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"content": "\u003cp>\u003cb>California Lt. Gov. Eleni Kounalakis\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Lt. Gov. Eleni Kounalakis’ name has been floated as a candidate for filling the U.S. Senate seat that Vice President-elect Kamala Harris will vacate when she is sworn in in January 2021. Kounalakis became California’s first female lieutenant governor when she was elected in 2018 — in her first run for political office — and one of her earliest endorsements came from Harris. Kounalakis reflects on her political career and discusses what’s at the top of her agenda as the state grapples with the COVID-19 pandemic.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Eleni Kounalakis, Lieutenant Governor of California (D)\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Hopes Grow for COVID-19 Vaccine as Cases Surge\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The winter surge of coronavirus cases predicted by medical experts is here. The U.S. hit a daily record on Thursday with more than 160,000 people testing positive for the virus. In California, 11 counties are returning to more restrictive measures to try to control the virus’ spread as the statewide tally of cases reached a total of 1 million. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Meanwhile, hope is growing for a vaccine following a promising announcement this week from pharmaceutical giant Pfizer that its COVID-19 vaccine was more than 90% effective in preventing infection among trial volunteers.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">And as part of President-elect Joe Biden’s transition plans, three UCSF doctors were appointed to a new national coronavirus task force.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Peter Chin-Hong, professor and infectious disease specialist, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Something Beautiful: The Art of David Park\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">We end the show this week with a visit to SFMOMA and a major retrospective of painter David Park’s career. The pioneering Bay Area artist, who died in 1960, is known for expressionistic portraits and scenes captured from everyday life, from a music rehearsal to bathers by the water. \u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>California Lt. Gov. Eleni Kounalakis\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Lt. Gov. Eleni Kounalakis’ name has been floated as a candidate for filling the U.S. Senate seat that Vice President-elect Kamala Harris will vacate when she is sworn in in January 2021. Kounalakis became California’s first female lieutenant governor when she was elected in 2018 — in her first run for political office — and one of her earliest endorsements came from Harris. Kounalakis reflects on her political career and discusses what’s at the top of her agenda as the state grapples with the COVID-19 pandemic.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Eleni Kounalakis, Lieutenant Governor of California (D)\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Hopes Grow for COVID-19 Vaccine as Cases Surge\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">The winter surge of coronavirus cases predicted by medical experts is here. The U.S. hit a daily record on Thursday with more than 160,000 people testing positive for the virus. In California, 11 counties are returning to more restrictive measures to try to control the virus’ spread as the statewide tally of cases reached a total of 1 million. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Meanwhile, hope is growing for a vaccine following a promising announcement this week from pharmaceutical giant Pfizer that its COVID-19 vaccine was more than 90% effective in preventing infection among trial volunteers.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">And as part of President-elect Joe Biden’s transition plans, three UCSF doctors were appointed to a new national coronavirus task force.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Everyone has bad days, but after the 2016 presidential election, many people living in Democratic states had more of them than usual.\u003c/p>\n\u003cp>That’s according to a \u003ca href=\"https://www.ucsf.edu/news/2020/11/418961/election-angst-states-back-losing-nominee-residents-mental-health-may-falter\">new study\u003c/a> by researchers at UCSF and Duke University, who found that residents in states that supported Hillary Clinton experienced, on average, an additional half a day of poor mental health in the month following the election (December) — a collective uptick of 54.6 million more days — compared to the month preceding it (October).[aside postID=\"arts_13881725,news_11808968,news_11841065\" label=\"Mental Health Resources\"]\u003c/p>\n\u003cp>Researchers also found that depression rates among residents in blue states rose in January 2017, when Trump was inaugurated. Residents 65 and older, women and white people were the groups most impacted overall, the study found.\u003c/p>\n\u003cp>The research team combed through reams of data from the \u003ca href=\"https://www.cdc.gov/brfss/index.html\">Behavioral Risk Factor Surveillance System\u003c/a>, an annual national mental health phone survey of nearly 500,000 participants, to identify the number of poor mental health days people reported experiencing before and after the 2016 election.\u003c/p>\n\u003cp>The study’s findings could help guide mental health providers in the wake of another divisive, emotionally fraught election, its authors say.\u003c/p>\n\u003cp>“I think what’s important about this study is we don’t traditionally think of elections themselves being a public health issue, but our study finds evidence that at least the 2016 election likely worsened mental health in a clinically significant way for voters of the candidate that lost,” said study lead author Brandon Yan, a UCSF researcher.\u003c/p>\n\u003cp>Meanwhile, adults in states that voted for Trump reported no statistically significant change in their mental health — not even an improvement.\u003c/p>\n\u003cp>[ad fullwidth]“My hypothesis for why we don’t see an improvement in mental health in states that voted for Trump is that in general we know from behavioral economics that losses are felt much more heavily than victories,” Yan said. “Especially when you think about the 2016 election, the outcome was rather unexpected.”\u003c/p>\n\u003cp>As has been \u003ca href=\"https://www.kqed.org/forum/2010101878994/pandemic-takes-growing-toll-on-mental-health\">widely reported\u003c/a>, 2020 has already brought about a national mental health crisis. The COVID-19 pandemic has increased social isolation, while reducing the number of physician visits. And that means fewer opportunities for health care providers to help patients facing psychological distress, Yan said.\u003c/p>\n\u003cp>Yan hopes his study will help clinicians take a proactive approach in caring for a population that is already struggling.\u003c/p>\n\u003cp>“The implication, at least from a health care perspective, is that patients could potentially benefit from clinicians and mental health providers screening for election-related stress and offering interventions when appropriate,” he said.\u003c/p>\n\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers also found that depression rates among residents in blue states rose in January 2017, when Trump was inaugurated. Residents 65 and older, women and white people were the groups most impacted overall, the study found.