Prosecutors: Peregrine Financial fraud loss exceeds $215M









Peregrine Financial Group's former chief executive stole more than $215 million from customers of his now-defunct futures brokerage and should be sentenced to the maximum 50 years in jail, U.S. prosecutors said Tuesday.

Russell Wasendorf Sr., 64, who founded the firm, has pleaded guilty to embezzlement but wants a lighter sentence, saying that the loss was less than $200 million and that he used "very basic, simple means" to carry out his fraud, according to documents filed by U.S. prosecutors.

Wasendorf, whose attempted suicide sent his firm into bankruptcy last July, is in jail in Iowa and will be sentenced Jan. 31.

U.S. prosecutors say the large loss, the sophisticated nature of the crime and the sheer number of victims -- more than 10,000 -- justify his spending the rest of his life behind bars.

"While some of defendant's individual acts might be characterized as simple in isolation, they were part of an exceedingly complex scheme whereby defendant's entire business was used as a mechanism to gather and purloin investor funds," prosecutors said in their sentencing memorandum, promising to fight any attempt by Wasendorf to receive a sentence of less than 50 years.

Prosecutors put the exact loss at $215,530,547, based on Peregrine's bank records, and will call Brenda Cuypers, the firm's chief financial officer, as a witness at the sentencing hearing next week.

They had previously pegged the embezzlement only at "more than $100 million," to which Wasendorf pleaded guilty.

Wasendorf's public defender has a policy of declining to comment on cases, and did not reply to an email from Reuters seeking comment.

The collapse last July of Peregrine Financial, known as PFGBest, dealt a blow to confidence in the U.S futures industry, already reeling from $1.6 billion hole in customer pockets left when giant brokerage MF Global failed nine months earlier.

Futures traders had never before suffered such large losses as a result of a brokerage failure.

"To see (Wasendorf) go to jail could give some people some hope," said James Koutoulas, co-head of the Commodity Customer Coalition, which fought to get customer money back in both bankruptcies. "In MF Global, justice hasn't been done."

No one has been charged with wrongdoing in MF Global's collapse.

Regulators have scrambled to patch perceived gaps in customer protections at brokerages and exchanges that handle contracts valued at some $2.5 trillion a day.

That figure is set to rise as new rules push over-the-counter swaps onto regulated trading venues.

The sentencing memorandum offers new details in the government's account of the fraud, which Wasendorf said in a July statement began in the early 1990s after he was hounded by an overzealous regulator.

The fraud began even earlier, prosecutors said in Tuesday's filing, when he stole at least $250,000 from customers' accounts to pay back the original financier of his brokerage, a person referred to in the document only by the initials "J.C."

"Using a copy machine, defendant fabricated a bank statement to conceal the theft of funds," the document said. For the next nearly 20 years, prosecutors said, he faked bank balances, fabricated deposits, and used a rented post office box in Cedar Falls, Iowa, to intercept letters from his auditors meant to check up on his balances at U.S. Bank.

He even went so far as to fly from Chicago, where his firm did most of its business, to Iowa to prevent the near-discovery of his fraud, ultimately convincing Peregrine and U.S. Bank employees that nothing was wrong, the document said.

All the while he worked to make Peregrine Financial seem much bigger and more successful than it was, they said.

Wasendorf believed that "if he could make himself appear rich, the auditors and regulators wouldn't be concerned with the state of his personal finances and not discover it was all a fraud," prosecutors quoted Wasendorf as saying in a sealed presentencing report.

But Peregrine was never actually profitable, even though by its demise investors had entrusted more than $376 million to him and his firm, they said.

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Single-digit freeze continues; wind chills at dangerous levels

Chicago's morning weather forecast. ( WGN - Chicago)









Brace yourself and bundle up.

After a night when temperatures dipped to the low single digits, "they're not going to move a whole lot today," said Mark Ratzer, a meteorologist with the National Weather Service.






Temperatures may not break 10 degrees today, Ratzer says, and if they do, it won't be by more than a degree or two. A wind chill advisory issued Monday remains in effect until 10 a.m. this morning.

