Local hospitals overwhelmed by flu

The amount of flu cases is the highest it has been in a decade. (WGN - Chicago)

Seven Chicago-area hospitals have had to send ambulances elsewhere this morning as they deal with an influx of patients with flu-like symptoms. 

As of 9:45 a.m., the hospitals remained on bypass status, which means their emergency rooms are at capacity and non-critical patients are being re-routed to other hospitals, said Melaney Arnold, spokeswoman for the Illinois Department of Public Health.

The Chicago-area hospitals included Northwestern Memorial Hospital, University of Chicago Medical Center and Swedish Covenant Hospital. Rockford Memorial Hospital was the only hospital outside of Chicago on bypass.

Arnold cautioned that number is changing hourly as hospitals go on and off bypass and shuffle around patients.

At Northwestern Memorial Hospital, which has since gone off bypass, the decision was largely driven by flu patients who did not require medical attention, said Dr. David Zich, an internal and emergency medicine physician.

"The flu in and of itself is not a reason to come to the emergency department," he said, noting an ER visit is "not necessary" unless the flu is coupled with a shortness of breath or another serious illness, such as heart disease.

Zich said going on bypass is "unusual but not extremely rare" for the hospital. He estimated it happens about 14 times a year.

The flu season — both locally and nationally — is off to its earliest and most active start in nearly a decade, health officials have said. The season typically runs from mid-December through March and peaks during the second half of January. Hospitals started seeing larger-than-expected numbers of people with the flu in early December, and officials are not sure when this season will peak.

Dr. Julie Morita, medical director for Chicago's health department, said in an email this morning that the number of flu cases in the city is still rising.

On Friday, the Centers for Disease Control and Prevention listed Illinois among 29 states experiencing "high" flu activity through the last week of 2012. As of Dec. 29, the CDC categorized the illness as "widespread" in 41 states.

From Sept. 30 to the end of 2012, nearly 100 flu sufferers spent time in intensive care units of Chicago hospitals with flu-like symptoms, according to the city's Department of Public Health. Last year, only one person had been sent to the ICU with the flu in about the same time period.

The strain of influenza largely responsible for the overnight burst of hospital visits tends to be “a little more severe than others,” Arnold said.

Arnold said anyone experiencing flu-like symptoms should first contact their health care provider or local health department.

One of those people include, Chicago Symphony Orchestra music director Riccardo Muti who has come down with a case of the flu. His illness has forced him to withdraw from this week's CSO subscription concerts at Symphony Center.

psvitek@tribune.com

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Saban quickly turns to challenges of 2013 season

FORT LAUDERDALE, Fla. (AP) — It's becoming a familiar January scene for Nick Saban.

The Alabama coach plastered a smile on his face for a series of posed photos next to the various trophies awarded to college football's national champions and then proceeded to talk about the challenges facing his team.

Maybe Saban let the Gatorade dry from the celebratory drenching before thinking about the 2013 season. Maybe.

"The team next year is 0-0," Saban, who is on a 61-7 run over the past five seasons, said Tuesday morning. "Even though I really appreciate what this team accomplished and am very, very proud of what they accomplished, we need to prepare for the challenges of the new season very quickly with the team we have coming back. "

It didn't take Saban long to refocus after Monday night's 42-14 demolition of Notre Dame that secured a second straight BCS title, the Crimson Tide's third in four seasons and the seventh straight for Southeastern Conference teams.

Shortly after the game, he was already talking about getting back to the office by Wednesday morning.

Alabama players, meanwhile, finally were able to voice the "D-word." Center Barrett Jones said he had a Sports Illustrated cover from a couple of years ago after his last college game.

"It says, 'Dynasty. Can anybody stop Alabama?' I'll never forget looking at that thing and wondering if we really could be a dynasty," said Jones, who mainly put it on the wall because he's featured. "I think three out of four, I'm no dynasty expert, but that seems like a dynasty to me. I guess I can say that now that I'm gone. Don't tell coach I said that."

The 2013 team will almost certainly be regarded among the preseason favorites to get back to the summit, even though three Tide stars — tailback Eddie Lacy, cornerback Dee Milliner and right tackle D.J. Fluker — could decide to skip their senior seasons and turn pro.

