Thursday, May 26, 2011

My Friends Inspire Me

My friends and colleagues pianist Jon Schmidt and cellist Steven Sharp Nelson inspire me to be a better musician. Steven is one of the artists on the record label I own and manage Stone Angel Music, Inc. (http://www.stoneangelmusic.com)

Look Familiar?



My daughter Eden and I recognized this gentleman and thought we should get a picture with him. We have a lot in common although he's much wider than me.

Tuesday, May 17, 2011

My Old Heart | Diet & Exercise.

When I left the hospital with a new donor heart, after surviving years of heart failure, I weighed 139 lbs. Today, I'm 170 lbs. and I can feel it. Ironically, when pathologists weighed my defective old ticker it was 7 lbs vs. my new donor heart that weighs 2.7 lbs.

Photo: Holding my abnormal heart in pathology the day I left the hospital with a new donor heart. A large section had been taken to the University of Utah Hospital for study leaving behind this section. In most cases, your normal human heart is the size of your fist.

Feeling like I need to change my diet and exercise more I have reread some valuable information that certainly might be helpful for those of you with normal hearts.

Columbia surgery.com says the following:

Lifestyle Changes after Your Heart Transplant Operation

1. Maintaining Your Optimum Weight

To give your new heart the best advantage in restoring your health, keeping your weight at an optimum and steady level is very important. Excess weight increases the work your heart must do to pump your blood to all the cells of your body. Excess weight will also cause stress on your joints and lead to pain; it also stresses your bones, making them more prone to breaking.

The best way to control your weight is with proper diet and exercise. After transplantation, diet becomes a very important part of your life. The drugs you take to prevent rejection have several side effects which make a "heart healthy" diet a necessity. The nutritionist on the transplant team and your physician work with you to develop a healthy and controlled eating plan to help you maintain your optimum weight.

Caffeine, Alcohol and Tobacco

These commonly-used substances will need to be eliminated or severely restricted in your new healthy lifestyle.

Caffeine is a stimulant of the central nervous system and can over stimulate your new heart. Some are more sensitive to the effects of caffeine than others. It can cause insomnia, heartbeat irregularities and diarrhea. Even a moderate amount of caffeine can promote headaches, trembling and nervousness. Your doctor will advise you on your need to limit your use of caffeinated products like coffee, tea, chocolate and sodas.

Alcohol consumption should be eliminated or severely restricted after your transplant. Alcoholic beverages are high in calories, low in nutrients and can increase the level of triglycerides in your blood. Even more important is the fact that alcohol can impair your liver's function. Cyclosporine and other medications are broken down in the liver. So, for your medications to work properly and safeguard your new heart from rejection, it is essential that your liver be healthy and properly functioning.

Smoking tobacco is a high-risk activity. We strongly recommend that you do not smoke. Smoking lessens the ability of your red blood cells to carry oxygen; less oxygen reaches your tissues, decreasing your ability to heal. Smoking constricts your blood vessels, especially those in your legs, arms and heart. All of these problems are accentuated in individuals taking immunosuppressive medications.

2. Physical Exercise

After transplant surgery, an active, progressive daily exercise program is vital for your full recovery. It will rebuild your muscle strength. It will boost your mood and enhance your mental state.

Photo: Climbing Mount Olympus last year, June 9, 2010, 9 months after my transplant. I am still amazed I was able to do that difficult climb.

As a heart transplant recipient, you will find that your sensory experience of exercise is now very different from before. Your new heart does not have the same nerve connections as your old. In most patients, the nerves severed during surgery do not grow back like other structures in your body. We refer to your new heart as a "denervated" heart. Because your heart is denervated, its responses to exercise are different. Your heart functions perfectly well despite these differences; they do not limit what you are able to do.

Another important difference is that you will no longer experience chest pain, or angina, when you exercise. The nerve connections that conducted this pain are gone. Any chest pain during exercise will probably be caused by the ongoing healing of chest after surgery. This lack of sensation is the rationale for receiving coronary angiograms each year following transplantation.

