Well: A Check on Physicals

“Go Beyond Your Father’s Annual Physical. Live Longer, Feel Better”

This sales pitch for the Princeton Longevity Center’s “comprehensive exam” promises, for $5,300, to take “your health beyond the annual physical.” But it is far from certain whether this all-day checkup, and others less inclusive, make a meaningful difference to health or merely provide reassurance to the worried well.

Among physicians, researchers and insurers, there is an ongoing debate as to whether regular checkups really reduce the chances of becoming seriously ill or dying of an illness that would have been treatable had it been detected sooner.

No one questions the importance of regular exams for well babies, children and pregnant women, and the protective value of specific exams, like a Pap smear for sexually active women and a colonoscopy for people over 50. But arguments against the annual physical for all adults have been fueled by a growing number of studies that failed to find a medical benefit.

Some experts note that when something seemingly abnormal is picked up during a routine exam, the result is psychological distress for the patient, further testing that may do more harm than good, and increased medical expenses.

“Part of the problem of looking for abnormalities in perfectly well people is that rather a lot of us have them,” Dr. Margaret McCartney, a Scottish physician, wrote in The Daily Mail, a British newspaper. “Most of them won’t do us any harm.”

She cited the medical saga of Brian Mulroney, former prime minister of Canada. A CT scan performed as part of a checkup in 2005 revealed two small lumps in Mr. Mulroney’s lungs. Following surgery, he developed an inflamed pancreas, which landed him in intensive care. He spent six weeks in the hospital, then was readmitted a month later for removal of a cyst on his pancreas caused by the inflammation.

The lumps on his lungs, by the way, were benign. But what if, you may ask, Mr. Mulroney’s lumps had been cancer? Might not the discovery during a routine exam have saved his life?

Logic notwithstanding, the question of benefits versus risks from routine exams can be answered only by well-designed scientific research.

Defining the value of a routine checkup — determining who should get one and how often — is especially important now, because next year the Affordable Care Act will add some 30 million people to the roster of the medically insured, many of whom will be eligible for government-mandated preventive care through an annual exam.

Dr. Ateev Mehrotra of the University of Pittsburgh School of Medicine, who directed a study of annual physicals in 2007, reported that an estimated 44.4 million adults in the United States undergo preventive exams each year. He concluded that if every adult were to receive such an exam, the health care system would be saddled with 145 million more visits every year, consuming 41 percent of all the time primary care doctors spend with patients.

There is already a shortage of such doctors and not nearly enough other health professionals — physician assistants and nurse practitioners — to meet future needs. If you think the wait to see your doctor is too long now, you may want to stock up on some epic novels to keep you occupied in the waiting room in the future.

Few would challenge the axiom that an ounce of prevention is worth a pound of cure. Lacking incontrovertible evidence for the annual physical, this logic has long been used to justify it:

¶ If a thorough exam and conversation about your well-being alerts your doctor to a health problem that is best addressed sooner rather than later, isn’t that better than waiting until the problem becomes too troublesome to ignore?

¶ What if you have a potentially fatal ailment, like heart disease or cancer, that may otherwise be undetected until it is well advanced or incurable?

¶ And wouldn’t it help to uncover risk factors like elevated blood sugar or high cholesterol that could prevent an incipient ailment if they are reversed before causing irreparable damage?

Even if there is no direct medical benefit, many doctors say that having their patients visit once a year helps to maintain a meaningful relationship and alert doctors to changes in patients’ lives that could affect health. It is also an opportunity to give patients needed immunizations and to remind them to get their eyes, teeth and skin checked.

But the long-sacrosanct recommendation that everyone should have an annual physical was challenged yet again recently by researchers at the Nordic Cochrane Center in Copenhagen.

The research team, led by Dr. Lasse T. Krogsboll, analyzed the findings of 14 scientifically designed clinical trials of routine checkups that followed participants for up to 22 years. The team found no benefit to the risk of death or serious illness among seemingly healthy people who had general checkups, compared with people who did not. Their findings were published in November in BMJ (formerly The British Medical Journal).

In introducing their analysis, the Danish team noted that routine exams consist of “combinations of screening tests, few of which have been adequately studied in randomized trials.” Among possible harms from health checks, they listed “overdiagnosis, overtreatment, distress or injury from invasive follow-up tests, distress due to false positive test results, false reassurance due to false negative test results, adverse psychosocial effects due to labeling, and difficulties with getting insurance.”

Furthermore, they wrote, “general health checks are likely to be expensive and may result in lost opportunities to improve other areas of health care.”

In summarizing their results, the team said, “We did not find an effect on total or cause-specific mortality from general health checks in adult populations unselected for risk factors or disease. For the causes of death most likely to be influenced by health checks, cardiovascular mortality and cancer mortality, there were no reductions either.”

What, then, should people do to monitor their health?

Whenever you see your doctor, for any reason, make sure your blood pressure is checked. If a year or more has elapsed since your last blood test, get a new one.

