mercurynews--2020-04-17--Review: The ‘most important guy you’ve never heard of’

The United Nations diplomat Sérgio Vieira de Mello has been described as a cross between James Bond and Bobby Kennedy , which sounds like a compelling enough pitch for a film on its own .
The Brazilian-born de Mello spent 34 years at the U.N. during which he was involved in clearing land mines in Cambodia , leading East Timor to independence from Indonesia and serving as a U.N. Special Representative in Iraq in 2003 at the time of the Canal Hotel bombing .
He was even considered a likely successor to Secretary-General Kofi Annan .
But you ’ d @ @ @ @ @ @ @ the mention of his name .
Filmmaker Greg Barker even called him “ the most important guy you ’ ve never heard of.
” His fascination with the charismatic diplomat has spanned more than a decade and been the subject of two films : A short documentary and a fictionalized feature-length drama starring Wagner Moura and Ana de Armas that hits Netflix Friday .
“ Sergio ” the feature is a handsome-looking , serious and solidly adult geopolitical drama that neither talks down to uninformed viewers nor requires a master ’ s degree @ @ @ @ @ @ @ , as de Mello ( Moura ) arrives in Baghdad and immediately starts clashing with the United States ’ Paul Bremer ( Bradley Whitford ) over objectives .
De Mello empathizes with the Iraqis and wonders how he would feel seeing foreign troops on the streets of his hometown of Rio de Janeiro ( not good ) .
Bremer , however , believes that the U.N. is there at the pleasure of the U.S. , talking about liberation and independence while doing what appears to be the exact opposite .
But de Mello @ @ @ @ @ @ @ he ’ s there as an independent entity and isn ’ t afraid to say so to the press .
It ’ s all rather exciting , although the 20-20 hindsight feels a little oversimplified .
The escalation continues and de Mello has decided to expose all the human rights violations of the U.S. to the security council when things come to a sudden halt : A bomb goes off and he wakes up pinned under a pile of rubble .
The script , from “ Dallas Buyers Club ” co-writer Craig Borten @ @ @ @ @ @ @ a series of flashbacks to his time in East Timor , a pivotal moment in his career and life when he meets de Armas ’ Carolina Larriera , interspersed with the aftermath of the Baghdad bombing as soldiers scramble to save de Mello and refugee expert Gil Loescher ( Brian F. O ’ Byrne ) .
There ’ s a natural engine to the narrative and the movie star charisma of de Armas and Moura , along with their palpable chemistry , helps drive interest for a while .
She ’ s an @ @ @ @ @ @ @ her talk of microfinance .
Their romance has a very old Hollywood charm and excitement to it .
But you ’ re always waiting for the movie to really get going .
It ’ s shot like a political thriller without the thrills .
Perhaps that ’ s because the bombing happens so early on and there ’ s no climax that everything is building toward — just a sober ending .
The situation in Baghdad , even before the bombing , could have provided more than enough drama to sustain a feature @ @ @ @ @ @ @ be more sweeping than that — romantic , dramatic and political — and we ’ re left with something that never exactly reaches the full promise of “ James Bond meets Bobby Kennedy.
” It ’ s not that “ Sergio ” is bad — far from it — but it ’ s not necessarily going to keep you glued to the screen either .
Rating : R ( for language , some bloody images and a scene of sexuality )

By Lindsey Bahr | Associated Press
The United Nations diplomat Sérgio Vieira de Mello has been described as a cross between James Bond and Bobby Kennedy, which sounds like a compelling enough pitch for a film on its own.
The Brazilian-born de Mello spent 34 years at the U.N. during which he was involved in clearing land mines in Cambodia, leading East Timor to independence from Indonesia and serving as a U.N. Special Representative in Iraq in 2003 at the time of the Canal Hotel bombing. He was even considered a likely successor to Secretary-General Kofi Annan.
But you’d be forgiven for drawing a blank at the mention of his name. Filmmaker Greg Barker even called him “the most important guy you’ve never heard of.” His fascination with the charismatic diplomat has spanned more than a decade and been the subject of two films: A short documentary and a fictionalized feature-length drama starring Wagner Moura and Ana de Armas that hits Netflix Friday.
“Sergio” the feature is a handsome-looking, serious and solidly adult geopolitical drama that neither talks down to uninformed viewers nor requires a master’s degree to understand. It begins intriguingly enough, as de Mello (Moura) arrives in Baghdad and immediately starts clashing with the United States’ Paul Bremer (Bradley Whitford) over objectives.
De Mello empathizes with the Iraqis and wonders how he would feel seeing foreign troops on the streets of his hometown of Rio de Janeiro (not good). Bremer, however, believes that the U.N. is there at the pleasure of the U.S., talking about liberation and independence while doing what appears to be the exact opposite.
But de Mello is no shrinking violet and knows that he’s there as an independent entity and isn’t afraid to say so to the press. It’s all rather exciting, although the 20-20 hindsight feels a little oversimplified. The escalation continues and de Mello has decided to expose all the human rights violations of the U.S. to the security council when things come to a sudden halt: A bomb goes off and he wakes up pinned under a pile of rubble.
The script, from “Dallas Buyers Club” co-writer Craig Borten, tells the story from there as a series of flashbacks to his time in East Timor, a pivotal moment in his career and life when he meets de Armas’ Carolina Larriera, interspersed with the aftermath of the Baghdad bombing as soldiers scramble to save de Mello and refugee expert Gil Loescher (Brian F. O’Byrne).
There’s a natural engine to the narrative and the movie star charisma of de Armas and Moura, along with their palpable chemistry, helps drive interest for a while. She’s an economic consultant who enchants de Mello with her talk of microfinance. Their romance has a very old Hollywood charm and excitement to it.
But you’re always waiting for the movie to really get going. It’s shot like a political thriller without the thrills. Perhaps that’s because the bombing happens so early on and there’s no climax that everything is building toward — just a sober ending.
The situation in Baghdad, even before the bombing, could have provided more than enough drama to sustain a feature. But “Sergio” wants to be more sweeping than that — romantic, dramatic and political — and we’re left with something that never exactly reaches the full promise of “James Bond meets Bobby Kennedy.”
It’s not that “Sergio” is bad — far from it — but it’s not necessarily going to keep you glued to the screen either.
“Sergio”
2.5 stars out of 4
Rating: R (for language, some bloody images and a scene of sexuality)
Running time: 118 minutes


mercurynews--2020-04-17--Mountain lions get new protections from Bay Area to Southern California

In a closely watched move that could mean the end of ranchers and other landowners — from the Bay Area and Santa Cruz Mountains to Southern California — being allowed to shoot mountain lions that kill livestock or pets , California wildlife regulators have taken a key step toward adding the big cats to the list of animals protected under the state ’ s Endangered Species Act .
In a 5-0 vote Thursday evening , the state Fish and Game Commission granted mountain lions in six regions from San Francisco to San Diego “ candidate status ” to be listed @ @ @ @ @ @ @ year .
Following a meeting where more than 40 people testified by phone , commissioners agreed with a petition from environmental groups that lions in those six regions have diminished so significantly due to habitat loss from development , being killed on freeways and being shot under state permits by landowners that they could face extinction there .
The vote does note affect mountain lion populations north of the Golden Gate Bridge , in the Central Valley or Sierra Nevada , where the animals are considered more numerous and less pressured by urban @ @ @ @ @ @ @ officials deserve a big round of applause for moving to protect these amazing animals , ” said Tiffany Yap , a biologist with the Center for Biological Diversity , an environmental group that advocated for the vote .
Opponents said they were disappointed .
“ I ’ m not surprised .
I am dismayed , ” said Kirk Wilbur , vice president of the California Cattlemen ’ s Association .
“ This is a largely political decision .
There isn ’ t sufficient science as far as we ’ re aware to show @ @ @ @ @ @ @ decision is not the final word in what is likely to end up as a battle in court between environmental groups , the state Fish and Wildlife Department , and farming and ranching interests .
Rather , Thursday ’ s vote gives state biologists one year to conduct a detailed scientific review , with a final vote expected afterward .
During that year , however , the lions receive protection under the state Endangered Species Act , which prohibits the killing of threatened or endangered animals .
From 1909 until 1963 , California @ @ @ @ @ @ @ mountain lions .
Sport hunting of the big cats , also known as cougars , was banned in 1990 when voters approved Proposition 117 .
That law , which is still in force , does allow farmers , ranchers and other landowners to kill mountain lions if they find them in the act of killing livestock or domestic animals .
If they don ’ t see an attack firsthand , but find a dead animal later , it allows them to apply to the state Fish and Wildlife Department for a depredation permit @ @ @ @ @ @ @ 97 lions a year have been killed under such permits .
One that the department issued in January sparked outrage across Southern California , when a rancher in Ventura County who had lost 11 sheep and lambs to a lion applied for , and obtained , a state permit to hire a hunter to kill the lion .
The lion killed was P-56 , a radio-collared animal that had been the subject of research for years in the Santa Monica Mountains by national parks biologists , and which was believed to be one @ @ @ @ @ @ @ area .
Another controversy arose in the Bay Area in November , after the Midpeninsula Regional Open Space District , a public agency based in Los Altos , proposed allowing ranchers who lease its open space preserves to be allowed to kill mountain lions that kill livestock they graze on the public lands if other methods to chase the predators off did not work .
After a public outcry , the district dropped the plan , which would have been unique among local parks agencies in the Bay Area .
State biologists estimate @ @ @ @ @ @ @ 4,000 to 6,000 animals .
But in six areas that were the subject of Thursday ’ s vote , scientists estimate there are only 225 to 510 lions .
Those animals are increasing hemmed in by freeways and urban development , and are facing genetic bottlenecks as they breed with each other in dwindling numbers .
The six areas include San Mateo , Santa Clara , Alameda , Contra Costa and Santa Cruz counties , along with the central coast from Monterey to Santa Barbara .
It also includes the Santa Monica Mountains @ @ @ @ @ @ @ Los Angeles area , the Santa Ana Mountains in Orange , Riverside , and San Diego counties , and the rural areas of San Diego , Riverside and Imperial counties near the Mexican border .
If the lions are added to the state endangered species list , the state will be required to draft a recovery plan .
Highway developers will likely have to build tunnels in some places to allow the animals to pass under roadways without being killed .
Rat poisons may be limited in those areas , and it ’ @ @ @ @ @ @ @ legally be able to issue depredation permits “ We don ’ t see any way a depredation permit could be lawfully issued , ” said attorney Brendan Cummings with the Center for Biological Diversity .
“ They can ’ t authorize any take now that it is a candidate species , ” said Wilbur .
But the Cattlemen ’ s Association , the California Farm Bureau Federation and other groups say Proposition 117 , and its provisions to allow depredation permits , has precedence and that Thursday ’ s vote was illegal .
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Environmentalists noted Thursday that there are tools to chase lions keep lions from livestock , including lights , fencing , pens and loud music .
“ This is about not losing one of our irreplaceable animals .
The world is watching @ @ @ @ @ @ @ California director of the National Wildlife Federation .
“ These animals are running out of time , and we don ’ t want them to disappear on our watch.
” Farmers and ranchers said that while many landowners don ’ t have lion problems , some do , and that alternative methods can be expensive and don ’ t always work .
“ Mountain lion predation can be devastating , ” said Sunshine Saldivar , an attorney with the California Farm Bureau Federation .
“ Given the small profit margins of most cattle @ @ @ @ @ @ @ continued viability of some ranches .
”

