Podcasts about be fast

The Storm Skiing Journal and Podcast is a reader-supported publication. To receive new posts and to support independent ski journalism, please consider becoming a free or paid subscriber.WhoTyler Fairbank, General Manager of Jiminy Peak, Massachusetts and CEO of Fairbank GroupRecorded onFebruary 10, 2025 and March 7, 2025About Fairbank GroupFrom their website:The Fairbank Group is driven to build things to last – not only our businesses but the relationships and partnerships that stand behind them. Since 2008, we have been expanding our eclectic portfolio of businesses. This portfolio includes three resorts—Jiminy Peak Mountain Resort, Cranmore Mountain Resort, and Bromley Mountain Ski Resort—and real estate development at all three resorts, in addition to a renewable energy development company, EOS Ventures, and a technology company, Snowgun Technology.About Jiminy PeakClick here for a mountain stats overviewOwned by: Fairbank Group, which also owns Cranmore and operates Bromley (see breakdowns below)Located in: Hancock, MassachusettsYear founded: 1948Pass affiliations:* Ikon Pass: 2 days, with blackouts* Uphill New EnglandClosest neighboring ski areas: Bousquet (:27), Catamount (:49), Butternut (:51), Otis Ridge (:54), Berkshire East (:58), Willard (1:02)Base elevation: 1,230 feetSummit elevation: 2,380 feetVertical drop: 1,150 feetSkiable acres: 167.4Average annual snowfall: 100 inchesTrail count: 42Lift count: 9 (1 six-pack, 2 fixed-grip quads, 3 triples, 1 double, 2 carpets – view Lift Blog's inventory of Jiminy Peak's lift fleet)About CranmoreClick here for a mountain stats overviewOwned by: The Fairbank GroupLocated in: North Conway, New HampshireYear founded: 1937Pass affiliations: * Ikon Pass: 2 days, with blackouts* Uphill New EnglandClosest neighboring ski areas: Attitash (:16), Black Mountain (:18), King Pine (:28), Wildcat (:28), Pleasant Mountain (:33), Bretton Woods (:42)Base elevation: 800 feetSummit elevation: 2,000 feetVertical drop: 1,200 feetSkiable Acres: 170 Average annual snowfall: 80 inchesTrail count: 56 (15 most difficult, 25 intermediate, 16 easier)Lift count: 7 (1 high-speed quad, 1 fixed-grip quad, 2 triples, 1 double, 2 carpets – view Lift Blog's inventory of Cranmore's lift fleet)About BromleyClick here for a mountain stats overviewOwned by: The estate of Joseph O'DonnellOperated by: The Fairbank GroupPass affiliations: Uphill New EnglandLocated in: Peru, VermontClosest neighboring ski areas: Magic Mountain (14 minutes), Stratton (19 minutes)Base elevation: 1,950 feetSummit elevation: 3,284 feetVertical drop: 1,334 feetSkiable Acres: 300Average annual snowfall: 145 inchesTrail count: 47 (31% black, 37% intermediate, 32% beginner)Lift count: 9 (1 high-speed quad, 1 fixed-grip quad, 4 doubles, 1 T-bar, 2 carpets - view Lift Blog's of inventory of Bromley's lift fleet)Why I interviewed himI don't particularly enjoy riding six-passenger chairlifts. Too many people, up to five of whom are not me. Lacking a competent queue-management squad, chairs rise in loads of twos and threes above swarming lift mazes. If you're skiing the West, lowering the bar is practically an act of war. It's all so tedious. Given the option – Hunter, Winter Park, Camelback – I'll hop the parallel two-seater just to avoid the drama.I don't like six-packs, but I sure am impressed by them. Sixers are the chairlift equivalent of a two-story Escalade, or a house with its own private Taco Bell, or a 14-lane expressway. Like damn there's some cash floating around this joint.Sixers are common these days: America is home to 107 of them. But that wasn't always so. Thirty-two of these lifts came online in just the past three years. Boyne Mountain, Michigan built the first American six-pack in 1992, and for three years, it was the only such lift in the nation (and don't think they didn't spend every second reminding us of it). The next sixer rose at Stratton, in 1995, but 18 of the next 19 were built in the West. In 2000, Jiminy Peak demolished a Riblet double and dropped the Berkshire Express in its place.For 26 years, Jiminy Peak has owned the only sixer in the State of Massachusetts (Wachusett will build the second this summer). Even as they multiply, the six-pack remains a potent small-mountain status symbol: Vail owns 31 or them, Alterra 30. Only 10 independents spin one. Sixers are expensive to build, expensive to maintain, difficult to manage. To build such a machine is to declare: we are different, we can handle this, this belongs here and so does your money.Sixty years ago, Jiminy Peak was a rump among a hundred poking out of the Berkshires. It would have been impossible to tell, in 1965, which among these many would succeed. Plenty of good ski areas failed since. Jiminy is among the last mountains standing, a survival-of-the-fittest tale punctuated, at the turn of the century, by the erecting of a super lift that was impossible to look away from. That neighboring Brodie, taller and equal-ish in size to Jiminy, shuttered permanently two years later, after a 62-year run as a New England staple, was probably not a coincidence (yes, I'm aware that the Fairbanks themselves bought and closed Brodie). Jiminy had planted its 2,800-skier-per-hour flag on the block, and everyone noticed and no one could compete.The Berkshire Express is not the only reason Jiminy Peak thrives in a 21st century New England ski scene defined by big companies, big passes, and big crowds. But it's the best single emblem of a keep-moving philosophy that, over many decades, transformed a rust-bucket ski area into a glimmering ski resort. That meant snowmaking before snowmaking was cool, building places to stay on the mountain in a region of day-drivers, propping a wind turbine on the ridge to offset dependence on the energy grid.Non-ski media are determined to describe America's lift-served skiing evolution in terms of climate change, pointing to the shrinking number of ski areas since the era when any farmer with a backyard haystack and a spare tractor engine could run skiers uphill for a nickel. But this is a lazy narrative (America offers a lot more skiing now than it did 30 years ago). Most American ski areas – perhaps none – have failed explicitly because of climate change. At least not yet. Most failed because running a ski area is hard and most people are bad at it. Jiminy, once surrounded by competitors, now stands alone. Why? That's what the world needs to understand.What we talked aboutThe impact of Cranmore's new Fairbank Lodge; analyzing Jiminy's village-building past to consider Cranmore's future; Bromley post-Joe O'Donnell (RIP); Joe's legacy – “just an incredible person, great guy”; taking the long view; growing up at Jiminy Peak in the wild 1970s; Brian Fairbank's legacy building Jiminy Peak – with him, “anything is possible”; how Tyler ended up leading the company when he at one time had “no intention of coming back into the ski business”; growing Fairbank Group around Jiminy; surviving and recovering from a stroke – “I had this thing growing in me my entire life that I didn't realize”; carrying on the family legacy; why Jiminy and Cranmore joined the Ikon Pass as two-day partners, and whether either mountain could join as full partners; why Bromley didn't join Ikon; the importance of New York City to Jiminy Peak and Boston to Cranmore; why the ski areas won't be direct-to-lift with Ikon right away; are the Fairbank resorts for sale?; would Fairbank buy more?; the competitive advantage of on-mountain lodging; potential Jiminy lift upgrades; why the Berkshire Express sixer doesn't need an upgrade of the sort that Cranmore and Bromley's high-speed quads received; why Jiminy runs a fixed-grip triple parallel to its high-speed six; where the mountain's next high-speed lift could run; and Jiminy Peak expansion potential.What I got wrong* I said that I didn't know which year Jiminy Peak installed their wind turbine – it was 2007. Berkshire East built its machine in 2010 and activated it in 2011.* When we recorded the Ikon addendum, Cranmore and Jiminy Peak had not yet offered any sort of Ikon Pass discount to their passholders, but Tyler promised details were coming. Passholders can now find offers for a discounted ($229) three-day Ikon Session pass on either ski area's website.Why now was a good time for this interviewFor all the Fairbanks' vision in growing Jiminy from tumbleweed into redwood, sprinting ahead on snowmaking and chairlifts and energy, the company has been slow to acknowledge the largest shift in the consumer-to-resort pipeline this century: the shift to multi-mountain passes. Even their own three mountains share just one day each for sister resort passholders.That's not the same thing as saying they've been wrong to sit and wait. But it's interesting. Why has this company that's been so far ahead for so long been so reluctant to take part in what looks to be a permanent re-ordering of the industry? And why have they continued to succeed in spite of this no-thanks posture?Or so my thinking went when Tyler and I scheduled this podcast a couple of months ago. Then Jiminy, along with sister resort Cranmore, joined the Ikon Pass. Yes, just as a two-day partner in what Alterra is labeling a “bonus” tier, and only on the full Ikon Pass, and with blackout dates. But let's be clear about this: Jiminy Peak and Cranmore joined the Ikon Pass.Unfortunately (or perhaps fortunately), for me and my Pangea-paced editing process, we'd recorded the bulk of this conversation several weeks before the Ikon announcement. So we recorded a post-Ikon addendum, which explains the mid-podcast wardrobe change.It will be fascinating to observe, over the next decade, how the remaining holdouts manage themselves in the Epkon-atronic world that is not going away. Will big indies such as Jackson Hole and Alta eventually eject the pass masses as a sort of high-class differentiator? Will large regional standouts like Whitefish and Bretton Woods and Baker and Wolf Creek continue to stand alone in a churning sea of joiners? Or will some economic cataclysm force a re-ordering of the companies piloting these warships, splintering them into woodchips and resetting us back to some version of 1995, where just about every ski area was its own ski area doing battle against every other ski area?I have guesses, but no answers, and no power to do anything, really, other than to watch and ask questions of the Jiminy Peaks of the world as they decide where they fit, and how, and when, into this bizarre and rapidly changing lift-served skiing world that we're all gliding through.Why you should ski Jiminy PeakThere are several versions of each ski area. The trailmap version, cartoonish and exaggerated, designed to be evocative as well as practical, a guide to reality that must bend it to help us understand it. There's the Google Maps version, which straightens out the trailmap but ditches the order and context – it is often difficult to tell, from satellite view, which end of the hill is the top or the bottom, where the lifts run, whether you can walk to the lifts from the parking lot or need to shuttlebus it. There is the oral version, the one you hear from fellow chairlift riders at other resorts, describing their home mountain or an epic day or a secret trail, a vibe or a custom, the thing that makes the place a thing.But the only version of a ski area that matters, in the end, is the lived one. And no amount of research or speculation or YouTube-Insta vibing can equal that. Each mountain is what each mountain is. Determining why they are that way and how that came to be is about 80 percent of why I started this newsletter. And the best mountains, I've found, after skiing hundreds of them, are the ones that surprise you.On paper, Jiminy Peak does not look that interesting: a broad ridge, flat across, a bunch of parallel lifts and runs, a lot of too-wide-and-straight-down. But this is not how it skis. Break left off the sixer and it's go-forever, line after line dropping steeply off a ridge. Down there, somewhere, the Widow White's lift, a doorway to a mini ski area all its own, shooting off, like Supreme at Alta, into a twisting little realm with the long flat runout. Go right off the six-pack and skiers find something else, a ski area from a different time, a trunk trail wrapping gently above a maze of twisting, tangled snow-streets, dozens of potential routes unfolding, gentle but interesting, long enough to inspire a sense of quest and journey.This is not the mountain for everyone. I wish Jiminy had more glades, that they would spin more lifts more often as an alternative to Six-Pack City. But we have Berkshire East for cowboy skiing. Jiminy, an Albany backyarder that considers itself worthy of a $1,051 adult season pass, is aiming for something more buffed and burnished than a typical high-volume city bump. Jiminy doesn't want to be Mountain Creek, NYC's hedonistic free-for-all, or Wachusett, Boston's high-volume, low-cost burner. It's aiming for a little more resort, a little more country club, a little more it-costs-what-it-costs sorry-not-sorry attitude (with a side of swarming kids).Podcast NotesOn other Fairbank Group podcastsOn Joe O'DonnellA 2005 Harvard Business School profile of O'Donnell, who passed away on Jan. 7, 2024 at age 79, gives a nice overview of his character and career:When Joe O'Donnell talks, people listen. Last spring, one magazine ranked him the most powerful person in Boston-head of a privately held, billion-dollar company he built practically from scratch; friend and advisor to politicians of both parties, from Boston's Democratic Mayor Tom Menino to the Bay State's Republican Governor Mitt Romney (MBA '74); member of Harvard's Board of Overseers; and benefactor to many good causes. Not bad for a "cop's kid" who grew up nearby in the blue-collar city of Everett.Read the rest…On Joe O'Donnell “probably owning more ski areas than anyone alive”I wasn't aware of the extent of Joe O'Donnell's deep legacy of ski area ownership, but New England Ski History documents his stints as at least part owner of Magic Mountain VT, Timber Ridge (now defunct, next-door to and still skiable from Magic), Jiminy, Mt. Tom (defunct), and Brodie (also lost). He also served Sugar Mountain, North Carolina as a vendor for years.On stroke survivalKnow how to BE FAST by spending five second staring at this:More, from the CDC.On Jiminy joining the Ikon PassI covered this extensively here:The Storm explores the world of lift-served skiing year-round. Join us. Get full access to The Storm Skiing Journal and Podcast at www.stormskiing.com/subscribe

This is part 5 of our sermon series, "Relationships on Lock," at Fusion Christian Church. In this series, we discuss the importance of relationships and how to create and maintain healthy ones. Here, Pastor Zac teaches us five steps to connect better with other people, and all are focused on in-person relationship.Put Down the Phone.Too many of us are addicted to our phones. We allow them to keep us from personal connection and it is destroying our relationships. Put down the phone when you're with other people and pay attention to them.Look at and Listen to People.When you are interacting with others, look them in the eye and listen to what they say. As Christians, we should desire that others know we are genuinely interested in them and that we care about their lives. Maintain eye contact and listen to other people to demonstrate your care for them.Speak Words of Life.It is overwhelmingly easy to be negative, especially because we are surrounded by it all the time. Because of this, choose to speak positively to people so that you stand out and shine a light in this dark world. Choose to lift up others rather than bring them down. If we can do this it will stand as a strong testimony of the light of Christ.Practice Hospitality.When is the last time you invited people to your home? Hospitality was perhaps the foremost characteristic of the early church, and it should be one of our strongest attributes in the modern church as well. Being inviting and kind to others should never go out of style, and God has told us in his word that he desires his people to be hospitable.Be Fast to Forgive.Bitterness will kill your relationships faster than almost anything else. Remember that all people are broken, and so if you have a relationship with anyone, you are likely to be hurt at some point. Choosing to forgive rather than resent the one who has wronged you will preserve your relationships. Christians must be forgiving people, because God first forgave us.

In episode #104 of the Flying Doctor podcast, we met Greg - a passionate, 70-year-old surfer, who is lucky to be alive after suffering a stroke while on his board. Thanks to a FAST diagnosis from his wife Naomi and the incredible actions of first responders on the scene, Greg survived. But the long distance that Greg - along with other remote Australian stroke survivors we've interviewed on this podcast - had to travel to receive a full brain scan, can play a critical role in a patient's long-term recovery.  Accurately diagnosing and treating a stroke in the 'golden hour' after a bleed or blood clot strikes, can even mean the difference between life and death. Dr Zoe Schofield is the RFDS's Federal Research Strategic Projects Manager and the project lead for the integration of portable brain scanners into aeromedical retrieval for the Australian Stroke Alliance - collaborative health project currently conducting ground-breaking research into portable brain scanners and stroke detection technology.  **** The Australian Stroke Alliance recommends that we always BE FAST with stroke diagnosis - by checking BALANCE, EYES, FACE, ARMS, SPEECH and TIME (ring 000). You can find a full list of organisations working within the Australian Stroke Alliance - along with a heap of great research articles and news updates - at https://austrokealliance.org.au/ You can also find more about the research that the RFDS and Stroke Alliance is doing by following this link to our latest stroke report: https://files.flyingdoctor.org.au/dd/files/RN110_Stroke_Alliance_Research_Report_P1_Web.ff08.pdf?_ga=2.125308746.1186623458.1724133185-1925006437.1720657219 We hope you enjoyed this special episode around Stroke awareness – made possible with the support of RFDS national partner, HCF, Australia's largest not-for-profit health fund. To learn more, visit HCF health insurance | Your health comes first | HCF Word of mouth is always the best promotion for a podcast – so if you enjoy this podcast, or a specific story, please share with family and friends. Reviews and ratings help our podcast to be found by others, so if you can take the time to do that it would be appreciated.  You can also send feedback, questions or comments through to podcast@rfds.org.au.  We'd also love you to join the conversation at our Facebook Group called the Flying Doctor Podcast Community See omnystudio.com/listener for privacy information.