Keep immunizations up to date, and get the screening tests specifically recommended based on your age, gender and known risk factors, including your family and personal medical history.

And if you develop a symptom, like unexplained pain, shortness of breath, digestive problems, a lump, a skin lesion that doesn’t heal, or unusual fatigue or depression, consult your doctor without delay. Seek further help if the initial diagnosis and treatment fails to bring relief.

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Dreamliner probe widens after excess battery voltage ruled out










WASHINGTON (Reuters) - U.S. safety investigators on Sunday ruled out excess voltage as the cause of a battery fire this month on a Boeing Co 787 Dreamliner jet operated by Japan Airlines Co (JAL) and said they were expanding the probe to look at the battery's charger and the jet's auxiliary power unit.

Last week, governments across the world grounded the Dreamliner while Boeing halted deliveries after a problem with a lithium-ion battery on a second 787 plane, flown by All Nippon Airways Co (ANA), forced the aircraft to make an emergency landing in western Japan.






A growing number of investigators and Boeing executives are working around the clock to determine what caused the two incidents which the U.S. Federal Aviation Administration says released flammable chemicals and could have sparked a fire in the plane's electrical compartment.

There are still no clear answers about the root cause of the battery failures, but the U.S. National Transportation Safety Board's statement eliminated one possible answer that had been raised by Japanese investigators.

It also underscored the complexity of investigating a battery system that includes manufacturers across the world, and may point to a design problem with the battery that could take longer to fix than swapping out a faulty batch of batteries.

"Examination of the flight recorder data from the JAL B-787 airplane indicates that the APU (auxiliary power unit) battery did not exceed its designed voltage of 32 volts," the NTSB said in a statement issued early Sunday.

On Friday, a Japanese safety official had told reporters that excessive electricity may have overheated the battery in the ANA-owned Dreamliner that was forced to make the emergency landing at Japan's Takamatsu airport last week.

"The NTSB wanted to set the record straight," said one source familiar with the investigation who was not authorized to speak publicly.

U.S. investigators have already examined the lithium-ion battery that powered the APU, where the battery fire started in the JAL plane, as well as several other components removed from the airplane, including wire bundles and battery management circuit boards, the NTSB statement said.

On Tuesday, investigators will convene in Tucson, Arizona to test and examine the charger for the battery, and download non-volatile memory from the APU controller, with similar tests planned at the Phoenix facility where the APUs are built. Other components have been sent for download or examination to Boeing's Seattle facility and manufacturer facilities in Japan.

Securaplane Technologies Inc, a unit of Britain's Meggitt Plc that makes the charger, said it will fully support the U.S. investigation.

Officials with United Technologies Corp, which builds the plane's auxiliary power unit and is the main supplier of electrical systems on the 787, said they would also cooperate with the investigation.

The NTSB's decision to travel to Securaplane's facility sparked fresh questions about the safety of the lithium-ion batteries that remain at the heart of the investigation.

While the 787 is the most aggressive user of lithium-ion battery technology in commercial aviation, the industry at large is testing it, and the FAA has approved its use in several different planes, each governed by "special conditions."

"Lithium-ion batteries are significantly more susceptible to internal failures that can result in self-sustaining increases in temperature and pressure," the FAA said in 2006, when it allowed Airbus to use lithium batteries for the emerging lighting system on its A380.

Securaplane, which first began working on the charger in 2004, suffered millions of dollars of damages in November 2006 after a lithium-ion battery used in testing exploded and sparked a fire that burned an administrative building to the ground.

Boeing spokesman Marc Birtel said an investigation into the 2006 fire was later determined to have been caused by an improper test set-up, not the battery design. He declined comment on the current 787 investigations.

After the fire, a former Securaplane employee named Michael Leon sued the company, alleging that he was fired for raising security concerns about charger and discrepancies between their assembly documents and the finished chargers.

Leon's suit was later dismissed.

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House collapses on South Side; none hurt













A house in the 6300 block of South Evans Avenue was vacant when it collapsed Saturday night, according to the Chicago Fire Department.


A house in the 6300 block of South Evans Avenue was vacant when it collapsed Saturday night, according to the Chicago Fire Department.
(Adam Sege, Chicago Tribune / January 20, 2013)


























































No one was injured when a vacant house collapsed Saturday night in the Grand Crossing neighborhood on the South Side, authorities said.


The two-and-a-half story building collapsed shortly about 11 p.m. in the 6300 block of South Evans Avenue, Deputy Fire Cmsr. John McNicholas said.


By interviewing neighbors and using body-sensing technology, firefighters determined the home had been unoccupied when it collapsed, McNicholas said. Firefighters searched the rubble as a precaution and found no one.





The building showed signs of renovations, McNicholas said, but officials are still working to determine what triggered the collapse.


asege@tribune.com


Twitter: @AdamSege






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10 awesome new (and old) things you need to know about in 2013






We’re just three weeks into 2013 and it’s surprising what a difference a year can make. RIM (RIMM) is on the rise as Apple (AAPL) is getting crushed, Samsung (005930) is supposedly generating Apple-like hype, and connected home appliances outshined smartphones at CES. It’s a brave new world indeed, but here are 10 awesome new (and old) things to keep you grounded in 2013 while you put 2012 behind you and try to forget Gangnam Style ever happened.


