San Diego, CA
ROSA to the Occasion: Epilepsy Care Gets Robotic Boost at UC San Diego Health

Newswise — Neurosurgery is among the many most difficult branches of surgical procedure. The human mind, with its estimated 100 billion neurons and 100 trillion connections, is arguably probably the most complicated organic construction identified, and surgeons should typically function inside the slim confines of the mind, spinal twine and nervous system.
Generally it’s good to have one other set of “palms,” a ROSA by one other identify.
ROSA is brief for Robotic Stereotactic Help, and inside the Division of Neurosurgery at UC San Diego Well being, the modern expertise is at hand.
Of the numerous procedures during which ROSA can help, it shines maybe brightest throughout stereotactic electroencephalography (sEEG), an intracranial monitoring process during which 10 to twenty skinny electrodes (lower than 1 millimeter in diameter, concerning the thickness of a bank card) are inserted into the mind to exactly map the places from which epileptic seizures emanate.
Sharona Ben-Haim, MD, the UC San Diego Well being neurosurgeon who launched sEEG to the San Diego area 5 years in the past, calls the process “a lot quicker and safer now, and with the effectivity and accuracy that solely a robotic platform can present.”
Sage Magaña, 18, not too long ago underwent the ROSA-assisted process. Two years in the past, she was recognized with frontal lobe epilepsy, with a typical day interrupted by as much as 5 seizures lasting for as a lot as 5 minutes every. It will generally require weeks to completely get well from probably the most extreme episodes.
“I get up after a seizure and I limp, I cry, it’s horrible,” mentioned Sage, who lives together with her mother and father in Vista. “I’ve ache in my head, my jaw and my tongue and cheeks from biting them. It’s taken the whole lot away from me. It has stopped my entire complete life.”
Due to her seizures, Sage dropped out of highschool after her sophomore 12 months. Driving is a distant reminiscence. Hers isn’t the standard lifetime of a young person.
Solely a really particular kind of affected person is prone to obtain sEEG, somebody for whom mind surgical procedure has develop into a final resort attributable to drug-resistant epilepsy. Sage mentioned the seizure medicine she tried “labored considerably, however not sufficient,” and that almost all produced opposed negative effects, resembling making her really feel “crazy” and “offended after I’m not.”
Sage opted for surgical intervention on the suggestion of Ben-Haim and Jerry Shih, MD, director of the Epilepsy Heart at UC San Diego Neurological Institute, following a multidisciplinary convention about her case.
Based mostly on Sage’s MRI scan, Ben-Haim programmed into ROSA the place every electrode must be inserted, after which ROSA’s robotic arm pivoted to the exact positions for every insertion.
“Every of the electrodes is deliberate with nice accuracy to enter and terminate (finish) in a sure a part of the mind, and to map particular anatomical options alongside its trajectory,” mentioned Ben-Haim, the one neurosurgeon in San Diego County at present performing ROSA-assisted sEEG on adults. (Rady Kids’s Hospital-San Diego has a ROSA for pediatric instances.)
“The place the electrodes go may be very particular for every affected person, primarily based on a really intensive preoperative workup that we do.” (Earlier than the appearance of sEEG, neurosurgeons positioned grid, strip and depth electrodes for intracranial monitoring. These have been typically very difficult procedures.)
When she emerged from anesthesia following the sEEG process at Jacobs Medical Heart at UC San Diego Well being, Sage mentioned she “felt a bit of little bit of ache, however it was very bearable — particularly understanding that that is my probability to get my life again.”
The electrodes remained inside Sage’s mind for every week, mapping her seizures. The ensuing information (nonetheless being analyzed) will assist decide one of the best therapy. This will embrace laser-assisted ablation or resection within the area of the mind inflicting the seizures.
“I simply need to simply cease the seizures,” Sage mentioned, in order that she will pursue a standard life and maybe a profession serving to others via their epilepsy journeys.
“I need to be that particular person for another person,” she mentioned.
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San Diego, CA
Runway lights were out as pilot tried to land at foggy San Diego airport before fatal crash

