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98歲前美國總統卡特宣布放棄治療

(2023-02-19 14:14:13) 下一個

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I saw both of my grandparents yesterday. They are at peace and—as always—their home is full of love. Thank you all for your kind words
Feb 18, 2023

Photo of Jason J. Carter  Jason J. Carter

https://www.bmelaw.com/lawyers-Jason_Carter.html 

Atlanta 1201 West Peachtree Street NW

Suite 3900
Atlanta, GA 30309

Education

University of Georgia School of Law, J.D., 2004, summa cum laude

  • Order of the Coif
  • Articles Editor, Georgia Law Review
  • West Award for Academic Excellence

Duke University, B.A., 1997

Jason J. Carter, Partner

Phone: 404.881.4123  Fax: 404.881.4111 carter@bmelaw.com

Jason Carter represents clients in high stakes trial and appellate business litigation including breach of contract, class actions, business torts and other complex commercial cases. Representing Plaintiffs, Jason has secured some of the largest verdicts and settlements in Georgia history, including multiple recoveries in excess of $100 million. Representing Defendants, he has achieved numerous defense victories in highly complex cases.

Jason’s expertise in intellectual property includes litigating common law intellectual property, trademark, trade secret and patent disputes. Jason is also a leader in the firm’s corporate recoveries practice where he helps companies identify, evaluate and pursue revenue-generating opportunities through the legal department.

Over his career, Jason has often had the honor of representing his fellow lawyers and some of the most prestigious law firms in Georgia and elsewhere.

Jason combines a successful litigation practice with a strong commitment to public service. Among other activities, Jason chairs the Carter Center’s Board of Trustees. From 2010-2015 he served in the Georgia State Senate, and he was the 2014 Democratic Nominee for Governor of Georgia.

Jason has been named to Georgia Trend’s list of the 100 Most Influential Georgians, and has consistently been recognized as a Super Lawyer in Atlanta Magazine. Jason has received numerous other awards for his legal work and community service, including the Anti-Defamation League’s Stuart Eizenstat Award.

REPRESENTATIVE WORK

Served as Class Counsel in numerous class actions, including recent recoveries for his clients of more than $110 million (teacher retirement benefits in Gold v. Dekalb County School Board) and $80 million (life insurance beneficiaries in Owens v. MetLife).

Represented David McDavid in obtaining a $281 million jury verdict against Turner Broadcasting System (TBS) for breaching an agreement to sell McDavid the Atlanta Hawks, the Atlanta Thrashers and the operating rights to Philips Arena. The jury verdict is one of the largest compensatory damage awards in Georgia history.

Represented a global real estate investment company in successfully defending multi-million dollar claims brought by other investors in one of Atlanta’s highest profile real estate developments.

Successfully defended one of Atlanta’s largest law firms in a lawsuit seeking $20 million in damages. Plaintiffs recovered nothing and paid attorney’s fees.

Currently representing clients in multiple class actions seeking hundreds of millions of dollars involving terminated employment benefits and bank overdraft fees.

Represented a consortium of health insurers on appeal in the Eleventh Circuit, and secured the reversal of an adverse decision arising out of a complex antitrust class action.

Represented the National Football League Players Association in obtaining summary judgment on a $20 million claim allegedly arising out of the NFLPA’s Financial Advisors Program.

PROFESSIONAL ACTIVITIES

Chairman, The Carter Center

Trustee, Georgia Bar Foundation

Founding Chair, Georgia Appleseed Young Professionals Council

Former Board Member, Women’s Resource Center to End Domestic Violence

Former Board Member, Hands On Atlanta

United States Peace Corps Volunteer, Lochiel, South Africa, 1998-2000

PUBLICATIONS/SPEAKING ENGAGEMENTS

Jason Carter Headlined 9th Annual Southern Solar Summit

HONORS AND AWARDS

Georgia Super Lawyer, 2016 - 2023

Georgia Rising Star, 2007; 2009 - 2010; 2012 - 2015

Stuart Eizenstat Award, Anti-Defamation League

UGA Alumni Association “40 Under 40”

