Page 9 - Hobe Sound Reflections - February '21
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Hobe Sound, Page 9

          ClevelaND CliNiC martiN health News




      When ‘Leaky’ Valves Are At                         has lost significant functional capacity. In most cases the   Innovation Way in Port St.
                                                                                                           Lucie, on the campus of
                                                         valve can be repaired (> 80 percent). Studies show that
      The Heart Of The Problem                           mitral valve repair results in better long-term survival,   Cleveland Clinic Tradition
                                                         more preservation of heart function and lower risk of   Hospital. Patients may
         Your heart has four valves. They open during a heartbeat   complications. If the valve can be repaired, no long-term   request an appointment by
      so that the blood can flow from one chamber to another and   use of blood thinners is required.      calling (772) 288-5862 or
      close to make sure that blood can’t leak back out.     Some valves cannot be repaired and require    online at martinhealth.org/
         Q: What is mitral regurgitation?                replacement. Whether repaired or replaced, most patients   neurosurgery.
         A: Mitral regurgitation occurs when the valve between   experience  dramatic improvement  in  symptoms  and      Ren specializes in
      the upper and lower chambers on the left side of the heart   functional status. Nearly all isolated mitral valve repairs   cerebral and spinal vascular
      does not close properly. Mitral valve prolapse is a structural   or replacements can be performed using a minimally   disease and can utilize open
      abnormality of the valve where the leaflets have extra   invasive approach through a 2- to 3-inch incision on the   techniques or advanced
      tissue and are displaced from their normal position (too   right side of the chest. The doctors at Cleveland Clinic   minimally invasive
      far backward). A small percentage of patients with mitral   Martin Health are experts with extensive experience who   endovascular  procedures  to  treat  different  conditions,
      valve prolapse will eventually develop regurgitation.  specialize in diagnosing and treating patients with simple   such as brain aneurysms, arteriovenous malformation, and
         Q: What are symptoms of mitral regurgitation?   and complex heart valve disease.                  carotid artery disease, acute stroke, trigeminal neuralgia,
         A:  Shortness  of  breath  or  difficulty  catching  your      To learn more about heart and vascular services at   facial spasm, chronic subdural hematoma, among others.
      breath (especially with exertion), palpitations that feel   Cleveland Clinic Martin Health’s Frances Langford Heart      Ren received training  in  both  neurosurgery and
      like rapid or irregular heartbeats, and swelling of the feet   Center, visit martinhealth.org/heart.   endovascular neurosurgery. He completed a neurosurgery
      and ankles are symptoms of mitral regurgitation. Other                                               fellowship at the University of  Washington, and a
      symptoms are weakness or dizziness, and increasing  Neurosurgeon Zeguang Ren,                        cerebrovascular/endovascular neurosurgery fellowship
      fatigue.                                           M.D., Ph.D., Joins Cleveland                      from Strong Memorial Hospital, University of Rochester.
         Q: What treatment options are available for mitral                                                He earned a Master of Neuroscience degree and Ph.D.
      regurgitation?                                     Clinic Martin Health                              of Neuroscience at Beijing Neurosurgical Institute and
         A: If the leak is mild or moderate, it’s usually treated                                          Beijing Tiantan Hospital.
      with medication and close follow-up. However, if the leak      Cleveland Clinic Martin Health welcomes board-     Prior to joining Martin Health, Ren has practiced as
      is severe, surgery is often needed. Sometimes patients   certified vascular and endovascular neurosurgeon   an attending neurosurgeon in Tampa, Fort Pierce and in
      who believe they have no symptoms actually do, but have   Zeguang Ren, M.D., Ph.D.                   Beijing. He is board certified by the American Board of
      adapted to their limitations.                         Dr. Ren is now accepting new patients. His office   Neurological Surgery.
         It’s important to treat the problem before the heart   is located at Tradition HealthPark One at 10050 S.W.

