Monday, January 12, 2026

SPECIAL TO SN&L: WHO IS A HERO?

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Darlene Franklin is both a resident of a nursing home in Moore, and a full-time writer. In addition to 46 unique book titles, She has been published in dozens of magazines and nonfiction books.

By Darlene Franklin

When I’m asked to name my heroes, I readily name a handful: Rosa Parks, Corrie Ten Boom, Eleanor Roosevelt, alongside Abraham Lincoln, George Washington, and others.
What makes a hero? Dwayne Johnson asked that question in his 2013 television series, The Hero.
In addition to my addiction to reality TV, I was interested in the answer. I was facing my own hero’s challenge. I had to battle back from a month-long hospitalization. I had never fully recovered from crippling weakness and arthritis which had left me unable to walk or do most of my daily activities, and led to my moving to a nursing home.
On my first day of therapy, I was wheeled down the hall to the gym. My physical therapist worked with my lower extremities, core strength, standing, endurance-walking? The occupational therapist focused on “activities of daily living,” more upper body. Could I raise my arms enough to brush my hair? Dress myself?
We had a long way to go, and a hundred days (according to government mandated guidelines) to accomplish the task.
Weakness and pain nibbled at the edges of my motivation. In one of my first sessions, my physical therapist gave me a simple task: stand up.
I called on all my strength and pushed myself to my feet. I remained there, tottering, for a few seconds.
“Sit down-gently. Don’t plop.”
I reached back for the wheelchair arm with one hand, then the other, then as slowly, as carefully as I could, lowered myself into the chair. I was spent.
“That was good,” she said cheerfully. “Now do it four more times.”
Every muscle trembled, and most of them screamed with pain. I adapted the mantra of the winner of The Rock’s competition as my own: “I will not let pain or fear defeat me. I will only fail if I cannot, physically, complete the task.”
I stood four more times that day. I learned an essential lesson in facing an overwhelming task: success has more to do with my willingness to do the hard thing than with physical facts.
My health continues to fluctuate. I’ve been to the hospital three times since Christmas and have just completed another hundred days of therapy.
I will not let pain and fear defeat me.
The lesson served me well. I began with enthusiasm, drive, and a definite goal: to walk around the nursing home.
More lessons headed my way.
· Accept a different normal.
My third hospitalization reminded me of a fact I had conveniently forgotten. Congestive heart failure-which leaves my heart pumping fine, sometimes high, more often low-creates problems for my other organs. They pick and choose when to work.
I decided to stop waiting for things to get better, because they probably won’t. That decision led to the next lesson.
· Do it anyway.
So what if I’m sore from this afternoon’s therapy and tired from last night’s battle with sleeplessness? Go ahead and write. Sing. Visit with friends. Attend church. Live life in the now, because that’s all I have.
And sometimes. . .
· Miracles happen.
For four years, I have worked to improve range of motion in my arms; I can’t clasp my hands together behind my head. We’ve worked on it as much as we’ve worked on walking, standing and everything else. Nothing had changed.
Until one day this session, something popped in my arms and they moved a few more inches. I still can’t rest the back of my head on my hands-but I can wash my hair and tie on a chin strap.
· The miracle you receive may not be the one you wanted or expected.
I ran into a foe that defeated my dreams of walking freely through the halls, at least until I can obtain appropriate equipment: I can’t go without oxygen. My legs will take me further than my lungs will.
“A hero is a person who is admired for. . .courage.” A lifetime has taught me courage is not the absence of fear, but acting in spite of fear.
In that case, maybe I am a hero. Maybe you are too.

