Trauma survivor defies the odds twice with help of OU MEDICINE husband and wife surgeons

by Caroline Rykard, OU Medicine

It was a beautiful weekend when a routine commute to work almost ended an Edmond resident’s life and ultimately led to another medical discovery.
Around 5:30 a.m., July 23, 2016, personal trainer Thomas Hill was on his way to see a client when he was involved in a freak accident that left him in a ditch off Interstate 44 and fighting for his life. An eyewitness called the paramedics, and Hill was rushed to the OU Medicine Trauma One Center. He saw more than 15 doctors, including Alisa Cross, M.D., a trauma surgeon who helped to stabilize him and performed life-saving surgery.
“Thomas came in at the highest level of activation we have here at the OU Medicine Trauma One Center and was taken immediately to the operating room,” Cross said.
The Trauma One Center at OU Medical Center is the only Level One Trauma Center in Oklahoma as verified by the American College of Surgeons. This is the highest national rating a trauma center can receive.
Because his complex injuries required multiple surgeries, Hill was put in an induced coma for two months. It wasn’t until he woke up from the coma that he discovered the frightening details of his accident and realized that his left leg had been amputated. His once-muscular and fit body was now weak and foreign to him. He was angry and frustrated, but he worked hard to change his mindset.
“My focus right now is just getting better, living a better life and focusing on what I can do,” Hill said. “I was always telling my clients to ‘push through, push through. Don’t let anything stop you, don’t let anything break you.’ But now, I’m telling myself those words and motivating myself to change my ‘cant’s’ into ‘cans’.”
Hill stayed at OU Medical Center for six months. He had just begun thinking about returning to his gym when he received shocking news.
While doctors were conducting a CT scan to check his progress, they noticed something unusual in his kidneys. Shortly after, Hill was diagnosed with Birt-Hogg-Dubé syndrome, a rare hereditary condition associated with kidney cancer. A year after Hill’s trauma, Brian Cross, M.D., a urologic oncologist at Stephenson Cancer Center, and husband to Alisa Cross, removed 11 tumors from his right kidney and six months later, removed seven from his left kidney.
“His attitude throughout this whole thing has been remarkable,” Brian Cross said. “It would be more than many people could handle, but Thomas has handled it with amazing perseverance and his prognosis is excellent.”
Although Hill still needs assistance to move around, he is back at his gym, Next Level Fitness, training and motivating his clients and himself. He believes the car accident saved his life.
“If the accident hadn’t happened, the cancer was eventually going to get me,” Hill said.
Many people have taken note of Hill’s courage. For his determination and positive attitude, he was presented an award this month during OU Medical Center’s Trauma Survivors Reception.

https://www.caresuitesokc.com/contact.html

Photography and Text by Terry “Travels with Terry” Zinn [email protected]

In the Oklahoma region many of us over the years have visited Wichita Kansas, whether for a theatrical event at Century Two or to see the Chisholm Trail, or to just get a bit of Western atmosphere. I too have, over the years, visited Wichita and on a recent visit was surprised at the additions to this vibrant city.
My home base was the new Ambassador Hotel, an Autograph Collection Hotel, (https://ambassadorwichitaks.com) where the modern black and gray and chrome atmosphere welcomes the well-worn traveler seeking a step up from the ordinary. Located downtown with convenient self-parking and an expansive room with courteous attendants and city views, the Ambassador promises a surprise upscale experience. While I requested long in advance for one of their ADA rooms, there was no bench or chair in the walk-in shower. I re-requested such from the front desk, and by the next day, with some bumps in the road, was happily accommodated.
The hotel staff was very good in following through with requests. I only wish the food and beverage side of the hotel had not disappointed. The steak and unique charred Caesar salad were exceptional at the Siena Tuscan Steakhouse, however they did not honor a coupon, they gave me for a drink at the downstairs pseudo speak easy. Even after talking to the Food and Beverage manager and crew it was not accepted, even though my server agreed the coupon was misleading – almost a bait and switch situation. I did not mind paying for my drink, but the experience left a bad farewell feeling for the hotel, as I was leaving the next day. Just a heads up, as I tell it like I experience in all my travel articles. So when I say “I’m impressed,” you know it.
About a block from the hotel is the Roxy Theater, (www.roxysdowntown.com) with a disguised rear entrance for the uninitiated, to a funky building housing a dinner theater. The food was acceptable for Dinner Theater fare and their production of Avenue Q, was one of the best I have seen. The wait staff had more tables than they could easily accommodate. I’d recommend the Roxy, now you know what to expect.
A pleasant unexpected surprise is the Tanganyika Wildlife Park (www.twpark.com) where wild animals including a plethora of giraffes, a Rhino, a variety of primates are among the surprises. Roaming the expansive grounds, even during a rain shower is a recommended experience where you can slow down and enjoy nature and its creations.
Who’d think that there was a goat farm in Kansas that also served adult beverages and farm to table gourmet lunches which is Elderslie Farm.
(https://eldersliefarm.com) Being a family owned operation from chef to owner tour guide, the home-grown sincerity rang throughout the farm, from goat milking and cheese making to the wood working of heritage wood into tables, shelves and doors. Admiration goes out to Elderslie Farm for their preservation of tender loving care and investment in preservation. They even have a large blackberry patch that is a community pick and share in June. The season for blackberries is brief – influenced heavily by the unpredictable spring weather. Reserve a tour and luncheon here – you will be surprised.
Talk about surprises, two dining establishments blew my critical socks off. Georges, a true French bistro, (http://georgesfrenchbistro.com/) located in an unprepossessing strip mall, will delight your taste buds. My luncheon Martini and Prosciutto Eggs Benedict with truffle frites, was accented by the continental waiter and the chatter of the accompanying “ladies who lunch,” who find this their congenial gathering place.
6Steakhouse, (www.6ssteakhouse.com) located out near the Zoo and offering lake front views, is an upscale dining experience not to be passed by. An aged steak prepared to my specification, even with a second “more heat” request, was memorable. What they call creamed corn is a unique roasted corn medley, from which you could make an entire meal. A relatively new establishment promises many years of good times with their sleek upscale interior dining and even an added education into the ageing of fine beef, I found enlightening. (if you say “6S” fast enough it can sound like, success.)
Of course, Wichita is known for its Keeper or the Plains symbolic statue with its reflections in the river, is still an attraction to be viewed anytime.

The veteran The Museum of World Treasures, warehouse style building https://worldtreasures.org   is a long-time Wichita resident. It offers mainly replicas of world history documents and artifacts, (including Custer’s button up fly underwear). Seeing many letters of world figures and artifacts can be quite educational for the youth, along with the ever-popular T-Rex skeleton. Also you can enjoy the gardens of Botanica (https://botanica.org) and the restored WWII B29 bomber at B-29 Doc Hangar and Educational Center (www.b29doc.com) .
The best surprise of all was the Wichita Art Museum’s (www.wichitaartmuseum.org) limited showing of what could be called the most comprehensive overview of the Works and Life of Georgia O’Keeffe. Having seen many exhibitions of her work, I was delighted to see her paintings and timeline juxtaposed with her actual artifacts and many of her dresses. Hurry to see this unique collection as it closes June 23rd!
To help with your Wichita surprises contact them at: www.visitwichita.com.

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