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"content": "\u003cp>A lot of Ron Fleming’s fellow soldiers spent the last five decades trying to forget what they saw and did in Vietnam. Now 74, Fleming has spent most of that time trying to hold on to it. He has never been as proud as he was when he was 21.\u003c/p>\n\u003cp>“I take issue with those who say we lost. We didn’t lose that war,” he said, sitting on the edge of his hospital bed at the \u003ca href=\"https://www.sanfrancisco.va.gov/\" target=\"_blank\" rel=\"noopener\">San Francisco VA medical center\u003c/a>. “Everywhere I went, we literally kicked the crap out of them.”\u003c/p>\n\u003cp>Fleming was a door gunner in the war, hanging out of a helicopter on a strap with a machine gun in his hands. He fought in the Tet Offensive, sometimes 40 hours straight, firing 6,000 rounds a minute. But he never gave much thought to catching one himself.\u003c/p>\n\u003cp>“You see, at 21, you’re bulletproof,” he said. “Dying wasn’t on the agenda.”\u003c/p>\n\u003cp>But now, it is. Fleming has congestive heart failure, arthritis and breathing problems. He often lands in the VA hospital with asthma attacks, and the palliative care team visits him regularly. He thinks about death.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I wish it’d get off its ass and come on me. I’m sick of this crap,” he said, as his heart rate monitor ticked up. “You see, dying’s the easy part. Living is what’s hard.”\u003c/p>\n\u003cp>Fleming has had trouble holding down a job since he got back from the war. He had a girl he lived with for 10 years, but they never married, never had kids. He lives alone in Oakland now. He says he angers easily and is always hypervigilant. About 10 years ago, he was diagnosed with PTSD. More than anything, he says, he suffers from a \"rotten outlook\" on life.\u003c/p>\n\u003cp>“Sometimes I think that now I’m being paid back for all the men I killed,” he said. “I killed a lot of them. More than I can count.”\u003c/p>\n\u003cp>Unlike Fleming, some Vietnam vets don’t find out they have PTSD until they have just months or weeks left to live. Symptoms of terminal illnesses, like pain or breathlessness, can trigger flashbacks, making vets feel as threatened as they did on the battlefield.\u003c/p>\n\u003cp>“The war memories start coming back, they start having nightmares,” said \u003ca href=\"https://profiles.stanford.edu/vj-periyakoil\" target=\"_blank\" rel=\"noopener\">VJ Periyakoil\u003c/a>, a palliative care physician at the VA in Palo Alto. She says opioid medications, like morphine and oxycodone, that are often used for treating pain and breathlessness can make PTSD symptoms worse.\u003c/p>\n\u003cp>“The side effect of those medications, they make you fuzzyheaded,” she said. “Your defenses that you use to cope with the PTSD, which might help repress a lot of the difficult memories, that coping strategy starts to come apart.”\u003c/p>\n\u003cp>She has had patients tell her: “I would much rather tolerate the physical pain, the cancer pain, than take opioids and my defenses crumble.”\u003c/p>\n\u003cp>Some vets see their pain or PTSD as retribution for their work in the line of duty.\u003c/p>\n\u003cp>“Sometimes I’ve had patients refuse medications that might ease their experiences because they feel that they deserve to suffer,” Periyakoil said. “This is redemptive.”\u003c/p>\n\u003cp>The best thing to do in these situations can be to stand down, she said. With weeks left to live, there isn’t enough time to resolve the mental anguish, and staff have to let patients set the pace and tone for their care.\u003c/p>\n\u003cp>But doctors and nurses, just like soldiers, hate doing nothing.\u003c/p>\n\u003cp>“We talk about the moral distress that \u003cem>we \u003c/em>have sometimes about really knowing that we’re doing the right thing for this individual, so that we can be present for \u003cem>their \u003c/em>suffering, the way \u003cem>they\u003c/em> need to do it,” said Patrice Villars, a hospice nurse at the San Francisco VA.\u003c/p>\n\u003cp>For Ron Fleming, death is still likely a couple of years out. His doctors have been begging him, gently, to consider mental health counseling or antidepressants. But he has refused.\u003c/p>\n\u003cp>“I don’t want to take psychiatric drugs. The vets call them the happy pills,” he said. “I don’t want any of those, because they change you. I don’t want to change.”\u003c/p>\n\u003cp>He’s not sure if he deserves to be happy.\u003c/p>\n\u003cp>“That I don’t know,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>His pain is what connects him to the past. Fleming was awarded 18 air medals for acts of meritorious achievement and heroism. The loss and grief he experienced in Vietnam are woven into the same memories of victory and glory. He doesn’t want treatment that might make that go away.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I wish it’d get off its ass and come on me. I’m sick of this crap,” he said, as his heart rate monitor ticked up. “You see, dying’s the easy part. Living is what’s hard.”\u003c/p>\n\u003cp>Fleming has had trouble holding down a job since he got back from the war. He had a girl he lived with for 10 years, but they never married, never had kids. He lives alone in Oakland now. He says he angers easily and is always hypervigilant. About 10 years ago, he was diagnosed with PTSD. More than anything, he says, he suffers from a \"rotten outlook\" on life.\u003c/p>\n\u003cp>“Sometimes I think that now I’m being paid back for all the men I killed,” he said. “I killed a lot of them. More than I can count.”\u003c/p>\n\u003cp>Unlike Fleming, some Vietnam vets don’t find out they have PTSD until they have just months or weeks left to live. Symptoms of terminal illnesses, like pain or breathlessness, can trigger flashbacks, making vets feel as threatened as they did on the battlefield.\u003c/p>\n\u003cp>“The war memories start coming back, they start having nightmares,” said \u003ca href=\"https://profiles.stanford.edu/vj-periyakoil\" target=\"_blank\" rel=\"noopener\">VJ Periyakoil\u003c/a>, a palliative care physician at the VA in Palo Alto. She says opioid medications, like morphine and oxycodone, that are often used for treating pain and breathlessness can make PTSD symptoms worse.\u003c/p>\n\u003cp>“The side effect of those medications, they make you fuzzyheaded,” she said. “Your defenses that you use to cope with the PTSD, which might help repress a lot of the difficult memories, that coping strategy starts to come apart.”\u003c/p>\n\u003cp>She has had patients tell her: “I would much rather tolerate the physical pain, the cancer pain, than take opioids and my defenses crumble.”\u003c/p>\n\u003cp>Some vets see their pain or PTSD as retribution for their work in the line of duty.\u003c/p>\n\u003cp>“Sometimes I’ve had patients refuse medications that might ease their experiences because they feel that they deserve to suffer,” Periyakoil said. “This is redemptive.”\u003c/p>\n\u003cp>The best thing to do in these situations can be to stand down, she said. With weeks left to live, there isn’t enough time to resolve the mental anguish, and staff have to let patients set the pace and tone for their care.\u003c/p>\n\u003cp>But doctors and nurses, just like soldiers, hate doing nothing.\u003c/p>\n\u003cp>“We talk about the moral distress that \u003cem>we \u003c/em>have sometimes about really knowing that we’re doing the right thing for this individual, so that we can be present for \u003cem>their \u003c/em>suffering, the way \u003cem>they\u003c/em> need to do it,” said Patrice Villars, a hospice nurse at the San Francisco VA.\u003c/p>\n\u003cp>For Ron Fleming, death is still likely a couple of years out. His doctors have been begging him, gently, to consider mental health counseling or antidepressants. But he has refused.\u003c/p>\n\u003cp>“I don’t want to take psychiatric drugs. The vets call them the happy pills,” he said. “I don’t want any of those, because they change you. I don’t want to change.”\u003c/p>\n\u003cp>He’s not sure if he deserves to be happy.\u003c/p>\n\u003cp>“That I don’t know,” he said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>His pain is what connects him to the past. Fleming was awarded 18 air medals for acts of meritorious achievement and heroism. The loss and grief he experienced in Vietnam are woven into the same memories of victory and glory. He doesn’t want treatment that might make that go away.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Depending on whom you ask, finding out whether your genes make you a better athlete or give you healthier skin may be as easy as swabbing your cheeks for a DNA test on your way into a football game. But others say these “wellness” tests marketed directly to consumers are modern snake oil — worthless, or even misleading.\u003c/p>\n\u003cp>On Monday, the Food and Drug Administration gave a boost to direct-to-consumer genetic testing when it announced plans to streamline its approval process.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Giving out DNA kits at a football game screams out for regulation.’\u003ccite>Peter Pitts, Center for Medicine in the Public Interest\u003c/cite>\u003c/aside>\n\u003cp>“These tests can prompt consumers to be more engaged in pursuing the benefits of healthy lifestyle choices and more aware of their health risks,” FDA Commissioner Scott Gottlieb said in a \u003ca href=\"https://www.prnewswire.com/news-releases/statement-from-fda-commissioner-scott-gottlieb-md-on-implementation-of-agencys-streamlined-development-and-review-pathway-for-consumer-tests-that-evaluate-genetic-health-risks-300549992.html\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. However, he continued, “They’re not without their own risks — especially if they provide consumers with incorrect or misleading information that may be used to make health choices without considering the advice of a medical professional.”\u003c/p>\n\u003cp>The FDA intends to let sellers of direct-to-consumer DNA test kits seek a one-time FDA review, which would allow subsequent tests to be sold without going first to the FDA for approval. Under present rules, each new health test must be submitted and reviewed. The FDA’s jurisdiction applies to tests used to assess or diagnose health.\u003c/p>\n\u003cp>But a company in Boston is finding out that mass marketing of DNA tests attracts not just customers and fans, but skeptics and regulators. \u003ca href=\"http://orig3n.com/\" target=\"_blank\" rel=\"noopener\">Orig3n\u003c/a>, which sells genetic test kits with catchy names like “Fitcode,” “Fuel” and “Bliss” at festivals and sporting events, now finds itself under scrutiny by state and federal officials.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The California Department of Public Health is investigating the nature and distribution of these test kits by Orig3n at Levi’s Stadium in Santa Clara,” a department representative said in an email.\u003c/p>\n\u003cp>At every 49ers home game during the current season, the company has a booth where it offers free introductory DNA test kits to the 68,000 fans entering the stadium. Fans can also purchase other tests at prices ranging from $29 to $149 each. It has a similar relationship with the Baltimore Ravens, but a plan to give test kits to every fan entering a September game was called off after Maryland regulators had some questions.\u003c/p>\n\u003cp>“I want people to learn more about themselves, and what they choose to do with that information is really up to them,” says Orig3n co-founder and chief operating officer Kate Blanchard. “But some of the information can really impact the way they live their life.”\u003c/p>\n\u003cp>That is precisely the problem, and it’s why state and federal regulators have said that “information” tests like Orig3n’s should be regulated as medical tests, because they’re assessing a person’s health. It’s a complex question, as the FDA’s Gottlieb notes. “Consider the consequences of a person who is told they’re not at risk for coronary heart disease and incorrectly opts to forgo dietary changes or drugs that reduce their risk of heart attack and death,” he says.\u003c/p>\n\u003cp>As much as genetic science has advanced, scientists do not fully understand how the more than 50 million known genetic variations interact with each other or with lifestyle and other factors to affect someone’s health, wellness or behavior. Very few genes are as closely associated with a specific outcome as the breast cancer genes BRCA1 and BRCA2, and even a positive test for these cancer-associated genes is insufficient for doctors to advise patients to have surgery or other major treatments.\u003c/p>\n\u003cp>In other words, you can get a test that tells you what variations you have, but that test alone cannot predict your future or dictate specific health or lifestyle decisions. Skeptics worry that people will read too much into genetic test results, especially if they are done without the help of a medical professional.\u003c/p>\n\u003cp>Blanchard says she stepped up her personal training regimen after her DNA test indicated that she might perform well in endurance sports. She says it was a change she might not have made without this information.\u003c/p>\n\u003cp>Distributing DNA tests to tens of thousands of people at NFL football games “is not good clinical practice,” says Peter Pitts, president of the advocacy group \u003ca href=\"http://cmpi.org/\">Center for Medicine in the Public Interest\u003c/a>. Unlike tests done in clinical laboratories, like tests for diabetes or cholesterol, there is less control over the quality of the test process, so the resulting data may be “highly questionable,” says Pitts, who is a former associate commissioner of the Food and Drug Administration.\u003c/p>\n\u003cp>Now you can get a nutrition plan and ready-to-eat meals based on “your body’s unique make-up” from Campbell’s Soup-funded \u003ca href=\"http://habit.com/\">Habit\u003c/a>. \u003ca href=\"http://ancestry.com/\">Ancestry\u003c/a> sells a test that “tells a more complete story of you,” and \u003ca href=\"https://www.helix.com/shop/\">Helix\u003c/a> promotes more than a dozen of its partners who sell genetic tests ranging from National Geographic (your ancestor’s migration paths) to companies that offer targeted fitness routines based on the DNA results, and several health companies. There is even a \u003ca href=\"https://www.helix.com/shop/vinome-wine-explorer/\">wine club\u003c/a> with wines “scientifically selected based on your DNA.”\u003c/p>\n\u003cp>“We don’t begrudge the excitement and the desire to help people based on genetics,” says Shirley Wu, director of product science for 23andMe, a direct-to-consumer genetic testing company that started in 2006. However, she questions companies that may be overpromising on what the tests can tell you. The science behind some consumer-oriented tests is lacking, says Wu. “We are still at the beginning of our understanding.”\u003c/p>\n\u003cp>The FDA \u003ca href=\"https://www.npr.org/sections/health-shots/2013/12/06/249231236/23andme-bows-to-fdas-demands-drops-health-claims\">halted 23andMe’s sales\u003c/a> of medical-risk tests in 2013, saying that it couldn’t prove those tests were accurate. In April, 23andMe obtained federal \u003ca href=\"https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm551185.htm\">clearance\u003c/a> to resume selling direct-to-consumer DNA tests for certain health risks. Now, consumers can get reports on their ancestry as well as genes associated with sleep quality, lactose sensitivity, weight and other wellness factors and risks for several dozen inherited conditions for about $200.