New cars at Chicago Auto Show sip gas

The 105th Chicago Auto Show, which opens Saturday at McCormick Place, will feature the latest high-tech innovations, screaming muscle cars and drool-worthy exotics.

But the biggest head-turner may be a small black-and-white number affixed to the windows of the impossibly polished vehicles — the estimated miles per gallon. After years of high gas prices, fuel efficiency is becoming as sexy as horsepower for many car buyers, and a priority for manufacturers.

Driven by increased consumer demand and a federal mandate for automakers to dramatically improve fuel efficiency, new cars are averaging an all-time high of 24.5 mpg, up nearly 20 percent since 2008, according to a recent University of Michigan study. Those increases are most evident in a plethora of new high-mileage small cars, a fast-growing segment for the Big Three and beyond. But they are also reflected in everything from sports cars to pickup trucks, many of which are now sipping fuel with noteworthy restraint.

"Fuel economy is the No. 1 consideration for most consumers," said Michelle Krebs, a senior analyst with Edmunds.com. "They still may be buying a pickup truck, but they want the best fuel economy."

The once-beleaguered auto industry was on a roll last year, selling 14.5 million new vehicles in the U.S., a 13.4 percent increase from 2011, according to Autodata Corp. Analysts project sales could top prerecession levels by 2014, on the way back to an all-time high of about 17 million units.

Fuel economy should be breaking records every year from now until 2025, when federal standards will require automakers to average 54.5 mpg for all cars and light trucks. The higher-mileage standards have been in the pipeline since 2009 and were finalized in August. The first major milestone is coming in 2016, when vehicles must average 35.5 mpg.

Automakers are further along the road than it may seem. The federal mileage standards, called Corporate Average Fuel Economy (CAFE), use a more lenient methodology that includes laboratory testing, weighted sales and a variety of adjustments and credits to measure a manufacturer's overall fuel efficiency.

Employing a similar methodology, University of Michigan researchers calculated the industry's unadjusted CAFE number for January at 29.8 mpg, meaning the federally adjusted number would be even higher. Getting to 35.5 mpg by 2016 seems well within reach, according to some experts.

Auto analyst Alan Baum said the number of high-mileage vehicles offered by manufacturers has doubled since 2009. The trend goes beyond hybrids and electrics, with diesel and more fuel-efficient gas engines lifting car lines across the board. Baum wasn't afraid to break down the chicken-and-egg question as to what's behind the industry improvement in mileage.

"Without the standards, it wouldn't have occurred," he said. "But they wouldn't be meeting the standards if there wasn't consumer demand."

Those mileage gains were on display at the auto show preview Thursday.

Ford is introducing a 1.0-liter EcoBoost engine to the U.S. this year in its 2014 Fiesta that is projected to top 40 mpg on the highway and will be "the most fuel efficient, nonhybrid vehicle in North America," according to Liz Elser, a Ford spokeswoman.

The current-model Fiesta is priced about $14,000 and has been doing well, Elser said.

"Buyers in this segment, the No. 1 purchase reason is fuel economy, and it's very important to them," she said. "We want to deliver that to our customers in the best way we can. If we're coming in at 40 right now, we want to be able to improve on that."

At the Chrysler display, full-size 300 sedans advertised 31 mpg in large print across the front windshields. But leading the high-mileage roster for the manufacturer is the 2013 Dodge Dart, which began rolling off the assembly line in Belvidere in May. Built on a Fiat platform, it is the first compact offering for Chrysler in nearly a decade, luring new buyers to showrooms with sticker prices less than $20,000 and fuel economy upward of 41 mpg on the highway.

The company sold more than 7,000 Darts in January, its best month to date, and momentum is building, according to Chrysler spokeswoman Kathy Graham.

"We are pleased with the pace of sales," Graham said. "We're not the top seller in the segment — there are others that have been established in the compact car segment that sell more — but we're making progress each month as more and more people become aware that Dodge has an offering in the compact car segment."

A bright red, all-new 2014 Chevrolet Corvette Stingray looked fast even as it spun slowly on a turntable. The next-generation Corvette — the model has been the quintessential American sports car for 60 years — lives up to its legacy, capable of doing 0 to 60 in less than 4 seconds. But it also delivers surprisingly good gas mileage, getting upward of 28 mpg on the highway, according to a General Motors spokesman.