[More from BGR: Samsung’s latest monster smartphone will reportedly have a 5.8-inch screen]






1. Digg: Digg? In 2013? Yup — it’s back and it’s awesome.


[More from BGR: Paid apps are history]


The old Digg is dead and a fantastic river of curated news can now be found in its place. The site has done away with user submissions and the unending sea of obnoxious comments, leaving behind a platform that is infinitely better than its predecessor.


Topics covered range from technology and business to world events and interesting morsels people are unlikely to dig up on their own.


The redesigned site is fantastic and clean, the iOS app is terrific, and I consistently discover great stories there long before they being to gain steam elsewhere on the web.


http://digg.com


2. Evernote: There are a few Web services that I regularly recommend to friends and family where after I do, I get a note a few weeks later with the question, “How did I ever live with this?” Evernote is among those services.


In a nutshell, Evernote is a Web-based service that lets users create and organize notes that automatically sync across all their computers, smartphones and tablets. Despite its popularity on tech blogs, I still find a lot of people who have never heard of the service.


The beauty of Evernote is that everyone uses it in his or her own unique way. It can be used to house Web page clippings, store ideas as they come to you, keep recipes in order, hold to-do lists, make grocery lists, or perform any number of other functions.


http://evernote.com/


3. BlackBerry 10: Whether it ends up being RIM’s comeback catalyst or its last hurrah, BlackBerry 10 is going to be a big deal in 2013. Investors are excited, BlackBerry fans are excited, and we’re excited.


The show kicks off on January 30th and BGR will be there live to cover all the action as it unfolds.


http://global.blackberry.com/


4. Outgrow.me: Kickstarter and Indiegogo are great crowd-funding sites for entrepreneurs, but they’re also very trendy right now. For every awesome product on each site there are dozens of, well, not-so-awesome products.


Outgrow.me makes it easy to view the best products these two sites have to offer using a great design that is easy to navigate.


As an added bonus, Outgrow.me addresses one of the biggest problems among crowd-funded products. Since a lot of great (and well-funded) products don’t ship on time, the site has an option to only view items that are “orderable” today.


http://outgrow.me/


5. Windows Phone: Look, Microsoft (MSFT) has been giving it the old college try for more than two years now, but things are getting serious in 2013. Maybe.


Windows Phone 8 is a supercharged version of Microsoft’s initial reimagining of the smartphone experience. It’s faster, smoother, more versatile and it supports better hardware.


There are two great flagship Windows Phones on the market right now — Nokia’s Lumia 920 and HTC’s Windows Phone 8X — as well as a number of solid low- and mid-range options.


http://www.windowsphone.com/


6. Jawbone UP: Fitness gadgets are getting trendy now, but I’ve yet to see anything that looks more appealing than Jawbone’s second iteration of the “UP” bracelet.


The simple device is worn on your wrist at all times (it’s waterproof, so you can even shower with it) and it tracks your daily activity including your sleep. It’s paired with a fantastic app that features a gorgeous UI and plenty of great functionality.


UP’s companion app tracks your steps, calorie burn and sleep to create a “Lifeline.” You can also track the food you eat by scanning barcodes, taking pictures or inputting items manually, which helps you keep tabs on your calorie intake.


The kicker for the Jawbone UP over rivals is the fact that it doesn’t include wireless connectivity, believe it or not. Yes, that means you have to take the band off, pop the cap and connect it to your iPhone’s audio jack to sync, but it also means the battery lasts between nine and ten days on a charge.


UP is only compatible with iOS for the time being, but Jawbone says it’s working on an Android app.


http://jawbone.com/up


7. Republic Wireless: Did you know you can get unlimited smartphone service for $ 19 a month? Really, truly unlimited calling, messaging and data for $ 19 a month?


We’ve been testing Republic Wireless’ $ 19 unlimited smartphone service for several weeks now and so far we’re impressed. The service is not for power users — there’s only one smartphone available right now (Motorola’s Defy XT) and you won’t have access to 4G data speeds — but anyone looking for basic smartphone service at a ridiculously low price would be remiss to not give Republic Wireless a look.


http://www.republicwireless.com/


8. HTC: It’s time to get acquainted with the little smartphone vendor that could.


HTC (2498) took a beating in 2012 while Samsung and Apple grew bigger than most could have imagined. HTC might not have billions of marketing dollars to constantly slap consumers in the face with ads, but it has a ridiculously talented team that churns out one gorgeous smartphone after another.


With hardware that is second to none and handsets ranging from affordable low-end phones to premium flagship devices, HTC is a brand to watch in 2013.


http://htc.com/


9. Wirecutter: Founded by former Gizmodo editor Brian Lam, Wirecutter is “a list of great technology.”


The site is basically a gadget buying guide without the stomach-turning, Google-gaming, SEO machine aspect. Instead, it’s simply a collection of technology products the site’s staff enjoys. Imagine that!