\u003c/p>\n\u003cp>And companies can offer very different information on the same finding. That’s evident in two reports on the CC variant of the ACTN3 gene:\u003c/p>\n\u003cul>\n\u003cli>23andMe tells you that you have a trait “common among elite power athletes … but its role for non-elite athletes isn’t completely understood.” The report also says that lifestyle and training are the driver of athletic performance for most people.\u003c/li>\n\u003cli>Orig3n also tells you that this trait is common in elite athletes and “is found in 45 percent of the general population.” And it “contributes to your ability to perform better in sports requiring power such as sprinting.” The Orig3n report recommends the types of sports that someone with this biomarker might want to pursue.\u003c/li>\n\u003c/ul>\n\u003cp>A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278350/\">2015 review\u003c/a> of genetic testing for sports concluded that there is little value to knowing the ACTN3 or other variants in recreational athletes. However, genetic testing of professional athletes may be useful for training and injury prevention, the review authors concluded.\u003c/p>\n\u003cp>“For the most part, data on personal genomic testing have revealed little or no harms but also little or no health benefits,” writes Dr. Muin Khoury, director of the Office of Public Health Genomics at the Centers for Disease Control and Prevention in a \u003ca href=\"https://blogs.cdc.gov/genomics/2017/04/18/direct-to-consumer-2/\">recent article\u003c/a>. “Also, evidence on the ability of genetic information to change health behavior has been lacking.”\u003c/p>\n\u003cp>Blanchard says that Orig3n got the idea for its fitness DNA test after it solicited blood samples for research at marathons and other sporting events. “People started asking, ‘What can you tell me about me?’ ” she says.\u003c/p>\n\u003cp>The business model for 23andMe, Helix and some of the other direct-to-consumer DNA testing companies doesn’t rely solely on sales of test kits. They want to aggregate massive amounts of human genetic data that can be mined for research and commercial uses. Consumers are asked to “opt-in” to this when getting tested — and most do, according to 23andMe.\u003c/p>\n\u003cp>Orig3n is an exception: It says it would contact people separately if it ever wanted to use the DNA for anything other than the person’s own tests. But those test kits create a pool of people who would be more likely to give blood samples for Orig3n’s stem cell research. Its business banks on amassing tens of thousands of human blood samples so that it can create many stem cell lines.\u003c/p>\n\u003cp>Orig3n has sponsorship arrangements with the Baltimore Ravens and the San Francisco 49ers football teams. Fans at home games can get a free test that reports on three genes — ACTN3 for muscle force, FOXP2 for language-learning ability and AGER for skin aging. For $149, Orig3n reports back on 27 genes related to strength, metabolism, endurance and power. The company’s other tests are to provide information about genes associated with skin, child development, and how you think, feel and react.\u003c/p>\n\u003cp>Orig3n says its tests are “not diagnostic” and “for informational purposes only.” The federal agency that oversees medical labs disagrees. That distinction is critical because it is the boundary between regulated medical services and ones that avoid that level of scrutiny.\u003c/p>\n\u003cp>After reviewing Orig3n’s materials, the Centers for Medicare and Medicaid Services told the company on Oct. 30 that it must follow the rules for medical laboratories because its services include “genetic testing for the assessment of health.”\u003c/p>\n\u003cp>The decision was based on 18 of the 140 genes included in Orig3n’s tests, according to a \u003ca href=\"https://www.documentcloud.org/documents/4176983-CMS-Letter.html\">letter\u003c/a> from CMS to Orig3n.\u003c/p>\n\u003cp>Orig3n’s Blanchard says the company will continue selling its tests without those 18 genes until Orig3n receives approval from regulators to resume. In addition to CMS, Orig3n must satisfy state regulators in Massachusetts, Maryland and California – or any other states where it operates. “Going forward, we will continue to work with CMS, California, Massachusetts and the other states to ensure that we are meeting all federal and state regulatory requirements regarding our products,” Blanchard said in an email.\u003c/p>\n\u003cp>That may not be enough to satisfy all the critics. Says Pitts: “Giving out DNA kits at a football game screams out for regulation.”\u003c/p>\n\u003chr>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>Doug Levy is a freelance writer based in Sausalito, Calif. \u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2017 NPR. To see more, visit http://www.npr.org/.\u003cimg decoding=\"async\" src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=You+Can+Get+Your+DNA+Tested+At+An+NFL+Game.+Should+You%3F+&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Depending on whom you ask, finding out whether your genes make you a better athlete or give you healthier skin may be as easy as swabbing your cheeks for a DNA test on your way into a football game. But others say these “wellness” tests marketed directly to consumers are modern snake oil — worthless, or even misleading.\u003c/p>\n\u003cp>On Monday, the Food and Drug Administration gave a boost to direct-to-consumer genetic testing when it announced plans to streamline its approval process.\u003c/p>\n\u003caside class=\"pullquote alignright\">‘Giving out DNA kits at a football game screams out for regulation.’\u003ccite>Peter Pitts, Center for Medicine in the Public Interest\u003c/cite>\u003c/aside>\n\u003cp>“These tests can prompt consumers to be more engaged in pursuing the benefits of healthy lifestyle choices and more aware of their health risks,” FDA Commissioner Scott Gottlieb said in a \u003ca href=\"https://www.prnewswire.com/news-releases/statement-from-fda-commissioner-scott-gottlieb-md-on-implementation-of-agencys-streamlined-development-and-review-pathway-for-consumer-tests-that-evaluate-genetic-health-risks-300549992.html\" target=\"_blank\" rel=\"noopener\">statement\u003c/a>. However, he continued, “They’re not without their own risks — especially if they provide consumers with incorrect or misleading information that may be used to make health choices without considering the advice of a medical professional.”\u003c/p>\n\u003cp>The FDA intends to let sellers of direct-to-consumer DNA test kits seek a one-time FDA review, which would allow subsequent tests to be sold without going first to the FDA for approval. Under present rules, each new health test must be submitted and reviewed. The FDA’s jurisdiction applies to tests used to assess or diagnose health.\u003c/p>\n\u003cp>But a company in Boston is finding out that mass marketing of DNA tests attracts not just customers and fans, but skeptics and regulators. \u003ca href=\"http://orig3n.com/\" target=\"_blank\" rel=\"noopener\">Orig3n\u003c/a>, which sells genetic test kits with catchy names like “Fitcode,” “Fuel” and “Bliss” at festivals and sporting events, now finds itself under scrutiny by state and federal officials.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The California Department of Public Health is investigating the nature and distribution of these test kits by Orig3n at Levi’s Stadium in Santa Clara,” a department representative said in an email.\u003c/p>\n\u003cp>At every 49ers home game during the current season, the company has a booth where it offers free introductory DNA test kits to the 68,000 fans entering the stadium. Fans can also purchase other tests at prices ranging from $29 to $149 each. It has a similar relationship with the Baltimore Ravens, but a plan to give test kits to every fan entering a September game was called off after Maryland regulators had some questions.\u003c/p>\n\u003cp>“I want people to learn more about themselves, and what they choose to do with that information is really up to them,” says Orig3n co-founder and chief operating officer Kate Blanchard. “But some of the information can really impact the way they live their life.”\u003c/p>\n\u003cp>That is precisely the problem, and it’s why state and federal regulators have said that “information” tests like Orig3n’s should be regulated as medical tests, because they’re assessing a person’s health. It’s a complex question, as the FDA’s Gottlieb notes. “Consider the consequences of a person who is told they’re not at risk for coronary heart disease and incorrectly opts to forgo dietary changes or drugs that reduce their risk of heart attack and death,” he says.\u003c/p>\n\u003cp>As much as genetic science has advanced, scientists do not fully understand how the more than 50 million known genetic variations interact with each other or with lifestyle and other factors to affect someone’s health, wellness or behavior. Very few genes are as closely associated with a specific outcome as the breast cancer genes BRCA1 and BRCA2, and even a positive test for these cancer-associated genes is insufficient for doctors to advise patients to have surgery or other major treatments.\u003c/p>\n\u003cp>In other words, you can get a test that tells you what variations you have, but that test alone cannot predict your future or dictate specific health or lifestyle decisions. Skeptics worry that people will read too much into genetic test results, especially if they are done without the help of a medical professional.\u003c/p>\n\u003cp>Blanchard says she stepped up her personal training regimen after her DNA test indicated that she might perform well in endurance sports. She says it was a change she might not have made without this information.\u003c/p>\n\u003cp>Distributing DNA tests to tens of thousands of people at NFL football games “is not good clinical practice,” says Peter Pitts, president of the advocacy group \u003ca href=\"http://cmpi.org/\">Center for Medicine in the Public Interest\u003c/a>. Unlike tests done in clinical laboratories, like tests for diabetes or cholesterol, there is less control over the quality of the test process, so the resulting data may be “highly questionable,” says Pitts, who is a former associate commissioner of the Food and Drug Administration.\u003c/p>\n\u003cp>Now you can get a nutrition plan and ready-to-eat meals based on “your body’s unique make-up” from Campbell’s Soup-funded \u003ca href=\"http://habit.com/\">Habit\u003c/a>. \u003ca href=\"http://ancestry.com/\">Ancestry\u003c/a> sells a test that “tells a more complete story of you,” and \u003ca href=\"https://www.helix.com/shop/\">Helix\u003c/a> promotes more than a dozen of its partners who sell genetic tests ranging from National Geographic (your ancestor’s migration paths) to companies that offer targeted fitness routines based on the DNA results, and several health companies. There is even a \u003ca href=\"https://www.helix.com/shop/vinome-wine-explorer/\">wine club\u003c/a> with wines “scientifically selected based on your DNA.”\u003c/p>\n\u003cp>“We don’t begrudge the excitement and the desire to help people based on genetics,” says Shirley Wu, director of product science for 23andMe, a direct-to-consumer genetic testing company that started in 2006. However, she questions companies that may be overpromising on what the tests can tell you. The science behind some consumer-oriented tests is lacking, says Wu. “We are still at the beginning of our understanding.”\u003c/p>\n\u003cp>The FDA \u003ca href=\"https://www.npr.org/sections/health-shots/2013/12/06/249231236/23andme-bows-to-fdas-demands-drops-health-claims\">halted 23andMe’s sales\u003c/a> of medical-risk tests in 2013, saying that it couldn’t prove those tests were accurate. In April, 23andMe obtained federal \u003ca href=\"https://www.fda.gov/newsevents/newsroom/pressannouncements/ucm551185.htm\">clearance\u003c/a> to resume selling direct-to-consumer DNA tests for certain health risks. Now, consumers can get reports on their ancestry as well as genes associated with sleep quality, lactose sensitivity, weight and other wellness factors and risks for several dozen inherited conditions for about $200.\u003c/p>\n\u003cp>And companies can offer very different information on the same finding. That’s evident in two reports on the CC variant of the ACTN3 gene:\u003c/p>\n\u003cul>\n\u003cli>23andMe tells you that you have a trait “common among elite power athletes … but its role for non-elite athletes isn’t completely understood.” The report also says that lifestyle and training are the driver of athletic performance for most people.\u003c/li>\n\u003cli>Orig3n also tells you that this trait is common in elite athletes and “is found in 45 percent of the general population.” And it “contributes to your ability to perform better in sports requiring power such as sprinting.” The Orig3n report recommends the types of sports that someone with this biomarker might want to pursue.\u003c/li>\n\u003c/ul>\n\u003cp>A \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4278350/\">2015 review\u003c/a> of genetic testing for sports concluded that there is little value to knowing the ACTN3 or other variants in recreational athletes. However, genetic testing of professional athletes may be useful for training and injury prevention, the review authors concluded.\u003c/p>\n\u003cp>“For the most part, data on personal genomic testing have revealed little or no harms but also little or no health benefits,” writes Dr. Muin Khoury, director of the Office of Public Health Genomics at the Centers for Disease Control and Prevention in a \u003ca href=\"https://blogs.cdc.gov/genomics/2017/04/18/direct-to-consumer-2/\">recent article\u003c/a>. “Also, evidence on the ability of genetic information to change health behavior has been lacking.”\u003c/p>\n\u003cp>Blanchard says that Orig3n got the idea for its fitness DNA test after it solicited blood samples for research at marathons and other sporting events. “People started asking, ‘What can you tell me about me?’ ” she says.\u003c/p>\n\u003cp>The business model for 23andMe, Helix and some of the other direct-to-consumer DNA testing companies doesn’t rely solely on sales of test kits. They want to aggregate massive amounts of human genetic data that can be mined for research and commercial uses. Consumers are asked to “opt-in” to this when getting tested — and most do, according to 23andMe.\u003c/p>\n\u003cp>Orig3n is an exception: It says it would contact people separately if it ever wanted to use the DNA for anything other than the person’s own tests. But those test kits create a pool of people who would be more likely to give blood samples for Orig3n’s stem cell research. Its business banks on amassing tens of thousands of human blood samples so that it can create many stem cell lines.\u003c/p>\n\u003cp>Orig3n has sponsorship arrangements with the Baltimore Ravens and the San Francisco 49ers football teams. Fans at home games can get a free test that reports on three genes — ACTN3 for muscle force, FOXP2 for language-learning ability and AGER for skin aging. For $149, Orig3n reports back on 27 genes related to strength, metabolism, endurance and power. The company’s other tests are to provide information about genes associated with skin, child development, and how you think, feel and react.\u003c/p>\n\u003cp>Orig3n says its tests are “not diagnostic” and “for informational purposes only.” The federal agency that oversees medical labs disagrees. That distinction is critical because it is the boundary between regulated medical services and ones that avoid that level of scrutiny.