(BPT) - When Paula Van Riper felt a slight but annoying ache in her thigh 13 years ago, she was prompted to visit her doctor. No one expected to find a large mass of abnormal plasma cells in her femur, caused by multiple myeloma – a rare form of blood cancer that can lead to the formation of tumors in the bone marrow. Affecting more than 71,000 Americans, multiple myeloma ranks as the second most prevalent blood cancer after non-Hodgkin’s lymphoma.1 According to the American Cancer Society, 21,700 additional cases were diagnosed in the U.S. last year.2
Van Riper immediately underwent hip replacement surgery. When she was diagnosed with multiple myeloma, she researched the disease and found it was associated with a two to three year survival rate.
kAm“x H2D 2 A6C764E=J 962=E9J H@>2? 2?5 =:G65 2 G6CJ 24E:G6 =:76[” D2:5 '2? #:A6C] “xE H2D @3G:@FD=J 2 56G2DE2E:?8 5:28?@D:D]”k^Am
kAm|F=E:A=6 >J6=@>2 42FD6D 6I46DD:G6 AC@5F4E:@? @7 H9:E6 3=@@5 46==D] x? >2?J 42D6D[ E96 EF>@CD E92E 42? C6DF=E =625 E@ 3@?6 56DECF4E:@? 2?5 7C24EFC6D[ H9:49 :D H92E 42FD65 E96 :?:E:2= A2:? :? '2? #:A6C’D =68] %96 42FD6 @7 >F=E:A=6 >J6=@>2 :D F?<?@H?[ 3FE :E :D 36=:6G65 E92E 6?G:C@?>6?E2= 724E@CD[ :?4=F5:?8 6IA@DFC6 E@ 496>:42=D DF49 2D A6DE:4:56D[ 36?K6?6 2?5 A2:?E DAC2JD[ >2J A=2J 2 D:8?:7:42?E C@=6] %96 5:D62D6 AC:>2C:=J 27764ED @=56C >2=6D 2?5 5:DAC@A@CE:@?2E6=J :>A24ED p7C:42? p>6C:42?D]kDFAmbk^DFAmk^Am
kAm%96C6 :D ?@E J6E 2 4FC6 7@C >F=E:A=6 >J6=@>2[ 3FE D:8?:7:42?E 25G2?46D :? >65:42= :??@G2E:@? 2?5 C6D62C49 @G6C E96 A2DE `_ J62CD 92G6 96=A65 >2<6 E9:D EJA6 @7 42?46C 2 >2?28623=6 4@?5:E:@? 7@C >2?J] $:?46 96C DFC86CJ `b J62CD 28@[ '2? #:A6C 92D EC:65 D6G6C2= 5:776C6?E E96C2A:6D E@ >2?286 96C 42?46C[ 2D :D E96 EJA:42= 4@FCD6 7@C >J6=@>2 A2E:6?ED] }62C=J `_ E@ b_ A6C46?E @7 ?6H=J 5:28?@D65 A2E:6?ED 2C6 C67C24E@CJ E@ EC62E>6?E[ >62?:?8 E96J 5@ ?@E C6DA@?5 E@ E96 E96C2AJ[ 2?5 ?62C=J 2== >J6=@>2 A2E:6?ED H9@ 249:6G6 2? :?:E:2= C6DA@?D6 H:== 6G6?EF2==J C6=2AD6[ C6BF:C:?8 E96> E@ 6IA=@C6 @E96C C68:>6?D]k^Am
