My name is doctor ellen moffett, i am an assistant medical examiner for the city and county of San Francisco. I perform autopsy, review medical records and write reports. Also integrate other sorts of testing data to determine cause and manner of death. I have been here at this facility since i moved here in november, and previous to that at the old facility. I was worried when we moved here that because this building is so much larger that i wouldnt see people every day. I would miss my personal interactions with the other employees, but that hasnt been the case. This building is very nice. We have lovely autopsy tables and i do get to go upstairs and down stairs several times a day to see everyone else i work with. We have a bond like any other group of employees that work for a specific agency in San Francisco. We work closely on each case to determine the best cause of death, and we also interact with family members of the diseased. That brings us closer together also. I am an investigator two at the office of the chief until examiner in San Francisco. As an investigator here i investigate all manners of death that come through our jurisdiction. I go to the field Interview Police officers, detectives, family members, physicians, anyone who might be involved with the death. Additionally i take any property with the deceased individual and take care and custody of that. I maintain the chain and custody for court purposes if that becomes an issue later and notify next of kin and make any additional follow up phone callsness with that particular death. I am dealing with people at the worst possible time in their lives delivering the worst news they could get. I work with the family to help them through the grieving process. I am ricky moore, a clerk at the San Francisco medical examiners office. I assist the pathology and toxicology and Investigative Team around work close with the families, loved ones and funeral establishment. I started at the old facility. The building was old, vintage. We had issues with plumbing and things like that. I had a tiny desk. I feet very happy to be here in the new digs where i actually have room to do my work. I am sue pairing, the toxicologist supervisor. We test for alcohol, drugs and poisons and biological substances. I oversee all of the lab operations. The forensic operation here we perform the toxicology testing for the Human Performance and the case in the city of San Francisco. We collect evidence at the scene. A woman was killed after a robbery homicide, and the dna collected from the zip ties she was bound with ended up being a cold hit to the suspect. That was the only investigative link collecting the scene to the suspect. It is nice to get the feedback. We do a lot of work and you dont hear the result. Once in a while you heard it had an impact on somebody. You can bring justice to what happened. We are able to take what we due to the next level. Many of our counterparts in other states, cities or countries dont have the resources and dont have the beautiful building and the equipmentness to really advance what we are doing. Sometimes we go to court. Whoever is on call may be called out of the office to go to various portions of the city to investigate suspicious deaths. We do whatever we can to get our job done. When we think that a case has a natural cause of death and it turns out to be another natural cause of death. Unexpected findings are fun. I have a prior background in law enforcement. I was a Police Officer for 8 years. I handled homicides and suicides. I had been around Death Investigation type scenes. As a Police Officer we only handled minimal components then it was turned over to the coroner or the detective division. I am intrigued with those types of calls. I wondered why someone died. I have an extremely supportive family. Older children say, mom, how was your day. I can give minor details and i have an amazing spouse always willing to listen to any and all details of my day. Without that it would be really hard to deal with the negative components of this job. Being i am a native of San Francisco and grew up in the community. I come across that a lot where i may know a loved one coming from the back way or a loved one seeking answers for their deceased. There are a lot of cases where i may feel affected by it. If from is a child involved or things like that. I try to not bring it home and not let it affect me. When i tell people i work at the medical examiners office. Whawhat do you do . The autopsy . I deal with the a with the enou with the administrative and the families. Most of the time work here is very enjoyable. After i started working with dead people, i had just gotten married and one night i woke up in a cold sweat. I thought there was somebody dead . My bed. I rolled over and poked the body. Sure enough, it was my husband who grumbled and went back to sleep. This job does have lingering effects. In terms of why did you want to go into this . I loved science growing up but i didnt want to be a doctor and didnt want to be a pharmacist. The more i learned about forensics how interested i was of the perfect combination between Applied Science and criminal justice. If you are interested in finding out the facts and truth seeking to find out what happened, anybody interested in that has a place in this field. Being a woman we just need to go for it and dont let anyone fail you, you cant be. With regard to this position in comparison to crime dramas out there, i would say there might be some minor correlations. Lets face it, we arent hollywood, we are real world. Yes we collect evidence. We want to preserve that. We are not scanning fingerprints in the field like a Hollywood Television show. Families say thank you for what you