At 8 a.m., it was minus 1 degree at O'Hare International Airport, with a wind chill of minus 14. This is the first time since Feb. 10, 2011 that a subzero temperature has been recorded in Chicago. The streak of 711 consecutive days without a subzero temperature was the fourth longest on record, according to Richard Castro, also a meteorologist at the weather service.

If there's good news, it's that the wind won't be quite as strong as it was Monday when wind chills plummeted into the negative teens.

It won't be as cold as it was on Jan. 22, 1936, when a low temperature of 17 degrees below zero set Chicago's all-time record.

That's about where the good news stops. The cold will linger for several days, and temperatures are not expected to top 32 degrees until early next week, Ratzer said.

The overnight low of 4 degrees was the coldest since Feb. 10, 2011, when aided by a heavy snow cover, temperatures dipped to 9 below zero.

Over a 30-year period, the average temperature high for Jan. 22 is 31 degrees and the average low is 16.

Authorities reported no overnight deaths from the cold, though today's temperatures remain dangerous for anyone spending prolonged periods outdoors.

At least seven people in Cook County have died from causes related to the cold this season.

asege@tribune.com

Twitter: @AdamSege

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I Might Be Too Old for Facebook Graph Search






On Sunday, I turned 30.


That’s not too old, I tell myself, yet the signs of aging are creeping in. Teenagers listen to music that I either haven’t heard of or believe to be mostly terrible. They use slang I don’t recognize, and I imagine my slang would sound to them like “groovy” or “far out” sound to me.






But for the purposes of our tech blog, the most notable sign is how much more active teens are on Facebook than I am. To hear it from my wife, who works with children and teens at her job, they’re constantly signed in and active, to the point that reaching them by voice call is unreliable. Send them a Facebook message, even during school hours, and they’ll respond right away. (The reality isn’t quite that extreme; according to a Pew survey, most teens communicate through text messages and phone calls more than Facebook, but e-mail is far behind.)


So when Facebook announces a new feature, like Graph Search, I imagine those teens getting the most use out of it. Graph Search lets you look up people, places, photos and other things using natural search queries. Think of it like Google for everything that your friends know; instead of searching the Web for somewhere to eat or something to do, you could just search through the collective wisdom of your network.


Here are some of the example searches on Facebook’s Graph Search home page:


  • Music my friends like

  • Restaurants in London my friends have been to

  • People who like cycling and are from my hometown

  • Photos before 1990

Being able to find all that information–and provide your own information for friends–sounds great. But unless you and your pals are putting lots of data in, you’re probably not going to get a lot of data out. I know for sure that I haven’t put much effort into connecting my real life story to Facebook, and as I poke around my network, I see that many of my friends haven’t either. They don’t check in to places they visit. They don’t “Like” everything that they actually like. They haven’t uploaded photos from before 1990. Collectively, we haven’t invested in making Graph Search as useful as it could be.


It might be different if I was part of the generation that uses Facebook more often. Though it’s hard to find data on how Likes and check-ins vary by age, younger users tend to have more Facebook friends than older ones, according to Edison Research, so at least they have a bigger base of people to work with. And according to a 2011 study, teens spend more time on the network per day than older users. If posting on Facebook is part of your social circle’s daily life–that is, it’s not just a way to see what old high school buddies are up to–I imagine Graph Search will be a lot more useful.


That’s not to say Graph Search won’t be of any value to someone like me. It could come in handy as a way to sort through photos, for instance. There’s also a chance that Facebook will improve the ways that it picks up on our interests, and integrate frictionless sharing so there’s less work involved in becoming an information source.


But while I plan to keep up with technology for a long time, I realize it’s hard to keep using social networks like a teenager when your friends are getting older too. Facebook isn’t part of my daily life anymore, so I can’t imagine rewiring my habits and turning it into a primary information source, especially if my friends aren’t doing the same.  It’s much easier to rely on the tools I already have, such as traditional search engines and sites like Yelp–just like it’s easy to stop keeping track of popular music or to pick up on new slang.


Graph Search is in “very limited” beta now, and users who want to try it can join the waiting list. I look forward to seeing what I can do with it, even if it’s not really for me. In the meantime, here’s to growing older.


