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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
DENVER, Colo. – Since 1995, films like “Toy Story” have become a staple in homes around the world, but what goes into making one film is more than you could imagine. It’s not just art. Science and technology play a big role.Ka-Chun Yu is a curator for the traveling Pixar exhibit being housed at the Denver Museum of Nature and Science.“I think when people hear a movie is made using a computer you push a button and something magical happens where the movie pops out on the other end,” said Yu. “But it actually takes an immense amount of work to make an animated film.”There are story boards, modeling and rigging. With rigging it allows animators to move characters’ body parts more freely and make them more realistic.Another part of the pipeline is simulation. “In ‘Brave,’ Merida’s hair took a lot of work in order to make it look realistic, having it looking springy but not so unrealistic that it did weird things when they animated it.”Lighting is also a big part. It creates mood and determines day or night. However, in the movie “Finding Nemo,” different lighting colors like yellow were used to make the fish appear to be swimming closer to the surface. Using dark blue makes it look like deep water.Then, there is rendering. In the movie “Coco,” a single frame could take up to 89 hours to render.“The reason it takes so long is partly because of all the lights involved, so you are looking at all the lights bouncing off all the characters and reaching the virtual camera,” said Yu.We learned the production of an animated film can take anywhere between 6 to 18 months, but the entire movie from start to finish can take 2 to 7 years to make. A traditional Hollywood film on average takes less than 2 years to complete.The next Pixar movie to hit theaters will be “Onward.” It’s set to be released in March 2020. Now, you will be able to appreciate how it all comes to life. 1901
Days after returning home from a Punta Cana vacation, Marie Trainer called out of work with a backache and nausea. Then her temperature spiked and dropped, sending her to a local Stark County, Ohio, emergency room in the early hours of May 11.When Trainer woke in a hospital bed nine days later, her hands and legs had been amputated.It took doctors seven days to discover Trainer incurred a severe infection, not from a "tropical" travel disease as they first suspected, but from her German shepherd's kisses.Trainer contracted a rare infection from the bacteria capnocytophaga canimorsus, probably when her German shepherd puppy, Taylor, licked an open cut.Dr. Margaret Kobe, the medical director of infectious disease at Aultman Hospital in Canton, Ohio, treated Trainer and described her as "delirious" when she entered the intensive care unit. Shortly after, she became unconscious. Her skin started changing rapidly to a purplish-red color, and then it progressed into gangrene. Trainer then developed a blood clot."It was difficult to identify, We're kind of the detectives. We went through all these diagnoses until we could narrow things down," Kobe said.The infection spread to the tip of her nose, ears, legs and face. "She didn't lose parts of her face. But her extremities is what she had to have surgery on," Kobe said.The family sought a second opinion, hoping to save Trainer's limbs. But doctors said the damage had already been done. Blood tests and cultures confirmed the diagnosis of capnocytophaga."That was a pretty hard pill for us to all swallow, to say she was fine a couple days ago on vacation and now she's actively getting worse by the minute and now her hands and feet aren't alive, like this doesn't happen, it's 2019," said Gina Premier, Trainer's step-daughter and a nurse at Aultman Hospital.Trainer has had eight surgeries so far and is working with doctors to be fitted for prostheses."This is off the scale, one of the worst cases we have seen in terms of how ill people become with infections," Kobe said. "She was close to death."A rare cause of illness in humansMarie Trainer says she knows her German shepherd puppy licked a slightly infected scratch. When the bacteria spread to humans, they do so through bites, scratches or other close contact with dogs and cats, according to the 2336
Energy Secretary Rick Perry notified President Donald Trump that he plans to resign from his post, two administration officials confirmed to White House reporters on Thursday.Asked about a 201
COLUMBUS, Ohio — Ohio Gov. Mike DeWine confirmed the state’s fifth case of COVID-19 Thursday, banned many public gatherings and announced all Ohio schools — public, private and charter — 204