\u003c/p>\n\u003cp>The research team combed through reams of data from the \u003ca href=\"https://www.cdc.gov/brfss/index.html\">Behavioral Risk Factor Surveillance System\u003c/a>, an annual national mental health phone survey of nearly 500,000 participants, to identify the number of poor mental health days people reported experiencing before and after the 2016 election.\u003c/p>\n\u003cp>The study’s findings could help guide mental health providers in the wake of another divisive, emotionally fraught election, its authors say.\u003c/p>\n\u003cp>“I think what’s important about this study is we don’t traditionally think of elections themselves being a public health issue, but our study finds evidence that at least the 2016 election likely worsened mental health in a clinically significant way for voters of the candidate that lost,” said study lead author Brandon Yan, a UCSF researcher.\u003c/p>\n\u003cp>Meanwhile, adults in states that voted for Trump reported no statistically significant change in their mental health — not even an improvement.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>President Trump has experienced two drops in his oxygen levels over the course of his COVID-19 diagnosis and is now also being treated with a steroid, but could be discharged from Walter Reed National Military Medical Center as early as Monday, his physicians told reporters during a briefing Sunday.\u003c/p>\n\u003cp>Trump was admitted to Walter Reed on Friday evening after announcing early on Friday morning that he and the first lady had tested positive for the coronavirus.\u003c/p>\n\u003cp>“Since we spoke last [on Saturday], the president has continued to improve,” the president’s physician, Sean Conley, said. “As with any illness, there are frequent ups and downs, particularly when a patient is being so closely watched 24 hours a day.”\u003c/p>\n\u003cp>Conley said that Trump had a high fever and saw his oxygen levels fall while at the White House on Friday morning ahead of being moved to Walter Reed. He did not detail Trump’s high temperature.\u003c/p>\n\u003cp>“Given these two developments, I was concerned for possible progression of the illness,” Conley said. “I recommended [to] the president we try some supplemental oxygen, see how he’d respond. He was fairly adamant that he didn’t need it. He was not short of breath; he was tired, had the fever, and that was about it. After about a minute on only 2 liters, his saturation levels were back over 95%. He stayed on that for about an hour.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>https://twitter.com/Bob_Wachter/status/1312792230860451841\u003c/p>\n\u003cp>In the Bay Area, University of California San Francisco Department of Medicine Chair Bob Wachter tweeted his impressions of Trump’s doctor’s statements, in an effort to unravel what has been described as a confusing back-and-forth between Trump’s doctors and other statements given to reporters by the White House.\u003c/p>\n\u003cp>“It seems like Trump is stable, but remains at high risk, given transient hypoxemia, some findings on chest imaging.,” Wachter said. “The happy talk and evasions are clearly at Trump’s direction, putting the docs in a terrible position. No way he’s ready for discharge tomorrow.”\u003c/p>\n\u003cp>Trump experienced a second episode of falling oxygen levels Saturday, dropping to 93%, Conley said. He said he didn’t know whether Trump received supplemental oxygen at that point. “I’d have to check with the nursing staff,” he said.\u003c/p>\n\u003cp>When asked whether any signs of pneumonia are apparent on the president’s X-rays and scans, Conley said, “There’s some expected findings but nothing of any major clinical concern.”\u003c/p>\n\u003cp>Trump also received his first dose of the steroid dexamethasone on Saturday, with Conley saying the potential benefits of the treatment outweigh the risks.\u003c/p>\n\u003cp>Trump’s care plan includes a five-day treatment course of remdesivir, which Dr. Brian Garibaldi said Trump “tolerated well.”\u003c/p>\n\u003cp>“If he continues to look and feel as well as he does today, our hope is that we can plan for a discharge as early as tomorrow to the White House, where he can continue his treatment course,” Garibaldi said.\u003c/p>\n\u003cp>A similar news conference Saturday led to many questions.\u003c/p>\n\u003cp>The timeline Conley presented to reporters of Trump’s diagnosis was quickly walked back by the White House.\u003c/p>\n\u003cp>And though Conley said that Trump’s symptoms were improving and that he was “extremely happy” with the progress being made, almost immediately after the briefing, a White House official — later identified by The Associated Press as White House Chief of Staff Mark Meadows — contradicted Conley, telling reporters: “The president’s vitals over the last 24 hours were very concerning, and the next 48 hours will be critical in terms of his care. We’re still not on a clear path to a full recovery.”\u003c/p>\n\u003cp>https://twitter.com/Yamiche/status/1312743738939244544?s=19\u003c/p>\n\u003cp>On Sunday, Conley said the chief of staff’s statement was “misconstrued.”\u003c/p>\n\u003cp>“What he meant was that 24 hours ago, when he and I were checking on the president, that there was that momentary episode of the high fever and that temporary drop in the saturation, which prompted us to act expediently to move him up here,” Conley said.\u003c/p>\n\u003cp>When asked why he was reluctant during Saturday’s briefing to disclose that Trump had been administered oxygen, Conley said he was trying to “reflect the upbeat attitude” of the medical team and the president.[pullquote size=\"large\" align=\"right\" citation=\"Bob Wachter, chair of the UCSF Department of Medicine\"]“No way he’s ready for discharge tomorrow.”[/pullquote]\u003c/p>\n\u003cp>“I didn’t want to give any information that might steer the course of illness in another direction,” he said. “And in doing so, you know, it came off that we’re trying to hide something, which wasn’t necessarily true. The matter is, is that [Trump’s] doing really well.”\u003c/p>\n\u003cp>White House communications director Alyssa Farah expanded on Conley’s comments, telling Fox News on Sunday that he was projecting confidence in order to help his patient.\u003c/p>\n\u003cp>“It’s a very, it’s a common medical practice, that you want to convey confidence and you want to raise the spirits of the person you’re treating,” Farah said. “I know this president, I don’t know that he needs his spirits raised. But I think it’s actually a very common medical practice to do that.”\u003c/p>\n\u003cp>The president himself tweeted a video Saturday evening in which he said: “I came here, wasn’t feeling so well. I feel much better now.”\u003c/p>\n\u003cp>But echoing Meadows, Trump added: “You don’t know, over the next period of a few days — I guess that’s the real test, so we’ll be seeing what happens over those … next couple of days.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>KQED staff contributed to this report. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>In the Bay Area, University of California San Francisco Department of Medicine Chair Bob Wachter tweeted his impressions of Trump’s doctor’s statements, in an effort to unravel what has been described as a confusing back-and-forth between Trump’s doctors and other statements given to reporters by the White House.\u003c/p>\n\u003cp>“It seems like Trump is stable, but remains at high risk, given transient hypoxemia, some findings on chest imaging.,” Wachter said. “The happy talk and evasions are clearly at Trump’s direction, putting the docs in a terrible position. No way he’s ready for discharge tomorrow.”\u003c/p>\n\u003cp>Trump experienced a second episode of falling oxygen levels Saturday, dropping to 93%, Conley said. He said he didn’t know whether Trump received supplemental oxygen at that point. “I’d have to check with the nursing staff,” he said.