While the Corvette lags behind the Chevrolet Cruze Eco, which gets 42 mpg on the highway, it nonetheless achieves improved fuel efficiency without sacrificing performance through the use of lighter materials and a number of design innovations. Cruising on the highway, for example, the Corvette shuts down half its eight cylinders, waiting to kick back in on command.

"When it's rolling along on the highway, it will go from 6.2-liter V-8 to a 3.1-liter four-cylinder," said James Bell, head of consumer affairs for GM. "But when you ask for a little more power, completely imperceptibly, the other cylinders come back to life."

Bell said that even Corvette buyers care about mileage, especially if they use it as a commuter vehicle. But he said the improvements in fuel efficiency are a direct result of the more stringent federal standards coming down the road.

"We've got CAFE regulations that need to be met," he said. "While we'd love to sell a ton of these, it has to contribute to that CAFE. We can't have a car like this that gets 10 miles per gallon."

rchannick@tribune.com

Twitter @RobertChannick

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Rush-hour rain could turn to snow tonight

CAPTIONS

Rock salt
Rock salt does its job at Sheridan Road Granville Avenue as snow falls in the Edgewater neighborhood on Chicago's North Side. (Phil Velasquez, Chicago Tribune /February 4, 2013)

Staff report

5:41 a.m. CST, February 7, 2013

The chance for freezing rain this morning is slim - but even if it happens it won't last beyond 9 a.m., according to the National Weather Service.

"By then it should be warm enough that there shouldn't be a threat of additional freezing rain," said Andrew Krein, a National Weather Service meteorologist. "It will be warming up so ... mostly rain all day."

Some snow fell overnight - a half inch in some parts of the city and more up toward Waukegan - but today should just be soggy, not icy.

Chicago fanned out 199 plow trucks across the city, which are "salting the city's main streets as needed as a storm system moves across the area," according to the streets department.

"We're hovering around 32 degrees but warmer air is not too far away, and it won't be long before it moves in," Krein said.

Today's high is expected to be about 37 degrees and a half inch of rain could fall between now and tonight.

The rain may turn into a messy mix of snow and rain between 6 and 9 p.m. tonight, Krein said. Overnight lows could be in the upper 20s.

chicagobreaking@tribune.com
Twitter: @chicagobreaking

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Well: Think Like a Doctor: A Confused and Terrified Patient

The Challenge: Can you solve the mystery of a middle-aged man recovering from a serious illness who suddenly becomes frightened and confused?

Every month the Diagnosis column of The New York Times Magazine asks Well readers to sift through a difficult case and solve a diagnostic riddle. Below you will find a summary of a case involving a 55-year-old man well on his way to recovering from a series of illnesses when he suddenly becomes confused and paranoid. I will provide you with the main medical notes, labs and imaging results available to the doctor who made the diagnosis.

The first reader to figure out this case will get a signed copy of my book, “Every Patient Tells a Story,” along with the satisfaction of knowing you solved a case of Sherlockian complexity. Good luck.

The Presenting Problem:

A 55-year-old man who is recovering from a devastating injury in a rehabilitation facility suddenly becomes confused, frightened and paranoid.

The Patient’s Story:

The patient, who was recovering from a terrible injury and was too weak to walk, had been found on the floor of his room at the extended care facility, raving that there were people out to get him. He was taken to the emergency room at the Waterbury Hospital in Connecticut, where he was diagnosed with a urinary tract infection and admitted to the hospital for treatment. Doctors thought his delirium was caused by the infection, but after 24 hours, despite receiving the appropriate antibiotics, the patient remained disoriented and frightened.

A Sister’s Visit:

The man’s sister came to visit him on his second day in the hospital. As she walked into the room she was immediately struck by her brother’s distress.

“Get me out of here!” the man shouted from his hospital bed. “They are coming to get me. I gotta get out of here!”

His blue eyes darted from side to side as if searching for his would-be attackers. His arms and legs shook with fear. He looked terrified.

For the past few months, the man had been in and out of the hospital, but he had been getting better — at least he had been improving the last time his sister saw him, the week before. She hurried into the bustling hallway and found a nurse. “What the hell is going on with my brother?” she demanded.

A Long Series of Illnesses:

Three months earlier, the patient had been admitted to that same hospital with delirium tremens. After years of alcohol abuse, he had suddenly stopped drinking a couple of days before, and his body was wracked by the sudden loss of the chemical he had become addicted to. He’d spent an entire week in the hospital but finally recovered. He was sent home, but he didn’t stay there for long.

