Illinois Sen. Kirk to return a year after stroke

CHICAGO (AP) — Nearly a year after a stroke left him barely able to move the left side of his body, U.S. Sen. Mark Kirk is expected to climb the 45 steps to the Senate‘s front door this week — a walk that’s significant not just for Illinois‘ junior senator, but also for medical researchers and hundreds of thousands of stroke patients.

It’s estimated only one-third of patients return to work after a stroke, said Dr. Elliot Roth, medical director of the Rehabilitation Institute of Chicago‘s New Patient Recovery Unit and AbilityLab, where Kirk recovered.

The 53-year-old Republican will return to the high-profile, demanding life of a Washington lawmaker after an experimental rehabilitation so intense it’s often compared to boot camp, Roth said. Patients keep grueling schedules, often spending eight hours a day or more re-learning how to walk, talk and do other tasks.

Because there are risks to going back to work unprepared, patients do “practice runs” of what it will be like to be back on the job. If and when they successfully return to work, Roth added, “It’s like having a great symphony play and recognizing it’s all the practice beforehand that went into it.”

Kirk will walk back into a Congress that has grappled for weeks over how to avoid going over the “fiscal cliff,” a series of across-the-board tax increases and spending cuts due to take effect Tuesday. President Barack Obama indicated Monday afternoon that a deal was in sight, but not yet finalized. But House Republicans said they will not vote on the issue Monday night, and it remained unclear whether the Senate would vote Monday.

The Illinois senator’s return will be inspiring to fellow stroke patients, said Frank Watson, the former Republican leader of the Illinois Senate who resigned from office after his 2008 stroke.

“For us in the stroke fraternity, we’re very happy to see this occur, to see somebody taking their life back,” Watson said. “There are so many people who don’t make it back.”

Kirk, who won President Barack Obama’s former Senate seat in 2010, checked himself into a hospital in January 2012 after feeling dizzy. Tests revealed that the avid swimmer had suffered a major stroke. Surgeons had to remove two small pieces of destroyed brain tissue, and temporarily removed a 4-inch by 8-inch portion of his skull to allow for swelling.

Doctors said movement in Kirk’s left side was severely limited. He was in intensive care and would need speech therapy, but they expected he would make a full mental recovery.

Within days, they said Kirk was asking for his Blackberry. In May, Kirk released a video updating his progress and showing footage of him walking with the help of a harness, a cane and Rehabilitation Institute of Chicago staff. It also included clips of Kirk speaking while sitting in a chair, his left shoulder lower than his right and the left side of his face still largely paralyzed.

Kirk said in the video that his staff had counted the steps from the parking lot to the front door of the Senate. It was his hope to climb all 45 of them someday, “to fight for the people of Illinois.”

In a separate video released three months later, Kirk was shown climbing stairs at the RIC and working in his home office. He said he had moved back to his home in the north Chicago suburbs, and that he was talking to his staff several times a day and keeping up with business in Washington via email. He also touted the experimental therapy, through which he had logged almost 15 miles and 145 flights of stairs.

Roth said the study represents a new approach to stroke rehabilitation, which has traditionally been slower and more cautious. In the study, one group — which included Kirk — was pushed harder and walked more, in an effort to see if it led to a quicker recovery.

In November, Kirk climbed 37 floors of stairs inside Chicago’s Willis Tower as part of an RIC fundraiser. One of his therapists called it “remarkable progress.”

Kirk has said little to the media throughout his rehabilitation. Through his staff, he declined to comment about his return to Washington. They have said he’ll walk the steps Jan. 3, when the new Congress convenes.

Watson, who was in a wheelchair for months after his stroke, said it will be important for Kirk to take it slow and make time for continued rehabilitation, noting “it’s not over.”

Watson’s stroke affected his emotions, prompting him to break down in tears at times he previously would not have. It’s something that still happens a little, he said.

Moments later, talking about the significance of Kirk’s return, Watson began to cry.

“We need success stories,” he said, “and Mark’s one of them.”

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Tentative ‘fiscal cliff’ deal reached in Senate

President Barack Obama discusses the negotiations with Capitol Hill on the looming fiscal cliff in front of middle …Vice President Joe Biden traveled to Capitol Hill Monday night to sell wary Democratic senators on an 11th-hour deal to avert income tax hikes on all but a sliver of the richest Americans.

