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If you have money questions — and who among us doesn’t right now? — there are plenty of people willing to offer advice: friends, relatives and random strangers on the internet.Finding someone who knows what they’re talking about, and who isn’t trying to take advantage of you, can be tougher. Fortunately, several groups of credentialed, trustworthy 362
JACKSON, Miss. — A federal appeals court is keeping a block on a Mississippi law that would ban most abortions as early as six weeks — when many women may not even know they are pregnant. A panel of the 5th U.S. Circuit Court of Appeals made the decision Thursday. The appeals judges agreed with a district court judge who blocked the six-week ban from taking effect in 2019. The only abortion clinic in Mississippi sued the state soon after the law was signed by then-Gov. Phil Bryant. In December, the same appeals court kept a block on a separate Mississippi law to ban most abortions at 15 weeks.The decision comes as states with conservative-majority legislature race to place limits on abortions in the hopes that the Supreme Court with a newly-conservative majority will uphold the new laws.According to 823
KANSAS CITY — Maureen Boesen has always known cancer risk was high in her family."We're able to really track our history of breast cancer back to the late 1800s and early 1900s," Boesen said. "My grandmother actually passed away from ovarian cancer when she was 44. She had five sisters and none of them lived to the age of 50. Then, my mother was diagnosed with breast cancer when she was 32. We knew there was something going on and that it was a very young age."When Boesen and her two sisters were ages 3, 5 and 7, their mom was already receiving chemotherapy for stage 2 breast cancer. Because of the extensive family history, the girls were part of a study at a university in another part of the Midwest. Their mom was hoping to help the world better understand what was killing so many women. She was hoping to better her daughters' chances for survival."We were all tested in the same exact room," said Boesen's sister, Bridget Stillwell. "I can even remember what the room looked like." Because the girls were so young, and the health threat still likely years away, they wouldn't receive their DNA test results until they turned 18."We knew we were part of a study," Boesen said. "We knew our results were waiting for us, but we didn't know what they were."When asked if she found that wait frustrating, she said emphatically it was not."Quite the opposite. We felt empowered," she said.She didn't get the results right away. The sisters knew there was nothing they could likely do at age 18 even if their test results showed they'd inherited the BRCA gene mutation. The sisters all waited until they were around age 21. One sister was positive. One sister was negative. Boesen remembers meeting with the researcher to learn her results."We sat down and we had a conversation about what BRCA was and what it meant for my family," Boesen said. "It was a lengthy conversation, which made me very uncomfortable because why would a conversation that wasn't going to change my life last that long?"Eventually, the researcher told her she had inherited the gene mutation."It was just devastating because I knew what breast cancer and ovarian cancer can do to a family. You know, my first question out of my mouth was, 'Is there any chance this could be wrong?' The researcher said 'No.' "Boesen walked out of that meeting determined. She was going to make decisions to save her own life. She was going to have a bilateral prophylactic mastectomy. She would schedule a surgery to remove both breasts to prevent breast cancer."This was me doing what I was supposed to do and this was me being empowered and me being proactive and not waiting until I have a cancer diagnosis," Boesen said.She didn't want to feel like a ticking time bomb. She wanted to live.Boesen had the surgery to remove both breasts when she was just 23 years old. She went on to get married and have three children."I didn't get to breastfeed them. It was sad. I'm not brokenhearted or devastated about it, but it is sad to think I couldn't provide for my children like that," she said.At the time, she still believed she'd made the right decision because she was healthy.Once done having children, she knew there was another step that most people with the dangerous BRCA gene mutation have to consider."I knew that when I was done having children, I needed to have a complete hysterectomy," Boesen said.The BRCA gene mutation not only dramatically increases a woman's chance of developing breast cancer at a young age, it also significantly increases