\u003c/p>\n\u003cp>After reviewing Orig3n’s materials, the Centers for Medicare and Medicaid Services told the company on Oct. 30 that it must follow the rules for medical laboratories because its services include “genetic testing for the assessment of health.”\u003c/p>\n\u003cp>The decision was based on 18 of the 140 genes included in Orig3n’s tests, according to a \u003ca href=\"https://www.documentcloud.org/documents/4176983-CMS-Letter.html\">letter\u003c/a> from CMS to Orig3n.\u003c/p>\n\u003cp>Orig3n’s Blanchard says the company will continue selling its tests without those 18 genes until Orig3n receives approval from regulators to resume. In addition to CMS, Orig3n must satisfy state regulators in Massachusetts, Maryland and California – or any other states where it operates. “Going forward, we will continue to work with CMS, California, Massachusetts and the other states to ensure that we are meeting all federal and state regulatory requirements regarding our products,” Blanchard said in an email.\u003c/p>\n\u003cp>That may not be enough to satisfy all the critics. Says Pitts: “Giving out DNA kits at a football game screams out for regulation.”\u003c/p>\n\u003chr>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Six weeks after Hurricane Maria tore through Puerto Rico, roughly 70 percent of the U.S. territory remains without power. Last month the Registered Nurse Response Network sent 50 volunteer nurses on a two-week relief mission. We hear from two California nurses about what they witnessed and why residents are still desperate for assistance.\u003c/p>\n\u003cp>Guests:\u003c/p>\n\u003cul>\n\u003cli>Sandy Adler Killen, Registered Nurse Response Network\u003c/li>\n\u003cli>Randee Litten, Registered Nurse Response Network\u003c/li>\n\u003c/ul>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cp>\u003cb>Tech giants testify in Russian hearings\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Silicon Valley executives testified before Congress this week about the role their companies played in allowing Russian misinformation to spread in the run-up to the presidential election. Congressman Adam Schiff (D-Calif.), who led the hearings, says many questions continue to revolve around how Russian operatives were able to pose as Americans and spread content through Facebook, Google and Twitter on divisive issues such as immigration and race relations.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Political Analysis: Mueller’s indictments and GOP tax reform\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Our political experts analyze the week’s key developments, from indictments handed down by special counsel Bob Mueller in the investigation into alleged Russian meddling in U.S. politics to the GOP’s tax reform proposal. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Guests:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Lanhee Chen, Hoover Institution fellow\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Carla Marinucci, POLITICO senior writer \u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Tim Miller, Definers Public Affairs partner\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Helping Puerto Rico\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Six weeks after Hurricane Maria tore through Puerto Rico, roughly 70 percent of the U.S. territory remains without power. Last month the Registered Nurse Response Network sent 50 volunteer nurses on a two-week relief mission. We hear from two California nurses about what they witnessed and why residents are still desperate for assistance.\u003cbr>\n\u003c/span>\u003cspan style=\"font-weight: 400\">\u003cbr>\n\u003c/span>\u003cspan style=\"font-weight: 400\">Guests:\u003c/span>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Sandy Adler Killen, Registered Nurse Response Network\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Randee Litten, Registered Nurse Response Network\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cem>\u003cspan style=\"font-weight: 400\">To contribute to Randee Litten’s Go Fund Me page, visit: \u003c/span>\u003ca href=\"https://www.gofundme.com/hurricanemarianurserelief\">\u003cspan style=\"font-weight: 400\">https://www.gofundme.com/hurricanemarianurserelief\u003c/span>\u003c/a>\u003c/em>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cp>People who smoke marijuana reported having more sexual intercourse than non-users, according to a new study conducted by urologists at the \u003ca href=\"http://med.stanford.edu/\" target=\"_blank\" rel=\"noopener\">Stanford University School of Medicine\u003c/a>.\u003c/p>\n\u003cp>The results were modest but statistically significant: Non-users said they had engaged in sexual intercourse between five and six times in the previous month. Daily pot smokers reported having intercourse around seven times over that same period. The frequency was in-between for people who smoked marijuana less often, on a weekly or monthly basis: they reported having sex more than abstainers, but less than daily users.\u003c/p>\n\u003cp>“I was surprised,” said\u003ca href=\"https://stanfordhealthcare.org/doctors/e/michael-eisenberg.html\" target=\"_blank\" rel=\"noopener\"> Dr. Michael Eisenberg\u003c/a>, the study’s senior author and an assistant professor of urology at Stanford University Medical Center.\u003c/p>\n\u003cp>“The daily users for example, compared to the never users, reported about 20 more sexual encounters a year. So I think that is a significant difference,\" he said.\u003c/p>\n\u003cp>It’s the first study to look at the connection between pot smoking and sex at the population level. To tease out the association, Eisenberg and his co-author Dr. Andrew Sun used survey data drawn from more than 50,000 Americans between the ages of 25 and 45.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The data comes from the National Center for Health Statistics at the CDC. Since that survey does not ask about homosexual encounters, the results only apply to straight men and women.\u003c/p>\n\u003cp>Eisenberg decided to do the study because more of his patients had been asking him if smoking marijuana could be contributing to their sexual difficulties. He had previously told them it might, and to abstain just in case. He was basing his assumptions on research about the negative vascular effects of cigarette smoking. In addition, some past studies and case reports have indicated heavy marijuana use may be associated with erectile dysfunction or depressed sperm count.\u003c/p>\n\u003cp>But now Eisenberg is rethinking his advice, at least for some patients.\u003c/p>\n\u003cp>“If somebody is using marijuana to help them for chronic back pain or something like that, there may be other interventions that we can think about targeting,” he said. “Rather than telling them they have to stop, otherwise their sex life is doomed.”\u003c/p>\n\u003cp>For \u003ca href=\"http://sexandthesoma.com/\" target=\"_blank\" rel=\"noopener\">Dr. Holly Richmond\u003c/a>, a sex therapist, the study results are “pretty remarkable.”\u003c/p>\n\u003cp>In her offices in Los Angeles and Portland, Oregon, Richmond has seen mixed results when her clients use marijuana. Some couples tell her that they have more sex when they use pot, but others have less sex.\u003c/p>\n\u003cp>She said those differences are probably attributable to how much pot someone smokes, instead of how often.\u003c/p>\n\u003cp>“Too much can lead to lethargy and really checking out, which does not facilitate [emotional] connection at all, and definitely doesn't encourage sexual activity.”\u003c/p>\n\u003cp>Eisenberg cautioned against drawing unwarranted conclusions from the study, and cited the old statistical adage “correlation does not equal causation.”\u003c/p>\n\u003cp>“This doesn’t mean that if you want to have more sex you should start smoking marijuana,” he said. “That’s definitely not what this data supports.”\u003c/p>\n\u003cp>The study can’t explain what factors are driving the association between pot use and sex, said Dr. Igor Grant, chair of psychiatry and director of the \u003ca href=\"http://www.cmcr.ucsd.edu/\" target=\"_blank\" rel=\"noopener\">Center for Medicinal Cannabis Research\u003c/a> at the University of California San Diego.\u003c/p>\n\u003cp>He said one explanation is that people who use marijuana —or are willing to admit marijuana use in a survey —are more likely to report their sexual encounters, or remember more of them. Grant said marijuana users are also sensation seekers, and may be more driven to have sex.\u003c/p>\n\u003cp>“Drug use is one type of sensation-seeking behavior, and obviously sex is another,” Grant said.\u003c/p>\n\u003cp>Eisenberg agreed that personality and other behaviors could be a factor, but if that was the case, he would expect to see different results from different demographic groups. For example, young and single respondents might be more willing and able to engage in risky or sensation-seeking behavior, when compared to married people with children. But the results held across all categories, including race and ethnicity, educational level, income level, religious affiliation, and family status.\u003c/p>\n\u003cp>“For every group, the more marijuana use that they reported, the more sex they reported as well. So that was really interesting to me, and also made me think that there could potentially be some biologic explanation here,” Eisenberg said.\u003c/p>\n\u003cp>Richmond, the sex therapist, says she wouldn’t advise any client who doesn’t already smoke to start smoking marijuana as a sexual aid. But she said it could be reassuring to her pot-using clients to learn from the study that smoking pot doesn’t appear to \u003cem>decrease\u003c/em> sexual activity.\u003c/p>\n\u003cp>“Individuals and couples look for additional ways to create novelty in the relationship and have fun, and that's now a legal and accessible way to do it,” she said.\u003c/p>\n\u003cp>Medicinal marijuana is now legal in 29 states, and eight of them allow recreational use as well. (The District of Columbia allows both).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Dr. Eisenberg said that’s why learning more about the potential side effects of marijuana use is so critical.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>People who smoke marijuana reported having more sexual intercourse than non-users, according to a new study conducted by urologists at the \u003ca href=\"http://med.stanford.edu/\" target=\"_blank\" rel=\"noopener\">Stanford University School of Medicine\u003c/a>.\u003c/p>\n\u003cp>The results were modest but statistically significant: Non-users said they had engaged in sexual intercourse between five and six times in the previous month. Daily pot smokers reported having intercourse around seven times over that same period. The frequency was in-between for people who smoked marijuana less often, on a weekly or monthly basis: they reported having sex more than abstainers, but less than daily users.\u003c/p>\n\u003cp>“I was surprised,” said\u003ca href=\"https://stanfordhealthcare.org/doctors/e/michael-eisenberg.html\" target=\"_blank\" rel=\"noopener\"> Dr. Michael Eisenberg\u003c/a>, the study’s senior author and an assistant professor of urology at Stanford University Medical Center.\u003c/p>\n\u003cp>“The daily users for example, compared to the never users, reported about 20 more sexual encounters a year. So I think that is a significant difference,\" he said.\u003c/p>\n\u003cp>It’s the first study to look at the connection between pot smoking and sex at the population level. To tease out the association, Eisenberg and his co-author Dr. Andrew Sun used survey data drawn from more than 50,000 Americans between the ages of 25 and 45.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The data comes from the National Center for Health Statistics at the CDC. Since that survey does not ask about homosexual encounters, the results only apply to straight men and women.\u003c/p>\n\u003cp>Eisenberg decided to do the study because more of his patients had been asking him if smoking marijuana could be contributing to their sexual difficulties. He had previously told them it might, and to abstain just in case. He was basing his assumptions on research about the negative vascular effects of cigarette smoking. In addition, some past studies and case reports have indicated heavy marijuana use may be associated with erectile dysfunction or depressed sperm count.\u003c/p>\n\u003cp>But now Eisenberg is rethinking his advice, at least for some patients.\u003c/p>\n\u003cp>“If somebody is using marijuana to help them for chronic back pain or something like that, there may be other interventions that we can think about targeting,” he said. “Rather than telling them they have to stop, otherwise their sex life is doomed.”\u003c/p>\n\u003cp>For \u003ca href=\"http://sexandthesoma.com/\" target=\"_blank\" rel=\"noopener\">Dr. Holly Richmond\u003c/a>, a sex therapist, the study results are “pretty remarkable.”\u003c/p>\n\u003cp>In her offices in Los Angeles and Portland, Oregon, Richmond has seen mixed results when her clients use marijuana. Some couples tell her that they have more sex when they use pot, but others have less sex.\u003c/p>\n\u003cp>She said those differences are probably attributable to how much pot someone smokes, instead of how often.\u003c/p>\n\u003cp>“Too much can lead to lethargy and really checking out, which does not facilitate [emotional] connection at all, and definitely doesn't encourage sexual activity.”\u003c/p>\n\u003cp>Eisenberg cautioned against drawing unwarranted conclusions from the study, and cited the old statistical adage “correlation does not equal causation.”\u003c/p>\n\u003cp>“This doesn’t mean that if you want to have more sex you should start smoking marijuana,” he said. “That’s definitely not what this data supports.”\u003c/p>\n\u003cp>The study can’t explain what factors are driving the association between pot use and sex, said Dr. Igor Grant, chair of psychiatry and director of the \u003ca href=\"http://www.cmcr.ucsd.edu/\" target=\"_blank\" rel=\"noopener\">Center for Medicinal Cannabis Research\u003c/a> at the University of California San Diego.\u003c/p>\n\u003cp>He said one explanation is that people who use marijuana —or are willing to admit marijuana use in a survey —are more likely to report their sexual encounters, or remember more of them. Grant said marijuana users are also sensation seekers, and may be more driven to have sex.\u003c/p>\n\u003cp>“Drug use is one type of sensation-seeking behavior, and obviously sex is another,” Grant said.\u003c/p>\n\u003cp>Eisenberg agreed that personality and other behaviors could be a factor, but if that was the case, he would expect to see different results from different demographic groups. For example, young and single respondents might be more willing and able to engage in risky or sensation-seeking behavior, when compared to married people with children. But the results held across all categories, including race and ethnicity, educational level, income level, religious affiliation, and family status.\u003c/p>\n\u003cp>“For every group, the more marijuana use that they reported, the more sex they reported as well. So that was really interesting to me, and also made me think that there could potentially be some biologic explanation here,” Eisenberg said.\u003c/p>\n\u003cp>Richmond, the sex therapist, says she wouldn’t advise any client who doesn’t already smoke to start smoking marijuana as a sexual aid. But she said it could be reassuring to her pot-using clients to learn from the study that smoking pot doesn’t appear to \u003cem>decrease\u003c/em> sexual activity.