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Sudden Cardiac Arrest in Athletes (transcript)
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>> ANNOUNCER: "SECOND OPINION" IS BROUGHT TO YOU BY BLUECROSS BLUESHIELD. ACCEPTED IN ALL 50 STATES. BLUECROSS BLUESHIELD. LIVE FEARLESS.

 

>> ANNOUNCER: "SECOND OPINION" IS PRODUCED IN CONJUNCTION WITH U.R. MEDICINE, PART OF UNIVERSITY OF ROCHESTER MEDICAL CENTER, ROCHESTER, NEW YORK.

 

>> DR. PETER SALGO: THIS IS "SECOND OPINION," AND I'M YOUR HOST, DR. PETER SALGO. TODAY, WE'RE JOINED BY SPECIAL GUESTS MIKE AND JOAN PAPALE. MIKE RECEIVED THE GREATEST GIFT A PERSON CAN RECEIVE -- HIS LIFE.

 

>> JOAN PAPALE: WHEN THE SECOND ONE CAME IN AND SAID THAT THERE WAS A 17-YEAR-OLD UNCONSCIOUS ON THE FLOOR, HE GRABBED OTHER MATERIAL FROM HIS CAR AND RACED INTO THE GYM. IMMEDIATELY BEGAN CPR, AND PROBABLY ABOUT EIGHT MINUTES OF CPR BEFORE THE EMS TEAM ARRIVED.

 

>> DR. PETER SALGO: THEY'RE HERE TO SHARE THEIR STORY OF SECOND CHANCES.

 

>> DR. PETER SALGO: MIKE, JOAN, THANK YOU SO MUCH FOR BEING HERE. YOU'VE GOT A LOT TO SHARE. WE'VE GOT A LOT TO COVER TODAY, SO LET'S GET RIGHT TO WORK. SHALL WE? I WANT TO INTRODUCE YOU TO YOUR "SECOND OPINION" DOCTORS. THEY'RE GONNA BE HEARING YOUR STORY FOR THE VERY FIRST TIME. THEY'RE DR. KIMBERLY HARMON FROM THE UNIVERSITY OF WASHINGTON, DR. CHAD TEETERS FROM THE UNIVERSITY OF ROCHESTER MEDICAL CENTER, DR. SAM SEARS FROM EAST CAROLINA UNIVERSITY. THANK YOU ALL FOR BEING HERE, AS WELL. MIKE, LET ME START WITH YOU. TAKE US BACK TO WHEN YOU WERE 17 YEARS OLD. YOU WERE A RISING BASKETBALL STAR -- IN FACT, YOU HAD A SCHOLARSHIP TO GO TO COLLEGE ALREADY IN PLACE. AND NOW IT'S AUGUST 24TH, RIGHT BEFORE YOUR SENIOR YEAR. VERY BRIEFLY, YOU GO TO PRACTICE. WHAT HAPPENS?

 

>> MIKE PAPALE: SO, I WOKE UP IN THE MORNING. MY BROTHER AND I, WE WENT TO GO WORK OUT AT OUR LOCAL HIGH SCHOOL GYM.

 

>> DR. PETER SALGO: RIGHT.

 

>> MIKE PAPALE: WENT THROUGH A NORMAL BASKETBALL WORKOUT FOR ABOUT AN HOUR, AND THEN WE WENT OVER TO ANOTHER FACILITY WHERE MY DAD WAS RUNNING A BASKETBALL CAMP, AND WE GOT THERE, EVERYTHING WAS NORMAL, WE CHANGED, AND THAT WAS ACTUALLY THE LAST THING I REMEMBER THAT DAY.

 

>> DR. PETER SALGO: OKAY, MOM, YOU'RE GONNA HAVE TO HELP US, BECAUSE HIS MEMORY, AND IT'LL BE CLEAR WHY -- STOPS RIGHT THERE. WHAT HAPPENED?

 

>> JOAN PAPALE: WELL, I GOT A CALL. MIKE WAS UNCONSCIOUS ON THE FLOOR AT THE RECREATION CENTER. THE FIRST 9-1-1 CALL THAT WAS SENT OUT IMPLIED SOMEONE HAD BROKEN A BONE.

 

>> DR. PETER SALGO: RIGHT.

 

>> JOAN PAPALE: LUCKILY, RIGHT NEXT DOOR WAS A GENTLEMAN WHO IS A VOLUNTEER EMT, BOB HUEBNER, OUR HERO, AND HE STARTED RUNNING OVER WHEN HE HEARD THE FIRST 9-1-1 CALL, BUT THEN WHEN THE SECOND ONE CAME IN AND SAID THAT THERE WAS A 17-YEAR-OLD UNCONSCIOUS ON THE FLOOR, HE GRABBED OTHER MATERIAL FROM HIS CAR AND RACED INTO THE GYM. IMMEDIATELY BEGAN CPR. I THINK HE DID THREE -- AT THAT TIME, IT WAS THE TWO BREATHS TO 30 COMPRESSIONS. HE DID AT LEAST THREE SETS, PROBABLY ABOUT EIGHT MINUTES OF CPR, BEFORE THE EMS TEAM ARRIVED AND TOOK OVER.

 

>> DR. PETER SALGO: OKAY. HE KEPT DOING IT?

 

>> JOAN PAPALE: HE KEPT DOING IT.

 

>> DR. PETER SALGO: NEVER STOPPED.

 

>> JOAN PAPALE: NEVER STOPPED.

 

>> DR. PETER SALGO: SO, THAT'S CALLED THE CHAIN OF SURVIVAL.

 

>> JOAN PAPALE: YES.

 

>> DR. PETER SALGO: RIGHT? HE ALSO DID SOMETHING ELSE. HE TOLD PEOPLE THAT THIS WAS A CARDIAC ARREST -- GET THE RIGHT AMBULANCE. BRING THE RIGHT DRUGS AND THE RIGHT EQUIPMENT, INCLUDING THE DEFIBRILLATOR.

 

>> JOAN PAPALE: MM-HMM.

 

>> DR. PETER SALGO: HE DID OTHER THINGS, TOO, RIGHT, THAT WERE LIFESAVING BACK THEN. DIDN'T HE SEND SOMEBODY OUT TO THE DOOR TO DIRECT THEM TO THE RIGHT PLACE?

 

>> JOAN PAPALE: HE DID. HE DID. HE SAID TO MAKE SURE SOMEONE WAS PREPARED AND COULD WAVE THE AMBULANCE AND THE EMT IMMEDIATELY INTO THE ROOM -- OR INTO THE GYM. HE ALSO LET THEM CLEARLY KNOW MIKE WAS TAKING HIS LAST AGONAL BREATH, SO THEY NEEDED TO MOVE VERY QUICKLY.

