TUESDAY, NOVEMBER 15, 2022                         EZ                                                                                                  OPQRS                                                                                                                                                                                                                   CLASSIFIED D11
                                                                                                                                                                                                                                                                                                                                                                          856 Frederick County
851 Prince Georges County 851 Prince Georges County 855 Charles County                         855 Charles County                                      856 Frederick County       856 Frederick County                                                 856 Frederick County       856 Frederick County                                              856 Frederick County
       Robertson, Anschutz, Schneid & Crane, LLC                             Robertson, Anschutz, Schneid & Crane, LLC                                                                BWW Law Group, LLC                                                                              BWW Law Group, LLC                                                                           BWW Law Group, LLC
          11350 McCormick Road, EP 1, Suite 302                                 11350 McCormick Road, EP 1, Suite 302                                                           6003 Executive Blvd., Suite 101                                                                 6003 Executive Blvd., Suite 101                                                              6003 Executive Blvd., Suite 101
                   Hunt Valley, MD 21031                                                 Hunt Valley, MD 21031
                       470-321-7112                                                          470-321-7112                                                                             Rockville, MD 20852                                                                             Rockville, MD 20852                                                                          Rockville, MD 20852
                                                                                          TRUSTEES' SALE OF                                                                             (301) 961-6555                                                                                  (301) 961-6555                                                                               (301) 961-6555
                    TRUSTEES' SALE OF                                              VALUABLE FEE SIMPLE PROPERTY
             VALUABLE FEE SIMPLE PROPERTY                                                      KNOWN AS                                                                          SUBSTITUTE TRUSTEES' SALE                                                                       SUBSTITUTE TRUSTEES' SALE                                                                    SUBSTITUTE TRUSTEES' SALE
                                                                                           73 MEADOW LANE                                                          OF REAL PROPERTY AND ANY IMPROVEMENTS THEREON                                                   OF REAL PROPERTY AND ANY IMPROVEMENTS THEREON                                                OF REAL PROPERTY AND ANY IMPROVEMENTS THEREON
                         KNOWN AS                                                         WALDORF, MD 20601
                  3704 CHANCELSORS DR                                                                                                                                                 527 N. MARKET ST.                                                                              1466 TRAFALGAR LN.                                                                       804 STRATFORD WAY, UNIT L
                Upper Marlboro, MD 20772                              Under a power of sale contained in that Deed of Trust dated                                                   FREDERICK, MD 21701                                                                             FREDERICK, MD 21701                                                                          FREDERICK, MD 21701
Under a power of sale contained in that Deed of Trust dated           July 31, 2018, and recorded in Liber 10360, folio 166, of                        Under a power of sale contained in a certain Deed of Trust dated December 21, 2007,             Under a power of sale contained in a certain Deed of Trust dated April 11, 2017,
June 22, 2018, and recorded in Liber 41076, folio 500, of             the land records of CHARLES COUNTY , with an original                            recorded in Liber 6848, Folio 640 among the Land Records of Frederick County, MD,               recorded in Liber 11769, Folio 516 among the Land Records of Frederick County,               Under a power of sale contained in a certain Deed of Trust dated April 30, 2018,
the land records of PRINCE GEORGE'S COUNTY , with an                  principal balance of $182,360.00, default having occurred                        with an original principal balance of $143,600.00, default having occurred under the            MD, with an original principal balance of $279,424.00, default having occurred               recorded in Liber 12404, Folio 346 among the Land Records of Frederick County,
original principal balance of $586,970.00 , default having            under the terms thereof, the appointed Substitute Trustees will                  terms thereof, the Sub. Trustees will sell at public auction at the Circuit Court for           under the terms thereof, the Sub. Trustees will sell at public auction at the Circuit        MD, with an original principal balance of $118,650.00, default having occurred
occurred under the terms thereof, the appointed Substitute            offer for sale at public auction at THE CHARLES COUNTY                           Frederick County, at the Court House Door, 100 W. Patrick St., Frederick, MD 21701,             Court for Frederick County, at the Court House Door, 100 W. Patrick St., Frederick, MD       under the terms thereof, the Sub. Trustees will sell at public auction at the Circuit
Trustees will offer for sale at public auction at THE PRINCE          COURTHOUSE LOCATED AT 200 CHARLES STREET ( IN THE                                on                                                                                              21701, on                                                                                    Court for Frederick County, at the Court House Door, 100 W. Patrick St., Frederick, MD
GEORGE'S COUNTY COURTHOUSE LOCATED AT FRONT OF                        BREEZEWAY BETWEEN CIRCUIT AND DISTRICT COURTS ), LA                                                      DECEMBER 2, 2022 AT 12:30 PM                                                                    DECEMBER 2, 2022 AT 12:24 PM                                         21701, on
THE DUVAL WING OF THE COURTHOUSE COMPLEX 14735                        PLATA, MD 20646 ON,                                                              ALL THAT FEE SIMPLE LOT OF GROUND, together with any buildings or                               ALL THAT FEE SIMPLE LOT OF GROUND, together with any buildings or
MAIN ST, UPPER MARLBORO, MD 20772 ON,                                                                                                                  improvements thereon located in Frederick County, MD and more fully described in                improvements thereon located in Frederick County, MD and more fully described in                                     NOVEMBER 18, 2022 AT 11:20 AM
             NOVEMBER 17, 2022 at 10:00 AM                                          DECEMBER 1, 2022 at 12:30 PM                                       the aforesaid Deed of Trust.                                                                    the aforesaid Deed of Trust.                                                                 ALL THAT FEE SIMPLE LOT OF GROUND, together with any buildings or
ALL THAT FEE SIMPLE LOT OF GROUND together with                                                                                                        The property, and any improvements thereon, will be sold in an "as is" condition and            The property, and any improvements thereon, will be sold in an "as is" condition and         improvements thereon located in Frederick County, MD and described as Unit No.
any buildings or improvements thereon situated in PRINCE              ALL THAT FEE SIMPLE LOT OF GROUND together with any                              subject to conditions, restrictions and agreements of record affecting the same, if any,        subject to conditions, restrictions and agreements of record affecting the same, if any,     L 3200 in an expandable condominium regime known as "Phase III Fredericktowne
GEORGE'S COUNTY, MD, located at the above address and more            buildings or improvements thereon situated in CHARLES                            and with no warranty of any kind.                                                               and with no warranty of any kind.                                                            Condominium II" and more fully described in the aforesaid Deed of Trust.
fully described in the aforementioned Deed of Trust.                  COUNTY, MD, located at the above address and more fully                          Terms of Sale: A deposit of $11,000 in the form of certified check, cashier's                   Terms of Sale: A deposit of $25,000 in the form of certified check, cashier's                The property, and any improvements thereon, will be sold in an "as is" condition and
TAX ID# - 03-4009882                                                  described in the aforementioned Deed of Trust.                                   check or money order will be required of the purchaser at time and place of sale.               check or money order will be required of the purchaser at time and place of sale.            subject to conditions, restrictions and agreements of record affecting the same, if any,
The property and improvements will be sold in an "AS IS"              TAX ID# - 06-102565                                                              Balance of the purchase price, together with interest on the unpaid purchase money              Balance of the purchase price, together with interest on the unpaid purchase money           and with no warranty of any kind.
physical condition without warranty of any kind and subject to all    The property and improvements will be sold in an "AS IS"                         at the current rate contained in the Deed of Trust Note from the date of sale to                at the current rate contained in the Deed of Trust Note from the date of sale to             Terms of Sale: A deposit of $11,000 in the form of certified check, cashier's
conditions, restrictions and agreements of record affecting the       physical condition without warranty of any kind and subject to all               the date funds are received by the Sub. Trustees, payable in cash within ten days               the date funds are received by the Sub. Trustees, payable in cash within ten days            check or money order will be required of the purchaser at time and place of sale.
same, including any condominium or homeowners association             conditions, restrictions and agreements of record affecting the                  of final ratification of the sale by the Circuit Court. There will be no abatement              of final ratification of the sale by the Circuit Court. There will be no abatement           Balance of the purchase price, together with interest on the unpaid purchase money
assessments pursuant to MD Real Property Article § 11-110            same, including any condominium or homeowners association                        of interest due to the purchaser in the event additional funds are tendered before              of interest due to the purchaser in the event additional funds are tendered before           at the current rate contained in the Deed of Trust Note from the date of sale to
and § 11B-117 .                                                      assessments pursuant to MD Real Property Article § 11-110                       settlement. TIME IS OF THE ESSENCE FOR THE PURCHASER. Adjustment of all                         settlement. TIME IS OF THE ESSENCE FOR THE PURCHASER. Adjustment of all                      the date funds are received by the Sub. Trustees, payable in cash within ten days
TERMS OF SALE: A non-refundable bidder's deposit of                   and § 11B-117 .                                                                 real property taxes, including agricultural taxes, if applicable, and any and all public        real property taxes, including agricultural taxes, if applicable, and any and all public     of final ratification of the sale by the Circuit Court. There will be no abatement
$57,000.00 by cashier's/certified check or such other form as         TERMS OF SALE: A non-refundable bidder's deposit of                              and/or private charges or assessments, to the extent such amounts survive foreclosure           and/or private charges or assessments, to the extent such amounts survive foreclosure        of interest due to the purchaser in the event additional funds are tendered before
the Substitute Trustee may determine, in their sole discretion,       $17,500.00 by cashier's/certified check or such other form as                    sale, including water/sewer, ground rent and front foot benefit charges, to be adjusted         sale, including water/sewer, ground rent and front foot benefit charges, to be adjusted      settlement. TIME IS OF THE ESSENCE FOR THE PURCHASER. Adjustment of all
required at time of sale except for the party secured by the          the Substitute Trustee may determine, in their sole discretion,                  to date of sale and thereafter assumed by purchaser. Purchaser is responsible for any           to date of sale and thereafter assumed by purchaser. Purchaser is responsible for any        real property taxes, including agricultural taxes, if applicable, and any and all public
Deed of Trust. Risk of loss on purchaser from date and time of        required at time of sale except for the party secured by the Deed                recapture of homestead tax credit. All transfer taxes and recordation taxes shall be            recapture of homestead tax credit. All transfer taxes and recordation taxes shall be         and/or private charges or assessments, to the extent such amounts survive foreclosure
auction. The balance of the purchase price together with interest     of Trust. Risk of loss on purchaser from date and time of auction.               paid by Purchaser. The purchaser shall be responsible for the payment of the ground             paid by Purchaser. The purchaser shall be responsible for the payment of the ground          sale, including water/sewer, ground rent and front foot benefit charges, to be adjusted
thereon at % per annum from date of sale to receipt of purchase       The balance of the purchase price together with interest thereon                 rent escrow, if required. Condominium fees and/or homeowners association dues, if               rent escrow, if required. Condominium fees and/or homeowners association dues, if            to date of sale and thereafter assumed by purchaser. Purchaser is responsible for any
price by Substitute Trustees must be paid by cashier's check          at 5.125% per annum from date of sale to receipt of purchase                     any, shall be assumed by the purchaser from the date of sale. Purchaser is responsible          any, shall be assumed by the purchaser from the date of sale. Purchaser is responsible       recapture of homestead tax credit. All transfer taxes and recordation taxes shall be
within 10 days after final ratification of sale. The noteholder       price by Substitute Trustees must be paid by cashier's check                     for obtaining physical possession of the property, and assumes risk of loss or damage           for obtaining physical possession of the property, and assumes risk of loss or damage        paid by Purchaser. The purchaser shall be responsible for the payment of the ground
shall not be obligated to pay interest if it is the purchaser. There  within 10 days after final ratification of sale. The noteholder                  to the property from the date of sale. The sale is subject to post-sale audit of the            to the property from the date of sale. The sale is subject to post-sale audit of the         rent escrow, if required. Condominium fees and/or homeowners association dues, if
will be no abatement of interest due from the purchaser in the        shall not be obligated to pay interest if it is the purchaser. There             status of the loan with the loan servicer including, but not limited to, determination          status of the loan with the loan servicer including, but not limited to, determination       any, shall be assumed by the purchaser from the date of sale. Purchaser is responsible
event that additional funds are tendered before settlement or if      will be no abatement of interest due from the purchaser in the                   of whether the borrower entered into any repayment agreement, reinstated or paid off            of whether the borrower entered into any repayment agreement, reinstated or paid off         for obtaining physical possession of the property, and assumes risk of loss or damage
settlement is delayed for any reason. All real estate taxes and       event that additional funds are tendered before settlement or if                 the loan prior to the sale. In any such event, this sale shall be null and void, and the        the loan prior to the sale. In any such event, this sale shall be null and void, and the     to the property from the date of sale. The sale is subject to post-sale audit of the
other public charges and/or assessments to be adjusted as of the      settlement is delayed for any reason. All real estate taxes and                  Purchaser's sole remedy, in law or equity, shall be the return of the deposit without           Purchaser's sole remedy, in law or equity, shall be the return of the deposit without        status of the loan with the loan servicer including, but not limited to, determination
date of sale and thereafter assumed by purchaser. If applicable,      other public charges and/or assessments to be adjusted as of the                 interest. If purchaser fails to settle within ten days of ratification, subject to order of     interest. If purchaser fails to settle within ten days of ratification, subject to order of  of whether the borrower entered into any repayment agreement, reinstated or paid off
any condominium and/or homeowners association dues and                date of sale and thereafter assumed by purchaser. If applicable,                 court, purchaser agrees that property will be resold and entire deposit retained by Sub.        court, purchaser agrees that property will be resold and entire deposit retained by Sub.     the loan prior to the sale. In any such event, this sale shall be null and void, and the
assessments that may become due after the date of sale shall          any condominium and/or homeowners association dues and                           Trustees as liquidated damages for all losses occasioned by the purchaser's default             Trustees as liquidated damages for all losses occasioned by the purchaser's default          Purchaser's sole remedy, in law or equity, shall be the return of the deposit without
be purchaser's responsibility. Purchaser shall pay all transfer,      assessments that may become due after the date of sale shall                     and purchaser shall have no further liability. The defaulted purchaser shall not be             and purchaser shall have no further liability. The defaulted purchaser shall not be          interest. If purchaser fails to settle within ten days of ratification, subject to order of
documentary and recording taxes/fees and all other settlement         be purchaser's responsibility. Purchaser shall pay all transfer,                 entitled to any surplus proceeds resulting from said resale even if such surplus results        entitled to any surplus proceeds resulting from said resale even if such surplus results     court, purchaser agrees that property will be resold and entire deposit retained by Sub.
costs. Purchaser is responsible for obtaining possession of the       documentary and recording taxes/fees and all other settlement                    from improvements to the property by said defaulted purchaser. Sub. Trustees will               from improvements to the property by said defaulted purchaser. Sub. Trustees will            Trustees as liquidated damages for all losses occasioned by the purchaser's default
property. Time is of the essence for the purchaser. If purchaser      costs. Purchaser is responsible for obtaining possession of the                  convey either marketable or insurable title. If they cannot deliver one or the other, or if     convey either marketable or insurable title. If they cannot deliver one or the other, or if  and purchaser shall have no further liability. The defaulted purchaser shall not be
defaults, deposit will be forfeited and property resold at the risk   property. Time is of the essence for the purchaser. If purchaser                 ratification of the sale is denied by the Circuit Court for any reason, the Purchaser's         ratification of the sale is denied by the Circuit Court for any reason, the Purchaser's      entitled to any surplus proceeds resulting from said resale even if such surplus results
and cost of the defaulting purchaser who shall be liable for any      defaults, deposit will be forfeited and property resold at the risk              sole remedy, at law or equity, is return of the deposit without interest. BIDDERS ARE           sole remedy, at law or equity, is return of the deposit without interest. BIDDERS ARE        from improvements to the property by said defaulted purchaser. Sub. Trustees will
deficiency in the purchase price and all costs, expenses and          and cost of the defaulting purchaser who shall be liable for any                 STRONGLY ENCOURAGED TO FOLLOW CDC GUIDANCE AND WEAR A COVER OVER                                STRONGLY ENCOURAGED TO FOLLOW CDC GUIDANCE AND WEAR A COVER OVER                             convey either marketable or insurable title. If they cannot deliver one or the other, or if
attorney's fees of both sales. If Substitute Trustees do not convey   deficiency in the purchase price and all costs, expenses and                     BOTH NOSE AND MOUTH AND PRACTICE SOCIAL DISTANCING AT THE AUCTION.                              BOTH NOSE AND MOUTH AND PRACTICE SOCIAL DISTANCING AT THE AUCTION.                           ratification of the sale is denied by the Circuit Court for any reason, the Purchaser's
title for any reason, purchaser's sole remedy is return of deposit    attorney's fees of both sales. If Substitute Trustees do not convey              (Matter No. 353271-1)                                                                           (Matter No. 356394-1)                                                                        sole remedy, at law or equity, is return of the deposit without interest. BIDDERS ARE
without interest. This sale is subject to post-sale audit of the      title for any reason, purchaser's sole remedy is return of deposit                                                                                                                                                                                                            STRONGLY ENCOURAGED TO FOLLOW CDC GUIDANCE AND WEAR A COVER OVER
status of the loan secured by the Deed of Trust including but not     without interest. This sale is subject to post-sale audit of the                                 PLEASE CONSULT WWW.ALEXCOOPER.COM FOR                                                           PLEASE CONSULT WWW.ALEXCOOPER.COM FOR                                        BOTH NOSE AND MOUTH AND PRACTICE SOCIAL DISTANCING AT THE AUCTION.
