Read About The Tarbaby Story under the Category: About the Tarbaby Blog
Author: John Hanno
Born and raised in Chicago, Illinois. Bogan High School. Worked in Alaska after the earthquake. Joined U.S. Army at 17. Sergeant, B Battery, 3rd Battalion, 84th Artillery, 7th Army. Member of 12 different unions, including 4 different locals of the I.B.E.W. Worked for fortune 50, 100 and 200 companies as an industrial electrician, electrical/electronic technician.
Giuliani to lose 2nd attorney in Georgia, leaving him without local legal team
Olivia Rubin – October 4, 2023
Giuliani to lose 2nd attorney in Georgia, leaving him without local legal team
A second lawyer for Rudy Giuliani is seeking to depart his legal team in Georgia, sources familiar with the matter tell ABC News, a move that would appear to leave the former New York City mayor without any local lawyers in the state.
A motion to withdraw has been submitted to the clerk, the sources said. A judge in the case has to sign off on the motion.
News of the move comes after several other former attorneys of the Trump ally have sued Giuliani for failure to pay his bills, including his longtime friend and attorney Bob Costello, who sued Giuliani for over $1 million in payments due to his firm.
Earlier, an additional lawyer for Giuliani in Georgia, David Wolfe, submitted his own motion to withdraw from his representation of Giuliani.
Sources close to Giuliani say the former mayor is close to retaining new local representation.
Giuliani, along with former President Donald Trump and 17 others, have pleaded not guilty to all charges in a sweeping racketeering indictment for alleged efforts to overturn the results of the 2020 presidential election in Georgia.
On Monday, Trump threatened and raged at the judge presiding over his civil trial in New York for fraud and other financial crimes. Trump also verbally attacked and threatened New York Attorney General Letitia James, calling her a “racist” and “a horror show.” James is a Black woman. While in court, Trump scowled like an adult toddler and looked like he was having murderous thoughts of revenge and suffering. Trump’s performance was generally pompous and detached from reality, as the ex-president lied and claimed that he was being “persecuted” and is a type of victim-martyr for the MAGA cause. On Tuesday, the judge barred him from making personal attacks on court staff after the former president disparaged a law clerk. In all, Trump’s behavior was that of a cult leader and demagogue who is finally facing some type of serious accountability for his criminal behavior.
None of this really matters to Trump’s MAGA cultists and other followers. Trump’s hold over them remains very strong and appears to be largely immune to any outside intervention. Moreover, Trump’s power and control over the MAGA cult endures – despite and even more likely because of his criminal trials and escalating violence and other destructive and dangerous behavior.
A well-funded group of anti-Trump conservatives has sent its donors a remarkably candid memo that reveals how resilient former President Donald J. Trump has been against millions of dollars of negative ads the group deployed against him in two early-voting states.
The political action committee, called Win It Back, has close ties to the influential fiscally conservative group Club for Growth. It has already spent more than $4 million trying to lower Mr. Trump’s support among Republican voters in Iowa and nearly $2 million more trying to damage him in South Carolina.
But in the memo — dated Thursday and obtained by The New York Times — the head of Win It Back PAC, David McIntosh, acknowledges to donors that after extensive testing of more than 40 anti-Trump television ads, “all attempts to undermine his conservative credentials on specific issues were ineffective.”
The memo will provide little reassurance to the rest of the field of Mr. Trump’s Republican rivals that there is any elusive message out there that can work to deflate his support.
“Even when you show video to Republican primary voters — with complete context — of President Trump saying something otherwise objectionable to primary voters, they find a way to rationalize and dismiss it,” Mr. McIntosh states in the “key learnings” section of the memo.
The article continues:
For the polling underpinning its analysis, Win It Back used WPA Intelligence — a firm that also works for the super PAC supporting Mr. Trump’s chief rival in the race for the presidential nomination, Gov. Ron DeSantis of Florida.
Examples of “failed” ads cited in the memo included attacks on Mr. Trump’s “handling of the pandemic, promotion of vaccines, praise of Dr. Fauci, insane government spending, failure to build the wall, recent attacks on pro-life legislation, refusal to fight woke issues, openness to gun control, and many others.” (Dr. Anthony S. Fauci led the national response to the Covid pandemic.)
The list of failed attacks is notable because it includes many of the arguments that Mr. DeSantis has tried against Mr. Trump. The former president leads Mr. DeSantis by more than 40 points in national polls and by around 30 points in Iowa, where Mr. DeSantis’s team believes he has the best shot of defeating Mr. Trump.
