Podcasts about american stroke association

New guidelines have been issued in the United States for preventing stroke – the nation's 4th biggest killer. 在美国发布了新的指南，以防止中风 - 美国第四大杀手。 The U.S. Centers for Disease Control and Prevention (CDC) says that in 2023, stroke was the fourth leading cause of death in the United States. An estimated half a million people suffer strokes in the U.S. each year. But the CDC notes that up to 80 percent of strokes could be prevented with better nutrition and exercise, along with improved risk identification. 美国疾病控制与预防中心（CDC）说，在2023年，中风是美国第四大死亡原因。 估计每年在美国遭受中风的估计一百万。 但是，疾病预防控制中心指出，通过更好的营养和运动，可以预防多达80％的中风，并改善风险识别。A stroke happens when blood flow to part of the brain is blocked or if a blood vessel in the brain breaks open, or bursts. The event keeps oxygen from getting to the brain. This can result in the person having difficulty thinking, talking and walking. In some cases, a stroke can even cause death. 当血液流向大脑的一部分或大脑中的血管破裂或爆发时，会发生中风。 该事件可防止氧气进入大脑。 这可能会导致人们难以思考，说话和行走。 在某些情况下，中风甚至会导致死亡。 Stroke is a major health problem across the world. On its website, the World Stroke Organization says the condition is a leading cause of death and disability worldwide. Over 100 million people worldwide have suffered a stroke. It is estimated that 25 percent of adults over 25 will have a stroke during their lifetime. 中风是世界上一个主要的健康问题。 世界中风组织在其网站上说，这种情况是全球死亡和残疾的主要原因。 全球超过1亿人遭受了中风。 据估计，25岁以上的成年人中有25％的人会在一生中中风。 The new guidelines on stroke prevention came from the American Stroke Association. They are the first to be issued in 10 years. The advice includes suggestions for people and doctors and are based on improved information about who has strokes and why. The guidelines also include new drugs that can help reduce risk. 预防中风的新准则来自美国中风协会。 它们是10年内第一个发行的人。 该建议包括对人和医生的建议，并基于有关谁中风以及原因的改进信息。 该指南还包括可以帮助降低风险的新药。 Health researchers say the best way to reduce the risk of stroke is the same as reducing risks for many other conditions. These include eating a healthy diet, moving the body often and not smoking. 健康研究人员说，降低中风风险的最佳方法与降低许多其他情况的风险相同。 其中包括吃健康的饮食，经常移动身体而不吸烟。 Here is what to know about stroke and the newly issued guidelines: 这是有关中风和新发布的准则的了解：Experts say eating healthy can help control possible stroke risks. The goal is to prevent or reduce high cholesterol, high blood sugar and obesity, the condition of being extremely overweight. 专家说，健康饮食可以帮助控制可能的中风风险。 目的是预防或减少高胆固醇，高血糖和肥胖，这是极其超重的状况。 The advice urges people to choose foods in the so-called Mediterranean diet. These include fruits, vegetables, whole grains and olive oil. Eating these foods can help keep cholesterol levels down. 该建议敦促人们在所谓的地中海饮食中选择食物。 这些包括水果，蔬菜，全谷物和橄榄油。 吃这些食物可以帮助保持胆固醇水平降低。

Send us a textCan you provide feedback on my podcast (what you like?  what you want more of?  length?  Please answer a few questions here.  Can a simple habit like flossing really reduce your risk of stroke? In this episode, Dr. Bobby unpacks the headlines sparked by a recent presentation at the American Stroke Association's International Conference that claimed regular flossing could reduce stroke risk by 20–50%. Dr. Bobby begins with a refresher on the importance of stroke prevention. From there, he explores the biological plausibility of a connection between oral health and cardiovascular events. While Americans are fairly diligent about brushing (with 90% brushing once daily and 60% brushing twice a day per YouGov data), flossing habits lag significantly (NIH Oral Health Study—highlighting a clear opportunity if the flossing-stroke link is real.Dr. Bobby dives into the study behind the headlines, a new analysis from the long-running Atherosclerosis Risk in Communities (ARIC) study, which tracked over 6,000 individuals for 25 years. The preliminary finding: regular flossers had significantly lower risk of ischemic and cardioembolic strokes (Study Abstract). Surprisingly, brushing and dental visits showed no significant benefit in this analysis.So why isn't this flossing-stroke connection headline a "five-alarm fire" in medicine? Dr. Bobby explains the limitations: the results were shared via a conference abstract, not a peer-reviewed journal article. Without full access to the data or understanding how many other hypotheses were tested from this large dataset (which has already generated over 2,300 publications), we risk falling into the trap of correlation being mistaken for causation.To further evaluate the credibility of this association, Dr. Bobby introduces the Bradford Hill criteria—nine principles to assess causality in observational studies. While the biological plausibility is strong and the effect size notable, the study fails on criteria like replication, dose-response, and publication rigor (Bradford Hill Overview).In closing, Dr. Bobby affirms the benefits of flossing—not necessarily for stroke prevention, but for better oral health, which is valuable in its own right. He shares his personal oral care routine, including flossing nightly and using a water jet, while reminding listeners to stay evidence-informed in their health decisions.Takeaways Flossing likely improves oral health, but its role in stroke prevention remains unproven. Be cautious with headlines drawn from unpublished conference abstracts—they're a starting point for inquiry, not a reason to change behavior just yet."How to Live Long and Well" at DrBobbyLiveLongAndWell.com.

Story at-a-glance Oral diseases now affect 3.5 billion people worldwide, making them the most widespread health conditions, yet many overlook their link to serious diseases Poor oral hygiene contributes to chronic inflammation, increasing the risk of stroke and atrial fibrillation, but simple habits like flossing significantly reduce these risks A study presented at the American Stroke Association's International Conference found that flossing at least once a week lowers the risk of ischemic stroke by 22% and heart-related strokes by 44% Flossing also reduces the likelihood of atrial fibrillation by 12%, helping prevent blood clots that lead to heart failure and other cardiovascular complications Regular flossing lowers systemic inflammation, reducing cardiovascular mortality risk by 36%, with each additional day of flossing per week decreasing the risk of dying from heart disease by 6%

Chime In, Send Us a Text Message!In this special episode recorded live at the International Stroke Conference (ISC25), we dive into the American Stroke Association's pilot program, Stroke Connections. This initiative is designed to amplify the voices of stroke survivors and caregivers, ensuring their lived experiences are heard at the conference—a group that has historically been underrepresented in stroke research and advocacy.Join me as I chat with Stephanie Mohl, National Vice President of the American Stroke Association, and two inspiring stroke survivors and advisory committee members, Gracie Doran and Michelle Ballasiotes (previous guest on Episode 55). We discuss how the Stroke Connections pilot is bridging the gap between research and lived experience, and the importance of community and advocacy for improving stroke care.While the program is still in its early stages, the goal is to secure sponsors to expand and make survivor perspectives a permanent part of future conferences.Takeaways from this episode:The International Stroke Conference is a critical platform for both research and survivor voices.Incorporating survivor experiences into research and conferences can lead to more impactful stroke care and advocacy.The Stroke Connections program provides an opportunity to amplify the voices of survivors and caregivers in shaping stroke care and research.Support Our Show! Thank you for helping us to continue to make great content. We appreciate your generosity! Support the showShow credits:Music intro credit to Jake Dansereau. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast.Connect with Us and Share our Show on Social:Website | Linkedin | Twitter | YouTube | Facebook | SubstackKnow Stroke Podcast Disclaimer: Our podcast and media advertising services are for informational purposes only and do not constitute the practice of medical advice, diagnosis or treatment. Get Our Podcast News Updates on Substack

Heart disease is the leading cause of death worldwide and stroke is the second. The American Heart Association and American Stroke Association are working to prevent this through their annual Leaders of Impact campaign.It is a 7-week campaign for hand-selected community leaders to raise money and awareness for cardiovascular disease, such as heart attacks and strokes. The money funds research and advocacy to help save lives and improve health equity. WISH-TV medical expert Dr. Janel Gordon has been nominated for the honor.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Chime In, Send Us a Text Message!In this episode of the Know Stroke Podcast, Rachel Forman, a stroke neurologist at Yale, discusses the latest American Stroke Association guidelines for stroke prevention. The conversation covers various topics including the importance of social determinants of health, dietary recommendations, exercise, blood pressure control, and the role of GLP-1 medications. Rachel emphasizes the need for individualized care and community engagement to effectively address stroke risks and improve patient outcomes. She also highlights the significance of mental health support for stroke survivors and the importance of awareness around gender-specific risks.TakeawaysSocial determinants of health are critical stroke risk factors.Exercise is essential for stroke prevention and recovery.Dietary changes should be realistic and gradual for patients.Blood pressure control is vital for preventing strokes.GLP-1 medications can aid in stroke prevention but should be combined with lifestyle changes.Women face unique stroke risks, especially during pregnancy.Community engagement is necessary for effective stroke prevention.Mental health support is crucial for stroke survivors.Healthcare providers must tailor recommendations to individual patient needs.Education and awareness are key in reducing stroke incidence.Support Our Show! Thank you for helping us to continue to make great content. We appreciate your generosity! Support the showShow credits:Music intro credit to Jake Dansereau. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast.Connect with Us and Share our Show on Social:Website | Linkedin | Twitter | YouTube | FacebookKnow Stroke Podcast Disclaimer: Our podcast and media advertising services are for informational purposes only and do not constitute the practice of medical advice, diagnosis or treatment.

The American Heart Association and the American Stroke Association have updated primary guidelines to help people to prevent a first stroke. Every 40 seconds, an American has a stroke, and, every three minutes, an American dies from a stroke. Over 600,000 Americans will have their first stroke this year, a preventable event if underlying risk factors are controlled or eliminated.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, I'm joined by Jeff to discuss his long battle with mental health challenges. Jeff shares how his depression stems from childhood, living in a chaotic home environment, and how it revisited him regularly throughout his life. He describes how, after many years of struggle, he found solace in both medication and exercise, specifically running and cycling. Jeff talks about how his depression was also linked to seasonal affective disorder (SAD) and how discovering the positive impact of exercise, especially in the winter months, helped him manage his symptoms. A key part of Jeff's journey has been setting what he calls "big, hairy-ass, audacious goals." He explains how one such goal, learning to play the slide guitar and performing in a blues band, and another, cycling across the U.S. from Florida to California, were transformational experiences that gave him a new sense of purpose and control over his mental health. However, in his sixties, Jeff was completely caught unawares when he suffered a stroke, and the impact it had on him mentally and physically, plunged him back into depression. Jeff then shares how he has adapted to live after the stroke up until today. He also discusses techniques he uses to help manage his mental health, for example, journalling daily has helped him reflect and manage his emotions. This episode is an inspiring look into how audacious personal goals and self-care can help manage mental health, especially in middle age.Jeff referenced the Stroke Association in the UK (https://www.stroke.org.uk) or in the US, there's the American Stroke Association (https://www.stroke.org). If you or someone you know is struggling with depression, then general advice is to contact your doctor.  

Chime In, Send Us a Text Message!In this SnapCast, David and Mike discuss their transition to a new recording studio and their plans for the future. They also talk about Mike's appointment to an advisory committee for the American Heart and American Stroke Association. The hosts mention their upcoming break and the possibility of replaying previous episodes during that time. They express gratitude for the feedback received on the Vivistim series and encourage listeners to stay active and participate in community events.TakeawaysThe hosts have transitioned to a new recording studio, which will make post-production and social media sharing easier.Mike has been appointed to an advisory committee for the American Heart and American Stroke Association, where he hopes to bring a survivor and caregiver perspective.The hosts will be taking a break over the summer but will continue to release episodes, including survivor interviews and replays of previous episodes.They express gratitude for the feedback received on the Vivistim series and encourage listeners to stay active and participate in community events.Support the Show.Show credits:Music intro credit to Jake Dansereau. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast.Connect with Us and Share our Show on Social:Website | Linkedin | Twitter | YouTube | FacebookKnow Stroke Podcast Disclaimer: Our podcast and media advertising services are for informational purposes only and do not constitute the practice of medical advice, diagnosis or treatment.

Guest: Dr. Benjamin Atchie American Stroke Month in May and the American Heart Association and the American Stroke Association are focused on raising awareness about stroke warning signs and taking action to prevent a future stroke.  Strokes are the fifth leading cause if death in America and is the number one cause of disabilities.  Balance (difficulty to walk or clumsy), Eyes (vision loss especially in one eye), Face (weakness on one side of the face), Arm (weakness in the arm/arms), Speech (slurred speech or inability to communicate), Time (it is time to call 911), are all signs of a stroke.  Most people cannot identify the signs of a stroke and even the ones that can, less than half will call for help.  Strokes can happen to people of all ages.  Stroke.org/StrokeMonth

Claudia Mason is a certified life coach, former supermodel, actor, producer, and author. She was born in Manhattan and has a background in spirituality influenced by Buddhism and Quantum Physics. Claudia's journey includes overcoming scoliosis, achieving success in modeling, acting, and surviving a stroke. She is a spokesperson for the American Stroke Association and author of "Finding the Supermodel in You." Claudia focuses on helping others improve their lives through spiritual coaching and personal growth. We discuss... -The meaning of our name, Claudia -Her experience on sets -How Claudia had a stroke and became a spokesperson for the American Stroke Association -How she stays grounded in a noisy world -How she helps her clients to navigate personal transformations Resources: Follow Claudia on Instagram  Work with Claudia for life coaching Claudia's website Claudia's book, Finding The Supermodel in You Follow the host here Check out Paleovalley's products (I love everything, but especially their 100% grass-fed beef organ complex, bone broth protein powders, and grass-fed beef sticks!!)

In this episode of the Black Health 365 podcast, Britt and Jackie are joined by Dr. Richard T. Benson, who is the Director of the Office of Global Health and Health Disparities at the National Institute of Neurological Disorders and Stroke, which is a part of the U.S. National Institutes of Health, and Brady Johnson, who is a stroke survivor and ambassador at the American Stroke Association. Together, they emphasize the importance of having healthy conversations with your loved ones about health during this holiday season. These conversations can range from simple check-ins to learning about family history and discussing the risks associated with uncontrolled high blood pressure that might run in the family. They also encourage conversations about how to prevent and act fast in case of a stroke and the risk factors that may lead to dementia. Britt and Jackie hope to inspire  our community to take preventative measures and act fast to ensure good health. Richard T. Benson, M.D., Ph.D., is Director of the Office of Global Health and Health Disparities at the National Institute of Neurological Disorders and Stroke, part of the U.S. National Institutes of Health. He is a leader in the fields of vascular neurology and health disparities research. His areas of research interest and expertise include health disparities and health equity research, and minority, community, and global health. Brady Johnson is a stroke survivor and ambassador at the American Stroke Association. He is a retired Air Force veteran. Once an avid marathoner, he is now a competitive bodybuilder and singer. He hails from Belvidere, Illinois, and is happily married to his wife, Heather. He is also a proud father of two children.See omnystudio.com/listener for privacy information.

Since every 40 seconds someone in the United States has a stroke, there's never been a better time to equip ourselves with the knowledge to identify the warning signs to prevent disability and save lives. Listen alongside podcast host Lindsay Tarwater, as Teresa Simon — UFG auto physical damage (APD) claims adjuster — shares her personal story of overcoming and rising from adversity after surviving a stroke. Teresa touches on when she had her stroke, whether she noticed any warning signs, if any other family members had experienced a stroke and discusses her recovery. Don't miss this inspiring conversation to learn more about how you can help identify the warning signs and better support those who have experienced a stroke. And visit the American Stroke Association to learn more. Remember, all episodes of the employee resource group's Winning Wellness show stream under the UFG SPIRIT podcast channel on Spotify and Apple Podcasts — subscribe and listen anytime.

GDP Script/ Top Stories for Friday Aug. 11 Publish Date: Thursday Aug. 10 From the Henssler Financial Studio Welcome to the Gwinnett Daily Post Podcast Today is Friday August 11th , and happy 69th birthday to wrestler Hulk Hogan ****Hulk****   I'm Bruce Jenkins and here are your top stories presented by Peggy Slappey Properties Northeast Georgia Medical Center-Braselton recognized for patient care North Gwinnett alum serving on Navy warship stationed at Pearl Harbor And World War II veteran celebrates 100th birthday in Lawrenceville Plus, Brian Giffin will have Daily Post Sports Editor Will Hammock for a Gwinnett Sports Report. All of this and more is coming up on the Gwinnett Daily Post podcast, and if you are looking for community news, we encourage you to listen daily and subscribe!    Break 1 :  Slappey          Story 1. care   Several Northeast Georgia Medical Center campuses, including Braselton, were honored by the American Heart Association and American Stroke Association for their exceptional care for stroke, heart, and diabetes patients. They received Get With the Guidelines and Target accreditation awards, recognizing their adherence to evidence-based guidelines for patient care. The awards affirm their commitment to providing swift, effective, and less-complicated care. The accolades include Stroke Gold Plus Award, Heart Failure Silver Plus Award, Target: Stroke Elite Honor Roll, and Target: Type 2 Diabetes Honor Roll. The recognition reflects the dedication of the medical teams and their ongoing pursuit of excellence..……………. read more on this at gwinnettdailypost.com     STORY 2: Serving   Lt. j.g. Benjamin Renner, a 2016 graduate of North Gwinnett High School and a University of North Georgia alumnus, is currently serving aboard the USS Daniel K. Inouye, a U.S. Navy warship stationed in Pearl Harbor, Hawaii. Renner joined the Navy inspired by his great-grandfather's service in World War II and his desire to continue a legacy of military service. He utilizes the skills and values he learned in Suwanee, his hometown, to excel in his Navy role. USS Daniel K. Inouye is a multi-mission guided-missile destroyer equipped with various weaponry, and over 300 sailors, including Renner, serve on board. Renner recognizes the Navy's importance in projecting power abroad and maintaining national security. He values the opportunity to improve his life through his Navy service and appreciates the support of his family and fellow officers.   Story 3: 100th Paul Edmond, residing at The Mansions at Gwinnett Park Assisted Living in Lawrenceville, celebrated his 100th birthday. Born on a farm in Elberton in 1923, Edmond is the last surviving sibling among six and is a World War II Army veteran. He had a 12-year career in the railroad industry and retired from Conagra Mill. In his late 90s, Edmond took up playing the guitar, attending lessons, and he even enjoyed a Gwinnett Stripers baseball game that honored veterans. He's an active participant in daily exercise classes, enjoys cooking, attending church, and remains engaged in various activities. We have opportunities for sponsors to get great engagement on these shows. Call 770.874.3200 for more info. We'll be right back   Break 2:   M.O.G.- Tom Wages -  Obits   Story 4: Puerto   Gwinnett County police are conducting a recruiting event in Puerto Rico from August 25 to 27 to find new officers for their department. The event, taking place at TRYP by Wyndham Hotel Isla Verde, involves orientation, physical agility tests, oral interviews, psychological exams, and background checks. Successful applicants will receive conditional job offers, with the second phase of hiring happening in the U.S. The process generally takes around 90 days. Gwinnett County Police Department offers hiring and relocation incentives, with immediate employment for those receiving a Final Job Offer. The 118th Police Academy is scheduled to start on November 27, 2023. Applicants must be 21, have a high school diploma or G.E.D., and be eligible for P.O.S.T. certification.   Story 5: bikes   The Lawrenceville Police Department is organizing the first Cops and Cones Police and Civilian Motorcycle Rodeo at the Gwinnett County Fairgrounds to benefit Special Kneads and Treats, a nonprofit assisting people with disabilities. The event tomorrow will feature law enforcement and civilian motorcycle riders showcasing their riding skills, with activities including a speed competition, slow ride, and precision course. The event is open for spectators and aims to raise funds primarily through participant registrations. Food trucks and displays of fire trucks and police equipment will be available. The event is hoped to become an annual tradition.   Story 6:  menu   Gwinnett County Public Schools will offer new menu options for student meals in the upcoming school year, including General Tso's and Sichuan Chicken Bowls, vegetarian spring rolls, and other choices like french toast sticks, chicken sausage, watermelon applesauce, glazed chicken bites, mini calzones, and goldfish crackers. Smart Snack Compliant Ala Carte options will also introduce Lay's baked potato chips, reduced-fat Doritos tortilla chips, Rice Krispies Treats, Angie's Boom Chicka Pop Kettle Corn, Welch's fruit snacks, and Coca-Cola beverages. Parents and students can access daily menu options using the NutriSlice app or the district's website. Prices for breakfast and lunch options are also provided.   We'll be back in a moment   Break 3:  ESOG – Ingles 5 - Lawrenceville   Story 7: Sports   And Now Leah McGrath, corporate dietician at Ingles Markets talks with us about plant based meats ((I'll build as a standalone) ****LEAH****       Break 4:  Henssler 60 Thanks again for hanging out with us on today's Marietta Daily Journal podcast. If you enjoy these shows, we encourage you to check out our other offerings, like the Cherokee Tribune Ledger Podcast, the Marietta Daily Journal, the Community Podcast for Rockdale Newton and Morgan Counties, or the Paulding County News Podcast. Read more about all our stories, and get other great content at Gwinnettdailypost.com. Did you know over 50% of Americans listen to podcasts weekly? Giving you important news about our community and telling great stories are what we do. Make sure you join us for our next episode and be sure to share this podcast on social media with your friends and family. Add us to your Alexa Flash Briefing or your Google Home Briefing and be sure to like, follow, and subscribe wherever you get your podcasts. www.wagesfuneralhome.com  www.psponline.com  www.mallofgeorgiachryslerdodgejeep.com  www.esogrepair.com  www.henssler.com  www.ingles-markets.com  www.downtownlawrencevillega.com See omnystudio.com/listener for privacy information.