In a closely watched move that could prohibit mountain lions from being shot by ranchers and other landowners from the Bay Area and Santa Cruz Mountains to Southern California, state wildlife regulators have taken a key step toward adding the big cats to the list of animals protected under California’s Endangered Species Act.
In a 5-0 vote Thursday evening, the state Fish and Game Commission granted mountain lions in six regions from San Francisco to San Diego “candidate status” to be listed as threatened in as soon as a year.
Following a meeting where more than 40 people testified by phone, commissioners agreed with a petition from environmental groups that lions in those six regions have diminished so significantly due to habitat loss from development, being struck and killed on freeways and being shot under state permits by landowners that they could face extinction there.
The vote does not affect mountain lion populations north of the Golden Gate Bridge, in the Central Valley or Sierra Nevada, where the animals are considered more numerous and less pressured by urban population growth and development.
“Wildlife officials deserve a big round of applause for moving to protect these amazing animals,” said Tiffany Yap, a biologist with the Center for Biological Diversity, an environmental group that advocated for the vote.
Opponents said they were disappointed.
“I’m not surprised. I am dismayed,” said Kirk Wilbur, vice president of the California Cattlemen’s Association. “This is a largely political decision. There isn’t sufficient science as far as we’re aware to show that the petition is warranted.”
State biologists estimate the mountain lion population in California at 4,000 to 6,000 animals.
But in six areas that were the subject of Thursday’s vote, scientists estimate there are only 225 to 510 lions. Those animals are increasing hemmed in by freeways and urban development, and are facing genetic bottlenecks as they breed with each other in dwindling numbers.
The decision is not the final word in what is likely to end up as a battle in court between environmental groups, the state Fish and Wildlife Department, and farming and ranching interests. Rather, Thursday’s vote gives state biologists one year to conduct a detailed scientific review, with a final vote expected afterward.
During that year, the lions receive protection under the state Endangered Species Act, which prohibits the killing of threatened or endangered animals.
From 1909 until 1963, California offered a bounty for people who killed mountain lions. Sport hunting of the big cats, also known as cougars, was banned in 1990 when voters approved Proposition 117.
That law, which is still in force, does allow farmers, ranchers and other landowners to kill mountain lions if they find them in the act of killing livestock or domestic animals. If they don’t see an attack firsthand, but find a dead animal later, it allows them to apply to the state Fish and Wildlife Department for a depredation permit.
Since 1990, an average of 97 lions a year have been killed under such permits. One that the department issued in January sparked outrage across Southern California, when a rancher in Ventura County who had lost 11 sheep and lambs to a lion applied for, and obtained, a state permit to hire a hunter to kill the lion. The lion killed was P-56, a radio-collared animal that had been the subject of research for years in the Santa Monica Mountains by national parks biologists, and which was believed to be one of two remaining adult males in the area.
Another controversy arose in the Bay Area in November, after the Midpeninsula Regional Open Space District, a public agency based in Los Altos, proposed allowing ranchers who lease its open space preserves for grazing to be allowed to kill mountain lions that kill their livestock, if other methods to chase the predators off did not work. After a public outcry, the district dropped the plan, which would have been unique among local parks agencies in the Bay Area.
The six areas affected by Thursday’s vote include San Mateo, Santa Clara, Alameda, Contra Costa and Santa Cruz counties, along with the central coast from Monterey to Santa Barbara. It also includes the Santa Monica Mountains and the San Gabriel Mountains in the Los Angeles area, the Santa Ana Mountains in Orange, Riverside, and San Diego counties, and the rural areas of San Diego, Riverside and Imperial counties near the Mexican border.
If the lions are added to the state endangered species list, the state will be required to draft a recovery plan. Highway developers will likely have to build tunnels in some places to allow the animals to pass under roadways without being killed. Rat poisons may be limited in those areas, and it’s likely that the state would not legally be able to issue depredation permits
“We don’t see any way a depredation permit could be lawfully issued,” said attorney Brendan Cummings with the Center for Biological Diversity.
Ranching groups agreed.
“They can’t authorize any take now that it is a candidate species,” said Wilbur.
But the Cattlemen’s Association, the California Farm Bureau Federation and other groups say Proposition 117, and its provisions to allow depredation permits, has precedence and that Thursday’s vote was illegal.
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“This is about not losing one of our irreplaceable animals. The world is watching us,” said Beth Pratt, California director of the National Wildlife Federation. “These animals are running out of time, and we don’t want them to disappear on our watch.”
Farmers and ranchers said that while many landowners don’t have lion problems, some do, and that alternative methods can be expensive and don’t always work.
“Mountain lion predation can be devastating,” said Sunshine Saldivar, an attorney with the California Farm Bureau Federation. “Given the small profit margins of most cattle ranches, such losses can jeopardize the continued viability of some ranches.”


mercurynews--2020-04-17--Coronavirus: Elderly California couple recovers, swears by controversial treatment

