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A Novel Inhaled Dry-Powder Formulation of Ribavirin Allows for Efficient Lung Delivery in Healthy Participants and Those with Chronic Obstructive Pulmonary Disease in a Phase 1 Study [Antiviral Agents]

Chronic obstructive pulmonary disease (COPD) is an inflammatory lung condition, causing progressive decline in lung function leading to premature death. Acute exacerbations in COPD patients are predominantly associated with respiratory viruses. Ribavirin is a generic broad-spectrum antiviral agent that could be used for treatment of viral respiratory infections in COPD. Using the Particle Replication In Nonwetting Templates (PRINT) technology, which produces dry-powder particles of uniform shape and size, two new inhaled formulations of ribavirin (ribavirin-PRINT-CFI and ribavirin-PRINT-IP) were developed for efficient delivery to the lung and to minimize bystander exposure. Ribavirin-PRINT-CFI was well tolerated in healthy participants after single dosing and ribavirin-PRINT-IP was well tolerated in healthy and COPD participants after single and repeat dosing. Ribavirin-PRINT-CFI was replaced with ribavirin-PRINT-IP since the latter formulation was found to have improved physicochemical properties and it had a higher ratio of active drug to excipient per unit dose. Ribavirin concentrations were measured in lung epithelial lining fluid in both healthy and COPD participants and achieved target concentrations. Both formulations were rapidly absorbed with approximately dose proportional pharmacokinetics in plasma. Exposure to bystanders was negligible based on both the plasma and airborne ribavirin concentrations with the ribavirin-PRINT-IP formulation. Thus, ribavirin-PRINT-IP allowed for an efficient and convenient delivery of ribavirin to the lungs while minimizing systemic exposure. Further clinical investigations would be required to demonstrate ribavirin-PRINT-IP antiviral characteristics and impact on COPD viral-induced exacerbations. (The clinical trials discussed in this study have been registered at ClinicalTrials.gov under identifiers NCT03243760 and NCT03235726.)




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Apartment prices in HCMC are 20-40% higher than those in Hanoi

The asking prices of apartments in both central and non-central districts of Hanoi are 20-40% lower than ones in Ho Chi Minh City (HCMC), according to data by Batdongsan.com.vn.




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Those Who Remain Delayed to May 28 for PS4, Xbox One And Steam

Publisher Wired Productions and developer Camel 101 have delayed psychological horror game, Those Who Remain, from May 15 to May 28 for the PlayStation 4, Xbox One and Windows PC via Steam. 

View the official release date trailer below:

Here is an overview of the game:

As the lights go out, the embers of darkness are stoked in the sleepy town of Dormont.

Whispers of disappearances carry through the town as a burgeoning, uneasy and irrational fear begins to spread and darkness comes to be an unwelcome reflection to Those Who Remain.

Some mistakes should never happen, not when your life is complete – and yet they do. Edward had the good life, a beautiful wife and the perfect little girl, yet finds himself several whiskeys down and driving through the night of Dormont to end his secret affair – in a bid to fix his mistakes.

As Edward pulls into the Golden Oak Motel, he is unaware just how much this night will change his life…

Key Features:

The horrors and darkness that thrive in the corner of every eye are torn loose…

Those Who Remain places you in an up-close, psychological horror story set in the sleepy town of Dormont – a town in a spiralling split from the fabric of reality, warped by darkness and the deeds of the Citizens who reside.

Confront the uncomfortable horrors reflected by the darkness and survive the night of Dormont as Edward is confronted with a test of his sanity, morality and the shadows of evil that lurks below.