\u003c/p>\n\u003cp>“Individuals and couples look for additional ways to create novelty in the relationship and have fun, and that's now a legal and accessible way to do it,” she said.\u003c/p>\n\u003cp>Medicinal marijuana is now legal in 29 states, and eight of them allow recreational use as well. (The District of Columbia allows both).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Dr. Eisenberg said that’s why learning more about the potential side effects of marijuana use is so critical.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Ahmet Ustunel remembers his daily commute to high school well. He’d wake up at home, on the Asian side of Istanbul, Turkey, a city that straddles two continents. Then he would take a ferry across the Bosphorus Strait to the European side of the city.\u003c/p>\n\u003cp>After boarding the ferry, Ustunel liked to buy tea and sesame bread, and take it outside on the deck. He’d stand at the railing, feeling the spray of the water on his face and listening for nearby boats. Ustunel has been blind since he was 3 years old.\u003c/p>\n\u003cp>“And I used to think one day, this strait, Bosphorus, should be more accessible to blind swimmers, blind surfers or sailors,” Ustunel said. “People should be able to see blind people using boats.”\u003c/p>\n\u003cp>For the last 11 years, Ustunel has lived in the U.S., and finally he’s making good on that high school aspiration. He plans to return to his homeland next summer, to be one of those blind people using a boat on the waters off Turkey. His goal is to kayak solo across the Bosphorus Strait.\u003c/p>\n\u003ch2>A ‘Blind Captain,’ Inspired by a Mythological Blind Navigator\u003c/h2>\n\u003cp>[audio src=\"https://www.kqed.org/.stream/anon/radio/tcrmag/2017/10/BlindKayaker.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/Ahmet1-1180x637.jpg\" Title=\"The Water Belongs to Everyone, and This Blind Kayaker Will Prove It\" program=\"The California Report\"]\u003c/p>\n\u003cp>Ustunel lost his sight because of eye cancer when he was a child, but that never kept him away from the water. He spent afternoons fishing with his father, and summers swimming in the Black Sea, where his grandmother had a house.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Now, he’s 37 and still loves being on the water. But instead of going out in another person’s boat, Ustunel wants to go out on his own.\u003c/p>\n\u003cp>Ustunel first became inspired to captain his own boat in high school, while studying Greek mythology. Ustunel remembers one myth about a blind navigator.\u003c/p>\n\u003cp>“There was this blind king called Phineus, and he used to live on the north side of the Bosphorus,” he recalled. “His mission was guiding sailors in the dark safely to the Black Sea from the Mediterranean.”\u003c/p>\n\u003cp>Phineus, although mythical, became a role model.\u003c/p>\n\u003cp>When he was in college, Ustunel met an American woman whom he eventually married. After moving to the U.S. so the couple could be together, they decided to leave his wife’s Midwestern hometown and settle in San Francisco, in part because of Ustunel’s love of the ocean.\u003c/p>\n\u003cp>The pair started kayaking in a two-person boat, and his wife would steer. Sometimes, Ustunel would kayak solo, but he’d go along with a group, and ask a sighted friend to wear bells so Ustunel could hear and follow as they paddled across the water. But his desire to kayak independently persisted.\u003c/p>\n\u003cfigure id=\"attachment_11626481\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626481\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/AhmetonKayak-800x445.jpg\" alt=\"Ustunel paddles his kayak solo on San Francisco's Lake Merced.\" width=\"800\" height=\"445\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-800x445.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-160x89.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-1020x567.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-1180x656.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-960x534.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-1038x576.jpg 1038w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-240x134.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-375x209.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-520x289.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ustunel paddles his kayak solo on San Francisco’s Lake Merced. \u003ccite>(Adam Grossberg/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this year, he saw an opportunity that could make this possible: A nonprofit launched a new award to fund blind and visually impaired people undertaking adventures. \u003ca href=\"https://www.holmanprize.org/\" target=\"_blank\" rel=\"noopener\">The Holman Prize for Blind Ambition\u003c/a> offers grants of up to $25,000 to accomplish a bold project.\u003c/p>\n\u003cp>The organization behind the prize,\u003ca href=\"http://lighthouse-sf.org/\" target=\"_blank\" rel=\"noopener\"> LightHouse for the Blind and Visually Impaired\u003c/a>, received over 200 applications from 27 countries. They finally whittled down the winners to three individuals. In addition to Ustunel, the other prize recipients were a Ugandan beekeeper hoping to expand job opportunities for other visually impaired people, and a British baker hoping to travel with her prize money and connect people across cultures through food.\u003c/p>\n\u003cp>LightHouse has been able to fund these creative projects after receiving an unexpected gift of $125 million from a Seattle businessman upon his death.\u003c/p>\n\u003cp>For Ustunel, the money will help him buy the right kind of kayak and the instruments he will use to navigate. He’s documenting his training process on his \u003ca href=\"http://theblindcaptain.com/\">website\u003c/a>, where he calls himself “The Blind Captain.”\u003c/p>\n\u003ch2>How do you kayak if you can’t see?\u003c/h2>\n\u003cp>Ustunel says the first thing is to use your other senses, which can convey lots of information. When he nears the shore, Ustunel smells plants or flowers. If it’s rained recently, the land produces an earthy scent from the soil, called petrichor. If Ustunel is out on the open water, he will sometimes sense a smell similar to watermelon. He thinks this might be a kind of seaweed scent.\u003c/p>\n\u003cp>Ustunel also uses his ears to locate people, construction or cars. These sounds mean he’s close to shore. When he’s out farther in the water, he mostly just hears birds.\u003c/p>\n\u003cp>But to cross the Bosphorus, Ustunel will need more than just his senses. His journey will be just over 3 miles, but the strait is one of the busiest shipping channels in the world: the waters are dangerously crowded with huge freighters and tankers, alongside small ferries and fishing boats. And the currents are strong.\u003c/p>\n\u003cp>So Ustunel will need gadgets that can tell him exactly where he is and what’s around him.\u003c/p>\n\u003cfigure id=\"attachment_11626483\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626483\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/Bosphorous-800x547.jpg\" alt=\"Ferry boats criss-cross the Bosphorus Strait off Istanbul, one of the world's busiest shipping channels. Crossing it safely is a huge challenge for a blind kayaker.\" width=\"800\" height=\"547\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-800x547.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-1020x698.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-1180x807.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-960x657.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-240x164.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-375x256.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-520x356.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ferries criss-cross the Bosphorus Strait off Istanbul, one of the world’s busiest shipping channels. Crossing it safely is a huge challenge for a blind kayaker. \u003ccite>(OZAN KOSE/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To prepare, Ustunel is training in a variety of waterways, including Tomales Bay, San Francisco Bay and Lake Merritt in Oakland. And he’s testing new technology every time he goes out.\u003c/p>\n\u003cp>On a recent Tuesday, he launched on the calm waters of San Francisco’s tiny Lake Merced. He got there by taking a public city bus for people with disabilities. Once at the lake, he rolled his suitcase to the end of the dock and popped it open. Inside, he had a black-and-yellow kayak, neatly folded up.\u003c/p>\n\u003cp>After inflating the boat, Ustunel took his white-and-red cane and stuck it on the back, like a flagpole. This cane is a symbol, he said.\u003c/p>\n\u003cp>“I’m a blind guy kayaking, raising awareness,” Ustunel said.\u003c/p>\n\u003cfigure id=\"attachment_11626407\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626407\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-800x600.jpg\" alt=\"Ahmet Ustunel sets up his kayak with many gadgets to help him navigate the water. He attaches his white cane to his boat to indicate that he is blind.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ahmet Ustunel sets up his kayak with many gadgets to help him navigate the water. He attaches his white cane to his boat to indicate that he is blind. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With his red life jacket zipped up, he climbed into his boat and pushed off.\u003c/p>\n\u003cp>On the other side of the lake, there was a loud road, which Ustunel used as a landmark, steering toward the sound.\u003c/p>\n\u003cp>Then he pulled out his smartphone. Like all his devices, he has it set to play at double speed for maximum efficiency. In a fast, robotic tone, the GPS device on his phone told him his coordinates, and Ustunel decided to head south.\u003c/p>\n\u003cp>In addition to the GPS on his phone, Ustunel placed another on the back of his kayak, just behind his seat. He refers to that one as “Mr. Beep.” It beeped slowly and steadily when Ustunel was correctly following a pre-programmed route, and quickly to alert him if he drifted.\u003c/p>\n\u003cfigure id=\"attachment_11626486\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626486\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/AhmetonNav-800x436.jpg\" alt=\"Ustunel uses an app that connects him to a sighted volunteer who can look through the camera on his phone and tell him what's around him.\" width=\"800\" height=\"436\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-800x436.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-160x87.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-1020x556.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-1180x643.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-960x523.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-240x131.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-375x204.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-520x283.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ustunel uses an app that connects him to a sighted volunteer who can look through the camera on his phone and tell him what’s around him. \u003ccite>(Adam Grossberg/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ustunel’s kayak is powered by foot pedals, which allow him to keep his hands free.\u003c/p>\n\u003cp>On the water, he also tested a sonar used by fishers to find fish. Ustunel instead used this to scan the water in front of him for objects or debris.\u003c/p>\n\u003cp>And when he wanted even more information, Ustunel opened an app on his phone that connected him to a sighted person, a volunteer who could be anywhere in the world, who could look through the camera on his phone and see for him.\u003c/p>\n\u003cp>This particular volunteer was in Texas.\u003c/p>\n\u003cp>“Hello?” a female voice said.\u003c/p>\n\u003cp>“Hi,” responded Ustunel. “I am on a kayak on a lake and I want to know what’s around me. I hear a street on my right. Can you see the street?”\u003c/p>\n\u003cp>The tools Ustunel uses are prototypes. He is providing feedback to engineers who will tweak the devices so that other people who are blind can use them, too.\u003c/p>\n\u003cp>Ustunel is not a stranger to helping other blind and visually impaired people access opportunities. This is what he does in his day job as a teacher of visually impaired students in San Francisco public schools.\u003c/p>\n\u003cp>On a recent school day he met privately with Ethan, a 15-year-old who Ustunel was helping write a letter to the city about an intersection that’s not accessible for blind people. Together Ustunel and his student went over a draft of the letter. A computer program read it out loud. The pair made tweaks and spell-checked the document. Then, they agreed, it was ready to send.\u003c/p>\n\u003cp>In part, Ustunel says he teaches because when he was young, he had trouble finding role models. He took whatever he could get — even mythological Greek kings.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Now times have changed, and it’s much easier to find blind heroes, because they’re walking around us every day. Or maybe they’re kayaking on a nearby lake. Just look for the white-tipped cane jutting out the back.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Ahmet Ustunel remembers his daily commute to high school well. He’d wake up at home, on the Asian side of Istanbul, Turkey, a city that straddles two continents. Then he would take a ferry across the Bosphorus Strait to the European side of the city.\u003c/p>\n\u003cp>After boarding the ferry, Ustunel liked to buy tea and sesame bread, and take it outside on the deck. He’d stand at the railing, feeling the spray of the water on his face and listening for nearby boats. Ustunel has been blind since he was 3 years old.\u003c/p>\n\u003cp>“And I used to think one day, this strait, Bosphorus, should be more accessible to blind swimmers, blind surfers or sailors,” Ustunel said. “People should be able to see blind people using boats.”\u003c/p>\n\u003cp>For the last 11 years, Ustunel has lived in the U.S., and finally he’s making good on that high school aspiration. He plans to return to his homeland next summer, to be one of those blind people using a boat on the waters off Turkey. His goal is to kayak solo across the Bosphorus Strait.\u003c/p>\n\u003ch2>A ‘Blind Captain,’ Inspired by a Mythological Blind Navigator\u003c/h2>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Now, he’s 37 and still loves being on the water. But instead of going out in another person’s boat, Ustunel wants to go out on his own.\u003c/p>\n\u003cp>Ustunel first became inspired to captain his own boat in high school, while studying Greek mythology. Ustunel remembers one myth about a blind navigator.\u003c/p>\n\u003cp>“There was this blind king called Phineus, and he used to live on the north side of the Bosphorus,” he recalled. “His mission was guiding sailors in the dark safely to the Black Sea from the Mediterranean.”\u003c/p>\n\u003cp>Phineus, although mythical, became a role model.\u003c/p>\n\u003cp>When he was in college, Ustunel met an American woman whom he eventually married. After moving to the U.S. so the couple could be together, they decided to leave his wife’s Midwestern hometown and settle in San Francisco, in part because of Ustunel’s love of the ocean.\u003c/p>\n\u003cp>The pair started kayaking in a two-person boat, and his wife would steer. Sometimes, Ustunel would kayak solo, but he’d go along with a group, and ask a sighted friend to wear bells so Ustunel could hear and follow as they paddled across the water. But his desire to kayak independently persisted.\u003c/p>\n\u003cfigure id=\"attachment_11626481\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626481\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/AhmetonKayak-800x445.jpg\" alt=\"Ustunel paddles his kayak solo on San Francisco's Lake Merced.