limited to determining whether prior to sale a bankruptcy was         status of the loan secured by the Deed of Trust including but not                                          STATUS OF UPCOMING SALES                                                                        STATUS OF UPCOMING SALES                                           (Matter No. 355696-1)
filed; forbearance, repayment or other agreement was entered          limited to determining whether prior to sale a bankruptcy was
into; or loan was reinstated or paid off. In any such even this       filed; forbearance, repayment or other agreement was entered                               Howard N. Bierman, Carrie M. Ward, et. al., Substitute Trustees                                 Howard N. Bierman, Carrie M. Ward, et. al., Substitute Trustees                                    PLEASE CONSULT WWW.ALEXCOOPER.COM FOR
sale shall be null and void and purchaser's sole remedy shall         into; or loan was reinstated or paid off. In any such even this                                                                                                                                                                                                                                         STATUS OF UPCOMING SALES
be return of deposit without interest. File No. (22-020094)           sale shall be null and void and purchaser's sole remedy shall
        Keith Yacko, David Williamson, Bryson Stephen                 be return of deposit without interest. File No. (22-064783)                                                                                                                                                                                                                             Howard N. Bierman, Carrie M. Ward, et. al., Substitute Trustees
                     Substitute Trustees                                      Keith Yacko, David Williamson, Bryson Stephen,                           November 15, 22, 29, 2022                               12402771                                November 15, 22, 29, 2022       12402768 November 1, 8, 15, 2022                                                                              12401336
                                                                                           Substitute Trustees
                                                                                                                                                                                      BWW Law Group, LLC                                                                                        857 Howard County                                                         857 Howard County
                                                                                                                                                                                6003 Executive Blvd., Suite 101
                                                                                                                                                                                                                                                                                      BWW Law Group, LLC                                                                       Rosenberg & Associates, LLC
                                                                                                                                                                                      Rockville, MD 20852                                                                       6003 Executive Blvd., Suite 101                                                             4340 East West Highway, Suite 600
                                                                                                                                                                                        (301) 961-6555
                                                                                                                                                                                                                                                                                      Rockville, MD 20852                                                                          Bethesda, MD 20814
                                                                                                                                                                                 SUBSTITUTE TRUSTEES' SALE                                                                              (301) 961-6555                                                                               (301) 907-8000
                                                                                                                                                                   OF REAL PROPERTY AND ANY IMPROVEMENTS THEREON
                                                                                                                                                                                                                                                                                 SUBSTITUTE TRUSTEES' SALE                                                                      www.rosenberg-assoc.com
                                                                                                                                                                                        114 W. 5TH ST.                                                             OF REAL PROPERTY AND ANY IMPROVEMENTS THEREON                                                              SUBSTITUTE TRUSTEES’ SALE
                                                                                                                                                                                   A/R/T/A 114 W. FIFTH ST.                                                                                                                                                                  OF IMPROVED REAL PROPERTY
                                                                                                                                                                                    FREDERICK, MD 21701                                                                            3721 SPRIGG ST. NORTH
                                                                                                                                                       Under a power of sale contained in a certain Deed of Trust dated December 5, 2007,                                           FREDERICK, MD 21704                                                                          9420 FENS HOLLOW RD.
                                                                                                                                                       recorded in Liber 6935, Folio 552 among the Land Records of Frederick County, MD,               Under a power of sale contained in a certain Deed of Trust dated April 19, 2006,                                            LAUREL, MD 20723
                                                                                                                                                       with an original principal balance of $195,300.00, default having occurred under the            recorded in Liber 5986, Folio 403 among the Land Records of Frederick County, MD,
                                                                                                                                                       terms thereof, the Sub. Trustees will sell at public auction at the Circuit Court for           with an original principal balance of $589,500.00, default having occurred under the         Under a power of sale contained in a certain Deed of Trust from David Freeman and
                                                                                                                                                       Frederick County, at the Court House Door, 100 W. Patrick St., Frederick, MD 21701,             terms thereof, the Sub. Trustees will sell at public auction at the Circuit Court for        Tina Freeman dated April 28, 2005 and recorded in Liber 9283, folio 74 among the
                                                                                                                                                       on                                                                                              Frederick County, at the Court House Door, 100 W. Patrick St., Frederick, MD 21701,          Land Records of Howard County, MD, default having occurred under the terms thereof,
                                                                                                                                                                                                                                                       on                                                                                           the Sub. Trustees will sell at public auction at the Circuit Court for Howard County, at
                                                                                                                                                                              DECEMBER 2, 2022 AT 12:28 PM                                                                     DECEMBER 2, 2022 AT 12:22 PM                                         the Court House Door, 9250 Judicial Way, Ellicott City, MD 21043, on
                                                                                                                                                                                                                                                       ALL THAT FEE SIMPLE LOT OF GROUND, together with any buildings or
                                                                                                                                                       ALL THAT FEE SIMPLE LOT OF GROUND, together with any buildings or                               improvements thereon located in Frederick County, MD and more fully described in                                      DECEMBER 2, 2022 AT 9:20 AM
                                                                                                                                                       improvements thereon located in Frederick County, MD and more fully described in                the aforesaid Deed of Trust.                                                                 ALL THAT FEE SIMPLE LOT OF GROUND, together with the buildings and
                                                                                                                                                       the aforesaid Deed of Trust.                                                                    The property, and any improvements thereon, will be sold in an "as is" condition and         improvements thereon situated in Howard County, MD and more fully described in the
                                                                                                                                                                                                                                                       subject to conditions, restrictions and agreements of record affecting the same, if any,     aforesaid Deed of Trust. Tax ID #06-514286.
                            www.hwestauctions.com  12398041                                      www.hwestauctions.com  12402306                       The property, and any improvements thereon, will be sold in an "as is" condition and            and with no warranty of any kind.                                                            The property, which is improved by a dwelling, will be sold in an "as is" condition and
                                                                                                                                                       subject to conditions, restrictions and agreements of record affecting the same, if any,        Terms of Sale: A deposit of $49,000 in the form of certified check, cashier's                subject to conditions, restrictions and agreements of record affecting the same, if any,
November 1, 8, 15, 2022                                               November 15, 22, 29, 2022                                                        and with no warranty of any kind.                                                               check or money order will be required of the purchaser at time and place of sale.            and with no warranty of any kind.
                                                                                                                                                       Terms of Sale: A deposit of $18,000 in the form of certified check, cashier's                   Balance of the purchase price, together with interest on the unpaid purchase money           Terms of Sale: A deposit of $48,000 in the form of certified check, cashier's check
                                                                                                                                                       check or money order will be required of the purchaser at time and place of sale.               at the current rate contained in the Deed of Trust Note from the date of sale to             or money order will be required of the purchaser at time and place of sale. Balance
                                                                                                                                                       Balance of the purchase price, together with interest on the unpaid purchase money              the date funds are received by the Sub. Trustees, payable in cash within ten days            of the purchase price to be paid in cash within ten days of final ratification of sale
                                                                                                                                                       at the current rate contained in the Deed of Trust Note from the date of sale to                of final ratification of the sale by the Circuit Court. There will be no abatement           by the Circuit Court for Howard County. Interest to be paid on the unpaid purchase
                    Samuel I. White, P.C.                                                                                                              the date funds are received by the Sub. Trustees, payable in cash within ten days               of interest due to the purchaser in the event additional funds are tendered before           money at the rate pursuant to the Deed of Trust Note from the date of sale to the date
             596 Lynnhaven Parkway, Suite 200                                                                                                          of final ratification of the sale by the Circuit Court. There will be no abatement              settlement. TIME IS OF THE ESSENCE FOR THE PURCHASER. Adjustment of all                      funds are received in the office of the Sub. Trustees. There will be no abatement of
                                                                                              HEISE JORGENSEN & STEFANELLI P.A.                        of interest due to the purchaser in the event additional funds are tendered before              real property taxes, including agricultural taxes, if applicable, and any and all public     interest in the event additional funds are tendered before settlement or if settlement
                  Virginia Beach, VA 23452                                              18310 Montgomery Village Avenue, Suite 400                     settlement. TIME IS OF THE ESSENCE FOR THE PURCHASER. Adjustment of all                         and/or private charges or assessments, to the extent such amounts survive foreclosure        is delayed for any reason. The noteholder shall not be obligated to pay interest if it is
              SUBSTITUTE TRUSTEES' SALE OF                                                                                                             real property taxes, including agricultural taxes, if applicable, and any and all public        sale, including water/sewer, ground rent and front foot benefit charges, to be adjusted      the purchaser. TIME IS OF THE ESSENCE FOR THE PURCHASER. Adjustment of all
             VALUABLE FEE SIMPLE PROPERTY                                                            Gaithersburg, MD 20879                            and/or private charges or assessments, to the extent such amounts survive foreclosure           to date of sale and thereafter assumed by purchaser. Purchaser is responsible for any        real property taxes, including agricultural taxes, if applicable, and any and all public
                                                                                                            (301) 977-8400                             sale, including water/sewer, ground rent and front foot benefit charges, to be adjusted         recapture of homestead tax credit. All transfer taxes and recordation taxes shall be         and/or private charges or assessments, to the extent such amounts survive foreclosure
                         KNOWN AS                                                                                                                      to date of sale and thereafter assumed by purchaser. Purchaser is responsible for any           paid by Purchaser. The purchaser shall be responsible for the payment of the ground          sale, including water/sewer charges and ground rent, to be adjusted to date of sale
                      7113 Marbury Ct                                             SUBSTITUTE TRUSTEES' SALE OF VALUABLE REAL ESTATE                    recapture of homestead tax credit. All transfer taxes and recordation taxes shall be            rent escrow, if required. Condominium fees and/or homeowners association dues, if            and paid at execution of the deed, except where the secured party is the purchaser,
                District Heights, MD 20747                                                                     Known as                                paid by Purchaser. The purchaser shall be responsible for the payment of the ground             any, shall be assumed by the purchaser from the date of sale. Purchaser is responsible       and thereafter assumed by the purchaser. Condominium fees and/or homeowners
                                                                                                                                                       rent escrow, if required. Condominium fees and/or homeowners association dues, if               for obtaining physical possession of the property, and assumes risk of loss or damage        association dues, if any, shall be assumed by the purchaser from the date of sale
Under and by virtue of the power of sale contained in a certain                6650 MASONTOWN PLACE, HUGHESVILLE, MARYLAND 20637                       any, shall be assumed by the purchaser from the date of sale. Purchaser is responsible          to the property from the date of sale. The sale is subject to post-sale audit of the         forward. Cost of all documentary stamps, transfer taxes and settlement expenses shall
Deed of Trust to TIM, INC., Trustee(s), dated June 29, 1999,          By virtue of the power and authority contained in a certain Deed of Trust        for obtaining physical possession of the property, and assumes risk of loss or damage           status of the loan with the loan servicer including, but not limited to, determination       be borne by the purchaser. Purchaser shall be responsible for obtaining physical
and recorded among the Land Records of PRINCE GEORGE'S                from Margaret C. Douglas to Roy A. Kiewe and C. Dale Janney, Trustees,           to the property from the date of sale. The sale is subject to post-sale audit of the            of whether the borrower entered into any repayment agreement, reinstated or paid off         possession of the property. Purchaser assumes the risk of loss or damage to the
COUNTY, MARYLAND in Liber 13228, folio 654, the holder                dated September 19, 1988 and recorded in Liber 1359 at Folio 405                 status of the loan with the loan servicer including, but not limited to, determination          the loan prior to the sale. In any such event, this sale shall be null and void, and the     property from the date of sale forward. Additional terms to be announced at the time
of the indebtedness secured by this Deed of Trust having              among the Land Records for Charles County, Maryland, the undersigned             of whether the borrower entered into any repayment agreement, reinstated or paid off            Purchaser's sole remedy, in law or equity, shall be the return of the deposit without        of sale.
appointed the undersigned Substitute Trustees, by instrument          substituted trustees (by virtue of Deed of Appointment between The               the loan prior to the sale. In any such event, this sale shall be null and void, and the        interest. If purchaser fails to settle within ten days of ratification, subject to order of  If the Sub. Trustees are unable to convey good and marketable title, the purchaser's
duly recorded among the aforesaid Land Records, default having        Department of Housing and Community Development for the State of                 Purchaser's sole remedy, in law or equity, shall be the return of the deposit without           court, purchaser agrees that property will be resold and entire deposit retained by Sub.     sole remedy in law and equity shall be limited to a refund of the deposit without
occurred under the terms thereof, and at the request of the party     Maryland (the "Beneficiary") and said trustees recorded among the Land           interest. If purchaser fails to settle within ten days of ratification, subject to order of     Trustees as liquidated damages for all losses occasioned by the purchaser's default          interest. If the purchaser fails to go to settlement, the deposit shall be forfeited,
secured thereby, the undersigned Substitute Trustee will offer        Records of Charles County) will, on                                              court, purchaser agrees that property will be resold and entire deposit retained by Sub.        and purchaser shall have no further liability. The defaulted purchaser shall not be          to the Trustees for application against all expenses, attorney’s fees and the full
for sale at public auction at THE PRINCE GEORGE'S COUNTY                                                                                               Trustees as liquidated damages for all losses occasioned by the purchaser's default             entitled to any surplus proceeds resulting from said resale even if such surplus results     commission on the sale price of the above-scheduled foreclosure sale. In the event
COURTHOUSE LOCATED AT FRONT OF THE DUVAL WING                                      THURSDAY, NOVEMBER 17, 2022 at 10:45 O'Clock, A.M.                  and purchaser shall have no further liability. The defaulted purchaser shall not be             from improvements to the property by said defaulted purchaser. Sub. Trustees will            of default, all expenses of this sale (including attorney’s fees and the full commission
OF THE COURTHOUSE COMPLEX 14735 MAIN ST, UPPER                        offer for sale at public auction at the Charles County Courthouse,               entitled to any surplus proceeds resulting from said resale even if such surplus results        convey either marketable or insurable title. If they cannot deliver one or the other, or if  on the gross sale price of this sale) shall be charged against and paid out of the
MARLBORO, MD 20772 ON,                                                200 Charles Street (in the breezeway between the Circuit and District            from improvements to the property by said defaulted purchaser. Sub. Trustees will               ratification of the sale is denied by the Circuit Court for any reason, the Purchaser's      forfeited deposit. The Trustees may then re-advertise and resell the property at the
                                                                      Courts), La Plata, Maryland 20646, all of the property and improvements          convey either marketable or insurable title. If they cannot deliver one or the other, or if     sole remedy, at law or equity, is return of the deposit without interest. BIDDERS ARE        risk and expense of the defaulting purchaser or may avail themselves of any legal or
             NOVEMBER 17, 2022 at 10:00 AM                            thereon conveyed by said deed of trust, described as 6650 Masontown              ratification of the sale is denied by the Circuit Court for any reason, the Purchaser's         STRONGLY ENCOURAGED TO FOLLOW CDC GUIDANCE AND WEAR A COVER OVER                             equitable remedies against the defaulting purchaser without reselling the property.
                                                                      Place, Hughesville, Maryland 20637, Tax Identification No. 08-012709 (the        sole remedy, at law or equity, is return of the deposit without interest. BIDDERS ARE           BOTH NOSE AND MOUTH AND PRACTICE SOCIAL DISTANCING AT THE AUCTION.                           In the event of a resale, the defaulting purchaser shall not be entitled to receive the
ALL THAT FEE SIMPLE LOT OF GROUND and improvements                    "Property") and more fully described in the Deed of Trust.                       STRONGLY ENCOURAGED TO FOLLOW CDC GUIDANCE AND WEAR A COVER OVER                                (Matter No. 46132-7)                                                                         surplus, if any, even if such surplus results from improvements to the property by said
thereon situated in PRINCE GEORGE'S COUNTY, MD and                    TERMS OF SALE: The Property, which is improved by a dwelling, will               BOTH NOSE AND MOUTH AND PRACTICE SOCIAL DISTANCING AT THE AUCTION.                                                                                                                           defaulting purchaser and the defaulting purchaser shall be liable to the Trustees and
described as follows:                                                 be offered for sale, subject to matters known and unknown, in an "AS             (Matter No. 192721-2)                                                                                           PLEASE CONSULT WWW.ALEXCOOPER.COM FOR                                        secured party for reasonable attorney’s fees and expenses incurred in connection with
LOT NUMBERED THIRTY-FIVE (35), IN THE SUBDIVISION                     IS, WHERE IS" condition with no warranty of any kind and will be sold                                                                                                                                      STATUS OF UPCOMING SALES                                           all litigation involving the Property or the proceeds of the resale. Trustees' file number
KNOWN AS "PLAT TWO, MARBURY VILLAGE", AS PER PLAT                     and conveyed by the Substitute Trustees subject to all encumbrances,                                                                                                                                                                                                          22-002139-MD-F-1.
