自贡身无力是为什么(安顺重乏力) (今日更新中)

In a town on the Puget Sound of Washington, Mario Rivera makes his way down to the secluded beach in his backyard. "We have to walk a little bit to get to it," he says.Rivera walks along the beach to an adult male gray whale decomposing on his property."40 feet long… we named it Gunther," Rivera says, pointing to the rotting whale.Gunther is one of 30 gray whales that have washed up dead on the shores of Washington so far this year. If you include Alaska, Oregon and California, that number jumps to 81 and counting.The National Oceanic and Atmospheric Administration is calling the phenomenon an unusual mortality event, and there's simply not enough storage space for these massive decomposing animals."This whale got stranded about three or four miles down there," Rivera explains.Homeowners in the area weren't too happy about where Gunther landed naturally, so the Marine Mammal Stranding Network had to find somewhere else to designate as his final resting place."My wife and I just looked at each other and said 'Hey, let's take it to our property,'" Rivera says.With permission from their one neighbor, Rivera and his wife were the first to volunteer their property as a place for the whale to decompose.They were the start of a movement as NOAA says 15 more have volunteered since. It's an unexpected response considering the scent of a decomposing whale is far from pleasant."It smells like a rotting whale," Rivera explains.He says the stench comes and goes with the hot temps and wind, but he's been covering it in lime to help, and he says the pungent smell will likely go away after a month. What's more important, is that Gunther has given Rivera and scientists an opportunity to study why so many whales may be dying."When we opened him up, we found nothing but eel grass. And eel grass isn't part of their diet. This whale was what we call desperation feeding," Rivera says.John Calambokidis has been studying whales along the West Coast for 35 years. He's a research biologist with Cascadia Research. Calambokidis says the malnourished state of Gunther was very similar to what they've been seeing with other dying whales."Most of these whales have shown up very thin and emaciated--very little oil or fat in their blubber layer, which suggests they didn't get enough to feed last year," Calambokidis says.Gray whales spend the summers feeding in the Arctic and then migrate south near Mexico for the winter. All the whale strandings show some aren't making it through their normal seasonal fasting as they migrate back north along the West Coast in the spring. Calambokidis says it still isn't 100 percent clear why so many whales are dying, but he thinks its at least due in part to food supply not being able to meet the demand of the West Coast's growing whale population."Most recent estimate was 27,000 gray whales in this population," Calambokidis says.Research biologists have seen this trend once before back in 1999 and 2000. The theories were the same, and gray whales have made a comeback in the following decades. But now, scientists are questioning whether warming waters is also playing a role."We're not yet alarmed about this in the sense that we've seen something like this before and they've recovered from it. But we really do want to understand what's going on," Calambokidis says. "Particularly since there have been such dramatic changes in the arctic ecosystem. Making sure there isn't also a climate change element to this that could suggest a longer-term pattern we need to be more concerned about."According to Calambokidis, waters are warmer, and ice cover has dramatically been reduced, changing the dynamics of the ecosystem and how whales reach their prey.Part of their job as research biologists is to learn if there's more to the story. Calambokidis says they study each carcass searching the tissues for disease or contaminants. But for now, the main issue is dealing with the abundance of dead whales. And Rivera is happy he's been a part of the solution."This one couple volunteering this has prompted NOAA to think well maybe there are other people that would be interested in this, and [they can] kind of explore this as a new direction," Calambokidis says.*********************If you'd like to reach out to the journalist of this story, email elizabeth.ruiz@scripps.com 4342

Images in this story may be disturbing for some viewers.PUEBLO, Colo. — If you've ever felt like playing with fireworks, and maybe doing so after a few drinks, you might want to pay attention to this man's cautionary tale. For the past six months, electricity estimator Trevor Tate has been re-learning how to use his hand.“I use my hand ten hours a day all day, every day at work,” Tate said. “I type … take notes, crunch numbers.” That's because while lighting fireworks on New Year's Eve, Tate did something he now calls stupid."I caved to peer pressure and decided that I would hold the launch tube and fire a firework from my hand out of the launch tube and up into the air, and it would be a joyous event,” he said. “Well, the joyous event turned into one of the worst nights of my entire life."Instead of launching up into the air, the explosive fired downward, and through his right hand.“I remember my hand coming all the way back like this and me telling myself, ‘wow that didn't feel right, felt like a lot of pressure.’ I felt pain in my elbow and that was it, nowhere else,” Tate said. “And then I looked down at the back of my hand and the whole back of my hand in this area was white — just like bright white. And I’m like, ‘something has happened.’ ”He soon realized his hand was barely still attached. Doctors at two different hospitals that night told him he may lose his hand. But he was soon put in touch with Dr. Benson Pulikkottil at Denver's Swedish Medical Center.“It was a pretty shocking injury,” Pulikkottil said.Shocking, but something he believed he could fix. He attached Tate's hand to the tissue on his chest so blood could flow from his chest into his hand. A piece of skin from his chest now covers the underside of his hand.The doctor's advice this holiday?“Avoid alcohol during this time,” said Pulikkottil, the medical director of Burn & Reconstructive Centers of Colorado at Swedish Medical Center. “Don't cloud your judgment. These injuries, when they happen in a millisecond, you've now changed your life forever.”"The way I feel about fireworks now is … I probably won’t go outside and enjoy our country's pastime of blowing up fireworks,” he said. “It’s done enough. Trauma, inside of my head … I don't like loud noises anymore.”Instead, the electricity estimator might work on his rehab exercise, adding to the progress he's already understandably proud of."You look them in the eye and shake with your right hand. And I can do that now,” Tate said, “where before I couldn't.” 2536

LeBron James and Steve Kerr becoming useful idiots for a authoritarian regime building concentration camps for religious minorities was never a square I expected to fill on my 2019 bingo card but hey, I’ll take what I can get.— Sonny Bunch (@SonnyBunch) 266

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

If you have filled up your vehicle's gas tank in recent days, you probably paid more than you did last month per gallon for gas. Throughout the United States, gas prices are on the rise with no dip in sight. According to AAA figures, the average national price for a gallon of gas is .76. The price of gas is up 30 cents a gallon over the last month. Drivers in California have particularly seen a large increase. Prices there have increased by 55 cents to .87 per gallon. AAA says that unexpected and planned maintenance have contributed to an increase in fuel prices.Gas prices are also up 10 cents from this time last year. Summertime gas prices peaked at nearly a gallon last summer.In some regions, gas prices can jump without any notice. In Indianapolis, drivers reported a 30 cent increase at the same stations on Wednesday. 850

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