\" width=\"800\" height=\"445\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-800x445.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-160x89.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-1020x567.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-1180x656.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-960x534.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-1038x576.jpg 1038w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-240x134.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-375x209.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonKayak-520x289.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ustunel paddles his kayak solo on San Francisco’s Lake Merced. \u003ccite>(Adam Grossberg/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Earlier this year, he saw an opportunity that could make this possible: A nonprofit launched a new award to fund blind and visually impaired people undertaking adventures. \u003ca href=\"https://www.holmanprize.org/\" target=\"_blank\" rel=\"noopener\">The Holman Prize for Blind Ambition\u003c/a> offers grants of up to $25,000 to accomplish a bold project.\u003c/p>\n\u003cp>The organization behind the prize,\u003ca href=\"http://lighthouse-sf.org/\" target=\"_blank\" rel=\"noopener\"> LightHouse for the Blind and Visually Impaired\u003c/a>, received over 200 applications from 27 countries. They finally whittled down the winners to three individuals. In addition to Ustunel, the other prize recipients were a Ugandan beekeeper hoping to expand job opportunities for other visually impaired people, and a British baker hoping to travel with her prize money and connect people across cultures through food.\u003c/p>\n\u003cp>LightHouse has been able to fund these creative projects after receiving an unexpected gift of $125 million from a Seattle businessman upon his death.\u003c/p>\n\u003cp>For Ustunel, the money will help him buy the right kind of kayak and the instruments he will use to navigate. He’s documenting his training process on his \u003ca href=\"http://theblindcaptain.com/\">website\u003c/a>, where he calls himself “The Blind Captain.”\u003c/p>\n\u003ch2>How do you kayak if you can’t see?\u003c/h2>\n\u003cp>Ustunel says the first thing is to use your other senses, which can convey lots of information. When he nears the shore, Ustunel smells plants or flowers. If it’s rained recently, the land produces an earthy scent from the soil, called petrichor. If Ustunel is out on the open water, he will sometimes sense a smell similar to watermelon. He thinks this might be a kind of seaweed scent.\u003c/p>\n\u003cp>Ustunel also uses his ears to locate people, construction or cars. These sounds mean he’s close to shore. When he’s out farther in the water, he mostly just hears birds.\u003c/p>\n\u003cp>But to cross the Bosphorus, Ustunel will need more than just his senses. His journey will be just over 3 miles, but the strait is one of the busiest shipping channels in the world: the waters are dangerously crowded with huge freighters and tankers, alongside small ferries and fishing boats. And the currents are strong.\u003c/p>\n\u003cp>So Ustunel will need gadgets that can tell him exactly where he is and what’s around him.\u003c/p>\n\u003cfigure id=\"attachment_11626483\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626483\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/Bosphorous-800x547.jpg\" alt=\"Ferry boats criss-cross the Bosphorus Strait off Istanbul, one of the world's busiest shipping channels. Crossing it safely is a huge challenge for a blind kayaker.\" width=\"800\" height=\"547\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-800x547.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-160x109.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-1020x698.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-1180x807.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-960x657.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-240x164.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-375x256.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/Bosphorous-520x356.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ferries criss-cross the Bosphorus Strait off Istanbul, one of the world’s busiest shipping channels. Crossing it safely is a huge challenge for a blind kayaker. \u003ccite>(OZAN KOSE/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>To prepare, Ustunel is training in a variety of waterways, including Tomales Bay, San Francisco Bay and Lake Merritt in Oakland. And he’s testing new technology every time he goes out.\u003c/p>\n\u003cp>On a recent Tuesday, he launched on the calm waters of San Francisco’s tiny Lake Merced. He got there by taking a public city bus for people with disabilities. Once at the lake, he rolled his suitcase to the end of the dock and popped it open. Inside, he had a black-and-yellow kayak, neatly folded up.\u003c/p>\n\u003cp>After inflating the boat, Ustunel took his white-and-red cane and stuck it on the back, like a flagpole. This cane is a symbol, he said.\u003c/p>\n\u003cp>“I’m a blind guy kayaking, raising awareness,” Ustunel said.\u003c/p>\n\u003cfigure id=\"attachment_11626407\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626407\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-800x600.jpg\" alt=\"Ahmet Ustunel sets up his kayak with many gadgets to help him navigate the water. He attaches his white cane to his boat to indicate that he is blind.\" width=\"800\" height=\"600\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27757_IMG_7449-qut-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ahmet Ustunel sets up his kayak with many gadgets to help him navigate the water. He attaches his white cane to his boat to indicate that he is blind. \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>With his red life jacket zipped up, he climbed into his boat and pushed off.\u003c/p>\n\u003cp>On the other side of the lake, there was a loud road, which Ustunel used as a landmark, steering toward the sound.\u003c/p>\n\u003cp>Then he pulled out his smartphone. Like all his devices, he has it set to play at double speed for maximum efficiency. In a fast, robotic tone, the GPS device on his phone told him his coordinates, and Ustunel decided to head south.\u003c/p>\n\u003cp>In addition to the GPS on his phone, Ustunel placed another on the back of his kayak, just behind his seat. He refers to that one as “Mr. Beep.” It beeped slowly and steadily when Ustunel was correctly following a pre-programmed route, and quickly to alert him if he drifted.\u003c/p>\n\u003cfigure id=\"attachment_11626486\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11626486\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/AhmetonNav-800x436.jpg\" alt=\"Ustunel uses an app that connects him to a sighted volunteer who can look through the camera on his phone and tell him what's around him.\" width=\"800\" height=\"436\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-800x436.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-160x87.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-1020x556.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-1180x643.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-960x523.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-240x131.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-375x204.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/AhmetonNav-520x283.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ustunel uses an app that connects him to a sighted volunteer who can look through the camera on his phone and tell him what’s around him. \u003ccite>(Adam Grossberg/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Ustunel’s kayak is powered by foot pedals, which allow him to keep his hands free.\u003c/p>\n\u003cp>On the water, he also tested a sonar used by fishers to find fish. Ustunel instead used this to scan the water in front of him for objects or debris.\u003c/p>\n\u003cp>And when he wanted even more information, Ustunel opened an app on his phone that connected him to a sighted person, a volunteer who could be anywhere in the world, who could look through the camera on his phone and see for him.\u003c/p>\n\u003cp>This particular volunteer was in Texas.\u003c/p>\n\u003cp>“Hello?” a female voice said.\u003c/p>\n\u003cp>“Hi,” responded Ustunel. “I am on a kayak on a lake and I want to know what’s around me. I hear a street on my right. Can you see the street?”\u003c/p>\n\u003cp>The tools Ustunel uses are prototypes. He is providing feedback to engineers who will tweak the devices so that other people who are blind can use them, too.\u003c/p>\n\u003cp>Ustunel is not a stranger to helping other blind and visually impaired people access opportunities. This is what he does in his day job as a teacher of visually impaired students in San Francisco public schools.\u003c/p>\n\u003cp>On a recent school day he met privately with Ethan, a 15-year-old who Ustunel was helping write a letter to the city about an intersection that’s not accessible for blind people. Together Ustunel and his student went over a draft of the letter. A computer program read it out loud. The pair made tweaks and spell-checked the document. Then, they agreed, it was ready to send.\u003c/p>\n\u003cp>In part, Ustunel says he teaches because when he was young, he had trouble finding role models. He took whatever he could get — even mythological Greek kings.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Now times have changed, and it’s much easier to find blind heroes, because they’re walking around us every day. Or maybe they’re kayaking on a nearby lake. Just look for the white-tipped cane jutting out the back.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"slug": "pigs-fleeing-north-bay-fires-find-refuge-in-half-moon-bay",
"title": "Pigs Fleeing North Bay Fires Find Refuge in Half Moon Bay",
"publishDate": 1508850015,
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"headTitle": "Pigs Fleeing North Bay Fires Find Refuge in Half Moon Bay | KQED",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">When Anna Sweet of \u003ca href=\"http://www.sweetfarm.org\" target=\"_blank\" rel=\"noopener noreferrer\">Sweet Farm\u003c/a> got the call in the middle of the night, she said she’d be happy to take in emergency guests fleeing the fires in Sonoma County. And then realized she needed to get up and get busy.\u003c/span>\u003c/p>\n\u003cp>“We were not set up yet for pigs at all,” Sweet recalls. “We didn’t have a shelter for them. We weren’t quite sure our fences were going to work.”\u003c/p>\n\u003cp>They did need to build new fencing. Not to embarrass these fine ladies, but Gertrude weighs about 600 pounds and Punky’s just a wee bit smaller than that.\u003c/p>\n\u003cfigure id=\"attachment_11625489\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11625489 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-800x450.jpg\" alt=\"Punky and her buddy Gertrude have found refuge from the North Bay Fires in Half Moon Bay at Sweet Ranch, a non-profit farm animal sanctuary.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Punky and her buddy, Gertrude, have found refuge from the North Bay Fires in Half Moon Bay at Sweet Ranch, a nonprofit farm animal sanctuary. \u003ccite>(Courtesy of Chris McCann)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>These porcine refugees came from \u003ca href=\"https://www.charliesacres.org\" target=\"_blank\" rel=\"noopener noreferrer\">Charlie’s Acres\u003c/a>, escaping the Partrick Fire. Charlie’s Acres, like Sweet Farm, is a nonprofit farm animal sanctuary. They provide a “forever” home for all kinds of animals that would otherwise be headed for slaughter, including chickens, llamas and horses.\u003c/p>\n\u003cp>“Sheep and goats and a few, probably more, cows, and then definitely on the pig side, we’re ready,” Sweet adds.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some animals are “liberated” — or stolen, depending on your perspective — from industrial farms. A lot of bulls and roosters are rescued in this fashion. Other animals are given up for adoption or abandoned, often when families are surprised to discover an animal they procured when small has grown quite large.\u003c/p>\n\u003cfigure id=\"attachment_11625490\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11625490 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-800x450.jpg\" alt=\"You can't ask just anyone to babysit two 600 lb pigs. Tracy Vogt (left) of Charlie's Acres in Sonoma County knew she could count on Anna Sweet and Nate Salpeter of Sweet Farm to help out in a pinch. \" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">You can’t ask just anyone to baby-sit two 600-lb pigs. Tracy Vogt (left) of Charlie’s Acres in Sonoma County knew she could count on Anna Sweet and Nate Salpeter of Sweet Farm to help out in a pinch. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gertrude was found wandering around during a wildfire: the 2016 Blue Cut Fire in San Bernardino County. Tracy Vogt of Charlie’s Acres explains, “Somebody had just left her there when they were evacuating. She had a burned back hoof. She had smoke inhalation issues, and hadn’t eaten or drank anything for three days.”\u003c/p>\n\u003cp>Now Gertrude is a fire survivor twice over. For Vogt, the help from Sweet Farm is sweet in more ways than one. The fire was on her property when the animals were shuttled away in trucks and trailers. Her barn and fences burned, and it’s going to take some time to get the electricity up and running again.\u003c/p>\n\u003cp>“I feel very lucky. I feel very blessed that we were able to get the animals to a really nice spot. And it was really cool to see that the community stepped in and helped each other out,” Vogt says.\u003c/p>\n\u003cfigure id=\"attachment_11625494\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11625494\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-800x450.jpg\" alt=\"Paco the llama is almost 10 years old and good friends with the steers and horse at Sweet Farm. The reasons why animals end up at a sanctuary are as varied as the animals themselves. Paco came from a horse farm where he was getting attacked by neighborhood dogs.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Paco the llama is almost 10 years old and good friends with the steers and horse at Sweet Farm. The reasons why animals end up at a sanctuary are as varied as the animals themselves. Paco came from a horse farm where he was getting attacked by neighborhood dogs. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Sweet, who like her husband, Nate Salpeter, has a day job in tech, this nonprofit work is what feeds the soul.\u003c/p>\n\u003cp>“I like coming home and turning everything off and focusing on the animals and the land. It’s a good balance,” Sweet says. The couple gets help paying for this passion project from fans and members who come out for tours and classes. Their \u003ca href=\"https://www.facebook.com/SweetFarmCA/\" target=\"_blank\" rel=\"noopener noreferrer\">Facebook page\u003c/a> boasts more than 86,000 followers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Another sanctuary near Sweet Farm is housing Vogt’s chickens and ducks. Now that Vogt’s brood is safely settled, she and Sweet are turning their attention to anyone else who needs help with housing and supplies for farm animals in the wake of the North Bay wildfires. Vogt has set up a \u003ca href=\"https://www.gofundme.com/z2brs-sonoma-fire-victims\" target=\"_blank\" rel=\"noopener noreferrer\">GoFundMe campaign\u003c/a> to further that mission.\u003c/p>\n\n",
