Connect with us

#NNPA BlackPress

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

Published

on

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.  

Michelle Snider

Associate Editor for The Post News Group. Writer, Photographer, Videographer, Copy Editor, and website editor documenting local events in the Oakland-Bay Area California area.

#NNPA BlackPress

Smooth Ride! Car Suspension & Comfort Tested #shorts

Smooth suspension meets surprisingly spacious legroom. Experience true comfort on any road!

Published

on

Car suspension test demonstrating a smooth ride, comfort features, and handling on various terrains.

Experience the difference smooth suspension makes on rough streets. Check out the surprisingly good second-row legroom – test it yourself for true comfort.

🔗 Watch the full video: https://youtu.be/l9Z571za5Gc

#AutoNetwork

Continue Reading

#NNPA BlackPress

61 years since Selma, Houston leaders say the bridge remains to be crossed

61 years after Selma, Houston leaders say the fight for equality continues. The issues that sparked the marches still impact Black Americans today.

Published

on

Houston leaders discuss the ongoing struggle for civil rights 61 years after Selma, emphasizing the need for continued action.

It has been 61 years since the Selma marches. But political leaders in Houston say that the issues protesters were marching for still plague the lives of Black Americans.

Visit Our Website

Home – updated

Read more stories by our team
https://defendernetwork.com/category/news/opinion/

Sign-up for the Top 5 newsletter

Defender Newsletters

Donate/ Support Our Work

Contribute to the Defender Network

Continue Reading

#NNPA BlackPress

Here is what you need to know about finding unique white elephant gift ideas that everyone wants to steal

The best white elephant gift ideas are funny enough to get a reaction but useful enough that people actually want to steal them. Look for gifts with a surprise factor, broad appeal, an inside joke, and just enough personality to spark some friendly competition. The wrapping paper comes off, the room goes quiet for half […]

Published

on

e204f0d0beb99c83b766df4be601c056

The best white elephant gift ideas are funny enough to get a reaction but useful enough that people actually want to steal them. Look for gifts with a surprise factor, broad appeal, an inside joke, and just enough personality to spark some friendly competition.

The wrapping paper comes off, the room goes quiet for half a second, and suddenly everyone wants the same gift. That is the sweet spot. A great white elephant pick should make people laugh, lean in, and start plotting their next steal before the turn is even over.

Should a White Elephant Gift Be Funny or Useful?

A white elephant gift can be funny or useful, but the strongest choices usually give people a reason to laugh and a reason to keep the item. A practical gift with an odd design, unexpected feature, or playful theme can get a reaction without becoming something the recipient immediately wants to give away.

The right balance depends on the group. Close friends and family members may enjoy a ridiculous gag gift because they already understand one another’s sense of humor.

A workplace exchange, neighborhood party, or mixed-age gathering usually calls for something with broader appeal. In those settings, humor works better when it is built into an item people could still use afterward.

It also helps to think about how quickly the gift will make sense once it is opened. A strangely shaped kitchen tool, oversized mug, quirky desk accessory, or unexpectedly fancy everyday item can create an immediate reaction. Guests understand the joke right away, while the item still has enough practical value to attract a steal.

Pure gag gifts can be harder to pull off. Something that exists only for the punchline may get a big laugh during the reveal and then sit untouched for the rest of the game. If the goal is to bring one of the gifts everyone keeps fighting over, usefulness gives the joke staying power.

Memorable Present Ideas: Creating Inside Joke Gifts

Inside joke gifts can make a white elephant exchange feel much more personal, especially when most of the group shares the same stories. The trick is choosing a reference that people will recognize quickly instead of building the entire joke around something only two guests understand.

You can turn a memorable vacation mishap, office catchphrase, family story, or long-running group joke into the theme of the gift. A personalized comic book can work especially well when it turns familiar people or a ridiculous shared moment into part of the story. 

Think carefully about who the joke involves before ordering anything permanent. The gift should make the person feel included in the fun, not singled out for the wrong reason.

Can You Bring Something You Already Own?

Holiday gift exchanges can be a good place to re-gift something you never used, especially if it is unopened and clean.

The following can all work if they still look presentable:

  • A duplicate kitchen gadget
  • An untouched game
  • A decorative item
  • A sealed gift set 
  • An unopened candle
  • A new travel accessory

The goal is to give the item a second chance, not use the exchange as an excuse to clear out damaged or unwanted clutter.

Take a close look at the packaging before wrapping it. Faded boxes, missing pieces, visible wear, or anything that looks obviously used can make the gift feel careless. 

Wrapping Budget-Friendly Gifts

Wrapping can make gifts more entertaining before anyone even knows what’s inside.

Misdirection works especially well for fun party games. Put a small gift inside a much larger box. Use packaging from an unrelated household item.

Add harmless weight so guests cannot guess what they are holding. The reveal becomes part of the joke without changing the gift itself.

You can also lean into the theme of the exchange. Bright paper, oversized bows, reusable bags, or deliberately over-the-top wrapping can make an ordinary item feel more memorable. If the gift itself is already funny, simple wrapping may work better so the surprise stays hidden until the last second.

Frequently Asked Questions

Is Picking Last an Advantage in White Elephant?