 

>> DR. PETER SALGO: I WANT TO BE VERY CLEAR FOR OUR AUDIENCE.

 

>> JOAN PAPALE: I KNOW.

 

>> DR. PETER SALGO: YOUR SON JUST DIED.

 

>> JOAN PAPALE: HE DID.

 

>> DR. PETER SALGO: AND THIS RESCUER WAS THERE DOING CPR, DIRECTING TRAFFIC, AND KEEPING THIS CHAIN OF SURVIVAL GOING. THAT'S, BY ITSELF, REMARKABLE. IT'S GREAT.

 

>> JOAN PAPALE: RIGHT.

 

>> DR. PETER SALGO: RIGHT? WHERE WERE YOU? AND WHEN DID YOU FIRST SEE MIKE?

 

>> JOAN PAPALE: I ACTUALLY WAS HOME. I HAD RECEIVED MY THIRD CALL THAT MORNING FROM MY HUSBAND, MIKE'S DAD, AND THE FIRST TWO WERE NORMAL CALLS. THE THIRD, HE WAS FRANTIC AND UNRECOGNIZABLE ON THE PHONE. HE WAS YELLING, "SOMETHING HAPPENED TO MIKE!" I HAVE TO COME QUICKLY. SO I JUMPED IN MY CAR, HEADED TO THE REC CENTER, BUT AS I'VE SHARED IN STORIES, I KEPT THINKING, "AS LONG AS I DON'T HEAR AN AMBULANCE, EVERYTHING IS FINE." BUT SADLY, AS I GOT CLOSER, I HEARD THE AMBULANCE VERY LOUDLY. IT WAS COMING TOWARD ME, AND MIKE'S DAD WAS IN THE FRONT SEAT, SO I KNEW AT THAT PONT IT WAS BAD. I IMMEDIATELY TURNED AROUND, CHASED THE AMBULANCE TO THE HOSPITAL, AND GOT THERE AS THEY WERE PULLING MIKE OUT. HE WAS ON A VENTILATOR AND, YOU KNOW, VERY CRITICAL.

 

>> DR. PETER SALGO: WHAT WAS GOING THROUGH YOUR MIND RIGHT THEN?

 

>> JOAN PAPALE: "WHAT HAPPENED? HE WAS PERFECTLY FINE THIS MORNING."

 

>> DR. PETER SALGO: AND THIS IS YOUR SON.

 

>> JOAN PAPALE: THIS IS MY SON.

 

>> DR. PETER SALGO: THIS IS UNIMAGINABLE TO ME, AND WE'RE GONNA TALK ABOUT THAT FOR A MINUTE. WHAT DID THE DOCTORS TELL YOU ABOUT HIS CHANCES FOR SURVIVAL?

 

>> JOAN PAPALE: WELL, AT THAT POINT WHEN WE WERE AT MIDSTATE, THEY DIDN'T REALLY TELL US MUCH. THEY DIDN'T EVEN REALLY TELL US THAT IT WAS HIS HEART, TO BE HONEST WITH YOU. WE DIDN'T REALLY KNOW WHAT WAS WRONG WITH MIKE. THEY KEPT COMING AND ASKING US -- "WE NEED TO LIFE STAR HIM. WE NEED TO LIFE STAR HIM. WHERE DO YOU WANT HIM TO GO?"

 

>> DR. PETER SALGO: LIFE STAR IS A HELICOPTER EVACUATION.

 

>> JOAN PAPALE: THE HELICOPTER. AND MY ONLY REACTION WAS, "PLEASE GET HIM WHEREVER HE NEEDS TO BE," BECAUSE I DIDN'T KNOW THERE WAS ANYTHING WRONG WITH HIS HEART. BUT WE WOULD FIND OUT SHORTLY AFTER THAT HE WAS GOING BY AMBULANCE. THEY CHOSE CONNECTICUT CHILDREN'S MEDICAL CENTER.

 

>> DR. PETER SALGO: NOW, HE WAS IN A COMA. I WANT TO GET THIS VERY CLEARLY FROM YOU. WHAT DID THEY TELL YOU WERE HIS CHANCES OF LIVING AND THE CHANCES OF HIS BRAIN BEING INTACT?

 

>> JOAN PAPALE: HIS CHANCES OF LIVING WERE ONE IN A MILLION. AND THEY THOUGHT HE HAD BRAIN DAMAGE.

 

>> DR. PETER SALGO: OH, MAN. I HAVE THREE KIDS.

 

>> JOAN PAPALE: MM-HMM.

 

>> DR. PETER SALGO: I'M TRYING TO IMAGINE WHAT IT'S LIKE FOR YOU AT THIS TIME. I DON'T THINK THE PAIN IS EVEN DESCRIBABLE. WHAT -- TRY. WHAT WAS THAT LIKE?

 

>> JOAN PAPALE: HORRIFYING. UNIMAGINABLE. I'D WATCHED HIM SO CLOSELY. YOU KNOW, SO, FOR A PARENT, YOU'RE LIKE, "HOW COULD THIS HAPPEN?"

 

>> DR. PETER SALGO: THIS IS YOUR LITTLE BOY.

 

>> JOAN PAPALE: HE HAD JUST HAD HIS PHYSICAL.

 

>> DR. PETER SALGO: OKAY.

 

>> JOAN PAPALE: YOU KNOW, HE WAS PERFECTLY FINE. THEY CALLED HIM LIKE "A GREEK ADONIS." I CAN STILL REMEMBER IT.

 

>> DR. PETER SALGO: OH, BOY.

 

>> JOAN PAPALE: SO I HAD NO CLUE WHAT WAS WRONG WITH HIM AT THAT POINT. I WOULDN'T FIND OUT UNTIL THAT EVENING.

 

>> DR. PETER SALGO: HE WOKE UP. THEY TESTED HIM WHEN HE WOKE UP, LOOKING FOR THE CAUSE, AND WHAT DID THEY TELL YOU HAD HAPPENED?

 

>> JOAN PAPALE: THAT HE WENT INTO CARDIAC ARREST. HE SUFFERED A CERTAIN ABORTED CARDIAC DEATH.

 

>> DR. PETER SALGO: OKAY. AND WHAT WAS HIS DIAGNOSIS?

 

>> JOAN PAPALE: HIS DIAGNOSIS WAS HYPERTROPHIC CARDIOMYOPATHY.

 

>> DR. PETER SALGO: OKAY. THAT'S A MOUTHFUL.

 

>> JOAN PAPALE: YEAH.

