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Small Business Lifestyle

Swimmer Ali Truwit makes Paralympics a year after losing lower leg in shark attack while snorkeling [Video]

The first step for swimmer Ali Truwit was overcoming her newfound fear of the one place she had always felt safe the water.Because the sound of water, any sound involving water, instantly triggered flashbacks to the day she swam for her life after being bitten by a shark.She and a friend were snorkeling in the ocean off Turks and Caicos on May 24, 2023, when a shark charged and bit Truwit’s lower left leg. Bleeding and with the shark circling, Truwit went into competitive swim mode and raced 75 yards toward the safety of the boat. Truwit was rushed to the hospital and airlifted to the United States, where she had three surgeries, including one to amputate her leg below the knee.To reclaim her love of the water, she went to the family’s backyard pool. She waded up to her waist, fought off fear and took back control. The plunge not only started her path toward healing but to Paris for the Paralympics.”I love comeback stories,” said the 24-year-old from Darien, Connecticut, who qualified for Paris in the 100 free, 400 free and the 100 back. “I’ve definitely relied on other people’s comeback stories to help me hold on to what feels like a bold and unrealistic hope of fighting off a shark and surviving and losing a limb and making the Paralympics all in a year.”The shark attack ‘we tried to fight back’Her itinerary for that summer involved fun and adventure before starting work at a consulting firm.Truwit had just graduated from Yale after a career in the pool in which she was a four-year letter winner. She kicked things off by running a marathon with her mom on Mother’s Day.Next on the list: joining friends for some sun on the beaches in Turks and Caicos. She went snorkeling with Yale teammate and good friend Sophie Pilkinton in an area not known for sharks.On their way back to the boat, a shark aggressively approached and began bumping them.”We tried to fight back,” Truwit said.What was believed to be a bull shark bit her on the foot and lower leg.”My immediate thought was, ‘Am I crazy or do I not have a foot right now?'” Truwit said. “It was a really hard image for me. But you move immediately into action.”Stay calm. Remain conscious. Just get to the boat. That’s all she focused on as she and Pilkinton sprinted through the water, intensely aware the shark was still there.Once on the boat, Pilkinton applied a tourniquet to slow the bleeding.Truwit was later airlifted to a trauma hospital in Miami for two surgeries to fight infections. She was transported to a hospital in New York, where on her 23rd birthday, she underwent a transtibial below-the-knee amputation.”A lot of dark days,” she said. “But I’m alive and I almost wasn’t.”‘Work works’ becomes the mantra for recoveryThe Truwit family has a mantra “Work works.” That’s why Truwit went to rehab even on days when she didn’t feel good or was sad.”Just put in the work,” she said.First, though, she needed to alter her “Why?”Instead of, “Why did this happen to me?” she centered on, “Why not throw everything into something?”More specifically, why not the Paralympics? After all, she had plenty of time to get ready for the 2028 Summer Paralympics in Los Angeles.”But I’m not someone who waits,” she said.So Paris in 2024 it was, even if the time frame was incredibly tight.She went through prosthetic training and strength exercises. She also worked with trauma therapists, which led to narrative therapy to re-author her life and combat her nightmares.”So that I don’t let fear rule my life,” Truwit explained. “I had lost enough and anything that was on the table for me to regain, I was going to fight to regain it.”I didn’t want to lose a limb and my love of the water, too.”Focus on making Team USA for ParisAbout 3 1/2 months removed from the attack, she was competing again. It was early but necessary to make certain standards to be in contention for a Paralympic spot. To help her, she teamed up with her club coach, Jamie Barone.”I was just really curious how I was going to feel being back on the pool deck and back in a competitive space,” Truwit said. “The more I worked at it, the flashbacks reduced and the pain lessened.”She qualified for nationals in Orlando, Florida, where she swam freestyle and backstroke. In April, she attended an international meet in Portugal her first trip out of the country since the shark attack. Her mom was there as she shined in the 400 free S10 category, in which swimmers have a physical impairment affecting one of their joints.”She’s just basically a workhorse who refuses to give up,” said her mom, Jody. “That’s who she was before the attack and amputation and that’s who she is every single day now.”At U.S. Paralympic trials in Minneapolis in late June, she won the 100 backstroke, 400 free and 100 free. She joins a team that includes Paralympic swimming great Jessica Long and a host of returning medalists from Tokyo.”I think hearing my name on that team was just a reminder to me that I’m stronger than I think,” said Truwit, who launched the “Stronger Than You Think” foundation to help others navigate through the healing process. “That we’re all stronger than we think.”In Paris, she will have the support of about 50 family members and friends.”A year ago, I was just working to get back in the water,” Truwit said. “I now get back in the water and that sense of joy comes back, and the smile comes back. To have that again is something I’m so thankful for. Honestly, it’s one of the moments in my swim career that I’m the proudest of, because I know how much work it took.”___AP video journalist Aron Ranen contributed to this report.

