Hip implants a bit more likely to fail in women

CHICAGO (AP) — Hip replacements are slightly more likely to fail in women than in men, according to one of the largest studies of its kind in U.S. patients. The risk of the implants failing is low, but women were 29 percent more likely than men to need a repeat surgery within the first three years.

The message for women considering hip replacement surgery remains unclear. It's not known which models of hip implants perform best in women, even though women make up the majority of the more than 400,000 Americans who have full or partial hip replacements each year to ease the pain and loss of mobility caused by arthritis or injuries.

"This is the first step in what has to be a much longer-term research strategy to figure out why women have worse experiences," said Diana Zuckerman, president of the nonprofit National Research Center for Women & Families. "Research in this area could save billions of dollars" and prevent patients from experiencing the pain and inconvenience of surgeries to fix hip implants that go wrong.

Researchers looked at more than 35,000 surgeries at 46 hospitals in the Kaiser Permanente health system. The research, published Monday in JAMA Internal Medicine, was funded by the U.S. Food and Drug Administration.

After an average of three years, 2.3 percent of the women and 1.9 percent of the men had undergone revision surgery to fix a problem with the original hip replacement. Problems included instability, infection, broken bones and loosening.

"There is an increased risk of failure in women compared to men," said lead author Maria Inacio, an epidemiologist at Southern California Permanente Medical Group in San Diego. "This is still a very small number of failures."

Women tend to have smaller joints and bones than men, and so they tend to need smaller artificial hips. Devices with smaller femoral heads — the ball-shaped part of the ball-and-socket joint in an artificial hip — are more likely to dislocate and require a surgical repair.

That explained some, but not all, of the difference between women and men in the study. It's not clear what else may have contributed to the gap. Co-author Dr. Monti Khatod, an orthopedic surgeon in Los Angeles, speculated that one factor may be a greater loss of bone density in women.

The failure of metal-on-metal hips was almost twice as high for women than in men. The once-popular models were promoted by manufacturers as being more durable than standard plastic or ceramic joints, but several high-profile recalls have led to a decrease in their use in recent years.

"Don't be fooled by hype about a new hip product," said Zuckerman, who wrote an accompanying commentary in the medical journal. "I would not choose the latest, greatest hip implant if I were a woman patient. ... At least if it's been for sale for a few years, there's more evidence for how well it's working."

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Online:

Journal: http://www.jamainternalmed.com

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McCready's death renews questions for Dr. Drew

NASHVILLE, Tenn. (AP) — The criticism of Dr. Drew Pinsky spread on the Internet almost as quickly as news of Mindy McCready's death.

The country singer with the tumultuous personal life became the fifth cast member of his "Celebrity Rehab" series to die since appearing on the show and the third from Season 3. The previous deaths stirred up rumors of a curse and a debate about the show's helpfulness. McCready's apparent suicide upped the pitch of the reaction, however.

Singer Richard Marx on Twitter compared Pinsky to Dr. Jack Kevorkian, the so-called suicide doctor: "Same results."

Marx backed off later Monday, saying the crack went too far. But he restated his thoughts in a way that summed up much of the reaction in the first 24 hours since the 37-year-old McCready's death Sunday afternoon in Heber Springs, Ark.

"It is, however, my opinion that what Dr. D does is exploitation and his TV track record is not good," Marx wrote.

VH1's "Celebrity Rehab with Dr. Drew" is not currently on the air. Pinsky switched his focus to non-celebrities in Season 6 last fall and changed the title to "Rehab." The show spawned two spinoffs, "Sober House" and "Sex Rehab."

Season 3, shot in 2009, featured McCready, former NBA star Dennis Rodman, actors Tom Sizemore and Mackenzie Phillips, former Hollywood madam Heidi Fleiss and a handful of lesser known celebrity types.

McCready was a sympathetic character on the show and appeared to be far less damaged than her fellow cast members, some of whom experienced fairly graphic symptoms of opiate withdrawal in front of the cameras. McCready suffered a seizure while on the show, further endearing her to Pinsky and the others.

She said in a 2010 interview with The Associated Press that she initially turned Pinsky down.

"But Dr. Drew said something to me that just mowed me over literally, just floored me," she said. "He said, 'You've been being treated for the symptoms of what's wrong with you, not the problem. And you're going to have to put your family aside for a moment, put their feelings aside for a moment and worry about you because if you don't get better, it doesn't matter what your family thinks. You're not going to be there anymore.'"

