Monthly Archives: June 2022

Century Therapeutics to Present at the LifeSci Partners 2nd Annual Genetic Medicines Symposium

Posted: June 22, 2022 at 2:43 am

PHILADELPHIA, June 21, 2022 (GLOBE NEWSWIRE) -- Century Therapeutics (NASDAQ: IPSC), an innovative biotechnology company developing induced pluripotent stem cell (iPSC)-derived cell therapies in immuno-oncology, today announced that Lalo Flores, Ph.D., Chief Executive Officer, will participate in a fireside chat at the LifeSci Partners 2nd Annual Genetic Medicines Symposium on June 28, 2022, at 9:30 AM ET.

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Quotient Limited Reschedules Fourth Quarter and Full Year 2022 Financial Results Announcement to Friday, June 24th and Provides a Preview of…

Posted: June 22, 2022 at 2:43 am

JERSEY, Channel Islands, June 21, 2022 (GLOBE NEWSWIRE) -- Quotient Limited (NASDAQ: QTNT), a commercial-stage diagnostics company, today announced that it is rescheduling the release of its financial results for the fourth quarter and full year 2022 ended March 31, 2022. The Company will release these financial results and host a conference call before market open on Friday, June 24, 2022.

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Zynerba Pharmaceuticals Announces Positive Top Line Results from Open-Label Phase 2 INSPIRE Trial of Zygel™ in 22q11.2 Deletion Syndrome

Posted: June 22, 2022 at 2:43 am

– The INSPIRE trial achieved statistically significant and clinically meaningful improvements from baseline in multiple efficacy assessments –

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Resverlogix Announces Voting Results from the 2022 Meeting of Shareholders

Posted: June 22, 2022 at 2:43 am

CALGARY, Alberta, June 21, 2022 (GLOBE NEWSWIRE) -- Resverlogix Corp. (“Resverlogix”, or the "Corporation") (TSX:RVX) today held its Annual Meeting of Shareholders (the “Meeting”) in Calgary, Alberta.

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Director/PDMR Shareholding

Posted: June 22, 2022 at 2:43 am

DXS INTERNATIONAL PLC

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$2.38M to test nano-engineered brain cancer treatment in mice – University of Michigan News

Posted: June 22, 2022 at 2:42 am

The two-compartment nanoparticles as seen with structured illumination microscopy. The green compartment contains the immune drug while the red compartment brings the tumor-killer. Credit: Ava Mauser and Nahal Habibi, Lahann Lab, University of Michigan.

A new nanomedicine that crosses the blood-brain barrier, engages the immune system and kills cancer cells may offer hope for treating the most aggressive form of brain cancer, glioblastoma.

With $2.38 million in funding from the National Institutes of Health, the medicine will soon be tested in mice at the University of Michigan.

Led by a nano-engineer and neuro-oncology researchers at U-M, the study is the first to test the two drugs together, packaged so that they can be delivered through the bloodstream rather than a hole in the skull. It builds on previous success eliminating cancer in seven out of eight mice by packaging just the immune drug in the protein that crosses the blood-brain barrier so that it could be delivered intravenously. The five-year survival rate for glioblastoma in humans is about 5%.

The standard of care for glioblastoma is surgery and radiation, and the median survival hasnt improved for several decades. A systemically delivered nanomedicine that can prolong survival and prevent recurrence is the dream, said Maria Castro, the R.C. Schneider Collegiate Professor of Neurosurgery and professor of cell and developmental biology.

Her team leads the mouse studies in collaboration with Pedro Lowenstein, the Richard C. Schneider Collegiate Professor of Neurosurgery and professor of cell and developmental biology.

As the team tests out the nanoparticles timed to release the immune drug followed by a tumor-killing drug, developed and produced by project lead Joerg Lahanns group, one of the key questions is how well the drugs cooperate.

Are they working much better than either drug alone? Thats what were hoping for. Or is it just a small improvementor are they actually competing with each other and making the treatment worse or increasing the side effects? said Lahann, the Wolfgang Pauli Collegiate Professor of Engineering and director of the U-M Biointerfaces Institute.