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Small Business Lifestyle

Lilly launches lower-price weight-loss drug without injector pen [Video]

Starter doses of the weight-loss drug Zepbound are now available in single-dose vials, drug manufacturer Eli Lilly announced Tuesday, a move the company says will significantly expand supply as it sees continued high demand.Instead of a preloaded injector pen, patients will use a syringe to draw out the medicine.Tirzepatide, the active ingredient in Zepbound and Mounjaro, is part of new class of medications used to treat obesity and diabetes that have skyrocketed in popularity, driving shortages and leading some people to use versions made by compounding pharmacies.These new vials not only help us meet the high demand for our obesity medicine, but also broaden access for patients seeking a safe and effective treatment option, Patrik Jonsson, president of Lilly Cardiometabolic Health and Lilly USA, said in a statement.The new vials will be available exclusively to people who pay out of pocket through LillyDirect, a company platform that helps coordinate telehealth services and fill prescriptions for patients.A four-week supply of 2.5-milligram (mg) vials is $399, and a four-week supply of 5-mg vials is $529, less than half the list price of other GLP-1 medicines for obesity, according to Eli Lilly.These prices are in line with those offered through Lillys savings program for uninsured people, the company said. But the option to pay out-of-pocket for the vials now expands access to patients who arent eligible for the savings program, such as those on Medicare.Despite obesity being recognized as a serious chronic illness with long-term consequences, its often misclassified as a lifestyle choice, resulting in many employers and the federal government excluding medications like Zepbound from insurance coverage, Jonsson said. Outdated policies and lack of coverage for obesity medications create an urgent need for more innovative solutions. Bringing Zepbound single-dose vials to patients will help more people living with obesity manage this chronic condition. We will also continue to advocate for a system that better aligns with the science.Tirzepatide works by mimicking hormones that stimulate the release of insulin, increase feelings of fullness and reduce appetite. It targets two hormone receptors, GIP and GLP-1. Semgalutide, known as Ozempic for diabetes and Wegovy for weight loss, is also part of this broad class of drugs.The ongoing shortages of tirzepatide and other popular weight-loss drugs have allowed for compounded versions of the treatments with similar or related ingredients to hit the market, with less oversight and regulation from the U.S. Food and Drug Administration.The FDA has issued a warning last month about compounded versions of semaglutide; the agency says that it has received reports of adverse events some requiring hospitalization due to dosing errors related to units of measurement, varying product concentrations and use of multiple-dose vials. Patients should not use a compounded drug if an approved drug is available, the agency has said.Eli Lilly has also raised concerns about the potential risks that compounded versions of its drugs pose to patients. In an open letter in June, the company emphasized that it is the only lawful supplier of FDA-approved tirzepatide medicines and that products from other unverified sources may be fake, counterfeit, or otherwise unsafe products. is our number one priority, and this is a great way for patients to know theyre getting genuine Lilly medicine, said Rhonda Pacheco, group vice president for Lilly U.S. Cardiometabolic Health. Thousands of people use LillyDirect each week, she said.The experience for people who self-inject tirzepatide with a syringe that was filled from a vial would probably be similar to using a prefilled pen and it might come with some added benefits, said Dr. Jody Dushay, an endocrinologist at Beth Israel Deaconess Medical Center and assistant professor of medicine at Harvard Medical School.Its old school, but I have patients with type 1 and 2 diabetes who prefer vial and syringe to pen devices. I dont think it is a much bigger deal to use an insulin syringe vs auto injector, unless someone has severe needle phobia, she wrote in an email. Its not that difficult to draw up a syringe, although the elderly, those with limited dexterity, and those with poor vision will be better off with the auto injector.The syringe and vial might actually allow for some added flexibility in doses, especially for starting levels, Dushay said. Patients could draw up less than 2.5 mg if theyre having severe side effects or less than 5 mg if theyre ready to increase but not quite double the dose.Also, most compounded versions of tirzepatide come in vials, so patients should be especially careful with the source of their medication, she noted.Clinical trial data found that people using 5-mg injections of tirzepatide lost about 15% of their weight after more than a year of treatment, on average.Another recent study found that people using tirzepatide injections lost more weight and were more likely to reach specific weight loss targets than those on semaglutide.