Pinsky diagnosed her with "love addiction" during the series' run and called her an "angel" in the finale. In an interview with The Associated Press several months later, he said McCready had a good shot at recovery if she remained in treatment.

"Like with anybody I treat, it's really up to them," Pinsky said. "I never know. If they do the work they're supposed to do, yes (there can be success). If she does the work it will be great. It's up to her how much of that she does, how much she feels she needs to do. It seems like she's doing rather well right now so I hope she continues to do so."

Three years later, she's dead of an apparent self-inflicted gunshot to the head. McCready walked away from treatment several days ago after her father asked a judge to intervene. Her body was found on the front porch of a home she shared with David Wilson, the longtime boyfriend and father of her youngest son who appears to have killed himself in the same spot last month.

Pinsky wasn't available for comment, his publicist said, but he issued a statement Sunday night that noted he'd spoken with McCready recently.

"She is a lovely woman who will be missed by many," the statement said. "Although I have not treated her for a few years, I had reached out to her recently upon hearing about the apparent suicide of her boyfriend and father of her younger (child). She was devastated. Although she was fearful of stigma and ridicule she agreed with me that she needed to make her health and safety a priority. Unfortunately it seems that Mindy did not sustain her treatment."

A lack of continued treatment also appears to have led to the deaths of McCready's Season 3 castmates Mike Starr, bassist for Alice in Chains, and Joey Kovar, a "Real World" participant. Los Angeles riots spark Rodney King and actor Jeff Conaway also have passed away. Starr and Kovar overdosed and King was found dead in his pool with alcohol and marijuana in his system. Conaway was initially thought to have overdosed, but died of pneumonia and an infection.

Bob Forrest, a chemical dependency counselor who appeared on Season 3 of "Celebrity Rehab" and continues to work with Pinsky, said a discussion about mental health and substance abuse issues is important. But attacking Pinsky has only distracted from the real issues.

"Regardless of your feelings about how we do it with the TV show, calling Dr. Drew 'Dr. Kevorkian,' what kind of dialogue is that?" he said. "It's a good headline. We're going through a growth spurt in regards to who we are as a country. I really feel there's something going on in America beyond Mindy McCready's death."

The most recent figures from the Centers for Disease Control and Prevention show there were 38,364 suicides in the U.S. in 2010 — an average of 105 a day. Thirty-three percent of suicides tested positive for alcohol in 2009 and 20 percent for opiates, including heroin and prescription painkillers.

There were no immediate numbers available for suicides or overdoses post-rehab, but a patient with substance abuse problems is a higher risk for an attempt.

Dr. Sharon Hirsch, an associate professor in the University of Chicago's Department of Psychiatry and Behavioral Neuroscience, says patients can get trapped in the yin and yang of addiction. She was not familiar with McCready's case, but noted people abusing alcohol or drugs have a lower impulse control. And their lows when they're off drugs become more difficult to overcome, also lowering their resolve.

Dealing with loss, as McCready was, also increases risk, especially around anniversaries.

Hirsch said mental health and addiction issues have to be taken as seriously as a heart attack.

"Depression and substance dependence are all very malignant disorders and I think people forget that," Hirsch said. "They think of cancer, strokes and heart attacks killing people, but depression, substance abuse and eating disorders, too, all kill people. There are very, very high rates of deaths in those illnesses."

Pinsky's shows drew attention to the struggle. But did they help patients? Pinsky has taken an interest in cast members after the shows end and referred them to continuing treatment. But ultimately Hirsch wonders who was on call the last time McCready pondered killing herself.

"One of the key components of any treatment is to talk confidentially with your treatment provider about every aspect of what is going on with you, to be able to get the best care you can," she said. "I just don't know how that could occur in the context of an internationally televised show. And so it would be difficult for me to envision it as a complete treatment program. ... It just really strikes me as entertainment and not as treatment."

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Follow AP Music Writer Chris Talbott: http://twitter.com/Chris_Talbott.

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2nd major hotel for McCormick Place

The agency that owns McCormick Place announced Tuesday it will build a second hotel near the convention center complex, with plans calling for a 1,200-room facility that can serve as a headquarters for trade shows and conventions.