\u003c/p>\n\u003cp>When asked whether any signs of pneumonia are apparent on the president’s X-rays and scans, Conley said, “There’s some expected findings but nothing of any major clinical concern.”\u003c/p>\n\u003cp>Trump also received his first dose of the steroid dexamethasone on Saturday, with Conley saying the potential benefits of the treatment outweigh the risks.\u003c/p>\n\u003cp>Trump’s care plan includes a five-day treatment course of remdesivir, which Dr. Brian Garibaldi said Trump “tolerated well.”\u003c/p>\n\u003cp>“If he continues to look and feel as well as he does today, our hope is that we can plan for a discharge as early as tomorrow to the White House, where he can continue his treatment course,” Garibaldi said.\u003c/p>\n\u003cp>A similar news conference Saturday led to many questions.\u003c/p>\n\u003cp>The timeline Conley presented to reporters of Trump’s diagnosis was quickly walked back by the White House.\u003c/p>\n\u003cp>And though Conley said that Trump’s symptoms were improving and that he was “extremely happy” with the progress being made, almost immediately after the briefing, a White House official — later identified by The Associated Press as White House Chief of Staff Mark Meadows — contradicted Conley, telling reporters: “The president’s vitals over the last 24 hours were very concerning, and the next 48 hours will be critical in terms of his care. We’re still not on a clear path to a full recovery.”\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cp>\u003cb>Kamala Harris Joins Joe Biden on History-Making Presidential Ticket\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">On Tuesday, history was made when Democratic presidential candidate and former Vice President Joe Biden selected California Sen. Kamala Harris as his running mate. Harris is the first Black woman and the first Asian American to be nominated for the vice presidency of a major political party. On Wednesday, Biden announced that their campaign had raised $26 million within the 24 hours of announcing Harris as his running mate. In December, Harris ended her own presidential bid, after struggling to define herself on key issues and fundraising difficulties. Before being elected to the U.S. Senate in 2016, she served as California attorney general and San Francisco district attorney. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Scott Shafer, KQED politics and government senior editor\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Marisa Lagos, KQED politics and government correspondent \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Former Labor Secretary Robert Reich on the Economy\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Last week, the number of Americans filing state unemployment claims fell below 1 million for the first time since March, according to the U.S. Labor Department. But the economy continues to be battered by the coronavirus as the pace of rehiring slows and the national unemployment rate continues to hover above 10%. California’s economic outlook is particularly bleak, with an unemployment rate of nearly 15% in June and nearly 10 million unemployment claims processed since March. Congress remains at an impasse over extending unemployment benefits to millions of Americans that expired nearly two weeks ago. Meanwhile, tech behemoths such as Amazon, Facebook, Apple and Google posted strong quarterly earnings, indicating their resilience amid economic uncertainty and mass layoffs.\u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Robert Reich, professor of public policy, UC Berkeley, and former U.S. secretary of labor (1993 - 1997) \u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Nabbing the Coronavirus Before It Can Do Harm\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, scientists at UCSF announced the early stage of what could become a promising new way to protect people from coronavirus infection until a vaccine is developed and readily available. In a lab, they engineered a tiny antibody, normally present in the immune systems of llamas and camels, to act like a molecular mousetrap by latching onto spikes that coronavirus molecules use to infect cells in the airways and pump out copies of the virus. With the spikes blocked, the coronavirus would then no longer be able to hijack cells, propagate inside the body and damage lungs and other organs. The scientists are calling their discovery “AeroNabs” and published their findings online as a preprint before being peer reviewed, a process which has become common recently to quickly disseminate coronavirus research to the broader scientific community. Unlike other COVID-19 treatments, AeroNabs could also be administered as a nasal spray or inhaler, and at home instead of a hospital. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guests:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Aashish Manglik, MD PhD, assistant professor of pharmaceutical chemistry, UCSF\u003c/span>\u003c/li>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Peter Walter, PhD, professor of biophysics and biochemistry, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cp>In mid-March, Karla Monterroso flew home from a hiking trip in Zion National Park through the Las Vegas airport. Four days later she began to develop a bad, dry cough. Her lungs felt sticky.\u003c/p>\n\u003cp>The fevers that persisted for the next nine weeks grew so high — 100.4, 101.2, 101.7, 102.3 — that on the worst night, she was in the shower on all fours, ice cold water running down her back, willing her temperature to go down.\u003c/p>\n\u003cp>“That night I had written down in a journal, letters to everyone I’m close to, the things I wanted them to know in case I died,” she remembers.\u003c/p>\n\u003cp>Then came a new batch of symptoms in the second month, headaches and shooting pains in her legs and abdomen that made her worry she could be at risk for the blood clots and strokes that other COVID-19 patients in their thirties were starting to report.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Karla Monterroso']‘You spend so much of the process not believing yourself, and then to not be believed when you go in? It’s really hard to be questioned in that way.’[/pullquote]But still, she wasn’t sure if she should go to the hospital.\u003c/p>\n\u003cp>“As women of color, you get questioned a lot about your emotions and the truth of your physical state. You get called an exaggerator a lot throughout the course of your life,” said Monterroso, who is Latina. “So there was this weird, ‘I don’t want to go and use resources for nothing’ feeling.”\u003c/p>\n\u003cp>It took four friends to convince her that she needed to call 911.\u003c/p>\n\u003cp>But what happened in the emergency room at Alameda Hospital only confirmed her worst fears.\u003c/p>\n\u003cp>The disrespect and abuse she experienced at the hands of medical professionals confirmed for her that the reason people of color are being disproportionately impacted by the coronavirus is not just because they’re more likely to have front-line jobs that expose them to it and the underlying conditions that make COVID-19 worse.\u003c/p>\n\u003cp>“That is certainly part of it, but the other part is the lack of value people see in our lives,” Monterroso wrote in \u003ca href=\"https://twitter.com/karlitaliliana/status/1260761818558984195\" target=\"_blank\" rel=\"noopener noreferrer\">a Twitter thread\u003c/a> detailing her experience.