THEREOF RECORDED AMONG THE LAND RECORDS OF                            rights, reservations, covenants, conditions, easements, restrictions, and                                                                                                                  Howard N. Bierman, Carrie M. Ward, et. al., Substitute Trustees
PRINCE GEORGE'S COUNTY, MARYLAND, IN PLAT BOOK NLP                    statutory liens, if any, having priority over the Deed of Trust, as they                                                                                                                                                                                                                 Diane S. Rosenberg, Mark D. Meyer, et al., Substitute Trustees
109, AT PLAT 13.                                                      may lawfully affect the Property. The risk of loss or damage to the
The property will be sold in an "AS IS WHERE IS" condition            Property shall be borne by the successful bidder from and after the
without either express or implied warranty or representation,         date and time of the sale. Obtaining possession of the Property shall            PLEASE CONSULT WWW.ALEXCOOPER.COM FOR
including but not limited to the description, fitness for a           be the sole responsibility of the successful bidder. A deposit of Five                    STATUS OF UPCOMING SALES
particular purpose or use, structural integrity, physical condition,  Thousand and no/100 Dollars ($5,000.00), in the form of certified check
construction, extent of construction, workmanship, materials,         or cashier's check, (the "Deposit") will be required at the time of sale.        Howard N. Bierman, Carrie M. Ward, et. al., Substitute Trustees
liability, zoning, subdivision, environmental condition, mer-
chantability, compliance with building or housing codes or other      The Beneficiary is not required to make a Deposit. The balance of the
laws, ordinances or regulations, or other similar matters, and        purchase price for the Property, together with interest at 4.00% per
subject to easements, agreements and restrictions of record           annum from the date of sale to the date of settlement, shall be paid
which affect the same, if any. The property will be sold              in cash within fifteen (15) days after final ratification of the sale of the
subject to all conditions, liens, restrictions and agreements of      Property by the Circuit Court, TIME BEING OF THE ESSENCE WITH REGARD
record affecting same including any condominium and of HOA            TO ALL OF PURCHASER'S OBLIGATIONS. Taxes, water, sewer, ground rent,
assessments pursuant to Md Real Property Article 11-110.              condominium fees, and/or homeowners association dues, if applicable,
TERMS OF SALE: A deposit of $20,000.00 PAYABLE ONLY BY                will be adjusted to the date of sale and assumed thereafter by the
certified funds, shall be required at the time of sale. CASH WILL     purchaser. All other public charges and assessments payable on an
NOT BE AN ACCEPTABLE FORM OF DEPOSIT. The balance of                  annual basis, including sanitary and/or metropolitan district charges will
the purchase price with interest at 7.57% per annum from the          be adjusted for the current year to date of sale and assumed thereafter
date of sale to the date of payment will be paid within TEN           by the purchaser. All costs of conveyance, including transfer taxes and          November 15, 22, 29, 2022                               12402770
DAYS after the final ratification of the sale. There will be no
abatement of interest for any reason. Adjustments on all taxes,       recordation taxes will be paid by the purchaser. If any successful bidder
public charges and special or regular assessments will be made        fails for any reason to complete settlement as provided above, the Deposit
as of the date of sale and thereafter assumed by purchaser. There     shall be forfeited and applied to the costs of the sale, including Substitute
will be no abatement of taxes, public charges and special or          Trustees' fees, and the balance, if any, shall be delivered to the Beneficiary                               BWW Law Group, LLC                                                  November 15, 22, 29, 2022       12402767 November 15, 22, 29, 2022                                                 12402795
regular assessments for any reason. If applicable, condominium        to be applied by the Beneficiary against the indebtedness secured by,                                   6003 Executive Blvd., Suite 101
and/or homeowner association dues and assessments that may            and other amounts due under, the Deed of Trust in accordance with the
become due after the time of sale will be the responsibility of       Deed of Trust or applicable law or otherwise as the Beneficiary shall elect.                                 Rockville, MD 20852
the purchaser. Title examination, conveyancing, state revenue         Forfeiture of the Deposit shall not limit any rights or remedies of the                                        (301) 961-6555
stamps, transfer taxes, title insurance, and all other costs
incident to settlement are to be paid by the purchaser. Time is       Substitute Trustees or the Beneficiary with respect to any such default. If                                SUBSTITUTE TRUSTEES' SALE                                             Wsuepwpaern!t                                                                                                      SPO TS?
of the essence for the purchaser, otherwise the deposit will be       the Property is resold after any such default, such re-sale shall be at the                  OF REAL PROPERTY AND ANY IMPROVEMENTS THEREON                                       Wsuepwpaern!t
forfeited, and the property may be resold at risk and costs of the    risk and the cost of the failing bidder, and the failing bidder shall be liable
defaulting purchaser and the purchaser agrees to pay reasonable       for any deficiency between its bid and the successful bid at the resale                                     7185 CYPRESS CT., UNIT F
attorneys' fees for the Substitute trustees, plus all cost incurred,  as well as the costs of conducting such re-sale. The purchaser agrees                                         FREDERICK, MD 21703
if the Substitute Trustee's have filed the appropriate motion with    to accept service by first class mail and certified mail addressed to the
the Court to resell the property. The purchasers waives personal      address provided by said purchaser as identified on the Memorandum of            Under a power of sale contained in a certain Deed of Trust dated March 22, 2018,
service of any papers filed in connection with such a motion          Sale for any Motion or Show Cause Order incident to this sale including a        recorded in Liber 12366, Folio 298 among the Land Records of Frederick County,
and expressly agrees to The purchaser agrees to accept service        motion to Default Purchaser and for Resale of the Property. In the event         MD, with an original principal balance of $164,000.00, default having occurred
by first class mail at the address provided by the Purchaser as       the Substitute Trustees do not execute a deed of conveyance or other             under the terms thereof, the Sub. Trustees will sell at public auction at the Circuit
identified on the Memorandum of Sale. If the sale is not ratified     necessary settlement documents, the purchaser's sole remedy shall be             Court for Frederick County, at the Court House Door, 100 W. Patrick St., Frederick, MD
or if the Substitute Trustees are unable to convey marketable         the refund of the Deposit. In the event the Substitute Trustees are unable       21701, on
title in accord with these terms of sale, the purchaser's only        to convey marketable title or in the event the borrower entered into a
remedy is return of the deposit.                                      repayment plan, reinstated or paid the loan off prior to the sale, or if for                             DECEMBER 2, 2022 AT 12:26 PM
The sale is subject to post-sale confirmation and audit of the        any other reason, the undersigned did not have the right to sell, the sale       ALL THAT FEE SIMPLE LOT OF GROUND, together with any buildings or
status of the loan with the loan servicer including, but not          is null and void and the purchaser is not entitled to any legal or equitable     improvements thereon located in Frederick County, MD and more fully described in
limited to, determination of whether the borrower entered into        remedy other than return of the Deposit without interest and any and all         the aforesaid Deed of Trust.
a repayment agreement, reinstated, or paid off the loan prior to      other claims of the purchaser are hereby released. Additional terms and          The property, and any improvements thereon, will be sold in an "as is" condition and
sale. In any such event, this sale shall be null and void, and the    conditions to be announced at the time of sale. All inquiries regarding          subject to conditions, restrictions and agreements of record affecting the same, if any,
Purchaser's sol remedy, in law or equity, shall be the return of the  the sale should be directed to Stephen B. Jackson, Substituted Trustee.          and with no warranty of any kind.
deposit without interest. Trustee's File No. (27880)
                                                                                         STEPHEN B. JACKSON and STEVEN P. HENNE                        Terms of Sale: A deposit of $16,000 in the form of certified check, cashier's
        John E. Driscoll, et al SUBSTITUTE TRUSTEES                                                      Substitute Trustees                           check or money order will be required of the purchaser at time and place of sale.
                                                                                                                                                       Balance of the purchase price, together with interest on the unpaid purchase money
                                                                      NOVEMBER 1, 8, 15, 2022                           12401760                       at the current rate contained in the Deed of Trust Note from the date of sale to
                                                                                                                                                       the date funds are received by the Sub. Trustees, payable in cash within ten days
                                                                                                                                                       of final ratification of the sale by the Circuit Court. There will be no abatement
                                                                                                                                                       of interest due to the purchaser in the event additional funds are tendered before
                                                                                                                                                       settlement. TIME IS OF THE ESSENCE FOR THE PURCHASER. Adjustment of all
                                                                                                                                                       real property taxes, including agricultural taxes, if applicable, and any and all public
                                                                                                                                                       and/or private charges or assessments, to the extent such amounts survive foreclosure
                                                                                                                                                       sale, including water/sewer, ground rent and front foot benefit charges, to be adjusted         Search our database of tested
                                                                                                                                                          to date of sale and thereafter assumed by purchaser. Purchaser is responsible for any        recipes by ingredient or name.
                                                                                                                                                          recapture of homestead tax credit. All transfer taxes and recordation taxes shall be         washingtonpost.com/recipes
                                                                                                                                                          paid by Purchaser. The purchaser shall be responsible for the payment of the ground
                                                                      TE                                                                                  rent escrow, if required. Condominium fees and/or homeowners association dues, if
                                                                                                                                                          any, shall be assumed by the purchaser from the date of sale. Purchaser is responsible
                                                                                                                        H? for obtaining physical possession of the property, and assumes risk of loss or damage
                                                                                                                                                          to the property from the date of sale. The sale is subject to post-sale audit of the
                                                                                                                                                          status of the loan with the loan servicer including, but not limited to, determination
                                                                                                                                                          of whether the borrower entered into any repayment agreement, reinstated or paid off
                                                                                                                                                          the loan prior to the sale. In any such event, this sale shall be null and void, and the
                                                                                                                                                          Purchaser's sole remedy, in law or equity, shall be the return of the deposit without
                                                                                                                                                          interest. If purchaser fails to settle within ten days of ratification, subject to order of
                                                                                                                                                          court, purchaser agrees that property will be resold and entire deposit retained by Sub.
                                                                                                                                                          Trustees as liquidated damages for all losses occasioned by the purchaser's default
                                                                                                                                                          and purchaser shall have no further liability. The defaulted purchaser shall not be
                                                                                                                                                          entitled to any surplus proceeds resulting from said resale even if such surplus results
                                                                                                                                                          from improvements to the property by said defaulted purchaser. Sub. Trustees will
                                                                                                                                                          convey either marketable or insurable title. If they cannot deliver one or the other, or if
                                                                                                                                                       ratification of the sale is denied by the Circuit Court for any reason, the Purchaser's
                                                                                                                                                       sole remedy, at law or equity, is return of the deposit without interest. BIDDERS ARE
                                                                                                                                                       STRONGLY ENCOURAGED TO FOLLOW CDC GUIDANCE AND WEAR A COVER OVER
                                                                                                                                                       BOTH NOSE AND MOUTH AND PRACTICE SOCIAL DISTANCING AT THE AUCTION.
                                                                                                                                                       (Matter No. 356345-1)
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D12  EZ RE  THE WASHINGTON POST . TUESDAY, NOVEMBER 15, 2022
HEalthKLM&NSOcience
                                                      TUESDAY, NOVEMBER 15, 2022 . SECTION E                                                                                                                                 EZ EE
WELL+BEING
Pandemic
may have
upended
periods
           BY AMANDA MORRIS
   During the pandemic, many women
experienced high levels of stress as they
took on a disproportionate share of child
care and housework and dropped out of
the labor force in large numbers.
   Now, a study suggests that all of this
extra stress may have changed women’s
menstrual cycles in a variety of ways.
Some women who reported high levels of
stress also reported early or delayed
periods. Others had heavier menstrual
flow or increased spotting between cy-
cles. Some women said that during
pandemic stress, their periods lasted
more days than usual, while others said
their periods got shorter.
   Martina Anto-Ocrah, an assistant pro-
fessor at the University of Pittsburgh
School of Medicine, who led the study,
called the results “alarming,” because of
the effects an irregular cycle can have on
fertility and mental health.
   “This really extends beyond menstru-
ation, it’s about women’s well-being,” she
said.
   The study, published in Obstetrics &
Gynecology, relied on self-reported data
from 354 women between the ages of 18
and 45. Women were asked in early May
2021 to answer questions about their
pandemic-related stress and report any
menstrual cycle changes that occurred
between March 2020 and May 2021.
   Over half of the women surveyed
reported changes in their menstrual
cycle length, period duration, menstrual
flow or spotting, and 12 percent of
women reported a change in all four
measures. The researchers found a sig-
nificant association between high levels
of pandemic-related stress and changes
in the menstrual cycle.
   Younger women and women with
previously diagnosed mental health con-
ditions were more vulnerable to feeling
high stress and experiencing menstrual
cycle changes.
   The study authors noted the data were
collected from a racially diverse and
geographically representative sample.
The women were not on birth control,
menopausal or postmenopausal before
the pandemic. The study did not include
trans or nonbinary people who also have
                                   SEE PERIODS ON E5
WELL+BEING                                                                                                                                                                                                                   REBEKKA DUNLAP FOR THE WASHINGTON POST
Pickleball is                                         AI offers digital                                                                                             I n 2020, a Korean documentary team invited on
popular. But how                                      link to deceased                                                                                                   its show a mother who had lost her 7-year-old
much exercise                                         loved ones                                                                                                         daughter to an incurable disease. The girl’s
does it provide?                                                                                                                                                    death was so sudden — she died a week after being
                                                      New tech promises connection via
              BY KELYN SOONG                          chatbots, avatars, digital entities                                                                           diagnosed in 2016 — the mother, Jang Ji-Sun, did
   Pickleball is one of the fastest-growing           BY CAREN CHESLER                                                                                              not have a chance to say goodbye. For three years
sports in the United States, and people —
including teenage prodigies and Holly-                                                                                                                              she was obsessed with the loss of her daughter. ¶
wood celebrities — can’t seem to get
enough.                                                                                                                                                             The producers of the documentary, “Meeting You,”
   But how much exercise are you really                                                                                                                             created a digitized re-creation of the child that the
getting when you play?
                                                                                                                                                                    mother could see through a virtual reality headset
   Researchers in Canada explored the
answer to that question by measuring the                                                                                                                            (the TV audience was also able to see the image of
physical activity intensity of singles and
doubles pickleball in older adults.                                                                                                                                 the daughter).                                           SEE GRIEF ON E6
   The peer-reviewed study, published in                                                                                                                                                                          PERSPECTIVE
the Journal of Aging and Physical Activi-
ty, suggests that pickleball can provide a                                                                                                                           Paranoia, voices, sleeplessness.
moderate workout for middle-aged or                                                                                                                                 What my psychotic break felt like.
older people. But they would need to play
as much as 4.5 hours a week to meet                                                                                               WINFRIED WISNIEWSKI/GETTY IMAGES                  BY DANIELLE HUGGINS                      companion glances into the room. “What are all
recommended exercise guidelines.                                                                                                                                       I am under-slept and overwhelmed. I’m in a            these papers?” I shrug and say I’ll be ready. I put on
                                                      WILDLIFE                                                                                                      London hotel room, at the beginning of a four-day        tight jeans and a black sweater. In the mirror I look
   If you’re counting steps, the study                                                                                                                              trip that was too cheap to pass up. I am 25. There are   and feel amazing. I am gorgeous. Am I really
showed you will collect relatively few                Ruffs like the one above are among the animals                                                                assignments to complete for my graduate courses          gorgeous? Or am I manic and overly confident?
during an hour of pickleball, about half as           that defy gender stereotypes. E2                                                                              and tests to grade for my middle-school teaching
many as during an average hour-long                                                                                                                                 job. I have brought work with me, and there are             The next day, Lorenzo, my middle-school col-
brisk walk.                                           FOOD                                                                                                          short stacks of papers everywhere.                       league who put the trip together, his mother, his
                                                                                                                                                                       Despite having airplane seats that turned into        sister and I make the most of London. We ride in a
   And while the game reached a vigorous              Eating fiber alters the microbiome and might help                                                             beds, sleep eluded me on the overnight trip from         red double-decker bus, take pictures in a red phone
level of activity a respectable 30 percent            with cancer treatment. E4                                                                                     John F. Kennedy International Airport in New York.       booth and watch the changing of the guard at
of the time for many players, it may not                                                                                                                            I’m worried about this lack of sleep. Will it make me    Buckingham Palace.
provide as much physical challenge for                BRAIN                                                                                                         manic? For people like me, with bipolar disorder,
people who are young or already in good                                                                                                                             traveling can lead to mania, and the only antidote is       At night, I start off trying to sleep but cannot.
shape.                                                Regularly doing crossword puzzles may help slow                                                               sleep. To sleep, I need medication. I don’t have any. I  Instead, I work. The piles of paper seem to multiply.
                                                      cognitive decline in some people. E5                                                                          stopped taking it a few months ago because it made       On the second day, riding the London Underground,
   Federal physical activity guidelines for                                                                                                                         me gain weight.                                          I hear Lorenzo speak to his mother in Italian. I
Americans recommend at least 150 min-                                                                                                                                  I’ve been here a couple of hours and should be        think: Why are they speaking Italian? Is something
utes of moderate intensity or 75 minutes                                                                                                                            napping when I hear a knock on my door and open          wrong? Is this a code?
of vigorous intensity aerobic physical                                                                                                                              it. “Be ready in 20. We are hitting a pub.” My travel
activity per week for adults. Moder-                                                                                                                                                                                            I know that being severely manic can cause the
ate-intensity exercise typically is defined                                                                                                                                                                                  brain to spin webs of conspiracies and make
as exerting yourself to the point where                                                                                                                                                                                      connections that aren’t really there. But I no longer
you can talk but not sing. Vigorous exer-
cise, on the other hand, includes more                                                                                                                                                                                                                                                SEE MANIC ON E3
taxing exercises such as jogging, fast-
paced cycling and singles tennis.
