January 30, 2010

Yarzheit

Filed under: Uncategorized — darren @ 11:35 pm
A yarzheit candle is lit on the anniversary of the death of a loved one.  The anniversary date is based on the Jewish calendar.

A yarzheit candle is lit on the anniversary of the death of a loved one. The anniversary date is based on the Jewish calendar.

 

Yarzheit [yar-tzhight] is the Jewish practice of remembering the death of a loved one.  It is based on the Jewish calendar.  In our secular society, this anniverary takes a back seat to the “real” annivesary of Simon’s death, January 24, 2005.  Most people, have no idea that there is this other anniversary, the 15th day of Shvat.

I attended synagogue this morning to say mourner’s kaddish, a prayer to remember Simon.  I was surrounded by guests of a bat mitzvah so the overall mood was joyous.  They were there to celebrate the accomplishments of a young girl.  I was there to remember a boy, my son, that will never reach the age of 13. 

I couldn’t say the mourner’s kaddish.  The words were out-muscled by the grief and tears.  The best I could do was move my lips.  I’ve been in a funk all day, which is remarkable considering that this is the “secondary” anniversary.  However, today reminded me of the significance of yarzheit.

It is always great to receive well wishes from friends.  When I receive emails and calls, or friends change their profile pictures on Facebook on January 24, my spirits soar.  This support and recognition is so therapeutic.  However, something magical happened today.

I stood in front of a joyful crowd to recite a prayer to remember my son.  In the midst of their celebration, they paused to acknowledged my grief.  They stood with me as I tried to speak.  They surrounded and supported me.  In a very spiritual and physical way, they lifted me up. 

Community is very important.  Lately, we are obsessed with virtual communities, and impressed by how easy it is to connect with people from around the world.  However, on days like today, I am reminded of the value of “reality communities” and traditions that have endured for thousands of years.  I am also reminded that new calendars and new ways to communicate aren’t always better than the old ones.

January 28, 2010

Colonial Elementary Raises Money

Filed under: Fundraising — darren @ 7:04 pm

By Michael Krone

The Colonial Middle School Student Council is a student government and leadership program that allows students to plan sales of items at lunches and to organize events such as dances and other student- and family-oriented gatherings.

Student council is composed of a sales committee that sells candy and tickets to events at lunch; a special events committee that sells food and prizes at events; an advertising committee that makes posters and endorses the sales and events; and a service committee that helps council give back to the community.

There is also a select executive committee consisting of four officers: Miranda Katz, treasurer; Julia Schumacher, secretary; Michael Krone, vice president; and Brett Paul, president. Our advisor is the enthusiastic and tireless Mrs. Annette Swartz.

December was a busy month for student council, with all sorts of events and sales. First of all, the second week held a sale of delicious chocolate-covered pretzels and was topped off with a sale of Dunkin’ Donuts. All students definitely had full stomachs that weekend.

Before that, volunteers from the service committee donated time to make peanut butter and jelly sandwiches for the hungry. During the following week was the holiday party, where teams (designated by a color) made banners, dressed a mascot, wrote a song and competed at the end. The Yellow Team (Go Bananas!) won the showdown.

In addition, there was a sale of the ever-popular Bon Bons, which sold out very quickly.

An event open to all of CMS was bingo night on Friday, Jan. 22. There were many great prizes such as iPods, cameras, and radios.

Members of the executive board will enjoy a reward for their hard work to ensure a fun middle school experience. A Dave and Buster’s night will be held at the Plymouth Meeting Mall on Jan. 27, and all executive board members are invited to attend.

For all members of student council, whether a student is a homeroom representative, officer, or committee member, a personalized CMS Student Council T-shirt will be for sale. The shirts will have the student council logo on the front along with the person’s name on the back. Shirts cost $12 and will be available until Jan. 29.

