5 women’s health tips to prevent and detect strokes, according to cardiologists
One in five women between ages 55 and 75 will experience a stroke in their lifetime, according to the American Heart Association.
There are two main types of strokes.
One in five women between ages 55 and 75 will experience a stroke in their lifetime, according to the American Heart Association.
There are two main types of strokes.
With an ischemic stroke, a blockage prevents blood from flowing properly to the brain. With a hemorrhagic stroke, a blood vessel bursts in the brain and causes bleeding, which damages brain cells.
While some risk factors such as age, race and family history can’t be changed, others can be mitigated through healthy lifestyle choices.
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Parag Shah, M.D., a physical medicine and rehabilitation specialist who practices at Brooks Rehabilitation in Jacksonville, Florida, shared some specific tips about how women can reduce their risk.
Here are five tips.
Research has shown that air pollution tends to impact women more than men in terms of inflammation, infection and heart disease.
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"According to a recent review, elevated levels of ambient air pollution — even just short-term exposure — can increase the likelihood of strokes," said Shah, who specializes in stroke rehabilitation.
"Health experts recommend checking the air quality in your area and, on high-pollution days, limiting time outside, turning on exhaust fans in kitchens and bathrooms, and using an air purifier in the home," he also said.
The Mediterranean diet — a plant-based nutrition plan that mimics the regional cuisines of the countries along the Mediterranean Sea, such as Italy and Greece — can reduce the health risks associated with strokes, according to Shah.
"Current research on preventing strokes is exploring an array of lifestyle factors," he told Fox News Digital.
"This includes the Mediterranean diet, which highlights the consumption of fruits, vegetables, whole grains, nuts, olive oil and foods rich in omega-3 fatty acids like fatty fish, walnuts and flaxseed."
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Practicing exercises that promote heart health and lessen stress can help reduce the possibility of stroke, Shah suggested.
"Participating in physical activities like yoga, tai chi and strength training, while also giving importance to mindfulness techniques such as meditation and deep breathing exercises, could provide additional advantages in lowering the risk of strokes," he told Fox News Digital.
Sudden confusion, difficulty understanding, slurred speech, double vision, and numbness or weakness, especially on one side of the body, are often overlooked signs of strokes, Shah warned.
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"Recognizing these signs is crucial, because quick identification and immediate medical attention greatly enhance the chances of recovery for stroke patients," he said.
Beyond the more obvious "textbook" stroke symptoms, there are some warning signs that tend to be overlooked until it’s too late.
"Factors like pregnancy, giving birth and hormonal changes such as menopause can heighten the likelihood of having a stroke," Shah told Fox News Digital.
The use of oral contraceptives and hormone therapy can also raise this risk, the doctor added, as can hidden biological factors that make women more susceptible.
"Scheduling regular health check-ups and staying knowledgeable about stroke symptoms and prevention methods are essential for maintaining good health," Shah said.
"Preventing most strokes is similar to the prevention of heart attacks," Dr. Laxmi Mehta, a cardiologist and director of preventative cardiology and women's cardiovascular health at The Ohio State University Wexner Medical Center, told Fox News Digital.
In her practice, Mehta typically recommends following the American Heart Association’s Life’s Essential 8, which provides steps to improve or maintain cardiovascular health.
These include four healthy behaviors and four health factors, as listed below.
1. Quit tobacco. Avoid cigarettes, vaping and other nicotine products, which have been proven to increase the risk of strokes and heart attacks.
2. Eat better. Following a healthy eating pattern that includes plenty of fresh fruits and veggies, whole grains, lean protein, nuts and seeds can reduce stroke risk.
3. Be more active. Experts recommend participating in 150 minutes of moderate intensity or 75 minutes of vigorous physical activity weekly.
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4. Get healthy sleep. Adults should aim for seven to nine hours of sleep per night to reduce stroke risk, according to experts.
5. Manage blood pressure. A "normal" blood pressure is defined as a systolic pressure of less than 120 and a diastolic pressure of less than 80, according to the National Institutes of Health.
6. Manage cholesterol. High cholesterol levels have a proven link to stroke risk. A healthy range for LDL ("bad") cholesterol is 100 mg/dL or lower, as published in the Journal of the American College of Cardiology.
7. Manage blood sugar. Excessive levels of glucose in the blood can increase the risk of fatty deposits or clots, which are a factor in strokes.
8. Achieve and maintain a healthy weight. Being overweight or obese is one of the biggest risk factors and is linked to nearly one in five strokes, according to the World Stroke Organization.
11 months 3 weeks ago
Health, stroke, womens-health, heart-health, lifestyle, healthy-living, health-care, wellness, healthy
CDC issues health advisory warning of 'adverse effects' from fake Botox injections
The U.S. Centers for Disease Control and Prevention (CDC) issued an official health alert advisory on Tuesday warning about reports of fake Botox injections that have landed some patients in the hospital.
The U.S. Centers for Disease Control and Prevention (CDC) issued an official health alert advisory on Tuesday warning about reports of fake Botox injections that have landed some patients in the hospital.
Along with the U.S. Food and Drug Administration (FDA) and state and local health officials, the CDC said it is investigating a total of 22 cases across 11 states starting in Nov. 2023 through March 2024.
Cases have so far been reported in California, Colorado, Florida, Illinois, Kentucky, Nebraska, New Jersey, New York City, Tennessee, Texas and Washington — all affecting women between 25 and 59 years of age.
The women have experienced "adverse effects" after being injected with "counterfeit botulinum toxin," the alert said.
The injections were all given by "unlicensed or untrained individuals" or in "non-health care settings, such as homes or spas."
The women's reported symptoms included blurred vision, drooping eyelids, dry mouth, fatigue, slurred speech, generalized weakness and shortness of breath.
Of the 22 cases, 11 women were hospitalized.
None of the instances met the "case definition for botulism," the CDC noted.
No deaths have been reported.
Botulism is a "serious and sometimes fatal" illness that occurs when a toxin attacks the body’s nerves, according to the CDC.
Initial symptoms usually include muscle weakness around the eyes, face, mouth and throat — which could also spread to the neck, arms, torso and legs.
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Other symptoms can include blurred or double vision, difficulty breathing, trouble swallowing, drooping eyelids, slurred speech and difficulty moving the eyes.