kAmu@C E96D6 A2E:6?ED[ 2 ?6H @AE:@? :D ?@H 2G2:=23=6] %96 &]$] u@@5 2?5 sCF8 p5>:?:DEC2E:@? WuspX C646?E=J 2AAC@G65 !~|p{*$%kDFAm®k^DFAm @C2= E96C2AJ WA@>2=:5@>:56X[ 2 ?6H A:== 7@C E96 EC62E>6?E @7 A2E:6?ED H:E9 >F=E:A=6 >J6=@>2 H9@ 92G6 C646:G65 2E =62DE EH@ AC:@C E96C2A:6D :?4=F5:?8 =6?2=:5@>:56 2?5 3@CE6K@>:3 E96C2AJ 2?5 92G6 56>@?DEC2E65 5:D62D6 AC@8C6DD:@? @? @C H:E9:? e_ 52JD @7 4@>A=6E:@? @7 E96 =2DE E96C2AJ]k^Am
kAm“!~|p{*$% 92D D9@H? E@ 36 2? 67764E:G6 2?5 H6== E@=6C2E65 2=E6C?2E:G6 7@C 962G:=J AC6\EC62E65 A2E:6?ED @C 7@C E9@D6 H9@ 92G6 6I92FDE65 >F=E:A=6 E96C2A:6D[ :?4=F5:?8 DE2?52C5 @7 42C6[” D2:5 sC] !2F= #:492C5D@?[ 7C@> E96 s2?2\u2C36C r2?46C x?DE:EFE6 :? q@DE@?[ H9@ H2D E96 AC:>2CJ :?G6DE:82E@C 7@C E96 !~|p{*$% 4=:?:42= EC:2= E92E H2D E96 32D:D 7@C E96 usp 2AAC@G2=] “(6 2C6 6I4:E65 E@ 92G6 J6E 2?@E96C EC62E>6?E E@ @776C A2E:6?ED H:E9 >F=E:A=6 >J6=@>2[ E@ A@E6?E:2==J 96=A 6IE6?5 C6>:DD:@?D :? E9:D :?4FC23=6 5:D62D6]”k^Am
kAm|@C6 E92? 2 564256 27E6C 96C 5:28?@D:D[ '2? #:A6C 4@?E:?F6D E@ =:G6 2? 24E:G6 =:76[ 2?5 96C 5:D62D6 :D 4FCC6?E=J F?56C 4@?EC@=] $96 A2CE:4:A2E65 :? E96 4=:?:42= EC:2= 7@C !~|p{*$%[ H9:49 D96 4@?E:?F6D E@ E2<6 E@52J] q642FD6 E9:D ?6H 5CF8 :D 2 A:==[ '2? #:A6C 5@6D ?@E ?665 E@ 8@ E@ E96 9@DA:E2= 2?5 :D E9FD 23=6 E@ C646:G6 EC62E>6?E H:E9 >:?:>2= 5:DCFAE:@? E@ 96C 52:=J =:76j 96=A65 3J E9:D 4@?G6?:6?46[ D96 :D 23=6 E@ >2:?E2:? 96C 7F==\E:>6 ;@3 2D 2DD:DE2?E 562? 2E #FE86CD &?:G6CD:EJ]k^Am
kAm“xE’D ?@E ;FDE 23@FE =:G:?8 =@?86C[” D2:5 '2? #:A6C] “xE’D 23@FE =:G:?8 H6==]”k^Am
kAm%96D6 C646?E >65:42= :??@G2E:@?D 92G6 2==@H65 '2? #:A6C E@ 2596C6 E@ E9:D 4C65@[ 2?5 D96 >2:?E2:?D 2 A@D:E:G6 2EE:EF56 56DA:E6 96C 42?46C]k^Am
kAm“x D@>6E:>6D D2J >J 42?46C 5:28?@D:D H2D E96 36DE 2?5 E96 H@CDE E9:?8 E92E 6G6C 92AA6?65 E@ >6[” D96 D2:5] “xE 2==@H65 >6 E@ @A6? >J H@C=5 E@ E96 F?56CDE2?5:?8 E92E >J =:76 :D G6CJ AC64:@FD] !C:@C E@ 5:28?@D:D[ x <?@H x 5:5 ?@E 7F==J 2AAC64:2E6 =:76’D >2?J 3=6DD:?8D]”k^Am