Picking last can be an advantage because you get to see almost every gift before making your move. Instead of choosing blindly from the remaining wrapped presents, you can steal something that has already caught your attention if the rules still allow it.

That advantage depends on the house rules. Some games limit how many times a gift can be stolen.

Others lock an item once it reaches a certain number of steals. If the most popular gifts are already unavailable, the final player may have fewer strong options than expected.

The first player can also get another turn at the end in some versions of the game. That rule can balance things out, since the person who started with the least information may get one final chance to steal.

How Do You Plan White Elephant for a Large Group?

For a large white elephant exchange, set a firm spending limit and establish the stealing rules in advance.

Create a clear turn order before the game begins. Drawing numbers as guests arrive can save time once everyone is ready to start.

Keep the number of steals per gift limited so the game does not drag on. It also helps to have one person track which creative holiday presents have been stolen and when they are locked, especially if dozens of people are participating.

Can You Play White Elephant Virtually?

A virtual white elephant exchange can work over a video call, with one person keeping track of the turn order and each steal. Guests can either mail physical gifts ahead of time or use digital gifts that can be delivered once the game ends.

Set the spending limit and stealing rules before everyone joins. It also helps to decide how gifts will be revealed and who is responsible for sending each one afterward so the exchange does not become confusing.

Choose a Perfect White Elephant Gift in a Snap

Look for a white elephant gift that fits some of these criteria, and everyone will be trying to grab it at your next celebration.

Do you need more gift-giving tips and tricks? Make sure you read some of our other posts.

Continue Reading

Subscribe to receive news and updates from the Oakland Post

CHECK OUT THE LATEST ISSUE OF THE OAKLAND POST

ADVERTISEMENT

Facebook

File photo.
Economy1 week ago

How the Sandwich Generation Can Help Protect Aging Parents’ Finances

Barbara Lee. File photo.
Education1 week ago

As Progressive Democrats Celebrate ‘Blue Tsunami,’ Oakland Counts Victories

“We’re so proud,” said Mayor Barbara Lee who donned a violet wig on Wednesday at a rally honoring the Golden State Valkyries as the team celebrated its historic 2026 WNBA Championship in Oakland. Photo courtesy of NBC.
Community1 week ago

Golden State Valkyries Become Bay Area Legends Winning WNBA Championship on Halloween Night

Marcia Ann Gillespie. Facebook photo.
Black History1 week ago

IN MEMORIAM: Marcia Ann Gillespie, Editor of Essence and Ms. Magazines, Dies at 82

Some of the Congressional Women of the Year. Photo courtesy of Congressmember John Garamendi's office.
Black History1 week ago

U.S. Rep. John Garamendi Honors local ‘Women of the Year’ at Annual Awards Ceremony

A pantry at 34th street and Roosevelt avenue in Richmond. Photo courtesy of Achala Jayagoda.
Community1 week ago

Richmond Neighbors Put Pantry Power on the Map

Cutting the ribbon at the California Chamber of Commerce (CHCC) last month were CHCC Northern Region Director Mayra Perez, Aliza Gallo, Oakland Latino Chamber President CHCC Foundation Chairman David Betancourt, CHCC Madam Chair Veronica Corona, CHCC President & CEO Julian Canete and CHCC Northern Region Chair Leo Callejas. Courtesy photo.
Business1 week ago

Oakland Latino Chamber of Commerce Hosts Statewide Convention, Generating $3 Million in Economic Impact

Keisha Lance Bottoms during her 2026 Democratic gubernatorial primary victory speech. Photo: Sikis2021 / Wikimedia Commons.
Uncategorized1 week ago

HISTORY MADE: Keisha Lance Bottoms Becomes First Black Woman Elected Governor in American History

Keisha Lance Bottoms during her 2026 Democratic gubernatorial primary victory speech. Photo: Sikis2021 / Wikimedia Commons.
Black History1 week ago

HISTORY MADE: Keisha Lance Bottoms Becomes First Black Woman Elected Governor in American History

Annette Henry. Photo by Mario Decuir.
Black History1 week ago

Five Hospitals Said No! Who Will Help Annette Henry Recover?

Danielle Motley-Lewis, president of BWOPA’s Oakland/Berkeley chapter.
Uncategorized1 week ago

Oakland NAACP, BWOPA Speak Out Against Alleged Harassment of Black Women Political Leaders

Commentary1 week ago

COMMENTARY: Oakland’s Black Students Have Gained Ground: We Shouldn’t Stop Now

Jamale Carlyle had a long career working for power companies before embarking making his grilling hobby into a business. Courtesy photo.
Black History1 week ago

From Backyard Grilling to Jack London Square: Jamale Carlyle’s Chicken Wing Success Story

California state workers staged a one-day strike Oct. 21 to protest alleged unfair labor practices and stalled contract negotiations over wages, remote work requirements and health care costs. The workers' previous contract expired June 30. CBM photo by Antonio Ray Harvey.
Business1 week ago

SEIU Local 1000 and State of California Will Continue to Negotiate New Labor Contract

AI-generated file photo.
Commentary1 week ago

OPINION: We Can Restore Checks and Balances on Trump

Trending

Copyright ©2021 Post News Group, Inc. All Rights Reserved.