Bank of America leads Consumer Financial Protection Bureau complaints about mortgages

Thursday, October 3, 2013

A review this week by Wikinews of US Consumer Financial Protection Bureau (CFPB) complaints about mortgages in the United States shows Bank of America leads all lending institutions in complaints.

Since mortgages complaints were recorded in December 2011, 77,622 total have been added to CFPB’s database. 29.2% of these complaints involved Bank of America, with the second most received by Wells Fargo, accounting for 15.5% of all complaints. JPMorgan Chase ranked third by volume of complaints with 9.8%. Ocwen was fourth with 8.7% and Citibank was fifth with 4.8%. Nationstar Mortgage; Green Tree Servicing, LLC; HSBC; PNC Bank; U.S. Bancorp; OneWest Bank; SunTrust Bank; Flagstar Bank; and Select Portfolio Servicing, Inc. each had between 1.0 and 3.8% of total complaints. The remaining 14.4% of all complaints about consumer mortgages were divided between about 530 other lending institutions.

The Motley Fool reported last month that for the past fiscal quarter, the biggest US based mortgage lenders were from first to fifth Wells Fargo, JPMorgan Chase, Bank of America, Quicken Loans and U.S. Bancorp.

According to the US Federal Reserve, debt for family residences stands at US$10.706 trillion for the second quarter of 2013. As of the end of June of this year, Bank of America is the United States’s second largest commercial bank with US$1.343 trillion in domestic assets. Wells Fargo is the fourth largest commercial bank with US$1.251 trillion in domestic assets. JPMorgan Chase is the largest US commercial bank with US$1.329 trillion in domestic assets and US$1.947 trillion in total assets.

The mortgage complaints in the CFPB report include several subproducts. Conventional fixed mortgages account for 27.1% of all complaints. Conventional adjustable mortgages account for 10.0%. FHA mortgages account for 7.7% of all complaints. Home equity loans or lines of credit account for 3.8% of all complaints. VA mortgages are 1.4% of all complaints. Second mortgages and reverse mortgages each account for 0.6% of complaints. The remaining 48.7% of complaints are about other mortgages or other mortgage issues. A few years ago, FHA loans accounted for about 10% of all US mortgages while VA loans accounted for about 3%. Prime loans accounted for over 75% of the market and the rest were subprime mortgages.

California leads all states by volume of complaints with 14768. It is followed by Florida, New York, Georgia and Texas. When complaints are divided by a state’s total population, New Hampshire leads. The state is followed by Washington D.C., Maryland, Georgia and Florida. Complaints do not correlate with national rankings for August’s foreclosure rate by state where Nevada topped the list, followed by Florida, Ohio, Maryland and Delaware.

Two zip codes account for over 1,000 total complaints between them. 565 complaints originated in the 48382 zip code, which is in Commerce Township, Michigan, located in suburban Detroit. 553 complaints originated in the 33071 zip code, in Coral Springs, Florida. According to real estate website Zillow, there are currently 1,033 properties in foreclosure in Coral Springs while Commerce Township only has 131 properties currently in foreclosure. Four other zip codes have 100 plus complaints originating from them. 91730, in Rancho Cucamonga, California, had 158 complaints. 33409, in West Palm Beach, Florida, had 132. 92626, in Costa Mesa, California, had 125 complaints. 92660, in Newport Beach, California, had 122 complaints. Respectively, the towns had 534, 1,068, 153, and 134 properties currently in foreclosure. These numbers are higher than for the cities of a few sampled zip codes where there was only one complaint, such as Gold Hill, Oregon which has 4 properties in foreclosure, and Decatur, Illinois which has 6 properties in foreclosure.