do, for me that is extremely fulfilling. Somebody has to do my job. If i can make a situation that is really negative for someone more positive, then i feel like i am doing the right thing for the city of San Francisco. Everything is done inhouse. I think it is done. I have always been passionate about gelato. Every single slaver has its own recipe. We have our own we move on from there. So you have every time a unique experience because that slaver is the flavored we want to make. Union street is unique because of the neighbors and the location itself. The people that live around here i love to see when the street is full of people. It is a little bit of italy that is happening around you can walk around and enjoy shopping with gelato in your hand. This is the move we are happy to provide to the people. I always love union street because its not like another commercial street where you have big chains. Here you have the neighbors. There is a lot of stories and the neighborhoods are essential. People have they enjoy having their daily or weekly gelato. I love this street itself. We created a move of an area where we will be visiting. We want to make sure that the area has the gelato that you like. What we give back as a shop owner is creating an ambient lifestyle. If you do it in your area and if you like it, then you can do it for the first time in nearly two decades fishers have been granted the legal right to sell fish directly to the package right off their boat to the public right off their boats in San Francisco. Its not only helping local fishers to stay afloat but its evoking the spirit of the wharf by resurfacing the traditional methods of selling fish. But how is it regulated . And what does it take for a boat to be transported into a Floating Fish market . Find out as we hop on board on this episode of whats next sf. Were here with the owner and the captain of the vessel pioneer. Its no coincidence that your boat is called the pioneer because its doing just that. Its the first boat in San Francisco to sell fish directly from the boat. How did you establish your boat into such a Floating Fish market . Well, you know, i always thought that it would be nice to be able to provide fresh fish to the locals because most of the fish markets, you would have to do a large amount of volume in order to bring in enough fish to cover the overhead. When you start selling to the public that volume is much less so it makes it hard to make enough money. So being able to do this is really its a big positive thing i think for the entire community. A very positive thing. As a thirdgeneration fisherman joe as his friends call him has been trawling the california waters for sustainably caught seafood since an early age. Since obtaining a permit to sell fish directly to the public he is able to serve fish at an affordable price. Right now were just selling what a lot of the markets like, flat fish and rock fish and what the public likes. So we have been working for many, many years and putting cameras in them. Theres the ability to short fish and we have panels that we open and close so we target the different species of fish by adjusting the net. And then not only that but then the net sort out the sizes which is really important. Joe brings in a lot of fish, around 20,000 pounds per fishing trip to be exact. We had one day one time that we sold almost 18,000 pounds. Its incredible. I know, its hard to imagine. But this wasnt always the case for joe. The markets that we have left in california, theyre few and far between, and they really are restrictive. Theyll let you fish for a couple months and shut you down. A lot of times its rough weather and if you cant make your delivery you will lose your rotation. Thats why theres hardly any boats left in california because of the market challenges. My boat was often sitting over here at the dock for years and i couldnt do anything with it because we had no market. The ability to go catch fish is fine, i had the permits, but you couldnt take them off your boat. That was until the Port Commission of San Francisco rallied behind them and voted unanimously to approve a Pilot Program to allow the fish to be sold directly to consumers right off their boats. The purpose of the program is to allow commercial fishers to sell their fish directly from their boats to the end consumer in a safe and orderly manner for the benefit of the overall Fishing Community at the port of San Francisco. We have limited the program to certain types of fish such as salmon, halibut, tuna and rock fish. Crab is restricted from this program because we did not want to interfere with the existing crab sales on Taylor Street and jefferson street. So this is not meant to favor one aspect of the fishing industry more than another. Its to basically to lift up the whole industry together. And if joe the program has been doing just that. It was almost breathtaking whenever i woke up one morning and i got my federal receiver, my first receivers license in the mail. And that gave me permission to actually take fish off my boat. Once we started to be able to sell, it opened things up a bit. Because now that we have that federal permit and i was able to ppetition the city council and getting permission from San Francisco to actually use the dock and to sell fish here, it was a big turning point. Because we really didnt think or know that wed get such a positive response from the public. And so were getting thousands of people coming down here buying fish every week and so thats pretty cool. They like the fish so much that they take pictures of it when they cook it and they send us all of these pictures and then they ask us, you know, constantly for certain types of fish now. And when they come down here