Atlanta Business Chronicle “40 Under 40”

“On The Rise,” Fulton County Daily Report, a recognition given to only 12 attorneys in Georgia under the age of 40, 2009

Statement on President Carter's Health

Feb. 18, 2023

https://www.cartercenter.org/news/pr/2023/statement-on-president-carters-health.html

ATLANTA (Feb. 18, 2023) — After a series of short hospital stays, former U.S. President Jimmy Carter today decided to spend his remaining time at home with his family and receive hospice care instead of additional medical intervention. He has the full support of his family and his medical team. The Carter family asks for privacy during this time and is grateful for the concern shown by his many admirers.

Contact:  media@cartercenter.org

The Carter Center
Waging Peace. Fighting Disease. Building Hope.

Jimmy Carter's grandson arranged Romney video release

  • James Carter IV is Jimmy Carter's grandson
  • James Carter persuaded the source of the Romney 47% video to share it with 'Mother Jones'
  • The ex-president sent via email: 'James: This is extraordinary. Congratulations! Papa'

WASHINGTON (AP) -- Midway through a routine Internet search, James Carter IV stumbled upon a video that just didn't seem right.

The grandson of former President Jimmy Carter and a self-fashioned Democratic opposition researcher, the younger Carter had watched countless hours of footage of Republican Mitt Romney and made it a habit to search YouTube every few days for keywords like "Romney" and "Republicans."

But on this day in August, one clip jumped out. There was Romney, in an undisclosed location, bluntly discussing a visit to a Chinese factory with substandard conditions.

"The hidden camera video -- it was all blurred out at the beginning, and it was mysterious," Carter said. "It piqued my interest."

Former president Jimmy Carter and his wife, Rosalynn Carter, in September 2007.Something told him there might be more there than the brief clip posted on the YouTube channel "Anne Onymous." Although not affiliated with any campaign or super PAC, Carter had made it a personal mission to help get Democrats elected in 2012 -- and to do his part to push back against Romney's relentless campaign-trail mockery of his grandfather.

So Carter, 35, of Atlanta, set out to track down the source of the video. He sent a message to the YouTube user seeking details. No luck. But then, after sharing links to the video on Twitter, Carter realized he had a new follower with the same name as the YouTube account. He quickly shot off a direct message.

"They were wary at first," Carter said in an interview with the Associated Press. "But they did respond."

What followed was a delicate, concerted effort to convince the source -- still unknown to the public -- that Carter could be trusted, and that the world had to see the rest of what was surreptitiously recorded as Romney spoke in May to donors who had paid $50,000 a person to attend the private fundraiser.

In a string of Internet conversations, Carter showed the source evidence that he had helped David Corn, a journalist with the magazine Mother Jones, report a story about Global-Tech Appliances, a Chinese firm that Romney's Bain Capital briefly invested in. Both Carter and the source suspected it was that firm's factory that Romney was speaking about in the video.

"That gave me credibility," Carter said. "They opened up to me a little bit."

Soon after, Carter persuaded the source to trust Corn with the full video -- on the condition that he keep the source's identity a secret. Corn ran with it, using clues in the video to triangulate when and where it had been recorded.

Then on Monday and Tuesday, Corn posted the clips to his magazine's website, sparking a firestorm for the Romney campaign over remarks claiming that nearly half of Americans "believe they are victims" deserving government help and that the Palestinians have no interest in peace with Israel.

"James: This is extraordinary. Congratulations! Papa," the former president told his grandson Tuesday morning in an e-mail obtained by the AP.

For Carter, whose Twitter profile notes he's looking for work, his success in unearthing the video was followed by a string of job offers Tuesday, from the Ohio Democratic Party to online news sites like The Huffington Post and ThinkProgress.