It is possible for people to experience some of these symptoms without having botulism.
Dr. Anne Truitt, a board-certified dermatologist in San Diego, California, said that doctors or clinicians injecting Botox or other injectables should ensure that the products come from a reputable source.
"Injecting an unknown product at unknown concentrations into your body is really dangerous and potentially fatal," she told Fox News Digital.
Dr. Craig Lehrman, director of aesthetic surgery at The Ohio State University Wexner Medical Center, noted that fake Botox has been an issue since the early 2000s.
"Unfortunately, I treat several patients a year who have received non-approved injectables of things they are told to be safe — which ends up having serious consequences," he told Fox News Digital.
"It has mostly been linked to injections in settings such as someone's home or a poorly regulated med spa."
Botox is made from a specific type of Clostridium botulinum, a bacteria that produces paralysis in the muscles where it is injected, he said.
"The people receiving the presumed counterfeit Botox are suffering from an illness that is similar to botulism, caused by the same bacteria," he said.
There are strict safety criteria for the use and storage of Botox, and serious risks come with the injection of fraudulent or poorly managed products, Lehrman warned.
"Botulism can carry detrimental effects ranging from infection, to permanent deformity, to serious wound formation."
"Cosmetic injections should be an FDA-approved product, administered by licensed providers and in licensed settings," the CDC stated.
There has been a large increase in the number of people offering these services who are not board-certified in the fields of plastic surgery, dermatology or ENT, according to Lehrman.
"I would advise potential patients to do their research on the person who will be injecting them — and not just search for the cheapest option," he said.
"I would recommend going to a center that has rigorous standards of education and a track record of safety."
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In most cases, when administered properly, Botox injections are safe, according to experts.
"Botox has been well-tested and researched for many years," Truitt told Fox News Digital. "Used appropriately, it is safe and one of the best tools to reduce the effects of aging."
"Laboratory-confirmed cases of systemic botulism occurring after cosmetic or therapeutic injections of botulinum toxin are rare," the CDC said in its statement.
To ensure safety, Truitt said it's important to go to a licensed provider, and to avoid "Botox parties" and "pop-up" med spas.
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"The bottom line is that if it sounds too good to be true, then chances are it probably isn't true — or safe," she added.
Anyone who experiences botulism-like symptoms following an injection should seek medical attention, according to health officials.
Fox News Digital reached out to Abbvie (manufacturer of Botox) and the FDA requesting additional comment.
11 months 3 weeks ago
Health, cosmetic-surgery, womens-health, lifestyle, Bacteria, health-care, style-and-beauty, beauty-and-skin
AI could predict whether cancer treatments will work, experts say: ‘Exciting time in medicine'
A chemotherapy alternative called immunotherapy is showing promise in treating cancer — and a new artificial intelligence tool could help ensure that patients have the best possible experience.
A chemotherapy alternative called immunotherapy is showing promise in treating cancer — and a new artificial intelligence tool could help ensure that patients have the best possible experience.
Immunotherapy, first approved in 2011, uses the cancer patient’s own immune system to target and fight cancer.
While it doesn’t work for everyone, for the 15% to 20% who do see results, it can be life-saving.
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Like any medication, immunotherapy has the potential for adverse side effects — which can be severe for some.
Studies show that some 10% to 15% of patients develop "significant toxicities."
Headquartered in Chicago, GE HealthCare — working in tandem with Vanderbilt University Medical Center (VUMC) in Nashville, Tennessee — has created an AI model that's designed to help remove some of the uncertainties surrounding immunotherapy.
Over the five years it’s been in development, the AI model was trained on thousands of patients’ electronic health records (EHRs) to recognize patterns in how they responded to immunotherapy, focusing on safety and effectiveness.
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"The model predicts which patients are likely to derive the benefit from immunotherapy versus those patients who may not," said Jan Wolber, global digital product leader at GE HealthCare’s pharmaceutical diagnostics segment, in an interview with Fox News Digital.
"It also predicts which patients have a likelihood of developing one or more significant toxicities."
When pulling data from the patient’s health record, the model looks at demographic information, preexisting diagnoses, lifestyle habits (such as smoking), medication history and more.
"All of these data are already being collected by the patient’s oncologist, or they’re filling out a form in the waiting room ahead of time," said Travis Osterman, a medical oncologist and associate chief medical information officer at Vanderbilt University Medical Center, in an interview with Fox News Digital.
(Osterman is working with Wolber on the development of the AI model.)
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"We're not asking for additional blood samples or complex imaging. These are all data points that we're already collecting — vital signs, diagnoses, lab values, those sorts of things."
In a study, the AI model showed 70% to 80% accuracy in predicting patients’ responses to immunotherapies, according to an article published in the Journal of Clinical Oncology Clinical Cancer Informatics.
"While the models are not perfect, this is actually a very good result," Wolber said. "We can implement those models with very little additional effort because there are no additional measurements required in the clinic."
This type of technology is "a natural progression of what we've been doing in medicine for a very long time," Osterman said.
"The only difference is, instead of surveying patients, we're taking the entirety of the medical record and looking for risk factors that contribute to an outcome," he said in an interview with Fox News Digital.
With immunotherapy, there is generally a lower response rate than with chemotherapy, Osterman noted — but some patients have "incredible responses" and ultimately become cancer-free.
"I would be horrified to know that one of my patients that I didn't give immunotherapy to could have been one of the tremendous responders," he told Fox News Digital.
Conversely, Osterman noted that in rare cases, immunotherapy can have some serious side effects.
"I would say about half of patients don't have any side effects, but for those who do, some of them are really life-altering," he said.
"We don't want to miss anyone, but we also don't want to harm anyone."
At the core of the AI project, Osterman said, is the ability to "put all the information into the exam room," so the oncologist can counsel the patient about the risks and benefits of this particular therapy and make the best, most informed decision about their care.
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the AI model’s development but commented on its potential.
"AI models are emerging that are helping to manage responses to cancer treatments," he told Fox News Digital.
"These can allow for more treatment options and be more predictive of outcome."
AI models like this one are an example of "the essential future of personalized medicine," Siegel said, "where each patient is approached differently and their cancer is analyzed and treated with precision using genetic and protein analysis."