She put on lipstick , wore sunglasses , packed a suitcase and , as the ambulance was arriving , she told some family members she was on her way to die .
She had pneumonia and a positive test for COVID-19 .
It was Sunday , March 29 , when EMTs wrapped 88-year-old Dolores Amen in a yellow tarp ( “ Like you would use to protect the floor when you ’ re painting , ” her daughter Mary Amen said ) and whisked her off to Hoag Hospital in Newport Beach .
The EMTs did not allow her suitcase @ @ @ @ @ @ @ came for her husband .
Louis Amen , 90 , also had pneumonia and a fever .
He made it to the curb with the help of a walker .
A second set of EMTs wrapped him in a yellow tarp and took him to Hoag .
He , too , had tested positive for COVID-19 .
When the Amens arrived , Dr. Philip Robinson , Hoag ’ s Medical Director of Infection Prevention , hustled out of the Incident Command Center , a boardroom set up to handle oversight of COVID-19 patients @ @ @ @ @ @ @ the emergency room , he didn ’ t tell them what he was really thinking .
“ I was petrified , ” Robinson said .
“ The older you get , the more complications there are.
” The Centers for Disease Control released a morbidity study in March that said between 10 and 27 percent of COVID-positive people older than 85 will die .
The rate is less than 1 percent for people under the age of 64 .
Seeing the Amens , who have seven children , and 50 grand , great-grand @ @ @ @ @ @ @ , “ I didn ’ t sleep for a couple of days , ” Robinson said .
But something strange happened on the way to the Amens ’ obituaries .
Fewer than five days later , the Amens were discharged from Hoag , weakened , but COVID-free .
Louis , who owns eight supermarkets in Los Angeles , is currently working from home in Newport Beach , and Dolores , with her firecracker personality , is dreaming about the day she can get back out on the golf course .
The buzz around @ @ @ @ @ @ @ was one of those heart-warming stories , ” Robinson said .
“ It gave a little bit of energy to our staff .
It gave everyone a great feeling.
” Also unconventional , jaw-dropping and ultimately , as you ’ ll see , controversial .
What you believe happened to the Amens may be a litmus test for how you see the world , how you feel about taking risks with medicine and where you stand politically .
This story is full of hope and disagreement .
The Amens used an unproven treatment @ @ @ @ @ @ @ Trump .
It was prescribed first by their son , a celebrity psychiatrist who was on the “ Dr .
Phil ” show two weeks ago in between YouTube appearances with Miley Cyrus .
And Hoag ’ s Dr. Robinson , who continued to administer the prescription , said if he had the choice to do it again , he wouldn ’ t .
There is no way to know if the treatment had any effect on the Amens , even though they did defy the odds soon after taking it .
Or @ @ @ @ @ @ @ your blood boiling yet ?
Get out of the ice Louis ( 1929 ) and Dolores ( 1931 ) Amen were both born during the Great Depression .
Louis was raised in Michigan , where he earned money during World War II by selling Eskimo Pies off of a wagon for a nickel to auto workers .
He also worked in a grocery store .
When he had saved $ 1,500 , he decided to head to California , “ to get out of the damn ice , ” Louis said .
He @ @ @ @ @ @ @ Lebanese party .
“ He tried to kiss me in the cloakroom , and I slapped him , ” she said .
Their first date was for curry soup at the Lime House in Chinatown .
That must have gone a little better .
They were married on Feb. 18 , 1950 .
Louis made his living in the grocery business , first as part-owner of S & A Foods , and then as CEO of Super A Foods .
The corporate office is in Commerce , and , up until he got @ @ @ @ @ @ @ drive to his desk four times per week .
“ He works 16 hours a day , and I take care of the kids , ” said Dolores .
When she wasn ’ t taking care of the kids , she became proficient at the game of golf .
She ’ s a three-time club champion in Newport Beach , and was proud to say that her handicap at age 50 was 8 .
Their kids are Jimmy , Jeanne , Joanne , Renee , Mary , Daniel and Christine .
The first @ @ @ @ @ @ @ the family grocery business .
Dolores said they ’ ve never had problems … except for that time in 1960 when she didn ’ t pull the “ devil grass ” weeds out of the dichondra in the backyard .
“ I almost left her over that , ” Louis said .
They moved to Newport Beach in 1974 , and still live in the same house .
Things weren ’ t going well for the Amens in early March 2020 .
Dolores was still recovering from a broken hip .
Louis was @ @ @ @ @ @ @ which was spreading rapidly all over the world , seemed lower on their list of priorities .
On March 10 , Mary Amen took her father to have a chest X-ray in Newport Beach .
“ There was a room full of coughing people , ” Mary said .
“ In my mind , that ’ s where he was most exposed.
” On March 16 , he went to work in Commerce and came home with a fever .
At the same time , Mary was developing a case of pneumonia .
@ @ @ @ @ @ @ a test for the coronavirus .
That ’ s when Dr. Daniel Amen , their youngest son , stepped in .
“ I ’ m the one who tested them , ” he said .
Daniel thought their futures looked grim .
Dolores , he said , has battled pneumonia about 10 times in her life .
“ I didn ’ t have a good feeling , especially about my mom , ” Daniel said .
When both tests came back positive , Daniel was worried that one or both of his parents @ @ @ @ @ @ @ I going to do nothing and hope ?
” Daniel said .
“ No.
” Daniel didn ’ t hesitate .
“ I have a bias toward action , ” he said .
“ When it ’ s your mom and dad , you would do anything.
” He wrote out two prescriptions for two drugs : hydroxychloroquine and azithromycin .
His parents started taking the drugs before the ambulances came .
They continued their doses while in Hoag Hospital .
They received no other medicine .
“ I went to medical school @ @ @ @ @ @ @ read the studies .
I know a definitive answer is not coming for months.
” He read two studies .
One based in China and the other in France .
Both studies showed positive results .
But both studies have been criticized for small sample sizes .
Later studies showed the drugs have potentially lethal side effects , especially for people ( like Louis ) with heart problems .
On March 19 , Trump announced he had authorized the use of hydroxychloroquine , which had once been used to fight malaria , as @ @ @ @ @ @ @ was met with backlash from medical professionals who said the drug had not gone through the clinical trial process .
Dr. Anthony Fauci , director of the National Institute of Allergy and Infectious Diseases and member of the White House Coronavirus Task Force , called any success stories with the drug “ anecdotal.
” “ If you really want to definitively know if something works , you ’ ve got to do the kind of trial where you get the good information , ” Fauci said .
After the Amens discharged from Hoag @ @ @ @ @ @ @ , “ Hydroxychloroquine saved my family.
” Robinson said it was the “ supportive care ” that saved the Amens .
Hoag ’ s chief nursing officer , Rick Martin , changed the hospital ’ s one-person-per-room policy to allow the Amens to be together in the same room .
“ It was good for their mental health , ” Robinson said .
“ I think it contributed to them getting better.
” Louis got oxygen and IV bags of fluids .
Dolores signed up for a clinical trial of a drug called @ @ @ @ @ @ @ she had to agree not to get pregnant while participating in the clinical trial .
The next morning , he visited her .
“ She said , ‘ I ’ m not pregnant , ’ ” Robinson recalled with a huge laugh , “ But we tried.
” Dolores , however , was randomly placed in the group that didn ’ t receive Remdesivir .
All she got at Hoag was Hydroxychloroquine .
“ I ’ d do it again , ” Daniel Amen said of writing that prescription for his parents .
@ @ @ @ @ @ @ stopped the COVID in its tracks.
” Joanne Amen , who was with her father on the day he came down with a fever , also tested positive for COVID .
She took hydroxychloroquine , and she ’ s also on the mend .
Robinson , with 22 years experience at Hoag , said he wouldn ’ t use the drug again unless it was as a last resort .
Robinson said the only reason he allowed the Amens to keep taking the drug they had started at home was because hydroxychloroquine was @ @ @ @ @ @ @ during the pandemic .
Since then , the guidelines have been changed .
The drug is no longer on the list .
“ We do not know if it has any benefits , ” Robinson said .
“ We do know now it has risks.
” Robinson was very clear about the conclusions that can be drawn from what happened to the Amens .
“ We can not say that hydroxychloroquine improved their outcome , ” he said .
“ We don ’ t have any good data .
The message has to @ @ @ @ @ @ @ .
If people use this at home , they are going to harm themselves .
“ It should not be used outside of a clinical trial.
” Whether it was the care they received , luck or hydroxychloroquine , the Amens are home and Dolores is thinking a lot about golf .
“ I ought to be able to putt , ” she said .

She put on lipstick, wore sunglasses, packed a suitcase and, as the ambulance was arriving, she told some family members she was on her way to die.
She had pneumonia and a positive test for COVID-19.
It was Sunday, March 29, when EMTs wrapped 88-year-old Dolores Amen in a yellow tarp (“Like you would use to protect the floor when you’re painting,” her daughter Mary Amen said) and whisked her off to Hoag Hospital in Newport Beach. The EMTs did not allow her suitcase in the ambulance.
A second ambulance came for her husband.
Louis Amen, 90, also had pneumonia and a fever. He made it to the curb with the help of a walker. A second set of EMTs wrapped him in a yellow tarp and took him to Hoag.
He, too, had tested positive for COVID-19.
When the Amens arrived, Dr. Philip Robinson, Hoag’s Medical Director of Infection Prevention, hustled out of the Incident Command Center, a boardroom set up to handle oversight of COVID-19 patients. When he met the Amens in the emergency room, he didn’t tell them what he was really thinking.
“I was petrified,” Robinson said. “The older you get, the more complications there are.”
The Centers for Disease Control released a morbidity study in March that said between 10 and 27 percent of COVID-positive people older than 85 will die. The rate is less than 1 percent for people under the age of 64.
Seeing the Amens, who have seven children, and 50 grand, great-grand and great-great-grandchildren, bothered him so much, “I didn’t sleep for a couple of days,” Robinson said.
But something strange happened on the way to the Amens’ obituaries.
Fewer than five days later, the Amens were discharged from Hoag, weakened, but COVID-free. Louis, who owns eight supermarkets in Los Angeles, is currently working from home in Newport Beach, and Dolores, with her firecracker personality, is dreaming about the day she can get back out on the golf course.
“Thank God,” Dolores said. “It’s a miracle.”
The buzz around Hoag Hospital was palpable.
“This was one of those heart-warming stories,” Robinson said. “It gave a little bit of energy to our staff. It gave everyone a great feeling.”
Heart-warming, certainly.
Also unconventional, jaw-dropping and ultimately, as you’ll see, controversial.
What you believe happened to the Amens may be a litmus test for how you see the world, how you feel about taking risks with medicine and where you stand politically. This story is full of hope and disagreement.
The Amens used an unproven treatment that has been touted by President Donald Trump. It was prescribed first by their son, a celebrity psychiatrist who was on the “Dr. Phil” show two weeks ago in between YouTube appearances with Miley Cyrus.
And Hoag’s Dr. Robinson, who continued to administer the prescription, said if he had the choice to do it again, he wouldn’t.
There is no way to know if the treatment had any effect on the Amens, even though they did defy the odds soon after taking it. Or …
Were they just lucky?
Is your blood boiling yet?
Get out of the ice
Louis (1929) and Dolores (1931) Amen were both born during the Great Depression.
Louis was raised in Michigan, where he earned money during World War II by selling Eskimo Pies off of a wagon for a nickel to auto workers. He also worked in a grocery store. When he had saved $1,500, he decided to head to California, “to get out of the damn ice,” Louis said.
He met Dolores in Redondo Beach at a Lebanese party.
“He tried to kiss me in the cloakroom, and I slapped him,” she said.
Their first date was for curry soup at the Lime House in Chinatown. That must have gone a little better.
They were married on Feb. 18, 1950.
Louis made his living in the grocery business, first as part-owner of S&A Foods, and then as CEO of Super A Foods. The corporate office is in Commerce, and, up until he got sick, Louis was making the 40-mile drive to his desk four times per week.
“He works 16 hours a day, and I take care of the kids,” said Dolores. When she wasn’t taking care of the kids, she became proficient at the game of golf. She’s a three-time club champion in Newport Beach, and was proud to say that her handicap at age 50 was 8.
Their kids are Jimmy, Jeanne, Joanne, Renee, Mary, Daniel and Christine. The first four on that list now work in the family grocery business.
Dolores said they’ve never had problems … except for that time in 1960 when she didn’t pull the “devil grass” weeds out of the dichondra in the backyard.
“I almost left her over that,” Louis said.
They moved to Newport Beach in 1974, and still live in the same house.
Bias toward action
Things weren’t going well for the Amens in early March 2020.
Dolores was still recovering from a broken hip. Louis was having heart trouble. The coronavirus, which was spreading rapidly all over the world, seemed lower on their list of priorities.
On March 10, Mary Amen took her father to have a chest X-ray in Newport Beach.
“There was a room full of coughing people,” Mary said. “In my mind, that’s where he was most exposed.”
On March 16, he went to work in Commerce and came home with a fever.
At the same time, Mary was developing a case of pneumonia.
Still, neither of them could get a test for the coronavirus.
That’s when Dr. Daniel Amen, their youngest son, stepped in.
“I’m the one who tested them,” he said.
Daniel thought their futures looked grim. Dolores, he said, has battled pneumonia about 10 times in her life.
“I didn’t have a good feeling, especially about my mom,” Daniel said.
When both tests came back positive, Daniel was worried that one or both of his parents were going to die.
“Was I going to do nothing and hope?” Daniel said. “No.”
Daniel didn’t hesitate. “I have a bias toward action,” he said. “When it’s your mom and dad, you would do anything.”
He wrote out two prescriptions for two drugs: hydroxychloroquine and azithromycin. His parents started taking the drugs before the ambulances came. They continued their doses while in Hoag Hospital. They received no other medicine.
“I went to medical school,” Daniel said. “I read the studies. I know a definitive answer is not coming for months.”
He read two studies. One based in China and the other in France. Both studies showed positive results. But both studies have been criticized for small sample sizes. Later studies showed the drugs have potentially lethal side effects, especially for people (like Louis) with heart problems.
On March 19, Trump announced he had authorized the use of hydroxychloroquine, which had once been used to fight malaria, as a treatment for coronavirus. The announcement was met with backlash from medical professionals who said the drug had not gone through the clinical trial process.
Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases and member of the White House Coronavirus Task Force, called any success stories with the drug “anecdotal.”
“If you really want to definitively know if something works, you’ve got to do the kind of trial where you get the good information,” Fauci said.
After the Amens discharged from Hoag on April 2, Mary Amen said, “Hydroxychloroquine saved my family.”
‘Good for their mental health’
Robinson said it was the “supportive care” that saved the Amens. Hoag’s chief nursing officer, Rick Martin, changed the hospital’s one-person-per-room policy to allow the Amens to be together in the same room.
“It was good for their mental health,” Robinson said. “I think it contributed to them getting better.”
Louis got oxygen and IV bags of fluids.
Dolores signed up for a clinical trial of a drug called Remdesivir. Robinson remembers telling her that she had to agree not to get pregnant while participating in the clinical trial.
The next morning, he visited her.
“She said, ‘I’m not pregnant,’” Robinson recalled with a huge laugh, “But we tried.”
Dolores, however, was randomly placed in the group that didn’t receive Remdesivir. All she got at Hoag was Hydroxychloroquine.
Controversy
“I’d do it again,” Daniel Amen said of writing that prescription for his parents.
Mary Amen was emphatic. “Hydroxychloroquine stopped the COVID in its tracks.”
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She took hydroxychloroquine, and she’s also on the mend.
Robinson, with 22 years experience at Hoag, said he wouldn’t use the drug again unless it was as a last resort.
Robinson said the only reason he allowed the Amens to keep taking the drug they had started at home was because hydroxychloroquine was listed among the hospital guidelines for treatment during the pandemic.
Since then, the guidelines have been changed. The drug is no longer on the list.
“We do not know if it has any benefits,” Robinson said. “We do know now it has risks.”
Robinson was very clear about the conclusions that can be drawn from what happened to the Amens.
“We cannot say that hydroxychloroquine improved their outcome,” he said. “We don’t have any good data. The message has to be this: There is significant risk. If people use this at home, they are going to harm themselves.
“It should not be used outside of a clinical trial.”
Whether it was the care they received, luck or hydroxychloroquine, the Amens are home and Dolores is thinking a lot about golf.
“I ought to be able to putt,” she said.