Feb/Mar AARP Drivers Safety Classes

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Date/ Day/ Location/ Time/ Registration #/ Instructor

Mar 4/ Saturday/ Sulfer Okla./ 9 am – 3:30 pm/ 1-580-622-3016/ Pickle, Murray County Exten. – 3490 Hwy 7 West – Sulfer, Okla.
Mar 8/ Wednesday/ Edmond/ 9 am – 3:30 pm/ 210-6798/ Palinsky
AARP State Office – 126 N. Bryant
Mar 10/ Friday/ Okla. City/ 9 am – 3:30 pm/ 951-2277/ Edwards
SW Medical Center – 4200 SD. Douglas, Suite B-10
Mar 10/ Friday/ Okla. City/ 9 am – 3:30 pm/ 376-1297/ Palinsky
Woodson Park Senior Center – 3401 S. May Ave.
Mar 14/ Tuesday/ Midwest City/ 9 am – 3:30 pm/ 691-4091/ Palinsky
Rose State – 6191 Hudiberg Drive
Mar 18/ Saturday/ Moore/ 9 am – 3:30 pm/ 799-3130/ Palinsky
Brand Senior Center – 501 E. Main
Mar 28/ Tuesday/ Norman/ 9 am – 3:30 pm/ 515-8300/ Palinsky
Silver Elm Estates – 2100 36th Ave N.W.
Apr 4/ Tuesday/ Warr Acre/ 9 am – 3:30 pm/ 789-9892/ Kruck
Warr Acres Community Center – 4301 N. Ann Arbor
Apr 6/ Thursday/ Okla. City/ 9:30 am – 4 pm/ 951-2277/ Palinsky
Integris 3rd Age Life Center – 5100 N. Brookline
Apr 11/ Tuesday/ Yukon/ 9 am – 3:30 pm/ 350-7680/ Kruck
Dale Robertson Senior Center – 1200 Lakeshorse Dr.
The prices for the classes are: $15 for AARP members and $20 for Non-AARP. Call John Palinsky, zone coordinator for the Oklahoma City area at 405-691-4091 or send mail to: johnpalinsky@sbcglobal.net

Brightmusic Announces its 2019-20 Season

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The Contribution of Women Composers

Brightmusic Chamber Ensemble will celebrate the contribution of notable women composers, from Clara Schumann to contemporaries such as Libby Larsen, in its 2019-2020 season. This year the ensemble marks its 17th as Oklahoma City’s premier classical chamber music presenter. The five-concert regular season will also include works by Brahms, Dvorák, Mozart, Haydn and Tchaikovsky. In June the ensemble will again present a four-concert summer chamber music festival.
The ensemble will be joined by two guest artists: pianist Stephen Buck in Concert 3 and French horn player Adam Unsworth in Concert 4. Buck is Visiting Professor of Music at the Conservatory of Music at the State University of New York, and Unsworth is Professor of Horn at the University of Michigan.
Concert 1 – “Melodic Masters” September 24, presents a lyrical evening with Germaine Tailleferre’s piano trio, Josef Suk’s Piano Quartet in A minor, and Johannes Brahms String Sextet No. 1.
Concert 2 – “From Café to Concert Hall” November 12, will include Clara Schumann’s masterpiece, her Piano Trio in G minor; Paul Schoenfield’s ever-popular Café Music, a trio for violin, cello and piano; and Antonín Dvorák’s Piano Trio No. 4, the “Dumky,” one of his best-loved works.
Concert 3 – “Rustic Gardens” January 21, features Libby Larsen’s Barn Dances, Carl Maria von Weber’s Clarinet Quintet, W. A. Mozart’s Quartet No. 1, and Arnold Schoenberg’s Chamber Symphony No. 1 (arr. by Anton Webern). Joining ensemble musicians will be guest pianist Stephen Buck.
Concert 4 – “The Virtuoso French Horn” March 3, will showcase the versatility and elegance of the French horn, ranging from works by Joseph Haydn and Mozart to contemporary Catherine Likhuta, with guest artist Adam Unsworth.
Concert 5 – “Musical Panorama” April 14, concludes the regular season with works by Pytor Ilyich Tchaikovsky, his popular Souvenir de Florence, Sir Malcolm Arnold’s Suite Bourgeoise for Flute, Oboe and Piano and Joan Tower’s Island Prelude for Oboe and String Quartet. Capping the evening will be “In Box” by Oklahoma City’s Edward Knight, an off-kilter look at the daily communications flooding the inbox.
In June the Brightmusic Chamber Ensemble will present Summer Festival IX at St. Paul’s Cathedral. Dates and programs will be announced in January.
Season Membership Passes are available on our website or at the door for $100 for all regular season concerts and the four festival concerts. Single admission prices are $20 at the door. Children admitted free. Active-duty military and students are free with ID.
Brightmusic Chamber Ensemble, Oklahoma City’s own chamber ensemble, presents fine classical chamber music in the beautiful and acoustically-rich St. Paul’s Cathedral at NW 7th and N. Robinson near downtown Oklahoma City. Free parking is available just south of the cathedral. For more information about the ensemble and upcoming concerts, visit www.brightmusic.org