kAmkDEC@?8m!~|p{*$%kDFAm®k^DFAm :D 2 C68:DE6C65 EC256>2C< @7 r6=86?6 r@CA@C2E:@?k^DEC@?8mk^Am
kAmkDEC@?8mp3@FEk^DEC@?8m kDEC@?8m!~|p{*$%kDFAm®k^DFAmk^DEC@?8mk^Am
kAm!~|p{*$%kDFAm®k^DFAm @C2= E96C2AJ 4@>AC:D6D A@>2=:5@>:56[ 2? x|:sDkDFAm®k^DFAm 4@>A@F?5] !~|p{*$% 2?5 @E96C x|:sD 4@>A@F?5D 4@?E:?F6 E@ 36 6G2=F2E65 :? @G6C `__ 4=:?:42= EC:2=D]k^Am
kAm!~|p{*$%kDEC@?8mkDFAm®k^DFAmk^DEC@?8m WA@>2=:5@>:56X :D :?5:42E65 7@C A2E:6?ED H:E9 >F=E:A=6 >J6=@>2 H9@ 92G6 C646:G65 2E =62DE EH@ AC:@C E96C2A:6D :?4=F5:?8 =6?2=:5@>:56 2?5 3@CE6K@>:3 2?5 92G6 56>@?DEC2E65 5:D62D6 AC@8C6DD:@? @? @C H:E9:? e_ 52JD @7 4@>A=6E:@? @7 E96 =2DE E96C2AJ] pAAC@G2= :D 32D65 @? C6DA@?D6 C2E6] r=:?:42= 36?67:E[ DF49 2D :>AC@G6>6?E :? DFCG:G2= @C DJ>AE@>D[ 92D ?@E 366? G6C:7:65]k^Am
kAmkDEC@?8mx>A@CE2?E $276EJ x?7@C>2E:@?k^DEC@?8mk^Am
k5:G DEJ=6lQ3@C56Ci `AI D@=:5 R______j A255:?8i bAIj >2C8:?i _AIjQm
kAmkDEC@?8m(p#}x}vi t|q#*~\ut%p{ %~)xrx%* 2?5 't}~&$ %w#~|q~t|q~{x$|k^DEC@?8mk^Am
kAmkDEC@?8mt>3CJ@\u6E2= %@I:4:EJk^DEC@?8mk^Am
kF=m
k=:mkDEC@?8m!~|p{*$% :D 4@?EC2:?5:42E65 :? AC68?2?4J] !~|p{*$% :D 2 E92=:5@>:56 2?2=@8F6] %92=:5@>:56 :D 2 <?@H? 9F>2? E6C2E@86? E92E 42FD6D D6G6C6 3:CE9 56764ED @C 6>3CJ@\76E2= 562E9] x? 76>2=6D @7 C6AC@5F4E:G6 A@E6?E:2=[ @3E2:? a ?682E:G6 AC68?2?4J E6DED 367@C6 DE2CE:?8 !~|p{*$% EC62E>6?Ek^DEC@?8mk^=:m
k=:mkDEC@?8mu6>2=6D @7 C6AC@5F4E:G6 A@E6?E:2= >FDE FD6 a 7@C>D @7 4@?EC246AE:@? @C 4@?E:?F@FD=J 23DE2:? 7C@> 96E6C@D6IF2= D6I 5FC:?8 2?5 7@C c H66<D 27E6C DE@AA:?8 !~|p{*$% EC62E>6?Ek3C ^m
k3C ^mk^DEC@?8mk^=:m
k^F=m
kAmkDEC@?8m!~|p{*$% :D @?=J 2G2:=23=6 E9C@F89 2 C6DEC:4E65 5:DEC:3FE:@? AC@8C2> 42==65 !~|p{*$% #t|$kDFAm%|k^DFAm]k^DEC@?8mk^Am
kAmkDEC@?8m k^DEC@?8mk^Am
kAmkDEC@?8m'6?@FD %9C@>3@6>3@=:D>k^DEC@?8mk^Am
kF=m
k=:mkDEC@?8ms66A '6?@FD %9C@>3@D:D Ws'%X 2?5 !F=>@?2CJ t>3@=:D> W!tX @44FC :? A2E:6?ED H:E9 >F=E:A=6 >J6=@>2 EC62E65 H:E9 !~|p{*$%] !C@A9J=24E:4 2?E:\E9C@>3@E:4 >62DFC6D H6C6 6>A=@J65 :? E96 4=:?:42= EC:2=] r@?D:56C AC@A9J=24E:4 >62DFC6D 27E6C 2DD6DD:?8 2? :?5:G:5F2= A2E:6?E’D F?56C=J:?8 C:D< 724E@CDk^DEC@?8mk^=:m
