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Could a new treatment help our four-legged
0:58
friends live longer? A number of dogs
1:00
have lived two, three or four years
1:03
after receiving our therapy. It's Friday,
1:05
June 21st, better known as Science
1:07
Friday. I'm
1:11
Sci-Fi producer, Dee Peter Schmidt. Cancer
1:13
is the leading cause of death in
1:15
dogs. The numbers are staggering. Half
1:18
of dogs over 10 years old will pass from the
1:20
disease, but luckily there's a
1:22
new promising treatment being tested. We'll
1:24
talk about that story in just a bit, but first
1:26
here's Kathleen Davis with the biggest science stories of the
1:28
week. You
1:32
don't need me to tell you
1:34
that it is hot outside. People
1:37
along the East Coast and deep
1:39
into the Midwest have been enduring
1:41
a heat wave, sticky, sweaty and
1:44
gross. And while you
1:46
can look at your trusty thermometer or check
1:48
the heat index, is there a better way
1:50
to keep track of summertime heat stress? Well,
1:53
joining me now to talk about it
1:55
is Umer Irfan, a senior correspondent at
1:58
Vox in Washington, DC. Welcome
2:00
back, Umayr. Hello, Kathleen. So
2:02
tell us about this other temperature measurement
2:04
that we could be using. Is this
2:06
a better heat index? Well,
2:08
according to a lot of people that use
2:11
it, yes, this is probably the most effective
2:13
way of assessing heat damage to the body.
2:15
And this was actually a measurement developed by
2:17
the US military in the 1950s. It's
2:20
known as the wet bulb globe temperature.
2:23
And what it does is it accounts,
2:26
one, for air temperature, but also for
2:28
humidity and how well sweat evaporates from
2:30
the body, as well as sunlight exposure.
2:32
So it incorporates three or four different
2:35
measurements into one number and
2:37
tells you more accurately
2:39
the threshold at which the
2:42
human body starts to experience danger. The danger
2:44
limit under the wet bulb globe temperature is
2:46
usually considered to be about 95 degrees
2:49
Fahrenheit. And after six hours or
2:51
so, that's considered to be extremely
2:53
dangerous. I have to say,
2:55
wet bulb globe temperature doesn't really roll off
2:58
the tongue, but I digress.
3:00
Is this something that I can measure
3:03
myself? Or do I need a special
3:05
thermometer for this? Well, the
3:07
measurement devices actually incorporate these three
3:09
or four different measurements together. So
3:12
one, it is a conventional thermometer,
3:14
but it also has a thermometer
3:16
inside a black globe, essentially, to
3:20
serve as a proxy for exposure to
3:22
sunlight. That's the globe. And then the
3:24
wet bulb is a thermometer that's wrapped
3:26
in a wet cloth. And
3:28
what that does is it shows, basically, as long
3:30
as the cloth is wet, it means that sweat
3:32
or it means that water is not evaporating. And
3:34
if that gets way too hot, then that
3:36
means that your body cannot sweat effectively. It
3:38
takes in more energy from the surroundings than
3:41
it can dissipate. And that can lead to
3:43
complications like heat exhaustion and then later heat
3:45
stroke. Is this being used
3:48
by anyone right now? It's
3:50
used by a lot of sporting teams. There's
3:52
a lot of high school and college athletics
3:54
associations that use the wet bulb globe temperature
3:56
as a threshold for whether or not they're
3:58
going to have outdoor activities, the military. uses
4:00
this as well. They usually consider wet bulb
4:02
globe temperatures above 90 degrees to be considered
4:04
black flag temperatures, but this is not something
4:07
that's widely reported. It's also not something that's
4:09
talked about in the news and a lot
4:11
of employers don't really pay attention to this
4:13
like you know farm workers and other kinds
4:16
of job sites where you have people being
4:18
outside. They typically rely on just the temperature,
4:20
the heat index, which doesn't tell
4:22
the full story about the risks that the
4:24
people working outside will face. Right,
4:26
like if I'm going out expecting it to be 80
4:29
degrees but then it feels a lot more like 95, I
4:32
mean that's gonna put a stress on my body that
4:34
I wasn't expecting. Yeah, that's right
4:36
and part of the challenge here is that while
4:39
any individual metric is going to be
4:41
covering over a wide
4:43
area, the way we individually experience stresses from
4:45
heat can vary a lot person to person.