  • Darkness Has Eyes -Navigate and survive the encroaching darkness and stay in the protection of the light by any means[br]
  • Worlds Torn Asunder – Pave your way ahead by moving between Dormont and its dark otherworldly counterpart to further solve the mysteries held within the dark
  • Conscience of Choice – Choose to help any surviving citizens of Dormont you encounter or leave them to the darkness. Innocence cannot always be assumed, and the township of Dormont hides a cursed trove of secrets
  • Savor your Sanity – Keep your sanity in check as you delve deeper into the darkness of Dormont – expected rules of the real world have been torn apart
  • Follow your Path – Your decisions and choices will determine the fate of Edward, through multiple different branching outcomes

A life-long and avid gamer, William D'Angelo was first introduced to VGChartz in 2007. After years of supporting the site, he was brought on in 2010 as a junior analyst, working his way up to lead analyst in 2012. He has expanded his involvement in the gaming community by producing content on his own YouTube channel and Twitch channel dedicated to gaming Let's Plays and tutorials. You can contact the author at wdangelo@vgchartz.com or on Twitter @TrunksWD.

Full Article - https://www.vgchartz.com/article/443413/those-who-remain-delayed-to-may-28-for-ps4-xbox-one-and-steam/




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Those Who Framed Flynn Must Be Held Accountable

After more than three long years, the Justice Department has finally lived up to its name by dropping charges against my former boss, former National Security Adviser and retired Army Lt. Gen. Michael Flynn. He should have never been prosecuted.




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RPGCast – Episode 259: “Don’t Preorder Those Shoes!”

Bethesda challenges our hipster fashion instincts. Nintendo is doing something with that NFC sensor. Square Enix is faring pretty well, actually. And then there’s EA…who...




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Faces of the coronavirus pandemic: Remembering those who died

From a veteran fire chief to a 93-year-old Holocaust survivor, over 71,000 people have died in the United States from the ongoing novel coronavirus pandemic.Those we've lost come from all backgrounds and walks of life and include the very people -- first responders and medical staff, who are working so diligently to stem the tide of the infection and care for the sick. Variously described as heroes, caring educators and loving family members, they will never be forgotten. ...





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Berta Cáceres case: a warning for those who would kill activists

Trial is notable for highlighting land and nature defender murders that ordinarily go unpunished

The sentencing on Thursday of seven men accused of murdering the Honduran environmentalist Berta Cáceres is only partial justice, but it should inspire anyone committed to ending the slaughter of land and nature defenders around the globe.

A court in Tegucigalpa handed down guilty verdicts on all but one of the eight accused, including two employees of the hydro-electric dam company that the indigenous Lenca woman had been campaigning against before her assassination on 2 March 2016.

Continue reading...




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Brazil's Christ the Redeemer illuminated as doctor to commend those fighting coronavirus outbreak

Follow our live coronavirus updates HERE Coronavirus: The symptoms




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Donald Trump's US immigration ban to last 60 days and targets those seeking permanent residency

Donald Trump has said his new US immigration ban would last for 60 days and apply to those seeking "green cards" for permanent residency.




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Princess Charlotte photographed delivering meals for those in need to mark fifth birthday

Princess Charlotte's fifth birthday has been marked by the release of photographs showing the young royal helping to load a van with food and delivering meals for those in need.




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Food For London Now faces: 'The opportunities to support those in need are endless'

Felix Project volunteer Lauren Graham shares her story You can donate at virginmoneygiving.com/fund/FoodforLondonNOW




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Covid-19 deaths four times more likely among black adults than those of white ethnicity, new ONS analysis suggests

Shadow justice secretary David Lammy responded to the figures by calling for an urgent investigation into the disproportionate number of deaths.




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‘The pain and cost of rebuilding must be borne by those with the broadest shoulders not with another 10 years of austerity’ -Justin Welby on dealing with aftermath of Covid-19

Tomorrow marks 75 since the nation celebrated VE day - the end of fighting against Nazi Germany in Europe.




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Nurse offers advice on caring for those with coronavirus at home – video

Many people will get coronavirus at some point during this pandemic and in the majority of cases will be able to manage the illness themselves. Emma Hammett, a nurse and founder of First Aid for Life, offers some advice on how to look after people who have mild or moderate symptoms at home.

If you're looking after loved ones whose  symptoms are severe or getting worse, you should seek medical help immediately – particularly if they are in a vulnerable group

Continue reading...




