Genç hekimin Soner Yalçın'a mektubu üzerine

medikritik Çar, 27/11/2019 - 10:31

Eren Öztürk’ün “Kara Kutu” ile ilgili Soner Yalçın eleştirisini okuyunca insanın zayıflamış umutları depreşiyor. Bilimsel ve sosyal konularda pek çok akademisyenin ilgi ve bilgi düzeyini gördükçe, bir tıp öğrencisinden böyle nitelikli bir yazı okumak sevindirici bir şey. Yalnızca ilgi, bilgi ve duyarlılık yok, aynı zamanda dili ve kurgusuyla da iyi bir makale. 

Aşılar konusundan başlarsak: Önce son 100-120 yıldır insanın yaşam süresi neden bu kadar devrimsel oranda uzadı sorusunu sormak gerekir. Bunu birçok başka kitap dışında özellikle Dr. Akif Akalın’ın çevirdiği ve yazdığı “toplumcu tıp” kitaplarından öğreniyoruz. İnsan yaşamının uzamasında ilk büyük sıçramayı yaratan şey, tıpla doğrudan bağlı görülmeyecek, ama göbekten bağlı bir gelişmedir. İngiltere ve Batı Avrupa’da geniş yoksul kesimlerin yaşadığı semtlere temiz su ve kanalizasyon götürülmesi! O mahallerin ve o evlerin en temel düzeyde sağlıklı hale getirilmesi… 

İnsanın ortalama yaşamında devrimsel oranda sıçrama yaratan öteki iki şey ise 1- Antibiyotikler, 2- Aşılardır. İşte Soner Yalçın’ın bilerek ya da bilmeden saldırdığı iki şey sosyal tıbbın ya da halk sağlığının en büyük iki silahıdır. 

Soner Yalçın’ın antibiyotikler hakkında söylediği birçok şey gerçi doğru. Son elli yıldır leblebi çekirdek gibi tüketilmesi, gerek vatandaşın, gerekse doktor ve eczacıların aşırı ve kötüye kullanımları ciddi sorunlar yaratmakta. Ancak zaten o konuda, beğenmediğimiz devlet bile ciddi önlemler alıyor. Sayın Soner Yalçın her konuda olduğu gibi bu konuda da bazı temel doğrularla birtakım kulaktan dolma yanlış bilgileri ve şehir efsanelerini harmanlayarak ilgi uyandırmayı seçiyor. Ne var ki bu taktik o bahsettiği doğruları itibarsızlaştırıyor.  Birtakım ilaçların yan etkilerinden dolayı sonradan yasaklanması, ilaç şirketlerinin aşırı kâr hırsıyla insan sağlığını riske atması, yaşanan gerçekler. Fakat tüm bunlar uyanıklığı, sorguyu, sosyalist bir tıp anlayışını doğurmalı. İlaçlara karşı genel bir güvensizliğe, tüm antibiyotiklerin “tu-kaka” ilan edilmesine yol açmamalı. Bilimin sorunları o bilim ne kadar yolundan sapsa da bilim içinde çözülmeli. 

Eren Öztürk’ün “modern tıbbın sorunlarının” “modern tıp dışı yöntemlerle” nasıl çözüldüğüne, daha doğrusu çözülemediğine dair yaklaşımı ve örnekleri gayet yerinde. 

Aşı muhalifliği ise bu çözümsüzlüğün en uç, en sorumsuz noktası. Fakat elbette aşılar da bilimsel anlamda tartışılmalı, onun da aşırı ve kötüye kullanımları önlenmeli. Ne var ki özellikle bizim gibi ülkelerde bu konu kişisel inisiyatiflere asla bırakılmamalı. Çünkü salgın hastalıklar kişisel ve özel karar alanları değildir. Öztürk’ün belirttiği gibi aşıları daha önce yapabildiğimiz gibi kendimiz üretmeliyiz. Sadece aşıları değil mevcut ilaçları ve yeni bulacağımız ilaçları da ülke olarak kendimiz üretebilmeliyiz. Soner Yalçın’ın da uyarısı doğrultusunda ilaç kalitelerini sürekli denetleyebilmeliyiz. Tüm bunlar hem doğrudan ölüm-kalım meselesidir, hem maliyet hesapları, ilaca ulaşılabilirlik ve ülke bağımsızlığı ile ilgili temel sorunlardır. 

İKİ İTİRAZIM VAR

Fakat değerli Öztürk’e iki noktada itirazım var. Biri gebelerde şeker yükleme testi ile ilgili. Epey bir süredir bu konuyu tartışıyoruz, “şeker yüklemeci” doktor arkadaşlar henüz beni ikna edebilmiş, sorularıma tatmin edici bir cevap vermiş değiller. Bilimsel iddiadaki argümanları şu: Gebelerde diyabet ortaya çıkacaksa kritik bir 5-6 haftalık dönemde çıkma olasılığı yüksekmiş. İşte o dönemde yapılan şeker yükleme testi ile erken tanı sağlanabiliyormuş. Gebenin ve ceninin sağlığı bu şekilde korunuyormuş. Peki bu kritik 5-6 haftalık dönemin son gününü nasıl saptayıp o günde test yapıyorlar? Hiç de öyle bir şey yapmıyor, herhangi bir günde yapıyorlar. O halde test yapıldıktan sonraki günlerde, haftalarda diyabet ortaya çıkarsa ne olacak? Üstelik diyabet illa o en yüksek olasılıklı dönemde çıkmayabilir, sonraki haftalarda da çıkabilir. Şeker yüklemesi negatif çıkan gebe bu yöntemle demek ki kendini sağlıklı sayacak ve aylarca diyabetle birlikte yaşayacak. Oysa bunun yerine önerdiğimiz şey son derece ucuz bir seçenek olarak açlık kan şekeri düzeyi ölçümünün gebelik boyunca birkaç haftada bir yinelenmesi. Ayda bir de hemoglobin A-1c ölçümü yapılırsa iş taçlanır. Ancak sadece şeker ölçümü bile yeterli. Uygulanırsa çok daha iyi sonuçlar alınabilir. 

