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MIAMI — As her students finished their online exam, Arlet Lara got up to make a . Her 16-year-old son found her on the kitchen floor. First, he called Dad in a panic. Then 911. “I had a stroke and my life made a 180-degree turn,” Lara told the Miami Herald, recalling the medical scare she experienced in May 2020 in the early months of the COVID pandemic. “The stroke affected my left side of the body,” the North Miami woman and former high school math teacher said. Lara, an avid runner and gym goer, couldn’t even walk. “It was hard,” the 50-year-old mom said. After years of rehabilitation therapy and a foot surgery, Lara can walk again. But she still struggles with moving. This summer, she became the first patient in South Florida to get an implant of a new and only FDA-approved nerve stimulation device designed to help ischemic stroke survivors regain movement in their arms and hands. This first procedure was at Jackson Memorial Hospital in Miami. Lara’s rehab was at at the Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis, part of a partnership between Jackson Health System and UHealth. Every year, thousands in the United States , with one occurring every 40 seconds, according to the U.S. Centers for Disease Control and Prevention. The majority of strokes are ischemic, often caused by blood clots that obstruct blood flow to the brain. For survivors, most of whom are left with some level of disability, the Vivistim Paired VNS System, the device implanted in Lara’s chest, could be a game changer in recovery, said Dr. Robert Starke, a UHealth neurosurgeon and interventional neuroradiologist. He also serves as co-director of endovascular neurosurgery at Jackson Memorial Hospital, part of Miami-Dade’s public hospital system. Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, right, runs into her rehabilitation neurology physician Dr. Gemayaret Alvarez, before her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant designed to help stroke survivors regain function in their arms, goes through exercises while her therapist activates the device during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The activation works as positive reinforcement to her muscles when she completes the exercise correctly. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, does an exercise while Neil Batungbakal, rehabilitation therapist, activates the implant with the black trigger during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. The activation works as positive reinforcement to her muscles when she completes the exercise correctly. (Alie Skowronski/Miami Herald/TNS) Arlet Lara, the first patient in South Florida to get an FDA- approved nerve stimulation implant, does an exercise while Neil Batungbakal, rehabilitation therapist, activates the implant with the black trigger during her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. Arlet Lara, the first patient in South Florida to get an FDA-approved nerve stimulation implant, right, runs into her rehabilitation neurology physician Dr. Gemayaret Alvarez, before her physical therapy appointment on Monday, Sept. 9, 2024, at Lynn Rehabilitation Center at Jackson Memorial Hospital. The implant is designed to help stroke survivors regain function in their arms. (Alie Skowronski/Miami Herald/TNS) The Vivistim Paired VNS System is a small pacemaker-like device implanted in the upper chest and neck area. Patients can go home the same day. The U.S. Food and Drug Administration in 2021 to be used alongside post-ischemic stroke rehabilitation therapy to treat moderate to severe mobility issues in hands and arms. Lara’s occupational therapist can activate the device during rehabilitation sessions to electrically stimulate the vagus nerve, which runs from the brain down to the abdomen and regulates various parts of the body’s nervous system. The electrical stimulation rewires the brain to improve a stroke survivor’s ability to move their arms and hands. Lara also has a magnet she can use to activate the device when she wants to practice at home. Her therapy consists of repetitive tasks, including coloring, pinching cubes and grabbing and releasing cylindrical shapes. After several weeks of rehabilitation therapy with the device, Lara has seen improvement. “Little by little, I’m noticing that my hand is getting stronger. I am already able to brush my teeth with the left hand,” she told the Miami Herald in September. Since then, Lara has finished the initial six-week Vivitism therapy program, and is continuing to use the device in her rehabilitation therapy. She continues to improve and can now eat better with her left hand and can brush her hair with less difficulty, according to her occupational therapist, Neil Batungbakal. Lara learned about the device through an online group for stroke survivors and