Month: November 2022

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What medical mysteries can teach us about getting better health care

What medical mysteries can teach us about getting better health care

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Who doesn’t like a fantastic mystery?

For 15 many years, health-related reporter Sandra G. Boodman has chased down the most abnormal, quirkiest and weirdest professional medical instances for her monthly Clinical Mysteries sequence. Modern tales have focused on a teen who couldn’t wake up, a woman wrongly identified with ALS, and an overall relatives and visitor felled by a bizarre flu-like disease.

I checked in with Sandra to come across out extra about how she writes the column and the classes we can learn from it.

Here’s our edited dialogue.

Q. How do you opt for your tips?

A: It has to be something I have not prepared about. It has to be a solved scenario. I need to have to know the supreme analysis. Even while it’s a solved case, there has to be a secret. And there has to be a human story.

Q. At the time you decide a situation, how do you report it?

A: I inquire for a chronology of occasions and healthcare data that confirm the analysis. The health care documents and chronology allow me to see regardless of whether, in fact, this is a thriller, no matter whether it unfolded in an intriguing way. Will this be an intriguing case?

Then, I interview the affected person, from time to time the guardian, often the spouse. The previous stage is to discuss to the medical professional who designed the prognosis or the current managing physicians. Any stage alongside the way, the procedure can fail.

Q. Do you write about unsolved situations?

A. No, it has to be a solved situation. A whole lot of folks write to me and say, “I have this dilemma, can you aid me?” Regretably, that’s not what I do. I did after produce about a lawyer in Detroit who had gone to the undiagnosed-condition software at the Nationwide Institutes of Well being. He’s found far more than 100 health professionals and still does not have an solution. But I assumed his situation was so strange and appealing, I did make an exception that time.

Q. What are some of your most unforgettable health-related mysteries?

A: I wrote about a family members that retained acquiring recurrent strep throat. They could not determine it out. An enterprising veterinarian bought involved. It turned out their cat may possibly have been the vector. When they last but not least taken care of the cat, no person has had strep.

1 of the weirder ones — there was a girl who experienced major kidney and heart complications. It turned out she was having also much licorice. That was actually odd.

And I however vividly bear in mind a Point out Department employee who experienced horrible itching on her head at night time. She had even been labored up for a variety of most cancers. She had noticed various dermatologists. It turned out she experienced head lice for an total year. How did they pass up that? That was really amazing.

Q. What have you learned about the clinical program from creating about health-related mysteries?

A. Clinical care has develop into ever more specialised. Physicians are common with a little slice of what’s likely on, but analysis is an inherently elaborate process. I also imagine time pressures are worsening. It is like: “You’ve received 10 minutes. Go.” That is not heading to get the job done with a difficult difficulty.

I also feel in some cases patients are not good at describing the difficulties. The men and women who are likely to do greater are arranged and can describe their signs or symptoms in a way that is intelligible for a physician.

Q. What’s your most effective advice to people for acquiring superior health-related treatment?

A. Primary-treatment physicians can seriously help a client. I typically see people today who go right to professionals. They may perhaps not have a principal-care health care provider, or they use urgent care when they are sick. That can be problematic. Persons genuinely undervalue the function of a excellent key-care health care provider.

The 2022 Effectively+Getting Present Guide

Will need a gift idea? The Effectively+Being staff shared our favored finds for cooking, exercising, expending time at residence, bettering our mental wellbeing, offers for your animals and additional.

Some gifts are useful and reasonably priced others are definite splurges. I just acquired air fryers for my family members members because our Feeding on Lab columnist Anahad O’Connor advised it. Runners will respect the perfect working shorts recommended by physical fitness author Kelyn Soong. Amanda Morris, who writes about disability, proposed hearing-aid jewelry. Reporter Teddy Amenabar has identified the ideal touring espresso mug.

There are lots to pick out from, and every single merchandise introduced us nearer to dwelling wholesome, fulfilled lives. We hope they do the very same for you and your loved types this calendar year.

Emotion complete? Don’t be concerned. Your stomach almost certainly won’t explode.

This week, a reader requested: I always feel like my stomach is likely to explode soon after I consume on Thanksgiving. Can that basically come about?

