Statewide Program Delights Schoolkids with California-Grown Produce

(David Gorn/KQED)

California-grown persimmons and pears on the lunch line in Elk Grove. (David Gorn/KQED)

By David Gorn

At Elk Grove Elementary School, just outside Sacramento, it’s lunchtime and kids are doing what kids do when they’re let loose from the classroom: running around, laughing and generally having fun.

Tying farm to school so children understand the connection.

But this day at Elk Grove has a little extra charge to it. It’s “California Thursday,” a program that brings locally-grown food into school lunch rooms. And more.

Out on the playground, there’s a lottery wheel going. Someone is running around in a carrot suit. Volunteer Katie O’Malley, a student from UC Davis, mans the almond-butter booth: whole almonds go in the top and come out below in a thick paste — sending 9-year-olds into fits of giggles.

And that’s the point, O’Malley said, making food fun. Continue reading

Miscommunication A Major Cause of Medical Error, Study Shows

(Getty Images)

(Getty Images)

By Irene Noguchi

It seems almost unbelievable, but medical errors may be the third leading cause of death in America, after heart disease and cancer. That’s according to an analysis from Journal of Patient Safety. Could the key to change be in better communication? A new study from UC San Francisco and eight other institutions, says yes. Researchers found that improving communication between health providers can reduce patient injuries from medical errors by 30 percent.

The team found that a highly risky period was when patients are transferred or “handed off” between medical providers. Critical information gets passed between doctors, nurses and pharmacists.

When there’s a shift change or a patient moves to another hospital, “there’s an opportunity for communication failure,” says Daniel West, professor of pediatrics and vice-chair at UCSF Benioff Children’s Hospital. Continue reading

FDA to Announce Rules on Calorie Counts for Restaurant Menus

A menu board in New York City, the first city to require calories on chain restaurant menus. (Kevin Harber/Flickr)

A menu board in New York City, the first city to require calories on chain restaurant menus. (Kevin Harber/Flickr)

Washington (AP) — Counting your calories will become easier under new government rules requiring chain restaurants, supermarkets, convenience stores — and even movie theaters, amusement parks and vending machines — to post the calorie content of food “clearly and conspicuously” on their menus.

The Food and Drug Administration plans to announce the long-delayed rules on Tuesday. The regulations will apply to businesses with 20 or more locations and they will be given until November 2015 to comply.

The idea is that people may pass on that bacon double cheeseburger at a chain restaurant, hot dog at a gas station or large popcorn at the movie theater if they know that it has hundreds of calories. Beverages are included, and alcohol will be labeled if drinks are listed on the menu. Continue reading

Older Californians’ Outlook for Long Term Care

old and young handsThe way the medical system talks about aging often gets it all wrong.

That’s what Bruce Chernof, a geriatric physician and head of The Scan Foundation in Los Angeles, wants you to know.

“People define themselves by the function they retain, not the function they’ve lost,” he says.

That means there’s a huge disjoint between the words older Americans use most frequently to describe the kind of care they want in later life (words like “choice,” “independence,” “dignity”) and the most common words doctors rely on (“palliative care,” “geriatrics,” “advanced directive,” “donut hole”). Continue reading

Out of Prison — and Hungry

Aus Jarrar was released from an eleven-year prison sentence with $200. He's got an internship as a drug and alcohol counselor, but until he starts to earn a wage he's relying on charity food-- he doesn't qualify for food stamps.

Aous Jarrar was released from prison after an 11-year sentence with $200. He has an internship as a drug and alcohol counselor, but because he doesn’t qualify for food stamps, he is relying on charity food. (Jeremy Raff/KQED)

Editor’s note: For nearly two decades, people with drug-related felonies were banned for life from getting food stamps, but that’s all changing now. Starting April 15, thousands of former inmates will be eligible for food stamps and other public benefits.

Until then, how do you feed yourself when you get out of prison with no money and little help? As part of our health series Vital Signs, we hear from Aous Jarrar. He was recently released from prison after serving an 11-year sentence for bank robbery. Now, without food stamps, he’s one charity meal away from hunger. We caught up with him as he rushed around downtown Oakland looking for food.

By Aous Jarrar

Walking by that restaurant back there, I smelled some barbecue. Somebody’s really cooking. You know the funny thing? Since I got out, I’ve been really full maybe three times.

