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The Kirchner family has a lot to celebrate this holiday season. Their son, Karson, is a happy and energetic 11-month-old baby. He's come a long way since being diagnosed with a rare heart condition that will require constant vigilance. But his progress is yet another example of how, this year, doctors are making amazing strides in so many ways.Josh and Ashley Kirchner weren't sure how much time they would have with their son. At 28 weeks pregnant, they found out he had hypoplastic left heart syndrome, meaning the left side of his heart was underdeveloped."They came back with a doctor and then we're kind of like, 'This isn't good'. And the doctor told us, 'Well, we can't find part of his heart on the ultrasound'," recalled Josh Kirchner.Some research led the Kirchners to Children's Hospital Colorado, where Karson was enrolled in a study to determine if stem cells from his own umbilical cord blood could help his heart function."There's another part of stem cells that don't create new tissue but create an environment to improve the existing tissue that's there, and that's what we're doing with this particular stem cell therapy," explained Dr. James Jaggers, with Children's Hospital Colorado.Dr. Jaggers says this syndrome is the leading cause of death for children with heart defects in their first year of life. Karson's first surgery was when he was just two days old. His second to inject stem cells into his heart came a couple of months later."The mode of stem cell delivery was actual physical injection of the stem cells into the heart muscle itself. We do that in a number of different places on the heart to try and improve sort of a global function of the heart for the long term," said Dr. Jaggers.One problem the doctors faced with the second surgery was it came during the start of the pandemic when travel was shut down. The Kirchners drove six hours from their home in South Dakota, but the stem cells had to be driven from the Mayo Clinic in Minnesota to Denver, a more than 12-hour drive.Karson still needs one more surgery, which doctors say will be when he's 2 or 3 years old. His parents know there's no roadmap for this. And while they wait to see how his body responds, they want to enjoy every moment."We get to enjoy our little boy and kind of live in the moment a little better and not have to worry about that hanging over our head. We know it's coming. But, like they said to do, don't worry about it. When it comes, it comes," said Josh Kirchner.Dr. Jaggers says the second phase of the study is done. Karson was the 16th to be accepted into it. The next phase will also include the use of stem cells in the third surgery. Dr. Jaggers says preliminary data shows some improved heart function. They now need to know how long it will last. 2789
The jury in Bill Cosby's retrial found the TV icon guilty of all three counts of aggravated indecent assault on Thursday for drugging and sexually assaulting Andrea Constand at his home in a Philadelphia suburb in 2004.The 80-year-old comedian faces up to 10 years in prison on each count, but would likely serve them concurrently. A sentencing hearing has not yet been scheduled, and he remains out on bail.Cosby did not have an audible reaction to his conviction, but erupted shortly afterward. Minutes after the verdict, prosecutors asked the judge to revoke Cosby's bail because they say he is a flight risk and has a private plane.Cosby, who did not testify in the trial and has sat quietly throughout the proceedings, then stood up and yelled in a loud, booming voice: "He doesn't have a plane, you asshole."Judge Steven O'Neill ruled that Cosby should not leave his Pennsylvania home, and that he would need to be fitted with a GPS tracking device.What the case was aboutThe case against Cosby centered on testimony from Constand, a former employee with Temple University women's basketball team. She testified that Cosby, a powerful trustee at Temple, drugged her and sexually assaulted her when she visited his home to ask for career advice.Cosby's defense team argued that their interaction was consensual. Constand is a con artist, they argued, who wanted a piece of Cosby's fortune.After the trial concluded, Constand left through a side door in the courtroom, walking into a hallway with her arms around two women and a huge smile on her face.The case is the first celebrity sexual assault trial since the #MeToo movement began last fall, and as such, represents a test of how the cultural movement will translate into a courtroom arena.In closing arguments, defense attorney Kathleen Bliss positioned Cosby's legal team as standing up against "witch hunts, lynchings (and) McCarthyism."Attorney Gloria Allred, who represents many of the women who have accused Cosby of misconduct, said this was the happiest she had been with a verdict in 42 years."We are so happy that finally we can say, women are believed. And not only on #MeToo but in a court of law where they are under oath, where they testified truthfully, where they are attacked," Allred said. "After all is said and done, women were finally believed."Cosby's attorney, Tom Mesereau, said he plans to appeal "very strongly.""We are very disappointed by the verdict. We don't think Mr. Cosby's guilty of anything and the fight is not over," he said.The guilty verdict is a remarkable turn of events for the man once known as "America's Dad." Cosby was a groundbreaking actor and the first African-American performer to win an Emmy for his role on "I Spy." His portrayal of the sweater-loving Cliff Huxtable on "The Cosby Show" was one of the first mainstream TV shows to feature a black upper-middle class family.Previous trial ended in a hung juryAlthough dozens