As long as physicians and scientists remain in charge — "not a computer or robot" — Siegel said that "there is no downside."
The AI model does carry some degree of limitations, the experts acknowledged.
"The models obviously do not return 100% accuracy," Wolber told Fox News Digital. "So there are some so-called false positives or false negatives."
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The tool is not a "black box" that will provide a surefire answer, he noted. Rather, it's a tool that provides data points to the clinician and informs them as they make patient management decisions.
Osterman pointed out that the AI model uses a "relatively small dataset."
"We would love to be able to refine our predictions by learning on bigger data sets," he said.
The team is currently looking for partnerships that will enable them to test the AI model in new settings and achieve even higher accuracy in its predictions.
Another challenge, Osterman said, is the need to integrate these AI recommendations into the workflow.
"This is pretty new for us as a health care community, and I think we're all going to be wrestling with that question," he said.
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Looking ahead, once the AI model has achieved the necessary regulatory approvals, GE HealthCare plans to make the technology available for widespread use by clinicians — perhaps even expanding to other care areas, such as neurology or cardiology.
There is also the potential to incorporate it into drug development.
"One of the things that drug makers struggle with is that some of the agents that may be really useful for some patients could be really toxic for others," Osterman said.
"If they were able to pick which patients could go into a trial and exclude patients with the highest risk of toxicity, that could mean the difference between that drug being made available or not."
He added, "If this means that we're able to help tailor that precision risk to patients, I'm in favor of that."
Ultimately, Osterman said, "it's a really exciting time to be in medicine … I think we're going to look back and regard this as the golden age of AI recommendations. I think they're probably here to stay."
11 months 4 weeks ago
Health, Cancer, cancer-research, artificial-intelligence, medical-tech, lifestyle, health-care, medications, medical-research
CDC investigating fake Botox injections: ‘Serious and sometimes fatal’
Fake Botox is on the CDC’s radar.
The U.S. Centers for Disease Control and Prevention (CDC) announced on Friday that it is investigating reports of "a few botulism-like illnesses in several states resulting from botulinum toxin injections (commonly called ‘Botox’) administered in non-medical settings," the agency said in a statement.
"We are coordinating a multi-state outbreak investigation," the agency added.
Illnesses have been reported to the Tennessee and Illinois health departments, which are working with the CDC and the Food and Drug Administration (FDA) on the investigation, the CDC noted.
In Tennessee, four patients sought medical care after experiencing "botulism-like signs and symptoms" after receiving Botox injections for cosmetic purposes, according to an online statement from the Tennessee Department of Health.
Two of the patients were hospitalized.
"Joint investigations have identified concerns about use of counterfeit products or products with unclear origin administered in non-medical settings such as homes or cosmetic spas," the statement said.
The Illinois Department of Public Health issued a similar statement after two patients reported receiving potentially counterfeit Botox injections in LaSalle County.
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The two individuals reported symptoms that included blurred/double vision, droopy face, fatigue, difficulty breathing, shortness of breath and hoarse voice, the statement said.
The patients, both of whom were hospitalized, received the injections from a licensed nurse who was "performing work outside her authority."
Additional cases have been reported in Kentucky, Washington and Colorado.
"The sources of these botulinum toxin products are unknown or unverified at this time," the CDC stated.
"Questions about product regulation and product investigation should be directed to the FDA."
Botulism is a "serious and sometimes fatal" illness that occurs when a toxin attacks the body’s nerves, according to the CDC.
Initial symptoms usually include muscle weakness around the eyes, face, mouth and throat, which could also spread to the neck, arms, torso and legs.
Other symptoms can include blurred or double vision, difficulty breathing, trouble swallowing, drooping eyelids, slurred speech and difficulty moving the eyes.
"What’s particularly concerning are the respiratory problems that some are experiencing," Dr. Salar Hazany, a certified dermatologist and reconstructive surgeon at Scar Healing Institute in Beverly Hills, told Fox News Digital.
"If the wrong patient begins having trouble with their breathing, it could be fatal."
Dr. Craig Lehrman, director of aesthetic surgery at The Ohio State University Wexner Medical Center, noted that fake Botox has been an issue since the early 2000s.
"Unfortunately, I treat several patients a year who have received non-approved injectables of things they are told to be safe, which ends up having serious consequences," he told Fox News Digital.
"It has mostly been linked to injections in settings such as someone's home or a poorly regulated med spa."
Botox is made from a specific type of Clostridium botulinum, a bacteria that produces paralysis in the muscles where it is injected, he said.
"The people receiving the presumed counterfeit Botox are suffering from an illness that is similar to botulism, caused by the same bacteria," he said.
There are strict safety criteria for the use and storage of Botox, and serious risks come with the injection of fraudulent or poorly managed products, Lehrman warned.
"Botulism can carry detrimental effects ranging from infection, to permanent deformity, to serious wound formation."
"Cosmetic injections should be an FDA-approved product, administered by licensed providers and in licensed settings," the CDC stated.
There has been a large increase in the number of people offering these services who are not board-certified in the fields of plastic surgery, dermatology or ENT, according to Lehrman.
PLASTIC SURGERY DEATHS HAVE SPIKED AMONG US PATIENTS WHO TRAVELED TO DOMINICAN REPUBLIC: CDC REPORT
"I would advise potential patients to do their research on the person who will be injecting them — and not just search for the cheapest option," he said.
"I would recommend going to a center that has rigorous standards of education and a track record of safety."
In most cases, Botox injections are safe, according to experts.
"Laboratory-confirmed cases of systemic botulism occurring after cosmetic or therapeutic injections of botulinum toxin are rare," the CDC said in its statement.
Millions of injections are performed each year by licensed medical providers and have been shown to be safe when done in the correct manner, Lehrman added.
"Those considering Botox should research the background of the provider and make sure that the practice has not racked up a number of complaints," added Hazany.
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"Do not go to an unlicensed provider. If the offer seems too good to be true, it probably is."
Anyone who experiences botulism-like symptoms following an injection should seek medical attention, according to health officials.
Fox News Digital reached out to Abbvie (manufacturer of Botox), the FDA, the Tennessee Department of Public Health, and the Illinois Department of Public Health requesting comment.