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Florian Schneider: the enigma whose codes broke open pop music

The Kraftwerk co-founder remained a mystery even after death, but there is no doubting the impact he made with his group’s sublime, visionary music

Florian Schneider’s death came shrouded in a degree of secrecy. Gossip among fans about his health was first provoked at the end of April, when his fellow former Kraftwerk member Wolfgang Flür posted a sweet photo on social media of him and Schneider together in a bar, without explanation.

It had apparently been taken in 2016 – a decade and a half after Schneider and fellow founder member Ralf Hütter had served Flür with a lawsuit provoked by his autobiography I Was a Robot – and was subsequently deleted from Flür’s Facebook page. Then, a week later, another electronic musician based in Germany, the Manchester-born Mark Reeder, posted a brief eulogy; one commenter claimed that Schneider had died “several days ago”.

Continue reading...




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‘Why didn’t he help those little boys?’: how George Pell failed the children of Ballarat

The cardinal maintains he didn’t know about the Victorian town’s notorious paedophile priests, a claim the royal commission found ‘implausible’

“Why isn’t all of Australia talking about what happened here in Ballarat?”

That’s the question Clare Linane remembers asking her husband, Peter Blenkiron, 12 years ago as they were sitting in the kitchen talking about his abuse. Linane’s husband, brother and cousin had all been abused when they were children between 1973 and 1974 by Christian Brother and now convicted paedophile Edward “Ted” Dowlan. They knew they were among thousands of people living in and around Ballarat – Victoria’s largest inland city – who had been affected by child sexual abuse perpetrated by clergy.

Continue reading...




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Mattel releases medical worker action figures to celebrate those fighting coronavirus

The brand behind Barbie has released a new line of toys inspired by emergency care workers to honour those fighting coronavirus.




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Mamadou Sakho chose 'dream club' Liverpool over Arsenal, Bayern Munich and Barcelona

Mamadou Sakho has revealed how he turned down approaches from Arsenal, Barcelona and Bayern Munich in order to secure a "dream" move to Liverpool.




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Manchester United striker Marcus Rashford helps supply over two million weekly meals to those in need

Manchester United forward Marcus Rashford has revealed in partnership with FareShare, his charity scheme is supplying over two million meals a week to those in need across the UK, adding he will double his initial personal donation.




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Zero-waste warriors: meet the people whose household rubbish fits in a jam jar

From making their own toothpaste to foraging locally for edible plants, more and more people are learning to cut the amount of rubbish they throw out. Here’s how they do it

Through my work, I have seen the huge amount of waste and recycling that we produce. Watching an incinerator for half an hour shocked me and made me want to take action. I was standing on a balcony wearing a full body suit and goggles watching gigantic grabbers emptying waste from trucks. The scale is so shocking and you realise how tiny we are compared to the amount of waste we create. I don’t want to contribute to that wastefulness and it has made me want to take action.

Continue reading...




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Newcastle Anglican diocese hoses down talk of a split over same-sex marriage

Newcastle's Anglican Dean calls for unity and respect as the diocese prepares to vote on blessing same-sex marriages.




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Inherent Flaws in COVID-19 Testing Mean Some of Those Infected Don’t Get the Treatment They Need

The nasal swab diagnostic test is far from infallible




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2020 Gerber Baby Becomes First Adopted Child Chosen



Magnolia Earl is making history.




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Damien Cox: Michael Jordan might have chosen to stick to sports, but LeBron James decided not to be like Mike


The former Bulls star saw himself as a basketball player. The current Lakers star sees himself as something more. “I have a responsibility to lead,” James says.




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Newsletter: Those Black Friday deals? They're not as good as you think

The dirty little secret of Black Friday — and its cousin, Cyber Monday — is that the best deals are still to come.




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Seeing those opt-out messages about your personal information on websites? Thank California's new privacy law

"Do not sell my info" links popped up on websites New Year's Day as companies scrambled to comply with California's sweeping new consumer privacy protection law.




