Cleveland, Ohio clinic performs US’s first face transplant

Thursday, December 18, 2008

A team of eight transplant surgeons in Cleveland Clinic in Ohio, USA, led by reconstructive surgeon Dr. Maria Siemionow, age 58, have successfully performed the first almost total face transplant in the US, and the fourth globally, on a woman so horribly disfigured due to trauma, that cost her an eye. Two weeks ago Dr. Siemionow, in a 23-hour marathon surgery, replaced 80 percent of her face, by transplanting or grafting bone, nerve, blood vessels, muscles and skin harvested from a female donor’s cadaver.

The Clinic surgeons, in Wednesday’s news conference, described the details of the transplant but upon request, the team did not publish her name, age and cause of injury nor the donor’s identity. The patient’s family desired the reason for her transplant to remain confidential. The Los Angeles Times reported that the patient “had no upper jaw, nose, cheeks or lower eyelids and was unable to eat, talk, smile, smell or breathe on her own.” The clinic’s dermatology and plastic surgery chair, Francis Papay, described the nine hours phase of the procedure: “We transferred the skin, all the facial muscles in the upper face and mid-face, the upper lip, all of the nose, most of the sinuses around the nose, the upper jaw including the teeth, the facial nerve.” Thereafter, another team spent three hours sewing the woman’s blood vessels to that of the donor’s face to restore blood circulation, making the graft a success.

The New York Times reported that “three partial face transplants have been performed since 2005, two in France and one in China, all using facial tissue from a dead donor with permission from their families.” “Only the forehead, upper eyelids, lower lip, lower teeth and jaw are hers, the rest of her face comes from a cadaver; she could not eat on her own or breathe without a hole in her windpipe. About 77 square inches of tissue were transplanted from the donor,” it further described the details of the medical marvel. The patient, however, must take lifetime immunosuppressive drugs, also called antirejection drugs, which do not guarantee success. The transplant team said that in case of failure, it would replace the part with a skin graft taken from her own body.

Dr. Bohdan Pomahac, a Brigham and Women’s Hospital surgeon praised the recent medical development. “There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Leading bioethicist Arthur Caplan of the University of Pennsylvania withheld judgment on the Cleveland transplant amid grave concerns on the post-operation results. “The biggest ethical problem is dealing with failure — if your face rejects. It would be a living hell. If your face is falling off and you can’t eat and you can’t breathe and you’re suffering in a terrible manner that can’t be reversed, you need to put on the table assistance in dying. There are patients who can benefit tremendously from this. It’s great that it happened,” he said.

Dr Alex Clarke, of the Royal Free Hospital had praised the Clinic for its contribution to medicine. “It is a real step forward for people who have severe disfigurement and this operation has been done by a team who have really prepared and worked towards this for a number of years. These transplants have proven that the technical difficulties can be overcome and psychologically the patients are doing well. They have all have reacted positively and have begun to do things they were not able to before. All the things people thought were barriers to this kind of operations have been overcome,” she said.

The first partial face transplant surgery on a living human was performed on Isabelle Dinoire on November 27 2005, when she was 38, by Professor Bernard Devauchelle, assisted by Professor Jean-Michel Dubernard in Amiens, France. Her Labrador dog mauled her in May 2005. A triangle of face tissue including the nose and mouth was taken from a brain-dead female donor and grafted onto the patient. Scientists elsewhere have performed scalp and ear transplants. However, the claim is the first for a mouth and nose transplant. Experts say the mouth and nose are the most difficult parts of the face to transplant.

In 2004, the same Cleveland Clinic, became the first institution to approve this surgery and test it on cadavers. In October 2006, surgeon Peter Butler at London‘s Royal Free Hospital in the UK was given permission by the NHS ethics board to carry out a full face transplant. His team will select four adult patients (children cannot be selected due to concerns over consent), with operations being carried out at six month intervals. In March 2008, the treatment of 30-year-old neurofibromatosis victim Pascal Coler of France ended after having received what his doctors call the worlds first successful full face transplant.

Ethical concerns, psychological impact, problems relating to immunosuppression and consequences of technical failure have prevented teams from performing face transplant operations in the past, even though it has been technically possible to carry out such procedures for years.