 

>> DR. PETER SALGO: AND FOR THAT MOUTHFUL --

 

>> JOAN PAPALE: I COULDN'T EVEN SAY IT.

 

>> DR. PETER SALGO: I GOT EXPERTS. [ LAUGHTER ] WHAT IS HYPERTROPHIC CARDIOMYOPATHY? AND IF YOU WANT TO SAY "HCM," BE MY GUEST. [ LAUGHTER ]

 

>> DR. CHAD TEETERS: "HOCM," SO, HYPERTROPHIC OBSTRUCTIVE -- YEAH, EXACTLY. SO, HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY IS ACTUALLY AN ABNORMAL AND PATHOLOGIC THICKENING OF THE MUSCLE OF THE HEART WALL.

 

>> DR. PETER SALGO: OKAY.

 

>> DR. CHAD TEETERS: IF THAT MUSCLE, WHICH IS NORMALLY ABOUT 0.8 CENTIMETERS IN THICKNESS, IF IT'S ABOUT TWICE THAT, OR ROUGHLY ABOUT 1 1/2 CENTIMETERS THICK OR MORE, AND ESPECIALLY IF IT'S --

 

>> DR. PETER SALGO: IT'S RIGHT THERE ON THE PICTURE ON THE SCREEN.

 

>> DR. CHAD TEETERS: YEAH. SO, IF YOU LOOK AT THIS PICTURE ON THE LEFT, MY LEFT, THIS IS A NORMAL HEART. THAT WALL IS FAIRLY THIN --

 

>> DR. PETER SALGO: THE ONE THAT SAYS "NORMAL HEART." [ LAUGHTER ]

 

>> DR. CHAD TEETERS: THE ONE THAT SAYS "NORMAL HEART," VERY CONVENIENTLY. THE PICTURE ON THE RIGHT, YOU CAN SEE THAT THICKENING THAT REALLY GOES ALL THE WAY AROUND WHAT IS THE LEFT VENTRICLE, WHICH IS THE PUMPING CHAMBER THAT PUMPS BLOOD TO THE REST OF THE BODY.

 

>> DR. PETER SALGO: OKAY. WHY DOES THAT CAUSE YOU TO HAVE A CARDIAC ARREST? AND WHILE YOU'RE AT IT, IS A CARDIAC ARREST THE SAME THING AS A HEART ATTACK?

 

>> DR. CHAD TEETERS: NO.

 

>> DR. PETER SALGO: OKAY.

 

>> DR. CHAD TEETERS: SO, I'M GONNA GO IN REVERSE ORDER. SO, A HEART ATTACK GENERALLY MEANS LACK OF BLOOD FLOW TO AN AREA OF THE HEART -- THAT CAUSES THAT MUSCLE TISSUE TO BE ISCHEMIC, OR TO DIE. CARDIAC ARREST MEANS THE WHOLE HEART HAS STOPPED OR IS NOT FUNCTIONING. SO IT'S THE ULTIMATE IN HEART ATTACK, TO SOME DEGREE. THE REASON THIS IS BAD IS THAT TYPICALLY, YOUNG PERSON, ACTIVE, MAYBE EVEN A BIT DEHYDRATED, THE HEART IS SOMEWHAT HYPERDYNAMIC, BEATING HARDER, PERHAPS NOT VERY WELL FILLED BECAUSE HE'S A BIT DEHYDRATED FROM WORKING OUT ALL DAY AND MAYBE DIDN'T EAT OR DRINK MUCH THAT MORNING. THE HEART ESSENTIALLY COLLAPSES ON ITSELF, OBSTRUCTS BLOOD FLOW COMING OUT OF THE HEART, SO NOW ESSENTIALLY HE'S NOT ABLE TO NOT ONLY PROFUSE THE REST OF THE BODY, BUT EVEN THE HEART TISSUE ITSELF.

 

>> DR. PETER SALGO: KIND OF A MUSCLE-BOUND HEART.

 

>> DR. CHAD TEETERS: EXACTLY.

 

>> DR. PETER SALGO: IF YOU WILL. IS IT REVERSIBLE? IS IT TREATABLE?

 

>> DR. CHAD TEETERS: IT'S REVERSIBLE IF YOU CAN... SO, WHEN THAT HAPPENS, WHEN A PATIENT ARRESTS, TYPICALLY, THEY GO INTO VENTRICULAR TACHYCARDIO, WHICH IS A DANGEROUS ARRHYTHMIA WHERE THE ELECTRICAL SYSTEM IS NOT FUNCTIONING APPROPRIATELY. IF YOU GET TO THAT PERSON QUICKLY AND SHOCK THEM OUT OF THAT RHYTHM, IT CAN BE INFINITELY SURVIVABLE.

 

>> DR. PETER SALGO: OKAY. WE'RE GONNA GET TO THAT, TOO. HOW MANY PEOPLE GET IT? WHO GETS IT? HOW COMMON IS IT IN AMERICA?

 

>> DR. KIMBERLY HARMON: YOU KNOW, FOR YEARS, THEY THOUGHT THAT SUDDEN CARDIAC ARREST WAS NOT VERY COMMON, BUT WE KNOW NOW THAT IT'S ACTUALLY REALLY A LOT MORE COMMON THAN PEOPLE THINK. WE DID A RECENT STUDY WHERE WE LOOKED AT NCAA ATHLETES, AND IN BASKETBALL PLAYERS, THE RATE OF SUDDEN CARDIAC ARREST WAS ONE IN 9,000.

 

>> DR. PETER SALGO: THAT DOESN'T SOUND LIKE A LOT, BUT IT IS A LOT.

 

>> DR. KIMBERLY HARMON: IT IS A LOT.

 

>> DR. PETER SALGO: THERE'S A LOT OF BASKETBALL PLAYERS IN THIS --

 

>> DR. KIMBERLY HARMON: THERE'S A LOT OF BASKETBALL PLAYERS, AND THAT RELATES TO ABOUT ONE DIVISION I BASKETBALL PLAYER DYING A YEAR.

 

>> DR. PETER SALGO: WOW. NOW, YOU, WITH THIS DIAGNOSIS, DIAGNOSED WITH THE POTENTIAL TO HAVE ANOTHER ABNORMAL HEARTBEAT, THEY GAVE YOU A DEVICE. WHAT WAS THAT DEVICE?

 

>> MIKE PAPALE: YEAH, THEY IMPLANTED AN ICD. IT'S AN IMPLANTED DEFIBRILLATOR.

 

>> DR. PETER SALGO: NOW, THEY IMPLANTED IT. THAT'S SURGERY.