k^F=m
k^5:Gm
kAmkDEC@?8mr~}%#px}sxrp%x~}$i !C68?2?4Jk^DEC@?8mk^Am
kF=m
k=:m!~|p{*$% 42? 42FD6 76E2= 92C> 2?5 :D 4@?EC2:?5:42E65 :? 76>2=6D H9@ 2C6 AC68?2?E] x7 E9:D 5CF8 :D FD65 5FC:?8 AC68?2?4J @C :7 E96 A2E:6?E 364@>6D AC68?2?E H9:=6 E2<:?8 E9:D 5CF8[ E96 A2E:6?E D9@F=5 36 2AAC:D65 @7 E96 A@E6?E:2= 92K2C5 E@ 2 76EFDk^=:m
k=:m!@>2=:5@>:56 :D 2 E92=:5@>:56 2?2=@8F6 2?5 :D E6C2E@86?:4 :? 3@E9 C2ED 2?5 C233:ED H96? 25>:?:DE6C65 5FC:?8 E96 A6C:@5 @7 @C82?@86?6D:D]k^=:m
k^F=m
kAmkDEC@?8m(p#}x}v$ p}s !#trp&%x~}$k^DEC@?8mk^Am
kA 4=2DDlQr@=@C7F={:DE\p446?E``rI$Au:CDEQmkDEC@?8mt>3CJ@\u6E2= %@I:4:EJk^DEC@?8mk^Am
kF=m
k=:mkDA2? DEJ=6lQE6IE\564@C2E:@?i F?56C=:?6jQmu6>2=6D @7 #6AC@5F4E:G6 !@E6?E:2=k^DA2?mi |FDE 2G@:5 AC68?2?4J H9:=6 E2<:?8 !~|p{*$% 2?5 7@C 2E =62DE c H66<D 27E6C 4@>A=6E:?8 E96C2AJ] |FDE 4@>>:E 6:E96C E@ 23DE2:? 4@?E:?F@FD=J 7C@> 96E6C@D6IF2= D6IF2= :?E6C4@FCD6 @C E@ FD6 a >6E9@5D @7 C6=:23=6 3:CE9 4@?EC@=[ 368:??:?8 c H66<D AC:@C E@ :?:E:2E:?8 EC62E>6?E H:E9 !~|p{*$%[ 5FC:?8 E96C2AJ[ 5FC:?8 5@D6 :?E6CCFAE:@?D 2?5 4@?E:?F:?8 7@C c H66<D 7@==@H:?8 5:D4@?E:?F2E:@? @7 !~|p{*$% E96C2AJ] |FDE @3E2:? a ?682E:G6 AC68?2?4J E6DED AC:@C E@ :?:E:2E:?8 E96C2AJ] k^=:m
k=:mkDA2? DEJ=6lQE6IE\564@C2E:@?i F?56C=:?6jQm|2=6Dk^DA2?mi !@>2=:5@>:56 :D AC6D6?E :? E96 D6>6? @7 A2E:6?ED C646:G:?8 E96 5CF8] |2=6D >FDE 2=H2JD FD6 2 =2E6I @C DJ?E96E:4 4@?5@> 5FC:?8 2?J D6IF2= 4@?E24E H:E9 76>2=6D @7 C6AC@5F4E:G6 A@E6?E:2= H9:=6 E2<:?8 !~|p{*$% 2?5 7@C FA E@ ag 52JD 27E6C 5:D4@?E:?F:?8 !~|p{*$%[ 6G6? :7 E96J 92G6 F?56C8@?6 2 DF446DD7F= G2D64E@>J] |2=6D >FDE ?@E 5@?2E6 DA6C>k^=:m
k=:mkDA2? DEJ=6lQE6IE\564@C2E:@?i F?56C=:?6jQmq=@@5 s@?2E:@?k^DA2?mi !2E:6?ED >FDE ?@E 5@?2E6 3=@@5 5FC:?8 EC62E>6?E H:E9 !~|p{*$% 2?5 7@C ` >@?E9 7@==@H:?8 5:D4@?E:?F2E:@? @7 E96 5CF8 3642FD6 E96 3=@@5 >:89E 36 8:G6? E@ 2 AC68?2?E 76>2=6 A2E:6?E H9@D6 76EFD >FDE ?@E 36 6IA@D65 E@ !~|p{*$%k^=:m