The advanced nanomedicines are delivered intravenously and combined with radiation therapy, as they would be in a future clinical trial.

To get the nanomedicine from the bloodstream to the brain, Lahanns team packages the drugs in a protein called human serum albumin, which is present in blood and can cross the blood-brain barrier. Once there, the drugs must wake up the immune system to prevent recurrence and death, which frequently follow conventional treatments like surgery, radiation and chemotherapy.

Tumors grow and regrow because cancer cells have ways of suppressing the immune system. The 2020 study and the new grant use a drug that blocks STAT3, a signaling molecule that cancer cells use to tell immune cells not to attack them. This gave the immune system of the mice the ability to identify the cancer cells as targets for destruction.

In a study just out in May, the team used a drug that blocks CXCR4, an immune receptor that receives orders to send killer T-cells away. Blocking CXCR4 helps keep T-cells in the brain, where they do their work of killing brain cancer cells. Three out of five mice survived long term, and all of those survivors cleared new tumors during the recurrence challenge.

While the new grant wont use this drug, the team is interested in a future study exploring whether two immune approaches together might be more effective.

Tumors have a lot of variation, so we need to attack them from many directions, Lowenstein said.

After initial testing of the new two-compartment nanomedicine in lab-grown cell cultures that mimic human tumors and their surroundings, the team will begin testing in mice as the next step toward clinical trials in humans. They will find out how much of the nanomedicine makes it into the brain, how well it fights the cancer, how well it leaves the body and what the side effects are like.

Previous studies suggest that the nanoparticles home in on tumor cells, infiltrating them more often than healthy cells, and one of the goals for this one is to better understand how that works. For nanomedicines to advance into clinical trials as experimental treatments for glioblastoma, we must understand the mechanisms by which they accumulate in tumor and other tissues, said Colin Greineder, U-M assistant professor of emergency medicine, who will lead studies of how the nanomedicine distributes in the body.

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New Amrita Hospital is all set to open in Faridabad in August this year; 2,400-bed facility will become Indias biggest private hospital – The…

Posted: June 22, 2022 at 2:42 am

Amrita Hospitals announced on Thursday that its new 2,400-bed campus will soon be open to the public in Faridabad in August this year. During the press conference on Thursday, hospital management announced that the new Amrita Hospital is spread across 133 acres of land in Faridabad and it will be the biggest private sector hospital in India.

This would be the second large-scale Amrita Hospital in India after the iconic 1,200-bed Amrita Hospital in Kochi, Kerala, which was established 25 years ago by the Mata Amritanandamayi Math.

The new hospital is located at Sector 88, Faridabad and it will have a total built-up area of 1 crore sq. ft., including a 14-floor-high tower that will encompass the key medical facilities and patient areas. During the press conference, Swami Nijamritananda Puri, Head, Mata Amritanandamayi Math, Delhi announced that the 81 specialties at the hospital will include eight centers of excellence, such as oncology, cardiac sciences, neurosciences, gastro-sciences, renal sciences, bone diseases and trauma, transplants, and mother and child.

The hospital will become operational in stages, with 500 beds opening in August this year. In two years, this number will rise to 750 beds, and further to 1,000 beds in five years. When fully operational, the hospital will have a staff of 10,000 people, including over 800 doctors.

On how the new hospital has incorporated the aspects of pandemic-induced demands, Dr. Sanjeev K Singh, Medical Director, Amrita Hospital, Faridabad told Financial Express.com: We have learned a lot from the pandemic. The construction of the hospital began 5-6 years ago and the learnings from the pandemic also got incorporated along the way. For example, any patient who comes in an emergency gets facilitated in a 40-bed setup. In that set-up, we have a decontaminated area in which anyone who needs to shower will be sent there. We have four negative pressure rooms and if we have any suspected cases of covid or covid-like diseases we can send them to concerned specialists. The mechanism of shifting is also planned and implemented. In all critical care units, there are positive pressure isolation rooms.