4:48
So your threshold for heat exposure can be
4:50
very different from mine even under the same
4:52
conditions especially if you're taking other some kinds
4:54
of medicines, if you're an older adult, if
4:56
you're a very young child and other kinds
4:59
of factors, how much cumulative exposure you've had,
5:01
all of these other factors also play a
5:03
risk in how quickly you can succumb to
5:05
the heat. Okay, let's talk
5:08
about some other weather news. This
5:10
has been a really busy season for
5:12
tornadoes. Do we know why this is?
5:15
There appear to be a few different
5:17
factors at work. You know tornadoes are
5:19
very mercurial, they spool up very quickly
5:21
and from an atmosphere's perspective you know
5:23
they're very small but it appears that
5:25
there are some other factors globally that
5:27
are playing a role in the current
5:29
round of tornadoes including the rash
5:31
of tornadoes we saw over Memorial Day weekend.
5:34
One big factor that appears to be at
5:36
work is this switch from El Nino to
5:38
La Nina in the Pacific Ocean. This is
5:40
the warming pattern at the surface of the
5:42
Pacific Ocean and it starts to shift the
5:44
jet stream over the United States and
5:47
it starts to lead to atmospheric instability
5:49
that allows tornadoes to form a little
5:51
bit more readily. There are other kinds
5:53
of ocean patterns that are emerging from
5:55
the Indian Ocean. This is a pattern
5:57
known as the Madden-Julian oscillation that's sending
6:00
waves of disruption over to the United
6:02
States that's also leading to increased tornado
6:05
activity. Plus it's been really hot in
6:07
Central America and over Mexico and that's
6:09
led to more moisture in the atmosphere
6:12
and that moisture helps fuel thunderstorms
6:14
that can then spawn tornadoes. Is
6:16
there anything that we can do to better
6:19
predict tornadoes? Well scientists
6:21
say that they've actually been making a lot of
6:23
progress in getting ahead of tornadoes. Right now most
6:25
tornado warnings you get them on the order of
6:27
minutes maybe 10 minutes sometimes
6:29
even less but there are
6:31
warning signs that clusters of tornadoes might
6:34
be emerging you know days in advance
6:36
and scientists have started to pick up
6:38
on them one by studying historical data
6:40
but also by using machine learning models
6:42
that can actually detect trends
6:44
and patterns that scientists previously could not
6:46
pick up on and in fact they're
6:48
using these forecasting models and testing them
6:50
out right now at the Storm Prediction Center
6:52
at the National Weather Service. These
6:54
machine learning models can actually anticipate storms
6:56
that could lead to tornadoes up to
6:59
a week in advance you know it
7:01
can't really tell you whether your house
7:03
is in danger but it can help
7:05
airlines reroute traffic it can help emergency
7:07
responders make sure they have line crews
7:09
ready to do repairs and
7:11
also muster resources to deal with the aftermath
7:13
and so there's a lot of ways you
7:15
can make that useful. Yeah it sounds like
7:17
that could be a big deal. So let's
7:19
shift gears here to some positive
7:22
environmental news. It turns
7:24
out some of the land near the
7:26
Chernobyl nuclear site might actually be getting
7:28
safer is that right? Right
7:31
the scientists who have been studying this
7:33
area for a long time in Ukraine
7:35
this week they've reported that the radiation
7:37
levels around the further reaches of the
7:39
exclusion zone or some of the areas
7:41
that were contaminated after the 1986 Chernobyl
7:44
nuclear disaster have fallen below the dangerous
7:46
thresholds that basically it's now within the
7:48
safe limits for farming and this is
7:50
a huge bit of progress for the
7:52
people who live in the region who
7:55
rely on this land but it just
7:57
shows though also how long it can
7:59
take for this kind of contamination to fade away that
8:01
this has been a nearly 40
8:03
year long process waiting. Now there are
8:05
other complications that have emerged around this
8:08
as well. Basically there's still the stigma
8:10
of food that's grown in these radiation
8:12
zones. And people here want to export
8:14
that food, particularly since Ukraine lost
8:16
a lot of farmland during Russia's invasion of
8:19
Ukraine. They want to use this to compensate
8:21
that and to bolster their export capacity. But
8:24
they want to also convince their customers that this
8:26
food that they're growing on this land is safe.
8:29
Yeah, that seems like a big hurdle. So
8:31
let's get back a little bit closer to
8:33
home. So we've all heard a lot over
8:35
the past few years about weight loss drugs
8:38
and their use in adults. But
8:40
there are other interventions that are now
8:42
being recommended for kids. Can you kind of
8:44
walk me through what's being discussed here?