Grinning broadly, Biden ignored reporters questions on whether he and Republican Senate Minority Leader Mitch McConnell had finally forged a compromise to avoid the "fiscal cliff" that threatened the still-fragile economy with a new recession. "Happy new year," he replied.

He was only slightly chattier on his way out about an hour and 45 minutes later. Asked what his selling point had been, Biden reportedly replied: "Me."

Earlier, a Democratic Senate aide told Yahoo News that "the White House and Republicans have a deal," while a source familiar with the negotiations said President Barack Obama had discussed the compromise with Democratic Senate Majority Leader Harry Reid and Democratic House Minority Leader Nancy Pelosi and "they both signed off."

The apparent agreement set up a Senate vote late Monday or possibly in the wee hours of Tuesday. The House of Representatives was due back at noon on Tuesday to take it up.

In a joint statement, the House’s Republican leaders including Speaker John Boehner hinted that they might amend anything that clears the Senate – a step that could kill the deal.

“Decisions about whether the House will seek to accept or promptly amend the measure will not be made until House members -- and the American people -- have been able to review the legislation,” they said.

Under the compromise arrangement, taxes would rise on income above $400,000 for individuals and $450,000 for households, while exemptions and deductions the wealthiest Americans use to reduce their tax bill would face new limits. The accord would also raise the taxes paid on large inheritances from 35% to 40% for estates over $5 million. And it would extend by one year unemployment benefits for some two million Americans.

Biden, a 36-year Senate veteran, worked out the agreement with McConnell after talks between Obama and Republican House Speaker John Boehner collapsed.

But with time running short, the country appeared on track to go over the cliff at midnight -- though quick congressional action, and the fact that financial markets were to be closed on New Year's Day, were expected to limit the damage.

“Today, it appears that an agreement to prevent this New Year's tax hike is within sight, but it's not done,” Obama said in hastily announced midday remarks at the White House. “There are still issues left to resolve, but we're hopeful that Congress can get it done – but it’s not done.”

"One thing we can count on with respect to this Congress is that if there is even one second left before you have to do what you’re supposed to do, they will use that last second," he said.

Obama’s remarks – by turns scolding, triumphant, and mocking of Congress – came after talks between McConnell and Biden appeared to seal the breakthrough deal.

The middle class will still see its taxes go up: The final deal did not include an extension of the payroll tax holiday. And the overall package will deepen the deficit by hundreds of billions of dollars by extending the overwhelming majority of the Bush tax cuts. Many Democrats had opposed those measures in 2001 and 2003. Obama agreed to extend them in 2010.

Efforts to modify the first installment of $1.2 trillion in cuts to domestic and defense programs over 10 years -- the other portion of the “fiscal cliff,” known as sequestration -- had proved a sticking point late in the game. Democrats had sought a year-long freeze but appeared to have caved to Republican pressure and signed on to just a two-month delay. That would put the next battle over those cuts right around the time that the White House and its Republican foes are battling it out over whether to raise the country's debt limit. Republicans have vowed to push for more spending cuts, equivalent to the amount of new borrowing. Obama has vowed not to negotiate as he did in 2011, when a bruising fight threatened the first-ever default on America's obligations and resulted in the first-ever downgrade of the country's credit rating.

Experts had warned that the fiscal cliff's tax increases and spending cuts, taken together, could plunge the still-fragile economy into a new recession.

“I can report that we’ve reached an agreement on all of the tax issues,” McConnell said on the Senate floor. “We are very, very close to an agreement.”

The Kentucky Republican later briefed Republicans on the details of the deal. Lawmakers emerged from that closed-door session offered hopeful appraisals that, after clearing a few last-minute hurdles, they could vote on New Year’s Eve or with 2013 just hours old.

“Tonight, I hope,” Republican Senator Bob Corker of Tennessee told reporters. “It may be at 1, 2, 3, 4 in the morning. Oh, I guess that’s technically tomorrow.”

Republican Senators said negotiators were still working on a way to forestall two months of the “sequester” spending cuts, about $20 billion worth. And some expressed disquiet that the tentative compromise ran high on tax increases and low on spending cuts -- while warning that failure to act, triggering some $600 billion in income tax increases on all Americans who pay it and draconian spending cuts, was the worse option.