Testte verilen ve o “az” denen şeker miktarı hiç de az değil ve kadın doğum uzmanlarının vermeyi pek sevdiği “bir dilim pasta” örneği yanıltıcı. Miktar hem fazla ve hem de bir dilim pastadan çok farklı bir içerik söz konusu. Üstelik bu test sıkça gördüğümüz gibi bir kez değil, birçok kez de yapılabiliyor. Yüklemeyle diyabeti gösteren miktar neden kendi başına diyabeti tetiklemesin? Modern tıbbın başta radyolojik tetkikler olmak üzere sıklıkla kötüye kullandığı tüm agresif tetkik yöntemleri sorgulanmalı. 

Bazı ülkeler bu yöntemi uygulamıyor. Örneğin toplum sağlığında örnek ülke Küba’da sadece riskli gebelere uygulanıyor ve o bile tartışılıyor. 

İkinci itiraz noktam ise değerli Öztürk’ün şu sözüne: “Emin olun, ilaç endüstrisi en çok sağlık camiasında eleştiriliyor.” Keşke öyle olsaydı. Bizler “Tıp Bu Değil” kitaplarının yazarları olarak bu konuları yıllardır gündeme getirmeye çalıştığımız halde üstünü en çok örten, en çok görmezden gelen, gargaraya getirmeye çalışan doktorlar ve sağlıkçılar oldu. Doğrudur, birtakım siyasi bildirilerde, TTB’nin kimi söylemlerinde yoğun bir anti-kapitalizm var gibi… Ama sadece “gibi”. Biz on yıllardır mücadele ediyoruz, hekimler hem de “muhalif” hekimler arasında ne aşırı tetkike, ne aşırı teşhise, ne aşırı tedaviye hevesi önleyebildik ne de koruyucu hekimliğe, sosyal tıbba bir eğilim yaratabildik. 

Çok ağır ve neredeyse hakarete varan eleştirilerimize karşın hala medikal şirketler sponsorluğunda kongreler dışında “bilimsel kongre” yok gibi… Ve hekimler bireysel olarak ve de örgütsel anlamda uzmanlık dernekleri ve onlardan aidat alan TTB vasıtasıyla bundan nemalanmaya devam ediyorlar. Böyle bir ortamda bilim ve bilimsel tartışma ne derece güçlenebilir? 

Hüsnüniyetin (iyiye yorma ve yorumlamanın) karşılığını gerçekte bulmasını elbette tüm kalbimizle dileriz. Konuya bu yaşta Eren Öztürk gibi nitelikli bakanların sayısı arttıkça belki o günleri göreceğiz. O konuda genç sağlıkçılara, doktorlara büyük iş düşüyor. 

Yine de tıp ve sağlık işleri sadece doktorların konuşacağı bir tabu değildir. Öztürk belirtmiş: Toplum da bilinçlenmeli ve bilinçli hastalar istiyoruz. Akalın’ın sık yinelediği gibi: “Sağlık sadece doktorlara bırakılamayacak kadar ciddi bir konudur.” Toplum, halk bilinçlenmeli, örgütlenmeli, kendi sağlığı için baskı gücü oluşturmalı. Devlete karşı, politikacılara karşı ve tabii doktorlara karşı da bir baskı gücü oluşturmalı. Örneğin güçlü biçimde şu sesi yükseltebilmeli: “Sigaraya karşı büyük kampanyalar ve devamlı bir karşı propaganda yapıyorsunuz. Güzel ve doğru. Ama o konuda gerçekten samimiyseniz fabrikaların baca filtresiz çalışmasına nasıl izin veriyorsunuz?” 

Bunu diyecek kitle Soner Yalçın kitaplarıyla oluşmaz. Aksine oluşacağı varsa da oluşmaz. 

Kaan Arslanoğlu

http://www.medikritik.com/haberler/tip-fakultesi-ogrencisinden-soner-ya…

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Darrengot (doğrulanmamış) Çar, 04/06/2025 - 20:59

Elon Musk stood next to President Donald Trump in the Oval Office on Friday, but the physical proximity belied a growing philosophical divide between two of the world's most powerful men, resulting in the tech mogul's abrupt announcement that he is departing Washington — without having achieved his goal of decimating the federal government.
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Trump took a more charitable view of Musk's tenure during a sprawling news conference in which he also declined to rule out pardoning Sean "Diddy" Combs, who is on trial on charges of sex trafficking and other alleged crimes; said he dislikes "the concept" of former first lady Jill Biden being forced to testify before Congress about her husband's mental fitness; and predicted again that Iran is on the cusp of making a deal that would suspend its pursuit of nuclear weapons.
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In a battle of plutocrats against populists, Bannon, a longtime advocate for reducing the size and scope of government, found Musk's methods and policy preferences to be sharply at odds with those of the MAGA movement. So, ultimately, did Musk, who broke with Trump repeatedly on agenda items as narrow as limiting visas for foreign workers and as broad as Trump's signature "big beautiful" budget bill — which Musk belittled for threatening to add trillions of dollars to the national debt.

“I was, like, disappointed to see the massive spending bill, frankly, which increases the budget deficit, not just decrease it, and undermines the work that the DOGE team is doing," Musk said in an interview with CBS' "Sunday Morning," which will air this weekend.
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Musk has argued that inertia throttled his efforts to reduce government spending — a conclusion that raises questions about whether he was naive about the challenge of the mission he undertook.

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Darrengot (doğrulanmamış) Per, 05/06/2025 - 16:02

Elon Musk stood next to President Donald Trump in the Oval Office on Friday, but the physical proximity belied a growing philosophical divide between two of the world's most powerful men, resulting in the tech mogul's abrupt announcement that he is departing Washington — without having achieved his goal of decimating the federal government.
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Trump took a more charitable view of Musk's tenure during a sprawling news conference in which he also declined to rule out pardoning Sean "Diddy" Combs, who is on trial on charges of sex trafficking and other alleged crimes; said he dislikes "the concept" of former first lady Jill Biden being forced to testify before Congress about her husband's mental fitness; and predicted again that Iran is on the cusp of making a deal that would suspend its pursuit of nuclear weapons.
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In a battle of plutocrats against populists, Bannon, a longtime advocate for reducing the size and scope of government, found Musk's methods and policy preferences to be sharply at odds with those of the MAGA movement. So, ultimately, did Musk, who broke with Trump repeatedly on agenda items as narrow as limiting visas for foreign workers and as broad as Trump's signature "big beautiful" budget bill — which Musk belittled for threatening to add trillions of dollars to the national debt.

