Spotting & Stopping a Stroke: Awareness and Action to Save a Life
May 15, 2024 | Episode 16
Producer’s Note: The following is an AI-generated transcript of The Wellness Conversation, an OhioHealth Podcast
SPEAKERS: Dr. Loochtan, Lindsey Gordon, Marcus Thorpe
Marcus Thorpe 00:14
Welcome back to the wellness conversation and OhioHealth Podcast. I'm Marcus Thorpe.
Lindsey Gordon 00:19
And I'm Lindsey Gordon. In this episode, we're talking all things stroke. This is Stroke Awareness Month. In 2021. One in six deaths from cardiovascular disease was due to stroke. Every 40 seconds someone in the United States has a stroke. Every three minutes and 14 seconds someone dies of stroke.
Marcus Thorpe 00:39
Startling numbers and stroke is the leading cause of serious long term disability. It reduces mobility and more than half of stroke survivors that are 65 and older. So a lot to unpack and help us navigate this. We have Dr. Aaron Loochtan, OhioHealth, Vascular Neurologist and the Stroke Director for OhioHealth Doctors Hospital, Dr. Loochtan, thanks for joining us, it's good to see you.
Dr. Laughlin 01:00
Thank you. Thanks for having me. Excited to be here.
Marcus Thorpe 01:03
All right, so lots of talk about stroke. Obviously, this is Stroke Awareness Month. So we want people to know what to be looking out for what we have for treatments and getting people you know, away from disability and back to their lives again, let's just educate first on stroke in general, what's happening inside of the body when a stroke actually happens?
Dr. Loochtan 01:22
Sure, so. So the term stroke is interesting. It actually is very old. It comes from a Greek term called a pope Lexia, which means to strike down so. So they thought back then that the gods would strike down people randomly. And then they would have a variation of symptoms. So things like convulsions or lack of consciousness or weakness. So it kind of encompass probably seizures, passing out stroke all at the same time. But that kind of got translated over the years to stroke. So that's kind of where it came from. And it suggests that something happens very quickly. So what's happening is there's a lack of blood flow to the brain. So 85% of all strokes are ischemic strokes, where there's blood flow, not getting into a clot or a small piece of plaque, which is due to cholesterol, something like that. While 15% are due to hemorrhages, so spontaneous brain bleeds, specifically, due to things like high blood pressure, or or there's a subset called subarachnoid hemorrhage, which is due to an aneurysm which is where the blood vessel kind of balloons out. And then over time, if it if it bursts, if you will, you have a stroke. So those are the three kinds of stroke, but they're all due to the same end game in terms of too much blood on the brain or lack of blood flow to the brain damages the brain tissue kind of at the micro cellular level. So the very small minute level that you can't see. And depending where it is, you have lack of function in the brain. So if it affects, you know, your language center, you can't speak if it affects your, your motor center, you have trouble moving those sorts of things. So it's due to blood flow dysregulation in the brain from one way or another.
Lindsey Gordon 02:59
We know that there's an acronym for stroke, and it's B E F A S T. What is that? And why is it important for everyone to know this?
Dr. Loochtan 03:06
Sure, Yeah. So that's pretty common. And it used to just be F A S T, but they added the B E part because they, we realized that there's more stroke than symptoms than just you know, your face or your arm being off. So the B stands for balance. So if somebody is all of a sudden having trouble walking or falls unexpectedly, for out without any specific reason, E is for eyes. So vision changes, loss of vision, double vision, those are the most common signs or symptoms of a stroke from a vision standpoint, at its face. So your face looks funny, your face is drawn weird or asymmetric. A is arm so trouble moving or feeling your arm. But you also have to think about legs. So travel or moving or feeling your leg or arm as his speech. So trouble talking, so your speech is slurred, you're not getting your words out what you're saying isn't making sense, you can't understand and then T is time. So getting to the hospital as soon as possible is very, very important. And that's why that mnemonic is very, very important. Because every minute that goes by when you're having a stroke, you lose almost 2 million brain cells. So we have trillions of brain cells, but it's not good to lose, lose them at that rate. So that's why it's important to call 911 and get to the emergency room as soon as possible because there may be treatments that we can provide that, um, that can help reverse some of the symptoms.
