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CLEVELAND — Chuck and Angie Graham have been married 33 years.They have been through a lot together in that time, but perhaps their biggest challenge yet came in January.The Diagnosis"I woke up in the morning to go to work and I lost my balance a couple times and fell down," Chuck said.Angie said she heard something and yelled up to him if he was OK."He said he was falling and couldn't walk," Angie recalled, tearing up.An ambulance ride, and several tests and scans later, the Grahams had their answer — and it was devastating."She said that I had a very aggressive tumor in my brain and it was malignant," Chuck said.Such a diagnosis can make you feel so helpless, Angie said.The DenialThey say the next blow was just as unexpected.Their health insurance provider denied covering the procedure Chuck's neurosurgeon recommended to treat his cancerous brain tumor, saying it was "experimental" and "investigational."The laser ablation procedure was FDA-cleared a decade ago, but that does not guarantee coverage.The Grahams appealed the decision. Chuck was prepped for surgery hoping for a last-minute approval that never came, and he was sent home."Just the look on his face, broke my heart," Angie said."He's a veteran. He's a dad. He's a husband, a grandpa and a friend who would do anything for you. How could they not value him?"Fighting BackChuck's family took action.His daughter Jen Koons led the charge."They've just always been there for us," Jen said.And now she wanted to be there for them.Jen turned to the power of social media.She had previously sent the letter to the company before posting it to Facebook.It began: "An open letter to SummaCare and our health insurance industry..."Jen wrote about her father's fight with brain cancer and health insurance.The letter continued: "I hope thousands of people read this letter and understand that our physicians do not get to decide what's best for us, insurance companies do."Her post was shared nearly 3,000 times. Hundreds commented. Her message resonated.Fighting Back"I would say don't give up," Jen said.She learned about the right to an external review. It is a free service all health plan issuers must provide once the internal appeals process has been exhausted.An independent organization reviewed Chuck's case and overturned the denial.Two weeks after he had been sent home from the hospital, Chuck got the surgery his doctor had recommended."I just think we would've had a whole different scenario today if he hadn't had that surgery," Angie said.The external reviewer found Chuck's procedure "medically necessary" and "beneficial" for his condition."I just want people to understand their rights and to find their voice," Jen saidChuck's tumor is shrinking, and Jen is happy how things turned out for her dad, but angry, she says, for the people who don't have someone to advocate for them."There's how many people who go home and think, 'Oh, this is just the way it is,' " she said.In her open letter she wrote, "People deserve better. People deserve to count on their health insurance. They are more than a premium payment."Chuck's provider called the procedure "experimental and investigational." It was FDA-cleared a decade ago, but that does not guarantee coverage.There are not clear guidelines as to what defines "experimental and investigational."It can create a gray area where patients seeking innovative uses for a procedure are caught up."I'd like to see legislation around experimental procedures," said Tracy H. Porter of Cleveland State University.She said she'd like to see clarification and rules put in place, like with pre-existing conditions."I would also like to see something where we're educating patients more on their rights," Porter said.That is why Chuck and his family said they wanted to share their story; they want to help others navigate the often murky waters of a diagnosis and a denial.Jen has kept meticulous track of her father's paperwork. She has two bulky binders filled with research, correspondence with doctors, the hospital, insurance and notes from outside agencies.WEWS did reach out to SummaCare for this story.They provided us with this statement:"First and foremost, at SummaCare, we want what is best for our members in all cases. In accordance with federal privacy laws, we cannot discuss the specific medical care or associated claims of any of our members."ResourcesJen said she also found helpful resources through the 4465

Facebook and the IRS are currently facing off in a billion dispute in U.S. Tax Court.The trial, which got underway on Tuesday, centers on a 2010 transaction in which Facebook transferred some of its intellectual property to a subsidiary in Ireland — a country with an extremely low corporate tax rate. The IRS claims that Facebook undervalued the properties in order to pay less in taxes.While Facebook values the assets transferred at about .5 billion, the IRS claims the value exceeds billion. According to 530

CHICAGO, Ill. – Stone carving is a tradition going to the wayside as technology takes over. Right now, there are only a few dozen stone carvers remaining across the United States. Among them is Walter S. Arnold in Chicago. “I am a sculptor and a stone carver. Traditionally, those were two separate professions,” said Arnold. “The sculptor was the creative person who made the model, like a composer for music, and the stone carver was like the musicians in an orchestra.”Arnold believes art is one of the things that define humanity. “You know, building on the old traditions and learning from them are all a part of it. 100, 150 years ago there were thousands of carvers in this country,” said Arnold. “There might be a few dozen now.”People have kind of lost the eye for it, according to Arnold.“People no longer grew up around it,” said Arnold. “Walk around an old city like Chicago and look up and you'll see carving everywhere.”Arnold has been carving all his life.“I think I first took a chisel to a piece of stone when I was about 12 and ended up going to Italy when I was about 20 near the quarries near Carrara where the marble is quarried.”Arnold says gargoyles in particular appeal to him.“They appeal to my imagination, sort of on the edge between what is recognizable and real and natural and human, and what is imaginary and supernatural,” he said. Throughout history, Arnold says our earliest records of civilization come to us through carving and it has been a part of civilizations all over the world throughout history as a way to communicate. “The painter Delacroix, a French painter in the 1800s, once said that the last few brush strokes that will finish a painting and kill it. So, in a way for me, the last few chisel strokes are when I pass it on from me and then it becomes your responsibility to see which piece appeals to you or speaks to you or is important to you.”Arnold says his message is to look at the world with a sense of wonderment, to see things that you don’t expect “To be delighted and surprised, to see the world in three dimensions.” 2089

Due to inclement weather, WinterFest will be closed tonight, December 16, 2019. Tickets purchased for tonight will be valid any single operating day through December 31, 2019. To view up-to-date hours of operation, please visit our website: 253

CLEVELAND — A Florida cat who has been missing for eight years was found in Ohio. Barley was found by her family 10 years ago as a six-week-old kitten in a dumpster in Tampa Bay, according to a Facebook post by Angels for Animals, the Canfield, Ohio, animal shelter that identified the cat.Two years after her family found her, they moved to another home. During the move, Barley and her cat big brother Spike got outside and were never seen again. Barley traveled 1,100 miles to Canfield over eight years. She was brought in to Angels for Animals as a stray cat last week, and the staff discovered she was micro-chipped. On Wednesday, the shelter was able to get in touch with her owners in Florida. The shelter is now working with the family to figure out how to get Barley back to Florida. 805