www.meadowlakesretirementvillage.com

A way of life – Rodeo and nursing natural for LPN

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40 years of nursing and rodeo keeps Debbie Gordon, LPN, in a steady pace with life.

Story by James Coburn, Staff Writer

Debbie Gordon likes helping patients stay away from hospitals by being where they want to be — at home.
“Our goal is to keep our patient in their homes as long as we can, so that they can stay there safely,” said Gordon, a licensed practical nurse at Companion Home Health in Guthrie. “They get to stay in their environment, their comfort zone.”
It was providence that led her to a nursing career, said Gordon, who had never dreamed of being nurse. But it was God’s will, she said.
She’s lent a compassionate hand to patient care at Companion for four years. Gordon also serves as a Companion hospice nurse when needed. And, she re-energizes by doing barrel racing.
This seasoned professional entered the nursing field in 1980 after graduating from Meridian Technology Center, located in Stillwater. Gordon said she likes the hometown feeling of working for Companion that connects with nurses and families without a big corporate image. (story continues below)

https://www.caresuitesokc.com/

“They definitely care about their patients and I feel like they care about their employees,” said Gordon, who enjoys the one-on-one patient time that home health allows her to bond with patients. “You kind of get a closer relationship with your patients doing home health than in the hospitals.”
Home health transcends the simple definition of a job because it centers on patient care. Nurses help them become stronger and educate them about their medications. The staff ensures patients use medications properly without dangerous complications caused by combining non-compatible drugs.
“The patients are important to the nursing staff,” she said. “And they care what happens to the patients.”
Nurses see all walks of life and give everyone the same loving care. They make sure therapy is provided, that patients are dressed and bathed, and have nutrition on a regular basis.
“Every individual is different as far as what the need or might need,” Gordon added.
Diabetes is prevalent, so she teaches patients to monitor their blood sugar every day in order to prevent complications and co-morbidities that are common with the disease.
“It’s important to keep their sugars within normal range because if they don’t it affects all kinds of different functions in their body, their eyes, their kidneys, circulation and everything,” Gordon explained.
Patients can still go to church, get prescriptions and get their hair styled. However, they are not supposed to drive, shop for groceries or go to the mall.
“They don’t have to be tied to home, but they can’t be out running around,” Gordon said. “It’s a taxing effort for them to do that.”
Patients have not mentioned a lot about COVID and the new Delta variant that is spreading across the state, Gordon said.
“Their biggest question is ‘Have you been vaccinated?’ Surprisingly, I have not had a lot of COVID questions. I’ve actually dealt with more frustration from it than questions about it. I know the patients that we have in assisted living facilities — it was very difficult for them not to be able to see their family.
The nurses always wear masks to help prevent the spreading COVID. But several patients have said to her, “I don’t want you to wear that mask.”
Gordon explains to them that she’s required to wear a mask in order to protect them from contracting the disease.
Gordon is well seasoned as a nurse in her career of about 40 years. Experience brings wisdom.
She went to college on a rodeo scholarship. And she still performs at rodeos.
Family issues brought her back home from college. Her sister was a nurse. When she learned Debbie had quit school, she said, “Are you just going to be a bum?”
Those words crushed Gordon because she always wanted to make her sister happy.
“So, I just went home that night, and I was lying in bed crying. And I said ‘Lord, I’m lost, and I don’t know what to do. And I need you to guide me.’ And in six months I was in nursing school.”
She never turned her back on nursing or rodeo. Rodeo was in her blood since she started riding a pony at age 5.
“I started competing when I was about 8, and I still do it,” she said of barrel racing. “It’s kind of like a second job for me. I train on my own.”
She keeps five horses of her own and two from her sister that she rides north of Crescent.
Horses are large animals, and they can take advantage of that. But Gordon knows how to earn and keep their respect.
She learned when turning a horse loose, to never let them walk away from her. They stand their until she walks away from them.
They are creatures of habit, sort of like people, she said.
For more information visit:
http://www.companionhealthcare.net/

