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Rosanne Cash brings personal stories to the Fox

HANFORD — She remembers everything.

That’s the name of the newest album by musician Rosanne Cash, and as the years go by, it’s getting more important for her to get those experiences recorded on her albums and in her writings.

“There is a sense of urgency,” Cash told the Sentinel. “My regrets would be about what I didn’t do. It would be about not saying, not living out loud and not writing the things I wanted to right.”

Now in her 60s, the artist is thinking more about mortality and those themes appear on the “She Remembers Everything” album, her 14th, in songs like “Not Many Miles to Go” and “8 Gods of Harlem,” which features guests Elvis Costello and Kris Kristofferson.

“I feel like I have more to say and less time to say it in,” she said.

Cash will perform songs from the album at Hanford Fox Theatre alongside husband of nearly 25 years, collaborator and guitarist John Levanthal on Tuesday, Jan. 29.

Cash spoke to the Sentinel from her home in New York, where she said she likes to savor the moments in her own kitchen, sleeping in her own bed before heading out on tour.

“I love performing and I love connecting with an audience, but I’m a little burnt out on travel at this point,” she said. “I’m not 20 anymore.” She added that she feels like the tours will be coasting to a stop sooner rather than later.

Her current tour begins Wednesday in Oregon and continues through May, its last stop marked by a performance in Sacramento.

Cash said that “She Remembers Everything” is comprised of some most personal songs she’s written since perhaps the ‘90s, adding that she wanted to get back to personal songwriting and describes the 10-song collection as “feminine and almost gothic.”

While most of the songs were written before the #MeToo movement gained steam on social media, they harken in some ways to anti-sexual abuse, anti-sexual assault campaign, Cash said.

“There’s trauma and some internal reckoning on this record and rage and love and a strong sense of mortality,” she said.

In addition to music, Cash has written for The New York Times, Newsweek, The Oxford American and has penned four books, including her 2010 memoir, “Composed.”

The book was published about five years after the release of the Oscar-winning film film, “Walk the Line,” which tells the life story of her legendary father, Johnny Cash, and in which Rosanne appears briefly, played by actress Hailey Anne Nelson.

“I did feel that if I didn’t want my story co-opted, I needed to tell it myself. [The movie] was part of the inspiration for writing it. I’ve seen so much written about my family that’s  not correct, that’s twisted or assumed and I just thought, even if no one reads it, I’m going to document my life as it happens.”

She said she would like to pen a follow-up memoir in the future.

It was announced earlier this month that Cash will be honored at the New Haven International Festival of Arts & Ideas this summer and awarded the Visionary Leadership Award.

“I think they said [I’m a trailblazer] or something like that. If that’s true, it’s because I haven’t been afraid to throw everything out and start over. I always feel like a beginner. Feeling like a beginner and being curious, I think, keeps you alive,” she said. “It’s scary and it’s great.”

Raising the bar in diabetes care

HANFORD – Many community members with diabetes will spend less time in the hospital, thanks to improvements that Adventist Health Hanford has made over the last year.

The hospital is the only one in the Central Valley, and one of 86 hospitals nationwide, to earn The Joint Commission’s Gold Seal of Approval for Disease-Specific Care Certification, specifically for diabetes care.

The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care.

The recognition acknowledges the hospital’s advanced diabetes program, which is tailored to meet the unique needs of each patient. In 2017, endocrinologist Prem Sahasranam (Sahas), M.D., and the clinical team noticed a need to standardize care for diabetes patients.

A program was put into place which involved hiring a diabetes educator, scheduling consultations with Sahas, monitoring patients’ blood sugar levels and customizing meal plans during hospital stays.

Diabetic Navigator Rex Jones, a certified diabetes educator at Adventist Health Hanford, said the program utilizes a highly-individualized weight-based approach that uses the patients history to provide advanced in-patient diabetes care.

Typically, if a patient is admitted with hyperglycemia, whether they are a new diabetic or known diabetic, Jones said the hospital runs what is known as an A1C test, which reflects the patient’s blood sugar levels over the past three months.

If there are elevated blood sugar levels, Jones said he will speak to the patient and perform an assessment. Sahas will also consult with the patient to make sure blood sugar is controlled while in hospital.

Jones said education for new diabetics includes recognizing the signs and symptoms, blood sugar testing, and insulin or medication administration, among other topics.