While theoretically feasible, it is very not likely for your tummy to explode from overeating, claimed Sophie Balzora, associate professor of medicine at New York University Grossman School of Medicine and a gastroenterologist at NYU Langone Health and fitness. She writes:

Your tummy is a tricky organ, with thick muscle mass partitions and a loaded blood source that can simply endure even a hearty Thanksgiving food.

The belly also has a amazing ability to extend from its resting volume without the need of a great deal improve in strain. Even prior to that to start with bite of turkey hits your mouth, the anticipation of it — whether via scent or sight — sends a signal to your brain that’s delivered to your tummy, telling it to get ready for foodstuff. As you take in, the stomach stretches, creating more and far more area.

But belly rupture has transpired. One particular situation report associated a 24-calendar year-old feminine affected individual who frequented an unexpected emergency place in Turkey with sudden stomach suffering, vomiting and nausea soon after having an extreme total of fruit. An stomach surgical procedure uncovered her stomach was perforated and held virtually 5 liters of partially digested food items, together with grapes and pomegranate — clearly exceeding a volume that most human stomachs can tolerate.

To learn extra, study the comprehensive response from Balzora in Request a Doctor: If I try to eat far too a lot, will my abdomen explode?

It was one more occupied 7 days! Check out these tales from the workforce.

How work out has an effect on your Thanksgiving hunger: High-depth training can uninteresting your hunger for a few several hours. But standard moderate exercising can make you hungrier.

Inviting animals to holiday break feast? Know meals you can and just cannot share: Veterinarians provide advice for a enjoyable and secure vacation meal with your furry household members.

9 strategies for managing grief with young children throughout the holiday break time: Check in with oneself and your little ones, clearly show yourself some care, and generate new traditions.

My mother’s dieting afflicted me, much too: My mother’s obsession with pounds is not exceptional. Scientists have studied how a mother’s restricted feeding on habits can affect her young children, especially daughters.

What is the distinction between RSV, the flu and covid-19? A few respiratory viruses are straining people and healthcare facility programs. Here’s suggestions from infectious-disease industry experts.

The ‘most popular crippling hand condition’ you’ve hardly ever heard of: Normally, persons with Dupuytren’s contracture mistakenly assume they have arthritis or tendinitis, or really do not recognize a problem until finally their fingers start off to bend.

Why it would seem like your health practitioner does not care about you: Several clients outline caring as listening, investigating, next up on results and advocating for them. This type of caring normally takes time and methods that quite a few medical doctors are not supplied, suggests medical professional Shirlene Obuobi.

You should enable us know how we are carrying out. Electronic mail me at [email protected].

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Kari Lake files lawsuit against Maricopa County over elections

Kari Lake files lawsuit against Maricopa County over elections
Kari Lake files lawsuit against Maricopa County over elections

Republican gubernatorial prospect Kari Lake submitted a lawsuit in opposition to Maricopa County officers on Wednesday, accusing them of breaking election laws and demanding they provide details about voters whose ballots ended up impacted by Election Day printer troubles.

Her circumstance joins other worries and criticisms hurled at Maricopa County by conservative politicians and personalities in the previous 7 days.

Lake introduced the lawsuit on “War Home,” a appropriate-wing talk present hosted by former President Donald Trump adviser Steve Bannon. She identified as the Nov. 8 election “the shoddiest election at any time, in heritage.”

“We want some data,” Lake reported. “We are on a timeline, a quite strict timeline when it comes to battling this botched election, and they’re dragging their feet.”

Seventy of the county’s 223 voting centers experienced problems with on-web page printers manufacturing ballots much too light to be browse by vote-counting devices on Election Working day, triggering disappointment and long lines for voters. Lake’s filing alleges that as several as 118 voting areas might have seasoned difficulties.

Maricopa County officers declined to comment on the filing.

Unofficial election results display Lake shedding by about 17,000 votes to Democrat Katie Hobbs, one particular of numerous bruising losses for the GOP, which ran at the top of the ballot a slate of candidates casting question on elections. An Arizona Republic assessment of voting patterns located that lots of Republicans did not vote for Republican candidates in some of the major races of the election.