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Small Business Funding

New Orleans ankle monitoring funding plan [Video]

After bonds were set for two teens accused of killing a French Quarter tourist, New Orleans leaders are continuing to advocate for real-time ankle monitoring to prevent future incidents.When Kristie Thibodaux was killed, at least one of the suspects accused in her murder was supposed to be on an ankle monitor.”If that signal had come out that he was outside of his home…during those a.m. hours, he would have been immediately picked up before he even encountered Ms. Thibodaux,” said Orleans Parish District Attorney Jason Williams.Williams emphasized the need for real-time ankle monitoring in the juvenile justice system.”This house is on fire. It’s been on fire for the last couple of years. As it relates to young people not being where they are supposed to be,” Williams said. “An ankle monitor could be the hose pipe to put that fire out. That money needs to be used for that purpose like yesterday.”Funding for ankle monitoring was a topic during Monday’s New Orleans Criminal Justice meeting. In 2022, Councilwoman Helena Moreno said the council set aside more than $4 million for juvenile services, but the funds were never utilized.”There was this money available, and yet nothing went out of the door,” Moreno said.Criminal Justice Commissioner Tenisha Stevens confirmed the lack of funding requests.”I do not have any money in my budget for electronic monitoring since 2018,” Stevens said.Councilwoman Leslie Harris expressed concern over the unspent funds.”I think it does a disservice to our young people who are in the criminal court justice system as well as the people of New Orleans,” Harris said.Harris offered to help allocate the funds as quickly as possible.Williams explained that real-time monitoring would provide immediate alerts for any violations.”I would expect for that money to go very quickly… to a company that is already operating that can do this work today,” Williams said. “So if a kid messes with the monitor at 1:30, someone can be there at 1:35 or 1:40, picking that person up and bringing them into custody.”According to Williams, legislation has been drafted and a plan to on how to spend money for ankle monitoring could be released sometime this week. The deadline for the allocated funds to be spent is in December.

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Small Business Funding

Lowe’s changes some DEI policies amid legal attacks on diversity programs [Video]

