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Tag: Stroke

  • Hailey Bieber Reflects On Her Mini-Stroke 1 Year Later

    Hailey Bieber Reflects On Her Mini-Stroke 1 Year Later

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    Hailey Bieber recently reflected on suffering a mini-stroke last year.

    On Friday, the model posted on her Instagram story a video she created in April 2022 where she discussed having experienced a transient ischemic attack, often called a mini-stroke, the previous month. The incident led to her diagnosis of patent foramen ovale, which is when “a hole in the heart didn’t close the way it should after birth,” as the Mayo Clinic describes it.

    “Can’t believe it’s been 1 year since I suffered a mini stroke that led to my PFO diagnosis,” Bieber wrote in a text overlay on her post Friday. “Given that it’s the 1 year mark from such a life changing event, I wanted to share all the information I’ve learned about PFO and share resources to donate.”

    In the 2022 video describing her health condition, Bieber said that doctors told her she had a small blood clot that traveled into her heart, then through the hole in her heart, and eventually to her brain.

    Bieber said she underwent a procedure to address the PFO, and that it went “very smoothly.”

    In January, Bieber said the health scare had since caused her “a lot of anxiety.”

    “I struggled with a little bit of PTSD of just, like, the fear of maybe it was gonna happen again,” she said during an appearance on the “Run-Through with Vogue” podcast.

    Justin and Hailey Bieber at the 64th Annual Grammy Awards on April 3, 2022, in Las Vegas.

    Kevin Mazur via Getty Images

    The model first shared the news that she had suffered a blood clot on Instagram, just days after it happened.

    She said at the time that the experience was one of the “scariest moments” she’d been through.

    Singer Justin Bieber addressed his wife’s health issues at a concert shortly after her mini-stroke, telling the crowd that Hailey was “strong.”

    “It’s been scary … It’s been really scary,” he said. “But I know for a fact that God has her in the palm of his hands.”

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  • Walking just 11 minutes per day could lower risk of stroke, heart disease and some cancers significantly, study says

    Walking just 11 minutes per day could lower risk of stroke, heart disease and some cancers significantly, study says

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    London — Taking an 11-minute brisk walk every day, or walking 75 minutes per week, will lower your risk of stroke, heart disease and a number of cancers, a new study from Cambridge University says. Researchers looked at 196 peer-reviewed articles, which included more than 30 million study participants, to analyze the link between physical activity and cancer, heart disease and early death for the study, which was published in the British Journal of Sports Medicine.

    They found that 75 minutes of moderate activity a week lowered the risk of early death overall by 23%.

    Mature couple walking down dirt road
    Just a short, brisk stroll every day could significantly lower your risk of several deadly diseases, Cambridge University researchers said in a study released March 1, 2023.

    Getty


    “We know that physical activity, such as walking or cycling, is good for you, especially if you feel it raises your heart rate. But what we’ve found is there are substantial benefits to heart health and reducing your risk of cancer even if you can only manage 10 minutes every day,” said Professor James Woodcock, from Cambridge’s Medical Research Council Epidemiology Unit.

    Britain’s National Health Service recommends that people get at least 150 minutes of moderate exercise a week. The study found that this level of exercise could prevent 1 in 6 early deaths, but getting more than that only delivered marginal benefits.

    75 minutes of moderate exercise a week, or an 11 minute brisk walk per day, was found to reduce the risk of developing cancer by 7% and heart disease by 17%.

    For head and neck cancer, myeloma, myeloid leukaemia, myeloma and gastric cardia cancers, the decrease in risk was between 14% and 26%. For other cancers, like breast or colon cancer, the reduction in risk with moderate exercise was lower, at 3-11%.

    “Moderate activity doesn’t have to involve what we normally think of exercise, such as sports or running. Sometimes, replacing some habits is all that is needed. For example, try to walk or cycle to your work or study place instead of using a car, or engage in active play with your kids or grandkids. Doing activities that you enjoy and that are easy to include in your weekly routine is an excellent way to become more active,” said Dr. Leandro Garcia from Queen’s University, Belfast, one of the study authors.

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  • Popular sweetener linked to heart attacks, study finds

    Popular sweetener linked to heart attacks, study finds

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    Popular sweetener linked to heart attacks, study finds – CBS News


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    A study has found that the popular sweetener erythritol was linked to increased risk of heart attacks and strokes.

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  • Tennessee officers’ conduct probed in woman’s death

    Tennessee officers’ conduct probed in woman’s death

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    NASHVILLE, Tenn. — Four Tennessee police officers are being investigated for their treatment of a woman whose pleas for help they repeatedly ignored as they accused her of faking illness after she was discharged from a hospital. The woman was pronounced dead a day later.

    The Knox County District Attorney’s office announced on Monday that it would not press criminal charges after an autopsy determined that 60-year-old Lisa Edwards died of a stroke and that “at no time did law enforcement interaction cause or contribute to Ms. Edwards’ death.”

    That has not stopped public outrage after the Knoxville Police Department released video showing officers accusing Edwards of faking mobility and breathing problems and ignoring her repeated pleas for help.

    In the video released last week, officers struggle for about 25 minutes to move Edwards into a police van and finally a cruiser after being called by Fort Sanders Regional Medical Center on Feb. 5.

    Edwards repeatedly asks for help but is rebuffed by officers and hospital security guards who become frustrated with her inability to step up into the van and tell her she is faking her incapacity.

    Edwards tells them she can’t breathe, she needs help sitting up, and that she’s going to have a stroke. At one point, she tells them, “I’m gonna die.”

    First to arrive at the hospital is Sgt. Brandon Wardlaw. It is 8 a.m. and Edwards is in a hospital wheelchair in the corner of a parking garage. Security guards tell Wardlaw that she has been discharged from the medical center but won’t leave the property and that they need the wheelchair back. Edwards appears somewhat disoriented, asking the officer, “Can you call the preacher for me?”

    When he can’t get Edwards to leave, Wardlaw decides to arrest her for trespassing and calls for a police van, but officers cannot get her inside it. They try several times to lift her but end up leaving her propped half-in, half-out of the van. Eventually she slumps to the ground, where they leave her lying for several minutes.

    Throughout her interaction with police, Edwards repeatedly tells the officers that she can’t breathe and needs help sitting up. Her breathing is heavy and her words are slurred.

    When a man walks into the parking garage, Edwards calls out to him, ”Doctor! Doctor!”

    She asks for her inhaler over and over again, but officers cannot locate it for several minutes. When they finally find it and give it to her, Wardlaw decides she isn’t using it correctly and takes it away again.

    Wardlaw, Officer Adam Barnett, and others repeatedly express their belief that Edwards is faking her mobility and breathing problems.

    “You’ve been medically cleared ma’am. This is not going to work,” Barnett tells her at one point. Later he complains that she is not using her legs “on purpose.”

    “Now you’re starting to piss me off! Get up!” he tells Edwards.

    “This is all an act,” Wardlaw says. “When you get out to jail, you’d better not pull this stunt, ’cause they don’t play around out there.”

    There is an indication in the video that officers may be aware Edwards could be in real distress. When they suggest putting her in the back of the van, the driver balks.

    “She’s saying she can’t breathe. If she falls … and dies, it’s on me,” says Transportation Officer Danny Dugan, who is not a sworn police officer.

    Eventually they call Officer Timothy Distasio, deciding that his cruiser has a lower profile that will make it easier to get her inside. The officers push her in, and leave her lying on her back. At this point she is wheezing heavily. She asks repeatedly for officers to sit her up but they tell her she can sit herself up.

    Video from inside the police car shows Edwards trying to pull herself upright repeatedly, but eventually she slumps out of sight. Several minutes later Distasio performs a traffic stop on another vehicle. When he opens the rear door, Edwards is unresponsive. He calls dispatch for an ambulance, telling them, “I don’t know if she’s faking it or what, but she’s not answering me.”

    Edwards was pronounced dead at the Fort Sanders Regional Medical Center the following day.

    Wardlaw, Barnett, Distasio and Dugan are on paid administrative leave, pending the outcome of the internal investigation into their conduct, according to Knoxville Police spokesman Scott Erland.

    “A lot of us see these terrible videos, and then there are no repercussions for the officers because we are told that it looks terrible but actually is technically lawful and according to policy,” said Alex Vitale, a professor of sociology at Brooklyn College who studies policing. “They never ask the bigger question of why were the police involved in the first place? …. Why are we using police to cover up the failures of our basic health care system?”