 

>> MIKE PAPALE: YEAH.

 

>> DR. PETER SALGO: AND WHAT IS THIS THING?

 

>> MIKE PAPALE: IT'S -- BASICALLY SERVES AS A DEFIBRILLATOR INSIDE MY BODY, AND IT HAD LEADS THAT GO DIRECTLY INTO MY HEART. AND IT WAS THERE JUST IN CASE I SUFFERED FROM ANOTHER CARDIAC ARREST. AND IT WAS GONNA SHOCK ME.

 

>> DR. PETER SALGO: SO, IT'S SITTING THERE, WATCHING, WAITING FOR SOMETHING BAD TO HAPPEN.

 

>> MIKE PAPALE: YES, SITS THERE AND WATCHES, AND IT PICKS UP AN ABNORMAL RHYTHM, AND, IF IT NEEDS TO, IT'LL SHOCK AND FIX THAT RHYTHM.

 

>> DR. PETER SALGO: ARE YOU GUYS SURPRISED THAT HE SURVIVED AND LOOKS THIS GOOD? ARE YOU SURPRISED?

 

>> DR. KIMBERLY HARMON: IT IS THE EXCEPTION, RATHER THAN THE RULE, UNFORTUNATELY, ALTHOUGH --

 

>> DR. PETER SALGO: WHY DO YOU THINK? WHY? WHY DID HE SURVIVE?

 

>> DR. KIMBERLY HARMON: BECAUSE IT WAS A WITNESSED ARREST, AND SOMEBODY KNEW WHAT TO DO. IF THIS WOULD HAVE HAPPENED WHEN HE WAS GETTING UP IN THE MORNING, NOBODY WOULD HAVE SEEN IT, AND HE WOULDN'T BE HERE, TALKING WITH US.

 

>> DR. PETER SALGO: IT'S THE CHAIN OF SURVIVAL. RIGHT? SOMEBODY SAW IT. IT WAS WITNESSED. THEY STARTED CPR. AND FOR GOSH SAKES, THEY DIDN'T STOP.

 

>> DR. CHAD TEETERS: RIGHT. AND THE STORY OF MOM SAYING, "SOMEBODY THINKS A YOUNG KID PASSED OUT ON THE BASKETBALL COURT," NOT UNCOMMON. THE FIRST THING IN A YOUNG PERSON IS NOT TO ASSUME THAT THEY'VE JUST DIED -- IT'S TO ASSUME THEY PASSED OUT, THEY HIT THEIR HEAD, THEY TWEAKED THEIR ANKLE. IT'S NOT "THEY JUST HAD A CARDIAC ARREST," AND SO ALL THOSE THINGS WE WANT TO SEE HAPPEN DON'T START TO HAPPEN, AND MINUTES MATTER.

 

>> DR. PETER SALGO: SAM, YOU SEE LOTS OF PEOPLE WITH ICDS. HOW DO PEOPLE DO WITH THESE DEVICES? IS THERE A PROBLEM WITH THEM PHYSICALLY OR PSYCHOLOGICALLY?

 

>> DR. SAMUEL SEARS: WELL, THE ICD IS AN AMAZING TECHNOLOGY THAT REALLY MARKS THE BEST OF MEDICAL, BIOMEDICAL ENGINEERING, CARDIOLOGY, AND MEDICINE -- TO BE ABLE TO PROTECT SOMEONE WHO HAS A KNOWN RISK AND LET THEM RETURN TO THEIR LIFE IS TRULY THE BEST OF MEDICINE, THE BEST OF HEALTH CARE. ICD PATIENTS CAN DO VERY WELL. WE THINK ABOUT 25% TO 30% HAVE ANXIETY AND DEPRESSION, OFTEN A PART OF THE EPISODE THEY WENT THROUGH.

 

>> DR. PETER SALGO: BUT THIS THING IS KEEPING YOU, OR WATCHING TO BE SURE YOU STAY ALIVE. NOW, BOB HUEBNER -- HAD YOU EVER MET HIM?

 

>> MIKE PAPALE: I HAD NOT.

 

>> DR. PETER SALGO: HAVE YOU MET HIM SINCE?

 

>> MIKE PAPALE: I HAVE. WE'RE ACTUALLY VERY CLOSE.

 

>> DR. PETER SALGO: YOU ARE VERY CLOSE.

 

>> MIKE PAPALE: YEAH, WE SEE EACH OTHER EVERY DAY ON THE ANNIVERSARY OF THE ARREST, AND, YOU KNOW, WE'RE IN TOUCH THROUGHOUT THE YEAR, SO...

 

>> DR. PETER SALGO: BOB HUEBNER -- COMPLETE STRANGER -- EMT TRAINED. HEARD THE EVENT ON HIS RADIO AND SAVED YOUR LIFE.

 

>> MIKE PAPALE: HE DID.

 

>> DR. PETER SALGO: THAT'S PRETTY IMPRESSIVE. YOU KNOW, HE WROTE SOMETHING ON THE SUDDEN CARDIAC ARREST FOUNDATION WEBSITE, AND I'M GONNA READ IT TO YOU.

 

>> MIKE PAPALE: OKAY.

 

>> DR. PETER SALGO: HE SAID, "I REALIZED THAT MY WHOLE LIFE HAD BEEN STEERING ME TO DO THAT ONE THING IN LIFE WORTH DOING." HE SAID FURTHER, THE THREE MOST BEAUTIFUL THINGS HE'D EVER SEEN IN HIS LIFE WERE WHEN HIS TWO SONS CAME INTO HIS LIFE AND WHEN THAT SCREEN -- MEANING THE DEFIBRILLATOR SCREEN --

 

>> MIKE PAPALE: MM-HMM.

 

>> DR. PETER SALGO: SHOWED THAT YOU HAD A HEARTBEAT AGAIN, A RHYTHM. THAT'S AMAZING.

 

>> MIKE PAPALE: IT IS. IT IS. AND IT REALLY JUST SUMS UP THE TYPE OF PERSON THAT BOB IS. OBVIOUSLY, HE'S OUR HERO, AND HE'S JUST AN INCREDIBLE PERSON, JUST TO BE ABLE TO BE PREPARED AND REACT IN SUCH A WAY AND DO EVERYTHING SO PERFECTLY.

 

>> DR. PETER SALGO: YOU KNOW, YOU MAY HAVE GIVEN BIRTH TO HIM... BOB GAVE HIM HIS SECOND SHOT.

 

>> MIKE PAPALE: REBIRTH.

 

>> JOAN PAPALE: I KNOW. I KNOW.