GDP Script/ Top Stories for August 2nd   Publish Date: August 2nd         From the BG AD Group Studio Welcome to the Gwinnett Daily Post Podcast. Today is Friday, August 2nd and Happy heavenly Birthday to Caroll O'Connor. ***08.02.24 – BIRTHDAY – CAROLL O'CONNOR*** I'm Keith Ippolito and here are your top stories presented by Gwinnett KIA Mall of Georgia. Suwanee Makes Fortune's List Of Top Places For Families Piedmont Eastside Medical Center Recognized For Diabetes and Stroke Care Grayson-Thompson Set for National ESPN Broadcast Plus, The Striper Report with Jesse Roszkowski. 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: MOG   STORY 1: Suwanee Makes Fortune's List Of Top Places For Families Suwanee, Georgia has been named 27th in Fortune's Top 50 Best Places to Live for Families, and is the top-ranked city in Georgia. The ranking highlights Suwanee's commitment to education, wellness, and livability, noting its blend of historic charm and modern amenities. Key factors include its revitalized Old Town Suwanee, family-friendly festivals, and cultural arts initiatives like SculpTour and the Suwanee Arts Center. The city also offers accessible healthcare and highly rated public schools. Suwanee's Mayor Jimmy Burnette praised the community's dedication to creating a thriving environment for families. Upcoming local events include several 5Ks and Suwanee Fest. STORY 2: Piedmont Eastside Medical Center Recognized For Diabetes and Stroke Care Piedmont Eastside Medical Center has earned three achievement awards from the American Heart Association/American Stroke Association for its adherence to the latest treatment guidelines for stroke and diabetes. The center received the Get With The Guidelines-Stroke Gold Plus Award, the Target: Elite Plus Honor Roll, and the Target: Type 2 Diabetes Honor Roll. This recognition highlights Piedmont Eastside's commitment to improving patient outcomes through effective stroke and diabetes care, including the "BE FAST" early detection program for strokes. The awards reflect Piedmont's dedication to following evidence-based practices to enhance patient recovery and survival. STORY 3: Grayson-Thompson Set for National ESPN Broadcast ESPN2 will broadcast a high-profile high school football game between Grayson and Thompson on August 22 at 8 p.m. from Alabaster, Alabama. Thompson, a formidable opponent, has won state championships in four of the last five years, posing a significant challenge for Grayson. The game will be available live to a national audience. 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: TOM WAGES STRIPERS REPORT   Break 3: INGLES 4   STORY 4: Chick-fil-A delivery driver fights off would-be robber   On July 1, Tommie Lee Williams, 51, allegedly broke into a south Gwinnett Chick-fil-A and attempted to rob it while armed with a gun. The delivery driver, despite being threatened, fought back, leading to a struggle captured on surveillance. Williams eventually fled but was identified through a vehicle linked to him. He has been charged with multiple offenses, including armed robbery and aggravated assault. Williams was arrested on Wednesday with the assistance of Gwinnett sheriff's deputies and U.S. Marshals. STORY 5: Georgia man- Ghana native get prison terms in crime spree Georgia man Kujo Duako, 35, from Ghana, and Sammetrius Brooks, 33, of Atlanta, were sentenced for a string of armed robberies in the Atlanta area. Duako received 16 years in prison, and Brooks was sentenced to 11 years and nine months. Their crime spree in October 2018 included a failed CVS robbery and multiple successful robberies at various businesses. Law enforcement recovered over $9,000 in cash and stolen phones from Duako. The case, part of Project Safe Neighborhoods, involved coordination among the FBI and local police agencies to address violent crime. We'll have final thoughts after this.   Break 4: INGLES 5 Signoff – Thanks again for hanging out with us on today's Gwinnett Daily Post 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, or the Community Podcast for Rockdale Newton and Morgan Counties. Read more about all our stories and get other great content at www.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. Produced by the BG Podcast Network   Show Sponsors: www.ingles-markets.com  www.wagesfuneralhome.com www.kiamallofga.com   #NewsPodcast #CurrentEvents #TopHeadlines #BreakingNews #PodcastDiscussion #PodcastNews #InDepthAnalysis #NewsAnalysis #PodcastTrending #WorldNews #LocalNews #GlobalNews #PodcastInsights #NewsBrief #PodcastUpdate #NewsRoundup #WeeklyNews #DailyNews #PodcastInterviews #HotTopics #PodcastOpinions #InvestigativeJournalism #BehindTheHeadlines #PodcastMedia #NewsStories #PodcastReports #JournalismMatters #PodcastPerspectives #NewsCommentary #PodcastListeners #NewsPodcastCommunity #NewsSource #PodcastCuration #WorldAffairs #PodcastUpdates #AudioNews #PodcastJournalism #EmergingStories #NewsFlash #PodcastConversationsSee omnystudio.com/listener for privacy information.

Join us on the latest Next Steps 4 Seniors: Conversations on Aging episode for a heart-to-heart conversation with Wendy and guest Elizabeth Jackson.   Wendy is thrilled to have Liz in the studio, sharing her invaluable insights, tips, and stories on heart disease and stroke.   This episode is packed with essential information and practical tips to help you stay heart-healthy and informed. Get a notebook handy because Wendy and Liz are covering all the essentials. Eye-opening Statistics Understanding the two main types of strokes What is a TIA stroke and why it's a warning sign The critical meaning behind “Time is Muscle” and “Time is Brain” The life-saving acronym BE FAST for stroke recognition Key symptoms and health risks to watch for Top 6 strategies to reduce your risk and boost your heart health Wendy and Liz bring years of expertise and compassion to the mic, making this episode informative and inspiring.  Are you looking to improve your heart health or support a loved one, this episode offers practical advice and important knowledge. Tune in and take the next steps toward a healthier heart! Don't miss this episode! Subscribe and download this episode so you can refer back to it!  Check out and follow our Facebook page for more information! Do you have a question or need assistance?  You can email us  at hello@nextsteps4seniors.com or call the Next Steps 4 Seniors office at 248.651.5010See omnystudio.com/listener for privacy information.

05/26/2024The Healthy Matters PodcastS03_E14 - Brainstorms and Breakthroughs - The Science of Strokes Chances are we've all known someone who has suffered a stroke, and it turns out they're a lot more common than we might think - nearly 800,000 people in the U.S. every year.  Brain health is essential to our wellbeing and suffering a stroke can have profound and even life-altering effects, assuming the patient survives the event.   But how can we identify a stroke?  What should we do when we see one?  What treatments and therapies are available - or better yet, what can we do to protect our brains?May is Stroke Awareness Month, and on Episode 14 we'll have the big brain on brains on our show, Neurologist Dr. Behnam Sabayan (MD, PhD) who will help us get our brains around this essential topic.  We'll go over what happens in the brain, risk factors, treatments, and outcomes for patients, as well as what keeps our brains happy and healthy.  Since time is of the essence whenever someone is having a stroke, we'll also break down the BE FAST acronym to give you the tools to identify and respond to someone having a stroke.  There's a lot to know about the brain when it comes to strokes, and we've got just the guest to walk us through it.  We hope you'll join us!Here are some resources:National Institute of Neurological Disorders and StrokeThe American Stroke AssociationHennepin Healthcare Stroke CenterGot a question for the doc or a comment on the show?Keep an eye out for upcoming shows on social media!Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Find out more at www.healthymatters.org

 The conversation today is all about stroke awareness. Our guests are Dr. Abd Elazim, a neurologist with Sanford Brain and Spine Center in Sioux Falls, South Dakota. And joining Dr. Elazim is Randy Preston, a Sanford Health patient here to share his story. Our host is Alan Helgeson with Sanford Health News. Learn more about Sanford Health at: http://www.news.sanfordhealth.orgConnect with us on social:FacebookTwitterInstagramLinkedIn

The Slow Road to Better crew talks about Erin's upcoming interview on Fox 5 DC to be aired May 1 starting at 8:30AM to kick off Stroke Awareness Month. Learn more about Erin's story and BE FAST!

La Secret Place, salle de concerts située dans une zone industrielle de Saint-Jean-De-Védas, bénéficie d'un beau rayon de vinyles retraçant l'histoire des murs. Une histoire du punk montpellierain au départ puis de tous les autres rocks qu'elle défend et promeut depuis près de trente ans avec son association Tout à Fond, la TAF, qui se déclina en fanzine, le Taffeur, et qui existe aussi en tant que label, Be Fast. Je suis allé interrogé cette histoire en y allant interviewer son président, François-Xavier Pinchon, alias Fyfy. De la genèse aux difficultés financières actuelles, en passant par les connexions avec New-York, vous saurez tout de ce lieu incontournable (mais malheureusement en danger! ) de la culture alternative dans le sud de la France.

Nearly 800,000 Americans have a stroke each year, so make sure you know how to help if your loved one has a sudden attack. Our experts give you the tools to know the signs, symptoms, and actions you can take to save a life. Remember to BE FAST, every minute matters. Learn More: https://radiohealthjournal.org/minute-by-minute-everything-you-need-to-know-about-stroke-prevention Learn more about your ad choices. Visit podcastchoices.com/adchoices

Episode 132 of The Unique CPA features an inspiring conversation with Rich Kane about his experience surviving a stroke at a young age. Rich talks to Randy about his harrowing stroke story and recovery journey, including the lingering effects it's had on his daily life and career. Both of them discuss the emotional impact the stroke has had on their lives. For accounting professionals, this episode highlights the real-life challenges stroke survivors face and promotes greater awareness of risk factors, with Randy and Rich discussing how to identify stroke symptoms through the BE FAST acronym. Overall, it's an insightful look at overcoming adversity through the lens of two stroke survivor CPAs. Get the full show notes and more resources at TheUniqueCPA.com

Johnjay's got a new game and the only rule is BE FAST! How would you have done?

Akron Beacon Journal consumer columnist and medical reporter Betty Lin Fisher speaks with Dr. Susana Bowling, the medical director of the Neuroscience Institute at Summa Health in Akron and Summa's Comprehensive Stroke Center. During this Healthy Actions audio column, we discuss the new BE FAST stroke acronym and how to spot signs and symptoms.

Akron Beacon Journal consumer columnist and medical reporter Betty Lin Fisher speaks with Dr. Susana Bowling, the medical director of the Neuroscience Institute at Summa Health in Akron and Summa's Comprehensive Stroke Center. During this Healthy Actions audio column, we discuss the new BE FAST stroke acronym and how to spot signs and symptoms.

Success after stroke relies a lot on community. That's the case with today's guest Hub Miller. It's a story of knowing the FAST/BEFAST warning  signs of stroke because people talk about it. And it's a story of going through the worst moments of your life only to find yourself surrounded by loving family members and friends ready to share their strength with you. You can listen to Hub's story here. If you don't see the audio player, click here to listen to the conversation.   Click here for a machine-generated transcript Who is Hub Miller? Hub graduated from Mississippi State University with an MS in Agronomy in 2005. Since then, he's built a career in agricultural science, helping farmers produce bigger and more reliable crops. Throughout the years, he's worked for an assortment of high tech agriculture companies, including, Dow Agrosciences, Corteva Agriscience, and Miller Entomological Service. In January of 2023, Hub took a new role as Vice President of Teleos Ag Solutions In the Spring of 2021, Hub experienced a massive stroke brought on by high blood pressure. With the support of his family and friend, he's staged an amazing comeback. You can connect with Hub via LinkedIn. BE FAST Speed is essential to reducing long-term disability after stroke. That's why it is so important to spot the signs. The BE FAST acronym can help you spot most stroke. A person may be experiencing a stroke if they have: B – a sudden loss of or change in balance E – a sudden change in or loss of eyesight or vision F – single side face droop A – in ability to hold both arms up S – loss of or change in speech, vocabulary, or ability to process language T – Any of this means it is time to call an ambulance BE FAST = Balance, Eyes, Face, Arms, Speech, Time to call an ambulance. Down load this graphic and share it with everyone you know. If you know people who speak Spanish, Dr. Remle Crowe helped develop an equivalent acronym in Spanish -- AHORA. Let's look at a translation. Letter Abbreviation for Spanish Description In English A Andar Tiene dificultad para andar? Tiene problemas con el equilibrio? Do they have difficulty walking? Do they have problems with balance? H Hablar Tiene dificultad para hablar o entender? Usa palabras que no tienen sentido? Do they have difficulty speaking or understanding language? Do they use words that don't make sense? O Ojos Tiene algün cambio de vista? Tiene visiön doble? Tiene dificultad para ver con ambos ojos? Do they have some change in vision? Do they have double vision? Do they have difficulty seeing with both eyes? R Rostro Tiene la mitad del rostro caido? Tiene un repentino dolor de cabeza como nunca se ha sentido? Do they have one-sided facial droop? Do they suddenly have the worst headache of their life? A Ambos Brazos Tiene dificultad para levantar un brazo o una pierna? Tiene debilidad en un brazo o una pierna? Do they have difficulty lifting an arm or a leg? Do they have weakness in an rm or a leg? High Blood Pressure One of the main causes of stroke is high blood pressure. It's a topic we discuss a lot. It caused Hub's stroke, and it caused my stroke. The American Heart Association recommends a blood pressure of 120/80. Inexpensive blood pressure monitors are available online. Check yours and speak with your doctor if you are not in the target range.  I talked about how high blood pressure causes stroke with Neuro-interventionist and surgeon Dr. Nirav H. Shaw in this episode: https://strokecast.com/bloodpressure If you don't have a home blood pressure meter, you should probably fix that. You can find them at your local pharmacy, Costco, large grocery store, and on Amazon at this link.* Survey Do you have thoughts about the Strokecast as a show? I want to hear about it. Please complete the listener survey at http://Strokecast.com/survey by March 31, 2023 to share your insight. I'd realy appreciate it. Hack of the Week Hub recommends yoga. Yoga has strong meditative qualities, and he has found it helpful in his recovery. Yoga and meditation are themes that come up from lots of guests. Breathing, movement, stretches, and focusing the mind can help quite the noise of the outside world and service our bodies as the brain relearns how to operate our limbs. Around the country and around the world, we are seeing more opportunities for disabled yoga or chair yoga. Practitioners are modifying positions and techniques so folks with physical limitations can still safely reap the benefits of this ancient tradition. Look around your community for disability-friendly yoga if the idea appeals to you. And speaking of community, Hub has also found a lot of value in local stroke support groups. These groups give folks an opportunity to connect in person or online and share experiences, stories, and local resources to provide a much needed connection. Links   [wptb id=4311] Where do we go from here? Connect with Hub on LinkedIn here Share this episode with someone you know by giving them the link http://Strokecast.com/Hub Complete the Strokecast listener survey at http://Strokecast.com/Survey Don't get best…get better More thoughts from Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub Hub Miller had a stroke while working from home, and he knew what to do. Eighteen months later he is back to driving and back at work. In this conversation he tells us about it and the importance of community support. Learn more at http://Strokecast.com/Hub