The Metropolitan Pier and Exposition Authority, also known as McPier, said it is acquiring land for the $400 million project, which will be located between Indiana and Michigan, along the south side of Cermak.

The announcement was made jointly with Mayor Rahm Emanuel and Gov. Pat Quinn. McPier has made it known for some time that it was drawing up plans to add to hotel and entertainment offerings in the area to better compete with rival cities such as Orlando and Las Vegas.

The hotel will operate in cooperation with McPier's existing hotel on the convention campus, the Hyatt Regency McCormick Place, which is undergoing a major expansion.

kbergen@tribune.com | Twitter@kathy_bergen

 

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Country singer Mindy McCready dead in apparent suicide: officials

LITTLE ROCK, Arkansas -- Troubled country music star Mindy McCready, whose platinum singing career was shadowed by substance abuse and suicide attempts, was found dead on Sunday of an apparent self-inflicted gunshot wound, an Arkansas sheriff said. She was 37.

McCready's body was found on the porch of a house in Heber Springs, Arkansas, on Sunday afternoon. She was pronounced dead at the scene "from what appears to be a single self-inflicted gunshot wound," the Cleburne County Sheriff's Office said in a statement.

Deputies had been dispatched to the area following reports of "shots fired," the sheriff's office said.

McCready, whose albums include "Ten Thousand Angels" and "If I Don't Stay the Night," had a complicated personal life, marked by a history of substance abuse, suicide attempts, family disputes and tragedy

In January, the singer’s boyfriend, David Wilson, was found dead of an apparent self-inflicted gunshot wound. But questions surrounding the circumstances of the shooting led authorities to keep his death under investigation.  

In an interview with "Dateline" in late January, McCready denied any involvement in her live-in boyfriend's death after Canning asked her whether she had shot him.

"Oh my God, no. Oh my God, no," she responded. "He was my life. We were each other's life. There's no way to tell where one of us began and the other ended. We slept together every night holding hands."

Some fellow musicians paid tribute to McCready on Twitter as news of her death spread.

"My thoughts and prayers go out to Mindy McCready and her family today," country singer Tracy Lawrence tweeted.

Country star Carrie Underwood wrote, "I grew up listening to Mindy McCready... so sad for her family tonight. Many prayers are going out to them."

Born in Fort Myers, Florida, McCready learned to sing as a child at her local Pentecostal church. She moved to Nashville, Tennessee, to break into the country music business at the age of 18, according to allmusic.com.

She achieved early success with her 1996 debut album, "Ten Thousands Angels," which sold 2 million copies. Four other studio albums followed.

While successful in her career, McCready's personal life had begun to unravel in recent years.

In 2004 she was convicted of prescription drug fraud and placed on parole. Three years later she spent time in jail for violating her parole terms.

She had two young sons. Her first, Zander, was born in 2006. As her personal problems deepened, she became embroiled in a legal dispute over custody.

In November 2011, she left Florida with Zander and fled to Arkansas. McCready's mother, who had custody of the child, filed a missing person report against her daughter, and regained custody.

Her son with Wilson, Zayne, was born last year.

McCready appeared on the television show "Celebrity Rehab with Dr. Drew."

According to the biography posted on VH1's website as part of her appearance on the show, McCready said that she believed her only true addiction was to violent relationships.

In 2011 McCready appeared on HBO's show "Celebrity Close Calls" about life and death situations. That same year she also appeared on the network's "Celebrity Ghost Stories."

Her fifth album, "I'm Still Here," was released to acclaim in 2010.

The sheriff's office said McCready's body would be taken to the Arkansas State Crime Lab for an autopsy, adding that "the matter will be fully investigated."

Reuters and the Los Angeles Times contributed

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Sony cuts price of Vita handheld games console in Japan

TOKYO (Reuters) - Sony Corp on Monday slashed the price of its struggling Vita handheld games console in Japan in a bid to spur sales of the device as gamers switch to free or cheap games played on tablet computers and smartphones.

The maker of Playstation consoles trimmed the price of its 3G Wifi version by 10,000 yen ($110) to 19,980 yen, with all other models also reduced, it said in a statement.

Tablets and smartphones are encroaching on the gaming market, with handheld consoles in particular suffering. Sony this month trimmed its forecast for handheld sales, including the Vita and older PSP, to 7 million machines in the year ending March 31 compared with an estimate of 16 million at the start of the business term.