k^F=m
kAmkDEC@?8m!~|p{*$% #t|$ !C@8C2>k^DEC@?8mk^Am
kAmq642FD6 @7 E96 6>3CJ@\76E2= C:D<[!~|p{*$% :D 2G2:=23=6 @?=J E9C@F89 2 C6DEC:4E65 5:DEC:3FE:@? AC@8C2> F?56C 2 #:D< tG2=F2E:@? 2?5 |:E:82E:@? $EC2E68J W#t|$X 42==65 “kDEC@?8m!~|p{*$% #t|$k^DEC@?8m]” !C6D4C:36CD 2?5 A92C>24:DED >FDE 36 46CE:7:65 H:E9 E96 AC@8C2>j A2E:6?ED >FDE D:8? 2? 28C66>6?E 7@C> 2?54@>A=JH:E9 E96 C6BF:C6>6?ED] uFCE96C :?7@C>2E:@? 23@FE E96 kDEC@?8m!~|p{*$% #t|$k^DEC@?8m AC@8C2> :D 2G2:=23=6 2E kDEC@?8m,46=86?6C:D<>2?286>6?E]4@>.k^DEC@?8m @C 3J E6=6A9@?6 2E `\ggg\cab\dcbe]k^Am
kAmkDEC@?8m'6?@FD %9C@>3@6>3@=:D>k^DEC@?8mkDEC@?8mik^DEC@?8m !2E:6?ED C646:G:?8 !~|p{*$% 92G6 56G6=@A65 G6?@FD E9C@>3@6>3@=:4 6G6?ED C6A@CE65 2D D6C:@FD 25G6CD6 C624E:@?D] x? E96 EC:2=[ 2== A2E:6?ED H6C6 C6BF:C65 E@ C646:G6 AC@A9J=2I:D @C 2?E:E9C@>3@E:4 EC62E>6?E] %96 C2E6 @7 s'% @C !t H2D bTkDEC@?8m]k^DEC@?8m r@?D:56C 2?E:4@28F=2E:@? AC@A9J=2I:D 27E6C 2? 2DD6DD>6?E @7 6249 A2E:6?E’D F?56C=J:?8 C:D< 724E@CD]k^Am
kAmkDEC@?8mw6>2E@=@8:4 %@I:4:EJik^DEC@?8m }6FEC@A6?:2 @7 2?J 8C256 H2D C6A@CE65 :? d_T @7 A2E:6?ED 2?5 H2D E96 >@DE 7C6BF6?E=J C6A@CE65 vC256 b^c 25G6CD6 6G6?E[ 7@==@H65 3J 2?6>:2 2?5 E9C@>3@4JE@A6?:2] |@?:E@C A2E:6?ED 7@C 96>2E@=@8:4 E@I:4:E:6D[ 6DA64:2==J ?6FEC@A6?:2[ H:E9 4@>A=6E6 3=@@5 4@F?ED H66<=J 7@C E96 7:CDE g H66<D 2?5 >@?E9=J E96C627E6C] %C62E>6?E :D 4@?E:?F65 @C >@5:7:65 7@C vC256 b @C c 96>2E@=@8:4 E@I:4:E:6D 32D65 FA@? 4=:?:42= 2?5 =23@C2E@CJ 7:?5:?8D] s@D:?8 :?E6CCFAE:@?D 2?5^@C >@5:7:42E:@?D 2C6 C64@>>6?565 E@ >2?286 ?6FEC@A6?:2 2?5 E9C@>3@4JE@A6?:2]k^Am
kAmkDEC@?8mwJA6CD6?D:E:G:EJ #624E:@?Dik^DEC@?8m !2E:6?ED H:E9 2 AC:@C 9:DE@CJ @7 D6C:@FD 9JA6CD6?D:E:G:EJ 2DD@4:2E65 H:E9 E92=:5@>:56 @C =6?2=:5@>:56 H6C6 6I4=F565 7C@> DEF5:6D 2?5 >2J 36 2E 9:896C C:D< @7 9JA6CD6?D:E:G:EJ] k^Am