“I was, like, disappointed to see the massive spending bill, frankly, which increases the budget deficit, not just decrease it, and undermines the work that the DOGE team is doing," Musk said in an interview with CBS' "Sunday Morning," which will air this weekend.
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"I love the gold on the ceiling," he said.

Musk has argued that inertia throttled his efforts to reduce government spending — a conclusion that raises questions about whether he was naive about the challenge of the mission he undertook.

“The federal bureaucracy situation is much worse than I realized,” he told The Washington Post this week. “I thought there were problems, but it sure is an uphill battle trying to improve things in D.C., to say the least.”

On Friday, he drew an implicit parallel between American government and the Nazi regime that committed a genocide, invoking the "banality of evil" that Hannah Arendt used to describe the atrocities in Germany.
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Brucebek (doğrulanmamış) Per, 05/06/2025 - 17:18

On Friday morning, West Coast port officials told CNN about a startling sight: Not a single cargo vessel had left China with goods for the two major West Coast ports in the past 12 hours. That hasn’t happened since the pandemic.
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Six days ago, 41 vessels were scheduled to depart China for the San Pedro Bay Complex, which encompasses both the Port of Los Angeles and Port of Long Beach in California. On Friday, it was zero.
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President Donald Trump’s trade war imposed massive tariffs on most Chinese imports last month. That’s led to fewer ships at sea carrying less cargo to America’s ports. For many businesses, it is now too expensive to do business with China, one of America’s most important trading partners.

Officials are concerned not just about the lack of vessels leaving China, but the speed at which that number dropped.

“That’s cause for alarm,” said Mario Cordero, the CEO of the Port of Long Beach. “We are now seeing numbers in excess of what we witnessed in the pandemic” for cancellations and fewer vessel arrivals.

The busiest ports in the country are experiencing steep declines in cargo. The Port of Long Beach is seeing a 35-40% drop compared to normal cargo volume. The Port of Los Angeles had a 31% drop in volume this week, and the Port of New York and Jersey says it’s also bracing for a slowdown. On Wednesday, the Port of Seattle said it had zero container ships in the port, another anomaly that hasn’t happened since the pandemic.

“That’s because just nothing is being shipped over,” port commissioner Ryan Calkins told CNN’s Kaitlan Collins.

JeffreySkene (doğrulanmamış) Per, 05/06/2025 - 17:36

On Friday morning, West Coast port officials told CNN about a startling sight: Not a single cargo vessel had left China with goods for the two major West Coast ports in the past 12 hours. That hasn’t happened since the pandemic.
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Six days ago, 41 vessels were scheduled to depart China for the San Pedro Bay Complex, which encompasses both the Port of Los Angeles and Port of Long Beach in California. On Friday, it was zero.
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President Donald Trump’s trade war imposed massive tariffs on most Chinese imports last month. That’s led to fewer ships at sea carrying less cargo to America’s ports. For many businesses, it is now too expensive to do business with China, one of America’s most important trading partners.

Officials are concerned not just about the lack of vessels leaving China, but the speed at which that number dropped.

“That’s cause for alarm,” said Mario Cordero, the CEO of the Port of Long Beach. “We are now seeing numbers in excess of what we witnessed in the pandemic” for cancellations and fewer vessel arrivals.

The busiest ports in the country are experiencing steep declines in cargo. The Port of Long Beach is seeing a 35-40% drop compared to normal cargo volume. The Port of Los Angeles had a 31% drop in volume this week, and the Port of New York and Jersey says it’s also bracing for a slowdown. On Wednesday, the Port of Seattle said it had zero container ships in the port, another anomaly that hasn’t happened since the pandemic.

“That’s because just nothing is being shipped over,” port commissioner Ryan Calkins told CNN’s Kaitlan Collins.

DavidOxima (doğrulanmamış) Per, 05/06/2025 - 19:03

On Friday morning, West Coast port officials told CNN about a startling sight: Not a single cargo vessel had left China with goods for the two major West Coast ports in the past 12 hours. That hasn’t happened since the pandemic.
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Six days ago, 41 vessels were scheduled to depart China for the San Pedro Bay Complex, which encompasses both the Port of Los Angeles and Port of Long Beach in California. On Friday, it was zero.
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President Donald Trump’s trade war imposed massive tariffs on most Chinese imports last month. That’s led to fewer ships at sea carrying less cargo to America’s ports. For many businesses, it is now too expensive to do business with China, one of America’s most important trading partners.

Officials are concerned not just about the lack of vessels leaving China, but the speed at which that number dropped.

“That’s cause for alarm,” said Mario Cordero, the CEO of the Port of Long Beach. “We are now seeing numbers in excess of what we witnessed in the pandemic” for cancellations and fewer vessel arrivals.

The busiest ports in the country are experiencing steep declines in cargo. The Port of Long Beach is seeing a 35-40% drop compared to normal cargo volume. The Port of Los Angeles had a 31% drop in volume this week, and the Port of New York and Jersey says it’s also bracing for a slowdown. On Wednesday, the Port of Seattle said it had zero container ships in the port, another anomaly that hasn’t happened since the pandemic.

“That’s because just nothing is being shipped over,” port commissioner Ryan Calkins told CNN’s Kaitlan Collins.

GregoryNearl (doğrulanmamış) Per, 05/06/2025 - 19:22

“This is a very serious legal matter, not Barnum & Bailey’s Circus,” the spokesperson also said. “The defendants continue to publicly intimidate, bully, shame and attack women’s rights and reputations.”
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Lively accused Baldoni of sexual harassment and retaliation in a complaint first filed with the California Civil Rights Department in December, preceding a lawsuit that followed about a week later. She also claimed that Baldoni, along with his PR representatives, orchestrated a “social manipulation campaign” to hurt her reputation in the media while they were promoting “It Ends with Us,” their 2024 film at the center of the dispute.
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In an amended complaint filed in February, Lively alleged other women also raised claims about Baldoni’s behavior on set.