After receiving a new heart, we expect you to participate fully in all of life's activities. This means enjoying family activities, returning to work, leading a normal social life and contributing back to society.

- Posted using BlogPress from my iPhone

Saturday, May 14, 2011

Cardall's Taser death inspires Utah police training

“Out of tragedy comes good things,” Utah Governor Herbert said, before signing the resolution known as S.C.R. 1. “Our state is in a better place in many ways because of the Cardall family and their tragedy.

By Melinda ROGERS

The Salt Lake Tribune
First published May 11 2011 07:05PM
Updated May 12, 2011 10:08AM


He was supposed to be finishing school this week.

Two years ago, Brian Layton Cardall, 32, earned a prestigious fellowship to conduct research for a doctorate in biological sciences at Northern Arizona University in Flagstaff.

Photo: Governor Herbert, Senator Jones, my parents, brother's widow Anna with Brian's kids and her sister

His dreams of embarking on a career in science were cut short on the side of a southern Utah highway in 2009 when a Hurricane police officer deployed a Taser on him as he experienced a bipolar episode. Cardall’s wife, Anna, called 911 to ask for medical help, and watched as police instead used a stun gun on her confused husband, who later died.

On Wednesday, Anna Cardall brought her daughters Ava, 4, and Bella, 18 months, to the state Capitol to celebrate their dad’s legacy in a way the family never envisioned: By observing Gov. Gary Herbert hold a symbolic signing of a resolution that encourages the state’s police departments to participate in a program designed to better train officers on how to handle encounters with the mentally ill.

Photo: Salt Lake City Police Chief Burbank expressing his departments support

The Cardall family listened as Herbert complimented the family for sharing their story about losing Brian — and highlighting the need for a better understanding among police forces about mental illness.

“Out of tragedy comes good things,” Herbert said, before signing the resolution known as S.C.R. 1. “Our state is in a better place in many ways because of the Cardall family and their tragedy.”

Photo: With Governor Herbert and my father.

State Sen. Patricia Jones, D-Holladay, introduced the resolution during the last session to endorse the CIT Academy and the education and training it brings law enforcement. Her resolution, which came after working in conjunction with the Cardall family and the National Alliance on Mental Illness of Utah, calls for law enforcement to recognize that the CIT Academy improves the outcomes of police officers’ encounters with the mentally ill. It asks police agencies to put officers through the academy.

Salt Lake City Police Chief Chris Burbank praised the program at Wednesday’s ceremony at the Capitol, saying that officers who have a sharper understanding of mental health issues are able to help the community. The department adopted the program in 2001.

The Salt Lake City Police Department was recently chosen by the Council of State Governments Justice Center as a “mental health learning site” — a place where other law enforcement agencies can look for guidance on how to improve their responses to the mentally ill. Only six police departments in the U.S. received the designations, which were chosen by national experts and the U.S. Justice Department’s Bureau of Justice Assistance.

Salt Lake City Detective Ron Bruno, who oversees the CIT Academy, has previously said the Brian Cardall case appears to have motivated other police departments to enroll in the program. The Hurricane Police Department is among the agencies that started attending the CIT Academy after Cardall’s death.

About 12 percent of Utah’s 1,200 law enforcement officers hold CIT certification; more have likely undergone the training but have had their certifications expire, Bruno said. Continue Reading on the Salt Lake Tribune website

Members of the Salt Lake City Police Department with Governor Herbert

AT A GLANCE:
The Cardall lawsuit

The family of Brian Cardall has filed a federal lawsuit against two Hurricane police officers involved in the use of a Taser on the 32-year-old man as he suffered a bipolar episode on the side of State Road 59 near Hurricane on June 9, 2009.