Recognizing the signs of stroke, and helping patients reduce their risk, can significantly improve patient outcomes. Guest Chloe Villavaso, MN, APRN, ACNS-BC, FPCNA, AACC, discusses types of stroke, and how to help our patients reduce their risks.PCNA Stroke Prevention Guide: https://pcna.net/clinical-resources/provider-tools/stroke-prevention-guide/PCNA Legislative Series: Race and Cardiovascular Disease and Stroke in America: https://pcna.net/legislative-series-race-and-cardiovascular-disease-and-stroke-in-america/PCNA Webinar: Stroke Prevention in Patients with Atrial Fibrillation: https://pcna.net/event/webinar-stroke-prevention-in-patients-with-atrial-fibrillation-putting-guidelines-into-practice/American Stroke Association: https://www.stroke.org/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

What do I need to know about strokes?Strokes are largely preventable, and knowing the signs is critical.Strokes are the number five cause of death and a leading cause of disability in the United States. They occur for 2 reasons: a clot or obstruction of blood flow to the brain (called “Ischemic") and when a blood vessel ruptures ("hemorrhagic"). Both cause death in regions of the brain from lack of oxygen and blood flow. Regardless of type, the likelihood is you either know someone or will know someone who suffers a stroke. Fortunately, the American Stroke Association says 80% of strokes are preventable.Senior Services Expert Lori Williams dives into the factors we can control, such as lifestyle, to prevent a stroke. She also shares the signs someone is having a stroke so you can quickly recognize them in your loved one. Noticing these signs are vital – as Lori can attest. This week, she gets personal and shares her own experience over Christmas when her husband Mark, suffered a stroke. You can remember the signs of a stroke with the acronym F.A.S.T.:- F: Face drooping- A: Arm weakness- S: Speech slurring / difficulty- T: Time to call 9-1-1Stroke risk factors include smoking, obesity, high blood pressure, diets high in saturated fat and/or cholesterol, physical inactivity, atrial fibrillation, carotid artery disease, diabetes, race, and more. Risk of stroke also increases with age for both males and females, and if you have family members who had strokes before age 65. Once you have a stroke, you're also more at risk for having more – all the more reason to focus on prevention.As Lori knows firsthand, it can be scary if you're with someone who could be having a stroke. However, knowing the signs can help with quick treatment - especially important if your loved one is having an ischemic stroke, because the hospital can administer a clot-buster medication. If you or your loved one does have a stroke, recovery is possible: the brain can create new pathways to help you regain your abilities. Topics discussed:- Signs of strokes- Ischemic stroke- Hemorrhagic stroke- Stroke risk factors- High blood pressure- Stroke prevention- Clot bustersTakeaways from this episode:- Remember the acronym F.A.S.T.: Face drooping, Arm weakness, Speech slurring / difficulty – if those are present, Take action by calling 9-11.- Other signs of a stroke include trouble walking or understanding speech, dizziness, loss of balance, and severe headaches without a clear cause.- Make sure your blood pressure is in the health range, which is under 120/80.- Smoking while on birth control pills greatly increases your risk of stroke.- Race is a risk factor of stroke: African Americans have a much higher risk of dying from a stroke than Caucasians.- Women have more strokes and die from strokes more often than men, though they're usually older when they have their first stroke. Resources mentioned in this episode:American Stroke Association:https://www.stroke.org/To suggest a topic, be a guest or to support the podcast, please email Lori@Loriwilliams-seniorservices.com For more senior resources and to sign up to the newsletter, please visit:

Episode 41 In our final episode of 2022 we had the pleasure to be joined by Pamela Duncan. Pam is a leading expert in stroke, neurologic recovery, aging and patient reported outcome measures and widely recognized for her efforts to reengineer post-acute care services and recovery following stroke. She develops consumer-oriented assessments to improve patient outcomes by guiding real-time clinical decision-making and recommendations for self-management, medical and social services. The Compass CP platform was created based on insight gained from the COMPASS study, led by Wake Forest University School of Medicine and The University of North Carolina and conducted in 40 hospitals and with community partners across North Carolina. The study was funded through a $14 million, five-year award from the Patient-Centered Outcomes Research Institute (PCORI), an independent, nonprofit research funding organization authorized by Congress in 2010.  COMPASS compared the health status of stroke patients who receive conventional post-hospitalization treatment to that of patients who receive comprehensive care based on a model developed by a team of physicians, nurses, therapists, pharmacists, health system and human services leaders, and patient and caregiver stakeholders.  Because of her outstanding contributions to the investigation, management, mentorship and community service in the stroke field, Duncan is a 2020 recipient of the American Stroke Association's David G. Sherman Lifetime Achievement Award. She is the first woman to ever be awarded this honor.  Show Credits: Music intro credit to Jake Dansereau, connect at JAKEEZo on Soundcloud @user-257386777. Our intro welcome is the voice of Caroline Goggin, a stroke survivor and our first podcast guest! Please listen to her inspiring story on Episode 2 of the podcast. Thank you Caroline! Until next time, be sure to give the show a like and share, +follow and connect with us on social or contact us to support us as a show sponsor or become a guest on the Know Stroke Podcast. Connect with Us and Share our Show on Social: Know Stroke Website Twitter Facebook Instagram YouTube Linkedin

Rob Benedict is an actor/musician and Stephen Norton is a drummer. Together they make up half of the indie rock band Louden Swain.  The band has new album out on November 11th called “Feelings & Such” that they are here to discuss. Plus playing the Supernatural conventions, music videos, songwriting and Rob's role in “Waiting.” 00:41 - Stephen's Background & Meeting Rob 02:46 - Rob's Path to Music 05:40 - Louden Swain's Influences 07:27 - "Guilty One" & Work Permits 10:02 - Arrests & D.U.I.'s 13:15 - Lyrics, Oasis & Band Fights 15:40 - Personal Struggles & Supporting Each Other 18:15 - "Sleepyhead" & Song Collaborations 19:27 - "Wine & Roses" Song 20:11 - "That's the Rub" Song & Music Video 23:14 - "Gamma Ray" Music Video & Margot Robbie 24:28 - Actors & Directors Helping with Music Videos 25:46 - Song in Jenna Fischer Movie & Other Movies 27:06 - Band Names & Origin 28:50 - Covers Vs Originals & Signing Actors 30:55 - Upcoming Shows, Viper Room & Mini Tours32:55 - Waiting Movie 35:30 - American Stroke Association 37:33 - Outro Louden Swain website:https://www.loudenswain.com/American Stroke Association  website:https://www.stroke.org/Chuck Shute website:http://chuckshute.com/Support the showThanks for Listening & Shute for the Moon!

National Stroke Awareness Month – May 2022Dr. Anne Alexandrov May is National Stroke Awareness Month. According to the CDC, every 40 seconds someone in the United States has a stroke, and every 3 and a half minutes, someone dies from a stroke. Today, my guest is a recognized clinical expert in the areas of emergency and critical care with concentrations in neuroscience and vascular dynamics, Dr. Anne Alexandrov. Dr. Alexandrov is considered to be the leading international nursing expert in acute stroke management. More About Dr. AlexandrovDr. Anne Alexandrov, Ph.D., RN, AGACNP-BC, ANVP-BC, NVRN-BC, ASC-BC, CCRN, FAAN, is a Professor of both Nursing and Neurology, as well as the Mobile Stroke Unit Chief Nurse Practitioner at the University of Tennessee Health Science Center in Memphis. She is also Professor and Program Director for NET SMART (www.learnstroke.com) at the Health Outcomes Institute, LLC in Fountain Hills, Arizona. Dr. Alexandrov received her MSN from the University of Texas Health Science Center (UTHSC) at Houston in 1993 with a concentration in Emergency and Critical Care. She received her Ph.D. from Texas Woman's University in 2002, which focuses on integrated systemic and intracranial hemodynamics. Dr. Alexandrov is the President of the Association of Neurovascular Clinicians and serves as Certification Examination Architect for the Neurovascular Registered Nurse, Advanced Stroke Coordinator, the Certified Neurointerventional Clinician, and Advanced Neurovascular Practitioner board certifications. She currently serves on the Board of Directors as Treasurer of the Prehospital Stroke Treatment Organization (PRESTO), an international organization for mobile stroke units. Dr. Alexandrov was the FY-2000 National President of the American Association of Critical-Care Nurses (AACN) and a former member of the American Stroke Association's (ASA) Executive Leadership Board (2005-2007). She Co-Chaired the National Quality Forum's Stroke Committee that selected the first round of evidence-based core measures for Centers for Medicare & Medicaid (CMS) endorsement/pay-for-performance from 2007-2009. Dr. Alexandrov developed the reviewer role for The Joint Commission's (TJC) Stroke Center Certification Program and has served on both the Technical Advisory Panel for TJC's Comprehensive Stroke Center Certification program and the TJC Stroke Performance Measure Panel. She has authored almost 200 original scientific publications related to her work in stroke reperfusion therapies, experimental blood flow augmentation strategies, and stroke systems of care, and co-holds a U.S. patent for ultrasound-enhanced thrombolysis and perfusion. Dr. Alexandrov's many honors include the 2022 Distinguished Research Lecturer for the American Association of Critical-Care Nurses, the 2019 American Association of Nurse Practitioner's Tennessee Nurse Practitioner Excellence Award, the 2018 Memphis Healthcare Hero Award, the 2013 American Association of Critical-Care Nurses' Flame of Excellence Award for her work in acute stroke, induction as an Honorary Ambassador to the World Federation of Critical Care Nurses in 2012, the UAB Graduate School Dean's Excellence in Mentorship Award in 2012, the Birmingham Metro Nurse of the Year Award in 2010, induction as a Fellow in the American Academy of Nursing in 2004, the ASA's Distinguished Service Award in 2003, the American Heart Association's Stroke Manuscript of the Year Award in 2003, the ASA Texas Affiliate's Excellence in Volunteer Leadership Award in 2002, and the John P. McGovern Teaching Excellence Award from UTHSC-Houston in 1999.Websites:https://www.heart.org/ https://www.anbc.org https://www.learnstroke.com/

JAMA Medical News Senior Staff Writer Melissa Suran speaks with Louise McCullough, MD, PhD, about new research and timely topics from the American Heart Association and American Stroke Association's annual International Stroke Conference. McCullough, who chaired this year's conference, is also chair of neurology at the University of Texas Health Science Center at Houston and chief of neurology at Memorial Hermann—Texas Medical Center. Related Content: Highlights From the International Stroke Conference 2022—Thrombectomy and Alteplase, Access to Stroke Centers, and Warfarin vs Direct Oral Anticoagulants

Resveratrol may be an effective intervention for lung aging The Saban Research Institute (Los Angeles), February 22, 2022 In a study by The Saban Research Institute of Children's Hospital Los Angeles, researchers demonstrate, for the first time that inhaled resveratrol treatments slow aging-related degenerative changes in mouse lung. Lung aging, characterized by airspace enlargement and decreasing lung function, is a significant risk factor for chronic human lung diseases. The study is published online in the journal Thorax. Resveratrol (RSL), a chemical found in red wine, is an antimicrobial chemical substance produced by plants to protect against infection and stress-related changes. RSL prophylaxis by inhalation was a novel measure taken by the research team as a potential approach for slowing age-related deterioration of lung function and structure by preserving alveolar epithelial type 2cells (AEC2) which line alveoli (the tiny air sacs in the lungs through which the exchange of oxygen and carbon dioxide takes place) and produce surfactant which is vital for efficient breathing. (NEXT) Plant product shows promise in mouse model of Parkinson's Disease University of California, Davis, February 22, 2022 A natural product from the dried root of a pea-family plant, potentially combined with an enzyme inhibitor discovered in the laboratory at the University of California, Davis, may provide hope in alleviating neuroinflammation in Parkinson's disease. The team found that a soluble epoxide hydrolase (sEH) inhibitor combined with kurarinone, a compound from the dried root of Sophora flavescens, reduced neuroinflammation in an animal model with Parkinson's disease. The dried root, also known as kushen, has been used for hundreds of years in traditional Chinese medicines. (NEXT) Tai Chi may reduce stroke risk Chinese University of Hong Kong, February 22, 2022 Weekly Tai Chi exercise sessions may reduce stroke risk by lowering high blood pressure and increasing the good cholesterol, or high-density lipoprotein (HDL), according to research presented at the American Stroke Association's International Stroke Conference. Researchers studied how Tai Chi compared to brisk walking for reducing stroke risk in 246 adults with known stroke risk factors, including high blood pressure. Participants were randomly assigned to a group that participated in two 60-minute Tai Chi sessions each week; a walking group that walked briskly for 30 minutes every day; or a control group, which was told to maintain the activities they were doing before the study. At three months into the assigned activities, researchers found: The Tai Chi group had notably greater reductions of 10.25 mm Hg in systolic (upper number) and 6.5 mm Hg in diastolic (lower number) blood pressure measurements than those in the control group. (NEXT) Postmenopausal women who increased intake of collagen peptides demonstrated improved bone mineral density, study finds Kapodistrian University (Greece) A randomized trial reported  in the Journal of Clinical Densitometry found that the addition of collagen peptides to a standard bone-supporting regimen of calcium and vitamin D3 was associated with greater improvements in measures of bone health compared to calcium and vitamin D3 alone.1 Collagen is important for bone health because it enables bones to absorb energy and have some flexibility – such that they don't instantly fracture when they are highly stressed. “It is known that the mechanical integrity of the collagen network in human bone deteriorates with age, and such adverse changes correlate with the decreased toughness of the aged bone,” authors Kalliopi Lampropoulou-Adamidou of National and Kapodistrian University of Athens and colleagues wrote. The study included 45 postmenopausal women with osteopenia,. All participants received 500 mg of calcium and 10 mcg of vitamin D3 (400 IU) daily for one year and 23 women also received 5 grams per day of collagen peptides, the building blocks of collagen. After one year of treatment, women who received collagen peptides plus vitamin D and calcium experienced significant improvements in parameters related to bone mineral content and bone density in the trabecular portion of their tibia while the group receiving only vitamin D and calcium did not. Bone mineral density and mineral content also improved in the cortical bone (outer more solid portion) of the tibia among collagen peptide-intake participants compared to the calcium/vitamin D group. The group that received the collagen peptides also had greater bone density of their lower spine and changes suggestive of slight improvements in markers of bone turnover. (next) Wokeism Is a Cruel and Dangerous Cult Wokeism's natural logic is to destroy the lives of people of both genders, of all races, and—if need be—of those of every age, all to leverage an otherwise unworkable ideological agenda. Victor Davis Hanson (Stanford University) January 23, 2022 Wokeism has been described by its critics as the omnipresent use of race—and to a lesser extent, gender—to replace meritocracy and thus ensure equality of result. What follows from implementing that ideology are reparatory actions to reward those of the present by atoning for the injustices done to others in the past. Some see it as an update of 1960s cultural Marxism fads. Others scoff that it is just a return to 1980s-style political correctness. Still more see it as the logical successor to 1990s-type race, class, and gender obsessions—albeit with a shriller and more dangerous Jacobin, Soviet, and Maoist twist. Wokeism's hysteria also invites comparisons to the Salem witch trials and McCarthyism. But few have described wokeism as the cruel creed that it is. Wokeism's natural logic is to destroy the lives of people of both genders, of all races, and—if need be—those of every age, all to leverage an otherwise unworkable ideological agenda. It is nihilist and destroys everything it touches. It tears apart foes and friends alike, whether by fueling media-driven hatred of Donald Trump or faux-deification of the disaster that is now Joe Biden. Woke's Victims Defunding law enforcement and defaming police resulted in record numbers of murders in 12 U.S. cities. A wave of violent crime is even hitting America's suburbs. Without much fear of arrest, indictment, conviction, and incarceration, emboldened violent career criminals for the past year have robbed, assaulted, and killed the innocent with impunity. The victims at the bus stop, the subway, or in the furniture store do not seem to warrant media or progressive attention, much less sympathy. They are the ignored—the unnamed, and the forgotten collateral damage from the grand experiment of redefining crime as a social construct. The guilty are the elite academics, activists, and billionaires like George Soros who are untouched by what they birthed. We have all seen videos of the vast expanse of flotsam and jetsam strewn by train thieves along the Union Pacific tracks in Los Angeles. Yet the Wild West mess is still more than just the concrete manifestations of Los Angeles County district attorney George Gascón's unhinged efforts to excuse criminals from legal consequences. The packages thrown along the ground by thugs and gangsters represent, among other things, lost COVID-19 test results of the ill. Presumably, they unknowingly are waiting still by the window for the delivery of results that never arrive. The package in the dirt was, perhaps, a key tractor part eagerly awaited, in vain, by the broke farmer in the Central Valley. The mess included the life-saving medicines shipped to the sick that disappeared. And our elected leaders did what in response? Governor Gavin Newsom apologized for using the insensitive word “gangs” to describe those who plunder, loot, and trash railcars. Always In Search of Targets It is a cruel thing to indoctrinate children with the lie that they are innately guilty of oppression due to their skin color. One accurate definition of racism is collective ill-treatment of an individual due to his innate appearance—on the pretext that such bias is deserved, given the target is deemed mentally, spiritually, or morally inferior because of said traits. But that, in a nutshell, is the essence of critical race theory: the destruction of all human traits and unique characteristics, as demonized individuals are reduced to stereotyped, faceless members of a collective. The Forgotten Broken Eggs of the Woke Omelet Equity in our Orwellian world is not equality, but payback. Again, it is the idea of making the current generation pay for the supposed sins of the long dead of centuries past. Aside from the destruction of merit by the substitution of racial criteria, millions from a discarded generation will have doors slammed on their careers—simply because of the color of their skin. And they will never forget that. The woke do not even make the effort to admit that class matters as much as, or more than, race. By doing so, they doom millions of poor white and Asian students, who managed in poverty to achieve excellent grades and test scores, from being admitted to top-tier schools. Their actual achievement, despite their absence of wealthy, college-educated, or well-connected parents, means little. Once a morally bankrupt society—for naïve, utopian, or ignoble reasons—begins to calibrate graduation ceremonies, dorm space, roommate selection, achievement, and grading standards based on race, then it not only will lose its standard of living, but it will deserve to. And it may have a future date with the violence of Rwanda, Iraq, or the Balkans. Power, Not “Equity,” Is the Creed In sum, wokeness is not about kindness, equality, fairness, or morality. It is the power agenda of the elite of all races. For differing reasons, they rig the game in their own interests, without a care about who suffers. Rich white people assume that they possess the money, the influence, the networking skills, and the connections to navigate around the very exclusionary rules they make for others. For them, there are seldom costs. But they win apparent psychological gain at feeling spiritually superior while driving a Range Rover. They get high on the sense of power they wield to engineer the lives of millions deemed less important than they. And to the degree they feel guilty about their own monopoly of wealth and leisure, such transient superficial remorse is alleviated by abstract caring for the “other.” If they can ensure that 50 percent of TV commercials highlight African Americans, then they worry little about the nation's existential crisis of 800 blacks murdered in Chicago last year. And no such television execs have a clue—or likely a concern—about how to stop it. The woke take out a medieval contract that all their material indulgences can be balanced by virtue-signaling caring for the less fortunate—although always at someone else's expense. Woke = Wealthy Careerists And for the millions of the affluent, elite nonwhite? The resurgence of racial obsessions conveniently destroys the old idea of class, even though now it is the far more precise calibration of inequality. For all the woke talk about “constructs” of gender, race is somehow alone exempted and declared innate, definable, and immutable. One's appearance becomes the permanent victimized refuge—even of NBA multibillionaires and billionaire rappers alike. A Ward Churchill or Elizabeth Warren can desperately seek to leverage a career in becoming Native American, apparently as if they were almost trapped in their own white bodies. Yet they can still not manage to construct such assumed identities in the manner of Bruce/Caitlyn Jenner. If race is now the sole immutable barometer of who is a victim, who a victimizer, then LeBron James, Jay-Z, Kayne West, Chris Rock, Michelle Obama, and Oprah Winfrey are always to be among the eternally oppressed. The enormous influence, power, status, and wealth they wield never negates their victimhood, despite a nation three generations into affirmative action. In the immoral calculus of woke, the poor white or Southeast Asian offspring of poorly paid high-school dropouts constitute “the privileged.” And a multimillionaire racist like the TV anchorwoman Joy Reid claims to be the perpetual victim, not the inner-city African American retiree who in 2021 has lost local police protection. No wonder the woke elite and the affluent leftists fixate on race, given they are now the ruling class. Otherwise, their own privilege would be the obvious target of the once-beloved “Revolution.” So, they fear that by their own prior left-wing standards, they too could end up on the wrong side of their moral Maginot Line. Wokeism's obsessions with ferreting out “white privilege” are a way for rich people to head off (so to speak) the fate of Marie Antoinette. Totalitarian Wokeism A final note. We know wokeism is both contrary to human nature and antithetical to democracy and constitutional government. Without public support, it has instead embraced an entire array of cruel, Soviet, and Maoist means to achieve its own self-interested ends. Woke talk about “racists” eerily emulates Soviet boilerplate about “counterrevolutionaries.” Today's wokeist spouts things that could come right out of the mouth of the novelist Boris Pasternak's character Army Commissar Strelnikov, or Mao's Little Red Book concerning “suppression of counterrevolutionaries.” No wonder the woke, so-called “humanists” are the first to resort to Trotskyization and iconoclasm. They are masters of censoring, blacklisting, scapegoating, deplatforming, ritual humiliation, doxxing, cancel-culture, ostracism, and disbarring. Wokeism's logic is the eternal one of the bully Jacobin with his guillotine lists of the revolutionary unpure, the 19th-century lynch mob storming the frontier jail, the Red Guards hounding the counterrevolutionary, and the forced mental hospitalizations of the Soviet Union. But above all, wokeism is a cruel cult—created by and for the careerist benefit of the privileged.

