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Telemedicine Is Transforming Patient Care in California – With Some New Challenges

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When Dr. Andrea Goings launched her mobile medical service, offering at–home doctor visits and virtual consultation sessions via video in 2016 in the Los Angeles area, she did not know that just four years later her business model would be more the norm than not. 

Dr. Andrea Goings mobile medical service Los Angeles area.

Goings, an African American pediatrician, launched her service in West Lake Village, a city about 40 miles northwest of Los Angeles near the Ventura County line. She made house calls to patient homes across the metropolitan area. 

“Technology has changed the way we approach and experience so many aspects of our lives, so I thought at the time, why not apply it to the work I do,” said Goings, who has been able to provide care to patients in various parts of the country while she is temporarily in Ohio caring for her mom as she recovers from surgery. 
“Being able to save busy parents from long waits in the emergency room or long drives to doctor appointments or giving them around-the-clock access to medical advice from the comfort of their home are all reasons clients have appreciated BabyDocHouseCalls.com over the years. Now, there is an added safety component that makes the service convenient, even necessary, for so many.”
Goings said because her businesses gave her a head start. Therefore, pivoting to respond to the constraints COVID-19 safety measures have imposed on clinical care, has been easy for her.  
“Telehealth is a really good option for young adults who have returned to college campuses and dorms,” she says. 
The California Department of Health Care Services (DHCS) says remote consultations like the kind Goings’s provides should not be technically regarded as a distinct service, but an “allowable mechanism” through which medical practitioners can provide clinical services. 
“The standard of care is the same whether the patient is seen in-person, by telephone, or through telehealth. As a result, DHCS has strongly encouraged all counties to work with providers to maximize the number of services that can be provided by telephone and telehealth, to minimize community spread of COVID-19,” said Ivan Bhardwaj, Section Chief, Community Services Division at the DHCS. 
The DHCS has requested that all medical care providers adhere to all federal, state, and local guidelines. 
The U.S. Department of Health and Human Services Office of Civil Rights says it will use “enforcement discretion” and it will not impose penalties for non-compliance with all aspects of the HIPAA rules when healthcare providers use telehealth in “good faith” during the COVID-19 public health emergency. The DCHS has also relaxed some of its rules to accommodate telehealth, expanding platforms allowed to include popular video services such as Apple’s FaceTime, Facebook’s Messenger video chat, Google’s Hangouts and Skype.
“So far it’s been great. No problems. We’ve been able to keep all of our doctor appointments and do it safely” said Joe Bowers, a Ladera Heights resident in Los Angeles County who is retired and writes a column on education for California Black Media. Bowers says, “My wife, Margaret and I appreciate the convenience of visiting with our doctors — from the comfort of our home.” 
 
For some critical mental health services that are vital to some of the most vulnerable Californians during the pandemic, like Medication Assisted Treatment (MAT) for those struggling with opioid use disorder (OUD), DHCS has increased its support. 
“The Department of Health Care Services, in partnership with The Center at Sierra Health Foundation (The Center), is funding 21 sites to provide telehealth substance use disorder and mental health services for individuals in counties that have been impacted by COVID-19, or in the case of providers, who have experienced trauma as a result of treating individuals with the coronavirus,” said Bhardwaj. 
“DHCS and The Center additionally launched the Behavioral Health Telehealth funding opportunity in 2020 for non-profit behavioral health providers to receive up to $50,000 each for telehealth infrastructure beginning September 1, 2020 through June 30, 2021,” he added. “Providers applied for telehealth equipment, including laptops, desktops, monitors, electronic health record software licenses, internet subscriptions, cell phones for providers, and telehealth training. Providers that were awarded through this opportunity will receive funding in Fall 2020.” 
 
