Thứ Bảy, 27 tháng 10, 2018

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meanwhile top military officials from South Korea and the United States held

their annual military committee meeting in Washington DC on Thursday local time

they discussed a number of issues including the transfer of wartime

operational control according to Seoul's Defense Ministry the chairman of the

nation's Joint Chiefs of Staff General pehangi and his American counterpart

General Joseph Dunford signed a set of agreements guaranteeing wartime OPCON

transfer to South Korea the result of the meeting will be reported at next

week's security consultative meeting between the Allies defense Chiefs where

they are expected to finalize the agreement

For more infomation >> S. Korea, U.S. hold Military Committee Meeting in Washington D.C. - Duration: 0:35.

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White House has invited Putin to Washington - Duration: 1:59.

For more infomation >> White House has invited Putin to Washington - Duration: 1:59.

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Race to the midterms – Pennsylvania - Duration: 10:11.

ROBERT COSTA: Hello. I'm Robert Costa. And welcome to the Washington Week Podcast.

Our discussion this week is a return to my home state of Pennsylvania, which is a

critical battleground in the midterm elections. And it's a conversation with one of

the state's legendary journalists and one of the nation's best: Pulitzer Prize winner

David Shribman. David is the executive editor of the Pittsburgh Post-Gazette and he's

been a friend of Washington Week for many years.

David, welcome, and thanks so much for joining us here tonight.

DAVID SHRIBMAN: It's great to be at a Washington Week reunion.

ROBERT COSTA: It's a reunion for sure. And, David, Pennsylvania - where you live, where

I grew up - it went for President Trump in 2016, and much of that victory can be credited

to the voters near you in the Pittsburgh region.

I vividly remember driving around western Pennsylvania in towns like Aliquippa for The

Washington Post back then and seeing Trump sign after Trump sign after Trump sign in the

industrial areas, the hilly villages, and rural nooks of the state everywhere.

The Trump signs were just up on those lawns. And I went back to my editors the week before

the election and said western PA is Trump country and we've got to pay attention to that.

President Trump was just back there, in Erie to the north, just a couple weeks ago.

PRESIDENT DONALD TRUMP: (From video.) And what does it mean for you?

Jobs, jobs, very simple. What does it mean for our country? What does it mean for our

country? We can't lose the steel industry. The steel industry was on its last legs.

And now, after four months of really intensely doing what I do - (cheers) - it's

thriving. It is thriving.

ROBERT COSTA: David, the president talked about those steelworkers in Pennsylvania two

years on after he won them over in 2016, many of them at least. Where are they?

Are they going to turn out in the midterm elections?

Do they like the president's trade war with China?

DAVID SHRIBMAN: Well, Bob, a lot of those signs you saw in Aliquippa and Greene County

and along the Pennsylvania Turnpike, they're still there, and some of them are fresh.

And many of those signs are saying thank you for - thank you, Mr. President, about coal

and about steel. And as you know, there's very little steel produced here in the steel

city, home of the Steelers, but there's a huge kind of discomfort here because the

workers - steelworkers and their families and their - and their legacy families -

really appreciate the president's views on tariffs. At the same time, steelworkers

officials, union officials, are uncomfortable with Trump and many of his other policies.

So it's a little bit of discomfort, but generally speaking I think that people from the

steel valley and in steel families support the president, they have done so, and will do

so again in early November.

ROBERT COSTA: But to what extent does President Trump's support in the state, in the

western part of the state, carry over to Republican candidates? You think about

Congressman Lou Barletta, running for U.S. Senate against incumbent Democrat Bob Casey.

Barletta's really struggling, behind in the polls.

Is that just because Casey's a powerhouse in the state with a big name, or is it because

President Trump's - his policies, his persona doesn't trickle down?

DAVID SHRIBMAN: I just watched in the last hour the debate, actually, between those two,

and I don't think anyone would describe Bob Casey as a powerhouse kind of a figure.

He's kind of a laconic figure, almost Jesuitical. He did go to Holy Cross. He is

contemplative. He's not bombastic. Lou Barletta was there. He was - tried to go on the

attack, but really these were two really kind of milquetoast candidates. Barletta is

trying to use the - get some of the Trump fairy dust; it's not really working.

He's very, very far behind, and the Republicans nationally are not supporting him because

they know it's basically a lost race.

ROBERT COSTA: Pennsylvania has a real issue with opioid abuse. You hear a lot about health

care, preexisting conditions, opioid abuse across the country as issues. What's it like in Pennsylvania?

DAVID SHRIBMAN: Well, of course, one of the - one of the great areas - not so great,

actually, but one of the most significant areas is here in western Pennsylvania. Our paper

has done an enormous amount of work on this. This came up in that - in that Barletta -

ROBERT COSTA: - Casey debate.

DAVID SHRIBMAN: - debate not so long ago, and you hear a little bit of talk about

opioids across the state - across the state in the eastern part of the state.

Even Republicans are talking about what they're doing on this.

It's a big, big issue here. We've had an enormous amount of deaths.

The president has spoken about it. I think that's something people are concerned about.