Furthermore, an all-school Valentine’s Day dance will be held on Feb.12. Tickets cost $8, and that includes refreshments. While students are in the spirit, they can buy candy and cards at lunches to make this Valentine’s Day a special one!

The biggest charity event for student council would have to be the annual Penny Wars. Despite the name, students are welcome to donate more than pennies to the wonderful charities that will be receiving the money.

One charity is the Make a Wish Foundation, which grants wishes to terminally ill children. There is also the Ronald McDonald House, which provides housing to families of patients in local hospitals who are there for an extended period, and Simon’s Fund, which was started by a family in the Colonial School District whose child died of a heart disease and provides EKGs for students. One of these tests revealed the disease in a CMS seventh-grader, who got treated.

We will also be donating to the Kyle Kerpan Fund. Kyle Kerpan would be a member of the graduating class of 2014, one of our current eighth-graders. Unfortunately, Kyle died of a brain tumor in 2007.

And a portion of the money will go to the William Clinton Foundation to aid relief efforts in Haiti. All homerooms will donate, and the class with the biggest total and homerooms that collect more than $250 will be awarded a pizza party.

December and January kept us at student council buzzing around and making our events the best possible — and the future will be no different. Sales of Bon Bons and other food items are always popular among students, and the events make them keep coming back. All members work hard to make sure kids have a great experience at CMS.

The Screening Debate

Filed under: heart-screening — darren @ 7:01 pm

by Whitney Harding
Jan 27, 2010

Doctors point out that not all athletes with enlarged hearts are at risk of heart failure, the unexpected cause of death of Chicago Bears defensive end Gaines Adams earlier this month.

But as a result, the NFL Cardiovascular Committee is considering the possibility of making echocardiogram heart scans mandatory for all players, starting with potential draft picks this year.

“NFL [Players Association] medical director Thomas Meyer told ESPN that the medical examiner who performed an autopsy on Adams stated the enlarged heart that led to his death could have been detected by an echocardiogram,” said Chris Mortensen, reporting for ESPN.

But just because someone has an enlarged heart, it does not mean they have a fatal heart condition, emphasized Dr. Mark Hutchinson, professor of orthopaedics and director of sports medicine at the University of Illinois at Chicago.

Any athlete in any sport could have an enlarged heart from their conditioning and endurance training. The heart, in common with any other muscle, is going to get bigger if you give it a constant workout, doctors said.

The most common heart condition seen in these sudden deaths of athletes is called hypertrophic cardiomyopothy (HCM) – a condition where the walls of the heart are too thick. This causes the heart to pump less efficiently and work harder. When the effort is too great, young, healthy people can have heart attacks or go into cardiac arrest.

“While HCM does lead to an enlarged heart, an enlarged heart by itself is not HCM,” Hutchinson said. “It is like the flawed logic that poodles are dogs; therefore all dogs are poodles. One does not imply the other.”

The echo is “the most sensitive, non invasive test we have” for detecting HCM, said Dr. Kousik Krishnan, a board certified cardiac electrophysiologist and assistant professor of medicine at Rush University Medical Center. However, just because it is the best scan available does not mean it is fool-proof.

With athletes, pictures can be deceiving and then things get complicated.

“It’s like lifting weights makes your biceps bigger,” said Dr. Robert Bonow, chief of cardiology at Northwestern Memorial Hospital. “So if you’re a super athlete, your heart is going to get bigger.”

The fact that professional athletes may already have larger hearts than the normal population is what makes detecting HCM tricky.

“A number of those patients are going to not have a problem,” but they may be considered at risk as a result of the screening, Hutchinson said. “Then, they do a cardiac injection – they put dye into the heart and see how it works. So now, you’re more invasive for a false positive.”

Another problem with detecting HCM is the symptoms. A few of those clues are chest pain, shortness of breath, unexplained dizzy spells or passing out. While the more serious end of the symptoms may seem more obvious, the less obvious symptoms could be construed as something else. For instance, a coach may think the athlete isn’t in good enough shape.