The massive facility will also include 534 critical care beds which is the highest in India, the hospital management claims. The hospital campus will also include 64 modular operation theaters, most advanced imaging services, fully automated robotic laboratory, high-precision radiation oncology, most updated nuclear medicine, and state-of-the-art 9 cardiac and interventional cath lab for clinical services. Cutting-edge medical research will be a strong thrust area, with a dedicated research block spread across a 7-floor building totaling 3 lakh sq. ft with exclusive Grade A to D GMP lab with focus on identifying newer diagnostic markers, AI, ML, Bioinformatics etc.

Dr. Singh also told Financial Express.com that they want to integrate all aspects of medical science and bridge the gap between clinicians and scientists.

In Kochi, we have established tissue engineering, a nano-medicine-based cardiac stent, bone growth, and lots more. What we are looking at Faridabad campus is developing something new in stem-cell therapies. We want to create techniques like creating human cells on our own in our GMP labs as generally, we rely on international counterparts for such procedures. Recently, we conducted research in which we found that we can use patient pluripetin stem cells in tumours and it will destroy them. For us, oncology is the big thrust area but other areas will be a focus too. The intent of our research facility will be to make the high-end expensive equipment and treatments cost-effective for the common man. We want to integrate medicine, engineering, biotechnology, and other segments altogether, Dr. Singh told Financial Express.com.

Dr. Singh also said that they have already been awarded the Advanced ICMR Clinical Trial Unit and this will enable them to conduct their trials in the new facility.

Mata Amritanandamayi has allocated a certain amount of seed money to initiate research. On the basis of submitted proposals, things will materialise and start, he added.

Dr. Singh also told Financial Express.com that the new hospital will also be empaneled. There is a process of 3-6 months and then after medical facilities will be available under all panels like ECHS, CGHS and other TPAs, he added.

During the press conference, Dr Singh also informed that the hospital will be among the very few facilities in the country to conduct hand transplants, a specialty pioneered by Amrita Hospital in Kochi. We will also do transplants of liver, kidney, trachea, vocal cords, intestine, heart, lung, pancreas, skin, bone, face and bone marrow, he said.

Training of medical students and doctors will be a strong focus area. The hospital will have state-of-the-art robotics, haptic, surgical-medical simulation centre spread across 4 floors and 1.5 lakh sq. ft area, the biggest such learning & development facility for doctors in the country. The facility will also host a medical college and the countrys biggest allied health sciences campus, he stated.

Moreover, the management also informed that ultra-modern Amrita Hospital at Faridabad would be one of Indias largest green-building healthcare projects with a low carbon footprint. It is an end-to-end paperless facility, with zero waste discharge.

There is also a helipad on the campus for swift transport of patients and a 498-room guest house where attendants accompanying the patients can stay, they said.

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Global Advanced Functional Materials Market To Be Driven By The Surging Demand From Medical Sector In The Forecast Period Of 2021-2026 Designer Women…

Posted: June 22, 2022 at 2:42 am

The new report by Expert Market Research titled, Global Advanced Functional Materials Market Report and Forecast 2021-2026, gives an in-depth analysis of the globaladvanced functional materials market, assessing the market based on its type, end-use, and major regions. The report tracks the latest trends in the industry and studies their impact on the overall market. It also assesses the market dynamics, covering the key demand and price indicators, along with analyzing the market based on the SWOT and Porters Five Forces models.

Note 1: For a snapshot of the primary and secondary data of the market (2016-2026), along with business strategies and detailed market segmentation, please click on request sample report. The sample report shall be delivered to you within 24 hours.