Saban also emphatically tried to end speculation that he might return to the NFL, where he spent two years with the Miami Dolphins before returning to the SEC.

It was a question that really made him bristle during the 30-plus minute news conference.

"How many times do you think I've been asked to put it to rest?" Saban said. "And I've put it to rest, and you continue to ask it. So I'm going to say it today, that — you know, I think somewhere along the line you've got to choose. You learn a lot from the experiences of what you've done in the past. I came to the Miami Dolphins, what, eight years ago for the best owner, the best person that I've ever had the opportunity to work for. And in the two years that I was here, I had a very, very difficult time thinking that I could impact the organization in the way that I wanted to or the way that I was able to in college, and it was very difficult for me."

He said that experience taught him that the college ranks "is where I belong, and I'm really happy and at peace with all that."

As for the players, All-America linebacker C.J. Mosley has already said he'll return. So has quarterback AJ McCarron, who had his second straight star turn in a BCS title game.

"We certainly have to build the team around him," Saban said, adding that a late-game spat with Jones showed the quarterback's competitive fire. "I've talked a lot about it's difficult to play quarterback when you don't have good players around you. I think we should have, God willing and everybody staying healthy, a pretty good receiver corps. We'll have to do some rebuilding in the offensive line. Regardless of what Eddie decides to do, we'll probably still have some pretty decent runners. But I think AJ can be a really good player, maybe the best quarterback in the country next year."

The biggest question mark is replacing three, maybe four, starters on an offensive line that paved the way.

Amari Cooper, who broke several of Julio Jones' Alabama freshman receiving marks, and fellow freshman running back T.J. Yeldon give McCarron and the Tide a couple of potent weapons, even if Lacy doesn't return.

"I am going to try to win three or four," said Cooper, who had 105 yards and two touchdowns in the title game. "This season was good, but I expected it to be even more. There is so much more that I can do."

Saban emphasized the difficulty of repeating and said he showed the players a video of NBA Hall of Famer Michael Jordan saying that the first title isn't the hardest — it's the ones after that.

That's because, Saban said, "you have to have the will to fight against yourself."

Now, the 'Bama coach has four titles, including one during his stop at LSU. Saban doesn't wear the championship rings but uses them for a different purpose.

"I just put them on the coffee table for the recruits to look at," he said, cracking up the room.

Saban has already lined up another highly rated recruiting class and has the next wave of young talents waiting in the wings.

After all, he talked about the sign mentor Bill Belichick hung in the football building during their NFL days together: "Do your job."

Saban jokingly acknowledged that while he prepares for everything, the one thing he has never been able to anticipate is the Gatorade bath. He drew heat for a scowl after the first one, following the title game win over Texas when he got dinged in the head. Monday night's dousing went better.

"It's cold, it's sticky, but I appreciated not getting hit in the head with the bucket," Saban said. "That was an improvement."

No program has had this kind of championship run since Tom Osborne's Nebraska teams won it all in 1994, 1995 and 1997.

Saban remembers that second team well. The Cornuskers stomped Michigan State 50-10 in Saban's first game as head coach.

"I'm thinking, we're never going to win a game," Saban said. "We'll never win a game here at Michigan State. I must have taken a bad job, wrong job, no players, something. I remember Coach Osborne when we shook hands after the game, he put his arm around me and whispered in my ear, 'You're not really as bad as you think.'"

So take heart, college football.

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Spielberg earns 11th Directors Guild nomination

LOS ANGELES (AP) — Steven Spielberg has extended his domination at the Directors Guild of America Awards, earning a nomination Tuesday for his Civil War epic “Lincoln” to pad the record he already held to 11 film nominations from the guild.

Also nominated were past winners Kathryn Bigelow for her Osama bin Laden thriller “Zero Dark Thirty”; Tom Hooper for his musical “Les Miserables”; and Ang Lee for his lost-at-sea story “Life of Pi.”

Rounding out the Directors Guild lineup is first-time nominee Ben Affleck for his Iran hostage-crisis tale “Argo.”