Grapes could help protect against cognitive decline   University of California, Los Angeles - February 06 2022.   The January issue of Experimental Gerontology published the finding of researchers at the University of California, Los Angeles of a protective effect for powdered grape against a decline in brain metabolism in older adults. The results of the investigation suggest that eating grapes might contribute to the prevention of Alzheimer's disease. The study included ten men and women with mild cognitive decline. Participants were given freeze-dried grape powder or a placebo similar in flavor and appearance but lacking beneficial grape polyphenols. The grape powders, which provided the equivalent of three servings of grapes per day, were mixed with water and consumed in divided daily doses for six months. Cognitive performance and changes in brain metabolism as assessed by PET scans were evaluated before and after the treatment period.   (NEXT)   Loneliness associated with increased risk of dementia in older adults   New York University, February 7, 2022   As social isolation in the United States has been increasing among older adults, a new study shows a notable link between loneliness and dementia risk, and one that is most striking for Americans who represent a large part of the population. In the study publishing February 7 in Neurology, the medical journal of the American Academy of Neurology,researchers found a three-fold increase in risk of subsequent dementia among lonely Americans younger than 80 years old who would otherwise be expected to have a relatively low risk based on age and genetic risk factors. The study also found that loneliness was associated with poorer executive function (i.e., a group of cognitive processes including decision-making, planning, cognitive flexibility, and control of attention) and changes in the brain that indicate vulnerability to Alzheimer's disease and related dementias (ADRD).   (NEXT)   Dietary total antioxidant capacity and mortality outcomes: the Singapore Chinese Health Study   Huazhong University of Science and Technology (China), February 1, 2022   To evaluate the relations of dietary total antioxidant capacity (DTAC) with mortality outcomes in a Chinese population. The study included 62,063 participants from the Singapore Chinese Health Study. The participants were 45–74 years at baseline (1993–1998) when dietary data were collected with a validated 165-item food frequency questionnaire. During 1,212,318 person-years of follow-up, 23,397 deaths [cardiovascular diseases (CVD): 7523; respiratory diseases: 4696; and cancer: 7713] occurred. In multivariable models, the HR (95% CI) comparing participants in the highest vs. lowest quartile of CDAI was 0.85 for all-cause mortality, 0.82 for CVD mortality, 0.76 for respiratory disease mortality  and 0.94 for cancer mortality  Similar associations were found with the VCEAC index. Higher intakes of the DTAC components, i.e., vitamin C, vitamin E, carotenoids, and flavonoids, were all associated with lower mortality risk.   (NEXT)   Healthy lifestyle equals bigger brain   Yale University School of Medicine, February 4 2022.   Research findings scheduled to be reported at the American Stroke Association's International Stroke Conference 2022  demonstrated that adherence to Life's Simple 7 lifestyle behaviors is associated with greater brain volume and fewer indicators of damage among middle-aged men and women. The study included 35,914 participants enrolled in the UK Biobank. Magnetic resonance imaging (MRI) of the brain measured brain volume and white matter hyperintensity volume.   (NEXT)   No time to exercise? What about three seconds a day?   Edith Cowan University (Australia) and Niigata University (Japan), February 7, 2022   Lifting weights for as little as three seconds a day can have a positive impact on muscle strength, a new study from Edith Cowan University (ECU) has discovered. A collaboration with researchers from Niigata University of Health and Welfare (NUHW) in Japan had 39 healthy university students perform one muscle contraction at maximum effort for three seconds per day, for five days a week over four weeks. The participants performed either an isometric, concentric or eccentric bicep curl (see definitions below) at maximum effort, while researchers measured the muscles' maximum voluntary contraction strengthbefore and after the four-week period. Another 13 students performed no exercise over the same period and were also measured before and after the four weeks. Muscle strength increased more than 10 percent for the group who performed the eccentric bicep curl after the four weeks, but less increase in muscle strength was found for the other two exercise groups. The no exercise group saw no increase. The study shows all three lifting methods had some benefit to muscle strength, however eccentric contraction easily produced the best results.   (OTHER NEWS)   Dystopia Disguised as Democracy: All the Ways in Which Freedom Is an Illusion   John W. Whitehead & Nisha Whitehead, February 8, 2022   We are no longer free. We are living in a world carefully crafted to resemble a representative democracy, but it's an illusion. We think we have the freedom to elect our leaders, but we're only allowed to participate in the reassurance ritual of voting. There can be no true electoral choice or real representation when we're limited in our options to one of two candidates culled from two parties that both march in lockstep with the Deep State and answer to an oligarchic elite. We think we have freedom of speech, but we're only as free to speak as the government and its corporate partners allow. We think we have the right to freely exercise our religious beliefs, but those rights are quickly overruled if and when they conflict with the government's priorities, whether it's COVID-19 mandates or societal values about gender equality, sex and marriage. We think we have the freedom to go where we want and move about freely, but at every turn, we're hemmed in by laws, fines and penalties that regulate and restrict our autonomy, and surveillance cameras that monitor our movements. Punitive programs strip citizens of their passports and right to travel over unpaid taxes. We think we have property interests in our homes and our bodies, but there can be no such freedom when the government can seize your property, raid your home, and dictate what you do with your bodies. We think we have the freedom to defend ourselves against outside threats, but there is no right to self-defense against militarized police who are authorized to probe, poke, pinch, taser, search, seize, strip and generally manhandle anyone they see fit in almost any circumstance, and granted immunity from accountability with the general blessing of the courts. Certainly, there can be no right to gun ownership in the face of red flag gun laws which allow the police to remove guns from people merely suspected of being threats. We think we have the right to an assumption of innocence until we are proven guilty, but that burden of proof has been turned on its head by a surveillance state that renders us all suspects and overcriminalization which renders us all lawbreakers. Police-run facial recognition software that mistakenly labels law-abiding citizens as criminals. A social credit system (similar to China's) that rewards behavior deemed “acceptable” and punishes behavior the government and its corporate allies find offensive, illegal or inappropriate. We think we have the right to due process, but that assurance of justice has been stripped of its power by a judicial system hardwired to act as judge, jury and jailer, leaving us with little recourse for appeal. A perfect example of this rush to judgment can be found in the proliferation of profit-driven speed and red light cameras that do little for safety while padding the pockets of government agencies. By gradually whittling away at our freedoms—free speech, assembly, due process, privacy, etc.—the government has, in effect, liberated itself from its contractual agreement to respect the constitutional rights of the citizenry while resetting the calendar back to a time when we had no Bill of Rights to protect us from the long arm of the government. We've bartered away our right to self-governance, self-defense, privacy, autonomy and that most important right of all: the right to tell the government to “leave me the hell alone.” In exchange for the promise of safe streets, safe schools, blight-free neighborhoods, lower taxes, lower crime rates, and readily accessible technology, health care, water, food and power, we've opened the door to militarized police, government surveillance, asset forfeiture, school zero tolerance policies, license plate readers, red light cameras, SWAT team raids, health care mandates, overcriminalization and government corruption. In the end, such bargains always turn sour. We can no longer maintain the illusion of freedom.   (NEXT)   Preventive Use of Ivermectin Reduced COVID Mortality by 90%, Study Found   A peer-reviewed study published last month found the prophylactic use of ivermectin reduced COVID mortality by 90% among more than 223,000 study participants in a town in Southern Brazil.   David Charbonneau, Ph.D., February 7, 2022   A peer-reviewed study published last month found the prophylactic use of ivermectin reduced COVID mortality by 90% among more than 223,000 study participants in a town in Southern Brazil. The study, published in the Cureus Journal of Medical Science, also found a 44% reduction in COVID cases among those who took the re-purposed drug. Between July 7, 2020, and Dec. 2, 2020, all residents of Itajaí were offered ivermectin. Approximately 3.7% of ivermectin users contracted COVID during the trial period, compared with 6.6% of residents who didn't take the drug. Based on the results, Dr. Flavio Cadegiani, one of the study's lead authors, said, “Ivermectin must be considered as an option, particularly during outbreaks.” Dr Pierre Kory said: “You would think this would lead to major headlines everywhere. And yet, nothing. And this is not new, this censorship of this highly effective science and evidence around repurposed drugs. The censoring of it, it's not new, it's just getting more and more absurd. And it has to stop.” Kory said it's not even about ivermectin, “it's about the pharmaceutical industry's capture of our agencies and how our policies are all directed at suppressing and avoiding use of re-purposed drugs” in favor of high-profit medicines.

Passando a Limpo: Nesta quarta-feira (26), Geraldo Freire e a bancada do Passando a Limpo conversam com o neurologista Paulo Brayner. O médico comenta um estudo publicado no JAMA Internal Medicine, que aponta para a redução significativa do desenvolvimento de demência em pessoas que fizeram cirurgia de catarata. Segundo o neurologista, quem enxerga e ouve melhor tem redução na possibilidade de desenvolver Alzheimer e demência. O cardiologista Fernando Figueira explica por que mulheres jovens, com menos de 35 anos, têm mais chance de desenvolver AVC em comparação aos homens. Estudo publicado recentemente na American Stroke Association mostra que fatores hormonais, específicos das mulheres dessa faixa etária, podem explicar o resultado. A descoberta surpreendeu os pesquisadores, já que historicamente os homens apresentam maior probabilidade de desenvolver AVC.

In this episode of Eat, Drink, Think we're digging into the important issue of Hunger. Unfortunately, it's more timely than ever. Last year saw the first uptick in food insecurity in America in years because of the COVID-19 pandemic. Our guests are: Ben Perkins, CEO of Wholesome Wave, a national nonprofit working to increase access to healthy food for all. Before joining Wholesome Wave, Ben held leadership roles with the American Heart Association and the American Stroke Association. He's also an ordained minister with a master's degree from Harvard Divinity School. Leanne Brown, author of the cookbook Good & Cheap: Eat Well on $4 a Day. The book began as her Master's thesis project in food studies at NYU. She wrote it to help people on a tight budget, especially SNAP recipients. She has always offered the book as a free PDF and it's been downloaded more than 15 million times. Mark Winne is a food activist who's worked on issues related to hunger and nutrition for 50 years. He's an author and a Senior Advisor to the Food Policy Networks Project at the Johns Hopkins University Center for a Livable Future. His most recent book, Food Town USA, explores seven often-overlooked American cities that are now leading the food movement.

In this episode, we welcome Dr. Christopher Richards MD, MS, FAEMS, FACEP to the show.  Dr. Richards is an emergency medicine and EMS physician in the Division of EMS in the Department of Emergency Medicine at the University of Cincinnati, as well as a member of the UC Stroke Team. He is the EMS medical director of several EMS agencies in southwest Ohio, as well as the UCHealth Mobile Stroke Unit. He collaborates nationally as a committee chair of the Prehospital Guidelines Consortium, an Advisory Board member of the American Stroke Association, and as a representative to the National Institute of Neurological Disorders and Stroke (NINDS) Brain Attack Coalition.The doc is here to provide us with his perspective regarding the development of stroke systems of care in the urban environment.  Doc is an ED physician with a deep background in a variety of EMS systems.  Most recently, Doc was a co-author of the 2021 Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities from the Prehospital Stroke System of Care Consensus Conference, which is the focus of today's episode.  This landmark consensus provides local and regional EMS agencies and stroke advisory committees with guiding principles and recommendations for how to integrate the elements of a stroke system of care in three key regional settings: urban, suburban, and rural settings. It also takes into account the differences in resources, hospital certifications, geography, and population density. Additionally, it seeks to inform or update EMS about new models and systems of acute ischemic stroke care, especially mechanical thrombectomy for large vessel occlusion stroke, and how they affect their stroke systems of care.  You can find a link to the 2021 Recommendations for Regional Stroke Destination Plans in Rural, Suburban, and Urban Communities in the episode description.  To maximize the power of the recommendations, the AHA/ASA produced a very cool and very useful website full of resources and information directly related to helping EMS develop and or fortify their stroke systems of care.  I highly recommend you visit www.Stroke.org/stroketransportplans and use it to consider evolving the stroke system of care in your community. During this episode, Dr. Richards will help us appreciate what is at stake for stroke patients.  From there, we dive into the meat of the discussion, which is a focus on the nuances, advantages, and disadvantages of the urban environment regarding EMS and stroke.  Finally, Doc will give his recommendations regarding how EMS systems should use the contents of this paper to improve their Stroke Systems of Care and strengthen their stroke chain of survival.  Please keep emailing your questions, comments, feedback and episode ideas to the EMS on AIR Podcast team by email at QI@OCMCA.org.  Visit EMSonAIR.com for the latest information, podcast episodes and other details.  Follow us on Instagram @EMSOnAIR.Contact the episode participants:Geoff Lassers, Paramedic I/C, AASHost, EMS on AIR PodcastQi@ocmca.orgChristopher T. Richards, MD, MS, FAEMS, FACEPAssistant ProfessorDivision of Emergency Medical ServicesDepartment of Emergency MedicineUniversity of Cincinnati College of Medicinechristopher.richards@uc.eduSupport the show (https://www.patreon.com/emsonair?fan_landing=true)