\u003c/p>\n\u003cp>https://twitter.com/karlitaliliana/status/1260761818558984195\u003c/p>\n\u003cp>Research shows how \u003ca href=\"https://www.kqed.org/stateofhealth/54909/doctors-struggle-with-unconscious-bias-same-as-police\" target=\"_blank\" rel=\"noopener noreferrer\">doctors’ unconscious bias\u003c/a> affects the care people receive, with Latino and Black patients being less likely to receive \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448154/#r3\" target=\"_blank\" rel=\"noopener noreferrer\">pain medications\u003c/a> or get referred for \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJM199902253400806#t=articleResults\" target=\"_blank\" rel=\"noopener noreferrer\">advanced care\u003c/a> than white patients with the same complaints or symptoms, and more likely to die in childbirth from preventable complications.\u003c/p>\n\u003cp>At nearly every turn during her emergency room visit, Monterroso said providers dismissed her symptoms and concerns. Her low blood pressure? That’s a false reading. Her cycling oxygen levels? The machine’s wrong. The shooting pains in her leg? Probably just a cyst.\u003c/p>\n\u003cp>“The doctor came in and said, ‘I don’t think that much is happening here. I think we can send you home,’” Monterroso recalls.\u003c/p>\n\u003cp>She was feeling woozy and having trouble communicating, so she had a friend and her friend’s cousin, a cardiac nurse, on the phone to help. They started asking questions: What about Karla’s accelerated heart rate? Her low oxygen levels? Her lips are blue.\u003c/p>\n\u003cp>The doctor walked out of the room. He refused to care for Monterroso while her friends were on the phone, she said, and when he came back, the only thing he wanted to talk about was Monterroso’s tone and her friends’ tone.\u003c/p>\n\u003cp>“The implication was that we were insubordinate,” Monterroso says.\u003c/p>\n\u003cp>She told the doctor she didn’t want to talk about her tone. She wanted to talk about her health care. She was worried about possible blood clots in her leg and she asked for a CT scan.\u003c/p>\n\u003cp>“Well, you know, the CT scan is radiation right next to your breast tissue. Do you want to get breast cancer?” Monterroso recalls the doctor saying to her. “I only feel comfortable giving you that test if you say that you’re fine getting breast cancer.”\u003c/p>\n\u003cp>Monterroso thought to herself, “Swallow it up, Karla. You need to be well.” And so she said to the doctor: “I’m fine getting breast cancer.”\u003c/p>\n\u003cp>He never ordered the test.\u003c/p>\n\u003cfigure id=\"attachment_11826930\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11826930\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/06/Black-Health-Matters-800x600.jpeg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">A vehicle parked in Oakland during the first weeks of the 2020 Black Lives Matter protests \u003ccite>(Courtesy of April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Monterroso asked for a different doctor, for a hospital advocate. No and no, she was told. She began to worry for her safety, for her life. She wanted to get out of there. Her friends, all calling every medical professional they knew to confirm that this treatment was not right, came to pick her up and drove her to UCSF. The team there gave her an EKG, a chest x-ray and a CT scan.\u003c/p>\n\u003cp>“One of the nurses came in and she was like, ‘I heard about your ordeal. I just want you to know that I believe you. And we are not going let you go until we know that you are safe to go,’” Monterroso said. “And I started bawling. Because that’s all you want, is to be believed. You spend so much of the process not believing yourself, and then to not be believed when you go in? It’s really hard to be questioned in that way.”\u003c/p>\n\u003cp>Alameda Health System did not respond to multiple requests for comment. Monterroso filed a grievance with the hospital and they invited her to come talk to their staff and residents, but she declined.\u003c/p>\n\u003cp>She believes her experience is an example of why people of color are faring so badly in the pandemic.\u003c/p>\n\u003cp>“Because when we go and seek care, if we are advocating for ourselves, we can be treated as insubordinate,” she says. “And if we are not advocating for ourselves, we can be treated as invisible.”\u003c/p>\n\u003ch3>Unconscious Bias in Health Care\u003c/h3>\n\u003cp>Experts say this happens routinely, and regardless of the doctor’s intentions or race. Monterroso’s doctor was not white, for example.\u003c/p>\n\u003cp>Research shows that every doctor, every human being, has biases they’re not aware of, says Dr. Rene Salazar, assistant dean for diversity at the University of Texas at Austin medical school.\u003c/p>\n\u003cp>[aside tag=\"coronavirus\" label=\"more coronavirus coverage\"]“Do I question a white man in a suit who’s coming in looking like he’s a professional when he asks for pain meds versus a black man?” Salazar says.\u003c/p>\n\u003cp>Unconscious bias most often surfaces in high stress environments, like emergency rooms — where doctors are under tremendous pressure and have to make quick, high stakes decisions. Add in a deadly new virus, where the science is changing by the day, and things can spiral.\u003c/p>\n\u003cp>“There’s just so much uncertainty,” he says. “When there is this uncertainty, there always is a level of opportunity for bias to make its way in and have an impact.”\u003c/p>\n\u003cp>Salazar used to teach at UCSF where he helped \u003ca href=\"https://www.kqed.org/stateofhealth/56311/ucsf-doctors-students-confront-their-own-unconscious-bias\" target=\"_blank\" rel=\"noopener noreferrer\">develop unconscious bias training\u003c/a> for medical and pharmacy students. While dozens of medical schools are following suit, he says it’s not as common for hospitals. Even after a negative patient encounter like Karla’s is raised to supervisors, the intervention is usually weak.\u003c/p>\n\u003cp>“How do I tell my clinician, ‘Well, the patient thinks you’re racist?’” Salazar says. “It’s a hard conversation: ‘I gotta be careful, I don’t want to say the race word because I’m going to push some buttons here.’ So it just starts to become really complicated.” [ad fullwidth]\u003c/p>\n\u003ch3>\u003cstrong>A Data-based Approach\u003c/strong>\u003c/h3>\n\u003cp>At Kaiser Permanente, Dr. Ronald Copeland, chief of equity, inclusion and diversity, says he remembers doctors also resisting these conversations in the early days. Suggestions of training in cultural sensitivity or unconscious bias were met with a backlash.\u003c/p>\n\u003cp>“It was viewed almost from a punishment standpoint. ‘Doc, your patients of this persuasion don’t like you and you’ve got to do something about it.’ It’s like, you’re a bad doctor, and so your punishment is you have to go get training,” Copeland says.\u003c/p>\n\u003cp>Now, Kaiser’s approach is rooted in data from patient surveys, the questionnaires patients are often asked to fill out after a doctor’s visit. While they don’t ask patients directly if they think their doctor was racist, they do ask if they felt respected, if the communication was good and if they were satisfied with the experience.\u003c/p>\n\u003cp>Kaiser then breaks this data down by demographics, to see if maybe a doctor gets good scores on respect and empathy from white patients, but not Black patients.\u003c/p>\n\u003cp>“If you see a pattern evolving around a certain group and it’s a persistent pattern, then that tells you there’s something that from a cultural, from an ethnicity, from a gender, something that group has in common, that you’re not addressing,” Copeland says. “Then the real work starts.”\u003c/p>\n\u003cp>When doctors are presented with the data from their patients and the science on unconscious bias, they’re less likely to resist it or deny it, Copeland says. At Kaiser, they’ve reframed the goal of training around delivering better quality care and getting better patient outcomes, so doctors want to do it.