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Michelle Obama wears Wu to the balls again






WASHINGTON (AP) — Michelle Obama made it a fashion tradition Monday night, wearing a custom-made Jason Wu gown to the inauguration balls. The ruby-colored dress was a follow-up to the white gown Wu made for her four years ago when she was new to Washington, the pomp and circumstance, and the fashion press.


She now emerged in velvet and chiffon as a bona fide trendsetter.






“I can’t believe it. It’s crazy,” said Wu, reached at his Manhattan studio. “To have done it once was already the experience of my life. To have a second time is tremendous.”


President Barack Obama also struck a similar style chord to his first-term inaugural balls: He wore a white tie with his tuxedo.


The red halter dress was the only one Wu, who went from fashion insider to household name on this night in 2009, submitted for Mrs. Obama’s consideration. He collaborated with jeweler Kimberly McDonald on the jeweled neckline. “For this occasion, it had to be real diamonds,” Wu said.


He said he felt the dress showed how he has grown up as a designer — and how Mrs. Obama’s style has evolved to be even more confident.


The first family headed out to inaugural festivities earlier on Monday with Mrs. Obama leading a very coordinated fashion parade in a navy-silk, checkered-patterned coat and dress by Thom Browne that were inspired by a menswear necktie.


The outfit was specifically designed for Mrs. Obama, but Browne said he wasn’t 100 percent sure she was going to wear it until she came out with it on at Inauguration. “I am proud and humbled,” he said.


The rest of Mrs. Obama’s Inauguration Day outfit included a belt from J. Crew, necklace by Cathy Waterman and a cardigan by Reed Krakoff, whose ensemble she also wore to yesterday’s intimate, indoor swearing-in ceremony.


Obama wore a blue tie with his white shirt, dark suit and overcoat. Malia Obama had on a plum-colored J. Crew coat with the hemline of an electric-blue dress peeking out and a burgundy-colored scarf, and her younger sister Sasha had on a Kate Spade coat and dress in a similar purple shade.


“It is an honor that Sasha Obama chose to wear Kate Spade New York,” said the company’s creative director, Deborah Lloyd, in an email to the Associated Press. “She epitomizes the youthful optimism and colorful spirit of the brand. We are so proud to have been a part of this historic moment.”


Jenna Lyons, creative director of J. Crew, said it was “a huge point of pride for all of us” to be a part of the day — as the brand was back in 2009 when the girls wore outfits by CrewCuts, its children’s label.


“It’s amazing to see the evolution of the family. I love the way Michelle looks. She looks beautiful in something so clean and tailored. It’s such an elegant choice,” Lyons said, “and they all look so sophisticated! You can see how the girls have grown up in the four years, and they’re still so alive and vibrant, but more sophisticated.”


The vice president’s wife, Jill Biden, wore a gray coat and dress by American designer Lela Rose.


Mrs. Obama has worn Browne’s designs for other occasions, including a gray dress with black lace overlay to one of the presidential debates last fall, and she honored him last summer at the Smithsonian’s Cooper-Hewitt National Design Awards for his contribution to fashion.


Browne made his name in modern — very modern — menswear, but he launched womenswear in 2011. He was in Paris on Monday, just finishing previews for his next menswear collection. The idea to use the tie fabric came to him because he was indeed designing these men’s clothes at the same time, he explained.


“I wanted ‘tailored’ for her. For me, she stands for strength and confidence, and that’s what I wanted to design for her,” he said.


Simon Collins, dean of the school of fashion at Parsons The New School for Design in New York, said the Obamas dressed in their typical fashion: one that shows pride in their appearance.


“They are a stylish couple and their children look fabulous. Too many people get dressed in the dark,” he said. “They show it’s good to dress up, take pride in how you look. … It’s a wonderful example for America and the rest of the world.”


He also noted that the Obamas seem to understand that the fashion industry is a driving force in the U.S. economy and that its lobby is a powerful one. They don’t treat fashion frivolously, he observed.


The first lady “is so supportive of so many American designers,” Browne noted.


But Collins said he was a bit surprised the public doesn’t pay much attention to the president’s wardrobe. He joked that Obama should perhaps try one of Browne’s signature shrunken suits — the ones that show a man’s ankles.


At the end of the Inaugural festivities, Mrs. Obama’s outfit and accompanying accessories will go to the National Archives.