The CFPB categorizes complaints into six categories: “Loan modification, collection,foreclosure” or problems when a person is unable to pay; “Loan servicing, payments, escrow account” or problems with making a payment; “Application, originator, mortgage broker”; “Credit decision / Underwriting”; “Settlement process and costs”, and “Other”. The CFPB says the complaint types indicate consumers “appear to be driven by a desire to seek agreement with their companies on foreclosure alternatives. The complaints indicate that consumer confusion persists around the process and requirements for obtaining loan modifications and refinancing, especially regarding document submission timeframes, payment trial periods, allocation of payments, treatment of income in eligibility calculations, and credit bureau reporting during the evaluation period.” Currently, 59.6% of all complaints against lenders deal with being unable to pay. 25.1% deal with problems in making a payment. 7.0% have to do with the application process.

Of the complaint-heavy zip codes, for 48382 in Commerce Township, Michigan, 98.9% of all complaints have to deal with being unable to pay. Accounting for 23.4% of all mortgage complaints in Commerce Township, 132 of the complaints for being unable to pay were made regarding Bank of America, accounting for 97.8% or all but 3 complaints against them from the zip. 121 of the Bank of America responses in Commerce Township were closed with explanation and 12 were closed with non-monetary relief. 33071 in Coral Springs is different, with 537 of the 553 complaints being categorized under other. Only 11 complaints relate to foreclosure and issues with being able to pay. 92626 in Costa Mesa, where 32% of the mortgage complaints were about Bank of America and 26.4% were about Wells Fargo, had 93.6% of its complaints dealing with being unable to pay. 5 total complaints dealt with payment issues and 3 dealt with applications.

Beyond regional variance in complaint types lodged, the top five mortgage lenders by volume of complaints all had being unable to pay as their top complaint category, ranging between 55.8% for Citibank and 69.4% for Bank of America. Problems with payment accounted for the second largest area of complaints, with Ocwen having the largest percentage of complaints at 31.9% and Bank of America having the smallest at 18.8%. Foreclosure was the top area of complaints for a number of other lending institutions including 1st Alliance Lending, OneWest Bank, Ally Bank, Banco Popular de Puerto Rico, Bank of the West, BMO Harris, BOK Financial Corp, Caliber Home Loans, Inc, Capital One, Deutsche Bank and EverBank.

Nationally, complaints reached a high of 5,840 for January 2013, 1,107 more than the next highest month of April 2013. The total emerging for September is the second lowest since records were first kept in December 2011. On a state by state level, this pattern largely repeats with a major exception for Florida which saw a peak of 849 complaints in June 2012. Then, as now, Florida was one of the top five states in the nation in its foreclosure rate. The national January spike came as the Qualified Mortgage standard required by the The Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 came into play. It required mortgage lenders to take steps to insure borrowers could repay their mortgages.

Bank of America’s complaint volume follows the national trend, with a spike in January 2013 with 1,925 total complaints. Unlike nationally, the next month by volume of complaints was February of this year with 1,598 complaints. Prior to that, the highest month was May 2012 with 1,418 complaints. The lowest volume of complaints is September this year with 334.

Wells Fargo matched national trends for volume of complaints by month, with the exception of the current month being the lowest on record for number of complaints with 197 compared to the next lowest month, December 2011, when they had 221. JPMorgan’s complaint volume by month spiked in January and March of this year with 504 complaints. April of this year was the next highest month with 493 complaints, edging out May of last year with 488 complaints. September this year is on track to be the lowest month by complaint volume.

The federal government shutdown is unlikely to impact the current mortgage situation in the United States directly for most consumers, though mortgage processing by the Federal Housing Administration could be slower, resulting in fewer mortgages processed.

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Swedish man uses webcam to broadcast suicide live on internet

Tuesday, October 12, 2010

A 21-year-old Swedish man killed himself and broadcast it over the internet via his webcam feed Monday, after posting to a message board that he had swallowed some painkillers and was going to hang himself.

At 11:51 a.m. Central European Summer Time (0951 UTC), Marcus Jannes, a student from Järna, Stockholm, posted to the Mental Health Problems forum of Sweden’s Flashback message boards using the newly-registered username “LurifaxFlux”, stating that he was going to hang himself, adding that he had already swallowed 100mg of dexofen and 1500mg of paracetamol. He said that he had set up a webcam to record the event, and would post details later of a FTP server for people to watch.