Wirecutter is definitely a site worth checking out and this is a good place to start.


http://thewirecutter.com/


10. Skype: Sure, everyone knows about Skype on computers and smartphones. I never use it on either. Instead, there’s another aspect of Skype not everyone knows about: Home phone service.


Using compatible handsets, Skype can be set up to work just like any other VoIP home phone service. The only difference is that Skype is much, much cheaper than comparable offerings. Unlimited calling within the U.S. and Canada can be had for less than $ 2.60 a month plus $ 30 each year for a phone number.


In other words, a year of Skype service costs a little less than two months of Vonage or cable company phone service.


I’ve been using Skype for my home phone since last May and I couldn’t be happier. The quality is excellent, on par with similar offerings from Time Warner Cable and Cablevision, and the price can’t be beat.


I should note, though, that dealing with one of Skype’s retail partners — eBuyNow — was an awful, awful experience. They took forever to get back to me when one of my handsets died and after two months of trying to get a replacement, they just ended up refunding my entire purchase. If you choose Skype for home phone service, buy your handsets elsewhere.


http://skype.com/


This article was originally published on BGR.com


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Well: Holly the Cat's Incredible Journey

Nobody knows how it happened: an indoor housecat who got lost on a family excursion managing, after two months and about 200 miles, to return to her hometown.

Even scientists are baffled by how Holly, a 4-year-old tortoiseshell who in early November became separated from Jacob and Bonnie Richter at an R.V. rally in Daytona Beach, Fla., appeared on New Year’s Eve — staggering, weak and emaciated — in a backyard about a mile from the Richter’s house in West Palm Beach.

“Are you sure it’s the same cat?” wondered John Bradshaw, director of the University of Bristol’s Anthrozoology Institute. In other cases, he has suspected, “the cats are just strays, and the people have got kind of a mental justification for expecting it to be the same cat.”

But Holly not only had distinctive black-and-brown harlequin patterns on her fur, but also an implanted microchip to identify her.

“I really believe these stories, but they’re just hard to explain,” said Marc Bekoff, a behavioral ecologist at the University of Colorado. “Maybe being street-smart, maybe reading animal cues, maybe being able to read cars, maybe being a good hunter. I have no data for this.”

There is, in fact, little scientific dogma on cat navigation. Migratory animals like birds, turtles and insects have been studied more closely, and use magnetic fields, olfactory cues, or orientation by the sun.

Scientists say it is more common, although still rare, to hear of dogs returning home, perhaps suggesting, Dr. Bradshaw said, that they have inherited wolves’ ability to navigate using magnetic clues. But it’s also possible that dogs get taken on more family trips, and that lost dogs are more easily noticed or helped by people along the way.

Cats navigate well around familiar landscapes, memorizing locations by sight and smell, and easily figuring out shortcuts, Dr. Bradshaw said.

Strange, faraway locations would seem problematic, although he and Patrick Bateson, a behavioral biologist at Cambridge University, say that cats can sense smells across long distances. “Let’s say they associate the smell of pine with wind coming from the north, so they move in a southerly direction,” Dr. Bateson said.

Peter Borchelt, a New York animal behaviorist, wondered if Holly followed the Florida coast by sight or sound, tracking Interstate 95 and deciding to “keep that to the right and keep the ocean to the left.”

But, he said, “nobody’s going to do an experiment and take a bunch of cats in different directions and see which ones get home.”

The closest, said Roger Tabor, a British cat biologist, may have been a 1954 study in Germany which cats placed in a covered circular maze with exits every 15 degrees most often exited in the direction of their homes, but more reliably if their homes were less than five kilometers away.

New research by the National Geographic and University of Georgia’s Kitty Cams Project, using video footage from 55 pet cats wearing video cameras on their collars, suggests cat behavior is exceedingly complex.

For example, the Kitty Cams study found that four of the cats were two-timing their owners, visiting other homes for food and affection. Not every cat, it seems, shares Holly’s loyalty.

KittyCams also showed most of the cats engaging in risky behavior, including crossing roads and “eating and drinking substances away from home,” risks Holly undoubtedly experienced and seems lucky to have survived.

But there have been other cats who made unexpected comebacks.

“It’s actually happened to me,” said Jackson Galaxy, a cat behaviorist who hosts “My Cat From Hell” on Animal Planet. While living in Boulder, Colo., he moved across town, whereupon his indoor cat, Rabbi, fled and appeared 10 days later at the previous house, “walking five miles through an area he had never been before,” Mr. Galaxy said.

Professor Tabor cited longer-distance reports he considered credible: Murka, a tortoiseshell in Russia, traveling about 325 miles home to Moscow from her owner’s mother’s house in Voronezh in 1989; Ninja, who returned to Farmington, Utah, in 1997, a year after her family moved from there to Mill Creek, Wash.; and Howie, an indoor Persian cat in Australia who in 1978 ran away from relatives his vacationing family left him with and eventually traveled 1,000 miles to his family’s home.