Mr Iain Hutchison, of Barts and the London Hospital, warned of several problems with face transplants, such as blood vessels in the donated tissue clotting and immunosuppressants failing or increasing the patient’s risk of cancer. He also pointed out ethical issues with the fact that the procedure requires a “beating heart donor”. The transplant is carried out while the donor is brain dead, but still alive by use of a ventilator.

According to Stephen Wigmore, chair of British Transplantation Society’s ethics committee, it is unknown to what extent facial expressions will function in the long term. He said that it is not certain whether a patient could be left worse off in the case of a face transplant failing.

Mr Michael Earley, a member of the Royal College of Surgeon‘s facial transplantation working party, commented that if successful, the transplant would be “a major breakthrough in facial reconstruction” and “a major step forward for the facially disfigured.”

In Wednesday’s conference, Siemionow said “we know that there are so many patients there in their homes where they are hiding from society because they are afraid to walk to the grocery stores, they are afraid to go the the street.” “Our patient was called names and was humiliated. We very much hope that for this very special group of patients there is a hope that someday they will be able to go comfortably from their houses and enjoy the things we take for granted,” she added.

In response to the medical breakthrough, a British medical group led by Royal Free Hospital’s lead surgeon Dr Peter Butler, said they will finish the world’s first full face transplant within a year. “We hope to make an announcement about a full-face operation in the next 12 months. This latest operation shows how facial transplantation can help a particular group of the most severely facially injured people. These are people who would otherwise live a terrible twilight life, shut away from public gaze,” he said.

Retrieved from “https://en.wikinews.org/w/index.php?title=Cleveland,_Ohio_clinic_performs_US%27s_first_face_transplant&oldid=4627150”

Calls for corporate tax reform in Australia goes unheeded

Friday, May 12, 2006

Peter Costello’s budget announcement has led to rejoicing for small businesses, but the lack of joy for those pushing for radical corporate taxation reform has led to many businesses asking “what about us?”

Personal taxation and small business have been the big winners after this year’s federal budget. Although dampened by the twin economic threats of rising interest rates and petrol prices, there should be a reasonable amount of real income savings for both low and high income earners, with those receiving Medicare, or a superannuation benefit, privy to an even lower level of taxation (0% for those on super benefits).

Small business also has benefited from the Howard government’s 11th annual budget, with them receiving a higher level of reducing depreciation, leading to a higher level of deductions in the years following the uptake of new technology or other capital. They are also privy to a AU$435 million dollar tax cut to compensate for their changing accounting requirements under the government’s new AIFRS reporting standards, as well as increasing the uptake of both the small business tax relief scheme and CGT (Capital Gains tax) Concessions.

The budget was not a complete loss for big business however, as superannuation laws have been tweaked to streamline contribution and payment rules previously impeding those with multitudes of staff.

But this is not enough, says Big 4 accounting firm Ernst & Young. In their newly published paper “Taxation of Investment in Australia: the need for ongoing reform”. In it they lead the charge for a greater streamlining and organization of the corporate tax system in Australia, submitting that it will lead to reductions in “disincentives to work save and invest in Australia [as well as improving] the international competitiveness of Australian businesses.” This follows from a recent report brought out by Mr. Costello himself about the need for tax reform in Australia.

A budget night Mr. Costello was notably coy about any future reform of corporate tax in Australia. He alluded to the report by his ministers but kept from outlining the government’s plan precisely.

Retrieved from “https://en.wikinews.org/w/index.php?title=Calls_for_corporate_tax_reform_in_Australia_goes_unheeded&oldid=565549”

Grand Finals set in 2021-22 Sunshine Coast, Australia cricket season

Monday, March 7, 2022

Cricket Grand Final match ups on Australia’s Sunshine Coast have been set, with many being made through washed out semi finals.

Three games scheduled the be played at Burpengary, Morayfield, and Wamuran were unable to proceed when the local government, Moreton Bay Council, closed access to any sporting grounds in their region. The games affected were the Division 3 game between Burpengary and USC, the Division 1 game between Caboolture and Maroochydore, and the Division 4 game between Wamuran-Stanley River and Palmwoods.

No play was possible on either ground at the Glasshouse Mountains grounds, as the sports club that controls the facilities did not allow them access. Games affected were the Division 4 game between Glasshouse and Maroochydore, and the Division 5 game between Glasshouse and USC.

