Stroke

September 14, 2018

Common sense on kids and concussions, adult heart disease, frats and booze

Common sense and moderation can matter a ton in maintaining good health, as recent news reports show, particularly with kids and concussions, middle-aged adults and heart disease, and collegiate alcohol abuse.

With youngsters returning to school and so many of them participating in sports and recreation programs, it’s good that the federal Centers for Disease Control and Prevention has issued evidence-based guidance on protecting kids who suffer mild traumatic brain injury or what most of us would call concussions.

These injuries have become a growing concern for parents and young athletes. Sports leagues and sporting groups are coming to a time of reckoning with just how harmful head trauma can be.

April 1, 2018

Why are some ER doctors refusing to give stroke patients ‘brain-saving’ care?

by Patrick A. Malone

It’s no April Fool joke: Emergency doctors across the country, according to the New York Times, have been defying widely accepted standards of care and withholding a drug that rigorous clinical trials and medical specialists long have recommended for stroke victims.

Administration of the drug, tPA or tissue plasminogen activator, helps to prevent brain injury after a stroke by dissolving the blood clot and opening up the blocked vessel. Neurologists and neurosurgeons as well as cardiologists, have campaigned for its aggressive use within hours after the onset of symptoms. Indeed, hospitals nationwide have adopted speedy stroke care, including with tPA, under slogans like “Time is Brain.”

The drug’s fast use has become so accepted, the capacity to administer it is a keystone for hospitals to receive a much-sought designation as specialized stroke treatment centers. And though it has long been thought that tPA needed to be given within three or four hours from the start of stroke symptoms, new research funded by the National Institute of Neurological Disorders and Stroke has opened the strong possibility that many more patients could benefit from tPA and neurosurgery within 16 or even 24 hours after suffering a stroke.

December 22, 2017

It’s not a stretch: Avoid those over-use boo-boos, older yogis are warned

by Patrick A. Malone

For seniors who may be rushing to squeeze in a few more pretzel-twisting sessions to ease their stress from a hectic holiday season, this is a gentle reminder: Take it easy with the yoga. It can be good for you, but don’t overdo it or you may hurt yourself.

The Washington Post reported that the number of yoga devotees has climbed to an estimated 36.7 million Americans, many of whom find that stretching and posing in various styles makes them breathe and feel better, as well being more limber, focused, and relaxed. Yoga also has special appeal to older practitioners, 17 percent of them in their 50s and 21 percent 60 and older, according to a study conducted by a yoga publication.

But public health researchers from the University of Alabama Birmingham, after examining electronic data on almost 30,000 yoga-related injuries that led patients to emergency room treatment between 2001 and 2014, reported that:

November 19, 2017

New normal reclassifies millions as having high blood pressure, so now what?

by Patrick A. Malone

Did you feel yourself just get less well? U.S. heart experts have just issued new guidelines on what Americans’ optimal blood pressure should be—effectively and suddenly shifting just under half of the adults in the nation younger than 45 into an unhealthful status as hypertensive.

Doctors say there’s no doubting data that shows that blood pressure readings exceeding 130 over 80 can be detrimental to patients’ health. That’s down from the previous warning level of 140 over 90.

But what exactly has the medical establishment wrought with this sweeping metric? Have they deemed so many of us unwell in this way that we’re about to see public doubt and confusion—even profiteering—as has surrounded the description of tens of millions of Americans as “prediabetic?”

January 22, 2016

Skepticism is wise about “brain” toys & games for kids, seniors

by Patrick A. Malone

Yes, the ancient adage caveat emptor still rules in the high-tech age. It may have sounded so simple, nice, and sweet to plunk grandma and grandpa in front of a computer screen to let them run a program to play games touted to help them prevent the cognitive ravages of age. It may seem wonderful, easy, and convenient to give little boys and girls talking toys in hopes of boosting their smarts, especially with enhanced language skills.

If only.

Just a short word to the wise: A major online “brain games” maker has agreed to pay $2 million to settle with the Federal Trade Commission. The agency had asserted that Lumosity made unfounded claims to deceive consumers that playing the company’s 40-some, 10- to 15-minute-long games would help them “perform better at work and in school, and reduce or delay cognitive impairment associated with age and other serious health conditions.”