People responded to his post almost immediately. Some offered messages of hope, such as, “How bad can it be? When everything is at its worst, it can only get better”, and “Think of poor people, mutilated people, people who are lame or blind. Living with a disability is hard. They can not change their lives! But you still have the ability to alter yours!” Others tried to keep him online by talking to him empathetically: “Is there anything that can make you change your mind?”, “Tell me about yourself.”

However, other users posted messages saying they didn’t believe him, wishing him luck with his attempt, and calling him an attention whore and a troll. They also goaded him by saying, “you won’t dare, you are too cowardly”, and offering advice on the best way to hang himself: “I recommend … you do it from a height that you can jump off so you are guaranteed to break your neck.”

In a later post, Jannes said that he had been feeling suicidal for about six months, but was too scared to actually attempt anything until he tried to strangle himself with his own hands. In response to questions, he stated that he was using a network cable to strangle himself because he didn’t have any rope, but he was worried that the cable would not be strong enough to take his weight. He also told them that he had Asperger syndrome and High-functioning autism, and was emotionally vulnerable and lacked normal social skills. He admitted to feeling lonely, and alluded to experiencing problems at school, but admitted that he had a good upbringing and had a rather good life. At around the same time, he also updated his Facebook status to say life was “just too difficult”, and that he was going to kill himself.

I wonder where I end up… Was life perhaps a test of how long you stand out? I love my family more than anything, but honestly you can’t live for someone else’s sake… It’s not like my life is bad at all, it’s actually really good. But sometimes it’s just too difficult. I can’t be bothered to write more now.

A short while later, at 1:06 p.m., Jannus posted the FTP server URL and login details, and stated that he needed to hurry up because, “I’m beginning to feel that I might change my mind.” At this point, people who logged on to the server found a series of still images taken every two seconds, showing a young man dressed in sweatpants and t-shirt, in his apartment, hanging network cable from a doorway.

At 1:13 p.m., the images show that Jannus stepped out of the shot, and at this point he posted another message to Flashback. “Alright, let’s do it,” he said. The next series of images show him walking back to the cable and hooking it around his neck. He slumps to the floor, and his body begins shaking while his head and arms turn dark purple until he stops moving. His skin color then lessens to a pink-red shade as his limp body hangs motionless for a number of minutes.

On the message board, people start to realize the seriousness of the events: “Given the last pictures, it looks like [this was serious]”, “holy crap, he has done it already”, “okay it’s getting nasty”, “this is quite sick. Not okay at all,” and “I’ve seen a lot online but this is the worst I’ve seen in my entire life” were some of the comments posted. At 1:32 p.m., a user asks, “Did someone call the police?”.

The Södertälje police state that they were first alerted to the incident at 1:44 p.m. At 2:06 p.m., the image feeds show two police officers charging into the apartment and releasing the cable from around Jannus’ neck. They begin administering CPR. Two minutes later, two paramedics arrive, and they take over CPR while one of the officers looks around the room at cables; the back of a flat-screen television set; and presumably the computer, as the images finally stop being uploaded.

Södertälje Polisen spokesperson Lotta Thyni confirmed that Jannus had died. “The police performed CPR until paramedics arrived on the scene, but his life could not be saved.”

The police have so far declined to comment on how the suicide will be investigated, but Sven-Erik Alhem, a chief prosecutor in Sweden told Aftonbladet, that psychologically inducing a person to commit suicide, or contributing to the act, can be classified as incitement to murder, and is a criminal offense.

The “Hängning” thread at Flashback continued to receive new posts until the thread was locked by a site moderator at 5:27 p.m. It had received a total of 630 posts over 53 pages. “It is unfortunate if someone knew that the man planned to kill himself and did not do anything to stop him,” said Thyni, but added that police can not control how people use social forums on the web. “They lack empathy”.