One ground in Palmwoods got a game on. The Division 5 game at between Palmwoods and Cooroy-Eumundi at the Palmwoods Sports Reserve nearly had a first innings result on day 1. The home side batted first scoring 92. Cooroy were 52 for the loss of 9 wickets. Palmwoods would get the last wicket on Sunday.

The main ground in Tewantin, Read Park, was deemed too water logged after an inspection by both teams in the Division 1 game between Tewantin Noosa and Glasshouse. Tewantins Division 6 side managed to get 61 overs in on Sunday against Yandina before lighting became a factor. That match concluded in a draw.

USC and Palmwoods got enough play in for a first innings result. The home side chased down the 86 required for that result an hour before the scheduled lunch break. Palmwoods would concede the match about 20 minutes prior to the interval.

USC all-rounder George Bagshaw said: “We bowled well, bowled them out for about 86 and yeah, did the rest with the bat. [We] certainly dug in; Me and Trav[is Bell] put on a good partnership and, yeah, good for the rest of the boys to get it done this morning.”

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Wikipedia founder embroiled in affair and financial allegations

Wednesday, March 5, 2008

This article mentions the Wikimedia Foundation, one of its projects, or people related to it. Wikinews is a project of the Wikimedia Foundation.

The implosion of a relationship between Wikipedia founder Jimmy Wales and journalist Rachel Marsden has resulted in controversy and international headlines. Associated Press and ABC News have also reported on questionable activity by Wales involving Wikimedia Foundation expenses. The Wikimedia Foundation is a donor-supported non-profit organization which runs Wikipedia.

Marsden had contacted Wales two years ago about concerns she had over the article about her on Wikipedia, and Wales determined the article was not compliant with Wikipedia’s standards. The tech blog Valleywag revealed Wales had a personal relationship with Marsden, and posted supposed transcripts of their instant message conversations on its site, www.valleywag.com. Wales and Marsden met in February, and The Times reported that “An apparent transcript of their conversations before that meeting suggests that, although Mr Wales had withdrawn from the editing process, he was still influencing the editors.” The Times quoted Wales from the chat logs as having stated to Marsden “The truth is of course a much worse conflict of interest than that; but that will do.” — in reference to his conflict of interest regarding Marsden’s article on Wikipedia.

Wales posted a public statement on Saturday on Wikipedia addressing the matter, and stated that his relationship with Marsden was over: “First, while I find it hard to imagine that anyone really cares about my sex life, the facts are: I am separated from my wife. I considered myself single at the time of my one meeting with Rachel Marsden on Feb. 9, 2008 … I am no longer involved with Rachel Marsden. Gossipy stories suggesting that I have been in a relationship with her ‘since last fall’ are completely false … I care deeply about the integrity of Wikipedia, and take very seriously my responsibilities as a member of the board and as a member of the Wikipedia community. I would never knowingly do anything to compromise that trust.” With regard to the conflict of interest in Marsden’s article, Wales had acknowledged to a team of Wikipedia editors in February 2008 that he and Marsden “became friends … and that we would be meeting about that,” and stated “I recused myself from any further official action with respect to her biography.”

On Sunday, The Canadian Press reported that Marsden had posted photos of herself on Ebay, and was selling items that Wales had left at her New York City apartment. In her Ebay posting, Marsden stated: “Hi, my name is Rachel and my (now ex-) boyfriend, Wikipedia founder Jimmy Wales, just broke up with me via an announcement on Wikipedia … It was such a classy move that I was inspired to do something equally classy myself, so I’m selling a couple of items of clothing he left behind, here in my NYC apartment, on eBay. Jimbo was supposed to come visit me in a couple of weeks and pick up some of his stuff, but obviously that won’t be happening now.” Marsden told The Canadian Press “It didn’t really help matters that Jimmy chose to announce the breakup to the entire world via Wikipedia (which apparently now is an online encyclopedia that doubles as a personal soapbox?) rather than to me directly (which he did much later, in an instant message discussion).”

I care deeply about the integrity of Wikipedia, and take very seriously my responsibilities as a member of the board and as a member of the Wikipedia community. I would never knowingly do anything to compromise that trust.

Marsden placed a t-shirt and sweater which she said were left at her apartment by Wales up on Ebay, and started the bidding for each at ninety-nine cents, with the auctions set to end on March 12. By Monday, bidding on the t-shirt had reached US$300, and by Tuesday the highest bid had reached $12,200. In an email to The Globe and Mail, Marsden stated “My only focus right now, to be really honest, is on my career and finding a way to get back into print, TV, or radio here in NYC,” she wrote. “All of this other personal stuff is just an unfortunate distraction.”