    Edwards had flown to Tennessee from Rhode Island on Feb. 4, according to the autopsy report. On the flight, she started experiencing abdominal pain, and was taken to the Blount Memorial Hospital at about 7:45 p.m. There she was disruptive and uncooperative. Her behavior included throwing feces at a nurse.

    She was discharged in stable condition, but she showed up at the Fort Sanders Regional Medical Center at about 1 a.m. on February 5. She was was discharged about six hours later, according to the autopsy.

    Edwards’ daughter-in-law, August Boylan, told television station WATE-TV that Edwards had mobility problems stemming from a stroke in 2019. She also had multiple medical issues, according to the autopsy, including chronic obstructive pulmonary disease.

    Boylan said that her mother-in-law had moved to Rhode Island from Tennessee in 2018, but decided to move back.

    “She was able to make her own decision as far as you know wanting to move back to Tennessee. She had a plan in place. She was discharged from a nursing home that had her helped arrange her flight to fly back to Tennessee. She was going to be living with a friend in Tennessee,” Boylan told the station.

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  • Hate your signature? Try plastic surgery for autographs

    Hate your signature? Try plastic surgery for autographs

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    NEW YORK — Doctors, lawyers, celebrities: There’s a new cosmetic surgery, of sorts, that has snared them all.

    By that, we mean handing over money to hire a calligrapher for a fresh take on writing one’s own name in cursive. With a pen or another writing implement. On paper.

    A corner of TikTok, Instagram and other social media is dedicated to signature design, and it’s keeping practitioners busy.

    Priscilla Molina in Los Angeles does a minimum of 300 custom signatures a month, offering packages that include up to three ways to sign, limitless drafts or a new set of initials. She charges between $10 to $55, using the motto: “Where originality meets legacy.”

    Molina said her Planet of Names clients include professionals and famous people in search of new ways to sign autographs, though her lips are sealed on the identities of high-profile signature seekers.

    In general, Molina said, people come to her for signature makeovers for a simple reason: They’re tired of the way they sign their names.

    “They’re not happy with their signatures. They don’t relate to who they are. They don’t give the message they want to convey to the world,” she said.

    Molina and other signature doctors promise a range of styles. For Molina, that includes but is not limited to elegant, subtle, dramatic, sharp, classic, artistic, condensed, curvy, legible — or even illegible.

    She and others offer templates and stencils, encouraging clients to practice their newfound John Hancocks, with results in a short couple of weeks if they put in the time.

    John Hancock, for those light on U.S. history, was president of the Continental Congress and affixed his large and flamboyant signature to the Declaration of Independence when it was signed in 1776.

    Fast forward to 2023, where — despite the rise of digital alternatives — signatures, to some, still matter.

    Sonia Palamand in St. Louis, Missouri, began noodling with calligraphy in middle school. She drums up business on TikTok, charging $35 for three signatures while promoting herself in videos that have her designing free of charge for select commenters.

    “It’s a way for people to reinvent themselves. The way that you present yourself on the outside can affect how you see yourself on the inside. I think with signatures, it’s adding some intentionality,” she said. “It’s also an artistic pursuit.”

    Artistic, for sure, but what happens when a client’s signature must be matched with a signature on file? Think voter rolls, passports, credit cards, health documents, wills, insurance or financial papers.

    There’s the option of reverting to an old signature, of course, though some happy customers choose to update their worlds of signatures on file to match the new.

    But are the new signatures somehow easier for fraudsters to replicate?

    James Green, a certified document examiner who has testified in more than 140 legal cases around the world, went through the customer experience at one of the signature design companies. He paid for a package that included three options.

    “At this time, I can’t throw the signature design services under the bus,” he said. “However, the verdict is still out. If clients request a simplistic signature style or limit it to their initials, obviously, the opportunity for fraud increases.”

    The company Green used, Signature Pro, provided a writing template to help him become more proficient in signing the new way. Green, in Eugene, Oregon, said the three samples “could not be easily simulated due to flourishes, spacing, height relationships” and other proportions.

    Asked about copyright, Signature Pro told him the company doesn’t retain rights. Signature Pro charges $170 to $600 for a range of services, the priciest of which offers unlimited options, a signature for everyday use and another for special occasions.

    In Miami, cargo pilot Juan Herrera decided to pursue a signature makeover after his wife gave him a $750 Montblanc pen and he realized “my signature looked like my daughter’s signature in fourth grade.”

    He saw a post on Facebook from VipArtni Calligraphy Studio, and decided to dive in, paying about $99 for 10 signatures from which to choose.

    “I always felt that my signature was the same from high school without any style, and it was easy to copy,” Herrera said.

    He received practice sheets and soon became proficient in the one he picked.

    “I use it every day,” he said. “I also use it for legal documents.”

    Yevgeniya Ruzanova, co-founder of VipArtni, said she and an old friend launched the company during the pandemic, providing fancy digital signatures at first before expanding their offerings. The company is a side gig for Ruzanova, who does social media for a sports academy in Dubai, United Arab Emirates.

    “It’s relaxing,” Ruzanova said of the calligraphy work. “I was looking for peace of mind.”

    Most of her customers are in the United States, though she and other companies do serve clients all over the world. Ruzanova, her business partner and a third set of hands create signatures for 30 to 70 clients a month, charging $99 to $129. Among their services is providing videos so clients can see their new signatures being drawn, stroke by stroke.

    So how long does it take to reinvent your identity in ink?

    “I would say some people get used to the new signature within three days if they practice 15 to 20 minutes a day,” Ruzanova said. “It all depends on how much effort they put into learning something new.”

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  • A Young Neurologist Mentors Black Women, Fights Disparities

    A Young Neurologist Mentors Black Women, Fights Disparities

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    Eseosa Ighodaro, MD, PhD, is a neurologist busy tackling health disparities now. But she kept her first experiments on ice at home.

    “I used to hide experiments in the freezer so my mom couldn’t see them,” she says. “I’d mix orange juice, pepper, and salt to see if I could create a chemical reaction. Afterwards, my mom would go into the kitchen and say, ‘Where are my ingredients?’ She was calling me ‘Doctor’ even before I knew I wanted to be a physician-scientist.”

    In the family dining room, Ighodaro’s father set up a whiteboard with erasers and markers to teach his daughters math and science. He’d come to the U.S. from Nigeria in his 20s with $20 in his pocket. Having worked part-time jobs while getting his computer science degree, he had no patience for excuses.

    “On the weekend, when other kids were playing outside, he’d say, ‘Where’s your science book? Where’s your math book?’” Ighodaro says. “I went to college thinking I could take over the world!”

    The achievements kept coming. Ighodaro became the first Black woman to graduate from the University of Kentucky College of Medicine with a combined MD/PhD degree in 2019. A medical school neuroscience class made her fall in love with the brain. So after graduating, she headed to the Mayo Clinic in Minnesota for her residency in neurology and neuroscience research. Next comes a fellowship in vascular neurology at Emory University, where she plans to become a stroke specialist.

    But her goals go way beyond her degrees. 

    Combating Health Disparities in Neurology

    Ighodaro plans to take on the health disparities around stroke in the Black community. That includes studying how chronic racism may raise stroke risk – and helping to prevent Black people who’ve already had one stroke to not have another.

    She’s already gained national prominence as an advocate and teacher. The COVID-19 death of another doctor – Susan Moore, MD, an internal medicine doctor in Indiana – was a turning point.

    Ighodaro had seen Moore’s videos posted on Facebook while hospitalized and severely ill. Moore described how she had begged for a CT scan and to get the antiviral drug remdesivir, and how she was refused pain medication. “If I was white, I wouldn’t have to go through that,” Moore said in one video. “This is how Black people get killed, when you send them home, and they don’t know how to fight for themselves.” Moore was discharged from one hospital on Dec. 7, 2020, and was readmitted to another hospital just 12 hours later. She died on Dec. 20, 2020. 

    “Watching this video, I was irate,” Ighodaro says. “It was unacceptable! A Black female physician begging to be seen, to be treated as human, only to be dismissed. She died of COVID-19 complications because a system in which she worked to take care of patients treated her like a drug-seeker.”