Marcus Thorpe 04:27
Yeah. Sorry, Lindsay, go ahead.
Lindsey Gordon 04:29
Yeah, I was going to say, let's learn more about those treatments for those different types of what does that treatment look like? I mean, without getting obviously too detailed here, but how, what are the different approaches to treatment?
Dr. Loochtan 04:41
Sure, sure. So for ischemic stroke or lack of blood flow stroke, which is most commonly due to a blood clot flicking up from somewhere in the body and, and clogging the pipe, if you will. There's two treatments. So the first is any sort of medical treatment. So the blood thinners that you might have heard of or the clot by testing drugs. So out of place or TPA, and more commonly to neck to place or T and K, those are two blood thinners that we can give one or the other. And we can only give within four and a half hours. So the idea is if a patient qualifies, which is usually a low number, unfortunately, about 10% of patients, we give them medicine, and it opens up the blood vessel, hopefully, and that allows blood flow to go to the brain and restore some of that function. But that can only be done within four and a half hours. And it's a misconception to think you have till the end of four and a half hours, because as I mentioned, every minute that goes by, you lose about 2 million brain cells. So it's really important to give it as soon as possible. So try to try to get it within an hour or within two hours. The other treatment that sometimes we can do, in addition, or separate from that is a procedure called endovascular thrombectomy. So I know that's a big word or big term, but the idea is, they go in through the groin, like a heart cath, if you've ever heard of that, where they, they use the dye to look at the blood vessels of the head and neck. And if they see a blood clot, they can put a stent retriever in there, which is, is a device where they can pull out the blood clot, there's, there's a bunch of different devices they use these days, but they can kind of suck out the blood clot or pull the blood clot out and so that in addition to the blood thinner are going to give patients the best results at recovering from a stroke. But sometimes people qualify for one or the other. And sometimes people qualify for both. And often unfortunately, some people don't qualify for either. But we can't make those decisions till they're right in front of us in the emergency room. So it's really important to get in as soon as possible. In terms of brain hemorrhage is so bleeding on the brain, there's not as much that we can do acutely in terms of medicine, we can give medicines to reverse the bleeding and some in some cases in terms of if they're on a blood thinner. And then sometimes there's surgeries that need to be done. And sometimes there's different procedures that the neurosurgeons can do to kind of alleviate swelling on the brain or those sorts of things. But that, again, can't be instituted. And until till they're kind of in front of us. Right, right when we see them.
Marcus Thorpe 07:04
I think what's neat about OhioHealth, especially when it comes to some of the stroke space, is that we've really been front and center with some of the research that's happening between OhioHealth Research Institute, our stroke teams and leadership, it's been really neat to know just how front and center we have been on some of these trials. And really, the trials have turned into what we're using every single day to write.
Dr. Loochtan 07:28
Sure, yeah. So I'm OhioHealth is one of the busiest stroke centers in the nation. So specifically Riverside, so we are usually top five to top 10. In terms of numbers of stroke patients per year, we see about 2000 stroke patients every year. And we're forefront in terms of research where we've been on multiple New England Journal, Medic, New England Journal of Medicine journal papers with regards to stroke, specifically with a lot of our intervention trials. So we're very active in research in terms of trying to find different options that help patients out. But it is a very busy center. That encompasses a lot of a lot of different patients. And it's also the busiest stroke center in Ohio.
Marcus Thorpe 08:10
Yeah, I was looking up some statistics, you're right, Riverside, the busiest with most volume comprehensive stroke center in the state of Ohio. And as you just mentioned, third busiest, with most volume in the entire country. So the best of the best. Can
Lindsey Gordon 08:22
we talk about ages for people who suffer from strokes? I know, in my own family, my grandfather had had a stroke. And he, you know, passed away not long after that. So I think about my grandfather, but can a stroke happened to someone younger? Can is it possible? And how common is that?