The Vita price comes ahead of a rare Playstation gathering in New York on February 20, when Sony is expected to reveal the successor to its Playstation 3 home console.

(Reporting by Tim Kelly; Editing by Daniel Magnowski)

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West beats East 143-138 in NBA All-Star Game

HOUSTON (AP) — The NBA's career scoring leader in the All-Star game, Kobe Bryant has never been just about offense.

"I'm known for my defense," Bryant said. "I can defend. I'm pretty smart with my defense."

Pretty good, too. Ask LeBron James.

Bryant blocked James' jumper, turning it into a dunk by Kevin Durant that helped the Western Conference put away the East 143-138 on Sunday.

Bryant may not leap like Blake Griffin, but he can still get up when he needs to, especially when the defenseless part of the All-Star game is over and it's time to stop somebody — even the league's best player.

On Michael Jordan's 50th birthday, the players most often compared to him turned the final minutes into a 1-on-1 duel, and it went to Bryant — the guy Jordan said he'd pick between the two based on his five championship rings. That's one less than MJ and four more than King James.

"It was a great block," Durant said. "I haven't really seen any MVP get a jumper blocked like that. It was a really great play."

Chris Paul had 20 points, 15 assists and won MVP honors, and Durant scored 30 points. Griffin finished with 19, joining his Clippers teammate, Paul, in creating Lob City deep in the heart of Texas.

"You just want to play fast. I like to throw the lob. I like to see guys hit 3s," Paul said. "When we're out on the court with all that firepower, why wouldn't you want to make passes? You've got KD filling one of the lanes, you've got Blake, Kobe on the wing. There's nothing like it."

Bryant added a second late block of James, the MVP of the 2006 game here after leading a big East comeback. This time, he scored 19 points but shot only 7 of 18 after making 60 percent of his shots in six straight games before the break.

Carmelo Anthony led the East with 26 points and 12 rebounds.

"I think we played really good defense at the end of the game as a team," Durant said. "Kobe was really going with the ball. It's tough to stop LeBron, but he did his best. He was able to block a few of his shots. But CP did a really good job of keeping us in the game."

The first dunk of the game came 16 seconds in, Paul throwing a pass to Griffin as part of the West's 7-0 start. The West led after each of the first three quarters, though was never ahead by more than eight points through three periods.

They finally pushed it into double figures early in the fourth fueled by former Oklahoma City teammates Russell Westbrook and James Harden, but couldn't put it away until a late run behind the guys from the city of Los Angeles — who along with Lakers center Dwight Howard gave Los Angeles all but one of the West's starting spots.

Paul hit two 3-pointers, Bryant made a layup, and his block of James led to Durant's dunk that made it 136-126. Griffin had one last forceful dunk to help close it out, throwing a pass to himself off the backboard and climbing high in his neon green sneakers to slam it home and make it 142-134.

Harden had 15 points in his home arena, where the sights of the game were on the floor and the sounds were at the rim — which shook repeatedly after thunderous dunks for most of the game before, as usual, players tried to make some stops down the stretch.

Players' sneakers were a variety of pastels and fluorescent colors that looked like they came right from Easter Sunday church, many clashing so badly with their multi-colored socks that they may as well have been created by spilling out random paint buckets.

James and Dwyane Wade wore purple, and Griffin's neon look was also sported by the usually not-so-loud Tim Duncan and Brook Lopez.

But the NBA's high-flyers sure could leap in them.

Durant slammed one down so hard at one point that he stumbled backward after landing, appearing woozy. He came in as the career leader in points per game with 28.3 and may have won a second straight MVP award if not for Paul's big finish.

But the Kobe-LeBron matchup down the stretch showed that even in an All-Star game, when it's time to determine a winner, the 34-year-old Bryant is all business.

"It was all in good spirit, man. It was just two guys that love to compete, love to go at it. So I had a lot of fun," said James, who at 28 has plenty of time to catch up to Jordan and Bryant in when it comes to NBA championships.

Bryant finished with only nine points, but had eight assists. Griffin shot 9 of 11 from the field and didn't miss until trying to violently throw one down from a few feet away from the basket.

Indiana's Paul George scored 17 and Kyrie Irving had 15 for the East.