The Flashback message boards are a controversial topic in Sweden. They are seen as being similar to the English language website 4chan, and especially its “Random” /b/ board. The Flashback members are able to post with a great amount of freedom of speech. The site has been investigated by the Swedish police on numerous occasions and is under constant surveillance by the Swedish Security Service due to its members’ abundant discussions about drug use, child pornography, race science, bestiality and other controversial subjects. Other controversies include sexual harassment of celebrities and politicians, open racism, forced disconnection from its internet service provider, the hosting of nazi sites, and the sabotage of telephone votes in TV shows.

“I do not remember such a situation in Sweden before,” says Anders Ahlqvist from the Swedish national police force. A similar incident occurred in Sweden in 2008, when Oscar Ores Balingen, 34, from Stockholm attempted to kill himself online. In that case, the police were able to reach Balingen before he died, and managed to save his life. “People said that I would not dare, but it made me only more triggered,” Balingen told Aftonbladet. “I do not think they are taking the threats seriously. There is a terrible lack of empathy on these forums.”

In November 2008, a 19-year-old male from Pembroke Pines, Florida used his webcam to broadcast his suicide on the live video site Justin.tv. Abraham K. Biggs, 19, committed suicide by taking an overdose of opiates and benzodiazepine, which had been prescribed for his bipolar disorder. He also made online threats of suicide and advertised his intentions to broadcast it live over the internet.

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Ford offers US$78 million for Romanian auto plant

Saturday, September 8, 2007

Ford Motor Company, the U.S. car maker, will reportedly pay €57 million (US$78 million) for a 72.4 percent stake in the Romanian assembly plant Automobile Craiova, a Romanian official said Friday.

“The offer of Ford Motor Company for a 72.4 percent stake is €4.1556 per share or €57 million overall,” said Sebastian Vladescu, head of the State Property Agency (AVAS), after opening Ford’s improved offer. Vladescu added that the contract may be signed on September 12, during the auto show in Frankfurt.

The Romanian government bought back the Craiova-based car maker from Daewoo Motors, in late 2006 for US$51 million. As the Korean company was bankrupt, the government had to pay another $10 million for debts stemming from past loans. Ford is the only bidder for the purchase of the factory.

According to Washington Post, many auto-part makers have set up in the new European Union member country, attracted by cheap labor, favourable tax rates and the rising output of Renault’s Dacia plant. The vice president of Dacia, Constantin Stroe, said that the price Ford offers is not important. “It’s important to have the factory working as soon as possible”, he added. “With this production facility, Romania will become an important auto production center in Europe”, concluded Stroe, cited by HotNews.

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How To Get Debt Help

By Adrianna Noton

One of the most important things a person can remember when he or she is searching for debt help is to remain calm and collected. When people have more debts than money coming in the mail every day, they tend to become extremely stressed out. This can lead to severe mental issues, such as serious depression, anxiety and panic attacks. Resolve yourself to keeping your cool and working through your debts in an organized fashion.

The first thing to do when putting together a resolution plan is to organize everything. Get a copy of your credit report. Make a list of the bills you have to pay on a monthly basis and the ones that are outstanding. Prioritize them so that the most important ones get paid off first. When it comes to monthly bills, like mortgage, gas and groceries, you will need to place them at the very top of the list and never neglect them. They are the backbone of your financial life. Keeping up with the utilities and mortgage helps your financial future and your credit.

Once you have prioritized the outstanding bills you have, you should look for ways to pay them off a little at a time. If they are gaining interest or fees every month, you will not get anywhere paying less than or equal to those amounts. You must pay more. These are the kinds of bills that should be paid off in chunks or all at once if possible. Making small payments to a credit card that gains interest could make paying it off take years.

[youtube]http://www.youtube.com/watch?v=hjCUK_wUTq8[/youtube]

Some bill collectors will take payments as low as 10 dollars a month if you have a lot of bills and need to work through them slowly. Others will require a certain amount and will not accept less. It is usually not to your benefit to pay less than the minimum they require. What they require usually covers any extra charges plus a decent amount toward the total.