“These people don’t have a lot of symptoms,” Krishnan said. “I mean, Gaines Adams was at the highest condition – how could he have anything wrong? Symptoms are subtle, so people blow them off.”

An example of this was seen in marathon runner Ryan Shay at the 2008 Olympic trials in New York. Shay collapsed five miles into the race and died. His condition was slightly different than HCM – he suffered from an irregular heartbeat caused by an enlarged heart and had scar tissue in his heart. He had shown symptoms but those were attributed to the flu. Sorting out symptoms related to several conditions is another challenge.

So where to go from here? Should all professional athletes have to undergo full screening? What about college and high school athletes? The answers are varied.

“This has been a debate for a long time and I would be cautious saying one answer is the right answer,” Hutchinson said. “The best recommendation is a strong screening history, and that is what everyone does across the NCAA. Once positive, if those people have symptoms, then they go for further testing.”

Krishnan said the screening process as it is, does not do enough and more echoes need to be done.

“Clearly at the highest levels, spending money on these screens shouldn’t be a problem,” he said.

But then, there’s the legal issue of athletes’ rights to refuse testing to protect their careers.

“You may have an enlarged heart from being an athlete and not have a problem,” Krishnan said. “But if it comes back enlarged, no one will want to sign you. So there may be some legal issues where these pro organizations can’t screen anyone, because athletes want the right to be screened or not.”

HCM is not a disease that is growing in the United States. Krishnan said that simply, when a healthy athlete dies, it gets a lot of publicity. But nothing about the disease itself has gotten worse over the years.

Hutchinson said to look at the bottom line, that very few athletes have this condition and the cost of echocardiograms for all athletes at this point is over the top. He believes that more research is needed and not a hasty decision.

“The key here is we can’t really in all honesty say one football player dies and jump in and say everyone needs this,” he said. “What I would say is when these things happen, that should alert us to go look at the science and not make a dropkick decision.”

Group Takes Aim at Sudden Cardiac Arrest

Filed under: Nonprofits — darren @ 6:57 pm

Jackie Renfrow - SADS

Jackie Renfrow - SADS

New chapter stresses need for youth heart exams

By William J. Booher
william.booher@indystar.com

Jackie Renfrow and Norma Johnson take to heart the risks of sudden cardiac arrest.

They know the pain first-hand of suddenly losing young loved ones to undiscovered heart defects.

To reduce the risks for others, Renfrow, 49, Franklin, and Johnson, 63, Fishers, want to raise awareness through the Sudden Cardiac Arrest Association’s new Indy Chapter headed by Renfrow. Johnson is among the first dozen chapter members.

The chapter is stressing the need for detailed heart exams for young people, particularly if they have fainting spells or seizures or a family history of heart ailments. Renfrow said the cardiac arrest deaths earlier this month of University of Southern Indiana basketball senior center Jeron Lewis, 21, and Chicago Bears defensive end Gaines Adams, 26, both from enlarged hearts, are just a couple of the latest tragic losses.

The chapter is emphasizing preparedness to try to prevent deaths when sudden cardiac arrest occurs. The chapter wants more people trained in cardiopulmonary resuscitation and more widespread availability of automated external defibrillators.

The portable defibrillators are designed to enable even the untrained to use them properly. The chapter hopes schools, businesses and sporting events are among gathering sites where they will be readily available.

The Indy Chapter covers the Indianapolis metro area and Southern Indiana.

“If I had read this story 10 years ago, I could have saved both of my kids’ lives,” said Renfrow, manager of food service for Perry Township Schools in Marion County.

Her son, Jimmy Brackett, died at age 22 in 2000, and her daughter Crissy Brackett, died at age 21 in 2002, both from sudden cardiac arrest due to an undiagnosed rare heart condition called long QT syndrome.

Both had a history of occasional seizures, Renfrow said, but in medical exams the cause was not identified.