Not everybody had it so easy. Chris Bosh shot two airballs in the first quarter and was booed, tossed up another in the second, and had Tony Parker dribble the ball through his legs on defense. He was even pulled down the stretch by his own coach, Erik Spoelstra, right after Bryant blew right by him for a layup.

Bosh finished 3 of 9. Wade had 21 points on 10-of-13 shooting, the best performance of the three Heat players in the starting lineup. He and James helped the East pull out a two-point win in the 2006 game here, but the West didn't play Bryant-level defense back then.

"Second time in Houston, it was great," Wade said. "We didn't get the win, but we are all winners, because all 24 of us are All-Stars. So it was great."

There were plenty of laughs, players performing comedic skits and poking fun at each other on the Toyota Center's massive overhead scoreboard. Even the celebrities that surrounded the court — Westbrook almost crashed into Beyonce and Jay-Z while trying for a first-half steal — seemed entertained.

Two of Houston's biggest basketball stars, Hakeem Olajuwon and Yao Ming, who was honored after the first quarter, and Olympic gold medalists Usain Bolt and Gabby Douglas were among the athletes who weren't in the game.

Players wore warmup jackets with patches commemorating their individual and team career accolades during a lengthy pregame that included a performance by Ne-Yo. They actually warmed up twice, needing to get loose again after watching and being introduced during the elaborate show.

The game capped a weekend of change in Texas, where David Stern presided over his final All-Star game as commissioner and players' association executive director Billy Hunter was voted out of office — a result he seems likely to contest.

Boston's Kevin Garnett said before coming to Houston he thought his 15th All-Star selection would be his last, and turned it over to the young guys early. He played only 6 minutes of the first half before calling it a night.

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Follow Brian Mahoney on Twitter: http://www.twitter.com/Briancmahoney

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Study: Better TV might improve kids' behavior

SEATTLE (AP) — Teaching parents to switch channels from violent shows to educational TV can improve preschoolers' behavior, even without getting them to watch less, a study found.

The results were modest and faded over time, but may hold promise for finding ways to help young children avoid aggressive, violent behavior, the study authors and other doctors said.

"It's not just about turning off the television. It's about changing the channel. What children watch is as important as how much they watch," said lead author Dr. Dimitri Christakis, a pediatrician and researcher at Seattle Children's Research Institute.

The research was to be published online Monday by the journal Pediatrics.

The study involved 565 Seattle parents, who periodically filled out TV-watching diaries and questionnaires measuring their child's behavior.

Half were coached for six months on getting their 3-to-5-year-old kids to watch shows like "Sesame Street" and "Dora the Explorer" rather than more violent programs like "Power Rangers." The results were compared with kids whose parents who got advice on healthy eating instead.

At six months, children in both groups showed improved behavior, but there was a little bit more improvement in the group that was coached on their TV watching.

By one year, there was no meaningful difference between the two groups overall. Low-income boys appeared to get the most short-term benefit.

"That's important because they are at the greatest risk, both for being perpetrators of aggression in real life, but also being victims of aggression," Christakis said.

The study has some flaws. The parents weren't told the purpose of the study, but the authors concede they probably figured it out and that might have affected the results.

Before the study, the children averaged about 1½ hours of TV, video and computer game watching a day, with violent content making up about a quarter of that time. By the end of the study, that increased by up to 10 minutes. Those in the TV coaching group increased their time with positive shows; the healthy eating group watched more violent TV.

Nancy Jensen, who took part with her now 6-year-old daughter, said the study was a wake-up call.

"I didn't realize how much Elizabeth was watching and how much she was watching on her own," she said.

Jensen said her daughter's behavior improved after making changes, and she continues to control what Elizabeth and her 2-year-old brother, Joe, watch. She also decided to replace most of Elizabeth's TV time with games, art and outdoor fun.

During a recent visit to their Seattle home, the children seemed more interested in playing with blocks and running around outside than watching TV.

Another researcher who was not involved in this study but also focuses his work on kids and television commended Christakis for taking a look at the influence of positive TV programs, instead of focusing on the impact of violent TV.

"I think it's fabulous that people are looking on the positive side. Because no one's going to stop watching TV, we have to have viable alternatives for kids," said Dr. Michael Rich, director of the Center on Media and Child Health at Children's Hospital Boston.