There are companies and professional individuals who can help you create the right budget plan for you and your household. They will take your lists of bills, your credit report and any other financial documents you use, consolidate where they can and recommend management plans for the future that will keep you from getting in a bad financial situation again.

If you are able to get a loan, you might be able to consolidate your bills this way. If you choose this method, make sure that you do not get into the same situation by overspending or not sticking to a budget plan. Learn from your mistakes and keep your finances organized at all times.

If you choose a third party organization to help you consolidate or manage your bills, make sure you have provided for them all of the information they need to truly get you out of debt. They may need to counsel you on how to properly spend and pay bills to prevent future issues.

You can get debt help from outside organization or try to work out a budget plan on your own. Either will work and should be tried to see which one is right for you.

About the Author: When facing Debt consolidation St. Catharines, our specialized Debt help Oakville consultants can help you find the best solutions to getting out of your financial problems.

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British Airways flight makes emergency landing in Iceland, terrorism ruled out

Saturday, August 26, 2006

A British Airways (BA) flight from London to Denver made an emergency landing at an airport in Iceland today after smoke was seen emerging from an oven in the aircraft’s rear kitchen.

A BA spokesman said that the Boeing 777 landed safely at Keflavik Airport. He added that the plane’s 268 passengers left the craft unharmed.

A spokeswoman from the Iceland Civil Aviation Administration ruled out any terrorist involvement. She added: “They were 50 miles from Keflavik when it was thought there was a fire. But it turned out to be only smoke.”

The flight should complete its journey to the US tomorrow. Passengers are spending the night in a hotel.

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Surgeons reattach boy’s three severed limbs

Tuesday, March 29, 2005A team of Australian surgeons yesterday reattached both hands and one foot to 10-year-old Perth boy, Terry Vo, after a brick wall which collapsed during a game of basketball fell on him, severing the limbs. The wall gave way while Terry performed a slam-dunk, during a game at a friend’s birthday party.

The boy was today awake and smiling, still in some pain but in good spirits and expected to make a full recovery, according to plastic surgeon, Mr Robert Love.

“What we have is parts that are very much alive so the reattached limbs are certainly pink, well perfused and are indeed moving,” Mr Love told reporters today.

“The fact that he is moving his fingers, and of course when he wakes up he will move both fingers and toes, is not a surprise,” Mr Love had said yesterday.

“The question is more the sensory return that he will get in the hand itself and the fine movements he will have in the fingers and the toes, and that will come with time, hopefully. We will assess that over the next 18 months to two years.

“I’m sure that he’ll enjoy a game of basketball in the future.”

The weight and force of the collapse, and the sharp brick edges, resulted in the three limbs being cut through about 7cm above the wrists and ankle.

Terry’s father Tan said of his only child, the injuries were terrible, “I was scared to look at him, a horrible thing.”

The hands and foot were placed in an ice-filled Esky and rushed to hospital with the boy, where three teams of medical experts were assembled, and he was given a blood transfusion after experiencing massive blood loss. Eight hours of complex micro-surgery on Saturday night were followed by a further two hours of skin grafts yesterday.

“What he will lose because it was such a large zone of traumatised skin and muscle and so on, he will lose some of the skin so he’ll certainly require lots of further surgery regardless of whether the skin survives,” said Mr Love said today.

The boy was kept unconscious under anaesthetic between the two procedures. In an interview yesterday, Mr Love explained why:

“He could have actually been woken up the next day. Because we were intending to take him back to theatre for a second look, to look at the traumatised skin flaps, to close more of his wounds and to do split skin grafting, it was felt the best thing to do would be to keep him stable and to keep him anaesthetised.”

Professor Wayne Morrison, director of the respected Bernard O’Brien Institute of Microsurgery and head of plastic and hand surgery at Melbourne’s St Vincent’s Hospital, said he believed the operation to be a world first.