Request a free sample copy in PDF or view the reportsummary@https://bityl.co/CaqF

The key highlights of the report include:

Market Overview (2016-2026)

The growth in the global advanced functional materials market is induced by the medical device technology which is advancing at a rapid pace. With increased focus on imaging techniques, implantable devices, and regeneration technologyin medicine, drug delivery industrial equipment, and biomedical engineering, the adoption of advanced functional materials is increasing rapidly, that aims to augment growth of the market. Advanced functional materials supersede conventional materials by having superior characteristics such as durability, toughness, durability, and elasticity. The advanced functional material industry for low carbon emissions applications is anticipated to be driven by rising lightweight vehicles demandcombined with improved fuel efficiency.

Explore the full report with the table ofcontents@https://bityl.co/CaqC

Industry Definition and Major Segments

Usingeffective power and signaltransmission to every object, advanced functional materials serve to minimise total power usage. Thin conductors or interlinks used within advanced functional material-based mini electronics aid in countering signal propagation and power failure concerns associated with large PCBs and thick interconnects.

Based on its types, the market is divided into:

Based on end-use, the market is divided into:

On the basis of region, the market is divided into:

Market Trends

In the years ahead, the manufacturing of lighter weight, handy, and adaptable substrate technological tools will boost adoption ofadvanced functional materials. One of the crucial industry trends in the advanced functional materials marketis the strong market for microelectronics andminiaturisation. The healthcare industry has a huge demand for advanced functional materials. In the industry, nanomaterials are the dominant type of material. The use of nano materials in the nanotechnological sector of the healthcare industry is consistently expanding. Nanomedicine is the use of nanotechnology to diagnose, monitor, deliver drugs, treat, and regulate biological systems. Although, an absence of expansion plans and technological innovation is anticipated to stymie the industrys growth over the forecast period.

Key Market Players

The major players in the market are Morgan Advanced Materials plc, KYOCERA Corporation, Hexcel Corporation, Nanophase Technologies Corporation, KURARAY CO., LTD, Murata Manufacturing Co., Ltd., and Henkel AG & Co. KGaA (OTCMKTS: HENKY), among others. The report covers the market shares, capacities, plant turnarounds, expansions, investments and mergers and acquisitions, among other latest developments of these market players.

About Us:

Expert Market Research is a leading business intelligence firm, providing custom and syndicated market reports along with consultancy services for our clients. We serve a wide client base ranging from Fortune 1000 companies to small and medium enterprises. Our reports cover over 100 industries across established and emerging markets researched by our skilled analysts who track the latest economic, demographic, trade and market data globally.

At Expert Market Research, we tailor our approach according to our clients needs and preferences, providing them with valuable, actionable and up-to-date insights into the market, thus, helping them realize their optimum growth potential. We offer market intelligence across a range of industry verticals which include Pharmaceuticals, Food and Beverage, Technology, Retail, Chemical and Materials, Energy and Mining, Packaging and Agriculture.

Media Contact

Company Name: Claight CorporationContact Person: Louis Wane, Corporate Sales Specialist U.S.A.Email:sales@expertmarketresearch.comToll Free Number:+1-415-325-5166 | +44-702-402-5790Address: 30 North Gould Street, Sheridan, WY 82801, USAWebsite:https://www.expertmarketresearch.com

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Electric Cargo Bikes Market:https://www.digitaljournal.com/pr/global-electric-cargo-bikes-market-to-be-driven-by-the-growing-environmental-consciousness-around-the-globe-in-the-forecast-period-of-2021-2026

Dehydrated Food Market:https://www.digitaljournal.com/pr/global-dehydrated-food-market-to-be-driven-by-increasing-consumer-demand-for-packaged-and-processed-food-products-in-the-forecast-period-of-2021-2026

Human Insulin Market:https://www.digitaljournal.com/pr/global-human-insulin-market-to-be-driven-by-rising-health-awareness-among-increasing-diabetic-population-across-the-globe-in-the-forecast-period-of-2021-2026

Power Over Ethernet Lighting Market:https://www.digitaljournal.com/pr/power-over-ethernet-lighting-market-to-be-driven-by-demand-for-advanced-technology-coupled-with-its-extensive-range-of-application-in-different-sectors-across-the-globe-in-the-forecast-period-of-2021

Marine Engines Market:https://www.digitaljournal.com/pr/marine-engines-market-to-be-driven-by-the-rapidly-growing-shipping-industry-in-the-forecast-period-of-2021-2026

*We at Expert Market Research always thrive to give you the latest information. The numbers in the article are only indicative and may be different from the actual report.