\u003c/p>\n\u003cp>“Folks don’t flinch about it,” he said. “They’re eager to learn more about it, particularly about how you mitigate it.”\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Karla Monterroso']‘If I don’t say what’s happening, then people with much less resources are going to come into this experience and they’re going to die.’[/pullquote]\u003c/p>\n\u003ch3>\u003cstrong>Still Unwell\u003c/strong>\u003c/h3>\n\u003cp>It’s been more than three months since Karla first got sick, and she’s still not feeling well.\u003c/p>\n\u003cp>Her heart rate continues to spike and she can’t walk across her apartment without getting winded. She decided recently to leave the Bay Area and move to LA so she could be closer to her family for her recovery.\u003c/p>\n\u003cp>She declined Alameda Hospital’s invitation to speak to their staff about her experience, concluding it wasn’t her responsibility to fix the system that abused her. But she wants the broader health care system to take responsibility for the bias perpetuated in hospitals and clinics.\u003c/p>\n\u003cp>She acknowledges that Alameda Hospital is public, and it doesn’t have the kind of resources that Kaiser and UCSF do. A recent audit warned that Alameda Health System was on the brink of insolvency. But still, Monterroso is the CEO of \u003ca href=\"http://www.code2040.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Code2040\u003c/a>, a racial equity nonprofit, and she says even for her it took an army of friends and activists fighting for her just to be heard.\u003c/p>\n\u003cp>“Ninety percent of the people that are going to come through that hospital are not going to have what I have to fight that,” she says. “And if I don’t say what’s happening, then people with much less resources are going to come into this experience and they’re going to die.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In mid-March, Karla Monterroso flew home from a hiking trip in Zion National Park through the Las Vegas airport. Four days later she began to develop a bad, dry cough. Her lungs felt sticky.\u003c/p>\n\u003cp>The fevers that persisted for the next nine weeks grew so high — 100.4, 101.2, 101.7, 102.3 — that on the worst night, she was in the shower on all fours, ice cold water running down her back, willing her temperature to go down.\u003c/p>\n\u003cp>“That night I had written down in a journal, letters to everyone I’m close to, the things I wanted them to know in case I died,” she remembers.\u003c/p>\n\u003cp>Then came a new batch of symptoms in the second month, headaches and shooting pains in her legs and abdomen that made her worry she could be at risk for the blood clots and strokes that other COVID-19 patients in their thirties were starting to report.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>But still, she wasn’t sure if she should go to the hospital.\u003c/p>\n\u003cp>“As women of color, you get questioned a lot about your emotions and the truth of your physical state. You get called an exaggerator a lot throughout the course of your life,” said Monterroso, who is Latina. “So there was this weird, ‘I don’t want to go and use resources for nothing’ feeling.”\u003c/p>\n\u003cp>It took four friends to convince her that she needed to call 911.\u003c/p>\n\u003cp>But what happened in the emergency room at Alameda Hospital only confirmed her worst fears.\u003c/p>\n\u003cp>The disrespect and abuse she experienced at the hands of medical professionals confirmed for her that the reason people of color are being disproportionately impacted by the coronavirus is not just because they’re more likely to have front-line jobs that expose them to it and the underlying conditions that make COVID-19 worse.\u003c/p>\n\u003cp>“That is certainly part of it, but the other part is the lack of value people see in our lives,” Monterroso wrote in \u003ca href=\"https://twitter.com/karlitaliliana/status/1260761818558984195\" target=\"_blank\" rel=\"noopener noreferrer\">a Twitter thread\u003c/a> detailing her experience.\u003c/p>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\n\u003cp>Research shows how \u003ca href=\"https://www.kqed.org/stateofhealth/54909/doctors-struggle-with-unconscious-bias-same-as-police\" target=\"_blank\" rel=\"noopener noreferrer\">doctors’ unconscious bias\u003c/a> affects the care people receive, with Latino and Black patients being less likely to receive \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448154/#r3\" target=\"_blank\" rel=\"noopener noreferrer\">pain medications\u003c/a> or get referred for \u003ca href=\"https://www.nejm.org/doi/full/10.1056/NEJM199902253400806#t=articleResults\" target=\"_blank\" rel=\"noopener noreferrer\">advanced care\u003c/a> than white patients with the same complaints or symptoms, and more likely to die in childbirth from preventable complications.\u003c/p>\n\u003cp>At nearly every turn during her emergency room visit, Monterroso said providers dismissed her symptoms and concerns. Her low blood pressure? That’s a false reading. Her cycling oxygen levels? The machine’s wrong. The shooting pains in her leg? Probably just a cyst.\u003c/p>\n\u003cp>“The doctor came in and said, ‘I don’t think that much is happening here. I think we can send you home,’” Monterroso recalls.\u003c/p>\n\u003cp>She was feeling woozy and having trouble communicating, so she had a friend and her friend’s cousin, a cardiac nurse, on the phone to help. They started asking questions: What about Karla’s accelerated heart rate? Her low oxygen levels? Her lips are blue.\u003c/p>\n\u003cp>The doctor walked out of the room. He refused to care for Monterroso while her friends were on the phone, she said, and when he came back, the only thing he wanted to talk about was Monterroso’s tone and her friends’ tone.\u003c/p>\n\u003cp>“The implication was that we were insubordinate,” Monterroso says.\u003c/p>\n\u003cp>She told the doctor she didn’t want to talk about her tone. She wanted to talk about her health care. She was worried about possible blood clots in her leg and she asked for a CT scan.\u003c/p>\n\u003cp>“Well, you know, the CT scan is radiation right next to your breast tissue. Do you want to get breast cancer?” Monterroso recalls the doctor saying to her. “I only feel comfortable giving you that test if you say that you’re fine getting breast cancer.”\u003c/p>\n\u003cp>Monterroso thought to herself, “Swallow it up, Karla. You need to be well.” And so she said to the doctor: “I’m fine getting breast cancer.”\u003c/p>\n\u003cp>He never ordered the test.\u003c/p>\n\u003cfigure id=\"attachment_11826930\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-11826930\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2020/06/Black-Health-Matters-800x600.jpeg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">A vehicle parked in Oakland during the first weeks of the 2020 Black Lives Matter protests \u003ccite>(Courtesy of April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Monterroso asked for a different doctor, for a hospital advocate. No and no, she was told. She began to worry for her safety, for her life. She wanted to get out of there. Her friends, all calling every medical professional they knew to confirm that this treatment was not right, came to pick her up and drove her to UCSF. The team there gave her an EKG, a chest x-ray and a CT scan.\u003c/p>\n\u003cp>“One of the nurses came in and she was like, ‘I heard about your ordeal. I just want you to know that I believe you. And we are not going let you go until we know that you are safe to go,’” Monterroso said. “And I started bawling. Because that’s all you want, is to be believed. You spend so much of the process not believing yourself, and then to not be believed when you go in? It’s really hard to be questioned in that way.”