    Ighodaro put together a panel of eight Black women doctors and medical students. They released a video, “Tragedy: The Story of Dr. Susan Moore and Black Medical Disparities,” about what Moore’s death meant to them. Its success inspired Ighodaro to produce two more panel discussion videos: one on racial health disparities in fertility, labor, and delivery and another on racism in medical publishing. 

    The response to her videos prompted Ighodaro to create  Ziengbe (“zee-en-bay”), a nonprofit health advocacy organization. The word means “perseverance” in the Edo language of Nigeria, her father’s people. Ziengbe’s mission is to eliminate neurological and other health disparities facing the Black community through advocacy, education, and empowerment. 

    “I want us to treat this issue like a medical emergency,” like how a stroke is treated, Ighodaro says. “If we don’t, Black people will continue to die.” 

    Nurturing the Next Generation

    Ighodaro also has her eye on the doctors and scientists who’re coming after her. 

    One of her first projects with Ziengbe was to harness social media to support, educate, and mentor young people from communities of color and other underrepresented groups who are interested in pursuing neurology careers. 

    “I had such wonderful mentors who played a major role in my becoming a neurologist,” she says. But she sees “so many students” who don’t.

     

    Ighodaro has virtual neurology study groups. She uses email, WhatsApp, and social media platforms such as Instagram, Twitter, and Facebook and has grown it into a community of nearly 500 students and mentors. In more than a dozen online study sessions over the past year, she’s hosted sessions on topics including stroke management, seizures, and traumatic brain injury as well as preparing first-year interns for their first time practicing medicine on a hospital ward. The videos are archived online via the Ziengbe website. 

    She’s helped students publish their work, strengthening them as neurology residency candidates. “Some of them have never written a paper like this for a medical journal before,” Ighodaro says. She also speaks to medical professional societies, such as the American Academy of Neurology, about using social media to recruit the next generation of doctors, empower underserved populations, and combat racial disparities in health and health care.

    “One of my primary goals is to recruit more people of color to the field of neurology and neuroscience, especially Black women,” Ighodaro says. “I’m trying to be the mentor that I wanted when I was younger. During my education, it was rare for me to be taught by a Black female neurologist or neuroscientist, or even come across one.”

    Those too young to know their possibilities are some of her favorites. 

    “I want to show little Black girls that we are here,” Ighodaro says. “The road is difficult and can be lonely at times, but we can do it. We just have to dream big.”

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  • In test, zaps to spine help 2 stroke survivors move arms

    In test, zaps to spine help 2 stroke survivors move arms

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    WASHINGTON — A stroke left Heather Rendulic with little use of her left hand and arm, putting certain everyday tasks like tying shoes or cutting foods out of reach.

    “I live one-handed in a two-handed world and you don’t realize how many things you need two hands for until you only have one good one,” the Pittsburgh woman told The Associated Press.

    So Rendulic volunteered for a first-of-its-kind experiment: Researchers implanted a device that zaps her spinal cord in spots that control hand and arm motion. When they switched it on, she could grasp and manipulate objects — moving a soup can, opening a lock and by the end of the four-week study, cutting her own steak.

    It’s not a cure — the improvements ended after scientists removed the temporary implant — and the pilot study included only Rendulic and one other stroke survivor. But the preliminary results, published Monday, mark a step toward one day restoring mobility for this extremely common type of paralysis.

    “They’re not just getting flickers of movement. They’re getting something important,” said Dr. Jason Carmel, a Columbia University neurologist who wasn’t involved with the new experiment but also studies ways to recover upper-limb function. “It’s a very exciting proof of concept.”

    Nearly 800,000 people in the U.S. alone suffer a stroke each year. Even after months of rehabilitation, well over half are left with permanently impaired arm and hand function that can range from muscle weakness to paralysis.

    Experiments by multiple research groups have found that implanting electrodes to stimulate the lower spine shows promise for restoring leg and foot movement to people paralyzed after a spinal cord injury — some have even taken steps.

    But upper-limb paralysis has gotten little attention and is inherently more challenging. The brain must signal multiple nerves that control how the shoulder lifts, the wrist turns and the hand flexes. Stroke damage makes it harder for those messages to get through.

    “People still retain some of this connection, they’re just not enough to enable movement,” said University of Pittsburgh assistant professor Marco Capogrosso, who led the new research with colleagues at Carnegie Mellon University. “These messages are weaker than normal.”

    His idea: Stimulate a pathway of related nerve cells so they’re better able to sense and pick up the brain’s weak signal.

    “We’re not bypassing their control. We’re enhancing their capabilities to move their own arm,” he said.

    Researchers turned to implants the size of spaghetti strands that already are used to stimulate the spine for chronic pain treatment. The implants carry electrodes that are placed on the surface of the spinal cord to deliver pulses of electricity to the targeted nerve cells — which for hand and arm control are in the spine’s neck region.

    Rendulic and a second, more severely impaired volunteer could move better as soon as the stimulator was switched on — and by the study’s end showed improved muscle strength, dexterity and range of motion, researchers reported Monday in the journal Nature Medicine. Surprisingly, both participants retained some improvement for about a month after the implants were removed.

    Rendulic, now 33, was performing some fine-motor tasks for the first time since suffering a stroke in her 20s. That unusually young stroke, caused by weak blood vessels that bled inside her brain, initially paralyzed her entire left side. She learned to walk again but — with the exception of those four weeks with spinal stimulation — cannot fully open her left hand or completely raise that arm.

    “You feel like there’s a barrier between your brain and your arm,” Rendulic said. But with the stimulation on, “I could immediately sense that, like, oh my arm and hand are still there.”

    Two other researchers who helped pioneer experiments stimulating the lower limbs of people with spinal cord injuries say it’s logical to now try the technology for stroke.

    While bigger and longer studies are needed, the new results “are really promising,” said Mayo Clinic assistant professor Peter Grahn.

    Scientists have learned from research with lower limbs that “it may not matter where that injury occurs, if it’s something in the brain or it’s a spinal cord injury,” added University of Louisville professor Susan Harkema. “Targeting the human spinal cord circuitry has a lot of potential.”

    With National Institutes of Health funding, Capogrosso is studying the approach in a few more stroke survivors. The researchers also have formed a company to further develop the technology.

    ___

    The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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  • A Mystery Stroke, A Pipe Bomb, And A Subway: How A Stranger Did Something For Me I’ll Never Forget

    A Mystery Stroke, A Pipe Bomb, And A Subway: How A Stranger Did Something For Me I’ll Never Forget

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    A little over five years ago my husband came home, grocery bags in hand, and found me lying motionless on the bedroom floor.

    “Are you meditating?” he asked as he walked to the kitchen.

    Twenty minutes earlier I had been dressing to meet a friend for dinner. As I pulled my jeans over my knees, I fell to the floor. I tried to reach for the edge of the bed to lift myself, but felt like I was lying underneath a 400-pound bag of sand.

    My husband came back to the bedroom and looked down at me.

    “What are you doing?” he asked. I couldn’t answer. My friend called. “Do you want to talk?” he asked. I shook my head no. He took the call, and they decided I needed to see a doctor.

    My husband moved like wildfire and got me to the hospital in 30 minutes. During intake, I was unable to tell the doctor my name or address. A CT scan revealed I was having a stroke. Doctors administered a drug called TPA ― which they described as “using a nuclear bomb instead of a hammer” ― to break up the blood clot in my brain.

    Though I couldn’t talk, I understood what everyone was saying. I wasn’t sure I wanted a nuclear bomb or a hammer in my head, but the drug worked. After four days and undergoing hundreds of tests, I was discharged from the hospital with most of my motor and cognitive capabilities intact.

    The hundreds of test results revealed nothing. According to all the specialists, I was a completely healthy person who should never have had a stroke. Doctors call my type of stroke “cryptogenic,” or a stroke of unknown origin. But I call it my mystery stroke. Did you know that about 30% of all ischemic strokes (the most common kind of stroke during which a blood clot or something else blocks the blood vessels to the brain) are mystery strokes?

    My neurologist suggested I slowly get back to normal life. She guessed it would take about two months, warned that I would be tired most of the time, and told me to call if anything changed for the worse. My only prescription was a baby aspirin I was supposed to take once daily.

    In my first week at home I tried to prove that I was not only still here, but that I was still me. In between daily naps I tried to write and exercise. But everything took 10 times longer than it used to.

