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Summer Health Tips

The arrival of summer means days at the pool, family barbeques, picnics, sports and other outdoor activities. Below are a few tips that you can use this summer to keep your whole family happy and healthy.

 

 

Staying active in the summer months

  • Hydrate. Hydrate. Hydrate! Drink plenty of water before, during and even after physical activity.
  • Protect your family from the sun.
  • Try to avoid intense physical activity during the hottest parts of the day (between noon to 3pm).
  • Dress for the heat.
  • Head indoors when the heat becomes unbearable. There are plenty of indoor activities that can keep you active on the hottest days.

Heart-Healthy Cookout Ideas

  • Go fish!
  • Make a better burger by purchasing leaner meat and adding delicious veggies.
  • Replace your traditional greasy fries with some heart healthy baked fries.
  • Veggie kabobs are a fun and healthy addition to your family barbeque.
  • Try grilled corn on the cob.

Healthy Road Trip

  • Make “rest breaks” active.
  • Pack healthy snacks to avoid the unhealthy foods at rest stops along your way.
  • Pack to play to continue your regular physical activity.
  • Reach for water instead of being tempted by sugary drinks.

Summer Snack Ideas

  • Homemade freezer fruit pops are an easy and fun treat for the whole family.
  • Keep your veggies cool and crisp during the summer months and they becoming a refreshing treat.
  • Fruit smoothies area a healthy way to cool yourself down on a hot summer day.
  • Mix up your own trail mix to take on all of your summer adventures.
  • Just slice and serve all the delicious fruits that are in season during the summer months.

 

Read more about these tips and other getting healthy tips over at www.heart.org/GettingHealthy 

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Mr. McLachlin goes to Washington

AHA You’re The Cure advocate and stroke survivor Chris McLachlin recently represented Hawaii at the AHA’s National Lobby Day event in Washington, D.C. He joined over 350 other advocates in visiting their Congressional representatives to ask them to support increased funding for NIH cardiovascular research, and to protect current nutrition standards for school meals.

Chris met directly with Senator Brian Schatz (one of Chris’ former students at Punahou School), and Senator Mazie Hirono, as well as staff members of Representatives Tulsi Gabbard and Mark Takai. He also had the honor of visiting and sharing information with another of his former Punahou students, President Barack Obama.

Below Chris talks about his experience:

I have been to a lot of conferences in my lifetime, none more action packed and full than the first day of the Lobby Day event. The extensive training we received helped me feel prepared to be a good lobbyist and advocate when we visited our representatives on the second day. I’m confident that the Hawaii representatives will support the AHA’s legislative agenda.

It was great to visit with my former students, and they both made me feel very welcome despite their busy schedules. The President seemed especially happy to see me, and he listened intently to my presentation about the AHA’s policy interests. He assured me that he would personally read through the information from the AHA I left with him and I feel confident that he will support the AHA’s goals.

The AHA’s work is such a great cause and I met so many incredible speakers, AHA volunteers and staff members. I would welcome the opportunity to participate the Lobby Day again. It’s really a privilege to have been given the opportunity to represent the AHA and Hawaii.

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AHA supported bills await Governor Ige's signiture

Guest Blogger: Don Weisman, Hawaii Government Relations Director

In what has been a very productive State Legislative Session in Hawaii, three American Heart Association priority bills have passed and are awaiting Governor Ige’s signature.

House Bill 467 would require all Hawaii birthing centers to screen newborns for critical congenital heart defects (CCHDs) using a tool called pulse oximetry. CCHDs are the most common birth defects in the U.S. and the leading killer of infants with birth defects.

An estimated 300 infants with an unrecognized CCHD are discharged each year from newborn nurseries in the United States. These babies are at risk for having serious problems within the first few days or weeks of life and often require emergency care. Pulse oximetry, is a non-invasive, inexpensive test that consists of sensors placed on a baby's hand and/or foot to check blood oxygen levels.  The screening can identify some infants with a CCHD before they show any signs. Once identified, babies with a CCHD can be seen by cardiologists and can receive specialized care and treatment that could prevent death or disability early in life.