Mr. McIntosh, a former Indiana congressman who co-founded the Club for Growth and the Federalist Society, makes it clear in the memo that any anti-Trump messages need to be delivered with kid gloves. That might explain why Mr. DeSantis’s super PAC, Never Back Down, has treated Mr. Trump gingerly, even in ads meant to contrast his character and his record unfavorably against Mr. DeSantis’s accomplishments.
Swan’s reporting reinforces how Trumpism and American neofascism constitute a political, cultural, and moral crisis for the country and world. It is true that tens of millions of Americans correctly view Trump with contempt and understand that is an extreme threat to the country’s democracy and society. Unfortunately, tens of millions of other Americans view that same foul and evil behavior by Donald Trump as something admirable, evidence that he is “strong” and a “fighter” who is willing to break the law and undermine democracy to get things done for people like them. And perhaps even more troubling for what it reveals about the health of American society, there are tens of millions of other Americans who are indifferent to Trump’s evil and wrongdoing and the existential danger that he and the Republican fascists and MAGA movement represent to the country.
In an attempt to make better sense of the enduring power of the Trump MAGA cult, I asked a range of experts for their insights and reactions to this important new reporting by the New York Times.
Dr. Lance Dodes is a retired assistant clinical professor of psychiatry at Harvard Medical School and a training and supervising analyst emeritus at the Boston Psychoanalytic Society and Institute.
The recent finding that Trump supporters will rationalize and ignore even sophisticated ads produced by Republicans against Trump — ads showing him saying things that are opposed to the very values of the Republican audience — is strong evidence of the cult-like nature of at least the most committed of his followers. Cults have exactly this characteristic: unquestioning worship of a charismatic leader and inability to hear or consider opposing or even differing views, especially about the leader who must remain godlike. Trump’s personal primitive psychology, in which he believes himself to be godlike and has contempt for others as valuable human beings, makes him a perfect candidate to surround himself with a cult. In turn, members vulnerable to joining the cult seek just such a godlike figure in a regressive wish to be protected, cared for, and told how to think. The irony of course is that the leader, Trump in this case, cares only about his grandiosity and nothing at all about them or their welfare.
It’s been impossible to draw these regressed followers away from the cult not only because of their wishful belief in their charismatic god, but also because leaving the cult would mean the loss of support and identity from the other cult members who, like Trump himself, would condemn them as evil.
To enable cult members to leave they would have to have a significantly large enough number of others to create a new inclusive, protective group to which they could attach themselves. That might happen if a new charismatic leader arose to lead them away in large enough numbers to feel safe rebelling from the old leader. It would help for there to be a major event that a new leader within or outside the group could seize upon to redirect the members, like the honest child in the fable who finally spoke up to say the emperor had no clothes. There probably are figures within the Republican Party who could serve in that role, but it would require more moral and political courage than we have seen so far.
Jen Senko is the director of the documentary “The Brainwashing of My Dad.”
Yes, Trump COULD stand in the middle of Fifth Avenue and shoot someone, and they would still be devoted. Dare I say he could even claim he’s a woke lib and his followers wouldn’t even hear it. It no longer matters what he says.
We all know by now; this is classic cult behavior. It’s all about the leader, not the ideology or what the person they follow represents—they might represent nothing. Cult followers abdicate their reasoning, and their own ideas of what is good or bad to a leader. Giving themselves over to a leader absolves them of any guilt or responsibility. If confused by all the stuff flooding the zone and the contradictions in the news, it’s almost a relief to just hand it over to a leader who says He Knows.
Oppositional messaging in the case of a “culture war leader” will never work, because it is seen as the words of enemies against Trump and his followers. Trump’s lies are thus not interpreted as destructive words but as part of a clarion call to arms to overturn the deep state that must be defeated to restore America to its purported roots, which, incidentally, Trump has never specified what he means by them, in true Orwellian fashion. Any message against him is thus filtered out as an attack from opposing warring armies in the ongoing cultural war, and thus discarded as tactics. Trump’s lies are perceived to be verbal weapons in that war. There is nothing Trump could say or do that would erode support from his followers, because he is seen as the leader of the greater cause of taking down the enemies that he and his blind followers see as the source of America’s and their own troubles, and as eroding the fabric of American society. Outside of Trump’s influence, the same people can be compassionate, empathic, generous, but in their Trump-aligned echo chamber they become antisocial toward outsiders. It is somewhat ironic to observe that Trump and his followers portray their battle as a counterculture one, as did the hippies in the 1960s and 1970s, portraying the government as the “establishment” and the liberal democratic state—again quite ironically—as the enemy of freedom and true American values.
