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Preventing Amputation: A Doctor’s Guide for Diabetes Patients

POST NEWS GROUP — Amputation is usually the final stage of diabetic foot disease. Earlier signs often involve nerve damage. Some people experience numbness, tingling, burning, or loss of sensation in their feet.

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For many diabetes patients, amputation becomes a last-resort measure after infections, ulcers, or poor circulation worsen rapidly and leave few other treatment options.

But according to Dr. Estelle Everett, a physician and researcher specializing in endocrinology, diabetes, and metabolism at the

University of California Los Angeles (UCLA), most diabetes-related amputations can be prevented through early intervention, consistent medical care, and patient education.

For Everett, her commitment to diabetes prevention is deeply personal. Watching her younger sister navigate Type 1 diabetes exposed her early to the challenges many patients face, including barriers to advanced diabetes technologies such as continuous glucose monitors and insulin pumps due to racial disparities in patient care.

Those experiences helped shape her focus on prevention, education, and equitable access to care.

Dr. Everett spoke with California Black Media (CBM) about the warning signs of diabetic complications, prevention strategies, healthcare access, and the role of diabetes technology in improving outcomes.

What are some of the early warning signs that a person with diabetes may be developing circulation and nerve problems that could potentially lead to amputation?

Amputation is usually the final stage of diabetic foot disease. Earlier signs often involve nerve damage. Some people experience numbness, tingling, burning, or loss of sensation in their feet.

Poor circulation is another warning sign. Symptoms can include calf pain while walking, foot pain at rest, cold feet, skin color changes, or wounds that do not heal properly. Foot ulcers, thick calluses, and untreated cuts can also become serious infections that may eventually lead to amputation if they are not treated early.

Before complications reach that stage, what are some early signs of diabetes itself that people should be looking out for?

Many people are walking around with diabetes and do not even realize it. Some patients first seek medical care only after they’ve already developed complications because they’ve had diabetes for years without knowing it.

That’s why routine screenings are so important. If you have diabetes, controlling it early can significantly reduce the risk of severe complications later on.

Many Black Californians harbor a degree of distrust in the healthcare system. What message would you send to encourage people to get regular checkups?

 Distrust is real, and there are many reasons people may avoid healthcare. Some fear discrimination or worry they’ll simply be judged instead of helped.

Personally, I realized some of the care my sister received may have been influenced by racial bias. Although she had diabetes for years, she was never offered diabetes technology like insulin pumps or continuous glucose monitors. When she finally asked about them, she was told she had to jump through many hoops.

Later, I realized her experience wasn’t unique. Research shows that minority patients and people from lower-income backgrounds are less likely to be offered diabetes technology. That inspired me to focus my research on improving access for the populations that need these tools the most.

I think building trust is important. Finding the right doctor is almost like dating. If you don’t feel comfortable with your provider, it may help to find someone you connect with and feel understands your concerns. That relationship can make a major difference in getting consistent care.

Are there newer technologies or innovations in diabetes care that people should know about?

One of the biggest advances has been continuous glucose monitors, or CGMs. These small wearable devices track blood sugar levels in real time and have really changed diabetes care over the past decade.

For providers, CGMs give a much clearer picture of blood sugar patterns throughout the day. For patients, they provide immediate feedback about how food, exercise, and other daily habits affect blood sugar levels.

Someone may notice that certain foods cause major spikes while certain exercises lower their blood sugar. That real-time information helps people make healthier decisions and improve blood sugar control. Research shows these technologies can significantly improve outcomes.

What daily habits or preventative measures can reduce the risk of complications or even amputation?

The biggest thing is controlling your diabetes. A lot of people automatically think diabetes will lead to amputations, but research shows the risk is much lower when diabetes is well managed.

That means taking medications as prescribed, making dietary changes, and working to keep your A1C below 7. Managing high blood pressure and high cholesterol is also important because both contribute to circulation problems.

People should also inspect their feet every day, especially if they’ve already lost sensation. Some patients injure their feet without realizing it because they can’t feel the damage. Catching wounds early is critical. Good foot hygiene also plays a major role in prevention.

Are there any common misconceptions about diabetes that stand out to you in your clinical work with Black patients?

One major misconception is that diabetes medications cause complications like kidney failure or amputations. In reality, poorly controlled diabetes causes those complications — not the medications used to treat it.

Those misconceptions sometimes cause patients to avoid medications or stop taking them altogether. Another issue is that some people believe diet and exercise alone should always control diabetes. While lifestyle changes are important, some patients have severe diabetes that also requires medication.

Needing medication is not a personal failure. Sometimes diet and exercise alone are simply not enough, and medication is necessary to prevent serious complications.