  Click here for a macine generated transcript   Surviving a stroke is not the end of a medical issue. It's the start of a new journey, with new challenges. Major depression is often one of those challenges. It interferes with recovery, rehab, adjusting to a new life, and maintaining relationships. In short, it's big problem. And it's pretty common. According to new research by Dr. Laura Stein from the Icahn School of medicine, depression after stroke is twice as likely to occur as depression after heart attack. There's something unique about stroke that leads to depression. On top of that, if a person lived with Generalized Anxiety Disorder before stroke, they are 1.7 x as likely to experience Major Depression after stroke. In this conversation, Dr. Laura Stein talk about her research and what survivors, caregivers, and medical practitioners need to know. Bio Laura K. Stein, MD, MPH is an Assistant Professor of Neurology at the Icahn School of Medicine at Mount Sinai and attending physician at the Mount Sinai and Mount Sinai Queens Stroke Centers. She is board certified in Neurology and Vascular Neurology by the American Board of Psychiatry and Neurology. Dr. Stein received a BA from Amherst College and her MD and MPH from the Icahn School of Medicine at Mount Sinai. She completed her internship, neurology residency, and vascular neurology fellowship at Mount Sinai.  Dr. Stein's interests are in stroke clinical care, stroke outcomes research, and medical education. She is the Neurology Residency Associate Program Director and precepts first year medical students in the Art and Science of Medicine preclinical skills course. Dr. Stein received the Department of Neurology Resident Class of 2020 Award of Appreciation for Dedication & Commitment Towards Excellence in Mentorship and 2020 Institute for Medical Education Excellence in Teaching Award.  The Research Dr. Stein's research was part of the American Stroke Association's virtual International Stroke Conference. You can read the paper here. You can read the article where I first encountered her work here. The approach of looking at depression after heart attack vs looking at depression after stroke is an interesting one. It's a nice way of controlling for other potential causes. The research looked at Medicare recipients, Medicare is a US government health insurance program, generally for folks 65 and older. It lets researchers draw from a rich collection of data. There are two significant tradeoffs, of course. First, it's restricted to the US so there's no international representation in the study. Obviously, depending on the research question in particular, that may or may not be an issue. Second, it's restricted to folks 65 and older. Can we say that the results of this study apply to younger stroke survivors? Maybe? Probably? We don't know. And this study was not designed to answer that question. I'd say it does get us closer, though, and it opens up an opportunity to do further research that asks different but related questions. That's what good studies do. The answer specific question with solid evidence and clear analysis. And the result can introduce new questions for researchers to explore in different studies. In the meantime, it's likely safe to say, that regardless of age, stroke survivors are probably more likely to experience depression, and the community needs to be vigilant for the signs of depression and seek treatment accordingly. Symptoms of Major Depression Diagnosing depression involves identifying symptoms from a couple lists. To "earn" a depression diagnosis, a patient needs 5 symptoms from list 1 and all 4 from list 2. They are: List 1 (Pick 5 or more) Depressed Mood (most days) Loss of Interest or pleasure Weight loss or gain Insomnia or hypersomnia (nearly every day) Psychomotor agitation or limitation Fatigue (nearly every day) Feelings worthless or experiencing inappropriate guilt Decreased concentration (nearly everyday) Thoughts of death or suicide List 2 (All 4) Symptoms cause significant distress or social/professional impairment Symptoms not attributable to a substance or medical condition Symptoms not explained by another disorder No history of manic episodes You can read more details about the symptoms here. You can probably see one of the issues. Many of those symptoms may be directly attributed to the disabilities and brain damage of the stroke without it being Major Depression. That's why it's important to work with a medical professional to tease them apart. Symptoms of Generalized Anxiety Disorder Generalized Anxiety Disorder is about more than feeling nervous. It's more complicated and severe. The National Institute of Mental Health describes it this way: People with generalized anxiety disorder (GAD) display excessive anxiety or worry, most days for at least 6 months, about a number of things such as personal health, work, social interactions, and everyday routine life circumstances. The fear and anxiety can cause significant problems in areas of their life, such as social interactions, school, and work. Generalized anxiety disorder symptoms include: Feeling restless, wound-up, or on-edge Being easily fatigued Having difficulty concentrating; mind going blank Being irritable Having muscle tension Difficulty controlling feelings of worry Having sleep problems, such as difficulty falling or staying asleep, restlessness, or unsatisfying sleep You can read more about the condition here. Neuropsychology While most psychologists and psychiatrists can help stroke survivors and others with depression and other conditions, there is a specialty that may be even more helpful -- neuropsychology. A while back, I talked with Dr. Karen Sullivan from I Care For Your Brain. She wrote the "Interactive Stroke Recovery Guide."*  You can listen to that conversation or learn more at http://Strokecast.com/Karen A neuropsychologist has additional, specialized training to work specifically with folks who have brain injuries. They dive deep into the details of the injury to provide the best customized treatment plan, leveraging expertise that generalists don't have. They work with folks with a wide array of functionality and challenges. FLAME vs FOCUS As long as we are talking about depression, we should also talk about antidepressants a little -- specifically SSRIs and how the relate to stroke. In 2011, the FLAME study was published in the Lancet. In short, it demonstrated that stroke survivors who took Prozac (Fluoxetine) experienced stronger motor recovery. Many hospitals saw those results and began putting more stroke survivors on Prozac because, well, why not? If the patient tolerates it well, and it can help folks work better, it's probably a good idea. And if it reduces or prevent post stroke depression (or other depression) that's a solid win. I talked with Dr. Nirav Shah about this back in November of 2018. You can listen to that episode here. That's how I started on an SSRI in my stay. They originally tried Prozac with me, but I had a not great reaction to it. It apparently gave me an anxiety attack. So we quickly stopped that (thank you, Xanax, I think). We talked about it some more and tried again with a different SSRI -- Lexapro (Escitalopram) because I had tolerated it well during a tough time some years earlier. Cheap, no negative side effects, and potentially helpful is win. A month after my interview with Nirav, and a year and a half after my stroke, the FOCUS study came out, attempting to duplicate the results of the FLAME study on a bigger scale. It failed. The scientific consensus now is that SSRIs do not help with motor recovery. They do still help with depression. The hospital no longer recommends SSRIs as part of the motor recovery protocol. So what does that mean for folks like me? I asked my doctor last year if that meant I should stop taking them. We talked about it and she explained I could certainly stop if I wanted to. "But, dude -- it's 2020." And she had a valid point. (Okay, maybe I paraphrased that) And that's why Escitalopram still has a place in my pill organizer. As always, everyone's stroke and circumstances will vary, so talk to your doctor before making any changes to your medication. Hack of the Week Get a dog. A dog can be helpful after stroke, whether it's a service dog or simply a companion animal. When you have a dog, you have a responsibility to take care of it. You have to feed it, walk it, groom it, and give it cuddles. Sometimes that may be reason enough to get out of bed and get moving for the day. Links Where do we go from here? If you think there's a chance you might be experiencing depression, talk to your medical team Share this episode with someone you know with the link http://Strokecast.com/depression Subscribe to the free, monthly Strokecast email newsletter at http://Strokecast.com/news Don't get best…get better.

Guest Micheal Zigmont, Dartmouth '96, characterizes his college self as having been lost without even really knowing it. Graduating without a job was the manifestation of that. After six months living in his parents' house, temping, he decided to try to land an analyst position on Wall Street, which he did. A quick test of the dot com world to make sure the grass wasn't greener on the other side showed it wasn't and he went right back to finance as though nothing happened. As he never burned his bridges on the way out, he found he was able to go back to familiar surroundings frequently.What wasn't familiar was the feeling one Saturday morning when his muscles on one side of his body started cramping unexpectedly and he felt extremely drunk. At 38, as a person in good health with zero risk factors, he suffered a sudden and rather inexplicable stroke. And even quicker than a financial boom and bust cycle, the stroke symptoms went away almost as quickly as they had occurred, again almost as though nothing happened.In this episode, find out from Ziggy how sometimes being accepting of what is and moving on is the best and only option …on ROADS TAKEN...with Leslie Jennings Rowley. About This Episode's Guest Michael “Ziggy” Zigmont, has over two decades of Wall Street experience with multiple companies, some even multiple times. He is currently with Harvest Volativity Management, where he is Partner and Head of Trading and Research. At 38, as a person in good health with zero risk factors, he suffered a sudden and rather inexplicable stroke. He wanted to share the details of his story with our listeners so that we all have some point of reference should we or our loved ones experience the same symptoms. For more information on Stroke Symptoms—including the FAST acronym for Face Drooping, Arm Weakness, Speech Difficulty, and Time to Call 911—visit the American Stroke Association. Executive Producer/Host: Leslie Jennings RowleyMusic: Brian Burrows Find more episodes at https://roadstakenshow.comEmail the show at RoadsTakenShow@gmail.com 

Stroke Alert June 2021 On Episode 5 of the Stroke Alert Podcast, host Dr. Negar Asdaghi highlights two articles from the June 2021 issue of Stroke: "Preexisting Mild Cognitive Impairment, Dementia, and Receipt of Treatments for Acute Ischemic Stroke” and “Body Mass Index in 1.9 Million Adolescents and Stroke in Young Adulthood.” She also interviews Dr. Shyam Prabhakaran, from the University of Chicago, about his article "Predictors of Early Infarct Recurrence in Patients With Symptomatic Intracranial Atherosclerotic Disease." Dr. Negar Asdaghi: 1) Do people with mild cognitive impairment receive the same quality of stroke care as their cognitively normal counterparts? 2) Is there a causative relationship between the alarming rise in adolescent obesity and the rise in the incidence of stroke under the age of 50? 3) What are the independent predictors of radiographic recurrence in patients with symptomatic intracranial atherosclerotic disease? These are the topics that we will cover in today's podcast. You're listening to the Stroke Alert Podcast. Stay with us. Dr. Negar Asdaghi:                        From the Editorial Board of Stroke, welcome to the Stroke Alert Podcast. My name is Negar Asdaghi. I'm an Associate Professor of Neurology at the University of Miami Miller School of Medicine and your host for the monthly Stroke Alert Podcast. For the June 2021 issue of Stroke, we have a range of publications that cover a variety of topics from activation of neuroinflammatory pathways and intracerebral hemorrhage to predictors of outcome in patients with mild and rapidly improving ischemic stroke, which I encourage you to review, in addition to our podcast. Later in today's podcast, I have the privilege of interviewing Dr. Shyam Prabhakaran from University of Chicago on his work with various radiographic biomarkers as predictors of outcome in patients with symptomatic intercranial atherosclerotic disease. But first, with these two papers. Dr. Negar Asdaghi:                        In the United States, one in five adults over the age of 65 have mild cognitive impairment, and one in seven have a formal diagnosis of dementia. With our aging population, these numbers are estimated to triple by year 2050. Prior studies suggest that patients with dementia are less likely to receive evidence-based stroke care as compared to those with normal cognition. Less is known about the quality of stroke care amongst patients with mild cognitive impairment. In their paper titled "Preexisting Mild Cognitive Impairment, Dementia, and Receipt of Treatments for Acute Ischemic Stroke," Dr. Deborah Levine from Departments of Neurology and Internal Medicine at the University of Michigan and colleagues studied the quality of care in acute ischemic stroke patients with mild cognitive impairment, or MCI, and preexisting dementia as compared to patients with normal cognition. Dr. Negar Asdaghi:                        This was a cross-sectional analysis of prospectively obtained data on adults with acute ischemic stroke included in the Brain Attack Surveillance in the Corpus Christi project from 2008 to 2013. Primary outcome of the study is a composite quality measure of defect-free care calculated by dividing the number of treatments that a patient received by the number of treatments they were eligible to receive. Defect-free care was defined as receipt of seven stroke performance measures when eligible, and included administration of IV tPA, use of antithrombotic therapy by end of hospital day two, administration of DVT prophylaxis, assessment for rehabilitation, discharge on antithrombotic therapy, discharge on lipid-lowering therapy, and discharge on anticoagulation therapy for atrial fibrillation. Dr. Negar Asdaghi:                        Amongst 836 adults included in this study with a median age of 65, 58%, that's over half of the patients in this study, had some degree of cognitive impairment prior to their presenting stroke. 44% of patients with preexisting dementia received defect-free care as compared to 55% with either normal cognition or mild cognitive impairment. The difference, they did not reach statistical significance after adjusting for the sex, vascular comorbidities, and BMI in multivariate analysis. However, preexisting MCI remain an independent factor to be negatively associated with receipt of IV tPA echocardiogram and assessment for rehabilitation. Similarly, after adjusting for all confounders, preexisting dementia remained negatively associated with receipt of antithrombotic therapy by day two, lipid-lowering therapy at discharge, and receiving an echocardiogram. The authors highlighted their findings as a call to action to improve the overall delivery of stroke care and measures to all stroke patients, and caution that disparities noted in their study might contribute to differences in post-stroke outcomes, such as functional disability and recurrent stroke in the growing population of patients with mild cognitive impairment and dementia. Dr. Negar Asdaghi:                        Having a stroke at a young age has profound personal, societal, and economic implications. For the young stroke survivors, a long life expectancy after stroke, and the cost of long-term care pose huge challenges to healthcare systems, which are different than that encountered in the elderly stroke population. Over the past two decades, the incidence of ischemic stroke has substantially increased in the young, with adults under the age of 50 now comprising 10% of all ischemic stroke cases. This comes in parallel with the continuous rise in the prevalence of adolescent obesity in many Western countries, but the association between the two remains unclear. In the current issue of the journal, Dr. Aya Bardugo from the Department of Military Medicine, Hebrew University, in Jerusalem, and colleagues studied the association of adolescent body mass index, or BMI, with first stroke event in young adults as part of a nationwide population-based study of 1.9 million adolescents, followed for a cumulative 9.48 million person-years. BMI values were categorized in five groups of underweight, low-normal, high-normal, overweight, and obese. Dr. Negar Asdaghi:                        So, what they found was that the incident rate of any stroke and ischemic stroke increased gradually across the five BMI categories. Importantly, the hazard ratio for ischemic stroke became significant, even in the high-normal BMI group at 1.4, and increased to 2 for the overweight and 3.5 in the obese category. Though a similar increase in the rate of hemorrhagic stroke was noted, there was no significant association between BMI and hemorrhagic stroke in the study. Not surprisingly, many vascular risk factors, including high blood pressure and diabetes, were also elevated in the higher category BMI adolescents. However, alarmingly, these trends remain significant even after adjustment for age, sex, sociodemographic factors, and when the data was limited to otherwise healthy adolescents, those without diabetes and those without high blood pressure. Overall, the authors found that overweight and obese adolescents had approximately two- to threefold increased hazard for ischemic stroke that could present prior to the age of 30 irrespective of sex, race, ethnicity, and socioeconomic status. Dr. Negar Asdaghi:                        The authors detailed various mechanisms in which increased adolescent BMI may lead to stroke in the young, including progressive risk of large vessel intra and extracranial atherosclerotic disease, increased cardiovascular disease, and a shift to young onset heart failure and atrial fibrillation, as well as a strong association with being high BMI in children and adolescents, and that of obesity in adults. These findings are important observations as we face a growing epidemic of childhood and youth obesity worldwide with the potential to increase the future burden of stroke in young adults. Dr. Negar Asdaghi:                        Intracranial atherosclerotic disease, or ICAD, is an important cause of ischemic stroke worldwide. In addition to neurological deficits caused by index event, patients with ICAD remain at high risk for development of recurrent ischemic events. The risk of clinical recurrence is estimated to be between 12% to 20% at one year based on prior studies, despite best medical management. But recent studies have shown that up to 25% of patients with symptomatic ICAD have evidence of radiographic recurrence on follow-up MRI imaging. Dr. Negar Asdaghi:                        Who will remain stable and who will have more events with symptomatic ICAD is a common question that practicing clinicians struggle with in routine practice. The Mechanisms of Early Recurrence in Intracranial Atherosclerotic Disease, or the MYRIAD study, aimed to get us closer to that answer. Joining me now is Dr. Shyam Prabhakaran, Professor of Neurology and Chair of the Department of Neurology at the University of Chicago, who was one of the principal investigators of the MYRIAD study and the first author of the paper in the current issue of the journal titled "Predictors of Early Infarct Recurrence in Patients With Symptomatic Intracranial Atherosclerotic Disease." Good afternoon, Shyam. Thank you for joining us. Dr. Shyam Prabhakaran:              Thank you, and good afternoon to you. Dr. Negar Asdaghi:                        Thank you. Shyam, can you please start by telling us how MYRIAD's design was different from prior studies of symptomatic ICAD? And what were the main objectives of the study? Dr. Shyam Prabhakaran:              Sure, so MYRIAD was conceived as a study to really unravel and study the mechanisms of recurrent stroke after symptomatic ICAD presentation. Prior studies, I think, have really helped in many ways, obviously to understand the natural history of the disease, including through clinical trials, where we learned about the different interventions that could be applied, medical and endovascular, through WASID and then SAMMPRIS. However, both of those studies, which provided probably the bulk of information about the disease in multi-center study, did not really focus on mechanisms, per se, understanding it through biomarkers, understanding whether certain subsets of patients have higher or lower risk of recurrence. So, MYRIAD was conceived to try to tackle that particular aspect of research that we felt was understudied. Dr. Negar Asdaghi:                        Yes, thank you. Traditionally, as you mentioned, the location and the degree of stenosis have been considered as important radiographic factors to predict outcomes in symptomatic ICAD. MYRIAD looked at many more imaging biomarkers than just degree of stenosis and the location. Can you please elaborate on those radiographic biomarkers that were included in MYRIAD? Dr. Shyam Prabhakaran:              Yeah. So, again, MYRIAD wanted to explore these imaging biomarkers, and we split them into three categories. One was biomarker of antegrade flow. What would help us understand the amount or volume of flow through a particular diseased artery? And we used quantitative MRA for that, which is a technique that's been around a long time, a phase contrast MR approach, to get vessel-specific flow measurements. And aim two thought of the distal flow beyond the stenosis and aimed to look at two types of imaging biomarkers that might answer the question of flow in the distal territory, one through perfusion imaging. So looking at CT or MR perfusion, but MR was the one that we selected, where we would measure the tissue flow through Tmax measurements, and then the other using TCD, transcranial Doppler, and vasomotor reactivity testing of the distal arterials. So that was aim two. Can we look at those biomarkers potentially as predictors of recurrence? And then the third was emboli detection, so the plaque vulnerability or instability biomarker. So, could we look at distal emboli in the territory and assess its role in predicting recurrence? So, those were really the main biomarkers tied to the objectives of the grant. Dr. Negar Asdaghi:                        Perfect. So, obviously, great, and a comprehensive various biomarkers looking at different imaging predictors of early recurrence. We're excited to hear about your primary results. So, what did your study find? Dr. Shyam Prabhakaran:              So, in MYRIAD, we enrolled 105 subjects who had symptomatic intercranial stenosis at 10 centers across the US. And we were able to track them for both the primary outcome, which was stroke in the territory of the stenosis, clinical stroke at one year, and the secondary outcome, which was radiographic occurrence of new infarcts on six- to eight-week MRI. So that was a prespecified outcome. In the primary analysis of the clinical outcome, we did find a fairly high rate of recurrent events. Roughly 10% of patients in the cohort had a recurrent clinical event at one year, consistent with findings from, say, SAMMPRIS, which with maximum medical or aggressive medical management found a roughly 12% recurrence. So, we were able to confirm that there is a high rate of clinical recurrence. However, none of the biomarkers that we were looking at, quantitative MRA, profusion imaging, transcranial Doppler for BMR or emboli detection were predictors of the clinical outcome at one year. So, that was our main results. Dr. Shyam Prabhakaran:              Our secondary outcome was recurrent infarcts on study-specific research MRIs performed at the sites, and looked for recurrences compared to baseline MRIs that were performed at the time of their index stroke or TIA. So, in this paper, we were really interested in looking at whether there were any specific predictors of recurrent radiographic infarct, and that really was an interest of ours because we did find such a high rate of radiographic recurrence. Roughly 24% of our cohort had a recurrent infarct on brain imaging at six to eight weeks. So, we recognized right away that this is potentially an unrecognized phenomenon, that there's potentially an excess of radiographic events to clinical events. And there could be, obviously, a potential consequence of this radiographic accumulation of disease. Particularly, it might be important to prevent those radiographic occurrences in the future if they are affecting an individual's performance on cognition or even physical function as a result of accumulating lesions. So, we were really interested in seeing whether there were some early predictors of this six- to eight-week recurrence that we saw at a high rate. So, the paper looked at clinical factors, as well as imaging factors, that were available in the MYRIAD cohort, really trying to delve into a model that we could use to identify a subset that is at the highest risk of these early recurrent infarcts. Dr. Negar Asdaghi:                        Right, so very, very important findings. So, just to reiterate for our listeners, one in four patients in your study had evidence of radiographic recurrence despite clinically seemingly having no clinical events. So, this clinical radiographic dissociation would have absolutely gone unnoticed had it not been for these early MR images that were performed in the study. So, I want to clarify this from a pathophysiological standpoint. Is it hypoperfusion, plaque rupture, or both? Based on your results, what is the driving factor in development of new ischemia in symptomatic ICAD? Dr. Shyam Prabhakaran:              So, one of our main findings here, which is reported in this paper, is that those with multiple infarcts at their index stroke, so a pattern on diffusion-weighted imaging that was more than a singular infarct lesion, was a strong, independent predictor of having a recurrent event, recurrent infarct at six to eight weeks. And the part that isn't really highlighted in the paper, but is true, is the other factor that was co-mingled with multi-lesion, multi-infarct and index was borderzone pattern. They were co-linear, and they were essentially the same patients who were borderzone also had multiple lesions. So, one way we've interpreted this, and I can speak to a little bit about the different biomarkers that were studied in addition to the infarct pattern, but one way we've interpreted this is that multi-lesions can probably fall under two subsets. Dr. Shyam Prabhakaran:                           It could either be in this borderzone pattern, where you have multiple lesions due to hypoperfusion mechanisms, typically within either cortical or internal borderzones. And that may be then telling us about a mechanism of low flow. On the other hand, some of these patients could also have scattered lesions that are embolic in etiology and suggest a plaque that was unstable and potentially showered at their index event, resulting in that pattern that we saw. So, both of them probably are mixed in. We're favoring the borderzone because they were so co-linear that that probably was the more likely mechanism. And we're probably concerned that that could also be a factor that leads to early recurrence because flow failure typically is associated with critical hypoperfusion and imminent recurrence. Dr. Shyam Prabhakaran:              But, interestingly, in the paper, we talk about this, none of the specific prespecified biomarkers that were looking at flow, perfusion imaging, vasomotor reactivity were significant by themselves as predictors of recurrent infarct. So, it's a little hard for us to know why. It could be that the technology that we use, perfusion imaging, is still not quite picking up the kind of flow failure that we need to. Maybe it's more subtle than even we found because we looked at different cut points of Tmax and other parameters on perfusion imaging, and yet, we're not able to find a cutoff that was predictive, likewise with vasomotor reactivity. So, it could be that those are not quite good enough surrogates of hypoperfusion. And yet, borderzone or multi-infarct patterns may have been a surrogate of hypoperfusion. So, I think the short answer here is that it could be both mechanisms, plaque instability and hypoperfusion, although we're maybe favoring hypoperfusion because there was a strong co-linearity with borderzone pattern. Dr. Negar Asdaghi:                        Understood. Now Shyam, recurrent events on maximum medical therapy, this is not what we like to hear. Where do you see the future of symptomatic ICAD therapy? Now in your view, is there a role for interventional treatment or other therapies in a select group of ICAD patients? Dr. Shyam Prabhakaran:              I think that's really where we still face real challenges. I think the work done by many of the investigators before us on maximum medical therapy and interventional therapies have found, obviously, that there are some benefits to the medical approaches that we now consider standard of care. The dual antiplatelet therapy, the lipid-lowering therapy, the lifestyle management that SAMMPRIS also implemented and successfully showed some benefits of physical activity. So, those things clearly matter. And yet, the clinical event rate is still very high, and the radiographic event rate is even higher. So, you have this real challenge facing clinicians and patients of a disease that has a very high rate of recurrence, much higher than the other subtypes of ischemic stroke, and certainly higher than, say, AFib patients even, where we sometimes obviously are concerned and adopt strategies to lower risk. So, we are in a position, I think, today where we have to go back to the well and think about novel strategies. Dr. Shyam Prabhakaran:              Now, flow is a component of this, and I do think that SAMMPRIS, albeit now almost a decade ago, tested an interventional approach. It may be worth revisiting interventional strategies. Of course, we know from endovascular therapy for ischemic stroke, try once and fail, and try again, and you might find a different result because technologies get better, practitioners, proceduralists get better. So, that's one angle that I think people are very interested in, is whether or not an interventional approach for flow failure patients is a path forward. And that, I think, will get a lot of attention in the years to come with new studies that are being designed. Dr. Shyam Prabhakaran:              I think the other important point here is that aggressive medical management in the current day and age may still have room for improvement. Maybe the drugs that we're using, especially with DAPT and lipid-lowering therapies, they're not as quick or necessarily universally responsive for every patient. So, we know that about clopidogrel, that there's a certain rate of non-responders. We could probably do better than that with other choices, antiplatelet choices or even anticoagulant choices, which are being considered. And we know that lipid-lowering therapy with statins works well, but perhaps PCSK9 drugs could be considered in this population to lower cholesterol levels even more rapidly and more aggressively. So, all of these, I think, should be on the table as we move forward. Dr. Negar Asdaghi:                        Dr. Shyam Prabhakaran, thank you for joining us on the podcast today. We look forward to having you back here and covering more of your work in the future. Dr. Shyam Prabhakaran:              Thank you for having me. Dr. Negar Asdaghi:                        Thank you. And this concludes our podcast for the June 2021 issue of Stroke. Please be sure to check out the June table of contents for the full list of publications, including an important update from the American Stroke Association and the Stroke Council on how cerebrovascular disease is expected to temporarily fall from the fifth to the sixth leading cause of death in the United States in 2020. Sadly, this is not because of advances in stroke prevention and therapies, but rather because mortality from COVID-19 will displace stroke as a leading cause of death, a grim reminder of the year we put behind us and the many lives lost to this global pandemic. And yet we look ahead with hope, and with the promise that science has the power to resolve and the ability to push the human race forward. Every small step, every question will get us closer to learning more, answering more and knowing more. So, as we end this podcast today, we look forward to asking more at our next, and our promise to stay alert with Stroke Alert. This program is copyright of the American Heart Association, 2021. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, visit AHAjournals.org.