kAmkDEC@?8ms:KK:?6DD 2?5 r@?7FD:@?2= $E2E6k^DEC@?8mkDEC@?8mik^DEC@?8m `gT @7 A2E:6?ED 6IA6C:6?465 5:KK:?6DD 2?5 `aT @7 A2E:6?ED 6IA6C:6?465 2 4@?7FD:@?2= DE2E6j `T @7 A2E:6?ED 6IA6C:6?465 8C256 b^c 5:KK:?6DD[ 2?5 bT @7 A2E:6?ED 6IA6C:6?465 8C256 b^c 4@?7FD:@?2= DE2E6] x?DECF4E A2E:6?ED E@ 2G@:5 D:EF2E:@?D H96C6 5:KK:?6DD @C 4@?7FD:@? >2J 36 2 AC@3=6> 2?5 ?@E E@ E2<6 @E96C >65:42E:@?D E92E >2J 42FD6 5:KK:?6DD @C 4@?7FD:@? H:E9@FE 256BF2E6 >65:42= 25G:46]k^Am
kAmkDEC@?8m}6FC@A2E9Jik^DEC@?8m `gT @7 A2E:6?ED 6IA6C:6?465 ?6FC@A2E9J W2AAC@I:>2E6=J hT A6C:A96C2= ?6FC@A2E9JX] %96C6 H6C6 ?@ 42D6D @7 8C256 b @C 9:896C ?6FC@A2E9J 25G6CD6 C624E:@?D C6A@CE65]k^Am
kAmkDEC@?8m#:D< @7 $64@?5 !C:>2CJ |2=:8?2?4:6Dik^DEC@?8m r2D6D @7 24FE6 >J6=@86?@FD =6F<6>:2 92G6 366? C6A@CE65 :? A2E:6?ED C646:G:?8 !~|p{*$% 2D 2? :?G6DE:82E:@?2= E96C2AJ @FED:56 @7 >F=E:A=6 >J6=@>2]k^Am
kAmkDEC@?8mps't#$t #tpr%x~}$k^DEC@?8mk^Am
kAmx? E96 4=:?:42= EC:2= @7 a`h A2E:6?ED H9@ C646:G65 !~|p{*$% 2=@?6 W?l`_fX @C !~|p{*$% Z =@H\5@D6 56I2>6E92D@?6 W=@H\5@D6 56IX W?l``aX[ 2== A2E:6?ED 925 2E =62DE @?6 EC62E>6?E\6>6C86?E 25G6CD6 C624E:@?]k^Am
kF=m
k=:mx? E96 !~|p{*$% 2=@?6 G6CDFD !~|p{*$% Z =@H 5@D6 56I2>6E92D@?6 2C>D[ C6DA64E:G6=J[ >@DE 4@>>@? 25G6CD6 C624E:@?D W≥b_TX :?4=F565 72E:8F6 2?5 2DE96?:2 WddT[ ebTX[ ?6FEC@A6?:2 WdaT[ cfTX[ 2?6>:2 WbgT[ bhTX[ 4@?DE:A2E:@? WbeT[ bdTX[ ?2FD62 WbeT[aaTX[ 5:2CC962 WbcT[ bbTX[ 5JDA?62 WbcT[ cdTX[ FAA6C C6DA:C2E@CJ EC24E :?764E:@? WbaT[ adTX[ 324< A2:? WbaT[ b_TX[ 2?5 AJC6I:2 W`hT[ b_TXk^=:m
k=:mh_T @7 A2E:6?ED EC62E65 H:E9 !~|p{*$% 2=@?6 2?5 ggT @7 A2E:6?ED EC62E65 H:E9 !~|p{*$% Z =@H\5@D6 56I 925 2E =62DE @?6 EC62E>6?E\6>6C86?E }rx r%r vC256 b @C c 25G6CD6 C624E:@?k^=:m
k=:mx? E96 !~|p{*$% 2=@?6 G6CDFD !~|p{*$% Z =@H 5@D6 56I2>6E92D@?6 2C>D[ C6DA64E:G6=J[ >@DE 4@>>@? vC256 b^c 25G6CD6 C624E:@?D W≥`dTX :?4=F565 ?6FEC@A6?:2 WcfT[ bgTX[ 2?6>:2 WaaT[ a`TX[ E9C@>3@4JE@A6?:2 WaaT[ `hTX[ 2?5 A?6F>@?:2 W`eT[ abTX] u@C @E96C vC256 b @C c E@I:4:E:6D 36D:56D ?6FEC@A6?:2 2?5 E9C@>3@4JE@A6?:2[ 9@=5 EC62E>6?E 2?5 C6DE2CE EC62E>6?E 2E ` >8 =6DD E92? E96 AC6G:@FD 5@D6 H96? E@I:4:EJ 92D C6D@=G65 E@ =6DD E92? @C 6BF2= E@ vC256 a 2E E96 A9JD:4:2?’D 5:D4C6E:@? k^=:m
