Singer Etta James, known best for her iconic recording of "At Last," is gravely ill, diagnosed with dementia and undergoing treatment for leukemia, according to court documents. 
 
 The 72-year-old Woodcrest resident's illness came to light as part of a civil case in Riverside County Superior Court in which Artis Mills, her husband of 41 years, is seeking control of more than $1 million of James' money. 
 
 Her son Donto James wrote in a court declaration that he does not object to money being released for her health care. But he is asking that it be overseen by a third party, "to avoid present and future family conflict and discrepancies." 
 
 A hearing is scheduled for Friday. 
 
 Neither Mills nor his attorney, Bettye Barnard, returned calls seeking comment. Reached by phone, Donto James declined to comment beyond his statements on the court documents. 
 
 The singer gave power of attorney to Donto, her other son Sametto James and Donto's wife, Christy James, in February 2008, according to court documents. Mills has challenged the power of attorney in court documents. 
 
 Mills filed for divorce in April 2008, but the petition was dismissed a few months later. 
 
 James, who merges blues, rock 'n' roll, gospel and jazz in her music, had an impressive string of hits throughout the 1960s, including the soulful "Tell Mama," "All I Could Do Was Cry," and "I'd Rather Go Blind." 
 
 In 1995, James penned an autobiography, "Rage to Survive," which detailed her life, including her drug addiction and rehabilitation. 
 
 James continued releasing music and toured the world, playing high-profile events such as the Playboy Jazz Festival. 
 
 She also battled obesity and had gastric bypass surgery in 2001. 
 
 Beyonce Knowles portrayed James in the film "Cadillac Records" in 2008. 
 
 James hasn't been on stage since suffering a urinary tract infection that led to sepsis in early 2010. 
 
 Dr. Elaine James, no relation to the singer, declared in the court documents that the singer has multiple medical conditions, including dementia, an organic brain syndrome and a recent diagnosis of leukemia. 
 
 The Beverly Hills doctor said she and other medical staff give James continuous medical care and supervision in the singer's home in the Woodcrest area, near Riverside. 
 
 Dr. James said the singer isn't able to sign her name and requires assistance with feeding, dressing and hygiene, but does recognize her husband and children. The doctor said James has been admitted to the hospital on occasion but returns home with round-the-clock care. 
 
 Mills said in court documents that his wife expressed that "if she ever became disabled, she did not wish to be placed in an institutional nursing facility as long as they had the money to keep her at home." 
 
 He is asking to move just over $1 million from three of his wife's accounts to a joint account with him or to him alone with James as a beneficiary of those accounts. He is also seeking the power to close those accounts and transfer the money into his name. In the court documents, he said the money would be used for care, maintenance and support of his wife. 
 
 Staff writer Richard K. De Atley contributed to this report. 
 
 Reach Vanessa Franko at 951-368-9575 or vfranko@PE.com ||||| Etta James Suffering From Leukemia, Dementia 
 
 Email This A court battle over the health and financial affairs of R&B icon Etta James has revealed that the 'At Last' singer is gravely ill with leukemia and is suffering from dementia, 
 
 
 
 Artis Mills, her husband of 41 years, wants control of the money, but son Donto James is asking the court to assign the duty to a third party, "to avoid present and future family conflict and discrepancies." 
 
 
 
 James has not performed on stage since early 2010 and caused a stir in 2009 when she went public with her displeasure that she wasn't chosen to sing at President Barack Obama's inauguration. Beyonce Knowles, who portrayed James in a 2008 film, sang 'At Last' instead. A court battle over the health and financial affairs of R&B icon Etta James has revealed that the 'At Last' singer is gravely ill with leukemia and is suffering from dementia, The Press-Enterprise reports. The news came to light in a civil case between the 72-year-old star's husband and her son, who disagree on who should manage more than $1 million that is being put away for James' home-health costs.Artis Mills, her husband of 41 years, wants control of the money, but son Donto James is asking the court to assign the duty to a third party, "to avoid present and future family conflict and discrepancies."James has not performed on stage since early 2010 and caused a stir in 2009 when she went public with her displeasure that she wasn't chosen to sing at President Barack Obama's inauguration. Beyonce Knowles, who portrayed James in a 2008 film, sang 'At Last' instead. 
 