The following week, when his sister hadn’t heard from him for a couple of days, she forced her way into his home. There she found him, unconscious, in the basement, at the bottom of his staircase. He had fallen, and it looked as if he may have been there for two, possibly three, days. He was close to death. Indeed, in the ambulance on the way to the hospital, his heart had stopped. Rapid action by the E.M.T.’s brought his heart back to life, and he made it to the hospital.

There the extent of the damage became clear. The man’s kidneys had stopped working, and his body chemistry was completely out of whack. He had a severe concussion. And he’d had a heart attack.

He remained in the intensive care unit for nearly three weeks, and in the hospital another two weeks. Even after these weeks of care and recovery, the toll of his injury was terrible. His kidneys were not working, so he required dialysis three times a week. He had needed a machine to help him breathe for so long that he now had to get oxygen through a hole that had been cut into his throat. His arms and legs were so weak that he could not even lift them, and because he was unable even to swallow, he had to be fed through a tube that went directly into his stomach.

Finally, after five weeks in the hospital, he was well enough to be moved to a short-term rehabilitation hospital to complete the long road to recovery. But he was still far from healthy. The laughing, swaggering, Harley-riding man his sister had known until that terrible fall seemed a distant memory, though she saw that he was slowly getting better. He had even started to smile and make jokes. He was confident, he had told her, that with a lot of hard work he could get back to normal. So was she; she knew he was tough.

Back to the Hospital:

The patient had been at the rehab facility for just over two weeks when the staff noticed a sudden change in him. He had stopped smiling and was no longer making jokes. Instead, he talked about people that no one else could see. And he was worried that they wanted to harm him. When he remained confused for a second day, they sent him to the emergency room.

You can see the records from that E.R. visit here.

The man told the E.R. doctor that he knew he was having hallucinations. He thought they had started when he had begun taking a pill to help him sleep a couple of days earlier. It seemed a reasonable explanation, since the medication was known to cause delirium in some people. The hospital psychiatrist took him off that medication and sent him back to rehab that evening with a different sleeping pill.

Back to the Hospital, Again:

Two days later, the patient was back in the emergency room. He was still seeing things that weren’t there, but now he was quite confused as well. He knew his name but couldn’t remember what day or month it was, or even what year. And he had no idea where he was, or where he had just come from.

When the medical team saw the patient after he had been admitted, he was unable to provide any useful medical history. His medical records outlined his earlier hospitalizations, and records from the nursing home filled in additional details. The patient had a history of high blood pressure, depression and alcoholism. He was on a long list of medications. And he had been confused for the past several days.

On examination, he had no fever, although a couple of hours earlier his temperature had been 100.0 degrees. His heart was racing, and his blood pressure was sky high. His arms and legs were weak and swollen. His legs were shaking, and his reflexes were very brisk. Indeed, when his ankle was flexed suddenly, it continued to jerk back and forth on its own three or four times before stopping, a phenomenon known as clonus.

His labs were unchanged from the previous visit except for his urine, which showed signs of a serious infection. A CT scan of the brain was unremarkable, as was a chest X-ray. He was started on an intravenous antibiotic to treat the infection. The thinking was that perhaps the infection was causing the patient’s confusion.

You can see the notes from that second hospital visit here.

His sister had come to visit him the next day, when he was as confused as he had ever been. He was now trembling all over and looked scared to death, terrified. He was certain he was being pursued.

That is when she confronted the nurse, demanding to know what was going on with her brother. The nurse didn’t know. No one did. His urinary tract infection was being treated with antibiotics, but he continued to have a rapid heart rate and elevated blood pressure, along with terrifying hallucinations.

Solving the Mystery:

Can you figure out why this man was so confused and tremulous? I have provided you with all the data available to the doctor who made the diagnosis. The case is not easy — that is why it is here. I’ll post the answer on Friday.

---

Rules and Regulations: Post your questions and diagnosis in the comments section below.. The correct answer will appear Friday on Well. The winner will be contacted. Reader comments may also appear in a coming issue of The New York Times Magazine.

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Pritzker a candidate for Commerce post

Chicago businesswoman Penny Pritzker has been a prominent Barack Obama friend and supporter since his early days in politics and ran his 2008 campaign fundraising operation. (Zbigniew Bzdak, Chicago Tribune / April 8, 2011)

By Katherine Skiba and Christi Parsons




Washington bureau

7:30 p.m. CST, February 6, 2013

Chicago businesswoman Penny Pritzker has emerged as a leading candidate to serve in the administration of President Obama, for whom she has long been a campaign supporter and top fundraiser.