Home improvement chain Lowes is scaling back its diversity, equity and inclusion policies, joining the ranks of several other companies that altered their programs since the U.S. Supreme Court outlawed affirmative action in college admissions or after facing a conservative backlash online.Related video above: People share reaction about Harley-Davidson dropping DEI initiativesIn an internal memo shared by Lowe’s with The Associated Press, its executive leadership said the retailer began reviewing its programs following the court’s July 2023 ruling and the company recently decided to combine its resource groups, which were for “individual groups representing diverse sections of our associate population,” into one umbrella organization.The retailer also will no longer participate in an annual survey by the Human Rights Campaign that measures workplace inclusion for LGBTQ+ employees, and will also stop sponsoring and participating in events, such as festivals and parades, that are outside of its business areas.The changes were made to ensure Lowes policies are lawful and aligned with its commitment to include everyone, the memo states.We may make additional changes over time, the companys leadership team said in the memo. What will not change, though, is our commitment to our people.Robby Starbuck, a conservative political commentator who has gone after companies like Tractor Supply and John Deere, took credit for the changes Monday in a post on X, saying he had approached a Lowes executive online last week and detailed his plans to expose the company over its hiring policies and other topics, such as LGBTQ+ employee resource groups and funding for Pride events.However, Lowe’s spokesperson Steve Salazar pushed back on that claim in an email Tuesday, noting that Starbuck’s outreach came after the company already announced changes that had long been in process internally. The company memo did not specify when exactly these changes were implemented but noted that they were discussed at an August 21 meeting.Over the last week, Lowes has knocked down a different claim spreading on social media, in which a digitally-altered image quoted Lowes CEO Marvin Ellison as saying that conservatives who didnt like the companys values should instead shop at rival Home Depot.Lowes CEO did not make this comment, the company wrote on X in response to several users who shared the image. Everyone is welcome at Lowes.For his part, Ellison has diversified the companys ranks, adding more women and ethnically diverse leaders since taking the helm in 2018. Ellison, who is Black and grew up in segregated rural Tennessee, has also been outspoken about racism since the police killing of George Floyd, which sparked major protests for racial justice in 2020.Criticism of such DEI policies has extended well beyond Lowes to companies across all industries. They include boycott calls on social media as well as legal attacks following the Supreme Courts affirmative action ruling, which many anti-DEI activists want to use to set a similar precedent in the working world.Starbuck, who has a sizable following on X, has used the platform as a mega phone to target DEI policies at Tractor Supply, farm equipment maker John Deere, motorcycle manufacturer Harley-Davidson and whiskey maker Jack Daniels. During an interview with The AP last month, the 35-year-old Cuban American said he has a list of companies he is thinking of posting content about, but was starting with ones that have traditionally conservative customer bases.Following an online pressure campaign earlier this summer, Tractor Supply and John Deere ended some diversity measures. Last week, Harley-Davidson backtracked on its DEI policies, though the company noted in its announcement that it has not operated a DEI function since April 2024.Meanwhile, a spokesperson for Jack Daniels’ parent company Brown-Forman said last week that it had adjusted its diversity and inclusion strategy to ensure it continues to drive our business results while appropriately recognizing the current environment in which we find ourselves. Starbuck suggested on X that the company had reacted preemptively after his team looked at employee profiles on LinkedIn.Though the changes are welcomed by conservative activists, DEI advocates say that, by conceding to Starbuck and other right-wing figures, corporations are essentially giving in to hate.Racial justice and LGBTQ inclusion are being, for lack of a better word, sort of scapegoated by a small, organized effort thats really seeking to dictate how companies conduct their business,” said Jen Stark, co-director of the Center for Business and Social Justice at BSR, a consulting network of more than 300 companies.Stark said it’s a challenging environment for companies today, but stressed that a majority are keeping diversity and inclusion programs in place because they make good business sense. However, following last years Supreme Court decision, she noted that businesses need to ensure their DEI programs are on firm ground and avoid overcorrection when and if backlash arrives, which she noted can cause more harm.This isnt just a step backward for workplaces, she said. Its really a retreat from how we normalize practices that remove barriers and impediments for everyone.On Tuesday, the Human Rights Campaign, which Lowe’s is no longer partnering with under its new policy, blasted such retreats from DEI and pointed to potential impacts on companies’ bottom line by turning off LGBTQ+ and other consumers.Orlando Gonzales, HRCs senior vice president of programs, research and training, called the changes shortsighted decisions contrary to safe and inclusive workplaces that would create a snowball effect of negative long-term consequences.” Gonzales also took particular aim at Starbuck arguing companies should not cower to a random guy with zero business experience and that the activist was removed from Tennessee Republican party because he is so extreme.Starbuck, who did not immediately respond to a request for comment Tuesday, said last month that his list included companies perceived as mainstream or middle of the road politically, including Microsoft. For a company such as coffee chain Starbucks, on the other hand, it would be hard to force boycott pressure on them, he said.Stark noted the outcome of the U.S. election will also turn the thermostat, up or down on the DEI conversation. A second term for former President Donald Trump would likely increase pressure against DEI policies with many of Trump’s supporters already signaling ways theyd like to see such practices dismantled whereas his challenger Kamala Harris could have the opposite effect.Some companies are bracing for the prospects of potential changes in terms of their federal contracts, for example, which have historically been a powerful way to promote equity in workplaces. And others may be looking to change language or find new workarounds to existing programs.We could see potentially a resurgence of DEI related efforts or retrenchment,” she said. I think a through line will be that companies will continue again to do this work in practice or in name (but) the degree to which they show up publicly will be dependent on the landscape.”