 

>> DR. PETER SALGO: AND AT THIS TIME, I'VE GOT TO TELL YOU, WE'RE GONNA TAKE A DIFFERENT PATH IN THIS SHOW. THIS IS NORMALLY THE TIME WHEN WE ALL PAUSE, AND WE GO TO OUR "MYTH OR MEDICINE" SEGMENT. WE'RE NOT GONNA DO THAT TODAY.

 

>> MIKE PAPALE: OKAY.

 

>> DR. PETER SALGO: BECAUSE WE CONTACTED BOB.

 

>> MIKE PAPALE: YEAH.

 

>> DR. PETER SALGO: RIGHT? AND HE TOLD US HOW MUCH YOU MEAN TO HIM. AND ACTUALLY, HE CAN TELL YOU HIMSELF. TAKE A LOOK ON THE SCREEN.

 

>> BOB HUEBNER: HEY, MIKE. IT'S BOB HUEBNER. AGAIN I'M SHOWING UP UNEXPECTEDLY. [ LAUGHTER ] YOU'RE PROBABLY GETTING A LITTLE TIRED OF ME DOING THAT. BUT ANYWAY, I JUST WANTED TO SAY, HEY, CONGRATULATIONS ON ALL THIS GOOD STUFF YOU AND YOUR MOM ARE DOING. INSTEAD OF JUST CURLING UP IN A BALL AND SELF-PITY, YOU'RE GOING OUT AND HELPING PEOPLE, DOING THESE SHOWS AND GETTING THE WORD OUT ABOUT SCA AND THAT -- THINGS THAT PEOPLE CAN DO. IT'S REAL IMPORTANT THAT PEOPLE UNDERSTAND THAT JUST TAKING A SIMPLE CPR CLASS, LEARN HOW TO USE A DEFIBRILLATOR, CAN MAKE ALL THE DIFFERENCE IN THE WORLD. THE CHAIN OF SURVIVAL IS VERY IMPORTANT, BUT IT'S THOSE FIRST RESPONDERS, THOSE FIRST HANDS ON, THAT MAKE ALL THE DIFFERENCE. I WAS VERY FORTUNATE -- I WAS TRAINED AND READY THAT DAY, BUT WE REALLY NEED PEOPLE TO GET THEIR HANDS ON FIRST AND BE THERE, READY TO DO SOMETHING BECAUSE IT'S ALL ABOUT BUYING TIME. I'M PROUD OF YOU, EXCITED TO BE PART OF THIS WHOLE THING, AND HOPEFULLY, WE'LL GET TO CATCH A RED SOX GAME AND SIT ON THE GREEN MONSTER. [ LAUGHTER ] TALK TO YOU SOON.

 

>> DR. PETER SALGO: PRETTY AMAZING GUY, DON'T YOU THINK?

 

>> MIKE PAPALE: YEAH. OH YEAH.

 

>> DR. PETER SALGO: LET ME JUST RECAP A LITTLE BIT. YOU'RE IN THE ICU FOR ABOUT TWO WEEKS. YOU GOT THIS IMPLANTED DEFIBRILLATOR, AND THEN THE DOCTORS TOLD YOU SOMETHING ELSE ALONG THE WAY, THAT YOU COULD NEVER PLAY COMPETITIVE BASKETBALL AGAIN.

 

>> MIKE PAPALE: EXACTLY.

 

>> DR. PETER SALGO: HOW DID THAT MAKE YOU FEEL?

 

>> MIKE PAPALE: IT WAS HARD. IT WAS SOMETHING THAT, YOU KNOW, I HAD WORKED AT MY WHOLE LIFE, AND I WANTED TO PLAY IN COLLEGE, AND I'D DEDICATED A LOT OF TIME AND EFFORT INTO THAT, AND IT KIND OF ALL GOT TAKEN AWAY FROM ME IN ONE SECOND, AND --

 

>> DR. PETER SALGO: AND AGAIN, KNOWING HOW YOU'VE TAKEN, WHAT, LEMONS AND MADE LEMONADE, YOU'RE NOW A COACH!

 

>> MIKE PAPALE: I AM.

 

>> DR. PETER SALGO: YOU'RE COACHING BASKETBALL.

 

>> MIKE PAPALE: YEP.

 

>> DR. PETER SALGO: YOU'RE STILL IN THE GAME.

 

>> MIKE PAPALE: I AM.

 

>> DR. PETER SALGO: SO, NOW I WANT TO ASK THE OBVIOUS QUESTION. YOU'VE ALREADY TOLD US THAT THIS IS MORE COMMON THAN WE USED TO THINK IN ATHLETES, IN BASKETBALL PLAYERS, IN SPECIFIC. SHOULDN'T WE BE SCREENING?

 

>> DR. KIMBERLY HARMON: WE DO SCREEN.

 

>> DR. PETER SALGO: SHOULDN'T WE BE DOING ALL KINDS OF DETAILED TESTS LEFT, RIGHT, AND UPSIDE DOWN?

 

>> DR. KIMBERLY HARMON: WE DO SCREEN RIGHT NOW. THE SCREEN THAT WE DO DOES NOT WORK. RIGHT NOW, THE RECOMMENDED SCREEN IS A HISTORY AND A PHYSICAL. AND 80% OF PEOPLE THAT HAVE AN ARREST FROM HYPERTROPHIC CARDIOMYOPATHY, ARREST WILL BE THEIR FIRST SYMPTOM. AND SO YOU'RE ASKING QUESTIONS LIKE "DO YOU HAVE CHEST PAIN?" OR "ARE YOU FATIGUED?" AND ONLY 20% OF PEOPLE MIGHT POSSIBLY HAVE HAD THEM.

 

>> DR. PETER SALGO: HE WOULD HAVE SAID NO, RIGHT? HE JUST SAID HE HAD NOTHING.

 

>> DR. KIMBERLY HARMON: CORRECT, SO YOU CAN'T FIND IT -- WHERE, IF YOU ADD AN ECG, A SIMPLE 12-LEAD ECG --

 

>> DR. PETER SALGO: THAT'S A CARDIOGRAM.

 

>> DR. KIMBERLY HARMON: YES, WE CAN FIND 90% OF HYPERTROPHIC CARDIOMYOPATHY.

 

>> DR. PETER SALGO: IF YOU KNOW WHAT YOU'RE LOOKING FOR. I MEAN, NOW, THE RECOMMENDATIONS FROM LOTS OF BODIES, IF YOU WILL, ARE THAT THE SCREENING IS NOT GONNA PICK UP ENOUGH POSITIVES TO MAKE IT EITHER COST-EFFECTIVE OR OTHERWISE EFFECTIVE, AND FURTHERMORE, THAT THERE ARE A LOT OF FALSE POSITIVES. YOU'RE GONNA SCARE A LOT OF PEOPLE UNNECESSARILY.