McConnell earlier had called for a vote on the tax component of the deal.

“Let me be clear: We’ll continue to work on finding smarter ways to cut spending, but let’s not let that hold up protecting Americans from the tax hike,” McConnell urged. “Let’s pass the tax relief portion now. Let’s take what’s been agreed to and get moving.”Senate Minority Leader Mitch McConnell, R-Ky., followed by Sen. Pat Roberts, R-Kan., second from right, leaves …

The final compromise needed to clear the Democratic-led Senate and Republican-held House. Aides in both chambers doubted that could happen by midnight – but emphasized that there was no need to move the family into the Doomsday bunker in the back yard. Yet.

Unlike a college student who writes an end-of-semester paper overnight before a morning deadline, then drops the assignment off hours after it was due, Congress can write its own rules to minimize the damage – and Americans whose taxes are staying the same won’t see a change in their bottom line.

“It’s basically a matter of saying it’s effective January 1,” one senior Republican aide shrugged.

But passage was not a sure thing: Both the AFL-CIO labor union and the conservative Heritage Action organization argued against the package.

The breakthrough came after McConnell announced Sunday that he had started to negotiate with Biden in a bid to "jump-start" stalled talks to avoid the fiscal cliff.

Under their tentative deal, the top tax rate on household income above $450,000 would rise from 35 percent to 39.6 percent -- where it was under Bill Clinton, before the reductions enacted under George W. Bush in 2001 and 2003.

Some congressional liberals had expressed objections to extending tax cuts above the $250,000 income threshold Obama cited throughout the 2012 campaign. Democrats were huddling in private as well to work out whether they could support the arrangement.

Possibly with balking progressives in mind, Obama trumpeted victories dear to the left of his party. "The potential agreement that’s being talked about would not only make sure the taxes don’t go up on middle-class families, it also would extend tax credits for families with children. It would extend our tuition tax credit that’s helped millions of families pay for college. It would extend tax credits for clean energy companies that are creating jobs and reducing our dependence on foreign oil. It would extend unemployment insurance to 2 million Americans who are out there still actively looking for a job."

Obama said he had hoped for "a larger agreement, a bigger deal, a grand bargain," to stem the tide of red ink swamping the country’s finances – but shelved that goal.

"With this Congress, that was obviously a little too much to hope for at this time," he said. "It may be we can do it in stages. We’re going to solve this problem instead in several steps."

The president also looked ahead to his next budgetary battle with Republicans, warning that “any future deficit agreement” will have to couple spending cuts with tax increases. He expressed a willingness to reduce spending on popular programs like Medicare, but said entitlement reform would have to go hand in hand with new tax revenues.

“If Republicans think that I will finish the job of deficit reduction through spending cuts alone … then they’ve another thing coming,” Obama said defiantly. “That’s not how it’s going to work.”

“If we’re serious about deficit reduction and debt reduction, then it’s going to have to be a matter of shared sacrifice. At least as long as I’m president. And I’m going to be president for the next four years, I hope,” he said.

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Pakistan militants kill 41 in mass execution, attack on Shi’ites

PESHWAR, Pakistan (Reuters) – Pakistani militants, who have escalated attacks in recent weeks, killed at least 41 people in two separate incidents, officials said on Sunday, challenging assertions that military offensives have broken the back of hardline Islamist groups.

The United States has long pressured nuclear-armed ally Pakistan to crack down harder on both homegrown militants groups such as the Taliban and others which are based on its soil and attack Western forces in Afghanistan.

In the north, 21 men working for a government-backed paramilitary force were executed overnight after they were kidnapped last week, a provincial official said.

Twenty Shi’ite pilgrims died and 24 were wounded, meanwhile, when a car bomb targeted their bus convoy as it headed toward the Iranian border in the southwest, a doctor said.

New York-based Human Rights Watch has noted more than 320 Shias killed this year in Pakistan and said attacks were on the rise. It said the government’s failure to catch or prosecute attackers suggested it was “indifferent” to the killings.