8:47
Right. So roughly between one in five and one
8:49
in six children in the U.S. are classified as
8:51
obese and that's considered being in the 95th percentile
8:54
or above for their body
8:56
mass index given their age and sex.
8:59
The U.S. Preventative Services Task Force.
9:01
This is an independent body of
9:03
experts that analyzes research and advises
9:05
the government. They're now recommending that
9:07
intensive behavioral intervention should be used
9:09
for kids who are six years
9:11
age and older. Basically the idea
9:13
is that kids should be receiving
9:15
things like counseling, education and
9:18
supervised exercise as a way to deal
9:20
with obesity. And they found that the
9:22
evidence shows that this does bear out
9:24
that basically roughly around 26 hours
9:27
of counseling and supervision leads to
9:29
measurable and sustained weight loss. So
9:32
before this, was there any sort
9:34
of counseling intervention being done? There
9:37
was on an ad hoc basis, but it
9:40
was not a recommendation. This group basically was
9:42
looking at what the evidence shows of what
9:44
actually works. Now they say that there is
9:46
actually a body of evidence that shows that
9:48
counseling can be very effective for children. And
9:51
this sounds like this would be a lot less invasive
9:53
than maybe some of these weight loss drugs that are
9:55
being used in adults, right? Right. And that
9:57
is part of the advantage Task
10:00
force says that they did look into using
10:03
these GLP-1 agonists like Ozempic and their
10:05
effects on children, but said that the
10:07
evidence wasn't quite there yet and there
10:09
isn't enough research to issue any kind
10:11
of recommendation one way or another. But
10:14
counseling seems to be a very low stakes
10:16
way of creating some meaningful gains here. And
10:18
now that's why it's the new default. So
10:21
let's shift gears again and head
10:23
to space actually. So over the
10:26
past few weeks, we've talked about
10:28
the challenges of getting Boeing's Starliner
10:30
spacecraft off the ground. And
10:33
now that it's at the International
10:35
Space Station, there may be another
10:37
glitch. Right. So the
10:39
two astronauts who arrived at the International Space Station
10:41
on the Boeing Starliner, they arrived on June 6th
10:43
and they were only supposed to stay for about
10:46
a week. But this week, NASA
10:48
says that they'll be there at least until June 26th. And
10:51
that's because they want to try to
10:53
figure out what went wrong during the
10:55
trip there. Basically on the
10:57
way to the spacecraft, they experienced helium leaks
10:59
and they saw thrusters malfunction. And
11:02
the engineers are trying to troubleshoot and figure
11:04
out what went wrong in order to make
11:06
sure that the next trips there go safely.
11:09
Now they say that the spacecraft is safe, that
11:11
it's perfectly capable of taking the
11:13
astronauts home. It's just that the parts
11:15
that were malfunctioning are on
11:17
parts of the spacecraft that are considered
11:19
disposable, or parts that would be damaged
11:22
or destroyed during reentry by design. And
11:24
so this is their last chance to try to
11:26
figure out and examine these parts and see if
11:29
they can figure out what went wrong. Well,
11:31
that sounds like my personal nightmare. So I
11:34
hope that they figure that out and get
11:36
them back home safely. Finally
11:38
we have one last story that I'm
11:40
very excited to talk about. There is
11:42
a new flashy dinosaur in town, it
11:44
sounds like. Right. It's
11:47
just this week I've declared that there's
11:49
a new dinosaur called Loki Saratops. It's
11:51
a herbivore, it lived in the swamps
11:53
and flood plains of Montana about 78
11:55
million years ago. It's
11:58
a cousin of the Triceratops. it's
12:00
really big. This is the biggest dinosaur of this
12:02
family that they found so far, 22 feet
12:05
long, weighing about 11,000 pounds. It's
12:07
also the most flamboyant. That's kind of
12:10
the description that the scientists... Is that
12:12
a scientific term? It's not a scientific
12:14
term, but I mean they talk about
12:16
a lot about how many horns and
12:18
how ornate its crest was. This is
12:20
a dinosaur that had two asymmetrical horns
12:22
on the side of its frill and
12:24
more than 20 littler horns around the
12:26
side of its head. It's very
12:28
big and it also indicates though that there was
12:30
a lot more diversity of
12:32
this family of dinosaurs in the United States
12:34
in this region millions of years ago and
12:36
also that many of these dinosaurs were living
12:38
alongside each other. These fossils were originally discovered
12:41
in 2019 but only recently
12:44
did they finally do enough
12:46
analysis piecing the parts together
12:48
to realize that this is actually a new
12:50
species. So what did
12:52
they think that it was? Like a mutant
12:54
triceratops or something? I mean that's a possibility.