   Pickleball, played with a paddle and
perforated polymer ball, combines el-
ements of tennis, badminton, table tennis
and racquetball. Pickleball players com-
pete in a smaller space than tennis play-
ers; up to four pickleball courts can fit on
a standard tennis court. A match is played
best two out of three games. Each game
can last 15 to 25 minutes. People of all ages
                            SEE PICKLEBALL ON E4
E2                                                                          EZ EE                                                                                                                                                               THE WASHINGTON POST . TUESDAY, NOVEMBER 15, 2022
                                                                   RETROPOLIS                                                                                                                                                                   SCIENCE SCAN
    The science of King Tut’s ‘curse’                                                                                                                                                                                                           PALEONTOLOGY
Recent studies suggest a more mundane — and organic — explanation for the deaths of tomb explorers                                                                                                                                              Researchers track down two copies of famous
                                                                                                                                                                                                                                                ichthyosaur fossil destroyed during WWII
    BY DAVE KINDY                                                                                                                                                                                                                                     BY ERIN BLAKEMORE                              Rediscovery of two casts of the
                                                                                                                                                                                                                                                   In 1819, the complete fossil of                   historically important ‘Proteo-
   On Nov. 4, 1922, archaeologist                                                                                                                                                                                   AMR NABIL/ASSOCIATED PRESS  an ichthyosaur dazzled scientists                    saurus’, the first complete
Howard Carter and his team dis-                                                                                                                                                                                                                 and the public. Thought to have                      ichthyosaur skeleton
covered the entrance to a tomb in     King Tutankhamen’s golden sarcophagus on display at his tomb in the Valley of the Kings in Luxor,                                                                                                         been collected by pioneering Eng-                    Royal Society Open Science
the Valley of the Kings in Luxor,     Egypt. A pharaoh of the 18th Dynasty, he died at age 18 or 19, circa 1323 B.C.                                                                                                                            lish paleontologist Mary Anning,
Egypt. Three weeks later, on                                                                                                                                                                                                                    the fossil fanned interest in mas-                   the Royal College of Surgeons in
Nov. 26, Carter smashed a hole        ish superstitions,” he said, accord-  1935 but died of an infection        cet in 2003.                                                                                                                   sive creatures that roamed Earth                     London.
into a stone wall in an under-        ing to H.V.F. Winstone in his book    following his final trip to Egypt.      The death of Carnarvon, who                                                                                                 and swam the oceans millions of
ground hallway there. As he           “Howard Carter and the Discov-                                                                                                                                                                            years ago.                                              During the Blitz of 1941 in
aimed his flashlight into the dark-   ery of the Tomb of Tutankhamun.”         In addition, the media frenzy     was sickly most of his life and                                                                                                   But when a Nazi bomb obliter-                     London, the fossil was obliterated
ness, his friend and sponsor,                                               fed off unfortunate events that      prone to upper respiratory ail-                                                                                                ated the collections of a London                     by a German bomb. No copies
George Herbert, the 5th Earl of          But Carnarvon’s death on April     beset others who had visited the     ments, seems to fit the diagnosis.                                                                                             museum during World War II, the                      were known to exist. But while
Carnarvon, asked if he could see      5, 1923 — less than five months       tomb. British archaeologist Hugh     According to his obituary in the                                                                                               fossil was lost to science.                          conducting research on other fos-
anything.                             after the tomb was opened —           Evelyn-White, who worked on the      New York Times, he died on April                                                                                                  Not anymore: Researchers re-                      sils at Yale University’s Peabody
                                      drove rumors of a wicked spell.       dig at Luxor, died by suicide in     5, 1923, of pneumonia brought on                                                                                               cently uncovered two previously                      Museum of Natural History in
   “Yes, wonderful things,” he re-    Newspaper accounts were rife          1924. He reportedly left a note in   by blood poisoning from a mos-                                                                                                 unknown casts of the fossil more                     Connecticut, a pair of paleontolo-
plied, according to his book “The     with the possibility as more ar-      which he wrote, “I have suc-         quito bite on his cheek that be-                                                                                               than 75 years after the original’s                   gists found a plaster cast painted
Discovery of the Tomb of              chaeologists and explorers fell ill   cumbed to a curse.” Carter’s per-    came infected after he nicked it                                                                                               destruction.                                         to resemble a fossil. They recog-
Tutankhamen,” written with Ar-        and died. In 1926, the New York       sonal secretary, Richard Bethell,    with a razor. The El-Tawils wrote                                                                                                 They describe the rediscovery                     nized the impression as a copy of
thur Cruttenden Mace in 1923.         Daily News ran an article with the    the first person to enter the tomb   that he probably had been ex-                                                                                                  in Royal Society Open Science.                       the original ichthyosaur fossil
Suddenly, the world became            headline, “Vengeance of King Tut      behind his employer, was found       posed to Aspergillus, which in                                                                                                 It’s a tale of historic hide-and-                    and eventually tracked down an-
transfixed by a little-known phar-    Is Seen as Death List Mounts.”        smothered to death at his London     turn caused the deadly streptococ-                                                                                             seek and a specimen with some                        other in Berlin’s Museum of Natu-
aoh of the 18th Dynasty as gold,                                            men’s club in 1929. Some histori-    cus infection that killed him after                                                                                            serious scientific pedigree. In the                  ral History Berlin. Neither had
jewelry and other fantastic treas-      British archaeologist               ans believe he was murdered by       he cut himself with a razor.                                                                                                   early 19th century, ichthyosaur                      been properly labeled.
ures saw the light of day for the         and Egyptologist                  Aleister Crowley, an English oc-                                                                                                                                    fever helped establish the field of
first time in more than 3,000              Howard Carter                    cultist.                                Spores of Aspergillus, the El-                                                                                              paleontology and sparked public                         Scientists still study ichthyo-
years.                                                                                                           Tawils wrote, “grow especially                                                                                                 interest in fossils.                                 saurs, marine reptiles that swam
                                      dismissed the notion of                  Carter died in 1939, a full       well on grain, the supply of which                                                                                                Anning, a fossil hunter and                       in oceans between about 250
   Almost as quickly, public atten-   a curse as “tommy rot.”               17 years after the discovery, of     was abundant in Tutankhamen’s                                                                                                  paleontologist who was excluded                      million and 90 million years ago.
tion shifted to the possibility of a                                        Hodgkin’s disease, a type of lym-    tomb, with offerings of bread and                                                                                              from full participation in the                       But more information may be
curse plaguing all those who had         Piling on was Sir Arthur Conan     phatic cancer. And yet newspa-       raw grains stored in numerous                                                                                                  scientific community because of                      hiding in plain sight in museum
entered King Tut’s tomb. Sudden       Doyle, creator of the popular         pers around the world focused        baskets. Lord Carnarvon could                                                                                                  her sex, is thought to have found                    collections, the researchers sug-
deaths, grievous misfortune and       Sherlock Holmes stories. Upon         almost exclusively on the “Curse     readily have inhaled contaminat-                                                                                               the specimen in Lyme Regis, Eng-                     gest.
other inexplicable events gave        learning of his friend’s death,       of the Pharaohs” when printing       ed grain dust as the sealed tomb                                                                                               land, at some point before 1818.
rise to speculation that an evil      Doyle, a known spiritualist, told a   his obituary.                        was broken into.”                                                                                                              She lent it to British surgeon                          “This discovery demonstrates
spell was afflicting any who had      reporter, “An evil elemental may                                                                                                                                                                          Everard Home, who included it in                     the necessity to carefully preserve
dared defile the pharaoh’s final      have caused Lord Carnarvon’s fa-         Today, science has a more ra-        More recent scientific studies                                                                                              some of the earliest research on                     undetermined and casted materi-
resting place.                        tal illness.”                         tional explanation.                  have found two varieties of the                                                                                                ichthyosaurs. The groundbreak-                       al in a natural history collection,”
                                                                                                                 fungi — Aspergillus niger and                                                                                                  ing fossil — the first complete                      Daniela Schwarz, the scientific
   A media frenzy descended on           After the earl died, others fol-      Studies have shown that an        Aspergillus flavus — on mum-                                                                                                   skeleton of its kind ever recog-                     head of the Museum of Natural
Luxor after each calamity. Shortly    lowed, including George Jay           organic source might have been a     mies and in tombs of ancient                                                                                                   nized and documented by scien-                       History Berlin’s fossil reptiles de-
after the first archaeologist death   Gould, an American financier          contributing factor in at least      Egypt. According to National                                                                                                   tists — eventually made its way to                   partment, said in a statement.
a few months following the            who succumbed to pneumonia            some of the deaths. Common           Geographic, these strains can                                                                                                                                                       “There will always be someone
tomb’s discovery, newspaper           shortly after visiting the tomb in    mold — especially Aspergillus —      cause various allergic reactions,                                                                                                                                                   who discovers its scientific value
headlines blared about the “Curse     1923; Sir Archibald Douglas Reid,     may have been present on King        ranging from chest congestion to                                                                                                                                                    in the end.”
of the Pharaohs” and claimed,         who perished soon after X-raying      Tut’s mummy. The fungus is           pulmonary hemorrhaging, or
“Famous Spiritualist Sees Occult      the mummy in London; and              known to cause serious infections    bleeding in the lungs.                                                                                                                                                                                                                 ROYAL SOCIETY PUBLISHING
Reason for Fatality.”                 James Henry Breasted, an Ameri-       in people with weakened immune
                                      can archaeologist, who lived until    systems.                                That mold might have had a                                                                                                  TOP: The Yale cast of the ichthyosaur fossil found more than 200
   But was there really a curse?                                                                                 hand in the earl’s death — or any                                                                                              years ago. BOTTOM: The recently discovered cast in Berlin.
Some studies suggest a more                                                    “Potentially harmful fungi sur-   others — is speculative. Research-
mundane explanation: mold                                                   vive for extreme lengths of time in  ers have argued for and against                                                                                                                               HEALTH & SCIENCE
found on mummies and in the air                                             tombs, and results of research       the idea for years. Without con-                                                                                               Editors: Margaret Shapiro, Mary-Ellen Deily •
at burial sites in Egypt.                                                   indicate that such prolonged         clusive evidence, it will remain                                                                                               Art Director: Elizabeth von Oehsen • Photo Editor: Bronwen Latimer •
                                                                            phases of dormancy can result in     just a theory.                                                                                                                 Copy Editor: Ron Jones • Advertising Information: Ron Ulrich,
   Belief in a “mummy’s curse”                                              increased virulence,” wrote Eng-                                                                                                                                    202-334-5289, [email protected] • To contact us:
predates the Tutankhamen dis-                                               lish doctors Sherif El-Tawil and        Which, of course, makes the                                                                                                 Email: [email protected]. Mail: The Washington Post, Health,
covery by a century. It may have                                            Tariq El-Tawil in a letter to the    belief in the “curse of the mum-                                                                                               1301 K St. NW, Washington, D.C. 20071
originated in England in the                                                British medical journal the Lan-     my” even more enduring.
1820s. In 2000, Egyptologist
Dominic Montserrat reported he
had discovered the first mention
of it in a London “striptease”
show, according to the British
newspaper the Independent.
   No curse was ever found writ-
ten in hieroglyphics at the tomb
of Tutankhamen, the Egyptian
king who died at 18 or 19, circa
1323 B.C. His father is thought to
have been the pharaoh Akhenat-
en, while his mother was his fa-
ther’s sister, according to DNA
testing.
   King Tut had a club foot and
scoliosis, possibly caused by the
tradition of incest among the roy-
al family.
   Carter dismissed the notion of
a curse as “tommy rot.” “The sen-
timent of the Egyptologist . . . is
not one of fear, but of respect and
awe . . . entirely opposed to fool-
What 7 animals reveal                                                                                                                                                                                                                                                                                do some sneaky mating.
about sexual selection                                                                                                                                                                                                                                                                                  Some of the ruffs that imper-
        BY LOUISE GENTLE              their background, but it also in-     ABOVE: A female spotted              5. The ruff                                                                                                                                          DEON DE VILLIERS/GETTY IMAGES  sonate females will even lure oth-
                                      creases their attractiveness. The     hyena in Botswana. RIGHT:               It is not just the females who                                                                                                                                                   er males away from the females.
   It’s easy to assume all animals    females choose the “sexiest”          Mallards in Kenilworth Park &                                                                                                                                                 BONNIE JO MOUNT/THE WASHINGTON POST        The pseudo-females will then go
have a neat dividing line between     males based on their plumage. So,     Aquatic Gardens in D.C.              benefit from adopting male ap-                                                                                                                                                      back to mate once the coast is
the sexes because the differences     for the majority of species, males    4. The barred buttonquail            pearances or traits. The ruff (a                                                                                               pressive ruffs attract more fe-                      clear.
in appearance between males and       are brightly colored and females                                           wading bird from northern Eu-                                                                                                  males.                                               6. Hyenas
females can be so striking. But the   have a somber appearance.                Some species, such as the         rope and Asia) was named after
more scientists learn about wild-                                           barred buttonquail (a South          the collar of feathers that devel-                                                                                                So, the best-ruffed males are                        Perhaps the most fascinating
life, the clearer it is that nature      But this isn’t always the case.    Asian ground bird) show a role       op around the neck of the males                                                                                                spoiled with choices, whereas                        animal is the spotted hyena of
doesn’t have a rule book.             Evolution has created some in-        reversal. Females are larger than    during the breeding season, sim-                                                                                               some males end up as lonely                          sub-Saharan Africa, where the
                                      credible twists in nature’s story.    males and have a black throat        ilar to Elizabethan ruffs that                                                                                                 hearts with no opportunities to                      females dominate the clans.
   Most people know that male                                               and breast patch that the males      were worn in the 16th and 17th                                                                                                 mate. But these disgruntled                          They do the majority of the hunt-
sea horses become pregnant and        2. The white-necked jacobin           lack. The females make a loud        centuries. Males with more im-                                                                                                 males have found a way to beat                       ing and raise the cubs alone. The
give birth. Yet research is reveal-      A recent study found that          booming call to attract males and                                                                                                                                   the players at their own game.                       females are larger than the males
ing more about animals that defy                                            fight for access to mates.                                                                                                                                          Some males copy females during                       and have more testosterone,
expectations when it comes to sex     about 20 percent of female white-                                                                                                                                                                         the breeding season, so they can                     meaning that often the highest-
norms.                                necked jacobin (a hummingbird            Once a pair has mated, the                                                                                                                                       get close enough to the females to                   ranking male is subordinate to
                                      species from Central America)         female moves on to her next mate                                                                                                                                                                                         the lowest-ranking female.
   To understand why some spe-        have iridescent blue and green        while the male is left to incubate
cies evolved special traits or ap-    plumage that mimics the color of      the eggs and raise the chicks                                                                                                                                                                                               The females even have a penis,
pearances, you need to know why       males.                                alone. This comes at a cost, how-                                                                                                                                                                                        complete with testes, capable of
the males and females of many                                               ever. In the animal kingdom,                                                                                                                                                                                             erections. This is actually a pseu-
species evolved to look so differ-       Although the females imitate       most females have a longer life                                                                                                                                                                                          dopenis, formed by an enlarged
ent from one another. Through-        the males only in appearance,         expectancy than males, but fe-                                                                                                                                                                                           clitoris through which females
out most of the animal kingdom,       rather than behavior, they gain       male buttonquails have a life                                                                                                                                                                                            urinate and give birth. The fake
females have a finite number of       the advantage enjoyed by the          span of four years, almost half                                                                                                                                                                                          penis is used to signal domi-
eggs, whereas males have an infi-     more aggressive males. Males          the life span of males.                                                                                                                                                                                                  nance when hyenas meet each
nite number of sperm.                 avoid females with ornamental                                                                                                                                                                                                                                  other, with an erect “penis” act-
                                      plumage, meaning they are left                                                                                                                                                                                                                                 ing as a flag of submission.
   This is known as anisogamy         alone to enjoy better access to                                                                                                                                                                                                                                7. Asian sheepshead wrasse
and usually causes males to com-      food.
pete for females through the evo-                                                                                                                                                                                                                                                                       So, in the animal kingdom,
lution of weapons such as antlers     3. The narwhal                                                                                                                                                                                                                                                 there are many benefits to look-
in deer, or adornments such as           The narwhal, or unicorn of the                                                                                                                                                                                                                              ing like a member of the opposite
the beautiful tail of the peacock.                                                                                                                                                                                                                                                                   sex. Some fish species such as the
Consequently, it is in the interest   sea, is an Arctic whale that has a                                                                                                                                                                                                                             Asian sheepshead wrasse take
of females to be more picky about     long spiral tusk, up to nearly 10                                                                                                                                                                                                                              this one step further and change
their mating partners.                feet long. The males use the tusk                                                                                                                                                                                                                              sex during their lifetime.
                                      to attract females and warn off
   These differences in appear-       male rivals. The male with the                                                                                                                                                                                                                                    Known as sequential her-
ance of the sexes evolved through     largest tusk is the most dominant                                                                                                                                                                                                                              maphroditism, the largest fe-
a process called sexual selection.    and has the most mating opportu-                                                                                                                                                                                                                               males turn into males. A change
1. The mallard                        nities.                                                                                                                                                                                                                                                        in hormone levels makes their
                                                                                                                                                                                                                                                                                                     ovaries transform into testes, al-
   A good example of this is the         But a small proportion of fe-                                                                                                                                                                                                                               lowing them to produce more
mallard, one of the most common       males have tusks. It is not known                                                                                                                                                                                                                              offspring over their lifetime. We
ducks in the world. The brown         why. But if the tusk increases the                                                                                                                                                                                                                             have learned so much about the
color of the females’ feathers        chances of survival (through                                                                                                                                                                                                                                   animal kingdom since the onset
evolved through natural selec-        fighting off predators or spearing                                                                                                                                                                                                                             of modern science, but as these
tion where the fittest survive; in    food), it would have evolved via                                                                                                                                                                                                                               new studies show, we may have
this case, the ones that are camou-   natural selection in both male and                                                                                                                                                                                                                             scratched only the surface.
flaged from predators.                female narwhals. Since the pres-
                                      ence of a tusk is largely restricted                                                                                                                                                                                                                           Louise Gentle is principal lecturer in
   The bright blue and green          to the males, it is possible the                                                                                                                                                                                                                               wildlife conservation at Nottingham
feathers of the male mallards         tusked females benefit in a similar                                                                                                                                                                                                                            Trent University in Nottingham,
make them conspicuous against         way to the hummingbirds.                                                                                                                                                                                                                                       England. This article was originally
                                                                                                                                                                                                                                                                                                     published on theconversation.com.