\u003c/p>\n\u003cp>Alameda Health System did not respond to multiple requests for comment. Monterroso filed a grievance with the hospital and they invited her to come talk to their staff and residents, but she declined.\u003c/p>\n\u003cp>She believes her experience is an example of why people of color are faring so badly in the pandemic.\u003c/p>\n\u003cp>“Because when we go and seek care, if we are advocating for ourselves, we can be treated as insubordinate,” she says. “And if we are not advocating for ourselves, we can be treated as invisible.”\u003c/p>\n\u003ch3>Unconscious Bias in Health Care\u003c/h3>\n\u003cp>Experts say this happens routinely, and regardless of the doctor’s intentions or race. Monterroso’s doctor was not white, for example.\u003c/p>\n\u003cp>Research shows that every doctor, every human being, has biases they’re not aware of, says Dr. Rene Salazar, assistant dean for diversity at the University of Texas at Austin medical school.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>“Do I question a white man in a suit who’s coming in looking like he’s a professional when he asks for pain meds versus a black man?” Salazar says.\u003c/p>\n\u003cp>Unconscious bias most often surfaces in high stress environments, like emergency rooms — where doctors are under tremendous pressure and have to make quick, high stakes decisions. Add in a deadly new virus, where the science is changing by the day, and things can spiral.\u003c/p>\n\u003cp>“There’s just so much uncertainty,” he says. “When there is this uncertainty, there always is a level of opportunity for bias to make its way in and have an impact.”\u003c/p>\n\u003cp>Salazar used to teach at UCSF where he helped \u003ca href=\"https://www.kqed.org/stateofhealth/56311/ucsf-doctors-students-confront-their-own-unconscious-bias\" target=\"_blank\" rel=\"noopener noreferrer\">develop unconscious bias training\u003c/a> for medical and pharmacy students. While dozens of medical schools are following suit, he says it’s not as common for hospitals. Even after a negative patient encounter like Karla’s is raised to supervisors, the intervention is usually weak.\u003c/p>\n\u003cp>“How do I tell my clinician, ‘Well, the patient thinks you’re racist?’” Salazar says. “It’s a hard conversation: ‘I gotta be careful, I don’t want to say the race word because I’m going to push some buttons here.’ So it just starts to become really complicated.” \u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>A Data-based Approach\u003c/strong>\u003c/h3>\n\u003cp>At Kaiser Permanente, Dr. Ronald Copeland, chief of equity, inclusion and diversity, says he remembers doctors also resisting these conversations in the early days. Suggestions of training in cultural sensitivity or unconscious bias were met with a backlash.\u003c/p>\n\u003cp>“It was viewed almost from a punishment standpoint. ‘Doc, your patients of this persuasion don’t like you and you’ve got to do something about it.’ It’s like, you’re a bad doctor, and so your punishment is you have to go get training,” Copeland says.\u003c/p>\n\u003cp>Now, Kaiser’s approach is rooted in data from patient surveys, the questionnaires patients are often asked to fill out after a doctor’s visit. While they don’t ask patients directly if they think their doctor was racist, they do ask if they felt respected, if the communication was good and if they were satisfied with the experience.\u003c/p>\n\u003cp>Kaiser then breaks this data down by demographics, to see if maybe a doctor gets good scores on respect and empathy from white patients, but not Black patients.\u003c/p>\n\u003cp>“If you see a pattern evolving around a certain group and it’s a persistent pattern, then that tells you there’s something that from a cultural, from an ethnicity, from a gender, something that group has in common, that you’re not addressing,” Copeland says. “Then the real work starts.”\u003c/p>\n\u003cp>When doctors are presented with the data from their patients and the science on unconscious bias, they’re less likely to resist it or deny it, Copeland says. At Kaiser, they’ve reframed the goal of training around delivering better quality care and getting better patient outcomes, so doctors want to do it.\u003c/p>\n\u003cp>“Folks don’t flinch about it,” he said. “They’re eager to learn more about it, particularly about how you mitigate it.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003ch3>\u003cstrong>Still Unwell\u003c/strong>\u003c/h3>\n\u003cp>It’s been more than three months since Karla first got sick, and she’s still not feeling well.\u003c/p>\n\u003cp>Her heart rate continues to spike and she can’t walk across her apartment without getting winded. She decided recently to leave the Bay Area and move to LA so she could be closer to her family for her recovery.\u003c/p>\n\u003cp>She declined Alameda Hospital’s invitation to speak to their staff about her experience, concluding it wasn’t her responsibility to fix the system that abused her. But she wants the broader health care system to take responsibility for the bias perpetuated in hospitals and clinics.\u003c/p>\n\u003cp>She acknowledges that Alameda Hospital is public, and it doesn’t have the kind of resources that Kaiser and UCSF do. A recent audit warned that Alameda Health System was on the brink of insolvency. But still, Monterroso is the CEO of \u003ca href=\"http://www.code2040.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Code2040\u003c/a>, a racial equity nonprofit, and she says even for her it took an army of friends and activists fighting for her just to be heard.\u003c/p>\n\u003cp>“Ninety percent of the people that are going to come through that hospital are not going to have what I have to fight that,” she says. “And if I don’t say what’s happening, then people with much less resources are going to come into this experience and they’re going to die.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "UCSF Pays Hackers $1.14 million, Says COVID-19 Work Not Affected",
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"content": "\u003cp>University of California San Francisco paid hackers $1.14 million, officials said late Friday, after a breach into the UCSF School of Medicine's data in early June.\u003c/p>\n\u003cp>While those hackers managed to access key UCSF data and lock it away, the payment should restore that access. University officials said the incident did not impact coronavirus work.\u003c/p>\n\u003cp>\"Importantly, this incident did not affect our patient care delivery options, overall campus network, or COVID-19 work,\" UCSF officials said, in a statement.\u003c/p>\n\u003cp>A malware attack encrypted some servers at the UCSF School of Medicine, making them inaccessible. UCSF worked with a cyber-security consultant and outside experts to reinforce its defenses against further attacks, which are known as \"ransomware\" attacks.\u003c/p>\n\u003cp>The data breached by hackers include some important to \"academic work we pursue as a university serving the public good,\" \u003ca href=\"https://www.ucsf.edu/news/2020/06/417911/update-it-security-incident-ucsf\">UCSF officials said\u003c/a>. Patient medical records were not exposed, UCSF believes.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"This incident reflects the growing use of malware by cyber-criminals around the world seeking monetary gain,\" UCSF officials said. \"We continue to cooperate with law enforcement, and we appreciate everyone’s understanding that we are limited in what we can share while we continue with our investigation.