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Meet Tim Gable, a young survivor who had a stroke at age 25 and spent his 26th birthday in the hospital.  Tim’s a new AHA/ASA volunteer who has become a key advocate for our upcoming Saving Strokes Event in Provo. Here’s Tim’s story…

My friends and I had decided to go on a short vacation for Easter weekend. On March 31, 2013 during breakfast I began feeling very dizzy and nauseous.  I informed my friends I was going to go lay down until I felt better. I was walking back to my room when suddenly my left leg would not hold my weight and I fell in the lobby.  I managed to pick myself up thinking what did I trip on? But I saw nothing. I made it to my hotel room door where I once again fell to the floor.  This time however I was unable to get back up and this was the first time I started to feel scared about what was wrong with me.  I lay on the floor just out of reach of the door.  I was there for 20-30 minutes before one of my friends came looking for me. 

He found me on the floor unable to get up.  He dragged me into my room and tried sitting me up but my body wouldn’t hold.  I kept falling over so my friend ran for help realizing something was wrong. He had another friend come and help him pick me up they then ran me out the back door into another friend’s waiting car.  They drove as quickly as possible to the nearest hospital emergency room.  When we arrived the hospital quickly took me in and diagnosed me with having a stroke. I was given TPA then put on an ambulance and rushed to another hospital that was better equipped to handle stroke. 

As soon as I arrived at the other hospital I was taken into surgery where they located the blood clot in my carotid artery in the right frontal lobe of my brain.  There were multiple attempts to remove the clot but every time it was removed it reformed and re blocked the blood flow. The surgeon tried everything he knew but he could not stop the clot from reforming, eventually it had to be left or the surgery was going to kill me.  The clot is still lodged in my head but I’m told there is no risk of it moving. 

The next day I awoke in the neural critical care unit with the worst headache.  Nurses were called in to check on me.  I was rushed to an MRI and it was determined that my brain was now swelling due to the damage done from the stroke and was pressing on the inside of my skull threatening more damage.  The surgeon gave my parents two choices they could remove a portion of my skull in an attempt to relieve the pressure or allow nature to take its course and allow me to pass away. The decision was made to have the bone flap removal surgery.  Which luckily worked and ended up saving my life. 

I spent two weeks in the neural critical care unit and was then transferred to another hospital where I immediately began occupational, physical and speech therapy each day for the next month and a half. My doctors pushed me to do as much therapy as possible due to my young age the more I did early on the more I had the chance of getting back. By the time I was released to go home I was able to walk on my own with little to no assistance.  I immediately started outpatient occupational, physical and speech therapy each day. I continued this for the next year continually improving until I was finally able to pass the driving tests and get my license back!

I returned to school and finished my degree in business management. During this time I felt the need to do more for people like myself who have suffered a stroke and recently participated in an event called Saving Strokes.  As a result I have become a volunteer for American Stroke Association and hope to build a career where I might be able to use my experience and story to help others.

For more information about the Saving Strokes program click here.

Dr. Mitchell S. V. Elkind, a member of the American Heart Association’s Board of Directors, is gravely concerned about the high rates of hypertension in New York City.  And he’s pushing the city to do something about it. 

Dr. Elkind recently submitted testimony to the New York City Board of Public Health, supporting the proposal to place a warning icon next to restaurant menu items when food possesses a dangerous level of sodium.

In a recent interview, Dr. Elkind, a neurology and epidemiology professor at Columbia University in New York, stated that “people really have no idea how much salt they’re eating, and many would be shocked to discover they can get their full recommended daily salt intake at a single meal, or even a single dish. We have to educate them every step of the way, instead of just putting out a pamphlet that nobody reads. Educating people at the place where they’re actually eating could make a big difference.”

In his comments to the Board of Health, Dr. Elkind emphasized that dietary salt consumption is one of the most important, modifiable factors that can impact one’s blood pressure. If we reduced our individual salt intake, even slightly, we could prevent as many as 32,000 deaths per year.

In research published in 2012, Dr. Elkind worked with a team of clinicians and epidemiologists to analyze data from a cohort study designed to determine stroke incidence, risk factors, and prognosis in a multiethnic urban population from northern Manhattan.  Their findings underscore the need for public health initiatives, like the proposal in NYC, to reduce the sodium level in our food supply.

Dr. Elkind, as an advocate for the American Heart Association, looks forward to the NYC Board of Health’s vote on the Sodium Warning Icon proposal and its swift implementation this winter.

Summer may be seen a slower time in in the legislature, but that’s not the case with the Department of Health Task Force to Study Stroke. The group has begun meeting regularly and it’s clear that everyone in the group is dedicated to improving stroke systems of care in Connecticut. The group recently met this past Tuesday and began fleshing out the beginning pieces of the recommendations they will make to the Connecticut General Assembly in the 2016 legislative session.

It’s exciting to watch the legislative process right from the start and see how the different groups work together to craft a final product. It will be interesting to see what the recommendations look like, but there appears to be consensus in the group that whatever the final product is, it should include the implementation of a tiered system of stroke facility designation and the establishment of a statewide stroke registry. These two provisions would ensure that if a person suffers a stroke they can be transported the nearest stroke center in the shortest amount of time and the registry will collect data that will help inform decisions and best practices when treating stroke.

The Task Force will be meeting the 1st and 3rd Tuesday of each month, this is an aggressive meeting schedule and they are even looking to expand the end date of the Task Force past the July 16, 2016 deadline to ensure systems of care in Connecticut are able to adapt to the ever changing field of medicine. So stay tuned.

In other news, Governor Malloy held a ceremonial bill signing on Wednesday, August 5th for Senate Bill 962, which will require all students to receive CPR training prior to graduation. AHA volunteer Mahika Jhangiani is pictured with Governor Malloy in the photo above. Mahika, a certified Emergency Medical Responder since she was a sophomore in high school, testified in support of SB 962 and teaches hands-only CPR to students in Norwalk.