Baldoni has denied the allegations.

Along with Lively, Reynolds is named as a defendant in the $400 million defamation lawsuit Baldoni filed in January.

Baldoni has accused Reynolds of assisting Lively in “hijacking” his film and taking down his career. He claimed that Reynolds, who had no formal role on “It Ends With Us,” re-wrote a scene and made “unauthorized changes to the script in secret.” Baldoni also accused Reynolds of reprimanding him at the couple’s home in New York and alleged Reynolds made fun of him in “Deadpool & Wolverine,” mirroring the character Nicepool after Baldoni in an effort to mock him.

An attorney for Reynolds filed a request for him to be dropped as a defendant from Baldoni’s suit, claiming that his argument against Reynolds has no legal bounds and amounts to “hurt feelings.”

The trial in the case is set for March 2026.

Stevengok (doğrulanmamış) Per, 05/06/2025 - 20:49

Arzteprasident Klaus Reinhardt warnte vor gravierenden Versorgungslucken und hob die Bedeutung eines geplanten Primararztsystems hervor.
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Mehr zum Thema – "Vollig losgelost" – GroKo degradiert Lauterbach in den Ausschuss fur Raumfahrt

Durch die Sperrung von RT zielt die EU darauf ab, eine kritische, nicht prowestliche Informationsquelle zum Schweigen zu bringen. Und dies nicht nur hinsichtlich des Ukraine-Kriegs. Der Zugang zu unserer Website wurde erschwert, mehrere Soziale Medien haben unsere Accounts blockiert. Es liegt nun an uns allen, ob in Deutschland und der EU auch weiterhin ein Journalismus jenseits der Mainstream-Narrative betrieben werden kann. Wenn Euch unsere Artikel gefallen, teilt sie gern uberall, wo Ihr aktiv seid. Das ist moglich, denn die EU hat weder unsere Arbeit noch das Lesen und Teilen unserer Artikel verboten. Anmerkung: Allerdings hat Osterreich mit der Anderung des "Audiovisuellen Mediendienst-Gesetzes" am 13. April diesbezuglich eine Anderung eingefuhrt, die moglicherweise auch Privatpersonen betrifft. Deswegen bitten wir Euch bis zur Klarung des Sachverhalts, in Osterreich unsere Beitrage vorerst nicht in den Sozialen Medien zu teilen.
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JesseTypef (doğrulanmamış) Per, 05/06/2025 - 21:55

Giselle Ruemke was a Canadian traveler in her 50s who had, it turned out, a number of things in common with Savery Moore.
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For one, she’d always wanted to travel across Canada on The Canadian. “Taking the train was one of these bucket list things for me,” Giselle tells CNN Travel today.

And, like Savery, Giselle’s spouse had recently died of cancer.

Giselle and her late husband Dave had been friends for decades before they started dating. Within a few whirlwind years they’d fallen in love, got married and navigated Dave’s cancer diagnosis together.
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Then Dave passed away in the summer of 2023, leaving Giselle unmoored and unsure of the future.

In the wake of her grief, booking the trip on The Canadian seemed, to Giselle, “like a good way to connect with myself and see my country, refresh my spirit, a little bit.”

Like Savery, Giselle had always dreamed of taking the VIA Rail Canadian with her late spouse. And like Savery, she’d decided traveling solo was a way of honoring her partner.

“That trip is something that I would have really liked to have done with my husband, Dave. So that was why I was taking the train,” Giselle says today.

But unlike Savery, Giselle hadn’t booked prestige class. She admits she was “sticking it to the man” in her own small way by sitting in the reserved seats that first day.

She’d only moved when Savery arrived. She tells CNN Travel, laughing, that she’d thought to herself: “I better get out of the seat, in case someone prestige wants to sit in that spot.”

Giselle didn’t tell Savery any of this in their first conversation. In fact, she didn’t share much about her life at all in that first encounter.

But Giselle liked his company right away. He was friendly, enthusiastic and respectful — sharing that he was a widower and indicating he knew about Giselle’s loss without prying about the circumstances.

As for Savery, he says, it was “the common bond, the losses of our respective loved ones” that first made him feel a connection to Giselle. But it was also obvious that for Giselle, the loss was much fresher. She clearly didn’t want to talk about Dave that day.

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Michaeletesk (doğrulanmamış) Per, 05/06/2025 - 22:47

“This is a very serious legal matter, not Barnum & Bailey’s Circus,” the spokesperson also said. “The defendants continue to publicly intimidate, bully, shame and attack women’s rights and reputations.”
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Lively accused Baldoni of sexual harassment and retaliation in a complaint first filed with the California Civil Rights Department in December, preceding a lawsuit that followed about a week later. She also claimed that Baldoni, along with his PR representatives, orchestrated a “social manipulation campaign” to hurt her reputation in the media while they were promoting “It Ends with Us,” their 2024 film at the center of the dispute.
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In an amended complaint filed in February, Lively alleged other women also raised claims about Baldoni’s behavior on set.

Baldoni has denied the allegations.

Along with Lively, Reynolds is named as a defendant in the $400 million defamation lawsuit Baldoni filed in January.

Baldoni has accused Reynolds of assisting Lively in “hijacking” his film and taking down his career. He claimed that Reynolds, who had no formal role on “It Ends With Us,” re-wrote a scene and made “unauthorized changes to the script in secret.” Baldoni also accused Reynolds of reprimanding him at the couple’s home in New York and alleged Reynolds made fun of him in “Deadpool & Wolverine,” mirroring the character Nicepool after Baldoni in an effort to mock him.

An attorney for Reynolds filed a request for him to be dropped as a defendant from Baldoni’s suit, claiming that his argument against Reynolds has no legal bounds and amounts to “hurt feelings.”

The trial in the case is set for March 2026.

Robertsmaws (doğrulanmamış) Per, 05/06/2025 - 22:57

Giselle Ruemke was a Canadian traveler in her 50s who had, it turned out, a number of things in common with Savery Moore.
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For one, she’d always wanted to travel across Canada on The Canadian. “Taking the train was one of these bucket list things for me,” Giselle tells CNN Travel today.

And, like Savery, Giselle’s spouse had recently died of cancer.