TUESDAY, NOVEMBER 15, 2022 . THE WASHINGTON POST                                                                     EZ EE                                                                        E3
54                             BIG NUMBER                                      FROM CONSUMER REPORTS
                       More than half of Americans 50 and older —              Foods that lower blood sugar levels
                       54 percent — are considered to be caregivers
                       because of the help they provide to one or              YBY SARI HARRAR
                       more people 65 and older, according to the                           ou might keep tabs on
                       most recent findings of the University of                            your cholesterol and
                       Michigan’s ongoing National Poll on Healthy                          blood pressure, but
                       Aging. Most often, caregiving involves                               what about your blood
percent                helping with health care, usually through                            sugar levels? About
                       making appointments, talking with doctors               20 percent of the 37 million U.S.
and handling insurance issues, but it can also include assisting with          adults with diabetes and more
home cleaning, yard work, grocery shopping, meal preparation,                  than 80 percent of the 96 million
banking and bill paying. The survey found that nearly all caregivers           with prediabetes don’t know they
(94 percent) are not being paid for their help, and nearly half                have those conditions.
(47 percent) have been helping out for at least three years. The most
frequent recipients are parents (45 percent of the time) and friends              That’s especially concerning,
or neighbors (19 percent). The researchers note in their report that           because diabetes and prediabetes
such support “is often essential for aging in place and managing               also mean a higher risk for heart
chronic conditions” — issues that people increasingly confront as              disease; vision, kidney, and nerve
they age. The Census Bureau projects that, by 2034, older adults will          damage; and even some cancers.
outnumber children for the first time in U.S. history and, by 2040,
1 in 5 Americans will be 65 or older. That reflects a worldwide trend,            Food is a powerful tool for
with every country seeing a greater percentage of older people in its          keeping blood sugar, or glucose,
population, according to the World Health Organization. The WHO                levels in check. And making
predicts that, by 2050, the global population of people 60 and older           healthy choices can help you
will double (to 2.1 billion) and the number of people 80 and older             avoid prediabetes or reduce your
will triple (to 426 million).                                                  chances for progressing from pre-
                                           — Linda Searing                     diabetes to Type 2 diabetes, and
                                                                               manage your glucose levels if you
                          HEALTH NEWS                                          already have the disease, says                                                                                                                 VERA LIVCHAK/GETTY IMAGES
                                                                               Hope Warshaw, a certified dia-
In reducing anxiety, mindfulness can work                                      betes care and education special-     Research shows that some, like        in the DPP study. Still, “I don’t      first,” Jones says. So try cinnamon
as well as a prescription drug, research says                                  ist in Asheville, N.C.                refined flour, potatoes and foods     care that someone loses                on whole-wheat toast, in fruit
                                                                                                                     with a lot of added sugars, can       25 pounds,” Warshaw says. “It’s        salad or in coffee. And before
BY LINDSEY TANNER                     learn to briefly acknowledge                A healthy diet may be especial-    rapidly raise blood sugar and         better to lose 5, 10 or 15 pounds      taking supplements, talk to your
                                      them but then dismiss them.              ly helpful for older adults. In the   increase diabetes risk. For exam-     relative to your size and keep as      doctor.
Mindfulness            meditation                                              landmark Diabetes Prevention          ple, in a 2019 study published in     many pounds off as possible.           Skip diabetes bars, shakes
worked as well as a standard drug        Instead of ruminating over the        Program (DPP) study, older par-       Diabetes Care, people who cut out     Gaining back the weight will like-
for treating anxiety in the first     troubling thought, “you say, ‘I’m        ticipants with prediabetes who        one sugary drink per day lowered      ly increase insulin resistance            While products made to man-
head-to-head comparison.              having this thought, let that go for     ate healthier, exercised regularly    the risk by 10 percent.               again.”                                age blood sugar may help, they’re
The study tested a widely used        now,’ ’’ said lead author Elizabeth      and lost a little weight cut their                                                                                 highly processed foods, contain-
mindfulness program that in-          Hoge, director of Georgetown             risk of progressing to Type 2            On the other hand, carb-con-       Opt for healthy fats                   ing protein extracts or isolates,
cludes 2 1/2 hours of classes week-   University’s Anxiety Disorders           diabetes by 71 percent during the     taining whole foods like fruit,          Picking unsaturated fats like       many additives and sugar substi-
ly and 45 minutes of daily prac-      Research Program. With practice,         2.8-year study period.                beans and whole grains have fiber                                            tutes, for instance. A 2022 study
tice. Participants were randomly      “it changes the relationship peo-                                              and can slow the rise in blood        vegetable oils, nuts, avocado and      of more than 70,000 people found
assigned to the program or daily      ple have with their own thoughts            The goal of following a dia-       glucose after meals. Levels don’t     fish over foods packed with satu-      that those who ate the most ultra-
use of a generic drug sold under      when not meditating.”                    betes or prediabetes diet is to       spike and the pancreas isn’t          rated fat like butter and red meat     processed foods had an 80 per-
the brand name Lexapro for de-                                                 prevent insulin resistance. Usual-    taxed.                                could lower blood glucose              cent increased risk for developing
pression and anxiety.                    Studies have shown mindful-           ly after eating, blood glucose rises                                        enough to cut diabetes risk by 22      Type 2 diabetes compared with
After two months, anxiety as          ness works better than no treat-         and the pancreas releases insulin.       Studies support their benefits.    percent, a 2016 study found. “Fats     those who ate the least. And other
measured on a severity scale de-      ment or at least as well as educa-       Insulin shuttles glucose into the     For example, a daily serving of       aren’t just carriers of calories,      studies have had similar findings.
clined by about 30 percent in both    tion or more formal behavior             cells, where it’s used for energy.    whole grains cut diabetes risk by     they’re the most important struc-
groups and continued to decrease      therapy in reducing anxiety, de-         Insulin resistance occurs when        7 to 11 percent in a Danish study     tural molecules in the body,” says        You can lower your glucose
in the following four months.         pression and other mental woes.          the pancreas can’t keep up with       of 55,465 older adults. And in a      Dariush Mozaffarian, dean of the       levels by snacking on whole
Study results, published last         But this is the first study to test it   the demand for insulin. Eventual-     2021 Australian study, middle-        Friedman School of Nutrition Sci-      foods, which have the added ben-
week in the journal JAMA Psychi-      against a psychiatric drug, Hoge         ly, you make less of it, and glucose  aged and older adults who ate         ence and Policy at Tufts Univer-       efit of being packed with nutri-
atry, are timely. In September, an    said, and it could make insurers         levels stay higher than they          about two servings of fruit per       sity. In particular, polyunsaturat-    ents. Try a shake made with yo-
influential U.S. health task force    more likely to cover costs.              should. For people with prediabe-     day were 36 percent less likely to    ed fats (found in safflower and        gurt, fruit, some avocado for
recommended routine anxiety                                                    tes and Type 2 diabetes, a diet that  develop diabetes over five years      sunflower oils) may support insu-      creaminess and a handful of spin-
screening for adults, and numer-         The results were based on             increases the body’s sensitivity to   compared with those who               lin production and help muscles        ach or kale to bump up fiber and
ous reports suggest global anxiety    about 200 adults who completed           the insulin they continue to make     skimped on fruit.                     respond to insulin’s commands to       nutrient levels. “You won’t even
rates have increased recently, re-    the six-month study at medical           is critical, Warshaw says. And for                                          absorb blood sugar. In contrast,       notice the greens; they disap-
lated to worries over the pandem-     centers in D.C., Boston and New          others, it may help keep the con-        Another bonus: Whole grains,       saturated fats seem to increase        pear,” Jones says. A handful of
ic, political and racial unrest,      York. Researchers used a psychi-         ditions at bay.                       beans, fruits and vegetables sup-     insulin resistance by packing ex-      nuts, some yogurt, and berries, or
climate change and financial un-      atric scale of 1 to 7, with the top                                            ply flavonoids and other polyphe-     tra fat into your liver.               carrots dipped in peanut butter
certainties.                          number reflecting severe anxiety.           But many of us don’t know          nols, compounds that help with                                               are also good options.
Anxiety disorders include so-         The average score was about 4.5          what to sip, munch and crunch.        insulin sensitivity, too.             Be wary of supplements
cial anxiety, generalized anxiety     for participants before starting         Here, we clear up a few of the                                                 Sixty-two percent of those 65       Consumer Reports is an
and panic attacks. Affected peo-      treatment. It dropped to about 3         most common misunderstand-            Lose a little weight                                                         independent, nonprofit organization
ple are troubled by persistent and    after two months, then dipped            ings about diet and blood glucose        Extra pounds raise your risk       and older in the United States         that works side by side with
intrusive worries that interfere      slightly in both groups at three         control and offer steps that can                                            with diabetes take supplements,        consumers to create a fairer, safer,
with their lives and relationships.   months and six months. Hoge              make a difference.                    for diabetes by sending more fat      according to a 2020 study in BMJ       and healthier world. CR does not
Anxiety disorders affect 40 per-      said the change was clinically                                                 into muscle cells, which makes it     Open Diabetes Research & Care.         endorse products or services, and
cent of U.S. women at some point      meaningful, resulting in notice-         Pick the right carbs                  difficult for your muscles to ab-     These include cinnamon, bitter         does not accept advertising. CR has
and more than 1 in 4 men, accord-     able improvement in symptoms.               Which carbs to eat for glucose     sorb blood sugar. But “people         melon, fenugreek and magne-            no financial relationship with
ing to data cited in U.S. Preven-                                                                                    with diabetes or prediabetes can      sium. Manufacturers may claim          advertisers in this publication. Read
tive Services Task Force screening       Ten patients on the drug              control, and how much of them,        get overwhelmed by numbers            that they “support” healthy blood      more at ConsumerReports.org.
recommendations.                      dropped out because of trouble-          can be confusing. “ ‘Bread is the     and think they have to lose a lot of  sugar or that they’re “natural
Mindfulness is a form of medi-        some side effects possibly related       enemy’ is something I’ve heard        weight,” Jones says. “Really, just    diabetes cures,” but there’s little
tation that emphasizes focusing       to treatment. There were no drop-        throughout my career,” says Lisa      small amounts make a big differ-      scientific evidence that they
only on what’s happening at the       outs for that reason in the mind-        Jones, a registered dietitian in      ence.” Dropping only 5 to 7 per-      work, the National Institutes of
                                      fulness group, although 13 pa-           Philadelphia who counsels cli-        cent of your body weight (10 to 14    Health says. “My approach is food
                                      tients reported increased anxiety.       ents with diabetes and prediabe-      pounds if you now weigh 200
                                                                               tes. “And people newly diagnosed      pounds) cut the risk for diabetes
                                         The study “is reaffirming about       with diabetes say ‘I can’t have
                                      how useful mindfulness can be            fruit because it has sugar.’ ”
                                      when practiced effectively,’’ said
                                      psychologist Sheehan Fisher, an             But not all carbs are the same.
                                      associate professor at Northwest-
moment and dismissing intrusive       ern University’s Feinberg School
thoughts. Sessions often start        of Medicine who was not involved
with breathing exercises. Next        in the study.                            I stopped taking my meds. That was a big mistake.
might be “body scans” — thinking
about each body part systemati-                            — Associated Press
cally, head to toe. When worried
thoughts intrude, participants                                                                                                                                                                    reporters.
                                                                               MANIC FROM E1                                                                                                         In the hospital, I’m given
                          HEALTH SCAN
                                                                               ask myself if I am or am not                                                                                       40 milligrams of Zyprexa. That is
PEDIATRICS                                                                     manic. His mom must be an                                                                                          a lot of Zyprexa. I sleep. After four
                                                                               illegal immigrant. We’re going to                                                                                  days, I realize my mind fabricated
More kids get wellness checkups. But big gaps                                  have to smuggle her back into the                                                                                  the entire story. My stay is two
remain — especially for Black, Hispanic children                               U.S. I am terrified.                                                                                               weeks long and I am discharged
                                                                                                                                                                                                  with medication much stronger
BY ERIN BLAKEMORE                     Well-Child Visit Adherence                  I am certain that his mom is                                                                                    than those I quit months ago. I
                                                                               not a citizen and that the British                                                                                 have an additional two weeks of
   For decades, pediatricians         JAMA Pediatrics                          police are onto us. At the Sea Life                                         COURTESY OF DANIELLE HUGGINS           recovery at home before I am
have recommended a regular            Hispanic children were compli-           London Aquarium, Lorenzo is                                                                                        cleared to go back to teaching. I
schedule of well-child visits — to    ant in 2016 and 2017, compared           studying a map. I walk over, but I    Danielle Huggins and her daughter.                                           sleep late every day, getting 12 or
check on children’s growth, devel-    with 52.5 percent of Black chil-         cannot make sense of it. The                                                                                       14 hours each night. During the
opment and health, and offer          dren and 58 percent of Hispanic          neon-colored routes are shifting      zo’s green VW is being broadcast      coast is clear. I feel safe enough to  day, I feel hazy and unclear. I
parents the chance to talk with       children.                                and merging into one another. I       on every TV station, just like O.J.   walk inside the emergency room.        can’t read, and even find it diffi-
their children’s doctor, catch kids                                            say, “How are you supposed to         Simpson with his white Ford           I talk to a psychiatrist. He asks me   cult to follow the plotlines of TV
up on scheduled vaccinations and         Not surprisingly, insured sta-        figure out where to go with the       Bronco. I picture reporters relay-    if I have been diagnosed with any      shows.
more.                                 tus mattered. Though adherence           lines moving all over the place?”     ing the story of how two middle-      mental disorders. I tell him I have
                                      levels rose more for kids covered                                              school teachers smuggled an ille-     bipolar. He asks about my sleep           When I go back to work, Loren-
   Now, a study in JAMA Pediat-       by public insurance and kids                Lorenzo turns his head and         gal immigrant from Italy, via         and decides I need to be hospital-     zo tells me some teachers are
rics sheds light on both growth       without insurance coverage, only         cocks it. “Nothing is moving on       England, into the United States.      ized.                                  asking what is wrong with me. He
and inequality in well-child visits.  31 percent of children who               this map. Danielle, are you all                                                                                    says they think I’m on drugs. I tell
The check-ins are associated with     weren’t insured made the recom-          right?” Suddenly I have a realiza-       Lorenzo pulls into the parking        I am relieved because I know        him I am on drugs but not illegal
better health outcomes, fewer         mended visits in 2016 and 2017.          tion. Lorenzo is pretending the       lot of a hospital and tells me to     from experience that hospitals         ones. I explain my diagnosis and
hospitalizations and emergency                                                 map isn’t moving. He is trying to     wait in the car. I am so scared of    are secure, and there is no way        why I got so sick.
room visits, and improved pro-           While 67.6 percent of children        tell me that his mom isn’t a          being caught on camera I curl         any reporters will infiltrate. I
vider-parent communication.           whose parents had attended col-          citizen, and he is trying to figure   myself into as small as a ball as     don’t know how Lorenzo got this           He says, “I’m so glad you’re fine
                                      lege went to their well-child            out a way to sneak her out of this    possible and wait for him under-      doctor to agree to admit me, but I     now.”
   Health and Human Services          checkups, about 50 percent of            place so she doesn’t get picked up    neath the glove compartment.          don’t ask. Before being taken up
researchers at the Agency for         children whose parents did not           by Interpol. I resolve to be quiet                                          to the unit Lorenzo hugs me and I         I am not really fine, however. I
Healthcare Research and Quality       complete high school didn’t get          and follow him, his sister and           When Lorenzo comes out, I tell     see he is crying. He must be           feel like a zombie,
analyzed data from over 36,500        checked up on schedule.                  mom out.                              him I’m afraid of the camera men      worried about his mom and these
children documented in the Med-                                                                                      and reporters. He tells me the                                                  I see my doctor every four
ical Expenditure Panel Survey, an        There were regional gaps, too:           On the plane ride home, I                                                                                       weeks, and each time he lowers
ongoing nationwide survey on          Some 79.3 percent of kids from           believe we are the biggest story                                                                                   the dose of Zyprexa, until he takes
who uses health care in the Unit-     the Northeast made it to the             in, if not America, the world. All                                                                                 me off it completely. After three
ed States. To track whether visit     recommended visits, but only             the passengers on the plane are                                                                                    months, he prescribes Lithium
compliance had grown, they com-       65.3 percent of children in the          reporters, writing up the story of                                                                                 instead, an old standard, having
pared data from 2006 and 2007 to      Midwest, 58.2 percent in the             how we’re smuggling Lorenzo’s                                                                                      been around since 1949. I do not
2016 and 2017.                        South and 55.2 percent in the            mother into the United States.                                                                                     feel as out of it on Lithium, but
                                      West did the same.                                                                                                                                          because every manic episode is
   The researchers found that                                                     Lorenzo pleads for me to sleep.                                                                                 followed by a depressive one, I
14.5 percent more kids completed         To correct the imbalance, the         I lean my head on the small, cool                                                                                  still have little energy and long
their recommended well-child          researchers write, policymakers          window pane and try to sleep, but                                                                                  for my bed all day, every day. At
checkups in 2016 and 2017, rais-      and medical professionals must           the second I close my eyes I hear                                                                                  some point, I have to be readmit-
ing the number of children in         work to improve both access and          the click-clacking of the report-                                                                                  ted for depression, but my stay is
compliance from 47.9 percent to       professional engagement in mar-          ers’ computers. They are all writ-                                                                                 less than a week, and I am able to
62.3 percent.                         ginalized communities.                   ing about me and Lorenzo’s fam-                                                                                    go back to work right away.