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Beyond 'Animal Crossing:' What those making your favorite games are playing

We asked game developers: What's your go-to game in coronavirus quarantine? Makers behind 'Doom Eternal,' 'The Last of Us' 'Watch Dogs,' more answer




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Welcome to Penguin, whose streets once echoed with the sound of race cars

Stephen Mott, the author of a new book about a tiny north-west Tasmanian town, is hoping to capture "the atmosphere of 50s motor racing".




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Michael McClure, the poet whose roar helped launch the '60s, dies at 87

The countercultural poet, actor and musician was present, Zelig-like, at key moments in San Francisco's Beat heyday and beyond.




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A Word about Those UFO Videos

I’m an astrophysicist, but that doesn’t mean I have a motivation to debunk them

-- Read more on ScientificAmerican.com




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Federal Court Enjoins Las Vegas Man Whose Tax-fraud Scheme Is Estimated to Have Cost Treasury $31 Million

A federal court has permanently enjoined Reinhold Sommerstedt, a Las Vegas-based promoter of a sham trust tax scam.



  • OPA Press Releases

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U.S. Seeks to Shut Down Texas Tax Preparer Whose Customers Work Overseas for Defense Contractors

The United States sued a Southlake, Texas woman last night, seeking to bar her from preparing federal tax returns for others



  • OPA Press Releases

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Former Marine Hose Executive Who Was Extradited to United States Pleads Guilty for Participating in Worldwide Bid-Rigging Conspiracy

A former executive of a rubber hose manufacturer, who was extradited from Germany in early April 2014, today pleaded guilty and was sentenced to serve two years in prison for participating in a conspiracy to rig bids, fix prices and allocate market shares of marine hose sold in the United States and elsewhere.



  • OPA Press Releases

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For the class of 2020, all those once-in-a-lifetime moments are gone

For the high school and college classes of 2020 — and their families — the coronavirus outbreak has left a large, empty space where signature coming-of-age moments should be.




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International migration: What happens to those left behind?

There are many sides to the vociferous debate over international migration. While much of it focuses on the economic costs and benefits of migration in both recipient and sending countries, much less is known about the human side of the migration story. Most of what we know is based on anecdotal stories, such as a…

       




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End of life planning: An idea whose time has come?


Far too many people reach their advanced years without planning for how they want their lives to end. The result too often is needless suffering, reduced dignity and autonomy, and agonizing decisions for family members.

Addressing these end-of-life issues is difficult. Most of us don’t want to confront them for ourselves or our family members. And until recently, many people resisted the idea of reimbursing doctors for end-of-life counselling sessions. In 2009, Sarah Palin labelled such sessions as the first step in establishing “death panels.” Although no such thing was contemplated when Representative Earl Blumenauer (D- Oregon) proposed such reimbursement, the majority of the public believed that death panels and euthanasia were just around the corner. Even the Obama Administration subsequently backed away from efforts to allow such reimbursement.

Fortunately, this is now history. In the past year or two the tenor of the debate has shifted toward greater acceptance of the need to deal openly with these issues. At least three developments illustrate the shift.

First, talk of “death panels” has receded, and new regulations, approved in late 2015 to take effect in January of this year, now allow Medicare reimbursement for end of life counselling. The comment period leading up to this decision was, according to most accounts, relatively free of the divisive rhetoric characterizing earlier debates. Both the American Medical Association and the American Hospital Association have signaled their support.

Second, physicians are increasingly recognizing that the objective of extending life must be balanced against the expressed priorities of their patients which often include the quality and not just the length of remaining life. Atal Gwande’s best-selling book, Being Mortal, beautifully illustrates the challenges for both doctors and patients. With well-grounded and persuasive logic, Gwande speaks of the need to de-medicalize death and dying.

The third development is perhaps the most surprising. It is a bold proposal advanced by Governor Jeb Bush before he bowed out of the Presidential race, suggesting that eligibility for Medicare be conditioned on having an advanced directive. His interest in these issues goes back to the time when as governor of Florida he became embroiled in a dispute about the removal of a feeding tube from a comatose Terry Schiavo. Ms. Schiavo’s husband and parents were at odds about what to do, her husband favoring removal and her parents wishing to sustain life. In the end, although the Governor sided with the parents, the courts decided in favor of the husband and allowed her to die. If an advanced directive had existed, the family disagreement along with a long and contentious court battle could have been avoided.