contacted the company to inquire. She then connected them with her Jackson medical team. Now a year later, the device is available to Jackson patients. So far, four patients have received the implant at Jackson. Starke sees the device as an opportunity to help bring survivors one step closer to regaining full mobility. Strokes are a leading cause of disability worldwide. While most stroke survivors can usually recover some function through treatment and rehabilitation, they tend to hit a “major plateau” after the first six months of recovery, he said. Vivistim, when paired with rehabilitation therapy, could change that. Jackson Health said results of a clinical trial published in the peer-reviewed medical journal in 2021 showed that the device, “when paired with high-repetition, task-specific occupational or physical therapy, helps generate two to three times more hand and arm function for stroke survivors than rehabilitation therapy alone.” The device has even shown to benefit patients 20 years from their original stroke, according to Starke. “So now a lot of these patients that had strokes 10-15 years ago that thought that they would never be able to use their arm in any sort of real functional way are now able to have a real meaningful function, which is pretty tremendous,” Starke said. Vivistim’s vagus-nerve stimulation technology by researchers at the University of Texas at Dallas’ Texas Biomedical Device Center and is being sold commercially by Austin-based MicroTransponder, a company started by university graduates. Similar devices are used to . For Lara, the device is a new tool to help her recovery journey. “Everything becomes a challenge so we are working with small things every day because I want to get back as many functions as possible,” Lara said. Patients interested in Vivistim should speak with their doctor to check their eligibility. The FDA said patients should make sure to discuss any prior medical history, including concurrent forms of brain stimulation, current diathermy treatment, previous brain surgery, depression, respiratory diseases and disorders such as asthma, and cardiac abnormalities. “Adverse events included but were not limited to dysphonia (difficulty speaking), bruising, falling, general hoarseness, general pain, hoarseness after surgery, low mood, muscle pain, fracture, headache, rash, dizziness, throat irritation, urinary tract infection and fatigue,” the FDA said. MicroTransponder says the device is “covered by Medicare, Medicaid, and private insurance with prior authorization on a case-by-case basis.”ASX set to rise, Wall Street hangs near records despite Trump’s tariff talk
Philadelphia (8-2) at Los Angeles Rams (5-5) Sunday, 8:20 p.m. EST, NBC/Peacock BetMGM NFL odds: Eagles by 3. Against the spread: Eagles 6-4; Rams 4-6. Series record: Eagles lead 23-20-1. Last meeting: Eagles beat Rams 23-14 in Inglewood, Calif. on Oct. 8, 2023. Last week: Eagles beat Washington 26-18; Rams beat New England 28-22. Eagles offense: overall (5), rush (1), pass (22), scoring (7). Eagles defense: overall (1), rush (7), pass (2), scoring (6). Rams offense: overall (17), rush (26), pass (T-7), scoring (21). Rams defense: overall (23), rush (18), pass (22), scoring (22). Turnover differential: Eagles plus-2; Rams plus-4. Eagles player to watch RB Saquon Barkley. Barkley combined for 198 scrimmage yards and two scores, rushing 26 times for 146 yards (5.6 average) while adding two receptions for 52 yards against Washington. With 1,137 rushing yards through 10 games, Barkley only trails Baltimore’s Derrick Henry for the NFL lead. He had his sixth 100-plus yard rushing game this season, which is the most in the NFL. Rams player to watch S Kam Kinchens. The rookie third-round pick from Miami had eight tackles, one tackle for loss, an interception and a forced fumble against the Patriots as he continues to come on strong. Kinchens has three picks in the past three games. Key matchup Eagles QB Jalen Hurts vs. Rams’ defensive line. Hurts shredded Los Angeles for 303 yards passing and 72 yards rushing last season despite the presence of superstar DT Aaron Donald. After Donald retired, the Rams turned to a committee approach to get after the passer, and it has worked with rookie OLB Jared Verse and DT Braden Fiske fitting in well next to second-year OLB Byron Young and DT Kobie Turner. But they can only unleash their excellent pass rush skills by limiting Philadelphia on early downs. Hurts has been at his dual-threat best over the past five games, accounting for 15 total touchdowns (six passing, nine rushing) against two turnovers. Key injuries Eagles defensive end Bryce Huff had surgery on his left wrist on Thursday, a move that could allow him to return toward the end of the season. ... WR DeVonta Smith (hamstring) was ruled out on Friday. ... Rams RT Rob Havenstein (ankle) got in two