a woman's chance of ovarian cancer."The right thing to do and what the doctors say to do is have a complete hysterectomy by the age of 35 and I was in my early 30s," Boesen said.In 2018, she went to a hospital in Kansas City, Missouri, to start the process of preparing for her hysterectomy. Both her health care provider and her insurance company wanted a new DNA test. Everyone knew what the results would be, but they went through the motions to get the required confirmation she was positive for the deadly gene mutation which was so rampant in her family.The test results were supposed to be back in a few weeks, but it had been four and Boesen was starting to worry. Then, she got the call from the doctor."I was at work. And the first thing she said was, 'We need to talk', and my heart just sank," Boesen said. "She said, 'You're negative,' and I just started bawling."She was overwhelmed, confused and full of emotions."I was angry. I was regretful. I was happy. I was sad. I so desperately wanted to feel relief, 'Oh, thank God, this is the best day of my life,' but it wasn't," Boesen said. "It was just devastating."Boesen got another test to confirm the second test results. It also came back negative.She did not get the hysterectomy. There was no need now. There was no longer a threat that cancer was waiting to explode in her body. She now knew she had not inherited the BRCA gene mutation that had killed so many of her relatives.Dr. Jennifer Klemp of the University of Kansas Cancer Center has worked in the field of cancer genetics, specifically breast and female cancers, since 1997. She is the director of Cancer Survivorship and a cancer risk counselor. While she was not involved in Boesen's original research, she says she's not surprised."Twenty years ago, when we sent our first tests and BRCA 1 and 2 were the two genes we tested for, about 30-40 percent of the time we would get something called a 'variant of uncertain significance,' " Klemp said. "Basically, that meant we found a mutation or an error in the DNA, but we didn't know if that was associated with an increased risk of cancer. Today, using a reputable lab, that should be less than 1-2 percent."Klemp says things are changing rapidly in the field of genetic testing. If someone had a DNA test more than five years ago, they should consider having an updated test. She also says the at-home tests are good for finding out details about your ancestry, but they shouldn't be used to make major decisions about your health. For that, you'd want a health professional to order a commercial test through a certified, reputable lab. With more and more companies offering testing, and more medical professionals and patients interested in genetic testing for so many reasons, she says demand right now is outpacing supply."If you have 10 different labs doing testing, and you have every primary care, OB-GYN, oncology clinic, surgical clinic and any number of patients eligible for testing, it's a little bit of the wild west," Klemp said, adding there's no central repository for this patient and test information.As for Boesen, the university where the original research was done and the false positive originated offered to re-test her DNA. She is currently waiting on the results from what is now her fourth genetic test. She hopes it comes back negative, too, which is what the experts all expect. She believes, then, finally, she'll be able to move forward with her life. Boesen and her two sisters are writing a book about their experiences. Each of her sisters has a story to tell, too. Their book will be titled, " 7146
In the two years since the deadliest mass shooting in modern U.S. history, the federal government and states have tightened some gun regulations.But advocates say they’re frustrated that more hasn’t been done since 58 people died at a concert on the Las Vegas Strip, and that mass shootings keep happening nationwide.“People are genuinely afraid of going places,” Nevada Assemblywoman Sandra Jauregui said.The Democratic lawmaker and her now-husband were among the 22,000 country music fans that fled as gunfire rained down from a high-rise hotel into an outdoor venue on Oct. 1, 2017. Neither was wounded.“You cannot go to the grocery store. You cannot go to your place of worship. You can’t even go to school and feel safe,” said Jauregui, an advocate for gun control in Nevada. “I think people are tired of that.”The U.S. government this year banned a device that helped the Las Vegas gunman shoot more rapidly. Nevada and some other states also have tightened gun laws, including passing “red flag” measures that allow a judge to order weapons be taken from someone who is deemed a threat.Those and other efforts to combat gun violence follow mass shootings in the two years since the Vegas massacre, including an attack on a Florida high school last year that killed 17 and attacks in Texas and Ohio that killed 31 people in one weekend this summer.