Life and limb: NRH leading the way

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Oklahoma Wound Center Medical Director Dr. TaySha Howell (second from left) and cardiologist Dr. Archana Gautam (far right) and Karen Ritchie, RN, hosted Save a Leg, Save a Life founder Dr. Desmond Bell to promote limb salvage awareness.

by Bobby Anderson
Staff Writer

Karen Ritchie, RN, has seen the looks come across the faces of new patients walking into the Norman Regional Oklahoma Wound Center.
There’s the understandable fear, anxiety and trepidation that comes with a process that has the possibility of unthinkable outcomes – the loss of limb and possibly life.
As Norman Regional Health System’s diabetic limb salvage nurse navigator, Ritchie always has a smile, caring word and a message for those patients: There’s hope.
That was just one of the messages stressed by Dr. Desmond Bell, DPM, CWS, president and founder of the Save a Leg, Save a Life Foundation (SalSal) during his presentation “The Gift of a Second Chance.”
Bell’s presentation capped a month-long awareness campaign spearheaded by Dr. TaySha Howell and staff at the Oklahoma Wound Center.
“SalSal is about creating awareness in the community and educating patients as well as the medical community,” said NRHS cardiologist Dr. Archana Gautam. “For many years everyone knew about peripheral vascular diseases but nobody was aggressive at treating it.”
Ritchie says that in any given year Oklahoma is No. 1 or No. 2 in the nation in total amputations.
The statistics Bell shared are alarming with more than 65,000 major amputations performed annually for crucial limb ischemia (CLI) alone.
Within five years nearly 70 percent of those patients are dead.
FAILURE IS NOT AN OPTION
“Amputation should not be seen as a treatment option, but a treatment failure,” Bell said, quoting one of his colleagues.
The five-year mortality rate for a non-healing neuropathic ulcer is 45 percent.
Bell singled out the Oklahoma Wound Center as a national leader in promoting wound care awareness.
“Your group here has done a phenomenal job and I just can’t thank you enough,” he said. “You may not realize this but Norman … you all have been the model for what is to come and I’m sure what we’re going to accomplish you’ll look back on this day and be very, very proud in the next few years.”
After Bell addressed the group, patient after patient shared stories about their treatment journey at Oklahoma Wound Center.
“I drive a truck for a living and I was worried about not being able to do what I did,” said Eldon P., who presented with a diabetic toe. “I didn’t want to be in a wheelchair. It’s pretty scary and I went through some pretty rough times emotionally thinking I might lose a limb.”
The therapies, including hyperbaric oxygen dives, helped save his foot.
“It was a long journey, but well worth it,” said Carol T., beginning to tear up while sharing her diabetic ulcer story. “I definitely got the second chance message. There are things you take for granted until you could be missing it. I just thank Dr. Howell and her whole team.”
Bell said the SalSal Foundation is in its infancy, much like the Breast Cancer Awareness group Susan G. Komen Foundation was years ago.
That group started with a promise from one sister to another.
“Imagine what we could do if we had a dollar from every single person with diabetes in this country. It’s mindboggling but it’s achievable,” Bell said. “Five years from now we’ll look back and the things you all have done for our organization will be among the most impactful.”
Bell pointed out that the underlying factors such as diabetes and peripheral artery disease and obesity are more universal than cancer.
“If someone gets the word cancer thrown at them then all the wheels are set in motion and they become their own best advocate,” Bell said. “Yet our patients don’t understand what’s happening. They don’t understand the pain that’s ahead of them. It’s probably one of the most undignified ways to leave this world.”
“We have to do better, simply stated.”
Howell, wholeheartedly agrees and has a message for patients and clinicians.
“It’s so vital because either the patient doesn’t realize how serious it is … but also sometimes to primary care doctors the wound doesn’t look really infected, big or the patient doesn’t complain it hurts,” Howell said. “So a month goes by and another … and they get bone infection or no blood flow and it just blows up into some disaster where if they come when they first have a wound it’s so much easier to turn around.”
That’s why Ritchie loves her job, because she understands she truly saves lives. “It’s awesome. Wound care is very different than being a staff nurse or floor nurse,” Ritchie said. “With those patients they come in and you make them feel a little bit better and they are discharged and go on their way. With wound care they come in with wounds they know are going to take time to heal and you see them for weeks.”
“Once you know they’ve been successful – that’s the most awesome, most fulfilling feeling.”
“That’s what you went to nursing school for.”