Stacey Owens of the American Stroke Association Utah on Cycle Nation events -- DWR warns drought could bring bear 

If your loved one has suffered from a stroke, you might feel like the train of your life has completely derailed – and is stuck and sinking in thick, sloshy mud. For the most part, strokes occur unexpectedly. This means that for both the person experiencing the stroke, and their loved ones, life seems to change all at once.   Many family members will have to step into the role of caregiver, while still trying to grapple with the loss themselves. If this is the case, you are probably feeling a whirlwind of emotions – from fear and anxiety, to deep sadness, and even grief – as you watch your loved one recover.   We’ve talked before on this podcast about how difficult it is to watch a parent change before our eyes. The role reversal from child to caregiver is not an easy one by any means, and it’s that much harder when we know that our parents are having a difficult time, or that they’ve been through any kind of trauma.   Stroke survivors can suffer from mild or severe changes – but any change, even the seemingly smaller ones – are hard to come to terms with. It’s important to remember – especially if you are stepping into the role of caregiver – that your reactions to these changes are completely normal. You might feel a great sense of empathy and heartache for your parent, while you are simultaneously frustrated and irritated with them. You might ache for things to return to how they used to be, while also cherishing the extra time you’re spending together now. Mixed feelings are completely normal – and we’ll talk in this episode about how you can find a way to let your feelings out, and validate them, while remaining composed, patient, and warm around your parent.   Strokes can be especially difficult grounds for families to navigate, mostly because they are just so unexpected. Many aging adults with other diseases – like dementia or Parkinson’s – show a slow build up to their disease that gives families a little more time to prepare for the future and get a care plan in order.   When a parent suffers a stroke, though, many adult children find themselves scrambling to learn everything they can about what strokes are, how to assemble a care team, where their parent should live, and how to balance caring for their parent with their current occupation and family, all at once. All that while they try to process what has happened on an emotional level and be a source of support for their parent. If it sounds daunting, it’s because it most certainly is.   On today’s episode, our aim is to give you the tools you need so you can make sure your parent is receiving the best possible care, while also making sure that you are too. We’ll talk about the causes and treatments for strokes, caregiving tips and tricks, and how to plan for an uncertain future with your loved one.   Let’s begin with the basics. It’s important to know that strokes can happen to anyone. While the risk of suffering a stroke rises depending on age, health conditions (people with diabetes, high cholesterol, or high blood pressure have an increased risk of suffering a stroke), and family history, the hard truth is that technically, anyone can suffer from a stroke at any time. According to the CDC, about 34% of strokes occur in people under the age of 65.   Nearly 795,000 Americans suffer from strokes each year – and it’s currently listed as the third leading cause of death in the country. Strokes can happen to anyone at any age.   I say this because it’s so important to recognize the warning signs of a stroke before it’s too late. The earlier you can get your loved one to the hospital, the better the outcome will be. Too often, healthy and active people will show warning signs of a stroke and ignore them – thinking that strokes only occur in the obese or the elderly. In fact, one CDC study found that a staggering 55% of respondents did not call 911, even after noticing numbness on one side of their body. Never assume that because your mother or father have been doing well otherwise, that they cannot suffer a stroke. If they complain of a symptom – you must call 911 right away.   That brings me to the warning signs. What are they, anyway? Well, the American Stroke Association describes the warning signs of a stroke as F-A-S-T, or fast.   The F stands for facial drooping. If one side of you or your loved one’s face seems to be drooping or numb, this is a major sign of a stroke. Have your loved one attempt to smile – and if their smile looks a little off, whether it’s lopsided or not happening at all, call 911 immediately.   The A stands for arm weakness. If a person complains of numbness in their arm, or is unable to move their arm, this could be a sign of a stroke. Your parent might complain that their arm doesn’t feel attached, or like it’s a part of them. One woman featured in an American Stroke Association article explained that she woke up thinking there was a “toy in her bed.” That toy turned out to be her numb arm. If one arm is drifting downward when your parent attempts to lift their arms, this is another sign.   The S stands for speech. If your parents’ speech is suddenly slurred or difficult to understand – this is also a sign of a stroke. Have your parent try to repeat a sentence – if they are struggling to do so, do not take this lightly. Call 911.   Finally, the T stands for Time to Call 911. Whether your loved one is experiencing any or all of these symptoms – you need to get them to the hospital right away. The sooner a person can get to the hospital, the better chance they have of a smooth recovery. I cannot emphasize that enough.   Again, the acronym for stroke warning signs is FAST. Facial drooping, arm weakness, speech, time to dial 911.   While a stroke can happen to anyone of any age, there are certain factors that increase the risk. African Americans, for instance, are almost twice as likely to suffer from a stroke than white Americans – and they have the highest chance of death due to a stroke among demographics.   At the same time, underlying health issues such as high cholesterol or high blood pressure can increase the chance of experiencing a stroke.   Other risk factors include age, weight, and even lifestyle. A person who smokes cigarettes and drinks a significant amount of alcohol, for instance, has a higher risk of suffering from a stroke than someone who doesn’t.   While anyone CAN have a stroke at any age and regardless of their lifestyle, a healthy and active lifestyle will reduce the risk severely. Cutting down on alcohol, eating a balanced diet, and exercising regularly are all ways to prevent a stroke. The CDC recommends exercising for at least 2.5 hours a week – whether by hitting the gym or even taking a brisk walk around the neighborhood.   Cutting out cigarettes and limiting alcohol are another way to prevent strokes. Cigarettes greatly increase the risk of suffering from a stroke. Smokers actually have an increased stroke risk of 54% in women and 53% in men, according to the AHA. As for alcohol, binge drinking can raise a person’s blood pressure, making them more susceptible to suffering a stroke.   It is important to note that everyone who suffers a stroke reacts differently. While some may have difficulty swallowing or have a hard time moving, others might suffer fatigue or struggle to communicate. Because the reactions to a stroke can vary so greatly, there is no single type of care that works for every stroke survivor. Make sure to communicate with your loved one’s doctor about how to find the best type of care for your loved one, depending on their needs and requirements.   On that note, when establishing your care team, make sure to consult your parents’ doctors as well as social services to come up with the best plan for the future. Ask whether your parent could benefit from a speech therapist, occupational therapist, or physical therapist. In many cases, a survivor will need at least one of the above to help them through their recovery. These therapists can be monumental in helping your parent regain his or her independence, as he or she learns to speak, walk, or even practice daily living activities again.   Even if your parent seems to have only mild symptoms, you still want to find out whether a therapist would be beneficial. Think about it this way: a person who has been in a car accident might have mild whiplash that makes it painful to turn their neck. That might be their only symptom. They should still see a physical therapist so they can learn to move their neck pain-free again and prevent any future strains that might occur from overuse before the tissue heals.   Once you know what therapies your parent might need, you also need to find out how intensive their care will be. Can they remain mostly independent, or do they need around the clock care? If they do require constant care, are you able to balance your own work and life with being there for them? Look into their insurance plan and find out whether they qualify for at-home nursing care. If they do, this may be worth considering -just so you can maintain a balance between caring for your loved one and caring for yourself. If not, think about how becoming a family caregiver might affect your own finances. Are you able to leave your job? Does your parent have anything in their savings that can help them afford care?   You might find that a nursing home or an assisted living facility is the best option for your loved one. Medicaid will cover a temporary stay in a nursing home – and for many stroke patients, a temporary stay is all that is needed. Again, evaluate with your doctor what they think the healing stages and recovery period will be for your parent.   To learn more about finding the perfect type of care for your loved one, listen to our episode on choosing the right care. There, we lay out all you need to know about the various options out there – including what they cost, how they might affect quality of life, and how to talk to your loved one about their own desires for the future.   If you opt to go the family caregiver route, know that as exhausting and stressful as it can be, it can also be immensely rewarding. Still, many caregivers can feel daunted, frustrated, and even isolated in their new role. So, make sure that you are taking at least a few minutes every day for yourself – to breathe, process, and do something only for you. The more you care for yourself, the better you’ll be able to care for your loved one.   If you have stepped into the role of family caregiver, there are some things that are essential to know and take care of, right from the start. First of all, take note of your parents’ new medications. Know the side effects, the correct dosage, and the exact time that the pills need to be taken. Do they need to be taken with food? Is it normal for your parent to feel dizzy afterward? Also, find out what other medications your parent is taking and consult their doctor to make sure everything is safe to take together. This includes over the counter drugs, vitamin and supplements, and even creams.   Be on the lookout for warning signs of another stroke. Stroke survivors have an increased likelihood of suffering another stroke, so make sure to be as attentive as possible to the warning signs we spoke about earlier. If your parent experiences any numbness, facial drooping, or arm weakness – get them to the hospital right away.   Be aware, also, that falls are common with stroke survivors – especially in the first few months of recovery. Reduce the risks of falls by making sure there are no loose rugs in the house, spills are cleaned up right away, and installing safety rods in the shower, along with gripping mats. If your loved one shows any signs of bruising, bleeding, or pain after a fall, take them to the hospital. If your loved one falls more than twice in a six-month period, get them to a doctor to make sure nothing else is wrong.    Depression is extremely common among stroke survivors. In fact, about 30-50% of stroke survivors suffer from depression during their recovery. Depression can make recovery extremely difficult, as people who are depressed tend to feel lethargic, unmotivated, and easily overwhelmed. Try to prevent depression in your loved one right away by keeping their minds and bodies as stimulated as possible. The stimulation will depend on your parents’ capabilities, but they can include taking them outside for walks, playing games, and engaging in social activities.   If your parent is suffering from depression, there are support groups and counseling services that specialize in helping stroke survivors. It can be enormously helpful for a survivor to know that they are not alone – and to join a community of people who have been through something similar. You can also speak to their doctor about anti-depressants, although medication might not always be an option depending on what other prescriptions your loved one is taking. If medication is not an option, making sure your parent feels supported and loved, and keeping them busy and engaged, should help.   You also need to remember to be patient with your loved one. This is easier said than done, I know. Transitioning into the role of a caregiver can feel completely overwhelming, and you might find yourself getting more irritated and frustrated than usual – especially if you’re feeling impatient with how long the recovery process is taking. It’s completely normal to feel angry or even resentful of the situation you’re in – but keep in mind that this is a major loss for your parent, as well.   The physical and mental limitations that they are suffering can be shocking and heart breaking, and they might be more susceptible to sadness and anger as they learn to cope with their new way of life. Lashing out or acting irritated with your parent will not help the situation – it will more likely make your parent feel more disheartened and disconnected and can even slow their recovery. Patience, positive reinforcement, and encouragement will help your parent to feel stronger, happier, and more motivated in their recovery. Most of all, it will help them feel supported during this incredibly difficult time.   Now, I’m not saying not to let yourself feel. Your feelings are normal, valid, and true to your own experience – and you owe it to yourself to let yourself feel what you need to. The key is to find a place to express yourself away from your parent. Finding a community and support system isn’t just important for your parent – it’s important for you, also. Speak to a counselor, find a support group, or look for a friend who you can lean on when you need it. Venting sessions, advice, and support will be crucial to keeping up your own mental health during this time. Again, the better you care for yourself, the better you’ll be able to care for your parent.   Because a stroke comes on so suddenly, it can feel like the world has turned upside down after your parent experiences one. In many ways, it has. Remember that you are not alone – and with the right preparation and care, you can make the uncertain future as smooth as possible, and get to the other side stronger than ever.    We want to thank you for joining us here at All Home Care Matters, All Home Care Matters is here for you and to help families as they navigate long-term care issues. Please visit us at allhomecarematters.com there is a private secure fillable form there where you can give us feedback, show ideas, or if you have questions. Every form is read and responded to. If you know someone is who could benefit from this episode, please share it with them.   Remember, you can listen to the show on any of your favorite podcast streaming platforms and watch the show on our YouTube channel and make sure to hit that subscribe button, so you'll never miss an episode. On the next episode of All Home Care Matters we will be welcoming the co-founder of AlayaCare to the show – Neil Grunberg. This is an interview you won’t want to miss!   Here are the sources used for this episode: https://www.stroke.org/en/about-stroke/stroke-symptoms   https://whentheygetolder.co.uk/health/health-issues/mobility/how-to-cope-when-your-parent-has-a-stroke/   https://lunchticket.org/five-myths-a-daughters-guide-to-surviving-your-mothers-stroke/   https://www.stroke.org.uk/what-is-stroke/are-you-at-risk-of-stroke#:~:text=A%20stroke%20can%20happen%20to,can%20to%20reduce%20your%20risk.   https://www.jaga-me.com/thecareissue/stroke-home-care-saved-our-family/   https://www.stroke.org.uk/finding-support/caring-for-a-stroke-survivor   https://careinc.com/care-blog/9-ways-to-cope-after-a-family-member-has-a-stroke   https://www.stroke.org/en/help-and-support/for-family-caregivers/15-things-caregivers-should-know-after-a-loved-one-has-had-a-stroke   https://www.goredforwomen.org/en/about-heart-disease-in-women/living-with-cardiovascular-disease/tips-to-combat-depression-after-a-stroke   https://www.webmd.com/stroke/features/stroke-recovery-tips-for-the-caregiver   https://www.visitingangels.com/knowledge-center/why-in-home-care/how-home-care-changes-for-loved-ones-following-a-stroke/372   https://www.healthgrades.com/right-care/stroke/caring-for-a-loved-one-after-a-stroke   https://www.flintrehab.com/how-to-care-for-stroke-patient-at-home/   https://www.cdc.gov/stroke/facts.htm   https://www.cdc.gov/stroke/healthy_living.htm        