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Immigration Law Clinic Story

Immigration Law Clinic Story

All through the first two many years of legislation college, students find out to assume like a law firm. Willamette’s Scientific Regulation Software teaches them to be a law firm, supplying the opportunity to attain realistic capabilities while taking possession of real legal circumstances.

Students’ work in the clinics is intensely supervised by professors who are active and licensed attorneys.

Professor Beth Zilberman
Professor Beth Zilberman

Rebuilding the Immigration Law Clinic
Professor Beth Zilberman joined the faculty in summer months 2022 to launch the Immigration Law Clinic and strengthen immigration class choices.

As a college student at Boston School College of Legislation, Zilberman participated in her very own Immigration Clinic. Following locating the initially-year curriculum hard to have interaction with, she claims it was the greatest working experience.

“Immigration Clinic was a pivotal turning point in my law university job,” she claims. “A good deal of college students find that in clinic.”In Willamette’s Immigration Clinic, four to 8 learners get the job done on humanitarian-dependent circumstances. They depict customers trying to find asylum for persecution endured overseas, people today who have survived domestic violence, or men and women who have been victims of trafficking. The learners conduct interviews, system a course of action, prepare pleadings, complete research and assessment, and go to hearings, all whilst beneath the security web of Zilberman’s watchful eye.

Alondra Duran JD’23 took the Immigration Clinic training course this drop to get ready for a long run lawful occupation in human legal rights.

“I experience the clinic has supplied me the simple experience I wanted to really feel empowered in pursuing a potential vocation in immigration,” Duran states. “That’s because I had a harmony concerning the independence in dealing with my individual caseload and the advice from my professor in instructing us how to develop into the most productive and impactful legal professional we can be for our client.”

Though the get the job done is challenging and most situations are not finished in a semester, Duran suggests giving immigrants a ‘jump-start’ to their situations is gratifying.

Each Duran and Zilberman say the hands-on information gained in the clinic can be key to students’ eventual achievements as lawyers, irrespective of regardless of whether they intend to practice immigration law. The legislation can be complicated, but the capabilities they use can translate into other regions of regulation, as nicely, Zilberman explains.

“It’s crucial for them to have some kind of experiential learning option before turning out to be legal professionals. The clinic is a good spot to get that prior to entering the authentic earth,” she states. “Having that firsthand encounter wherever they definitely are in manage sets them up to have additional confidence in their abilities in the long run.”

A passion for immigration regulation
Zilberman came to Willamette Regulation following directing and educating in Immigration Law Clinics at other establishments, such as the regulation educational institutions at the College of Arkansas, where by she first fulfilled Willamette Legislation Dean Brian Gallini, and the University of Washington. Originally from the West Coast, she was thrilled to return and share her passion with college students in Salem.

Her curiosity in immigration regulation stems from her personalized background as a Jewish woman and a publish-undergraduate stint at a San Francisco nonprofit. Although there, she noticed lawyers supporting international customers with gender-based asylum claims following they escaped persecution. She also observed a way she could enable the environment.

“A whole lot of asylum legislation is dependent on the persecution that occurred all through the Holocaust,” she says. “The concept of supporting men and women in search of a harmless life was generally section of what I required to do to assistance make the entire world a improved position.”

At Willamette, Zilberman is happy that the Immigration Clinic fits squarely into the legislation school’s plans. Community services and advocacy are at the core of immigration law, and they make up two of the College’s five Signature Strengths, parts in which the curriculum is significantly sturdy and continuing to mature.

The slide semester has involved a successful gentle launch for the Immigration Clinic, and she knows at least a few of her recent college students program to just take an Innovative Clinic system upcoming.

“From my 1st check out to Willamette, I felt a robust perception of local community, searching for justice and a passion for public provider that truly fired up me,” she claims. “I’ve been so amazed with the students’ capacity for executing great do the job and executing superior operate for the world. It’s a perfect healthy.”

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Federal Court Strikes Down N.Y.’s Gun Control on Private Property Law

Federal Court Strikes Down N.Y.’s Gun Control on Private Property Law

Yet another New York gun command law has been struck down in federal court docket, this time surrounding the suitable to carry a firearm on assets owned by private company house owners.

Choose John Sinatra from New York’s Western District dominated in favor of personal citizen Brett Christian, declaring that, whilst residence proprietors have the ideal to exclude, “the point out may possibly not unilaterally workout that suitable.