Pakistan, seen as critical to U.S. efforts to stabilize the region before NATO forces withdraw from Afghanistan by the end of 2014, denies allegations that it supports militant groups like the Afghan Taliban and Haqqani network.

Afghan officials say Pakistan seems more genuine than ever about promoting peace in Afghanistan.

At home, it faces a variety of highly lethal militant groups that carry out suicide bombings, attack police and military facilities and launch sectarian attacks like the one on the bus in the southwest.

Witnesses said a blast targeted their three buses as they were overtaking a car about 60 km (35 miles) west of Quetta, capital of sparsely populated Baluchistan province.

“The bus next to us caught on fire immediately,” said pilgrim Hussein Ali, 60. “We tried to save our companions, but were driven back by the intensity of the heat.”

Twenty people had been killed and 24 wounded, said an official at Mastung district hospital.

CONCERN OVER EXTREMIST SUNNI GROUPS

International attention has focused on al Qaeda and the Pakistani Taliban.

But Pakistani intelligence officials say extremist Sunni groups, lead by Lashkar-e-Jhangvi (LeJ) are emerging as a major destabilizing force in a campaign designed to topple the government.

Their strategy now, the officials say, is to carry out attacks on Shi’ites to create the kind of sectarian tensions that pushed countries like Iraq to the brink of civil war.

As elections scheduled for next year approach, Pakistanis will be asking what sort of progress their leaders have made in the fight against militancy and a host of other issues, such as poverty, official corruption and chronic power cuts.

Pakistan’s Taliban have carried out a series of recent bold attacks, as military officials point to what they say is a power struggle in the group’s leadership revolving around whether it should ease attacks on the Pakistani state and join groups fighting U.S.-led forces in Afghanistan.

The Taliban denies a rift exists among its leaders.

In the attack in the northwest, officials said they had found the bodies of 21 men kidnapped from their checkpoints outside the provincial capital of Peshawar on Thursday. The men were executed one by one.

“They were tied up and blindfolded,” Naveed Anwar, a senior administration official, said by telephone.

“They were lined up and shot in the head,” said Habibullah Arif, another local official, also by telephone.

One man was shot and seriously wounded but survived, the officials said. He was in critical condition and being treated at a local hospital. Another had escaped before the shootings.

Taliban spokesman Ihsanullah Ihsan claimed responsibility for the attacks.

“We killed all the kidnapped men after a council of senior clerics gave a verdict for their execution. We didn’t make any demand for their release because we don’t spare any prisoners who are caught during fighting,” he said.

The powerful military has clawed back territory from the Taliban, but the kidnap and executions underline the insurgents’ ability to mount high-profile, deadly attacks in major cities.

This month, suicide bombers attacked Peshawar’s airport on December 15 and a bomb killed a senior Pashtun nationalist politician and eight other people at a rally on December 22.

(Additional reporting by Saud Mehsud in DERA ISMAIL KHAN and Gul Yousufzai in QUETTA; Writing by Katharine Houreld; Editing by Michael Georgy and Ron Popeski)

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14 Solutions to Your New Year’s Midnight Kiss

Find a Baby

There’s got to be one crawling around somewhere. What’s cuter than kissing a baby’s fat cheek? Photo by Win McNamee/Getty Images

Click here to view this gallery.

[More from Mashable: Here’s a Depressing Look at Man’s Impact on Earth]

Do you find yourself in a panic every New Year’s Eve because everyone’s counting down and Billy Crystal has yet to explain all of the reasons why he’s madly in love with you?

No? Oh okay — me neither.

[More from Mashable: Watch the Scariest Skiing Lesson of All Time]

But the final holiday of the year can put a lot of unnecessary pressure on people. We want to end and begin each year with a bang — this often means the perfect outfit, an amazing soiree and the midnight kiss that will sweep you off your feet.

Instead of starting 2013 in a state of panic, then promising to be better later, enjoy New Year’s Eve and stop worrying about a silly superstition. We’ve come up with a couple solutions to the big smooch at the end of the night.

Photo by Ian Gavan/Getty Images

This story originally published on Mashable here.

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UK “X Factor” winner regains top chart spot

LONDON (Reuters) – James Arthur, winner of this year’s British version of the “X Factor” TV talent show, saw his debut single climb back to number one in the British pop charts on Sunday.

