtime": "SUN 7:30pm-8pm",
"meta": {
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"source": "npr"
},
"link": "/radio/program/how-i-built-this",
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"apple": "https://itunes.apple.com/us/podcast/how-i-built-this-with-guy-raz/id1150510297?mt=2",
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},
"hyphenacion": {
"id": "hyphenacion",
"title": "Hyphenación",
"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2025/03/Hyphenacion_FinalAssets_PodcastTile.png",
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"officialWebsiteLink": "/podcasts/hyphenacion",
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"order": 15
},
"link": "/podcasts/hyphenacion",
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},
"jerrybrown": {
"id": "jerrybrown",
"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-Political-Mind-of-Jerry-Brown-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/jerrybrown",
"meta": {
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"source": "kqed",
"order": 18
},
"link": "/podcasts/jerrybrown",
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"apple": "https://itunes.apple.com/us/podcast/id1492194549",
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}
},
"latino-usa": {
"id": "latino-usa",
"title": "Latino USA",
"airtime": "MON 1am-2am, SUN 6pm-7pm",
"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
"officialWebsiteLink": "http://latinousa.org/",
"meta": {
"site": "news",
"source": "npr"
},
"link": "/radio/program/latino-usa",
"subscribe": {
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"apple": "https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory",
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"rss": "https://feeds.npr.org/510016/podcast.xml"
}
},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
"site": "news",
"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"rss": "https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"
}
},
"masters-of-scale": {
"id": "masters-of-scale",
"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Masters-of-Scale-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://mastersofscale.com/",
"meta": {
"site": "radio",
"source": "WaitWhat"
},
"link": "/radio/program/masters-of-scale",
"subscribe": {
"apple": "http://mastersofscale.app.link/",
"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
"subscribe": {
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
"npr": "https://www.npr.org/podcasts/464615685/mind-shift-podcast",
"stitcher": "https://www.stitcher.com/podcast/kqed/stories-teachers-share",
"spotify": "https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"
}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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