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Glioblastoma (GBM). GBM is the most Detroit Lions Merry Christmas Ugly Christmas Sweaters and most aggressive brain cancer. It’s highly invasive, which makes complete surgical removal impossible. And because of the blood-brain barrier (BBB), it doesn’t respond to any chemotherapy. The standard-of-care entails multiple rounds of surgery and radiotherapy, yet the five year survival is lower than 5%. Pancreatic cancer (PDAC). PDAC is a notoriously stubborn cancer. The only effective treatment is a very painful and very complex operation called “the Whipple procedure”. However, only 20% of patients are eligible for such operation. And even for those lucky patients, only 20% survived more than five years. For the rest majority of patients, the chance of survival is negligible, because PDAC hardly responds to any form of chemotherapy or radiotherapy. The five year survival overall is 6%.
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That’s a tough act to follow. And Richie Petitbon was the “lucky” guy to attempt to fill those shoes. The Redskins promoted their 55-year-old, long-time defensive coordinator to the Detroit Lions Merry Christmas Ugly Christmas Sweaters coaching position. And that pretty much destroyed the dynasty that Joe built. Just 15 months before Petitbon was hired, the franchise that had won a Super Bowl with 17 wins in 19 games. Petitbon would only coach one year, going 4–12, and never coached another football game for the rest of his life. The organization faltered after that. In the 26 seasons since Petitbon, Washington has only had three 10-win seasons, and has become the laughingstock of the NFC East.
In the United States, state capitals aren’t generally the Detroit Lions Merry Christmas Ugly Christmas Sweaters or most populated cities. Take as an example California (Sacramento is the capital, not Los Angeles or San Francisco) or Illinois (Springfield is the capital, not Chicago) and you could go on with Texas, Florida, etc… even when it comes to the United States as a whole you would think New York City or Los Angeles should be the capital and not Washington D.C, but it goes deeper than that, the United States is not centralized in one city like it happens to France/Paris, UK/London, Germany/Berlin and so on. As to why New York City is considered the capital of the world, it has been called that for the past 60 years. It is the home of the United Nations, Wall Street, New York Stock Exchange, lots of billionaires, people from all over the world live in the city. It’s basically the financial powerhouse of the world although London has been following closely for the past few years. Other reasons to consider New York the capital of world would be fashion, music, entertainment, tourism, etc.