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"excerpt": "The farm animal sanctuary community has rallied to help animals left homeless by the deadly North Bay fires.",
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"title": "Pigs Fleeing North Bay Fires Find Refuge in Half Moon Bay | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">When Anna Sweet of \u003ca href=\"http://www.sweetfarm.org\" target=\"_blank\" rel=\"noopener noreferrer\">Sweet Farm\u003c/a> got the call in the middle of the night, she said she’d be happy to take in emergency guests fleeing the fires in Sonoma County. And then realized she needed to get up and get busy.\u003c/span>\u003c/p>\n\u003cp>“We were not set up yet for pigs at all,” Sweet recalls. “We didn’t have a shelter for them. We weren’t quite sure our fences were going to work.”\u003c/p>\n\u003cp>They did need to build new fencing. Not to embarrass these fine ladies, but Gertrude weighs about 600 pounds and Punky’s just a wee bit smaller than that.\u003c/p>\n\u003cfigure id=\"attachment_11625489\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11625489 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-800x450.jpg\" alt=\"Punky and her buddy Gertrude have found refuge from the North Bay Fires in Half Moon Bay at Sweet Ranch, a non-profit farm animal sanctuary.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27691_Charlies20Acres-12028129-2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Punky and her buddy, Gertrude, have found refuge from the North Bay Fires in Half Moon Bay at Sweet Ranch, a nonprofit farm animal sanctuary. \u003ccite>(Courtesy of Chris McCann)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>These porcine refugees came from \u003ca href=\"https://www.charliesacres.org\" target=\"_blank\" rel=\"noopener noreferrer\">Charlie’s Acres\u003c/a>, escaping the Partrick Fire. Charlie’s Acres, like Sweet Farm, is a nonprofit farm animal sanctuary. They provide a “forever” home for all kinds of animals that would otherwise be headed for slaughter, including chickens, llamas and horses.\u003c/p>\n\u003cp>“Sheep and goats and a few, probably more, cows, and then definitely on the pig side, we’re ready,” Sweet adds.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some animals are “liberated” — or stolen, depending on your perspective — from industrial farms. A lot of bulls and roosters are rescued in this fashion. Other animals are given up for adoption or abandoned, often when families are surprised to discover an animal they procured when small has grown quite large.\u003c/p>\n\u003cfigure id=\"attachment_11625490\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"wp-image-11625490 size-medium\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-800x450.jpg\" alt=\"You can't ask just anyone to babysit two 600 lb pigs. Tracy Vogt (left) of Charlie's Acres in Sonoma County knew she could count on Anna Sweet and Nate Salpeter of Sweet Farm to help out in a pinch. \" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27695_IMG_3487-2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">You can’t ask just anyone to baby-sit two 600-lb pigs. Tracy Vogt (left) of Charlie’s Acres in Sonoma County knew she could count on Anna Sweet and Nate Salpeter of Sweet Farm to help out in a pinch. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Gertrude was found wandering around during a wildfire: the 2016 Blue Cut Fire in San Bernardino County. Tracy Vogt of Charlie’s Acres explains, “Somebody had just left her there when they were evacuating. She had a burned back hoof. She had smoke inhalation issues, and hadn’t eaten or drank anything for three days.”\u003c/p>\n\u003cp>Now Gertrude is a fire survivor twice over. For Vogt, the help from Sweet Farm is sweet in more ways than one. The fire was on her property when the animals were shuttled away in trucks and trailers. Her barn and fences burned, and it’s going to take some time to get the electricity up and running again.\u003c/p>\n\u003cp>“I feel very lucky. I feel very blessed that we were able to get the animals to a really nice spot. And it was really cool to see that the community stepped in and helped each other out,” Vogt says.\u003c/p>\n\u003cfigure id=\"attachment_11625494\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11625494\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-800x450.jpg\" alt=\"Paco the llama is almost 10 years old and good friends with the steers and horse at Sweet Farm. The reasons why animals end up at a sanctuary are as varied as the animals themselves. Paco came from a horse farm where he was getting attacked by neighborhood dogs.\" width=\"800\" height=\"450\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-800x450.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-160x90.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-1020x574.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-1180x664.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-960x540.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-240x135.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-375x211.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/RS27694_IMG_3476-2-qut-520x293.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Paco the llama is almost 10 years old and good friends with the steers and horse at Sweet Farm. The reasons why animals end up at a sanctuary are as varied as the animals themselves. Paco came from a horse farm where he was getting attacked by neighborhood dogs. \u003ccite>(Rachael Myrow/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For Sweet, who like her husband, Nate Salpeter, has a day job in tech, this nonprofit work is what feeds the soul.\u003c/p>\n\u003cp>“I like coming home and turning everything off and focusing on the animals and the land. It’s a good balance,” Sweet says. The couple gets help paying for this passion project from fans and members who come out for tours and classes. Their \u003ca href=\"https://www.facebook.com/SweetFarmCA/\" target=\"_blank\" rel=\"noopener noreferrer\">Facebook page\u003c/a> boasts more than 86,000 followers.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Another sanctuary near Sweet Farm is housing Vogt’s chickens and ducks. Now that Vogt’s brood is safely settled, she and Sweet are turning their attention to anyone else who needs help with housing and supplies for farm animals in the wake of the North Bay wildfires. Vogt has set up a \u003ca href=\"https://www.gofundme.com/z2brs-sonoma-fire-victims\" target=\"_blank\" rel=\"noopener noreferrer\">GoFundMe campaign\u003c/a> to further that mission.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"title": "California Declares Emergency in Fight Against Hepatitis A Outbreak",
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"headTitle": "California Declares Emergency in Fight Against Hepatitis A Outbreak | KQED",
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"content": "\u003cp>California health officials will order a big batch of hepatitis A vaccine this week, after Gov. Jerry Brown declared a state of emergency to combat one of the state’s biggest outbreaks of the liver infection in two decades.\u003c/p>\n\u003cp>Hepatitis A has been racing through \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\" target=\"_blank\" rel=\"noopener\">homeless populations in San Diego\u003c/a>, Los Angeles and Santa Cruz. As of mid-October, 576 people became ill, 386 went to the hospital and 18 people died due to the outbreak.\u003c/p>\n\u003cp>“Vaccination is the most effective means to prevent additional cases,” said \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/Pages/AboutDeputyDirector.aspx\" target=\"_blank\" rel=\"noopener\">Dr. Gil Chavez\u003c/a>, state epidemiologist for the Center for Infectious Diseases at California’s Public Health Department.\u003c/p>\n\u003cp>The state has received 81,000 doses of the vaccine free of charge from the Centers for Disease Control and Prevention, Chavez said, representing a big chunk of the federal government’s total supply for the year. And it’s not enough.\u003c/p>\n\u003cp>“It’s been very clear that our continued requests for additional vaccine is running into the limit of what they can share with California,” Chavez said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[audio src=\"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/HepAStateEmergencyDembosky.mp3\" Image=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2013/08/vaccine1.jpg1-e1508205432659.jpg\" Title=\"California Declares Emergency in Fight Against Hepatitis A Outbreak\" program=\"The California Report\"]\u003c/p>\n\u003cp>The governor’s emergency proclamation, issued Friday, allows the state to draw money from the general budget to order more vaccines directly from manufacturers.\u003c/p>\n\u003cp>“We believe that if we procure our own vaccine, we will have more control over the vaccine supply and who gets vaccination,” Chavez said. “We have the capacity to use as much vaccine as we can get our hands on.”\u003c/p>\n\u003cp>Hepatitis A is a viral infection that attacks the liver, causing fever, nausea and abdominal discomfort, followed by yellowing of the skin. It is typically spread when an infected person doesn’t wash their hands after using the bathroom, then touches food or public surfaces.\u003c/p>\n\u003cp>It has spread quickly among drug users and in crowded homeless communities that lack public restrooms and sinks, growing into the largest person-to-person hepatitis A outbreak in the state since a vaccine was developed 22 years ago, according to the governor’s emergency proclamation.\u003c/p>\n\u003cp>Several counties, including Sacramento, \u003ca href=\"https://ww2.kqed.org/news/2017/09/18/san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county/\" target=\"_blank\" rel=\"noopener\">Orange\u003c/a> and San Francisco, have been pro-actively offering vaccinations at shelters, drop-in centers, food pantries and tent encampments.\u003c/p>\n\u003cp>“We do not have an outbreak of hepatitis A in San Francisco and we want to keep it that way,” said Dr. Tomas Aragon, the city’s health officer. “The best way to prevent that is by vaccinating as many people as we can who are at risk.”\u003c/p>\n\u003cp>There is no increased risk of infection in the general population, Chavez said. The state usually sees about 150 cases of hepatitis A per year, mainly among people who travel to, or are visiting from, countries where the virus is common.\u003c/p>\n\u003cp>The hep A vaccine has been routinely recommended for children in California since 1999, meaning most kids and teens are protected against the disease. Otherwise, good sanitation and thorough hand-washing is the best protection.\u003c/p>\n\u003cp>Though the hep A vaccine is normally administered in two doses that are six months apart, Chavez said even getting only the first dose can prevent infection for up to 20 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The first dose is one that gives you a very, very high level of immunity,” he said. “We believe that if we are able to get only one dose in people that that will be sufficient to contain the outbreak.”\u003c/p>\n\n",
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"excerpt": "Hepatitis A has been racing through homeless populations in San Diego, Los Angeles and Santa Cruz. As of mid-October, 18 people have died in the outbreak.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California health officials will order a big batch of hepatitis A vaccine this week, after Gov. Jerry Brown declared a state of emergency to combat one of the state’s biggest outbreaks of the liver infection in two decades.\u003c/p>\n\u003cp>Hepatitis A has been racing through \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\" target=\"_blank\" rel=\"noopener\">homeless populations in San Diego\u003c/a>, Los Angeles and Santa Cruz. As of mid-October, 576 people became ill, 386 went to the hospital and 18 people died due to the outbreak.\u003c/p>\n\u003cp>“Vaccination is the most effective means to prevent additional cases,” said \u003ca href=\"https://www.cdph.ca.gov/Programs/CID/Pages/AboutDeputyDirector.aspx\" target=\"_blank\" rel=\"noopener\">Dr. Gil Chavez\u003c/a>, state epidemiologist for the Center for Infectious Diseases at California’s Public Health Department.\u003c/p>\n\u003cp>The state has received 81,000 doses of the vaccine free of charge from the Centers for Disease Control and Prevention, Chavez said, representing a big chunk of the federal government’s total supply for the year. And it’s not enough.\u003c/p>\n\u003cp>“It’s been very clear that our continued requests for additional vaccine is running into the limit of what they can share with California,” Chavez said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The governor’s emergency proclamation, issued Friday, allows the state to draw money from the general budget to order more vaccines directly from manufacturers.\u003c/p>\n\u003cp>“We believe that if we procure our own vaccine, we will have more control over the vaccine supply and who gets vaccination,” Chavez said. “We have the capacity to use as much vaccine as we can get our hands on.”\u003c/p>\n\u003cp>Hepatitis A is a viral infection that attacks the liver, causing fever, nausea and abdominal discomfort, followed by yellowing of the skin. It is typically spread when an infected person doesn’t wash their hands after using the bathroom, then touches food or public surfaces.\u003c/p>\n\u003cp>It has spread quickly among drug users and in crowded homeless communities that lack public restrooms and sinks, growing into the largest person-to-person hepatitis A outbreak in the state since a vaccine was developed 22 years ago, according to the governor’s emergency proclamation.\u003c/p>\n\u003cp>Several counties, including Sacramento, \u003ca href=\"https://ww2.kqed.org/news/2017/09/18/san-diegos-hepatitis-a-outbreak-spurs-action-in-l-a-orange-county/\" target=\"_blank\" rel=\"noopener\">Orange\u003c/a> and San Francisco, have been pro-actively offering vaccinations at shelters, drop-in centers, food pantries and tent encampments.\u003c/p>\n\u003cp>“We do not have an outbreak of hepatitis A in San Francisco and we want to keep it that way,” said Dr. Tomas Aragon, the city’s health officer. “The best way to prevent that is by vaccinating as many people as we can who are at risk.”\u003c/p>\n\u003cp>There is no increased risk of infection in the general population, Chavez said. The state usually sees about 150 cases of hepatitis A per year, mainly among people who travel to, or are visiting from, countries where the virus is common.\u003c/p>\n\u003cp>The hep A vaccine has been routinely recommended for children in California since 1999, meaning most kids and teens are protected against the disease. Otherwise, good sanitation and thorough hand-washing is the best protection.\u003c/p>\n\u003cp>Though the hep A vaccine is normally administered in two doses that are six months apart, Chavez said even getting only the first dose can prevent infection for up to 20 years.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“The first dose is one that gives you a very, very high level of immunity,” he said. “We believe that if we are able to get only one dose in people that that will be sufficient to contain the outbreak.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>[dropcap]J[/dropcap]ulayne Smithson was working an overnight shift in the Intensive Care Unit at the Kaiser Permanente hospital in Santa Rosa when massive wildfires started racing through the city. Smithson had no idea how close they were. She was too busy taking care of her patient.