Dr. Loochtan 08:40
Sure. Yeah, I'd say it's not as common as those strokes that occur in the older population. However, I think it is becoming more common. So a few things. So younger people tend to be a little bit more, less risk averse. So things like excessive drinking, drug use, those sorts of things can affect the heart and this can lead to stroke. So that's 111 reason. Different vessel injuries, so blood vessel injuries of the head or neck can lead to stroke. So that's called a dissection. Sometimes what can happen is the blood vessel can get torn, so car wrecks, car accidents, you know, skiing, accidents, whitewater rafting, trips, things like that. I don't want people to not enjoy their life, obviously. But those sorts of things can tear the blood vessel which can cause stroke. So we see those more in younger patients. However, what we're noticing more in this day and age is a more sedentary lifestyle. So not focusing as much on diet and exercise. We're seeing a lot younger people who have morbid obesity or obesity or they're just very overweight to probably have risk factors such as sleep apnea, or who are diagnosed with diabetes type two at a younger age, those sorts of things are all reasons why. Typically, older people have strokes. But if we get those diseases earlier in life then that can that can lead to strokes as well. So we definitely see a lot more younger strokes than we used to. But I wouldn't say it's it's drastically more common than it ever was before. But maintaining a healthy diet, lifestyle, going to the doctor, minimizing you know, excessive caffeine, those sorts of things and staying away from drugs and you know, and moderate alcohol use will prevent people from having those strokes and people who are of younger age.
Marcus Thorpe 10:31
Dr. Aaron Lockton is our guests here on the wellness conversation and OhioHealth podcast, the Vascular Neurologist, as well as the Stroke Director at OhioHealth, Doctors Hospital. Let's talk about some of the tools to help manage what's going on with folks who have strokes first off a designation that I think is really important for people to understand they may hear it on some advertising, or they see that but what does it mean to be a comprehensive stroke center? Why is that a critical component to making sure people have the best possible outcomes?
Dr. Loochtan 11:02
Yeah, that's a good question. So there's different types of stroke centers. So primary stroke center is is the level below comprehensive. So for OhioHealth we have Doctors Hospital, Grant hospital, Marion hospital, Mansfield hospital, those are our Comprehensive Center, I'm sorry, our primary centers, our only comprehensive center is Riverside, the other comprehensive centers in Columbus, Ohio State main campus and Mount Carmel, East, those are the big three. So what a comprehensive center does versus a primary center is, it's more for the advanced stroke care. So it's still very important if you have stroke symptoms to get to the closest emergency room as soon as possible, regardless of the stroke center designation. But a primary center can still give the blood thinners but they can't do the intervention procedures, those can only be done it. There's comprehensive centers or another subtype called a thrombectomy capable Center, which I won't really go into because they're not as common but um, Pickerington is one of those as well. So that's our newest addition to the fleet, if you will, but a comprehensive center can do the neural interventions, but they can also manage the hemorrhage complications. So Neurosurgery is there 24/7. The other thing they can do is they can do the aneurysms. So that can't be done at primary center. So a lot of aneurysm treatment can be done through the groin, so endovascular rather than, you know, a big procedure where they have to open the skull and then access it via clip. So a comprehensive just has more advanced techniques in terms of advanced treatment options. But the initial care in terms of stabilizing the brain bleed or giving the clot buster can still be done at the primary centers or even non primary centers. And then we can get patients to the specialized centers who might need a little closer care and closer monitoring. And we also, most comprehensive centers have dedicated neurocritical care ICUs with specially trained neurologists and intensivists. Who can take care of these patients after they undergo procedure or watch them in case there's some sort of decompensation in case they need a different type of procedure.
Lindsey Gordon 13:11
And access to that high level care is really the mission of the OhioHealth stroke network. I want to spend a few minutes talking about that I know we just launched it at OhioHealth Van Wert Hospital, which is one of the newer care sites to the OhioHealth system. So what is the stroke network? And how does that work for patients?