A senior administration official cautioned that no announcement is imminent and that Obama has made no decision. But Pritzker is under consideration to serve as Commerce secretary or perhaps in another senior position involving relations between Obama and business leaders, according to officials close to the process who spoke anonymously to comment on internal deliberations.

Pritzker is a member of the Chicago family behind the Hyatt Hotels Corp. She has been a prominent Obama friend and supporter since his early days in politics and ran his 2008 campaign fundraising operation.

 She is founder and CEO of PSP Capital Partners and the Pritzker Realty Group, as well as chair of the Artemis Real Estate Partners. She is also a member of the Chicago Board of Education and has had two White House appointments, serving on the President’s Council on Jobs and Competitiveness and the President’s Economic Recovery Advisory Board.

Forbes’ annual list of the world’s billionaires last March put Pritzker at No. 719 and said her hotels and investments were worth $1.8 billion.

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3 dead in West Side crash

A man and two women died in a crash on the city's West Side, authorities said.

Firefighters were called to the accident near 31st Street and Western Avenue about 8:30 p.m., according to the department's media office.

Fire officials cut three people out of a red Jeep after the car lost control and somehow ended up on it's top just west of Western Avenue on 31st Street, police  said.

Three people had been riding in the SUV and all were taken to Mount Sinai Hospital and pronounced dead there, police said. They were the only occupants in the SUV.

Just before 10 p.m., the radio in the SUV -- which was flipped on its top -- could still be heard faintly from a distance.

The SUV was eastbound on 31st Street when it hit a curb, then a light pole, and ended up on its roof, Chicago Police News Affairs Officer Hector Alfaro said.

"Some of the damage is from the fire department," police said of the doors, which had been cut to free the car's occupants. "But they flipped the car themselves.

Investigators from the department's Major Accidents Investigations Unit arrived at the scene Thursday night to investigate what had happened.

Three people were taken to Mount Sinai Hospital, one in "extremely critical" condition, two in critical condtion, according to the fire department.

The three were identified as: Phillip Barnes, of the 1500 block of Ludington Circle in Romeoville, Yvonne Tobias of the 400 block of South Homan Avenue in Chicago, and Leantwana Rosebur of the 4900 block of South Gladys Avenue in Chicago.

Barnes, 46, was pronounced dead at 9:20 p.m. Tobias, 57, was pronounced dead at 9:09 p.m. Roseburr, 40, was pronounced dead at 9:19 p.m.

Video from the scene showed a red Jeep flipped over, with its roof crushed, and a person wrapped in black on a stretcher being taken into an ambulance.

chicagobreaking@tribune.com

Twitter: @ChicagoBreaking

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Chris Pratt nabs lead in “Guardians of the Galaxy”

LOS ANGELES (TheWrap.com) – Chris Pratt has scored one of the lead roles in Marvel Studios‘ “Guardians of the Galaxy.”

The “Parks & Recreation” actor will play Star-Lord, the leader of a group of intergalactic heroes, an individual with knowledge of the deal told TheWrap. Marvel and parent company Disney hope that “Guardians” can be a comic book franchise to rival the $ 1.5 billion grossing “The Avengers.”

James Gunn (“Slither”) is directing the film, which is scheduled to be released on August 1, 2014. In addition to heading the team, Star-Lord is a master strategist who wears a suit that give him superhuman strength. Together with a team that includes a raccoon, who is an expert marksman, and an oversized bramble who controls trees, the Guardians teleport around the cosmos preventing disasters.

The role might have seemed a stretch for Pratt, who was best known for his work on as a doughy shoeshine stand operator on NBC’s “Parks & Recreation,” but the actor has made a point of showing off his dramatic skills in films like “Moneyball” (2011).

He also showed he has the ability to bulk up, transforming himself physically to play a Navy SEAL in “Zero Dark Thirty” last year. While making the promotional rounds for the film, Pratt shared a photo of himself in underwear that highlighted his newly toned body and, in retrospect, could have served as an audition shot for the team at Marvel.

Pratt is represented by CAA.

Deadline first reported news of his casting.

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Ipswich Journal: Paul Mason Is One-Third the Man He Used to Be

Paul Nixon Photography

Paul Mason in 2012, two years after gastric bypass surgery stripped him of the unofficial title of “the world’s fattest man.”