Paul Strikwerda is a voice over artist. You may have heard is voice in commercials and other projects. Now, he is also a stroke survivor. The stroke he suffered in his voice over booth engaged multiple primal fears (except for spiders) and is one of the more terrifying I've heard.  I'll save the details for the interview itself. The genesis of this episode is that I wanted an answer to the question, "Is voiceover a good career choice for a stroke survivor contending with disabilities?" I was referred to Paul, by Anne Ganguzza of the VO Boss podcast (another great resource for the VO field), and in this episode Paul and I discuss that question and so much more. If you don't see the audio player below, visit http://Strokecast.com/MSN/VoiceOver to listen to the conversation. Click here for a machine-generated transcript Who is Paul Strikwerda? Paul Strikwerda was born and grew up in the Netherlands. He studied music in college and began a career in radio after graduation. Life eventually took him to the United States and an unexpected series of events led him down the path of a voice over artist. Paul wanted to do more than read scripts for clients. He wanted to help other artists in the VO field. He would go on to write "Making Money In Your PJs: Freelancing for Voice-Overs and Other Solopreneurs"* and expand his blog on NetherVoice. He offers an unvarnished view of what life in the VO field is like and what newcomers need to watch out for. For those who want to grow their skills as voice over artists and voice over business people (you have to be both to succeed) Paul offers coaching programs. As he says on https://www.nethervoice.com/coaching/: It's not enough to be outstanding. You need to stand out. Voice overs are the invisibles of the entertainment industry. Competition is increasing, and clients aren't going to book you if they don't know you exist. You need a plan to put you on the map, so clients can find you, hear you, and hire you. Let me be your visibility coach, and help you attract the jobs you're dreaming of doing. What is the Voice Over field? The Voice Over industry is one most people don't think about, but it is one that we've encountered throughout our lives. Every time we hear a narrator on TV or listen to an audio book or hear a corporate voice mail system or listen to the introduction to this show (Thanks, Tim!) or complete eLearning with a person speaking, or learn about pancakes, we are listening to a voice over artist at work. https://youtu.be/FEelYk8y_O4 The breadth of the field is fascinating. The industry itself is facing some growing pains with technology and the increase in computer generated voices. There are some growing pains there. Technology has also led to a democratization of the field in some respects. Microphones and computers for editing have gotten cheaper and more widely available. Home studios are within reach of more people. Some of the same technology trends that drive podcasts drive voice over work Lots  of people toy with the idea of becoming voiceover artists so, especially at the entry level, there is a ton of competition. As Paul explains, though, it takes a lot more to be successful than the ability to speak into a microphone. A voice over artist needs to be a business person. The need to sell their services. The need to audition well. They need to write contracts and collect from clients. They need to have a handle on the assortment of ways they can license their voice. And they still need to act and edit and produce. If you are thinking about a career in voice over, and you're will to do all the stuff that goes along with it,  Paul's coaching services might be a good fit How does AFib cause stroke? The heart is made up of four chambers. Blood normally flows from the upper right to the lower right to the lungs to the upper left to the lower left and then on to the rest of the body. Moving it efficiently from one place to the next requires a precise rhythm -- the lub-dub of the human heart beat. When someone has AFib, or atrial fibrillation, it means the rhythm isn't quite right sometimes. Maybe different parts of the heart are out of sync, or part vibrates too fast or the heart rhythm itself fluctuates in an odd way. When this happens, blood doesn't always leave the chamber it's in when it's supposed to. And when blood pools or collects in the heart when it shouldn't, it can start to coagulate. It forms clots. Then when the heart beats one of those clots that formed due to AFib can shoot off to another part of the body. If that clot makes it to the brain and gets stuck in a blood vessel, you have an ischemic stroke. So how do you treat it? Well, first you have to find it. Since it is irregular, that's not always easy. Some people will get a surgically installed monitor that will track their heart rhythm for a couple years. Others (like me) will have to wear a device like a Zio patch for two weeks to look for abnormalities. Bill wearing a Zio patch to check for irregular heart rhythm. If doctors find or strongly suspect AFib affects a patient, they have a few treatment options. Blood thinners, or anticoagulants are one option. These medicals like Eliquis and Xarelto are more aggressive at stopping clots than antiplatelet medication like aspirin or Plavix (Clopidogrel). They require additional blood tests and monitoring and put the patient at greater risk of bleeding because that's exactly what their supposed to do. Paul had an ablation therapy. Doctors either freeze or burn some small amount of heart tissue. This disrupts the way electricity flows through the heart, which helps normalize the heartbeat. It's a fascinating technique and eliminated the problem for Paul. You can read more about the procedure from Johns Hopkins or from the Mayo clinic. Some people, if their unusual rhythm is too slow, may need a surgically implanted pacemaker to keep the heart moving enough blood quickly enough. As more people become aware of AFib and research continues, the future of treatment may change dramatically. In defense of social media A lot of people claim to hate social media. The conversation is even louder in December 2022 with Elon Musk's takeover of Twitter. Hate speech, privacy concerns, online bullying, the growth of influencer culture, and more have all made it fashionable to hate on social media. And there are a lot of problems with it. By allowing folks with fringe and extremist views to connect and validate one another's views, it has likely allowed those views to become more common. I'm not defending that. That same mechanism, though, has allowed people with disabilities to find other like-minded folks. Stroke and other disabling conditions are isolating. Appearances of disabled people in media are still rare. After stroke, many folks leave their jobs, removing another vector for social experience. Friends and family members may pull back from stroke survivors either because the survivor is no longer able to participate in the same activities or because they are uncomfortable around a person with disabilities. Or because the survivor is a living reminder that they could find themselves in the same situation. And disabilities themselves make social connection hard. Aphasia impacts conversation. Mobility challenges make it harder to go someplace to meet someone. Vision or equilibrium challenges may make it unsafe to drive. That's to say nothing of the assortment of cognitive, sensory processing, emotional, and fatigue related challenges a survivor may live with. And then we can look beyond the stroke world to our neuro cousins in the MS and TBI communities, and beyond that into the broader world of people with disability. Despite the billion+ disabled people in the world, it's easy to feel the despair of feeling alone. Social media changes that. Or at least helps with it. People with disabilities are able to connect with one another across the street and around the world. There is power in the shared experience -- of finding someone going through a similar experience. There's power and hope in being able to support each other -- to build on the success of others to drive our own recovery and that of others in the community. To be able to raise a voice and say, "This is my hidden reality!" To be able to see that the way someone else treats us may not be right and to have that reinforced by people all over the country. There's power in giving everyone a literal or metaphorical voice. To demonstrate to the world that we're here and we're not going anywhere. Whether it's on Facebook, Instagram, Tik Tok, IRC, MUDDs, Discord, YouTube, or whatever, we can leverage those platforms to empower us to live our best lives. Or to share a simple message of support. Look for communities that resonate with you in a supportive fashion. Follow hashtags like these to start and try others to build your community: #Stroke #StrokeAwareness #StrokeRecovery #BrainInjury #LifeAfterStroke #Aphasia #Mindset #CripTheVote #Disability Social media allows us to connect and that connection is so important to getting more out of life. BEFAST & AHORA Raising voices in social media isn't just about supporting our own lives; it's about saving others. And you can help save other's lives by sharing the stroke warning signs far and wide. We know time is essential. We also know that over the past 20 years or so there have been tremendous changes in stroke treatment - new ways to save lives and reduce the severity of disability. That, of course, assumes treatment begins as soon as possible. And to make that happen, people need to recognize that a stroke is happening and contact emergency services immediately. So share the stroke warning signs in English and Spanish far and wide -- BE FAST and AHORA. And if you have the warning signs to share in another language, share those, too. June Hawkins writing workshop June Hawkins is a stroke survivor in Canada helps stroke survivors connect (or reconnect) with their creativity through the power of writing. Her program is called, "With a Stroke of my Pen" and with her cofacilitator, writing prompts, and exercises she helps other survivors explore their world in writing. The next cohort starts soon. To learn more, visit http://www.withastrokeofmypen.ca/ Hack of the Week There are two things that Paul found critical to going through recovery and living with disability. The first is to have a dedicated partner who can advocate for you. It's not easy to navigate the healthcare industry with sudden, unexpected brain damage, and a supportive partner makes a huge difference. Finding the right person to be your partner in life, of course, is not always the easiest task. The other element which may be easier to cultivate is to develop a "stubborn positivity." The right action-oriented attitude is what gets us developing the right mindset for recovery. It helps us expect to get better and it drives us to do the work -- the exercises, the metal health care, the repetitions, etc. -- that will ultimately help us drive the neuroplastic change in the brain that empowers recovery. Links Where do we go from here? Check out Paul's blog and website at http://NetherVoice.com Share this episode with someone you know by giving them the link http://Strokecast.com/VoiceOver Check out June's writing course at http://www.withastrokeofmypen.ca/ Don't get best…get better More thoughts from Paul

Dr. Sunil Sheth is currently an Associate Professor of Neurology at UT Health McGovern Medical School and the Director of the Vascular Neurology Program.According to the Centers for Disease Control and Prevention (CDC), every 40 seconds, someone in the United States has a stroke. Every 3.5 minutes, someone dies of stroke. Every year, more than 795,000 people in the United States have a stroke. About 610,000 of these are first or new strokes. He touches on the urgency to detect and recognize the signs of stroke with the following acronym: BE FAST!!!B: Balance: Changes in balance and equilibrium.E: Eyes: Drooping in one eye or both eyes; blurry or cloudy vision.F: Face: Changes in facial alignment on one side or both sides. (i.e. drooping)A. Arms: Ability to grasp, lift arms, or pick up items.S: Speech: Slurred speech, and/or the cognitive ability to find the right word or next work in a sentence or thought pattern.T: Time: Time is of the essence... when seeing any of the above signs or combination of the above signs... ACT FAST. SEEK EMERGENCY MEDICAL ATTENTION.Dr. Sheth reiterates the importance of stroke awareness, stroke prevention, tips for caregivers, and developments to help patients recover from strokes or recurring strokes.The show's goal is to recognize the prevalence of strokes and to inform, inspire, influence, and educate Metropolitan Detroiters on how to address common concerns, challenges, and issues related to stroke awareness and prevention at various ages and stages. Hosted by Dr. Cleamon Moorer Sponsored by: American Advantage Home Care, Inc.

More than a million people in the United States have been killed by COVID-19 in the past 3 years. The numbers would be much higher, but the vaccines were developed with amazing speed. Time and again, the vaccines have been shown to be safe and effective. Yet some people persist in claiming the mRNA vaccines are causing an epidemic of stroke. The data is clear. They do not. If you want to reduce your chances of stroke, get the vaccine. The new thing that causes stroke over the past few years is COVID-19 itself. If you want to decrease your chances of having a stroke (or another stroke) don't get a severe COVID-19 infection. And the simplest thing you can do to reduce your chances of getting a severe COVID-19 infection is to get the COVID-19 vaccine. If you do catch COVID-19 despite the vaccine, the data shows it will be much less severe and much less likely to be fatal.  In addition to protecting yourself, you are also helping to protect others who may not be medically eligible to get the vaccine. The COVID-19 mRNA vaccines are saving lives every day. In this episode ... In this episode, I talk with data scientist and epidemiologist Dr. Remle Crowe about the research studies coming out now that show what we already knew from earlier research: the COVID-19 vaccine does not increase your risk stroke. We talk about several studies, and we talk about how you can do your own research on the credibility of these studies and evaluate how well they reflect the scientific reality of our world. In this post, you'll also find links to a bunch of these studies that you can read for yourself. Start by listening to this conversation. If you don't seed the audio player below visit http://Strokecast.com/MSN/vaccine to listen to the whole conversation.   Click here for a machine-generated transcript   I got my Bivalent COVID-19 booster and my 2022 Flu shot on the same day in October. Who is Dr. Remle Crowe? Dr. Remle Crowe is an expert in EMS research and quality improvement. From truck clutches to clinical care, she has shown how research and improvement science work to solve problems across fields. Prior to earning a PhD in Epidemiology, her EMS career began with the Red Cross in Mexico City as a volunteer EMT. She has authored numerous peer-reviewed publications related to prehospital care and the EMS workforce. Now, as a research scientist with ESO, Dr. Crowe routinely uses EMS data to improve community health and safety. Dr. Crowe previously appeared on the Strokecast in episode 132 to discuss the AHORA pneumonic to help Spanish speakers recognize and respond to a stroke. When it comes to stroke, Time is Brain regardless of which language you speak. A Sampling of the Studies When we claim the data indicates that the vaccine doesn't cause an increase in stroke, what data are we talking about? How did "they" analyze it? Who reviewed the studies to ensure they were accurate? Where can you read the details yourself? As Dr. Crowe explained, there are currently a whole bunch of studies that are coming out. That makes sense; it's roughly 18 months since the vaccines against COVID-19 became widely available. To conduct sound research, you need a large pool of people to look at. You need to take some time to see the results. You need to write up those results. Then you need to submit them for publication. Publications will then need to review before publishing them. That brings us to where we are today with all these studies now becoming available. Let's take a look at a few of them, and I encourage you to click through to the details and read them yourself. Click the study titles for more. Surveillance for Adverse Events After COVID-19 mRNA Vaccination This study published in JAMA (Journal of the American Medical Association) looked at nearly 12 million doses of the mRNA vaccine given to more than 6 million people. This is what they learned: "The incidence of events per 1 000 000 person-years during the risk vs comparison intervals for ischemic stroke was 1612 vs 1781 " In other words, the time period at greatest risk for stroke did not see an increased risk. They concluded: "In interim analyses of surveillance of mRNA COVID-19 vaccines, incidence of selected serious outcomes was not significantly higher 1 to 21 days postvaccination compared with 22 to 42 days postvaccination. While CIs were wide for many outcomes, surveillance is ongoing." COVID-19 Incidence and Death Rates Among Unvaccinated and Fully Vaccinated Adults with and Without Booster Doses During Periods of Delta and Omicron Variant Emergence — 25 U.S. Jurisdictions, April 4–December 25, 2021 We talked about this report from the CDC Morbidity and Mortality Weekly Report during the episode. This study looked at infections and deaths among vaccinated folks and unvaccinated folks. The rate of infection and death from COVID-19 was much higher among unvaccinated folks than among vaccinated or vaccinated and boosted folks. The report says: "Rates of COVID-19 cases were lowest among fully vaccinated persons with a booster dose, compared with fully vaccinated persons without a booster dose, and much lower than rates among unvaccinated persons during October–November (25.0, 87.7, and 347.8 per 100,000 population, respectively) and December 2021 (148.6, 254.8, and 725.6 per 100,000 population, respectively) (Table 2). Similar trends were noted for differences in the mortality rates among these three groups (0.1, 0.6, and 7.8 per 100,000 population, respectively) during October–November." Even though the vaccine does not guarantee a person will avoid COVID-19, it greatly increases their chances of avoiding infection. And if they do become infected, the vaccine greatly increases their chances of survival. Acute ischemic stroke and vaccine-induced immune thrombotic thrombocytopenia post COVID-19 vaccination; a systematic review This study in the Journal of Neurological Sciences looked throughout the published literature and found just 43 incidents of stroke following the vaccine administration. "AIS has been reported as a rare complication within 4 weeks post COVID-19 vaccination, particularly with viral vector vaccines. Health care providers should be familiar with this rare consequence of COVID-19 vaccination in particular in the context of VITT to make a timely diagnosis and appropriate treatment plan." The report specifically called out the risk of “viral vector vaccines” (and, again, it's a shockingly small risk). The most common viral vector COVID-19 vaccines are those from Johnson & Johnson and from Oxford-AstraZeneca. The mRNA vaccines from Moderna and Pfizer are not viral vector vaccines., indicating that those appear to be even safer. The recommendation is not to avoid vaccination. It's an extremely rare complication. The recommendation is to watch for signs of stroke, which is something we should be doing all the time anyway. Association Between Vaccination and Acute Myocardial Infarction and Ischemic Stroke After COVID-19 Infection This article, published in JAMA looked at what happens after a COVID-19 infection for both vaccinated and unvaccinated folks. If someone does get infected and, does their vaccination status reduce the impacts of infection? Yes, it does. In fact, folks who got the vaccine and the got COVID were LESS likely to have a stroke or heart attack after their COVID infection. "This study found that full vaccination against COVID-19 was associated with a reduced risk of AMI [heart attack] and ischemic stroke after COVID-19. The findings support vaccination, especially for those with risk factors for cardiovascular diseases." Risk of thrombocytopenia and thromboembolism after covid-19 vaccination and SARS-CoV-2 positive testing: self-controlled case series study This study in the UK looked at patients who had been infected with COVID-19 or who had received the vaccine. More than 30 million people were part of the study. The conclusions were clear: "Increased risks of haematological and vascular events that led to hospital admission or death were observed for short time intervals after first doses of the ChAdOx1 nCoV-19 and BNT162b2 mRNA vaccines. The risks of most of these events were substantially higher and more prolonged after SARS-CoV-2 infection than after vaccination in the same population." Even if there is a slight risk from vaccination, the risk from the actual disease is much higher. COVID-19 vaccine not linked to increased risk of stroke Not all research becomes available without a subscription. Researchers at Cedars-Sinai have found similar results to other studies though and have come to the same conclusion. "Newly compiled data evaluated by researchers in the Department of Neurology and the Smidt Heart Institute at Cedars-Sinai shows that COVID-19 vaccines do not raise stroke risk--but that severe COVID-19 infection does. Physician-scientists hope this growing body of evidence, highlighted today in an editorial in the peer-reviewed journal Neurology, will ease the minds of individuals still hesitant to be vaccinated." Risk of Myocarditis After Sequential Doses of COVID-19 Vaccine and SARS-CoV-2 Infection by Age and Sex We talked about this study in the conversation with Dr. Crowe. At first glance it is concerning. This is the conclusion: "Overall, the risk of myocarditis is greater after SARS-CoV-2 infection than after COVID-19 vaccination and remains modest after sequential doses including a booster dose of BNT162b2 mRNA vaccine. However, the risk of myocarditis after vaccination is higher in younger men, particularly after a second dose of the mRNA-1273 vaccine." That does seem scary for young men, and there are a couple things to keep in mind. First, the number of events was so small that it's tough to draw firm conclusions. When you get down to such low numbers, that stats can do weird things. Second, this was based on the adverse event reporting system. That does not prove causality. It just flags something to look at more closely if there are large numbers. Which there are not. The point of all this research, though, is to learn more and compile more and more evidence. And ultimately to let the body of evidence guide decision making and recommendations. What we know at this point is that the risk of stroke after a COVID-19 infection is much higher than the risk of stroke following a vaccination. And the risk of stroke after COVID-19 infection is much lower in folks that have been vaccinated than it is in those who have not been vaccinated. COVID-19 is not gone. It is still out there in the world infecting people, killing people, and giving people strokes. Billions of vaccinations later, this is what the data tells us. The simplest way to reduce your risk of stroke is to get the vaccine and stay boosted. Do Your Own Research We talked about a bunch of research in the podcast, and we looked at a bunch of reports above. You don't have to just accept my commentary or Dr. Crowe's. You can read the reports yourself and look at the data and see why the vast majority of medical professionals have concluded the vaccines are safe and effective. Dr. Crowe offered a number of tips to help you do your research. You'll find them and more in this list. Tip 1 Search research focused search engines and directories to find studies and resources. Google Scholar and PubMed are great places to start. Tip 2 Look at the Publication that publishes the research. Is it well known for scientific rigor? Does it have a strong requirement for peer review of articles? Or can someone publish in it by simply paying a fee? Tip 3 Search for the publication's Impact Factor. The more other publications that cite its work, the higher the number. A publication with a higher impact factor is likely more credible. Tip 4 When you get to the actual study, look at what type it is. If it was a case study, that's interesting. If it was a randomized, double-blind, placebo-controlled study on a large scale, that's even better. If it was a systemic review evaluating hundreds of other studies, that's stronger still. Tip 5 Look at how many people were part of the study. A few dozen is interesting. A few million is much more likely to yield credible results. Tip 6 Look at the results of the study, relative to the size of the study. A few results out of a dozen is one thing. A few results out of millions of subjects is another matter altogether. Tip 7 Look at the goal of the study. What were the authors hoping to demonstrate? Did they succeed? Why or why not? Tip 8 Consider confounding. Studies generally deal with a subset of the population -- a limited number of people -- and seek to extrapolate those results and draw conclusions about the broader population.  For those conclusions to be valid, though, the group studied needs to be similar to the group the study extrapolates to. The more different the groups are, the less reliable the results. Tip 9 Finally, does the study demonstrate causality or just coincidence? There's a reason folks will often say, “Correlation does not equal causation.” For example, the FDA Adverse Event Reporting System (FAERS) Public Dashboard is a collection of negative things that happen to a person after they get a vaccine. It's not a list of events caused by the vaccine. If a person gets hit by a bus after getting the vaccine, that can go in the database. It's an adverse event. That doesn't mean the vaccine caused the bus accident. Read the study carefully to see if the authors claim a causal relationship and if that relationship is supported by the evidence in the study. AHORA The last time Dr. Crowe was on the show was to talk about the AHORA messaging to help Spanish speakers recognize and respond to stroke. It's basically the equivalent of the BEFAST messaging we talk about a lot in English. Here is the stroke warning pneumonic device in Spanish. Download it and share it far and wide. Reconocer los signos de un accidente cerebrovascular y responder rápidamente. ¡Llame a una ambulancia si observa estas señales! Let's look at a translation. Letter Abbreviation for Spanish Description In English A Andar Tiene dificultad para andar? Tiene problemas con el equilibrio? Do they have difficulty walking? Do they have problems with balance? H Hablar Tiene dificultad para hablar o entender? Usa palabras que no tienen sentido? Do they have difficulty speaking or understanding language? Do they use words that don't make sense? O Ojos Tiene algün cambio de vista? Tiene visiön doble? Tiene dificultad para ver con ambos ojos? Do they have some change in vision? Do the have double vision? Do they have difficulty seeing with both eyes? R Rostro Tiene la mitad del rostro caido? Tiene un repentino dolor de cabeza como nunca se ha sentido? Do they have one-sided facial droop? Do they suddenly have the worst headache of their life? A Ambos Brazos Tiene dificultad para levantar un brazo o una pierna? Tiene debilidad en un brazo o una pierna? Do they have difficulty lifting an arm or a leg? Do they have weakness in an rm or a leg? And, of course, here is the BE FAST messaging for English speakers. Recognize the signs of a stroke and respond quickly. Call an ambulance if you observe these signs! Both sets of symptoms look for the same thing. The AHORA messaging includes legs and headaches. The BE FAST messaging specifically calls out calling an ambulance. Regardless, the more people that can recognize a stroke as it is happening, the better off we will all be. Pop Culture Moment During the conversation, Remle mentioned she is a big fan of the movie Sliding Doors. It's an examination of how simple moment can change the course of your life. What path lies ahead if we catch that train or miss it? https://www.youtube.com/watch?v=Da-Mizk86AE&ab_channel=Shout%21Factory Or what happens if we turn right instead of turning left? https://www.youtube.com/watch?v=YnzbuU5I7RI&ab_channel=DoctorWho In reflecting on the past, it's easy to get fixated on thing were so much better back then, but it's never that simple, is it? Billy Joel reminds us that: "The good old days weren't always good, and tomorrow ain't as bad as it seems." https://www.youtube.com/watch?v=ph7oZnBH05s&ab_channel=billyjoelVEVO Other Shows Journal Club Remle mentioned her show, PCRF Journal Club, which is a journal review webinar that meets each month. They go deep into looking at the latest research studies that are coming out. The focus is on research around EMS -- the ambulance and transport industry. If you'd like to learn more, check out its site here: https://www.cpc.mednet.ucla.edu/pcrf Successful and Disabled I was also recently featured on another podcast focused on being successful as a person with disabilities. I joined host Christ Mitchell on the Successful and Disabled podcast to share my story and discuss how I use mindset to drive my recovery and other goals in life. Listen to it here. If you don't see the audio player below, visit http://Strokecast.com/MSN/Vaccine to listen to the conversation: Hack of the Week Reading a paper book can be challenging with one functional hand. It's even harder if you try to do that while eating a meal. Why? Because books don't always want to stay open on their own. You have to hold them open, which makes it harder to pick up your cheeseburger. I use my phone to address this problem. I open the book and then lay my phone across the open pages. It's just heavy enough to keep the book from snapping shut so I can enjoy feeding my belly as I also enjoy feeding my mind. Give it a try. Links  Where do we go from here? Check out the links above to learn more about why getting the vaccine is safer than not getting the vaccine Share this episode with someone you know by giving them the link http://Strokecast.com/vaccine Do you have a recent win or victory in your recovery? Share it by calling 321-5 STROKE Get your vaccine and booster to protect against COVID if your doctor advises it Don't get best…get better