___


Samantha Critchell tweets fashion at (at)AP_Fashion, and can be reached on Twitter at (at)Sam_Critchell.


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The New Old Age Blog: The Brutal Truth of 'Amour'

It has been a few days since I left the movie theater in a bit of a daze, and I’m still thinking about “Amour.”

So much of this already much-honored film rings utterly true: the way a long-married Parisian couple’s daily routines, their elegant life of books and music and art, can be upended in a moment. The tender care that Georges (Jean-Louis Trintignant) provides for Anne (Emmanuelle Riva) as multiple strokes claim her body and her mind, and the inexorable way that care wears them both down. Their withdrawal into a proud dyad that seeks and accepts little help from outsiders, even family. “We’ve always coped, your mother and I,” Georges tells their daughter.

The writer and director Michael Haneke’s previous movies, which I haven’t seen, tend to be described as shocking, violent, even punitive. “Amour,” which Times critic Manohla Dargis called a masterpiece, includes one brief spasm of violence, but the movie remains restrained, not graphic. It’s brutal only because life, and death, can be brutal.

Is popular culture paying more attention to aging and caregiving? In the last couple of years, I have written about these subjects surfacing in a YouTube series (“Ruth & Erica”), in movies like “The Iron Lady,” in novels like Walter Mosley’s “The Last Days of Ptolemy Grey.”

A couple of weeks back, watching a play called “The Other Place,” starring the remarkable Laurie Metcalfe, I suddenly realized that the dynamic physician and businesswoman onstage had some sort of early-onset dementia. Dementia seems a particularly popular subject, in fact. Intrinsically dramatic, it suffuses the Mosley novel and Alice LaPlante’s “Turn of Mind,” and some of my favorite movies about aging, “Away From Her,” “Iris” and “The Savages.”

“Kings Point,” Sari Gilman’s compelling documentary about a retirement community in Florida where nobody seemed to expect to grow old, just won an Oscar nomination for best short-subject documentary and will be shown on HBO in March. And “Amour,” which won the Palme d’Or at Cannes, is up for five Academy Awards, including best picture, best director and a best actress nomination for the 85-year-old Ms. Riva. (Academy voters: Just give it to her.)

A number of these artists, Mr. Haneke included, have spoken about their own experiences with aged relatives. Perhaps, as the population ages and more people confront the consequences, the stories our culture tells itself have evolved to include more old people, more caregivers. Or maybe I just want that to be true.

“Do not go see this,” my movie-going buddy had been warned, probably because her mother has dementia and friends who had seen the film wanted to spare her. I know some people found “Amour” too slow-paced or claustrophobic — like many elderly couples’ lives, it basically takes place in four rooms — or too grim. (If you’ve seen it, tell us what you thought.)

If you’re a full-time caregiver or you’re coping with a relative with dementia, perhaps you would prefer to spend your 2 hours 7 minutes of precious time off watching something funny. Escapism has its virtues.

But I found “Amour” unflinching and provocative and beautiful.

Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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Area home sales up 19% in December









More than 7,000 consumers in the Chicago-area bought themselves a home last month, the best finish for the year since December 2006, just before the local housing market's bubble burst.

December sales of existing homes in the nine-county area rose 19.2 percent from a year ago, to 7,372 single-family homes and condominiums sold, the Illinois Association of Realtors reported Tuesday. The median price of $151,500 recorded for the month rose 4.5 percent, from $145,000 in December 2011.

In terms of volume, it was the best monthly performance for the market since December 2006, when 7,530 homes were sold. While it showed improvement, that $151,500 median price for the month was far below the December 2007 market high of $247,800.

Pricing recovery was even more evident within the city of Chicago, which recorded a 14.6 percent year-over-year increase in sales, to 1,806 properties sold at a median price of $185,000, up 19.4 percent from December 2011's $155,000.

The pricing improvement is largely a result of the continued shrinking inventory of quality homes on the market, which for months has meant homes are going under contract faster than they have in the past. Sellers of choice properties, whether they are in the traditional market or foreclosures, are fielding multiple offers from potential buyers.