FROM DARL DEVAULT: Gratitude for Writing For Senior News and Living

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Photo by Bobby Anderson, Staff Writer from a feature story appearing in our June 2019 issue. “At 91, John Ferguson still entertains generations young and old.”

Story by Darl DeVault, Contributing Editor

Senior News and Living Contributing Editor Darl DeVault.

Grateful for being able to write for Senior News and Living for almost three years, I am now sharing how my writing began.
I met John Ferguson, 91 at the time, at the June 2019 OKC 50+ Better Living Expo at the Oklahoma State Fair Park, where he was dressed as his “Count Gregore” character from decades of WKY-TV fame.
I first saw him standing in his character’s makeup and black cape, talking to a lady well away from any of the booths.
Playing Count Gregore, he was a favorite local on-air television personality for me while growing up. He is most famous for hosting live the 11:30 p.m. Saturday Nightmare Theater, Sleepwalkers Matinee, Creature Features and Horror Theater. He entertained his sizable TV audience as the host of eight movie series from 1958 to 2002 while on KFOR-TV, KOCO-TV, KOKH-TV, KAUT-TV and KOCB-TV.
I introduced myself, telling Ferguson how much everyone appreciated his talented entertainment in this market. He thanked me for remembering him. We talked about other things he had done in the OKC market.
He told me he made a living in other creative agendas. He wrote, produced and appeared in countless radio and television commercials in sales, sales management. He mentioned other places he lived while employed in different facets of the entertainment industry. He spoke fondly about making commercials from behind the camera.
Our conversation turned to how difficult it was to make a living in a small market like Oklahoma City. I told him I was J-school trained at the University of Oklahoma, writing for The Oklahoma Daily, the student newspaper. We agreed OKC is a small market for creative endeavors.
His characters made him a household name for his many fans playing with local legend Danny Williams during those years. He talked about how he enjoyed starring as “Bazark, The Robot” and “Evil Duke of Mukedeen” opposite his hero character Dan D. Dynamo (Williams), on WKY-TV.
He was amazed I could retire as a writer at 55 in 2010. My explanation was the Oklahoma taxpayers spent a lot of money on us at OU. They funded the school’s printing press and an excellent Journalism Department as a significant investment in my learning to write well. Our conversation soon broke up, as I did not want to take up all his time.
Later, while leaving the Expo, I walked down the last row of booths. There was Ferguson again. He was still in makeup, sitting without his black cape behind a booth all by himself, watching people go by. I thanked him again for his time speaking with me and wished him well.
While speaking to him, a guy came rushing up to the booth. He hurriedly told Ferguson he needed him to get his cape on because he wanted to introduce him to people in another booth.
Ferguson started to look for his cape while pointing at me and saying to the guy seeking his help, “he’s a writer.” He found his cape and stood up to put it on. Again, to the person hurrying him to get ready, he said while pointing at me, “he’s a writer.”
