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Did you know someone in the U.S. has a stroke every 40 seconds? Stroke is a leading cause of death in the United States and is a major cause of serious disability for adults, according to the Centers for Disease Control and Prevention (CDC). It is also preventable and treatable.
So, what exactly is a stroke? A stroke occurs when part of the brain is cut off from blood and oxygen due to a blood clot or broken blood vessel. In just minutes, strokes can cause lasting brain damage, and delayed treatment increases the risk of permanent disability and death. Knowledge of stroke risk factors and symptoms is crucial to reducing the likelihood of and improving the outcome of a stroke.
The American Heart Association’s Getting to the Heart of Stroke™ initiative, developed in conjunction with HCA Healthcare and the HCA Healthcare Foundation, focuses on preventing, treating and beating stroke by:
With individualized health education efforts in 15 local communities across the U.S., the initiative highlights the powerful connection between heart and brain health.
“What’s good for the heart is good for the brain, but the reverse is also true: problems with the heart, including AFib, are well-documented as major stroke risk factors,” says Nancy Brown, chief executive officer of the American Heart Association. “To effectively combat stroke, we need to work together and elevate the heart-brain connection among health care professionals, while simultaneously addressing health disparities and resource gaps in our communities. We are not a one-size-fits-all nation, and neither is the most successful approach to public health.”
Stroke prevention starts with knowing the risk factors that increase the likelihood of having a stroke. Identifying the underlying cause of a stroke is also crucial to preventing subsequent strokes. Common risk factors include obesity, high blood pressure, diabetes, high cholesterol, alcohol or drug abuse, or heart disease. If you have any of these risk factors, it is important to discuss them with your doctor to manage and reduce your chance of stroke.
For example, patients diagnosed with atrial fibrillation are up to five times more likely to experience a stroke. The American Heart Association’s patient support network, MyAFibExperience, empowers individuals to better understand and manage their stroke risk.
As part of the Getting to the Heart of StrokeTM initiative, the American Heart Association will work alongside the HCA Healthcare Foundation and HCA Healthcare to implement community education as well as professional education focused on identifying stroke risk factors projected through the lens of equitable health for all.
Working closely with thought leaders in healthcare, including those from HCA Healthcare, the American Heart Association will also develop accredited education programming that will be available to all healthcare professionals, and a specific learning collaborative with 10 HCA Healthcare facilities focused on continuously improving the quality of care.
“We are proud to be collaborating with the American Heart Association,” says Dr. Steven Manoukian, HCA Healthcare senior vice president and Fellow of the American Heart Association. “Within both organizations, we recognize that increased education and connectivity between our neurology and cardiology health care teams, patients and communities are integral to reducing the devastation of stroke, determining its underlying cardiac causes, such as AFib and structural heart disease, and preventing future strokes. Through this unique and multi-faceted initiative with the AHA, everyone will become better at Getting to the Heart of Stroke.”
When a stroke occurs, getting treatment fast is crucial to decreasing the long-lasting effects of stroke. The signs of a stroke can be thought of with the acronym, BE FAST. Here are the symptoms that could mean you or your loved one is having a stroke:
And if you or someone around you is experiencing the symptoms above, it is
HCA Healthcare has a long history of prioritizing and working to continually improve patient safety. This includes reducing our average door-to-needle time to 33 minutes, which is faster than the national standard for stroke care.
In order to beat stroke, we must decrease stroke for every member of our communities. HCA Healthcare and the HCA Healthcare Foundation are dedicated to advancing health equity and bettering stroke care in all patient subsets, including all races and ethnicities. Some patient subsets, such as Black and Hispanic/Latinx populations, face additional barriers to identifying and treating stroke risk factors, receiving thorough assessment and finding follow-up stroke care.
Getting to the Heart of StrokeTM addresses health disparities like this through local health impact work and community education in areas including women’s health, high blood pressure management, nutrition security and tobacco/vaping prevention.