"The 18.9 percent decrease in market time from the same time in 2011 shows a continued clearing of inventory, of both single-family homes and condominiums, which should prompt action among buyers and sellers and continue to promote home price stabilization," said Zeke Morris, president of the Chicago Association of Realtors.

For the year, 90,365 homes were sold in the Chicago area, a 26.7 percent increase from 2011, while the median price slipped 1.5 percent, to $160,000. In the city, the annualized median price rose 5.7 percent, to $185,000, for the 22,333 homes sold, a gain of 22.4 percent in sales volume.

According to the Federal Home Loan Mortgage Corp., the average commitment rate for a 30-year, fixed-rate mortgage in the Chicago area was 3.32 percent in December, compared with 3.33 percent in November and 3.94 percent in December 2011.

mepodmolik@tribune.com | Twitter @mepodmolik

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Union: Deal reached between Grayslake schools, teachers




















A teachers strike is now over in far north suburban Grayslake after negotiators reached an agreement overnight. ( WGN - Chicago)




















































School and union officials in north suburban Grayslake have reached a tentative agreement that will end the teacher's strike there, the union and school district announced Monday.


After negotiations failed to yield an agreement on a new contract, the teachers' union called for a strike that began last Wednesday.


Early this morning, officials from Community Consolidated School District 46 and the teachers' union issued a brief joint statement announcing a tentative deal, according to Dave Comerford, a spokesman for the teachers union. The school district said it would be a two-year contract.

Schools will reopen Tuesday, according to the statement shared by Comerford, but the agreement remains subject to union ratification and Board of Education approval.








The school district announced the tentative agreement on its web site, saying that classes at the district's schools will resume Tuesday after the already scheduled day off today for the Martin Luther King holiday.


On the website, the district said it would not share details of the contract until it is ratified by both the union and the school board.


chicagobreaking@tribune.com


Twitter: @ChicagoBreaking






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Why Google Isn’t Scared of Facebook’s Graph Search






Facebook may have just released a major search product that many are saying “declares war” on Google or may at least put the social network “on a collision course” with the search giant, but Google CEO Larry Page doesn’t sound all that worried about the new competition. Because who said Facebook and Google couldn’t get along someday? In an interview for the new issue of Wired published just two days after Facebook’s Graph Search came out to so-so reviews, Page tells Steve Levy that Facebook is “doing a really bad job on their products.” But before you laugh off that swipe — Google Buzz flopped, Google killed Reader, and Google+ has a loyal but relatively small user base — Page wants to remind everyone that Facebook isn’t direct competition, that these two Silicon Valley giants are too big for either to fail. “We’re actually doing something different,” Page tells Levy. “I think it’s outrageous to say that there’s only space for one company in these areas.”


RELATED: Three Things Google+ Can Learn from Myspace






That’s not to say Page isn’t making Google go social, or that Facebook isn’t in his rearview mirror. Facebook CEO Mark Zuckerberg has long talked about the rise of social search, and Page has taken a vested interest of late in getting people to use Google+ — even if they don’t want to. In an attempt to conquer the space, direct orders from Page forcefully integrated Google’s social network into its main search results… and pretty much everywhere else its products touch. If it were up to Larry Page, Google would require a Google+ account just to read reviews. His evaluation of Google+ as it stands? “I’m very happy with how it has gone. We’re working on a lot of really cool stuff. A lot of it has been copied by our competitors, so I think we’re doing a good job.”


RELATED: FTC Is Officially Looking into Google’s Self-Promoting Search Features


Critics might beg to differ — Google+ is often referred to as a lesser “Facebook copycat” from the search king — but critics are now comparing Facebook’s search product (which was announced before the Wired interview with Page was conducted) to Google’s main offering. And from a product standpoint, Facebook may have yet to train its users to give Graph Search what it needs to be great. Furthermore, business analysts seem to agree that Facebook’s social recommendation engine won’t hurt Google’s core business … in the near future. But Zuckerberg said at Tuesday’s announcement that Facebook wasn’t focused on the business side of Graph Search just now — even if it does offer huge advertising potential. At the same time, Graph Search could take away eyeballs (and ad dollars) from Google. If Facebook, with its friend-powered engine, ends up giving “better” results than Google for recommendations on restaurants, travel, books, music, and movies — a domination Google is still fighting anti-trust charges over — then why end up Googling at all?