12:56
When you're looking at fossils you're looking at
12:59
fragments and so tend to try to see
13:01
if they fit into any existing categories before
13:03
deciding that they're in a new category. And
13:06
so it required a little bit more searching
13:08
and figuring out is this just simply a
13:10
really really big triceratops or is this actually
13:12
a different species entirely? And that's a process
13:14
that takes a lot of time and they
13:16
finally came to the conclusion this week that
13:18
this is in fact something new. Well that's
13:20
all the time that we have for now.
13:23
Thank you for being with me. My pleasure Kathleen. Thanks
13:25
for having me. This
13:53
has been a very briefly illustrated sea creatures
13:55
which we'll post on our site along with
13:57
your first name and city. raise
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$8,000 here folks which will go to
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support all the great work we do
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at SciFry. So we do hope you'll
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for all the puns, we're cracking up over here.
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Just head to sciencefriday.com/Sea of Support
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Support. I'm Ira
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Flato, squitting you farewell. And
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thanks. Support
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for Science Friday comes from the
14:33
Rita Allen Foundation. More at ritaallen.org.
14:40
Dogs are by far the most
14:42
popular pet in the United States.
14:45
62 million households in the country
14:47
have at least one dog. And
14:50
that's not too surprising. They are humans
14:52
best friends after all. Sadly,
14:54
cancer is the leading cause of
14:56
death in dogs. When a pet
14:58
gets sick, it can be devastating
15:00
for the whole family. So
15:02
lucky for us, there's been a
15:04
new breakthrough in treating canine cancer.
15:06
And this could lead to benefits
15:08
for us humans too. Joining
15:11
me to talk about this new
15:13
vaccine treatment is my guest, Dr.
15:15
Mark Mamula, Professor of Medicine at
15:17
the Yale School of Medicine in
15:19
New Haven, Connecticut. Welcome to ScienceFriday.
15:21
Thank you very much for having
15:23
me. Happy to be here and
15:25
happy to discuss our companion animals
15:27
and more importantly, how
15:29
to keep them potentially healthier even
15:32
with diseases like cancer. Yeah, so
15:34
let's get right into it. How
15:37
common is canine cancer? Remarkably,
15:40
about one in four dogs
15:43
in their lifetime will
15:45
get cancer at some point
15:47
in their life. If the
15:50
dog or a dog is
15:52
lucky enough to live to 10 years of
15:54
age, the overall incidence
15:56
of cancer goes up to
15:59
about one and two, about
16:01
half of all dogs will get cancer.
16:03
I kind of can't believe how staggering
16:06
that number is. Why is that so
16:08
high? It really is
16:10
a staggering number and of course it
16:13
is far higher than
16:15
incidence of cancers in
16:17
adult humans. The
16:20
incidence in dogs has
16:22
several explanations. Among them
16:25
are cancer genes
16:27
that are predisposed to
16:29
various breeds that
16:32
may get vertically or transmitted
16:34
through interbreeding of
16:36
dogs. That's one
16:38
popular and in fact
16:41
scientifically proven notion. It's
16:44
been postulated that
16:46
the use of herbicides and
16:48
pesticides on lawns, for example,
16:50
where dogs continuously have
16:52
their nose to, literally their nose to
16:55
the ground, may
16:57
enhance the prevalence of cancers as
16:59
well. Okay, so walk me through
17:01
how this treatment works. It's a
17:04
vaccine, right? Well,
17:06
it's an immunotherapy. Yes,
17:08
it's two injections of
17:10
a portion of a protein
17:12
that is found on the
17:14
surface of cancer cells. The
17:18
protein family that is the target
17:20
of our therapy is known as
17:22
EGFR or HER2. We have
17:25
learned through effective human cancer
17:32
therapies that these are important
17:34
proteins on the
17:36
surface of tumors that activate tumor
17:39
cells, get them to grow,
17:41
get them to multiply, and get
17:44
them to metastasize. So all
17:47
to the benefit of cancer, of course,
17:49
but to the detriment of the dog
17:51
or the human. So
17:53
our therapy targets immune
17:56
responses to these surface proteins
17:59
that hopefully find the
18:01
tumors and
18:04
attach to the tumor cell and
18:07
block their growth or block
18:09
their metastasis and
18:11
help kill the tumor cell. So
18:14
you're giving this to dogs that already
18:16
have a cancer diagnosis versus it being
18:19
a preventative treatment, right? That's
18:21
correct. This is a therapeutic
18:23
immunotherapy that once dogs are
18:26
diagnosed with certain types of
18:28
cancers that they would get
18:30
this therapy that activates immune
18:33
responses in a manner somewhat
18:36
similar to other vaccine
18:39
responses. For example, humans
18:41
get vaccinated to a number of pathogens.