The two of them were about to walk away from the booth. Ferguson pointed at me for the third time and said to the guy, “he’s a writer.” By this time, curious about why he kept saying that, I asked Ferguson, “Why do you keep saying that?”
Ferguson then introduced the guy saying, “this is Steven Eldridge, the publisher of Senior News and Living, who is looking for a writer.” At first focused on Ferguson, I finally looked down to notice what booth he had been sitting behind. It was the Senior News and Living booth, a major Expo sponsor.
Ferguson’s effort to point me out as a potential employee caused Eldridge to ask me where I learned to write. I said, “I was J-school trained at OU in the mid-70s.” Eldridge then asked me what I was writing now, and I replied I was retired.
Eldridge told me I could be a good match for his reader’s demographics at Senior News and Living with my writing background and being retired. He asked if I would write a story for him to evaluate for the publication. He said if he liked my work, he would offer me a job writing feature stories. Eldridge told me my articles could start on the front page. He said he would also pay me for photographs.
He asked me if I had any ideas for an upcoming article he could evaluate. I said I did not have any story ideas in mind. He gave me his business card and the last two Senior News and Living issues.
I saw Bobby Anderson wrote for Eldridge when I looked through the magazines. Anderson was also OU J-school trained, having written for the Norman Bureau of The Daily Oklahoman. In looking over the June issue, Anderson, an excellent journalist, had written a front-page feature article about Ferguson, which explained why he was at the event.
I remembered I had taken photographs of Osage master artist Clancy Gray at the Red Earth Arts Festival earlier that month. Gray was The Honored One for that year at the event in downtown OKC.
Knowing how to contact Gray through the Red Earth organizers, I started to craft an excellent front-page feature story about him with good photos. I had taken a compelling photo of the Oklahoma City Mayor David Holt, an Osage, and his family with Gray because they bought a painting from him at the event.
A few days later, I finished the article after interviewing Gray. I emailed the article to Eldridge along with the photographs. True to his word, he ran it on the front page. I have now written every month since.
I am grateful to Ferguson for providing me with a meaningful life experience by prompting my interaction with Eldridge. That gratitude also extends to Eldridge for allowing me to write for him during these last two years of COVID-19. The timing could not have been any better for my mental health during the isolation of being careful about the pandemic.
For Count Gregore fans like me, there is a 2008 YouTube video worth watching wherein the Count introduces his top 10 horror movies worth watching at Count Gregore’s top ten (2008-10-23) – YouTube.
Ferguson explains how Danny Williams motivated him to create so many characters in a 24-minute Vimeo video narrative in 2011 of his WKY-TV career at https://vimeo.com/458860008.

OMRF receives new grants to study blood clotting, ovarian cancer

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Oklahoma Medical Research Foundation scientists Ray Rezaie, Ph.D., and Magdalena Bieniasz, Ph.D., have received grants from the National Institutes of Health combining for nearly $2.1 million.