                                                          Book REviEw



      Hits & Misses                                      – until 100 years later! What                     And now, he is in a cage in a glue factory and nobody
                                                         happens to him then becomes the
                                                                                                           cares about him, and his friend, Paul – you know him,
      By Nils A. Shapiro                                 author’s satirical commentary                     Paul Revere – is famous. It isn’t fair.
         I should make this an                           on our “millennial” generation’s                     Menlo Park, 1891. Thomas Edison’s laboratory was located
      annual treat!                                      foibles and lifestyle trends.                     in Menlo Park, N.J. In 1891, he invented the kinetograph, the
         Exactly one year ago, in                           That story has just been made                  first “motion picture camera” which he knew would change the
      February 2020, I reviewed                          into a film, An American Pickle,                  world and make him famous. He hires a boy, hands him two
      a collection of short stories,                     starring Seth Rogen in dual roles                 oblong wooden clubs, tells him to just swing the clubs over
      Spoiled  Brats,  by  Simon                         as both the immigrant Jew and                     his head, films that activity for a few minutes with his new
      Rich, an author among whose                        the century-later descendant of                   invention and sarcastically titles the film Newark Athlete. Then
      credits are having been a                          his wife who was pregnant at the                  Edison invites the press, screens the film and anticipates their
      writer  for TV’s  Saturday                         time of his disappearance.                        excited reaction and questions. When the reporters notice the
      Night Live and The Simpsons.                          Rich’s newest collection,                      boy, they rush to him – not Edison – and ask what it feels like
      He is a frequent contributor to                    Hits & Misses, contains 19 stories. Published in 2018, it is every   to be an actor, what advice he has for youngsters seeking an
      The New Yorker magazine, has created several TV series, and   bit as much fun. And, just as with the others, you can open it to   acting career, inquire about his girlfriends, and so on. Simon
      now has seven published books to his credit.       almost any page – at the beginning of any story – and find a hit;   Rich lives in Los Angeles, and knows full well the irony of
         England’s Guardian newspaper calls Simon Rich “the   there are virtually no misses here. In my case, I had an hour or   celebrity worship – actors over all others, including in this
      funniest man in America,” and he has also been described   so before dinner New Year’s Eve and decided to start reading   fictional case the inventor!
      as “the Stephen King of comedy writing.” Conan O’Brien   the first story. In two sittings, by the end of New Year’s Day, I     Dinosaur is about a real dinosaur. You know, the really big,
      has simply stated, “My admiration for Rich is rivaled only   had turned the last of the book’s 230 pages ... captivated again   green kind with a scaly back, yellow eyes and sharp razor teeth.
      by my jealousy.”                                   by the almost inconceivable imagination capable of springing   Except this one works as a writer for a TV show, and the rest of
         As for my reaction to Spoiled Brats, the book I reviewed a   from one man’s mind!                 the staff, humans one-twentieth his size, are really way – and
      year ago, I laughed out loud from first page to last at the wildest      I kept telling myself “just one more story ... just one more   I mean waaaaaaaay younger. The problem is that the others
      extremes of comedic imagination I had ever encountered in   ...” After all, they average only about five or six pages each.   keep using words like “woke,” and other terms that he hasn’t
      any creative form. One of the 13 stories in that book, Sellout   But, like eating potato chips, I couldn’t stop until there were   caught onto, and he is embarrassed to admit it, so he has to
      – although, at 78 pages in length, I described it then as almost   no more left. Here are several examples to explain why:  keep looking them up. It’s a “generation gap” thing, but when
      a novella – I found especially hilarious and impressive. It tells      Riding High: The Oatsy Story is told by a horse who   robots enter the picture it all works out at the end, thanks to
      of an immigrant Jew who arrives in America from Europe, gets   has a legitimate complaint. He describes how one night   Simon Rich’s inexhaustible imagination.
      a job in a Brooklyn pickle factory, marries a girl who becomes   he spent hours running all around town, even through      There are 16 more like these. Go along for the ride. You
      pregnant, and one day he falls into a large vat of brine, the lid   brambles, no matter how tired, while his friend Paul on   will love it. And when somebody makes a movie out of one
      closes above him, and he is not discovered – perfectly preserved   top of him, was scared and kept screaming his head off.   of these stories, you will have read the book first!
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