\u003c/p>\n\u003cp>“One of the nurses came up to me and she said, ‘Julayne, I’m sorry, but your house is not going to make it,’” she said.\u003c/p>\n\u003cp>Smithson, 55, recently moved from Indiana and had just bought a new home a few weeks ago. From the hospital window, she could see the flames moving through her neighborhood.\u003c/p>\n\u003cp>“I was so busy working the last couple of weeks that I didn’t get my insurance, which I never do. I never ever, ever go uninsured,” she said. “I kept saying, ‘Tomorrow, I’m going to do that. Tomorrow, I’m going to do that.”\u003c/p>\n\u003cp>[contextly_sidebar id=”G9hfFQdPhqcscgWQ02zuOf5wTZ9VBia6″]\u003c/p>\n\u003cp>Smithson asked a colleague to watch her patient and raced home to try to save a few things. The fire was a block away.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“I knew I didn’t have much time,” she said. “So I ran inside and I thought, ‘I have to get my nursing documents, because if I’m going to lose everything I own, I have to be able to work, to care for patients.’”\u003c/p>\n\u003cp>She grabbed the papers, a pair of scrubs and a nightgown, and raced back to the ICU. Over the next two hours, smoke filled the hospital.\u003c/p>\n\u003cp>“All of a sudden the police busted in the door and they said, ‘everybody out,” she said. “’Grab what you can carry, get your patients, and go now.’”\u003c/p>\n\u003cp>One of Kaiser’s emergency room doctors took charge as the fire approached, setting up a disaster command center, and making the call to evacuate the hospital’s 130 patients.\u003c/p>\n\u003cp>“It’s a really challenging decision to make, one you don’t make lightly,” said Joshua Weil, Kaiser’s ER doctor in charge that night. “You have to weigh the potential risk of moving hospitalized patients and patients from the emergency department, versus the risk of keeping them where they are.”\u003c/p>\n\u003cp>He decided to evacuate when the fire moved suddenly toward the hospital. Firefighters told him the blaze was 100 to 200 yards from the property, posing an imminent threat to the hospital structure.\u003c/p>\n\u003cp>“They literally used the words, ‘we’re making the last stand,’” Weil said.\u003c/p>\n\u003cp>Staff immediately started assessing and triaging patients. \u003c/p>\n\u003cp>Patients who could walk, got on a bus provided by the city. Patients who couldn’t walk, like Smithson’s patient, had to wait.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\nA lot of nurses and staff were putting patients in their cars and driving them to the hospital.\u003cbr>\n\u003ccite>Julayne Smithson, Nurse at the ICY at the Kaiser Permanente Santa Rosa\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Sutter Santa Rosa Regional Hospital was also evacuating, and they had close to 80 patients, so ambulances were in high demand.\u003c/p>\n\u003cp>“A lot of nurses and staff were putting patients in their cars and driving them to the hospital,” she said. “And then other people were carrying people on blankets, people who couldn’t walk, and putting them in cars.”\u003c/p>\n\u003cp>In the end, Smithson said they waited about 15 minutes for an ambulance, but it was a stressful 15 minutes. Her team was manually pumping air into her patient’s mouth with an air bag. A team of five had to push him, in his bed with all the monitors, through the parking lot several times to get away from fast-moving smoke and flames. His medication was running low and he was getting agitated.\u003c/p>\n\u003cp>“The pharmacy pre-mixes those medicines for us, but we didn’t have time to prepare extra medication for a trip like that because it just came up so fast,” she said.\u003c/p>\n\u003cp>Three hours passed from the moment the evacuation was called, to the moment the last patient was out of the hospital, Weil said.\u003c/p>\n\u003cp>Smithson’s patient, and several other critical patients, made it safely to Santa Rosa Memorial Hospital, about four miles away. About a hundred less critical patients were transferred to Kaiser’s hospital in San Rafael, about 40 miles away.\u003c/p>\n\u003cp>Beatrice Immoos was one of the nurses there getting prepped to receive the influx.\u003c/p>\n\u003cp>“We were essentially told that we were in a disaster situation and all ratios were out the window,” she said, meaning nurses would be assigned more patients than usually allowed under California law. “They were going to start triaging people through the ER.”\u003c/p>\n\u003caside class=\"pullquote alignright\">\nEvery day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.\u003cbr>\n\u003ccite>Beatrice Immoos, Nurse at Kaiser San Rafael \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>She remembers patients arriving wearing colored armbands, indicating the severity of their health status. These were likely assigned by paramedics during transport, Weil said.\u003c/p>\n\u003cp>“This level of disaster is a new one for us,” said Immoos. “It was very emotional, but there was a lot of resolve. Every day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.”\u003c/p>\n\u003cp>The hospital put out calls for volunteer nurses to come help in San Rafael. Many responded, including Julayne Smithson. Her husband was supposed to fly in from Indiana in two days, but with their new home gone, she told him to wait.\u003c/p>\n\u003cp>“I said, ‘Well, I don’t have anywhere to go right now. And we don’t know what’s going on,’” she said. “So I said ‘I’ll go to San Rafael and help there.’”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Another nurse offered Smithson a pullout couch in a spare room. She’s been sleeping there during the day, and working 7 p.m. to 7 a.m. every night since the fire. She says all she wants to do right now is help patients, so she doesn’t have to think about what she’s lost.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003c/p>\u003cp>\u003cspan class=\"utils-parseShortcode-shortcodes-__dropcapShortcode__dropcap\">J\u003c/span>\u003c/p>\u003cp>ulayne Smithson was working an overnight shift in the Intensive Care Unit at the Kaiser Permanente hospital in Santa Rosa when massive wildfires started racing through the city. Smithson had no idea how close they were. She was too busy taking care of her patient.\u003c/p>\n\u003cp>“One of the nurses came up to me and she said, ‘Julayne, I’m sorry, but your house is not going to make it,’” she said.\u003c/p>\n\u003cp>Smithson, 55, recently moved from Indiana and had just bought a new home a few weeks ago. From the hospital window, she could see the flames moving through her neighborhood.\u003c/p>\n\u003cp>“I was so busy working the last couple of weeks that I didn’t get my insurance, which I never do. I never ever, ever go uninsured,” she said. “I kept saying, ‘Tomorrow, I’m going to do that. Tomorrow, I’m going to do that.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Smithson asked a colleague to watch her patient and raced home to try to save a few things. The fire was a block away.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“I knew I didn’t have much time,” she said. “So I ran inside and I thought, ‘I have to get my nursing documents, because if I’m going to lose everything I own, I have to be able to work, to care for patients.’”\u003c/p>\n\u003cp>She grabbed the papers, a pair of scrubs and a nightgown, and raced back to the ICU. Over the next two hours, smoke filled the hospital.\u003c/p>\n\u003cp>“All of a sudden the police busted in the door and they said, ‘everybody out,” she said. “’Grab what you can carry, get your patients, and go now.’”\u003c/p>\n\u003cp>One of Kaiser’s emergency room doctors took charge as the fire approached, setting up a disaster command center, and making the call to evacuate the hospital’s 130 patients.\u003c/p>\n\u003cp>“It’s a really challenging decision to make, one you don’t make lightly,” said Joshua Weil, Kaiser’s ER doctor in charge that night. “You have to weigh the potential risk of moving hospitalized patients and patients from the emergency department, versus the risk of keeping them where they are.”\u003c/p>\n\u003cp>He decided to evacuate when the fire moved suddenly toward the hospital. Firefighters told him the blaze was 100 to 200 yards from the property, posing an imminent threat to the hospital structure.\u003c/p>\n\u003cp>“They literally used the words, ‘we’re making the last stand,’” Weil said.\u003c/p>\n\u003cp>Staff immediately started assessing and triaging patients. \u003c/p>\n\u003cp>Patients who could walk, got on a bus provided by the city. Patients who couldn’t walk, like Smithson’s patient, had to wait.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\nA lot of nurses and staff were putting patients in their cars and driving them to the hospital.\u003cbr>\n\u003ccite>Julayne Smithson, Nurse at the ICY at the Kaiser Permanente Santa Rosa\u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>Sutter Santa Rosa Regional Hospital was also evacuating, and they had close to 80 patients, so ambulances were in high demand.\u003c/p>\n\u003cp>“A lot of nurses and staff were putting patients in their cars and driving them to the hospital,” she said. “And then other people were carrying people on blankets, people who couldn’t walk, and putting them in cars.”\u003c/p>\n\u003cp>In the end, Smithson said they waited about 15 minutes for an ambulance, but it was a stressful 15 minutes. Her team was manually pumping air into her patient’s mouth with an air bag. A team of five had to push him, in his bed with all the monitors, through the parking lot several times to get away from fast-moving smoke and flames. His medication was running low and he was getting agitated.\u003c/p>\n\u003cp>“The pharmacy pre-mixes those medicines for us, but we didn’t have time to prepare extra medication for a trip like that because it just came up so fast,” she said.\u003c/p>\n\u003cp>Three hours passed from the moment the evacuation was called, to the moment the last patient was out of the hospital, Weil said.\u003c/p>\n\u003cp>Smithson’s patient, and several other critical patients, made it safely to Santa Rosa Memorial Hospital, about four miles away. About a hundred less critical patients were transferred to Kaiser’s hospital in San Rafael, about 40 miles away.\u003c/p>\n\u003cp>Beatrice Immoos was one of the nurses there getting prepped to receive the influx.\u003c/p>\n\u003cp>“We were essentially told that we were in a disaster situation and all ratios were out the window,” she said, meaning nurses would be assigned more patients than usually allowed under California law. “They were going to start triaging people through the ER.”\u003c/p>\n\u003caside class=\"pullquote alignright\">\nEvery day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.\u003cbr>\n\u003ccite>Beatrice Immoos, Nurse at Kaiser San Rafael \u003c/cite>\u003cbr>\n\u003c/aside>\n\u003cp>She remembers patients arriving wearing colored armbands, indicating the severity of their health status. These were likely assigned by paramedics during transport, Weil said.\u003c/p>\n\u003cp>“This level of disaster is a new one for us,” said Immoos. “It was very emotional, but there was a lot of resolve. Every day, nurses are always working with the common goal of taking care of our patients, and in a disaster, it’s just even more hands on deck working to get them the best treatment.”\u003c/p>\n\u003cp>The hospital put out calls for volunteer nurses to come help in San Rafael. Many responded, including Julayne Smithson. Her husband was supposed to fly in from Indiana in two days, but with their new home gone, she told him to wait.\u003c/p>\n\u003cp>“I said, ‘Well, I don’t have anywhere to go right now. And we don’t know what’s going on,’” she said. “So I said ‘I’ll go to San Rafael and help there.’”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Another nurse offered Smithson a pullout couch in a spare room. She’s been sleeping there during the day, and working 7 p.m. to 7 a.m. every night since the fire. She says all she wants to do right now is help patients, so she doesn’t have to think about what she’s lost.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Nicole and Ben Veum had been waiting and waiting for their baby to arrive. Nicole’s due date came and went. Her doctor called her into the hospital — Sutter Santa Rosa Regional Hospital — to induce labor. That was Friday.\u003c/p>\n\u003cp>“So we were very excited at that point,” she said. “And then day after day after day, with not a whole lot of progress.”\u003c/p>\n\u003cp>They tried three different ways of inducing labor. Then, on the third day, with the third attempt, it started working.\u003c/p>\n\u003cp>“And then finally I am in a great rhythm,” she said. “We’re all excited. They’re talking about breaking my water.”\u003c/p>\n\u003cp>[contextly_sidebar id=”qaPk63b1ejoXiMMNr8YdeEUPcyxIekdN”]\u003c/p>\n\u003cp>Her contractions were coming strong, every four to five minutes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Things are rolling,” Ben said. “We’re getting good checks from the nurses. We started to get in the mood to play some music — a little bit of opera.”\u003c/p>\n\u003cp>They just turned on Pavarotti when the hospital power went out. The generators came on. And the smoke outside the building started to creep inside.\u003c/p>\n\u003cp>“There was a ton of smoke in the hospital,” Nicole said. “You could see it and smell it.”\u003c/p>\n\u003cfigure id=\"attachment_11622596\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/BabyBirth-800x600.jpg\" alt=\"Nicole and Ben Veum and baby Adrian.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11622596\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Nicole and Ben Veum and baby Adrian. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The nurses said the buildings around the hospital were on fire and they had to evacuate everyone. Eighty patients from Sutter and another 130 patients from Kaiser were transferred to other hospitals in the area on Monday, including Santa Rosa Memorial and Kaiser San Rafael.\u003c/p>\n\u003cp>Nicole Veum had just received an epidural when the evacuation orders came through.\u003c/p>\n\u003cp>“I couldn’t walk or move, which was just not cool,” she said. “I didn’t like that part. I felt really vulnerable.”\u003c/p>\n\u003cp>The staff gave Nicole medication to stop her contractions.\u003c/p>\n\u003cp>[contextly_sidebar id=”uGxGSsXGQxiFVAqKPqRBLB1laFgSQ1ve”]\u003c/p>\n\u003cp>“We were like ‘Noooo.’ It was the worst news,” she said. “To have tried for three days and then OK, here’s the shot that’s going to end all of that.”\u003c/p>\n\u003cp>Then, Nicole had to wait again. For an ambulance.\u003c/p>\n\u003cp>It was hours before dawn, and Nicole lay on a gurney by the docking bay, feeling paralyzed, in a line of would-be evacuees. There were so many patients that needed to be transported, and by the time her turn came, she had to share the ride with another woman in labor and a third with a newborn in her arms. That left no room for her husband.\u003c/p>\n\u003cp>“The charge nurse explained that ‘This is a disaster. We’re following disaster protocol and no spouses or birth teams or anything are going along on the ambulance,’” Ben said. “And there was a part of me briefly that was like – but I’m a dad. I’m going to be a dad. This is us.”\u003c/p>\n\u003cp>Ben waited for the bus, and was soon reunited with Nicole at Santa Rosa Memorial. But by that point, her labor was again at a stand still.\u003c/p>\n\u003cp>[contextly_sidebar id=”q9NLa0ZP8yZcE8zveM7DZgZMouQUNHtv”]\u003c/p>\n\u003cp>They gave it another 12 hours, then agreed to a C-section. Monday evening, Nicole gave birth to a healthy baby boy, named Adrian Veum. Their friends had some suggestions for a middle name.