k=:mefT @7 A2E:6?ED EC62E65 H:E9 !~|p{*$% 2?5 eaT @7 A2E:6?ED EC62E65 H:E9 !~|p{*$% Z =@H\5@D6 56I 925 2E =62DE @?6 EC62E>6?E\6>6C86?E D6C:@FD 25G6CD6 C624E:@?k^=:m
k=:mx? E96 !~|p{*$% 2=@?6 G6CDFD !~|p{*$% Z =@H 5@D6 56I2>6E92D@?6 2C>D[ C6DA64E:G6=J[ >@DE 4@>>@? D6C:@FD 25G6CD6 C624E:@?D W≥dTX H6C6 A?6F>@?:2 W`cT[ `hTX[ C6?2= 72:=FC6 WgT[ eTX[ 5JDA?62 WdT[ eTX[ D6AD:D WeT[ bTX[ AJC6I:2 WbT[ dTX 569J5C2E:@? WdT[ bTX[ 9JA6C42=46>:2 WdT[ aTX[FC:?2CJ EC24E :?764E:@? W_T[ dTX[ 2?5 763C:=6 ?6FEC@A6?:2 WdT[ `TXk^=:m
k^F=m
kAmkDEC@?8ms#&v x}%t#pr%x~}$k^DEC@?8mk^Am
kAm}@ 7@C>2= 5CF8 :?E6C24E:@? DEF5:6D 92G6 366? 4@?5F4E65 H:E9 !~|p{*$%] !@>2=:5@>:56 :D AC:>2C:=J >6E23@=:K65 3J r*!`pa 2?5 r*!bp] !@>2=:5@>:56 :D 2=D@ 2 DF3DEC2E6 7@C !\8=J4@AC@E6:? W!\8AX] r@25>:?:DEC2E:@? @7 !~|p{*$% H:E9 5CF8D E92E 2C6 DEC@?8 :?9:3:E@CD @C :?5F46CD @7 r*!`pa[ r*!bp[ @C !\8A D9@F=5 36 2G@:565] r:82C6EE6 D>@<:?8 >2J C65F46 A@>2=:5@>:56 6IA@DFC6 5F6 E@ r*!`pa :?5F4E:@?] !2E:6?ED D9@F=5 36 25G:D65 E92E D>@<:?8 >2J C65F46 E96 677:424J @7 A@>2=:5@>:56]k^Am
kAmkDEC@?8m&$t x} $!trxuxr !~!&{p%x~}$k^DEC@?8mk^Am
kAmkDEC@?8m!C68?2?4Jik^DEC@?8m x7 AC68?2?4J 5@6D @44FC 5FC:?8 EC62E>6?E[ :>>65:2E6=J 5:D4@?E:?F6 E96 5CF8 2?5 C676C A2E:6?E E@ 2? @3DE6EC:4:2?^8J?64@=@8:DE 6IA6C:6?465 :? C6AC@5F4E:G6 E@I:4:EJ 7@C 7FCE96C 6G2=F2E:@? 2?5 4@F?D6=:?8] #6A@CE 2?J DFDA64E65 76E2= 6IA@DFC6 E@ !~|p{*$% E@ E96 usp G:2 E96 |65(2E49 AC@8C2> 2E `\g__\bba\`_gg 2?5 2=D@ E@ r6=86?6 r@CA@C2E:@? 2E `\ggg\cab\dcbe]k^Am
kAmkDEC@?8m}FCD:?8 |@E96CDk^DEC@?8mkDEC@?8mik^DEC@?8m xE :D ?@E <?@H? :7 A@>2=:5@>:56 :D 6I4C6E65 :? 9F>2? >:=<] !@>2=:5@>:56 H2D 6I4C6E65 :? E96 >:=< @7 =24E2E:?8 C2ED] q642FD6 >2?J 5CF8D 2C6 6I4C6E65 :? 9F>2? >:=< 2?5 3642FD6 @7 E96 A@E6?E:2= 7@C 25G6CD6 C624E:@?D :? ?FCD:?8 :?72?ED 7C@> !~|p{*$%[ 2 564:D:@? D9@F=5 36 >256 H96E96C E@ 5:D4@?E:?F6 ?FCD:?8 @C E@ 5:D4@?E:?F6 E96 5CF8[ E2<:?8 :?E@ 244@F?E E96 :>A@CE2?46 @7 E96 5CF8 E@ E96 >@E96C]k^Am