Dr. Justin Frank is a former clinical professor of psychiatry at the George Washington University Medical Center and the author of “Trump on the Couch: Inside the Mind of the President.”
I have always believed that an important part of psychic development is the ability to face, feel, and think about loss. Trump never had that capacity, nor was allowed to have it, growing up. He immediately transformed loss into blaming others, into triumphant denial (refusing to accept that he lost), or into acts of revenge. All three characteristics dominated the January 6 insurrection.
What I learned in my psychiatric residency – as well as in my own life – is that sorrow is the vitamin of growth. Does that make denial the vitamin of autocracy? During the 2016 election Trump said that if he lost, the entire campaign would have been a waste of time and energy. Denying and dismissing loss led us to January 6. Just remember Abe Lincoln’s statement after he lost an election: “I feel like a 16-year-old who stubbed his toe: I’m too old to cry but it hurts too much to laugh” Facing the painful process of renunciation leads also to emotional growth and maturity. So, how does the GOP win back MAGA followers? It seems impossible, even if Trump goes to prison and is completely discredited.
To me, the operative word is not “win,” but wean. Trump supporters are attached to him at the mouth, at the lips, at the heart and soul. He is their divine leader, much the way an evangelical preacher becomes more important to his congregation – as the personification of God’s power – than the scriptures they recite. Trump has a similar deep effect on his flock. The only way they could be brought back to the GOP hymnal is to gently, persistently, non-judgmentally help them discover for themselves Trump’s genuine contempt for them, our country and its health and wellbeing.
Rich Logis is a former right-wing pundit and high-ranking Trump supporter. He describes himself as “a remorseful ex-Trump, DeSantis and GOP voter”. Logis is the founder of Perfect Our Union, an organization that is dedicated to healing political traumatization; building diverse, pro-democracy alliances; and perfecting our Union.
I understand the fatigue from coverage of Trump; constant MAGA/Trump trauma is exhausting and soul-draining. But it remains necessary, because our nation must be continually reminded that there is nothing Trump could do, or say, to lose the support of most voters who identify as MAGA or Ultra-MAGA. And, as a one-time, zealously devout MAGA voter, I mean “nothing” literally, not figuratively. The country club conservatives, über-wealthy GOP donors and Ronald Reagan mythologizers haven’t accepted that they no longer run the party, as evidenced by myriad Republican focus groups — whose attendees affirm their commitment to voting Trump—and the millions spent in ads intended to weaken Trump — but have the opposite intended effect.
$1 trillion in anti-Trump would help—not hurt—Trump. Electorally defeating MAGA is non-negotiable; our democratic republic, almost certainly, would not survive a second Trump presidency (which I also fear could be a permanent presidency). It’s important to be candid with the American people: electorally winning, however, is the start—not the finish—of de-traumatizing our nation from MAGA.
Joe Walsh was a Republican congressman and a leading Tea Party conservative. He is now a prominent conservative voice against Donald Trump and the host of the podcast “White Flag with Joe Walsh.”
It is a cult. How many times must that be said. One of America’s two major political parties has become completely radicalized and has given up on democracy. Trump is their cult leader. Each and every evidence of his corruption and criminality only strengthens his support within his cult. Our only job now is to defeat them.
Jill Martin Says Chemotherapy Has Been ‘Hell for Me’ After Double Mastectomy: ‘Cancer Will Take Your Soul’
Vanessa Etienne – October 4, 2023
“I’m fighting for my life,” said the ‘Today’ show’s Jill Martin, who was diagnosed with breast cancer in June
Helen Healey/NBC via Getty ImagesJill Martin
The Todayshow’s Jill Martin is sharing an emotional update on her breast cancer journey.
On Wednesday, the lifestyle and commerce contributor appeared on the morning show, alongside Hoda Kotb and Savannah Guthrie, and detailed her difficult experience going through chemotherapy.
“It’s a disconnect because I look like me and I sound like me but it’s been hard. As difficult as it’s been, it was so important to document this journey while fighting in real time,” she began.
“This has been hell for me and my family for the past two and a half months but it could’ve been prevented,” she said, holding back tears. “This is my story so far. I can’t believe this is my movie. I’m still in shock. I’m grieving as I’m healing and as I’m fighting.”
Martin recently underwent a successful double mastectomy just weeks after revealing her June breast cancerdiagnosis. However, following the mastectomy she was told that she still needed chemotherapy because cancer was found in her lymph nodes.
“Cancer will take whatever you let it. It will take your soul, it’ll take your hair. And that might seem small to you, but it’s not. Cancer wants everything,” she said.
Throughout her treatment, Martin has continued her work on the Today show, hoping that it’ll give her a sense of normalcy and encourage others to get tested and learn the importance of early detection.