Brian Cardal's Presentation at the 2009 Tamarisk and Russian Olive Research Conference, Tamarisk Coalition, Grand Sierra Resort, Reno, Nevada, February 19, 2009


Anna Cardall had called 911 to report her husband behaving erratically, and told dispatchers her husband was unarmed, had bipolar disorder and had taken Seroquel, a medicine used to treat manic episodes associated with the disorder. The lawsuit alleges police could have contained Brian Cardall differently. The complaint, which is pending in federal court, alleges several missteps were made by Officer Ken Thompson and Hurricane Police Chief Lynn Excell at the scene.

Thompson deployed a Taser 42 seconds after arriving at the scene, despite information from a 911 dispatcher that Cardall was bipolar and was waiting for medication to take effect. Dispatchers told officers that Cardall spoke of meeting the president and was jumping in front of cars on the road — indications of mental illness.

Thompson and Excell went to the scene, even though the incident was outside of Hurricane city limits and within the jurisdiction of the Washington County sheriff’s deputies who were en route.

When Thompson arrived at the scene, the 156-pound Cardall, nude and unarmed, was no longer in the road. Thompson drew his Taser and began shouting commands. When Thompson yelled, “Come here,” Cardall put his hands up.

Thompson and Excell did not make any effort to take Cardall into custody after he was hit by a Taser. He remained on the ground, breathing and moaning after the first Taser cycle. Thompson waited only two seconds before firing a second shot at Cardall; Excell then rolled Cardall facedown in the gravel and handcuffed him.

Thompson did not use a can of pepper spray. Neither officer tried to use their hands to restrain Cardall.

The officers did not render aid to Cardall before paramedics arrived, even though he appeared not to be breathing. They did not evaluate Cardall’s airway or turn him on his side so he could breathe more easily. Cardall was left handcuffed.

Peter Stirba, a Salt Lake City attorney representing the Hurricane Police Department, maintains Hurricane police responded to the Cardall situation in accordance with their training. After an investigation last year, Washington County Attorney Brock Belnap found the officers were justified in using a Taser on Cardall.

Friday, May 6, 2011

My Community College

" My Community College offered me tremendous opportunities for growth in our world."

How did your college experience impact your life? I learned valuable lessons that have helped me throughout my career. However, my education didn’t always come from the classroom.

Photo: Prior to the SLCC Commencement 2011 at the Maverick Center

Fifteen years ago, I had the privilege to be a student at the University of Utah as well as Salt Lake Community College (SLCC). A bulk of my experience was at SLCC for which I take great pride. My most valuable memories were the extracurricular activities associated with leadership and serving the SLCC student body in the after hours.

Before college, as a high school student I enjoyed being involved, organizing school events, and taking on leadership roles. So naturally I applied for the SLCC Freshman Leadership Scholarship with hopes of two things. First, I was hoping to alleviate some of the financial stress associated with attending college. Second, I wanted to continue working with other creative people to learn from them and together improve the lives of those around me.

My freshman year of college was exciting and there were more than 40,000 students attending our community college. I appreciated the rich diversity, unique cultural differences and various religious views shared by the student body.

Photo: Receiving an honorary doctorate of humane letters from Salt Lake Community College and the State of Utah Board of Education Friday, May 5, 2011

I became a member of the college activities board. United, it was our desire to help other folks have a good experience while attending school.

Under the direction of our faculty, we held barbeques on the quad with disc jockeys and live bands, flew in comedians, and enjoyed guest lecturers like Barry “Greg” Williams from the Brady Bunch. Schindler’s List hit theaters and we organized a sobering evening watching the film after which a holocaust survivor told his frightful story.

I left college after one year to serve a mission for my church. Two years later I returned to the SLCC campus to visit friends and faculty mentors. The nostalgia of my previous experience drew me back to that institution where I then chose to pursue my associate of science degree.

Photo: Celebrating with family at the SLCC Presidents dinner held the night before commencement.

Over the next year, I took great pride in working on campus as the Fine Arts Board Chairperson and briefly as the Student Body Public Relations Vice-President where I learned how to develop, organize, market, and manage campus events. In addition, to earn money, I took a part-time job in the student development office visiting high schools and college fairs to encourage other students to go to college.