The point of such directives is not to pressure people into choosing one option over another but simply to insure that they consider their own preferences while they are still able. Making this a requirement for receipt of Medicare would almost surely encourage more people to think seriously about the type of care they would like toward the end of life and to talk with both their doctors and their family about these views. However, for many others, it would be a step too far and might reverse the new openness to advanced planning. A softer version nudging Medicare applicants to address these issues might be more acceptable. They would be asked to review several advance directive protocols, to choose one (or substitute their own). If they felt strongly that such planning was inappropriate, they could opt out of the process entirely and still receive their benefits.

Advanced care planning should not be linked only to Medicare. We should encourage people to make these decisions earlier in their lives and provide opportunities for them to revisit their initial decisions. This could be accomplished by implementing a similar nudge-like process for Medicaid recipients and those covered by private insurance.

Right now too few people are well informed about their end-of-life options, have talked to their doctors or their family members, or have created the necessary documents. Only about half of all of those who have reached the age of 60 have an advanced directive such as a living will or a power of attorney specifying their wishes. Individual preferences will naturally vary. Some will want every possible treatment to forestall death even if it comes with some suffering and only a small hope of recovery; others will want to avoid this by being allowed to die sooner or in greater comfort. Research suggests that when given a choice, most people will choose comfort care over extended life.

In the absence of advance planning, the choice of how one dies is often left to doctors, hospitals, and relatives whose wishes may or may not represent the preferences of the individual in their care. For example, most people would prefer to die at home but the majority do not. Physicians are committed to saving lives and relatives often feel guilty about letting a loved one “go.”

The costs of prolonging life when there is little point in doing so can be high. The average Medicare patient in their last year of life costs the government $33,000 with spending in that final year accounting for 25 percent of all Medicare spending. Granted no one knows in advance which year is “their last” so these data exaggerate the savings that better advance planning might yield, but even if it is 10% that represents over $50 billion a year. Dr. Ezekiel Emanuel, an expert in this area, notes that hospice care can reduce costs by 10 to 20 percent for cancer patients but warns that little or no savings have accompanied palliative care for heart failure or emphysema patients, for example. This could reflect the late use of palliative care in such cases or the fact that palliative care is more expensive than assumed.

In the end, Dr. Emanuel concludes, and I heartily agree, that a call for better advance planning should not be based primarily on its potential cost savings but rather on the respect it affords the individual to die in dignity and in accordance with their own preferences.


Editor's note: This piece originally appeared in Inside Sources.

Publication: Inside Sources
     
 
 




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"Hose-to-the-Sky:" Still Spewing SO2 Idea to Stop Global Warming?

Hosed by this theory or greenwashed? Photo by Tony Stl via Flickr On ABC's 20/20 last Friday, Nathan Myhrvold, Microsoft's former chief technology officer, and founder/CEO of Intellectual Ventures (IV), resurrected the idea of stretching a 2-inch




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Anti-Littering Campaigns: An Idea Whose Time Has (More Than) Come in Turkey and Iran

In the northeastern reaches of Turkey, outside the city of Kars, I came across one of the most bucolic scenes I'd ever laid eyes on in the




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Perhaps those Falcon Wing doors on the Tesla Model X are not so terrible after all

I predicted trouble in winter, but they appear to still open even when buried in snow.




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In California, people without rooftop solar panels pay a $65 per year subsidy to those with them

Solar power is a wonderful thing but the benefits are not evenly distributed.




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Why did Montreal get those twisty deathtrap stairs?

They are one of the most iconic features of the city, but some of them are really scary.




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Lead is back on the menu for those who hunt and fish

The Obama administration ban didn't last very long at all.




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Apple employees keep walking into those gorgeous glass walls at Apple Park

C'mon guys, look where you are going. This is an Apple product and you are clearly using it wrong.