Giselle and her late husband Dave had been friends for decades before they started dating. Within a few whirlwind years they’d fallen in love, got married and navigated Dave’s cancer diagnosis together.
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Then Dave passed away in the summer of 2023, leaving Giselle unmoored and unsure of the future.

In the wake of her grief, booking the trip on The Canadian seemed, to Giselle, “like a good way to connect with myself and see my country, refresh my spirit, a little bit.”

Like Savery, Giselle had always dreamed of taking the VIA Rail Canadian with her late spouse. And like Savery, she’d decided traveling solo was a way of honoring her partner.

“That trip is something that I would have really liked to have done with my husband, Dave. So that was why I was taking the train,” Giselle says today.

But unlike Savery, Giselle hadn’t booked prestige class. She admits she was “sticking it to the man” in her own small way by sitting in the reserved seats that first day.

She’d only moved when Savery arrived. She tells CNN Travel, laughing, that she’d thought to herself: “I better get out of the seat, in case someone prestige wants to sit in that spot.”

Giselle didn’t tell Savery any of this in their first conversation. In fact, she didn’t share much about her life at all in that first encounter.

But Giselle liked his company right away. He was friendly, enthusiastic and respectful — sharing that he was a widower and indicating he knew about Giselle’s loss without prying about the circumstances.

As for Savery, he says, it was “the common bond, the losses of our respective loved ones” that first made him feel a connection to Giselle. But it was also obvious that for Giselle, the loss was much fresher. She clearly didn’t want to talk about Dave that day.

Danielcrerb (doğrulanmamış) Cu, 06/06/2025 - 00:54

On Friday morning, West Coast port officials told CNN about a startling sight: Not a single cargo vessel had left China with goods for the two major West Coast ports in the past 12 hours. That hasn’t happened since the pandemic.
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Six days ago, 41 vessels were scheduled to depart China for the San Pedro Bay Complex, which encompasses both the Port of Los Angeles and Port of Long Beach in California. On Friday, it was zero.
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President Donald Trump’s trade war imposed massive tariffs on most Chinese imports last month. That’s led to fewer ships at sea carrying less cargo to America’s ports. For many businesses, it is now too expensive to do business with China, one of America’s most important trading partners.

Officials are concerned not just about the lack of vessels leaving China, but the speed at which that number dropped.

“That’s cause for alarm,” said Mario Cordero, the CEO of the Port of Long Beach. “We are now seeing numbers in excess of what we witnessed in the pandemic” for cancellations and fewer vessel arrivals.

The busiest ports in the country are experiencing steep declines in cargo. The Port of Long Beach is seeing a 35-40% drop compared to normal cargo volume. The Port of Los Angeles had a 31% drop in volume this week, and the Port of New York and Jersey says it’s also bracing for a slowdown. On Wednesday, the Port of Seattle said it had zero container ships in the port, another anomaly that hasn’t happened since the pandemic.

“That’s because just nothing is being shipped over,” port commissioner Ryan Calkins told CNN’s Kaitlan Collins.

Donaldsog (doğrulanmamış) Cu, 06/06/2025 - 02:04

On Friday morning, West Coast port officials told CNN about a startling sight: Not a single cargo vessel had left China with goods for the two major West Coast ports in the past 12 hours. That hasn’t happened since the pandemic.
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Six days ago, 41 vessels were scheduled to depart China for the San Pedro Bay Complex, which encompasses both the Port of Los Angeles and Port of Long Beach in California. On Friday, it was zero.
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President Donald Trump’s trade war imposed massive tariffs on most Chinese imports last month. That’s led to fewer ships at sea carrying less cargo to America’s ports. For many businesses, it is now too expensive to do business with China, one of America’s most important trading partners.

Officials are concerned not just about the lack of vessels leaving China, but the speed at which that number dropped.

“That’s cause for alarm,” said Mario Cordero, the CEO of the Port of Long Beach. “We are now seeing numbers in excess of what we witnessed in the pandemic” for cancellations and fewer vessel arrivals.

The busiest ports in the country are experiencing steep declines in cargo. The Port of Long Beach is seeing a 35-40% drop compared to normal cargo volume. The Port of Los Angeles had a 31% drop in volume this week, and the Port of New York and Jersey says it’s also bracing for a slowdown. On Wednesday, the Port of Seattle said it had zero container ships in the port, another anomaly that hasn’t happened since the pandemic.

“That’s because just nothing is being shipped over,” port commissioner Ryan Calkins told CNN’s Kaitlan Collins.

StephenCex (doğrulanmamış) Cu, 06/06/2025 - 04:05

“So then we just shifted to talking about other things, everyday things, in a nice, relaxed atmosphere,” says Savery. “And I was very at ease speaking with Giselle right away. We started having meals together and as the trip went on, we would spend more and more time together.”
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Over the next couple of days, Savery and Giselle also got to know the other solo travelers on board The Canadian. They became a group, and Giselle recalls plenty of moments when they good-naturedly teased Savery “because of him being the only prestige passenger.”
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She appreciated having a gang of new friends. Their company distracted from the inevitable loneliness that would sometimes settle over her in her grief.
When the train arrived in Toronto, Savery and Giselle shared a final dinner together before going their separate ways.

The reservedness that marked their first meal together had all but melted away. It was an evening marked by laughs, recalling favorite memories of the trip across Canada and talking about their lives back home.

The next day, they said goodbye. Appropriately enough, their farewell took place at a train station.

“I was taking the airport shuttle to fly back home to Boston, and Giselle was taking the train to Montreal. So we said, ‘Well, let’s just say goodbye at the train station, since we’re both going to be there at the same time tomorrow,’” recalls Savery.

“We were under the big clock in Toronto station, and she was watching the clock. She said, ‘I really gotta go. I have to catch my train.’ And I just… I said, ‘I can’t not see you again.’”

Their connection didn’t feel romantic — both Giselle and Savery were sure of that. But it felt significant. Both Savery and Giselle felt they’d met a like-minded soul, someone who could be a confidant, who could help them through the next chapter of life which they were unexpectedly navigating alone.

Saying “goodbye” felt too final. So Giselle, who is French-Canadian, suggested they say “au revoir” — which translates as “until we meet again.”