Jay Walsh, the Wikimedia Foundation’s head of communications, told the San Jose Mercury News that Wales’ actions in relaying Marsden’s concerns about her Wikipedia article to a team of trusted editors was within his “routine” role. When asked by the San Jose Mercury News if Wales’ actions regarding the Marsden article could compromise his role with the Wikimedia Foundation and Wikipedia, Walsh responded “No, absolutely not.”

On Tuesday, ABC News carried a story by Wired News reporter Megan McCarthy regarding allegations of “excessive spending” by Wales, and Associated Press also reported on questions involving Wikimedia Foundation expenses. McCarthy reported that former Wikimedia executive Danny Wool, who had left the foundation last year, criticized Wales’ use of Wikimedia Foundation expenses in a blog post. Wool stated that Wales had tried to expense $300 bottles of wine, a $1,300 dinner for four at a Florida steakhouse, and visits to Moscow massage parlors to the foundation, and that the foundation rescinded Wales’ corporate credit card in 2006. Wool also stated that Wales paid the foundation $7,000, after being short $30,000 on receipts for expenses.

Wool told EPICENTER that “There were occasions where he used [the Wikimedia Foundation] for personal advancement under the guide [sic] of the mission. And, as someone who was in there for the mission part of it, I found that rather distressful.” Wool commented in an interview with the San Francisco Chronicle: “Originally, it was carelessness … But as things developed, it became more apparent and obvious that he was taking advantage of the foundation credit card. It was almost like his personal piggy bank.”

Jimmy has never used Wikimedia money to subsidize his personal expenditures. Indeed, he has consistently put the foundation’s interests ahead of his own.

In an instant message exchange with Associated Press, Wales denied that the Wikimedia Foundation had taken away his corporate credit card, and asserted that he had made the decision to stop expensing business travel for the foundation. Wales highlighted a statement by the foundation’s executive director Sue Gardner: “Jimmy has never used Wikimedia money to subsidize his personal expenditures. Indeed, he has consistently put the foundation’s interests ahead of his own.” In an email to Associated Press, Brad Patrick, a former attorney for the Wikimedia Foundation, stated “Danny seems interested in blogging his way straight to a lawsuit”.

Florence Devouard, who chairs the Wikimedia Foundation, told Associated Press that Wales had been “slow in submitting receipts,” and that the foundation had rejected Wales’ expense at the Florida steakhouse. Devouard told fellow foundation board members in a private email that she had convinced Associated Press that “the money story was a no story,” and told Wales “I find (it) tiring to see how you are constantly trying to rewrite the past. Get a grip!” Wales told Associated Press: “The board, the current executive director, the previous executive director, and independent auditors have reviewed our books and publicly agree that all of my expenses were appropriate and fully accounted for.”

Media reports speculated on how the controversy would end up being represented in Wikipedia itself. On Wednesday, the St. Petersburg Times wrote: “Wales’ Wikipedia page said only this about Marsden: ‘Wales had a brief relationship with Canadian journalist Rachel Marsden.'” An article in The Australian surmised: “History will decide whether Mr Wales broke his own principles, but before that happens there may well be a Wikipedia page devoted to the controversy.”

Retrieved from “https://en.wikinews.org/w/index.php?title=Wikipedia_founder_embroiled_in_affair_and_financial_allegations&oldid=2950225”

Fall sweeps through Texas

Friday, October 7, 2005

Walking outside this morning, the average seasoned Texan will notice something amiss — the eerie quiet. The droning of air conditioners and insects has stopped, replaced with the scent of hardwood smoke and a slight shiver.

A pocket of Arctic air finally pushed through well into the Gulf of Mexico, plunging temperatures across the state into the 50s and 60s. While the chilliest lows are not expected to stay for more than a few days, forecasters are expecting Texas’ normal fall pattern of a cooler front about every week to continue. Average weekly temperatures should reach steadily lower as the season progresses.

Stormy Weather

As an added bonus to many, rain trickled down onto San Antonio and many other Texas cities. This rain has relieved areas which have been dry for months.

