The classic Key West-style house just off Fleming looked much like the rest of the residences on the block - two-story wooden frame walls and peaked roofs with shallow porches nearly butting up against the sidewalk. Chloe's rusting blue Vespa was tucked away beside the house, in the narrow space separating it from the neighbors. To anyone walking by outside, everything looked quiet and peaceful. Inside, Chloe was pissed. Everything had been going great and then those stupid fuckers had decided to show up a week early, forcing her to scramble to pack a week's work into a single day. She wore a black bandana wrapped around her head, covering her buzz cut pink hair. Numerous smudges of dirt on her cheeks and the tip of her nose testified to the heavy-duty cleaning she'd been doing for the past five hours. She wore loose fitting shorts and a tight-fitting tank top that had once been white. In her bare feet she pushed a mop across the hardwood floors, grumbling to herself. She heard the door open and looked up to see Paul standing in the doorway. Even though it wasn't his fault, she glared at him as he came in. As much as Chloe liked a clean house, she hated housework, and this wasn't even her house. This particular space was sparsely decorated with just a few worn pieces of furniture and some bad condo art on the walls. After six months of being sealed up tight with the air conditioner off, it smelled of dust and mildew and needed a good airing out. "What are you doing?" asked Paul, closing the door behind him. "Mopping," she said, her voice flat. "Right. But why are you mopping here? Whose house is this anyway?" "It's one we just added to the roster last week. The cleaning service hasn't had a chance to get in here yet." "I see that," said Paul. "So why're you cleaning it tonight?" "We're cleaning it tonight because the Guidarizzi's decided to make a surprise visit to their winter home in Key West. They're coming in tomorrow afternoon. Every other decent place is filled up, so we have to use this one instead." What does Chloe think about the Guidarizzi's coming? - She is ambivalent. - She is pissed. - She is excited. - not enough information
She is pissed.

Have you ever wondered whether it's worth your while to encourage an older person to start exercising? In 2014, the top-notch journal JAMA published the results of a fantastic research project: a study in which 1635 sedentary older adults (aged 70-89) were assigned to get either a structured exercise program, or a program of "successful aging" health education. The researchers called it the Lifestyle Interventions and Independence for Elders (LIFE) study. (You can read the full study here.) During the LIFE study, the two groups were followed for a little over 2.5 years. And by the end of the study, guess which group of volunteers was more likely to still walk a quarter of a mile (without a walker)? That's right. When it came to avoiding "major mobility disability" which the researchers defined as becoming unable to walk 400 meters or more a structured exercise program was better than a program of healthy aging education. Specifically, the researchers found that 30% of the exercisers experienced a period of major disability, compared to 35.5% of the seniors enrolled in the healthy aging education program. This is a very encouraging finding! That said, it's also a bit sobering to realize that even with exercise, almost 1 in 3 older adults experienced a period of limited mobility, of which half lasted 6 months or more. In this post, I'll share some more details on this study, because the results provide a wonderful wealth of information that can be helpful to older adults, family caregivers, and even geriatricians such as myself. Want to know how often the exercisers experienced "adverse events"? (Hint: often!) Wondering just what the structured exercise program involved? (Hint: more than walking!) Let's dig into the details! At the end of this post, I'll share my list of key take-home points for older adults and family caregivers. Who were the study volunteers? Whenever you read about a research study, it's important to understand how the study volunteers compare to the older adults in *your* life. One of... What is probably true about the sedentary people? - They have a higher likelihood of taking part in research. - They have a higher likelihood of dying. - They have a higher likelihood of become a caregiver. - not enough information
They have a higher likelihood of dying.

(Question)
Two signatures. That's all that's needed to force a wide-ranging House debate and votes on border security and the immigration status of 700,000 undocumented young people brought to the U.S. as children. Since moderate Republicans opposed House leadership two weeks ago with a rare discharge petition to force a so-called "queen of the hill" debate (House rule based on the most votes) on immigration, the measure has steadily accumulated support within their own party. The petition needs 218 signatures to start that debate and with the assumption that all 193 House Democrats will sign on Republicans need just two more signatures. But that effort now goes on hold as Congress leaves town for an 11-day holiday recess, giving all sides breathing room to figure out what comes next. Many of the 23 Republican signers of the petition face tough re-election races in their districts this November. The debate over Deferred Action for Childhood Arrivals (DACA) recipients has challenged lawmakers since last September, when U.S. President Donald Trump ended the program, calling on Congress to find a permanent legislative solution. Lawmakers will return to Washington facing an immediate deadline. Representative Jeff Denham, a California Republican who is one of the leaders of the petition effort, told reporters that June 7 would be the absolute last moment to allow the petition to mature before lawmakers run up against a seven-week summer recess. Denham said talks with House leadership and the House Freedom Caucus, a conservative voting bloc seeking significant security concessions in return for a citizenship path for DACA recipients, have been productive. "We've had an agreement in principle," Denham said of a deal that would provide a 12-year path to citizenship for DACA recipients, known colloquially as Dreamers. "Now it's trying to put that information on paper. So, assuming we can continue to move forward, that is something we would bring to our conference on the 7th when we have our two-hour immigration meeting,... How long will it take for the House to debate the immigration bill? - More than a minute - About 20 years - not enough information - About 10 years
(Answer)
More than a minute