DHCS is also providing Personal Protective Equipment so that facilities that provide in-person mental health services and MAT sessions can continue to do so without interruption.
California’s public awareness campaign titled “Choose Change California” provides information on opioid use disorder and a list of centers across the state where people misusing opioids or other substances can go for treatment and community-based wraparound services. The campaign is a collaboration operated by Sacramento- and Fresno-based The Center at Sierra Health Foundation and funded through the California Department of Public Health MAT Expansion Project. 
DHCS’ efforts have resulted in helping some medical institutions to survive the pandemic and move closer to their pre-COVID levels of clinical care by transitioning to telehealth services, but they have come with some challenges. For example, the DHCS says some providers do not have enough funding to fully invest in telehealth infrastructure. On the flip side, some patients cannot afford or do not have sufficient broadband services and the required equipment to receive services through telehealth. Other patients, depending on their living situations, do not have adequate privacy to engage in telehealth sessions.
Goings pointed out that there are some obvious limitations to telehealth, too. With some conditions involving trauma or physical injury or pain, there is no way around seeing the patient in-person, she said.  
“Now, that school has started, it’s difficult because you don’t know if someone has the flu or COVID,” she says.  “I can’t give a clearance note, until you’ve been seen, tested and quarantined, if necessary,” she says.  
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14th Annual Minnesota Cuban Film Festival with Franklin Curbelo

The 14th. Minnesota Cuban Film Festival is organized by the Minnesota Cuba Committee, with the collaboration of the MSP Film Society, and ICAIC (Cuban Film Institute)
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Feb. 21, 2023 – Al McFarlane will sit with Franklin Curbelo, organizer of the 14th Annual Minnesota Cuban Film Festival. In this exciting interview, Franklin will discuss the festival’s commitment to bringing diverse films from Cuba and this year’s line-up.

The 14th. Minnesota Cuban Film Festival is organized by the Minnesota Cuba Committee, with the collaboration of the MSP Film Society, and ICAIC (Cuban Film Institute)

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Photo by: Juan Luis Ozaez

Photo by: CineDirektor FILMS

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2023 Mazda CX-50 2.5L Turbo w/Premium Plus Package AWD

2023 Mazda CX-50 2.5L Turbo w/Premium Plus Package AWD In-depth walkaround and POV Test Drive. The 2023 Mazda CX-50 is a luxurious and powerful compact SUV that boasts several high-end features and technologies. Equipped with a 2.5-liter turbocharged engine, 227 HP @ 310 lb-ft Torque, mated to a 6-speed automatic transmission, the C-50 delivers a […]
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2023 Mazda CX-50 2.5L Turbo w/Premium Plus Package AWD In-depth walkaround and POV Test Drive.
The 2023 Mazda CX-50 is a luxurious and powerful compact SUV that boasts several high-end features and technologies. Equipped with a 2.5-liter turbocharged engine, 227 HP @ 310 lb-ft Torque, mated to a 6-speed automatic transmission, the C-50 delivers a robust performance and is available with the Premium Plus package, which offers various advanced features. This review will delve into the details of the car’s features and overall performance.

The CX-50 comes in a beautiful Ingot Blue Metallic exterior color, which complements its elegant and sleek design. It features black 20-inch alloy wheels with P245/45 R20 all-season tires, which provide excellent grip and stability on the road. The rain-sensing windshield wipers and wiper de-icer are a thoughtful addition, making driving in inclement weather more manageable. Additionally, the auto power-folding side mirrors are convenient for parking in tight spaces.

The CX-50’s interior is equally impressive, with a Black interior color and Brown leather-trimmed seats. The 5-passenger seating is spacious, and the power driver’s seat with memory and power passenger seats offer ample adjustability for comfortable driving positions. The ventilated front seats are a welcome feature, especially in hotter climates. The leather-wrapped steering wheel is a premium touch and feels good in the hands. The heated steering wheel is perfect for chilly weather, and the paddle shifters add to the car’s sporty feel. The Mazda Advanced Keyless Entry and rear power liftgate are convenient features that make accessing the vehicle a breeze.