Professor Tabor also said a Siamese in the English village of Black Notley repeatedly hopped a train, disembarked at White Notley, and walked several miles back to Black Notley.

Still, explaining such journeys is not black and white.

In the Florida case, one glimpse through the factual fog comes on the little cat’s feet. While Dr. Bradshaw speculated Holly might have gotten a lift, perhaps sneaking under the hood of a truck heading down I-95, her paws suggest she was not driven all the way, nor did Holly go lightly.

“Her pads on her feet were bleeding,” Ms. Richter said. “Her claws are worn weird. The front ones are really sharp, the back ones worn down to nothing.”

Scientists say that is consistent with a long walk, since back feet provide propulsion, while front claws engage in activities like tearing. The Richters also said Holly had gone from 13.5 to 7 pounds.

Holly hardly seemed an adventurous wanderer, though her background might have given her a genetic advantage. Her mother was a feral cat roaming the Richters’ mobile home park, and Holly was born inside somebody’s air-conditioner, Ms. Richter said. When, at about six weeks old, Holly padded into their carport and jumped into the lap of Mr. Richter’s mother, there were “scars on her belly from when the air conditioner was turned on,” Ms. Richter said.

Scientists say that such early experience was too brief to explain how Holly might have been comfortable in the wild — after all, she spent most of her life as an indoor cat, except for occasionally running outside to chase lizards. But it might imply innate personality traits like nimbleness or toughness.

“You’ve got these real variations in temperament,” Dr. Bekoff said. “Fish can by shy or bold; there seem to be shy and bold spiders. This cat, it could be she has the personality of a survivor.”

He said being an indoor cat would not extinguish survivalist behaviors, like hunting mice or being aware of the sun’s orientation.

The Richters — Bonnie, 63, a retired nurse, and Jacob, 70, a retired airline mechanics’ supervisor and accomplished bowler — began traveling with Holly only last year, and she easily tolerated a hotel, a cabin or the R.V.

But during the Good Sam R.V. Rally in Daytona, when they were camping near the speedway with 3,000 other motor homes, Holly bolted when Ms. Richter’s mother opened the door one night. Fireworks the next day may have further spooked her, and, after searching for days, alerting animal agencies and posting fliers, the Richters returned home catless.

Two weeks later, an animal rescue worker called the Richters to say a cat resembling Holly had been spotted eating behind the Daytona franchise of Hooters, where employees put out food for feral cats.

Then, on New Year’s Eve, Barb Mazzola, a 52-year-old university executive assistant, noticed a cat “barely standing” in her backyard in West Palm Beach, struggling even to meow. Over six days, Ms. Mazzola and her children cared for the cat, putting out food, including special milk for cats, and eventually the cat came inside.

They named her Cosette after the orphan in Les Misérables, and took her to a veterinarian, Dr. Sara Beg at Paws2Help. Dr. Beg said the cat was underweight and dehydrated, had “back claws and nail beds worn down, probably from all that walking on pavement,” but was “bright and alert” and had no parasites, heartworm or viruses. “She was hesitant and scared around people she didn’t know, so I don’t think she went up to people and got a lift,” Dr. Beg said. “I think she made the journey on her own.”

At Paws2Help, Ms. Mazzola said, “I almost didn’t want to ask, because I wanted to keep her, but I said, ‘Just check and make sure she doesn’t have a microchip.’” When told the cat did, “I just cried.”

The Richters cried, too upon seeing Holly, who instantly relaxed when placed on Mr. Richter’s shoulder. Re-entry is proceeding well, but the mystery persists.

“We haven’t the slightest idea how they do this,” Mr. Galaxy said. “Anybody who says they do is lying, and, if you find it, please God, tell me what it is.”

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Problem Solver: Motorists get tickets while feeding meter








As is often the case in life, timing is everything.


For Anthony Latronica, it was also expensive.


On Nov. 3, the West Town resident parked his car on North Avenue near Wells Street and walked to the nearest parking meter to pay.






His wife put her credit card into the pay box but could not get the device to work.


According to phone records, she called Chicago Parking Meters LLC at 7:47 p.m. but had trouble getting through. She hung up and called again at 7:48 p.m., and a representative walked her through the procedure. Phone records show the call lasted three minutes.


The parking receipt printed out at 7:51 p.m., and Latronica went to put it on his dashboard. But in the rough-and-tumble world of Chicago parking, minutes can make a big difference.


In fact, Latronica was too late.


By the time he walked the half-block to his car, Latronica had already been ticketed for an expired meter, the citation time stamped at 7:49 p.m. — two minutes after his wife called Chicago Parking Meters to complain about the pay box.


Stunned, Latronica grabbed the ticket and tracked down the ticker writer.


"He told me that he did see us standing at the meter and he would cancel the ticket," Latronica said.