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Do You Have Bed Bug Infestation And Not Know It?

By Bill Urell

For most individuals they never consider that when they return home from vacation they may be bringing something more than just souvenirs and fond memories. Bed bugs can easily make their way from one locale to another just by grabbing onto a persons clothing.

Most people have absolutely no idea what a bed bug is and how to identify when you have a problem with them. Bed bugs are difficult to see with the naked eye because they are so small. In fact, an adult bed bug is no more than about a quarter of an inch in length.

Bed bugs survive by eating off of warm blooded animals. That is why they so enjoy nestling into the warmth of bed sheets. Many people do not even realize that they have a problem with these small critters at first. It can take months of bites before they are aware that they are being eaten by these bugs each night.

[youtube]http://www.youtube.com/watch?v=fhW2d9NLPlU[/youtube]

One of the main reasons that it can take people some time to realize that they have a bed bug problem is that the bugs do not show themselves during daylight hours. They hide under floor boards or behind furniture until the lights go out. Once the individual is fast asleep the bugs make their way close to the sleeper and start to feed.

The bites of bed bugs closely resemble the bites that you might expect to get from something like a mosquito. A small, reddish bump may appear on the skin and in some cases it can produce a slight itching reaction as well.

If you do suspect that you have bed bugs you will need to put on your detective cap. There are several places to check to see if you do have this problem. One is right in your bed. Remove the blankets and thoroughly check the sheets. Look in any creases and under the pillows. While you are searching keep in mind that you may find evidence of the bed bugs but not the actual bugs. Bed bugs leave waste material that is either a dark brown or reddish color.

Getting rid of bed bugs can prove to be a challenge. The reason is that the bugs tend to lay eggs in discreet places. The first step you need to take is to throw out all bedding and consider replacing your mattress. After you have done this you need to thoroughly clean the room. Remove any clutter and vacuum all exposed areas. You should also remove any desk or dresser drawers and clean beneath and behind them.

Dealing with bed bugs can be difficult but it is certainly not impossible. Once you discover that you are sharing your home with these unwanted visitors take the necessary steps to rid yourself of them forever.

About the Author: Are you interested in the truth about healthy lifestyles? Bill Urell MA.CAAP-II,reviews only the best fitness plans, tips, and articles. Click here:

bedbugs.best-info-only.com/

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46 illegal Afghan immigrants suffocate in truck in Pakistan

Tuesday, April 7, 2009

 Correction — Nov 1, 2013 The article below claims each passenger paid 4000 to 8000 USD. Each paid 30,000 Rupees, equivilent at the time to about US$375. 

The bodies of 46 Afghan illegal immigrants who suffocated to death in a container truck Saturday near Quetta, Pakistan, returned home Tuesday.

The Edhi Foundation placed the victim’s bodies into coffins to transport them back to Chaman. Funeral prayers were said before victims left Quetta hospital. “We are taking these dead bodies to Spin Boldak and later these will be flown to Kabul by helicopter. We are thankful to Pakistan government for every help,” said Afghan consul general Daud Mohsini.

Afghan officials received the bodies from The Edhi ambulances and Pakistan police escorts at the Pak-Afghan border Bab-e-Dosti (Friendship Gate). Security was high and traffic was backed up at the border crossing. The bodies were taken to Kandahar then to Kabul before they were laid to rest in their home towns.

Hamid Karzai, President of Afghanistan dispatched aircraft to Pakistan to bring home the 46 victims. Poor weather grounded the planes, and the bodies were driven back across the border.

Pakistan police found a locked truck packed with approximately 111 Afghan illegal immigrants around 20 kilometers (12 miles) south of Quetta on Saturday. The driver had fled the scene where 62 people were initially pronounced dead. Police said that from the strong smell emanating from the truck, the victims may have died days before they were discovered.

45 other people were found unconscious and taken directly to the hospital. At hospital two more migrants died. “The death toll is 46,” said Ghulam Dastagir, a police official.

