Page 10 - Martin Downs Bulletin - February '21
P. 10

Page 10, Martin Downs

          ClevelanD ClInIC martIn health newS




      When ‘Leaky’ Valves Are At                         valve can be repaired (> 80 percent). Studies show that   Innovation Way in Port St.
                                                                                                           Lucie,  on  the  campus  of
                                                         mitral valve repair results in better long-term survival,
      The Heart Of The Problem                           more  preservation  of  heart  function  and  lower  risk  of   Cleveland Clinic Tradition
                                                         complications. If the valve can be repaired, no long-term   Hospital.  Patients  may
        Your heart has four valves. They open during a heartbeat   use of blood thinners is required.      request an appointment by
      so that the blood can flow from one chamber to another and     Some valves cannot be repaired and require replacement.   calling (772) 288-5862 or
      close to make sure that blood can’t leak back out.  Whether repaired or replaced, most patients experience   online at martinhealth.org/
        Q: What is mitral regurgitation?                 dramatic improvement in symptoms and functional status.   neurosurgery.
        A: Mitral regurgitation occurs when the valve between   Nearly all isolated mitral valve repairs or replacements     Ren  specializes  in
      the upper and lower chambers on the left side of the heart   can be performed using a minimally invasive approach   cerebral and spinal vascular
      does not close properly. Mitral valve prolapse is a structural   through a 2- to 3-inch incision on the right side of the   disease and can utilize open
      abnormality of the valve where the leaflets have extra   chest. The  doctors  at  Cleveland  Clinic  Martin  Health   techniques  or  advanced
      tissue and are displaced from their normal position (too   are experts with extensive experience who specialize in   minimally  invasive
      far backward). A small percentage of patients with mitral   diagnosing and treating patients with simple and complex   endovascular  procedures  to  treat  different  conditions,
      valve prolapse will eventually develop regurgitation.  heart valve disease.                          such as brain aneurysms, arteriovenous malformation, and
        Q: What are symptoms of mitral regurgitation?      To learn more about heart and vascular services at   carotid artery disease, acute stroke, trigeminal neuralgia,
        A: Shortness of breath or difficulty catching your breath   Cleveland Clinic Martin Health’s Frances Langford Heart   facial spasm, chronic subdural hematoma, among others.
      (especially with exertion), palpitations that feel like rapid   Center, visit martinhealth.org/heart.     Ren  received  training  in  both  neurosurgery  and
      or irregular heartbeats, and swelling of the feet and ankles                                         endovascular neurosurgery. He completed a neurosurgery
      are symptoms of mitral regurgitation. Other symptoms are                                             fellowship  at  the  University  of  Washington,  and  a
      weakness or dizziness, and increasing fatigue.     Neurosurgeon Zeguang Ren,                         cerebrovascular/endovascular  neurosurgery  fellowship
        Q: What treatment options are available for mitral   M.D., Ph.D., Joins Cleveland                  from Strong Memorial Hospital, University of Rochester.
      regurgitation?                                                                                       He earned a Master of Neuroscience degree and Ph.D.
        A: If the leak is mild or moderate, it’s usually treated   Clinic Martin Health                    of Neuroscience at Beijing Neurosurgical Institute and
      with medication and close follow-up. However, if the leak                                            Beijing Tiantan Hospital.
      is severe, surgery is often needed. Sometimes patients     Cleveland  Clinic  Martin  Health  welcomes  board-    Prior to joining Martin Health, Ren has practiced as
      who believe they have no symptoms actually do, but have   certified  vascular  and  endovascular  neurosurgeon   an attending neurosurgeon in Tampa, Fort Pierce and in
      adapted to their limitations.                      Zeguang Ren, M.D., Ph.D.                          Beijing. He is board certified by the American Board of
        It’s  important  to  treat  the  problem  before  the  heart     Dr.  Ren  is  now  accepting  new  patients.  His  office   Neurological Surgery.
      has lost significant functional capacity. In most cases the   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, Hits                  boy, they rush to him – not Edison – and ask what it feels like
       He is a frequent contributor to                   & Misses, contains 19 stories. Published in 2018, it is every bit   to be an actor, what advice he has for youngsters seeking an
       The New Yorker magazine, has created several TV series, and   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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