Patients will also speak with a dietitian for any nutritional information they may need and are even issued a follow-up appointment with either Sahas or their primary care provider, depending on their condition, before they leave the hospital.

“We want to make sure to really prevent readmission and that our patients are truly confident leaving the hospital and being able to take care of themselves,” Jones said.

Significant improvements were seen within the first year of implementing the program, including a decrease in dangerous blood sugar levels. The team also noticed a decrease in patients’ time in the hospital and is expecting a decrease in patients returning to the hospital with the same complications.

“With this standardized care, we are now seeing that blood sugar levels are better controlled,” Sahas said. “I’m expecting even better health outcomes for our patients in the months to come.”

Jerald Campbell Jr. knows firsthand the quality of care that is received at Adventist Health Hanford.

Just two weeks ago, Campbell went into the hospital for pain that was caused by an abscess in his leg. Campbell, who was diagnosed with Type 1 diabetes eight years ago and had part of his left leg removed due to the disease, was referred to Sahas and the program.

Campbell said his time talking with Sahas and Jones during his hospital stay was helpful because he learned a lot of information that he previously did not know, including nutritional tips. He said he has since shared some of that information with others in the senior living community where he lives.

In fact, Campbell has nothing but nice things to say about the care he has received at Adventist, saying he has experienced nothing but great service there.

“Adventist Hospital has been real good to me, medical wise,” Campbell said, adding he even loves the hospital’s food.

Jones said the certification gives patients a feeling of ease knowing that nurses and physicians are on board with diabetic care and protocol. He said it is a huge honor, especially knowing the hard work everyone involved with the program, from implementing policies to education, has put into it.

“It’s really nice to see that our hard work has been paid off and that we’re continuing to improve our care here for our patients,” Jones said.

Adventist Health Hanford underwent a rigorous on-site review in November 2018, where Joint Commission experts evaluated compliance with national disease-specific care standards and requirements. Clinical practice guidelines and performance measures also were assessed.

"Adventist Health Hanford has thoroughly demonstrated a high level of care for patients with diabetes,” said Patrick Phelan, executive director, Hospital Business Development, The Joint Commission. “We commend the hospital for becoming a leader in diabetes care, potentially providing a higher standard of service for diabetes patients in its community.”

According to the California Health Interview Survey, 16.2 percent of adults in Kings County have diabetes, compared to the statewide average of 9.9 percent. Diabetes leads to increased rates of hospitalization and death.

Hospitalizations in Kings County due to diabetes exceed 21 per 10,000 people, compared to the statewide average rate of 17, according to the California Office of Statewide Health Planning and Development.

“Establishing a Diabetes Center of Excellence in our hospital allows us to work to decrease this rate and improve patients’ lives,” says Andrea Kofl, president of Adventist Health in the Central Valley. “We’re pleased with our teams for taking the next steps in elevating care for our community.”

Trump's solution hangs in limbo

WASHINGTON — President Donald Trump's proposal to break through the budget deadlock appeared to be gaining little traction Monday, as another missed paycheck loomed for hundreds of thousands of workers and the partial federal shutdown stretched into its fifth week.

Despite the fanfare of the president's announcement, voting in Congress was not expected to unfold until later in the week. Even then it seemed doubtful that legislation based on Trump's plan had any chance of swiftly passing the Senate. Republicans hold a 53-47 majority but would need Democrats to reach the usual 60-vote threshold for bills to advance.

Not a single Democrat publicly expressed support for the deal in the 48 hours since Trump announced it. Senate Democratic leader Chuck Schumer's office reiterated Monday they that are unwilling to negotiate any border security funding until Trump re-opens the government.

"Nothing has changed with the latest Republican offer," said Schumer spokesman Justin Goodman. "President Trump and Senate Republicans are still saying: 'Support my plan or the government stays shut.' That isn't a compromise or a negotiation — it's simply more hostage taking."

While the House and Senate are scheduled to be back in session today, no votes have been scheduled so far on Trump's plan. Senators, who will be given 24-hour notice ahead of voting, have yet to be recalled to Washington.

McConnell spokesman David Popp said Monday that the GOP leader "will move" to voting on consideration of the president's proposal "this week."

Trump, who on Sunday lashed out at House Speaker Nancy Pelosi, accusing her of acting "irrationally," continued to single her out on Twitter.