House Bill 589 would establish a state stroke registry and require all acute stroke care hospitals to collect and submit stroke data to the State Department of Health (DOH). The DOH would then compile and share reports based on the data with the state’s Stroke Coalition, which includes representatives from acute stroke care hospitals, EMS agencies, the DOH and the American Heart Association/American Stroke Association. The Coalition members would use the data to identify weaknesses in Hawaii’s stroke system of care and work to improve it with the goal of speeding patient access to the best available care and improving long-term health outcomes.

Senate Bill 1030 would raise the legal age to purchase and possess tobacco products to 21. Tobacco use remains the leading cause of preventable death in the United States, killing more than 400,000 people each year.  It is known to cause heart disease, stroke, cancer, and respiratory diseases, among other health disorders, and costs the U.S. $96 billion in health care expenditures each year. Nearly 1,000 kids under the age of 18 become regular, daily smokers each day; and almost one-third will die from it.

The Institute of Medicine (IOM) issued a report on March 12 bolstering this policy in which it found “increasing the minimum legal age for tobacco products will likely prevent or delay initiation of tobacco use by adolescents and young adults. The age group most impacted will be those age 15 to 17 years.” Raising the minimum legal age to 21 will mean that those who can legally obtain tobacco are less likely to be in the same social networks as high school students.

It is anticipated that Governor Ige will sign all three bills, and he has already signed into law another bill supported by the AHA which adds electronic smoking devices (e-cigarettes) to Hawaii’s existing smoke-free air law. Please join us by calling Governor Ige’s office at 586-0034 to thank him for supporting these measures and helping improve health in Hawaii.

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Lobby Day MVPs in the Spotlight

There were SO many amazing stories surrounding this year’s Hill Day that it was hard to narrow down our annual lobby day award winners. Not a bad problem to have! Please join us in congratulating these You’re the Cure MVPs, and then learn more about their stories in this video.

 

  • Science Advocate of the year – Dr. David Yu-Yiao Huang: Dr. Huang has been involved with AHA advocacy since 2003. From submitting expert written testimony and attending in-district meetings, to speaking before lawmakers, his passion for policy and his belief in the positive change policy can achieve has contributed significantly to big wins in North Carolina.
  • Volunteer Advocate of the Year – Theresa Conejo: Theresa has been one of the key proponents of Pennsylvania’s comprehensive smoke-free law. Last year, she signed a smoke-free op-ed which was picked up by major news outlets across the state. She also aggressively advocated for the proposed Clean Indoor Law. In addition, she recruits new You’re the Cure advocates at every opportunity. In fact, just recently, she signed up an additional 35 volunteers to join her in Pennsylvania’s smoke-free fight.
  • Survivor Advocate of the Year – Jim Bischoff: Jim’s own struggle with heart disease, as well as his experience with his son-in-law’s stroke, gives him a unique perspective to share during state and federal lobby days and meetings with lawmakers. His family history inspired him to provide leadership on stroke systems of care legislation. He also dedicates his time to tobacco issues, and attends in-district meetings with his lawmaker to discuss both of these important issues.
  • Youth Advocate of the Year – Cassidy Collins: Cassidy uses her story as a congenital heart survivor to illustrate the importance of AHA’s policy issues. At the age of 16, her resume is already quite impressive – she’s met with U.S. Surgeon General Regina Benjamin to advocate for tobacco control funding; she has been a top fundraiser for the Roanoke Heart Walk for two years; and she has applied to work as a youth advocate for the Alliance for a Healthier Generation.

Check out a video highlighting our award winners below.

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How to Keep the Winning Game Going

You're the Cure on the Hill isn’t the only opportunity to connect with members of Congress! As their constituents, you have the power and the RIGHT to tell them at any time to step up to the plate on the heart and stroke issues you care about most.