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>— Joe Fitzgerald Rodriguez (\u003ca href=\"http://www.twitter.com/fitzthereporter\">@FitztheReporter\u003c/a>)\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>University of California San Francisco paid hackers $1.14 million, officials said late Friday, after a breach into the UCSF School of Medicine's data in early June.\u003c/p>\n\u003cp>While those hackers managed to access key UCSF data and lock it away, the payment should restore that access. University officials said the incident did not impact coronavirus work.\u003c/p>\n\u003cp>\"Importantly, this incident did not affect our patient care delivery options, overall campus network, or COVID-19 work,\" UCSF officials said, in a statement.\u003c/p>\n\u003cp>A malware attack encrypted some servers at the UCSF School of Medicine, making them inaccessible. UCSF worked with a cyber-security consultant and outside experts to reinforce its defenses against further attacks, which are known as \"ransomware\" attacks.\u003c/p>\n\u003cp>The data breached by hackers include some important to \"academic work we pursue as a university serving the public good,\" \u003ca href=\"https://www.ucsf.edu/news/2020/06/417911/update-it-security-incident-ucsf\">UCSF officials said\u003c/a>. Patient medical records were not exposed, UCSF believes.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"This incident reflects the growing use of malware by cyber-criminals around the world seeking monetary gain,\" UCSF officials said. \"We continue to cooperate with law enforcement, and we appreciate everyone’s understanding that we are limited in what we can share while we continue with our investigation.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>— Joe Fitzgerald Rodriguez (\u003ca href=\"http://www.twitter.com/fitzthereporter\">@FitztheReporter\u003c/a>)\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cb>California’s Long Road to Economic Recovery\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, Gov. Gavin Newsom eased restrictions on additional businesses. Pending approval from county health departments, retailers can now reopen for in-person shopping but with limits on occupancy and face mask requirements for staff and customers. Barbershops and nail salons can also now reopen pending similar approval and protocols in place. Many businesses, however, remain shuttered, especially in regions hard hit by the pandemic, such as in the Bay Area and Los Angeles. California lawmakers must now grapple with a $54 billion state deficit, with millions of residents out of work, tax revenues plummeting and uncertainty mounting about California’s economic future. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Tom Steyer, co-chair, Governor’s Task Force on Business and Jobs Recovery\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>UCSF Doctors and Nurses Help Navajo Nation Fight COVID-19\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Straddling Arizona, New Mexico and Utah, the Navajo Nation now has the highest rate of coronavirus infection per capita in the country. With a population of roughly 175,000 tribal members living in an area the size of West Virginia, it’s the second-largest federally recognized tribe in the U.S. It’s also an area rife with poverty, where 30% of residents lack access to running water and depend on federally provided health care services. In response to the pandemic, authorities have imposed 57-hour weekend lockdowns and ordered residents to wear face coverings in public. Since late April, teams of volunteer doctors and nurses from UCSF have been traveling to the Navajo Nation to treat COVID-19 patients in this vulnerable community. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Sriram Shamasunder, associate professor of medicine, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Future of Cities\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Working from home has become the new norm for many in the age of coronavirus. Some tech companies, like Twitter and Square, are now allowing their employees to work from home indefinitely.\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Last week, Facebook said up to half of its 48,000 employees could be working remotely in the next five to 10 years. And as the ability to work away from the office becomes more robust, many will have different choices about where to live. But will cities continue to thrive in this new reality, or will they empty out, driven in part by fears of another pandemic outbreak?\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Molly Turner, co-host, Technopolis podcast and lecturer, UC Berkeley Haas School of Business\u003c/span>\u003c/li>\n\u003c/ul>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cb>California’s Long Road to Economic Recovery\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">This week, Gov. Gavin Newsom eased restrictions on additional businesses. Pending approval from county health departments, retailers can now reopen for in-person shopping but with limits on occupancy and face mask requirements for staff and customers. Barbershops and nail salons can also now reopen pending similar approval and protocols in place. Many businesses, however, remain shuttered, especially in regions hard hit by the pandemic, such as in the Bay Area and Los Angeles. California lawmakers must now grapple with a $54 billion state deficit, with millions of residents out of work, tax revenues plummeting and uncertainty mounting about California’s economic future. \u003c/span>\u003c/p>\n\u003cp>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Tom Steyer, co-chair, Governor’s Task Force on Business and Jobs Recovery\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>UCSF Doctors and Nurses Help Navajo Nation Fight COVID-19\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Straddling Arizona, New Mexico and Utah, the Navajo Nation now has the highest rate of coronavirus infection per capita in the country. With a population of roughly 175,000 tribal members living in an area the size of West Virginia, it’s the second-largest federally recognized tribe in the U.S. It’s also an area rife with poverty, where 30% of residents lack access to running water and depend on federally provided health care services. In response to the pandemic, authorities have imposed 57-hour weekend lockdowns and ordered residents to wear face coverings in public. Since late April, teams of volunteer doctors and nurses from UCSF have been traveling to the Navajo Nation to treat COVID-19 patients in this vulnerable community. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003cb>Guest:\u003c/b>\u003c/p>\n\u003cul>\n\u003cli style=\"font-weight: 400\">\u003cspan style=\"font-weight: 400\">Dr. Sriram Shamasunder, associate professor of medicine, UCSF\u003c/span>\u003c/li>\n\u003c/ul>\n\u003cp>\u003cb>Future of Cities\u003cbr>\n\u003c/b>\u003cspan style=\"font-weight: 400\">Working from home has become the new norm for many in the age of coronavirus. Some tech companies, like Twitter and Square, are now allowing their employees to work from home indefinitely.\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "'A World Apart': UCSF Offers Free Mass Coronavirus Testing to Residents in Bolinas and SF's Mission District",
"title": "'A World Apart': UCSF Offers Free Mass Coronavirus Testing to Residents in Bolinas and SF's Mission District",