                                                                               ily. When I open my eyes and
   But that growth was far from          Although researchers are still        crane my neck to catch them in                                                                                        In the two decades since that
equal. When the researchers dove      working to understand why par-           action, the sound stops. They are                                                                                  psychotic break, I have never
into the data, they found that        ents skip well-child visits, factors     cagey and slick, these reporters.                                                                                  gone off my meds again. And I
non-White children trailed their      such as work, transportation and                                                                                                                            have never had a manic episode
counterparts in well-child visits.    patient education are thought to            Back home in New York, de-                                                                                      as severe as the one in London.
About 68 percent of White, non-       play a role.                             spite zero immigration issues, my                                                                                  Since then, the last thing I do
                                                                               paranoia persists. In his car,                                                                                     before bed is open my bedside
                                                                               Lorenzo asks if I took any drugs.                                                                                  table drawer, take out my green
                                                                               “Be quiet,” I say, since the radio                                                                                 Monday through Sunday pill box,
                                                                               must be bugged. I hear a helicop-                                                                                  and swallow the sanity pills kept
                                                                               ter and am convinced that Loren-                                                                                   inside.
E4                                                                           EZ EE                                                                       THE WASHINGTON POST . TUESDAY, NOVEMBER 15, 2022
                                                            well+being
Tips for avoiding slips, trips
and injuries in pickleball
AnyBODY         Pickleball has         sprains and strains from on-court     aren’t enough data yet.
                exploded in            slips and falls are common               A former squash and
                popularity in          hazards.
MARLENE         recent years,                                                racquetball player, Weiss, 71, took
CIMONS          especially among          Most play is underhand, but        up pickleball when he found
                                       strains or tears in the shoulder      other sports were too hard on his
                those 50 and           rotator cuff can also result from     body — although he, too, has
older. And, as is often the case       overhand volleys or repetitive        suffered his share of twisted
when a new sport catches on,           stretching for the ball, although     ankles and occasional pulled
injuries are growing along with        such injuries occur more often in     muscles in his back and leg.
participation.                         tennis where the force of the ball
“Ten years ago, I saw no               is greater and much more of the          “I switched overnight,” he says.
pickleball injuries,” says J. Bruce    game involves overhead shots.         “There’s not as much speed, you
Moseley, an orthopedic surgeon                                               don’t have as much area to cover,
at Baylor College of Medicine in          Bumps and bruises from falls,      no overhead smashes, a lighter
Houston. “Today, I see at least one    sprained ankles, wrist fractures      racket and ball — and it’s fun,
a week.”                               and strained muscles and              which is why I think people do it.
Pickleball combines elements           tendinitis from overdoing things      It’s also an excellent workout.”
of tennis, badminton and table         are also part of the game.
tennis. It is played indoors or                                              Have fun, take it easy
outdoors on a badminton-sized          Wrists and the Achilles                  Pickleball fans extol its social                                                                                                                                                         ED JONES/AGENCE FRANCE-PRESS/GETTY IMAGES
court with a slightly modified            A recent study compared
tennis net and lightweight                                                   appeal. “We have made many new         People play pickleball in Brooklyn in September. The game combines elements of tennis, badminton
rackets and balls. Some                annual tennis injuries with           friends, and laughter is a huge        and table tennis. About 4.8 million Americans played it in 2021, according to USA Pickleball.
                                       pickleball injuries between 2010      part of the game,” says Robin
4.8 million Americans played           and 2019, tracking the most           Dobler, 66, of Westerville, Ohio,      precautions against falls, which     body would let me,” she says.                                                                As with all sports, experts
pickleball in 2021, according to       common injuries in both sports        who took up the game in 2021.          can be especially dangerous in          D.C. podiatrist Sheldon Laps                                                           recommend warming up first —
USA Pickleball, and more than          for people over 60. For pickleball,   “Our Friday group plays from 9 to      this age group. One way to reduce                                                                                              easy jogging or walking, or
half of those considered “core” —      the study said, older women were      11:30 in the morning, then we all      the risk is to wear “court” shoes    says he commonly sees inversion                                                           pedaling on a stationary bicycle
or regular — players were 55 or        at higher risk than men for trips     go to lunch after.”                    designed for pickleball and          ankle sprains from pickleball,                                                            to work up a light sweat — and
older.                                 and falls leading to wrist                                                   tennis, they say.                    injuries that occur when the foot                                                         stretching, “so you don’t shock
Experts stress that pickleball is      fractures; men were at higher risk       “I am absolutely hooked,”                                                twists upward and the ankle rolls                                                         the muscles when you start doing
a safe, all-ages sport — but it is a   for lower-leg injuries, including     Dobler, a retired physical                “There is a lot of side-to-side   inward, often the result of                                                               game play,” Greiner says.
sport, so warming up, building up      to their Achilles’ tendon. (The       therapist assistant, adds.             lateral movement” in pickleball,     inappropriate shoes.
to longer play and using the right     study also relied on NEISS data.)                                            Greiner says. “We tend to be                                                                                                      Other things to remember: If a
equipment are keys to heading off                                               One thing to watch out for,         straight with our movements in          Many runners who take up                                                               body part hurts after the game,
Achilles' tendon injuries and             “Almost no one was playing         however, is not to do too much         our daily activities. We walk        pickleball assume they can play                                                           put ice on it for 20 minutes. Bring
more.                                  pickleball at the start of the        too soon. Warm up first, and take      straight. We bike straight. We run   in running shoes: Don’t. Instead,                                                         a water bottle, and drink
One analysis, using data from          study, but as the sport exploded      it easy out there.                     straight. Sometimes we lose our      wear court shoes. They are                                                                frequently to avoid dehydration.
the National Electronic Injury         over the time period, pickleball                                             mastery of balance with lateral      designed for pickleball, tennis                                                           If playing outdoors, wear a hat
Surveillance System (NEISS),           play and corresponding injuries          “People go from doing nothing       movements, so falls can be a risk.”  and other sports that involve                                                             with a brim, or a visor, and use
used a sample of 300 emergency         went from almost nothing to           to playing pickleball five days a                                           lateral movement.                                                                         sunscreen liberally. And use eye
room visits for pickleball injuries    increasing rapidly over that          week, and they will get overuse           While playing one day last fall,                                                                                            protection — there have been
to extrapolate that there were         decade, especially over the last      injuries as a result,” says Nicholas   Dobler ran wide to return a ball,       “Many running shoes today                                                              reports of eye injuries from being
some 19,000 ER visits for              few years,” says Harold Weiss,        Greiner, an osteopath who              planted her right foot and turned    have a ‘rocker’ sole, that is,                                                            hit in the eye with a ball or
pickleball injuries from 2001 to       an adjunct associate professor        practices sports medicine in St.       toward her opponents — and felt      viewing the shoe from the side,                                                           paddle.
2017, and that the pace of injuries    of population health sciences at      Louis. Greiner conducted a 2019        instant pain inside her right        the forefoot of the shoe is curved
rose as pickleball’s popularity        the University of Wisconsin at        review of common injuries              knee. She tried to keep playing,     up,” Laps says. “This aids push-off                                                          “Injuries are part of all sports,”
grew. People 50 and older              Madison School of Medicine            associated with pickleball. “The       but it hurt. Later, she iced the     off during running and walking.                                                           says Greiner, who also plays. “But
accounted for nearly 91 percent of     and Public Health, who co-            one thing I tell people is to go into  knee, did strengthening exercises    But rocker type soled shoes                                                               if you take the proper steps,
the patients, according to the         wrote the study. Weiss, a             it gradually.”                         and got an injection to lubricate    should not be used to play a court                                                        pickleball is a great sport — even
study.                                 pickleball enthusiast, stresses                                              the joint. She improved quickly      sport. The side-to-side motion on                                                         at a high level of play, there is less
For older players, muscle              that it’s not possible to calculate   Get the right shoes                    and wasted no time returning to      a pickleball court increases the                                                          risk of injury than from many of
                                       the rate of injuries per                 And while stressing the safety      the court.                           likelihood that the player will                                                           our other traditional sports. And
                                       pickleball players because there                                                                                  twist the foot at the ankle and                                                           it’s a fun game.”
                                                                             of pickleball overall, Greiner and        “I would play every day if my     thus, sprain the ankle.’’
                                                                             others recommend that older
                                                                             participants take extra
For middle-aged or older people, pickleball can provide a moderate workout
PICKLEBALL FROM E1                     before game play. The game play       bles competition might be provid-      ease Control and Prevention.         the heart rate responses most                                                             courts are smaller in pickleball
                                       lasted for at least an hour, with 22  ing more of a workout than the            Both singles and doubles pick-    meaningful and would emphasize                                                            and the sport often requires quick
play it, but the sport has long been   of them playing singles, and the      step counts showed, said Sandra                                             that over the accelerometer data.                                                         points near the net, he added.
associated with seniors and retir-     rest playing doubles. The time        Webber, the principal investiga-       leball players spent about 40 per-   The study probably confirms
ees after three men in Washington      included short breaks if partici-     tor and lead author of the study,      cent of their time in the moderate   “what your hunches would be,” he                                                             But pickleball is not for every-
state invented it in 1965.             pants needed to rotate off a court    and an associate professor in the      heart rate intensity zone, roughly   said, “that you get somewhere                                                             one. As the sport grows, so do
                                       and wait for the next available       department of physical therapy at      30 percent in light activity and     between the upper end of moder-                                                           injuries.
   To find out if pickleball is as     court.                                the University of Manitoba. Web-       about 30 percent in the vigorous     ate to the lower end of vigorous
vigorous as jogging or tennis or                                             ber calls herself a “pickleball en-    zone, suggesting that with enough    physical activity” during pickle-                                                            Webber said that tendon pain
closer to a more moderate activity,       The study found that based on      thusiast.” At age 54, she plays        playing time, players could reach    ball.                                                                                     in elbows, widely known as “ten-
such as a brisk walk, researchers      accelerometer data showing step       three to four times a week.            recommended activity goals.                                                                                                    nis elbow,” is a common injury for
at the University of Manitoba          counts, players averaged 3,322                                                                                       Ben Johns, 23, of Gaithersburg,                                                        pickleball players. She added that
equipped 53 recreational pickle-       steps per hour, and about 80 per-        During singles and doubles             “I would say that 70 percent of   Md., the world No. 1 ranked Pro-                                                          “there have been some very seri-
ball players with smartwatches to      cent of singles pickleball play was   play, many of the men’s and wom-       the time that people were on the     fessional Pickleball Association                                                          ous eye injuries with getting hit,
track their heart rates and accel-     of moderate intensity. (The rest      en’s heart rates reached about 111     court, they were getting exercise    player for men’s singles and dou-                                                         usually with a ball but also poten-
erometers to measure their steps.      was light intensity.)                 beats per minute, a level that         that would count toward their 150    bles, said pickleball has more sud-                                                       tially with your partner’s paddle
The ages of the participants                                                 would put older people into the        minutes per week,” Webber said.      den movements and less down-                                                              in the eye.”
ranged from 29 to 73, although            Doubles pickleball players         moderate-exercise range, Webber        “Based on our results, if people     time than tennis.
most were middle-aged or older.        moved less, posting only 2,790        said. The mean heart rate of the       play pickleball for four and a half                                                                                               Webber hopes to research other
                                       steps per hour. During doubles        participants also reached about        hours a week, then they would           “Generally in tennis, you might                                                        potential benefits of pickleball,
   They warmed up by walking or        play, participants spent only         70 percent of maximum predicted        meet their physical activity guide-  be sprinting to the ball occasion-                                                        such as on muscle strength, flexi-
jogging around the courts for          about half the time in moderate       heart rate for both singles and        lines.”                              ally, but most of the time, you kind                                                      bility and bone health.
three minutes at an intensity they     intensity exercise and half in light  doubles players, which meets the                                            of know where the ball is going
felt was “moderate” and then           intensity.                            definition of moderate activity,          Michael Joyner, a professor of    and you’re moving at a pace that’s                                                           Based on her study and person-
practiced hitting various pickle-                                            according to the Centers for Dis-      anesthesiology and physiology at     not instantaneous,” unlike in                                                             al experience, Webber remains an
ball shots for two to five minutes        But players’ heart rate readings                                          the Mayo Clinic who was not in-      pickleball, Johns said. Also, the                                                         advocate of pickleball.
                                       indicated both singles and dou-                                              volved in the study, said he found
                                                                                                                                                                                                                                                      “Most people once they try it,
                                                                                                                                                                                                                                                   they kind of get hooked,” she said.
Eating fiber alters the microbiome.                                                                                                                                                                                                                 with a 30 percent lower risk of
It may boost cancer treatment, too.                                                                                                                                                                                                                death or cancer progression.
                Cancer                    “I’m eating triple the amount      bacteria known as                                                                                                                                                        In the new study, patients are
                researchers think      of fruits and vegetables that I       Bifidobacterium had a stronger                                                                                                                                        given daily meals that include as
                they have found        used to eat,” Facton said. “I eat     immune response against                                                                                                                                               much as 50 grams of daily fiber
                an explanation for     healthy, but not to the levels that   melanoma tumors than mice                                                                                                                                             from foods such as beans, lentils,
                why some cancer        I am now. A huge portion of my        who lacked the bacteria. They                                                                                                                                         farro, brown rice, fruits and
                drugs don’t            plate is always vegetables, lots of   found that giving                                                                                                                                                     vegetables — about twice the
Eating Lab      always work. The       quinoa — anything I can find          Bifidobacterium to the deficient                                                                                                                                      recommended amount of 25 to
                                       that has fiber in it.”                mice slowed tumor growth.                                                                                                                                             30 grams of fiber a day. By
ANAHAD          answer — and a                                               What’s more, combining the                                                                                                                                            comparison, the average
O’CONNOR possible solution                Scientists caution that this       bacteria with an immunotherapy                                                                                                                                        American eats roughly 15 grams
                — may be found         strategy of using a fiber-rich diet   drug known as a checkpoint                                                                                                                                            a day. (A control group will eat a
                in the gut             — or any diet for that matter — to    inhibitor nearly abolished the                                                                                                                                        healthy diet that follows
microbiome.                            boost immunotherapy remains           tumors.                                                                                                                                                               guidelines from the American
The composition of a person’s          unproven. But the research they                                                                                                                                                   SAM KAPLAN/TRUNK ARCHIVE  Cancer Society.)
gut microbiome — which                 are doing is shedding new light          Human studies showed that
consists of trillions of bacteria      on how the gut microbiome             these checkpoint inhibitors were       A grain bowl with vegetables may help patients recover from cancer                                                                Facton was diagnosed in
and other microbes — appears to        affects our ability to fight          also more effective in cancer          treatments and have more successful outcomes.                                                                                  November 2021 with melanoma
                                       disease.                              patients whose guts had more                                                                                                                                          that had spread to his lymph
influence whether a                                                          microbial diversity, as well as a      patients began responding to the     Studying a fiber-rich diet                                                                nodes after his wife noticed a
groundbreaking cancer                     “My patients who are starting      greater abundance of several           drugs. Hassane Zarour, a cancer         Meanwhile at MD Anderson,                                                              golf-ball sized lump on his back.
treatment called                       treatment often ask if there’s        microbes, including                    immunologist who led the study,                                                                                                He began immunotherapy and
immunotherapy is successful in         something else they could be          Akkermansia muciniphila and            called it “an encouraging proof of   McQuade and her colleague                                                                 enrolled in the three-month diet
some patients. Scientists have         doing to enhance their chances        Bifidobacterium longum.                principle,” and said he is now       Jennifer Wargo, a cancer                                                                  trial.
found that patients who harbor         of responding to                      Patients with low levels of these      recruiting melanoma and lung         surgeon, explored a different
certain gut bacteria have better       immunotherapy,” said Jennifer         and other microbes were less           cancer patients for a larger study.  route: why not change patients’                                                              “It was huge servings, like a
responses to immunotherapy             McQuade, an assistant professor       likely to respond to the                                                    microbiomes by changing what                                                              plate heaping with broccoli or
than patients who lack them.           and physician scientist in            treatment.                                “We don’t want to say that the    they eat?                                                                                 quinoa, or mixed vegetables,” he
Even more stunning:                    melanoma medical oncology at                                                 microbiome is the only                                                                                                         said. “It was an impressive
scientists believe that giving         MD Anderson. “We’re trying to            Some researchers are trying to      mechanism,” said Zarour, the co-        McQuade pointed out that                                                               amount — more than I have ever
patients a fiber-rich diet of fruits,  test this diet with the same rigor    overcome resistance to                 leader of the Cancer                 some of the gut microbes that                                                             eaten in one serving.”
vegetables, beans, nuts and            that we use to test drugs.”           immunotherapy by doing fecal           Immunology and                       appear to improve how patients
whole grains to nourish the                                                  transplants. They take stool           Immunotherapy Program at the         respond to immunotherapy are                                                                 In January, he underwent
microbiome might improve the           Manipulating the                      samples teeming with gut               University of Pittsburgh Medical     known to thrive on fiber. “These                                                          surgery and learned the tumor
odds that the cancer treatment is      microbiome                            microbes from patients who             Center. “But we have learned that    are bacteria that help us break                                                           was gone. “There was just a
effective.                                                                   responded to the drugs and             the microbiome could definitely      down and utilize starch and                                                               bunch of scar tissue there,” he
A clinical trial testing the              Scientists have long known         transfer it via colonoscopy to         be responsible for the inability of  fibers,” she said.                                                                        said. “There was no cancer to be
theory is underway at the              that the microbiome is a crucial      another patient. In one recent         some patients to respond.”                                                                                                     found.”