Here are some tips for getting your lawmaker off the bench and into the game:

 

  • Follow them on social media and send them messages on issues you care about.
  • Sign up for their e-newsletters on their websites. This is a great way to learn about events where you can meet the lawmakers in person and stay informed.
  • Work with your local AHA advocacy staff to schedule an in-district meeting. Members of Congress come home throughout the year on recess breaks, so they use this time to meet with constituents back in the district. Take advantage of their time at home and schedule a meeting to discuss the heart and stroke issues that matter to you and your family.
  • Most importantly, take action year round. Watch your inbox for calls to action from You’re the Cure and continue engaging your lawmaker through emails, phone calls and tagging them in your social media posts.

We had a real impact this week, but we need to keep the momentum going. Let's keep reminding our members of Congress that they need to step up for heart health all year round!

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May is American Stroke Month

Anyone can have a stroke and everyone should be ready.

Every 40 seconds, someone in the U.S. suffers a stroke and every 4 minutes, someone dies from a stroke. That is why The American Heart Association/American Stroke Association is inviting all Americans to become Stroke Heroes by learning and sharing the warning signs of stroke, F.A.ST. (Face drooping, Arm weakness, Speech difficulty, Time to call 9-1-1).

Recognizing and responding to a stroke emergency immediately can lead to quick stroke treatment and may even save a life. Be ready!

Here is how you can participate in American Stroke Month

  • Share the F.A.S.T. acronym with your friends, family and loved ones throughout American Stroke Month.
  • Share our F.A.S.T. Quiz to test your stroke knowledge.
  • Download our free Spot a Stroke F.A.S.T. mobile app to prepare you in case of a stroke emergency and to have easy access.

Go to StrokeAssociation.org/StrokeMonth to learn more about how you can get involved.

 

 

 

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Tobacco to 21 is Progressing in the Hawaii State Legislature

Guest Blogger: Don Weisman, Hawaii Government Relations Director

As of April 1, Hawaii Senate Bill 1030, which proposes to raise the legal age to purchase tobacco products to 21, has passed through the required House and Senate committees. The next steps pending approval on the House floor, will be to move to a conference committee where House and Senate members will work out differences in their respective versions of the bill.

Tobacco to 21, as the issue is often referred, has taken on greater focus since a March 14 report issued by the Institute of Medicine (IOM) found that it could join higher tobacco taxes, comprehensive smoke-free air laws, and adequately funded community tobacco prevention, control and cessation programs as the cornerstones of effective reduction of tobacco addiction and use among minors. The IOM strongly concluded that boosting the tobacco sale age to 21 will have a substantial positive impact on public health and save lives. It found that raising the tobacco sale age will significantly reduce the number of adolescents and young adults who start smoking; reduce smoking-caused deaths; and immediately improve the health of adolescents, young adults and young mothers who would be deterred from smoking, as well as their children. Significantly, the greatest impact would be among adolescents 15-17 who would no longer be able to pass for legal age and would have a harder time obtaining cigarettes from their older friends and classmates.

Overall, the report predicts that raising the minimum age for the sale of tobacco products to 21 will, over time, reduce the smoking rate by about 12 percent and smoking-related deaths by 10 percent.

The American Heart Association is supporting the Hawaii state legislation. National data shows that 95 percent of adult smokers begin smoking before they turn 21. The ages of 18 to 21 are a critical period when many smokers move from experimental smoking to regular, daily use. While half of adult smokers become daily smokers before 18, four out of five do so before they turn 21. Increasing the tobacco sale age to 21 will help prevent these young people from ever starting to smoke. If passed, Hawaii would join at least 58 localities in 7 states – including Hawaii County and New York City – that have already raised the tobacco sale age to 21. California, Washington and New Jersey state legislatures are also currently considering similar bills.