18:44
This is much like that
18:46
and with the
18:48
difference being that the immune
18:51
response targets the tumor or proteins
18:53
on the tumor. So what kind
18:55
of cancer is this meant for?
18:57
This is meant for
19:00
a wide variety actually
19:02
of tumors in dogs
19:05
that express these EGFR and
19:07
HER2 proteins and they include
19:10
the more common cancers in
19:12
dogs including osteosarcoma and
19:14
hemangiosarcoma. Other cancers
19:17
are included as well that express
19:19
these proteins and those can be
19:22
anal sac carcinoma, certain
19:24
types of bladder cancers, certain types
19:27
of lung cancers, soft
19:29
tissue sarcomas, of
19:31
course breast cancer which is
19:34
found in dogs as well as
19:36
well as colon cancer. So
19:38
really a large number of solid tumors
19:41
that are found in dogs do express
19:43
these tumor proteins. What kind
19:45
of efficacy rates are you finding in the trials
19:47
that you've done so far? Well
19:50
we've had recent trials ongoing
19:53
for about the past year and a
19:55
half and those were
19:57
preceded by an open label trial.
20:00
three or four years ago now actually. And
20:03
we found interestingly that dogs
20:06
that get osteosarcoma and
20:09
receive our therapy actually have
20:12
a increased survival
20:14
rate compared to standard
20:16
of care. Typical standard of
20:18
care for dogs with osteosarcoma, which
20:21
is a bone cancer primarily
20:23
in the large bones of the
20:25
leg. Typical therapy for dogs that
20:27
have this kind of cancer is
20:30
amputation of the infected limb.
20:33
Sometimes radiation can
20:35
be used on the affected limb,
20:37
but most often it's amputation
20:41
as a surgical intervention along
20:43
with chemotherapy. And
20:46
when we add our immunotherapy
20:48
to that regimen, it
20:51
almost doubles the 12 month
20:54
survival of dogs
20:56
with osteosarcoma. So
20:58
with standard of care, the
21:01
survival of dogs with osteosarcoma
21:03
is fairly disappointing. Only
21:05
about 35 or 40% of dogs will survive 12 months. And
21:10
as I mentioned, if one adds
21:12
our immunotherapy to
21:14
that classical treatment
21:16
protocol, we get
21:18
almost 60, 65% of survival after 12
21:20
months and
21:24
a number of dogs that have lived two,
21:27
three, or four years after
21:30
receiving our therapy. So that's
21:32
a huge benefit. That's really
21:34
significant. Significant, yes, significant advances,
21:36
particularly when of course
21:40
the longevity of dogs, which
21:43
is anywhere from eight
21:45
to 12 or 15 years, the
21:48
fact that their lives are so short to
21:50
begin with, getting a benefit of
21:52
one or two or three years is
21:54
a very significant benefit to the total
21:57
lifetime in a dog, of course.
22:00
So I'm sure that there are people who
22:03
are listening to this who are really interested
22:05
in getting this treatment for their dogs. Is
22:08
that even possible for people to get their hands on
22:10
this at this point? I mean is there a timeline
22:12
for that? Well we
22:15
have clinical trials ongoing
22:17
and the sites that
22:19
are utilizing
22:21
our therapy or performing our clinical
22:24
trials there are 10 probably
22:28
soon to be 11 sites in this
22:30
country, one in Canada,
22:32
one can find the sites
22:35
that are performing this therapy
22:38
and that can be found on
22:40
a website called therajan.com. In
22:46
full disclosure this is a company
22:48
that will ultimately manage this
22:51
therapy for canine cancers.