This article is supported by the California Health Care Foundation (CHCF). Visit www.chcf.org 

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Business

Four Tips to Help You Plan a Holiday “Staycation”

“A great staycation starts when you treat your hometown like a destination – book one ‘anchor’ experience, stay somewhere that changes your scenery, and leave room for a little spontaneity,” said Steve Orens, President of FROSCH by Chase Travel, a leading travel agency. “My favorite staycation tip is to make it easy on yourself: choose a walkable area, plan one highlight each day, and let the hotel do the heavy lifting – warm beds, quick breaks, and fewer logistics.”

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Holiday travel can be exciting, but between costs, crowded airports and packed schedules, sometimes the idea of staying home can be much more appealing.

If you still want to get away without the hassle of an actual getaway, consider a holiday staycation.

By remaining close to home, you can experience your city from a fresh perspective without the stress of a long trip. Whether you book a night at a local hotel, check out a new neighborhood or just finally get around to seeing that landmark attraction that’s been on your to-do list, you can make staying at home feel like a real getaway.

Here are four tips you can use to create an amazing holiday at home this season:

1. Treat your hometown like a destination

One common theme surrounding area attractions is that they’re more likely to be packed with tourists than locals. If that popular museum, tour or other institution is always “there,” it can be easy to avoid it and say you’ll get there eventually.

A staycation provides a great opportunity to approach those kinds of places like a tourist. Start by making a short list of places or experiences you’ve always wanted to try but never seem to prioritize. You might include a museum, holiday market, historic site, restaurant or neighborhood, or you might attend a holiday-related performance that’s an annual late fall or winter tradition in your area.

“A great staycation starts when you treat your hometown like a destination – book one ‘anchor’ experience, stay somewhere that changes your scenery, and leave room for a little spontaneity,” said Steve Orens, President of FROSCH by Chase Travel, a leading travel agency. “My favorite staycation tip is to make it easy on yourself: choose a walkable area, plan one highlight each day, and let the hotel do the heavy lifting – warm beds, quick breaks, and fewer logistics.”

2. Spend the night away

A hotel stay can provide a change of scenery that makes you feel like you’re enjoying a getaway.

Consider a traditional hotel, bed and breakfast or rental property where you can walk to restaurants, shopping, entertainment or holiday activities. An upscale hotel can also be the centerpiece of your staycation, allowing you to enjoy fine dining, a fitness center, spa services or other on-site experiences.

If you want a quieter, more relaxed experience, find a hotel “off the beaten path,” but still close to home, to enjoy the rhythms and sounds of nature.

3. Be flexible

If your schedule allows, plan your staycation for a weekday or less crowded period — like the days between Christmas and New Year’s Eve — rather than a peak weekend. Hotel rates in the middle of the week tend to be cheaper, and it might be easier to grab a restaurant reservation or performance tickets. Locations might be less crowded as well during the week, making it easier to get around.

Book some experiences in advance to save money but stay open to spontaneous opportunities once you arrive. You might find some great last-minute deals.

4. Try something new

Even if you think you’ve seen everything your hometown has to offer, there’s always something new to explore or discover.

Check out a neighborhood you usually drive through and visit the local shops and other businesses. You can also try a new cuisine at a neighborhood restaurant or kitchen.

Sometimes what’s old can be new again during the holiday season, so if you want to go back to your favorite restaurants and other popular spots, do so with fresh eyes. Order from the eatery’s holiday menu or take a walk when lights, decorations and seasonal programming transform many communities.

Other helpful tips

Although staying at home can eliminate major travel costs, expenses can still add up quickly. Make a staycation budget and then consider ways to help keep costs down.

“A ‘smart’ staycation is one you can pay for comfortably: choose dates with better rates, book flexible options, and keep a small buffer for surprises,” added Orens. “The goal of a staycation is a real reset. Even if you’re close to home, give yourself permission to unplug and find moments to treat yourself – say yes to room service, a spa hour, or a new restaurant you’ve been saving for ‘someday.’”

If you have rewards points from credit cards or loyalty programs, put them toward your hotel to get a free or cheaper night’s stay. Local museums, cultural institutions and attractions often have resident discounts, reduced-price admission days or seasonal offers. Community calendars can provide information about free or low-cost events like holiday concerts, light displays, markets, park activities and other events. If a performance doesn’t normally sell out, wait until the day before or day of to buy tickets, as prices are often reduced and you can find great seats.

With a little creativity, you might find everything you’d want in a holiday vacation. You can enjoy good food, new experiences and an escape from your daily routine – all right at home.

For more financial health tips, visit https://www.chase.com/travel/guide.