kAmkDEC@?8m!65:2EC:4 &D6k^DEC@?8mkDEC@?8mik^DEC@?8m $276EJ 2?5 67764E:G6?6DD @7 !~|p{*$% :? A2E:6?ED F?56C E96 286 @7 `g 92G6 ?@E 366? 6DE23=:D965]k^Am
kAmkDEC@?8mv6C:2EC:4 &D6k^DEC@?8mkDEC@?8mik^DEC@?8m }@ 5@D286 25;FDE>6?E :D C6BF:C65 7@C !~|p{*$% 32D65 @? 286] !2E:6?ED 8C62E6C E92? @C 6BF2= E@ ed J62CD @7 286 H6C6 >@C6 =:<6=J E92? A2E:6?ED =6DD E92? @C 6BF2= E@ ed J62CD @7 286 E@ 6IA6C:6?46 A?6F>@?:2]k^Am
kAmkDEC@?8m#6?2= 2?5 w6A2E:4 x>A2:C>6?Ek^DEC@?8mkDEC@?8mik^DEC@?8m !@>2=:5@>:56 :D >6E23@=:K65 :? E96 =:G6C] !@>2=:5@>:56 2?5 :ED >6E23@=:E6D 2C6 AC:>2C:=J 6I4C6E65 3J E96 <:5?6JD] %96 :?7=F6?46 @7 C6?2= 2?5 96A2E:4 :>A2:C>6?E @? E96 D276EJ[ 677:424J[ 2?5 A92C>24@<:?6E:4D @7 A@>2=:5@>:56 92D ?@E 366? 6G2=F2E65] pG@:5 !~|p{*$% :? A2E:6?ED H:E9 2 D6CF> 4C62E:?:?6 U8Ejb]_ >8^5{] pG@:5 !~|p{*$% :? A2E:6?ED H:E9 D6CF> 3:=:CF3:? U8Eja]_ >8^5{ 2?5 p$%^p{% U8Ejb]_ I &{}]k^Am
kAmkDEC@?8m!=62D6 D66 7F== !C6D4C:3:?8 x?7@C>2E:@?[ :?4=F5:?8 q@I65 (p#}x}v$[ r~}%#px}sxrp%x~}$[ (p#}x}v$ p}s !#trp&%x~}$[ 2?5 ps't#$t #tpr%x~}$]k^DEC@?8mk^Am
k9C 2=:8?lQ=67EQ D:K6lQ`Q H:5E9lQbbTQ ^m
k5:Gm
kAmkDFAm`k^DFAm $FCG6:==2?46[ tA:56>:@=@8J[ 2?5 t?5 #6DF=ED W$tt#X !C@8C2> WHHH]D66C]42?46C]8@GX $tt#Y$E2E s2E232D6i !C6G2=6?46k^Am
k^5:Gm
k5:Gm
kAmkDFAmak^DFAm p>6C:42? r2?46C $@4:6EJ[ r2?46C u24ED U2>Aj u:8FC6D a_`a[ tDE:>2E65 }6H r2?46C r2D6D 2?5 s62E9D 3J $6I[ &$[ a_`ak^Am
k^5:Gm
k5:Gm
kAmkDFAmbk^DFAm }2E:@?2= r2?46C x?DE:EFE6[ “p $?2AD9@E @7 |J6=@>2”i k2 9C67lQ9EEAi^^HHH]42?46C]8@G^C6D62C492?57F?5:?8^D?2AD9@ED^A57^|J6=@>2\$?2AD9@E]A57Qm9EEAi^^HHH]42?46C]8@G^C6D62C492?57F?5:?8^D?2AD9@ED^A57^|J6=@>2\$?2AD9@E]A57k^2m[ 2446DD65 `]ag]`bk^Am
k^5:Gm
kAmk:>8 DC4lVk2 9C67lQ9EEAi^^HHH]3C2?5A@:?E4@?E6?E]4@>^AC:?ED:E6^x>286(C:E6C]2D9In2CE:4=6:5l`fdfdU2>Aj>6>36C:5lfac`fQm9EEAi^^HHH]3C2?5A@:?E4@?E6?E]4@>^AC:?ED:E6^x>286(C:E6C]2D9In2CE:4=6:5l`fdfdU2>Aj>6>36C:5lfac`fk^2mV 3@C56ClV_V H:5E9lV`V 96:89ElV`V ^mk^Am