By JULIE WATSON and JOSH FUNK
SAN DIEGO (AP) — The runway lights were out, a weather alert system wasn’t working and there was heavy fog at a San Diego airport when a pilot who had flown across the country made the decision to proceed with landing but came up short and crashed into a neighborhood, likely killing all six aboard the aircraft, investigators said Friday.
Investigator Dan Baker of the National Transportation Safety Board said officials will work over the next year to determine what caused the Cessna 550 Citation to crash just before 4 a.m. local time Thursday. The jet was carrying a music executive and five others. No one in the neighborhood of U.S. Navy housing died, but eight people were treated for smoke inhalation from the fiery crash and non-life threatening injuries.
The pilot acknowledged the weather conditions for landing at the small airport were not ideal and debated diverting to a different airport while discussing the visibility with an air traffic controller at a regional Federal Aviation Administration control tower, according to audio of the conversation posted by LiveATC.net.
The Federal Aviation Administration had posted an official notice for pilots that the lights were out of service, but it’s not known whether the pilot had checked it. He didn’t discuss the lights being out with air traffic control, but was aware that the airport’s weather alert system was inoperable. Ultimately, the pilot is heard saying that he’ll stick with the plan to land at Montgomery-Gibbs Executive Airport.
“Doesn’t sound great but we’ll give it a go,” he told the air traffic controller.
The plane crashed about 2 miles (3.22 kilometers) from the airport.
Baker said a power surge knocked out the weather system at the airport but the pilot was aware of the fog and an air traffic controller gave him weather information from Marine Corps Air Station Miramar, about 4 miles (6.44 kilometers) north.
Music talent agent Dave Shapiro, and two unnamed employees of the music agency he co-founded, Sound Talent Group, were among the dead along with the former drummer for metal band The Devil Wears Prada. Shapiro, 42, had a pilot’s license and was listed as the owner of the plane.
The crash added to a long list of aviation disasters this year while f ederal officials have tried to reassure travelers that flying is the safest mode of transportation, which statistics support.
Shapiro’s aircraft took off from Teterboro, New Jersey, near Manhattan, at about 11:15 p.m. local time Wednesday and made a fuel stop in Wichita, Kansas, before continuing on to San Diego. That overnight schedule wouldn’t be allowed for an airliner under federal crew rest rules, but those regulations don’t apply to private planes.
Assistant San Diego Fire Department Chief Dan Eddy said the fog was so thick in the morning that “you could barely see in front of you.”
Former NTSB and FAA crash investigator Jeff Guzzetti said he thinks dense fog and fatigue after the pilot flew all night long were likely factors in the crash.
“This accident has all the earmarks of a classic attempt to approach an airport in really bad weather and poor visibility,” Guzzetti said. “And there were other airports that the crew could have gone to.”
He said pilots are required to check FAA posts called Notices to Airmen that alert pilots to any issues such as runway lights being out.
“It’s fairly easy for the pilot to get that information and they are required to get that information before any flight they take,” Guzzetti said.
The pilot also would have likely noticed the lights weren’t working as he descended. Without lights, procedure dictated that he should have climbed and diverted to another airport, Guzzetti said.
Fragments of the plane were found under power lines that are about a half block from the homes. It then lost a wing on the road directly behind the homes. Guzzetti said even if the plane had missed the power lines it may have still crashed because it was coming in too low in the fog.
A terrifying wakeup
The crash site shows more damage on the front side of homes, including a smashed stone landscaping wall and an incinerated truck that was parked across the street and shoved into the living room of its owner’s home before catching fire.
Ben McCarty and his wife, who live in the home that was hit, said they felt heat all around them after being woken up by an explosion.
“All I could see was fire. The roof of the house was still on fire. You could see the night sky from our living room,” McCarty, who has served in the Navy for 13 years, told local ABC affiliate KGTV.
Flames blocked many of the exits so they grabbed their children and dogs and ran out the back but the burning debris blocked the gate so neighbors helped them climb over the fence to escape.
“We got the kids over the fence and then I jumped over the fence. They brought a ladder and we got the dogs,” McCarty said.
Meanwhile, fiery jet fuel rolled down the block igniting everything in its path from trees to plastic trash containers to car after car.
McCarty’s home was the only one destroyed, though another 10 residences suffered damage, authorities said.
McCarty said his family used to enjoy living under the flight path so they could watch the planes pass overhead.
“Us and our kids would sit on our front porch and we’d look up and my sons would always be excited saying ‘plane plane’ watching the planes go by and ironically right where we were sitting is where that plane hit,” McCarty said.
Now, he wants to move.
“I’m not going to live over that flight line again — it’s going to be hard to sleep at night,” McCarty said.
It could have been much worse
Guzzetti said in his experience there often aren’t deaths on the ground when a plane crashes in a residential area unless people are right where the plane hits such as in Philadelphia in January.
At least 100 residents in the San Diego neighborhood were evacuated and officials said it was unclear when it would be safe for people to return.
Thursday’s crash comes only weeks after a small plane crashed into a neighborhood in Simi Valley northwest of Los Angeles killed both people and a dog aboard the aircraft but left no one on the ground injured.
In October 2021 a twin-engine plane plowed into a San Diego suburb, killing the pilot and a UPS delivery driver on the ground and burning homes.
Funk contributed to this report from Omaha, Nebraska.
Originally Published:
San Diego, CA
San Diego dermatologist charged in alleged $1.3 million insurance fraud scheme

SAN DIEGO (CNS) – A San Diego-based dermatologist was facing nearly two dozen felony counts Friday for allegedly billing Medi-Cal more than $1.3 million for services that were never provided.
The California Attorney General’s Office alleges Ghada Kassab, who has an office in Pacific Beach, invoiced Medi-Cal for up to 233 patients daily, with an average of 60 to 70 daily patients. State prosecutors allege the patients “were undergoing light therapy, with the majority using non-medical lamps.”
In total, $1,386,995 was allegedly charged to Medi-Cal fraudulently.
A criminal complaint filed in San Diego Superior Court earlier this month alleges the conduct occurred between 2016 and 2024. It charges Kassab with 22 healthcare insurance fraud counts, one count of Medi-Cal Fraud and special enhancements related to white collar crimes and excessive takings.
California Attorney General Rob Bonta said in a statement, “We will not tolerate fraud where individuals take advantage of Medi-Cal to line their own pockets, potentially jeopardizing critical, necessary medical services our most vulnerable residents rely on. Today’s action is possible due to my team’s efforts to hold accountable those who defraud Medi-Cal, and we will continue to do so.”
Copyright 2025, City News Service, Inc.
San Diego, CA
Children stepped in to help wake people up after private jet crash, neighbor says

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