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You don't need all those clothes in your closet

The Minimalists chat with Courtney Carver, founder of Project 333, on why stuffed closets are overrated.





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'Like a kid whose parents are withholding critical information': How workers feel about virtual layoffs

Companies large and small are handling layoffs over minutes-long, scripted video calls, but workers say there's a better way to handle them.




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This chart shows how coronavirus jobs losses dwarf those in prior recessions

Jobs losses related to the coronavirus dwarf employment declines seen during prior U.S. recessions.




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April job losses will be three times those from the GFC: Economist

Gregory Daco of Oxford Economics says he expects the U.S. unemployment rate to go up to 17% in April, reflecting a loss in income that will weigh on consumer spending and subsequent economic recovery.




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Seeks to extend the validity of e-way bills till 31.05.2020 for those e-way bills which expire during the period from 20.03.2020 to 15.04.2020 and generated till 24.03.2020

[To be published in the Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i)] Government of India Ministry of Finance




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For Those Who Loved Susan Bloom

Dear Susan,

You were one of the caretakers of my life. The moment you saw me, you recognized me as one of yours and brought me under your wing. What a big wing it was—you brought so many people under there. I found some of my best friends under your wing, where you were sheltering them, as you sheltered me. We were all lovers of that “impractical” thing, children's literature. Until I came to Simmons and met you, I didn't know there was a place where people like us could go.

I think—I hope—I told you, before you died, that I have the best job in the world for me. It's not possible to be happier about one's daily work than I am about mine. Do you know who held the lantern and lit my way to this work? I would not be here without you. You changed my life, enormously. Do you have any idea how many women and men are thinking about you right now and saying to themselves, “She changed my life?”

You were so unique. You were a person who could never, ever be mistaken for anyone else. If faced with a line of your clones, it would’ve take me the briefest glance into your expressive, thoughtful face, the slightest sound of your careful grasping for the right words, for me to know which one was you. I would recognize your hug, too. I would certainly recognize your skirts and your earrings. I think I would recognize your perfume. After I got married last summer, you surprised me at tea. (Thank you, Cathie, for arranging that marvelous surprise.) You and Cathie gave me a bouquet that contained a beautiful flower and a beautiful umbrella (because you knew how much I love umbrellas). I brought them home to Kevin. As I showed the umbrella to him, trying so hard to express how much it meant to me, I exclaimed, “It smells like Susan!”

Last weekend, I was in Vermont by myself when I got the news that you’d died. I spent the day sitting on the porch of the cabin, looking out over the mountains, watching for hummingbirds, and reading a mystery novel by A. A. Milne. But really, I was thinking about you. I wondered if you knew that A. A. Milne wrote mysteries. I bet you did know that. I would've liked to talk to you about it. The story I read was just exactly the smart, funny (and annoyingly man-centered) sort of mystery you would expect A. A. Milne to have written, though Pooh is better. I wanted to know what you would have thought of it. You would’ve offered some perspective it wouldn’t have occurred to me to have. I would’ve gone to my friends, the ones I found under your wing, and told them, “Listen to what Susan said about this mystery by A. A. Milne.” And they would've laughed, delighted, then said, “That's so Susan.”

While I was thinking about you, a hummingbird landed on my foot. It's less surprising than it sounds; I was wearing pink and red socks with flowers on them. I thought to myself, “I hate that I can't show this gift to Susan. It would have delighted her.” Like Edna St. Vincent Millay in her poem “Dirge Without Music” that was read at your service yesterday, I am not resigned to your death, and I do not approve. The best was lost when you died. “More precious was the light in your eyes than all the roses in the world.”

And now I'm writing this letter because you are gone, and I don't know what else to do. How else can I express what you meant to me? I'm writing it to myself, and for all the people who loved you. I think—I hope—it helps to share grief, and to hear one's own gratitude expressed. There's no tidy way to wrap things up when someone dies, so I'm not going to try. I'll just say thank you, Susan, for that place under your wing. I love you, I miss you, and I'm not resigned. I will never, ever forget you.

Susan Parker Bloom, 1938-2019



For Susan.