“It’s a shame that it takes more and more of these shootings to bring attention to a topic,” said Liz Becker, a volunteer with the gun control advocacy group Moms Demand Action.But “I do think that the tide is turning on these issues,” Becker said. The Las Vegas shooting “really galvanized people who, not that they didn’t feel a connection to gun violence survivors, but they just never thought it would be them and their community.”During memorials Tuesday for the second anniversary of the Las Vegas attack, some will cite other recent mass shootings, including in the Texas towns of Midland and Odessa that left seven dead; at a synagogue in Pittsburgh that killed 11; and at a city government building in Virginia Beach, Virginia, that killed 12.Two prominent gun control organizations also will host a forum Wednesday in Las Vegas for 10 leading Democratic presidential candidates focusing on gun control issues.At least two candidates, California Sen. Kamala Harris and South Bend, Indiana, Mayor Pete Buttigieg, plan to meet nurses and doctors who cared for Vegas shooting victims.Lacey Newman, who was shot in the leg but managed to keep running, was among the hundreds injured at the music festival two years ago. She’s now an advocate for a company called citizenAID that offers a cellphone app, online training and a bandage kit to help people injured in shootings or accidents.“Our mass shooting was the beginning of change in how a lot of us see the world,” said Newman, a 35-year-old mother of a fourth-grader who lives in Huntington Beach, California. “That’s a powerful thing. You just never know when something bad is going to happen.”Police and the FBI found that gunman Stephen Paddock meticulously planned the attack and theorized that he may have sought notoriety. But they found no clear motive.The 64-year-old retired accountant and high-stakes video poker player killed himself before police reached him in a 32nd floor suite at the Mandalay Bay resort.Police found 23 assault-style weapons in the room, including 14 fitted with bump stock devices, which the Trump administration banned in March. Several gun rights groups have filed legal challenges to the prohibition, which also requires owners to turn in the devices to be destroyed.In Nevada, lawmakers passed a measure that ended a two-year legal battle over a voter-approved initiative to expand gun buyer background checks to private gun sales and transfers.In addition to the “red flag” law, the Legislature also made it a crime to leave an unsecured a gun in a place where a child can reach it.Democratic Gov. Steve Sisolak called the measures a memorial to the victims, even though they would not have made a difference for the Vegas shooter, who obtained his guns legally.Lawsuits over the massacre are still winding their way through courts.A U.S. judge last week refused to dismiss victims’ negligence lawsuit against bump stock maker Slide Fire Solutions.MGM Resorts International — corporate owner of the Mandalay Bay, where Paddock opened fire, and the concert venue where people were killed — is defending itself against hundreds of liability lawsuits.The company told federal regulators in May it is in mediation with attorneys for plaintiffs and that it might pay up to 0 million to settle claims. 4662
In January, the St. Louis Blues languished as the worst team in the NHL's Western Conference. On Wednesday, the Blues, led by their goaltender, defeated the Boston Bruins 4-1. The title marked the Blues' first in franchise history. St. Louis' Ryan O'Reilly scored in the 17th minute of the first period on a redirection off of a Jay Bouwmeester shot as O'Reilly's tip went through the five hole of Boston goalie Tuukka Rask. The Blues never looked back.St. Louis' goalie Jordan Binnington was impressive, stopping all but one of the 32 shots he faced. Binnington faced a flurry of shots early, He stopped 12 shots in the first period. With the Blues leading 1-0, they tacked on another goal seconds before the first intermission with a backhander from Alex Pietrangelo. Pietrangelo's goal held up as the game winner. In the second period, Brayden Schenn scored to give the Blues a three-goal cushion. St. Louis tacked on an insurance goal in the final five minutes with a goal from Zach Sanford. The Bruins scored their only goal of the game with just 2:10 left. The goal came a little bit too late to matter other than to break up Binnington's shutout. O'Reilly was awarded the Conn Smythe Trophy as MVP of the playoffs. 1234