The Directors Guild field is one of Hollywood’s most-accurate forecasts for who will be in the running at the Academy Awards, whose nominations come out Thursday. The winner at the Directors Guild almost always goes on to win the directing prize at the Oscars, too. Only six times in the 64-year history of the guild awards has the winner there failed to follow up with an Oscar.

Besides the record number of feature-film nominations, Spielberg also has won the Directors Guild prize a record three times, for “The Color Purple,” ”Schindler’s List” and “Saving Private Ryan,” along with directing Oscars for the latter two. He received the guild’s lifetime-achievement award in 2000.

Bigelow became the first woman ever to win the guild honor and the directing Oscar three years ago for “The Hurt Locker.” Hooper won the same prizes a year later for “The King’s Speech,” while Lee is a two-time guild winner for “Crouching Tiger, Hidden Dragon” and “Brokeback Mountain,” the latter also earning him the directing Oscar.

Affleck, who also stars in “Argo,” follows such actors-turned-filmmakers as Clint Eastwood, Kevin Costner and Mel Gibson to earn a Directors Guild nomination.

Overlooked by the guild were past nominees Quentin Tarantino for his slave-revenge tale “Django Unchained” and David O. Russell for his oddball romance “Silver Linings Playbook.”

The film that receives the Directing Guild prize typically also goes on to win the best-picture Oscar, a prize Spielberg has earned only once, for “Schindler’s List.” No clear front-runner has emerged yet for the Feb. 24 Oscars, with “Lincoln,” ”Zero Dark Thirty” and “Les Miserables” all considered strong prospects to take home Hollywood’s highest honor.

Sunday’s Golden Globes will help sort out the Oscar picture, as will the various guild prizes that will be handed out in late January and February on the run-up to the Academy Awards.

Winners for the 65th annual Directors Guild awards will be announced at a Hollywood dinner Feb. 2, with Kelsey Grammer as host for the second year in a row.

Milos Forman, director of “One Flew Over the Cuckoo’s Nest” and “Amadeus,” will receive the guild’s lifetime-achievement award.

___

Online:

http://www.dga.org

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Report: Death rates from cancer still inching down

WASHINGTON (AP) — Death rates from cancer are continuing to inch down, researchers reported Monday.

Now the question is how to hold onto those gains, and do even better, even as the population gets older and fatter, both risks for developing cancer.

"There has been clear progress," said Dr. Otis Brawley of the American Cancer Society, which compiled the annual cancer report with government and cancer advocacy groups.

But bad diets, lack of physical activity and obesity together wield "incredible forces against this decline in mortality," Brawley said. He warned that over the next decade, that trio could surpass tobacco as the leading cause of cancer in the U.S.

Overall, deaths from cancer began slowly dropping in the 1990s, and Monday's report shows the trend holding. Among men, cancer death rates dropped by 1.8 percent a year between 2000 and 2009, and by 1.4 percent a year among women. The drops are thanks mostly to gains against some of the leading types — lung, colorectal, breast and prostate cancers — because of treatment advances and better screening.

The news isn't all good. Deaths still are rising for certain cancer types including liver, pancreatic and, among men, melanoma, the most serious kind of skin cancer.

Preventing cancer is better than treating it, but when it comes to new cases of cancer, the picture is more complicated.

Cancer incidence is dropping slightly among men, by just over half a percent a year, said the report published by the Journal of the National Cancer Institute. Prostate, lung and colorectal cancers all saw declines.

But for women, earlier drops have leveled off, the report found. That may be due in part to breast cancer. There were decreases in new breast cancer cases about a decade ago, as many women quit using hormone therapy after menopause. Since then, overall breast cancer incidence has plateaued, and rates have increased among black women.

Another problem area: Oral and anal cancers caused by HPV, the sexually transmitted human papillomavirus, are on the rise among both genders. HPV is better known for causing cervical cancer, and a protective vaccine is available. Government figures show just 32 percent of teen girls have received all three doses, fewer than in Canada, Britain and Australia. The vaccine was recommended for U.S. boys about a year ago.

Among children, overall cancer death rates are dropping by 1.8 percent a year, but incidence is continuing to increase by just over half a percent a year. Brawley said it's not clear why.