“When I walk into the studio, I feel loved, I feel safe. The Today family is my family. It feels like home to me. Everyone knows what I’m going through and everyone’s amazing. You think I’m gonna let cancer take away something else I love to do?” she quipped.
However, Martin admitted that her breast cancer battle has taken a toll on her both physically and mentally.
“When I look in the mirror at the show, I can forget for a second. And I think people are like, ‘Oh, your surgery’s done! You’re good.’ But I leave the show and then I’m back in reality and I’m fighting for my life,” she said. “I feel like I’m a shell of myself, at least for me.”
Chemotherapy has been hard on her body, but Martin said it’s her “friend” as she fights “this horrible disease.” She said she’s constantly sleeping and amid treatment, she’s been trying cold capping.
Cold capping is a form of treatment where a patient wears a chilled, helmet-type hat that constricts blood vessels in hopes of preventing chemo from reaching hair follicles and lessening hair loss.
“For me, my hair’s always been something that’s made me feel like myself,” Martin explained on the show, noting that she’s lost “about 30%” of her hair due to chemotherapy. “I look in the mirror, my body’s not my body anymore.”
“A year ago, Sept. 10, I was married and I felt so beautiful that night and I felt so happy and I enjoyed every pig in a blanket. But I can’t help but think, I had cancer there, and if I would have caught it then, would I not have needed all of this?” she said in tears.
Despite the emotional and taxing journey, Martin insists that she’s going to beat breast cancer.
“It’s hard. I’m happy it’s me and not my husband, [Erik Brooks], not my parents, because I can’t imagine watching someone go through this thing,” she said. “The treatment weeks are effing hell. Anyone who’s fighting breast cancer, it’s nothing but.”
“But I will own forever that I had this and that I fought it and that I beat it,” Martin added. “Because I’ll beat it.”
TODAY’s Jill Martin gives in-depth look at life during chemo after breast cancer diagnosis
Maura Hohman – October 4, 2023
After being diagnosed with stage 2 breast cancer earlier this year, TODAY contributor Jill Martin Brooks is getting honest and real about her chemotherapy journey.
She joined TODAY on Oct. 4 after several sessions of “the red devil,” one of the most aggressive types of chemo. The plan is to have eight chemotherapy sessions in total. Jill’s already undergone a double mastectomy and had 17 lymph nodes removed, and she will also undergo a hysterectomy, partially due to her history with fibroids, as well as to reduce her ovarian cancer risk.
“Cancer is the most insidious disease and thing I’ve ever encountered (and) I think I’m a tough cookie,” Jill, 47, told TODAY. “It’s strange because I look like myself. (But) I can look in the mirror, I see the difference, I see that I’ve lost some hair and I see that I don’t have the same sparkle that I like to wake up with.”
Still, continuing to work has been a bright spot for her, even if she doesn’t have the same energy she’s used to, and she’s been able to keep most of her hair and survive chemo with no vomiting. Physical therapy post-mastectomy has helped her feel more in control of her body, as well.
“You picture getting chemotherapy (as) you’re in the bathroom, hurled over,” she explained, adding that that hasn’t been her experience thanks to recent treatment advancements. She also shared that she has a chemo port, which allows her to receive the drug without a needle stick.
Chemo has become a part of her new routine after she appears on TODAY for Steals & Deals every other Wednesday.
“Chemo is cumulative. It gets worse every time. … Every time I sleep for one extra day, so the week after chemo is like, there’s no plans. I’ll be in bed, and I give myself the grace of that,” she explained. “Then, the week after that leading up to the next treatment, you feel OK. So, I schedule Steals & Deals and coming into the studio on days that I have chemotherapy because that’s the day I’m the healthiest.”
“I take off the makeup, and I take off the clothes and then I go from lights, camera, action to like the most devastating thing,” she added.
For some people, each chemotherapy session can be as short as two hours, but Jill’s are taking closer to 12 because she’s undergoing a process called cold-capping to keep her hair. The idea is that the intense cold narrows the blood vessels in the scalp, reducing the amount of the chemo drug that gets into the follicles, preventing as many hairs from falling out, according to BreastCancer.org.
“At the beginning, I (was) like, I’ll just shave my head. And for some people, that is their journey and that’s soothing for them,” Jill recalled. “I’m not a big makeup person. (My hair) has always been something that makes me feel like myself.”
“You want keep as much normality as you can in the abnormal,” she added. She estimated she still has about 70% of her hair.