But the coup de grace for Carter is the irony that Romney has spent many months assailing the elder Carter's record on everything from foreign affairs to small-business policy, hoping to saddle the incumbent president with the less popular vestiges of his Democratic predecessor.

"I've gotten a lot of Twitter messages from people supporting me and saying that it's poetic justice that it was a Carter that uncovered this, considering the way that the Romney campaign has been talking about my grandfather," Carter said. "I agree with that sentiment wholeheartedly."

98歲前美國總統卡特宣布放棄治療


鳳凰網 |2023-02-19  

核心提要:

1.98歲的卡特是美國第39位總統,也是中美建交的重要推手、諾貝爾和平獎得主。他晚年飽受病痛折磨,卻始終保持坦然的態度。2015年,卡特在肝髒內切出6公分的黑色素瘤,這種惡性腫瘤被稱為“癌中之王”,同時其腦部被查出4個2mm大小的轉移腫瘤。卡特在當時發布會稱“我會坦然接受任何狀況”。奇跡痊愈後,卡特在2019年因摔倒骨折以及尿路感染住院,遭受了一係列健康危機。對此,他說:“我隻是求神給我正確對待死亡的態度”。

2.卡特是最年長的癌症幸存者。在黑色素瘤向腦部轉移時,卡特已經91歲高齡,僅4個月便治愈,堪稱腫瘤界著名的成功案例。他之所以能夠幸存得益於2015年剛上市不久的一種免疫藥物:Keytruda。在國內病人中被稱為K藥。卡特接受其MDT團隊製訂的手術+放療+接受免疫療法後,僅4個月卡特大腦中的癌細胞便已經消失。

3.多次死裏逃生後,卡特宣布將接受家庭臨終關懷,不再接受額外的醫療幹預。這意味著,如果卡特發生呼吸困難或者其他緊急狀況,將不再需要急救,也不需要插管治療。相較於醫學治療隻能暫時延長患者性命卻可能增加其痛苦,安寧緩和醫療提倡以提升病患的生活品質的方式對患者進行護理,令患者能夠以更安詳和有尊嚴的姿態離開人世。

美國史上在世最長壽的前總統,宣布將放棄所有治療,享受最後與家人在一起的時光。

美國時間2月18日下午3時,98歲的前美國總統卡特(Jimmy Carter)

決定轉入家庭安寧照護(hospicecare),不再接受更多的醫療救助,將會留在家中,在親人的陪伴下度過生命剩餘的時光。

卡特轉入安寧照護的決定,是在近日多次短期住院後才做出的。他與妻子住在佐治亞州普萊恩斯的一座簡陋的牧場房子裏,這座房子是這對夫婦於1961 年建造的。

98歲的卡特是美國第39位總統,也是中美建交的重要推手、諾貝爾和平獎得主。

去年10月1日,他在喬治亞州家鄉小鎮平原鎮(Plains),與家人及朋友慶祝98歲生日。他

是在世最年長的前美國總統,也是第一位在醫院出生的美國總統,是最年長的癌症幸存者。

卡特總統在執政期間(1977-1981年),為中美兩國和平建交做出過突出貢獻,卸任後也不遺餘力地參加各種義工活動和演講活動,在2002年獲得了諾貝爾和平獎。

2015 年 8月,在91歲高齡時,他被診斷出患有癌症——黑色素瘤已經擴散到他的肝髒和大腦——本以為隻能存活幾周的他,在後來經過一種免疫療法後,僅用四個月便宣布治愈,創造了抗癌史上的最大奇跡,並且健康存活至今。

2019年,他陷入健康危機,住院做了腦部減壓手術,多次因摔倒骨折以及尿路感染住院。他在2019年的某次發言中稱,在診斷出癌症後,他“對死亡感到安心” 。

“我沒有求神讓我活,隻是求神給我一個正確對待死亡的態度,而且我發現我對死亡絕對完全放心。”