“In sum, the huge majority of land in New York is held privately. … These are locations that individuals doing exercises their legal rights, regular each individual day when they transfer about outside the house their properties. The exclusion listed here would make all of these spots presumptively off limitations, backed up by the danger of prison,” Sinatra wrote in the court’s 27-web page final decision.

“The Nation’s historical traditions have not countenanced these an incursion into the suitable to hold and bear arms across all types of non-public home spread across the land. The ideal to self-protection is no fewer important and no fewer regarded on personal assets,” included Sinatra.

2nd Modification Foundation Govt Director Adam Kraut recommended the ruling on Tuesday afternoon, characterizing it as a definitive “acquire for the community,” with Executive Vice President Alan M. Gottlieb parroting him.

“New York’s efforts to dance close to the Supreme Court’s Bruen decision have develop into a painful workout in legal acrobatics, which it appears obvious the courts can see through,” Gottlieb stated. “This circumstance illustrates the absurd lengths to which lawmakers in Albany have tried to go in their initiatives to get all around the letter and spirit of the high court ruling.”

The determination follows a sequence of losses for New York Gov. Kathy Hochul’s cabinet and the point out Democratic Bash in pushing new gun actions. Earlier this 12 months, the U.S. Supreme Courtroom ruled that New York’s “proper bring about” requirement to obtain a firearm was unconstitutional.

“This definition of ‘bear’ naturally encompasses general public carry,” Justice Clarence Thomas wrote then. “Most gun proprietors do not put on a holstered pistol at their hip in their bedroom or when sitting at the dinner desk.

“For the reason that these licensing regimes do not demand applicants to clearly show an atypical require for armed self-defense, they do not automatically prevent ‘law-abiding, responsible citizens’ from training their Second Amendment right to community carry,” Justice Thomas added.

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What Goes Into Choosing a Personal Injury Lawyer?

What Goes Into Choosing a Personal Injury Lawyer?

What Goes Into Choosing a Personal Injury Lawyer?If you seek the services of a own damage lawyer, you should know what to seem for and what solutions you have to have. In this short article, we’ll chat about what private personal injury lawyers are and how you must pick the appropriate. We’ll explore the traits of an superb particular harm law firm and far more. Examine on!

What are Private Harm Lawyers?

A particular injury attorney is a form of lawyer who allows men and women hurt for the reason that of the negligence or wrongdoing of another human being or entity. These legal professionals function to get their customers compensated for their accidents through a settlement or jury verdict.

What to Glimpse for When You are Choosing a Private Injuries Attorney

There are many factors you must take into consideration when picking a personalized personal injury law firm. Below are some of the most essential:

  • The lawyer’s knowledge. You want a law firm who has experience handling cases like yours. Check with the lawyer how many scenarios they’ve managed that have been similar to yours and whether they went to demo or settled out of court docket.
  • The lawyer’s achievement charge. Talk to the attorney about their good results amount in individual injury scenarios. Obtain out how lots of of their circumstances have been thriving and how considerably income they’ve been in a position to get for their purchasers.
    For instance, according to their internet site, Bernard Legislation Seattle Damage Legal professionals has a 98{c024931d10daf6b71b41321fa9ba9cd89123fb34a4039ac9f079a256e3c1e6e8} achievements fee. This superior achievements fee can make them a fantastic choice for a regulation organization.
  • The lawyer’s service fees. Particular personal injury lawyers generally operate on a contingency rate foundation, which indicates they only get compensated if they get your circumstance. Talk to the lawyer about their payment arrangement and no matter whether they cost by the hour or a flat fee.
  • The lawyer’s site. It is ordinarily best to employ a local lawyer to very easily meet with them in individual. But if you are not able to discover a fantastic area law firm, using the services of a lawyer from another town is however better than not employing a attorney.