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Fox: Passion, disagreements with new 'Idol' team

PASADENA, Calif. (AP) — Five minutes into their season-opening news conference and the new team at "American Idol" were having their first disagreement — about their disagreements.

Asked Tuesday whether a supposed feud between new judges Mariah Carey and Nicki Minaj was a publicity stunt, Fox network executive Mike Darnell said it was authentic. He said there was a lot of passion within the group, which also includes country star Keith Urban and returning judge Randy Jackson. He said there were also a lot of disagreements.

Carey, however, called the story "some trumped-up thing."

Minaj later called Carey one of her favorite all-time artists who has shaped a generation of singers.

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Dreamliner fuel leak is 2nd incident in 2 days

A fuel leak forced a Boeing Co 787 Dreamliner operated by Japan Airlines to cancel its takeoff and return to the gate at Boston's Logan International Airport Tuesday, a fire official said, the second incident in two days with the new jet.

The leak occurred on a different plane than the 787 that experienced an electrical fire Monday at Logan, said Richard Walsh, a Massport spokesman. That plane also was operated by Japan Airlines.

The fuel-leaking plane had left the gate in preparation for takeoff on a flight to Tokyo when the fuel spill of about 40 gallons was discovered, Walsh said. No fire or injuries occurred, he said.

The plane was towed back to the gate, where passengers disembarked and were waiting for a decision on whether the flight would leave, he said.

"The airline will make that determination," Walsh said.

A spokeswoman for Japan Airlines, Carol Anderson, said the plane had returned to the gate because of a mechanical issue, but said exact details were not yet confirmed.

Boeing said it was aware of the issue and was working with its customer.

The National Transportation Safety Board, which is investigating the fire that occurred on Monday, said this issue wouldn't warrant an investigation because there was no accident.

In December, the Federal Aviation Administration ordered inspections of 787s after fuel leaks were found on two aircraft operated by foreign airlines. The leaks stemmed from incorrectly assembled fuel line couplings, which could result in loss of power or engine fire, the FAA said.

Boeing shares were down 3.2 percent at $73.63 in afternoon trading. The stock fell 2 percent on Monday.

Walsh, the Massport spokesman, said the leak was noticed at 12:25 pm ET Tuesday, as the flight, JAL 007, was taxiing toward the runway for takeoff. Crews used an absorbent to soak up the spilled fuel, Walsh said.

Some analysts had raised concerns about Boeing's jet after the JAL 787 suffered an electrical fire on Monday. Today's fuel leak caused further alarm about the impact on public perceptions of Boeing and the plane.

"We're getting to a tipping point where they go from needing to rectify problems to doing major damage control to the image of the company and the plane," said Richard Aboulafia, a defense and aerospace analyst with Teal Group, a consulting firm based in Fairfax, Virginia.

"While they delivered a large and unexpected number of 787s last year, it's possible that they should have instead focused on identifying glitches and flaws, rather than pushing ahead with volume production," he said.

Aboulafia said there is still no indication that the plane itself is flawed.

"It's just a question of how quickly they can get all the onboard technologies right, and whether or not the 787 and Boeing brands will be badly damaged," he said.
 

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Illegal immigrant driver's license plan advances in Springfield

Illinois legislature considers a bill to grant driver's licenses to a quarter million illegal immigrants.

By Rafael Guerrero

12:25 p.m. CST, January 7, 2013

SPRINGFIELD—

A bill to give illegal immigrants in Illinois a chance to get a special license to drive cleared another hurdle today, winning approval in a committee and moving one step away from the governor’s desk.

Sponsoring Rep. Eddie Acevedo, D-Chicago, could call the measure for a vote in the full House, where any roll call is expected to be close. Acevedo said he’ll probably wait until the last minute to decide whether to call the bill today, but time is running short. A new legislqature is sworn in Wednesday.

 “If I’m able to call it today, I’ll call it today,” he said.

The proposal would allow an estimated 250,000 illegal immigrants in Illinois to get three-year renewable license to drive a vehicle. They could not officially be used for other identification purposes, such as for boarding a plane, buying a gun or voting.

To become eligible, a person would have to live within Illinois for at least a year, a provision that would require applicants to provide a copy of a lease, utility bills and the like.