The heart condition is treatable if diagnosed, she said.

Renfrow and her two grandchildren learned they have the same rare hereditary heart condition after Renfrow’s mother was diagnosed with the condition after a heart episode. Renfrow now has an implanted defibrillator to restart her heart if it stops.

The Brackett siblings had exams of their hearts during physicals for sports, Renfrow said, but not with an electrocardiogram to check the heart’s electrical impulses and an echocardiogram to obtain advanced imaging of the heart.

Also, she said, it is important for someone experienced, such as an electrophysiologist, to properly analyze what those tests show.

Renfrow said someone suffering sudden cardiac arrest will die after about three minutes without being treated with CPR and a defibrillator. This is different from a heart attack, a plumbing problem caused by blockage in the heart’s arteries.

Johnson said her grandson, Clinton Walker, 17, Stockbridge, Ga., died Feb. 7, 2008, of sudden cardiac arrest due to what a coroner’s report determined was sudden cardiac arrest due to congenital heart defects.

“Doctors misdiagnosed him altogether,” Johnson said. “It breaks my heart. We tried to find for so long what was wrong.”

She said doctors felt the seizures he had experienced were due to neurological or psychological problems and did not test his heart.

“You need to look for the signs in your children of having unexplained behavior and seizures. Just don’t accept it, check their heart,” she said.

She said Phillips Temple CME Church, 210 E. 34th St., Indianapolis, where Clinton’s uncle, the Rev. Oliver DeWayne Walker, is pastor, plans to raise awareness of sudden cardiac arrest on Feb. 7.

Additional Facts

More information To learn more about the Sudden Cardiac Arrest Association’s new Indy Chapter, covering the Indianapolis metropolitan area and Southern Indiana, go online to www.suddencardiacarrest.org or www.jimmyandcrissy.embarqspace.com.

January 25, 2010

Back to the Scene

Filed under: Just a thought — darren @ 6:46 pm

Dates are very strange.  Honestly, what is the significance of a date?  For a birthday, are we really that much happier to have the person around on that day?  For an anniversary, do we really appreciate and love the person that much more on that day?  You can tell that my answer is probably no. 

I think about Simon alot.  In fact, grief and sadness does not wait around for important dates.  However, despite this healthy does of cynacism, there is something eerie about his birthday and the anniversary of his death. 

For the past four years, we have gone away for his anniversary.  He died in our house so we don’t want to be here on the night that he died.  It is tragic enough to replay the events of the evening from a resort.  We don’t need to be at the scene. 

Last night was our first 1/24 at home since January 24, 2005.  As we drove back into the neighborhood at 10:45, exactly one hour after we had found Simon, I had flashbacks of the snow and ice covered streets.  I remembered running across my lawn, in slippers through six inches of snow, to a neighbors house as I tried to perform CPR.  I remembered the stillness and quiet as we returned home from the hospital without our son.

As the years go by, the constant intensity of the pain subsides, but the memories and visions remain crystal clear.

Los Gatos Screens Athletes

Filed under: heart-screening — darren @ 6:09 pm

By Judy Peterson

Los Gatos Weekly-Times

Posted: 01/14/2010 05:29:56 PM PST

Updated: 01/21/2010 05:25:16 PM PST

  

Click photo to enlarge

When 17-year-old Mikey Halpin collapsed at Los Gatos High School on Dec. 2, 2008, it sent shock waves through the community. Everyone, family included, thought the strapping senior was healthy. After all, he had recently passed the physical that was necessary for him to play football.

But Mikey suffered from a hereditary heart condition known as mitral valve prolapse, which proved to be fatal.

Now, his father, Tim Halpin, is working with local hospitals to encourage young athletes to undergo testing for heart anomalies.

“I don’t want other parents to go through the heartache I have — and still have,” Halpin said. “It’s been a year, but I don’t think it ever goes away.” Halpin was on hand Jan. 9 when El Camino Hospital Los Gatos sponsored a free heart screening clinic for young athletes.