IPSWICH, England — Who knows what the worst moment was for Paul Mason — there were so many awful milestones, as he grew fatter and fatter — but a good bet might be when he became too vast to leave his room. To get him to the hospital for a hernia operation, the local fire department had to knock down a wall and extricate him with a forklift.

That was nearly a decade ago, when Mr. Mason weighed about 980 pounds, and the spectacle made him the object of fascinated horror, a freak-show exhibit. The British news media, which likes a superlative, appointed him “the world’s fattest man.”

Now the narrative has shifted to one of redemption and second chances. Since a gastric bypass operation in 2010, Mr. Mason, 52 years old and 6-foot-4, has lost nearly two-thirds of his body weight, putting him at about 336 pounds — still obese, but within the realm of plausibility. He is talking about starting a jewelry business.

“My meals are a lot different now than they used to be,” Mr. Mason said during a recent interview in his one-story apartment in a cheerful public housing complex here. For one thing, he no longer eats around the clock. “Food is a necessity, but now I don’t let it control my life anymore,” he said.

But the road to a new life is uphill and paved with sharp objects. When he answered the door, Mr. Mason did not walk; he glided in an electric wheelchair.

And though Mr. Mason looks perfectly normal from the chest up, horrible vestiges of his past stick to him, literally, in the form of a huge mass of loose skin choking him like a straitjacket. Folds and folds of it encircle his torso and sit on his lap, like an unwanted package someone has set there; more folds encase his legs. All told, he reckons, the excess weighs more than 100 pounds.

As he waits to see if anyone will agree to perform the complex operation to remove the skin, Mr. Mason has plenty of time to ponder how he got to where he is. He was born in Ipswich and had a childhood marked by two things, he says: the verbal and physical abuse of his father, a military policeman turned security guard; and three years of sexual abuse, starting when he was 6, by a relative in her 20s who lived in the house and shared his bed. He told no one until decades later.

After he left school, Mr. Mason took a job as a postal worker and became engaged to a woman more than 20 years older than him. “I thought it would be for life, but she just turned around one day and said, ‘No, I don’t want to see you anymore — goodbye,’ ” he said.

His father died, and he returned home to care for his arthritic mother, who was in a wheelchair. “I still had all these things going around in my head from my childhood,” he said. “Food replaced the love I didn’t get from my parents.” When he left the Royal Mail in 1986, he said, he weighed 364 pounds.

Then things spun out of control. Mr. Mason tried to eat himself into oblivion. He spent every available penny of his and his mother’s social security checks on food. He stopped paying the mortgage. The bank repossessed their house, and the council found them a smaller place to live. All the while, he ate the way a locust eats — indiscriminately, voraciously, ingesting perhaps 20,000 calories a day. First he could no longer manage the stairs; then he could no longer get out of his room. He stayed in bed, on and off, for most of the last decade.

Social service workers did everything for him, including changing his incontinence pads. A network of local convenience stores and fast-food restaurants kept the food coming nonstop — burgers, french fries, fish and chips, even about $22 worth of chocolate bars a day.

“They didn’t deliver bags of crisps,” he said of potato chips. “They delivered cartons.”

His life became a cycle: eat, doze, eat, eat, eat. “You didn’t sleep a normal sleep,” he said. “You’d be awake most of the night eating and snacking. You totally forgot about everything else. You lose all your dignity, all your self-respect. It all goes, and all you focus on is getting your next fix.”

He added, “It was quite a lonely time, really.”

He got infections a lot and was transported to the hospital — first in a laundry van, then on the back of a truck and finally on the forklift. For 18 months after a hernia operation in 2003, he lived in the hospital and in an old people’s home — where he was not allowed to leave his room — while the local government found him a house that could accommodate all the special equipment he needed.

This article has been revised to reflect the following correction:

Correction: February 6, 2013

The headline on an earlier version of this article misstated Paul Mason’s current weight relative to what he weighed nearly a decade ago. He is now about one-third, not two-thirds, the weight he was then.

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Chicago sees surge in foreclosure auctions

More than 35,000 homes and small multifamily buildings in the Chicago area completed the foreclosure process last year, the highest number since the housing crisis began, and the vast majority of them became bank-owned.

An increase in foreclosure auctions was expected since lenders shelved many foreclosure cases while state and federal authorities investigated allegations of faulty foreclosure processes. Still, the heightened level of auctions — 35,244 in 2012, compared with 20,281 in 2011 — along with an increase in initial foreclosure filings, shows the local housing market has a long road to recovery, according to the Woodstock Institute.