現在,這位98歲的老人,在死亡麵前做出了屬於他自己的決定:不再進行任何治療,而是選擇獨自麵對死亡。

卡特91歲時,在肝髒內切出6公分的黑色素瘤,腦部查出4個2mm大小的轉移腫瘤

2015年春天,卡特與太太在圭亞那旅遊患上感冒後,他在亞特蘭大埃默裏大學(EmoryUniversity)的醫生,便開始密切注意卡特的健康狀況。在5月進行增強CT檢查時,卡特被發現肝髒裏有個腫塊。醫生認為那是癌變,但因為卡特要進行一個巡回售書活動,手術被推遲。

當時卡特的辦公室說,手術是“非急需的”。

通過影像檢查,醫生最初診斷腫塊像是典型的肝癌,加之卡特平時有飲酒習慣,因此一開始大家都認為很可能是肝癌。卡特的影像資料被送往了MD安德森癌症中心。

該院的MDT專家小組為其進行了蛋白測定,結果顯示,這並不是肝癌,而是看上去像肝癌細胞的黑色素瘤。

8月3日,他在亞特蘭大埃默裏大學醫院做了手術,從肝髒取出了一個6公分左右的腫塊。不幸的是,醫生同時在他腦部發現了四個2mm大小的腫瘤,高度懷疑是轉移。

8月21日,卡特身著西裝便服和牛仔褲,在新聞發布會了介紹了他的病情,他說:“我會坦然接受任何狀況”,“我有很深的宗教信念,對此我覺得幸運。”

但他承認,在首次聽說自己腦部有癌變時,他當即感覺自己“隻剩下幾周時間了”。

卡特說他的醫生已安排了4個放療療程,時間間隔為三周,且醫生同時正在研究是否為他增加一種叫做免疫檢查點的靜脈注射式療法。他還強調,迄今經曆的不適感很輕微,癌細胞尚未擴散到胰腺。這一點特別值得注意,因為卡特的父親和三個兄弟姐妹死於惡性胰腺腫瘤。

美國前總統通常會以書麵方式宣布自己的健康狀況,羅納德·裏根(RonaldReagan)就曾在1994年透露自己患上阿茲海默症時,采取了這種做法。

但卡特選擇召開發布會,及時披露自己的病情。

卡特的好運氣:“檢查點”療法。僅用四個月,他就得到了治愈被稱為“癌中之王”的黑色素瘤,是一種來源於黑色素細胞的惡性腫瘤,在皮膚癌中屬於惡性程度最高、治療難度最大、死亡率也是極高的一個瘤種。

很多人都以為卡特得的是腦瘤,但其實不是。他是黑色素瘤轉移到腦部,轉移到腦部的腫瘤和腦瘤還是有區別的。

生於1924年10月的吉米·卡特,在黑色素瘤向腦部轉移,被確診癌症晚期時,已經91歲高齡。這個年齡能積極接受治療已屬不易,4個月後的治愈更是堪稱腫瘤界著名的成功案例。他的運氣究竟有多好,還是接受了什麽秘密的前沿科技治療?

這個前沿治療就是2015年剛上市不久的一種免疫藥物:Keytruda。在國內病人中被稱為K藥。

卡特總統的MDT團隊給他製訂的計劃是手術+放療+接受免疫療法,他們對於這種前沿治療的前景表示樂觀。

放療+免疫,被稱為一種帶有科幻場景的治療。有研究認為,放療+免疫治療會產生“遠隔效應”,也就是國內象棋中的所謂“隔山打炮”,

當放療肺部的腫瘤時,肝部的腫塊也會被治療。

2014 年 9 月,美國食品和藥物管理局加速批準 pembrolizumab用於治療某些轉移性黑色素瘤對其他治療無反應的患者。該藥物是一種單克隆抗體,可與 PD-1受體結合並釋放免疫係統的製動器,使其能夠攻擊癌症。卡特總統的醫療團隊希望使用這種剛上市不久藥物,能夠令卡特總統身上出現奇跡。