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Online:

Pediatrics: http://www.pediatrics.org

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Contact AP Writer Donna Blankinship through Twitter (at)dgblankinship

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Singer Mindy McCready dies in apparent suicide

HEBER SPRINGS, Ark. (AP) — Perhaps there was one heartbreak too many for Mindy McCready.

The former country star apparently took her own life Sunday afternoon in Heber Springs, Ark. Authorities say McCready died of a suspected self-inflicted gunshot to the head and an autopsy is planned. She was 37, the mother of two young sons.

McCready has had at least three suicide attempts since 2005 among a series of tumultuous public events that marked much of the singer's adult life.

Speaking to The Associated Press in 2010, McCready smiled wryly while talking about the string of issues she'd dealt with over the last half-decade.

"It is a giant whirlwind of chaos all the time," she said of her life. "I call my life a beautiful mess and organized chaos. It's just always been like that. My entire life things have been attracted to me and vice versa that turn into chaotic nightmares or I create the chaos myself. I think that's really the life of a celebrity, of a big, huge, giant personality."

This time it seems the whirlwind overwhelmed McCready.

Her death comes a month after that of David Wilson, her longtime boyfriend and the father of her youngest son. He is believed to have shot himself on the same porch of the home they shared in the small wooded community of large lakefront houses about 65 miles north of Little Rock, Ark., and his death also was investigated as a suicide.

It was the most difficult moment in a life full of them. McCready issued a statement last month lamenting his death. And she called him her soul mate and a caregiver to her sons in an interview with NBC's "Today" show.

"I just keep telling myself that the more suffering that I go through, the greater character I'll have," she said, according to a transcript of the interview.

Like so many times before, McCready showed a little toughness in the midst of a personal storm, again endearing herself to her fans. But as usual, the brave face for the camera hid a much more complicated internal struggle that surfaced publicly time and again over the last 10 years.

This time, along with her remembrances of finding Wilson as he lay dying, she also answered questions about whether they'd argued earlier that evening about an affair and if she'd shot him.

"Oh, my God," the "Today" transcript reads. "No. Oh, my God. No. He was my life. We were each other's life."

It's unclear what circumstances led to McCready taking her own life, but it appears she was struggling again with twin issues that have persisted for years — substance abuse and the custody of her children. She checked into court-ordered rehab and gave her children up to foster care earlier this month after her father asked a judge to intervene, saying she'd stopped taking care of herself and her sons and was abusing alcohol and prescription drugs.

It's not clear where her sons, 6-year-old Zander and infant Zayne, were Sunday.

A deputy stationed outside McCready's home Sunday night referred questions to the Cleburne County sheriff, who was unavailable. Yellow crime-scene tape cordoned off the front yard and a dark-colored pickup truck sat in the driveway.

News of McCready's death spread quickly Sunday night on Twitter, with major country stars paying their respects to the onetime Nashville darling.

"Too much tragedy to overcome. R.I.P Mindy McCready," wrote Natalie Maines of The Dixie Chicks.

And Carrie Underwood added: "I grew up listening to Mindy McCready...so sad for her family tonight. Many prayers are going out to them..."

Melinda Gayle McCready arrived in Nashville in 1994 still in her teens with tapes of her karaoke vocals and earned a recording contract with BNA Records. She had a few memorable moments professionally, scoring her first No. 1 hit almost immediately.

"Guys Do It All the Time," a self-assured dig at male chauvinism, endeared her to female fans in 1996. She also scored a hit with "Ten Thousand Angels," and her album of that title sold 2 million copies.

Beyond that, though, she's mostly remembered for a string of dramatic moments as she spent the next 15 years chasing another huge hit. Her problems included a custody battle with her mother over one of her sons, arrests, overdoses and discord in her love life.

She made headlines in April 2008 when she claimed a longtime relationship with baseball great Roger Clemens. Published reports at the time said she met the pitcher at a Florida karaoke bar when she was 15 and he was 28 and married. Clemens denied the relationship. A decade earlier she was engaged to actor Dean Cain, but the two never married.

She also had a turbulent relationship with Billy McKnight, a country singer who is the father of her oldest son. McKnight was arrested in 2005 on charges of attempted murder after authorities say he beat and choked her.