 

>> DR. CHAD TEETERS: RIGHT.

 

>> DR. PETER SALGO: NOW, THAT'S BASED ON HARD DATA. WHAT DO YOU SAY ABOUT THAT?

 

>> DR. CHAD TEETERS: THE REASON THAT THEY DO NOT ADVOCATE WIDE-BASED SCREENING IS THAT THE COST OF DOING THIS WOULD BE MILLIONS AND MILLIONS OF DOLLARS TO IDENTIFY WHAT'S A RELATIVELY FEW. AND IT'S UNFORTUNATE, ESPECIALLY IF YOU'RE MIKE OR MIKE'S MOM, TO BE SITTING THERE SAYING, "BUT THAT'S MY KID." YOU KNOW, "THAT MILLIONS OF DOLLARS WOULD HAVE BEEN WORTH IT FOR MY KID." BUT HOW DO YOU DECIDE IN A TIME WHERE ALREADY HEALTH CARE DOLLARS ARE SHORT, WHAT YOU'RE GONNA SPEND THOSE MILLIONS OF DOLLARS ON?

 

>> DR. PETER SALGO: NOW, A CARDIOGRAM, LET'S JUST BE VERY CLEAR, IS PAINLESS. THEY PUT SOME STICKERS ON YOU, AND THEN THEY LOOK AT A MACHINE, AND THEY LOOK AT THE ELECTRICAL ACTIVITY IN YOUR HEART.

 

>> DR. CHAD TEETERS: RIGHT.

 

>> DR. PETER SALGO: ANOTHER WAY TO LOOK FOR THIS WOULD BE WITH AN ECHOCARDIOGRAM, ALSO PAINLESS. THEY PUT A PROBE ON YOUR CHEST AND GO PINGING INSIDE WITH SONAR. AGAIN, PAINLESS. A CARDIOGRAM COSTS HOW MUCH?

 

>> DR. KIMBERLY HARMON: ABOUT $25.

 

>> DR. PETER SALGO: $25?

 

>> DR. KIMBERLY HARMON: AND I WOULD ASSERT TO YOU, THE WAY WE'RE SCREENING NOW IS THE LEAST COST-EFFECTIVE BECAUSE WE DON'T FIND VERY MUCH, AND WE'RE SPENDING THOUSANDS AND MILLIONS OF DOLLARS ON HISTORY AND PHYSICAL EXAMS, ON SPORTS PHYSICALS. AND SUDDEN CARDIAC ARREST DOES HAPPEN MORE OFTEN THAN WE THINK, THAN IS WIDELY KNOWN, AND IF YOU READ THE ECG AND INTERPRET IT WITH CRITERIA THAT ARE SPECIFIC TO ATHLETES, YOU CAN GET THAT FALSE-POSITIVE RATE DOWN TO 2%.

 

>> DR. CHAD TEETERS: BUT ASIDE FROM THE COST FACTOR, THERE'S ALSO A VERY STRONG MOVEMENT -- AND WE RAN INTO THIS OURSELVES WHEN WE TRIED TO START A SCREENING PROGRAM -- THAT PROVIDERS ARE WORRIED THAT YOU'RE GONNA "A," STIGMATIZE CHILDREN, OR "B," YOU'RE GONNA OVER-MEDICALIZE CHILDREN UNNECESSARILY, OR "C," TAKE MIKE OFF THE PLAYING FIELD FOR A PERIOD OF TIME AND PREVENT HIM FROM DOING SOMETHING HE LOVES AND WANTS TO DO.

 

>> DR. PETER SALGO: LET ME JUST ASK THIS QUESTION OF YOU, OUR EXPERTS. CAN MIKE PLAY COMPETITIVE SPORTS? HIS DOCTORS SAID NO.

 

>> DR. CHAD TEETERS: THE RECOMMENDATION WOULD GENERALLY BE THAT HE SHOULD NOT PLAY COMPETITIVE SPORTS.

 

>> DR. PETER SALGO: OKAY. NOW, I WANT TO TALK ABOUT YOU GUYS AGAIN, BECAUSE YOU DIED AND CAME BACK.

 

>> MIKE PAPALE: YEP.

 

>> DR. PETER SALGO: YOU HAD A SON WHO DIED AND CAME BACK. AND YOU'RE WEARING A DEVICE WHICH COULD KICK AND DEFIBRILLATE YOU, AND THAT'S A PRETTY GOOD POP, AT ANY TIME. DOES THAT ALL WORRY YOU? DO YOU LIVE WITH THAT EVERY DAY?

 

>> MIKE PAPALE: NOT ANYMORE. WHEN I WAS A LITTLE BIT YOUNGER, AND WHEN IT FIRST HAPPENED AND I CAME HOME FROM THE HOSPITAL AND IT WAS A LITTLE OVERWHELMING, YOU KNOW, I WAS A LITTLE SCARED. I WAS SCARED TO REALLY -- I WAS SCARED TO GO TO SLEEP 'CAUSE I WAS AFRAID IT COULD HAPPEN IN MY SLEEP. I WAS AFRAID.

 

>> DR. PETER SALGO: SAM, THIS IS YOUR BAILIWICK. YOUR PATIENTS ALL HAVE THIS SORT OF STUFF GOING ON.

 

>> DR. SAMUEL SEARS: SURE.

 

>> DR. PETER SALGO: WHAT IS TYPICAL?

 

>> DR. SAMUEL SEARS: WELL, WHAT WE SEE IS TYPICALLY HYPERVIGILANCE, SO SOMEBODY'S PAYING A LOT OF ATTENTION TO BODILY SYMPTOMS. WHAT WE SEE IS SOME AVOIDANCE BEHAVIOR, SO DISENGAGING FROM ACTIVITY. AND THEN THE THIRD THING WE SEE IS KIND OF THE PSYCHOLOGIC CATASTROPHIZING. AND WE WORRY ABOUT THOSE THREE ELEMENTS WHEN WE SEE SOMEBODY ADJUST. BUT MIKE'S DONE SO MANY THINGS RIGHT, THE BIGGEST OF WHICH IS GETTING BACK INTO LIFE, GETTING BACK INTO BASKETBALL -- MAYBE NOT PLAYING, BUT HE'S COMPETING AS A COACH, AS A PARTICIPANT ON THE TEAM, AND THAT'S GOOD STUFF.