mercurynews--2020-04-17--49ers draft preview: Buck tradition to draft cornerback in first round?

Third-and-15 .
It ’ s a play branded into 49ers lore for how a cornerback ’ s gaffe could snowball into a Super Bowl collapse .
And it could be weighing on the 49ers ’ minds as they enter the draft .
Emmanuel Moseley , despite his blown coverage on a third-and-15 heave , does not alone shoulder the blame for the 49ers ’ Super Bowl LIV defeat to the Kansas City Chiefs .
So many others factored into it .
On the other side of the 49ers ’ defense , Richard Sherman later allowed a deep completion into the @ @ @ @ @ @ @ in the NFC Championship Game .
Not a great ending to an otherwise All-Pro season from the greatest shutdown corner of his generation .
All of which is to say the cornerback position could command the 49ers ’ top priority in the draft , where they own first-round picks at Nos .
13 and 31 overall .
Sherman , Moseley , K ’ Waun Williams and Ahkello Witherspoon are signed only through the coming season .
Historically , the 49ers have avoided cornerbacks in the first round .
That ’ s for good @ @ @ @ @ @ @ may cite how the NFL ’ s pass-happy nature and rules work against cornerbacks .
Some may simply list the 49ers ’ most recent first-round cornerbacks : R.W .
McQuarters ( 1998 , 28th overall ) , Ahmed Plummer ( 2000 , 24th overall ) and Mike Rumph ( 2002 , 27th overall ) .
Jimmie Ward ( 2014 ) arrived as a nickel back but is now their free safety .
Ronnie Lott ( 1981 , No .
8 overall ) was a glorious exception , as were 1960s-era cornerbacks Jimmy Johnson @ @ @ @ @ @ @ and Kermit Alexander ( 1963 , No .
8 ) .
Here is what to expect if the 49ers turn their attention to cornerback this draft : Cream of the crop : Ohio State ’ s Jeff Okudah has the frame ( 6-foot-1 , 205 pounds ) the 49ers seek in cornerbacks , and because he has the play-making ability that every team covets , he ’ ll surely be gone by the 49ers ’ top draft slot at No .
13 .
“ The cornerback position is deep on paper , but @ @ @ @ @ @ @ in this draft , and that ’ s Jeff Okudah , ” draft analyst Mel Kiper Jr. said last week on ESPN ’ s First Draft podcast .
“ Everybody else is questionable .
I ’ m taking the guy who can do it all , hoping he ’ s Stephon Gilmore , Tre ’ davious White , Patrick Peterson.
” Or is C.J .
tops ?
: Florida ’ s C.J .
Henderson has the size ( 6-1 , 204 ) and speed ( 4.39-second 40-yard dash ) that is extremely appealing @ @ @ @ @ @ @ ’ s top corner , saying at the combine : “ What separates me is that I ’ m a competitor and I ’ m very smart .
… I have a passion for the game , and I ’ m a good tackler as well .
That ’ s not being said a lot.
” Time for Dantzler : Mississippi State ’ s Cam Dantzler ( 6-2 , 188 ) posted a video last week of him running the 40-yard dash in 4.38 seconds .
That ’ s not only blazing fast @ @ @ @ @ @ @ the 4.64 he posted at the scouting combine .
Speaking of videos , Dantzler said last week he ’ s already had virtual interviews with 16 teams , including the 49ers .
The other Buckeye : Damon Arnette ( 6-0 , 195 ) returned for a fifth year to Ohio State at the urging of alumnus Cris Carter .
Not only did Arnette play opposite the more heralded Okudah , he matured with the help of Buckeyes assistant Jeff Hafley , formerly of the 49ers .
“ He ’ s helped me become @ @ @ @ @ @ @ football player , a better man , ” Arnette said .
Tigers ’ king : Kristian Fulton ( 6-0 , 197 ) overcame a 2017 suspension as LSU built itself into a national champion this past season .
He had only two career interceptions , and “ not many ” off Joe Burrow in practice .
“ Joe did not throw my way , ” Fulton said at the combine .
“ … Joe ’ s smart with the ball .
He knows what to do and where to go.
” Diggs ’ @ @ @ @ @ @ @ ( 6-1 , 205 ) is a popular choice in mock drafts for the 49ers at No .
31 .
His older brother is Buffalo Bills wide receiver Stefon Diggs .
“ He always gives me tips and little cues to work on my game .
I ’ m blessed to have that , ” Trevon Diggs said .
Historical picks : The 49ers have drafted a cornerback in each of the three drafts under Kyle Shanahan and John Lynch , though progressively later each year : Ahkello Witherspoon in 2017 ( third @ @ @ @ @ @ @ ’ 18 ( fifth ) and Tim Harris in ’ 19 ( sixth ) .
Six-feet of separation : It ’ s a reach to say the 49ers only like rangy cornerbacks at least 6-foot tall .
It is what they ’ ve desired on the outside spots , however .
Other than the aforementioned prospects , here are more who check in at 6-1 : Clemson ’ s A.J .
Terrell , Flordia State ’ s Stanford Samuels , Iowa ’ s Michael Ojemudia , Tulsa ’ s Reggie Robinson , Virginia @ @ @ @ @ @ @ ’ s A.J .
Green .
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Third-and-15. It’s a play forever part of 49ers’ lore, for how a cornerback’s gaffe could snowball into a Super Bowl collapse.
And it could be weighing on the 49ers’ minds as they enter the draft.
Emmanuel Moseley, despite his blown coverage on a third-and-15 heave, does not alone shoulder the blame for the 49ers’ Super Bowl LIV defeat to the Kansas City Chiefs. So many others factored into it.
On the other side of the 49ers’ defense, Richard Sherman later allowed a deep completion into the red zone, similar to a catch in the NFC Championship game. Not a great ending to an otherwise All-Pro season from the greatest shutdown corner of his generation.
All of which is to say the cornerback position could command the 49ers’ top priority in the draft, where they own first-round picks at Nos. 13 and 31 overall.
Sherman, Moseley, K’Waun Williams and Ahkello Witherspoon are signed only through the coming season.
Historically, the 49ers have avoided cornerbacks in the first round. That’s for good reason. Some, including Sherman, may cite how the NFL’s pass-happy nature and rules work against cornerbacks.
Some may simply list the 49ers’ most recent first-round cornerbacks: R.W. McQuarters (1998, 28th overall), Ahmed Plummer (2000, 24th overall) and Mike Rumph (2002, 27th overall). Jimmie Ward (2014) arrived as a nickel back but is now their free safety.
Ronnie Lott (1981, No. 8 overall) was a glorious exception, as were 1960s-era cornerbacks Jimmy Johnson (1961, No. 6) and Kermit Alexander (1963, No. 8).
Here is what to expect if the 49ers turn their attention to cornerback this draft:
Draft priority: High
Cream of the crop: Ohio State’s Jeff Okudah has the frame (6-foot-1, 205 pounds) the 49ers seek in cornerbacks, and because he has the play-making ability that every team covets, he’ll surely be gone by the 49ers’ top draft slot at No. 13.
“The cornerback position is deep on paper, but there really is only one great corner in this draft, and that’s Jeff Okudah,” draft analyst Mel Kiper Jr. said last week on ESPN’s First Draft podcast. “Everybody else is questionable. I’m taking the guy who can do it all, hoping he’s Stephon Gilmore, Tre’davious White, Patrick Peterson.”
Or is C.J. tops?: Florida’s C.J. Henderson has the size (6-1, 204) and speed (4.39-second 40-yard dash) that is extremely appealing. Henderson ranks himself as the draft’s top corner, saying at the combine: “What separates me is that I’m a competitor and I’m very smart. … I have a passion for the game, and I’m a good tackler as well. That’s not being said a lot.”
Time for Dantzler: Mississippi State’s Cam Dantzler (6-2, 188) posted a video last week of him running the 40-yard dash in 4.38 seconds. That’s not only blazing fast, that is in stark contrast to the 4.64 he posted at the scouting combine. Speaking of videos, Dantzler said last week he’s already had virtual interviews with 16 teams, including the 49ers.
The other Buckeye: Damon Arnette (6-0, 195) returned for a fifth year to Ohio State at the urging of alumnus Cris Carter. Not only did Arnette play opposite the more heralded Okudah, he matured with the help of Buckeyes assistant Jeff Hafley, formerly of the 49ers. “He’s helped me become a smarter football player, a better football player, a better man,” Arnette said.
Tigers’ king: Kristian Fulton (6-0, 197) overcame a 2017 suspension as LSU built itself into a national champion this past season. He had only two career interceptions, and “not many” off Joe Burrow in practice. “Joe did not throw my way,” Fulton said at the combine. “… Joe’s smart with the ball. He knows what to do and where to go.”
Diggs’ brother: Alabama’s Trevon Diggs (6-1, 205) is a popular choice in mock drafts for the 49ers at No. 31. His older brother is Buffalo Bills wide receiver Stefon Diggs. “He always gives me tips and little cues to work on my game. I’m blessed to have that,” Trevon Diggs said.
Historical picks: The 49ers have drafted a cornerback in each of the three drafts under Kyle Shanahan and John Lynch, though progressively later each year: Ahkello Witherspoon in 2017 (third round), D.J. Reed in ’18 (fifth) and Tim Harris in ’19 (sixth).