Another treatment advancement Jill is quick to praise is the steroids she receives to minimize her nausea: “The steroids make you elevated and crazier as my husband would jokingly say, but there are ways … to counteract the things that you typically stereotype chemo to be.”
Showing the reality of life with treatment was important to Jill in order to help others.
“You think I want to be on camera right now with no makeup, my hair in braids because I’m not allowed to brush it, I’m not allowed to color it, I’m not allowed to wash it in the shower?” she said. “I’d rather be dolled up … but this is real and this is life.”
Jill’s family, especially her parents, husband, brother and sister-in-law, have played a huge role in her maintaining her strength during this period, she said.
“I’ve been choosing to fight and it sucks,” she laughed. “It’s a full-time job and I’m trying really hard. It’s so hard watching my parents and my friends watch me. … I think to myself, ‘Thank goodness it’s me because if I had to watch that, no way.'”
The silver lining of the experience is that Jill has been able to slow down a little bit. “I will take time off and I will rest and I will heal and I will work out and I will continue physical therapy, which has been really big part of my journey and I will continue to advocate for women and men to not be afraid of getting (genetic testing), not being afraid of getting treatment because of what it will bring and showcasing … what it is like to live through chemotherapy,” she said.
“You’re living it with me in real time. This part of the story right now. Unfortunately, it doesn’t have a happy ending this minute.”
Some public figures may prefer to undergo such intense medical treatments in private, but Jill is hopeful that sharing what she’s going through can save lives.
“I’ve been with the show for 15 years and I’ve shared the happy, I’ve shared the sad, and now, I’m sharing the scary,” she said. “I feel … I was given this to be able to help and save other people. I truly believe that deep down.”
When Jill first shared her diagnosis, she urged TODAY viewers to talk to their health care providers about genetic testing for cancer risk. She found out she had a mutation to one of her BRCA genes — which dramatically increases risk of breast and other cancers — shortly before receiving her diagnosis. She’d been planning to get a preventive mastectomy until she found out she actually had cancer.
During her Oct. 4 visit to TODAY, that message was unchanged.
“If I had known, this could have been prevented, and so I could have taken steps. That’s one main message I want to make sure I get out,” she said.
Patients battling breast cancer deserve full access to their prescribed treatments
By Jeri Francoeur, Daytona Beach News-Journal – October 4, 2023
I am a two-time breast cancer survivor, and have made it my life’s mission to ensure cancer patients have the resources they need to navigate health insurance and other access barriers. I have been involved in advocacy for all patients since I first started working in the medical field.
My personal breast cancer advocacy story began 20 years ago. My best friend was diagnosed with inflammatory breast cancer and was given a 7% chance of surviving. I watched her struggle to find affordable treatment options while time ran out. She lost her battle. I was devastated, and I knew I would never let another woman go through what my friend went through.
Six months later, I felt a change in my breast tissue. As a physician’s assistant who taught women how to perform self-breast exams, I had a pretty good idea something was off. After my mammogram showed no abnormalities, I begged my healthcare provider to run more tests. A biopsy showed I had noninvasive ductal carcinoma in situ, which is stage zero breast cancer. I was lucky to have a medical background and knew how to advocate for myself through my diagnosis – especially when I was diagnosed again in 2020.
I know the importance of early detection and treatment for breast cancer patients. In the last 10 years, breast cancer treatment development has been incredible. Innovative medicines that offer more effective treatment and fewer side effects are now on the market. Breast cancer patients are now living longer thanks to remarkable research.
Some insurance plans, unfortunately, prevent patients from accessing these innovative and effective treatments. This is the current situation regarding CDK4/6 inhibitors. CDK4/6 inhibitors treat patients with HR+/HER2- metastatic breast cancer and are rapidly transforming patient outcomes. All three CDK4/6 inhibitors on the market have gained FDA approval, yet they are not all accessible to patients because of insurance barriers.
One of the ways insurance companies can attempt to block access to new and effective treatments like these is by mandating doctors and patients submit to step therapy. Also known as “fail first,” step therapy requires patients to first prove that older, less expensive, or insurer-preferred alternative medications don’t work before coverage is approved for the medicine prescribed for them.
Breast cancer is a serious, life-threatening condition. Implementing step therapy protocols that require patients to try any medicine other than what the doctor prescribed takes away a patient’s valuable time. It allows breast cancer to progress and causes side effects that diminish patients’ quality of life. Breast cancer patients suffer when they cannot get the treatments their medical team prescribes.
No one should stand in the way of patients and their healthcare providers. Healthcare providers have years of education, clinical experience, specialized training, and, most importantly, know their patients. They are the most qualified to create a personalized treatment plan that fits their patient’s needs and tolerance levels.
