Every year, 800,000 new strokes are reported in the U.S.
Strokes happen all the time, and yes, it can happen to you. Approximately 20 percent of stroke victims are between the ages of 20 and 55. Knowing the signs of stroke and acting quickly can make the difference between saving a life and a tragic outcome.
Stroke is the fifth leading cause of death and the leading cause of adult disability in the U.S. Unfortunately, few people know what a stroke is and how to recognize when a stroke is happening, according to the National Stroke Association.
But what medical professionals call the “Golden Hour” when someone is having a stroke can make all the difference in the world. The reason the first hour is golden is because stroke patients have a much greater chance of surviving and avoiding long-term brain damage if they arrive at the hospital and receive treatment with a clot-busting drug called TPA within that first hour.
“Time saved is brain saved,” says Mary Pinzon, who is a stroke education nurse at INTEGRIS. “Time lost is brain lost. That’s why recognizing the signs of stroke is so important. Immediately knowing what to do when someone is having a stroke can save someone’s life and help them avoid brain damage. If you suspect someone is having a stroke, the absolute first thing to do is call 9-1-1,” she says.
According to a study from the American Heart Association, every minute in which a stroke is untreated, the average patient loses 1.9 million neurons, 13.8 billion synapses, and seven miles of axonal fibers. With each hour in which treatment fails to occur, the brain loses as many neurons as it does in almost 3.6 years of normal aging.
“Time is of the essence. I can’t stress that enough,” says Pinzon.
Pinzon’s favorite saying is “Each One, Teach One.” In that spirit, after you read this, learn the signs of stroke and what to do in those precious first minutes, pass it on. You just might save someone’s life.
What is considered a stroke?
A stroke occurs when blood flow to an area of the brain is cut off, causing brain cells to be deprived of oxygen and die. A stroke can cause life-altering, devastating changes like loss of speech, movement and memory.
“Stroke is a SUDDEN onset of symptoms when just a minute ago a person was fine,” Pinzon says. There are two major types of strokes, but each one is treated differently.
The most common type of stroke is an Ischemic Stroke, which causes a loss of oxygen to the brain due to a blockage of a vessel in the brain. Roughly 85 to 88 percent of strokes fall under this category.
“It’s so important to get treatment immediately for Ischemic Stroke because we now have a clot-buster called TPA (Tissue Plasminogen Activator). It’s an enzyme drug that can dissolve clots, and any stroke-ready hospital can administer it,” says Pinzon.
A hemorrhagic stroke is rarer but is caused when a blood vessel ruptures in the brain. High blood pressure is the number one cause of hemorrhagic strokes.
“When you arrive at the hospital, the ER will immediately order a CAT scan to see what type of stroke you are having,” Pinzon says. “That’s why you shouldn’t give someone having a stroke an aspirin. If they are having a brain bleed, it could make it worse.”
BE FAST with signs of stroke
Each year, about 185,000 people die from a stroke, but if you know the warning signs, you can help save a life. “Any one of these symptoms could indicate a stroke, which is still more reason to know the signs and why time is so important,” Pinzon says.
Pinzon says the best way to identify stroke symptoms is the acronym BE FAST.
B – Balance. A loss of balance or the sudden inability to stand or walk.
E – Eyes. A sudden loss of vision, changes in vision and blurred vision are symptoms of a stroke.
F – Face. Ask the patient to “show your teeth” and smile. A crooked smile is an indicator of stroke.
A – Arms. Ask the victim to hold up both arms with palms facing skyward. Look to see if one arm drifts down or cannot be lifted.
S – Speech. Slurred or garbled speech indicates a stroke, as does a strange giggle while talking.
T – Terrible headache. An explosive headache is the hallmark of a bleeding stroke.
Remember, time is the key to surviving a stroke. Again, call 9-1-1 first.
One other very important tip: never give a suspected stroke victim anything by mouth. Says Pinzon, “Not a sip of water. Not an aspirin. Nothing. Many stroke victims have trouble swallowing and may choke to death.”
Though stroke remains a killer, recent and ever-changing medical advances are improving survival rates every year. The right care, if done right away, can save lives and quality of life. For more information about stroke and how to recognize the signs, visit the INTEGRIS James R. Daniel Stroke Center.
To have a free stroke education training at your workplace, call Mary Pinzon, RN, CPE, M.Ed., at 405-644-6867.