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OEDIT Announces Recipients of Collaborative Infrastructure Grant – Colorado Office of Economic Development and International Trade

Posted: June 22, 2022 at 2:41 am

Today, the Global Business Division of the Colorado Office of Economic Development and International Trade (OEDIT) announced the recipients of the Collaborative Infrastructure Grant, an Advanced Industries Accelerator Program that helps Colorado-based teams of technology businesses and nonprofits fill infrastructure gaps in the advanced industries. This years recipients will develop an advanced manufacturing hub to strengthen the local workforce and supply chains; add 1.4M square feet of new wet lab space for bioscience and clean tech startups; support adult bone marrow stem cell collection to benefit the treatment of musculoskeletal injury and disease; and add a state-of-the-art facility to evaluate outdoor product performance and production (full awardee list below).

The Advanced Industries Accelerator Program is designed to benefit all aspects of innovation in Colorado, said Rama Haris, Senior Manager for OEDITs Advanced Industries Program. We were pleased to see that this years applications for the Collaborative Infrastructure Grant represented that full spectrum, from manufacturing to health and wellness to outdoor recreation, and will fill infrastructure needs that benefit Coloradans and the nation.

To be eligible, projects must have multiple collaborative public-private partners, broad impacts across one or more advanced industries, and support capability growth within the identified industries through research, technology development, and manufacturing. The AIA Program received five applications for this grant opportunity. Applications were reviewed by a multi-disciplinary committee of business, technical and financial experts across the advanced industries. Final recommendations were approved by the Economic Development Commission on June 16, 2022.

Awardees

Metropolitan State University of Denver, $135,000: The world events of the last two years have illustrated the need for the US to more rapidly adopt, deploy, and support advanced manufacturing to strengthen the local workforce and supply chains. Metropolitan State University of Denver is developing a hub of advanced manufacturing innovation with a world-class Industry 4.0 Center of Excellence on the downtown Denver Auraria Campus. This physical lab will educate the manufacturing workforce and be accessible to local manufacturers. The center will include office space, lab space, and demonstration facilities.

Rocky Mountain Innosphere, $1,500,000: A recent report identified that the Denver and Boulder Metropolitan Statistical Area lacks 1.4M square feet of wet labs to support current and near-term needs. Rocky Mountain Innosphere, as part of the Colorado Build Back Better Coalition, is developing wet lab space for bioscience and clean tech startups. The wet lab space will be developed by renovating a 31,000 square foot building at the historic National Western Center and will provide for a startups progression from R&D to early scale-up.

Steadman Philippon Research Institute, $500,000: Musculoskeletal injury and disease are the most disabling and costly conditions suffered by Americans. Of the many adult stem cell types potentially applicable for treating musculoskeletal disorders, bone marrow stem cells (BMSCs) from bone marrow aspirate concentrate (BMAC) are the most clinically translatable. The Steadman Philippon Research Institute in Vail, Colo. is developing a BMAC harvesting, banking, and delivery service that facilitates multiple injections from a single bone marrow harvest without expansion or significant manipulation of the cells.

University of Colorado Denver, $250,000: Advanced manufacturing capabilities are essential to develop new products, processes, and services across a range of industries, including the outdoor recreation industry. Outdoor recreation powers a vast economic engine that creates billions in spending and millions of jobs. The University of Colorado Denver in partnership with Outside Inc. is building the Gear Innovation Lab, a facility with state-of-the-art testing equipment to evaluate outdoor product performance and production. The standardized lab testing will be supported by Outsides team of expert editors and field testers to provide a holistic technical, consumer, and community assessment and reporting of outdoor gear.