This month marks the one-year anniversary of the EMS on AIR Podcast! During this brief episode, we reflect on what we’ve achieved in our first year, as well as what we have planned for the near future.  We’re currently in season 2, which kicked off in October of 2020 with a primary focus on stroke, although we met some new friends along the way that are helping EMS prevent infant sleep related deaths.  Season 2 will return in mid-April and run until June 2021 and we have at least another five to ten episodes lined up.  This includes interviews with experts from the American Stroke Association, Biospatial, CarterKits.com and other cool and interesting people and organizations.  In addition, we will also bring you content focused on the emotional, mental and physical well-being of first responders.  And, of course, we will continue to give you COVID-19 and vaccine updates, as needed. Visit EMSonAIR.com for the latest information, podcast episodes and download the EMSonAIR Impact Report. Follow us on Instagram @EMSOnAIR.Please keep emailing your questions, comments, feedback and episode ideas to the EMS on AIR Podcast team by email at EMSonAIR@gmail.comSupport the show (https://www.patreon.com/emsonair?fan_landing=true)

Dr. Keith Sheth, Professor of Neurology and Neurosurgery at Yale School of Medicine, and a neurologist at Yale New Haven Hospital, as well as a member of the Quality Team at the American Stroke Association, is this episode’s guest.  Strokes affect 1 in 6 people, and while most people generally know what a stroke is, they do not necessarily know what causes them, what the symptoms and signs are, and what recovery can be like for a person who has suffered a stroke.  During this episode, Dr. Sheth explains what causes strokes, what you can do to lower your risk of experiencing one, the research he and his team are doing in this field, and what you should do if you think you are having a stroke.  (0:17). Website:  https://www.stroke.org/

Over the past decade, numerous advances have been made in the treatment of stroke patients. During that time, stroke center designations have evolved. Designating bodies across the US generally recognize four stroke center levels. These four levels have been created in collaboration with the American Heart Association and American Stroke Association. Starting with the highest level of care, they include:Comprehensive stroke centers Thrombectomy capable stroke centersPrimary stroke centersAcute stroke ready hospitalsIn this episode, we sit down with two stroke experts from Ascension Providence Rochester Hospital. Dr. John Whapham, MD, MS, FAAN, FSNIS, the Medical Director of Neuro Interventional Surgery, and Amanda Kalinsky, MS, AGACNP-BC, RN, CCRN, Nurse Practitioner and the Stroke and Neuroscience Program Manager. They are here to discuss what it takes for a hospital to advance its stroke center capabilities and designation. Specifically, their hospital is going through the process advancing from a Primary designation to a Thrombectomy Capable Stroke Center designation. Both guests have experience with advancing a hospitals stroke center designation. They are currently completing the process of advancing from a Primary designation to a Thrombectomy Capable Stroke Center designation. They’ll help us appreciate what it takes for a hospital to advance their stroke center certification. In addition, they’ll give us their opinion on the use of stroke severity scales by EMS to identify and measure potential strokes. Finally, we list and describe key things that every EMS crew should consider each time they encounter a potential stroke patient. Visit EMSonAIR.com for the latest information, podcast episodes and other details. Follow us on Instagram @EMSOnAIR.Please keep emailing your questions, comments, feedback and episode ideas to the EMS on AIR Podcast team by email at QI@OCMCA.org. Support the show (https://www.patreon.com/emsonair?fan_landing=true)

"Dr. Joseph L. Williams is the senior pastor of Salem Bible Church in Atlanta, Georgia. In addition to his pastorate, he is a certified nutritionist and holistic practitioner. Dr. Williams used his knowledge of nutrition to lose 110 lbs. After his weight loss success, he applied his experience and formulated a 40 day holistic process to help others. The American Heart Association and American Stroke Association have partnered with his effort to help more than 3,000 participants achieve weight loss, emotional detoxification and spiritual recalibration. His program The Journey™ has been shared nationally in worship services, conferences, seminars and workshops."   Website:  https://doctorjoesdetox.com/about

Makky Kaylor is a Columbia, TN resident who brings his Memphis birthright to the forefront with a show at his local 'hang' Pucketts Columbia on Oct 29th as his Live from the Swanky South becomes available and all comes together with his inspirational story about overcoming not one but two strokes just a few weeks ago. Oct 29, 2020 is World Stroke Day and this story has real life examples of what to look for and what to do. www.MakkyKaylor.comwww.Stroke.org (American Stroke Association)

: Dr. Martin-Schild graduated from the Tulane University School of Medicine, while also obtaining her PhD in Neuroscience. Dr. Martin-Schild completed a combined internal medicine and neurology residency at Tulane University School of Medicine, followed by fellowship training in Vascular Neurology and clinical research in Vascular Neurology at the University of Texas Health Science Center in Houston, Texas. Dr. Martin-Schild founded and directed the Stroke Program at Tulane Medical Center 2008-2016. She advanced Tulane Medical Center to Primary Stroke Center level in less than 2 years from inception and Comprehensive Stroke Center 3 years later. Her service delivered the highest rate of and most efficient with thrombolytic treatment for ischemic stroke in Louisiana. Dr. Martin-Schild serves as the Statewide Stroke Medical Director for the Louisiana Emergency Response Network. She is the President & CEO of Dr. Brain, Inc., which provides on-site stroke leadership and patient care to hospitals committed to improving or developing stroke programs. She currently serves as the Medical Director of Neurology & Stroke for the New Orleans East Hospital and Touro Infirmary. Dr. Martin-Schild’s research focuses on access to stroke care, racial disparities in outcome, and augmentation of rehab potential with neurostimulants. She has more than 100 manuscripts published in peer-reviewed journals. On behalf of Genentech, a nationwide Stroke Awareness Survey was conducted on March 25 – April 10, 2020 among 2,009 adults ages 35+ in the U.S. BE FAST was developed by Intermountain Healthcare, as an adaptation of the FAST model implemented by the American Stroke Association. Reproduced with permission from Intermountain Healthcare. © 2011 Intermountain Healthcare. All rights reserved. Support for this campaign is provided by Genentech Inc., a member of the Roche Group. © 2020 Genentech USA, Inc. All rights reserved

The Prince of. Sophisticated soul Wilfred "Will" Downing (born November 29, 1963) is an American singer and songwriter.[1] He is married to singer Audrey Wheeler, who was a member of the R&B group Unlimited Touch. Downing enrolled in Erasmus Hall High School in Brooklyn, New York. Alumni of the school include record label executives Clive Davis (who founded Arista Records), Kedar Massenburg (who later became president of Motown), Stephanie Mills and singer Barbra Streisand.[2] Downing, who eventually recorded for Motown, graduated with Massenburg in the class of 1981. Downing then attended college at Virginia Union University in Richmond, Virginia. In the mid-1980s, he moved back to New York City, and worked on albums by Jennifer Holliday, Kool & the Gang, Gerald Albright, Billy Ocean, Regina Belle, Rachelle Ferrell and Mica Paris. Later he sang with Arthur Baker's group, Wally 'Jump' Junior.[1] Downing then used Baker as a producer after he signed with Island Records.In 1988, Downing signed a recording contract with 4th & Broadway Records, and his first solo album, Will Downing, was released that same year. His version of the John Coltrane piece, "A Love Supreme",[1] reached No. 4 on the Billboard Hot Dance Club Songs chart.[3] Downing stayed with 4th & Broadway for just one album and switched to Island Records for his second release, Come Together As One (1989).[1] Switching labels to Mercury for his fourth outing, 1993's Love's the Place to Be, Downing scored his best-selling album to date with about 235,000 copies sold in the United States and over 300,000 copies in the UK.[4] He remained with Mercury for two more albums, Moods in 1995 and Invitation Only in 1997, both of which sold well.[1] All the Man You Need received a Grammy Award nomination for Best Traditional R&B Album in 2000. The album included "When You Need Me", a duet single with Chante Moore.[5] In 2002, Downing received the International Association of African-American Music Diamond Award.[6]In December 2006, Downing suffered from polymyositis.[1] Despite the debilitating aspects of the disease, he worked towards releasing a new album in 2010.[7] Love, Lust, & Lies: An Audio Novel was released in September that year.[1] Beyond performing, Downing is a spokesperson for the American Stroke Association. On tour, he conducts the charity bowling event, Strike Against Stroke, to raise funds towards awareness and education in the African American community, which is disproportionately affected. The American Heart Association recognized Downing for his efforts, honoring him as a Celebrity Ambassador. He is also a keen photographer, and self-published the 2005 coffee table book Unveiled Series I. He is a member of Omega Psi Phi fraternity. He has been married twice. He is currently married to his second wife. He has three children. His cousin is former Boyz II Men member and musician Michael McCary.@willdowning3 https://www.facebook.com/willdowning/ See acast.com/privacy for privacy and opt-out information.

Episode 19 features comedian Lamont Ferguson.   Lamont takes us through his career, his worst show ever, crowd/stage psychology, and touring in Canada. We also discuss Lamont's organization of choice, "American Stroke Association". All episodes are available to watch on YouTube. Search Uncommon Comedy Podcast. Hosted by comedian Brian Apprille.

This episode provides a conversation with Swathi Kiran, the Director of Aphasia Research Laboratory and the Associate Dean for Research at Sargent College. She shared her story with “Constant Therapy”, an App she co-founded for stroke survivors, and how it helps thousands of people around the world. About Constant Therapy: Constant Therapy is an award-winning speech therapy app for people recovering from strokes, traumatic brain injuries, or aphasia, dementia and other speech-language disorders. The app can improve speech, language, cognition, memory, reading, attention and comprehension skills with 65 categories of tasks, over 60,000 stimuli, and 10 difficulty levels. Constant Therapy was designed by scientists at Boston University, has won awards from American Stroke Association and AARP, and is recommended by speech-language pathologists, neurologists and occupational therapists. Exercises are specifically customized for each person's unique needs - so the program adapts to your progress every day. Recent research published in Frontiers of Neuroscience shows that stroke and brain injury survivors using Constant Therapy showed significant improvement in standardized tests and got an average of 4 hours of extra therapy per week. The moderator of the podcast is Dr. Karen Jacobs (kjacobs@bu.edu), who is the Associate Dean, Digital Learning and Innovation, a Clinical Professor and the Program Director for the on-line post-professional doctorate in the occupational therapy program at Sargent College. Marial Williams (marialw@bu.edu), a Boston University entry-level occupational therapy doctoral student, composed the music for the podcast.

May is Stroke Awareness Month. I spoke to a volunteer for the American Stroke Association, David Feinman who is riding his bike from Philadelphia to Florida to raise funds for the organization in the name of his late grandfather – who was a stroke survivor. http://www2.heart.org/goto/NortonGRidehttps://www.heart.org/en/affiliates/pennsylvania/philadelphiaThe COVID 19 pandemic has created a great deal of stress for so many of us. We chat with folks from Human Services Inc. about the mental health services they provide http://www.hsi-cmhs.com/Independence Blue Cross 2020 Celebrate Caring is honoring outstanding nurses in the Greater Philadelphia region. What a perfect time to recognize the outstanding contributions of these health care heroes. I had a chance to interview the top awardees and I'll bring you part one of my interview with Felix Jones, BSN, RN Jeff Salvatore, MSN, RN, CCRN-CMC along with Koleen Cavanaugh Vice President, Marketing at Independence Blue Cross. Prepare to be inspired!https://www.ibx.com/htdocs/custom/celebrate-caring/index.html

May is Stroke Awareness Month. I spoke to a volunteer for the American Stroke Association, David Feinman who is riding his bike from Philadelphia to Florida to raise funds for the organization in the name of his late grandfather – who was a stroke survivor. http://www2.heart.org/goto/NortonGRidehttps://www.heart.org/en/affiliates/pennsylvania/philadelphiaThe COVID 19 pandemic has created a great deal of stress for so many of us. We chat with folks from Human Services Inc. about the mental health services they provide http://www.hsi-cmhs.com/Independence Blue Cross 2020 Celebrate Caring is honoring outstanding nurses in the Greater Philadelphia region. What a perfect time to recognize the outstanding contributions of these health care heroes. I had a chance to interview the top awardees and I'll bring you part one of my interview with Felix Jones, BSN, RN Jeff Salvatore, MSN, RN, CCRN-CMC along with Koleen Cavanaugh Vice President, Marketing at Independence Blue Cross. Prepare to be inspired!https://www.ibx.com/htdocs/custom/celebrate-caring/index.html

Most all of our attention has been on COVID-19 and rightfully so. But strokes and the warning signs need to remain top of mind to ensure the best possible care and recovery. Novant Health nurse practitioner, Courtney Heard joins the conversation to lay out the facts for those that may be at risk as well as stroke survivors who could be at risk for another stroke. We also discuss how COVID-19 fits into this equation and just how much more attention we need to pay to our health and our efforts to remain COVID-negative. May is National Stroke Awareness Month. For more information or education materials on stroke, log onto the American Stroke Association here. You can also check out our three-part series on stroke education to be released this month.

info@podcastone.comac0fa98a-c011-4e8c-a414-c6ab48e9616aWed, 29 Apr 2020 08:58:16 PDT00:18:32The South Florida Sunday Podcast

In this podcast, Dr. Mark Young, a stroke Neurologist with Abbott Northwestern Hospital, discusses current guidelines for ischemic stroke management and care. Enjoy the podcast! Objectives:     Upon completion of this podcast, participants should be able to: Summarize the latest guidelines and management for acute ischemic stroke. Describe current interventional management for large vessel occlusion with thrombectomy. Identify modified Rankin scores and the impacts on stroke patients. Demonstrate an understanding of new timelines to guide therapy such as Diffuse-3 and DAWN trials. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within 2 weeks.  You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: "Stroke Updates: Guidelines and Management for 2018-2019" (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.”    FACULTY DISCLOSURE ANNOUNCEMENT  It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. SHOW NOTES: CHAPTER 1: One large impact on stroke care 2018 is the thrombectomy window expansion time for large vessel occlusion out to 24-hours. https://www.ahajournals.org/doi/10.1161/STROKEAHA.118.023310 Current perfusion imaging available is able to identify core infarct- establish the quantity and mismatch ration of available brain that is salvageable. Futile reperfusion is something that should not be undertaken due to high risk of reperfusion hemorrhage which can ultimately worsen outcomes. Last known well time means exactly that. When was the patient last seen well. So if they go to bed and then come in with a wake up stroke then LKW is when they went to bed. Some studies on wake up strokes showed that the majority developed symptoms 2-3 hours prior to waking up. LKW and wake up stroke are different but can often help us guide therapy. For instances pt goes to bed is LKW time and then wakes up with stroke like symptoms. Perfusion imaging is instrumental in the decision process for these patients often guiding us with further management. The NINDS trials came out in '95-'96. However the bottom line showed - in patients, with ischemic stroke within 3 hours, tPA administration significantly improved HIHSS scores but did not confer survival benefit. https://www.nejm.org/doi/full/10.1056/NEJM199512143332401 Stroke neurologist typically want a call early in clinical course. Don't wait for CT prior to calling. Then when was the last known well time. Blood glucose, blood pressure, PMH and deficits (ie NIHSS), 'what are you observing'. Don't wait on labs - consideration is warfarin. There are trials following the NINDS trial that show evidence that patient with low HIHSS with potentially disabling deficits and rapidly improving stroke improve with TPA treatment and that the hemorrhage rates are lower. Definitely consider treating rapidly improving stroke sxs. With stutter stroke sxs, the clock resets when the patient returns back to baseline. CHAPTER 2: Most stroke centers uses -0-4.5 hours time frame for IV thrombolytics. Absolute and relative contraindications for thrombolytics include: greater than 2/3 MCA territory don't treat as there is little benefit. Patient on warfarin with INR greater than 1.7. Recent stroke or ICH. Endocarditis. Coagulopathy. People on DOACs. Significant thrombocytopenia. There are many more but these are the highlights. American Stroke Association says patient must be off DOAC's for 48-hours before lytic treatment as relative contraindication. Dr. Young's standard conversation with pt who are experiencing a stroke when discussing TPA. First, it is the standard of care, next the chance of hemorrhage is around 6-7%, but Abbott has a much lower rate of around 2.5%. We know that even with that risk patients do much better overall. At 90 days, the chance that the patient will be living independently are much better. 90-day Modified Rankin Scores are standards that we use to measure stroke outcomes. Modified Rankin Scale score of 0 is no deficit, no residual. MR of 1 can do everything you use to do although may still have mild symptoms that patient may notice. MR of 2 - you have some limitations but can live independently and do all ADLs MR of 3 - is dependent with ADLs although can walk with or without a device. MR or 4. Can't walk. MR of 5 - bed bound. MR of 6. DEAD. Some criteria for TPA with lower HIHSS with compelling deficits are #1, what's disabling #2. Others include limb ataxia, aphasia, paresis, dominant hand problem, dysphagia, dysarthria. Controversy Hemianopsia. Greater than or equal to NIHSS of 6 is generally recommended to get a CTA to evaluate for LVO stroke. Imaging generally requires CT/CTA of the head and neck. Always include imaging of the neck. Rapid perfusion imaging for LVO used in Diffuse 3 - (6-16 hours) for the window vs DAWN out to 24-hours. CHAPTER 3: So the order of imaging includes noncom CT head, CTA, CT perfusion. When evaluating the imaging studies we want the core infarct to be less than 70ccs and the ratio of the core infarct to at risk brain penumbra to be greater than 1.8. The use of rapid sequencing MRI has utility for post circulate symptoms, ie vertigo with/out nystagmus, abrupt onset. Generally diffusion weighted gradient echo/T2 flair images looking for blood. Other indications maybe for subacute findings/duration. LVO's that can be intervened on include: anterior communicating, distal carotid or carotid terminus, MCA M1, M2, basilar, distal verts, maybe PCA/P1. Important point if a patient has a LVO lesion and is within the 4.5 hour window at a small rural setting with lytic capabilities and the patient is going to a large tertiary stroke center does the patient still need to receive IV lytic therapy - knowing that the patient will require thrombectomy and answer is YES. No increased risk when using lytic with thrombectomy. A little controversial but we maybe seeing the bypass of non-stroke hospitals specifically with LVO to tertiary stroke centers with a new scoring system that EMS can do called RACE (Rapid Arterial oCclusion Evaluation)  https://neuronewsinternational.com/racecat-trial-update/ CHAPTER 4: After care by the PMD what can we expect from these patients follow a LVO? 90-day Rankin  50% with modified Rankin 2 less to live independently following LVO. 50% of LVO have a 90 mortality. 70-80% will not live independently. Discharge meds for these patients will include DOACs or Warfarin, antiplatelet agents - such as Plavix. Occasionally patient will end up on dual antiplatelet therapy depending on disease state. Stoke mimics that have been given thrombolytics have less than 1/2% chance of hemorrhage.

Cyclenation- https://www2.heart.org/site/TR/CycleNation/ Heart Run and Walk- https://www2.heart.org/ Pam talks about Cyclenation coming up this Thursday at Thrive Athletic Center, The Greatest American Heart Run and Walk, upcoming events, where the money goes from donations for these events and so much more 

Dr. Curiale explains the importance of follow up care after a stroke, recovery treatment options and BMC's recognition from the American Stroke Association for the involvement in Get With The Guidelines® program which helps patients receive the benefits of the latest guidelines-based treatment.