Breast cancer patients deserve the highest level of care. New and innovative treatment options can help change the breast cancer landscape as we know it. It’s time insurance companies do what’s right and provide equal coverage for treatments that are proven to save lives.
Jeri Francoeur is a two-time breast cancer survivor, patient advocate, and founding member of the Florida Cancer Support Network. She resides in Ormond Beach.
How to weigh the benefits, risks of radiation therapy for breast cancer
Beth Galvin – October 3, 2023
https://s.yimg.com/rx/ev/builds/1.0.8/pframe.html
Atlanta – Treating cancer means deciding whether to go with chemotherapy, surgery, radiation, or all or a combination of the above.
“It is very dependent on your particular cancer, and one thing I think the patients should just understand is that no cancer is the same,” says radiation oncologist Dr. Courtney Pollard with Peachtree Radiation Oncology Services, which contracts with Piedmont Healthcare.
Dr. Pollard says the cancer community is always looking for ways to do more with less.
“We’re always trying to make sure that we’re not over-treating folks, whether that be with surgery, radiation or chemotherapy,” Pollard says. “But, all 3 should be looked at as potentially areas where we can ‘de-escalate’. And we’re always trying to fine tune, to make sure we get a less treatment for the best outcomes.”
That is because the same treatment tools that are most effective at treating many cancers — chemotherapy, surgery and radiation therapy — can cause short term and long term negative side effects.
Chemotherapy can trigger pain, fatigue, nausea, anemia, weight changes and other side effects.
In patients with breast cancer or cancers in their chest, radiation therapy can target and destroy malignant cells, but it can also damage healthy heart tissue and blood vessels.
In some patients, that damage can raise the risk of heart disease down the road.
“But, I think it’s a little bit of a misnomer to say that radiation is either falling out favor with patients, or there’s a certain group of doctors that are advising against radiation, because radiation is still a necessary arm in many, many cancers,” Dr. Pollard says.
Breast cancer patients with early stage, lower risk cancers are typically offered breast-sparing surgery followed by radiation therapy and then 5 years of endocrine therapy, taking a daily pill to try to lower their risk of a recurrence.
But, in the LUMINA Study, published recently in the New England Journal of Medicine (NEJM), researchers found women age 55 and older with low risk luminal A breast cancer were able to safely skip radiation therapy after breast surgery, taking the hormone-blocking pill alone, with a low risk of recurrence at the 5-year-mark.
“Now, that’s a great result,” Dr. Pollard says. “It shows that we can de-escalate therapy for a certain type of low risk patient. Now, there’s many, many different types of breast cancer, and we have to be very careful with saying that this is going to be applicable to the wide population of breast cancer patients. But, that very specific subset, it looks like it might be beneficial.”
In their summary in the NEJM article, the study authors write, “Our study showed that women 55 years of age or older with T1N0, grade 1 or 2, luminal A breast cancer had a very low risk of local recurrence at 5 years after breast-conserving surgery when treated with endocrine therapy alone. The prospective and controlled nature of this study supports our conclusion that such patients are candidates for omission of radiotherapy.”
Dr. Pollard says the study, which followed nearly 500 women at 26 Canadian cancer centers, had some limitations.
“It’s a single-arm study,” he says. “So, they only looked at patients that received one sort of therapy. It was not a comparison trial.”
Navigating your cancer treatment options can be challenging.
If you’re newly diagnosed, Dr. Pollard says, find a cancer center that takes a multidisciplinary approach to deciding how to treat you.
Most academic and larger cancer centers have moved to a team approach to treating patients, he says, holding tumor boards that meet regularly to discuss each patient’s options.
“What that means is that patient who has a specific cancer is being evaluated by a doctor that prescribes chemotherapy, a surgeon that can remove their tumor, and a radiation oncologist who can radiate the tumor if it’s necessary,” Pollard explains. “Also, part of the discussion is many other folks: pathologists, diagnostic radiologists, geneticists, therapists. It’s a conglomerate to make a unified best decision for a patient.”
Do I need to worry about sleeping with my phone next to my bed?
Kaitlin Reilly – October 4, 2023
Sleeping next to your phone can have an impact on your health. (Photo illustration: Yahoo News; photos: Getty Images) ((Photo Illustration: Yahoo News; Photos: Getty Images))
We know that there can be impacts on your mental health if you scroll through your phone too much during the day. But could where you lay your phone to rest at night affect your health too?
There’s certainly chatter about how cellphones affect our health in general, especially when it comes to the potentially harmful effects of radiation. A July 2023 study published in the journal Cancersfound a positive if weak correlation between death from brain cancer and mobile phone usage. Shabbir Syed Abdul, co-author of the study, told VeryWell Health that “it is crucial to recognize that definitive conclusions cannot be made at this point.”