Dr. Loochtan 13:27
Sure, yeah. So the stroke network is a very good thing. It's a conglomerate of hospitals, not all OhioHealth, but mostly OhioHealth. So it's 30, about 30 sites that includes all of our comprehensive center all of our primary centers, or comprehensive centers, all of our freestanding EDS, anything that has the OhioHealth label on it, if you will, is covered and then other hospitals as well across the states. A few here and there in different parts that we cover, you know, we cover up to Shelby we cover down to East Ohio Regional Medical Center, Southeast Ohio Regional Medical Center in Cambridge, Portsmouth, Ohio. So we're kind of all over the place. But basically, what the idea is, is there's a lot of strokes and stroke rule outs, but there's very few stroke physicians. So what we're able to do is work remotely, which we've been doing prior to the pandemic. So we basically have the infrastructure in place where we can evaluate stroke patients at all of the sites 24/7 With the help of the IDI team, the emergency room team and the nursing team, they're on the ground to camera and using kind of fancy, they're called robots, but they don't really, you know, they don't have arms and those sorts of things are more like glorified iPads with big screens where the nurses or doctors or staff will roll these robots into the room and our face will pop up on the screen and we can evaluate the patient real time with pretty good zoom capabilities to see everything that's going on and work the emergency room team to treat patients locally and then decide can They stay local or do they need transferred. So it allows us to see a different breadth of patients across the system and other systems and, and our goal is to keep care local, if we can, you know, people at Van Wert don't want to go to Columbus, they'd rather stay in Van Wert or go to Fort Wayne, right people at SLMC in Portsmouth, they don't want to go, you know, to Columbus, they'd like to stay there. So our goal is to keep patients local, if we can, but also helped identify patients who, who aren't necessarily going to be best served staying local if they have a major stroke, and would be better served under the care of a stroke dedicated team at a big stroke center. So back to that
Marcus Thorpe 15:36
thought of every second counts, right, exact someone identifying what's going on and making the right decision within minutes saves brain cells.
Dr. Loochtan 15:43
Yep, exactly. So I think it's a very good thing. And I think it's, it's kind of created based on the the need for more stroke physicians, more neurologists, they realize there's many more people who need treated than there are providers. So this was a nice, you know, adaptation over time in terms of the medical field, which then kind of led to more televisits in different realms. So stroke, and neurology was one of the first tele services really offered in medicine, which is kind of cool.
Marcus Thorpe 16:15
I know, you'll say this is all just part of the job. But we're recording at 920 in the morning, and you're coming off of being on call for the stroke network. It's tough, you get many calls in the middle of the night where you have to get up and you have to do what you do. Can you talk about that in the dedication that you have for patients, and really all of our doctors do to be able to jump up and do this?
Dr. Loochtan 16:35
Yeah, most physicians, regardless of you know what their specialty has some sort of call obligation. Mine's a little different, where I do nights for a week at a time, and then days, and then maybe I'm in clinic, then maybe I'm rounding in the hospital. So I like that about my job, I have a lot of variety. But, you know, unfortunately, patients don't have strokes, eight to five, I really wish they did. And, I'm sure their families wish they did, if they were to have strokes at all, but that's just not how it works. So we've got to be ready, we've got to be available. And thankfully, most of the time, if I'm getting called in the middle of the night, it's not necessarily something that that needs to be dealt with immediately in terms of we can transfer and start the workup. However, for that small percentage where it's immediate action needs to happen, we're ready and willing to help. And that's kind of what makes the job enjoyable and satisfying is, you know, one out of is that one out of every 10 or 20 calls is one where you're actually going to be able to treat the patient and hopefully reverse disabling deficit in their lives and help them and kind of prevent a catastrophe, if you will. So we see that a lot in night shift workers, right? So you're saying, Well, why would somebody have a stroke at 3am? How would they even know so we see a lot of people who are working, you know, they're working at a factory or they're, they're, you know, working at some sort of bar or restaurant late in the evening, for whatever reason, during prep, that sort of thing. And then they come in in the middle of the night with stroke symptoms, they're still awake, and then they're a candidate for intervention, because it's important to know when they last had symptoms. So they're able to come in, and we're able to treat them effectively. So it does take a toll on you in terms of sleep and fatigue and work life balance. So it's important to have a good core of support. You know, my wife is very supportive. My you know, my kids not so much right now. But they'll get it eventually. They're young.