We get an interventional neuroradiologist's perspective on healthcare from Steve Hetts on this episode of the Perspectives on Healthcare Podcast with Rob Oliver. Dr. Hetts joined the podcast in honor of World Stroke Day on October 29. He provides intriguing insights into stroke treatment and stroke prevention. Dr. Hetts is from California and is a member of Generation X. Here are 3 things that stood out as Steve Hetts gave us an interventional neuroradiologist's perspective on healthcare: · Time is of the essence when it comes to stroke treatment · BE FAST provides a quick acronym for assessing stroke symptoms: balance, eyes, face, arms, speech, and time · It is imperative to get stroke victims into treatment as quickly as possible, Arrive to Survive to Thrive You can learn more about Steve Hetts and World Stroke Day through the links below: LinkedIn: https://www.linkedin.com/in/steven-hetts-a4713a49/ Facebook: https://www.facebook.com/SurviveStroke Twitter: https://twitter.com/SurviveStroke Instagram: https://www.instagram.com/survivestroke/ Website: https://getaheadofstroke.org/ To connect with the show on social media use the links below: Twitter: http://twitter.com/yourkeynoter Facebook: http://facebook.com/yourkeynoter Instagram: http://instagram.com/yourkeynoter LinkedIn: http://linkedin.com/company/yourkeynoter YouTube: https://www.youtube.com/channel/UC9ub8CjRQAmXsOEA4s9AYbw We would love to hear from you. Visit the “Contact Us” form: https://www.perspectivesonhealthcare.com/contact/ Look around the website for more Perspectives on Healthcare. Disclaimer: All opinions expressed by guests on the Perspectives on Healthcare Podcast are solely the opinion of the guest. They are not to be misconstrued as medical diagnoses or medical advice. Please consult with a licensed medical professional before attempting any of the treatments suggested.

We get an interventional neuroradiologist's perspective on healthcare from Steve Hetts on this episode of the Perspectives on Healthcare Podcast with Rob Oliver. Dr. Hetts joined the podcast in honor of World Stroke Day on October 29. He provides intriguing insights into stroke treatment and stroke prevention. Dr. Hetts is from California and is a member of Generation X. Here are 3 things that stood out as Steve Hetts gave us an interventional neuroradiologist's perspective on healthcare: · Time is of the essence when it comes to stroke treatment · BE FAST provides a quick acronym for assessing stroke symptoms: balance, eyes, face, arms, speech, and time · It is imperative to get stroke victims into treatment as quickly as possible, Arrive to Survive to Thrive You can learn more about Steve Hetts and World Stroke Day through the links below: LinkedIn: https://www.linkedin.com/in/steven-hetts-a4713a49/ Facebook: https://www.facebook.com/SurviveStroke Twitter: https://twitter.com/SurviveStroke Instagram: https://www.instagram.com/survivestroke/ Website: https://getaheadofstroke.org/ To connect with the show on social media use the links below: Twitter: http://twitter.com/yourkeynoter Facebook: http://facebook.com/yourkeynoter Instagram: http://instagram.com/yourkeynoter LinkedIn: http://linkedin.com/company/yourkeynoter YouTube: https://www.youtube.com/channel/UC9ub8CjRQAmXsOEA4s9AYbw We would love to hear from you. Visit the “Contact Us” form: https://www.perspectivesonhealthcare.com/contact/ Look around the website for more Perspectives on Healthcare. Disclaimer: All opinions expressed by guests on the Perspectives on Healthcare Podcast are solely the opinion of the guest. They are not to be misconstrued as medical diagnoses or medical advice. Please consult with a licensed medical professional before attempting any of the treatments suggested.

  About 795,000 people suffer from a stroke in the U.S. each year. More than 140,000 die from stroke. Stroke is the leading cause of disability in the United States. 60% of stroke deaths occur in women. Experts say 80% of strokes can be prevented.Dr. Raymond Reichwein, a neurologist and co-director of the Penn State Stroke Center in Hershey was on Tuesday's Smart Talk where he described what a stroke is,"A stroke is a sudden brain injury caused by a blood vessel problem. And with that being said, there's two types of stroke. One is known as an ischemic stroke, which is the most common. It affects about 85% of people. And that's where a clot walks up a blood vessel and cuts off the blood supply to a certain part of the brain. The other less common type is what's called a hemorrhagic stroke. That's where a blood vessel burst and dispenses bleeding blood in and around the brain." What are the symptoms of a stroke,"So there are several common symptoms. And the acronym for the public health. There is something called BE FAST -- the acronym stands for the following. So the B is a sudden balance problem on your walking balance is off the E stands for an eye problem, either loss of vision or double vision. Classically, the F stands for a face problem. Classically a drop of your face. It could also be a face that a stands for an arm problem. If you hold your arms out, your arm can drift down and appear weak. It also could affect the leg. The S stands for a speech problem to where your words are garbled, slurred, or you're having difficulty getting the words out or understanding conversation. And then the T emphasizes the importance of time to call 911 and use the EMS system to promptly get to the hospital for a prompt evaluation and hopefully an appropriate treatment." Dr. Reichwein listed the risk factors for stroke,"High blood pressure, diabetes, cholesterol, atrial fibrillation, and then also carotid artery disease, a blockage in your neck artery. And then lastly, there are people out there with aneurysms. So abnormal blood vessels in their brain, people that smoke and have high blood pressure can increase the likelihood that one of those aneurysms can rupture and cause a brain hemorrhage. So, we don't talk as much about those, but the brain hemorrhages can be much more likely to be fatal after suffering a hemorrhage. But there's many others. But I would just leave the list short at those to start with. And then also behaviorally smoking and alcohol abuse carry increased risk." Reichwein told the Smart Talk audience that if someone is having a stroke to call 911 and get to a hospital or a certified stroke center as quickly as possible because time is one of the most important factors in savings a stroke victim's life.Support WITF: https://www.witf.org/support/give-now/See omnystudio.com/listener for privacy information.

On Wednesday's "The Extra", our topic was stroke awareness.  More than 795,000 people in the United States have a stroke every year.  Early intervention is critical to avoiding negative health outcomes, including death.  Guest Amy Silva-Smith, PhD, ANP, UCCS Professor of Nursing talked about a way to be aware of strokes happening, is to remember "BE FAST", with the letters standing for sudden onset of problems like:  Balance Eyesight Face Drooping Arm Weakness Speech Difficulty (meaning) Time to call 911 More information available at UCCS.edu and Stroke.org. 

On Wednesday's "The Extra", our topic was stroke awareness.  More than 795,000 people in the United States have a stroke every year.  Early intervention is critical to avoiding negative health outcomes, including death.  Guest Amy Silva-Smith, PhD, ANP, UCCS Professor of Nursing talked about a way to be aware of strokes happening, is to remember "BE FAST", with the letters standing for sudden onset of problems like:  Balance Eyesight Face Drooping Arm Weakness Speech Difficulty (meaning) Time to call 911 More information available at UCCS.edu and Stroke.org. 

Julie Kuch had her first stroke in 2009 when she was 30. No one believed her at the time, and she had to convince a neurologist to order an MRI before the medical system began to take her seriously. And once they did take her seriously, the system still didn't offer Julie rehab or even education about how to live life as a stroke survivor. Several years later, Julie had a do-over -- her second stroke. Oh, and she through in a TBI in between. Between her strokes, Julie created the services she wished she had for her own stroke. She became a life coach for brain injury survivors. To learn just what a life coach does, how their services help, and how Julie built this life, listen to this episode. If you don't see the audio player below, visit http://Strokecast.com/Julie to listen to the conversation.   Click here for a machine-generated transcript Who is Julie Kuch? Julie is a concussion and stroke survivor. She is a Life Coach for people who have had a brain injury. She has helped 100's of people find joy and purpose in life again. Julie has survived to strokes and a TBI. Her second stroke was in January 2022. She is currently recovering (very well) from this, her third brain injury. The experience has Julie feeling more passionate than ever that part of her mission in this life is to help as many people as possible recover and feel better than before their brain injury. Julie is grateful for her brain injuries and the valuable lessons they have given her. Julie wants everyone that has experienced a TBI to feel the same, and she know they can. Julie says, "So much of the suffering we go through recovering from brain injuries is not necessary. I teach my clients how to transform from feeling resentful, frustrated, angry, shameful and depressed about the state of their life to feeling accepting, loving, and at peace about themselves and their capacity after a brain injury." Julie certified as a Life Coach through The Life Coach School. A Go Getter Gets Depression Depression is a topic we don't talk about often enough. It's a common stroke deficit, like hemiparesis and aphasia. It interferes with recovery and exercise routines. And it's not just feeling sad or mourning the end of your previous life. It's a genuine problem that burns energy and can make it even harder to get out of bed and do PT. Or do the basics of taking care of ourselves. Last year, I talked with Dr. Laura Stein from Mount Sanai in New York. She talked about new research showing that stroke itself causes major depression, and not just the impacts of stroke. In 2009, no one told Julie she might encounter depression. We also had less overall public awareness about depression. And when it did hit Julie, she was not prepared to deal with it. She had to deal with her own limiting beliefs about antidepressant medication and about people with depression. Julie talks about the shame and embarrassment she had around her treatment. By 2022, she was better prepared to deal with it. Depression, like stroke, can happen to anyone. It can be a deadly condition. And like any other stroke deficit, it's nothing to be ashamed of. We can know that, but that doesn't guarantee we'll believe that. Why drive during a stroke? Julie had her stroke while she was driving to the doctor's office. But she didn't pull over and call an ambulance. Jo Ann Glim had her stroke in a deli while trying to fix an office sandwich crisis. Misha Montana drove back to Reno while having a stroke. James Horton drove home while having a stroke, Driving while experiencing a stroke is a terrible idea. It's dangerous. It's difficult. The problem is that we rely on our brains to evaluate every situation of every minute of every day. In a stroke, though, the brain is under attack. Millions of brain cells are dying every minute. Various parts are scrambling in panic mode to figure out what is happening, what no longer works, and what to do next. The part that should tell us what common sense is has become the part that is broken. So, what can we do? We talk about neuroplasticity as how we recover after stroke. The core principle is, "Cells that fire together, wire together."  It's not just recovery, though. Neuroplasticity governs how we learn. We say things like "Practice makes perfect" because doing something repeatedly is often how we learn it. Practice IS the firing together of neuroplasticity. The more we repeat a thing, the more resilient the connections in our brains become. The bigger they become. The more permanent they become. If you grew up in the US and I say, "I pledge allegiance…" you probably immediately want to say, "to the flag." If you grew up Catholic and I say, "In the name of the father," you probably felt the urge to touch your forehead. These are patterns we developed over years of repetition. Here's how this impacts driving. By repeating BE FAST early and often, we internalize not only the most common symptoms of stroke, but also the action. T = Time to call an ambulance. B – a sudden loss of or change in balance E – a sudden change in or loss of eyesight or vision F – single side face droop A – in ability to hold both arms up S – loss of or change in speech, vocabulary, or ability to process language T – Any of this means it is time to call an ambulance BE FAST = Balance, Eyes, Face, Arms, Speech, Time to call an ambulance. Repeat it until "Time to call an ambulance" is as ingrained as the sign of the cross or the pledge of allegiance. In a crisis, that may then be the course of action the dying brain grabs on to. Helmets Save Lives Julie told the story of her concussion during the conversation. This is a picture of the helmet she was wearing at the time. Yes, she still suffered a traumatic brain injury in the accident, but the helmet took the brunt of it. When you look at the dent in that image, it might not look too dramatic, but if you take another look and then imagine what that would look like on someone's head. Now that's terrifying. What is a Life coach? Julie is a Life Coach for brain injury survivors. But what does that mean? As Julie describes it, she helps live their best life. In some respects, it's similar to what a mental health professional does, but to a lesser degree. A life coach helps a client develop practical skills for life within the context of the coach's expertise. A big part of Julies work is helping folks understand the difference between facts and thoughts. Often, we assume that our thoughts are facts, and that causes problems. Saying it's 73 degrees is a fact. Saying it's too warm to do PT is an opinion or a thought. When we act on thoughts like that, we can limit our recovery. Many of us have limiting beliefs about our abilities, relationships, money, and more. Those limiting beliefs are things that we have convinced ourselves are facts when in reality they are not. And yet they have become part of the way our brain interprets the world due to neuro plasticity. A life coach like Julie helps clients unpack those limiting beliefs and jettison the ones that don't work. Freeing yourself from your limiting beliefs allows you to achieve more. While a life coach is not a replacement for a psychologist, they can still help people live better lives. Hack of the Week There are three tools that helped Julie with the mindset of recovery that she uses with her clients, First, mourn the life that could have been. After a brain injury, life will be different. We are different. Some disabilities may be short term while others are long term. It's okay to be sad and disappointed. Getting stuck in sadness and disappointment won't undo the injury, though. It will only delay your entry in a new and possibly amazing life. Taking time to mourn the life that could have been can help you move on to the life yet to be. Second, receive the gift of rest. Rest and sleep are important, yet many of us flee from them (myself included too many times). That's where much of the work of healing happens though. A brain focused on just getting to the next big thing isn't taking the time it needs to prepare for the next big thing. Take the time to rest and recover. Third, manage your thoughts. The key principle behind Julie's coaching is that thoughts and opinions direct our actions and beliefs. We think they are immutable, but they are not. We can change them. We can decide which ones to dwell on. The core idea of neuroplasticity is that "nerves that fire together, wire together." PT, OT, and Speech Therapy are governed by this theory. It's why we have to do thousands of repetitions to rediscover our limbs and build new pathways in our brains. And it's why dwelling and revisiting unhelpful thoughts is not helpful. The more often we think something or repeat a belief, the more the nerves will wire that thought or belief, giving the brain a shortcut to that thought or belief. Make sure you leverage the power of neuroplasticity to bring good things into your life. Better year for Geek Movies: 1982 or 1989? I was just on the Caffeinated Comics Podcast where we discussed this question along with the trends that transformed movies through the 80s. From Bladerunner to Batman, and Tron to the Little Mermaid, a lot of amazing movies came out in those years. You can hear us discuss it on the podcast here: https://radiomisfits.com/cc286/ Or you can listen and watch on YouTube right here: https://youtu.be/b4gY3KD17i4 Links Where do we go from here? To learn more about Julie's coaching programs visit http://JulieKuchCoaching.com. Follow Julie on Instagram to stay on top of her recovery and see her videos. Share this episode with someone you know by giving them the link http://Strokecast.com/Julie Subscribe to the Strokecast newsletter at http://Strokecast.com/news Don't get best…get better

Learn the signs and symptoms of a stroke. If you have any of these symptoms go the nearest ER as soon as possible.Learn more about our hospital at unitypoint.orgSpeaker: Karen Gonzalez, RN, BSN, Stroke CoordinatorWatch the video here: https://www.youtube.com/watch?v=-Va7VMmXZPQ

Dr. Ryan Sundermann, UnityPoint Health - St. Luke's Hospital ER medical director, explains what it means to "BE FAST." And why it matters when it comes to the onset of a stroke!B- BalanceE- EyesF - FaceA- ArmS - SpeechT- TimeMost importantly time is critical in the event of a stroke. For every second a stroke is occurring, brain cells die. In other words, time is brain! Call 911 and seek emergency help right away.Learn more about UnityPoint Health - St. Luke's Hospital in Cedar Rapids, Iowa at unitypoint.org/cedarrapids.