RELATED: The New Google+ Aims to Perfect Procrastination


Well, even Page might think Facebook and Google can complement each other — sort of. To wit, he asked Levy: “For us to succeed, is it necessary for some other company to fail? No.” As Zuckerberg said on Tuesday, “our mission is to make the world more open” by giving people tools to connect. And Google’s stated mission ”is to organize the world’s information and make it universally accessible and useful.” Are those so similar that they can’t get along? After all, that could be the future of search: You go to Facebook to see what your friends and the people you trust have to say, and then you head to Google for the facts. Of course, neither Facebook or Google wants the future that way, exactly: Facebook has actually teamed up with Microsoft to complement Graph Search, sending people to Bing for those fact-finding, Google-style queries; Google, meanwhile, as Google+ as its social-search equivalent of Graph Searching. And users don’t really want to go to so many different places for basic information that’s built to make their lives easier. Part of the reason people have stuck with Google, despite all of its privacy and anti-trust issues, is that the company’s ultimately done a really good job on their products — GMail, Google Drive, Reader, and their fellow “apps” have become an integral part of our Internet lives. Facebook wants that role, and if social search ends up working — well, then why not chat on Facebook, email (and make phone calls) with Messenger, sext with Poke, and read your news via the News Feed? 


RELATED: Why Google Really Wants You to Use Google+ This Year


Of course, Page said all this stuff weeks ago. And who knows how Graph Search is going over at Google headquarters. Maybe he just he meant a different product that was so… bad. Or maybe he really just doesn’t get Poke? Either way, Larry Page knew this fight was coming. The whole world did.


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Legend, 2 Chainz, MC Lyte honored at Hip-Hop Ball






WASHINGTON (AP) — John Legend believes hip-hop played its part in helping Barack Obama become president, and he’s proud at how the genre has matured over the years.


“I think hip-hop had a role in making sure we elected a black president in America because we made it so that black people were in people’s homes … through our music and through our culture,” the R&B crooner said Sunday night at the Hip-Hop Inaugural Ball.






“I think it made Barack Obama and more people like him possible, so I’m really thankful for hip-hop and the role it plays in society,” he continued.


Legend was awarded the humanitarian award at Sunday’s event, and it was one of many honors handed out at the Harman Center for Arts.


Hip-hop pioneers MC Lyte and Doug E. Fresh were both given lifetime achievement awards. Fresh even hit the stage, beat boxing while comedian-actor-singer Wayne Brady cooed Marvin Gaye’s “What’s Going On?” At one point, Brady even busted out his own rhymes.


Rapper Yo Yo earned a roaring cheer when she hit the stage to honor MC Lyte; Lil Mama also paid tribute to the “Ruffneck” rapper.


2 Chainz, who had a breakthrough year with his Grammy-nominated solo debut and multiple rap hits, earned the street soldier award for encouraging young voters as a spokesperson for the Hip-Hop Caucus’ “Respect My Vote!” campaign.


“Doing my thing on the charts is one thing, but to be getting honored on another avenue, it just feels like a blessing,” he said in an interview. “I’m keeping my head leveled and staying humble.”


Actress Rosario Dawson won the vanguard award for her work as chairman of the Voto Latino organization.


“It’s time to step out of the shadows. It’s time to not just be talked about by other people, it’s time to take the leadership ourselves and that first step of leadership is voting,” Dawson said of the importance of the Latino vote.


Rappers Swizz Beatz and Meek Mill also earned honors at the event, attended by a few hundred hip-hop fans, including model Tyson Beckford, former NBA star Dikembe Mutumbo and Victor Cruz of the New York Giants. La La Anthony and Terrence J hosted the ball.


British singer Marsha Ambrosius also delivered a rousing performance, and playful jokes about Obama.


“I got a call from the president and he asked me to perform his favorite song,” she said before singing the R&B jam “Hope She Cheats on You (With a Basketball Player).”


Then she sang “Butterflies,” a song she co-wrote for Michael Jackson’s 2001 “Invincible” album.


“This might have been his favorite,” she said.


___


Follow Mesfin Fekadu on Twitter at http://twitter.com/MusicMesfin


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Well: A Check on Physicals

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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