1 year 4 days ago
Health, cosmetic-surgery, beauty-and-skin, lifestyle, medications, health-care
New Jersey twins receive matching heart surgeries after Marfan syndrome diagnosis: 'A better life'
The notion that twins do everything together has met a new standard.
Identical twin brothers Pablo and Julio Delcid, 21, underwent matching heart surgeries on the exact same day following their diagnosis of Marfan syndrome.
The notion that twins do everything together has met a new standard.
Identical twin brothers Pablo and Julio Delcid, 21, underwent matching heart surgeries on the exact same day following their diagnosis of Marfan syndrome.
The duo, of Dover, New Jersey, had been alerted to their risk of Marfan syndrome because a majority of their family members also have it, the twins told Fox News Digital in an on-camera interview.
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"We're a family of five. I have two older sisters who have it," Julio Delcid said. "My older brother doesn't have it as much ... But I also have other family members who have it, too — pretty much through my whole family on my mom’s side."
"It's very genetic," Pablo Delcid added. "When we were younger and were first diagnosed with it, nobody knew what it was."
He added, "Nobody knew they even had it until tests kept coming in, and they were like, ‘Yeah, it's pretty genetic. Everyone should get tested.'"
Fox News Digital spoke with Dr. Benjamin Van Boxtel, surgical director at the Atlantic Aortic Center at Morristown Medical Center, in a separate interview about the condition; he performed the twins’ surgeries.
The cardiovascular surgeon said that while Marfan syndrome is mostly genetic, it can also occur at random. It's a defect of the gene that creates connective tissues in the human body, he said.
"Because it's a broad defect in these connective tissues, it can affect many different parts of the body," he said. "So, this could be anywhere from the eyes to the spine and … the heart."
"The most dangerous symptom you could develop with Marfan syndrome is a dilation of the aorta, specifically in the root," he added.
Van Boxtel said the aortic root in Marfan syndrome can become dilated or enlarged, which can cause an "immediately fatal" tear or rupture.
"Or it can cause something called an aortic dissection, which is also potentially very fatal, and becomes a surgical emergency," he said. "That's unfortunately how a lot of people who have Marfan syndrome pass away."
Many of those people don't even know they have the syndrome, Van Boxtel noted.
A valve-sparing root procedure performed before a dilated aorta dissects can be a life-saving operation.
Marfan syndrome can be difficult to spot, according to Van Boxtel, as it's often marked by common symptoms such as chest pain, poor vision — or being tall and having long limbs.
"When you have an aneurysm [from a] dilated aorta, it's generally asymptomatic, meaning you feel absolutely nothing," he said. "You feel completely fine … Aneurysm disease is silent, it's asymptomatic — which can be really dangerous."
Pablo Delcid, for his part, said there’s "not much you can feel when you're growing into the condition."
He added, "What we didn't know was that our bodies were changing … obviously with height, vision, the length of our arms, feet, legs, even with our chest."
The twins’ mother, Betulia Miranda, had an emergency procedure on Oct. 8, 2023, after experiencing an aortic dissection, which the boys described as "excruciating" for her.
After their mother's surgery was a success, the twins decided to seek preventative surgery performed by Dr. Van Boxtel – but their one request was that they do it together.
"Of course they’re like, ‘Can we go at the same time?’" the doctor said with a laugh.
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Van Boxtel, a father of twins himself, said the double surgery was like "nothing I've ever done before."
He said, "I've done this procedure hundreds of times. But to do it back-to-back on twin brothers — it was an experience, that's for sure."
It was decided that Pablo Delcid would go first, since he was born five minutes before his brother, followed by Julio Delcid several hours later.
"We always do everything together," Pablo Delcid said. "We live together, go through everything together … We didn't think we could get the operation done together, but everything [was] successful."
The twins agreed that they felt "safer" knowing they were going through the procedure together.
"You kind of feel like you're not going to lose that person," Julio Delcid said. "They're sticking with you, side by side."
Pablo Delcid added, "It’s like your gut’s telling you, ‘All right, if I make it, he's going to make it.’"
On surgery day, Jan. 5, 2024, Van Boxtel and his team distinguished the twins from one another using color-coded ankle bracelets.
The surgeon emphasized the rarity of double heart surgery on twins, especially at such a young age of 21. "This is like the ultimate twin study," he said.
Van Boxtel said it was "freaky" when he realized that the brothers' hearts were also identical.
"I knew they could be different on the inside, but it ended up that they were the exact same," he said.
Julio Delcid said he was "shocked" that a surgeon like Van Boxtel could take on both surgeries back to back.
"He did the best he could," he said. "He successfully saved our aortic valves, replacing the aneurysm … We were very appreciative."
Marfan syndrome affects about one in 5,000 people, according to Van Boxtel, and impacts men and women equally.
"About 75% of those cases are genetic," he said. "But about 25% of Marfan cases are actually not inherited. They're not from a parent. They're a spontaneous mutation."
ONE FAMILY DONATES FOUR KIDNEYS TO SAVE A NEW YORK MAN’S LIFE: ‘DEFIED ALL ODDS’
Along with a dilated aortic root (enlarged aorta) or narrow dissection (tear in an artery), patients also run the risk of having a leaky valve, which can lead to heart failure symptoms like shortness of breath, chest pain, dizziness and inability to perform normal exertional activity, Van Boxtel said.
Since Marfan syndrome is often hard to spot on the surface, the Delcid twins emphasized the importance of getting tested, especially for those within the Latin and Hispanic communities.
"It's pretty lethal," Pablo Delcid said. "We almost lost our mother, and that was a traumatic experience."
People with symptoms or with a family history of Marfan syndrome should educate themselves on how best to prevent an aneurysm and connect with a cardiology team, Julio Delcid reiterated.
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"It’s just very important to take the time and the opportunity to get the best treatment that they could possibly get, because if they wait, consequences will happen later," he said.
"Don't fear anything. Just take the time to get yourself checked out and get the help that you need to live a better life."
With the stresses of heart surgery behind them, the twins said they're looking forward to getting outside, playing sports and exercising more than they could before.
"Both their valves were saved," Van Boxtel said. "They weren't leaking at the end. All the things that we look for in a very successful repair they had, and they're going to go on and live normal, healthy lives."