In this podcast, Dr. Ron Tarrel, a Stroke Neurologist with Allina Health, discusses everything stroke. Dr. Tarrel walks through recognition, evaluation, and management of stroke. He also discusses current guidelines, as well as the future of stroke medicine. Enjoy the podcast! Objectives:   Upon completion of this podcast, participants should be able to: Identify and describe warning signs of stroke and its initial presentation. Assess when initial urgent/emergent evaluation, imaging, coordination of care and decision making needs to occur in regards to stroke. Discuss treatment options and indications in regards to stroke care. CME credit is only offered to Ridgeview Providers & Allied Health Staff 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 approximately 2 weeks. You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation. CME Evaluation (**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.)  DISCLOSURE ANNOUNCEMENT  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; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's 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. Ridgeview's CME 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. Thank-you for listening to the podcast. ADDENDUM TO SHOW NOTES:Please note the Dr. Tarrel refers to TPA as a blood thinner at one point throughout the podcast. He would like the listerner to know that this medication (TPA) is a clot dissolving medication and not a blood thinner. Dr. Tarrel does not wish to confuse the listner on the nomenclature of TPA vs blood thinners (i.e. anticoagulants). SHOW NOTES: FAST The American Heart Association (AHA) put forth an initative for the lay person to recognize signs and symptoms of stroke and that was the FAST assessment which is (Facial asymmetry or weakness, Arm weakness, Speech difficulties, and Time), but now it has moved to the BE-FAST screening test. the BE portion of the FAST exam is assessment of Balance and Eyes to determine if there are posterior circulation findings. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.116.015169 HINTS ExamThe HINTS exam is a bit more specific and sensitve, looking for posterior circulation strokes in the correct patient population. Briefly, HINTS is a Head Impulse test direction-changing Nystagmus in eccentric gaze, or skew deviation. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.109.551234 Common DeficitsThe majority of strokes are going to occur in the anterior circulation which would be the carotid distribution, then into MCA (M1, M2, M3, M4, M5). Most of the deficits are going to be unilateral weakness, sensory or cognitive symptoms - example: aphasia/ neglect (cortical symptoms). Whereas, posterior circulation (vertebrobasilar) may have more devastating qualities. Symptoms for posterior stroke can include dizziness, nausea and vomiting, nystagmus, coordination, ataxia. However, see the article linked below where posterior cirulation vs anterior crculation infarcts can sometimes be difficult to determine on a clinical exam alone. Therefore, neuroimaging is recommended to accurately determine stroke distribution. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.112.652420 This study indicates that the symptoms/signs considered typical of posterior circulation infarcts occur far less often than was expected. Inaccurate localization would occur commonly if clinicians relied on the clinical neurological deficits alone to differentiate posterior circulation infarcts from anterior circulation infarcts. Neuroimaging is vital to ensure acurate localization of cerebral infarction. Hemorrhagic vs Ischemic StrokeWhich one is it? According to Dr. Tarrel, intracranial hemorrhage appears to exhibit more headache symptoms, such as this is the "worst headache of my life" , whereas ischemic stroke appears to be more painless, usually. Blood pressure and loss of consciousness can closely mimic hemorrhagic vs ischemic. Telestroke GuidelinesTelestroke guidelines are generally insitution specific. Refer to the linked article below, on the current guidelines in telestroke medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5802246/pdf/tmj.2017.0006.pdf BP / 1st Line AgentFor hemorrhagic strokes, the neurosurgeons and neurologist like the systolic blood pressure to be in the 140-160 range. BP is usually controlled with Nicardipine as a 1st line agent. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.117.020058 Last Known Well (LKW)Last Known Well (LKW) is extremely important especially since we know that we are working against the closk for the use of lytic therapy (currently 4.5 hour window).https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630074/pdf/nihms699406.pdf https://www.ahajournals.org/doi/epub/10.1161/CIRCULATIONAHA.116.023336 Imaging Imaging modalities for stroke workup can often include an initial non-contrast CT of the head to rule out ICH, but hen what happens? Generally, it is recommended to work in concert with the stroke neurologist to then determine the next line of imaging studies. If it is determined the patient looks to have a high NIHSS and concerns for LVOT (Large Vessel Occulusion) a CTA of the head and neck can be considered. Perfusion studies and advanced MR imaging should be discussed with consulting neurologists. Clinicians should also remember to follow their specific institutional guidelines for imaging studies if the stroke neurologist is unavailable or there is a delay in consultation. LKW along with CTA and CT perfusion of the head in ischemic stroke patients can sometimes give us a picture of the infarct core with surrounding penumbra (ratio). If circumstances are faborable, it may allow the pursuit of a thrombectomy. The current guidelines are for thrombectomy within 6 hours, but consideration upwards of 24 and beyond in the right patient population. Please see the DAWN and DIFFUSE 3 trials. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.119.027974 ThrombectomyGenerally the neurointerventionalist does not pursue thrombectomy beyond the MCA (M2 region), sometimes depending on anatomy. ASPECT ScoreThe ASPECT Score (Alberta Stroke Program Early CT Score) determines the volume of subcortical and cortical infarct involvement via perfusion study. Generally the score provided is 1-10. Anything less than a 6 portends a poor outcome. More early changes seen on CT suggest poorer outcomes from stroke. Patients with scores >8 have a better chance for an independent outcome. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.117.016745 IV TPAIV TPA with thrombectomy is safe. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.109.568451 TNK appears to have the same efficacy as TPA. Single dose IV push over 5 minute infusion. Easier and faster delivery of TNK. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.119.025080 Institutions may have different absolute and relative contraindications to TPA. Practice should be guided by institutional protocol and consultation with neurology. https://www.ahajournals.org/doi/epub/10.1161/STR.0000000000000086 Secondary PreventionSecondary prevention of stroke with the aid of DAPT (Dual Antiplatelet Therapy) - usually Plavix and Aspirin. Patients with cerebra ischemia are at high risk for early recurrent stroke, and use of DAPT for secondary prevention is reflected in current guidelines. Good BP and lipid management is paramount for 2nd stroke prevention. https://www.ahajournals.org/doi/epub/10.1161/STROKEAHA.119.028400 Scoring SystemsHAS-BLED score for major bleeding risk. CHA2DS2-VASc Score for artrial fibrillation stroke risk. Anti-thrombotic Therapy & Elderly PatientsChoosing antithrombotic therapy for elderly patients with atrial fibrillation who are at risk for falls.https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/484991 Fall risk and anticoagulatoin for atrial fibrillation in the elderly: A delicate balance. https://www.ccjm.org/content/ccjom/84/1/35.full.pdf  

When it comes to treating stroke, initiating care ASAP, especially at a certified stroke center, can greatly improve the trajectory for survival and recovery. Regulatory bodies and other third parties have taken note of the stoke care at UConn Health, which has maintained the distinction of "primary stroke center" from The Joint Commission since first earning it in 2014. This month, two of the nurses behind the UConn Health Stroke Center's success, Jennifer Sposito (clinical coordinator) and Brooke Medel (patient navigator) describe what makes UConn Health so effective at stroke care and tell you what you need to watch for in order to BE FAST, act quickly, and recognize this medical emergency. (Jennifer Sposito, Brooke Medel, Carolyn Pennington, Chris DeFrancesco, December 2021) UConn Health Stroke Center https://health.uconn.edu/stroke-center/ UConn Health Stroke Survivor Group https://health.uconn.edu/stroke-center/events-and-programs/ Video: Stroke Survivor Returns for Promised Dance With His Nurse https://youtu.be/V6tD8RO_0SE  

飛碟聯播網《飛碟早餐 唐湘龍時間》2021.09.28 週二醫療保健單元 台中榮民總醫院神經外科血管科主任 崔源生 《強效圖解！腦中風神救援：神經外科權威醫師教你認識、預防、治療中風》 ※主題：《強效圖解！腦中風神救援：神經外科權威醫師教你認識、預防、治療中風》/ 崔源生 / 資料夾文化 ※來賓：台中榮民總醫院神經外科血管科主任 崔源生 ◎內容介紹 近十年，腦中風位居十大死因2～4名，不僅奪走無數人生命，也會造成失能的可能。但你知道腦中風可以預防嗎？只要把握黃金治療三小時，熟記口訣BE-FAST，從此遠離腦中風！ 血管健康自評表，時時關注自己，預防腦中風高風險 腦中風可以預防！只要時時刻刻關注自己，從生活習慣以及身體狀況細節中找到蛛絲馬跡，就能快快預防，遠離腦中風。書中收錄血管健康自評表，讓你能夠自我檢測，若是高風險族群，就要小心應對，仔細防範！ 大量圖解超好懂，血管問題不求人，當自己的醫師 每次看醫生，短短的問診時間無法徹底了解原因，對病況一知半解。不用擔心，全書附有大量圖解，一目了然看懂血管問題、認識腦中風是什麼，讓自己為自己的健康把關吧！ 最新治療方法大公開，擺脫腦中風，治療快易通 醫學發展日新月異，研發出新的治療方法，腦中風患者復原的機會就越大！書中包含新穎的治療方式及真實案例，讓你完全了解各種治療方法的優缺點。同時破解錯誤迷思，不再吸收錯誤醫療觀念。 ◎作者介紹：崔源生 現任： 台中榮民總醫院神經外科血管科主任／部定副教授 台灣神經血管外科暨介入治療醫學會秘書長 學歷： 國防醫學院醫學士／中山醫學大學醫學博士 專業證照： 台灣外科專科醫師／台灣神經外科專科醫師／台灣血管外科專科醫師 台灣重症醫學專科醫師/神經血管介入治療指導醫師 ▶ 《飛碟早餐》FB粉絲團 https://www.facebook.com/ufobreakfast/ ▶ 飛碟聯播網FB粉絲團 https://www.facebook.com/ufonetwork921/ ▶ 網路線上收聽 http://www.uforadio.com.tw/stream/stream.html ▶ 飛碟APP，讓你收聽零距離 Android：https://reurl.cc/j78ZKm iOS：https://reurl.cc/ZOG3LA ▶ 飛碟Podcast SoundOn : https://bit.ly/30Ia8Ti Apple Podcasts : https://apple.co/3jFpP6x Spotify : https://spoti.fi/2CPzneD Google 播客：https://bit.ly/3gCTb3G KKBOX：https://reurl.cc/MZR0K4 #飛碟聯播網 #飛碟早餐 #唐湘龍 #唐湘龍時間

Für Folge 33 haben Sebastian und Karin gemeinsam ein spannendes Interview mit Zoi zum Thema Schlaganfall geführt. Wofür steht nochmal "BE FAST" in Ersteinschätzung? Es geht um die, manchmal schwierige, Entscheidung wann lysiert wird und wann nicht und mögliche Komplikationen. In unserem Laborteil bespricht Marius dieses mal keinen Laborwert sondern mit der Actilyse die medikamentöse Therapie des Stroke.

ஸ்ட்ரோக் சப்போர்ட் இந்தியாவின் மற்றொரு அத்தியாயம் இதோ நன்கு அறியப்படாத ஒரு நோயைப் பற்றி பேசலாம், ஆனால் சரியான நேரத்தில் சிகிச்சை அளிக்கப்படாவிட்டால் பேரழிவு தரும் விளைவுகளை ஏற்படுத்தும்! ஸ்ட்ரோக் பற்றி பேசலாம் - அது நடக்காமல் தடுப்பது எப்படி, அது நடக்கும்போது என்ன செய்வது, நடந்த பிறகு என்ன செய்வது. இந்த அனைத்து பிரச்சனைகளையும் இந்த போட்காஸ்ட் சேனல் தீர்க்கிறது. ஸ்ட்ரோக் சப்போர்ட் இந்தியாவின் நோக்கம் ஸ்ட்ரோக் விழிப்புணர்வு மற்றும் பாதிக்கப்பட்ட பக்கவாதம் மற்றும் அவர்களின் குடும்பங்களை ஆதரிப்பதாகும். இந்த சேனலில் பல்வேறு அத்தியாயங்கள் இந்த பணி மற்றும் அதன் பல அம்சங்களில் மட்டுமே கவனம் செலுத்துகின்றன. எங்கள் வலைத்தளம் https://strokesupport.in. டெலிகிராம் / வாட்ஸ்அப் வழியாக எங்கள் பல்வேறு குழுக்கள் உட்பட எங்கள் பல்வேறு சமூக ஊடக சேனல்களில் நீங்கள் சேரலாம் . பார்க்க: https://strokesupport.in/contact/ அனைத்து பக்கவாதம் தப்பிப்பிழைப்பவர்கள், குடும்ப பராமரிப்பாளர்கள், பேச்சு சிகிச்சையாளர்கள், நரம்பியல் நிபுணர்கள், பிசியோதெரபிஸ்டுகள், உபகரணங்கள் / சேவை வழங்குநர்கள் அல்லது வேறு யாராவது எங்களுக்கு உதவ தயாராக இருந்தால், எங்கள் சமூக ஊடக சேனல்களில், குறிப்பாக எங்கள் டெலிகிராம் குழுமத்தில் சேர வரவேற்கிறோம் https://strokesupport.in/tg/ பரஸ்பர தகவல் பகிர்வு, ஆதரவு, ஆலோசனை மற்றும் ஊக்கம். ---- இப்போது, இந்த அத்தியாயத்திற்கு. இந்த அத்தியாயம் பக்கவாதம் பற்றிய சில அடிப்படை தகவல்களை வழங்குகிறது. கவனமாக கேளுங்கள்! ஒரு பக்கவாதம் மரணம் அல்லது இயலாமையை ஏற்படுத்தும்! வயது, உடல் தகுதி அல்லது பாலினம் ஆகியவற்றைப் பொருட்படுத்தாமல் இது யாருக்கும் ஏற்படலாம்! இளம் வயதினருக்கு பக்கவாதம் அதிகரித்து வருகிறது! நான்கு பேரில் ஒருவர் தங்கள் வாழ்நாளில் பக்கவாதத்தால் பாதிக்கப்படுவார் என்று எதிர்பார்க்கப்படுகிறது. அப்படி ஒருவராக இருக்காதீர்கள்! பக்கவாதம் மற்றும் அதன் ஆபத்தை எவ்வாறு குறைப்பது என்பது பற்றி தெரிந்து கொள்ளுங்கள். குறைந்த மற்றும் நடுத்தர வருவாய் உள்ள நாடுகளில் சுமார் 70 % பக்கவாதம் ஏற்படுகிறது. இந்தியாவும் அப்படிப்பட்ட ஒரு நாடு. இருப்பினும், பக்கவாதம் அறிகுறிகளைப் பற்றிய விழிப்புணர்வு தொடங்குவது மிகவும் குறைவு! பக்கவாதம் ஏற்படும் போது, நோயாளி 2-4 மணி நேரத்திற்குள் சரியான ஸ்ட்ரோக் ரெடி மருத்துவமனையை அடைய வேண்டும். இல்லையெனில் மரணம் அல்லது வாழ்நாள் முழுவதும் இயலாமை கூட ஏற்படலாம். எனவே அந்த அறிகுறிகள் என்ன? BE-FAST என்ற சுருக்கெழுத்தை எளிதாக நினைவில் கொள்வதற்கு சில பொதுவானவை இங்கே உள்ளன. B என்பது சமநிலைக்கு. பக்கவாதம் ஏற்படத் தொடங்கும் ஒருவருக்கு திடீரென சமநிலையை இழக்கலாம், தலைசுற்றத் தொடங்கலாம், குமட்டல் அல்லது தலைச்சுற்றல் ஏற்படலாம். அவன்/ அவள் திசைமாறலாம். E என்பது கண்பார்வைக்கானது. திடீரென்று, ஒருவர் ஒன்று அல்லது இரண்டு கண்களிலும் பார்வை இழக்கத் தொடங்கலாம். F என்பது முகத்திற்கானது. நபரின் முகத்தின் ஒரு பக்கம் - உதடுகளைச் சுற்றி இருக்கலாம். A என்பது ஆயுதங்களுக்கானது. நபர் ஒரு கையில் பலவீனத்தை அனுபவிக்கலாம். இரண்டு கைகளையும் ஒரே உயரத்திற்கு உயர்த்தும்படி அவனிடம் சொன்னால், கைகளில் ஒன்று வெறுமனே நகராமல் இருக்கலாம் அல்லது மற்றொன்றை விடக் குறைவாக இருக்கும். எஸ் என்பது பேச்சுக்கானது. நபரின் பேச்சு மங்கலாகலாம். அவர்/அவள் எளிமையான சொற்களைப் பேச முடியாமல் போகலாம் அல்லது உங்களுக்குப் பிறகு ஒரு எளிய வாக்கியத்தை மீண்டும் சொல்ல முடியாது. புரிதல் பாதிக்கப்படலாம். இந்த அறிகுறிகள் சிறிது நேரம் கழித்து தானாகவே முடிவடையும். பிரச்சனை முடிந்துவிட்டது என்று யாராவது நினைப்பது. ஆனால் அது இல்லை, விரைவில் ஒரு தீவிர பக்கவாதம் ஏற்படும் வாய்ப்பு மிக அதிகமாக உள்ளது. மேலும் விவரங்களுக்கு தயவுசெய்து போட்காஸ்டைக் கேளுங்கள். அல்லது பார்க்க: https://strokesupport.in/be-fast/ தமிழ் மொழிபெயர்ப்பு மற்றும் போட்காஸ்டுக்கு எஸ்.கே.ராஜா மற்றும் மஞ்சு ராஜா ஆகியோருக்கு நன்றி.