the one thing that they say is that theyre so amazed that the fish is so fresh they could eat a little bit during the week and its still fresh all week in the refrigerator. So thats really cool. The fish is very fresh and the price is super. I dont think that you can get it anywhere in the bay area. I can see it, and i can stir fry it, wow, you can do anything you want. I just can say this is a good place to shop and you have a good experience. This Program Supports the Strategic Plan in terms of engagement, people being connected to the waterfront, and also economic vitality. Because its helping the fishermen to make ends meet. They have no guarantees in their businesses, not like some people, and we want to do everything that we can to help them to have a good and thriving business. How does it feel to be able to sell your fish locally kind of in the traditional way, like your grandfather probably did . When i was a kid and i used to work in my dads fish market, a lot of the markets that we sell to now are second and third and fourth generation markets. So i remember as a kid putting their tags on the boxes of fish that we shipped out of monterey and ship down to l. A. So its kind of cool that were still dealing with the same families. And this is probably about the only way that anyone can really survive in california is to sell your own fish. One of the advantages of this program is the Department People that pull in the fish, they can find out where they caught it and find out more about the fisherman and that adds to their experience. The feedback from the fishers has been very good and the feedback from the customers have very good. And theres a lot of people coming to the wharf now that might not have done so. In fact, theres people that go through the neighboring restaurants that are going to eat fish inside but before they go in they see the action on the dock and they want to kind of look at whats happening on the boat before they go in and they have a meal. So its generated some conversation down at the wharf and thats a good thing. As you can see by the line forming behind me getting ready to buy fish, the Pilot Program has been a huge success. For more information visit sfsport. Com. Hi, everybody. Welcome to laguna honda. [cheering] and before we get started, my grandmother spent almost 14 years here at laguna honda, and so many of you took incredible care of miss camelia brown. I want to give a special shout out to denise and so many people here who day in and day out take care of some of our most vulnerable folks that rely on us to care for them every day. We are so grateful to be here with our governor, gavin newsom. [cheers and applause] he has already hit the ground running, and we know from experience of being a former mayor of San Francisco, he understands intimately all the challenges that we as a city face, which really is going to be so incredible for our city and cities across the state of california for all the things we know we need to do to change california for the better. Laguna honda is a key part of San Franciscos Health Network, which cares for one in eight san franciscans. Primarily people who are uninsured, low income, or for from our immigrant communities. And includes not only laguna honda, but San Francisco general , and smaller clinics across our city, and Health Services in our county jail. Here at laguna honda, more than 1,000 patients each year receive care for complex conditions like h. I. V. And alzheimers and dementia, and other Mental Illnesses and disorders, and we have, for patients who are suffering from strokes or brain injuries, or spinal injuries, or other trauma. These treatments require longterm and specialized care, as so many of you here know, and they commonly include medications as part of the treatment plan. However, it is a wellknown fact that these medications are expensive, and can drive up the cost of healthcare for millions of people who need these drugs to survive. The San FranciscoHealth Network is constantly working to find ways to save money on drug costs for uninsured patients. We work with federal programs like the 340 b. Program that provides drugs at a discounted rate for some of our facilities, but facilities like laguna honda , or our county jail, our Behavioral Health clinic, they dont qualify for those federal discounts. Not to mention the medications used in treatment plans at these facilities are some of the most expensive medications. The Health Network purchases more than 3,000 drugs for patients who dont qualify for 340 b. Discounts, and just the 25 most expensive drugs, of those costs, it because our city more than 17 million each year. When we have people struggling on the streets of San Francisco, with Mental Health challenges and Substance Use disorders, or people spending thousands of dollars on lifesaving medication for h. I. V. And aids, or people fighting a battle with cancer, we need to be focused on helping them recover and heal, not whether or not they can afford to pay for the medication this is the same case at many healthcare facilities, not only in San Francisco, but across the entire state of california and the nation, and this is why i am so thrilled to be joining governor gavin newsom here today to announce a San Francisco will be joining the efforts to bring down medication costs in our city. [applause] we will work hard to bring down the cost of those medications. We have worked hard over the years, but we know there is so much more that we can do, and by joining forces with other counties across the state, we know that we can make a difference in the lives of millions of patients. We are joined here today by two other bay area counties in making this commitment, alameda and Santa Clara County,