    My husband, who was in the midst of rehearsals for a Broadway show, had to return to work one day after my stroke. He was working 12 hours a day, and most nights he crawled into bed after I was asleep.

    This left me to lean on my divorced parents for support. Though they don’t talk much in general, they had an unspoken agreement about not speaking about trauma, so they checked in on my eating and sleeping habits and generally avoided discussing the stroke.

    After three weeks of pretending to be my pre-stroke self between naps, my motor and cognitive capabilities returned to nearly 100%. I was having a mystery recovery, just like I had a mystery stroke.

    When I reached out to my neurologist she told me, “If you are okay with us not knowing why this happened, then we are okay with us not knowing why this happened.” My husband, my parents and my neurologist all thought it was time for me to return to work. Was it the seductive power of threes ― quick mystery stroke, quick mystery recovery, quick return to work ― that made everyone feel like this was a good idea? Because, let’s be clear, nobody knew why I had a stroke or why I recovered weeks ahead of schedule ― or what might happen in the future.

    Even if I now seemed perfectly “normal” to everyone else, I was still processing the fact that my body had betrayed me. When I walked, I wasn’t confident that one foot would land in front of the other. When I talked, I questioned my ability to form a complete thought. I wasn’t ready to return to normal life because internally I didn’t feel normal.

    I needed the support of my loved ones. I was afraid that if I disappointed them by not fully performing my recovery, I would lose it. No one said this to me. No one told me to “people please” my way through the aftermath of my stroke or my recovery, but I was scared and wasn’t thinking clearly. So, I decided to do what I thought would make everyone else happy: I went back to work.

    The author and her husband shortly before her stroke.

    Courtesy of K.Page Stuart Valdes

    Just a few days later, during my morning commute from Brooklyn to Manhattan in a subway car where passengers were packed like sardines, we screeched to a stop in a pitch black tunnel. After a few minutes, my mind started racing. Everyone wants me to go back to work, but no one knows why I had a stroke in the first place. What if it happens again right now? The voice in my head asked. What if no one notices? What if the doors open and everyone tramples me? What if the train moves on and all the new passengers do the same? What if I end up permanently paralyzed, and I’m never able to speak again?

    Tears began streaming from my eyes. My nose dripped like a running faucet. No matter how hard I tried, I could not stop shaking. I wiped my face with my coat sleeve, folded my arms around my trembling body, and buried my head in my chest. I wanted to make myself small enough that I would not disturb the strangers on whom I was literally leaning.

    And that’s when I saw her. I had been breathing on her since Brooklyn. She was shorter than me and was now looking up into my tear-filled eyes. Then, she fearlessly broke the bubble of anonymity that we had co-created with the averted gazes that most New Yorkers have perfected.

    “Mami, are you ok?” she asked.

    I looked at her and before I even knew what I was saying or why I was saying it to a stranger, I told her, “I had a stroke, and nobody knows why, and I think it might happen again right now, and then I’ll die.”

    She nodded as if we had known one another for years. She reached into her purse and handed me a tissue. I was so moved by her generosity that I had to make an extra effort to stop myself from wailing at full volume. Instead, I smiled feebly as a gesture of thanks, and tried not to touch her with my filthy coat sleeve as I cleaned my face.

    She offered me another tissue and then she positioned her forearm across her body and said, “Hold me.” I grabbed her wrist. She took a deep breath and nodded, encouraging me to do the same. Then a thoughtful half-smile worked its way through her lips because we were sharing a private joke ― that two strangers were going to meditate together on a crowded New York City subway train stuck in a dark tunnel.

    Between breaths, I tried to further describe my situation in Spanish.

    “Tengo un problema en mi cabeza,” I told her, which translates to “I have a problem in my head” and made me sound like I thought I was crazy. “Muchas gracias por tu brazo y tus ojos,” I said, “Thank you very much for your arm and your eyes,” and that made me sound like I was thanking a butcher.

    “It’s ok, mami, I know a stroke,” she responded. “You just look at me and breathe.”

    Another passenger called out, “Open a window! I’m suffocating!” Someone adjusted their backpack, which sent a ripple of movement through the entire car. News that there was an investigation into a pipe bomb near Times Square followed that ripple until everyone in the car knew why we were stuck between stations.

    The two of us absorbed the update but continued to concentrate on our now-synchronized breathing. Sometimes we closed our eyes and listened to the inner resonance of our breath. Sometimes we locked eyes. Sometimes we nearly giggled like children playing a game of concentration.

    About ten minutes later the train started moving. When the doors opened we were swept into the crowd, our contact abruptly broken by the flood of humanity of which we were a part. In New York City, one minute you are in love with a stranger and the next you are shuffling along in a herd of humans searching for your own feet. I accepted that I had lost her. Then I felt someone take my hand.

    “I’m not leaving you,” she said.

    She reminded me of my Colombian mother-in-law, who loves me despite my terrible Spanish and whose bright eyes are always seeking to read the deeper story beneath my words. We held hands as we waited for my connecting train, and I imagined her riding with me everyday until someone found the cause and cure for mystery strokes like mine. She must have known because when the train arrived she patted my hand gently as she let it go.

    The author and her mother-in-law, who resembles her subway savior.
    The author and her mother-in-law, who resembles her subway savior.

    Courtesy of K.Page Stuart Valdes

    “Necesito trabajar,” she said.

    “Muchas gracias. Te amo,” I answered.

    “Igualmente, mami,” she told me as the train doors closed between us.

    I did love her. She was the first person who let me cry about my stroke without trying to talk me out of my anxiety. Who was content to just stand beside me while I felt it. Perhaps because she had no fear of losing me, she was able to comfort me as I was losing myself. Perhaps because I meant nothing to her, she was able to treat me as though I meant everything. Whatever the reason, she recognized my vulnerability and joined me in it.

    We, those who love me and myself, wanted to wish the stroke away and with it the vulnerable state that it left us in. I understand why we did this. We lost me for a moment, and it easily could have been a lifetime. We simply weren’t ready to feel the breadth and depth of that terror.

    Instead, we engaged in a collective suppression of it. We didn’t know that no one can heal from a mysterious illness without processing the terror of the mystery itself.

    A mystery illness will drop questions into your life that cannot be answered. “Is today the day I will die of a stroke?” I constantly asked myself. Because there was no comfort in learning that there was no cause for my stroke. It just meant that as healthy as I was and am, I still had one. Which means, I could have another one, right?

    And, because I had been trying so hard to perform my full recovery for those who loved me, I hadn’t allowed myself to express the terror of that persistent question. Therefore, the gap between my inner and outer lives had become a canyon ― and that canyon was full of panic.

    I didn’t know I would have to go into that canyon and get comfortable with the surreal echo of my own terror. I didn’t know how to live with the duality that another stroke was a possibility, if not a probability. I didn’t know that panic was not a functional coping mechanism. I didn’t know I would have to learn to breathe in acceptance and breathe out fear every single time that terrifying question arose.

    I spent the rest of that day wondering how I could love someone whose name I never learned. I hoped she wasn’t offended. I hoped we agreed that we had been part of one of those missed connections for which New York City is famous. One where strangers embrace and release one another with equal passion because the intimacy and anonymity of our city demands it. One where the people involved find themselves writing a public post in an effort to reconnect. One like this, that honors her and all all she taught me on that fateful day:

    Compañera de viaje el día de la bomba,

    Every now and then, my tears flow and my body shakes in the same way it did when you asked me, “Mami, are you ok?” but I’ve been working on accepting the mystery of my condition. This letter is part of that work.

    There is no test that will show when it is complete, because recovery is different from healing. Healing is about becoming whole. It happens on a moment to moment basis, it builds upon itself, and it can take years. No one heals by pleasing others ― only by listening to themself.

    Inside every life, there will be unsolved mysteries. As I fill my inner canyon with breath, like you taught me, I am getting more comfortable living with mine.

    Gracias, maestra. Te amo.