 

>> DR. PETER SALGO: AND, JOAN, YOU'VE TAKEN THIS IN HAND AND RUN WITH IT A BIT. YOU'VE GOT SPEAKING ENGAGEMENTS. WHAT ARE YOU ADVOCATING?

 

>> JOAN PAPALE: WELL, AWARENESS. AEDS IN PLACES THAT THERE AREN'T.

 

>> DR. PETER SALGO: HIS HIGH SCHOOL NOW HAS HOW MANY AEDS?

 

>> JOAN PAPALE: FOUR, BUT IN OUR TOWN, WITHIN THE FIRST COUPLE OF MONTHS AFTER MIKE'S CARDIAC ARREST, NOT ONLY DID HE AND I BECOME VOLUNTEERS FOR THE AMERICAN HEART ASSOCIATION, I HAVE TO SAY, OUR BOARD OF EDUCATION IS WONDERFUL. WHEN I SPOKE, THEY WERE IN OUR ELEMENTARY SCHOOLS AS WELL, WHICH IS KIND OF UNHEARD OF. THEY -- ALL 12 SCHOOLS.

 

>> DR. KIMBERLY HARMON: THE THING THAT YOU REALLY WANT TO REMEMBER, TOO, IS IT'S NOT JUST IMPORTANT TO HAVE THE AEDS AT THE SCHOOLS, BUT YOU HAVE TO HAVE AN EMERGENCY ACTION PLAN, OR ELSE IT MAKES THAT THEY'RE BEING UNUSED OR PEOPLE DON'T KNOW WHERE THEY ARE OR THE BATTERY IS DEAD.

 

>> DR. PETER SALGO: AND LET ME GO BACK TO NOT JOAN THE ACTIVIST, BUT JOAN THE MOM. I MEAN, YOUR SON DIED.

 

>> JOAN PAPALE: MM-HMM.

 

>> DR. PETER SALGO: AND CAME BACK. ARE YOU STILL DEALING WITH THAT? HAVE YOU GOTTEN BEYOND THAT? HOW DO YOU MANAGE THAT?

 

>> JOAN PAPALE: NO, I DON'T THINK I'VE GOTTEN BEYOND IT. I THINK I TRY TO BE VERY CAREFUL TO TUCK THAT AWAY, AND I TRY TO PRESENT VERY WELL, BUT I GET TRIGGERS. I GET TRIGGERS, SO THE TRIGGER FOR WHEN MIKE WAS 17 WAS THE SOUND OF ANY SIREN 'CAUSE I CHASED THE AMBULANCE. SO, I DIDN'T REALLY QUITE KNOW WHAT WAS GOING ON, BUT IT WENT ON FOR A GOOD THREE YEARS PRETTY SIGNIFICANTLY. BUT AS I SHARED, I DON'T THINK PEOPLE KNEW, BECAUSE I WOULD PRESENT WELL, BUT I WOULD ACTUALLY -- AS SOON AS I HEARD THE TRIGGER OF A SIREN, I WOULD IMMEDIATELY SEE THE PICTURE PLAY IN MY HEAD AGAIN. I'D HAVE LOCKJAW, TWITCHING. I MIGHT HAVE TO TRY TO REMOVE MYSELF FROM A SITUATION, DIFFICULTY, LIKE, BREATHING, CATCHING MY BREATH, HIGH ANXIETY, BUT --

 

>> DR. PETER SALGO: I HEAR IT IN YOUR VOICE NOW.

 

>> JOAN PAPALE: MM-HMM.

 

>> DR. PETER SALGO: YOU'RE GOING BACK THERE NOW, AREN'T YOU?

 

>> JOAN PAPALE: YEAH. WELL, YEAH. I CAN SEE IT LIKE A MOVIE CAMERA. IT'S SO HARD TO EXPLAIN TO PEOPLE THAT MAYBE DON'T KNOW, AND I'M NOT SURE I COMPLETELY UNDERSTAND IT, 'CAUSE, LIKE I SAY, I'VE NEVER REALLY TALKED ABOUT IT BEFORE. BUT IT'S VERY SIGNIFICANT, YES. AND IT TAKES... YOU KNOW, IT TAKES A GOOD PORTION OF YOUR -- YOUR LIFE IS VERY DIFFERENT. AND IT IS TODAY, TOO.

 

>> DR. PETER SALGO: SAM, YOU SEE FOLKS LIKE THIS. DO YOU HAVE ADVICE FOR PARENTS, ADVICE FOR JOAN?

 

>> DR. SAMUEL SEARS: YEAH, I DO. YOU KNOW, I THINK THE PRIMARY PURPOSE OF A DEFIBRILLATOR IS, OF COURSE, TO PREVENT PREMATURE DEATH, BUT THIS MAJOR OTHER PURPOSE IS TO PROVIDE A SENSE OF SECURITY AGAIN. THE PURPOSE OF A DEFIBRILLATOR IS TO PROTECT HIM, AND HAVING FAITH IN THAT DEVICE, AS WELL AS AN OVERALL PLAN IS HOW WE TAKE STEPS TOWARD GETTING BACK INTO LIFE AS YOU KNEW IT BEFORE.

 

>> JOAN PAPALE: MM-HMM.

 

>> DR. SAMUEL SEARS: IN SHORT, BECOMING A SURVIVOR IN EVERY SENSE OF THE WORD, AS OPPOSED TO BEING A VICTIM.

 

>> DR. PETER SALGO: MM-HMM. I MEAN, THE PHRASE THAT COMES TO MY MIND, THE INITIALS ARE PTSD.

 

>> DR. SAMUEL SEARS: YEAH.

 

>> DR. PETER SALGO: POST-TRAUMATIC STRESS DISORDER. COULDN'T HAVE BEEN MORE TRAUMATIC. HER SON DIED.

 

>> DR. SAMUEL SEARS: ABSOLUTELY, AND I DO THINK, EVEN AS YOU TALK, YOU KNOW, THOSE REMINDERS, THOSE REACTIONS TO THE EVENTS OF THE DAY, THE STIMULI OF THE DAY, IS VERY COMMON AND UNDERSTANDABLE. IT'S A NATURAL RESPONSE, IN A WAY, TO SAY, "HEY, THAT --" YOUR BRAIN, IN MANY WAYS, HAS ENCODED THOSE REMINDERS AS VERY MUCH ASSOCIATED WITH THE EVENT, AND SO WHEN YOU SEE THEM AGAIN, THAT'S WHAT WILL BE TRIGGERED.

 

>> DR. PETER SALGO: AND NOW, WE DID PROMISE YOU A MOMENT FOR A SECOND OPINION. YOU CAN'T GET A BETTER PANEL OF EXPERTS THAN THESE FOLKS. FORGET ABOUT ME. THIS IS YOUR TIME. IF YOU HAVE ANY QUESTIONS, GO RIGHT AHEAD.