Under current law, people without a Social Security number or proper documentation to be in the country can't get a driver's license and often have trouble getting car insurance.

The proposal won't require somebody to have insurance before applying for a license because insurance is tied to a vehicle, but supporters note it's already illegal to drive an uninsured car whether a person has a license or not.

The bill advanced to the House floor on a 6-3 vote of a House transportation panel.

The bill already passed the Senate. Passage in the House would send the bill to the governor.

raguerrero2@tribune.com

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Verizon CEO touts wireless potential

LAS VEGAS (Reuters) - Verizon Communications can generate hundreds of millions of dollars of revenue in coming years from wireless services beyond the mobile phone, in areas ranging from healthcare and automobiles to energy management, its top executive said Monday.

The No. 1 U.S. mobile carrier joins other companies expected to debate and demonstrate the benefits of connecting devices like cars to the Internet at this year's Consumer Electronics Show in Las Vegas. Operators like Verizon consider this an important new business.

"It's safe to say this is a market potential of billions in the 2020 timeframe," Lowell McAdam told Reuters in an interview. This should translate into a market with "hundreds of millions of dollars in revenue for a company the size of us."

"People will be really surprised at what we're able to do," he said. "The power of the networks is finally going to be able to provide these sort of things."

"In 2013 and 2014 you're going to begin to see that," the executive said.

Taking wireless access beyond the mobile device is expected to become a major theme at this year's CES. For example, wireless connections can allow doctors to remotely diagnose an illness and direct a pharmacist to administer medication, he said.

McAdam, who turns 59 this year, also talked about public safety improvements from wireless such as the ability for firefighters to navigate a burning building with an infrared camera that has wireless access to the lay-out of the building.

TELECOMS LANDSCAPE

In a wide-ranging interview on the sidelines of the world's largest technology showcase, the CEO also talked about potential shifts in the industry in coming years.

McAdam is open to eliminating subsidies on mobile phones that sharply reduce the cost of devices to consumers, but said buyers now preferred paying less in exchange for longer-term wireless contracts.

Smaller rival T-Mobile USA, a unit of Deutsche Telekom, has announced a plan to get rid of device subsidies this year but McAdam said it is not clear this would work for Verizon and the rest of the U.S. market.

U.S. operators like AT&T Inc and Verizon typically pay handset makers like Apple Inc hundreds of dollars for every phone, so they can offer discounts to customers that in turn commit to more lucrative service contracts.

"It's very intriguing. Every carrier has thought about doing away with subsidies," he said. But "I don't think U.S. consumers are ready to buy an iPhone for $700."

McAdam also urged the Federal Communications Commission to approve several industry mergers and acquisitions in the pipeline that telecoms observers say have the potential to help transform the current market landscape.

T-Mobile USA is seeking approval to merge with smaller rival MetroPCS Communications Inc. Sprint Nextel is also looking for the nod to sell a 70 percent stake to Japan's Softbank Corp.

Some analysts say such combinations could pressure bigger players such as Verizon Wireless, as they face stronger rivals with the ability to compete more aggressively. But McAdam urged U.S. regulators to approve the deals.

"Three to four strong carriers are a lot better for the market than a couple of weak ones that are struggling to stay afloat and do dumb things," said McAdam, referring to the potential for promotions that could ignite a price war.

Since McAdam became Verizon CEO, Verizon Wireless - Verizon's joint venture with Vodafone - itself gained regulatory approval for a purchase of about $3.9 billion of wireless spectrum from cable companies.

(Reporting By Sinead Carew; Editing by Bernard Orr)

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RG3 defends himself as Redskins await knee results

ASHBURN, Va. (AP) — As the Washington Redskins awaited word on Robert Griffin III's health, teammates defended the rookie quarterback's decision to keep playing after reinjuring his right knee.

Griffin also chimed in. He did not appear in the locker room during the two hours it was open to reporters Monday morning, but he offered some thoughts on Twitter.

"Many may question, criticize & think they have all the right answers. But few have been in the line of fire in battle," Griffin tweeted.

The Redskins were expected to announce results of Griffin's MRI later Monday.