 The singer's doctor declared in court documents that James has dementia, as well as an organic brain syndrome, and is currently receiving treatment for leukemia. Dr. Elaine James, no relation, said that James can no longer sign her name or feed and dress herself, but does recognize her husband and children.She receives round-the-clock care at her home in Riverside, Calif.In the documents, Mills stated that the primary reason he wants control of the funds is to fulfill his wife's wish not to live her final days in a hospital.According to Mills, James said that "if she ever became disabled, she did not wish to be placed in an institutional nursing facility as long as they had the money to keep her at home."The next hearing on the matter is scheduled for Friday, Jan. 14.Mills filed for divorce from James in 2008 but backed out a few months later.James is a legendary soul, blues and rock singer whose 1960s-era hits include 'Tell Mama,' 'All I Can Do Was Cry' and of course her signature song, 'At Last.' ||||| In this public service announcement from the Sepsis Alliance, a doctor and mother describes how her son nearly died of sepsis. (Sepsis Alliance) 
 
 In this public service announcement from the Sepsis Alliance, a doctor and mother describes how her son nearly died of sepsis. (Sepsis Alliance) 
 
 The Centers for Disease Control and Prevention has declared sepsis a medical emergency, reporting Tuesday that about 72 percent of patients with this fast-moving and deadly illness have recently been seen by doctors and nurses, representing missed opportunities to catch it early or prevent it. 
 
 The most common illnesses leading to sepsis include pneumonia and infections of the urinary tract, skin and gut, the CDC said in its report. There is no specific test for sepsis and symptoms can vary, which means it is often missed. But the report outlined several ways medical personnel could act, including vaccinating against pneumonia, preventing infections by washing hands and increasing general awareness of sepsis. 
 
 “When sepsis occurs, it should be treated as a medical emergency,” CDC Director Tom Frieden said in a statement. 
 
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 While the deaths this year of actress Patty Duke and boxing legend Muhammad Ali (and Muppets creator Jim Henson in 1990) have brought attention to sepsis, fewer than half of Americans know what the condition is, according to Thomas Heymann, executive director of the Sepsis Alliance. 
 
 1 of 26 Full Screen Autoplay Close Skip Ad × The case files: Medical mysteries View Photos From a daily afternoon fever to a debilitating reaction to chemotherapy, here’s a look at perplexing medical mystery cases. Caption From a daily afternoon fever to a debilitating reaction to chemotherapy, here’s a look at perplexing medical mystery cases. Doctors were stumped by this 2-year-old boy’s symptoms. He had swollen thumbs, bleeding gums and anemia. He cried whenever anyone touched his legs. Doctors were running out of time. Read the case Cam Cottrill/For The Washington Post Buy Photo Wait 1 second to continue. 
 
 “There is a lot of work to do to change that,” he said, and noting that, despite common belief, sepsis is more often contracted in community settings than in hospitals. Tuesday’s CDC report said sepsis began outside of the hospital for 80 percent of patients. 
 
 Megan Jones is an example of how quickly sepsis can develop. She went in for knee surgery after a sports injury one day in 2004 and was home eating pizza a few hours later. She tossed away her crutches the next day; then a 20-year-old living near Annapolis, she was feeling pretty good. 
 
 But a week later she was back in the operating room: Her knee had swollen to about triple its normal size; it throbbed intensely, and she had spiked a high fever. “As I was drifting off from the anesthesia,” Jones recalled, “I heard my surgeon say, ‘If we don’t move now, she is going to die’ ” as the doctors began working to clean out the infection she had contracted, probably from the first surgery. 
 
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 In addition to the severe swelling, pain and fever that Jones experienced, classic symptoms include a body temperature that is too low, an elevated heart rate, a high respiratory rate and white blood cell counts that are too high or low. Sepsis can ravage tissue; it causes organ dysfunction, and it kills: According to the CDC, more than 258,000 Americans die of the condition annually, more than the number of deaths from heart attack. 
 
 Sepsis deaths are difficult to track because there is no test for it and no standard definition. As a result, death certificates may not offer a reliable count. But some figures suggest death rates are climbing. In-hospital deaths rose from 128,766 in 2009 to 159,690 in 2013, the Agency for Healthcare Research and Quality reported. Mortality is probably even higher than that, according to AHRQ, because its figures account only for primary and not secondary sepsis diagnoses. 
 
 Sepsis is most common among older people, the very young and those with compromised immune systems, particularly if they have chronic diseases such as AIDS, have had surgery or take immunosuppressant drugs such as steroids or chemotherapy. Along with antibiotic resistance and invasive surgeries, a rise in the use of those drugs is believed to be responsible for the higher sepsis numbers. 
 
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 Jones’s second surgery was the start of a rocky ride to rid her body of the aggressive microorganisms. She has since had numerous others to prevent or control re-emerging sepsis, to rebuild part of her leg damaged by spreading infection and finally to amputate the limb above the knee. 
 