of women have accused Cosby of sexual misconduct, only Constand's allegations resulted in criminal charges."I feel like I'm dreaming," Lili Bernard, who has accused Cosby of assault, said afterward. "I feel like my faith in humanity is restored."The verdict came a year after Cosby's previous trial ended in a mistrial, as a different panel of jurors said they were deadlocked and could not unanimously agree on a verdict. This jury began deliberating Wednesday around 11 a.m., and worked for more than 14 hours over two days to reach the verdict.At the retrial, five other Cosby accusers testified as "prior bad acts" witnesses and said that Cosby had drugged and assaulted them decades ago. Prosecutors said these women's stories showed that Cosby had a pattern in his actions and did not make a one-time mistake in his interactions with Constand.The-CNN-Wire 3806
The National Rifle Association and a mall in Illinois stepped in for a boy who was left in tears after a mall Santa told him he couldn't have a Nerf gun for Christmas.According to USA Today, the Dec. 6 exchange between the mall Santa at the Harlem Irving Plaza in Norridge, Illinois, and Sabella DeCarlo's son Michael went viral last week.In the video, Michael burst into tears after being told no several times by the mall Santa when he asked for a Nerf gun for Christmas, USA Today reported.In an interview with Fox News, Sabella told the network she was shocked by Santa's response, thinking he may have misheard her son, and then thought it was a joke.But Santa's response was still no.After hearing about what had happened, officials with the Harlem Irving Plaza sent a Santa out to Michael's home to gift him with a Nerf gun.In a Facebook post, the mall and the third-party Santa company were "distraught and deeply apologetic" about what transpired between Michael and the Santa and wanted to make sure Michael wasn't sad."We are happy to report that the "real" Santa visited the boy at his home today to bring him a nerf gun! We hope we restored Christmas magic to this boy and his family with Santa's special visit," the mall wrote in a Facebook post. 1268
The pandemic has more people wanting to learn more about their medical history. Several services can already track relatives and piece together a family tree. But now, you can do the same for your health.In her radio show and podcast "Passport Mommy," Michelle Jerson talks about all things motherhood."We cover everything that parents are going through," Jerson said.Jerson said she chose that name because she says motherhood is a journey. These days though, Jerson is on her own personal journey — wanting to know everything she can about her family health."As a new mom, I want to pass that information on to my children," Jerson said. "I want them to be educated. I want them to have as much knowledge as they can have so they can make informed decisions. So, when they go to the doctor's office, and they ask those first few questions about family history, they're not saying, 'I'm not sure.'"But she says it's even more complicated than that."My mom was adopted, and she never found out who her biological father was and just recently found out who her biological mother is," Jerson said. "She did get some limited information health-wise, but for me, it's very important for us to find out as much as we can about our family history and our health."Jerson heard about a new test from Ancestry — one of the leading genealogy services — that provides a DNA analysis of a user's health. Jerson sent off the saliva sample test and is awaiting results.Dr. Sarah South, the Vice President of Ancestry Health, says scientists look at DNA to see if a person is more at risk for common inherited conditions — things like cancer, heart disease, high cholesterol or blood disorders."This isn't just information about something that might happen. This is information about what might happen but also how to prevent it," South said.There's still a lot to learn about this kind of science, but South says finding out health information can be both empowering and reassuring — especially now.South says that during the pandemic, they've been getting a lot more interest."Certainly, this pandemic has just heightened people's awareness of taking preventive action," South said. "So, it's absolutely top of mind for a lot of individuals who now recognize that taking care of preventative and taking care of their health, being in that driver seat. This is the right time for it, and the technology is clear."South says that regardless of what a person may or not learn from the test that it's still important to get regular health screenings. After receiving results, people should discuss what they discover with their doctors and make sure they follow up with preventative care — and remember that not every disease is linked to genetics.South also says that moms are usually the health care managers within families, as they tend to have the most interest. With that in mind, Jerson says she's taking the time to learn more about her own lineage."It's really empowering to know that we have a way to do this and that, yes, there are still states that have the adoption records locked and sealed so you can't even get access to them," Jerson said. "So, any way that you can do (research) on your own, I think is great."Whatever her test results yield, it's just the beginning of a larger mystery that could hopefully open a lot of doors. 3338