Arthur’s “Impossible” shot straight to the top earlier this month but was overtaken last week by a tribute song to the victims of the 1989 Hillsborough football stadium disaster, “He Ain’t Heavy, He’s My Brother”, a version of the ballad that was a worldwide hit for The Hollies.

That song has now slipped to fifth position, according to the Official Charts Company listings.

“Scream and Shout” by will.i.am, featuring Britney Spears, stayed at two while Psy’s monster video hit “Gangnam Style” was up three places to third.

In the album charts, British singer Emeli Sande stayed top with “Our Version Of Events”, with Olly Murs‘ “Right Place, Right Time” unchanged at two.

Rihanna was up three places to third with “Unapologetic”.

(Reporting by Stephen Addison; Editing by Alison Williams)

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A blood clot’s danger depends on where it is

Blood clots like the one that Secretary of State Hillary Rodham Clinton is being treated for following her recent concussion can occur for a host of reasons. How serious a clot is depends on where it is and why it formed, doctors say. A Clinton aide would not say where hers is located.

WHAT THEY ARE: Blood pools and thickens into a clot after an injury or because of a heart problem, clogged arteries or other condition. Clots also can break off and travel to another part of the body.

WHERE THEY OCCUR: In leg veins (called deep vein thrombosis) or in blood vessels in the neck, brain or lungs. Leg clots are a common risk after someone has been bedridden. Clots are most dangerous when they travel to the lungs, a potentially life-threatening situation, or to the brain, where they can cause a stroke.

RISK FACTORS: High blood pressure, diabetes, birth control pills, pregnancy, stroke, recent surgery, prolonged sitting, circulation problems and heart problems — especially an irregular heartbeat called atrial fibrillation — raise the chances of developing a blood clot.

TREATMENT: Sometimes a blood thinner such as warfarin (Coumadin) is prescribed to allow the clot to dissolve by itself over time and prevent new ones from forming.

___

Online:

Concussion information: http://www.cdc.gov/concussion/

Blood clots: http://www.mayoclinic.com/health/blood-clots/MY00109/DSECTION=causes

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Clinton admitted to hospital with blood clot

(REUTERS/Gary Cameron) U.S. Secretary of State Hillary Clinton delivers remarks at the State Department in Washington …Secretary of State Hillary Rodham Clinton has been admitted to a New York hospital for treatment of a blood clot, her spokesman said Sunday.

State Department Spokesman Philippe Reines said Clinton had entered the hospital following a medical examination for a concussion she sustained earlier this month.
"In the course of a follow-up exam today, Secretary Clinton's doctors discovered a blood clot had formed, stemming from the concussion she sustained several weeks ago," Reines said in a statement.  "She is being treated with anti-coagulants and is at NewYork-Presbyterian Hospital so that they can monitor the medication over the next 48 hours."

Reines added, "Her doctors will continue to assess her condition, including other issues associated with her concussion. They will determine if any further action is required."

Clinton was scheduled to return to work this week after treatment for the concussion. She is set to step down from her post shortly after President Barack Obama's inauguration on January 21. Last week, Obama announced he had chosen Massachusetts Sen. John Kerry to replace Clinton as the nation's top diplomat.

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Arab League chief says Palestinians to petition UN

RAMALLAH, West Bank (AP) — Arab League chief Nabil Elaraby says two decades of talks with Israel have been “a waste of time” and that Palestinians will soon take a new statehood bid to the U.N.

“We will return to the U.N. Security Council,” he said in Ramallah Saturday after meeting Palestinian officials. “Palestine will be cooperating with Arab and EU countries to change the equation (in the peace process) that prevailed over the past 20 years, which was a waste of time.”

The U.N. last month endorsed a de facto Palestinian state in the West Bank, east Jerusalem and Gaza, areas Israel won in a 1967 war.

Talks collapsed in 2008 after Palestinians demanded Israel stop building in areas they want for a future state. Israel insists settlements and other issues should be negotiated.

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Facebook’s SnapChat Intimidator Was Great for SnapChat’s Business

This probably isn’t the outcome Facebook was hoping for. After Facebook created Poke, its very obvious SnapChat intimidator, the rival app saw a big boost in numbers. 