Wazir Khan Nasir, a senior police official said, “We have been able to talk to some of the people, who were trapped in the container. They were all Afghans in the container and the container was going to Iran, When the condition of people inside the container deteriorated, the driver fled, leaving the container.”

Survivors have reported that a human smuggling racket locked 64 Kabul residents and 37 Spin Boldak residents in the truck container Friday afternoon. The truck’s air conditioning unit stopped working causing the locked passengers to cry out for help which was unheeded by the truck’s driver, and they fell unconscious. However, the loud ruckus caused by the trapped people inside did alert police and local residents to their plight.

The trip had cost each illegal immigrant US$4,000 to 8,000 for the trip. Gul Zameen, a survivor said, “We are all poor and wanted to find jobs in Quetta and Iran.”

The survivors have been charged under the Foreigners Act and some have been detained. Karzai has ordered an investigation and “demanded people avoid dangerous illegal migration and not be deceived by smugglers.” “We’ll go to Pakistan and talk to the survivors to find out what had exactly happened. The culprits will be brought to justice,” said Moheeddin Baluch head of the investigating delegation.

Pakistan’s Federal Investigation Agency (FIA) is also investigating. Five suspects believed to be involved in running the human smuggling racket have been arrested.

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Media round-up: April Fools’ Day 2008

Tuesday, April 1, 2008

Many media outlets traditionally deliberately spread hoaxes on April Fools’ Day, including notable quality sources such as National Geographic and Science.

The popular British tabloid The Sun wrote that French President Nicolas Sarkozy is to undergo stretch surgery to make him taller than his wife, Italian artist and model Carla Bruni. The report claimed the 5 foot 5 inch leader would be made 5 inches taller in one year using a method by Israeli professor Ura Schmuck. The Sun noted that during his visit to Britain last week, Sarkozy had high-heel shoes while his wife wore a pair of flat pumps.

The Guardian on the other hand ran an article that suggested that Carla would head an initiative by Prime Minister Gordon Brown to bring more glamour, good taste and sophistication to the U.K. general population. This would involve collaboration with Marks & Spencer for high-street fashion and Jamie Oliver for meals and wine.

BBC News had real-looking footage of flying penguins fronted by documentary host Terry Jones, which were actually an advertisement for its new iPlayer.

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Cleveland, Ohio clinic performs US’s first face transplant

Thursday, December 18, 2008

A team of eight transplant surgeons in Cleveland Clinic in Ohio, USA, led by reconstructive surgeon Dr. Maria Siemionow, age 58, have successfully performed the first almost total face transplant in the US, and the fourth globally, on a woman so horribly disfigured due to trauma, that cost her an eye. Two weeks ago Dr. Siemionow, in a 23-hour marathon surgery, replaced 80 percent of her face, by transplanting or grafting bone, nerve, blood vessels, muscles and skin harvested from a female donor’s cadaver.

The Clinic surgeons, in Wednesday’s news conference, described the details of the transplant but upon request, the team did not publish her name, age and cause of injury nor the donor’s identity. The patient’s family desired the reason for her transplant to remain confidential. The Los Angeles Times reported that the patient “had no upper jaw, nose, cheeks or lower eyelids and was unable to eat, talk, smile, smell or breathe on her own.” The clinic’s dermatology and plastic surgery chair, Francis Papay, described the nine hours phase of the procedure: “We transferred the skin, all the facial muscles in the upper face and mid-face, the upper lip, all of the nose, most of the sinuses around the nose, the upper jaw including the teeth, the facial nerve.” Thereafter, another team spent three hours sewing the woman’s blood vessels to that of the donor’s face to restore blood circulation, making the graft a success.

The New York Times reported that “three partial face transplants have been performed since 2005, two in France and one in China, all using facial tissue from a dead donor with permission from their families.” “Only the forehead, upper eyelids, lower lip, lower teeth and jaw are hers, the rest of her face comes from a cadaver; she could not eat on her own or breathe without a hole in her windpipe. About 77 square inches of tissue were transplanted from the donor,” it further described the details of the medical marvel. The patient, however, must take lifetime immunosuppressive drugs, also called antirejection drugs, which do not guarantee success. The transplant team said that in case of failure, it would replace the part with a skin graft taken from her own body.