That didn't happen. Several weeks later, Latronica received a citation in the mail, telling him he could either contest the ticket or pay $60.


Latronica chose to contest.


He sent in an explanation of what happened, a copy of his credit card statement and a copy of the meter receipt.


In early January, he received the ruling: guilty.


Upset, Latronica called the Department of Administrative Hearings and asked how, given his circumstances, the ticket could be upheld? After all, he was in the process of getting a parking receipt when he received the ticket. It wasn't as if he could get the meter receipt before he parked the car.


He was told that since the receipt printed two minutes after the ticket was issued, he could have run back and paid for parking after receiving the citation.


Unable to make any headway with the city, Latronica emailed What's Your Problem?


He said what irked him the most was the fact that he did nothing wrong and still got dinged. To appeal the administrative law officer's ruling would cost more money, he said.


"It is probably not worth the time, money and effort to bring a suit, but it really bothers me that this can be happening every day across the city and citizens are just denied when they contest it," Latronica said.


In fact, his experience is not an isolated incident. The same week that Latronica emailed about his situation, another reader, Holly Mair, wrote in describing a similar experience.






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2 shot to death in separate attacks on South, West sides









Two men were shot to death in separate attacks within about 15 minutes of each other, one in Austin and one in Back of the Yards, authorities said.


About 9:15 p.m., a man was shot to death inside a Popeyes Louisiana Kitchen, 5500 W. North Ave.


The man, who witnesses said was about 21 years old, was inside a business when he was shot from outside by someone who fled on foot, said Chicago Police News Affairs Officer Amina Greer. He was unresponsive on the scene, she said.








Three workers inside were cleaning up inside as police examined shell casings outside about 10 p.m. Someone fired at least four times from outside the restaurant, piercing a window and striking the man, police said.


An employee who was inside making up an order at the time of the shooting said the gunfire did not sound like shots but instead like someone hitting a table with a hammer.


Just 15 minutes later, a man in his 20s was found shot to death on a sidewalk about 9:30 p.m. in the 5400 block of South Laflin Street, Greer said. He suffered a gunshot wound to the face and was dead on the scene, she said.


Police found him in a gangway next to a house with vacant brick buildings on each side.


About 11:35 p.m., a male was shot in the leg in the 4400 block of South Washtenaw Avenue, Greer said. He was taken to Mount Sinai Hospital in good condition.


Someone shot two teens in the 8400 block of South Constance Avenue about 9:45 p.m., Greer said. A 15-year-old was shot in the chest and taken to Comer Children's Hospital in critical condition and a 16-year-old was grazed in the back and taken to Jackson Park Hospital in good condition.


Earlier, two men were shot in the Englewood neighborhood tonight. The shooting took place about 7:30 p.m. on the 7300 block of South Racine Avenue, and left one man wounded in the back and the other in the foot, police said.


The Chicago Fire Department said the men were taken to hospitals from nearby locations where they were found by emergency personnel.


A 20-year-old man with a wound to the back was taken from 74th and Racine in serious condition to Advocate Christ Medical Center in Oak Lawn, and an 18-year-old man with a wound to the foot was taken from 74th and Aberdeen Street to St. Bernard Hospital, where his condition was stabilized, according to Fire Media reports.

No further details were immediately available.


pnickeas@tribune.com
Twitter: @peternickeas


lford@tribune.com
Twitter: @ltaford






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How Your Great-Grandmother’s Hobby Is Transforming One Alabama Town






Natalie Chanin’s life-changing epiphany struck while standing on a New York City street corner.


For days, she had traversed throughout the city with a trash bag of her deconstructed T-shirts, seeking a manufacturer to help her make them. None of them, however, understood what kind of stitching she wanted on her creations, which had become popular in New York fashion circles after she made one on a whim and wore it to a party. Chanin was frustrated.






But then, she remembered a group of women who constructed hand-made quilts with bold stitching passed down through the generations. Chanin envisioned those stitches on her deconstructed T-shirts, She believed that those women could help her fuse the past with the present.


So, like a modern-day Scarlett O’Hara, Chanin knew where her immediate future lay, and it was back home in Florence, Ala. When Chanin returned to Florence in 2000, it was a much different place than when she left it in the 1980s. Then, the historic quaint town was the T-shirt capitol of the world, thanks to a thriving textile industry that employed thousands.


But a decade later, that industry had nearly vanished. People were unemployed in the town of 40,000 and warehouses were closed. The cotton once used for T-shirts was now shipped aboard. Chanin squarely blames NAFTA for these changes.


Public Citizen, a non-profit grassroots organization, cites that Alabama lost 118,125 manufacturing jobs from 1994 to 2012. The Bureau of Labor Statistics stated in a 1995 report that while the textile industry was seeing employment decline in the 1980s because of technology and overseas jobs, but it noted, “Future employment levels will be affected by the North America Free Trade Agreement” and that job loss would be “incremental” over the years.