You can make a difference in your community by sharing your knowledge of stroke care and prevention with others. By sharing the resources in this article, along with additional resources provided by the American Heart Association, American Stroke Association and the Getting to the Heart of StrokeTM initiative, with your family and friends who may be at risk for stroke, you can help save lives.
HCA Healthcare patient and stroke survivor Danny Goldammer is alive today because his wife quickly recognized the signs of his stroke and dialed 911. It all started when Danny called for his wife, Lindsay, who is a nurse at HCA Healthcare’s Research Medical Center in Kansas City, Missouri.
At first, Lindsay didn’t notice anything wrong at first. “Everybody knows he’s very much a jokester, and so when he looked at me and said, ‘The sky is green eggs and ham,’ I just started laughing,” Lindsay told KSHB-TV. “I said, ‘You’re joking with me, you’re messing with me.’ And then he said, ‘I can’t feel my left side.'”
Lindsay immediately assessed him for a stroke and called the emergency telephone number.
Danny received a life-saving blood clot removal within 11 minutes of arriving at Research Medical Center’s Level 1 Trauma Center and Comprehensive Stroke Center, which is equipped to handle the highest and most complex stroke symptoms.
Dr. Ashish Kulhari, a neurologist and Danny’s doctor at Research Medical Center, explained that while it is unusual for a 35-year-old like Danny to have a stroke, it’s not impossible to have a stroke that young. Dr. Kulhari said damage to a blood vessel led to Danny’s stroke. “That’s one of the most common causes of having a stroke in young patients because otherwise usually they’re healthy,” he said. “They don’t have the regular risk factors of high blood pressure, diabetes, high cholesterol.”
In the months that followed, Danny experienced short-term memory loss, vision loss and other physical barriers. To help him navigate his new normal, Lindsay quickly stepped into the role of Danny’s advocate. She shared that some of the most challenging parts of stroke recovery for Danny were not being able to hold his youngest baby due to weight restrictions and not being able to play catch in the backyard with his kids.
Today, Danny is healthy and back to spending quality time with his wife and kids. “I think the most remarkable thing about Danny’s story is that he has resumed all the activities he enjoyed before his stroke,” Lindsay said. “He is an avid outdoorsman and loves to spend time with our kids fishing, hunting and playing sports. He loves all things Kansas City when it comes to sports! We try and go to Royals games as a family several times each summer and we attend Chiefs games, too.”
Danny hopes that sharing his story is a reminder for everyone to know the signs of a stroke, keeping in mind the acronym BE FAST: Balance loss, Eyesight changes, Face drooping, Arm weakness, Speech difficulty and Time to call 911.
There are two main types. Type I (Juvenile) and Type II Type 2 diabetes is much more common and is typically caused by lifestyle choices. Unlike type I, the pancreas can make insulin, but not enough. This leads to the sugar being left in the blood stream instead of being pushed into the cell for an energy source.Some risk factors for developing type 2 diabetes:weightinactivityfamily historyhigh LDL cholesterol levelsAge over 45prediabetesComplications of type 2 diabetes:blood vessel disease nerve damage impaired healing heart disease stroke kidney disease eye damage dementiaPeople with type 2 diabetes, on average, have a shortened life expectancy by about 10 years.You can prevent type 2 diabetes by: eating properly exercise losing weightBalancing your nutrition with the proper amounts of proteins, carbs and fat not only helps you look better, have more energy and confidence but it also prevents chronic disease. Over 80% of chronic disease is preventable through lifestyle modification!