  • “7-Day Forecast for Houston, TX” — National Weather Service, October 7, 2005
Retrieved from “https://en.wikinews.org/w/index.php?title=Fall_sweeps_through_Texas&oldid=1226239”

Swiss court rules in favor of American account holder

Saturday, January 23, 2010

An American client of Switzerland-based bank, UBS, has won an appeal in Swiss court on Friday against providing the Internal Revenue Service (IRS) of the United States with relevant information about his offshore accounts.

The Swiss court ruled that the man’s failure to complete an IRS tax form, no matter how much money it pertained to, was not in itself fraudulent behavior. The case calls into question an agreement made between Switzerland and the United States last year in which Swiss tax authorities would supply the IRS with information on nearly 4,500 suspected tax evaders and their respective accounts.

A further twenty-five similar cases are still pending; the verdicts of which may be influenced by this precedent-setting case.

The Swiss government will meet next Wednesday to discuss how to better implement last year’s Swiss-US banking accord. As it pertains to the case at hand, if they so choose, Swiss tax officials can file a further appeal petitioning the court’s decision.

UBS and the US Department of Justice both have yet to comment on the matter.

According to the US government, UBS is “hiding” over US$15 billion in assets on behalf of American account holders.

Retrieved from “https://en.wikinews.org/w/index.php?title=Swiss_court_rules_in_favor_of_American_account_holder&oldid=1307365”

China overtakes Germany as world’s biggest exporter

Sunday, January 10, 2010

Chinese officials have said that their country’s exports surged last December to edge out Germany as the world’s biggest exporter.

The official Xinhua news agency reported today that figures from the General Administration for Customs showed that exports jumped 17.7% in December from a year earlier. Over the whole of 2009 total Chinese exports reached US$1.2 trillion, above Germany’s forecast $1.17 trillion.

Huang Guohua, a statistics official with the customs administration, said the December exports rebound was an important turning point for China’s export sector. He commented that the jump was an indication that exporters have emerged from their downslide.

“We can say that China’s export enterprises have completely emerged from their all-time low in exports,” he said.

However, although China overtook Germany in exports, China’s total foreign trade — both exports and imports — fell 13.9% last year.

Retrieved from “https://en.wikinews.org/w/index.php?title=China_overtakes_Germany_as_world%27s_biggest_exporter&oldid=3255271”

Emergency declared in US state of Washington, eight additional casualties, many still without power

Monday, December 18, 2006

A state of emergency was declared Sunday for the U.S. state of Washington by governor Christine Gregoire, as additional reports of storm-related casualties surfaced. The state National Guard has been deployed to aid in distributing supplies.

Thousands were still without power in the coastal and Puget Sound regions, though most urban areas were back with power as late as Sunday afternoon, and outages were mostly contained to rural and unincorporated areas. Puget Sound Energy reported that roughly 500,000 energy customers out of the 700,000 who lost power were back in service by Sunday evening. Seattle City Light, the city’s independent municipal utility, reported only 18,000 customers still without power as of Monday morning, down from a peak of 175,000.

Four additional deaths related to the post-storm power outage had been reported as of Monday, bringing the total number of casualties to eight. A man in Gig Harbor was electrocuted by a downed power line while walking his dog. Another man in Spanaway died when an unattended candle caused a house fire.

Two died from carbon monoxide poisoning in separate incidents related to use of combustion devices indoors. Roughly a hundred additional cases of non-fatal carbon monoxide poisoning were reported from people using generators or grills indoors. News radio stations and authorities warned the public to stay away from downed power lines and not to use grills indoors. Dr. Neil Hampson at Virginia Mason’s hyperbaric unit, where a number of victims were being treated, warned it could be “the worse case of carbon monoxide poisioning in the country”.

On Monday, four new carbon-monoxide deaths were reported in a family of five in Burien due to an indoor generator. In Canada, which had some damage from the week’s storms, two southern British Columbia carbon monoxide deaths were also reported. Despite continued warnings, hospitals are still seeing cases of carbon monoxide poisoning, including a family in w:Shoreline, Washington which was taken to the hospital after they reported symptoms due to their indoor grill. Neighbors of the Burien family suggested that noise concerns are leading people to place noisy generators indoors.

The massive power outage left many stores and gas stations unable to operate. Some businesses opened with the help of backup generators, conserving power by foregoing heat and refrigeration, exterior lighting, and half the interior lighting. Most stores had run out of “D” size batteries, the most common size for flashlights, as well as firelogs and other essentials. Gasoline shortages were reported throughout the area, with one man selling excess fuel for as high as $15 per gallon, over 5 times the average retail price.