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From the Bottom of our Hearts - Thank You!

National Volunteer Week (April 12-18) is right around the corner and we couldn’t let it pass without saying how much we appreciate all your contributions as a You’re the Cure advocate. It’s advocates like you who give their time, energy, and passion to help create healthier communities across the country.  We are deeply grateful for your commitment and talent as an advocate.

Since staff can’t always shake your hand and say thank you in person we’ve got a brief video to share. When you watch I am sure you too will be moved by all the great work happening in your states and communities and we look forward to more success in the future. Take a moment to check out the video and then encourage other to get involved and join in the fun.

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Update on the 2015 Legislative Session

Guest Blogger: Don Weisman, Hawaii Government Relations Director

AHA Priority Bills Still On Track As State Legislative Session Nears Half-Way Mark

Two of the American Heart Association’s priority bills were on track toward final passage into law as the Hawaii State Legislature neared the half-way point in its 2015 session: newborn heart screening and stroke data registry. 

(HB 467/SB 337) Newborn Heart Screening

HB 467/SSB 337 would require all newborns to be screened for critical congenital heart defects (CCHD) prior to discharge from their birthing center. One of the best ways to detect CCHD is through a simple, noninvasive, inexpensive test, called pulse oximetry, or pulse ox. The pulse ox test consists of sensors placed on a baby's hand and/or foot to check blood oxygen levels. It is a simple bedside test to determine the amount of oxygen in a baby's blood and the baby's pulse rate. Low levels of oxygen in the blood can be a sign of a CCHD. The test is painless and takes only a few minutes. If the baby’s levels are too low, additional tests may be conducted and advanced treatments pursued.

Congenital heart defects are the most common birth defect in the U.S. and the leading killer of infants with birth defects. Babies discharged from a birthing center without having a congenital heart defect diagnosed are at risk for having serious problems, or even death, within the first few days or weeks of life.

(HB 589) Stroke Data Registry

(HB 589) would establish a state stroke data registry. The bill passed its hearings in the House and was expected to pass a House floor vote before moving to the Senate for consideration. Establishment of a stroke registry in Hawaii could help illuminate weaknesses that exist in the state’s stroke system of care.

For example, data collected in a stroke registry may show poor patient education about stroke symptoms, geographical differences in the quality of stroke care received, problems with adherence to stroke treatment guidelines, or the need to improve pre-hospital stroke response or treatment by our county EMS agencies. The data could then catalyze Hawaii’s stroke stakeholders to find solutions to the challenges encountered.

Under the bill, all hospitals treating stroke patients would be required to use the AHA’s Get With The Guidelines-Stroke quality improvement tool to collect and share patient stroke data with the State Department of Health which would then work with the State Stroke Task Force, a coalition of representatives from stroke hospitals, EMS agencies, the Department of Health and the American Heart Association/American Stroke Association to assess the de-identified data and make recommendations to improve the state’s stroke system of care. Stroke is Hawaii’s third leading cause of death and a leading cause of disability.

Stay tuned for further action alerts to support these bills as they continue through the legislative process.

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The Csigi Family

For a parent, there may be no greater fear than losing a child.

Wojo and Cari Ann Csigi, of Waihee, experienced that loss in 2011 when their infant son Shayden died from complications related to congenital heart defects. Now they are finding solace through their support of the American Heart Association whose work includes efforts to improve outcomes for babies born with heart defects.

Shayden was born on July 19, 2011 six weeks pre-mature. After experiencing early signs of labor, Cari Ann called Kaiser Permanente, her medical provider and explained her symptoms. She was told to go immediately to her doctor who then had her transferred to Maui Memorial Medical Center. After an hour there, she was told that she would be transferred by air ambulance to Kaiser’s Medical Center on Oahu.

“My doctor explained to me that if I gave birth on Maui, my baby would be flown out to Oahu immediately after birth to receive the advanced care needed because he was pre-mature,” said Cari Ann. “I cried the whole plane ride over. Wojo met me and we were taken to Kaiser Moanalua Medical Center.”