mercurynews--2020-04-17--Raiders’ Mike Mayock deals with more crisis management than he ever imagined

Mike Mayock should be locking himself in his office at the club facility , checking in with Jon Gruden , scouts and assistant coaches in between face-to-face interviews designed to help determine which draft prospects are worthy of being called Raiders and which are not .
Instead , the Raiders general manager is facing a pivotal draft April 23-25 sheltered in place at his East Bay home with five white boards and magnets everywhere highlighting different players .
Like everyone else , he ’ ll take his cue from the NFL on how to go about establishing communication necessary to @ @ @ @ @ @ @ Gruden .
If Mayock were still doing analysis for NFL Network , life wouldn ’ t be all that different than it was when he ranked prospects for media purposes from 2004 through 2018 .
He ’ d look into a camera , and proceed with a meticulously organized set of rankings full of details and informed opinions on which players should go where and why .
“ That ’ s a fancy way of saying I sat in my living room and watched a lot of film , ” Mayock told Bay @ @ @ @ @ @ @ he ’ d step back and see what happens and begin the process of doing it all over again the next year .
Now , as Mayock put it , at the scouting combine , he ’ s got “ skin in the game.
” I sat next to Mayock once in the press box as he was working as an analyst and preparing for a Raiders preseason game .
As part of the media , I have little use for exhibitions , which are mostly to sort through players who may not @ @ @ @ @ @ @ .
Mayock watched closely and intently , both polite and firm in his opinions as we exchanged a few ideas .
He loved the minutae , projecting where talent fit and how it might fit .
Pretty much what you saw on television .
But there are no gray areas when it comes to silver and black .
Winning and/or losing brings on a whole different layer of emotion .
“ I ’ m trying not to puke up in the box for three and a half hours , ” Mayock said .
@ @ @ @ @ @ @ ” Mayock has had to learn on the job , but even a work ethic that ’ s enabled him to keep pace with Gruden could not prepare him for what he ’ s faced as a fledgling G.M .
There is no manual for how to operate in a global pandemic .
Far less important , but equally challenging , was figuring how to negotiate the unpredictable , bizarre terrain that came with trading for Antonio Brown .
Throw in the fact that Mayock joined a lame duck franchise leaving Oakland for @ @ @ @ @ @ @ been a unique baptism for someone who went from television analyst to NFL personnel executive .
For the most part , it seems to be working out .
Mayock ’ s first draft with Gruden came with a surprise at No .
4 overall ( plenty of people are still skeptical about defensive end Clelin Ferrell going that high ) but put into place a number of players that could be foundation pieces as the club at some point plays its first season in Las Vegas .
And we haven ’ t even @ @ @ @ @ @ @ in last season ’ s opener and the third of three first-round picks to go along with Ferrell and bell cow running back Josh Jacobs .
Cornerback Trayvon Mullen , defensive end Maxx Crosby , tight end Foster Moreau and wide receiver Hunter Renfrow all look like keepers , as does undrafted fullback Alec Ingold .
Cornerback Isaiah Johnson will get to show what he ’ s about this season .
During Mayock ’ s first free agency , injuries cut short tackle Trent Brown ’ s first season , nickel corner Lamarcus @ @ @ @ @ @ @ was injured .
But in all , Mayock helped preside over a three-game improvement to 7-9 , and the exchange of departed free agents for a new crop looks favorable at first glance — especially on defense with the signings of end Carl Nassib , tackle Maliek Collins , linebackers Cory Littleton and Nick Kwiatkoski and safeties Damarious Randall and Jeff Heath .
The personnel department was where Mayock was expected to shine .
It ’ s the rest of the job that brought the most challenges .
“ Basically I was a @ @ @ @ @ @ @ ” Mayock said .
“ I had to be responsible for my own content , show up at the combine , do my podium and make sure I knew something about 337 players .
Then I ’ d go home , do my indivdual thing again and get ready for the next hurdle .
“ As a G.M.
, you ’ re managing people .
And I don ’ t think people really understand sometimes what a job that is.
” Besides reorganizing the scouting department , Mayock ’ s people management skills @ @ @ @ @ @ @ .
Everest in that regard given his propensity to push those in his charge farther than they ’ ve ever been pushed before .
After the Brown fiasco , which reportedly included the wide receiver going after Mayock in practice and calling him a “ cracker , ” the general manager retreated to a media shell for the rest of the season other than an interview with his NFL Network colleague Rich Eisen .
Mayock would politely respond to text messages , saying it was his job to stay in the background during @ @ @ @ @ @ @ Mayock is with the press , and that he seems to enjoy the give and take , there seemed to be something else at work .
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Or was the entire training camp spectacle a “ good cop , bad cop ” charade with no hard feelings ?
We ’ ll probably never have the answer .
But Mayock sounded rejvenated at the combine and was his old self Tuesday talking to reporters .
He ’ s old school , raised by a father and football coach who was harder on his son than the rest of the team to make sure there was no instances of favortism .
So it ’ s not surprising Mayock sees the Raiders @ @ @ @ @ @ @ instead of nearly half full after going 7-9 .
For answers , Mayock is looking in the mirror .
“ I have to do a better job of managing our roster during the season at certain positions , ” Mayock said .
“ We weren ’ t particularly good at linebacker .
I think I made some mistakes there .
We weren ’ t particularly good at wide out .
I think I made some mistakes there .
I just need to do a better job , bottom line.
” For time being @ @ @ @ @ @ @ doors as will every other general manager in the NFL .
He admits to being a little behind in terms of technology , but Mayock will do as he ’ s always done .
Figure it out as he goes along .

Mike Mayock should be locking himself in his office at the club facility, checking in with Jon Gruden, scouts and assistant coaches in between face-to-face interviews designed to help determine which draft prospects are worthy of being called Raiders and which are not.
Instead, the Raiders general manager is facing a pivotal draft April 23-25 sheltered in place at his East Bay home with five white boards and magnets everywhere highlighting different players. Like everyone else, he’ll take his cue from the NFL on how to go about establishing communication necessary to execute his second draft class along with Gruden.
If Mayock were still doing analysis for NFL Network, life wouldn’t be all that different than it was when he ranked prospects for media purposes from 2004 through 2018. He’d look into a camera, and proceed with a meticulously organized set of rankings full of details and informed opinions on which players should go where and why.
“That’s a fancy way of saying I sat in my living room and watched a lot of film,” Mayock told Bay Area reporters by conference call.
Then he’d step back and see what happens and begin the process of doing it all over again the next year.
Now, as Mayock put it, at the scouting combine, he’s got “skin in the game.”
I sat next to Mayock once in the press box as he was working as an analyst and preparing for a Raiders preseason game. As part of the media, I have little use for exhibitions, which are mostly to sort through players who may not ever play a down in the NFL.
Mayock watched closely and intently, both polite and firm in his opinions as we exchanged a few ideas. He loved the minutiae, projecting where talent fit and how it might fit. Pretty much what you saw on television.
But there are no gray areas when it comes to silver and black. Winning and/or losing brings on a whole different layer of emotion.
“I’m trying not to puke up in the box for three and a half hours,” Mayock said. “That’s really the truth.”
Mayock has had to learn on the job, but even a work ethic that’s enabled him to keep pace with Gruden could not prepare him for what he’s faced as a fledgling G.M.
There is no manual for how to operate in a global pandemic. Far less important, but equally challenging, was figuring how to negotiate the unpredictable, bizarre terrain that came with trading for Antonio Brown. Throw in the fact that Mayock joined a lame duck franchise leaving Oakland for Las Vegas, and it’s been a unique baptism for someone who went from television analyst to NFL personnel executive.
For the most part, it seems to be working out. Mayock’s first draft with Gruden came with a surprise at No. 4 overall (plenty of people are still skeptical about defensive end Clelin Ferrell going that high) but put into place a number of players that could be foundation pieces as the club at some point plays its first season in Las Vegas.
And we haven’t even really seen safety Johnathan Abram, injured in last season’s opener and the third of three first-round picks to go along with Ferrell and bell cow running back Josh Jacobs.
Cornerback Trayvon Mullen, defensive end Maxx Crosby, tight end Foster Moreau and wide receiver Hunter Renfrow all look like keepers, as does undrafted fullback Alec Ingold. Cornerback Isaiah Johnson will get to show what he’s about this season.
During Mayock’s first free agency, injuries cut short tackle Trent Brown’s first season, nickel corner Lamarcus Joyner struggled and wide reciever Tyrell Williams was injured.
But in all, Mayock helped preside over a three-game improvement to 7-9, and the exchange of departed free agents for a new crop looks favorable at first glance — especially on defense with the signings of end Carl Nassib, tackle Maliek Collins, linebackers Cory Littleton and Nick Kwiatkoski and safeties Damarious Randall and Jeff Heath.
All signings official for #Raiders free agent class: OFFENSE
QB Marcus Mariota
TE Jason Witten
WR Nelson Agholor
TE Nick O'Leary
G Erik Kush DEFENSE
LB Cory Littleton
LB Nick Kwiatkoski
DE Carl Nassib
DB Damarious Randall
DT Maliek Collins
S Jeff Heath
DT Daniel Ross — Jerry McDonald (@Jerrymcd) April 7, 2020
The personnel department was where Mayock was expected to shine. It’s the rest of the job that brought the most challenges.
“Basically I was a lone ranger at the NFL Network,” Mayock said. “I had to be responsible for my own content, show up at the combine, do my podium and make sure I knew something about 337 players. Then I’d go home, do my individual thing again and get ready for the next hurdle.
“As a G.M., you’re managing people. And I don’t think people really understand sometimes what a job that is.”
Besides reorganizing the scouting department, Mayock’s people management skills include Gruden, who can be Mt. Everest in that regard given his propensity to push those in his charge farther than they’ve ever been pushed before.
After the Brown fiasco, which reportedly included the wide receiver going after Mayock in practice and calling him a “cracker,” the general manager retreated to a media shell for the rest of the season other than an interview with his NFL Network colleague Rich Eisen.
Mayock would politely respond to text messages, saying it was his job to stay in the background during the season. But given how good Mayock is with the press, and that he seems to enjoy the give and take, there seemed to be something else at work.
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49ers-Raiders practice: ‘Bang-bang’ defense takes out Davante Adams Raiders | Jimmy Garoppolo, 49ers get sentimental at Vegas reunion — to an extent Was Mayock, who had the unfortunate role of trying to put the reins on a clearly unstable personality in Brown, miffed that Gruden didn’t back him publicly? Or was the entire training camp spectacle a “good cop, bad cop” charade with no hard feelings?
We’ll probably never have the answer. But Mayock sounded rejvenated at the combine and was his old self Tuesday talking to reporters. He’s old school, raised by a father and football coach who was harder on his son than the rest of the team to make sure there was no instances of favoritism.
So it’s not surprising Mayock sees the Raiders’ glass as more than half empty instead of nearly half full after going 7-9. For answers, Mayock is looking in the mirror.
“I have to do a better job of managing our roster during the season at certain positions,” Mayock said. “We weren’t particularly good at linebacker. I think I made some mistakes there. We weren’t particularly good at wide out. I think I made some mistakes there. I just need to do a better job, bottom line.”
For time being, Mayock will do it behind closed doors as will every other general manager in the NFL. He admits to being a little behind in terms of technology, but Mayock will do as he’s always done. Figure it out as he goes along.
.