To this day, I have often found myself applying these principles of leadership to the everyday aspects of my career. I also learned that outside of my career it’s that extra time devoted to my family, church, and other organizations associated with my expertise that truly give me greater purpose, direction, builds self esteem, and provides a wonderful sense of belonging to a community.

Photo: Keynote address was by Morgan Spurlock, made famous for his documentary "Super-Size Me" and "The Greatest Movie Ever Sold"

Because of the countless acts of kindness shown to our family during my heart transplant crisis and my love of SLCC, our family foundation created an endowment and annual scholarship in an effort to help students born with congenital heart disease or another similar disorder.

Often times, people born with life threatening illnesses, do not for see a long life and set aside their educational pursuits. Others can’t afford education because of medical bills. By creating this scholarship it was my hope that these individuals who thought college would never be a possibility, will be empowered, find hope in the future, and purpose in pursuing an education despite their circumstances.

Last year’s recipient of The Paul Cardall Scholarship for Congenital Heart Disorders was Sydney Porter from North Sevier High School. She has devoted time as a volunteer to the Special Olympics and is pursing a business marketing degree.

This year’s 2011-2012 recipient is Barbara Burns, a mother from Kamas, Utah. She is pursuing a career in radiology, is a member of National Honor Society, associated with Hospice, and volunteers for the Boy Scouts of America. Despite her complicated heart defect, Barbara has said, “I expect to graduate school as I continue this journey with great enthusiasm.”

Photo: Enjoying the honor with my wife Lynnette

Last evening, I had a rare privilege to attend the SLCC commencement ceremonies. More than 4000 degrees were awarded to graduates of Salt Lake Community College (SLCC) from the nation’s 3rd ranked best community colleges based on degrees awarded. As an alumnus, I was honored to be among these graduates to receive an honorary doctorate of humane letters.

I am grateful for my association with my community college. I believe SLCC to be one of the finest institutions that has offered me tremendous opportunities for growth in our world.

Wednesday, May 4, 2011

Life Long Survival with Congenital Heart Disease

"If your doctor can't draw your defect on a napkin or piece of paper, and has less than 20 patients with CHD, then you need to find a new doctor."

There are over a million adults living with congenital heart disease.

Last week, the Adult Congenital Heart Association gathered for a conference in L.A. that brought together a majority of physicians who specialize in caring for potential life long survivors in the field of congenital heart disease.

Photo 1: Enjoying the conference with my wife Lynnette and Utah's adult congenital cardiologist Angela Yetman, M.D.

I was fortunate to attend with my wife and meet many of these doctors along with several adult survivors who like me are enjoying a good life despite it's many challenges.

I walked away from the conference believing adults who have survived with CHD and the doctors who care for them are clearing a path that will enable even more children born with abnormal hearts to grow up and enjoy life. This requires, however, patients never stop seeing a congenital cardiologist just as you would not stop seeing your dentist to avoid cavities.

The average cardiologist, even if they have a little bit of experience with birth defects, usually do not understand how to treat deformed hearts.

Photo 2: Adult Congenital Cardiologists discussing life long care at the ACHA Conference in L.A.

Specialists or congenital cardiologist understand the anatomy and know how to treat symptoms and find corrective surgical procedures. Many patients with complicated heart problems often can develop long term complications associated with their particular heart problem. For example, liver failure or arrhythmias. Only adult congenital cardiologist know when to start looking for early signs as well as provide up and coming medical therapies and treatments for these adults before it becomes too late.

Above all, "if your doctor can't draw your defect on a napkin or piece of paper on the spot, and has less than 20 patients with CHD, then you need to find a new doctor," said Daniel Murphy, Jr. MD from Stanford.

I discussed the ACHA conference and adult care on the CHD Show with Jim Ferretti.

Take a listen to the podcast:
http://paulcardall.com/Congenital_Heart_Disease.xml

or on Itunes
http://itunes.apple.com/us/podcast/the-chd-show-jim-ferretti/id414133851


THE ACHA
Learn more about ACHA and find detailed information for adults with CHD