The Red Cross set up shelters throughout King and other affected counties for those without power or food. Hotels reported no vacancies as whole families took shelter in powered hotels, especially in Seattle. Restaurants also reported brisk business as people sought out a hot cooked meal. Tons of perishable food were expected to have become unsafe after the prolonged outage disabled refrigerators and freezers both in homes and stores.

Many of those without power visited nearby friends and family living where power had been continued or restored, while others traveled out of the area to places that had not been affected. The widespread outage made long-distance traveling treacherous on some major routes, with roadway lighting, cellular towers, and services disabled by the outage.

Most major roadways which were closed during the storm were reopened on Friday. The 520 Floating Bridge over Lake Washington, a major conduit to the technology-rich Eastside, sustained minor damage. Amtrak, which had halted its Cascades service, resumed Saturday evening. Sea-Tac Airport resumed operations with a reduced flight load, after a transient power outage on Friday disabled the airport radar and caused all planes to be grounded until it was repaired.

Retrieved from “https://en.wikinews.org/w/index.php?title=Emergency_declared_in_US_state_of_Washington,_eight_additional_casualties,_many_still_without_power&oldid=4615740”

Migrant workers in Dominos Pizza ‘slavery’

Friday, August 10, 2007

Eight Hungarian migrant workers sacked from a Domino’s Pizza franchise in Derby, England are said to have taken home virtually no pay for months because of illegal deductions.

The claim is refuted by the company who said in a statement “We have begun a thorough investigation during which we have scrutinised the franchisee’s employment practices. This took place with his full co-operation. The franchisee concerned is confident that he possesses the evidence required to refute these allegations. To the extent that we have been informed of all allegations and have reviewed all available evidence, we also believe this to be the case.”

The sacked workers are being supported in their claim by the workers union Unite. The union say the “there appeared to be a deliberate strategy of keeping the workers in debt to the company through a series of crippling deductions. The deductions included payments to cover the contract purchase of a car from their employer, insurance for the vehicle provided through their employer, and exorbitant rent for substandard accommodation, again provided through their employer. In addition, some workers had to pay fees of up to £180 for an “introduction” to the company. One worker earned just £5 in four months because of the constant and hefty deductions out of his wage packet. When the workers protested they were sacked.”

Retrieved from “https://en.wikinews.org/w/index.php?title=Migrant_workers_in_Dominos_Pizza_%27slavery%27&oldid=1369111”

Estate Planning Ma Advice Can Prove Invaluable

byAlma Abell

It doesn’t matter whether you have a modest home, average income and tiny estate or you’re a multimillionaire planning on passing along a fortunate to your beneficiaries after you pass, legal advice matters. Protecting what you’ve worked so hard your entire life to accumulate is important no matter how much that amount happens to be. An estate planning MA lawyer can help ensure your final wishes are respected by loved ones and the tax collector.

What’s Involved?

A reputable estate planning MA lawyer is going to take some time reviewing your unique circumstances before offering guidance about will establishment or trusts. Some of the items he or she might inquire about include:

  • Assets – This topic might include discussions about cash, bonds, stocks, insurance policies, real property, other tangible property items, jewelry and so on. A lawyer will need to know where these items should be distributed upon death and if there are any special instructions to contend with. Depending on the assets and the need to protect them and/or loved ones, a lawyer might recommend nothing more than distribution instructions in a will. It is possible, however, tax benefits could be gained from establishing a trust.
  • Beneficiaries – It’s also very important for an estate planning MA lawyer to understand the beneficiaries involved in an estate. If there are minor children, for example, instructions for their care can prove especially important for making sure a will properly reflects final wishes and that children are well cared for. If a trust is recommended, a lawyer may also need to know if any particular beneficiaries should have their money from an estate held in trust.
  • Final arrangements – Any final wishes as far as burial instructions and so on are also included in many wills. A lawyer may wish to gain this information to make sure documents cover all the bases.
  • Charitable giving – If part of an estate will go to making charity donations, an estate planning MA expert will delve into this while working on documents. Making sure a donation is protected from undo tax burdens is important.

It’s not necessary to have a big, sprawling estate to require guidance from an attorney. An estate planning MA lawyer can ensure that final wishes are respected.

Hiring an estate planning in MA lawyer is a big step.