22:55
Nonetheless it will list all of the sites
22:58
that one can find this therapy
23:00
you can contact the clinics directly
23:02
for details about qualifying
23:04
for the clinical trial. At the
23:06
moment the clinical trial is for
23:09
use in osteosarachoma,
23:13
hemangiosarachoma, and bladder
23:15
cancer or what's
23:17
known as transitional cell carcinoma.
23:21
So again call the clinics directly and they'll
23:23
try and get you in and give you
23:25
all the qualification details and it
23:27
should be just as easy as that. So
23:30
obviously this has been really promising
23:32
for canine cancer but could
23:34
this eventually make the jump to a better
23:37
treatment for human cancer? Another
23:39
great question. Yes we actually designed
23:42
the study with translational
23:46
applications in mind and of
23:48
course the translational application to
23:50
treating human cancers. We
23:53
have not yet started clinical
23:55
trials in human cancers but
23:58
hopefully in the coming. a
24:01
few years, I would guess we
24:03
would initiate similar trials in
24:05
humans. And for the
24:07
same types of cancer, bone cancer, bladder
24:09
cancer? Yes, humans get
24:12
slightly different types
24:14
of cancers that express the proteins
24:17
that we target. But
24:19
notably, EGFR and HER2 on
24:21
human cancers include gastrointestinal cancers
24:24
and some breast cancers, again,
24:26
some lung cancers. Using
24:30
the canine therapy, we
24:32
are seeking USDA approval
24:35
for conditional licensing that
24:37
will allow us, hopefully,
24:40
widespread distribution of this therapy
24:42
to locations all around the
24:46
country. We'll probably start with
24:48
veterinary oncology offices, but at
24:52
the moment, the availability is
24:54
restricted to the clinical trial
24:56
sites. So one
24:58
thing that I've gleaned from talking
25:01
to you today is that you
25:03
clearly love dogs. So removing yourself
25:05
from your role as a researcher
25:07
on this, I mean, how exciting
25:09
is this for the dog lovers out there? Oh
25:12
my gosh. Well, you're talking to one dog lover.
25:16
I have two golden retrievers, one
25:18
that's 11 and a
25:21
half years old. So cancer
25:23
is not far from my thought
25:25
process with my own dogs.
25:28
In fact, one motivation for our study
25:30
and studies in treating dog
25:32
cancers was, in
25:34
fact, from my own family, we had a Labrador
25:37
retriever that passed away from an inoperable
25:39
cancer about 11 or 12 years or
25:41
so ago. So
25:45
I do know how important
25:47
dogs are as companion animals
25:49
and families, and many
25:51
or most families, of course, treat
25:54
their dogs like they are family,
25:56
as we did. And
25:58
I actually was... on
26:01
the side of the family with a dog
26:03
with cancer, as well as
26:05
now on the treatment side of cancers
26:08
in our dogs. Well, we wish you the best
26:10
of luck with this work. That is all the
26:12
time that we have for now. I'd like to
26:15
thank my guest, Dr. Mark Mamula,
26:17
Professor of Medicine at the Yale School of
26:19
Medicine in New Haven, Connecticut. Thank you so
26:21
much for joining us. Thank you for having
26:23
me. It was a pleasure. That's
26:26
all the time we have for now. A
26:28
lot of folks helped make the show happen
26:30
this week, including... Louis Sommers. Annie Nero. Jordan
26:33
Smudgick. Charles Bergquist. And many more. On
26:35
Monday, we'll talk about what happens when cities fail
26:37
on their climate goals. But for
26:40
now, I'm Sci-fi producer Dee Peter Schmidt. We'll
26:42
see you next week. ["The
26:44
Star-Spangled Banner"] Douglas
26:53
is one of many who found a new
26:55
life through Seattle's Union Gospel Mission. I was
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living on the streets when I heard this
27:00
guy talk about how he got clean and
27:02
sober at the mission. So I decided to
27:04
give it a try. I could feel something
27:07
working inside of me and I knew I
27:09
was getting better. Today, my number one goal
27:11
is to stay clean and sober. And
27:14
grace will lead me
27:16
home. To hear more,
27:19
volunteer, or donate, visit
27:21
ugm.org. ["The
27:24
Star-Spangled Banner"] I'm David Ramnik, host of
27:27
the New Yorker Radio Hour. There's
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nothing like finding a story you can really
27:31
sink into that lets you tune
27:34
out the noise and focus on what matters.
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In print or here on the podcast, the
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So please join me every week for the New Yorker
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