Already playing with a heavy black brace in his third game since spraining a lateral collateral ligament, Griffin hurt the knee again when he fell awkwardly while throwing a pass in the first quarter of Sunday's 24-14 playoff loss to the Seattle Seahawks.

Griffin stayed in the game, but he was far from his usual self, clearly favoring the knee and unable to run with the world-class speed that helped define his play early in the season.

Then, in the fourth quarter with the Redskins trailing by seven, the knee buckled the wrong way when Griffin tried to field a bad shotgun snap. The Seahawks recovered the fumble deep in Washington territory, setting up a short field goal that helped put the game out of reach. Griffin was done for the evening.

If Griffin had been pulled earlier, the critical turnover might not have happened. And, of course, his knee probably wouldn't be hurt as badly as it is.

"I thank God for perspective and because of that I appreciate the support from everyone. I also appreciate the criticism," Griffin tweeted.

Coach Mike Shanahan said after the game he essentially left the decision for Griffin to keep playing in Griffin's hands, and Griffin said he would probably have defied his coach if ordered to the bench.

"It's a slippery slope, I guess you can say, because you want to help the team," said receiver Pierre Garcon, who faced similar questions this season while dealing with a painful toe injury. "But you want to help yourself in the long run and your career.

"You want to look out for all sides, but it's hard to really know exactly if you're doing the right thing because if you sit out and the team losses, it's like 'I could probably have helped.' If you go out there and don't help the team, it's like, 'I probably should've sat out.' You've just got to make a decision and live with it."

Shanahan was scheduled to address reporters Monday afternoon, but said after the game that he perhaps should have pulled Griffin sooner.

"It's a very tough decision," Shanahan said Sunday. "You have to go with your gut. You have to go with your gut and I did. I'm not saying my gut is always right, but I've been there before. In different situations, I get to know Robert better as time goes on and I'll know how stubborn he is — probably more so as time goes on. He's a competitor and I'll probably second guess myself. ... In the second half, should you have done it earlier? I think you always do that, especially after you don't win."

Shanahan's take is muddled by contradictory details that have emerged from the game in which Griffin originally hurt the knee last month against the Baltimore Ravens.

The coach said at the time he was told by orthopedist James Andrews on the Redskins sideline that Griffin was cleared to return to the game, but Andrews told USA Today over the weekend that he didn't get a chance to examine the knee during the one play Griffin sat out after the initial injury.

Shanahan explained the discrepancy by saying Andrews gave the OK for Griffin to return just by watching the quarterback run without doing an examination. Either way, the various versions of what happened cast more doubt on the protocol the Redskins use to determine whether someone is fit to keep playing.

The play-hurt dilemma is a factor every weekend in the NFL. Redskins left guard Kory Lichtensteiger had to leave Sunday's game in the first quarter because he could no longer play on a sprained left ankle that kept him out of practice all week.

"I went out there," Lichtensteiger said. "But, in hindsight, I probably shouldn't have done it."

Griffin's injury and the playoff loss put a damper on the end of one of the best Redskins seasons in two decades. Washington rallied from a 3-6 start to win the NFC East after four straight last-place finishes. Assuming Griffin's knee will again be fully healthy, the future looks brighter than at any time since the Super Bowl era under coach Joe Gibbs in the 1980s and early 1990s.

"I think people have really learned around here — if you're down by seven, people aren't packing it in," said safety Reed Doughty, wrapping up his seventh season in Washington. "People aren't getting that 'Oh, the way things used to be' kind of feeling."

___

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___

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Letterman says he sees psychiatrist weekly

PASADENA, Calif. (AP) — David Letterman says he sees a psychiatrist once a week, part of his attempt to be the person he once believed he was.

The late-night talk show host gave an extraordinary interview to Oprah Winfrey in which he talked about his feuds with her and Jay Leno, and his own effort to make amends for the affairs that became public three years ago when a man tried to extort him.

The interview aired Sunday night on Winfrey’s OWN network after it was done in November.

The CBS host says his wife has forgiven him for his transgressions and his life is more joyful than ever, but he hasn’t necessarily forgiven himself.

Letterman also called his late-night rival Leno the funniest guy he’s ever known.

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