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"content": "\u003cp>In what’s believed to be a first-of-its-kind study, researchers from UCSF are aiming to test as many residents as possible in both the small Marin County community of Bolinas and in San Francisco's bustling Mission District, an ambitious effort to learn more about how the coronavirus is spreading in very different socioeconomic communities.\u003c/p>\n\u003cp>The initiative began on Monday in \u003ca href=\"https://bolinastesting.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Bolinas\u003c/a>, where medical staff and volunteers, donning personal protective equipment, set up a drive-thru site at the local fire station. There they began testing residents for both the virus and its antibodies, using nasal swabs and a finger-prick blood test.\u003c/p>\n\u003cp>Testing in the \u003ca href=\"https://www.unidosensalud.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Mission\u003c/a> is scheduled to begin Saturday at Garfield Park, with additional community locations to be announced.\u003c/p>\n\u003cp>In both locations, testing is free and slated to take place over four consecutive days (with a possible fifth day in the Mission). Residents can schedule appointments online:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://bolinastesting.org/\">Bolinas appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.unidosensalud.org/\">Mission District appointments\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>The nasal swab samples, which test for the virus, will be processed at UCSF's lab first. Researchers aim to return test results within 72 hours. Antibody results — used to help identify people who may have been exposed to the virus or have recovered from the COVID-19 infection — will take longer.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The project also includes contact tracing, in which researchers will notify residents who are infected, find their recent contacts and advise them to quarantine.\u003c/p>\n\u003cp>Cyrus Harmon, president and CEO of Olema Pharmaceuticals, a biotech company, and venture capitalist Jyri Engeström, both residents of the tiny, largely white, unincorporated town of Bolinas, led the testing effort there. To date, they have raised about $330,000, with the objective testing nearly all of the town's roughly 1,600 residents.\u003c/p>\n\u003cp>It's important to start testing healthy people, Harmon said, to better understand \"the dynamics of the virus, how it spreads, what the degree of spread via asymptomatic carriers is, and if, as much of the evidence seems to suggest today, there really is a great deal of transmission via asymptomatic carriers.\"\u003c/p>\n\u003cp>[aside label=\"related coverage\" tag=\"coronavirus\"]He and Engeström were inspired by the \u003ca href=\"https://www.aljazeera.com/indepth/opinion/home-italian-town-fought-coronavirus-200326110756424.html\">town of Vo Euganeo\u003c/a> in Italy, which was able to test nearly all of its 3,300 residents for the virus, and subsequently help control its spread.\u003c/p>\n\u003cp>\"And so the idea was maybe we could do something like that here, and do it in a way that other communities could learn from what we've done,” Harmon said, noting that most Marin County residents can now only get tested for the coronavirus with a doctor's referral.\u003c/p>\n\u003cp>\"It was really hard to get tested. And we wanted to figure out, well, what can we do to broaden the availability of testing,\" he said. \"We wanted to do this in a way that wasn't taking away from any of the existing testing capacity of the county.\"\u003c/p>\n\u003cp>When the two reached out to UCSF's Division of Infectious Diseases for support, they learned that researchers there were already planning a similar endeavor in a nearby, but notably different place. In collaboration with the Latino Task Force on COVID-19 and the San Francisco Department of Public Health, the team set out to offer free tests to the roughly 5,700 Mission District residents — the majority of whom are Latino — living between South Van Ness and Harrison Street and Cesar Chavez and 23rd streets.\u003c/p>\n\u003cp>A map of COVID-19 cases, which San Francisco officials \u003ca href=\"https://sfmayor.org/article/san-francisco-releases-map-coronavirus-impact-zip-code\">released Monday\u003c/a>, shows the 94110 ZIP code — in the the Mission District — as having the most infections in the city. Citywide, 25% of positive cases are among Latinos, even though they make up only 15% of San Francisco's population. \u003c/p>\n\u003cp>\"This likely reflects risk factors such as living in crowded conditions, and whether residents have sufficient support to stay home and reduce their outings,\" Mayor London Breed's office stated in a press release. \u003c/p>\n\u003cp>Dr. Bryan Greenhouse, a UCSF professor of medicine involved in the project, said the Mission District and Bolinas, while geographically close, are \"a world apart\" in most other respects, and comparing test results could yield valuable insights.\u003c/p>\n\u003cp>The study \"will hopefully provide a nice spectrum of what we might expect to see elsewhere in the Bay Area,\" he said.\u003c/p>\n\u003cp>Greenhouse added that researchers need to develop a better understanding of how the virus spreads before any shelter-in-place orders or other restrictions can be safely lifted.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"What needs to happen before we can feel comfortable loosening things up is that we have to have a very, very good ability to detect and respond to infections, and that's got to be much better than what we've got right now,\" Greenhouse said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>In what’s believed to be a first-of-its-kind study, researchers from UCSF are aiming to test as many residents as possible in both the small Marin County community of Bolinas and in San Francisco's bustling Mission District, an ambitious effort to learn more about how the coronavirus is spreading in very different socioeconomic communities.\u003c/p>\n\u003cp>The initiative began on Monday in \u003ca href=\"https://bolinastesting.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Bolinas\u003c/a>, where medical staff and volunteers, donning personal protective equipment, set up a drive-thru site at the local fire station. There they began testing residents for both the virus and its antibodies, using nasal swabs and a finger-prick blood test.\u003c/p>\n\u003cp>Testing in the \u003ca href=\"https://www.unidosensalud.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Mission\u003c/a> is scheduled to begin Saturday at Garfield Park, with additional community locations to be announced.\u003c/p>\n\u003cp>In both locations, testing is free and slated to take place over four consecutive days (with a possible fifth day in the Mission). Residents can schedule appointments online:\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://bolinastesting.org/\">Bolinas appointments\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://www.unidosensalud.org/\">Mission District appointments\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>The nasal swab samples, which test for the virus, will be processed at UCSF's lab first. Researchers aim to return test results within 72 hours. Antibody results — used to help identify people who may have been exposed to the virus or have recovered from the COVID-19 infection — will take longer.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game and Brown has some lessons he'd like to share. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
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"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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"link": "/radio/program/reveal",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
},
"link": "/podcasts/rightnowish",
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