But you also mentioned, Robert, preexisting conditions. I was really intrigued the

way Lou Barletta went in this debate this evening just out of his way to say preexisting

conditions, they need to be preserved. And I think you talked about it earlier in

Washington Week that this is really a main theme now of Republicans across the country.

ROBERT COSTA: Because they see the Democrats are getting some traction on the issue.

And you look at the gubernatorial race in Pennsylvania, the incumbent Democrat Tom Wolf

running ahead of the Republican Scott Wagner. It's similar to what's happening - what we

see in the polls in Ohio, Wisconsin, Michigan. Those industrial, Midwestern, Mid-Atlantic states -

DAVID SHRIBMAN: That all went from Trump.

ROBERT COSTA: All went for Trump.

Now seem to be, at least at the gubernatorial contests, veering back toward the Democrats.

DAVID SHRIBMAN: Yes. Now, Tom Wolf, who really - he's the sort of fellow who kind of

makes Bob Casey look exciting. He's doing very, very well. He'll win probably in a

landslide. It's - he'll get a second term, as most Pennsylvania Democrats do.

He's done very, very well. He's talking an enormous amount about opioids.

And I think he's really struck a chord.

ROBERT COSTA: Senator Casey, you say he's not a powerhouse personalitywise. And that's -

DAVID SHRIBMAN: But he's from a powerhouse family.

ROBERT COSTA: Powerhouse family. And he also does not support abortion rights in the

same way many Democrats support abortion rights. Has that cultural position Casey has

on social issues, has that played any role in this contest at all, especially with the

Kavanaugh nomination and confirmation on the Supreme Court?

DAVID SHRIBMAN: You know, I don't think it's played any role at all, because people in

this state - as you know, having grown up here - are accustomed to having a Bob Casey,

his father, be against abortion rights. And so this is really a continuation of a long,

long theme here. Bob - the senior Bob Casey ran I think four times for governor.

People understand this. They know that this is part of the Casey package. They respect

it because they respect any deviation from the mean that seems to come from conscience,

which we know it does in the Casey family. And so I don't think there's been any

controversy whatsoever. Nor have Democrats run away from him traditionally, when he

was auditor general, or now as going for his third term in the Senate.

It's just part of the Casey package.

ROBERT COSTA: You know better than anyone, David, that Pittsburgh - it is known as the

steel city, but there's so much more going on in Pittsburgh. It's a tech hub now.

It's a great city for universities and education.

And when you think about the kind of voters who now live in the Pittsburgh suburbs, and

in Pittsburgh itself, they're similar to who live in Philadelphia and the Philadelphia

suburbs. These are educated professionals.

What do they think in the Pittsburgh suburbs about President Trump?

Are they alarmed enough to really cause a blue wave in some of these suburban districts?

DAVID SHRIBMAN: Well, some of them are. And the more liberal-oriented ones, like

Mount Lebanon, they are so. But in the less-liberal areas, like Upper St. Clair -

these are two of the more prominent suburbs of Pittsburgh - they're far less

opposed to the president. So it's a balancing act there.

But if you go into the city, the city has a nine-to-one Democratic enrollment edge.

And that's really where the Democrats are going to really do very, very well.

ROBERT COSTA: And the state - Pennsylvania doesn't have a woman representing them as any

part of the congressional delegation.

Yet, there are many women now running across the state for different offices.

DAVID SHRIBMAN: In fact, there are 128 women running state - across the state - not

statewide, but across the state for offices. By my count, there's only been two women

who won statewide offices. The last time we had one of those kind of year of the women

was 1972. Lynn Yeakel did not win the race that year. I think there may not be a big

year for women candidates - although more than usual - but it will be a big year for

women voters. And I think there's a slight nuance there, but I think this could be the

year of the women 2.0, but in a different kind of emphasis than year of the women 1.0.

ROBERT COSTA: And on election night, David, where are you going to be and what are you

really looking for in Pennsylvania?

DAVID SHRIBMAN: Well, I will have had three slices of pizza, I'll be at my desk.

And I'm looking to see whether the - in a swing state, there will continue to be a

Republican domination of the congressional delegation. Thirteen of 18 seats, under the

old apportionment, went to the Republicans. And yet, this was regarded as a swing state.

I think there may be - they may do a little less well. Nine districts now lean pretty

much Democratic, five lean Republican, and the rest are pretty much undecided.

So I think it may - it may kind of have a new kind of equilibrium.

ROBERT COSTA: But, David, you said you're going to have three slices of pizza. I

thought - isn't Pittsburgh the city where you get french fries on a sandwich? Isn't that -

DAVID SHRIBMAN: Yeah, but not french fries on the pizza. I just came from the

office and we just had some pizza, and there were no french fries to be seen.

ROBERT COSTA: Well, in the Bucks County area, where I grew up, we have cheesesteaks.

You guys can keep the pizza and the fries on the sandwiches.

But we got to get together in Pittsburgh or Philadelphia area soon, all right?

DAVID SHRIBMAN: OK. Well, I look forward to it. Thank you, Robert.