"If Nancy Pelosi thinks that Walls are "immoral," why isn't she requesting that we take down all of the existing Walls between the U.S. and Mexico," he wrote Monday. "Let millions of unchecked 'strangers' just flow into the U.S."

House Democrats this week are pushing ahead with voting on their own legislation to re-open the government and add $1 billion for border security —including 75 more immigration judges and infrastructure improvements — but no funding for the wall.

Trump later tweeted: "Democrats are kidding themselves (they don't really believe it!) if they say you can stop Crime, Drugs, Human Trafficking and Caravans without a Wall or Steel Barrier. Stop playing games and give America the Security it deserves. A Humanitarian Crisis!"

Trump on Saturday offered to extend temporary protections for young immigrants brought to the country illegally as children and those fleeing disaster zones for three years in exchange for $5.7 billion for his border wall. Democrats said the proposal for a three-year extension didn't go far enough, and that Trump was using as leverage programs that he targeted. Meanwhile, some on the right, including conservative commentator Ann Coulter, accused Trump of offering "amnesty."

"No, Amnesty is not a part of my offer," Trump tweeted Sunday, in response. He noted that he offered temporary protections for the immigrants in question, but added: "Amnesty will be used only on a much bigger deal, whether on immigration or something else."

That statement led some to suggest that Trump might be open to including a potential pathway to citizenship for the young "Dreamer" immigrants in a future proposal to end the standoff.

Asked in an interview on "Fox News Sunday" whether Trump's Saturday proposal represented a "final offer," Vice President Mike Pence said the White House was willing to negotiate.

"Well, of course," Pence said. "The legislative process is a negotiation."

World economy forecast to slow

DAVOS, Switzerland — The world economy absorbed more bad news Monday: The International Monetary Fund cut its growth forecast for 2019. And China, the world's second-biggest economy, said it had slowed to its weakest pace since 1990.

The IMF cut its estimate for global growth this year to 3.5 percent, from the 3.7 percent it had predicted in October and down from 2018's 3.7 percent. The fund cited heightened trade tensions and rising interest rates.

"After two years of solid expansion, the world economy is growing more slowly than expected and risks are rising," said IMF Managing Director Christine Lagarde as she presented the forecasts at the World Economic Forum in Davos, Switzerland.

The IMF is not alone in its pessimism. The World Bank, the Organization for Economic Cooperation and Development and other forecasters have also downgraded their world growth estimates.

Among the key concerns is the Chinese economy. The country is slowing just as its leadership tries to turn it into a more modern economy by reducing its reliance on manufacturing and exports and increasing consumer spending.

The country reported Monday growth of 6.6 percent in 2018, the weakest since 1990. Demand for Chinese exports weakened last year and the IMF expects China's growth to decelerate again this year — to 6.2 percent.

The IMF left its prediction for U.S. growth this year unchanged at 2.5 percent — though a continuation of the partial 31-day shutdown of the federal government poses a risk.

The IMF trimmed the outlook for the 19 countries that use the euro as their currency to 1.6 percent from 1.8 percent. Germany got a big downgrade from the IMF, the result of weaker demand for German exports and problems in the country's auto industry.

Britain's messy divorce from the European Union and Italy's ongoing financial struggles also pose threats to growth in Europe.

Emerging-market countries are forecast to slow to 4.5 percent from 4.6 percent in 2018. That is partly a result of China's deceleration, which pinches developing countries that supply it with raw materials such as copper and iron ore.

"China's growth slowdown could be faster than expected especially if trade tensions continue, and this can trigger abrupt sell-offs in financial and commodity markets" — something that happened when Chinese growth sputtered in 2015, said IMF chief economist Gita Gopinath.

Under President Donald Trump, the United States has imposed import taxes on steel, aluminum and hundreds of Chinese products, drawing retaliation from China and other U.S. trading partners.

"Higher trade uncertainty will further dampen investment and disrupt global supply chains," Gopinath said.

Rising interest rates in the U.S. and elsewhere are also pinching emerging-market governments and companies that borrowed heavily when rates were ultra-low in the aftermath of the 2007-2009 Great Recession.

As the debts roll over, those borrowers have to refinance at higher rates. A rising dollar is also making things harder for emerging-market borrowers who took out loans denominated in the U.S. currency.