Saturday, 15 June 2019

AHA News: With Grit and Gratitude, Stroke Survivor Plays On


THURSDAY, May 23, 2019 (American Heart Association News) -- Dave Kim can hardly remember a time he wasn't making music. He plays three instruments – most notably the electric violin – and has performed at countless weddings and in concerts around the world, opening for such acts as Hootie and the Blowfish.
So after having a stroke in August 2016 at age 42, he called upon his music training to help him recover.
While in intensive care, Kim used what strength he had to focus, not on the proper notes or certain chords or harmonies, but on his right thumb. He willed that thumb to move. On Day Five, it did.
Then came research, including the discovery that the way musicians' brains were formatted could help aid stroke recovery.
"When communication cuts off from the brain to the limbs," he said, "the brain finds other ways to communicate with the limbs." That ability is called neuroplasticity. Reading about it gave Kim impetus to work on each finger, each arm, each leg.
"I found that everything I've done in my life is therapy," he said.
Kim had his stroke while recording a music video in his California home. Mid-song, his right arm gave way. Then his right leg went limp. He was able to call a doctor friend. A neighbor drove him to the hospital. Kim's blood pressure was measured at a dangerous 230/130. An MRI showed a blood clot in the brain.
The stroke left him unable to stand, much less play his beloved instruments. He felt trapped in his body and, he said, "buried alive." He feared being in the hospital forever and nobody remembering him.
But when Kim shared his plight on social media, dozens and dozens of fans and friends came to visit. They posted well wishes. Their support overwhelmed his spirits.
"I do matter," Kim realized.
Longtime friend Will O'Brien said that when he visited Kim in the hospital, he could sense a change. Not in the obvious physical way, but more deeply. The stroke, he said, gave Kim "a new lease on life. It was one of those tragic events he turned into a true blessing."
After leaving the hospital, Kim spent three weeks in rehab, working to regain the ability to walk, to play music, to do everyday tasks often taken for granted. He also learned about strokes – which he, like many people, thought only happen to the elderly.
Looking back, he sees signs that pointed the way to his stroke. Each of his parents had had one. He was overweight and not eating a healthy diet. He didn't exercise. His cholesterol level and his blood pressure were high. And while he cherished time with his two young sons, raising them as a single parent was stressful.
Kim is now on medications that have helped lower his blood pressure and reduce his cholesterol. He's eating better. He's lost weight and has a lot more energy. And he's changed for the better in another way, too, because of something he gleaned while at the hospital: Acceptance.
"Once I had acceptance, I kind of had some gratitude," he said. "I've had a tremendous life."
When something tragic happens to people, O'Brien said, it brings out their true character. They ask, "Who am I at the core?" And, "Is this a chance to be a victim or to bring a message of positivity?"
Kim chose positivity.
He now uses his experience and his talent to help others in such ways as speaking out on stroke awareness. And though he made his name by recording popular music, his life mission now is to inspire people through mindful and meditative music.
"For sure I've learned about myself," he said. "I just have a lot of grit, a lot of gratitude, and confidence to believe in myself."

1 comment:

  1. Young women are far less likely now to get an annual pelvic exam than they were in decades past, a new report finds.
    In 1988, about 42% of those aged 15 to 20 got the standard gynecologic exam, but by 2017 that number had dropped by half, to just under 22%, according to researchers from the U.S. Centers for Disease Control and Prevention.
    And for women aged 21 to 29, the rate fell from about 75% in 1988 to 56.5% by 2017.
    No significant decline was seen for women between the ages of 30 and 44, the study of federal data found.
    Why the change for younger women? Researchers point to recent changes in gynecologist guidelines.
    "In 2012, the American College of Obstetricians and Gynecologists [ACOG] recommended annual pelvic examinations for women aged 21 and over as part of the well-woman visit," noted the research team led by Gladys Martinez, of the CDC's National Center for Health Statistics.
    However, in 2018, ACOG relaxed their rules and advised pelvic exams be performed only "when indicated by medical history or symptoms," the researchers said.
    Money stressors might also be playing a role in women's decisions on whether or not to have the annual checkup. The study found that 60% of women aged 22 to 44 whose annual income was four times that of the federal poverty level had gotten a pelvic exam over the past year, but that number fell to 47.5% of women with incomes at or near the poverty level.
    And about 56% of women with private insurance got an annual pelvic exam compared to around 39% of women who lacked insurance, the CDC researchers said.
    According to ACOG, a routine pelvic exam typically involves a gynecologist examining the vulva, examining the vagina and cervix with an instrument called a speculum, and checking the internal organs with a gloved hand.
    One expert believes the pelvic exam remains vital to maintaining a woman's health.
    "As an experienced, busy gynecologist, I can attest to the importance of regular annual pelvic exams," said Dr. Mitchell Kramer, who directs obstetrics and gynecology at Northwell Health's Huntington Hospital in Huntington, N.Y. "Not only are many significant problems identified at the annual exam, we offer many other preventive health screenings as well.
    "In addition, STDs are very prevalent and can be asymptomatic and are picked up at the time of the routine annual pelvic exam," Kramer added.
    He believes the changes made to ACOG's guidelines "may prove to be detrimental over time, as will the curtailment of health care coverage."
    And adding to the issue of insurance and affordability, Kramer said that "anecdotally, many more women are coming in for exams since the implementation of the Affordable Care Act."
    The new report was published June 26 as an National Center for Health Statistics Data Brief.

    ReplyDelete