NAFTA was touted as a good thing by many people because it would ease trade regulations and increased investment between the United States, Canada and Mexico. In 1993, President Bill Clinton signed the legislation, saying at the time: “NAFTA means jobs, American jobs, and good-paying American jobs. If I didn’t believe that, I wouldn’t support this agreement.”


Chanin doesn’t proclaim to be an expert on NAFTA, but the trade agreement angers her, and she blames Clinton for it.


“I often wonder if he regrets NAFTA,” Chanin says. “NAFTA helped to put a nail in the coffin of manufacturers in America. It created fear and anger, and we didn’t get the open commerce we wanted.”


The unemployment and the textile industry’s death in Florence haunted Chanin. She says she did what she knew how to do – sew – and never had a plan to become an eco-friendly fashion leader, a cheerleader for artisan seamstresses or a poster girl for Made in the USA. But that’s exactly what happened.


Chanin’s handcrafted, organic couture line – Alabama Chanin – has become emblematic of what’s possible when someone focuses on community commitment, sustainability and local traditions.


“I believe in ‘Made in America’ where at all possible,” Chanin says. “I see it almost as a matter of national security. It’s disturbing when you see that there are no steel mills in the South anymore. Food, clothing, shelter, right? Those are essential to sustaining life. Sewing was once a vital necessity for men and women.”


 Photo: Alabama Chanin


Chanin, 50, has certainly stitched her own path with a needle and thread.


On this January day, Chanin wears a black skirt, white boots and a white long-sleeve shirt with a black overlay T-shirt. Her trademark white hair frames her ageless face. Sitting at a long white table, she weaves her story like any good Southern storyteller. To fully grasp Chanin’s role in the Slow Fashion movement that promotes quality over quantity, you have to absorb Florence’s history and Chanin’s connection to it.


In the 1800s, Florence, a river town, had an abundance of water and streams that made it geographically suited as a cotton mill town. Villages soon cropped up where men, women and even children made underwear, union suits and undershirts for paltry wages. It was a rough life, dependent on soil, water and the seasons. Cotton was king, and it supported generations through the Civil War, the Great Depression and World War II.


Chanin’s Alabama roots cross many decades, and her family tree goes back seven generations in the area. Her great-grandmother knitted socks in east Florence’s Sweetwater Mill. Both of her grandmothers were avid quilters. Her parents still live around Florence and her 30-year-old son, Zachariah, moved to the town five years ago. Six years ago, Chanin’s daughter, Maggie, was born, and five months ago, her son became a father to Chanin’s first grandchild, Stella Ruth.


“There are five generations of my family alive and living here now,” she says. “It’s home, and that’s why I came back. It’s home.”


Sweet Home Alabama


When Chanin returned to Alabama, she set up shop in a three-bedroom brick house “10 miles as the crow flies” from Florence in a community known as Lovelace Crossing. “We say it like ‘loveless’,” Chanin says.


There, she began what she considered “just an art project” with the recycled, reworked T-shirts. She visited the quilting circle, and the women still met weekly, sold their completed quilts and reinvested the money into the community center – just as Chanin remembered. She told the women that she wanted to hire them for her project. But she hit a deadend.


“They said, ‘This is something we do for the community, we don’t want a job,” Chanin recalls. “They had gardens, grandchildren and they didn’t want the responsibility.”


Chanin persevered.


She placed an ad in the local newspaper seeking part-time seamstresses. Sixty people responded; she locked in 20 of them as independent contractors, creating a cottage industry that allowed women to work on their own terms and time. Many of these women lived in rural areas, had limited, if no, transportation and children to care for during the day.


The idea worked and evolved into the company Project Alabama. Eventually a few hundred stitchers sewed for her Project Alabama line. But, then the U.S. Department of Labor entered the picture in 2003 and investigated the independent contractor methods.


“We lost 90 percent of our workforce from one day to the next,” she says. “We refined the system because the Department of Labor was instrumental in showing us how the independent contractor system could work.”


The Birth of Alabama Chanin


“There are no rules; that is how art is born.” That’s the greeting on a lighted sign inside the front door of the Alabama Chanin spacious office and work space. Another handmade fabric sign states, “Waste Not Want Not.” On the back of two chairs, the words “Simplify, Simplify, Simplify” are carved into the natural wood. All of these sum up Chanin’s ethos.


Chanin left Project Alabama in 2006 amid differences about the company’s future regarding retaining jobs in her home town.


She soon started Alabama Chanin, leaving the house in Loveless and renting a 5,000-square-foot warehouse in Florence with a long history in the textile industry. The space was once part of a larger 100,000-square-feet complex that housed wall-to-wall sewing machines and workers who dyed fabric and made T-shirts.


Now a rack of Chanin’s designs – beautiful white coats with red stitching, appliqué skirts, stenciled T-shirts – has replaced the machines. Wire shelves hold Chanin’s white swatch books with hundreds of appliqué designs. Southern books, including the three she wrote, are displayed along with her examples of her jewelry and ceramic lines. Vintage Alabama quilts, which Chanin has “stabilized” with remnant fabrics and embroidery that tells stories, hang on one wall.