www.fountainbrookliving.com

Research from the Oklahoma Medical Research Foundation has revealed a new role for an organ instrumental in immune system function. The discovery could lead to new therapeutic approaches to a wide range of illnesses, including asthma, inflammatory bowel disease and psoriasis.
The thymus is a small organ that sits on top of the heart and generates a lifetime supply of T cells, a type of specialized white blood cell that plays a central role in immunity during childhood and puberty. The thymus exists specifically to train the immune system to recognize what is normal and what is not. When the number of T cells in the body is adequate, the thymus shrinks and all but disappears by adulthood.
OMRF scientist Xiao-Hong Sun, Ph.D., and her lab discovered that the thymus can stop the production of T cells midway and make an entirely different kind of cell in their place called innate lymphoid cells.
“This ability to stop T cell production and change to something else had never been shown,” said Sun. “This is a very basic finding, and we have much to learn about the implications, but it could point to the origin of a number of diseases.”
Innate lymphoid cells play a part in immunity, specifically to protect the body from parasitic infection. Sun said while they serve an important function, they lack the sophistication of T cells, and this could lead to negative health consequences in situations where they arrive in too large a number.
“Innate lymphoid cells are like the paramedics of the immune system. They respond to tissue damage or infections very quickly,” said Sun, who holds the Lew and Myra Ward Chair in Biomedical Research at OMRF. “They are first responders, but you still need a specialist or surgeon later on to treat the problem fully, and that’s what T cells do.”
“Dr. Sun has clearly evolved into one of the leaders in the field of studying these types of lymphocytes and is continuing to show their importance in different disease states,” said OMRF Vice President of Clinical Affairs Judith James, M.D., Ph.D. “These are important findings that will push her work and her field forward.”
Sun said this discovery could lead to a better understanding of the underlying mechanisms of multiple diseases, including asthma, inflammatory bowel disease and psoriasis. The findings, which could ultimately open doors to new treatment approaches to these conditions, were published in the Journal of Experimental Medicine.
“Many people downplay the importance of the thymus—it’s even removed in many childhood procedures, but this may lead to a shift in how medical professionals think about the organ,” Sun said. “Innate lymphoid cells are still new in scientific terms, and we have much to learn about them. Now that we know they have a significant role in an important immune organ will give us entirely new ideas to pursue.”
OMRF researchers Miranda Liangyue Qian, Ph.D., Sandra Bajana, M.D., Ph.D., Constantin Georgescu, Ph.D., Jose Alberola-Ila, M.D., Ph.D., and Jonathan Wren, Ph.D., contributed to the findings.

By Darlene Franklin

I pledge allegiance to the flag of the United States of America, and to the republic for which it stands, one nation under God, indivisible, with liberty and justice for all. 31