The photos from doctors came quickly and in succession: blood-stained operating rooms, blood-covered scrubs and shoes, bullets piercing body parts and organs.The pictures on Twitter were an emotional response to a smackdown by the powerful gun industry lobby, which took issue with the American College of Physicians' call late last month for tighter gun control laws. The recommendations included bans on "assault weapons," large capacity magazines and 3D-printed firearms."Someone should tell self-important anti-gun doctors to stay in their lane. Half of the articles in Annals of Internal Medicine are pushing for gun control. Most upsetting, however, the medical community seems to have consulted NO ONE but themselves," the National Rifle Association tweeted.Physicians across the United States seized on the phrasing, taking to Twitter with 22,000 comments and the hashtags #thisismylane and #thisisourlane, posting photos of their encounters with gun violence and offering their own personal stories of treating such wounds.The debate gained new urgency this week with the shooting death of an emergency room doctor outside the hospital where she worked, as physicians argue shootings are a public health crisis that they must play a key role in trying to stem. Dr. Tamara O'Neal was killed Monday outside a hospital in Chicago in what police say was a dispute with her ex-fiance. The shooter and two other people — a responding police officer and a resident in the hospital's pharmacy — also died."It just shows that not only is this is in our lane, but this happens to us," said Dr. Joseph Sakran, a trauma surgeon at Johns Hopkins Medicine in Baltimore who as a 17-year-old was shot in the throat by a stray bullet fired during a dispute at a high school football game.Sakran created a Twitter account @ThisIsOurLane which in just two weeks has attracted nearly 15,000 followers. They include Dr. Peter Masiakos, a pediatric trauma surgeon in Boston, who wrote "The Quiet Room" just hours after the mass shooting at a church in Sutherland Springs, Texas, about breaking the news that a loved one has died."We need to start talking about this as a public health issue. Politics aside, we have a problem that no other country has, and we shouldn't," Masiakos said.About 35,000 people each year are killed by guns in the United States, and about two-thirds are suicides. That's about 670 people per week and among the largest number of civilian gun deaths in the world.The world's highest rate of gun deaths is in El Salvador with a rate of 72.5 per 100,00; the rate in the U.S. is 3.1 per 100,000. Among all European countries, the rate never breaks 1 gun death per 100,000, according to Small Arms Survey, a Switzerland-based research organization that examines firearms and violence."These are not just statistics. These are people, mothers, fathers, brothers, sisters that are being killed," Sakran said. "The worst part of my job is having to go out and talk to these families and to tell them that their loved one is never coming home."It's not the first time that medical professionals have taken on powerful industries: auto companies over seat belts, Big Tobacco over cigarettes and toys that posed choking hazards. It's also not the first time that the gun lobby has pushed back against the medical community or researchers it considers to be biased. In the 1990s, Congress barred the Centers for Disease Control from conducting research that advocated or pushed for gun control; while it didn't ban research from being conducted, it did have a chilling effect.More recently, the NRA backed legislation in Florida — eventually overturned in court — that would have barred doctors from asking patients about guns in the home.Dr. Stephanie Bonne, a trauma surgeon in New Jersey, was in the hospital when she saw the dispute playing out on Twitter."I was reading this, and I was like 'Stay in my lane', are you kidding me? Gun violence is something I deal with every day. We're mopping it up in the hospital every day," she said. "My second sort of reaction is maybe people ought to see what this lane is really all about."Bonne works at a Level I trauma center — the top-level hospital for treating the most serious cases. Her hospital sees about 600 gunshot wounds each year, and she described the toll that unfolds: medically, psychologically and financially."It's always tragic and it's always preventable," Bonne said.Dr. Judy Melinek, a forensic pathologist in the San Francisco Bay area, examines the dead. She took to Twitter to push back at the gun lobby, posting: "Do you have any idea how many bullets I pull out of corpses weekly? This isn't just my lane. It's my (expletive) highway.""The chutzpah, the gall is what really got to me," Melinek told The Associated Press. "The NRA seems to think they've cornered the market on expertise when it comes to guns. And that's not correct."She's conducted about 300 autopsies involving gunshot wounds, about half of those suicides. She's seen the damage from bullets and believes more and better research would help prevent gun violence.Would GPS tracking on firearms or high-tech trigger locks make firearms safer, for example?Dr. Arthur Przebinda, director of the gun rights advocacy group Doctors for Responsible Gun Ownership, said the pushback from physicians is largely driven by more liberal forces within medical academia and based on ignorance about firearms.He described it as old, tired debate that shows a knee-jerk bias against firearms. Rather than stripping away constitutional rights, physicians should focus on finding ways to study the underlying causes of violence, he noted."These virtue-signaling physicians would be in their lane if they pursued better surgical techniques, better postoperative treatments. They are in the wrong profession if they want to cure society's ills," Przebinda said. "If that was their life's calling, they should have pursued a career path in psychology, criminology or the clergy."___This story has been amended to correct the first name of Dr. Judy Melinek. 6087