During this period she also pleaded guilty to obtaining the painkiller OxyContin fraudulently at a pharmacy and got probation. She violated the probation with a drunken driving arrest in May 2005, a few days before McKnight was arrested. And in July 2007, she was arrested in her hometown of Fort Myers, Fla., on misdemeanor charges of scratching her mother, Gayle Inge, on the face during a scuffle and resisting sheriff's deputies.

Less than a year later, McCready was arrested and charged with violating her probation by falsifying her community service records relating to the 2004 drug charge. A month later, she entered an extended care facility for undisclosed treatment, and followed that with a 60-day jail sentence. Inge took custody of Zander.

There were at least three suicide attempts between July 2005 and December 2008.

She tried to get help in an unusual way, joining the cast of "Celebrity Rehab 3" with Dr. Drew Pinsky. McCready came off as a sympathetic figure during the show's run. Pinsky called her an "angel" and in an interview in 2010 said it appeared McCready was doing "rather well."

Pinsky helped treat McCready for love addiction on the show and said he'd referred her to professionals who could continue to help her afterward.

"A love addict basically is somebody that really didn't have a good model for intimacy in their childhood, often times traumatized in one way or another, thereby intimacy becomes a risk place, becomes an intolerable place," Pinsky said. "And so what they tend to do is attach themselves to idealized, bigger than life, unavailable others, specifically go after some public figure that's married or go after some rock star who is himself a sex addict and not interested in a relationship, and then idealize that person and actively pursue them to the point of obsession."

McCready suffered a seizure in one of the show's scarier moments. Tests showed she has suffered brain damage, something she attributed to her abusive relationship with McKnight.

McCready is the fifth celebrity to pass away since appearing on Pinsky's show and the third from Season 3. Alice in Chains bassist Mike Starr and "Real World" participant Joey Kovar both died of overdoses.

In the months after her stint, McCready said she found some peace, telling The Associated Press in early 2010 that she hoped to get her career restarted, write a book about her experiences and begin production on a reality show with her brothers. She'd just met Wilson and talked openly about their relationship, although the producer and musician declined to speak on the record.

With a publicist, reporters, cameras, makeup artists and musicians swirling around her during a press day for her last album, "I'm Still Here," McCready fended off questions about a sex tape and said she and Wilson started out as friends.

"And I've never had a relationship like that before where we started completely as friends," she said. "It turned into friends really caring about each other and then it turned into love and I've never had that happen before."

At the time, Pinsky thought the relationship was on the right track: "She's an easy person to like and to care about and we hope she does well," Pinsky said. "So far so good as far as I can tell."

McCready said her main goal in 2010 was to pull her family back together: "I would like my son back with me and for my brothers and I and he to be able to go and do this (TV reality show), and I think after that I will be a pretty happy girl."

The new album debuted at No. 71 and failed to gain radio airplay. McCready's plans never materialized and she soon was in legal trouble again, this time fighting for custody.

McCready took her older son from her mother, the boy's legal guardian, in late 2011. She fled to Arkansas without permission over what she called child abuse fears. Authorities eventually found McCready hiding in a home without permission and took the boy into custody.

She and Wilson had their son in April 2012.

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Music Writer Chris Talbott reported from Nashville, Tenn. Associated Press writer Tamara Lush contributed to this report from Tampa, Fla.

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U. of C. Medicine's leader gears up for challenges

Nearly every morning, before 7 a.m., Dr. Kenneth Polonsky is dropped off near the Lakefront Trail on Chicago's South Side, a few steps from Lake Michigan.

He carries no briefcase, wears no suit and has no cup of coffee, the standard trappings of his executive contemporaries.

Instead — at least in the winter — he's covered in high-tech running gear, leaving only a small patch of skin around his eyes exposed to the weather. The outfit, he muses, must raise suspicions among cab drivers.

"It's 6:30 in the morning, it's dark and can be, maybe, 10 degrees outside," he says. "When I ask the driver to drop me by the side of (the road), they must think, 'What's going on with this guy? There's something funny here.'"

Twelve months a year, through heat waves, cold snaps, rain, sleet and snow, the top official at University of Chicago Medicine starts most mornings running 5 miles to work.

It's a routine that reflects lessons learned from decades of studying diabetes and treating patients with the disease and one he pairs with watching his diet "like a hawk." The daily run also is a vehicle for the cerebral 62-year-old M.D. to contemplate the challenges that lie ahead.