    K.Page Stuart Valdes is an award-winning, New York-based filmmaker, writer, musician and educator. Her films and screenplays have been recognized by New York Women in Film and Television and the Academy Award Nicholl Screenwriting Fellowship, among others, and can be seen on Amazon Prime. Her music and music theater pieces have been presented by Brooklyn Academy of Music, Lincoln Center for the Performing Arts, and the Obie award-winning Ice Factory Festival and HERE Arts Center. She is currently working on a feature film and a collection of essays entitled “Cryptogenic : Searching for Answers in America’s Broken Health Care System.” She holds a BFA in Acting from NYU’s Tisch School of the Arts and an MFA from their Graduate Musical Theater Writing Program where she wrote both words and music.

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  • Black Stroke Survivors Less Likely to Get Treated for Complications

    Black Stroke Survivors Less Likely to Get Treated for Complications

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    By Steven Reinberg 

    HealthDay Reporter

    THURSDAY, Feb. 2, 2023 (HealthDay News) — Having a stroke is a life-altering experience, and complications can crop up afterwards, but a new study finds the color of your skin may determine whether you are treated for them.

    In the year following a stroke, Black and Hispanic patients were not treated for common complications as often as white patients were, researchers found.
     

    “Black patients were less likely to receive medical treatment for nearly every post-stroke complication, the largest differences were for the treatment of fatigue, depression and spasticity [muscle stiffness],” said lead researcher Dr. Kent Simmonds, from the University of Texas Southwestern Medical Center in Dallas.

    “The large magnitude of treatment gaps ensures the pressing need for health care systems and providers to do a better job of actively recognizing post-stroke complications within minority populations and provide patients with explanations towards how and why medical treatment may help,” Simmonds said.

    These disparities exist because of a complex set of “bio-psycho-social-environmental factors,” he added.

    This type of study is best at identifying the what rather than the why, but the results are consistent with earlier studies that found quality stroke care is not a given, Simmonds said.

    “Quality care requires cultural competence and trust between providers and their patients,” he explained. “Many of the complications, such as fatigue and depression, require health care providers to dig a little deeper to identify these issues prior to offering and discussing appropriate medical treatments.”

    For the study, Simmonds and his colleagues analyzed the health records from 65 large U.S. health care centers of patients hospitalized for stroke between August 2002 and July 2022.

    They found that Black patients were less likely to be treated for any complications except seizure, when compared with white patients. The biggest difference was in the treatment of central nervous system arousal, fatigue, muscle spasms and mood within two weeks of a stroke.

    Compared with white patients, Black patients adults were 30% less likely to be treated for central nervous system arousal, 27% less likely to be treated for muscle spasms and 17% less likely to be treated for mood irregularities, the researchers found.

    Hispanic patients were 20% less likely to get treatment for central nervous system arousal, 19% less likely to get treatment for muscle spasms and 16% less likely to get treatment for mood irregularities than white patients, Simmonds said.

    The findings are slated for presentation on Feb. 8 at the American Stroke Association’s annual meeting, in Dallas. Findings presented at medical meetings are considered preliminary until published in a peer-reviewed journal.

    “It’s not surprising that this study found disparities in the utilization of therapies to treat conditions like depression and seizures in Black and Hispanic adults,” said Dr. Karen Furie, a spokesperson for the American Stroke Association and chair of neurology at Brown University’s Warren Alpert Medical School.

    It is not clear why these disparities exist, said Furie, who was not involved in the study.

    “For instance, perhaps it’s less likely for clinicians to screen for these conditions in certain subpopulations of patients. Perhaps there are groups of patients who are resistant to taking therapies, or there may be problems with either access to treatments, or issues concerning the expense of therapies that lead to non-compliance with recommendations,” she noted.

    “Fortunately, there’s a lot we know about how to help patients recover, but clinicians can’t treat unless patients and families make them aware of the issues of mood, level of function and potential complications,” Furie said. “This study, hopefully, is one of many that will help us identify communities that need more help and help health care providers do more to standardize the delivery of care for patients and families in the post-acute period.”

    More information

    For more on stroke, see the American Stroke Association.

     

    SOURCES: Kent Simmonds, DO, PhD, resident, University of Texas Southwestern Medical Center, Dallas; Karen Furie, MD, MPH, spokesperson, American Stroke Association, professor and chair, neurology, Warren Alpert Medical School, Brown University, Providence, R.I.; presentation, American Stroke Association annual meeting, Dallas, Feb. 8, 2023

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  • Hailey Bieber Reveals She ‘Struggled With A Little PTSD’ After Suffering Mini-Stroke

    Hailey Bieber Reveals She ‘Struggled With A Little PTSD’ After Suffering Mini-Stroke

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    Hailey Bieber is getting candid about the “very scary” moment she suffered a mini-stroke last year and how it’s affected her mental and physical health since then.

    In April, the model explained in a Youtube video that she had been rushed to the hospital the month prior with “stroke-like symptoms” caused by a blood clot in her brain while having breakfast with her husband, Justin Bieber, in Palm Springs, California.

    In that video, she recalled feeling a “weird sensation” in her right arm and numbness in her fingertips before she was admitted to the hospital.

    “I struggled with a lot of anxiety after. I struggled with a little bit of PTSD of just, like, the fear of maybe it was gonna happen again,” she shared during the latest episode of the “Run-Through with Vogue” podcast on Thursday.

    Bieber — who later underwent a patent foramen ovale closure procedure to mend a hole in her heart — got candid about how “terrifying” the experience was.

    “It was just a feeling that I was, like, I never want to experience that ever again. It was so terrifying, so jarring, so discombobulating in every single way that you could imagine,” the Rhode Beauty founder recalled.

    Calling the mini-stroke “definitely the scariest thing I’ve ever gone through,” she added that returning to Palm Springs after suffering the medical emergency has been “very triggering” for her.

    Though she’s visited the area numerous times since the incident, including during the recording of the podcast episode, she confessed that it wasn’t easy for her and felt “strange.”

    “Even the first couple of times coming back here after was a little bit of a strange, triggering kind of feeling for me because you just remember exactly how everything happened in that moment,” she explained.

    She added, “But I think the bright side for me is that it led me to find out I had this hole in my heart.”

    Bieber said she is “just now starting to come out of that kind of fight-or-flight feeling of being nervous about something bad happening again” after battling anxious thoughts about her future health.

    “I look back at it and it could’ve been so much worse,” she stressed.

    Elsewhere in the interview, Bieber said that even though she is “open to talking about the experience if it could help somebody else,” it was still “really hard to talk about” initially.

    “Even the YouTube video that I had made for my YouTube channel was hard for me. It brings back the feelings for me of going through that experience. It gets easier, and easier with time to be able to talk about it.”

    She added, “I’m just really grateful that I was able to have had amazing doctors and nurses, and people that helped me get to the bottom of what actually happened.”

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  • Singing Might Aid Recovery After a Stroke

    Singing Might Aid Recovery After a Stroke

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    By Cara Murez 

    HealthDay Reporter

    TUESDAY, Jan. 3, 2023 (HealthDay News) — Singing may help stroke patients regain communication skills, according to new research.

    About 40% of stroke survivors have aphasia, a difficulty to deliver or comprehend spoken or written language. That impairment is ongoing for about half of those patients a year after their stroke, potentially affecting quality of life or leading to social isolation.

    Researchers in Finland studied a singing-based group rehabilitation program.

    “Our study utilized a wide variety of singing elements, such as choral singing, melodic intonation therapy and tablet-assisted singing training,” said study co-author Anni Pitkäniemi, a doctoral researcher at the University of Helsinki. She spoke in a university news release.

    Melodic intonation therapy involves using melody and rhythm to progress gradually from singing toward speech. It has been used to some extent in aphasia rehabilitation.

    Though previous research had determined that it was possible to retain singing ability even in severe aphasia, the use of singing — especially choral singing — had not been widely studied in aphasia rehabilitation.

    Rehab sessions were led by a trained music therapist and a trained choir conductor.

    While singing therapy has typically been done individually, these researchers suggested that singing-based group training should be used as part of aphasia rehabilitation.

    “In addition to training in speech production, group-based rehabilitation provides an excellent opportunity for peer support both for the patients and their families,” said co-author Sini-Tuuli Siponkoski, a postdoctoral researcher at the university.

    The researchers also found that the burden experienced among family caregivers participating in the study decreased notably.

    “Our study is the first where caregivers participated in rehabilitation and their psychological well-being was evaluated,” Siponkoski said in the release.

    The findings were published Dec. 27 in the journal Brain Communications.

    More information

    The American Stroke Association has more on aphasia and stroke.