Features of a Great Particular Injuries Lawyer

There are selected qualities that all excellent particular harm attorneys share. In this article are some of the most critical:

  • Enthusiasm. An excellent own personal injury attorney is passionate about assisting their clientele get justice. They’re not in it for the income but since they believe in what they are performing.
  • Knowledge. An excellent private harm lawyer is aware of the regulation within and out. They continue to be up-to-day on the latest modifications in the law, and they know how to use the regulation to their client’s benefit.
  • Expertise. An fantastic individual personal injury attorney has experience handling cases like yours. They know the legal system’s ins and outs and how to get the finest effects for their customers.
  • Motivation. An fantastic individual personal injury law firm is committed to their purchasers and their case. They are not heading to give up, no subject how challenging the circumstance might be.
  • Compassion. An superb private injury attorney cares about their clientele and their effectively-staying. They understand what you’re heading by way of and want to assist you get the payment you have earned.

Pink Flags to Stay away from When Picking out a Personal Injury Law firm

You need to be informed of specific pink flags when picking a individual personal injury attorney. Listed here are some of the most essential:

  • The lawyer does not have experience managing circumstances like yours. If the attorney you’re looking at doesn’t have practical experience dealing with conditions like yours, it is ideal to obtain someone else.
  • The law firm has a negative track record. If the law firm you’re contemplating has a poor name among the other attorneys and judges, it’s best to discover a person else.
  • The lawyer is only fascinated in the cash. If the attorney you are contemplating seems more interested in the dollars than helping you get justice, it is ideal to locate somebody else.
  • The law firm is impolite or disrespectful. If the law firm you are thinking of is rude or disrespectful, it’s most effective to find another person else.

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Twitter lawyer warns that Elon Musk is putting company at risk of billions in FTC fines

Twitter lawyer warns that Elon Musk is putting company at risk of billions in FTC fines

Twitter’s privacy and stability groups are in turmoil after Elon Musk’s changes to the service bypassed its regular details governance procedures. Now, a organization law firm is encouraging personnel to seek whistleblower defense “if you truly feel awkward about nearly anything you’re getting asked to do.”

The company’s chief privateness officer Damien Kieran, main info security officer Lea Kissner, and chief compliance officer Marianne Fogarty have all resigned, in accordance to two staff members and an inside information found by The Verge. Kissner confirmed their departure in a tweet on Thursday.

“Elon has revealed that his only priority with Twitter customers is how to monetize them.”

In a take note posted to Twitter’s Slack and viewable to all staff members that was attained by The Verge, an attorney on the company’s privacy group wrote, “Elon has demonstrated that his only priority with Twitter buyers is how to monetize them. I do not believe he cares about the human legal rights activists. the dissidents, our end users in un-monetizable areas, and all the other people who have built Twitter the international city square you have all expended so extensive setting up, and we all appreciate.”

The FTC attained a settlement with Twitter in May following the company was caught employing private user details to target ads. If Twitter doesn’t comply with that agreement, the FTC can problem fines reaching into the billions of dollars, in accordance to the lawyer’s observe to employees.

Do you know extra about what is likely on inside of Twitter? If so, I’d like to chat confidentially. You can attain me by using email: [email protected] or through the call variety on my Linktree. Then we can set up a safe thread on Sign.

The note goes on to say that its creator, who The Verge is familiar with the id of but is deciding on not to disclose, has “heard Alex Spiro (present-day head of Legal) say that Elon is prepared to just take on a enormous volume of hazard in relation to this business and its customers, simply because ‘Elon puts rockets into house, he’s not worried of the FTC.’”

Musk’s new authorized section is now inquiring engineers to “self-certify” compliance with FTC policies and other privateness rules, in accordance to the lawyer’s be aware and another worker familiar with the issue, who asked for anonymity to communicate with out the company’s authorization.

The employee reported this week’s launch of the revamped Twitter Blue subscription disregarded the company’s normal privateness and stability overview, with a “red team” examining potential threats the evening in advance of the start. “The men and women commonly tasked with this stuff were being specified small recognize, tiny time, and unreasonable to imagine it [the privacy review] was thorough.” None of the pink team’s suggestions were being executed in advance of Twitter Blue’s relaunch, the employee said.

Musk has signaled that one of his to start with priorities is rebuilding Twitter’s infrastructure. For the duration of a Twitter Areas audio dialogue with advertisers on Wednesday, he claimed that he needed to redo the company’s program stack so that the exact technologies is powering the relevance of tweets and adverts. “We have to be adventuresome right here,” he said.

