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Health

Her Sister Died of a Mind Tumor. Now She Was Having Comparable Signs.

Humanity has planted flags on the moon, but a moon shot for brain cancer has yet to be realized.

Diagnosis known, we gradually stopped removing more tumor. The more tumor you remove, the longer the average survival time, however lean it may be. But the pursuit of surgical perfection sometimes comes at a cost. In the brain, where critical human functions are packed into millimeters of tissue, removing more tumors and potentially damaging healthy tissue risks loss of strength, speech, eyesight, memory, and more. In glioblastoma, tumor cells that are inches away from the tumor mass and far beyond the reach of tweezers almost guarantee the cancer will recur. Surgical perfection is imperfect. She wanted to keep her strength.

We sewed the dura shut and then re-plated its bone. We carefully closed the layers of her skin. A short time later she was extubated and we took her to our neurological intensive care unit to recover.

“I have seven years to spend with my sister, and a lot of young people die these days, so I try to be pragmatic,” she had told me the day before. Negotiate.

Forty years ago, the median survival time for glioblastoma was four and a half months. Since then, researchers have characterized the genetics of glioblastoma and studied various vaccines, chemotherapy, immunotherapies, cell therapies, new imaging modalities, targeted radiation therapies, and innovative forms of drug delivery to treat the disease. Lots of steps.

The median survival time is now around 15 months. Only a small percentage of patients survive more than five years.

Defeatism is a common feeling among neurosurgeons, but you remain determined, for your patients and for yourself. The next morning our patient was in a good mood, recovered well, with good strength. We carefully shared the diagnosis with her.

“Just my luck,” she said with a smile. She seemed to be expecting it.

Some sibling cancers can be explained by genetics. But that’s not the case with glioblastoma. As for her sister and many others, it was really just bad luck.

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Business

Texas Froze and California Burned. To Insurers, They Look Related.

In California, insurers were able to point to a since amended law that made utilities liable for the fires that started their equipment, even without negligence found. In Texas, the law requires proof of gross negligence. And last month, the largest consumer debt target – the Electric Reliability Council of Texas (ERCOT) – received sovereign immunity from the Texas Supreme Court. In an unrelated case, the judgment left a state appeal decision open, according to which ERCOT is “a government-related regulatory authority that provides an essential public service” and therefore cannot be sued.

However, ERCOT’s liability insurer does not take any risk. Last week, the Cincinnati Insurance Company filed a lawsuit in federal court in Texas to determine that it is under no obligation to legally defend ERCOT or to make full the amounts it would have to pay for property damage or injury. ERCOT bought liability insurance from Cincinnati, but the insurer said coverage only applies to accident-related damage and that February damage from power outages was “foreseeable, expected and / or intended”.

Estimates of damage from the storm vary widely, but none are small. Karen Clark & ​​Company, which models catastrophe claims, has predicted that insured losses from the storm will reach $ 18 billion in 20 states. But the company says more than half of the losses were in Texas, which isolated itself from neighboring grids years ago, making it impossible for unaffected providers to fill the void.

The damage was so great that freelance adjusters had to be flown in from other countries to process all claims.

“Some families couldn’t reach their insurance companies for weeks,” said Tom Formeller, a Houston stucco and exterior painter who reinvented himself as an emergency installer after the storm.

In normal times, he said, the families would have paid him up front for repairs and then waited for their insurance checks. With unemployment high due to the pandemic, some families ran out of money so Mr Formeller closed their pipes for free and told them to pay when they could.

“I had a 78-year-old woman who had been without water for nine days,” he said. The woman informed Mr.Formeller that she would be given a loan to pay him off, but he resolved the delay with her insurer and completed repairs for $ 13,000.

Even if utilities are forced to bear the cost of damage caused by the winter storm, it is not clear what steps, if any, they could take to prepare for the next one. In a recent survey of Texans conducted by the University of Houston, around half opposed the idea of ​​winterizing the grid if it meant paying more for electricity.

Clifford Krauss contributed to the reporting.

Categories
Entertainment

How Meghan Markle’s Inform-All Is Much like Princess Diana’s

When Meghan Markle and Prince Harry’s Tell-All with Oprah Winfrey was first announced in February, people immediately began making comparisons with Princess Diana’s famous interview with Martin Bashir in November 1995 after she broke up with Prince Charles. But the similarities became even more noticeable when it finally aired on March 7th. In addition to matching bold eyeliner looks and Meghan wearing one of Diana’s bracelets, both Meghan and Diana had similar revelations about their time as royals and how intense pressure from the Palace and British press was affecting their sanity. Although it has been almost 26 years since Diana’s interview, it is alarming to see that not much has changed since then. Hopefully Harry and Meghan’s Tell-All will serve as a wake-up call for both the palace and the UK media.