The CX-50 has several safety and security features, including 24-hour roadside assistance, 5-passenger 3-point safety belts, LATCH child safety seat anchors, and an anti-theft engine immobilizer. It also has a lane departure warning system, lane keep assist, blind spot monitoring, and rear cross-traffic alert. The I-ACTIV all-wheel drive, hill launch assist, and MI-Drive – sport/off-road/towing make it an excellent option for various driving conditions. The CX-50 also boasts a 3500 lb towing capacity, which makes it ideal for those who need to haul extra gear.

The CX-50 comes equipped with several high-tech features, including a power panoramic moonroof, adaptive front lighting system, LED headlights with auto on/off, and roof rails. The 10.25″ color center display and active driving HeadUp display provide easy access to all necessary information. The dual-zone auto climate control ensures that everyone in the car stays comfortable, and the rearview camera makes parking a breeze. The car has an AM/FM/HD Radio® with four USB inputs, BOSE® 12-speakers audio system, and a SiriusXM® 3 mos. trial. The Mazda Connected Services, wireless Android Auto, and wireless Apple CarPlay™ are convenient for connecting smartphones and accessing music and apps on the go.

The CX-50 has several pros, including multiple driving modes, off-road modes, and a comfortable interior. The car has quick off-the-line acceleration and handles well, making it a fun car to drive.

One downside to the CX-50 is that the ride quality is mediocre. It may not be the best option for those who prefer a very smooth ride.

The CX-50’s MSRP is $43,525, and the Turbo Premium Plus Package adds extra features, such as heated rear seats, 360-degree view monitor, traffic jam assist, front and rear parking sensors, rear smart brake support, blind spot prevention, Mazda Navigation System, wireless phone charger, traffic sign recognition, and a frameless auto-dimming rearview mirror with HomeLink®.

The 2023 Mazda CX-50 is an excellent choice for those who are looking for a luxurious and powerful compact SUV with advanced features and technologies. The car’s impressive performance, various driving modes, and comfortable interior make it a joy to drive. Additionally, the car’s safety and security features, along with the advanced technology, make it a safe and convenient car to own. Overall, the Mazda CX-50 is a strong contender in the compact SUV market and is definitely worth considering for those who want a car that delivers both performance and luxury.

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Why Attend Chicago Auto Show or Show In Your Market – AutoNetwork Reports 394

Our Take on The Chicago Auto Show, Recalls, Autel Energy, CrossTrex, Volvo Subscription Service, Customer Loyalty Dwindling, and more – AutoNetwork Reports 394 Coffee and Cars – AutoNetwork Reports 394. Get your coffee and join us for a new morning show. Warren was a great storyteller, friend, and all-around good guy in our industry and […]
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Our Take on The Chicago Auto Show, Recalls, Autel Energy, CrossTrex, Volvo Subscription Service, Customer Loyalty Dwindling, and more – AutoNetwork Reports 394
Coffee and Cars – AutoNetwork Reports 394.
Get your coffee and join us for a new morning show. Warren was a great storyteller, friend, and all-around good guy in our industry and reviewed cars for The Washington Post newspaper.
Reviews of Cars Driven – AutoNetwork Reports 394
Car Reviews of what we are driving this week. We help you better understand and appreciate your dream car. Find out why we would buy the new car or not. Join our panel of influencers as we review new cars and discuss the latest auto news.

Car Reviews: Visit the website of the panelists for full reviews.
Greg – RAV4
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Dave – G90
Me – Niro SX Touring

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Frank Washington – AboutThatCar.com
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Teia Collier – #DSMDrive
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The auto talk show, #AutoNetworkReports, is Live on YouTube weekly Wednesday from 10:00 am ET – 10:30 am ET. where auto influencers discuss the week’s latest automotive news. Go visit http://autonetwork.com for more shows.

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When available we let you know of any vehicle recalls and how to resolve them. Some of the auto influencers have sold cars so we provide car buying and auto leasing tips to save you time and money on your next car purchase. AutoNetwork Reports simplify the latest auto industry news for you to help you appreciate the automotive industry.

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