And as soon as they went their separate ways, Giselle and Savery started texting each other.

“Then the texts became phone calls,” recalls Savery.

On these calls, Giselle and Savery spoke about their lives, about what they were up to, about their interests.

“Music was like a common interest that we both shared,” recalls Giselle.

Savery is older than Giselle, and their music references spanned “different eras of music, but very compatible musical interests,” as Giselle puts it.

On one of their phone calls, Giselle mentioned she was considering booking a train trip across North America.

Soon, she and Savery were planning a train journey across the US for the fall of 2024, together.

And in the meantime, Giselle invited Savery to visit her in her home in Victoria, Canada, for a week’s summer vacation.

StevenLouch (doğrulanmamış) Cu, 06/06/2025 - 04:56

Editor’s Note: Call to Earth is a CNN editorial series committed to reporting on the environmental challenges facing our planet, together with the solutions. Rolex’s Perpetual Planet Initiative has partnered with CNN to drive awareness and education around key sustainability issues and to inspire positive action.

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Crashing waves, glistening sea spray, a calm expanse of deep blue. These are the images that open “Ocean with David Attenborough,” the veteran broadcaster’s latest film. After decades of sharing stories of life on our planet, he tells viewers that: “The most important place on Earth is not on land but at sea.”

The film — released in cinemas today and available to stream globally on Disney+ and Hulu in June — coincides with Attenborough’s 99th birthday, and describes how the ocean has changed during his lifetime.
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“Over the last hundred years, scientists and explorers have revealed remarkable new species, epic migrations and dazzling, complex ecosystems beyond anything I could have imagined as a young man,” he says in a press release. “In this film, we share those wonderful discoveries, uncover why our ocean is in such poor health, and, perhaps most importantly, show how it can be restored to health.”

The feature-length documentary takes viewers on a journey to coral reefs, kelp forests and towering seamounts, showcasing the wonders of the underwater world and the vital role the ocean plays in defending Earth against climate catastrophe as its largest carbon sink.
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But the ocean also faces terrible threats. The film was shot as the planet experienced an extreme marine heatwave and shows the effects of the resulting mass coral bleaching: expansive graveyards of bright white coral, devoid of sea life.

Extraordinary footage shot off the coast of Britain and in the Mediterranean Sea shows the scale of destruction from industrial fishing. Bottom trawlers are filmed towing nets with a heavy chain along the seafloor, indiscriminately catching creatures in their path and churning up dense clouds of carbon-rich sediment.

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WilliamKix (doğrulanmamış) Cu, 06/06/2025 - 05:19

Editor’s Note: Call to Earth is a CNN editorial series committed to reporting on the environmental challenges facing our planet, together with the solutions. Rolex’s Perpetual Planet Initiative has partnered with CNN to drive awareness and education around key sustainability issues and to inspire positive action.

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Crashing waves, glistening sea spray, a calm expanse of deep blue. These are the images that open “Ocean with David Attenborough,” the veteran broadcaster’s latest film. After decades of sharing stories of life on our planet, he tells viewers that: “The most important place on Earth is not on land but at sea.”

The film — released in cinemas today and available to stream globally on Disney+ and Hulu in June — coincides with Attenborough’s 99th birthday, and describes how the ocean has changed during his lifetime.
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“Over the last hundred years, scientists and explorers have revealed remarkable new species, epic migrations and dazzling, complex ecosystems beyond anything I could have imagined as a young man,” he says in a press release. “In this film, we share those wonderful discoveries, uncover why our ocean is in such poor health, and, perhaps most importantly, show how it can be restored to health.”

The feature-length documentary takes viewers on a journey to coral reefs, kelp forests and towering seamounts, showcasing the wonders of the underwater world and the vital role the ocean plays in defending Earth against climate catastrophe as its largest carbon sink.
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But the ocean also faces terrible threats. The film was shot as the planet experienced an extreme marine heatwave and shows the effects of the resulting mass coral bleaching: expansive graveyards of bright white coral, devoid of sea life.

Extraordinary footage shot off the coast of Britain and in the Mediterranean Sea shows the scale of destruction from industrial fishing. Bottom trawlers are filmed towing nets with a heavy chain along the seafloor, indiscriminately catching creatures in their path and churning up dense clouds of carbon-rich sediment.

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WilliamSot (doğrulanmamış) Cu, 06/06/2025 - 05:40

Editor’s Note: Call to Earth is a CNN editorial series committed to reporting on the environmental challenges facing our planet, together with the solutions. Rolex’s Perpetual Planet Initiative has partnered with CNN to drive awareness and education around key sustainability issues and to inspire positive action.

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—
Crashing waves, glistening sea spray, a calm expanse of deep blue. These are the images that open “Ocean with David Attenborough,” the veteran broadcaster’s latest film. After decades of sharing stories of life on our planet, he tells viewers that: “The most important place on Earth is not on land but at sea.”

The film — released in cinemas today and available to stream globally on Disney+ and Hulu in June — coincides with Attenborough’s 99th birthday, and describes how the ocean has changed during his lifetime.
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“Over the last hundred years, scientists and explorers have revealed remarkable new species, epic migrations and dazzling, complex ecosystems beyond anything I could have imagined as a young man,” he says in a press release. “In this film, we share those wonderful discoveries, uncover why our ocean is in such poor health, and, perhaps most importantly, show how it can be restored to health.”

The feature-length documentary takes viewers on a journey to coral reefs, kelp forests and towering seamounts, showcasing the wonders of the underwater world and the vital role the ocean plays in defending Earth against climate catastrophe as its largest carbon sink.
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But the ocean also faces terrible threats. The film was shot as the planet experienced an extreme marine heatwave and shows the effects of the resulting mass coral bleaching: expansive graveyards of bright white coral, devoid of sea life.

Extraordinary footage shot off the coast of Britain and in the Mediterranean Sea shows the scale of destruction from industrial fishing. Bottom trawlers are filmed towing nets with a heavy chain along the seafloor, indiscriminately catching creatures in their path and churning up dense clouds of carbon-rich sediment.