The year I was born (1954), President Eisenhower added the words “under God” to the pledge. The words hold a special place in my heart, for personal and patriotic reasons. Let’s raise the standard high to the music of Key, Sousa, Springsteen, and Cohen. 44
Although no other flag can replace the importance or meaning of the red, white, and blue in my life, I’ve lived under at least six different flags during my faith like the amusement parks of the same name. To the national flag, I would add three state flags, my family crest, and the
Christian flag. 55
At sixty-four, my life divides neatly into three twenty-year segments. I spent the first score of years in New England, mostly Maine; ten years in Oklahoma; twenty in Colorado; and now another ten years in Oklahoma. In between sprinkle brief stints in New Jersey, Texas, and Arkansas for job and school. 51
The flags for Maine, Colorado and Oklahoma differ widely. They each, in style and content, fairly scream the essence of the state they represent. 24
Maine’s flag depicts a moose laying on grass between ocean and a white pine tree, flanked on by a sailor and a farmer. If the state animal and tree left me in doubt, I couldn’t miss the bold letters proclaiming “Maine.” The state motto, “Dirigo,” means “I lead.” I chuckle to myself as I picture Mainers saying, “That’s right. We’re going to do things our way, and who cares about the rest of the world?” It makes me nostalgic to look at the flag. 84
Colorado’s flag is in your face in a very different way. The bold red C emblazoned upon a blue-white-blue striped background shares its colors with the United States flag. But such a simple design would never rep resent California, and I doubt Connecticut would add a gold nugget in the middle of the C. Clear blue skies, white snow, golden sunshine – that’s my Colorado. 64
The Indian war shield with a peace pipe and olive branch could only belong to Oklahoma. I agree with the words of its pledge, “its symbols of peace unite all people.” Not that Oklahoma has a perfect record—nowhere does—but I love living in a state where contemporary Indian life marches seamlessly and colorfully alongside our state life. 59
If Maine represents my past, and Colorado the stuff of my dreams, Oklahoma represents who I am today—at peace after a trauma-filled past. 24
Research into the crest for my maiden name Sparks revealed several surprises. For one things, “Sparks” is derived from Sparrowhawk, the favorite falcon of Richard the Lion-Hearted. One of his falconers took it as his surname, representing his occupation. When the Sparrowhawk and the Lion-Hearted fought side by side during the Crusades, the falconer saved the king’s life on two occasions. 62
I don’t know with one hundred percent legacy that Sparrowhawk is my ancestor, but it’s possible. I love the family crest. The family motto, “swift and true,” also comes from King Richard—the words he used to describe his favorite falcon. 41
Atop the crest stands a leopard with fire spewing from its mouth. Hmm, a big cat. I’m a Leo by birth, and I wonder if my affinity to all things cats is a family trait. The lively, fiery disposition attributed to Sparks has also been true of me. The green and gold checkered background both suggest the country—Scotland—but also qualities of generosity, elevation of mind, hope. 68
I bet everyone’s family flag holds similar interesting revelations. 9
What about the Christian flag? When I pledge allegiance to the flag and to the Bible, I declare my loyalty to “one Savior, crucified, risen, and coming again with life and liberty to all who believe,” as well as “God’s Holy Word. I will make it a lamp unto my feet and a light unto my path and will hide its words in my heart that I might not sin against God.” 72
Combined, they speak to me not of patriotism, but of my core values. I am daughter of the king, my birthright through my Savior, and that brings liberty to me, and to those around me. 35
Let’s take a few moments this month to think about the flags that represent our past, our present, and our future heritage. 22 193

www.newbyvancemobility.com

Thursday, May 9 was a typical morning for Lt. Joshua Manion with the Oklahoma City Fire Department. He was asleep in his bed at Fire Station 22 when he briefly woke up at around 3 o’clock in the morning. He says he looked at the clock and decided it was too early to get up, so he went back to sleep. When he woke up again at 6 a.m. – something had changed.
“I was dizzy,” remembers Manion. “I thought I must have gotten out of bed too fast, so I sat back down. But each time I tried to get back up again, I would lose my balance.”
Manion only had an hour left on duty. He thought whatever he was experiencing would wear off if he just kept moving. He managed to make his bed but felt uncharacteristically uncoordinated on his left side. “I was walking like someone who was intoxicated – and then I became violently ill.”
Manion has been on numerous medical calls as a fire-fighter and has encountered many people exhibiting stroke symptoms, but he says his symptoms were different. “I didn’t have the typical facial droop, slurred speech or weak arms, so even with all my training, I never suspected I was having a stroke.”
Thankfully Lt. Clay Evans, a firefighter paramedic at Fire Station 22, did suspect it was a stroke. He and Major Milton Blackburn rushed Manion to INTEGRIS Baptist Medical Center. The quick-thinking actions of these firefighters quite possibly saved the life of one of their own.
“Joshua suffered a posterior circulation stroke in the cerebellum of his brain. This area is responsible for balance and the coordination of muscle activity,” says Ashish Masih, M.D., a vascular neurologist at INTEGRIS. “There are varying outcomes for this type of stroke from slight uncoordinated movements, to coma, to even death. Joshua is remarkably lucky that his fellow firefighters were able to recognize the atypical signs of this type of stroke and to act as quickly as they did.”
Manuel Fortes, M.D., an interventional neuroradiologist with INTEGRIS, performed an endovascular thrombectomy on Manion to remove the clot that was blocking blood flow to his brain. “NIHSS stands for National Institutes of Health Stroke Scale,” explains Fortes. “It is a way to objectively score stroke symptoms, ranging from a score of 0 to 42. We’re happy to say Joshua has a score of zero, meaning he has little to no deficits as a result of his stroke.” The official cause of his stroke is unknown at this time. He will undergo more testing and will be closely monitored. He hopes his story will serve as a reminder that strokes can happen to anyone at any time. “I’m only 42 years old. I don’t smoke, I’m active and seemingly healthy,” says Manion. “In my sixteen years with the Oklahoma City Fire Department I’ve never taken one sick day. If a stroke can happen to me, it can happen to anyone.”
Manion encourages everyone to learn the signs and symptoms of stroke. He says even though his symptoms were a little different, it’s still good information to know – and may even save a life.
Manion is anxious to return to work and admits he doesn’t like being on the receiving end of a rescue. “I’m not used to people doing things for me. I’d much rather be on the other end for sure. But I think seeing things from the ‘patient perspective’ may actually help me become an even better firefighter.”