 

>> MIKE PAPALE: YEAH. I'LL ASK KIM, I GUESS, 'CAUSE THIS IS AN INTEREST OF MINE. I'M A COLLEGE BASKETBALL COACH, AND SHE MENTIONED THAT IT'S VERY COMMON IN COLLEGE BASKETBALL PLAYERS. SO I GUESS MY QUESTION WOULD BE, WHAT'S A STEP WE CAN TAKE TO PREVENT THAT?

 

>> DR. KIMBERLY HARMON: THAT'S A GREAT QUESTION BECAUSE THE ADDITION OF A 12-LEAD ECG CAN CATCH ABOUT 2/3 TO 3/4 OF THINGS THAT CAUSE SUDDEN CARDIAC DEATH. THERE IS NO SCREENING METHOD THAT'S GONNA PICK EVERYBODY OUT, BUT JUST A SIMPLE ECG CAN PICK UP SOMETHING LIKE YOU HAD AND PREVENT THAT.

 

>> DR. PETER SALGO: MIKE, JOAN, THANK YOU BOTH SO MUCH FOR BEING HERE. I WAS WATCHING YOUR FACE DURING PART OF THIS INTERVIEW, AND ALL THAT I COULD THINK OF IS, YOU'RE A MOM.

 

>> JOAN PAPALE: YEAH.

 

>> DR. PETER SALGO: YOU'RE A MOM. IT'S -- IT HAS TO HURT, AND I'M SO GLAD THAT YOU CAME HERE, SHARED YOUR STORY, AND YOU COULD SHARE THIS WITH ALL OF AMERICA. AND OF COURSE, GOOD LUCK IN YOUR CAREER.

 

>> MIKE PAPALE: THANK YOU. THANK YOU.

 

>> DR. PETER SALGO: ONE OF THE WONDERFUL THINGS IS THE ADVICE THAT YOU GOT FROM HERE, YOU CAN TAKE AND APPLY TO THE PROGRAM WHERE YOU'RE GONNA COACH.

 

>> MIKE PAPALE: DEFINITELY.

 

>> DR. SAMUEL SEARS: YOU'RE BOTH COURAGEOUS.

 

>> DR. PETER SALGO: THAT'S TERRIFIC. ALL RIGHT. SO, AGAIN, PANEL, I WANT TO THANK YOU GUYS FOR BEING HERE AS WELL, AND I WANT TO THANK YOU FOR WATCHING. LET US KNOW WHAT YOU THINK ABOUT TODAY'S DISCUSSION, MIKE AND JOAN'S SECOND OPINION, BY TWEETING US OR BY COMMENTING ON OUR FACEBOOK PAGE. AND NOW HERE'S THIS WEEK'S "SECOND OPINION 5."

 

>> DR. JASON PACOS: HELLO. I'M DR. JASON PACOS, AND I'M HERE TO TELL YOU FIVE THINGS TO KNOW ABOUT SUDDEN CARDIAC ARREST. FIRST, SUDDEN CARDIAC ARREST IS A CONDITION IN WHICH THE HEART SUDDENLY AND UNEXPECTEDLY STOPS BEATING. THIS IS TYPICALLY DUE TO A VERY RAPID HEARTBEAT AND OFTEN OCCURS WITH NO WARNING. SECOND, SUDDEN CARDIAC ARREST IS DIFFERENT THAN A HEART ATTACK. SUDDEN CARDIAC ARREST IS DUE TO AN ABNORMALITY WITHIN THE ELECTRICAL SYSTEM OF THE HEART. WHILE A HEART ATTACK CAN LEAD TO SUDDEN CARDIAC ARREST, THIS DOES NOT ALWAYS OCCUR. CONVERSELY, THERE ARE MANY CAUSES OF SUDDEN CARDIAC ARREST OTHER THAN A HEART ATTACK. NEXT, ALTHOUGH IT CAN OCCUR WITHOUT WARNING, SOMETIMES THERE ARE SYMPTOMS LEADING UP TO A SUDDEN CARDIAC ARREST, SUCH AS FATIGUE, FAINTING, DIZZINESS, CHEST PAIN, SHORTNESS OF BREATH, PALPITATIONS, OR VOMITING. IF YOU EXPERIENCE ANY OF THESE SYMPTOMS, YOU SHOULD SEE YOUR DOCTOR RIGHT AWAY OR CALL 9-1-1. FOURTH, KNOW THE SIGNS – SUDDEN COLLAPSE, NO PULSE, NOT BREATHING, AND LOSS OF CONSCIOUSNESS. REMEMBER THAT SUDDEN CARDIAC ARREST IS A MEDICAL EMERGENCY. IF NOT TREATED IMMEDIATELY, DEATH COULD OCCUR. IF YOU WITNESS SOMEONE WITH SUDDEN CARDIAC ARREST, YOU SHOULD CALL 9-1-1, INITIATE CPR, AND USE AN AED IF AVAILABLE. AND LASTLY, KNOW THAT IF SUDDEN CARDIAC ARREST IS CAUGHT IN TIME, THERE ARE TREATMENTS TO HELP PATIENTS LIVE A FULL, HEALTHY LIFE. AND THAT IS YOUR "SECOND OPINION 5."

 

>> DR. PETER SALGO: THANK YOU SO MUCH FOR WATCHING, AND REMEMBER, YOU CAN GET MORE SECOND OPINIONS AND PATIENT STORIES ON OUR WEBSITE... YOU CAN ALSO SEND US YOUR SHOW IDEAS AND SHARE YOUR OWN HEALTH STORY. MAYBE WE'LL INVITE YOU TO BE ON THE SHOW. YOU CAN CONTINUE THE CONVERSATION ON FACEBOOK AND TWITTER, WHERE WE ARE LIVE EVERY DAY WITH BREAKING HEALTH NEWS. I'M DR. PETER SALGO, AND I'LL SEE YOU NEXT TIME FOR ANOTHER "SECOND OPINION."

 

>> ANNOUNCER: "SECOND OPINION" IS BROUGHT TO YOU BY BLUECROSS BLUESHIELD. ACCEPTED IN ALL 50 STATES. BLUECROSS BLUESHIELD. LIVE FEARLESS.

 

>> ANNOUNCER: "SECOND OPINION" IS PRODUCED IN CONJUNCTION WITH U.R. MEDICINE, PART OF UNIVERSITY OF ROCHESTER MEDICAL CENTER, ROCHESTER, NEW YORK.