RELATED: Facebook’s SnapChat-Style Sexting App Is Called Poke (Seriously)

The people over at Bloomberg Businessweek looked at the hard numbers and concluded (with charts!) that SnapChat saw a huge uptick in attention after Facebook created Poke. What we initially thought was a clone war was not meant to be. Facebook helped SnapChat rocket to the top of the app charts. SnapChat, to its credit, was ready for the challenge as soon as the gauntlet was laid down by Facebook. SnapChat’s CEO had an Apple-IBM inspired response to Poke’s existence: he told The Verge, “Welcome, Facebook. Seriously.”

RELATED: When SnapChat Videos Don’t Disappear

It was clear from the start that the big boys in blue were big fans of the independent creation: Mark Zuckerberg himself helped code the copycat. But just because the app was touched by the hand of Zuck doesn’t necessarily mean success is guaranteed. Poke’s greatest success so far is helping royally piss off Zuckerberg’s sister. Whether or not Poke, or SnapChat for that matter, is a long-term success remains to be seen. We need to watch the success theater play out before our eyes. 

RELATED: Facebook to Launch Its Own SnapChat as Social-Network Clone Wars Live on

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Praying Hitler in ex-Warsaw ghetto sparks emotion

WARSAW, Poland (AP) — A statue of Adolf Hitler praying on his knees is on display in the former Warsaw Ghetto, the place where so many Jews were killed or sent to their deaths by Hitler’s regime, and it is provoking mixed reactions.

The work, “HIM” by Italian artist Maurizio Cattelan, has drawn many visitors since it was installed last month. It is visible only from a distance, and the artist doesn’t make explicit what Hitler is praying for, but the broader point, organizers say, is to make people reflect on the nature of evil.

In any case, some are angered by the statue’s presence in such a sensitive site.

One Jewish advocacy group, the Simon Wiesenthal Center, this week called the statue’s placement “a senseless provocation which insults the memory of the Nazis’ Jewish victims.”

“As far as the Jews were concerned, Hitler’s only ‘prayer’ was that they be wiped off the face of the earth,” the group’s Israel director, Efraim Zuroff, said in a statement.

However, many others are praising the artwork, saying it has a strong emotional impact. And organizers defend putting it on display in the former ghetto.

Fabio Cavallucci, director of the Center for Contemporary Art, which oversaw the installation, said, “There is no intention from the side of the artist or the center to insult Jewish memory.”

“It’s an artwork that tries to speak about the situation of hidden evil everywhere,” he said.

The Warsaw ghetto was an area of the city which the Nazis sealed off after they invaded Poland. They forced Jews to live in cramped, inhuman conditions there as they awaited deportation to death camps. Many died from hunger or disease or were shot by the Germans before they could be transported to the camps.

The Hitler installation is just one object in a retrospective of Cattelan’s work titled “Amen,” a show that explores life, death, good and evil. The other works are on display at the center itself, which is housed in the Ujazdowski Castle.

The Hitler representation is visible from a hole in a wooden gate across town on Prozna Street. Viewers only see the back of the small figure praying in a courtyard. Because of its small size, it appears to be a harmless schoolboy.

“Every criminal was once a tender, innocent and defenseless child,” the center said in a commentary on the work.

Poland’s chief rabbi, Michael Schudrich, said he was consulted on the installation’s placement ahead of time and did not oppose it because he saw value in the artist’s attempt to try to raise moral questions by provoking viewers.

He said he was reassured by curators who told him there was no intention of rehabilitating Hitler but rather of showing that evil can present itself in the guise of a “sweet praying child.”

“I felt there could be educational value to it,” said Schudrich, who also wrote an introduction to the exhibition’s catalogue in which he says art can “force us to face the evil of the world.”

On Friday, a stream of people walked by to view the work, and many praised it.

“It had a big emotional impact on me. It’s provocative, but it’s not offensive,” said Zofia Jablonska, a 30-year-old lawyer. “Having him pray in the place where he would kill people — this was the best place to put it.”

Cattelan caused controversy in Warsaw in 2000 when another gallery showed his work “La Nona Ora” — or “The Ninth Hour” — which depicts the late Pope John Paul II being crushed by a meteorite. That offended many in Poland, which is both deeply Catholic and was John Paul’s homeland.

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