\u003c/p>\n\u003cp>“They wanted us to call him Adrian Fuego Veum, or Blaze Veum,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But Nicole is a big Los Angeles baseball fan, and she and Ben decided to stick with their original name plan: Adrian Dodger Veum.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Nicole and Ben Veum had been waiting and waiting for their baby to arrive. Nicole’s due date came and went. Her doctor called her into the hospital — Sutter Santa Rosa Regional Hospital — to induce labor. That was Friday.\u003c/p>\n\u003cp>“So we were very excited at that point,” she said. “And then day after day after day, with not a whole lot of progress.”\u003c/p>\n\u003cp>They tried three different ways of inducing labor. Then, on the third day, with the third attempt, it started working.\u003c/p>\n\u003cp>“And then finally I am in a great rhythm,” she said. “We’re all excited. They’re talking about breaking my water.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Her contractions were coming strong, every four to five minutes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Things are rolling,” Ben said. “We’re getting good checks from the nurses. We started to get in the mood to play some music — a little bit of opera.”\u003c/p>\n\u003cp>They just turned on Pavarotti when the hospital power went out. The generators came on. And the smoke outside the building started to creep inside.\u003c/p>\n\u003cp>“There was a ton of smoke in the hospital,” Nicole said. “You could see it and smell it.”\u003c/p>\n\u003cfigure id=\"attachment_11622596\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2017/10/BabyBirth-800x600.jpg\" alt=\"Nicole and Ben Veum and baby Adrian.\" width=\"800\" height=\"600\" class=\"size-medium wp-image-11622596\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-800x600.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-160x120.jpg 160w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-1020x765.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth.jpg 1920w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-1180x885.jpg 1180w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-960x720.jpg 960w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-240x180.jpg 240w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-375x281.jpg 375w, https://cdn.kqed.org/wp-content/uploads/sites/10/2017/10/BabyBirth-520x390.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Nicole and Ben Veum and baby Adrian. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The nurses said the buildings around the hospital were on fire and they had to evacuate everyone. Eighty patients from Sutter and another 130 patients from Kaiser were transferred to other hospitals in the area on Monday, including Santa Rosa Memorial and Kaiser San Rafael.\u003c/p>\n\u003cp>Nicole Veum had just received an epidural when the evacuation orders came through.\u003c/p>\n\u003cp>“I couldn’t walk or move, which was just not cool,” she said. “I didn’t like that part. I felt really vulnerable.”\u003c/p>\n\u003cp>The staff gave Nicole medication to stop her contractions.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“We were like ‘Noooo.’ It was the worst news,” she said. “To have tried for three days and then OK, here’s the shot that’s going to end all of that.”\u003c/p>\n\u003cp>Then, Nicole had to wait again. For an ambulance.\u003c/p>\n\u003cp>It was hours before dawn, and Nicole lay on a gurney by the docking bay, feeling paralyzed, in a line of would-be evacuees. There were so many patients that needed to be transported, and by the time her turn came, she had to share the ride with another woman in labor and a third with a newborn in her arms. That left no room for her husband.\u003c/p>\n\u003cp>“The charge nurse explained that ‘This is a disaster. We’re following disaster protocol and no spouses or birth teams or anything are going along on the ambulance,’” Ben said. “And there was a part of me briefly that was like – but I’m a dad. I’m going to be a dad. This is us.”\u003c/p>\n\u003cp>Ben waited for the bus, and was soon reunited with Nicole at Santa Rosa Memorial. But by that point, her labor was again at a stand still.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>They gave it another 12 hours, then agreed to a C-section. Monday evening, Nicole gave birth to a healthy baby boy, named Adrian Veum. Their friends had some suggestions for a middle name.\u003c/p>\n\u003cp>“They wanted us to call him Adrian Fuego Veum, or Blaze Veum,” she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>But Nicole is a big Los Angeles baseball fan, and she and Ben decided to stick with their original name plan: Adrian Dodger Veum.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>The \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\">hepatitis A outbreak in California\u003c/a> that has claimed 17 lives may not have peaked and could take a year or more to abate, health officials said Thursday.\u003c/p>\n\u003cp>The contagious, liver-damaging illness has infected at least 568 people since November, mainly in San Diego, Santa Cruz and Los Angeles counties.\u003c/p>\n\u003cp>People without symptoms can carry the illness, and health officials suspect that transients in San Diego County spread it through other homeless populations around the state.\u003c/p>\n\u003cp>More than 480 cases of the illness, including all 17 deaths, have occurred in San Diego County, which declared a public health emergency last month.\u003c/p>\n\u003cp>There have been 70 cases in Santa Cruz County, 12 in Los Angeles County and five elsewhere in the state, the \u003ca href=\"http://www.latimes.com/local/california/la-me-ln-hepatitis-outbreaks-20171006-htmlstory.html\">Los Angeles Times reported\u003c/a> Thursday, citing state and county health departments.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Some communities have begun vaccinating homeless people, but such preventative efforts may not immediately halt the outbreak.\u003c/p>\n\u003cp>It’s not unusual for outbreaks to last more than a year, said Dr. Monique Foster, a medical epidemiologist with the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>[contextly_sidebar id=”oTelrZZFLGSUBpjfowW4HpbRlA28jy5C”]Hepatitis A spreads when someone comes in contact with an infected person’s feces — sometimes when hands are not properly washed after going to the bathroom or by changing diapers. The virus can then spread through food, objects, sex or sharing drug paraphernalia.\u003c/p>\n\u003cp>San Diego has responded to the emergency by power-washing streets and installing hand-washing stations. The city says it will open an encampment for the homeless equipped with tents, showers, restrooms, food security and social services.\u003c/p>\n\u003cp>Santa Cruz County has distributed nearly 1,400 doses of vaccine, However, more cases are likely because it can take up to 50 days for infected people to show symptoms, said Jessica Randolph, the county’s public health manager.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I don’t think the worst is over,” she told the Times.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The \u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/09/25/san-diego-fighting-a-deadly-hepatitis-outbreak-linked-to-homeless-encampments/\">hepatitis A outbreak in California\u003c/a> that has claimed 17 lives may not have peaked and could take a year or more to abate, health officials said Thursday.\u003c/p>\n\u003cp>The contagious, liver-damaging illness has infected at least 568 people since November, mainly in San Diego, Santa Cruz and Los Angeles counties.\u003c/p>\n\u003cp>People without symptoms can carry the illness, and health officials suspect that transients in San Diego County spread it through other homeless populations around the state.\u003c/p>\n\u003cp>More than 480 cases of the illness, including all 17 deaths, have occurred in San Diego County, which declared a public health emergency last month.\u003c/p>\n\u003cp>There have been 70 cases in Santa Cruz County, 12 in Los Angeles County and five elsewhere in the state, the \u003ca href=\"http://www.latimes.com/local/california/la-me-ln-hepatitis-outbreaks-20171006-htmlstory.html\">Los Angeles Times reported\u003c/a> Thursday, citing state and county health departments.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Some communities have begun vaccinating homeless people, but such preventative efforts may not immediately halt the outbreak.\u003c/p>\n\u003cp>It’s not unusual for outbreaks to last more than a year, said Dr. Monique Foster, a medical epidemiologist with the U.S. Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>Hepatitis A spreads when someone comes in contact with an infected person’s feces — sometimes when hands are not properly washed after going to the bathroom or by changing diapers. The virus can then spread through food, objects, sex or sharing drug paraphernalia.\u003c/p>\n\u003cp>San Diego has responded to the emergency by power-washing streets and installing hand-washing stations. The city says it will open an encampment for the homeless equipped with tents, showers, restrooms, food security and social services.\u003c/p>\n\u003cp>Santa Cruz County has distributed nearly 1,400 doses of vaccine, However, more cases are likely because it can take up to 50 days for infected people to show symptoms, said Jessica Randolph, the county’s public health manager.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I don’t think the worst is over,” she told the Times.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>California’s attorney general sued the Trump administration Friday over \u003ca href=\"http://www.npr.org/sections/health-shots/2017/10/06/555970210/trump-ends-requirement-that-employer-health-plans-pay-for-birth-control\" target=\"_blank\" rel=\"noopener\">new rules\u003c/a> allowing more employers to opt out of providing no-cost birth control to women by claiming moral or religious objections, joining a flurry of lawsuits by other states and birth control advocacy groups.\u003c/p>\n\u003cp>Democratic Attorney General Xavier Becerra sued in federal court in San Francisco the same day the Republican administration announced it is giving employers more discretion as part of a broader rollback of the Affordable Care Act.\u003c/p>\n\u003cp>The lawsuit contends that the new rules violate the U.S. Constitution by allowing employers to use their religious beliefs to justify discrimination and to deny women equal protection under the law.. It says the administration also violated federal law by acting without allowing public comment and without providing a proper legal or factual basis for the change.\u003c/p>\n\u003cp>Becerra said the rollback could affect 13 million California women and their families, but he later said those women would still be protected by state law. California Department of Managed Health Care Director Shelley Rouillard said in a statement that California-regulated health plans must cover contraceptives for women without cost, with very narrow exceptions for religious employers.\u003c/p>\n\u003cp>“We’re not interested in going backwards,” Becerra said during a conference call with other contraception advocates, many of whom promised their own legal challenges. “We’re prepared in California to take all action, including legal action, to defend a woman’s rights against these unacceptable attacks.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Massachusetts Attorney General Maura Healey, a fellow Democrat, also sued Friday, citing similar legal grounds.\u003c/p>\n\u003cp>Becerra said other attorneys general, whom he would not name, are preparing to file their own lawsuits or join existing suits.\u003c/p>\n\u003cp>He was one of 18 state attorneys general who signed a letter warning the Trump administration that it should expect legal action. The others are in Connecticut, Delaware, District of Columbia, Hawaii, Illinois, Iowa, Maine, Maryland, Massachusetts, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Vermont, Virginia and Washington.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The American Civil Liberties Union also sued Friday in federal court in San Francisco on behalf of its members and members of Service Employee International Union-United Health Care Workers West whom it said were at risk of losing their contraception coverage.\u003c/p>\n\n",
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"headline": "California Sues Trump Over Rollback of Birth Control Rules",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>California’s attorney general sued the Trump administration Friday over \u003ca href=\"http://www.npr.org/sections/health-shots/2017/10/06/555970210/trump-ends-requirement-that-employer-health-plans-pay-for-birth-control\" target=\"_blank\" rel=\"noopener\">new rules\u003c/a> allowing more employers to opt out of providing no-cost birth control to women by claiming moral or religious objections, joining a flurry of lawsuits by other states and birth control advocacy groups.\u003c/p>\n\u003cp>Democratic Attorney General Xavier Becerra sued in federal court in San Francisco the same day the Republican administration announced it is giving employers more discretion as part of a broader rollback of the Affordable Care Act.\u003c/p>\n\u003cp>The lawsuit contends that the new rules violate the U.S. Constitution by allowing employers to use their religious beliefs to justify discrimination and to deny women equal protection under the law.. It says the administration also violated federal law by acting without allowing public comment and without providing a proper legal or factual basis for the change.\u003c/p>\n\u003cp>Becerra said the rollback could affect 13 million California women and their families, but he later said those women would still be protected by state law. California Department of Managed Health Care Director Shelley Rouillard said in a statement that California-regulated health plans must cover contraceptives for women without cost, with very narrow exceptions for religious employers.\u003c/p>\n\u003cp>“We’re not interested in going backwards,” Becerra said during a conference call with other contraception advocates, many of whom promised their own legal challenges. “We’re prepared in California to take all action, including legal action, to defend a woman’s rights against these unacceptable attacks.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Massachusetts Attorney General Maura Healey, a fellow Democrat, also sued Friday, citing similar legal grounds.\u003c/p>\n\u003cp>Becerra said other attorneys general, whom he would not name, are preparing to file their own lawsuits or join existing suits.\u003c/p>\n\u003cp>He was one of 18 state attorneys general who signed a letter warning the Trump administration that it should expect legal action. The others are in Connecticut, Delaware, District of Columbia, Hawaii, Illinois, Iowa, Maine, Maryland, Massachusetts, New York, North Carolina, Oregon, Pennsylvania, Rhode Island, Vermont, Virginia and Washington.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The American Civil Liberties Union also sued Friday in federal court in San Francisco on behalf of its members and members of Service Employee International Union-United Health Care Workers West whom it said were at risk of losing their contraception coverage.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"soldout": {
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"title": "SOLD OUT: Rethinking Housing in America",
"tagline": "A new future for housing",
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