Dr. Bohdan Pomahac, a Brigham and Women’s Hospital surgeon praised the recent medical development. “There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Leading bioethicist Arthur Caplan of the University of Pennsylvania withheld judgment on the Cleveland transplant amid grave concerns on the post-operation results. “The biggest ethical problem is dealing with failure — if your face rejects. It would be a living hell. If your face is falling off and you can’t eat and you can’t breathe and you’re suffering in a terrible manner that can’t be reversed, you need to put on the table assistance in dying. There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Dr Alex Clarke, of the Royal Free Hospital had praised the Clinic for its contribution to medicine. “It is a real step forward for people who have severe disfigurement and this operation has been done by a team who have really prepared and worked towards this for a number of years. These transplants have proven that the technical difficulties can be overcome and psychologically the patients are doing well. They have all have reacted positively and have begun to do things they were not able to before. All the things people thought were barriers to this kind of operations have been overcome,” she said.

The first partial face transplant surgery on a living human was performed on Isabelle Dinoire on November 27 2005, when she was 38, by Professor Bernard Devauchelle, assisted by Professor Jean-Michel Dubernard in Amiens, France. Her Labrador dog mauled her in May 2005. A triangle of face tissue including the nose and mouth was taken from a brain-dead female donor and grafted onto the patient. Scientists elsewhere have performed scalp and ear transplants. However, the claim is the first for a mouth and nose transplant. Experts say the mouth and nose are the most difficult parts of the face to transplant.

In 2004, the same Cleveland Clinic, became the first institution to approve this surgery and test it on cadavers. In October 2006, surgeon Peter Butler at London‘s Royal Free Hospital in the UK was given permission by the NHS ethics board to carry out a full face transplant. His team will select four adult patients (children cannot be selected due to concerns over consent), with operations being carried out at six month intervals. In March 2008, the treatment of 30-year-old neurofibromatosis victim Pascal Coler of France ended after having received what his doctors call the worlds first successful full face transplant.

Ethical concerns, psychological impact, problems relating to immunosuppression and consequences of technical failure have prevented teams from performing face transplant operations in the past, even though it has been technically possible to carry out such procedures for years.

Mr Iain Hutchison, of Barts and the London Hospital, warned of several problems with face transplants, such as blood vessels in the donated tissue clotting and immunosuppressants failing or increasing the patient’s risk of cancer. He also pointed out ethical issues with the fact that the procedure requires a “beating heart donor”. The transplant is carried out while the donor is brain dead, but still alive by use of a ventilator.

According to Stephen Wigmore, chair of British Transplantation Society’s ethics committee, it is unknown to what extent facial expressions will function in the long term. He said that it is not certain whether a patient could be left worse off in the case of a face transplant failing.

Mr Michael Earley, a member of the Royal College of Surgeon‘s facial transplantation working party, commented that if successful, the transplant would be “a major breakthrough in facial reconstruction” and “a major step forward for the facially disfigured.”

In Wednesday’s conference, Siemionow said “we know that there are so many patients there in their homes where they are hiding from society because they are afraid to walk to the grocery stores, they are afraid to go the the street.” “Our patient was called names and was humiliated. We very much hope that for this very special group of patients there is a hope that someday they will be able to go comfortably from their houses and enjoy the things we take for granted,” she added.

In response to the medical breakthrough, a British medical group led by Royal Free Hospital’s lead surgeon Dr Peter Butler, said they will finish the world’s first full face transplant within a year. “We hope to make an announcement about a full-face operation in the next 12 months. This latest operation shows how facial transplantation can help a particular group of the most severely facially injured people. These are people who would otherwise live a terrible twilight life, shut away from public gaze,” he said.

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