Welcome to another episode of Stroke Support India. Here we talk about common stroke symptoms and what to do when they happen. Thanks a lot to Jennifer Menezes for presenting it in Konkani ! ಹಾಂಗಾ ಅಸಾ stroke support India ಚೆ ಎ್ ಪ್ರಮುಖ್ ಮಾಹೆತ್. ಹ್ಯಾ ಪಿಡೆ ವಿಶಿ ಹಾಂಮಿ ಸೊಮ್ಜೋನ್ ಘೆಯಾ ಕಿತ್ಯಾಕ್ ಗೀ ಸಾಬಾರ್ ಜಾಣಾಂಕ್ ಹ್ಯಾ ವಿಷಿ ಸೊಮ್ಜೋನಿ ನಾ ಪೂನ್ ಹಾಕಾ ಫಾವೋ ತ್ಯಾ ವೆಳಾರ್ ಚಿಕಿತ್ಸಾ ಲಾಭೂಂಕ್ ನಾ ತರ್ ಹಾಚೊ ಪರಿಣಾಮ್ ಭೋವ್ ಖಟಿನಾಯೇಚೆ ಜಾoವ್ಕ್ ಪಾವ್ತ್ತಲೆ, ಹಿ ಪಿಡಾ ದುಸ್ರಿ ಖಂಚಿ ನಯ್ ಪೂಣ್ stroke ಯಾ ಆರಿಚಿ ಪಿಡಾ. ಹಿ ಪಿಡಾ ಏನಾತ್ಲ್ಯ ಬೊರಿ ಕಶೆ ಜಾಗ್ರುತ್ ಖರಿಜಯ್ ಯಾ ಆಯ್ಲ್ಯಾ ವೆಳಾರ್ ಕಿತೆ ಖರಿಜಯ್ ಯಾ ಆಯ್ಲ್ಯಾ ಉಪ್ರಾಂತ್ ಕಿತೆ ಖರಿಜಯ್ ಮಳ್ಳೆ ಸಮ್ಜೊಂಚೆ ಸಡ್ ಘರ್ಜೇಚೆ ಜಾವ್ನ್ ಆಸಾ..ಆನಿ ಹೆ ಮಾಹೆತ್ ತುಂಮ್ಕಾ ಹೆ podcast ಖಳಿತ್ ಕರ್ತಾ. Stroke support Indiaಚೇ ಉದ್ದೇಶ್ ಜಾವ್ನಾಸಾ ಆರೀಚೆ ಪಿಡೆ ವಿಶಿ ಸೊಮ್ಜೋನಿ ದಿಂವ್ಚೆ, ಆನಿ ಹ್ಯಾ ಪಿಡೆಕ್ ಒಳಗ್ ಜಾಲ್ಯಾಂಕ್ ಆನಿ ತಾಂಚ್ಯಾ ಕುಟ್ಮಾಂಚ್ಯಾಕ್ ಧೈರ್ಯ ಆನೀ ಆಧಾರ್ ದಿಂವ್ಚೆ.. ಹೆ ಎಪಿಸೋಡ್ ಆರಿಚೆ ಪಿಡೆ ವಿಶಿಂ ಥೊಡೆ ಪ್ರಮುಖ್ ಸಾಂಗ್ತೋ ಕಳಿತ್ ಕರ್ತಾ. ಆರೀಚಿ ಪಿಡಾ ಮರ್ಣಾಕ್ ಯಾ ಅಂಗವೈಕಲ್ಯಾಕ್ ಕಾರನ್ ಜಾoವ್ಕ್ ಪುರೊ. ಹಿ ಪಿಡಾ ಪ್ರಾಯ್, ಲಿಂಗ್ ಯಾ ದೈಹಿಕ್ ಸಕತ್ ಲೆಕಿನಾಸ್ತಾನಾ ಕೊಣಾಕ್ ಯೀ ಯೇoವ್ಚೇ ಸಾಧ್ಯತ್ ಆಸಾ.. ಹ್ಯಾ ದೀಸಾನಿ ಹಿ ಪಿಡಾ ಯುವಜನಾಂಕ್ ಸಡ್ ಭಾಧಿತ್ ಕರ್ಥೆತ್ ಆಸಾ. ಚಾರಾಂತ್ ಏಕಾಕ್ ಹಿ ಪಿಡಾ ಯೆoವ್ಕ್ ಪುರೋ. ತಾಂತ್ಲೆ ಏಕ್ ತುಮಿ ಜಾಯ್ನಾಕಾತ್. 70 ಪ್ರತಿಶತ್ ಹೀ ಪಿಡಾ ಉಣಿ ಆದಾಯ್ ಆಸ್ಚ್ಯಾ ದೇಷಾನಿ ಸಡ್ ದಿಸೋನ್ ಯೆತಾ. ಆಮ್ಚ್ಯೆ ಭಾರತ್ ತಾಂತು ಏಕ್ ಜಾವ್ನಾಸಾ.. ಪುಣ್ ಹ್ಯಾ ವಿಶಿo ಸೊಂಜೋನಿ ಆಮ್ಕ್ಯಾ ಲೋಕಾಂಕ್ ಬಾರಿ ಉನಿ ಆಸಾ.. Stroke ಆಚೆ ಲಕ್ಷಣ್ ಸೊಮ್ಜೋನ್ ಘೆoವ್ಚೆ ಪ್ರಮುಖ್ ಜಾವ್ನ್ ಆಸಾ..ಆನೀ ಆರ್ ಮಾರ್ಲ್ಯಾಕ್ 2- 4 ಘಂಟೆ ಭಿತರ್ hospital ಆಕ್ ವೊರಿಜೆ ನಾ ತರ್ ಮರಣ ಯಾ ಜಿಣಿಭೋರ್ ಅಂಗವ್ಯಕಲ್ಯತಾ ಜಾತಾ. ಹಾಂಗಾ ಆಸಾತ್ ತ್ಯೋ ಲಕ್ಷಣ್...BE FAST ಮುಳ್ಳೆ ಉಡಾಸ್ ದೋವೊರಾ.. 1. B- Balance ಮುನ್ಜೆ ರಾವೊಂಕ್ ಕಶ್ಟ್ ಜಾವಂಚೆ ಯಾ ತಕ್ಲಿ ಗುವಂಚಿ ಯಾ ವೊಂಕ್ ಸುರು ಜಾತೆಲೆ. 2.E-Eye sight ಮುನ್ಜೆ ದೀಷ್ಟ್, ದೋನ್ ಯಾ ಎಕ್ ದೊಳ್ಯಾಚಿ ದೀಷ್ಟ್ ಉನಿ ಜಾoವ್ಚಿ. 3. F- Face ಮುನ್ಜೆ ತೋಂಡ್, ಏಕಾ ಕುಶೀನ್ ಹೊಂಟ್ ಗುವ್ತ್ತೆಲೆ 4.A-Arms ಮುನ್ಜೆ ಹಾತ್, ಏಕ್ ಹಾತ್ ಉಕ್ಲುಂಕ್ ಕಷ್ಟ್ ಜಾತೆಲೆ ಯಾ ಹಾಲುಂಕ್ ಜಾoವ್ಚೆನಾ.. 5.S- Speech ಮುನ್ಜೆ ಉಲೊವ್ನೆ, ಉಲೊಂಕ್ ಕಷ್ಟ್ ಜಾತೆಲೆ ಯಾ ತಾನಿ ಉಲೋಯ್ಲೆ ಅರ್ಥ್ ಜಾoವ್ಚೆನಾ.. ಹೇ ಲಕ್ಷಣ್ ಥೊಡ್ಯಾ ವೆಳಾರ್ ಉನಿ ಜಾಲ್ಯಾರೀ ಹಾಂಕಾ stroke ಯಾ ಆರ್ ಮಾರುಂಕ್ ಪುರೊ ಹ್ಯಾ ವೆಳಾರ್ T ಉಡಾಸ್ ದೋವೋರಾ T- Time ಮುನ್ಜೆ ವೇಳ್, ಹಾಂಕಾ ವೇಳಾಕ್ ಸಮಾ ಹಾಸ್ಪಿಟಲ್ಯಾಕ್ ವೊರ್ಚೆo ಬೋವ್ ಘರ್ಜೆಚೆo ಜಾವ್ನಸಾ . Stroke ಕೊಣಾಕೀ ಯೇoವ್ನ್ಕ್ ಪುರೊ ಪುಣ್ ಕೋಣಾಕ್ High BP ಯಾ sugar ಯಾ alcohol ಯಾ smoking ಆಚಿ ಸೋವೊಯ್ ಅಸ್ಥಾಗೀ ತಾಂಕಾ risk ಸಡ್ ಆಸಾ. ಹಾಕಾ 2-3 ಘಂಟೆ ಭಿತರ್ ಟ್ರೀಟ್ಮೆಂಟ್ ಮೇಳಾನಾ ತರ್ ಮರನ್ ಯೆoವ್ಕ್ ಪುರೊ..ಆತಾ 7-8 ಘಂಟೆ ಮುನಾಶೇರ್ ವೇಳ್ ಆಸಾ ಜಾಲ್ಯಾರೀ ಯೆ ಪೇಶೆಂಟ್ ಆಚೆ ಕಂಡೀಷನ್ ಕಷೆ ಆಸಾ ಮುಳ್ಳೆ ಪೊಳೆಜೆ..ಆನೀ ಹಾಸ್ಪಿಟಲಾಂತ್ mechanical thrombectomy ತಲಿ ಮಾಡರ್ನ್ ಟೆಕ್ನೋಲೋಜಿ ಅಸಾಜೆ. ಆನೀ patient ಉರ್ಲ್ಯಾರ್ physiotherapy ಆನೀ Speech therapy ಕರುಂಕ್ ಆಸ್ತೆಲೆ..ಹೆ ಕರುಂಕ್ ಮೋಸ್ತು ಶಿಸ್ಥ್ patient ಆನಿ ಕುಟ್ಮಾಚ್ಯಾ ಥೈo ಗರ್ಜೆಚೇ ಜಾವ್ನಸಾ... ತೆದಾಳ ಬೋರೆಪೋನ್ ಮೇಲ್ತೆಲೆ ಆನೀ ತಾನಿ ಆನೀ ಕುಟ್ಮಾಚ್ಯಾನಿ ಹ್ಯಾ ಚ್ಯಾನಲಾರ್ ಭಾಗ್ ಘೇವ್ಯೇತ್. Stroke ಕಾಲ್ಯಾಕ್ ಜಾತಾ? Brain ಯಾ ಮೆಂದ್ವಾಕ್ ಕೆದಾಲಾ ರಗತ್ ಭೋರ್ಥಾಗಿ ಯಾ ರಗತ್ supply ಬಂದ್ ಜಾತಾಗಿ ತೆದ್ನಾ ಆಕ್ಸಿಜನ್ ಸಪ್ಲೈ ಮೆಂದ್ವಾಕ್ ಉಣೆ ಪೊಡ್ತಾ ಆನಿ ಆಮ್ಚೆ ಮೆಂದು ಕಾಮ್ ಕರ್ಚೆ ರಾವೆತಾ ಆನೀ ಬ್ರೇನ್ cells ಮೋರ್ತಾತ್ ಆನಿ ಅಮ್ಚೆ ಹಾತ್ ಪಾಯ್ ಕಂಟ್ರೋಲ್ ಕರುಂಕ್ ಜಾಯ್ನಾ. ಹೆ ಸೋಡ್ಲ್ಯಾರ್ ಆಮ್ಚಿ ಅನ್ಕಿಟಿ ಕಾಮ್ ಕರ್ಚೆ ರಾವೊಂಕ್ ಪುರೊ ಅಶೆ ಆಮ್ಕಾ ಅಜೀರ್ಣ್ ,ಖರಾಯ್ ಅಶೇಲಿ problems ಜಾತೆಲೆ.ಹೆo ಸೋಡ್ಲ್ಯಾರ್ ಮಾನಸಿಕ್ ಖಿನ್ನತಾ , ಇರಾರಾಯ್, ಬೇಜಾರಾಯ್ ಜಾತೆಲೆ. ಮುಕ್ಲಿ ಎಪಿಸೋಡಾo ಹ್ಯಾ ವಿಶಿo ಸಡಿತ್ ಕಳಿತ್ ಕರ್ತೆಲಿo. ಹ್ಯಾ ಎಪಿಸೋಡಾಕ್ ಹೆo ಪುರೊ. BE FAST ಮುಲೇ ಉಡಾಸ್ ದೋವೊರಾ ಆನೀ stroke ಜಾತಾನಾ ವೆಗ್ಗಿ hosiptalಆಕ್ ವೊಸಾ. ಹೆ ಎಪಿಸೋಡ್ ತುoಮ್ಚಾ ಮೋಗಾಚಿ ಆನೀ ಲಾಗ್ಶಿಲ್ಯಾಂಕ್ ಶೇರ್ ಕರಾo..ಹೆo ಕೆಲ್ಯಾರ್ ತುಮಿo ಏಕ್ ಜೀವ್ ಉರೊಂಕ್ ಸಕ್ತೇಲ್ಯಾತ್. ಆಮ್ಚೆ ವೆಬ್ಸೈಟ್ ಜಾವ್ನಾಸಾ strokesupport.in ಆನೀ ದುಸ್ರೆ ಸಪೋರ್ಟ್ ತುಂಮ್ಕಾ ಗರ್ಜ್ ಆಸಾ ಜಾಲ್ಯಾರ್ ಟೆಲಿಗ್ರಾಮ್ ಗ್ರೂಪ್ ಜೋಯ್ನ್ ಜಾಯಾ via strokesupport.in/tg/ ಆನೀ ತುಂಮ್ಕಾ ಖುಷಿ ಆಸಾ ಜಾಲ್ಯಾರ್ ಹಾಂಮಿ ಒನ್ಲೈನ್ ಯಾ ಆಫ್ಲೈನ್ 30 ಮಿನುಟಾ ಚಿ session ಆಸಾ ಕರ್ಯೇತ್. ಮೋನ್ ಆಸ್ಲ್ಯಾರ್ ಆಮ್ಕಾಂ email ಕರಾo (strokeindia@gmail.com) ದೇವ್ ಬೊರೆ ಕರುಂ.. ಜಾಗ್ರುತ್ ಕರಾ

In a stroke, the blood supply is cut off to the brain due to a blocked or a bleeding artery.  As this occurs, areas of the brain are damaged permanently which makes it incredibly important to get help immediately.If you notice something unusual happening to yourself or someone you are with, BE FAST!  This acronym can help you recognize the signs of a stroke.Did you know that 80% of strokes are avoidable?  Lifestyle tremendously affects your neurological health.  A few of the preventable risk factors for stroke are smoking, obesity and sedentary lifestyle.Once someone has suffered a stroke, there is much greater chance that they will have another stroke within that year.  This makes changes in lifestyle and continued visits to medical providers key in recovery.A stroke can take away all you love about your life. Prevention is always the way to go, but if you need the experts, call Riverside Health System.For More Information:www.riversideonline.com/medical-services/strokeTwitter: riversideFacebook: riversidehealthInstagram: riversidehealth/To watch the FULL video interview:https://youtu.be/AzHGyjp_uwQFollow us on Facebook: @WeAreLivingHealthyTV

The Mary Washington Healthcare Stroke Awareness program aims to increase community awareness about stroke. Despite progress in stroke prevention and improvements in medical care, stroke remains the fifth leading cause of death and the major cause of long-term disability in adults in the United States.  Stroke is a medical emergency. Recognizing stroke and getting the right treatment quickly can save lives and lead to improved outcomes. In this presentation, we define stroke, review the time-sensitive treatments for stroke and discuss how you can be "stroke smart" by learning the three R's” of stroke:  reduce risk, recognize symptoms with BE-FAST, and respond immediately by calling 9-1-1!   This education is brought to you by Susan Halpin, MSN, RN, SCRN, Mary Washington Hospital Stroke Program Coordinator; Christina Rauch, EMT-P, Mary Washington Healthcare EMS Coordinator; and Bert Seitzinger, stroke survivor and MWH volunteer.  Learn more at Stroke.mwhc.com