He said he hoped that "these valves last a really, really long time, if not the rest of their lives. They're much better off now than they were walking around with aneurysms."
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Van Boxtel thanked his team for handling the complex, same-day operations on young men with their "whole lives ahead of them."
The Marfan Foundation has various resources for patients at all stages of the condition, the doctor noted.
"I can't underscore how important it is for patients with aneurysms to be seen by a surgeon or a team who is comfortable performing that," he said.
"It's a very, very serious problem … but there's prevention available, and if you get it at the right time, it can be very successful."
1 year 1 month ago
heart-health, Health, lifestyle, Surgery, new-jersey, family, rare-diseases, medical-mysteries-marvels, health-care
To combat nursing shortage, universities create accelerated 12-month training programs: 'A win-win'
America needs nurses — and some schools are implementing accelerated programs to train them.
To shorten the process, these programs cut training time from up to four years down to one.
America needs nurses — and some schools are implementing accelerated programs to train them.
To shorten the process, these programs cut training time from up to four years down to one.
"I really do think this is a win-win for students and local hospitals and facilities," said Elizabeth Mann, assistant clinical professor at the University of New England, in an interview with Fox News. She's based in Maine.
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Prospective students must have a previous bachelor's degree and need to complete eight prerequisite courses.
This is dramatically shorter than the typical two- to four-year nursing program.
"I think the ability to get a second degree in something like a bachelor's in nursing is very appealing to many people," UNE Nursing School's interim director Donna Hyde told Fox News.
"They don't have to have a health care background. We will get them there."
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The new fast-track nursing program at the University of New England is slated to begin in May.
The goal is to help students get into the workforce sooner, but they’ll have to put in some serious training as well, experts say.
"There's nothing cut back. They do the same amount of clinical hours, so we allow time for that," said Hyde.
"Their schedule may have to be a little more flexible to include consideration of weekends."
There's a projected shortage of over 78,000 registered nurses next year, according to the National Center of Health Workforce Analysis.
NURSING PROGRAMS STRUGGLE TO KEEP UP AMID A NATIONWIDE SHORTAGE OF NURSES
The states most in need of nurses are Washington, Oregon, California, Michigan and Georgia.
"As different states are looking at their own options to increase their nursing workforce, this is one of those options," Jennifer Mensik Kennedy, the Oregon-based president of the American Nurses Association, told Fox News.
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The shortened 12-month program not only appeals to students, but will also benefit local health care facilities, Mann said.
Hyde noted that she speaks to many of the nurse administrators at local health care partners, and "they obviously see the need for more nurses sooner rather than later."
Some have expressed doubt that students can be ready in just a year, Mann pointed out.
"They may interpret it as [offering] a lesser quality [of training] or that we are pushing students through, and I do want to emphasize that is truly not the case," she said.
Up to 40 students are expected to start the program in May at the University of New England.
Once students complete the program, they will have to pass a national exam — just like a traditional four-year student — to officially become a nurse.
1 year 1 month ago
Health, health-care, Maine, Education, lifestyle
Was Wendy Williams’ dementia caused by alcoholism? Experts share insights
Former TV talk show host Wendy Williams, 59, was diagnosed with frontotemporal dementia (FTD) and aphasia, which impairs the ability to communicate, in 2023, a representative confirmed on Thursday.
Given Williams’ reported history of alcoholism, experts are speaking out about the potential link between her alcohol abuse and current cognitive issues.
Thursday’s announcement of Williams’ diagnosis came ahead of a new Lifetime documentary — titled "Where Is Wendy Williams?" — that will premiere on Saturday, as her representative aims to "correct inaccurate and hurtful rumors about her health."
Williams entered a facility in April 2023 to allegedly treat "cognitive issues" reportedly due to alcohol abuse, as her family communicates with her through a court-appointed legal guardian.
"In 2023, after undergoing a battery of medical tests, Wendy was officially diagnosed with primary progressive aphasia and frontotemporal dementia (FTD)," Williams’ care team stated in a press release.
"Aphasia, a condition affecting language and communication abilities, and frontotemporal dementia, a progressive disorder impacting behavior and cognitive functions, have already presented significant hurdles in Wendy's life."
Fox News Digital reached out to Williams' team requesting additional comment.
Dr. Suzette Glasner, PhD, a psychologist in Los Angeles, California, has not treated or examined Williams but said heavy drinking and alcoholism can cause damage to both white and gray matter in the brain, and over time can lead to deteriorating cognitive functioning, including dementia.
"These neurocognitive impacts are a result of a combination of alcohol’s direct neurotoxic effects, depletion of nutrients in the body, impacts on liver functioning and disruption of communication between nerve cells in the brain," said Glasner, who works with Pelago, a digital health company focused on substance use management.
WHAT IS FRONTOTEMPORAL DEMENTIA, THE DIAGNOSIS BRUCE WILLIS HAS RECEIVED?
When heavy and chronic alcohol use leads to brain damage, an individual can experience problems with their attention, memory and reasoning, the expert told Fox News Digital.
"In many cases, individuals who misuse or are addicted to alcohol and drugs struggle with overlapping chronic medical and psychiatric conditions, and this can make it very challenging to determine the etiology or cause of neurocognitive symptoms such as those observed in Wendy Williams," Glasner said.
Neuropsychiatric symptoms including cognitive impairment are common in Grave’s Disease, an autoimmune disorder Williams has spoken about battling over the years.
"Those symptoms often improve with treatment; however, like other chronic diseases, alcohol or drug use can complicate or interfere with treatment response, making improvements less likely," noted Glasner.
NEW ALZHEIMER’S TREATMENT ACCELERATES REMOVAL OF PLAQUE FROM THE BRAIN IN CLINICAL TRIALS
Elizabeth Landsverk, M.D., a geriatric and dementia expert in San Francisco, also has not treated Williams but said that substance misuse has been previously linked to cognitive decline. She also noted that the extent of its impact isn’t clear.
"Not enough research has been conducted on the matter to give us precise data," she told Fox News Digital.
"What has been noted is that alcohol abuse — as well as taking a number of other medications — does increase the risk of developing dementia."
Brain damage and neurocognitive impacts can occur with heavy drinking in individuals with moderate or severe alcohol use disorders, Grasner said — "so there is a wide variation between individuals in the quantity of alcohol that leads to these neurotoxic effects."