In a statement shared with The Verge just after this story was revealed, an unnamed FTC spokesperson stated the company was “tracking current developments at Twitter with deep issue. No CEO or enterprise is previously mentioned the law, and providers must comply with our consent decrees. Our revised consent order provides us new equipment to be certain compliance, and we are geared up to use them.”

Previous Twitter outside the house counsel Riana Pfefferkorn noted in a tweet that the company’s FTC consent order calls for the business to do privateness critiques right before making variations to the product. That same FTC consent order calls for Twitter to submit a compliance discover signed by predetermined officers of the corporation to the FTC 14 times right after a modify in organization handle — which indicates Twitter owes the FTC a compliance detect now, 14 days just after Musk took about.

“I foresee that all of you will be pressured by management into pushing out variations that will likely direct to significant incidents,” the Twitter attorney wrote in the Slack information, which you can study in entire at the end of this posting.

On Thursday evening, Musk despatched an e mail to staff attained by The Verge to tackle worries about the FTC consent buy. “I cannot emphasize enough that Twitter will do whatever it will take to adhere to both of those the letter and spirit of the FTC consent decree,” he wrote. “Anything you read through to the contrary is certainly untrue. The exact same goes for any other govt regulatory matters wherever Twitter operates.”

Below is what the Twitter lawyer wrote in Twitter’s Slack:

Twitter is a distant-initial office, and has operated as this sort of for several years. It is a elementary improve to our work contracts to involve a 40hr a 7 days in-business prerequisite. I do not, personally, believe that Twitter workers have an obligation to return to workplace. Unquestionably not on no recognize (if at all).

I also remind all Tweeps (at minimum in the US) that we have an endless PTO policy. All Tweeps are in a position to choose PTO. Probably nowadays is a superior day to acquire some rest and recharge.

Everybody below must also know that our CISO, Main Privacy Officer and Main Compliance Officer ALL resigned last night. This information will be buried in the return-to-business office drama. I believe that is intentional.

Above the past two months. Elon has proven that he cares only about recouping the losses he’s incurring as a result of failing to get out of his binding obligation to invest in Twitter. He chose to enter into that settlement! All of us are becoming put by means of this as a outcome of the possibilities he built.

Elon has demonstrated that his only priority with Twitter users is how to monetize them. I do not imagine he cares about the human legal rights activists. the dissidents, our buyers in un-monetizable locations, and all the other people who have built Twitter the global city sq. you have all used so lengthy setting up, and we all enjoy.

I have read Alex Spiro (existing head of Authorized) say that Elon is eager to choose on a massive total of hazard in relation to this business and its buyers, since “Elon places rockets into space, he’s not afraid of the FTC.” I have read an additional chief in the Legal section say that mainly because of the limited SLA’s (of two months?!) involving product inception > start, Legal will “have to shift the load to engineers” to self-certify compliance with FTC needs and other laws. This will put enormous quantity of private, experienced and lawful threat on to engineers: I foresee that all of you will be pressured by administration into pushing out alterations that will probably direct to main incidents.

All of this is very perilous for our customers. Also, presented that the FTC can (and will!) fine Twitter BILLIONS of dollars pursuant to the FTC Consent Get, exceptionally detrimental to Twitter’s longevity as a system. Our users deserve so a great deal greater than this.

If you really feel unpleasant about nearly anything you are getting asked to do, you can contact Twitter’s Ethics Hotline at (800) 275-4843 or post a report at ethicshelpline.twitter.com. Please also be aware the FTC’s variety is: 1-877-FTC-Assist. You could also remember that Mudge achieved out to httos://whistlebloweraid.org

I desire you all luck. It is been this sort of an honor to get the job done with all of you. And I’ll be using a working day of PTO currently. 🫡💙

The Verge reached out to Musk for comment. Twitter no for a longer period has a communications office.

Makena Kelly contributed reporting for this story.

Update November 10th, 7:25AM ET: Included Thursday evening e-mail from Musk.

Update November 10th, 11:50AM ET: Extra the whole Slack information from a Twitter lawyer, details about Musk’s reviews to advertisers, a lot more about the launch of Twitter Blue, and observed that Musk was contacted for comment.

Update November 10th, 2:28PM ET: Additional extra details about the FTC consent get Twitter is below and a remark from the agency.