The Oklahoma Medical Research Foundation has received a pair of grants totaling nearly $2.1 million from the National Institutes of Health. The projects will focus on mechanisms that underlie proper blood coagulation and ovarian cancer.
OMRF scientist Ray Rezaie, Ph.D., received a four-year, $1.74 million grant from the NIH’s National Heart, Lung, and Blood Institute that will allow him to continue research on a protein called antithrombin, which inhibits coagulation of blood.
Rezaie joined the foundation’s Cardiovascular Biology Research Program in 2017 from the St. Louis University School of Medicine. He studies blood clotting and inflammation, including how clotting factors work together to stop bleeding and how they regulate inflammatory responses when blood vessels are injured.
Antithrombin, which is located in blood plasma, is an inhibitor necessary for regulating coagulation and inflammatory pathways that are essential for maintaining healthy processes in blood vessels. “We know that antithrombin binds to molecules in the vascular system to initiate an essential anti-inflammatory response to keep vessels intact and healthy,” said Rezaie. “But we still don’t know how it works.”
Through better understanding this process, scientists ultimately hope to develop new therapeutic agents to control thrombosis, clotting and inflammatory diseases, primarily heart disease and atherosclerosis.
The second grant was awarded by the NIH’s National Cancer Institute to Magdalena Bieniasz, Ph.D. Over three years, it will provide $339,000 to study the underlying mechanisms of a receptor called sfRon, which has been implicated in aggressive ovarian cancer progression.
“This sfRon receptor actually makes the cancer aggressive and resistant to standard treatments, and that’s why we need to know how it works,” said Bieniasz, a scientist in OMRF’s Functional and Chemical Genomics Research Program.
She will also be testing drugs that inhibit this receptor in order to search for therapies that will work in targeting the receptor present on cancer cells.
Bieniasz became a principal scientist at OMRF in 2016 after completing a postdoctoral fellowship at the Huntsman Cancer Institute in Utah. She receives funding support for her research from the University of Oklahoma’s Stephenson Cancer Center, where she is also a member.
In her lab at OMRF, Bieniasz studies how ovarian cancer grows and spreads in the body, as well as the genetic changes in cancer cells that can lead to chemotherapy resistance.
This grant from the National Cancer Institute is tailored to provide new investigators with the early support to help them generate more data to be highly competitive for future grants.
“There are not many grants out there that do this,” she said. “Now I have assets to hire people for my lab and do more experiments. It’s a really great boost for this research in its early stages.”
Rezaie’s NHLBI grant designation is 2R01 HL062565-19A1 and Bieniasz’s NCI grant is1K22 CA207602-01. OMRF Vice President of Research Rodger McEver, M.D., said these grants speak volumes about the quality of research being done by these scientists in an increasingly tough climate for funding.
“The NIH is the major funder of biomedical research in the U.S. and applications for NIH grants are rigorously reviewed and highly competitive,” said McEver. “Awards like these are a testimony to the rigor and creativity of their research.”

https://www.meridiansenior.com/

INTEGRIS Health Looks at Long COVID and the Heart

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Jon Blaschke, M.D., cardiologist with the INTEGRIS Heart Hospital