"There's going to be pain in the housing market in the short term," said Katie Buitrago, senior policy and communications associate at Woodstock. "There's still high levels of filings. Five years into it, there is still work to be done to help people save their homes."

The Chicago-based public policy and research group is expected to release its report on 2012 foreclosure activity Wednesday.

The year-end numbers show that, with few exceptions, all Chicago neighborhoods and suburban communities saw high double-digit percentage gains in auctions last year. Across the six-county area, 91.3 percent of the foreclosed properties were repossessed by lenders. At the same time, notices of initial default sent to homeowners, the first step in the foreclosure process, increased by 2.9 percent last year, to 66,783.

Real estate agents have worried for more than two years about a glut of foreclosed properties — a shadow inventory — that banks would list for sale en masse and cause home values to plunge. That largely has not happened, but the vast number of distressed properties in the market has kept a lid on local home values.

On Tuesday, for instance, Fannie Mae and Freddie Mac's websites listed 2,415 Cook County homes for sale that the two agencies had repossessed.

Chicago-area home prices, including distressed sales, fell 2.3 percent in December from a year ago, housing analytics firm CoreLogic said Tuesday. Illinois was one of only four states to see home-price depreciation.

The increase in auctions "is a mixed blessing," Buitrago said. "We've been having a lot of trouble in the region with vacant properties that have been languishing for years. The longer they're vacant, the more likely they are to be a destabilizing force in their communities."

Woodstock found that within the city of Chicago, there were 20 communities where more than 1 in 10 owner-occupied one- to four-unit residential buildings and condos went through foreclosure from 2008 to 2012. Five of those neighborhoods are included in the city's 18-month-old Micro-Market Recovery Program, a coordinated effort to stabilize neighborhoods and property values hit hard by foreclosures and vacant buildings.

Also designed to benefit hard-hit areas are the recent establishment of a Cook County Land Bank and legislation waiting for Gov. Pat Quinn's signature that will fast-track the foreclosure process for vacant, abandoned homes while providing financial resources to foreclosure prevention efforts.

mepodmolik@tribune.com

Twitter @mepodmolik

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Fire-spitting actor seriously hurt at Lyric Opera dress rehearsal

A 24-year-old performer was burned on-stage Monday during a Lyric Opera House dress rehearsal.

A dress rehearsal at the Lyric Opera of Chicago was interrupted Monday when a performer was critically injured during a fire stunt.

The Chicago Fire Department was called to the Lyric, 20 N. Wacker Drive, around 4:50 p.m. to treat actor Wesley Daniel, 24.

Daniel was initially in serious-to-critical condition when taken to Northwestern, after suffering burns to his throat and second-degree burns to his face while “spitting fire,” the Fire Department's media office said.

A Tribune photographer, Jason Wambsgans, was at the rehearsal, arriving at the beginning of the third act to take pictures for an upcoming Tribune review of the opera “Die Meistersinger von Nurnberg.”

The first scene of the third act took about an hour. It was in the second scene when Wambsgans pulled out a long-angle lens to take pictures of the busy stage full of extras, in this case, circus performers.

Daniel was one of them.

When it appeared that Daniel, on stilts, was ready to put some sort of propellant in his mouth to shoot fireballs, Wambsgans started snapping photos.

“He blew one or two fireballs, and then it looked like he had spilled it on his chin or his chest or something,” Wambsgans said. “It kind of consumed him, and he was staggering across the stage and then fell off his stilts on the opposite side of the stage.”

Wambsgans said he saw people in the wings of the stage spraying Daniel with fire extinguishers.

“Half of the extras were transfixed by that,” Wambsgans said.

It took about 15 more seconds before the rest of the extras stopped singing and acting, realizing what had happened, he said.

After a 30-minute break, a visibly distressed crew was back rehearsing, Wambsgans said. But the rehearsal was cut short, ending about 6 p.m.

Initially, it was thought Daniel was not suffering breathing problems, but he was, according to the Fire Department, and he was transferred to Loyola University Medical Center in critical condition.

Daniel was believed to have suffered injuries including blistering on his face, a spokeswoman for the Lyric said in an email. He was wearing a flame-proof costume and mask. The dress rehearsal was interrupted, but it later resumed and was in the last act of “Die Meistersinger von Nurnberg” by about 5:30 p.m.