Should we be worried about radiation when sleeping by a phone?
Dr. Neha Narula, a clinical assistant professor of medicine at Stanford University, agrees that radiation isn’t something you should worry about when it comes to your phone, even if you are sleeping with your phone next to your bed — and head.
“At this time, there’s actually no evidence that supports that the radiation that is emitted from smartphones or tablets affects our health long-term,” Narula tells Yahoo Life, pointing out that the type of radiation emitted from cellphones and tablets is different from, say, the kind we see from X-rays, which we know can cause DNA damage.
“The radiation that comes off of cellphones is what we call ‘nonionizing,’” she says. “This type of radiation, which we see emitted from microwaves and smartphones and things like that, we have no concrete evidence at this time that shows that there are long-term effects or harmful effects on our health.” Of course, we have no concrete evidence that it is not harmful, either, as highlighted by the International Agency for Research on Cancer having classified it as a “possible human carcinogen.”
How using your phone affects sleep
While Narula says that there’s “not too much to be worried about in terms of radiation coming from a phone that’s next to you,” she adds that sleeping next to your phone can have a different kind of impact on your health. For one thing, you’re far more likely to use your phone close to bedtime if it’s right next to where you sleep, and “there has been so much evidence that shows people who do use their phones right before bed or in bed are more likely to have insufficient or poor quality sleep compared to those that kind of put their phones away an hour or two before bed.”
“Phones require a lot of manual control and an active mind to use them,” she says. “That provokes the sense of wakefulness and alertness, which is not ideal for when you are trying to wind down. Stimulation that comes from having a phone next to you, even if you use it for five minutes, you’re still in that active state of arousal, which can impact sleep.”
How light can can have an impact on sleep
Outside of the interaction with one’s phone, the light it emits can be a big problem. Light helps us maintain our circadian rhythm, which is our sleep-wake cycle. Humans, in general, have a 24-hour circadian rhythm, and the natural light coming from the sun helps stimulate feelings of alertness and arousal, which allows us to stay awake during the day. When evening comes, and the light goes down, so does our level of alertness. But smartphones, as well as TVs and tablets, emit light — and our brain can’t distinguish between it and the sun. That interferes with our melatonin production, which is the hormone that makes us feel tired.
“Melatonin levels are generally lower in people who use their phones during bedtime, which can impact our sleep quality, as well as our REM sleep, which is the stage of sleep that we dream — the state of sleep that helps us with emotions and processing memories,” Narula says. “A reduction in REM sleep can interfere with our alertness levels and increase stress in general, which can lead to physical and mental health issues.”
Not everyone needs to give up the phone by their bed
Dr. Rafael Pelayo, professor of sleep medicine at Stanford University and author of How to Sleep: The New Science-Based Solutions for Sleeping Through the Night, says that whether or not you should sleep with your phone next to your bed depends on your relationship with your phone. People with chronic insomnia, for example, may find that sleeping next to their phone increases hypervigilance during bedtime, meaning that they are all too aware of the things that will keep them awake — leading them to get less sleep overall. But the impact of having a phone near your bed can fluctuate with the circumstances of your life.
“If somebody were to tell you, ‘Hey, I may or may not call you at 3 a.m. to pick me up at the airport,’ you’re not going to sleep well that night because at any moment you may expect that phone call, even if it never comes. If the phone enhances that hyper-vigilance in you, then it’s going to disturb your sleep,” he says. “On the other hand, let’s say you live alone, and you worry somebody’s going to break in. Having a phone nearby may provide you a feeling of security. So it’s not the phone, per se, but what it represents to you.”
It’s true NJ, your commute stinks. Census data says it’s third-worst in U.S.
Manahil Ahmad – October 4, 2023
Recent data on travel times in the United States has found that New Jersey has the third-longest average time people spend getting to work.
The U.S Census shared these results, highlighting the tough daily journeys faced by people in the state of New Jersey due to crowded roads and public transportation.
The study looked at data from big cities all over the country. It showed that in New Jersey, people spend about 30.3 minutes on an average going to work each day. This is almost five minutes more than the national average, showing just how tough commuting is in the Garden State.
Being very close to major cities like New York City and Philadelphia makes things harder, as many folks cross state borders for work, making the traffic situation even worse.
Treasury’s Yellen says US overdependent on China for critical supply chains
Reuters – October 3, 2023
WASHINGTON (Reuters) – U.S. Treasury Secretary Janet Yellen said on Tuesday the United States has become overly dependent on China for critical supply chains, particularly in clean energy products and needs to broaden out sources of supply.