ROBERT COSTA: And thank you for joining us, David. It's a real pleasure to have you

here. We hope to see you at the table again soon. And thank you all for joining us here on

the Washington Week Podcast. You can find us on your favorite podcast app, on the

Washington Week website, or on YouTube. I'm Robert Costa. See you next time.

For more infomation >> Race to the midterms – Pennsylvania - Duration: 10:11.

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Matthew Shepard Laid To Rest In Washington - Duration: 1:37.

For more infomation >> Matthew Shepard Laid To Rest In Washington - Duration: 1:37.

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Opinion | Political ads want you to be afraid. Very afraid. - Duration: 2:59.

For more infomation >> Opinion | Political ads want you to be afraid. Very afraid. - Duration: 2:59.

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Trump's bomb response devolves into blame game - Duration: 2:58.

For more infomation >> Trump's bomb response devolves into blame game - Duration: 2:58.

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Trump praises arrest of mail bomb suspect - Duration: 2:34.

For more infomation >> Trump praises arrest of mail bomb suspect - Duration: 2:34.

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Washington Huddle Week 8 Social Media HQ - Duration: 2:16.

For more infomation >> Washington Huddle Week 8 Social Media HQ - Duration: 2:16.

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Operation Football: Washington outlasts McGuffey - Duration: 0:58.

For more infomation >> Operation Football: Washington outlasts McGuffey - Duration: 0:58.

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Lynden Trail joins the Washington Huddle on Oct. 26, 2018 - Duration: 1:14.

For more infomation >> Lynden Trail joins the Washington Huddle on Oct. 26, 2018 - Duration: 1:14.

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WEEK 11: Washington vs. Northeast - Duration: 1:40.

For more infomation >> WEEK 11: Washington vs. Northeast - Duration: 1:40.

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Liver and Pancreas Institute for Quality at George Washington University Hospital - Duration: 4:59.

Pancreatic Cancer is one of the most difficult diagnosis and challenging clinical diseases that we face.

Most times patients will develop symptoms that occur fairly advanced in the disease.

And those symptoms could include a darkening of the urine,

a lightening of the stools, and yellowing of the eyes called jaundice.

Typically, if those symptoms occur, the patients should seek medical care right away

and ultimately get to specialty care for the treatment of the underlying tumor.

Patients who have cancers or tumors in the body or tail of the pancreas, which is the end of the pancreas,

typically don't present with those symptoms, but will present with symptoms of abdominal or back pain much later in the course of their disease

and, again, should seek medical attention or specialty care to treat the underlying condition.

Pancreatic Cancer occurs in 40 to 50 thousand patients each year in the United States and is the 4th leading cause of cancer deaths.

The treatments for pancreatic cancer include surgery, chemotherapy, and radiation.

However, the only cure for pancreatic cancer is surgery,

actual removal of the tumor and then reconnection of the remainder of the pancreas and organs to the intestinal track.

Oftentimes, patients will have a combination of surgery,

plus chemotherapy and radiation in order to prevent the tumor from coming back in the future.

Other patients, who present with more advanced disease, can only receive chemotherapy and radiation alone and typically that is not curative.

So, here at George Washington University Hospital, we have two unique treatments for pancreatic cancer;

one, is minimally invasive surgery, and two, is advanced vascular reconstruction,

or blood vessel reconstruction for tumors that are more advanced.

The first technique involves using small incisions and using the camera in the operating room

and long instruments in order to mobilize the tumor and do a resection.

The benefit of that is that there is less pain and a faster recovery after surgery

for patients who undergo minimally invasive surgery.

Therefore, they can go on to get the second stage of their treatment in a much better condition

and much faster than they would if they had undergone traditional open operations.

And as our chemotherapy improves, which it will, then those patients, more likely, will have a better outcome over time.

Second treatment involves patients who have more advanced disease.

One of the unique features about pancreatic cancer is that as it grows,

it can oftentimes involve the blood vessels that carry blood to and from the remainder of the small intestines.

And, traditionally, patients who had those tumors that involved the blood vessels were not considered candidates for surgery

and therefore would get chemotherapy and radiation alone, which we know is not curative.

Now, we are able to offer patients up front radiation treatment to those blood vessels as well as chemotherapy,

and as long as their cancers remain stable, then they are eligible to have a total pancreatectomy,

that is removal of the entire pancreas and also removal of segments of the blood vessels in reconstruction.

And we've seen that those patients do the same as patients who had no blood vessel involvement.

And so, we are able to offer surgery to a much larger proportion of patients

and hopefully end up with a better outcome for a larger pool of patients than would otherwise been offered in the past.

So, one of the more exciting areas of cancer therapy right now are techniques and treatments

that utilize our own immune system to attack cancer cells and we think that this is the future for cancer treatments.

By figuring out why your immune system does not attack cancer like it attacks a bacteria or a virus,

we now have drugs that allow the immune system to recognize cancer cells and therefore go and attack those cancer cells

cells just like they attack a common cold or a common virus.

We think the combination of those therapies

along with the new surgical treatments that we offer here at George Washington University Hospital

will provide better outcomes for patients with pancreatic cancer

and will provide a longer survival for patients with this dismal disease.

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