Lindsey Gordon 18:28
I want to ask you about the mobile Stroke Treatment Unit. Is it a game changer for local stroke care?
Dr. Loochtan 18:35
Yeah, I'd say it is. This, this is a newer thing in the past decade or so a lot of these started and kind of at the same time in Germany and Europe, and then in the United States kind of around the same time. And the idea is, we all know what ambulances are right? We all know that an ambulance picks a patient up from point A and gets into point B, which is usually a hospital. So what this ambulance is, is this is a special ambulance as a CT scanner in it. So not only that it's staffed by trained medics and firefighters paramedics from Columbus fire as well as one of our stroke trained nurse practitioners or physician assistants there on the truck, which runs 7am to 7pm, seven days a week. So what the idea is, is they get all of the pre-screening calls that go through EMS that are identified as a possible stroke. And so EMS will often call them to rendezvous at a point and what will happen is they will show up on scene where the stroke symptoms are occurring or rendezvous if it's really far away with the local fire department, and they will evaluate the patient and we can decide is this a patient who would benefit from our services specifically? Is this somebody who we think is really having a stroke and if so, are we able to do something about it? And then we can get them on the truck and do a CT scan and then myself or one of my partner's cameras in kind of on one of those robots except this is a smaller screen it kind of flips Write down. And we can see the patient in work with our care team they're in-person and decide if that CT scan looks good, can we give them the clot busting drug to help save time. So we can, we can scratch off 15, 20, 30, 40 minutes, in some cases in terms of when their symptoms started, we can get them, get them treatment as soon as possible. So I would say it's a game changer for sure. They're really hard to keep going. You know, unfortunately, some of our sister sites around the state, they weren't able to sustain the mobile stroke units. But we at OhioHealth have been very lucky to have full support from administration. And it's a joint collaboration with Ohio State and Mount Carmel in Columbus fire. And we've actually, the first one mobile stroke, one is actually coming to an end soon. And we're going to have mobile stroke, too, we have we have another truck on the way at some point in the future. So that shows that that this is a very important service that we provide, and hopefully will continue to provide for years to come.
Marcus Thorpe 21:06
It's impactful, I know that it save lives. And that's what really is the most important thing, we're gonna get to some more fun questions here in just a second to get to know you a little bit better beyond just your physician hat. But I think it's really important to end this part of our conversation with just risk factors for stroke, let's talk about who's most at risk, what changes people need to make in their lives, so that they're not going down this road towards a possible stroke.