Claudia Mason is a model and actress who has been featured on the covers of all the leading fashion magazines including Vogue, Elle, W. She's also been the face of fashion ads including the likes of Louis Vuitton, Fendi, Versace and more.Bobbi talks to Claudia about her upbringing with brilliant yet eccentric parents, the hurdles she overcame at the start of her career as a young model, and how she found her calling being the spokesperson for the American Stroke Association.Claudia herself is a stroke survivor, having suffered a minor stroke from a freak accident. She has fully recovered but remains devoted to spreading the word about stroke prevention, early signs, and treatment. To learn more visit, www.strokeassociation.org

Inspire Cafe Podcast I had the honor of appearing on Kathy De La Torre's The Inspire Café podcast. She started the podcast to understand what makes a person resilient. She explains her motivation like this: I am fascinated with the stories of human resiliency…. What makes these people tick?  What became their turnaround, ah-hah moment or the trigger that caused them to pivot, shift their thinking and turn away from their dark moment and face the light?  The idea of people actually putting into practice of making lemonade out of their lemons, turning a negative into a positive, is remarkable. This week, I talk with Kathy in detail about my stroke, stroke in general, and why I started this show. It's the latest version of my origin story. I'm truly humbled to be on Kathy's show, especially when I look at the other folks she's interviewed. So after you listen to Strokecast, head on over to The Inspire Café in your favorite podcast app and listen to episode 69. News from ISC19 Neurologists, researchers, and other stroke professionals from around the world got to spend several days in tropical Hawaii in February to learn to more effective treat and prevent strokes at the International Stroke Conference 2019. And presumably to work on their tans and surfing skills in the off hours. A lot of research, reports and news came out of the conference or at least around it. Here are the 10 Topics Opioid epidemic fueling a rise in infection-related stroke AHA/ASA News Room Study Highlights: The opioid epidemic is fueling a steep rise in infection-related stroke hospitalizations. Injecting opioids, such as heroin, can introduce bacteria into the body which travels through the bloodstream to infect heart valves. Clumps of infected tissue can break off and travel to the brain, resulting in stroke. Safety Window for tPA Extended Up to 9 Hours for Ischemic Stroke Neurology Today "In the primary outcome measure, 37 percent of patients treated with tPA in the nine-hour window—including those with so-called "wake up" strokes—achieved a modified Rankin Scale (mRS) score of 0–1 at 90 days compared with 29 percent of patients who were treated with placebo in the Extending the Time for Thrombolysis in Emergency Neurological Deficits (EXTEND) trial (p=0.045), said Henry Ma, MD, PhD, director of physician training at Monash University in Melbourne, Australia. In the secondary outcome measure—achieving a mRS score of 0–2 at 90 days—the milestone was achieved by 51 percent of the patients treated with tPA compared with 43 percent of the patients on placebo therapy (p=0.022), Dr. Ma said in his late-breaker oral presentation. "EXTEND is the first positive thrombolysis trial in an extended time window using automated penumbral imaging," he said. "The current guideline for thrombolysis in acute ischemic stroke is less than 4.5 hours from stroke onset. But advanced imaging studies from our group and others suggest that the ischemic penumbra can exist up to 24 hours after onset and its salvage can lead to improved outcome." No Loss of Thrombectomy Benefit in Late Stroke With Transfer Medscape For patients with a large-vessel ischemic stroke in the late window who were found to have salvageable brain tissue on imaging, transfer from a primary stroke center to a thrombectomy-capable hospital did not affect the benefit of thrombectomy, latest results from the DEFUSE 3 trial show. Home-Based Telerehabilitation for Stroke Patients Is as Effective as the Clinic Neurology Today "In our presentation we showed that telerehabilitation is non-inferior to in-clinic rehabilitation and improves arm motor status," said Steven C. Cramer, MD, FAAN, professor of neurology, anatomy and neurobiology, and professor of physical medicine and rehabilitation at the University of California, Irvine. Cilostazol Prevents Recurrent Strokes in Japanese Study Neurology Today Dual antiplatelet therapy that includes cilostazol appears to reduce strokes in patients who have had a previous stroke and are at high risk of experiencing another, researchers reported here at the 2019 International Stroke Conference. In a late breaker presentation, Kazunori Toyoda, MD, PhD, deputy director general of the Hospital of the National Cerebral and Cardiovascular Center in Suita, Osaka, Japan, said that the combination of cilostazol plus either aspirin or clopidogrel was superior in preventing another stroke than either clopidogrel or aspirin alone. Flu-like Illness Linked to Stroke, Cervical Dissection Medscape Having an influenza-like illness (ILI) is associated with an increased risk of ischemic stroke on the order of 40%, regardless of sex, race, or geographical setting, new research suggests. "The study shows that influenza-like illness increases the risk of stroke, particularly in the first 30 days," study author Amelia Boehme, PhD, assistant professor, Epidemiology and Neurology, Columbia University, New York City, told Medscape Medical News. e-Cigarettes Linked to Increased Stroke, MI Risk Medscape Among more than 400,000 respondents older than 18 years from the 2016 Behavioral Risk Factor Surveillance System (BRFSS) survey, almost 66,800 reported having ever used e-cigarettes. Study results showed a 71% higher risk of experiencing a stroke, a 59% higher risk for an MI, and a 40% higher risk for angina or coronary heart disease (CHD) for the e-cigarette users compared with nonusers. Users also had twice the rate of smoking regular cigarettes. Marijuana, cocaine could play role in stroke increase among young adults AHA Website The vast majority of strokes occur in people over 65, but the number of younger adults having strokes is rising. New research suggests growth in illegal drug use could be playing a role. Past research has shown higher cardiovascular death rates for young adults who used cocaine or marijuana. But the new study, presented this week at the American Stroke Association's International Stroke Conference in Honolulu, investigates trends in illegal drug use among 18- to 54-year-olds who had a stroke. Researchers looked at 20 years of drug tests and self-reported data involving more than 2,200 young adults who had a stroke in greater Cincinnati and northern Kentucky. While alcohol and cigarette use in the stroke victims remained stable over the two-decade study period, drug use rose dramatically, from 4.4 percent in 1993-1994 to 30.3 percent in 2015. Countries with Dirty Air have more stroke deaths AHA/ASA Newsroom In a nationwide study, counties with dirtier air had higher rates of stroke deaths and shorter life expectancies, according to preliminary research to be presented in Honolulu at the American Stroke Association’s International Stroke Conference 2019, a world premier meeting for researchers and clinicians dedicated to the science and treatment of cerebrovascular disease. Researchers examined the average yearly levels air pollution (PM2.5) that contains fine inhalable particles. Produced by diesel engines and the burning of coal, biomass and kerosene, this type of air pollution has previously been shown to enter the circulatory system and harm health. Fluctuating blood pressure after stroke could mean higher risk of death AHA Website A new study, presented this week at the American Stroke Association's International Stroke Conference in Honolulu, delved deeper into the topic by researching whether increased blood pressure variability after a stroke is associated with risk of death. Researchers looked at data from 1,947 patients who had four to five blood pressure readings in the 24 hours after a stroke. After adjusting for various factors, they found that patients with more variation in their systolic blood pressure, the top number in the measurement, had a higher risk of death within 90 days. Dr. Adam de Havenon, the study's lead author, said the results reinforce the importance of blood pressure variability as a risk factor for poor outcomes after a stroke. Hack of the Week On the rare occasion I really clean the living room, I find random pills under the couch. The get there after making a run for it as I move them from prescription bottles to pill organizers. Bowl Cozys solve this problem for me. A bowl cozy is a curved lightly bowl shaped quilted piece of fabric. Their main use is for eating soup. You put your hot bowl of soup in it and then you can pick it up without burning your hands. You can find them on Amazon, Etsy, and at street fairs around the country. You can also finds patterns so you can make your own. When I fill my pill organizer, I start by pouring pills into a bowl cozy. Then I can put them in the organizer chambers one by one. Then I put the lefty overs back into the pill bottle and move on to the next med. And I don't lose pills anymore. Where do we go from here? Review the articles linked above for more details and to form your own analysis.  What do you think of this type of discussion? Let me know in the comments below. If you find this interesting, subscribe to Strokecast for free in your favorite podcast app. Don't get best…get better

Listen now as Patrick Horine explains how he brought much-needed change and innovation to hospital accreditation!   At SAMC we have spent a considerable amount of time working in healthcare organizations and with healthcare clients. When I spoke recently at the 2018 Society for Healthcare Strategy and Marketing Development (SHSMD) conference, I was approached by a woman who wanted to tell me about an inspirational leader, Patrick Horine, President of DNV GL Healthcare. I followed up with Patrick and was in awe of what he and his company are doing—namely, changing the way we are going to be evaluating and accrediting healthcare institutions in the future. Isn’t that a huge “Blue Ocean Strategy”? Bring Blue Ocean Strategy to healthcare big time Patrick is trying to open a new market space by adding value innovatively, creating something new—not just disrupting what is in place today, but seeing it with fresh eyes. The problem with healthcare isn’t what it was. Neither is the solution what we thought we could do in the past.  DNV GL Healthcare is the second-largest hospital accrediting body in the United States, certifying more than 500 hospitals in 49 states that participate in the Medicare program. It is also the fastest-growing accrediting body in the industry.  Based on his experiences as a hospital administrator, Patrick saw that the process by which hospitals were accredited was seriously flawed. essentially, it failed to provide a framework for hospitals to actually improve the quality and safety of the care they provided. His innovative idea of a totally new approach to accreditation is especially important today, when regulatory bodies and media are questioning the validity of the decades-old approach to compliance.  Here are some of the questions and Patrick’s answers that are the core of our conversation:  1. Patrick, why are you so passionate about the accreditation process, and what is the approach to accreditation that DNV GL uses? The earlier part of my career found myself working in hospitals. I was a student at Purdue University, did not spend enough time studying, and was asked to leave. I wound up taking a job at a local hospital and discovered immediately this was what I wanted to do. I finished up college in less than four years, got a master’s degree and would up as a hospital CEO at the age of 29. The work I did in that role with accrediting bodies drove me to want to improve the process. I saw too many surveys that focused on “gotchas” for minor offenses, as opposed to improving the overall quality of the operations—and therefore the patient outcomes. I wanted to re-imagine the process of accreditation as a collaborative effort rather than an adversarial one. I formed what is now known as DNV GL Healthcare with my mother-in-law, starting in the basement of my home. It required years of persistence, but it is now paying off. DNV GL uses ISO 9001 quality control protocols, a quality approach that is used across the world. DNV GL adapted ISO from the manufacturing sector and applied it to hospitals, within the framework that hospitals are required to follow in order to participate in the Medicare program. 2. The spotlight has been placed on accrediting bodies as of late. What issues are you trying to address by revamping the accreditation process? Questions have arisen about the old model of accreditation. That’s why I wanted to ensure that accreditation did not merely consist of hospitals trying to pass their onsite surveys to get the surveyors out of the hospital for the next three years...which I can tell you, was often the attitude surrounding those accreditation visits. Instead, I wanted to change the mindset of hospital executives and their staff so they were driven to improve their overall operations and constantly think about how they can make the delivery of healthcare services better. DNV GL’s surveys occur every year as opposed to every three years, which keeps hospitals on their toes. They are also encouraged to self-audit on an ongoing basis to determine how best they can improve their processes. I also wanted to ensure that the hospital and accreditation staff were in a collaborative relationship rather than an adversarial one. By positively engaging with the hospitals, we become partners in their ongoing quest for improvement. 3. Which clients are benefiting from the change? These are very relevant case studies on how the changes can become part of the “way we do things” and not something you avoid doing. Overall, our hospitals are seeing improvement in lower readmission and higher patient satisfaction ratings. Let me give you some examples of how hospitals are improving their services: Sentara Halifax Regional Hospital in Virginia found that they were essentially ordering restraints for every patient in the ICU. Their people took a step back and worked on how they could improve their policies. Using ISO 9001 as a basis, they introduced very specific criteria as to when restraints should be used. As a result, they all but eliminated the use of restraints at the hospital. Despite this dialing back, the number of patients who extubated themselves—pulled out critical tubes that endanger their lives if they don’t remain inserted—also dropped dramatically. Charleston Area Medical Center in West Virginia was able to greatly improve its treatment for strokes. That’s a particularly daunting concern in West Virginia, where the rate of strokes is nearly 40% higher than the national average. It more than quadrupled the number of patients who received clot-busting drugs for ischemic strokes in a timely fashion, and also opened up a telestroke program to ensure patients receive care immediately even if there is not a neurologist in the hospital. As a result, it has received multiple awards from the American Stroke Association. CoxHealth, a hospital system in Missouri, started a program focused on reducing patient re-admissions. It embedded a social worker in its emergency rooms and trained local paramedics to conduct home visits of recently discharged patients to help address their medical, behavioral and social needs. Some of the hospitals saw a nearly 20% drop in their readmission rates as a result. 4. Why is it that hospitals and healthcare systems have some issues making these kinds of changes, even though care may wind up improving in the end? As you know, change—particularly corporate culture change—is an area where we focus a lot of our work. Naturally, there is always some resistance in large healthcare institutions where major change is afoot. However, many of our client hospitals have decided to change accrediting bodies because they were tired of doing it the traditional way. They wanted change; they had heard that DNV GL is a change agent, and that is why they made the switch. Our client hospitals do sometimes have issues regarding making major changes to make them better providers. However, they also have to become ISO 9001-certified within three years of DNV GL providing its first accreditation. That helps to institute a mindset where they are more willing to embrace change. Many of our client hospitals may initially think it can be more challenging working with DNV GL than other accrediting organizations because of the push for continuous improvement, but they are almost always pleased with the results. 5. What do you see in the future for hospital accreditation and hospital operations? Hospitals will be under increasing pressure to demonstrate that they are improving outcomes and patient safety. They will also be facing new operations challenges like precision medicine and the use of artificial intelligence in delivering and monitoring care. Now more than ever, they need a system that enables them to quickly identify and remedy problems, and to put in place processes that solve problems, permanently. We are there to help them find these solutions. If you would like to connect with DNV GL and Patrick Horine, as well as his exceptional staff of talented individuals, you can reach them at: patrick.horine@dnvgl.com or 866-523-6842.  If your organization wants to make a change toward continuous quality improvement in collaboration with their accrediting body, or just wants some information about our company, please reach out. Some background on Patrick Patrick Horine serves as the President and Chief Executive Officer of DNV GL Healthcare and is responsible for the North American healthcare business of DNV GL, which includes a growing portfolio of standards-driven accreditation and certification services. Patrick was part of an entrepreneurial team that created and brought to market the first new hospital accreditation program in the United States since the 1960s when Medicare was started. This program, the DNV GL National Integrated Accreditation of Healthcare Organizations (NIAHO®), has attracted more than 400 hospitals, and is recognized for its unique design, which integrates Medicare compliance with the ISO 9001 Quality Management System. Patrick has more than 25 years of healthcare management experience and has held various leadership positions in hospitals including Chief Executive Officer, Chief Operating Officer and Vice President for Quality and Business Development. He has a Master’s Degree in Hospital and Health Administration from Xavier University. To know more about this area, here's a great start: An On The Brink podcast you will love: Rick Harris—Shouldn't You Want to Delight Patients and Deliver Care? Case study: Charleston Area Medical Center: Improving Stroke Care  Case study: CoxHealth: Improving Patient Readmissions  Case study: Sentara Halifax Regional Hospital: Reducing Use Of Patient Restraints  Additional resources: My book: "On the Brink: A Fresh Lens to Take Your Business to New Heights" Our website: Simon Associates Management Consultants  Download the 1-page synopsis of my book, "On the Brink: A Fresh Lens to Take Your Business to New Heights" here

Tara Bradford is a Publicity Strategist, Reputation Designer, and Communications Expert. She incorporates her background in cognitive neuroscience, biochemistry, psychology principles, emotional intelligence, and neurolinguistics to help individuals develop a strong personal brand that is in integrity with who they are so they can build a global audience of the exact people who need to hear their message. We discuss: What nursing and being a publicity strategist have in common [2:32] What’s necessary to remove and reveal in order to build trust, especially in a life-or-death situation [5:43] The types of publicity that would best fit different businesses and individuals [11:28] Why you should keep doing what’s working when you hit a plateau [14:20] Strategic levels of trust when trying to get more traffic in the door [18:01] Three ways in which Tara achieves consistent revenue, avoids low season situation and does what she loves [23:14] Why nobody smashes the plateau alone [26:22] Tara has worked with anyone from startup founders to Fortune 500 executives to help them become the face of their companies, increase their visibility, take ownership of their influence so it can be used to make a difference, and build credibility online. She is passionate about helping the world feel more connected and believes that the key to doing so is to inspire each of us to believe we are the center of influence through service of others. She is an International Speaker on topics that address diversity and inclusion and she sits on the Executive Board of a division of the American Stroke Association. Her work has been featured in Forbes, HuffPost, ThriveGlobal, Bustle, Talk Radio NYC, TEDxLincolnSquare and more! Learn more about Tara at Facebook (http://www.facebook.com/tararaebradford.co) . Brief Description of Gift How to get noticed online: A Publicity Checklist URL for Free Gift www.tararaebradford.com/pr-checklist (http://www.tararaebradford.com/pr-checklist) Facebook Twitter LinkedIn 46Shares

Tara Bradford is a Publicity Strategist, Reputation Designer, and Communications Expert. Tara has worked with everyone from start-up founders to Fortune 500 executives to help them become influential leaders, increase their visibility, and build credibility online. She is passionate about helping the world feel more connected and believes that the key to doing so is to inspire each of us to believe we are the centre of influence through service of others. She is an International Speaker on topics that address diversity & inclusion and she sits on the Executive Board of a division of the American Stroke Association. Her work has been featured in Forbes, HuffPost, Thrive Global, Bustle and more! https://www.tararaebradford.com/ Five day publicity challenge https://www.tararaebradford.com/pr-checklist

Guest: Dr. Benjamin Atchie, a member of the Neurovascular Team at Swedish Medical Center and Stroke survivor Mary Ann Orr Did you know one in six of us will experience stroke in our lifetime? And there are an estimated 17 million strokes worldwide each year?  For World Stroke Day on October 29, the American Stroke Association is educating on the F.A.S.T. warning signs and bringing together stroke survivors, caregivers and healthcare professionals to show that there is life – and hope – after stroke.  For more information on World Stroke Day, visit the American Stroke Association's website at www.strokeassociation.org/worldstrokeday.  See omnystudio.com/listener for privacy information.

