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Hmmm . . . not to doubt your word or anything, but are you sure your diagnosis (and your aunt’s) was pancreatic cancer and not pancreatitis? The latter is an It’s True, It’s Damn True Kurt Angle Ugly Sweater (and very painful) condition that can be completely cured or it can become chronic, controlled by diet and medications but subject to occasional flare-ups. Chronic pancreatitis can lead to pancreatic cancer, but pancreatic cancer can occur without any prior pancreatitis. Diabetes is a risk factor for both pancreatitis and pancreatic cancer. Pancreatic cancer (not to be confused with pancreatic endocrine tumors) is extremely rare in persons under 40, and it has very low survival rates — on average less than 5% of persons with pancreatic cancer will survive 5 years. That rate is somewhat better — about 16% — if the cancer is discovered when it is still localized to the pancreas, but this occurs in less than 20% of cases. Symptoms of early-stage pancreatic cancer are vague and often mistaken for other less serious conditions or even just tolerated and ignored. Given your family history with pancreatic conditions, your mother would be well advised to be extra vigilant about any possible symptoms: pain in the upper abdomen or back, loss of appetite, unexplained weight loss, fatigue, nausea and vomiting, yellow eyes or skin or dark urine (jaundice). However, almost none of these symptoms become noticeable until the disease is past the earliest, most survivable stage.

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Rugby has something the NFL lacks — the tantalising prospect of representing your country in a meaningful international competition. In the 24 years of pro Rugby Union, the USA have traditionally had a rag-tag bunch of professional players ranging from second generation migrants from rugby playing families like Samu Manoa, who was playing amatuer rugby in the US and was talent scouted from a US reserve team tour into the top flight of European club rugby, to players like former USA captain Chris Wyles who was born in the states but moved to England as a It’s True, It’s Damn True Kurt Angle Ugly Sweater and played his rugby in Europe. One of the guys from our school team in England ended up playing for the USA at the Rugby World Cup because he had an American born mother. Other USA players like AJ McGinty (who is Irish and plays for an English club) qualify for the USA national team via residency after studying there. If rugby takes off in the US as a semi-pro / pro club game, there is every likelihood of good college footballers switching sports and America producing a team of majority home-grown talent, but unlikely it will include many ex-NFL players, if any.

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