 Sepsis is so difficult to control that even though Jones went to her doctor quickly and he diagnosed her condition by the severity and rapid onset of her symptoms, the infection wasn’t eliminated. 
 
 One of the biggest hurdles in treating sepsis can be identifying it, and quickly, because the condition can rapidly advance to septic shock, where blood pressure drops so low that blood does not reach vital organs. 
 
 Aside from specialists in critical and intensive care, it is not uncommon for doctors to miss sepsis, according to Steven Simpson, a professor of pulmonary and critical care medicine at the University of Kansas Medical Center. 
 
 Even those well versed in sepsis debate how best to diagnose it. 
 
 “It gets tricky,” Simpson said, “because some symptoms result from multiple conditions. Also, not everyone has the same responses, often because something else may be going on to mask symptoms, such as the effects of certain medications. But we know you can improve mortality with the right actions.” 
 
 His hospital, he said, made an astounding reduction in its sepsis mortality rate, from 49.1 percent in 2004 to 7 percent in 2015. The turnaround, Simpson said, came about not because of medical breakthroughs but from persistent efforts to catch it early and treat it quickly and aggressively, with antibiotics a mainstay of treatment. 
 
 Attention to the condition has been encouraged by a Medicare rating system that includes sepsis outcomes in hospitals. Yet many still fall behind, Simpson said. 
 
 In 2011, sepsis was the No. 2 reason for readmissions, following congestive heart failure. Forty percent of those sepsis readmits could have been prevented with timely and appropriate care, according to a study in the journal BMJ in 2015. 
 
 When sepsis is caught early, prognosis is very good, but mortality climbs to 25 to 30 percent for severe sepsis and 40 to 70 percent if septic shock occurs. “Early” can mean within a matter of hours. One study found that once a person goes into septic shock, chances for survival decrease 7.6 percent for every hour that it goes untreated. 
 
 Physicians trained to look for sepsis typically see warning signs in fever, elevated heart rate, elevated respiration and low blood pressure, said Henry Masur, chief of critical care medicine at the National Institutes of Health Clinical Center in Bethesda. 
 
 “We use these vital signs and supplement with a history and preliminary lab work [such as white blood cell count] to determine whether to admit and whether to go straight to the intensive care unit or a general medical floor,” he said. 
 
 If he suspects sepsis, he will first address low blood pressure by administering fluids, ideally increasing pressure so blood will circulate to organs. 
 
 If the fluids don’t work, he begins IV drugs to constrict blood vessels and raise blood pressure. He starts patients on broad-spectrum antibiotics that are likely to attack multiple organisms while he awaits culture results to reveal the actual offender. Then he narrows the drug arsenal to those most likely to target the problem. If he can identify the original source of infection, he drains that spot. 
 
 “So basically, outcome depends on fluids, blood pressure, antibiotics and source control. But it also depends on what organs are affected and underlying health status. Some people turn around in a few hours; some in days, weeks or months. Some will, unfortunately, die,” Masur said. 
 
 Knowing the symptoms 
 
 A rapid pulse, fast breathing, and swelling and red tissue should put people on guard. The most troubling symptoms are a combination of intense pain and mental confusion that worsens within a few hours, Simpson said. “If you have these symptoms, ask the doctor in these words: ‘Is this likely sepsis?’ ” 
 
 Practitioners also urge that people of all ages get vaccinated for the flu, that those older than 65 get vaccinated for pneumonia and that teenagers get vaccinated for meningococcal meningitis. These are among the infections that can lead to sepsis. 
 
 For Megan Jones, “having one leg and the ongoing risk for serious infection changes how you live,” she says. “Everything has to be handicap-accessible; you need antibiotics for when you travel, just in case; I have all my doctors’ home and cell numbers.” 
 
 After a fever triggered seizures last August, she gets post-sepsis headaches. Still, she calls life “stable and normal” overall. 
 
 “I am doing my graphic design and writing. I get around well with crutches or a wheelchair, and I drive. I realize waking up is a good day when you know you came close to not being able to do that again.”
– Legendary singer Etta James is suffering from dementia and leukemia, court documents show. The 72-year-old’s illnesses came to light during a civil case involving her husband, who wants control of more than $1 million of her money, and her son, who wants the money to be overseen by a third party. A doctor said James needs help to eat and dress, and can no longer sign her name. She suffered a urinary tract infection, then sepsis, early last year and hasn’t been on stage since, the Press-Enterprise reports. Click for more on her condition and the court case.