Dr. Loochtan 21:28
Sure. So I like to tell my patients, people seem to have a pretty good idea of what can cause heart attacks. And stroke is a very similar pathological process in terms of the same sort of problem in the brain, but it's not in the heart. So anything that can cause a heart attack can cause a stroke. So risk factors that are most common things like high cholesterol, high blood pressure, smoking, being overweight or obese, diabetes, excessive alcohol use drug use irregular heart rhythms, like atrial fibrillation. Another one that's that we've kind of shed more light on over the past, you know, five to 10 years or so is sleep apnea. So not getting good sleep is not good for the brain or heart. And multiple studies have shown that people who have sleep apnea that's not treated actually have a higher risk of stroke and heart attack. So those are kind of the big things that you want to look out for family history. So if mom, dad, brother, sister have a history of strokes and heart attacks, there's probably a small propensity of increased risk that you would have, which we can't, we can't combat that in terms of we can't change your genetics, but we can do things like healthy diet and exercise. So specifically speaking, the American Heart Association recommends 150 minutes of moderate exercise a week where you're actually getting your heart rate up. So if you have heart conditions, I advise you to talk with your cardiologist or primary doctor prior, but those who do not have heart conditions, we actually want to get exercise that we feel is meaning meaningful. So a lot of people say, Hey, I walk around at work all day. And that's good. That's not bad. But it's not really enough, in most cases, so 150 minutes a week where you're dedicated, however, you get that if that's, you know, 350 minute sessions, or if you spread it out, you know, over 5 or 30 minute sessions, whatever it is, you actually want to get your heart rate up and feel like you're working out. That's one thing you can do, and then just modifying your diet. So the diet we often recommend for heart and brain health is the Mediterranean diet. It's high in things like lentils, beans, vegetables, olive oil, fish, less red meat, less fried food, those sorts of things, you can just do a quick Google search about it and find more than enough information on it. But that's the diet that seems to continue to improve over time that it's really good to prevent strokes and heart attacks. So modifying that is also really important and then limiting your alcohol intake, to no more than one drink for women per day and two for men per day per the HA and we're not talking about large drinks, we're talking about standard size, so like 1.5 ounce of liquor, a small beer or a small glass of wine, those sorts of things. So keeping everything in moderation, will really definitely help prevent strokes. And the last thing is going to the doctor regularly having a primary care doctor, getting your regular health screenings. Those are things that people often forget, you know, making sure if you have diabetes, that your blood sugar's controlled, all those things will kind of help keep you in check to hopefully prevent strokes or heart attacks over time.
Lindsey Gordon 24:40
Very, very important to know all those things. Dr. Lockton, thanks for that. Okay. As Marcus has mentioned, you ready for some rapid fire fun questions? Sure. Yeah. This one we're both very excited to ask because being part of the media team, our job is to monitor all things media, and that includes social media and your wife is she kills it on social media. Sure, yeah. She's pretty talented. Talk about that. That's so cool.
Dr. Loochtan 25:06
Yeah, so my wife Amy, she, it's kind of funny. I'm actually not on social media at all. And she's very good at social media. So she is a Jill of all trades is, as we like to say. So, you know, she and I met in college, she has a master's degree. And when I was in residency working a lot, and she was doing full time work, she decided that she wanted to do something else to kind of fill the time when I was working long hours. So she started her blog. It's called coffee beans and bobby pins. So it started as like an internet blog about probably about 10 years ago, maybe a little longer. And she started just doing fashion stuff, because she's, she's really into that. And then over time, it kind of evolved as we had kids and those sorts of things. It turned into a lifestyle blog, and then kind of an interior design blog. So while she doesn't post as much as she used to, in that realm, she created a big following. And it opened up the door for her to kind of pivot careers. She was a nonprofit, and then she moved to industry. So she worked for big pharma companies in Toshiba when we are in North Carolina. And then this job allowed her to do what she truly loves, which is, which is interior design and social media. So it actually created a few different employment opportunities that she now does on a regular basis. And she seems a lot more happy. So she was an influencer before influencers became cool, is what I like to say. So still does it sometimes. She's also very good at photography. So she does, you know, graduation photos, family photos, those sorts of things on the side, so she can kind of do it all. And I think she's a lot more happy, you know, having her hat in a few different places at once. And it definitely has created a lot opportunity for her.
Marcus Thorpe 26:51
She had an awesome photographer when she was first starting to understand to who really got her going in the right direction. Who was that photographer?
Dr. Loochtan 26:59
Yeah, I did a little bit of photography early on, you know, it led to a few a little disagreements here and there in terms of days off and what our plans were for the day, it often involved shooting multiple outfits to try to fulfill, you know, promises she'd made to different brands and that sort of thing. But as time went on, we she would she would hire a photographer here and there kind of do it herself. And she's very good at photo editing. So yeah, I am able to snap a snap and Instagram photo on the street though in front of a restaurant still I can I can handle that.