對此,加州大學摩爾癌症研究中心EzraCohen博士說,答案肯定與病人身體的個性和遺傳特征有關。卡特的腦瘤癌細胞由身體其他部位的黑色素瘤轉移而來,在人類曆史中,這種病人在診斷後存活率非常低,

但最新免疫藥物PD1的出現極大的改變了黑色素瘤患者生存幾率。

在卡特身上使用的是一種被醫生們稱為“檢查點療法”的新型藥物Keytruda,原理就是通過加速免疫係統的反應,使癌症細胞進入一種半休眠狀態。

據了解,卡特選擇在埃默裏大學溫希普癌症研究所接受治療,那裏的醫生幫他製訂了接受Keytruda的免疫療法,以控製免疫係統對抗癌細胞。不過藥價所費不貲,一年得花15萬美元。

目前美國的臨床試驗以及所批準的上市治療方法,是連續使用K藥兩年或者直至耐藥。但僅僅四個月,奇跡就在卡特身上發生。

2015年12月6日,卡特發表聲明說,醫生在他做完最近一次腦部核磁共振成像掃描後,發現他大腦中的癌細胞已經消失。

K藥對卡特的神奇療效,一度被媒體爭相報道,使得免疫療法也在一夜之間火爆全球。卡特也由此被稱為免疫治療法的代言人。

卡特為何決定進行“家庭安寧照護”?“安寧照護”是臨終關懷嗎?有哪些治療?

2015年,卡特從黑色素瘤中幸存下來,但在 2019 年,卻麵臨一係列健康危機。

當年 5 月 13 日,卡特在家中跌倒,在佐治亞州阿梅裏克斯的菲比薩姆特醫療中心接受了手術。

10 月,他再因兩次摔倒而住院,第一次摔倒後額頭上方縫了 14針,當時他的額頭“被鋒利的邊緣擊中”。其後,他在第二次跌倒後接受了輕微骨盆骨折的治療。

11月,他在亞特蘭大埃默裏大學醫院接受了手術,為減輕因跌倒引起的出血對他的大腦造成的壓力,並住院兩周。但隨後因尿路感染,在佐治亞州阿梅裏克斯的菲比薩姆特醫療中心治療。12月,他又再次因尿路感染入院。

其後疫情三年,他也一直備受各種病痛折磨。在經曆了一係列短暫的住院治療後,2023年2月18日,卡特宣布將接受家庭臨終關懷,並不再接受額外的醫療幹預。

這意味著,他將平靜地等待死亡,不再接受任何治療。

美國梅奧診所對臨終關懷的定義是:臨終關懷是當一個人的生命可能僅剩下 6個月或更短時開始的一類醫療照護服務。 

臨終關懷的目標是為患者提供舒適和支持,同時停止任何試圖治愈疾病的治療。

這家全美排名第一的診所強調:記住,臨終關懷強調的是護理而非治療,目的是讓人舒適地度過生命中的最後幾個月。

臨終關懷也稱“安寧緩和醫療”、“善終服務”、“安寧療護”、“姑息療法”,通常是針對癌症末期或絕症,治療已不容易再見效的病患時使用的治療方法。

相較醫學治療隻能暫時延長患者性命卻可能增加其痛苦,安寧緩和醫療提倡以提升病患的生活品質的方式對患者進行護理,令患者能夠以更安詳和有尊嚴的姿態離開人世。

安寧緩和醫療於1967年由英國醫師西西裏·桑德斯開始推廣,治療方法包括以口服和注射藥物來減輕痛苦,並在社會、心理上提供治療護理。這種治療方法通常由心理醫生、社工和誌願者提供所需要的護理,除了減輕患者的痛苦外,亦能減緩家屬的心理創傷及負擔。

卡特總統選擇以這種方式,告別世界,顯然經過了深思熟慮,這意味著,如果卡特總統發生呼吸困難,或者其他緊急狀況,將不再需要急救,也不需要插管治療。

卡特總統對待死亡的態度,正是他對自己生命的最佳方式。

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