Margie "Kay" Pope  0:00  The right side of my face and started to drink from what they told me and I was still coherent and awake, but I couldn't form any words and I couldn't speak at all. Gina DiPietro  0:10  That's 64-year-old Margie "Kay" Pope of Sunset Beach, North Carolina, describing the most terrifying experience of her life. Margie "Kay" Pope  0:20  I'll never forget it - it was November 7, 2019.Gina DiPietro  0:30  Welcome to Novant Health Healthy Headlines. I'm Gina DiPietro. In this episode, Kay explains how a funny feeling that November night sent she and her 65-year-old husband, Frank, to the emergency room in search of answers. More on that and how a cutting-edge software provided quick access to care when she needed it most. Now back to Kay.Margie "Kay" Pope  0:56  It happened in the middle of the night. Fortunately, I was awake at the time I was having trouble sleeping. And that ended up being a good thing at that particular time because I realized all of a sudden my right arm was going numb. But it was a weird feeling numb wasn't your typical, you know, my hand is falling asleep. So I woke my husband up because I knew something was wrong. We contemplated for a little bit and you know, what do we do? So we made the decision to go to the emergency room. We're about 30 minutes from Brunswick, the Novant Health Hospital in Bolivia. So we drove there, got there about three o'clock in the morning. And they started running all the tests on me. They did a couple of CAT scans, they I think they did an EKG and some other things. And also they were in conference at the time with New Hanover Regional Medical Center. I found out later the stroke center there, they discovered that I had a clot that had moved in my brain. Gina DiPietro  1:55  She didn't know at the time, but that blood clot caused Kay to have a stroke. She was airlifted by helicopter from Novant Health Brunswick Medical Center in Bolivia, North Carolina, to Wilmington's New Hanover Regional Medical Center, recently acquired by Novant Health.Margie "Kay" Pope  2:10  When I got there, the stroke team was waiting for me wheeled me into a room did a procedure that I can't pronounce the name of and as soon as the clock was out, I was fine. All the symptoms were gone. Supposedly the procedure they did on me from what I was told they've got about a 4 to 6 hour window where they can do that. Otherwise it's too late. And I think that's kind of the point of what we're talking about is to acknowledge to people the faster you move on something like this, the better off the outcomes going to be. Because by the time I left the Novant hospital, airlifted to Wilmington, I could no longer speak. So the symptoms were gradually getting worse. It started with the numbness that I had no use of my right arm at all the right side of my face and started to droop for what they told me. And I was still coherent and awake. But I couldn't form any words, and I couldn't speak at all. Gina DiPietro  3:07  Wow, that had to have been so scary. Margie "Kay" Pope  3:09  Absolutely, the most terrifying thing I've ever had happen in my life. Gina DiPietro  3:13  Was your husband with you the whole time? Was he able to fly in a helicopter? Margie "Kay" Pope  3:17  No. And that was the bad part about that. He just saw me leaving the helicopter and didn't know what was going on.And then by the time he got there and they let him into saving the procedure was over and I was fine. And he was kind of in a state of shock because the last time he saw me, I couldn't speak, you know, and I had all these symptoms and the next time you saw me, I'm like Hi, I'm fine. So, he had a bit of an emotional turmoil to go along with it as well. Gina DiPietro  3:48  You'll remember she arrived at the emergency room around 3am and by six or 6:30 that morning she was out of surgery. While the Pope's quick thinking to seek help certainly played a role. So did Viz.ai - a video based platform that provides remote access to a neurologist, the expert in stroke care. Here's some context. in a rural hospital setting, it often takes at least an hour to get results from some of the more critical scans. But with this AI the scan is uploaded instantaneously to a "cloud" to be read by artificial intelligence. If a stroke is detected, the emergency physician is alerted immediately as the patient is transferred to a facility that can provide stroke care. A team of medical professionals led by an interventional neurologist is already preparing to take that person into surgery. Here's Dr. Vinodh Doss, an interventional neurologist and medical director of stroke and interventional surgery at New Hanover Regional Medical Center who performed case surgery that scary night back in November. Dr. Vinodh Doss  4:52  I'm awake. I'm at the hospital waiting for her to get there. We evaluate her it's clear that she still hasn't symptom should go straight to the angiography suite. And that's where we go to work. We got the artery open in a matter of minutes. And she obviously benefited from the care from beginning to the end. Gina DiPietro  5:13  Since you've been using Viz.ai, have you noticed an improvement in outcomes for stroke patients? Dr. Vinodh Doss  5:19  Oh, yeah. Using this technology, this is 21st century medicine. We know, if you come through our doors and Wilmington, you're gonna be triage and treated very quickly, we have some of the best treatment times in the country. But if you're just an hour, 45 minutes an hour away, that changes. And that shouldn't be the case using the technology. I think that's what it's been an eye opening experience with me just working with Brunswick on this, and how much providers have bought into it, and used it and leveraged it as in not just communicating, reducing unnecessary transfers, and encouraging the patients that really need to come to us and get treated. Gina DiPietro  5:59  Let's get back to Kay's story. A big reason she's sharing her experience lies in the fact that she did not ignore her symptoms. Time is key if you're experiencing a stroke. That's because up to 2 million brain cells die every minute when oxygen and nutrients are cut off. Margie "Kay" Pope  6:16  Fortunately, I didn't do my normal. Because I've always been a very healthy person have never really had anything like this happen to me. And I have a tendency to just say, oh, it'll go away, I'll be fine. Which is the worst thing I could have possibly have done. But fortunately, the way my body felt just told me there's something really wrong here. This is not going to go away on its own. But I sat up in bed, he got a wet washcloth, I was putting it on my forehead. And the other thing that was kind of strange is the symptoms were kind of coming and going, as I've described to people before it literally felt like a wave going through my body. And then after a few minutes, the symptoms went away. And I felt better. So we kept kind of hemming and hawing and saying, oh, everything's okay. Well, a nurse told me later, that was the clot moving. And the fact that like I said, I was kind of losing control of my right arm. just said, okay, common sense is going to kick in here. And it may be nothing, but I need to go find out what's going on. And I'm very glad I did. Because had I not done that the outcome would not have been good like it is now. Gina DiPietro  7:31  Do you have any lasting effects at all from what happened? Margie "Kay" Pope  7:35  Not from the stroke. But fortunately, or unfortunately, I found out I have a heart condition that I didn't know I had. And that's actually what they believe caused the clot. Gina DiPietro  7:48  Her condition, known as noncompaction cardiomyopathy, is a rare congenital disease of the heart muscle. It's genetic. And what doctors say prompted her stroke.Margie "Kay" Pope  7:58  Which is the other strange thing, you know, when all my life I never had any kind of an issue where I ever really had to have my heart checked out. But from what I researched later, you know, ultimately, people can die from things like this, or I could have been severely paralyzed. And now I learned all that I know the symptoms now. And you know, I love that we're doing this to promote to people because, like I said, this is the last thing that went through my mind when I was feeling this. All I knew was that something was wrong. But stroke is not what came to my mind. And everyone told me afterwards, I wasn't a candidate for as far as they knew for a stroke. Again, not knowing about the heart condition. You know, I didn't have any of the typical signs of someone who was at risk for a stroke. So you know, everyone that knew me when they found out what happened, they were shocked that I was the one that happened to.Gina DiPietro  8:54  The following afternoon, after just one night in the hospital, the Pope's were on their way home. Today, Kay is able to manage her heart condition and enjoy the beach with her husband, Frank. While they're both retired, Kay spent most of her career in the insurance industry doing commercial underwriting. And Frank worked in technology for a large bank in Charlotte, where they lived prior to their move to Sunset Beach six years ago. When looking out for the signs of a stroke, remember the acronym BE FAST. B is for balance or walking funny. E is for eyes. So vision changes loss of vision or double vision. F is for face or facial drooping. A is for arm drift or leg weakness on one side of the body. S is for speech. So slurred speech or problems talking and T is for time. Again, driving home the point that experiencing these symptoms means you should seek medical care immediately. Thank you for listening to this episode of Healthy Headlines. You can find more episodes under the Healthy Headlines channel of the Novant Health podcast family. There's tons of great content there. So feel free to browse around. We're on Apple, Google, Spotify or anywhere you listen to podcasts.

As the month of May nears a close, there's still time to take notice of National Stroke Awareness Month.Lisa Macdougall, Holy Family Hospital's stroke coordinator at. Macdougall, explains symptoms of stroke may come on suddenly, which is why they have a memorable acronym.“That acronym is BE FAST We want you to BE FAST when you think you are having symptoms of a stroke. What that stands for is the B is Balance. All of a sudden you're off balance or you are very dizzy. And, it comes on all of a sudden. The E in BE FAST is your eyes. Suddenly you're having a vision change in one or both eyes. The F in BE FAST is your face. Perhaps part of your face is drooping or suddenly you have a headache that affects your head. The A stands for your arms. Weakness or numbness, particularly if it's in one arm versus both arms. The S stands for speech. If you suddenly have trouble speaking or someone that you're watching seems to be confused or having garbled speech. And the last letter is T for time. It's time to call 9-1-1 if you see any of these symptoms. So, we really try to push BE FAST when you see signs or symptoms of a stroke,” she said.Macdougall, a recent guest on WHAV's morning show, says people having a stroke, or stroke-like symptoms, must get to the hospital fast.“Frequently, what people do is they try to drive themselves to the hospital, which is not what we want them to do. We would really prefer for them to call 9-1-1. The treatment for stroke starts in the ambulance. So, we really want to make sure they are not driving themselves or they are not having a loved one drive them to the hospital if they see any of these symptoms. It's very important to call 9-1-1,” she explained.Macdougall says strokes are caused by blood clots to the brain. When the brain lacks its supply of blood, it starts to die at a rate of about two million cells a minute.“We've only got a very short window of time in which to treat you if you are indeed having a stroke, because a stroke is caused by a blood clot that generally goes up to your brain and is blocking the circulation to your brain. So, we want to get that clot out of the way. So, we can either give you medication to try to break down that clot, or, if you meet certain criteria in some cases, we can send you into Boston and they will actually pull that clot out, called a thrombectomy, but again, they only have 24 hours from the time that your symptoms start to be able to do that,” she added.Macdougall says Holy Family Hospital is designated as a primary stroke center through the Commonwealth of Massachusetts, meaning they have the ability to treat those having a stroke or stroke-like symptoms. The chances of suffering from a stroke increase as people age or have medical conditions such as diabetes or high blood pressure.Support the show (https://whav.net/become-a-whav-member/)

  Click here for a machine generated transcript. BEFAST is the pneumonic device English speakers can use to recognize most strokes. Balance, Eyes, Face, Arms, Speech, Time to call an ambulance. But what if you speak Spanish instead of English? BE FAST doesn't directly translate well. So how can you recognize a stroke? PhD Research Scientist and EMS expert Dr. Remle Crowe and two of her colleagues worked on this problem over the past year. They came up with the Spanish pneumonic AHORA. Ahora translates to Now which captures the same urgency. In this episode we talk about the evolution of the pneumonic, the ethnic disparities in stroke in the US, the EMS system in Mexico, and how we can use data to improve patient outcomes. Oh, and tacos. Tacos are very important. Bio Dr. Remle Crowe is an expert in EMS research and quality improvement. From truck clutches to clinical care, she has shown how research and improvement science work to solve problems across fields. Prior to earning a PhD in Epidemiology, her EMS career began with the Red Cross in Mexico City as a volunteer EMT. She has authored numerous peer-reviewed publications related to prehospital care and the EMS workforce. Now, as a research scientist with ESO, Dr. Crowe routinely uses EMS data to improve community health and safety. AHORA Means Now Here is the stroke warning pneumonic device in Spanish. Download it and share it far and wide. Let's look at a translation. And, of course, here is the BE FAST messaging for English speakers. Both sets of symptoms look for the same thing. The AHORA messaging includes legs and headaches. The BE FAST messaging specifically calls out calling an ambulance. Regardless, the more people that can recognize a stroke as it is happening, the better off we will all be. Ethnic Differences in Stroke Among the data we talked about was ethnic differences in stroke. For one thing, Hispanic folks who have a stroke are more likely to have a hemorrhagic stroke than non-Hispanic Caucasians. This is a big deal, because, while hemorrhagic strokes aren't as common in general as ischemic strokes, they are more likely to be fatal, and they may result in more severe deficits and disabilities. Additionally, Hispanic folks are more likely to have strokes at a younger age than non-Hispanic Caucasian folks. African Americans are also seeing higher stroke rates than Caucasians. As we talk through the data though, the key thing is that these differences are not biologically based. They're societally based. That means it's a problem that can be solved. It's just not easy. Additionally, it also turns out that when COVID-19 lock downs began happening EMS transport rates also declined more among non-white patients than it did for white folks. Jauja Cocina Mexicana on YouTube Remle talked about her favorite YouTube channel for Mexican food. You can  check that out here: https://youtu.be/uxb7qSNFkg8 Hack of the Week I have probably 10 or more hoodies in my wardrobe that I rotate through. By hoodie, I mean a zip-up sweatshirt with 2 pockets and, well, a hood. I didn't wear them nearly as often in the pre-stroke days, but now I find them super helpful. For a stroke survivor, hoodies offer these advantages. Playing/practicing with using the zipper is good exercise for an affected hand. The extra pockets are great even just around the home since I can't really access the pants pockets on my affected side. When my affected arm is tired or I just need to take some weight off my shoulder I can stick it in my pocket. When I want to take a quick nap, I can just pull the hood up over my head. It will block some light and tell (some) people to leave me alone. I suppose someone struggling with overstimulation would also benefit from cutting off some of the outside world be deploying a hood. I find them to be simple, practical solutions to make life a little easier. Links Where do we go from here? Download and share the AHORA and BE FAST Graphics Subscribe to the upcoming Strokecast newsletter at http://Strokecast.com/News Share this episode on social media or with others by giving them the link http://Strokecast.com/Ahora Don't get best…get better

THE STORYTELLER'S MISSION WITH ZENA DELL LOWEEPISODE 59 – How to Keep Getting Re-hired as a Writer-for-HireDOWNLOAD FULL TRANSCRIPTS FOR FREE on the podcast page of our website. EPISODE DESCRIPTION – For many writers, the best way to make a living as a writer isn't to publish or sell your own original project, but to be hired by individuals or companies who need you to write a project they want to have done. Sometimes, these are one offs, but many times you may be hired by a company who has a lot of projects in the pipeline. The question is, how do you give yourself the best chance of being re-hired by these companies after the first project is done?The answer is simple, but not easy. There are basically three things you need:Be Fast - meaning deliver a completed project on time and within a reasonable timeframe.Be Good - meaning make sure the end product is excellent. This also means finding out specifically what the client needs so that you can be sure to deliver it..Be Nice - meaning be easy to work with. The most important quality that client's will look for in the "easy to work with" category is whether or not you can take notes. If you can deliver all three of these every time you're hired, you will absolutely be hired again, and again and again. You will be like liquid gold to your client.  UP NEXT - TBD THE WELL CREATIVITY CONFERENCEZena Dell Lowe is honored to be a Keynote Speaker at THE WELL CREATIVITY CONFERENCE, which takes place in Grand Rapids MI on April 22-23, 2021. She'll also be teaching an acting/improvisational workshop for actors and writers called, “Make Me Believe.”  To find out more or to register to attend, CLICK HERE, or go tohttps://seeyouatthewell.net OUR ONLINE PLATFORMThe Storyteller's Mission online platform is finally up and running! Sign up for one-on-one COACHING, get a SCRIPT CRITIQUE, or register for one of our highly anticipated ADVANCED CLASSES ON WRITING today! TOPIC REQUESTS? If you have a question or a specific writing related topic that you would like Zena to consider addressing in a future podcast, LEAVE US A VOICEMAIL recording with your problem, question, or issue!  SPECIAL THANKS - The Storyteller's Mission with Zena Dell Lowe would like to thank composer CARLA PATULLO for the original music she graciously permits us to use in the intro and outro of this podcast. To find out more about this amazing talent, go to  www.carlapatullo.com  Support the show (https://paypal.me/missionranchfilms?locale.x=en_US)

Today we talk about Devil's Den state park in ARKANSAS. Know the signs of strokes. BE FAST.

In der heutigen Folge sprechen wir über den Schlaganfall, einen der häufigsten Erste-Hilfe-Notfälle in Deutschland. Risikofaktoren, Symptome und Maßnahmen.

: 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

Der Klinisch Relevant Podcast liefert Ärztinnen und Ärzten, sowie Angehörigen der Pflegeberufe kostenlose und unabhängige medizinische Fortbildungsinhalte, die Du jederzeit und überall anhören kannst.

“People are more generous than you think of them.” – Marcia Moran Today's featured author is a stroke survivor, business consultant, and fellow Toastmaster, Marcia Moran. Marcia and I talk about her book, her journey of recovery since having a stroke and more!!   Key Takeaways: Caregivers must give themselves time for self-care. Always be willing to try again after not succeeding the first time. Keep the acronym Be Fast in mind for remembering the signs of someone having a stroke. Get as much sleep as you need. Especially as a caregiver. BE FAST = Balance (do you have it?), eyes (are you seeing clearly out of both of them), face (is it drooping?), arm (are your arms and legs working succinctly), speech (are you slurring your words?), time (to call 911 if they have these signs) Never give up and always be kind.   Marcia's Site: https://www.strokeforward.com/ Marcia's Book: https://www.amazon.com/Stroke-Forward-Become-Healthcare-Advocate-ebook/dp/B07Z9LSB9S/ref=sr_1_1?keywords=stroke+forward&qid=1576803722&sr=8-1 The opening track is titled “The Will to Fight” by Asis Galvin. To listen to this track in its entirety and purchase it, click the following link. https://asisgalvin.bandcamp.com/track/the-will-to-fight-ffxiii-remix   Related Episodes: 3 - "The Science of Public Speaking" with Pearl Matibe @PearlMatibe: https://goingnorth.libsyn.com/going-north-podcast-episode-3-the-science-of-public-speaking-with-pearl-matibe-pearlmatibe   97.5 (Thanksgiving Bonus Episode) - "MindShift On Demand" with Donna Blevins (@BigGirlPoker): https://goingnorth.libsyn.com/975-thanksgiving-bonus-episode-mindshift-on-demand-with-donna-blevins-biggirlpoker   202 - "Your Divine Human Blueprint" with Julie Renee Doering (@RevJulieRenee): https://goingnorth.libsyn.com/202-your-divine-human-blueprint-with-julie-renee-doering-revjulierenee   222 – “The Journey to Cloud Nine” with Jordan Gross: https://goingnorth.libsyn.com/222-the-journey-to-cloud-nine-with-jordan-gross

“People are more generous than you think of them.” – Marcia Moran Today’s featured author is a stroke survivor, business consultant, and fellow Toastmaster, Marcia Moran. Marcia and I talk about her book, her journey of recovery since having a stroke and more!!   Key Takeaways: Caregivers must give themselves time for self-care. Always be willing to try again after not succeeding the first time. Keep the acronym Be Fast in mind for remembering the signs of someone having a stroke. Get as much sleep as you need. Especially as a caregiver. BE FAST = Balance (do you have it?), eyes (are you seeing clearly out of both of them), face (is it drooping?), arm (are your arms and legs working succinctly), speech (are you slurring your words?), time (to call 911 if they have these signs) Never give up and always be kind.   Marcia’s Site: https://www.strokeforward.com/ Marcia’s Book: https://www.amazon.com/Stroke-Forward-Become-Healthcare-Advocate-ebook/dp/B07Z9LSB9S/ref=sr_1_1?keywords=stroke+forward&qid=1576803722&sr=8-1 The opening track is titled “The Will to Fight” by Asis Galvin. To listen to this track in its entirety and purchase it, click the following link. https://asisgalvin.bandcamp.com/track/the-will-to-fight-ffxiii-remix   Related Episodes: 3 - "The Science of Public Speaking" with Pearl Matibe @PearlMatibe: https://goingnorth.libsyn.com/going-north-podcast-episode-3-the-science-of-public-speaking-with-pearl-matibe-pearlmatibe   97.5 (Thanksgiving Bonus Episode) - "MindShift On Demand" with Donna Blevins (@BigGirlPoker): https://goingnorth.libsyn.com/975-thanksgiving-bonus-episode-mindshift-on-demand-with-donna-blevins-biggirlpoker   202 - "Your Divine Human Blueprint" with Julie Renee Doering (@RevJulieRenee): https://goingnorth.libsyn.com/202-your-divine-human-blueprint-with-julie-renee-doering-revjulierenee   222 – “The Journey to Cloud Nine” with Jordan Gross: https://goingnorth.libsyn.com/222-the-journey-to-cloud-nine-with-jordan-gross

BE-FAST ist das Stichwort ! Alles zur Erkennung eines Verschlusses einen großen Hirngefäßes wird euch hier erzählt und ab wann sollte man ein Thrombektomie-Zentrum ansteuern erfahrt ihr ebenso. Der Beitrag "titriert" Kochrezept 12/2019 erschien zuerst auf pin-up-docs - don't panic.