For informational/educational purposes only: Views and strategies described in this article or provided via links may not be appropriate for everyone and are not intended as specific advice/recommendation for any business. Information has been obtained from sources believed to be reliable, but JPMorgan Chase & Co. or its affiliates and/or subsidiaries do not warrant its completeness or accuracy. The material is not intended to provide legal, tax, or financial advice or to indicate the availability or suitability of any JPMorgan Chase Bank, N.A. product or service. You should carefully consider your needs and objectives before making any decisions and consult the appropriate professional(s). Outlooks and past performance are not guarantees of future results. JPMorgan Chase & Co. and its affiliates are not responsible for, and do not provide or endorse third party products, services, or other content.

Deposit products provided by JPMorgan Chase Bank, N.A. Member FDIC. Equal Opportunity Lender.

 © 2026 JPMorgan Chase & Co.

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Jendayi Arrest Raises Community Concerns Regarding Sheriff’s Chain of Command

Judge Sandra K. Bean ordered a legally inherited home to be taken from beneficiary Jendayi, citing “undue influence,” and gave it to Court Administrator Phillip Campbell, who Jendayi believes will quickly sell the house and pay himself more than $600,000 in court fees. The disinherited sisters will get the remainder of the proceeds of the sale.

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Supporters continue to gather outside the home of Zakiya Jendayi a week after sheriff’s deputies boarded up doors and windows, changed the locks and fenced off the property. Photo by Lindsay Imai Hong.

Last Thursday, Zakiya Jendayi parked on the side of the René C. Davidson Courthouse in Oakland to file an emergency stay request in what Jendayi asserts was the “legal” theft of her home of 13 years by a court administrator in her ongoing battle for her rightful inheritance in a probate battle.

But before she could fully emerge from the car at 12th and Oak streets, she was arrested by Alameda County Sheriffs for disobeying a court order and obstruction.

According to observers who have read the transcripts, the Hamlin v. Jendayi case, now in its sixth year, has resulted in what they describe as a gross miscarriage of justice.

Judge Sandra K. Bean ordered a legally inherited home to be taken from beneficiary Jendayi, citing “undue influence,” and gave it to Court Administrator Phillip Campbell, who Jendayi believes will quickly sell the house and pay himself more than $600,000 in court fees. The disinherited sisters will get the remainder of the proceeds of the sale.

Dr. Laura Dean Head named Jendayi as the beneficiary and executor over her estate after Jendayi took care of her during the last months of her life. Head’s disinherited sisters, Della Hamlin and Helaine Head, challenged the validity of Head’s will and trust, despite not being able to recognize Head in a photo during the trial, and Della stating she hadn’t spoken to her sister since 1997 or 1998 and would not have taken care of her during her hospice.

The appellate court upheld Bean’s ruling, which Jendayi asserts was based on a failure to fully consider the transcripts. “They never read the transcripts because if they had, they would have seen the truth,” Jendayi said.

Accompanied by Alameda Couty Sheriff’s Department deputies, Campbell arrived unannounced at Jendayi’s home on Oct. 1 – at the same time Jendayi was being arrested – to change the locks, board up the windows, and place a fence around the property.

Neither Jendayi, nor her supporters who had been in touch with Alameda County leadership and the Sheriff’s Department and been given the impression that nothing would happen without warning had been told Campbell was coming.

“I went to the courthouse to file an emergency stay document, and while getting out of the car, a sheriff immediately approached me and put handcuffs on me before I could stand up,” Jendayi said in recounting the events of Oct. 1. “I asked him if he had a warrant. He said ‘yes,’ and seven other officers immediately approached and surrounded me, with an additional three sheriffs standing back observing.

“I asked why it was necessary to have 10 officers to arrest me. They would not answer. I asked if the sergeant was there and asked if I could speak to him, but the sergeant refused to approach while another officer started taunting me over and over, stating, ‘I was at your house. I was at your house when you refused to surrender. We got you now.’

“The officer put the handcuffs on tight. I asked him to please loosen them. He refused and said they weren’t too tight. Then a Black, female deputy named Lewis, came over and asked him to loosen the handcuffs. Three times the white male officers were overly aggressive with me, and each time Deputy Lewis would step up and they would fall back. They said I was under arrest for refusing to surrender the house on Aug. 25.

“I asked them if I could file my paperwork, and they said, ‘No.’ Several officers asked me if I was on drugs. I felt like my life was in danger. I asked to speak to Deputy Lewis, and she came. I said, ‘Please tell my mother and Joyce Gordon that I would never kill myself.’ I did not want to end up like Sandra Bland, who was murdered by police officers in a Texas jail.”

Zendayi said they then took her to a section in the basement of the courthouse, placed her in a holding cell, and confiscated her belongings around 3 p.m. “They went through everything, took both cell phones, and asked if they could turn off my phones. I said ‘no,’ so they placed them in airplane mode.”