"The specific reasons that some individuals develop alcohol-related dementia whereas others do not are not well understood, so we don't currently have guidelines specifying that if you drink a certain amount, you are likely to experience cognitive impairments," she added.
Women are generally more vulnerable to the damaging effects of alcohol on the brain and body, Glasner noted, which means the onset can occur at a younger age than it would in men.
"Expert evaluation of the contribution of substance use and other underlying medical conditions such as Grave’s Disease to cognitive symptoms would be very important for Williams to ensure that she receives the right treatments at the right time," Glasner recommended.
STUDY FINDS THAT PROTEINS MAY PREDICT WHO WILL GET DEMENTIA IN 10 YEARS BASED ON BLOOD SAMPLES
"Often involving a family very closely to evaluate the symptoms and the timing of their emergence relative to alcohol or other substance use can be helpful as part of determining an accurate diagnosis and plan of care," she added.
Abstinence from alcohol is a crucial part of treatment for alcohol-related neurological deficits, noted Glasner.
If the condition is caught in time, abstaining from alcohol can at least partially, if not fully, reverse the symptoms, according to the expert.
While symptoms of FTD can vary depending on what part of the brain is affected, most people with the condition experience some common symptoms, as listed on the Johns Hopkins Medicine website.
Behavior or personality changes are often the most obvious indicators. These may include public outbursts or socially inappropriate actions.
DEMENTIA AMONG YOUNGER PEOPLE IS LINKED TO 15 FACTORS, MAJOR STUDY REVEALS
People with FTD also tend to have impaired judgment, a lack of empathy and lower self-awareness, Johns Hopkins states.
This type of dementia is also marked by a reduced ability to understand or formulate language.
People may struggle to remember the names of objects, string words into sentences or even recall the meanings of words they used to know.
The condition can also lead to agitation, irritability and drastic mood swings.
There is no treatment for FTD other than managing symptoms and educating family members and caregivers, according to Hackensack Meridian Neuroscience Institute in New Jersey.
Some aphasia symptoms can be managed with speech therapy.
"Treatment focuses a great deal on family education," said Reena Gottesman, M.D., a behavioral neurologist at the Center for Brain Loss and Memory Health at Hackensack Meridian Neuroscience Institute, in a press release.
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Approximately 50,000-60,000 people may have FTD, per data from the Alzheimer’s Association, a nonprofit group based in Chicago.
Recently, actor Bruce Willis’ FTD diagnosis brought new attention to the rare condition.
1 year 1 month ago
Health, alzheimers, mental-health, drug-and-substance-abuse, womens-health, lifestyle, healthy-living, health-care
Plastic surgery deaths have spiked among US patients who traveled to Dominican Republic: CDC report
For a growing number of people, "medical tourism" can be dangerous — even fatal.
Twenty-nine U.S. citizens have died after they had cosmetic surgery in the Dominican Republic between 2009 and 2018, according to a Jan. 25 report from the Centers for Disease Control and Prevention (CDC).
For a growing number of people, "medical tourism" can be dangerous — even fatal.
Twenty-nine U.S. citizens have died after they had cosmetic surgery in the Dominican Republic between 2009 and 2018, according to a Jan. 25 report from the Centers for Disease Control and Prevention (CDC).
More alarming is that the deaths have spiked in recent years. Between 2009 and 2018, there were an average of 4.1 deaths per year. Between 2019 and 2022, that average rose to 13 per year — peaking at 17 deaths in 2020.
ASK A DOC: ‘WHAT SHOULD I DO, OR NOT DO, PRIOR TO SURGERY?’
The deaths were linked to "fat or venous thromboembolism," which is when a blood clot forms in a vein, the CDC reported.
Most of the patients had risk factors for the condition, such as obesity, diabetes, tobacco use and multiple surgical procedures being performed at once.
The Consular Section of the U.S. Embassy in the Dominican Republic has recorded cosmetic surgery-associated deaths among U.S. citizens since 2009.
The embassy contacted the CDC upon noticing the uptick in deaths — which sparked an investigation.
All but one of the deaths involved women, the report stated. The average age of the patients at the time of death was 40.
TOP PLASTIC SURGERIES: THESE WERE THE MOST IN-DEMAND PROCEDURES IN 2022
For the 24 deaths that occurred between 2019 and 2020, liposuction was performed on all of the patients, usually along with other procedures, including gluteal fat transfer, abdominoplasty and breast augmentation.
Fat embolism was the cause of death in 55% of the cases and pulmonary venous thromboembolism was the determining cause in 35% of the cases, the report said.
Josef Hadeed, M.D., chair of the Patient Safety Committee for the American Society of Plastic Surgeons (ASPS), who was not involved in the CDC investigation, noted that the CDC’s report highlights the dangers associated with destination procedures.
"Too often, patients will travel to other countries as the procedures are cheaper there," Hadeed, who is also a plastic surgeon with practices in Beverly Hills, California, and Miami, Florida, told Fox News Digital in an interview.
"However, there are a lot of risks associated with traveling to other countries for cosmetic procedures."
He added, "All surgery carries risk, but there are excessive deaths outlined in the report, most of which were presumably avoidable."
When it comes to the price of surgery, Hadeed advised patients that "you get what you pay for. Just because something is cheaper doesn't mean it is better for you."
He also said, "The most important issue in plastic surgery is patient safety."
Jonathan Kaplan, M.D., a board-certified plastic surgeon who practices at Pacific Heights Plastic Surgery in San Francisco, who was also not involved in the report, said the CDC’s latest findings are "sad but true."
"There are risks with any surgery, but in the U.S., you have a better sense of whether doctors are board-certified in the specialty they’re practicing in," he told Fox News Digital in an email.
"There is also the added risk of going to a facility in a foreign country that has no quality assurance or safety protocols as required by law in the U.S.," Kaplan added.
International travel automatically puts patients at a higher risk for thromboembolic events, where they can develop potentially fatal blood clots, Hadeed said.
Another consideration is that those having surgery outside the U.S. won’t be able to get any assistance from the doctor if any complications arise, Kaplan warned.