mercurynews--2020-04-17--Horoscopes April 17, 2020: Rooney Mara, personal gains are within reach.

Happy Birthday : Aim for a simple , affordable lifestyle that will result in less stress and fewer responsibilities .
Don ’ t feel you have to do something to keep up with a friend or appease someone pushing you to participate in something you don ’ t want to do .
Focus on goals that will encourage greater stability and security .
Personal gains are within reach .
Your numbers are 6 , 14 , 25 , 27 , 30 , 33 , 49 .
ARIES ( March 21-April 19 ) : Honesty and integrity matter .
Whether it @ @ @ @ @ @ @ dealing with , be upfront and , when in doubt , ask questions .
Personal training , physical fitness and better health should be your goal .
Romance will enhance your life .
4 stars TAURUS ( April 20-May 20 ) : Look at the big picture before you decide to make a change .
You ’ ll face interference if you share too much personal information .
Gather information , and it will put you in a stronger position when asked to make a decision .
2 stars GEMINI ( May 21-June @ @ @ @ @ @ @ what you do best and take action once you commit to your plan .
What you accomplish today will be life-altering .
Discipline and hard work will pay off .
Celebrate your success with someone you love .
Romance is on the rise .
5 stars CANCER ( June 21-July 22 ) : Do what makes you happy .
A creative project that takes your mind off situations that aren ’ t going your way will give you the break required to gain perspective regarding how best to deal with the changes taking @ @ @ @ @ @ @ 23-Aug. 22 ) : Speak up , share your thoughts and feelings , and find out where you stand .
Use your charm and experience to handle people who are putting pressure on you to do things you don ’ t want to do .
Make personal gains , romance and money your priorities .
3 stars VIRGO ( Aug. 23-Sept. 22 ) : Choose to spend time with the people who inspire you to have fun .
Mixing business with pleasure will encourage deals that you want to close .
A change @ @ @ @ @ @ @ things differently .
Be open to suggestions .
3 stars LIBRA ( Sept. 23-Oct. 22 ) : Be careful how you handle loved ones and your money .
Don ’ t get involved in lofty pastimes that are costly or indulgent .
Stipulate what you can do to avoid stressful situations .
Personal improvements and romance will bring the highest returns .
3 stars SCORPIO ( Oct. 23-Nov. 21 ) : Slow down , and take a moment to reevaluate your position , lifestyle and relationships .
Make a change if you feel @ @ @ @ @ @ @ up to you to put an end to what you don ’ t want in your life .
Follow your heart .
5 stars SAGITTARIUS ( Nov. 22-Dec. 21 ) : Emotional manipulation is apparent .
Whether it ’ s you trying to avoid something or someone , or someone offering you false information , it ’ s time to take an honest look at your life and decide what you want to do next .
2 stars CAPRICORN ( Dec. 22-Jan. 19 ) : Remember the good times , but don ’ @ @ @ @ @ @ @ .
It ’ s what you do moving forward that will have the most significant impact on your life .
Don ’ t limit what you can do because you are afraid to let go of the past .
3 stars AQUARIUS ( Jan. 20-Feb. 18 ) : Don ’ t let a change someone makes cause uncertainty .
Proceed with your plans , and refuse to let anyone stand between you and what you want .
A personal change will lift your spirits and give you a new lease on life .
@ @ @ @ @ @ @ ) : Expand your interests ; do something unique .
Handle situations carefully .
Take a minimalist approach to helping others .
Offer suggestions , not your cash or time .
You owe it to yourself to focus on what will help you achieve the most .
3 stars Birthday Baby : You are sensitive , caring and original .
You are determined and supportive .

CELEBRITIES BORN ON THIS DAY: Rooney Mara, 35; Jennifer Garner, 48; Liz Phair, 53; Sean Bean, 61.
Happy Birthday: Aim for a simple, affordable lifestyle that will result in less stress and fewer responsibilities. Don’t feel you have to do something to keep up with a friend or appease someone pushing you to participate in something you don’t want to do. Focus on goals that will encourage greater stability and security. Personal gains are within reach. Your numbers are 6, 14, 25, 27, 30, 33, 49.
ARIES (March 21-April 19): Honesty and integrity matter. Whether it’s you or someone you are dealing with, be upfront and, when in doubt, ask questions. Personal training, physical fitness and better health should be your goal. Romance will enhance your life. 4 stars
TAURUS (April 20-May 20): Look at the big picture before you decide to make a change. You’ll face interference if you share too much personal information. Gather information, and it will put you in a stronger position when asked to make a decision. 2 stars
GEMINI (May 21-June 20): Offer suggestions, do what you do best and take action once you commit to your plan. What you accomplish today will be life-altering. Discipline and hard work will pay off. Celebrate your success with someone you love. Romance is on the rise. 5 stars
CANCER (June 21-July 22): Do what makes you happy. A creative project that takes your mind off situations that aren’t going your way will give you the break required to gain perspective regarding how best to deal with the changes taking place. 3 stars
LEO (July 23-Aug. 22): Speak up, share your thoughts and feelings, and find out where you stand. Use your charm and experience to handle people who are putting pressure on you to do things you don’t want to do. Make personal gains, romance and money your priorities. 3 stars
VIRGO (Aug. 23-Sept. 22): Choose to spend time with the people who inspire you to have fun. Mixing business with pleasure will encourage deals that you want to close. A change of scenery will motivate you to do things differently. Be open to suggestions. 3 stars
LIBRA (Sept. 23-Oct. 22): Be careful how you handle loved ones and your money. Don’t get involved in lofty pastimes that are costly or indulgent. Stipulate what you can do to avoid stressful situations. Personal improvements and romance will bring the highest returns. 3 stars
SCORPIO (Oct. 23-Nov. 21): Slow down, and take a moment to reevaluate your position, lifestyle and relationships. Make a change if you feel stressed and anxious. It’s up to you to put an end to what you don’t want in your life. Follow your heart. 5 stars
SAGITTARIUS (Nov. 22-Dec. 21): Emotional manipulation is apparent. Whether it’s you trying to avoid something or someone, or someone offering you false information, it’s time to take an honest look at your life and decide what you want to do next. 2 stars
CAPRICORN (Dec. 22-Jan. 19): Remember the good times, but don’t try to go back in time. It’s what you do moving forward that will have the most significant impact on your life. Don’t limit what you can do because you are afraid to let go of the past. 3 stars
AQUARIUS (Jan. 20-Feb. 18): Don’t let a change someone makes cause uncertainty. Proceed with your plans, and refuse to let anyone stand between you and what you want. A personal change will lift your spirits and give you a new lease on life. 3 stars
PISCES (Feb. 19-March 20): Expand your interests; do something unique. Handle situations carefully. Take a minimalist approach to helping others. Offer suggestions, not your cash or time. You owe it to yourself to focus on what will help you achieve the most. 3 stars
Birthday Baby: You are sensitive, caring and original. You are determined and supportive.
Visit Eugenialast.com, or join Eugenia on Twitter/Facebook/LinkedIn.


mercurynews--2020-04-17--Bridge: April 17, 2020

Bridge: April 17, 2020

This week ’ s deals have treated “ safety plays ” : guarding against an unaffordable loss of tricks .
Cover the East-West cards .
Plan your play at 3NT when West leads the jack of hearts .
At matchpoint scoring , you would try a diamond finesse with your jack .
On a good day , you would make an overtrick .
Today , you would lose five tricks .
At IMP scoring or party bridge , you need only four diamond tricks for nine in all .
Take out insurance .
Lead a diamond to your ace at @ @ @ @ @ @ @ five or six , you would lead another diamond to dummy ’ s king and hope for the best .
But when East plays the ten , take the ace and return the eight , planning to let it ride if West plays the five and six .
Then , if East could win , you would be sure of four diamonds .
As the cards lie , West may play low on the second diamond ( to play the nine won ’ t help him ) .
If your eight wins , @ @ @ @ @ @ @ , come to your hand and concede the fourth diamond .
Your game is safe .
You hold : S J 10 9 8 2 H A K 2 D K 4 3 C 7 6 .
Your partner opens one heart , you respond one spade and he bids two diamonds .
What do you say ?
ANSWER : You have 11 points — enough in theory to invite game by jumping to three hearts — but your hand is worth more .
Almost all of your points lie in your partner @ @ @ @ @ @ @ will be of maximum use .
Bid four hearts .
Even if he has a minimum hand such as 4 , Q J 9 6 4 , A Q 9 2 , A 3 2 , he will be a favorite .