University of Texas MD                 part of our immune systems. By        trial, scientists gave fecal                                                   The team examined the diets
Anderson Cancer Center in              some estimates, between 60 and        transplants to 15 people with             Zarour said the goal of his       of 128 melanoma patients and                                                                 Facton is continuing
Houston, the largest cancer            80 percent of the immune cells in     advanced melanoma who didn’t           work is to figure out which gut      found that those who regularly                                                            immunotherapy for nine
center in the United States.           our bodies reside in the gut.         respond to immunotherapy.              microbes are involved and then       ate large amounts of fiber from                                                           months, and he has decided to
It includes participants such                                                                                       package them into pills that         fruits, vegetables, and other                                                             continue his new way of eating.
as Hector Facton, a pediatrician          But only recently did it              Based on their histories, the 15    patients could take to alter their   plant foods had better outcomes
in San Angelo who is undergoing        become apparent that these            patients had a less than 10            microbiomes. “The endgame is         on immunotherapy than patients                                                               “I feel better, and I don’t see
immunotherapy treatments for           microbes might affect cancer          percent likelihood of responding       not fecal transplants,” he added.    who ate the least amount of fiber.                                                        any downside to it,” he said. “It
Stage 4 melanoma.                      outcomes. Scientists at the           to immunotherapy. But after            “Giving patients a cocktail of       Their findings, published in                                                              makes me a healthier person
                                       University of Chicago discovered      undergoing stool transplants, six      probiotics might be the best         Science in December, showed                                                               overall — and now, cancer free.
                                       that mice with a strain of gut                                               option.”                             that every five-gram increase in                                                          What a huge bonus.”
                                                                                                                                                         daily fiber intake was associated                                                         Do you have a question about healthy
                                                                                                                                                                                                                                                   eating? Email
                                                                                                                                                                                                                                                   [email protected] and we
                                                                                                                                                                                                                                                   may answer your question in a future
                                                                                                                                                                                                                                                   column.
TUESDAY, NOVEMBER 15, 2022 . THE WASHINGTON POST                                                                         EZ EE                                                                                                              E5
                                                            well+being
How crossword puzzles may help slow cognitive declines
      BY TEDDY AMENABAR              measurements — cognitive de-         cognitive impairment, which is                 such as crossword puzzles can            GEORGE WYLESOL FOR THE WASHINGTON POST     Hambrick said completing a
   For years, scientists have been   cline scores, functional skills and  different from normal aging,                   “truly prevent dementia,” Do-                                                    crossword puzzle, which re-
trying to figure out whether         brain volume changes — the           then the recommendation would                  raiswamy said.                      you,” Devanand said.                         quires the ability to remember
“brain workouts” such as puzzles     regular crossword players fared      be to keep your brain active with                                                     Doraiswamy said he hopes                  words and esoteric knowledge
and online cognitive games           better than the game players.        crossword puzzles.”                               “We’ve known for almost 30,                                                   gathered through experience,
could strengthen our minds and                                                                                           40 years that keeping yourself      future studies can build off the             tests a person’s “crystallized cog-
slow the process of aging.              The finding surprised the sci-       People with higher degrees of               mentally active is really impor-    findings to investigate the opti-            nitive abilities.” He said that
   Now, a study published in         entists behind the study who had     cognitive impairment appeared                  tant,” Doraiswamy said. “But        mal level of difficulty and time             people with mild cognitive im-
NEJM Evidence has found that         expected that challenging web-       to benefit the most from doing                 we’ve not really translated that    spent solving puzzles for people             pairment have the most trouble
regularly attempting a cross-        based brain games, which were        the crossword, which was de-                   into an intervention that is a      with mild cognitive impairment.              with “fluid cognitive abilities”
word may help slow decline in        specifically designed to boost       signed to be a moderately diffi-               medical-grade intervention.”                                                     such as remembering a list of
some people with mild cognitive      cognitive function, would offer      cult puzzle comparable to the                                                         Some researchers remained                 words or solving a logic problem.
impairment, an early stage of        the most benefit.                    New York Times Thursday game.                     D.P. Devanand, a professor at    skeptical. Zach Hambrick, a pro-             Crosswords don’t challenge the
faltering memory that can some-                                                                                          Columbia University and the         fessor of cognition and neurosci-            type of abilities associated with
times progress to dementia.             “Our study shows fairly con-         The study has limitations.                  lead researcher on the study, said  ence at Michigan State Univer-               mild cognitive impairment,
   While the study didn’t investi-   clusively that in people with        Some of the participants may                   the finding needs to be replicat-   sity, said the study doesn’t inves-          Hambrick said.
gate whether crosswords benefit      mild cognitive impairment,           have just been more familiar                   ed in a larger study with more      tigate why the crossword might
younger adults who are not deal-     crossword puzzles beat the com-      with crosswords and that’s why                 participants and a control group    offer more benefit than a com-                  Lumos Labs, the company be-
ing with cognitive decline, it       puterized games on multiple          they responded better to the                   that isn’t playing any game.        puter game.                                  hind the computer games in the
suggests that keeping your mind      metrics,” said Murali Do-            puzzles than to Lumosity’s com-                                                                                                 experiment, provided access to
active as you age may benefit        raiswamy, a professor at Duke        puter games. More years of fol-                   “We can’t say beyond a certain      In 1999, Hambrick co-au-                  both the crossword puzzles and
your brain. And the research         University and a co-author of the    low-up also are needed to deter-               point why people do better on       thored a study that found no                 their suite of games but was not
offers hope to those diagnosed       study. “So, if you have mild         mine whether interventions                     crosswords, but it does suggest     evidence to suggest people who               involved in the design or publi-
with mild cognitive impairment                                                                                           that doing crosswords helps         solve crossword puzzles more                 cation of the study. Doraiswamy
that they may be able to stave off                                                                                                                           than twice a week had less                   is a consultant to Lumos Labs.
further declines in the memory,                                                                                                                              cognitive decline.
language problems and deci-                                                                                                                                                                                  Laurie Ryan, the chief of clini-
sion-making that are the hall-                                                                                                                                                                            cal interventions at the National
mark of the condition.                                                                                                                                                                                    Institute on Aging, said the agen-
   The American Academy of                                                                                                                                                                                cy funded the research because
Neurology estimates that mild                                                                                                                                                                             it’s important to find treatments
cognitive impairment affects                                                                                                                                                                              that reduce the risk for Alzheim-
about 8 percent of people ages 65                                                                                                                                                                         er’s disease and other types of
to 69; 10 percent of people ages                                                                                                                                                                          dementia.
70 to 74; 15 percent of people
ages 75 to 79; 25 percent of those                                                                                                                                                                           “We’re likely going to need
ages 80 to 84; and about 37                                                                                                                                                                               multiple interventions for differ-
percent of people 85 and older.                                                                                                                                                                           ent people,” Ryan said. “We’re
   The research, which was fund-                                                                                                                                                                          trying to fund as many things as
ed by the National Institute on                                                                                                                                                                           we can.”
Aging, recruited 107 adults ages
55 to 95 with mild cognitive                                                                                                                                                                                 Most researchers agree that
impairment. For 12 weeks, they                                                                                                                                                                            keeping both your body and your
were all asked to play one of two                                                                                                                                                                         mind active as you age probably
types of games, four times a week                                                                                                                                                                         benefits your brain. Ronald C.
— spending either 30 minutes on                                                                                                                                                                           Petersen, the director of the
Lumosity, a popular cognitive                                                                                                                                                                             Mayo Clinic’s Alzheimer’s Dis-
training platform, or 30 minutes                                                                                                                                                                          ease Research Center, said that
attempting a digital crossword.                                                                                                                                                                           in addition to regular exercise,
After 12 weeks, the participants                                                                                                                                                                          he recommends that patients
were reevaluated and given                                                                                                                                                                                spend time on challenging intel-
“booster” doses of game play six                                                                                                                                                                          lectual tasks such as watching a
more times during the 78-week                                                                                                                                                                             documentary or attending a lec-
experiment.                                                                                                                                                                                               ture.
   By the end of the study, partic-
ipants were given standard as-                                                                                                                                                                               Look for activities that “bring
sessments used to measure cog-                                                                                                                                                                            you out of your comfort zone,”
nitive decline, and friends and                                                                                                                                                                           said Sylvie Belleville, a professor
family reported on their day-to-                                                                                                                                                                          of neuropsychology at the Uni-
day functioning. MRI scans also                                                                                                                                                                           versity of Montreal. Try out dif-
were used to measure brain vol-                                                                                                                                                                           ferent “stimulating” tasks or in-
ume changes.                                                                                                                                                                                              crease the difficulty of a certain
   Researchers found that in key                                                                                                                                                                          task over time. “If you’re very
                                                                                                                                                                                                          good at crossword puzzles and
                                                                                                                                                                                                          you keep doing only that, you’re
                                                                                                                                                                                                          still in your zone of comfort and
                                                                                                                                                                                                          you don’t adopt new strategies,
                                                                                                                                                                                                          new brain networks,” Belleville
                                                                                                                                                                                                          said.
Research sees links between women’s
menstrual cycles and pandemic stress
PERIODS FROM E1                      said. “And I think that doctors                 CHELSEA CONRAD/THE WASHINGTON POST  A Revolution
                                     may tend to underplay that.”                                                        in Hearing
periods.                                                                  get covid. She was also helping to             Technology
   The research is part of a grow-      Because of pandemic restric-      coordinate outreach programs to
                                     tions, Marcela Wakeham, 46, of       Asian American communities                     Unlike traditional hearing aids that just make
ing body of evidence suggesting      Lancing, England, wasn’t able to     and was anxious about anti-                    sounds louder through a speaker, Earlens
that women’s periods changed         teach yoga and Pilates and took a    Asian violence.                                offers the world’s only nonsurgical Lens to
during the pandemic.                 job as a care worker. Her hus-                                                      gently vibrate the eardrum. The result?
                                     band’s business closed at the           During this stressful time, she             Rich, natural sound.
   “Women are constantly being       same time.                           noticed her periods became
told, ‘This is in your head,’ ”                                           heavier, her cycles got shorter                Tiny Lens. Huge Difference.
Anto-Ocrah said. “Until we get          She believes all the stress she   and she had more painful cramp-
some data to show that what is in    experienced during that time         ing. She also missed one period                Earlens address the top two complaints of
women’s heads is actually the        may have triggered early meno-       entirely. Fan said she also lost               hearing aid users: understanding speech in
truth, the medical society kind of   pausal symptoms, including           weight and started having diffi-               background noise and sound quality
turns us away and doesn’t believe    shorter menstrual cycles as well     culty sleeping. “I was so anxious
it.”                                 as “violent” hot flashes and in-     because I was running around                   84%                                 >2.5x                         Up to 58%
                                     somnia. But her doctor told her      trying to do all these things,” she
   Stress can affect a woman’s       she was “too young” to be enter-     said.                                          found Earlens improved              the audible bandwidth         improvement in speech
menstrual cycle in a number of       ing menopause and declined to                                                       the effort required to carry        of conventional hearing aids  understanding in noise
ways. The stress hormone corti-      prescribe the hormone treatment         The length of her cycle has now             on conversations
sol can affect the body’s produc-    she wanted.                          returned to normal, but Fan said
tion of estrogen and progester-                                           she still has more painful cramp-              Call for a complimentary              Corinne Pyne, Au.D. Gena Marino, Au.D.
one, which are reproductive hor-        “I didn’t have a spare minute     ing that forces her to take time off           consultation
mones that influence the men-        for myself,” Wakeham said. “My       work.                                                                                                                                                  ML00769vA
strual cycle. Stress-related         levels of stress were up to the                                                     (703) 534-4344
factors, such as poor nutrition,     roof.”                                  A recent report in the Interna-
weight gain, weight loss and poor                                         tional Journal of Epidemiology                 8120 Gatehouse Rd • Falls Church, VA
sleep, also can play a role.            A prolonged irregular men-        noted that questions about men-                www.fairfaxhearing.com
                                     strual cycle sometimes can be a      struation haven’t been included
   Nicole C. Woitowich, a medi-      sign of more worrying changes in     in most large-scale covid-19 stud-
cal research assistant professor     the body, said Amy Wagner, a         ies. Gemma Sharp, an associate
at Northwestern University,          professor at the University of       professor at the University of
found a similar association be-      Pittsburgh. If someone is in a       Exeter and the study’s lead au-
tween period changes and pan-        chronically stressful situation,     thor, said more research is need-
demic stress in 2020 after con-      higher levels of cortisol over time  ed to inform women if these
ducting an online survey of 210      may not only affect periods but      stress-related changes in their
women. Because it wasn’t a rep-      also increase the risk of inflam-    cycle will have any lasting effects.
resentative sample, the findings     mation, autoimmune diseases,
aren’t conclusive. But Woitowich     heart disease, high blood pres-         “From what we know about
said both studies, conducted a       sure or other chronic diseases,      how the menstrual cycle is regu-
year apart, suggest that the pan-    she said.                            lated, we think these changes are
demic affected women’s stress                                             likely to be short-term and unre-
levels and menstrual cycles over        Caroline Fan, 41, of St. Louis    lated to long-term health and
a long period of time.               said she felt “on edge” constantly   fertility, but it is absolutely cru-
                                     during the pandemic because she      cial that scientists can produce
   “Women have really borne the      worried that her husband, an         evidence on this to give women
brunt of the pandemic, from mul-     infectious-disease doctor, would     the reassurance they deserve,”
tiple facets,” Woitowich said.                                            she said.
“From being the primary care
giver, from dealing with remote
learning, and oftentimes work-
ing while navigating that as well.”
   Linda Fan, assistant professor
of obstetrics and gynecology at
the Yale School of Medicine, said
she has seen an uptick of patients
coming in to discuss irregular
menstrual cycles. In general, one
or two abnormal cycles isn’t
something to worry about, but
she encourages patients to talk to
their doctors and to continue
tracking their periods to be sure
no concerning patterns emerge.
   In addition to stress, changes
in one’s menstrual cycle could
also signal thyroid disease, hor-
monal changes, cancer, pregnan-
cy or an infection, she said.
   “It can be very alarming,” Fan
E6                                                                             EZ EE                                                                       THE WASHINGTON POST . TUESDAY, NOVEMBER 15, 2022
A virtual reconnection with deceased family and friends
GRIEF FROM E1                              Science has definitely taken an                                                                                                                                                                MARLENA SLOSS FOR THE WASHINGTON POST      later, she still texts with his chat-
                                        interest in connecting the be-                                                                                                                                                                                                               bot every week or two.
   On the show, the virtual girl,       reaved with their loved ones.          James Vlahos created a chatbot from conversations he recorded with his father before his father’s
Na-yeon, appeared from behind a                                                death. His company launched an app that can respond to questions in a deceased loved one’s voice.                                                                                                        Psychologists say creating a
woodpile and runs toward her               For instance, Hossein Rahna-                                                                                                                                                                                                              virtual copy of a lost loved one can
mother, calling, “Mom.” The             ma, a professor at Toronto Metro-      it’s engaging in a conversation.        Vlahos said the Dadbot doesn’t      she and Mazurenko had ex-                                                                                                 be therapeutic, especially in cases
mother burst into tears and said,       politan University and a research         Vlahos, HereAfter’s chief exec-   make him miss his father any less.     changed — as well as texts Ma-                                                                                            with unresolved issues, but could
“Mom missed you so much, Na-            affiliate with MIT Media Lab, has                                           “But I do love that he can feel        zurenko had sent to others — to                                                                                           it lead to someone wanting to
yeon.” A video of the show report-      been building a platform called        utive, said he was motivated to      more present to me, with the           create a digital version of him.                                                                                          remain in this virtual world of
edly received 19 million views.         Augmented Eternity, which al-          start the company after building a   aspects of his personality that I                                                                                                                                their loved one?