Daniel was performing a stunt that had been approved by the Fire Department, according to the Lyric.

lford@tribune.com

ehirst@tribune.com

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The New Old Age Blog: In Blended Families, Responsibility Blurs

Every year, Fran McDowell waited for the summer week when she would sing in a choral festival in the North Carolina mountains, then spend a few days in a lakeside cabin with close women friends.

That getaway grew more complicated to arrange — but perhaps more necessary — after her husband, Herb Beadle, was diagnosed with Alzheimer’s disease. They had a “gloriously happy” marriage — her first, his second — for 11 years, and she was more than willing to care for him in sickness as in health. But he could no longer manage alone in their Atlanta home.

For a few years, other family members pitched in to allow Ms. McDowell her cherished vacation. Eventually, though, she had to ask her husband’s daughter, a medical professional in another state, to take him into her home for a week.

She said no, then yes. Then, the day before Ms. McDowell was to drive him there, her stepdaughter again refused, leaving no time for alternate arrangements. If this had been her biological child, “I would have said, ‘Come on, don’t do this to me,’” Ms. McDowell said. Instead, reluctant to make waves, she canceled her trip.

“I think confrontation is riskier for stepparents,” she told me. “I was the compliant one who would bite my tongue rather than say what I thought.”

Ms. McDowell never told her stepdaughter, or anyone in the family, how angry and disappointed she was, or how difficult it was becoming to care for their father, who died three years ago at 86. She told the members of her dementia caregivers support group instead.

It was that group’s leader, Moira Keller, who e-mailed me to suggest this topic. A clinical social worker with the Sixty Plus program at Piedmont Atlanta Hospital, she wrote that “one of the biggest challenges I have is blended families in later life.”

Though I’ve written about the way the 1970s’ spike in divorces could complicate caregiving for adult children — more households to sustain, more siblings to either help or hinder — I hadn’t considered the impact on the older people themselves.

But Ms. Keller seems to be onto something. “The generation most likely to have stepchildren” — the boomers — “don’t need much care yet,” said Merril Silverstein, a Syracuse University sociologist co-editing a coming issue of the Journal of Marriage and the Family on stepfamilies in later life. “The crunch will come in 10 or 20 years.”

Initially, many adult children whose divorced or widowed parents remarry seem delighted, Ms. Keller said when we spoke. “They’re thrilled that Mom or Dad isn’t alone,” she said. “It’s a wonderful thing — until somebody gets sick.”

Then, she has found, “it gets really blurry. Who’s going to do what?” Grown children don’t have much history with these new spouses; they often feel less responsibility to intervene or help out, and stepparents may be unwilling to ask. Perhaps it’s unclear whether children or new spouses have decision-making authority.

“Older couples in this situation fall through the cracks,” Ms. Keller said.

Research shows that the ties which lead adult children to become caregivers — depending on how much contact they have with parents, how nearby they live, how obligated they feel — are weaker in stepchildren, Dr. Silverstein said. Money sometimes enters the equation too, Ms. Keller added, if biological children resent a parent’s spending their presumed inheritance on care for an ailing stepparent.

Adela Betsill, another of Ms. Keller’s support group members, married her longtime partner five years ago — her second marriage, his third. She has since given up her interior design business to care for Robert who, at 72, has also developed Alzheimer’s disease. His two children have had little involvement — perhaps because she’s just 49 and presumed able to handle everything.

Thus, though Robert’s son works from an office in their home, if Ms. Betsill needed to go out and asked him to remind his father to eat lunch, “he might, or he might not,” she said. “I don’t think he realizes it’s a burden.” So she has not asked.

Would it be different if she were his biological mother and he saw her wearing out under the strain? She thinks so, but it’s hard to know. After all, biological families also experience plenty of conflict and avoidance as elders age.

Still, that sense of reciprocity we often hear from caregivers — she took care of me when I was young, so I need to help out now that she’s old — doesn’t apply in late-life stepfamilies. Ms. Betsill didn’t raise this man, or his half sister.

Older couples who marry or remarry often discuss their finances, Ms. Keller has found. (An elder attorney, Craig Reaves, discussed the legal consequences here.) But illness and dependence may prove even more difficult subjects to broach.

“If I could yell one thing from a mountaintop,” Ms. Keller said, “it’s to talk about this stuff, too. Who’s going to take care of you if you become sick? Talk about that while you’re still healthy.”

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Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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