This week’s deals have treated “safety plays”: guarding against an unaffordable loss of tricks. Cover the East-West cards. Plan your play at 3NT when West leads the jack of hearts.
At matchpoint scoring, you would try a diamond finesse with your jack. On a good day, you would make an overtrick. Today, you would lose five tricks.
At IMP scoring or party bridge, you need only four diamond tricks for nine in all. Take out insurance. Lead a diamond to your ace at Trick Two. If East played the five or six, you would lead another diamond to dummy’s king and hope for the best.
FOUR TRICKS
But when East plays the ten, take the ace and return the eight, planning to let it ride if West plays the five and six. Then, if East could win, you would be sure of four diamonds.
As the cards lie, West may play low on the second diamond (to play the nine won’t help him). If your eight wins, lead a third diamond to the king, come to your hand and concede the fourth diamond. Your game is safe.
DAILY QUESTION
You hold: S J 10 9 8 2 H A K 2 D K 4 3 C 7 6. Your partner opens one heart, you respond one spade and he bids two diamonds. What do you say?
ANSWER: You have 11 points — enough in theory to invite game by jumping to three hearts — but your hand is worth more. Almost all of your points lie in your partner’s long suits, where they will be of maximum use. Bid four hearts. Even if he has a minimum hand such as 4, Q J 9 6 4, A Q 9 2, A 3 2, he will be a favorite.
South dealer
N-S vulnerable
NORTH
S J 10 9 8 2
H A K 2
D K 4 3
C 7 6
WEST
S Q 7 5
H J 10 9 8
D Q 9 6 5
C Q 2
EAST
S A K 4
H 6 5 4
D 10
C J 10 9 8 5 3
SOUTH
S 6 3
H Q 7 3
D A J 8 7 2
C A K 4
South West North East
1 D Pass 1 S Pass
1 NT Pass 2 NT Pass
3 NT All Pass
Opening lead — H J
(C)2020 Tribune Content Agency, LLC.


mercurynews--2020-04-17--Word Game: April 17, 2020

Word Game: April 17, 2020

Can you find 39 or more words in LEVERAGE ?
The list will be published tomorrow .
To purchase the @ @ @ @ @ WordGameBooks.com .
Order it now for just $ 5 while supplies last !
1 .
@ @ @ @ @ or more letters .
2 .
Words that acquire four letters by the addition of @ @ @ @ @ as “ bats ” or “ dies , ” are not allowed .
3 .
@ @ @ @ @ a “ d ” or an “ s ” may not be used .
For @ @ @ @ @ ” is used , “ baked ” or “ bakes ” are not allowed , @ @ @ @ @ “ baking ” are admissible .
4 .
Proper nouns , slang words , or @ @ @ @ @ are not allowed .

TODAY’S WORD — LEVERAGE (LEVERAGE: LEV-rej: Positional advantage; power to act effectively.)
Average mark 30 words
Time limit 40 minutes
Can you find 39 or more words in LEVERAGE? The list will be published tomorrow.
YESTERDAY’S WORD — ECCENTRIC enter entice entire erect erne cent center
cire cite citer nice nicer niece niter teen tern tier tine tire tree trice trine recent
recite rein rent retie rice rite inert inter
To purchase the Word Game book, visit WordGameBooks.com. Order it now for just $5 while supplies last!
RULES OF THE GAME:
1. Words must be of four or more letters.
2. Words that acquire four letters by the addition of “s,” such as “bats” or “dies,” are not allowed.
3. Additional words made by adding a “d” or an “s” may not be used. For example, if “bake” is used, “baked” or “bakes” are not allowed, but “bake” and “baking” are admissible.
4. Proper nouns, slang words, or vulgar or sexually explicit words are not allowed.
Contact Word Game creator Kathleen Saxe at kzsaxe@gmail.com.


mercurynews--2020-04-17--Ask Amy: I want to scream at these careless neighbor children

DEAR AMY : I am currently more or less housebound due to COVID-19 restrictions in our community .
I hate to complain , but every day I look out my window and see kids riding their bikes , walking closely together , sometimes playing together .
I ’ m sorry , but I want to scream at them that they are going to spread this virus and potentially kill someone !
Do you think it would be OK for me to — basically — yell at them about this ?
DEAR UPSET : This is an extremely stressful time for @ @ @ @ @ @ @ you are trapped — and you are watching the world go by .
You also have a lot of time on your hands .
By all means , you could yell at these children — and , who knows , maybe it would make a difference to them and to you .
But I observe that one aspect of our national confinement is the temptation to police and scold others .
( I would resist . )
• Ask Amy : I don ’ t need a stimulus check .
What should I @ @ @ @ @ @ @ : My mom thinks I ’ ve been brainwashed • Ask Amy : She ’ s living in my house , and I don ’ t know how to get her out • Ask Amy : My brother doesn ’ t know it , but his fiancee is a psycho • Ask Amy : The gym ’ s treatment of my daughter infuriates me These children could be siblings ( and thus , in a family group ) .
You must assume that they have parents who are — or should be — @ @ @ @ @ @ @ : I raised my son as a single parent .
He was a very bright student studying abroad when he started practicing voyeurism .
He graduated to taking photos of unsuspecting women in compromising situations .
He was arrested for this four times .
I got him the best lawyer I could in hopes that he ’ d have a chance at living a promising life .
The attorney ’ s fees were enormous ( and I am not rich ) .
While awaiting trial , he was arrested again .
After receiving @ @ @ @ @ @ @ once again to help him , by allowing him to stay in my home .
It has not been easy .
He is rude , disrespectful , and does not contribute to the household .
He has made no effort to reimburse me the over $ 10,000 I spent in legal fees .
Sounds bad , right ?
It gets worse .
I recently upgraded the wireless network in my home .
The system comes with security software .
My son boldly asked if I was blocking porn !
Call me naive , @ @ @ @ @ @ @ him .
I clicked on one of the sites the software had blocked , and … he is right back into the same stuff that got him locked up .
He now subscribes to a secure cloud server that allows you to upload and share pictures .
I just discovered this site this morning .
As a condition of his parole , he is required to attend group counseling for sex offenders .
( He barely escaped having to register as one . )
None of this appears to affect this behavior .
@ @ @ @ @ @ @ was able to land a job that pays well .
I am at the end of my rope .
I just want him to go away .
I realize I can not help him but feel that abandoning him completely would kick him right over the edge .
DEAR NO TRUST ( FUND ) : You need legal advice , and quickly ( I am not a lawyer ) .
No , you should not trust your son .
Yes , he needs to be out of your house .
From your description @ @ @ @ @ @ @ son is again trafficking in illegal “ video voyeurism ” — the same offense that landed him in prison — and that he is consuming and also perhaps sharing this illegal material from your home .
Now that you know about this , and because your son ’ s behavior puts you and others at risk ( including the employees at his workplace ) , you are ethically bound to act on your knowledge , and report him .
If you are correct that he is reoffending , you should notify his parole @ @ @ @ @ @ @ contact the lawyer who dealt with his case previously and tell him that you believe your son is reoffending — and that now you need legal advice for yourself — on how to protect yourself from your son ’ s actions .
Your son obviously needs much more intensive treatment than he is receiving , but — above his needs — the public should be protected from him .
You can continue to try to advocate for him , but you should assume that being in your home is actually enabling him to @ @ @ @ @ @ @ liked your essay where you described the tiny “ silver linings ” you believe may be revealed from this pandemic .
I want to stay optimistic , and so I will continue to look for them , myself .
DEAR MAKING IT : A lot of us are confronted with some overwhelming challenges .
Little , light , and lovely moments can be sustaining .
You can email Amy Dickinson at askamy @ amydickinson.com or send a letter to Ask Amy , P.O .
Box 194 , Freeville , NY 13068 .
You @ @ @ @ @ @ @ askingamy or Facebook .