There are many, starting with the massive transformation of the way medical care is paid for and delivered as part of President Barack Obama's 2010 health care overhaul.

Polonsky also faces cuts to research funding that flows to the Pritzker School of Medicine through the National Institutes of Health and growing financial pressure from Illinois' Medicaid program, the federal-state health insurance program that serves a substantial percentage of the hospital's South Side patients.

All this while christening and trying to pay for a $700 million, 1.2 million-square-foot new hospital, a 10-story, boxy, modernist structure that towers above a campus better known for its ubiquitous, early-20th-century red-roofed Gothic buildings.

The hospital, dubbed the Center for Care and Discovery in the absence of a donor willing to lay down $50 million for naming rights, is scheduled to open Saturday.

With 240 private patient rooms, 28 supersize operating rooms and seven advanced imaging rooms, the hospital will specialize in neuroscience and the treatment of cancer and gastrointestinal diseases.

But even what is supposed to be a celebratory, clink-the-glasses moment for Polonsky and the university has been sullied by controversy.

An estimated 50 protesters entered the hospital on a Sunday afternoon in January, holding placards and using a megaphone to voice their displeasure that such a costly facility was not outfitted with a trauma unit.

University police with batons were videotaped shoving protesters to the ground. Four were arrested in the melee.

Polonsky said the system is re-evaluating its role in trauma care, "a legitimate question for discussion and debate and one we are looking at again in detail."

Managing this issue will be a major test of Polonsky's leadership in 2013 and will occur against the backdrop of the largest upheaval to the health care industry in a generation.

"We're in a really vulnerable situation at the moment; there's no question about it," Polonsky said of the shift under way in health care. "But that's one of the reasons I'm interested in my job. I believe I can impact a series of big issues."

Many people, he said, go through life wondering whether what they're doing is worthwhile or significant in the big picture of things.

"I'm very fortunate to never, ever have had that problem," Polonsky said.

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Woman shot, killed hours after sibling attends Obama speech

Hours after Destini Warren, 14, attended President Barack Obama’s speech against gun violence Friday, her family learned of a terrible irony.

Destini’s sister, Janay McFarlane, 18, was the victim of the very thing that the President was condemning at Hyde Park Academy in Chicago.

McFarlane, of the 8900 block of South Lowe Avenue, was visiting friends and family in North Chicago when she was shot on her way to a store in the northern suburb, her family said.

She was pronounced dead at 11:30 p.m., shortly after sustaining a single gunshot wound to her head, according to the Lake County Coroner’s office.

North Chicago Police officials did not return calls for comment Saturday.

Angela Blakely, the mother of both girls, said that the family had been anticipating the President's visit to the school where Destini is a freshman.

Leading up to the visit, McFarlane frequently mentioned the recent death of Hadiya Pendleton, 15, whose own shooting death a mile from the Obama's home spurred the President's visit.

“It's terrible, it's terrible the only thing I can remember is my daughter telling me, 'Mommy, it's so sad about Hadiya. That makes no sense,'“ Blakely said. “She always asked me a lot of questions about death.”

Blakely said that McFarlane was still trying to make sense of the violence that claimed Pendleton’s life. She kept questioning why someone so innocent could die from violence.

McFarlane, who attended Hyde Park Academy before she became pregnant with her son Jayden — 3-months-old — and dropped out, was excited that her younger sister was able to attend Obama’s speech.

Destini said that during the days before the President arrived to Chicago, her sister would come by and talk to her about the visit. Destini said she last spoke to her sister on Thursday night before the younger girl went to sleep.

“She was like 'Just tell me how it's going to be.' She was excited for me,” said Destini. “ (The violence) was really wracking her because she was talking to my momma about Hadiya.”

Destini said she was sitting on a bench about two rows behind the President on stage listening as he spoke about gun violence.

“I could relate to it because that's been happening to a lot of people,” said Destini.

The speech resonated even more when her family got the call from McFarlane's father in North Chicago, who told Destini that her sister was dead, she said.

“It was like real painful,” said Destini, her voice choking back tears.

Since President Obama's speech on Friday, two people have been killed and six injured by guns in Chicago.

csadovi@tribune.com

Freelance reporter Ruth Fuller contributed

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