www.arborhouseliving.com

On Wednesday, June 19, from 1 to 3 p.m., the Oklahoma Historical Society will present a genealogy program entitled “Locating Early Oklahoma and Indian Territory Death Records.” Genealogist Mahlon Erickson will share information about death records and resources pertaining to early Oklahoma, Oklahoma Territory and Indian Territory.
Researching deaths in early-day Oklahoma can be difficult, as official death records were not consistently kept until 1920. Erickson has compiled an extensive database with more than 600,000 entries for deaths found in sources including newspapers, cemeteries, county histories, census records, American Indian records and many more. This presentation will delve into these sources for early Oklahoma deaths and help researchers understand where to find and how to use these materials.
This program is $5 for Oklahoma Historical Society members and $10 for nonmembers. We ask that you register in advance by calling the Research Center at 405-522-5225. This program will be held in the Clark and Kay Musser Learning Lab, which is located inside the Research Center on the first floor of the Oklahoma History Center. The Oklahoma History Center is located at 800 Nazih Zuhdi Drive in Oklahoma City.
The Research Center is a division of the Oklahoma Historical Society. The mission of the Oklahoma Historical Society is to collect, preserve and share the history and culture of the state of Oklahoma and its people. Founded in 1893 by members of the Territorial Press Association, the OHS maintains museums, historic sites and affiliates across the state. Through its research archives, exhibits, educational programs and publications the OHS chronicles the rich history of Oklahoma. For more information about the OHS, please visit www.okhistory.org.

www.crawfordcares.com

Dear Savvy Senior,

As a teacher for 20 years, I receive a pension from a school system that did not withhold Social Security taxes from my pay. After teaching, I’ve been working for a small company where I do pay Social Security taxes. Now, approaching age 65, I would like to retire and apply for my Social Security benefits. But I’ve been told that my teacher’s pension may cause me to lose some of my Social Security. Is that true?

Ready to Retire

Dear Ready,
Yes, it’s true. It’s very likely that your Social Security retirement benefits will be reduced under the terms of a government rule called the Windfall Elimination Provision (or WEP).
The WEP affects people who receive pensions from jobs in which they were not required to pay Social Security taxes Ð for example, police officers, firefighters, teachers and state and local government workers whose employers were not part of the national Social Security system. People who worked for nonprofit or religious organizations before 1984 may also be outside the system.
Many of these people, like you, are also eligible for Social Security retirement or disability benefits based on other work they did over the course of their career for which Social Security taxes were paid.
Because of your teacher’s pension, Social Security will use a special formula to calculate your retirement benefits, reducing them compared to what you’d otherwise get.
How much they’ll be reduced depends on your work history. But one rule that generally applies is that your Social Security retirement benefits cannot be cut by more than half the size of your pension. And the WEP does not apply to survivor benefits. If you’re married and die, your dependents can get a full Social Security payment, unless your spouse has earned his or her own government pension for which they didn’t pay Social Security taxes. If that’s the case, Social Security has another rule known as the Government Pension Offset (or GPO) that affects spouses or widows/widowers benefits.
Under the GPO, spousal and survivor benefits will be cut by two-thirds of the amount of their pension. And if their pension is large enough, their Social Security spousal or survivor benefits will be zero.
There are a few exceptions to these rules most of which are based on when you entered the Social Security workforce.
Why Do These Rules Exist?
According to the Social Security Administration, the reason Congress created the WEP (in 1983) and GPO (in 1977) was to create a more equitable system. People who get both a pension from non-Social Security work and benefits from Social Security-covered work get an unfair windfall due to the formula of how benefit amounts are calculated.
These rules ensure that government employees who don’t pay Social Security taxes would end up with roughly the same income as people who work in the private sector and do pay them.
For more information on the WEP visit SSA.gov/planners/retire/wep.html, where you’ll also find a link to their WEP online calculator to help you figure out how much your Social Security benefits may be reduced. And for more information on GPO, including a GPO calculator, see SSA.gov/planners/retire/gpo.html.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.