Then she was taken in a van to Santa Rita Jail in Dublin, which, because of traffic took almost two hours. “They asked me if I was on drugs and asked me to give a urine sample. I refused. They took a mug shot, and I was told it would be Monday before I could go to court. They put me in a cell with feces on the wall.

An hour after being detained, a deputy asked Jendayi if she knew someone who worked for the county and then asked if knew someone from the Sheriff’s Office and answered ‘no’ to both questions. He said, “You must know someone because we received orders to release you immediately. You’ll be out of here in about 40 minutes.”

“Rev. Raymond Langford of the Oakland Private Industry Council has been helping me to negotiate for more time to stay in my home,” Jendayi said. “I have an appeal with the Northern District Court of Appeals, where I’ve been promised they will review my case based on its merits. I was hoping to stay (in my home) until they reached a determination.

Rev. Langford reached out to Alameda County Supervisor Nikki Fortunata Bas and Chief Administrator David Brown, and they’ve been in contact with Sheriff Yesenia Sanchez.

“They weren’t going to give me the time I requested, but they did say that I would have time to move my belongings and would also be notified when they were coming,” Jendayi said. “None of that occurred.”

Langford said he spoke to Brown, Fortunato Bas and Sanchez right after the first attempt to evict Jendayi on Aug. 25 as well as the Alameda County Counsel and others to negotiate a time for Jendayi to move her belongings.

“There is no truth to the statement that there was no contact [with court and law enforcement officials.] There was an obvious miscommunication between Sanchez and her officers. They don’t have to inform the public of their actions, I understand that, but Zakiya and the community were concerned after they confiscated her guns.”

(Jendayi relinquished her weapons on Aug. 25 when sheriff’s deputies came to forcibly evict her while her petition for bankruptcy was still pending and should have interrupted the eviction process.)

“The Sheriffs have their own trust issues, and they need to work on that. They are not following the chain of command. David Brown, Fortunato Bas’s chief of staff, was puzzled also. He was told they would be informed when they would be returning. He was also blindsided like all of us.”

“(The Sheriffs’ Department) can come to the supervisors and get millions of dollars, but they can’t exhibit the courtesy to inform a citizen when she needs to move.”

“We, our group, ‘Friends of Zakiya,’ took a letter to Sanchez’s office citing Zakiya’s health issues, asking for more time just last week. Sanchez was a person who ran on the platform that she would not run the Sheriff’s Department on a military strategy, which they did on an African American senior in a comfortable, safe community.

“We understand they have to do their job, but we don’t want them targeting and profiling seniors. There has to be some accountability to the community,” Lankford said.

Supervisor Nikki Bas, deeply concerned with what has occurred, is joining with Supervisor Nate Miley to request a meeting with Attorney General Rob Bonta to request an independent investigation.

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Business

AC Transit Labor Unions Back Director Joel Young

ATU Local 192 Vice President Nathaniel Arnold stated “our support reflects confidence in Young’s leadership and experience as the longest-serving member of AC Transit’s current Board of Directors. His experience is particularly important as AC Transit confronts serious fiscal challenges while working to preserve and strengthen service.

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Joel Young with bus union workers. Courtesy photo.

In the AC Transit Ward 3 election, AC Transit’s labor organizations have recently expressed their endorsement for Director Joel Young, recognizing his longstanding commitment to public transportation, workforce investment, and the employees who keep AC Transit moving every day.

Those unions include the Amalgamated Transit Union Local 192, the International Brotherhood of Electrical Workers Local 1245, and the American Federation of State, County and Municipal Employees Local 3916.

ATU Local 192 Vice President Nathaniel Arnold stated “our support reflects confidence in Young’s leadership and experience as the longest-serving member of AC Transit’s current Board of Directors. His experience is particularly important as AC Transit confronts serious fiscal challenges while working to preserve and strengthen service.

“At a time when difficult decisions lie ahead, Young brings institutional knowledge, longstanding relationships, and a demonstrated commitment to public transportation.

“Since joining the board in 2009, Young has served in key leadership roles, including president and vice president, helping guide AC Transit through periods of growth, innovation, and change.

During his tenure, he helped AC Transit secure more than $600 million in funding to support critical transportation investments. Young has also helped advance workforce development initiatives, support transit technology improvements, expand AC Transit’s zero-emission bus fleet, and strengthen the District’s national presence on transportation policy issues.

His leadership has extended beyond the Bay Area.

Young has represented AC Transit on the national stage, including participation in the White House Roundtable on Clean Bus Manufacturing, where transit leaders and policymakers discussed the future of clean transportation and domestic manufacturing.

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