“These conditions of heart disease in athletes are more serious because they often die,” Dr. Bing Liem said. “That’s why screening is so important.” Liem, a cardiologist at El Camino who organized the heart-screening clinic, said that the incidence of sudden death among athletes is one in 100,000.

The free tests he performed are relatively simple, but important life-saving analyses. “The first step is a good cardiac history and an EKG — an electrical recording of heart rhythms, which also reflects heart disease,” Liem said. “If we aren’t comfortable with what we see, we may recommend an ultrasound of the heart, which takes a picture of the heart. Other steps may include a stress test or other electrical tests.”

The Jan. 9 clinic was focused solely on taking an athlete’s heart history and providing an EKG.  Liem said high school athletes are of particular concern.

“Usually when they reach high school, they become very competitive. They’re going for scholarships and participating in marathons,” he said. So, that is when previously undetected problems may begin to affect otherwise functioning people. “Sudden death is made more common when athletes exert themselves,” Liem said. “Physical activity is part of the risk factor in people born with heart anomalies.”

While Liem singled out strenuous sports such as basketball, football and swimming as being particularly dangerous for young athletes with undetected heart problems, he also said endurance sports like sprinting and extreme jumping can be just as dangerous.

“Over-exertion can trigger sudden death,” he said.  He views awareness as key to preventing sudden death from heart disease.  “There was a recent publication whereby programs that mandate better screening can reduce the sudden death rate. Some countries that mandate screening found it reduces sudden death rates threefold.” There has been some pushback, Liem said, to making cardiac screening mandatory in the U.S. because of cost and manpower concerns.

“So I just wanted to do it for free to improve awareness,” he said. “Perhaps later it will become something that people embrace.”

That is exactly why Halpin is behind an effort to make cardiac screening mandatory for young athletes in California. He is working with Fresno Assemblyman Mike Villines. “We’re working to submit a bill this year to make it mandatory for kids to be tested for heart defects,” Halpin said.

Halpin is also starting a nonprofit organization in Mikey’s name to raise money to put defibrillators in all schools. In addition, Halpin is working with Good Samaritan Hospital to start a heart-screening program for all Los Gatos High School athletes.

“I would love to see all children tested, whether they’re in sports or not,” Halpin said. “It’s important for the knowledge to get out there that tests are available.”

While Halpin’s focus now is on Los Gatos, he plans to reach out to surrounding communities so that other parents are aware of the risks involved in youth sports.

January 24, 2010

NFL Could Change Start Screening Hearts

Filed under: heart-screening — darren @ 10:44 pm

Below is a post about how the NFL may start screening the hearts of its athletes.  This comes in the wake of the death of Gaines Adams.  He had an enlarged heart.  This is not the first NFL athlete to die of cardiomyopathy.  I’m surprised that it has taken this long.

The NFL not screening the hearts of its athletes is similar to NASCAR teams not checking the engines of their cars.  I am not comparing a person to a car.  I am stating that owners have a duty to take care of their most valuable assets.  For football, it is the players.  For NASCAR, it is the driver, and yes, your car.  So, check the “engine” on them all.

Posted by Gregg Rosenthal on January 24, 2010 11:57 AM ET

The sudden passing of Bears defensive end Gaines Adams to cardiac arrest caused by an enlarged heart caused many people to wonder if anything could have been done to prevent it.

The NFL is looking closely at the issue.

ESPN’s Chris Mortensen reports that the NFL Cardiovascular Committee is discussing whether to make echocardiograms (or ECHO) standard for players, starting in February with the scouting combine.

The league was already examining the question before Adams’ passing.

Currently the echocardiogram is only ordered if there’s a family history problem or if a problem shows up on the EKG test that is administered to the players.  The echo is “more invasive and expensive but more complete” than the EKG test according to the Chicago Tribune.