     

    SOURCE: University of Helsinki, news release, Dec. 28, 2022

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  • 80-year-old California store owner who shot robber dies

    80-year-old California store owner who shot robber dies

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    NORCO, Calif. — An 80-year-old Southern California liquor store owner who opened fire with a shotgun and wounded a would-be armed robber this summer has died, the store reported Tuesday.

    Craig Cope died Tuesday morning, and a memorial at Norco Market & Liquor will be held at a later date, according to a Facebook post. It didn’t mention a cause of death.

    Cope was alone at the counter shortly before 3 a.m. on July 31 in Norco in Riverside County when a man in a ski mask came through the door, pointing a rifle and demanding: “Hands in the air! Hands in the air!” Surveillance video shows Cope firing one blast from the shotgun.

    The gunman fled. Surveillance cameras outside the store caught him screaming “He shot my arm off, he shot my arm off!” as he got into a car and was driven away.

    “I didn’t have time to be afraid” after the car with four robbers pulled into the parking lot, and some got out wearing masks and gloves and holding weapons, Cope told KTTV-TV.

    One robber came through the door with what Cope said appeared to be a semiautomatic rifle.

    “The guy pointed the gun directly at me. It was him or me,” Cope told the station.

    Four men were later arrested at a hospital where the wounded suspect was being treated. The getaway car had been stolen in Las Vegas and contained stolen weapons, authorities said.

    Cope was commended by the Sheriff’s Department. Video of the shooting made him a celebrity. People flocked to the store to photograph and congratulate him and to buy items, including a T-shirt with the slogan “Don’t Mess with Norco, We’ll shoot your arm off,” KABC-TV reported.

    Cope had owned the store since 1976. After the shooting, he suffered a heart attack but recovered and returned to work before having a disabling stroke in October.

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  • Shingles Ups Odds of Stroke, Heart Attack By Almost 30%

    Shingles Ups Odds of Stroke, Heart Attack By Almost 30%

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    By Amy Norton 

    HealthDay Reporter

    MONDAY, Dec. 5, 2022 (HealthDay News) — People who’ve had a bout of shingles may face a heightened risk of heart attack or stroke in later years, a new, large study suggests.
     

    Anyone who ever had chickenpox can develop shingles — a painful rash that is caused by a reactivation of the virus that causes chickenpox. About one-third of Americans will develop shingles in their lifetime, according to the U.S. Centers for Disease Control and Prevention.

    The new study, of over 200,000 U.S. adults, found that those who’d suffered a bout of shingles were up to 38% more likely to suffer a stroke in the next 12 years, versus those who’d remained shingles-free. Meanwhile, their risk of heart disease, which includes heart attack, was up to 25% higher.

    The findings, published recently in the Journal of the American Heart Association, do not prove that shingles directly raises the risk of cardiovascular trouble.

    But it is biologically plausible, according to the researchers: The reactivated virus can get into the blood vessels, causing inflammation, and that could contribute to cardiovascular “events” like heart attack and stroke.

    Some past studies have found that cardiovascular risks can rise after shingles, but they have looked at the short term.

    It hasn’t been clear how long that risk persists, said Dr. Sharon Curhan, the lead researcher on the new study.

    “Our findings demonstrate that shingles is associated with a significantly higher long-term risk of a major cardiovascular event, and the elevated risk may persist for 12 years or more after having shingles,” said Curhan, of Brigham and Women’s Hospital, in Boston.

    That’s an important finding, said Dr. Elisabeth Cohen, an ophthalmologist and professor at NYU Grossman School of Medicine, in New York City.

    “What they’re showing is the short-term risk doesn’t just go away,” said Cohen, who studies shingles-related eye disease.

    While shingles is very common, it is not taken as seriously as it should be, according to Cohen.

    It all starts with the chickenpox virus, called varicella zoster. Once a person contracts that virus — as nearly every American born before 1980 has — it remains dormant in the body, hiding out in the nerves.

    Generally, the immune system keeps the virus in check. But when a person’s immune function weakens — due to age, illness or medications, for instance — the varicella zoster virus can reactivate, causing shingles.

    Typically, shingles causes a painful skin rash consisting of fluid-filled blisters, and usually clears up in a few weeks, according to the CDC.

    In some cases, shingles affects the area around the eye — a condition called herpes zoster ophthalmicus — which can lead to serious problems like ulcers on the cornea and lasting vision loss. Meanwhile, between 10% and 18% of people with shingles develop postherpetic neuralgia (PHN), nerve pain that can last for months to years after the skin rash recedes.

    Shingles eye disease, Cohen said, is linked to a greater risk of stroke in the short term, compared with milder shingles.

    The latest study looked at shingles as a whole. Curhan said it’s not clear whether shingles complications, like PHN and eye disease, are tied to greater increases in the risks of heart disease and stroke in the long term.

    Through much of the study period, there was no shingles vaccine.

    The good news is there is now a highly effective one available, both doctors said.

    “Shingles vaccination could provide a valuable opportunity to reduce the burden of shingles, and also possibly reduce the risk of cardiovascular complications,” Curhan said.

    The CDC recommends that adults age 50 and older get two doses of the shingles vaccine, called Shingrix. It’s also recommended for people age 19 and up who have weakened immune systems due to disease or medical treatments.

    The vaccine is over 90% effective at preventing shingles and PHN in healthy adults, with immunity remaining strong for at least seven years, the CDC says. It’s somewhat less effective for people with weakened immunity.

    The latest findings are based on over 200,000 U.S. health professionals who were followed for up to 16 years. During that time, just over 3,600 had a stroke, while 8,620 developed heart disease.

    Overall, people with a history of shingles were up to 38% more likely to suffer a stroke, with the risk being greatest five to eight years post-shingles. Similarly, their risk of heart disease was up to 25% higher, peaking at nine to 12 years after their shingles episode.

    Those were the risks after the researchers took many other factors into account — including age, chronic health conditions, weight, exercise habits and smoking.

    Anyone unlucky enough to have had shingles can, unfortunately, get it again, Cohen pointed out. So those people should be vaccinated when eligible, too.

    “Most of us who’ve had shingles — and I’m one of them — never want to get it again,” Cohen said.

    More information

    The U.S. Centers for Disease Control and Prevention has more on shingles.

     

    SOURCES: Sharon Curhan, MD, ScM, physician and epidemiologist, Brigham and Women’s Hospital, Harvard Medical School, Boston; Elisabeth Cohen, MD, professor, ophthalmology, NYU Grossman School of Medicine, New York City; Journal of the American Heart Association, Nov. 16, 2022, online

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  • Heart Disease Deaths Spiked During COVID

    Heart Disease Deaths Spiked During COVID

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    Nov. 29, 2022 – Deaths from heart disease and stroke among adults living in the United States have been on the decline since 2010. But the COVID-19 pandemic reversed that downward trend in 2020, new research shows. 

    It was as if COVID had wiped out 5 years of progress, pushing rates back to levels seen in 2015, the researchers say.

    Non-Hispanic Black people and those who were younger than 75 were affected more than others, with the pandemic reversing 10 years of progress in those groups. 

    Rebecca C. Woodruff, PhD, presented these study findings at the American Heart Association 2022 Scientific Sessions.

    The rate of death from heart disease had been falling for decades in the United States due to better detection of risk factors, such as high blood pressure, and better treatments, such as statins for cholesterol, she said.

    The decrease in deaths from heart disease from 1900 to 1999 “has been recognized as a top public health achievement of the twentieth  century,” said Woodruff, who is an epidemiologist for the CDC.

    The reversal of this positive trend shows that it is important that people “work with a health care provider to prevent and manage existing heart disease, even in challenging conditions like the COVID-19 pandemic,” she said. 

    Woodruff advised that “everyone can improve and maintain their cardiovascular health and reduce the risk of cardiovascular disease by following the American Heart Association’s Life’s Essential 8 – eating better, being more active, quitting tobacco, getting healthy sleep, managing weight, controlling cholesterol, managing blood sugar, and managing blood pressure.” 

    “COVID-19 vaccines can help everyone, especially those with underlying heart disease or other health conditions, and protect people from severe COVID-19,” she stressed.

    Andrew J. Einstein, MD, PhD, from Columbia University Irving Medical Center in New York City, who was not involved with this research, says the results show “very disturbing changes” to the decline in deaths from heart disease over the past decade. 