BBL NOT ALWAYS A-OK: WHY THE BRAZILIAN BUTT LIFT IS ONE OF THE DEADLIEST PLASTIC SURGERIES EVER
"Then you’ll have to find a doctor locally who will charge you an exorbitant amount to fix the problem and you’ll end up spending more than what you saved initially," he said.
While all surgeries carry some element of risk, the "Brazilian Butt Lift" (BBL) has been associated with the highest risk of death in plastic surgery, which is corroborated by the report, noted Hadeed.
"While I cannot specifically comment on what led to the deaths in the Dominican Republic, I can say that using an ultrasound is essential while performing a Brazilian Butt Lift," he told Fox News Digital.
When the fat is injected into one of the blood vessels within the gluteal muscle, it can enter the bloodstream and make its way to the blood vessels of the lungs, blocking off circulation and leading to immediate death — which constitutes a fat embolism, the doctor said.
ASK A DOC: 'WHAT SHOULD I KNOW BEFORE GETTING A BREAST LIFT?'
This can be prevented by using an ultrasound, he noted, which allows the plastic surgeon to visualize the gluteal muscle and ensure that the fat is placed above, and not within, the muscle.
"This has already become state law in Florida as of 2023," said Hadeed.
While Hadeed said it’s "better" to look for plastic surgeons within the U.S., if patients do decide to travel outside the country, they should carefully research a provider.
It is critical to find a plastic surgeon who is board-certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons, Hadeed emphasized.
The surgeon — as well as the entire surgical team, including the anesthesiologists, nurses and surgical techs — should be adequately trained in the specific procedures, the doctor added.
"It is equally important to ensure that the facility in which the procedure is being performed is fully accredited to the same standards that are found in the United States and has the proper safety measures in place," said Hadeed.
"Also remember that longer flights increase the risk of venous thromboembolism, and it is advised to wait several days after travel before undergoing a surgical procedure, which can add to the cost of the travel when you factor in additional days of staying in a hotel," he pointed out.
When asked for his advice on international surgery, Kaplan said simply, "Don’t do it."
"The money you save is not worth it if you have a complication, which is a very real possibility," he said.
"And remember, complications don’t have to be major — they can be minor, but still a nuisance if you don’t have a doctor locally to take care of it," he went on. "And even the smallest complication will be much more expensive to take care of in the U.S. if your original surgery was outside the country."
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For those who are considering having an elective surgical procedure outside the U.S., the CDC recommends discussing the risks with a doctor here first.
The agency also emphasized the importance of surgeons conducting proper preoperative exams and only performing one procedure for each operation.
The study did have some limitations, the CDC acknowledged.
"No reliable statistics on the number of U.S. citizens who receive cosmetic surgery in the Dominican Republic each year are available, precluding calculation of the risk for perioperative death," the report stated.
Also, the data only included deaths that were reported to the U.S. Embassy — which means the actual number could be higher.
The mortality count also does not include deaths resulting from post-surgical infections, the CDC noted.
Fox News Digital reached out to the CDC requesting comment on the report.
1 year 2 months ago
Surgery, cosmetic-surgery, womens-health, lifestyle, health-care, beauty-and-skin, travel-safety, Health
AI-designed drug for inflammatory bowel disease enters human clinical trials: 'A significant need'
Inflammatory bowel disease (IBD) impacts 1.6 million people in the U.S. — and a new artificial intelligence-generated drug could help alleviate symptoms.
Inflammatory bowel disease (IBD) impacts 1.6 million people in the U.S. — and a new artificial intelligence-generated drug could help alleviate symptoms.
Insilico Medicine, an AI-driven biotech company based in Hong Kong and in New York City, recently announced that its new AI-designed IBD drug — ISM5411 — has entered Phase I clinical trials.
This is Insilico’s fifth AI-designed drug to enter the pipeline.
WHAT IS ARTIFICIAL INTELLIGENCE (AI)?
If approved, it would be the first medication to treat IBD by blocking prolyl hydroxylase domain (PHD), a protein that regulates the body’s gut barrier protection genes, according to Alex Zhavoronkov, PhD, founder and CEO of Insilico Medicine.
"ISM5411 is a potentially first-in-class candidate for the treatment of IBD – this means that it is designed to treat the disease in an entirely new way," Zhavoronkov told Fox News Digital in an interview.
IBD, which includes Crohn’s disease and ulcerative colitis, causes debilitating symptoms that include abdominal pain, diarrhea, fatigue, weight loss and rectal bleeding, according to Mayo Clinic.
"This condition is on the rise across the industrialized world, but currently there are no cures and few treatments," said Zhavoronkov.
NEW AI-GENERATED COVID DRUG ENTERS PHASE I CLINICAL TRIALS: ‘EFFECTIVE AGAINST ALL VARIANTS’
Many current drugs for IBD are anti-inflammatory and rely on immunosuppression to work.
"This carries its own set of risks, as suppressing the immune system can give rise to chronic infection and tumor diseases," Zhavoronkov said.
Other biologic drugs for IBD are administered by IV or self-injection.
"We knew there was a significant need in this space, and we wanted to find a new way to treat IBD that focused on healing and rebuilding the intestinal lining to lead to long-term improvement of the condition rather than just treating the symptoms," said Zhavoronkov.
IBD patients produce significantly more of the PDH protein than those without the condition.
Insilico’s research and development team used Chemistry42, the company’s generative AI chemistry engine, to design a molecule to block the PDH and produce genes that protect the gut barrier.
FIRST AI-GENERATED DRUG ENTERS HUMAN CLINICAL TRIALS, TARGETING CHRONIC LUNG DISEASE PATIENTS
"You can think of Chemistry42 as a ChatGPT for new molecules," said Zhavoronkov.
"But instead of providing text commands and having an AI model generate a new essay or poem based on existing data, our platform draws from biological and chemical data to design an entirely new molecule using our instructions."
"Our AI platform designed a number of possible molecules to meet our criteria, and ranked them, and our R&D team synthesized and tested a number of these before selecting ISM5411 as the most promising candidate," said Zhavoronkov.
An oral medication, ISM5411, is described as "intestinal restrictive," which means it only works on the gut without impacting other parts of the body, he noted.
"Very importantly, it promotes mucosal repair," said Zhavoronkov.
"In other words, we designed this drug to help restore the normal functioning of the gut."