Two Babies Die in Same County

Filed under: SIDS,Uncategorized — darren @ 10:40 pm

MUNCIE — Michelle Friend and others at Huffer Memorial Children’s Center have been overwhelmed by calls this week from confused and concerned parents in the wake of an infant’s death at a Muncie babysitter’s home.

“Our county has now dealt with the devastating blow of having two infants die while in the care of (the same) babysitter,” said Friend, toddler specialist for Huffer’s Child Care Resource and Referral.

This week’s tragedy followed recent reports that Delaware County leads the state in the percentage of pregnant women who smoke. Both second-hand smoke and pregnant women smoking are considered risk factors in Sudden Unexpected Infant Deaths (SUID), many of which are later attributed to Sudden Infant Death Syndrome (SIDS).

Matthew Cheng, four months old, died Tuesday afternoon while in the care of Tina Byrd, 3301 W. Noel Drive. On Nov. 3, another baby boy, John K. Wenninger, also died while being cared for by the 43-year-old Byrd. The first child’s death was classified as SUID with the cause undetermined.

City police are continuing their investigation of the Cheng infant’s death and plan to re-interview Byrd once full autopsy results are available.

Huffer’s CCRR is part of a statewide network that provides free information, education and referrals for child care to Hoosiers.

Friend said she wished more parents would contact Huffer for information on SUID, infant death in child-care settings and positional asphyxia. The facility can provide lists of child-care providers, information on safe sleep practices and training for infant care.

Cheng’s death also could be classified as SUID once final toxicology and lab work is completed.

“When there’s absolutely no reason for a baby to die, they call it SUID,” Friend said.

Research shows that male babies are more prone to die of SUID than female infants, and that a SUID death is 18 times more likely to occur with a child sleeping on its stomach.

Friend agreed with medical experts and death investigators that sleeping face down is a risk factor in SUID cases. Byrd indicated that the Cheng infant had rolled over on his stomach when she called emergency dispatchers.

“SUID cannot be prevented or predicted, but knowing the risk factors lowers the occurrence,” Friend said.

The highest risk for SUID or positional asphyxia comes in children six months old or younger, according to Anoinette L. Laskey, a child abuse pediatrician at Riley Children’s Hospital, Indianapolis.

Laskey also serves on Indiana’s Child Fatality Review Team that reviews child deaths in the state.

Even a complete autopsy conducted by a forensic pathologist might not find a cause of an infant death that could be classified as SUID.

Parents and caregivers need to know the safest position for sleeping infants is on their backs, on a firm surface.

“We look for opportunities to prevent such tragedies,” Laskey said.

January 21, 2010

Simon’s Day – May 16 2010

Filed under: Uncategorized — darren @ 5:43 pm
Ambler Theater

Ambler Theater

 

We’re excited to announce that on May 16, 2010, we’ll host our annual fundraiser at the Ambler Theater.  This is an amazing venue.  We’ll have kid movies and kid entertainment.  It will be a great family event.  Stay tuned for more details.

All of the money raised at this event will go to raise awareness about sudden cardiac arrest and death in kids.

One Week – Two Dead, Two Saves

Filed under: AED Save — Tags: , , , , — darren @ 2:01 am

This is the second save in one week . . .

Little Rock – A high school athlete passes out at a Tuesday night basketball game.

Chris Winston was heading off the court to the bench when he passed out.  It took a defibrillator to bring him back to life.  Winston was taken to Baptist Health in LIttle Rock.  At last check, he did have a pulse, was being treated with an IV and is expected to recover.

Eerily, this happened at Parkview High School: the same school where Antony Hobbs passed out and ultimately died.  Hobbs’ death led to the push for legislation eventually passed in March 2009, providing funding for AEDs in all state schools.  Budget cuts have prevented some schools from buying the life-saving devices, but the LIttle Rock School District bought the final 78 AEDs needed to equip all of their schools on January 11.

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