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The White Rim – Around Again – Cycling West – Cycling Utah

Posted: June 22, 2022 at 2:40 am

By Martin Neunzert They say life's what happens as we try to re-center from the little detours chance puts in our path. Here's a little story that encircles medicine, perseverance and evolving bicycle technology and chronicles three trips on the White Rim Trail in Southern Utah taken over the last 33 years.

CRAAARACK-ACK! The sound yerked me from half-sleep and echoed around the Wingate Sandstone cliffs, unseen above me in the darkness. What the? It sounded like a rifle shot! In the middle of the night? At Hardscrabble Bottom, deep in the heart of Canyonlands National Park? When I had gotten my permit to camp on the White Rim, the ranger had chuckled and said, Youre on your own! to my query about there being anyone else in the area. I shivered the rest of the night away, and at first light threw everything into the panniers and rode as fast as I could to the sun. Once I got a good look at the Green River, I could see what had made the noise: Long shelves of ice had formed along the banks. When the water level dropped during the night, the shelves snapped off violently.

I had never been so cold. I had stripped my equipment well past the point of comfortjust a summer-weight synthetic sleeping bag and a bivy sackin order to carry enough water. That night it was 14 degrees in Moab. The photo is of my feet wearing my heavy gloves in an attempt to get some feeling back into them.

A modern treatment for leukemia is to kill off the patients bone marrow, chemically, then rebuild it using stem cells from a suitable donor, my brother in my case. Although a miraculous procedure, the recipients body feverishly, literally, tries to reject the transplant. I ran a 104 degree fever for four days yet I felt intensely cold. Even under heated blankets, my uncontrollable shivering was so bad at times they gave me Demerol just so I could sleep for short periods.

PD and I stopped next to a woman standing at the edge of one of the uppermost switchbacks on the Shafer Trail. East of our toes, the road dropped 1,300 feet to the White Rim. A whooshing sound behind us caused us all to whip around. A guy on a mountain bike flew by. Nobody spoke for a few seconds, watching. Can you believe hes doing it in flats and tennis shoes? the woman asked the sky. He forgot his cleats this morning. I turned slightly and half-stepped toward my bike so she couldnt see my platform pedals and light hiking shoes. Then she was gone, too, and silence returned, in its enormity. I muttered Try that with partial vision loss, anemia (only two-thirds the amount of red blood cells of normal), osteopenia, chemo-brain, persistent left-side weakness, and, depending on who you talk to, sleep apnea, elevated creatinine level and residual PTSD.

I know who the real hero is, PD said quietly.

Two switchbacks lower, we stopped again as some vehicles were bunched up. Young Dude asked What kind of bike is that!? His tone of voice hovered between complete incomprehension and incredulousness, as if he had only seen a lugged-and-brazed frame used as a rusty bike rack, bolted to a sidewalk outside a bike shop.

Its an antique I said, politely leaving unsaid the part that it was state-of-the-art before he was born. It was bikes like these that blew open the whole mountain biking industry. Want to see it? Go to the parking area at the Slickrock Bike Trail above Moab and find the little interpretive sign at the south end that provides the history of the Trail. Mines a twin to the one in the photo, except silver.

We werent out to be the first or to break records. After all, websites for bragging about your accomplishments wouldnt go on-line for another twenty years. I wasnt even sure mountain biking in the desert would be practical: Too hot, too big, too sandy. But with each experience, we gained confidence and efficiency, always dreaming of future adventures.

Somewhere near Candlestick Butte, a movement and clattering of rocks caused me to skid to a halt. A mature desert bighorn ram had come partway down a shaly slope, our paths crossing by incomprehensible randomness. He intently studied me, perhaps confused by my bull moose handlebars. I was in awe, and a little jealous. Until then, I had felt smugly autonomous, carrying all my water for four days, yet he thrived in this environment, sculpted by evolution, sustained by the instinctive drive to survive.