Enjoy Rick Crandall's interview with Jason Kleinhelter, he is an AHA volunteer and the parent of a child stroke survivor.  He shares some of his personal story around stroke and some stroke information. Enjoy! May is American Stroke Month American Heart Association/American Stroke Association invites Denver  to join Together to End Stroke® During American Stroke Month in May, the American Heart Association/American Stroke Association encourages Colorado residents to join together to end the fifth leading cause of death in the U.S. Despite striking more than seven million adults in the United States annually and being a leading cause of serious, long-term disability, globally, stroke is largely preventable and treatable.  Normal blood pressure is below 120/80 mm Hg.  Nearly half of all adults in the U.S. have high blood pressure, according to recent AHA/ASA Hypertension Guidelines, which redefine high blood pressure as 130/80 mm Hg.  Eating healthfully, being active and, for some stroke survivors, following an aspirin regimen can help prevent another stroke. Education is also key when it comes to treating stroke.  Immediate medical care is crucial to access life-saving treatment in many cases. The American Stroke Association’s Together to End Stroke® initiative, sponsored nationally by Medtronic, teaches the acronym F.A.S.T. to help people to recognize the most common stroke warning signs and what to do if one occurs: ·         F - Face Drooping: Does one side of the face droop or is it numb? Ask the person to smile. ·         A - Arm Weakness: Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward? ·         S - Speech Difficulty: Is speech slurred, are they unable to speak, or are they hard to understand? Ask the person to repeat a simple sentence like, “The sky is blue.” Is the sentence repeated correctly?  ·         T - Time to call 911: If the person shows any of these symptoms, even if the symptoms go away, call 911 and get them to the hospital immediately. Stroke facts: ·         About 800,000 (approximately 795,000) people in the U.S. have a stroke every year, with about three in four being first-time strokes. ·         Someone in the United States has a stroke every 40 seconds.  Every four minutes, someone dies of stroke. ·         Stroke is the number five cause of death in the U.S., killing more than 140,000 people a year (140,323) in 2015.  That’s one in every 20 deaths.  ·         Stroke is a leading cause of long-term disability and the leading preventable cause of disability. Stroke, or vascular dementia, is also a leading cause of memory loss. ·         80 percent of strokes can be prevented. ·         What’s good for the heart is good for the brain. The American Heart Association recommends following “Life’s Simple 7” to achieve ideal health: don’t smoke, be physically active, eat a healthy diet, maintain a healthy body weight, and control cholesterol, blood pressure and blood sugar. For more information about stroke or American Stroke Month, follow #StrokeMonth on social media or visit StrokeAssociation.org/strokemonth. About the American Stroke Association The American Stroke Association is devoted to saving people from stroke — the No. 2 cause of death in the world and a leading cause of serious disability. We team with millions of volunteers to fund innovative research, fight for stronger public health policies, and provide lifesaving tools and information to prevent and treat stroke. The Dallas-based association officially launched in 1998 as a division of the American Heart Association. To learn more or to get involved, call 1-888-4STROKE or visit StrokeAssociation.org. Follow us on Facebook and Twitter.

Join host Amy Zellmer of Faces of TBI as she chats with author and stroke survivor, Mark Moore. Mark is a philanthropist and successful businessman. Along with his wife Brenda, a former nurse, Mark has established the Mark and Brenda Moore and Family Foundation, through which he supports advances in healthcare, education, culture and the arts, and Christian evangelism. Prior to engaging full time in his philanthropic work, Mark was Chief Operating Officer and co-owner of Segovia, Inc., a leading provider of global internet protocol services to the US Defense Department. Mark is also the Mid-Atlantic Ambassador for the American Stroke Association and the author of the memoir A Stroke of Faith, which is now on sale. Mark’s new memoir (FaithWords, on sale now), follows his journey from successful businessman to unexpected stroke victim and survivor.  In May 2007, Mark was hit in quick succession by two nearly fatal strokes at the age of 46 and spent a month in a medically-induced coma. Now, almost ten years later, he has made a near-full recovery due to intense rehabilitation, the expertise of caregivers, and what he calls the three Fs: family, friends, and faith. Now retired, Mark spends his days educating people about stroke prevention and awareness, sharing his inspirational story with those who have suffered strokes and other traumatic ailments, and giving back to his community. Purchase his book on Amazon: http://amzn.to/2qNrqz5 Episode sponsored by: Minnesota Functional Neurology

Director of Programs at Durham Center for Senior Life Liz Lahti discusses how she promotes healthy, active lifestyles for seniors. Linda King with the American Hearth Association and American Stroke Association talks about the dangers of heart disease and how to keep track of the health of your heart.

Director of Programs at Durham Center for Senior Life Liz Lahti discusses how she promotes healthy, active lifestyles for seniors. Linda King with the American Hearth Association and American Stroke Association talks about the dangers of heart disease and how to keep track of the health of your heart.

Stroke Survivor, Cyclist, AND U.S. Paralympian. When Billy was 15 years old he was diagnosed with a rare and life threatening brain abnormality that required surgery. Doctors mentioned to Billy that a stroke could be a side effect of my surgery and two short years later, at the age 17, he suffered from a stroke. The stroke was unique in that it was a slow and regressive process. Every morning he woke up with a new symptom. One day it was not being able to tie his shoes, or brush his teeth, and eventually he couldn’t walk. Doctors couldn't say if the stroke was going to stop or what physical condition he would be left in. After four weeks of symptoms it stopped and left him with his full left side neurologically paralyzed. His full and active life changed right there in that moment. In 2011 Billy got on a bike while attending a Para-triathlon camp. He decided to dedicate his life to training as a cyclist for the Paralympics. In July of 2016, he secured the top overall spot among male two wheel upright cyclists, and grabbed his ticket to Rio de Janeiro. Billy competed in three events during the 2016 Paralympics in Rio de Janeiro—two on a track and one on the road. He aspires to be a four-time Paralympian, competing not only in 2020 but also in 2024 and 2028 and believes that this stroke has been a gift in his life to enable him to be stronger than he ever imagined. Stroke Month Talking Points: Learn more about stroke prevention and awareness at www.strokeassociation.org. May is American Stroke Month! Join the American Stroke Association in learning to recognize the signs of a stroke F.A.S.T – Face Drooping, Arm Weakness, Speech Difficulty and Time to Call 9-1-1. What’s good for your health is good for your brain. The American Stroke Association recommends following “Life’s Simple 7” to achieve ideal health: don’t smoke, be physically active, eat a healthy diet, maintain a healthy body weight, and control cholesterol, blood pressure and blood sugar. Do you have a loved one who has had a stroke? While stroke threatens millions of lives, it is largely preventable, treatable and beatable. (80% of strokes are preventable.) Controlling your blood pressure is the #1 controllable risk factor for preventing stroke. Check your blood pressure on a regular basis and know your numbers to prevent a stroke from happening to you. Stroke is the No. 5 cause of death in the United States. That’s 1 in every 20 deaths. Every 40 seconds someone in the US has a stroke. Every four minutes, someone dies of stroke. Stroke is the leading cause of disability in the U.S.​

On this episode of Utah Weekly Forum, Your Host Rebecca Cressman talks with Dr. Nabeel Chauhan, Vascular Neurology Fellow at The University of Utah, and Laura Western, Executive Director at The American Heart Association and American Stroke Association, about ways to keep your heart and brain healthy with 7 simple steps, also signs and ways to help if a stroke occurs. Plus "Striking Out Stroke" an event on May 18th at The Gallavin Center in Downtown Salt Lake. See omnystudio.com/listener for privacy information.

Stroke is the fifth leading cause of death and the leading cause of adult disability in the United States, according to the American Stroke Association. High blood pressure is the most important risk factor for stroke. For the eighth consecutive year, Manatee Memorial Hospital has received the Stroke Gold Plus Performance Achievement Award from the American Heart Association/American Stroke Association's Get With The Guidelines® program.In this segment, Dr. Ralph Gonzalez, Neurologist and Medical Director of the Stroke and Cerebrovascular Center at Manatee Memorial Hospital gives vital information about the Stroke and Cerebrovascular Center at Manatee Memorial and the importance of recognizing the signs of stroke so that treatment can begin and outcomes may be better.

Claudia Mason is a supermodel, actress, producer and now author, of her first book, FINDING THE SUPERMODEL IN YOU, The Insider's Guide to Teen Modeling. She believes that regardless of your weight, health, size, religion or nationality, there is a supermodel in all of us. Discovered at age thirteen, Claudia later went on to become one of the world's top models, working with many top designers including Yves Saint Laurent, Karl Lagerfeld, Versace, Armani, Oscar de la Renta, Valentino, Marc Jacobs and Calvin Klein and has lived an interesting journey from unknown to supermodel. She has been featured on the covers of such magazines as Vogue, W, Elle, Cosmopolitan, Mademoiselle and numerous foreign publications, starred in prestigious fashion campaigns and worked with many of the world's greatest fashion photographers. She also appeared on television as a guest star on CSI: NY, as well as on ABC's October Road, to name a few. She is a spokesperson for the American Stroke Association and is devoted to spreading the word about stroke prevention, early signs, and treatment. Visit http://claudiamason.com. Get the Off the Grid Into the Heart CD by Sister Jenna.  Like America Meditating & on Twitter.  Download our free Pause for Peace App for Apple or Android.

I'm excited to have with me today, a fellow member of LeadBoston class of 2015. LeadBoston is an executive education program, that focuses on the inner workings of Boston and socially responsible leadership. I met my guest initially through his work at Fenway Institute which was launched in 2001 by Fenway Health as an interdisciplinary center for research, training, education and policy development focusing on national and international health issues, especially related to the lesbian, gay, bisexual, and transgender communities. Currently, he is the Vice President of Multicultural Initiatives and Health Equity at the American Heart Association and American Stroke Association, where he is focused on engaging and cultivating community partners in the fight for equitable health outcomes within communities of color. Please join me in welcoming Benjamin Perkins. Visit www.OntheSchmooze.com for show notes and related links.

London Rosiere is the founder of SoulGrow and Head Kid at Camp SoulGrow. She is passionate to offer creative opportunities for people to find inspiration and strength within themselves. She strives to give hope and show limitless possibility for all people! SOULGROW is a registered Not-for-Profit Corporation in the State of New York under Camp SoulGrow, Inc. We are a public charity under section 501(c)(3) of the IRS code. SOULGROW is a no-fee, donation-operated, volunteer-run, workshop camp offering creative learning experiences & adventures to inspire people and develop confidence by utilizing community artists and local businesses as their mentors. Barbara Poliwoda is a 20 year veteran with the American Heart Association. She is the Regional Director for the major events in The Hamptons, Hamptons Heart Ball, Healing 5k and Heart Ride. The American Heart Association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. Founded by six cardiologists in 1924, our organization now includes more than 22.5 million volunteers and supporters. We fund innovative research, fight for stronger public health policies, and provide critical tools and information to save and improve lives. Our nationwide organization includes 156 local offices and more than 3,000 employees. We moved our national headquarters from New York to Dallas in 1975 to be more centrally located. The American Stroke Association was created as a division in 1997 to bring together the organization’s stroke-related activities. Jean Shafiroff, philanthropist, is actively involved as a volunteer fundraiser and leader of several charitable causes. Her managerial skills, compassion, generosity and enthusiastic dedication are among her strongest traits. She possesses a remarkable ability to connect different charitable groups with interested people and resources. Jean’s particular interests include charities related to women, health care, animals and the people of the cities she calls home. She is "New York's Queen of Philanthropy.

Finding the Supermodel in You with Supermodel, Actress, and Author Claudia MasonAired Wednesday, 6 April 2016, 3:00 PM ETJoin us for this “WISDOM WEDNESDAY” at 12pm PST / 3pm EST on INSPIRED LIVING with MARC & KIM on OM TIMES RADIO: http://omtimes.com/iom/shows/inspired-living/Whether you are navigating your social circle, going on a job interview or meeting a blind date, we all want to perfect that first impression. Learning how to exude confidence, professionalism and charm may seem daunting – but now it’s easier than ever, thanks to supermodel Claudia Mason.Discovered at age thirteen, Claudia has since become a successful supermodel, actress and producer, living the journey to happiness and success. In her debut book, Finding The Supermodel In You: The Insider’s Guide to Teen Modeling, Claudia shares a wealth of insights serving as expert guidance for building and maintaining self-confidence and high self-esteem, moving past negativity and helping cultivate your image for success.To kickoff her career, MTV hired Claudia to host their fashion special, “Fashionably Loud”, and was also featured in Woody Allen’s film “Celebrity”. However, it was her appearance in Enrique Iglesias’ music video for the song “Rhythm Divine” that landed her roles in a few independent films, and a leading role in the independent feature film OUTPATIENT. Claudia’s theatre credits include TWO SHIPS PASSING for which she was named Outstanding Female Actor in a Lead Role by Reviewplays.com, and also appeared on television as a guest star on CBS’s CSI: NY, and How I met Your Mother; on Fox’s Kitchen Confidential, as well as on ABC’s October Road amongst others.Recently she was named a spokesperson for the American Stroke Association. She herself is a stroke survivor, having suffered a minor stoke from a freak accident. Claudia has fully recovered but remains devoted to spreading the word about stroke prevention, early signs, and treatment. She lives in New York City. http://claudiamason.com/~~~INTERACT WITH INSPIRED LIVING RADIO (ILR) EVERY WED~~~Feel free to post your personal questions (or private message us) on the INSPIRED LIVING RADIO (ILR) FACEBOOK OR TWITTER accounts (@inspired4us), and we will bring them live to air! This is a great way to interact with the LIVE show, Marc & Kim, along with celebrity guests!Facebook Group Page – INSPIRED LIVING RADIO: https://www.facebook.com/groups/953052554715269/Twitter Page or Follow us @Inspired4Us: INSPIRED LIVING! https://twitter.com/Inspired4UsGoogle+ Communities Page: INSPIRED LIVING! with Marc & Kim https://plus.google.com/u/0/communiti…/111118826880689715612Instagram Page or Follow us @Inspired4Us: INSPIRED LIVING https://instagram.com/inspired4us/

According to the American Stroke Association, on average, someone in the United States experiences a stroke every 40 seconds. It's the leading cause of adult disability in the United States. Catherine Lang, director of the Neurorehabilitation Research Laboratory and professor of physical therapy, neurology, and occupational therapy at the School of Medicine at Washington University in St. Louis, wants to improve the ways that doctors and physical therapists help people recover from stroke. In this week's podcast, she shares some dramatic findings from one ongoing experiment.

NBA All-Star Paul George was only 6-years-old when his mother suffered a stroke. They share their story to teach others the stroke warning signs.

Gospel singer Latice Crawford and Dr. Rani Whitfield will share information about Most Powerful Voices gospel singing competition and stroke, the nation’s fourth leading cause of death and No. 1 preventable cause of disability. The gospel singing competition is part of the American Stroke Association’s Power to End Stroke cause campaign aimed at African-Americans, who are disproportionately affected by stroke. For more information please visit www.mostpowerfulvoices.org  A storefront preacher's daughter, Latice Crawford got her start singing in her cousin's choir. The New York landscape, where she often times gathered inspiration, allowed her to explore her creative capacities - writing, designing fashion and perfecting her signature sound.  Latice is gearing up for her highly anticipated debut release with RCA Inspiration which was released on January 28, 2014. Dr. Rani G. Whitfield, is a Board Certified Family Physician with a Certificate of added qualification (CAQ) in Sports medicine, and a national volunteer spokesperson for the American Heart Association/American Stroke Association. He currently owns a private practice in his native Baton Rouge, LA. 

This week on TALK! with AUDREY: DR. DEMETRIUS K. LOPES, Neurosurgeon and National Spokesperson, American Heart Association/American Stroke Association is my guest. One in six people worldwide will have a stroke in their lifetime. In the United States alone, someone has a stroke every 40 seconds.

This week on TALK! with AUDREY: DR. DEMETRIUS K. LOPES, Neurosurgeon and National Spokesperson, American Heart Association/American Stroke Association is my guest. One in six people worldwide will have a stroke in their lifetime. In the United States alone, someone has a stroke every 40 seconds.

Special Guest: Cheryl 'Salt' James of the rap trio Salt-n- Pepa.They released five studio albums. They were the first female rap act to have gold, platinum, and multi-platinum albums, and the first female rap act to win a Grammy. Special Guest: Dr. Rani Whitfield (Tha Hip Hop Doc).Rani G. Whitfield, M.D., a board certified family physician with a Certificate of Added Qualification in sports medicine, has become known as "Tha Hip Hop Doc" or "H2D" to many of the young adults in his hometown of Baton Rouge, Louisiana where he practices medicine. http://www.h2doc.com/landing/ The American Stroke Association has teamed up with Cheryl “Salt” James of Salt-n-Pepa on a new youth music video project to increase awareness about stroke in America.  Salt and Dr. Whitfield are judges for the Hip Hop Stroke Video Competition (open to kids ages 10 to 15 and runs now through Sept. 21). http://www.strokeassociation.org  A free, educational hip hop stroke song, Enlighten the World on Stroke, was commissioned by the American Stroke Association specifically for the video competition.  Go here to download the song: http://annex.citizenglobal.com/app/custom/americanheart/files/Mattie_B_Enlighten_The_World_On_Stroke.mp3 The grand prize winner will get to meet Terrence J. of BET's 106 & Park TV show.

Every 40 seconds, someone in America has a stroke. According to the American Stroke Association, it is the fourth leading cause of death. Yet people can take steps to help prevent a stroke and to reduce the severity of damage once a stroke occurs. In this discussion, Dr. Ray Reichwein, co-director of the Penn State Hershey Stroke Center, outlines the types of stroke as well as their causes, symptoms and treatments. Visit the Penn State Hershey Stroke Center website for more information >> Read The Medical Minute: Solitaire for stroke – It’s not a game >> Stroke In-depth Report from the Penn State Hershey Health Library >> Click on the iPod icon above or the direct download link below to hear the show. Right-click to save the file to your system.

Special Guest: Dr. Rani G. Whitfield, is a board certified family physician. A native of Baton Rouge, LA, Whitfield earned his undergraduate degree while attending Southern University. He completed a sports medicine fellowship at Ohio State University. “Tha Hip Hop Doc” or “H2D” engaged in a twelve-month campaign, five days a week during the evening drive on WEMX Max 94.1 FM. His commercials were aptly titled the “Hip Hop Medical Moment”.natives. In 2004 Dr. Whitfield was selected by BET to appear on the critically acclaimed hit show “106 & Park.” In 2005 he agreed to become one of several noted professionals (Hill Harper, Patti Labelle, Mo'Nique, Al Sharpton,  Dr. Joycelyn Elders, etc.) to share his wisdom via a book entitled Not In My Family – a collection of essays that discusses AIDS in the African American community. He  was on the “Road to Health Tour” alongside nationally syndicated radio commentator and television talk show host Tavis Smiley.  http://www.h2doc.com

  Special Guest: Mark McEwen--Journalist, author and former CBS news anchor, Mark McEwen was voted one of the most trusted people in America and was a fixture on CBS in the mornings from 1987 until 2002. His wit and warmth made him a welcome guest in millions of homes. During his 15-year tenure at CBS, Mark served in a variety of high-profile positions, including anchor for "CBS This Morning", weather and entertainment reporter for "The Early Show" and correspondent for "48 Hours." He is a stroke survivor and works with the American Stroke Association and the National Stroke Association to educate people on how to make healthy lifestyle changes. His has written Change in the Weather: Life After Stroke.In his memoir, Change in the Weather: Life After Stroke, Mark candidly recalls his harrowing journey of rehabilitation from a massive stroke. It is an intimate, life-affirming journey of recovery and his ultimate message of hope for stroke victims and their families. For more information, visit: www.markmcewen.com. ****Special Guest: Dr. Rani Whitfield--Dr. Whitfield, “Tha Hip Hop Doc” or “H2D”, engaged in a twelve-month campaign, five days a week during the evening drive on WEMX Max 94.1 FM. His commercials, aptly titled the “Hip Hop Medical Moment,” became a main draw that spawned the attention of his fellow Baton Rouge natives. Currently in the midst of developing the Hip Hop Healthy Coalition, H2D plans to merge his three favorite pastimes: music, medicine and sports for the good of the community. Dr. Whitfield is also involved with the “Road to Health Tour” alongside nationally syndicated radio commentator and television talk show host Tavis Smiley.