Hypertension or high blood pressure is a common condition medical professionals call the silent killer. Silent because having elevated blood pressure often goes undetected for years or decades as it slowly causes fatal changes throughout the body, leading to death. Common comorbidities of prolonged hypertension include: kidney failure, heart attack, stroke, angina, dementia, vision loss, blindness, sexual dysfunction, cardiomyopathy, heart failure, fatigue, artery damage, blood clots, and much more. Unfortunately, many individuals do not know or treat hypertension until the damage has already taken place. But it's not too late. There are many methods and options available to treat and eliminate this life threatening condition. The traditional method of treating hypertension consists of a doctor's visit, finding of hypertension, a series of cardiac studies, and then being prescribed medication.Often this is accompanied by a diagnosis of genetic hypertension, familial hypertension, secondary hypertension or idiopathic hypertension (unknown cause). Regardless of the diagnosis, the underlying cause can go unnoticed and untreated. Frankly, because there is not enough time and individuality to this approach. The band aid approach. So what's a normal blood pressure? Ideally 120/60.When does blood pressure become dangerous? When your systolic pressure (the first number) rises above and sustains above 150 you should be concerned.Long term effects of elevated blood pressure leads to interior vessel damage and therefore creates even more of a risk to you such as narrowing of the blood vessel, clotting and arteriosclerosis. So what generally leads to hypertension?Some causes for hypertension include obesity, hypernatremia or high sodium, lack of exercise, elevated homocysteine, sleep deprivation, substance use, smoking, stress, hypercholesterol or high fats in the blood, diabetes, kidney dysfunction, lung disease, diet and age.Getting to the core issue and addressing the primary cause or causes of hypertension is the ideal treatment. Unfortunately this is often challenging and time consuming for individuals to navigate themselves. They find there is no direct guidance from medical professionals. Instead the medication seems to be the end all be all approach. Most providers are unfortunately taught this method in school and are not programmed to use a holistic approach.Depending on the cause of hypertension, there are methods and scientifically proven lifestyle changes that can eliminate the silent killer in your life, without having to take medication with harmful side effects. Here are some general non-specific ways to treat hypertension:1. Sodium. Water follows salt. The more salt you digest, the more water that attaches to it. This fills up the veins and arteries, and the pressure makes the heart have to work harder to pump. By reducing sodium intake, we reduce the amount of fluid in our vascular space and lessen the workload of the heart. 2. Quit smoking. Smoking causes damage to the inside of our vessels, contributes to blood clotting, and damages your lungs. The damage in your lungs causes a backup of blood flow.3. Exercise. Your heart is its own muscle and requires exercise. When we exercise, we require the heart to improve endurance. Therefore when we are at rest, it has an easier time pumping blood.4. Diet. Eating a well balanced diet can reduce excess cholesterol. Bad cholesterol component that accumulates inside your vessels. When this happens, the opening becomes smaller making the heart have to pump harder to push through.5. Weight loss. Losing excess weight means the body needs less blood to feed extra tissue. When we lose weight, we reduce the need for the heart to pump harder to feed the excess mass. The extra pumping causes the heart muscle to become large then sets into other diseases, such as heart failure.6. Stress reduction. Stress induces a response in our body, causing inflammation, increasing our heart rate and narrowing our vessels. This again causes the heart to have to pump harder and thus increases our blood pressure.Utilizing an experienced certified nurse and wellness coach can bridge the gap between lifestyle modification and optimal health. By utilizing this approach, you can obtain a personal and individualized plan and treatment for hypertension and other ailments concurrently. To learn more about a specific plan designed for you or to schedule a free consultation, click below. I would be happy to see if we are a good fit to work together and begin living the life you were designed for and the care you deserve.