Yellen, speaking at a Fortune CEO event in Washington, repeated her longstanding view that the United States does not want to decouple economically from China.
She said that she has not been “a strong believer” in industrial policy, but that the United States had stood by for too long while other countries built up semiconductor industries with massive subsidies.
The U.S. would face national security concerns without a robust semiconductor sector of its own, she said, adding that last year’s Chips and Science Act will help reverse that trend.
“We’re fooling ourselves if we think that abandoning, for all practical purposes, semiconductor manufacturing, is a smart strategy for the United States,” Yellen said.
(Reporting by David Lawder and Kanishka Singh in Washington; editing by Jonathan Oatis and Deepa Babington)
Russian rouble briefly returns to ‘laughing stock’ level that prompted emergency interest rate hikes last time
Prarthana Prakash – October 3, 2023
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The Russian rouble hit the skids after Russia’s invasion of Ukraine last February. Initially, the government took a hands-off approach to deal with the rollercoaster ride of exchange rates. Instead, they boasted about the nation’s economic resilience in the face of sanctions and shrinking exports. But come August, they had to step in as the rouble nosedived to a 16-month low, worth less than a penny.
A déjà vu moment played out on a recent Tuesday, with the rouble teetering just below the 100-mark against the U.S. dollar—a critical benchmark for Russia’s currency. Although the rouble managed a modest comeback, this embarrassing stumble highlighted its shaky footing and raised concerns of further depreciation.
The rouble’s value has taken a beating this year, shedding almost 30% of its worth against the greenback since January.
A number of things may have influenced the drop in exchange rates—from foreign currency outflows and declining trade activity to Russia’s waning current account surplus.
But some factors may still be working to Russia’s advantage, such as its budget.
The falling value of the rouble means more of the Russian currency for every dollar earned through the trade of oil or other products. This, in turn, has given the Kremlin more money to pour into the military or social schemes, for instance, to help offset the impact of sanctions.
Despite the seeming upside of a weak ruble and the Kremlin’s swift actions to stem any negative effects from it, the Russian currency’s value is not out of the woods yet.
The August slump
When the rouble weakened to more than 100 to the U.S. dollar in August, the Bank of Russia called an “extraordinary meeting”, subsequently hiking interest rates by 350 basis points to 12%. The bank also said it would halt foreign currency purchases on the domestic market until the end of the year in an effort to stabilize its financial markets.
Russia’s state media and senior officials were also rattled by the rouble’s tumble into three-digit territory. Vladimir Solovyov, a popular TV person in Russia and President Vladimir Putin’s ally, said the country had become a laughing stock, pointing to how dire the situation had gotten.
Putin’s economic advisor, Maxim Oreshkin, told state-owned news outlet TASS that “loose monetary policy” was causing the drop in the rouble’s exchange rate and exacerbating inflation.
“A weak ruble complicates the structural restructuring of the economy and negatively affects the real incomes of the population. A strong ruble is in the interests of the Russian economy,” Oreshkin said according to the translation of an August op-ed in TASS.
In September, the central bank once against raised rates to 13% to tackle the falling rouble value and stubborn inflation, which was at 5.33% at the time. Further rate hikes are expected in the next central bank meeting later this month.
The rouble has wavered a lot since 2022—shortly after Russia’s invasion of Ukraine it hit an all-time low of 120 roubles to the U.S. dollar, but by last June, the currency had recovered to nearly 50 roubles to the dollar when oil and gas prices soared.
“This level (100) is not a technical resistance, it’s an important psychological barrier,” said Russian investment group Alor Broker’s Alexei Antonov told Reuters. “For now, everything speaks in favour of the rouble continuing to get cheaper.”
The rouble’s current weakness could be temporary, but the Russian government faces pressures on its finances and more prolonged effects of a weaker currency. Plunging export volumes continue to weigh on the economy, as the current account surplus shrank 86% year-on-year to just $25.6 billion in January-August. Elevated consumer prices along with a depreciated rouble make it harder for the average Russian to afford basic goods.
As Moscow struggles to keep its currency strong while navigating other macroeconomic challenges, experts suggest that a drop in the rouble’s exchange rate is not quite an economic crisis, although it does ring alarm bells for the government.
“This is the closest we came to a real economic problem since the start of the war,” Janis Kluge, an expert in the Russian economy at the German Institute for International and Security Affairs told the Associated Press in August following the rouble’s drop to a 16-month low. “In Russia, the exchange rate is always seen as the most important indicator of the health of the economy.”