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Chesterbrema (doğrulanmamış) Cu, 06/06/2025 - 05:44

Editor’s Note: Call to Earth is a CNN editorial series committed to reporting on the environmental challenges facing our planet, together with the solutions. Rolex’s Perpetual Planet Initiative has partnered with CNN to drive awareness and education around key sustainability issues and to inspire positive action.

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—
Crashing waves, glistening sea spray, a calm expanse of deep blue. These are the images that open “Ocean with David Attenborough,” the veteran broadcaster’s latest film. After decades of sharing stories of life on our planet, he tells viewers that: “The most important place on Earth is not on land but at sea.”

The film — released in cinemas today and available to stream globally on Disney+ and Hulu in June — coincides with Attenborough’s 99th birthday, and describes how the ocean has changed during his lifetime.
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“Over the last hundred years, scientists and explorers have revealed remarkable new species, epic migrations and dazzling, complex ecosystems beyond anything I could have imagined as a young man,” he says in a press release. “In this film, we share those wonderful discoveries, uncover why our ocean is in such poor health, and, perhaps most importantly, show how it can be restored to health.”

The feature-length documentary takes viewers on a journey to coral reefs, kelp forests and towering seamounts, showcasing the wonders of the underwater world and the vital role the ocean plays in defending Earth against climate catastrophe as its largest carbon sink.
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But the ocean also faces terrible threats. The film was shot as the planet experienced an extreme marine heatwave and shows the effects of the resulting mass coral bleaching: expansive graveyards of bright white coral, devoid of sea life.

Extraordinary footage shot off the coast of Britain and in the Mediterranean Sea shows the scale of destruction from industrial fishing. Bottom trawlers are filmed towing nets with a heavy chain along the seafloor, indiscriminately catching creatures in their path and churning up dense clouds of carbon-rich sediment.

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Douglasblany (doğrulanmamış) Cu, 06/06/2025 - 06:58

Editor’s Note: Call to Earth is a CNN editorial series committed to reporting on the environmental challenges facing our planet, together with the solutions. Rolex’s Perpetual Planet Initiative has partnered with CNN to drive awareness and education around key sustainability issues and to inspire positive action.

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Crashing waves, glistening sea spray, a calm expanse of deep blue. These are the images that open “Ocean with David Attenborough,” the veteran broadcaster’s latest film. After decades of sharing stories of life on our planet, he tells viewers that: “The most important place on Earth is not on land but at sea.”

The film — released in cinemas today and available to stream globally on Disney+ and Hulu in June — coincides with Attenborough’s 99th birthday, and describes how the ocean has changed during his lifetime.
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“Over the last hundred years, scientists and explorers have revealed remarkable new species, epic migrations and dazzling, complex ecosystems beyond anything I could have imagined as a young man,” he says in a press release. “In this film, we share those wonderful discoveries, uncover why our ocean is in such poor health, and, perhaps most importantly, show how it can be restored to health.”

The feature-length documentary takes viewers on a journey to coral reefs, kelp forests and towering seamounts, showcasing the wonders of the underwater world and the vital role the ocean plays in defending Earth against climate catastrophe as its largest carbon sink.
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But the ocean also faces terrible threats. The film was shot as the planet experienced an extreme marine heatwave and shows the effects of the resulting mass coral bleaching: expansive graveyards of bright white coral, devoid of sea life.

Extraordinary footage shot off the coast of Britain and in the Mediterranean Sea shows the scale of destruction from industrial fishing. Bottom trawlers are filmed towing nets with a heavy chain along the seafloor, indiscriminately catching creatures in their path and churning up dense clouds of carbon-rich sediment.

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WilliamBig (doğrulanmamış) Cu, 06/06/2025 - 08:02

Editor’s Note: Call to Earth is a CNN editorial series committed to reporting on the environmental challenges facing our planet, together with the solutions. Rolex’s Perpetual Planet Initiative has partnered with CNN to drive awareness and education around key sustainability issues and to inspire positive action.

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Crashing waves, glistening sea spray, a calm expanse of deep blue. These are the images that open “Ocean with David Attenborough,” the veteran broadcaster’s latest film. After decades of sharing stories of life on our planet, he tells viewers that: “The most important place on Earth is not on land but at sea.”

The film — released in cinemas today and available to stream globally on Disney+ and Hulu in June — coincides with Attenborough’s 99th birthday, and describes how the ocean has changed during his lifetime.
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“Over the last hundred years, scientists and explorers have revealed remarkable new species, epic migrations and dazzling, complex ecosystems beyond anything I could have imagined as a young man,” he says in a press release. “In this film, we share those wonderful discoveries, uncover why our ocean is in such poor health, and, perhaps most importantly, show how it can be restored to health.”

The feature-length documentary takes viewers on a journey to coral reefs, kelp forests and towering seamounts, showcasing the wonders of the underwater world and the vital role the ocean plays in defending Earth against climate catastrophe as its largest carbon sink.
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But the ocean also faces terrible threats. The film was shot as the planet experienced an extreme marine heatwave and shows the effects of the resulting mass coral bleaching: expansive graveyards of bright white coral, devoid of sea life.

Extraordinary footage shot off the coast of Britain and in the Mediterranean Sea shows the scale of destruction from industrial fishing. Bottom trawlers are filmed towing nets with a heavy chain along the seafloor, indiscriminately catching creatures in their path and churning up dense clouds of carbon-rich sediment.

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Williamslult (doğrulanmamış) Cu, 06/06/2025 - 14:05

US and Chinese trade representatives are set to meet in Geneva this weekend for their first face to face meeting in an attempt to deescalate the trade war. Most goods shipping from China to the United States have a 145% tariff, while most US exports to China are being hit with a 125% tariff. On Friday, President Donald Trump suggested lowering the tariff rate with China to 80%, but said the final terms would be up to Treasury Secretary Scott Bessent.
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For consumers, who are facing higher prices or shortages of certain items, Cordero says a deal can’t come soon enough.
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“If things don’t change quickly, I’m talking about the uncertainty that we’re seeing, then we may be seeing empty products on the shelves. This is now going to be felt by the consumer in the coming 30 days,” said Cordero.

Upwards of 63% of the cargo that flows into the Port of Long Beach is from China — the largest share of any US port. But that number is down from 72% in 2016 as retailers shift away from China over simmering trade tensions.