While the experience was painful,       lows someone to create a digital       chatbot — or Dadbot as he calls it   love so much less clouded by the          Their communications were
the mother told the Korean Times        persona from a dead person’s           — from about a dozen hour-long       passage of time,” he said.             just text messages on a messenger                                                                                            “By giving somebody the abili-
that she would do it again if she       photos, texts, emails, social media    recordings he made of his father                                            app, but to those who knew Ma-                                                                                            ty to see their loved one again, is
could; she finally got a chance to      posts, public statements and blog      after his dad was diagnosed with        Kuyda created a chatbot of a        zurenko, his responses on the app                                                                                         that going to give them some
say goodbye.                            entries that will be able to inter-    terminal lung cancer in 2016.        dear friend and roommate, Ro-          were spot on. They sounded just                                                                                           solace, or is it going to become
                                        act with relatives and others.                                              man Mazurenko, for a similar           like him because they largely                                                                                             like an addiction?” says clinical
   “I was worried how the mother                                                  Vlahos transcribed those con-                                            were his responses, but made at                                                                                           psychologist Albert “Skip” Rizzo,
would react” to the digitized              To make reliable predictions of     versations and gathered his own        “We don’t grow . . .                 another time in another context.                                                                                          director of Medical Virtual Reali-
daughter, the producer of the           what the deceased might have           memories of his dad. He then           by eliminating who                                                                                                                                             ty at the Institute for Creative
documentary, Kim Jong-woo,              said, the models need vast             used a software platform called                                                “It was just nice to be able to                                                                                        Technologies and a research pro-
told the newspaper. “No matter          amounts of data. Rahnama said          PullString to program the                we have loved.”                    remember him in a special way                                                                                             fessor at the University of South-
how hard we tried to make the           that will work well for millenni-      Dadbot. Vlahos spent a year in-                                             and to be able to talk to him like                                                                                        ern California’s Keck School of
character similar, she still can tell   als, who post everything they do       putting strings of conversation                  Robert Neimeyer,           we did before,” she said.                                                                                                 Medicine Department of Psychia-
the difference. But she said she        on the internet, but less well for     and teaching the bot to interpret       director of the Portland Institute                                                                                                                            try and Behavioral Sciences.
was happy to see even the slight        older people who aren’t as online      what people said to it. When sent                                              The company made the app,
reflection of Na-yeon.”                 focused or savvy. Rahnama re-          a message or asked a question, the             for Loss and Transition      called Roman Mazurenko, public-                                                                                              Grief therapists sometimes in-
                                        ceives emails almost weekly from       Dadbot would respond similarly                                              ly available, and people who                                                                                              vite people to have an imaginary
   People have always craved            people who are terminally ill,         to how his father would, either      reason. She and Mazurenko had          didn’t even know him began                                                                                                conversation with the deceased,
post-death contact with their           asking if there is a way to con-       with a text message, audio of a      moved from Moscow to the Unit-         downloading it and texting him.                                                                                           or to write a letter or role play
loved ones. Efforts to remain in        serve their legacy for their loved     story or song, or even a photo.      ed States in 2015 and were living      Some reached out to the company                                                                                           with the therapists. With digital
touch with the dead have existed        ones. He said he now has a beta                                             together in San Francisco when,        requesting that it make bots of                                                                                           recreations of the dead, particu-
for eons, such as photographing         group of 25 people testing his            He chats with the Dadbot every    on a brief trip back home, Ma-         their own loved ones.                                                                                                     larly in virtual reality, the experi-
deceased children, holding              product. His goal is for consum-       month or so, whenever he wants       zurenko was killed by a hit-and-                                                                                                                                 ence would be more immersive.
seances and even keeping a              ers to one day be able to create       to hear his voice. One time, he      run driver. At the time, her com-         She was 30 at the time, and he
corpse in the house for posterity.      their own eternal digital entities.    went to a spot where his father’s    pany Luka was building chatbot-        was the first important person in                                                                                            Why people want to hold on to
But artificial intelligence and vir-                                           ashes were scattered, overlooking    based virtual assistants. After        her life to die. She struggled with                                                                                       their loved ones is understand-
tual reality, along with other tech-       In June, Amazon unveiled a          Memorial Stadium at the Univer-      Mazurenko died, Kuyda decided          how someone so ever-present was                                                                                           able.
nological advances, have taken us       new feature it’s developing for        sity of California’s Berkeley cam-   to use the 10,000 text messages        no longer there. It was like he
a huge step closer to bringing the      Alexa, in which the virtual assis-     pus, where his father rarely                                                never existed, she said. “For me,                                                                                            One of our basic drives is to
dead back to life.                      tant can read aloud stories in a       missed a football game, and asked                                           to be able to get back to him, to                                                                                         attach to others, particularly
                                        deceased loved one’s voice after       the Dadbot to sing him a Cal spirit                                         continue to have the communica-                                                                                           those who provide a secure base,
   “It’s something that’s very fun-     just hearing a minute of that          song, which it then did.                                                    tion we had before, it was sort of                                                                                        like a parent for a child, said
damental to humans, to keep a           person’s speech. (Amazon found-                                                                                    therapeutic,” she said. Five years                                                                                        Robert Neimeyer, director of the
connection to something they            er Jeff Bezos owns The Washing-                                                                                                                                                                                                              Portland Institute for Loss and
loved,” said Sherman Lee, a psy-        ton Post.) “While AI can’t elimi-                                                                                                                                                                                                            Transition. “These are among our
chology associate professor at the      nate that pain of loss, it can                                                                                                                                                                                                               strongest evolutionary impera-
Christopher Newport University          definitely make their memories                                                                                                                                                                                                               tives, as beings, and our technol-
in Newport News, Va., and direc-        last,” said Rohit Prasad, senior                                                                                                                                                                                                             ogies are recruited to support
tor of the Pandemic Grief Project.      vice president and head scientist                                                                                                                                                                                                            that goal,” he said.
                                        for Amazon Alexa.
   A continuing bond with a loved                                                                                                                                                                                                                                                       After the telephone was invent-
one — such as by listening to old          And several entrepreneurs in                                                                                                                                                                                                              ed, he said, Thomas Edison was
voice mails, watching old videos        the AI sphere, including James                                                                                                                                                                                                               interested in developing a “spirit
and engaging with chatbots that         Vlahos of HereAfter AI and Euge-                                                                                                                                                                                                             phone” to somehow communi-
can speak in a loved one’s voice —      nia Kuyda, who co-founded AI                                                                                                                                                                                                                 cate with the dead. And seeing a
can bring comfort. But it also can      start-ups Luka and Replika, have                                                                                                                                                                                                             photograph of a deceased son
exacerbate the grief, particularly      turned their efforts toward virtu-                                                                                                                                                                                                           who died at the Gettysburg battle
for those whose loved ones died         al representations of people, us-                                                                                                                                                                                                            during the Civil War was just as
by suicide, as people relive the        ing data from their digital foot-                                                                                                                                                                                                            uncanny an experience for a par-
loss anew, research shows.              print to craft an avatar or chatbot                                                                                                                                                                                                          ent then as it is for that mother in
                                        that can interact with family                                                                                                                                                                                                                the video to see her dead daugh-
   “If you’re asking me, is watch-      members after they’ve passed.                                                                                                                                                                                                                ter in virtual reality, Neimeyer
ing videos of your deceased                                                                                                                                                                                                                                                          said.
spouse every night a helpful thing         HereAfter’s app takes users
to do, instead of re-engaging the       through an interview process be-                                                                                                                                                                                                                “What is surreal in one era
world again and spending that           fore they’ve died, prompting                                                                                                                                                                                                                 quickly becomes conventional in
time with friends and family? No,       them to recollect stories and                                                                                                                                                                                                                the next,” he said. “In general, in
I don’t think it’s helpful,” Lee said.  memories that are then recorded.                                                                                                                                                                                                             life, we don’t grow as people by
“But that said, would it be helpful     After they’ve passed, family mem-                                                                                                                                                                                                            eliminating who we have loved,
to smash all of the videos and lock     bers can ask questions, and the                                                                                                                                                                                                              how we have loved what we have
them up in a room? That’s going         app responds in the deceased’s                                                                                                                                                                                                               loved. It’s a question of holding on
to make the grieving process            voice using the accumulated in-                                                                                                                                                                                                              differently. How can we use this
worse.”                                 terview information, almost like                                                                                                                                                                                                             relationship as a resource? I think
                                                                                                                                                                                                                                                                                     the technology can contribute to
                                                                                                                                                                                                                                                                                     that.”
Toxic wildfire smoke raises health risks across the country, scientists say
  BY MATT VASILOGAMBROS                 atrics.                                                                                                                                                                                                U.S. FOREST SERVICE/ASSOCIATED PRESS  coming from the plumes that
                                           What troubles experts is par-                                                                                                                                                                                                             drift from the West Coast and
   State public health officials                                               Smoke from the Greenwood Lake wildfire in northeastern Minnesota and a pyrocumulus cloud rise                                                                                                         Canada but also from wildfires in
and experts are increasingly con-       ticulate matter in the air smaller     above Highway 1 near Murphy City, Minn., on Aug. 23.                                                                                                                                                  the Boundary Waters — a lake-
cerned about residents’ chronic         than 2.5 microns across; there                                                                                                                                                                                                               filled region in the northern
exposure to toxin-filled smoke.         are about 25,000 microns in an         quent wildfires in residential ar-   co may disrupt the trend there,        more asthma-related deaths and                                                                                            reaches of the state. Norlien said
                                        inch. People inhale these micro-       eas affect human health, he said.    she said, while air pollution is       hospital visits in Eastern commu-                                                                                         she expects the problem to wors-
   This year has seen the most          scopic bits, which then can em-                                             already so bad in California from      nities than those in the West, she                                                                                        en in the coming years.
wildfires of the past decade, with      bed deep in their lungs, irritating       “It’s happening more frequent-    smog and other pollutants that it      and other researchers found, in
more than 59,000 fires burning          the lining and inflaming tissue.       ly every summer,” he said. “The      might be difficult to pinpoint         part because of higher popula-                                                                                               “At this point, we’re planning
nearly 7 million acres nation-          The particles are small enough to      length of the fires is growing. The  how wildfires are harming hu-          tion density.                                                                                                             for the worst-case scenario,” she
wide, according to the National         get into the bloodstream, which        public exposure to the smoke is      man health.                                                                                                                                                      said. “We have not had the extent
Interagency Fire Center. Al-            can lead to other short- and           also growing. Once-in-a-lifetime                                               The smoke hitting the Eastern                                                                                          that the Western states have had.
though the total area burned is         long-term health effects.              events are happening every sum-      Long-distance dangers                  states doesn’t just come from the                                                                                         But with climate change and
less than in some recent years,                                                mer. This is a different kind of        But wildfires are not just in the   West; there are wildfires and                                                                                             concern over drought and the dry
heavy smoke has still blanketed            Particulates in wildfire smoke      exposure.”                                                                  prescribed burns throughout the                                                                                           conditions, planning is of the
communities throughout the              are even hindering national                                                 West, nor is their health impact       United States, O’Dell said.                                                                                               utmost importance.”
country.                                progress on reducing air pollu-           In 2020, a study in Environ-      geographically isolated. Some                                                                                                                                    The public’s part
                                        tion, after decades of improve-        ment International found that        fires burn so intensely at such           “It’s sometimes easy to feel
   Climate change is causing            ment.                                  winter influenza seasons in Mon-     high temperatures that smoke           distant from fires and their im-                                                                                             Norlien meets regularly with
more frequent and severe wild-                                                 tana were four to five times worse   rises into the atmosphere, where       pacts when you’re far from the                                                                                            members of the Minnesota Pollu-
fires, harming Americans’ health,          The Clean Air Act has substan-      after bad wildfire seasons, which    strong winds can carry the smoke       flames of these large Western                                                                                             tion Control Agency and other
said Lisa Patel, deputy executive       tially decreased the level of toxic    typically last from July until Sep-  long distances.                        wildfires that are in the news,”                                                                                          state officials about how to get
director of the Medical Society         particles from industrial and au-      tember. The findings shocked                                                she said. “But wildfires impact                                                                                           the message to state residents
Consortium on Climate and               tomotive pollution across the          study lead author Erin Landguth,        This was glaringly apparent in      the health of the U.S.”                                                                                                   about the increasing wildfire risk
Health, which raises awareness          country since 1970, according to       an associate professor at the Uni-   2021 when the sun glowed red                                                                                                                                     to public health, encouraging
about the health effects of cli-        the Environmental Protection           versity of Montana.                  and the sky became hazy over              The next orange sunset people                                                                                          residents to sign up for air-quali-
mate change.                            Agency. But air pollution is ex-                                            New York City and throughout           enjoy should be a moment to                                                                                               ty alerts. State officials also have
                                        pected to worsen in parts of the          “We know that hospitaliza-        the Northeast, as smoke drifted        check an air-quality mobile app,                                                                                          established larger community
   “The data we have is very            West because of wildfires, some        tions for asthma and other respi-    from massive wildfires in Califor-     she said.                                                                                                                 centers and buildings as safe air
scary,” she said. “We are living        researchers have found. A United       ratory conditions spike within       nia, Oregon and other Western                                                                                                                                    shelters.
through a natural experiment            Nations report this year warned        days or weeks of wildfires,” she     states.                                   In Minnesota, the state has
right now — we’ve never had fires       of a “global wildfire crisis,” saying  said. “The thought that this could                                          issued 46 air-quality alerts since                                                                                           The public plays an enormous
this frequently.”                       the probability of catastrophic        potentially lead to effects later       Smoke also harms the health         2015, according to the state’s                                                                                            role in both preventing (nearly
                                        wildfires could increase up to 57      and how that can affect our          of more people in the Eastern          Pollution Control Agency. Of                                                                                              90 percent of wildfires are caused
   As researchers focus on the          percent by the end of the century.     immune system is really scary.”      United States than in the West,        those, 34 were because of wildfire                                                                                        by humans, according to U.S.
public health effects, state health                                                                                 said Katelyn O’Dell, a postdoctor-     smoke, and 26 of those were                                                                                               government data) and adapting
and environmental officials                Researchers are trying to bet-         Landguth is expanding her         al research scientist at George        issued last year.                                                                                                         to wildfires, many experts said.
across the country have had to          ter understand how more fre-           study to all Western states. She     Washington University, who re-
issue more air quality notices and      quent wildfires affect human bi-       expects to find a similar trend      leased that finding in a study in         That took state officials by                                                                                              For people living in fire-prone
provide guidance and shelter for        ology.                                 throughout the Mountain West         GeoHealth in 2021.                     surprise, said Kathy Norlien, a                                                                                           areas, there are nonflammable
residents struggling during peri-                                              and Pacific Northwest. Monsoon                                              research scientist at the Minne-                                                                                          building materials for new
ods of heavy wildfire smoke.            ‘That sinking feeling’                 season in Arizona and New Mexi-         Wildfire smoke contributed to       sota Department of Health. The                                                                                            homes and indoor air purifiers
                                           Keith Bein, associate profes-                                                                                   wildfire smoke risk is not just                                                                                           and upgraded HVAC systems.
   And while wildfires generally                                                                                                                                                                                                                                                     But these solutions may be too
create more immediate, visible          sional researcher at the Univer-                                                                                                                                                                                                             costly for some families, Patel
disruptions to life for people in       sity of California at Davis, created                                                                                                                                                                                                         said.
the West, researchers are con-          a rapid response mobile research
cerned that particulate matter          unit in 2017 that he deploys to                                                                                                                                                                                                                 She counsels families about
may actually affect the breathing       fires around the state. He is like a                                                                                                                                                                                                         how to affordably stay safe dur-
of more people in the more heavi-       storm chaser but for wildfires.                                                                                                                                                                                                              ing wildfire season, encouraging
ly populated Eastern states.                                                                                                                                                                                                                                                         the use of N95 and KN95 masks,
Chronic hazards                            With his mobile unit, Bein can                                                                                                                                                                                                            which were pivotal in combating
                                        measure particulate matter in                                                                                                                                                                                                                the spread of the coronavirus.
   Patel sees the effects of wild-      the air, take samples back to his                                                                                                                                                                                                            She also shares designs for do-it-
fires in her work as a pediatrician     lab and then determine their                                                                                                                                                                                                                 yourself air filtration systems.
at Stanford Medicine Children’s         toxicology and chemical compo-
Health, treating more women             sitions. Near these fires, he said,                                                                                                                                                                                                             But she emphasized that wild-
and underweight and premature           the smoke is so bad that it feels                                                                                                                                                                                                            fires will continue to rage across
infants at the neonatal intensive       inescapable.                                                                                                                                                                                                                                 the country and cause adverse
care unit when wildfires rage in                                                                                                                                                                                                                                                     health effects unless climate
Northern California.                       “The smoke rolls in, and you                                                                                                                                                                                                              change is reined in through seri-
                                        get that sinking feeling all over                                                                                                                                                                                                            ous public policy. Until then,
   Studies show that chronic ex-        again,” he said.                                                                                                                                                                                                                             climate change will continue to
posure to wildfire smoke can                                                                                                                                                                                                                                                         be the biggest threat to public
cause asthma and pneumonia,                Massive wildfires that tear                                                                                                                                                                                                               health, she said.
and increase the risk for lung          through communities are becom-
cancer, stroke, heart failure and       ing more common. The fires                                                                                                                                                                                                                      “Summer used to be a time I’d
sudden death. The very old and          aren’t just burning trees but also                                                                                                                                                                                                           look forward to,” she said, “but
very young are the most vulner-         synthetic materials in homes.                                                                                                                                                                                                                now I look at it with dread with
able. Particulates in wildfire          And with repeated exposure to                                                                                                                                                                                                                the heat and wildfires.”
smoke are 10 times as harmful to        different particulates, health
children’s respiratory health as        risks are more pronounced and                                                                                                                                                                                                                This article was produced by
other air pollutants, according to      can evolve into chronic condi-                                                                                                                                                                                                               Stateline, an initiative of the Pew
a 2021 study in the journal Pedi-       tions, Bein said.                                                                                                                                                                                                                            Charitable Trusts.
                                           Researchers are just beginning
                                        to understand how more fre-