Age of Chance special with Neil Howson in conversation with David Eastaugh Steve Elvidge was a Leeds native, and attended St Michael's College (R.C.); being the most notable musical alumnus of that school since Jake Thackray. Neil Howson, (guitar) also from Leeds studied at Jacob Kramer College of Art, Geoff Taylor (Liverpool) and Jan Perry (Stockport) were students at Leeds Polytechnic, now Leeds Beckett University. Age of Chance first came to national attention in 1985, when their debut single, "Motorcity/ Everlasting Yeah" released on their own label, Riot Bible, was picked up and championed by BBC Radio 1 DJ, John Peel. A session followed, recorded at Maida vale studios and four songs, "Going, Going Gone Man", "Mob Hut", "The Morning After the Sixties" and "I Don't Know and I Don't Care" were recorded. "I Don't Know.." was re-recorded for Gunfire and Pianos, a compilation album released by Zigzag magazine. They released their second self-funded single, "Bible of the Beats" / "Liquid Jungle" in January 1986, which led to an invitation to contribute a track, "From Now On, This Will Be Your God" on the NME C86 compilation tape. The band made their London debut at the ICA Rock week in July 1986. A second Peel session was recorded in June 1986, with "Be Fast, Be Clean, Be Cheap", "From Now On, This Will be Your God", "Kiss" and "How the West was Won". "Kiss" was recorded for the John Peel session while the Prince single was still in the charts. The band then signed to the Sheffield independent record label, Fon, for "Kiss" and its remix 12"s and six track mini-LP Crush Collision. "Kiss" was No. 2 in John Peel's Festive Fifty for 1986. The band signed to Virgin in January 1987, and embarked on a nationwide UK tour. They recorded a Janice Long session comprising "Who's Afraid of the Big Bad Noise", "Hold On" and "Bible of the Motorcity Beats." They began recording their first single for Virgin with producer Howard Gray: "Who's Afraid of the Big Bad Noise/Big Bad Rap" and then started their first Virgin album, One Thousand Years of Trouble. A second single "Don't Get Mad, Get Even" was released in October, followed by the album. In 1988, Channel 4 began using "Don't Get Mad..." as the music for the American Football programme, which ran over the next three years. The band began recording their second Virgin album in the summer at Rockfield in Wales. Original singer Steven-E left in September 1988, during the recording of their second LP, forcing the rest of the band to recruit a new singer, Charles Hutchinson, in January 1989, and "re-vocal" the LP, which was released as Mecca in 1990. The main single from that collection, "Higher Than Heaven" reached No. 53 in the UK, despite being voted "record of the week" by BBC Radio 1's breakfast show listeners. When Hutchinson left, Perry took on vocal duties briefly before the band split in 1991.  

Rhonda Tesmer, RN shares the importance of knowing the acronym BE FAST to recognize a stroke and TIA symptoms, and the different treatment options available after a stroke.

ep-136-7-keys-to-recovering-from-a-massive-stroke-by-a-survivor ( http://radiomd.com/media/k2/items/cache/f4c2c37479bf44c53abaa1ecfd860f81_Generic.jpg ) Despite his healthy lifestyle, Ted Baxter had a stroke at 41. He shares tips for identifying warning signs and how to achieve the right mindset for recovery. Despite the fact that Ted Baxter was a very healthy individual and had no family history of strokes, at 41, he suffered a massive ischemic stroke, leaving him with extreme aphasia and badly impaired mobility. Facing an unlikely recovery, Ted learned how to alter his attitude and put faith in his ability to recover. Through perseverance, grit, determination, an acceptance of his situation, and a positive mental attitude, Ted was able to recover and launch a successful career as an author and speaker on strokes and aphasia. In this podcast he shares tips for those on the path to recovery as well as warning signs that someone could be experiencing a stroke and is in need of help. When it comes to identifying a stroke—BE FAST. Look for: * Balance issues * Eye sight that's blurred or double vision * Face drooping (usually on one side) * Arm weakness * Speech difficulty (slurring words or garbled speech) * Time to call 9-1-1 Listen as Ted joins Dr. Taz to discuss the the warning signs of a stroke and tips for recovery.

Last July, Mark French joined me on Strokecast to share his stroke story and talk about his new film, A Teachable Moment. It tells the stories of four Washington, DC, area stroke survivors as they navigate the new world of stroke recovery. Mark was one of the featured survivors, as was Anne Daily who I spoke with in Episode 14 about making the shift key her bitch. It also features doctors and fantastic animations that explain stroke in a simple and understandable way. The film is an hour long and available on Amazon Prime Video. You can learn more at http://ATeachableMoment.Film. Mark had his severe hemorrhagic and ischemic strokes in May of 2015 caused by AFib (or Atrial Fibrillation) and went on to make an amazing recovery. Four years to the day, in May of 2019, he suffered another stroke (or series of strokes). Sadly, this time he didn't make it. My heart goes out to the French family, the team at LAI Video (here's their tribute to Mark), and all the folks who made A Teachable Moment possible. Lessons I don't know all the details; from outward appearances, Mark was doing everything right. Sometimes, that's not enough. Even among folks here are doing everything right, there are still strokes. Roughly 20% of strokes have no known cause. Roughly 20% are also fatal. Stroke is not a vaccine; getting one doesn't guarantee you won't have another. For those of us who survive, and those around the survivor, stroke e a powerful wake up call. Our time on this Earth is limited. And we don't know when our time is up. What are you going to do with your remaining days? This episode is largely a clip show. I went back to my conversation with Mark from last summer and pulled out some key things he said that I feel get to the heart of his story, his message, and his legacy of driving Stroke awareness. A Teachable Moment Trailer   BE FAST   Hack of the week With use of only one hand, getting ice cubes out of an ice cube tray can be difficult. My new strategy is to grab the end of the tray with my usable hand and smack the bottom on the counter. It may take 2 or 3 tries, but this usually pops the ice cubes free. Then I can lift them out with my fingers. Links LAI Remembers Mark French https://www.laivideo.com/blog/remembering-mark-french A Teachable Moment http://ATeachableMoment.Film What is AFib? http://Strokecast.com/Afib Stroke Smart Article on A Teachable Moment http://www.strokesmart.org/stroke-documentary LAI Video on Twitter https://twitter.com/LAIvideo Mark French on Strokecast http://Strokecast.com/Mark Anne Dailey  on Strokecast http://Strokecast.com/Anne Request a Screening https://www.ateachablemoment.film/host-a-screening/ Where do we go from here? Next time you use an ice cube to chill a beverage, raise a glass to Mark French and all the others taken from us too soon by stroke. Check out LAI Video's tribute to Mark here. Talk to your Doctor about AFib and other risk factors. Watch and share A Teachable Moment with other folks you know so more people can benefit from Mark's legacy. Don't get best…get better.

Every 40 seconds, someone in the U.S. has a stroke. It’s a sudden neurological event that kills thousands of brain cells a minute. Would you know what to do if you saw someone having one? Vascular neurologist Shazam Hussain, MD, is here to familiarize you with the different types of strokes and how to BE FAST to potentially save someone’s life.

  World Stroke Day World Stroke day is October 29th. Are you planning to do something for it? Make sure everyone talk with knows how important it is to BE FAST.   Meet Whitney Morean Whitney Morean was a healthy, athletic 28 year-old in the summer of 2016. She voluntarily ran 5 miles a day. A bright student, she was excited to start graduate school that fall in clinical psychology. Then on August 23, 2016, she had a mysterious, hemorrhagic stroke in her right, parietal lobe that would stump neurologists. Grad school would have to wait. I met Whitney through the Seattle Young Adult Stroke Survivors group. Now, Whitney is back in grad school, pursuing a Masters in Rehab Psychology, to help other survivors get even more comprehensive care. We met up a few week's ago in Seattle's Wayward Coffeehouse. You can reach Whitney here. We covered quite a bit in this episode including some new-ish vocabulary. Whitney spent time in both acute and sub-acute facilities. Acute is an inpatient hospital setting. A sub-acute facility is somewhere in between a skilled nursing facility and a hospital.  She also talks about getting to point of being "community ambulatory." That basically means being able to walk around the neighborhood. I learned that the brain has ventricles.  We also touch on something not often talked about. The insurance system and medical care system are focused on getting you back to a minimum standard -- not to where you were before the stroke. If you were well above the average or age appropriate criteria before stroke, you have to get back there on your own. Whitney also discusses experiencing disability accommodations for education for the first time in her life later in life. Many folks who need accommodations in grad school have already had to go through the process much earlier in their schooling. I could go on about the topics, but why spoil the fun of the episode?  Hack of the Week Practice patience. It's a muscle and it takes work to get good at it. After a stroke, it's more important than ever to be more patient with yourself, especially if your previous life was a fast-paced, intense one.  Doing "ordinary" things will simply take more time and getting annoyed at that won't make it any better. So be kind to yourself. And practice patience. Like most thing with stroke and life, it gets easier with time and practice. Where do we go from here? What aspect of this discussion did you find most interesting? Let us know in the comments below. Share this episode with a friend caregiver or grad student, by sending them to http://strokecast.com/whitney. If you're feeling depressed, or having challenges dealing with grief and emotions, after a stroke, let your caregiver or medical team know. There is help available. Be patient with yourself. Don't get best...get better.

Be Fast, but Not in a Hurry If you enjoyed this episode, be sure to sign up for a free 7-day trial at PokerCoaching.com for an interactive learning experience. To get the audio only version, please subscribe to my podcast on iTunes If you have any questions or comments about this hand, feel free to … Continue reading LPA #69: Be Fast, but Not in a Hurry →

As an award-winning stroke center certified by the Joint Commission, MarinHealth Medical Center has the expert team and advanced technologies to aggressively treat stroke. But the longer a stroke victim waits to go to the emergency room, the lower their chance of a satisfactory recovery. That's why it's so important to know and understand the warning signs of stroke. In this podcast, Maureen Stull, RN, and Stroke Program Coordinator at MarinHealth Medical Center, explains the six components of BE FAST: Balance, Eyes, Face, Arm, Speech, and Time. So be informed, be vigilant, and if you think you or someone else might be having a stroke, BE FAST! Your quick response could save a life.

 Run fast, Be Fast. Derek Hansen has a an extensive background in making athletes faster. A pupil of the infamous sprinting coach, Charlie Francis, Hansen has followed suit by working with some of the highest performers in the world of sport. While Derek’s knowledge of speed science is unparalleled, he refuses to hold tight to…

album semaine = DARIA “Impossible colours” (indie rock, Angers DC) www.dariamusic.net - AT THE DRIVE-IN : Arcasenal ( Grand Royal ) 2000 - DARIA : A quiet anarchy ( Arctic Rodeo Recordings ) 2016 - LES THUGS : As happy as ( Sub Pop ) 1993 - WEEZER : Tired of sex ( Geffen ) 1996 - HÜSKER DÜ : Diane ( SST ) 1983 - UK SUBS : Warhead ( GEM ) 1980 - BLACK SHEEP : Recovery ( Guerilla Asso ) 2015 - DARIA : Margins ( Arctic Rodeo Recordings ) 2016 - OFFICE OF FUTURE PLANS : Salamander ( Dischord ) 2011 - BUSHMEN : Gunsmith ( Puzzle Ramp ) 2007 - DO YOU COMPUTE : Turnstile ( Rejuvenation ) 2008 - GARAGE LOPEZ : Crazy voodoo woman ( Be Fast ) 2015 - VOODOO GLOW SKULLS : Deliquent song ( Epitaph ) 1998 - DARIA : Inner dialogue ( Arctic Rodeo Recordings ) 2016 - AGAINST ME! : Unprotected sex with multiple partners ( Fat Wreck Chords ) 2005 - FLIGHT OF THE CONCHORDS : Bowie ( Sub Pop ) 2008

P*tain... 10 ans !! Avec Ben Rock, on revisite en intégralité la playlist de l’émission # 001 - SECOND RATE : No one can control (R'n'R) ( Prehisto ) 2004 - BIFFY CLYRO : Glitter and trauma ( Beggars ) 2004 - THURSDAY : Steps ascending ( Island ) 2003 - GUERILLA POUBELLE : La révolution pour les lâches ( Crash Disques ) 2005 - AGAINST ME! : Reinventing Axl Rose ( No Idea ) 2002 - NADA SURF : Blankest year ( City Slang ) 2005 - The TRAIL OF DEAD : Worlds apart ( Interscope ) 2005 - BLOODHOUND GANG : Foxtrot Uniform Charlie Kilo ( Geffen ) 2005 - DEAD POP CLUB : Up to you ( Buzz Off ) 2000 - LOST COWBOY HEROES : Empty room ( Vampire/Dumb-Inc ) 2005 - GANG OF FOUR : Damaged goods ( V2 ) 2005 - HEAD AUTOMATICA : Beating heart baby ( Warner Bros. ) 2004 - SUPERBEATNIK : No sun before midday ( Be Fast ) 2004 - MARVIN : Discudance ( SK ) 2005 - SAMIAM : Capsized ( Atlantic ) 1994 - The DRAFT : Bordering ( Autoproduit ) 2005 - GREEN DAY : Basketcase ( Reprise ) 1994 - GREEN DAY : Holiday ( Warner ) 2004 - BURNING HEADS : Globalize ( Yelen ) 2003 - ALL SYSTEMS GO : All I want ( Bad Taste ) 1999 - The VANDALS : Don't stop me now ( Nitro ) 2005 - The PROMISE RING : Suffer never ( Anti/Epitaph ) 2002 - FEDERAL : Glorious elements ( Un dimanche ) 2005 - FAVEZ : The bigger the clouds ( Stickman ) 2005 - SUBLIME : Date rape ( Skunk ) 1996

avec en invités, Matt Firehair des WASHINGTON DEAD CATS (psychobilly punk rock, Paris) et Aurore de l'asso TOUT A FOND pour l'actu des Wash et le Stomping Festival à la Secret Place (St Jean de Las Védas) http://www.washingtondeadcats.com http://www.toutafond.com - MISFIT : Halloween ( Plan 9 ) 1981 - MIXTAPES : And if we both fail ( Animal Style ) 2011 - CAMPAIGN : Old haunts ( It Likes To Party ) 2011 + - BOBBY PICKETT : Monster mash ( Garpax ) 1962 - WASHINGTON DEAD CATS : Give me back my broken heart ( Be Fast ) 2015 - WASHINGTON DEAD CATS : Pizza attack ( Bondage ) 1988 - The CRAMPS : Garbageman ( I.R.S. ) 1980 - The CLASH : White riot ( CBS ) 1977 - WASHINGTON DEAD CATS : Beetroot girl ( Bondage ) 1986 - The SONICS : Psycho ( Etiquette ) 1965 - WASHINGTON DEAD CATS : Oumamamama ( Be Fast ) 2015 - ATOMIC ROTORS : Persecucion ( Be Fast ) 2015 - MAD SIN : Nine lives ( People Like You ) 2010 - TAGADA JONES : Jouer avec le feu ( Kicking ) 2007 + - DANKO JONES : Wild woman ( Verycords ) 2015 - JAKOB DANGER : King of the world ( Burger ) 2015 - PONCTUATION : Mon corps est une planète ( Casbah ) 2015 - ASH : Projects ( Infectious ) 1998 - ZEBRAHEAD : Someday ( Rude ) 2015 - BISON BISOU : Swim against death ( Autoproduit ) 2012 - Les RASOIRS ELECTRIQUES : Comme un punk qui fait 3 accords ( Guerilla Asso ) 2013 - Les THUGS : Nineteen something ( Labels / Crash Disques ) 1997 / 2004