When joining the royal family

Diana: “At the age of 19 you always think you are prepared for anything and you have the knowledge of what lies ahead of you. But although I was discouraged by the prospect at the time, I felt I had my husband’s support -being . “

Meghan: “I’ll say I was naive about it because I didn’t know much about the royal family. It wasn’t part of the conversation at home, it wasn’t something we followed,” she said. “I haven’t looked what that would mean. I never looked up my husband online. I just didn’t feel the need to because he shared everything I needed to know with me.”

If you don’t get support during your royal transitions

Diana: “Nobody sat me down with a piece of paper and said, ‘This is what is expected of you.’ But here, too, I’m lucky enough to have found my role, and I’m very aware of that, and I love being with people, “said Diana. “It was isolating, but it was also a situation in which you couldn’t feel sorry for yourself: you either had to sink or swim. And you had to learn that very quickly.”

Meghan: “Contrary to what you see in the movies, there is no class on how to talk, how to cross your legs, how to be regal,” Meghan said as she recalled the UK national anthem on the night Googling before a royal engagement.

About battling unwanted media attention

Diana: “The most disheartening aspect was the media attention because my husband and I were told when we got engaged that the media would be quiet and it didn’t. When we were married they said it would be quiet and so.” not, and then it started to focus very much on me and I seemed to be on the front of a newspaper every day which is an isolating experience and the higher the media you put, the bigger the drop the bigger the drop. And I was very aware of that. “

Meghan: “I would get up at night and I was just – I don’t understand how this is all stirred up – and again I haven’t seen it – but it’s almost worse if you feel it by the expression my mother said, or my friends, or her, calling me and crying: “Meg, they don’t protect you.” And I realized that everything happened just because I was breathing. “

How the royal family let them down in their time of need

Diana: “Maybe I was the first person in this family who ever had depression or was openly weepy. And that was obviously disheartening because if you’ve never seen it, how do you support it?” Said Diana. “Well, it gave everyone a wonderful new label – Diana is unstable and Diana is mentally unbalanced. And unfortunately that seems to have stayed back and forth over the years.”

She continued: “When nobody listens to you or you feel that nobody listens to you, all kinds of things happen. For example, you have so much pain inside you that you try to hurt yourself from the outside because you want help, but it’s the wrong help you’re asking for. People see it as a crying wolf or seeking attention and they think because you’re in the media all the time, you’ve got enough attention, quotes. But it actually was me screaming because I wanted to get better, to continue my duty and role as a woman, mother, Princess of Wales. So yeah, I did something to myself. I didn’t like myself, I was ashamed because I couldn’t handle the pressure getting ready. “

Meghan: “Look, I was really ashamed to say it at the time and ashamed to have to admit it, especially Harry, because I know how much loss he has suffered. But I knew if I didn’t say it, I would do – and I just didn’t want to be alive anymore. And that was a very clear and real and scary constant thought, “she admitted. “I went to one of the oldest people for help. I share this because there are so many people who … are afraid to speak that they need help and I personally know how difficult it is Don’t just say it. ” but when you say it you say no. [Going to a hospital] is what i asked for. You can’t just do that, I couldn’t call Uber into the palace, you couldn’t just leave. “

Why they decided to resign from the royal family

Diana: “The pressure was unbearable back then and my job, my work was affected. I wanted to give 110% for my work and I could only give 50. I was constantly tired, exhausted because the pressure was easy, it was like I thought , the only way to do this would be to get up and give a speech and extract myself before I started disappointing and not doing my job, it was my decision to give this speech because I owed it to the public to do so to say that, you know, “Thank you. I’m going away for a while, but I’ll be back.” “

Meghan: “We never left the family. We said, ‘OK, if this doesn’t work for everyone, we are in a lot of pain. They can’t give us the help we need. We can just take one.” Step back. We can do it in a commonwealth country. ‘We proposed New Zealand, South Africa. ”

Why they finally decided to speak up

Diana: “Maybe people have a better understanding, maybe there are many women out there who suffer on the same level, but in a different environment, who are unable to stand up for themselves because their self-esteem is divided in two . “

Meghan: “As an adult who has lived a really independent life and then goes into this construct that is different from what I think people expect, it is really liberating to have the right and the privilege to be able to say in a certain way Yes, I am ready to talk. “

Image source: Getty / Handout / John Shelley Collection / Avalon