It was a shock to me the morning I woke up out here that my breakfast wasn’t ready. I was in prison for a total of 11 years. I took breakfast for granted.

I’m Palestinian. I’m not a citizen so I don’t qualify for food stamps.

The prison system, they give us $200 to leave with. I had no clothes, and I have no food. So I had to make the choice: do I want look professional, so I can get a job? Or do I want to eat? Continue reading

Cooking Class Shows Ex-Cons How to Shop and Cook on a Budget

Staff from Transitions Housing Clinic, a health center for former inmates, gathered in San Francisco to learn to cook on a budget with Chef Hollie Greene. (Jeremy Raff/KQED)

Staff from the Transitions Clinic, a nationwide network of health clinics for former inmates, gathered in San Francisco to learn to cook on a budget. (Jeremy Raff/KQED)

The chef has thrown down the challenge. There are five teams, ten people each, that must make their own version of veggie chili. Juanita Alvarado stirs the secret ingredient into the pot for Team 1. They call themselves the SuperHots.

“Let’s let that caramelize,” she says, tapping the wooden spoon on the edge of the saucepan.

This simmering pot of fresh black beans, zucchini, and carrots is a far cry from what Alvarado ate when she was in prison. Late nights in the bunks, inmates would pool their goods from the commissary to make a prison concoction called The Spread.

“It’s a ramen noodle. It consists of pickle juice, tuna, Velveeta cheese. Sausages, hot chips, some hot sauce, pork rinds, mayonnaise,” she says.

Then they mixed it all together and cooked it – sort of. Continue reading

Newly Protected Immigrants Will Be Eligible for Medi-Cal, Advocates Say

President Barack Obama announces executive actions on U.S. immigration policy Thursday. ( Jim Bourg-Pool/Getty Images)

President Barack Obama announces executive actions on U.S. immigration policy Thursday. ( Jim Bourg-Pool/Getty Images)

California undocumented immigrants who are eligible for deferred deportation under President Obama’s executive action are expected to be eligible for Medi-Cal, as long as they meet income guidelines, advocates said Thursday.

Medi-Cal is the state’s health insurance program for people who are low income.

Under federal law, these immigrants are not eligible for other benefits of the Affordable Care Act, including subsidies on the Covered California exchange. Continue reading

Kaiser Mental Health Clinicians Authorize Strike

Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)

Kaiser Permanente’s newly opened medical center in Oakland. (Lisa Aliferis/KQED)

A union of 2,500 mental health clinicians at Kaiser have voted to authorize a strike, just one week after Kaiser’s nurses went on strike for two days.

In September, Kaiser agreed to pay a $4-million fine levied by state regulators. The Department of Managed Health Care found patients were subject to excessively long wait times to get a therapy appointment, or were shuttled into groups when they wanted individual therapy.

Psychiatric social worker Clement Papazian says various fixes, like after-hours appointments, still aren’t meeting demand. Continue reading

Covered California Patients Not Only Ones with Network Woes

(Getty Images)

(Getty Images)

Charlie Spiegel said he was “thrilled” when he learned that the Department of Managed Health Care was taking action against two major insurers that sell policies on the Covered California marketplace. The companies, DMHC says, had violated state law by listing doctors on their online directories who were not part of their network.

Spiegel, of San Francisco, is not a Covered California policy-holder, but he’s having significant problems of his own with the individual policy he bought from Anthem Blue Cross earlier this year.

Here’s the background: Spiegel, 56, says he enjoys good health, but had been postponing various preventive tests due to cost. Before the Affordable Care Act went into effect, he had a high deductible plan. Continue reading

How Likely Are You to Have Heart Surgery? A C-Section? Depends Where You Live

(Getty Images)

(Getty Images)

“Location, location, location” may be a well-known maxim in real estate, but it applies in health care, too. Where you live matters in terms of what treatment you will receive for a given condition.

A new statewide survey published Tuesday found significant variation in the rate of 13 common elective procedures for several health conditions — including heart disease, childbirth and arthritis of the hip or knee. Treatments for these conditions are considered “elective” because deciding which treatment is best (or deciding on no treatment at all) can depend on someone’s preference.

It would be ideal if the patient was fully informed of all treatment options and made a decision based on his or her own preferences. But often it’s the doctor’s preferences that drive the decision. Continue reading