 Photo: Rinne Allen/Alabama Chanin


Unlike most clothing companies, Alabama Chanin doesn’t mass produce hundreds of items for retail, in an effort to maintain a policy of zero waste. Instead, each piece is a work-of-art, an item to be treasured, and like art, an Alabama Chanin garment is expensive – some range upwards of $ 5,000 and beyond. Fans often save for two or three years to own one.


Chanin uses only 100 percent organic cotton grown in Texas. It is spun into yarn in North Carolina, knitted into fabric in South Carolina and dyed in Tennessee and North Carolina. In the best case scenario, Chanin says, she attempts to use 100 percent American products, but occasionally organic domestic cotton is not available.


She no longer shows her designs at New York City Fashion Week, instead developing her brand through trunk shows, word-of-mouth and the Internet. While many designers keep their designs secret, Chanin does not. She is a zealous believer in the DIY and open-source movement. A significant part of her business is now centered on teaching workshops, writing books and her blog and selling custom sewing kits that allow others to create their own clothing and accessories.


It’s the operation of her business, however, that is most innovative.


Chanin employs only eleven people at the warehouse, but 30 seamstresses work as independent contractors. Over the years, Chanin estimates that more than 500 seamstresses in the Florence area have contributed to her design business. Her system is now similar to a cottage industry.


The concept hearkens to the Industrial Revolution when workers couldn’t travel from rural areas to urban ones. It allowed workers to have employment and also flexibility, something that is still needed in the 21st century.


“I’m just as proud of the system [we’ve developed] as for the designs that have been in Vogue,” she says. “Women are the primary caregivers whether it is a sick child or a caregiver for an elderly parent. They can work when they want, where they want and it empowers them to set their own schedule.”


A product isn’t made until a customer places an order. A bidding sheet for projects is sent to the 30 seamstresses via email and is also available at the warehouse. Seamstresses bid on projects, quoting Chanin a price that they think is fair depending on the project’s complexity with design, beading and appliqué. The bid may be in the thousands of dollars and take several months to complete as every piece is hand-sewn with not one stitch made on a machine.


 Photo: Rinne Allen/Alabama Chanin


The seamstress then invests her money into the project by purchasing the unassembled raw materials (fabric panels, thread, an Alabama Chanin label and other supplies) in person at the warehouse.


“When everyone is invested, you have a better ratio for success,” Chanin says. “They work by the project not by the time,” she explains. “We don’t ask. That’s their business. It’s totally up to them how they want to do it.”


When the project is finished, the seamstress initials the label and sells the creation back for the value she thinks it is worth. Rarely does an item fail to meet standards or a deadline. Ever conscious, Chanin tries to ensure everyone has a project during slow periods.


“We are always looking for ways to keep our artisans busy, and if we don’t, they will try to find other jobs because they have to feed their families,” she says. “These people are like our families. We care about them. We know their kids. We know who they are. We have become grandmothers together. We have broken bread together. We have prayed together. Keeping them in work is one of the responsibilities I have as a business owner.”


The Future Is Bright


Along back roads of the South, cotton fields extend for miles. The fluffy white bolls remain an integral part of the Southern economy and culture. No one knows this better than Southerners like Chanin and Florence fashion designer, Billy Reid, and his staff.


“This whole conversation sprang up about two years ago because there is an organization interested in bringing manufacturing back to the South,” Chanin says. “We were saying that it would be amazing if we could have vertical manufacturing here from growing the cotton to cutting and sewing it.”


Chanin gives credit to K.P. McNeill, who works for Billy Reid, for finding the six-acre untouched and unfarmed spot for the organic cotton experiment. From there, Chanin calls the farming adventure “a miraculous journey.”


“We found two sacks of seeds after we couldn’t find any,” she says. “We didn’t have a tractor and suddenly we had a tractor. We didn’t have a planter and then we had a planter.”


A severe drought threatened to kill the cotton crop, but amazingly, the cotton grew. Last October, Chanin closed her warehouse for the day and headed to the cotton patch to attend Alabama Chanin and Billy Reid Cotton Picking Party and Field Day. Family, friends and the community were invited to join Chanin. She hoped that people would learn about organic farming and the future possibilities that exist for Florence textile industry. While the acreage only produced a bale and half of cotton, it offered hope for the next season.


For Chanin, growing jobs was once her primary concern, but she has expanded her mission to include cultivating DIY ingenuity and, now, tackling the land. Her latest farming project should not surprise those who know and admire Chanin. After all, she believes that other businesses and designers should simply follow their heart.


“It’s about making the right decisions which aren’t always the easiest decisions,” Chanin says. “But every time I’ve made the right decision, I’ve been rewarded.”



Suzi Parker is an Arkansas-based political and cultural journalist whose work frequently appears in The Washington Post and The Christian Science Monitor. She is the author of two books. @SuziParker | TakePart.com 


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