DEAR AMY: I am currently more or less housebound due to COVID-19 restrictions in our community. I hate to complain, but every day I look out my window and see kids riding their bikes, walking closely together, sometimes playing together.
I’m sorry, but I want to scream at them that they are going to spread this virus and potentially kill someone!
Do you think it would be OK for me to — basically — yell at them about this?
Upset
DEAR UPSET: This is an extremely stressful time for everyone. You are feeling trapped — you are trapped — and you are watching the world go by. You also have a lot of time on your hands.
By all means, you could yell at these children — and, who knows, maybe it would make a difference to them and to you. But I observe that one aspect of our national confinement is the temptation to police and scold others. (I would resist.)
Related Articles Advice | Ask Amy: I found the videos she posted about me, with all the demeaning comments
Ask Amy: I found the videos she posted about me, with all the demeaning comments Advice | Ask Amy: My fiance wants me to stay home. Should I bolt?
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Ask Amy: Why did she react that way? It was a compliment! Advice | Ask Amy: I’ve told them they need therapy, and they refuse to do it. What now?
Ask Amy: I’ve told them they need therapy, and they refuse to do it. What now? Advice | Ask Amy: The man I love is my grandchild’s uncle, and things have gotten messy These children could be siblings (and thus, in a family group). You must assume that they have parents who are — or should be — in charge of them.
DEAR AMY: I raised my son as a single parent. He was a very bright student studying abroad when he started practicing voyeurism. He graduated to taking photos of unsuspecting women in compromising situations.
He was arrested for this four times. I got him the best lawyer I could in hopes that he’d have a chance at living a promising life. The attorney’s fees were enormous (and I am not rich). While awaiting trial, he was arrested again. After receiving a five-year prison sentence, I attempted once again to help him, by allowing him to stay in my home.
It has not been easy. He is rude, disrespectful, and does not contribute to the household. He has made no effort to reimburse me the over $10,000 I spent in legal fees. Sounds bad, right? It gets worse.
I recently upgraded the wireless network in my home. The system comes with security software. My son boldly asked if I was blocking porn! Call me naive, but I decided to try to trust him. I clicked on one of the sites the software had blocked, and … he is right back into the same stuff that got him locked up.
He now subscribes to a secure cloud server that allows you to upload and share pictures. I just discovered this site this morning.
As a condition of his parole, he is required to attend group counseling for sex offenders. (He barely escaped having to register as one.) None of this appears to affect this behavior. Somehow, against all odds, he was able to land a job that pays well.
I am at the end of my rope. I just want him to go away. I realize I cannot help him but feel that abandoning him completely would kick him right over the edge.
No Trust(fund)
DEAR NO TRUST(FUND): You need legal advice, and quickly (I am not a lawyer). No, you should not trust your son. Yes, he needs to be out of your house.
From your description, I infer that you believe your son is again trafficking in illegal “video voyeurism” — the same offense that landed him in prison — and that he is consuming and also perhaps sharing this illegal material from your home.
Now that you know about this, and because your son’s behavior puts you and others at risk (including the employees at his workplace), you are ethically bound to act on your knowledge, and report him.
If you are correct that he is reoffending, you should notify his parole officer. You might also choose to contact the lawyer who dealt with his case previously and tell him that you believe your son is reoffending — and that now you need legal advice for yourself — on how to protect yourself from your son’s actions.
Your son obviously needs much more intensive treatment than he is receiving, but — above his needs — the public should be protected from him. You can continue to try to advocate for him, but you should assume that being in your home is actually enabling him to reoffend.
Want Ask Amy delivered to your inbox for free on weekdays?
DEAR AMY: I really liked your essay where you described the tiny “silver linings” you believe may be revealed from this pandemic. I want to stay optimistic, and so I will continue to look for them, myself.
Making It
DEAR MAKING IT: A lot of us are confronted with some overwhelming challenges. Little, light, and lovely moments can be sustaining.
You can email Amy Dickinson at askamy@amydickinson.com or send a letter to Ask Amy, P.O. Box 194, Freeville, NY 13068. You can also follow her on Twitter @askingamy or Facebook.


mercurynews--2020-04-18--Senior Living: The seasonal allergy flare-ups that come with aging

As spring approaches , allergens flare up and can cause discomfort for many , including older adults .
Depending on where you live , allergy season can begin as early as January and last through November .
Allergic rhinitis — often referred to as hay fever — is usually triggered by seasonal allergens , such as pollen , weeds , fungus spores , mold and grasses .
According to a survey conducted by the Centers for Disease Control and Prevention , in 2018 more than 16 % of adults over the age of 65 have dealt with hay fever , @ @ @ @ @ @ @ through 44 did .
These results indicate that the prevalence of seasonal allergies tends to increase with age .
As you age , it is especially important to notice any sudden allergy symptoms , so your physician can appropriately diagnose and treat them .
Common symptoms include : With a weakened immune system and underlying health conditions , the effects of allergies can be especially harmful with age .
Nasal congestion and an irritated throat can be extremely dangerous for those with pre-existing cardiovascular problems or lung disease – both of which are @ @ @ @ @ @ @ disruptions in breathing can cause larger problems .
If allergy symptoms are severe , the possibility of going into anaphylactic shock is another concern .
To protect yourself against allergy symptoms , it is important to take control of and reduce the allergens in your home .
This is especially important after retirement , when you may tend to spend more time inside your home .
If you notice your allergy symptoms are triggered at home , household allergens may be the culprit .
Make these simple changes to improve symptoms : • @ @ @ @ @ @ @ day and run an air conditioner to prevent outside pollen from entering your home .
• None Install a high efficiency particulate air ( HEPA ) filter to help decrease the amount of airborne pollen particles .
• None Place a home dehumidifier in bathrooms , basements and garages to help prevent mold growth .
The dehumidifier should be regularly emptied and cleaned to prevent mold growth inside the collection basket .
• None Use mold-killing solutions in areas where moisture is most likely to develop — such as shower curtains or bathroom @ @ @ @ @ @ @ and linens in hot water , and immediately remove laundry from the washing machine to avoid potential mold growth .
• None Vacuum rugs and carpets with a HEPA filter to reduce pollen collection .
Allergens should not prevent you from spending time outdoors , but you should stay inside if weather conditions are windy , dry or warm , as pollen counts are typically higher during these types of days .
Before going outside be sure to : • None Check the weather forecast and avoid going outside during a high pollen @ @ @ @ @ @ @ activities for days when the pollen counts are projected to be at their lowest .
• None Wear appropriate clothing and gear to protect yourself from potential allergens .
Masks , gloves , hats and sunglasses are effective at keeping pollen out of the nose , mouth and eyes .
If symptoms do not improve with lifestyle changes or are causing chronic sinus infections or difficulty breathing , it is especially important that you seek medical treatment .
Some treatment options include : • None Nasal decongestants , which are used to treat @ @ @ @ @ @ @ None Anti-inflammatory nasal sprays , which are useful in reducing common allergy symptoms such as sneezing , itchiness and congestion .
Nasal sprays usually display minimal side effects and no drug interactions , making it a safe choice for treating allergies in older adults .
• None Immunotherapy , which typically includes allergen shots that are regularly given over a period of three to five years .
If you have a chronic condition or disease , consult your doctor when considering this treatment option , as the risk for side effects is higher @ @ @ @ @ @ @ antihistamines .
Always consult with your doctor before choosing an antihistamine , as these can cause adverse symptoms and pose a health risk to seniors .
Although allergy symptoms can be serious , when they are proactively and effectively managed you can still enjoy a normal , active life .
Be sure to discuss any allergy concerns with your doctor to help prevent any serious side effects and allow you to continue to enjoy your golden years .
To find a physician who can help , visit memorialcare.org/Providers or call 800-MEMORIAL .
Dr. @ @ @ @ @ @ @ internist and critical care specialist who focuses in the treatment of pulmonary diseases and critical illness .

By Fady Youssef, M.D.
Contributing writer
As spring approaches, allergens flare up and can cause discomfort for many, including older adults.
Depending on where you live, allergy season can begin as early as January and last through November. Allergic rhinitis — often referred to as hay fever — is usually triggered by seasonal allergens, such as pollen, weeds, fungus spores, mold and grasses.
According to a survey conducted by the Centers for Disease Control and Prevention, in 2018 more than 16% of adults over the age of 65 have dealt with hay fever, while only 5% of those 18 through 44 did.
These results indicate that the prevalence of seasonal allergies tends to increase with age.
Common allergy symptoms
As you age, it is especially important to notice any sudden allergy symptoms, so your physician can appropriately diagnose and treat them. Common symptoms include:
Runny or stuffy nose;
Watery eyes;
Sneezing;
Coughing;
Itchy eyes, nose or ears;
Scratchy throat; and
Sinus headache.
With a weakened immune system and underlying health conditions, the effects of allergies can be especially harmful with age. Nasal congestion and an irritated throat can be extremely dangerous for those with pre-existing cardiovascular problems or lung disease – both of which are more common in seniors – because any disruptions in breathing can cause larger problems. If allergy symptoms are severe, the possibility of going into anaphylactic shock is another concern.
Reducing allergens and allergy symptoms at home
To protect yourself against allergy symptoms, it is important to take control of and reduce the allergens in your home. This is especially important after retirement, when you may tend to spend more time inside your home.
If you notice your allergy symptoms are triggered at home, household allergens may be the culprit. Make these simple changes to improve symptoms:
Keep your windows closed during the day and run an air conditioner to prevent outside pollen from entering your home.
Install a high efficiency particulate air (HEPA) filter to help decrease the amount of airborne pollen particles.
Place a home dehumidifier in bathrooms, basements and garages to help prevent mold growth. The dehumidifier should be regularly emptied and cleaned to prevent mold growth inside the collection basket.
Use mold-killing solutions in areas where moisture is most likely to develop — such as shower curtains or bathroom tiles.
Regularly wash bedding and linens in hot water, and immediately remove laundry from the washing machine to avoid potential mold growth.
Vacuum rugs and carpets with a HEPA filter to reduce pollen collection.
Allergens should not prevent you from spending time outdoors, but you should stay inside if weather conditions are windy, dry or warm, as pollen counts are typically higher during these types of days. Before going outside be sure to:
Check the weather forecast and avoid going outside during a high pollen level day.
Plan outdoor activities for days when the pollen counts are projected to be at their lowest.
Wear appropriate clothing and gear to protect yourself from potential allergens. Masks, gloves, hats and sunglasses are effective at keeping pollen out of the nose, mouth and eyes.
Available medical options and treatments
If symptoms do not improve with lifestyle changes or are causing chronic sinus infections or difficulty breathing, it is especially important that you seek medical treatment. Some treatment options include:
Nasal decongestants, which are used to treat nasal swelling and relieve congestion.
Anti-inflammatory nasal sprays, which are useful in reducing common allergy symptoms such as sneezing, itchiness and congestion. Nasal sprays usually display minimal side effects and no drug interactions, making it a safe choice for treating allergies in older adults.
Immunotherapy, which typically includes allergen shots that are regularly given over a period of three to five years. If you have a chronic condition or disease, consult your doctor when considering this treatment option, as the risk for side effects is higher.
Over-the-counter or prescription allergy antihistamines. Always consult with your doctor before choosing an antihistamine, as these can cause adverse symptoms and pose a health risk to seniors.
Although allergy symptoms can be serious, when they are proactively and effectively managed you can still enjoy a normal, active life. Be sure to discuss any allergy concerns with your doctor to help prevent any serious side effects and allow you to continue to enjoy your golden years. To find a physician who can help, visit memorialcare.org/Providers or call 800-MEMORIAL.
Dr. Fady Youssef is a board-certified pulmonologist, internist and critical care specialist who focuses in the treatment of pulmonary diseases and critical illness.