Previous research has shown that mucosal repair is effective in reducing hospitalization and improving long-term prognosis for IBD patients.
Insilico’s IBD drug has officially begun trials in 76 healthy volunteers in Australia to evaluate its safety and tolerability in gradually increasing doses, Zhavoronkov said.
After completing the Phase 1a trial, Insilico plans to launch an international multi-center clinical trial in the U.S., China and other locations, with three treatment groups and one placebo group.
"Our clinical team is working hard to design and execute the clinical trials in order to develop it further so we can begin helping patients in need," said Zhavoronkov.
"As we continue to advance this drug, we also look forward to connecting with companies with relevant experience and resources who are interested in co-developing this asset with our team."
ISM5411 is one of more than 30 drugs that have been designed by Insilico’s AI platform, including many for cancer — as well as fibrosis, central nervous system diseases and COVID-19.
The company’s lead drug, the first AI-discovered and AI-generated drug to reach Phase II trials with patients, is for the treatment of idiopathic pulmonary fibrosis, a progressive lung condition with an extremely poor prognosis.
Dr. Supriya Rao, a Massachusetts-based gastroenterologist, was not involved in Insilico's drug development but offered her input on ISM5411.
"I think it’s very promising," Rao told Fox News Digital. "Obviously, there will be hurdles to jump through, and data is very novel at this stage of development."
"Longer-term safety and efficacy would be concerns, but we’ve only just begun to embark on a journey of AI and health care," she added.
All treatments have their pros and cons, Rao noted, particularly with "very individualized diseases" like IBD.
BE WELL: IMPROVE YOUR GUT HEALTH WITH 5 TOP TIPS FROM A NUTRITIONAL THERAPIST
"Could this speed up the recovery process and offer a more targeted treatment plan with minimal side effects? The possibility is exciting," she said. "Our goal as health care professionals is always to achieve better patient outcomes."
AI expert and emergency medicine physician Dr. Harvey Castro from Dallas, Texas, who was also not involved in the development of ISM5411, noted that while promising, these types of AI-generated drugs can carry inherent risks.
"The primary concern is the uncertainty surrounding their long-term effects, as AI-designed drugs are a relatively new medical frontier," Castro told Fox News Digital.
"There's also the challenge of ensuring that the AI algorithms are trained on comprehensive and unbiased data sets, as misinterpretations or gaps in data could lead to ineffective or harmful drugs."
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Castro noted that existing regulatory frameworks may not adequately address the nuances of AI-driven drug development.
"Public awareness is key," he said.
"As these drugs move from research labs to clinical settings, the public needs to understand the potential and the limitations," Castro went on.
"Educating patients and health care providers about how AI-generated drugs are developed and their potential impact on treatment paradigms is vital."
1 year 2 months ago
Health, digestive-health, medications, artificial-intelligence, medical-research, medical-tech, health-care, tech
Carbon monoxide poisons five family members in Portland apartment during power outage
A family of five was hospitalized with carbon monoxide poisoning in Portland, Oregon, on Sunday, according to local reports.
Investigators said the poisoning was the result of the family's use of a generator and cooking with propane inside an apartment.
A family of five was hospitalized with carbon monoxide poisoning in Portland, Oregon, on Sunday, according to local reports.
Investigators said the poisoning was the result of the family's use of a generator and cooking with propane inside an apartment.
"Someone called 911 because a child approximately 8 years old was found lying in the snow outside," Lt. Terry Foster, a fire inspector for Portland Fire & Rescue, told Fox News Digital on Tuesday.
CARBON MONOXIDE DEATHS ARE CLIMBING, PUTTING FAMILIES IN PERIL: ‘MY SON IS LUCKY TO BE ALIVE’
"When crews arrived, they did a search of the apartment and found four people lying on the floor of the apartment and began removing them. They were all transported by American Medical Response."
The investigators found high volumes of carbon monoxide in the apartment, where a generator and camp stove were being used, Foster said.
"These devices were what led to this emergency."
The occupants were conscious when transported, but were exhibiting symptoms consistent with carbon monoxide poisoning, Foster said.
The adjacent apartments were checked and evacuated.
TOXIC CHEMICAL POISONING: HAVE YOU BEEN AFFECTED? HOW TO KNOW
"Crews were able to ventilate the structure and residents were able to move back in quickly," Foster noted.
A severe winter storm hit Portland on Saturday, leaving thousands of people without power.
The apartment complex had not had access to heat since a tree fell on a powerline across the street the previous day.
"DO NOT use generators indoors because carbon monoxide is a silent, colorless, odorless, tasteless killer," Portland Fire & Rescue advised in a post on X (formerly Twitter).
Isabela Royer, a woman who lives across the hall from the family that was poisoned, called 911 after one of the family members knocked on her door, she told a local news outlet.
"He’s right there and he says, 'Help me, please,'" Royer said.
"I walk out into the hallway, and I look down the stairs at the bay window seating area and his child is throwing up, heaving, obviously sick."
"I dragged the kid outside to get some fresh air and some other guy from their family pulled up and started pulling the rest of the people out of the house," Royer continued.
"The door to their apartment was open and I saw the generator and I knew right away," she added.
Foster said he reached out to the investigator on Tuesday, who reported that they had no further information about the patients.
The lieutenant also reminded residents that if they're unable to warm themselves safely, Multnomah County offers warming shelters throughout the county.
"You can call 2-1-1 to help get you there," he said.
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The most dangerous outcomes of carbon monoxide poisoning can include death, permanent organ damage and long-term neurological effects, according to Dr. Dung Trinh, a brain health expert and owner of The Healthy Brain Clinic in Long Beach, California.
"Carbon monoxide is a toxic gas that can bind to hemoglobin in the blood, reducing its ability to carry oxygen, leading to tissue hypoxia and damage to vital organs," he previously told Fox News Digital.
The effects of carbon monoxide poisoning can vary depending on the severity of the exposure and individual factors.
Those at highest risk include infants, elderly individuals, pregnant women and those with pre-existing respiratory or cardiac conditions, Trinh said.
Each year, carbon monoxide poisoning claims at least 420 lives, according to the Centers for Disease Control and Prevention (CDC).
1 year 3 months ago
Health, health-care, lifestyle, Oregon, house-and-home, Weather