limited practices this week but is doubtful to play. Havenstein sat out the previous two games because of the ailment. Series notes The Eagles have won all three games in Los Angeles since the Rams moved back in 2016. ... Overall, Philadelphia has won seven of the past eight. The only setback came in Week 2 of the 2020 pandemic season. Stats and stuff Barkley has passed 100-plus scrimmage yards in eight of 10 games. That is tied with LeSean McCoy (2011) and Brian Westbrook (2007) for the most by an Eagle through 10 games. His 198 yards were his second most as an Eagle (199 in Week 9). ... The Eagles have allowed two passing touchdowns during their winning streak. Only one opponent has topped 200 passing yards against them in this stretch, with Cincinnati throwing for 222 in Week 8. ... Hurts leads all NFL quarterbacks with 11 touchdown runs and is second only to Henry's 13 scores for the Ravens. ... WR A.J. Brown leads the league in receptions of 30 yards or longer. He is averaging 18.7 yards per catch, the best mark of any player with at least 30 grabs. ... Even before he hurt his wrist, Huff struggled in his first season in Philadelphia with just 2 1/2 sacks and four quarterback hits. His snap count has dipped since he was injured ahead of a game earlier this month against Jacksonville. Huff had 17 1/2 sacks in four seasons with the Jets before he signed a three-year, $51 million free-agent deal with the Eagles. ... Philadelphia has run for at least 150 yards and two touchdowns in five straight games, something it hadn't accomplished since 1949. ... Rams WR Puka Nacua caught his first touchdown of the season in New England. He has at least seven receptions and 98 yards in three of his past four games, with only a second-quarter ejection in Seattle having limited Nacua since he returned from a knee injury. ... WR Cooper Kupp has 614 receptions through his first 98 games, which is fourth most in NFL history through 100 games. Julio Jones (619) is third. ... RB Kyren Williams averaged a season-high 5.7 yards per carry, finishing with 86 yards on 15 attempts versus the Patriots. ... Verse has 11 tackles for loss and 4 1/2 sacks through his first 10 games. Verse is pressuring the quarterback on 20.2% of pass rush snaps, which ranks second in the league overall. ... The Rams were 2 of 8 (25%) on third down against New England, their third straight game converting 25% or worse. ... QB Matthew Stafford has not been sacked in each of Los Angeles’ past three wins. Fantasy tip Don’t be discouraged using Stafford, Kupp and Nacua against Philadelphia's pass defense. All three put up solid fantasy numbers in last season’s meeting, even as the Eagles sat on the ball for nearly 38 minutes. Stafford had 222 yards and two scores, finding Kupp eight times for 118 yards and Nacua seven times for 71 yards and a touchdown, so they'll find ways to produce. ___ AP NFL: https://apnews.com/hub/NFL The Associated Press
The United States Postal Service might have found a way to unite a nation bitterly divided after this month's election: It will release a Betty White stamp. The beloved actor known for roles in "The Golden Girls," "The Mary Tyler Moore Show," "Boston Legal" and others will be on a 2025 Forever stamp, USPS announced this past week. White died in late December 2021 , less than three weeks before her 100th birthday. The Postal Service hasn't announced a release date for the stamp. “An icon of American television, Betty White (1922–2021) shared her wit and warmth with viewers for seven decades,” the Postal Service said in announcing the stamp, which depicts a smiling White based on a 2010 photograph by celebrity photographer Kwaku Alston . “The comedic actor, who gained younger generations of fans as she entered her 90s, was also revered as a compassionate advocate for animals.” Boston-based artist Dale Stephanos created the digital illustration from Alston's photo. "I'd love to send a letter back to my 18-year-old self with this stamp on it and tell him that everything is going to be OK," Stephanos posted on Facebook . Regardless of personal politics, self-proclaimed supporters of Republican President-elect Donald Trump and Democratic Vice President Kamala Harris reacted with delight on social media. "Betty White was my hero, all of my life! I actually had a doll when I was a little girl I named Betty White," one Trump supporter posted on X , formerly Twitter. “Something to make this awful week a little better: We’re getting a Betty White stamp,” a pro-Harris X account posted. White combined a wholesome image with a flare for bawdy jokes . Her television career began in the early 1950s and exploded as she aged. “The only SNL host I ever saw get a standing ovation at the after party," Seth Meyers posted on Twitter after her death. "A party at which she ordered a vodka and a hotdog and stayed til the bitter end.”