    The study findings underscore that “as a society, we need to take efforts to ensure that all people are engaged in the health care system, with one aim being improving heart health outcomes, which worsened significantly in 2020,” he says. 

    “If you don’t actively see a primary care provider, it’s important to find one with whom you can have a good relationship and can discuss with you heart-healthy living; check your blood pressure, sugar, and cholesterol; ask you about symptoms and examine you to detect disease early; and refer you for more specialized heart care as needed,” he says. 

    Some Study Findings

    The researchers analyzed data from the CDC’s WONDER database.

    They identified adults ages 35 and older with heart disease as cause of death.

    They found that the number of people who died from heart disease in every 100,000 people (heart disease death rate) dropped each year from 2010 to 2019, but it increased in 2020, the first year of the pandemic.

    This increase was seen in the total population, in men, in women, in all age groups, and in all race and Hispanic ethnicity groups.

    In the total population, the heart disease death rate dropped by 9.8% from 2010 to 2019. But this rate increased by 4.1% in 2020, going back to the rate it had been in 2015.

    Among non-Hispanic Black people, the heart disease death rate fell by 10.4% from 2010 to 2019, but it increased by 11.2% in 2020, going back to the rate it had been in 2010.

    Similarly, among adults ages 35 to 54 and those ages 55 to 74, the rates of heart disease deaths decreased from 2010 to 2019 and increased in 2020 to rates higher than they had been in 2010.

    In 2020, about 7 years of progress in declining heart death rates was lost among men and 3 years of progress was lost among women, the researchers said. 

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  • Sinbad’s “dead” limbs are “coming alive” 2 years after stroke

    Sinbad’s “dead” limbs are “coming alive” 2 years after stroke

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    It’s been two years since comedian and actor Sinbad had a debilitating stroke that left him hooked up to a ventilator and in a medically induced coma. 

    While his family said that his particular situation only had a roughly 30% survival rate, today, the 66-year-old is recovering. 

    “His progress is nothing short of remarkable,” his family said on a website dedicated to updating his fans about his progress. “Limbs that were said to be ‘dead’ are coming alive and he’s taking the steps necessary to learn to walk again.” 

    The update came two years after Sinbad had an ischemic stroke after a blood clot traveled from his heart to his brain, his family said. After an initially “very promising” prognosis, however, he developed another blood clot the next day. Soon after he had to undergo a second surgery, his brain started to swell, and as doctors attempted to relieve the pressure during a craniotomy, they discovered a brain bleed. 

    That’s when he was placed in a medically induced coma and on a ventilator.

    “It would be weeks before he would open his eyes, speak, or show signs of basic mobility,” his family said on the website. “It wasn’t long before we realized he couldn’t move his left side or simply hold his head up. The more time passed the more the family learned how much had been lost.” 

    After months of being moved through acute care facilities, Sinbad was admitted to a rehabilitation center in May 2021. Two months later – nine months after his initial stroke – he got to go home. He has been improving, and even recently made a cameo appearance in an episode of FX’s “Atlanta.” 

    The family is now asking for help through the website in paying for his treatment, saying that the cost of his care has gone beyond what insurance will cover. 

    “Survival odds from this type of event are approximately 30%,” the family said. “Sinbad has already beaten the odds and has made significant progress beyond what anyone expected, but there are still miles to go.”

    Sinbad, born David Adkins, is known for his comedy standup, as well as his acting roles in “The Redd Foxx Show,” “A Different World,” “Jingle All the Way,” and his own series, “The Sinbad Show,” that ran from 1993 to 1994. 

    Several celebrities have highlighted his family’s website seeking assistance, including actor Marlon Wayans, who said, “This man has given so much to our spirits and our smiles.” 

    “Love you brother keep fighting,” he wrote on Instagram, adding to his Instagram story that “legends fall on hard times let’s all be a part of the healing.” 

    Fellow actor and comedian D.L. Hughley also directed people to donate, saying that Sinbad “is not only a naturally talented, FUNNY brotha, he’s a good one too.” 

    “This thing of ours, it’s a brotherhood and sisterhood that comes with an unspoken bond,” he wrote on Instagram, resharing the words of actor Chris Spencer. “…Many times we don’t get a chance to help because it’s too late. … Here is our opportunity to stand up for one of the greatest stand ups.” 

    As part of the efforts to raise money for Sinbad’s recovery, his family worked with toy designer Miguel Wilson and Rad Retro Power to create a limited edition handpainted Sinbad action figure. On Monday, a post on Sinbad’s Instagram said that only 40 of the figures have been made so far and that all proceeds will go toward helping his recovery. 

    The action figure was designed with inspiration from Sinbad’s ’90s HBO comedy special “Brain Damaged,” and features the outfit that Sinbad wore during the routine. 

    “His confidence and bold outfits always made a statement,” a description of the figure, which comes with a microphone and towel, says. “This first ever art piece/action figure captures his iconic look from the special that only a superstar like Sinbad could pull off!” 

    Meanwhile, Sinbad and his family are continuing to fight. 

    “In his own words, ‘I am not done. I will not stop fighting until I can walk across the stage again,’” his family said on their website. “And neither will we.”

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  • Iowa jury gives $27 million verdict in misdiagnosed flu case

    Iowa jury gives $27 million verdict in misdiagnosed flu case

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    A jury has returned a $27 million verdict against a central Iowa medical clinic after a man with bacterial meningitis was misdiagnosed with the flu, suffered strokes and said he has been permanently injured

    DES MOINES, Iowa — An Iowa jury has returned a $27 million verdict against a Des Moines medical clinic after a man with bacterial meningitis was misdiagnosed with the flu, suffered strokes and said he has been permanently injured.

    The Polk County jury returned the verdict Monday in the lawsuit filed in 2017 against UnityPoint Clinic Family Medicine in Des Moines.

    Joseph Dudley and his wife Sarah Dudley filed the lawsuit after Joseph became ill in February 2017 and went to the clinic in southeast Des Moines. They reported he had dizziness, delusions, a headache, high fever and a cough.

    A physician’s assistant in charge of the clinic at the time diagnosed him with the flu although tests returned negative, said Dudley’s lawyer Nick Rowley. Dudley was given Tamiflu and a pain reliever and sent home.

    Two days later he went to the emergency room at UnityPoint Iowa Methodist Medical Center, where a doctor diagnosed the bacterial meningitis resulting from a heart valve infection. Dudley was put into a medically induced coma and was in intensive care for eight days during which he had a series of strokes causing the loss of hearing in his right ear, vertigo and dizziness, numb feet and legs, and much slower thinking and reaction time, Rowley said.

    “Mr. Dudley will suffer from a lifetime of permanent brain damage because they failed to perform a simple blood test, a complete blood count,” said Rowley, founder of Trial Lawyers for Justice.

    West Des Moines, Iowa-based UnityPoint Health has 400 clinics, 20 regional hospitals and 19 community network hospitals in Iowa, Illinois and Wisconsin.

    UnityPoint Health spokesman Mark Tauscheck said the company believes it met well-established standards of care.

    “We respect the jury process but strongly disagree with this verdict and are exploring all options including an appeal,” he said.

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  • Fetterman’s Recovery Highlights Road Back From Stroke

    Fetterman’s Recovery Highlights Road Back From Stroke

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    Oct. 21, 2022 – John Fetterman, Democratic candidate for Senate in Pennsylvania, is recovering well from a stroke he had in late spring, according to a medical report from his primary care doctor. 

    In his evaluation of Fetterman, Clifford Chen, MD, concluded that “he has no work restrictions and can work full duty in public office.” Fetterman is currently lieutenant governor. 

    But Chen also noted that the Senate candidate has exhibited symptoms of an auditory processing disorder that can cause hearing difficulties. While this means that Fetterman doesn’t always properly process words spoken aloud, his communication skills have reportedly improved significantly since his first speech therapy appointment. 

    Fetterman had what’s known as an ischemic stroke, the most common type. Nearly 87% of all strokes are ischemic, meaning there is an artery blockage that prevents blood flow to the brain. 

    Though we don’t have many more details about his stroke, Lee Schwamm, MD, a vascular neurologist at Massachusetts General Hospital in Boston says that, given his symptoms, it’s likely that Fetterman experienced a blockage in his middle cerebral artery. And if Fetterman is right-handed, Schwamm says, his language systems live in the left side of his brain, so the stroke would have been in the left-middle cerebral artery in particular. 