Moodys recently upgraded Collier Countys Series 2018 Tourist Development Tax Revenue Bonds by two notchesfrom Aa3 to Aa1an uncommon and impressive achievement. This upgrade reflects the countys financial strength, fueled by growing tourism revenues and strategic fiscal management.Why This MattersThis upgrade allows Collier County to borrow at lower interest rates, potentially saving taxpayers millions. For senior citizens, this means: Improved Services: Savings can possibly fund critical projects such as better transportation, healthcare facilities, and senior centers. Tax Stability: Lower borrowing costs help keep property taxes steady, a relief for those on fixed incomes. Enhanced Quality of Life: A strong tourism economy supports parks, cultural activities, and infrastructure which many seniors can enjoy.This achievement highlights the countys commitment to financial responsibility and delivering lasting benefits for Collier County residents of all ages.For more details, contact Derek M. Johnssen at (239) 252-7863 or visit emma.msrb.org.#CollierCounty #FinancialStrength #SeniorLiving
At HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.HCA Healthcare is dedicated to giving people a healthier tomorrow. As one of the nation's leading providers of healthcare services, HCA Healthcare is comprised of 186 hospitals and approximately 2,400 sites of care in 20 states and the United Kingdom.In addition to hospitals, sites of care include surgery centers, freestanding emergency rooms, urgent care clinics, diagnostic and imaging centers, walk-in clinics and physician clinics.Many things set HCA Healthcare apart from other healthcare organizations; however, at our core, our greatest strength is our people. Every day, more than 309,000 colleagues go to work with a collective focus: our patients. Our focus positively impacts the care experience at the bedside and beyond.As a learning health system, HCA Healthcare analyzes data from more than 43 million patient encounters each year. This data helps develop technologies and best practices that improve patient care. We also share our learnings with the larger healthcare community and government agencies to improve care everywhere.We are proud of the impact we have in our communities through employment, investment and charitable giving.In 2023, we spent $4.7 billion on capital investment in land, buildings and equipment. In addition, HCA Healthcare pays significant taxes that help revitalize communities.We also provided charity care, uninsured discounts and other uncompensated care at an estimated cost of $3.7 billion in 2023.At HCA Healthcare, we are excited about the future of medicine. We believe we are uniquely positioned to play a leading role in the transformation of care.
At HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.HCA Healthcare is dedicated to giving people a healthier tomorrow. As one of the nation's leading providers of healthcare services, HCA Healthcare is comprised of 186 hospitals and approximately 2,400 sites of care in 20 states and the United Kingdom.In addition to hospitals, sites of care include surgery centers, freestanding emergency rooms, urgent care clinics, diagnostic and imaging centers, walk-in clinics and physician clinics.Many things set HCA Healthcare apart from other healthcare organizations; however, at our core, our greatest strength is our people. Every day, more than 309,000 colleagues go to work with a collective focus: our patients. Our focus positively impacts the care experience at the bedside and beyond.As a learning health system, HCA Healthcare analyzes data from more than 43 million patient encounters each year. This data helps develop technologies and best practices that improve patient care. We also share our learnings with the larger healthcare community and government agencies to improve care everywhere.We are proud of the impact we have in our communities through employment, investment and charitable giving.In 2023, we spent $4.7 billion on capital investment in land, buildings and equipment. In addition, HCA Healthcare pays significant taxes that help revitalize communities.We also provided charity care, uninsured discounts and other uncompensated care at an estimated cost of $3.7 billion in 2023.At HCA Healthcare, we are excited about the future of medicine. We believe we are uniquely positioned to play a leading role in the transformation of care.
At HCA Healthcare, we are driven by a single mission: Above all else, we are committed to the care and improvement of human life.HCA Healthcare is dedicated to giving people a healthier tomorrow. As one of the nation's leading providers of healthcare services, HCA Healthcare is comprised of 186 hospitals and approximately 2,400 sites of care in 20 states and the United Kingdom.In addition to hospitals, sites of care include surgery centers, freestanding emergency rooms, urgent care clinics, diagnostic and imaging centers, walk-in clinics and physician clinics.Many things set HCA Healthcare apart from other healthcare organizations; however, at our core, our greatest strength is our people. Every day, more than 309,000 colleagues go to work with a collective focus: our patients. Our focus positively impacts the care experience at the bedside and beyond.As a learning health system, HCA Healthcare analyzes data from more than 43 million patient encounters each year. This data helps develop technologies and best practices that improve patient care. We also share our learnings with the larger healthcare community and government agencies to improve care everywhere.We are proud of the impact we have in our communities through employment, investment and charitable giving.In 2023, we spent $4.7 billion on capital investment in land, buildings and equipment. In addition, HCA Healthcare pays significant taxes that help revitalize communities.We also provided charity care, uninsured discounts and other uncompensated care at an estimated cost of $3.7 billion in 2023.At HCA Healthcare, we are excited about the future of medicine. We believe we are uniquely positioned to play a leading role in the transformation of care.