January 12, 2016

Teens inundated with e-cigarette ads, which pay off for Big Tobacco

by Patrick A. Malone

Here’s a disturbing trend: Teenagers are getting inundated with advertisements touting electronic or so-called e-cigarettes. Health authorities at the same time note that “vaping” is a growing way for millions to take in harmful nicotine and other substances.

Almost 7 in 10 10 youths were exposed to manufacturers’ tidal wave of e-cigarette ads, which are broadcast, carried online, and printed in publications and made visible in retail store displays, the Centers for Disease Control and Prevention said. The CDC added that it had found that 2.6 million teens were e-cigarette users (vapers) in the last month, and those consumption numbers were likely to grow due to the extensive advertisements.

After years of battling regular cigarette use, officials expressed dismay about vaping and its saturation promotion to habituate young people so early and often. The CDC’s chief said this: “It’s the Wild West out there when it comes to e-cigarette advertising. It’s no coincidence that as the advertising has skyrocketed, the use of e-cigarettes has skyrocketed.”

September 30, 2015

Too Many Older People Take Statins

by Patrick A. Malone

In the last couple of years, the class of medications known as statins has gotten a lot of attention, most recently this month when NPR reported concern over the popularity of prescribing statins for the elderly.

Statins are cholesterol-lowering drugs with “statin” somewhere in the generic name; brand names include Crestor, Lipitor and Zocor. People with elevated blood cholesterol levels are at greater risk for heart disease and stroke.

The NPR story said that a lot of doctors prescribe them almost as a default treatment, a better-safe-than-sorry way to prevent heart trouble in their very elderly patients. That’s problematic, because there’s a lack of science to show the wisdom of such a broad-brush approach for this age group.

September 14, 2015

Blood Pressure Study Halted Early for All the Right Reasons

by Patrick A. Malone

The words “legendary,” “miraculous” and “unique” are so overused in common conversation they’ve almost lost their meaning. Describing a health study as “landmark” falls into the same category.

Except for last week, when the initial results of a clinical trial sponsored by the National Institutes of Health (NIH) proved so impressive about the benefits of managing blood pressure intensively that the study was stopped early.

As reported by NPR, the findings resulted from the largest study ever conducted to examine whether reducing systolic blood pressure (the top number in a blood pressure reading) below the level currently recommended would be beneficial.

August 18, 2015

Providers Remain Too Much in Love with Angioplasty and Stents

by Patrick A. Malone

Although some people in cardiac distress need invasive procedures to survive, some heart treatments are overused, and the cost continues to mount.

As explained by patient safety advocate John James in his August newsletter, performing angiography on and inserting stents in patients with stable heart disease not only wastes money, but can be unsafe.

An angiogram is an X-ray of blood vessels made visible after the patient is injected with radioactive dye. It’s often prescribed to detect damaged blood vessels and problems affecting blood flow. After an angiogram locates an occluded coronary artery, a stent, or tiny, self-inflating tube can be inserted to open it, and keep it open.

August 14, 2015

Blood Thinners Are Widely Misused in Nursing Homes

by Patrick A. Malone

Coumadin is a commonly prescribed drug for treating blood clots and reducing the risk of developing them. It helps reduce the risk of stroke, heart attack and embolisms (clots) forming in the legs or lungs. Using it requires exact dosing and regular testing of its effects – too little won’t protect you against life-threatening clots, and too much can cause uncontrollable bleeding.

A recent investigation by ProPublica and theWashington Post found that nursing homes often fail to maintain the delicate balance, putting patients in danger. Its analysis of government inspection reports found that from 2011 to 2014, at least 165 nursing home residents were hospitalized or died after errors involving Coumadin or its generic version, warfarin. And possibly thousands more suffer injuries every year that are never investigated.

One of these patients was Loren Peters, 85, who arrived at the emergency room in 2013 with bruises all over his frail body and blood oozing from his gums. He had been prescribed Coumadin for his abnormal heart rhythm. Even though doctors administered vitamin K, which is the antidote for too much Coumadin, Peters died a few days after he was brought to the hospital.