    For recent interviews, Fetterman has relied on visual aids like a teleprompter and closed captioning, and plans to do the same for an upcoming debate against his opponent, Republican Mehmet Oz, who is a board-certified heart surgeon. Oz has been particularly vocal about Fetterman’s health in the wake of his stroke, going so far as to suggest that the candidate’s wife might have to serve as Senator in his place. 

    But experts see that as a likely exaggeration.

    “In general, patients who have a mild receptive language difficulty don’t have any change in IQ – their cognitive abilities are not altered,” says Gregory Albers, MD, neurologist and director of Stanford University’s Stroke Center. He added that, after a stroke, patients can have a recovery that lasts over a long period of time. 

    “Although the most rapid recovery happens in the first few months, continued recovery is expected over many months,” Albers says. 

    Schwamm says that a political debate – or any forum that requires more on-the-fly thinking and communication – will be the best measure of his abilities. But he doesn’t expect that Fetterman will function at his highest level of performance during a debate setting, which can be stressful for anyone, stroke or not. 

    Also, Schwamm, says, we have many senators and representatives who need assistive devices like canes or wheelchairs, are on medication for heart disease, or have some degree of dementia – but we don’t block them from political life or remove them for office for their health conditions. 

    “Accommodation is not weakness, accommodation is a mechanism for leveling the playing field so that people can perform at their highest levels,” says Schwamm. “We have to embrace the fact that people process information differently, even if you’ve never had a stroke. What matters is the product of their work, not the method of their work.” 

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  • NBC reporter’s comment about Fetterman draws criticism

    NBC reporter’s comment about Fetterman draws criticism

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    NEW YORK — An NBC News correspondent who interviewed Pennsylvania Senate candidate John Fetterman says an on-air remark she made about him having difficulty following part of their conversation should not be seen as a commentary on his fitness for office after he suffered a stroke.

    But reporter Dasha Burns’ comment that Fetterman appeared to have trouble understanding small talk prior to their interview has attracted attention — and Republicans have retweeted it as they seek an advantage in the closely followed Senate race between Fetterman and Republican Mehmet Oz.

    Fetterman, a Democrat, suffered a stroke on May 13, and his health has emerged as a major issue in the campaign.

    Burns’ Friday interview with Fetterman, which aired Tuesday, was his first on-camera interview since his stroke. He used a closed-captioning device that printed text of Burns’ questions on a computer screen in front of him.

    Fetterman appeared to have little trouble answering the questions after he read them, although NBC showed him fumbling for the word “empathetic.” Burns said that when the captioning device was off, “it wasn’t clear he was understanding our conversation.”

    “This is just nonsense,” business reporter and podcaster Kara Swisher, who had a stroke herself in 2011, said on Twitter. “Maybe this reporter is just bad at small talk.”

    Swisher recently conducted an interview with Fetterman for her podcast and said, “I was really quite impressed with how well he’s doing. Everyone can judge for themselves.” Swisher has called attacks on Fetterman because of his health “appalling.”

    A New York magazine reporter, Rebecca Traister, who interviewed the candidate for a cover story titled “The Vulnerability of John Fetterman,” tweeted that his “comprehension is not at all impaired. He understands everything. It’s just that he reads it and responds in real time … It’s a hearing/auditory challenge.”

    Burns said she understands that different reporters had different experiences with Fetterman.

    “Our reporting did not and should not comment on fitness for office,” Burns tweeted on Wednesday. “This is for voters to decide. What we push for as reporters is transparency. It’s our job.”

    Stories about the interview aired on “NBC Nightly News” and the “Today” show.

    Fetterman, 53, has been silent about releasing medical records or allowing reporters to question his doctors. He’s been receiving speech therapy and released a letter in June from his cardiologist, who said he will be fine and able to serve in the Senate if he eats healthy foods, takes prescribed medication and exercises.

    Problems with understanding and using language are common in recovering stroke victims, said Kevin Sheth, director of the Yale University Center for Brain and Mind Health. Some completely recover, some have continued impairments, he said.

    “There is an arc to the trajectory of recovery that varies from person to person,” Sheth said.

    But he cautioned that, without an examination, people should not make judgments about Fetterman’s condition based on his use of a language-assistance device.

    Burns’ statement about Fetterman has already been tweeted by political opponents, including the National Republican Senatorial Committee and the Republican National Committee.

    The conservative website Townhall.com tweeted Burns’ quote, without making clear she had been referring to small talk and not the interview itself.

    Doug Andres, press secretary for Senate Minority Leader Mitch McConnell, tweeted that it was weird to see liberals attack a reporter for doing her job.

    “It’s almost like that whole thing about respecting and trusting the media is only true when it’s convenient for them,” he wrote.

    Swisher said in her podcast that her mother, a Pennsylvania resident, told her she didn’t think Fetterman should be in the U.S. Senate after suffering a stroke — even though her own daughter had recovered from one.

    Swisher said producers of the podcast refrained from cleaning up Fetterman’s interview — such as removing extraneous phrases like “um” or “you know” — so listeners could get an unvarnished view of how Fetterman responded to questions.

    In the podcast, Fetterman had little trouble with the word “empathy.”

    “Listen to the interview,” Swisher tweeted this week. “Even my rabidly GOP mother had to admit she was wrong.”

    ———

    Associated Press correspondent Marc Levy in Harrisburg, Pennsylvania, contributed to this report.

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  • Stroke Across America: Only 500 Miles Remain in 4,300-Cycling Journey to Raise Awareness for Stroke & Aphasia

    Stroke Across America: Only 500 Miles Remain in 4,300-Cycling Journey to Raise Awareness for Stroke & Aphasia

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    Press Release


    Aug 18, 2022

    What do two educators, a nonprofit executive, and a former varsity soccer college athlete have in common? Brain Injury. They join the more than 5.3 million people living in the United States with brain injuries that have left them with disabilities. 

    Twelve weeks ago, this group launched their bikes from Astoria, Oregon, intent on raising awareness about stroke, aphasia, brain injury, and the subsequent emotional recovery. Known as Stroke Across America, this 4,300-mile cycling route was designed to enable the team to visit cities across the country to connect and celebrate stories of hope and resilience. “What a joy it has been to spend the summer meeting new people, many stroke survivors and those who support them, especially after two long, isolating years of living in the COVID pandemic,” said former college professor, stroke survivor, and author Debra Meyerson. 

    Community events remain for Albany, New York (Aug. 19), and Northampton, Massachusetts (Aug. 24), with a final celebration hosted by Boston University’s Sargent College on Aug. 27 in Boston.  

    Fulfilling a Lifelong Dream and Pedaling for a Purpose

    For Steve Zuckerman, a nonprofit executive and father of three adult children with his wife Debra Meyerson, cycling has been a lifelong way to stay active. Cycling across the country has been on their “bucket list” for decades. So when Debra, a Stanford University professor, experienced a severe stroke in 2010, it changed their lives forever. But Meyerson and Zuckerman have refused to let the disabilities that Debra has from her stroke, including aphasia, stop them from living life to the fullest. Aphasia forced Meyerson from her job at Stanford, but with help from Steve, her son Danny, and others, she wrote Identity Theft: Rediscovering Ourselves After Stroke. The couple also co-founded the nonprofit Stroke Onward to ensure stroke survivors and their supporters have the resources needed to rebuild identities and rewarding lives. 

    Steve and Debra could have easily organized a cycling trip to enjoy a cross-country journey alone. But knowing how powerful it is to connect with others and the importance of raising awareness about stroke and aphasia, they were inspired to think much bigger. “We knew that sharing our story and meeting others to learn about their experiences had the potential to spark needed change in the healthcare system to better meet the needs of stroke and traumatic brain injury survivors everywhere,” said Zuckerman and Meyerson. 

    Debra and Steve are joined by two other survivors on this ride: Michael Obel-Omnia and Whitney Hardy. The Stroke Across America team invites everyone to Join the Journey by visiting strokeacrosseamerica.org or @strokeonward on Instagram.

    Go here for the long-form press release, photos, and video assets. For interviews, please contact Flannery O’Neil, Executive Director, Cell: 602-317-8095, email: flannery@strokeonward.org

    Source: Stroke Across America

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