Even so, China still represents a major source of imports into the United States. Maersk, the second largest shipping line in the world, told CNN the cargo volume between the United States and China has fallen by 30-40% compared to normal.

“If we don’t start to see a de-escalation of the situation with China, if we don’t start to see more of those trade deals, then we could be in a situation where some of these effects get more entrenched and are more adverse,” said Maersk CEO Vincent Clerc.

RobertLer (doğrulanmamış) Cu, 06/06/2025 - 15:31

US and Chinese trade representatives are set to meet in Geneva this weekend for their first face to face meeting in an attempt to deescalate the trade war. Most goods shipping from China to the United States have a 145% tariff, while most US exports to China are being hit with a 125% tariff. On Friday, President Donald Trump suggested lowering the tariff rate with China to 80%, but said the final terms would be up to Treasury Secretary Scott Bessent.
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For consumers, who are facing higher prices or shortages of certain items, Cordero says a deal can’t come soon enough.
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“If things don’t change quickly, I’m talking about the uncertainty that we’re seeing, then we may be seeing empty products on the shelves. This is now going to be felt by the consumer in the coming 30 days,” said Cordero.

Upwards of 63% of the cargo that flows into the Port of Long Beach is from China — the largest share of any US port. But that number is down from 72% in 2016 as retailers shift away from China over simmering trade tensions.

Even so, China still represents a major source of imports into the United States. Maersk, the second largest shipping line in the world, told CNN the cargo volume between the United States and China has fallen by 30-40% compared to normal.

“If we don’t start to see a de-escalation of the situation with China, if we don’t start to see more of those trade deals, then we could be in a situation where some of these effects get more entrenched and are more adverse,” said Maersk CEO Vincent Clerc.

RobertDog (doğrulanmamış) Cu, 06/06/2025 - 16:07

Two strangers met on a train. Then they decided to travel the world together
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Savery Moore and his wife Jan always talked about traveling across Canada by rail.

The American couple shared a dream of waking up to the sun rising over the tracks and spending days winding through forests and across prairies, glimpsing snow-capped peaks and frozen lakes through the train’s domed glass roof. Making memories together.
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For most of their 35 years of married life, Savery and Jan didn’t travel much, spending long days working in advertising.

But when the couple finally retired in their 60s, leaving New York City for a small town in Massachusetts, they were excited for a new chapter and new opportunities.

“We both retired the same day,” Savery tells CNN Travel today. “We looked forward to having our life forever, together.”

Savery and Jan finally looked into booking their dream trip on VIA Rail’s “Canadian” service, a luxury train journey that winds from the West Coast of Canada to the East over four days.

“We were going to spend some money and take The Canadian in a class called ‘prestige,’ which is VIA Rail’s most expensive way to travel,” says Savery.

This was a “bucket list trip,” explains Savery. The couple wanted to splurge, figuring “we were only going to do this once, so let’s just do it right.”

But just as they started planning the trip, life took an unexpected turn.

“Jan was diagnosed with cancer, and it was lung cancer, and it was aggressive,” explains Savery. “Within a month-and-a-half to two months after her being diagnosed, the cancer had already spread.”

In the months that followed, Jan had brain surgery. She was enrolled in a couple of clinical trials.

Robertneect (doğrulanmamış) Cu, 06/06/2025 - 17:38

Two strangers met on a train. Then they decided to travel the world together
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Savery Moore and his wife Jan always talked about traveling across Canada by rail.

The American couple shared a dream of waking up to the sun rising over the tracks and spending days winding through forests and across prairies, glimpsing snow-capped peaks and frozen lakes through the train’s domed glass roof. Making memories together.
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For most of their 35 years of married life, Savery and Jan didn’t travel much, spending long days working in advertising.

But when the couple finally retired in their 60s, leaving New York City for a small town in Massachusetts, they were excited for a new chapter and new opportunities.

“We both retired the same day,” Savery tells CNN Travel today. “We looked forward to having our life forever, together.”

Savery and Jan finally looked into booking their dream trip on VIA Rail’s “Canadian” service, a luxury train journey that winds from the West Coast of Canada to the East over four days.

“We were going to spend some money and take The Canadian in a class called ‘prestige,’ which is VIA Rail’s most expensive way to travel,” says Savery.

This was a “bucket list trip,” explains Savery. The couple wanted to splurge, figuring “we were only going to do this once, so let’s just do it right.”

But just as they started planning the trip, life took an unexpected turn.

“Jan was diagnosed with cancer, and it was lung cancer, and it was aggressive,” explains Savery. “Within a month-and-a-half to two months after her being diagnosed, the cancer had already spread.”

In the months that followed, Jan had brain surgery. She was enrolled in a couple of clinical trials.

Williambug (doğrulanmamış) Cu, 06/06/2025 - 19:53

Two strangers met on a train. Then they decided to travel the world together
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Savery Moore and his wife Jan always talked about traveling across Canada by rail.

The American couple shared a dream of waking up to the sun rising over the tracks and spending days winding through forests and across prairies, glimpsing snow-capped peaks and frozen lakes through the train’s domed glass roof. Making memories together.
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For most of their 35 years of married life, Savery and Jan didn’t travel much, spending long days working in advertising.

But when the couple finally retired in their 60s, leaving New York City for a small town in Massachusetts, they were excited for a new chapter and new opportunities.

“We both retired the same day,” Savery tells CNN Travel today. “We looked forward to having our life forever, together.”

Savery and Jan finally looked into booking their dream trip on VIA Rail’s “Canadian” service, a luxury train journey that winds from the West Coast of Canada to the East over four days.

“We were going to spend some money and take The Canadian in a class called ‘prestige,’ which is VIA Rail’s most expensive way to travel,” says Savery.

This was a “bucket list trip,” explains Savery. The couple wanted to splurge, figuring “we were only going to do this once, so let’s just do it right.”

But just as they started planning the trip, life took an unexpected turn.

“Jan was diagnosed with cancer, and it was lung cancer, and it was aggressive,” explains Savery. “Within a month-and-a-half to two months after her being diagnosed, the cancer had already spread.”

In the months that followed, Jan had brain surgery. She was enrolled in a couple of clinical trials.

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