Long COVID is a challenging problem for both patients and clinicians. Like much of this pandemic, our understanding about the long-term effects of COVID-19 is evolving and incomplete. Unfortunately, a number of patients who have recovered from COVID-19 will continue with symptoms that last more than two months after recovery.
Typical symptoms of long COVID include fatigue, brain fog, anxiety, shortness of breath, chest tightness and cough. About one third of patients will experience more than one of these symptoms, and between 10 and 70-percent of patients recovering from COVID will experience multiple symptoms.
Jon Blaschke, M.D., a cardiologist with the INTEGRIS Heart Hospital, says it is common for hospitalized patients with COVID-19 to have clotting issues including clotting in the lungs, heart attacks, strokes and rhythm disturbances. He says inflammation of the heart is seen as well. “However, after the acute phase of COVID, longer-term, serious cardiovascular problems seem to be infrequent.”
He adds, “We do not have information on risk for vascular events long-term, but most patients who have recovered from COVID have no heart issues or residual vascular problems from the virus even though they may have persistent symptoms.”
But he warns certain symptoms should never be ignored. Patients who are experiencing chest pain, shortness of breath (especially with activity), new or severe fatigue, or swelling should be evaluated by a physician. Red flags to look for include episodes of passing out, or symptoms that are worse with activity.
* In general, patients who are still having symptoms after recovery from COVID should start with an evaluation with a primary care provider. Initial evaluation often includes an EKG and a chest x-ray. In many instances this is enough to provide reassurance.
* Most patients with known cardiac injury (atrial fibrillation, abnormal heart enzymes, inflammation of the heart) from COVID warrant subspecialty evaluation and follow-up. These are generally seen in patients with severe illness (requiring hospitalization), and in general, these patients are already established with a cardiologist.
* Patients who had abnormal chest x-rays or were hospitalized warrant follow-up at a minimum with their primary provider, and most need follow-up x-rays or CT scans. Lung function testing may also be indicated.
In conclusion, Blaschke has this advice, “The single thing I tell all of my patients is the best way to prevent both serious illness including hospitalization and death from COVID, and effects from long-haul COVID is to get immunized and boosted. This applies to both the acute illness and to long COVID. We know that fully vaccinated patients are 23 times less likely to be hospitalized or to die from COVID when compared to those who are not immunized.”
He continues, “The health care community is united and the data is clear, we are counting on our patients to do their part to protect themselves, their families and us, so that we can be there for them, if the need arises.”

Cartoons 08/01/23

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OMRF experts say hope is on the horizon for RSV

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Oklahoma Medical Research Foundation scientist Susan Kovats, Ph.D.

Controlling a sometimes-deadly respiratory virus is a step closer to reality following U.S. Food and Drug Administration approval of the first preventive vaccine for older adults, Oklahoma Medical Research Foundation scientists say.
The FDA this month approved a vaccine to prevent respiratory syncytial virus, better known as RSV, in people aged 60 and older. The vaccine is made by the British pharmaceutical company GlaxoSmithKline (GSK).
The Centers for Disease Control and Prevention is expected to follow the FDA’s approval, clearing the way for RSV vaccines for older adults to be available in the U.S. this fall. Drugmakers Pfizer and Moderna are also in the late stages of developing RSV vaccines, including one for pregnant women.
“This is a major step, and even more progress against this virus appears to be on the horizon,” said OMRF physician-scientist Hal Scofield, M.D. “RSV annually kills thousands of seniors in the U.S. and has recently played a big part in stressing global health care systems, so this first vaccine approval is welcome news.”
RSV typically produces a cold-like illness, but it can cause lower respiratory infections like bronchiolitis and pneumonia. At greatest risk of RSV complications are older adults with chronic lung or heart disease, those with weakened immune systems, and young children. Scofield said the virus is “woefully underdiagnosed” in adults.
The CDC estimates that RSV leads to more than 60,000 hospitalizations and over 6,000 deaths among adults 65 years and older annually. According to GSK, in a clinical trial of 25,000 adults, its vaccine was more than 94% effective in preventing severe RSV.
GSK’s shot involves technology dating to the 1980s. Called a recombinant subunit vaccine, it is used in numerous immunizations, including those for hepatitis B and whooping cough.
OMRF scientist Susan Kovats, Ph.D., studies RSV. She is working to understand why the virus impacts children more frequently, with more than 2 million outpatient visits for children under age 5 annually, but generally hits older adults harder. The work is setting the stage for better treatments and will aid in vaccine design.
“There seems to be a correlation between virus load and age,” she said. “The preliminary data in our models of older adults shows that the older you are, the harder it is to eliminate the virus.”
Scofield and Kovats said the approval of the first vaccine for RSV is good news, as long as those eligible take advantage.
“Time will tell how widespread uptake of the vaccine will be,” said Scofield, “But for older adults most at risk of a bad outcome from RSV, I hope that getting vaccinated when it becomes will be an easy decision.”

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