Thank God for disc brakes! another woman said, grinning and letting gravity take her easily down the fun descent off Murphy Hogback. I wondered if she knew what center-pull brakes were. I was confident they were capable of locking up the wheels even when loaded with all my camping gear and nine quarts of water. Then as now, logistics are the real challenge of cycling the White Rim. My first time around, I chose to do it solo and self-contained. I had managed to cache a gallon at Potato Bottom, but failed to place another near Monument Basin. But when the opportunity came, I adapted by figuring out how to carry enough and going when it wasnt hot. Not once did it occur to me to mooch water the way modern bikepackers sometimes do, mostly because I truly value self-sufficiency, but partly because there was no one else.

Out by the Black Crack, I stopped to take in the expansive panorama, from Ekker Butte to the Buttes of the Cross. Youre riding a non-suspended bike? Mister More-Brand-Logos-Than-Spokes asked, pulling alongside. I laughed because I could see he was in too much of a hurry to listen to me explain why I wasnt on my full-suspension off-road recumbent, so I just answered, perhaps a little too flippantly, Oh, Ive been doing this for 30 years, I dont know what the big deal is.

Well, he replied, It makes a big difference to your forearms! and he flapped his hands as if he was shaking water from them. I flashed back to my initial days in rehab. After six weeks of immobilization from pneumonia and a stroke, my muscles were so weakened that my joints, particularly my knees and hips, would separate when I tried to relax or sleep. I dont mind telling you I had never felt such exquisite pain. It got so bad I asked for Oxycodone several times. That was kind of scary in itself. My physical therapists thought I was working extra hard in the gym to get back on my bike, I just wanted to build up my strength to stop the pain.

But in the present, I watched him sprint away, no doubt a drum-machine-and-synthesizer soundtrack playing in his mind like in the bike porn videos. I sincerely hoped he would someday learn the value of developing skills, tenacity and patience

When PD had invited me to ride the Rim again, I was terrified. It had been six months since I had tried to ride a diamond-frame bike, and that attempt had ended in a crash. But he refused to accede. I think my physical therapists had secretly gotten to him and persuaded him to find ways to get me back on the horse. I seriously considered moving him to the ex-friends category. Nevertheless, I was deeply curious to see if anything had changed in two-and-a-half decades. Fundamentally, no, nothing has. One still feels very insignificant out there in the vastness. But when I dragged into camp that evening at dusk, I sensed something was different.

Not just the breeze rustling the yellow cottonwood leaves, not the position of a cactus spine, definitely not the enduring sandstone that changes only imperceptibly during a humans lifespan. No, it was I who had changed.

Cancer (and its treatment and complications) had, for a time, taken away my freedom, my sanity, my dignity, my hair, my balance, my mobility, strength, even my appetite, leaving me only with my determination. Now everything I do is, in some way, therapy in the long fight to return to some level of normalcy.

Just last week one of my docs mentioned she was amazed at how well I handled 22 days in the ICU, horribly uncomfortably proned, with what felt like a garden-hose-sized ventilator tube jammed down my throat. Inspirational tenacity? Im not sure. I just did what it took to get through it. Perhaps there was an element of luck. One of the nurses in the ICU where they took me to after my stroke told me In the six years Ive worked here, youre the only one who has survived the combination of acute myeloid leukemia, a bone marrow transplant, pneumonia and stroke.

And I learned so much. Like genetics, the insane complexities of medicine or about being a professional patient. Stuff I never wanted to know that will now haunt me forever. Never again would I take for granted the profound compassion and intrinsic nonjudgmental nature of the myriad of people who helped me along the way. Or to be able to just jump on a bike and ride. Or to sleep under the rotating stars.

The White Rim Trail is a classic and deservedly popular 100-mile loop, mostly in Canyonlands National Park, mostly off-pavement.

Martin Neunzert is a long-time cyclist and tourer. He cycled the White Rim in 1989, 1990 and 2016 and has completed many other on- and off-road adventures along the way. He is now likely seen around Ogden, Utah, on his recumbent trike.

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