“As I was wheeled into the operating room for a C-section I was super nervous, anxious and scared, but those feelings disappeared when I heard my baby boy cry for the first time,” Cari Ann continued. “Because he was six week premature, they had to take him immediately to the neonatal intensive care unit. When I finally got to hold him two days later he instantly stole my heart.”

“We were told that he may need to stay in the hospital until his original birth date. As the days went by, the hospital staff told us that Shayden was doing well and that he might be able to come home sooner. Then within three days of what we thought would be his release date, were told that they had discovered that Shayden had a heart defect and that he would have to be flown to San Diego for surgery as soon as possible. Everything happened so quickly.

Shayden had been diagnosed with a potentially life-threatening defect called aortic stenosis, a narrowing of the main artery carrying blood flow out of the heart to other organs in the body. In San Diego, he would undergo five different procedures, including two open heart surgeries. Following those procedures, doctors there were concerned that Shayden’s heart function wasn’t improving and suggested a transfer to Lucille Packard Children’s Hospital at Stanford. Wojo and Cari Ann, nervous and afraid, made the drive to the Bay area.

Shayden spent the next three and a half months at the Stanford Medical Center. In the first week he underwent a third open heart surgery. Two weeks later he went into cardiac arrest.

“That was the scariest day,” Cari Ann explained. “His blood pressure dropped, his heart rate dropped, his color changed; I thought that I was going to lose my baby that day. After 12 minutes of CPR they were able to revive him, but he was never the same after that.”

Cari Ann and Wojo said that many up and down days followed.  Shayden went through additional procedures to try and improve his condition. He contracted an infection in October and Cari Ann and Wojo were told that he might not recover, but the infection cleared. Kyra and Cari Ann’s mom were then able to visit for two weeks, the first time that Kyra and her parents had been together since their being in California.

“That was the best two weeks,” said Cari Ann. “I was so happy to finally spend time with my baby girl and my mom. Kyra got to spend time with her little brother. It was super hard to see them leave.”

One week later, Shayden contracted another infection. This time doctors sat Cari Ann and Wojo down and told them that they needed to prepare themselves and their family for the worst.

“Thanksgiving week was a really rough week for Shayden,” remembered Cari Ann. “As the days went by he began retaining fluid and got weaker. On Thanksgiving night, Wojo and I decided that it was time. While we still wanted to give Shayden every chance we could, we knew that he was telling us that he was ready to go.”

“The next day, our nurse called early and said that he was more swollen than he had ever been and that they had to increase his sedatives and turn up the rate of his ventilator to help him breathe. We got ready and went straight to the hospital.”

“When we walked into his room, I could see how swollen he was. Tears rolled down my face. We talked with our nurse and had the doctor, social worker and chaplain come in. Slowly they turned off the pumps for his medications and feeding. I got to hold him for a little while.”

“Throughout the day and night we watched as Shayden’s blood pressure and heart rate elevated then dropped, but he hung on. The hospital staff came in and talked and listened to music with us. It helped us to not feel so sad. At 1:23 a.m. on Saturday, Shayden passed. I think he was comfortable in leaving us. He could hear us with the others and knew that we would be OK. The staff let us give him a bath and put clothes on him. We got to hold him for a couple of hours, then it was time to say goodbye.”

“Losing Shayden was hard on our entire family and his memory is something we’ll carry with us the rest of our lives,” explained Wojo. “After his death, getting involved in supporting the American Heart Association has helped us to heal a little bit.”

Cari Ann’s and Wojo’s support for the American Heart Association has included organizing a team to participate in the Heart Walk event. They have also become members of the organization’s grassroots advocacy network called You’re The Cure, helping to support state legislation to improve methods used by Hawaii hospitals to screen all newborns for congenital birth defects using a technique called pulse oximetry screening.

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