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Drag artists take part in the Belfast Pride parade. PRESS ASSOCIATION Photo. Picture date: Saturday August 3, 2019. Thousands of people are expected to take to the streets of Belfast for the Pride parade as a Pride flag flies from City Hall for the first time. See PA story ULSTER Pride. Photo credit should read: Niall Carson/PA Wire 347
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

EASTON, Mass. – A 103-year-old woman in Massachusetts recently recovered from COVID-19 and celebrated with an ice-cold beer. Jennie Stejna was the first resident of her nursing home to test positive for the novel coronavirus, her granddaughter, Shelley Gunn, 271
EVANSVILLE, Ind. — An Indiana teen has died after attempting an internet challenge called the “choking challenge,” according to his parents. Mason Bogard’s mother, Joann Bogard, shared a message on Facebook Sunday saying she wanted the information about his death to come from the family. “We’ve learned that Mason attempted a challenge that he saw on social media and it went horribly wrong,” Joann wrote. “The challenge that Mason tried was the choking challenge. The choking challenge is based on the idea that you choke yourself to the point of almost passing out and then stop. It’s supposed to create a type of high. Unfortunately, it has taken the lives of many young people too early and it will take our precious Mason.”Mason was rushed to the hospital where his mother says he remained on life support until they determined he could not survive. “Over the last several days the amazing staff at the Deaconess Hospital has done everything they can to bring Mason back to us. Unfortunately, we will not have the opportunity to experience so many things with our child because of a stupid challenge on social media,” her post read. On Monday, Mason became an organ donor. Joann posted on Facebook that her son would save six people’s lives. “While we are devastated that we will never experience so many things with Mason again, we are able to find some comfort in the fact that Mason will save the lives of others. He would have wanted it this way," she wrote. "He was an extremely generous young man.”She also issued a plea to parents to pay attention to what their children are doing on social media, so that another family doesn’t have to go through the same pain that they have. “Finally, we want to plead with you from the bottom of our hearts ... please pay attention to what your children look at on social media," the mother wrote. "I know our kids always complain that we're being too overprotective but it's ok, it's our job.” 1956
Dwayne "The Rock" Johnson's new movie "Hobbs & Shaw" is in theaters now, but it's another partnership that he's most excited about.The actor announced on Monday that he has married longtime love Lauren Hashian.Johnson posted a picture on his official Instagram account showing the pair dressed in wedding finery and arms raised in celebration on a rise overlooking the ocean in Hawaii."We do. August 18th, 2019. Hawaii. Pōmaika?i (blessed)," the caption read.The star tagged his new wife in the photo as well as his former brother-in-law Hiram Garcia, who heads up the production company founded by Johnson and his ex-wife, Dany Garcia.Johnson, 47, and Hashian, 34, are the parents of two daughters: Jasmine, 3, and Tiana, 1. He has an 18-year-old daughter, Simone, from his marriage to Garcia.The international film star reportedly met the singer/songwriter/producer in 2006 and the couple started dating in 2007, following his divorce from Garcia.In July 2018 978
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