Lindsey Gordon 27:29
You mentioned as kids came into the picture, you know her algorithm on the social media changed a little bit from fashion and that sort of thing to more like mommy blogger status. You have two young children and you're a you're a physician and your wife is so busy with all these opportunities. You have two kids ages six and three, right?
Dr. Loochtan 27:52
Yep. Well, a little bit older than that. But about that. Yeah. And what have
Lindsey Gordon 27:56
been your favorite ages so far? I mean, do you feel like you're in the trenches with childhood? Or do you think you've gotten past that with your six year old? Yeah,
Dr. Loochtan 28:05
you know, somebody once described it as the tunnel years, right? You feel like you're just kind of treading water the whole time. And then eventually you're going to miss it is what I hear from people who've had kids and who are now grown right. So I'd say my favorite ages every age to be honest, because they are each very, very different right now Shep, my son is a toddler and he's very much a toddler very much a boy jumps off everything has no concept of risk. You know, Poppy, my daughter is a lot different. And she's now coming more into her own with individual saying she wants to do chores, and she wants to you know, make her bed and, and wear what she wants to wear. So I'd say every age is very fun because they evolve and change and, and it's something new and exciting that you haven't really prepared for it or don't really know what to expect. So I'd say the toddler years that we're in right now with Shep are a lot of fun and poppies kind of she's in kindergarten about to go into first grade. So I think they're all kinds of fun. Yep.
Marcus Thorpe 29:05
Last question for you. Before we wrap TV shows lots of TV shows with doctors in them when you watch them, or do you watch them? And do you say your friends might be like, Hey, is that how it really is? And you'd have to set them straight? A little bit?
Dr. Loochtan 29:19
Sure. Yeah. So not TV shows as much actually can say I've never seen Grey's Anatomy I've maybe seen one or two episodes of House so not really my cup of tea. more so because I just kind of like to turn my brain off from medicine when I'm home. I think that's why my wife and I work so well. She doesn't, she's not in the medical field. So it's nice to not go home and talk about patients in terms of what a conundrum you might have felt you know, during work or why this this worked out or didn't work out in terms of different cases or those things I like to just you know, enjoy finding out what she did or what our kids did those sorts of things. So, in terms of The TV shows I haven't gotten into them a whole lot. I do hear a lot of oh, well, I a lot of news stories, right? You know, like, you hear every year unfortunately, somebody gets a, an amoeba in their brain from the pond or something, you know, and everyone's freaking out that they shouldn't go swimming in a pond ever those sorts of things or, or, you know, the COVID this COVID that what are the effects on the brain? Or is this drug is this drug, the new miracle drug? So I hear a lot about more so news headlines and TV shows, but I would say for the most parts from the snippets I've seen of house are Gray's definitively dramatized, you know, I think I think that's the goal. And there's, and I think a lot of those are more towards kind of the soap opera effect of relationships and the strain that that that may or may not be there and training programs, which I think is probably actually more of a benefit for those shows, just to kind of see what it really is like to work 80 hours a week, you know, for five, seven years, sometimes longer and kind of understand a little bit more about it.
Marcus Thorpe 31:10
Yeah. Well, we appreciate all the work you do, go get some rest. I know you're coming off of your call and all the hard work you're doing so thanks. We encourage people to spend some time online, learn a little bit about stroke. B E F A S T. Keep that in your mind. And who knows you may save a life by knowing a little bit more about struggle. We hope this episode helps you do that too.
Lindsey Gordon 31:32
Thanks so much for being here. Thank you for joining us for this episode of the wellness conversation and OhioHealth podcast. Before we wrap up, we invite you to follow us on all major social channels to stay up to date on new episodes, and other health and wellness topics. And if you're looking for more information on OhioHealth services and locations, be sure to visit ohiohealth.com
Marcus Thorpe 31:54
The information in this episode will also be available in written form on the OhioHealth wellness blog. You can find that@blog.ohiohealth.com Thanks for joining us and be sure to subscribe as we continue our exploration of important health and wellness topics with OhioHealth experts