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By Michelle Marchante, Miami Herald (TNS) MIAMI — As her students finished their online exam, Arlet Lara got up to make a cafe con leche . 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 have a stroke , 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 approved the stroke rehabilitation system 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. Related Articles 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 The Lancet 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 was developed 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 treat epilepsy and depression . 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.” To learn more about the device, visit vivistim.com. ©2024 Miami Herald. Visit at miamiherald.com. Distributed by Tribune Content Agency, LLC.How do you cut through government red tape? It’s not easy, as several Fort Worth startups can attest. Fort Worth-area entrepreneurs looking to do business or partner with the federal government made presentations to U.S. Rep. Marc Veasey, D-Fort Worth, on Nov. 25 at TechFW. They discussed the challenges they faced in working with and selling to the federal government. “I think it’s more important now that we talked with our entrepreneurs than ever before,” he said. “With Dickies leaving, I think it’s pretty clear that Fort Worth is going to be a town that is going to be very dependent on small businesses and entrepreneurs. We need to provide all the help we can to the people in that space to help power our economy and make sure we have a robust business culture here.” Jay Dixson, co-founder and CEO of RaidoHub, a startup that has developed a predictive software tool for airport managers to provide better customer service to travelers, has been working to connect with the Transportation Security Administration to help reduce passenger wait times at security checkpoints. RaidoHub has some contracts with airports such as JFK International Airport in New York and the Corpus Christi International Airport, but Dixson would like to work with the TSA to see how their technology could be used to improve a customer’s experience through security checkpoints. “That would be a great opportunity for us,” said Dixson. Get essential daily news for the Fort Worth area. Sign up for insightful, in-depth stories — completely free. Galaxy Unmanned Systems LLC, which provides unmanned air services for sports broadcasting and other applications, has had to pivot to military applications because of more restrictive regulations regarding unmanned systems. Jason White, co-founder and managing partner at Galaxy, said the company would like the government to do a better job of providing guidance for companies such as his as to what the rules are. The company has a big contract overseas where the rules are clearer for unmanned aircraft like Galaxy’s, White said. Veasey said he and representatives in Washington, D.C., can offer some help to Fort Worth entrepreneurs. “Sometimes we can point people in the right direction,” he said. “But sometimes, even for us, it can be difficult. We can help cut through some of the red tape and at least help get answers, even if they’re not favorable answers that people want.” Veasey encourages small businesses and entrepreneurs to stay in touch with members of Congress. “We all have case workers and legislative teams to help work on these types of issues,” he said. Don’t get discouraged if you don’t get an immediate answer, he said. “Stay in touch. Build a relationship.” Other companies who gave presentations were: Articulate Labs, which provides technology that turns everyday movement into physical rehabilitation through movement-synchronous electrical muscle stimulation. Tremedics Medical Devices, a company that has developed stent technology to improve congenital heart disease in children. Ampcare, a company that provides treatment for swallowing disorders using electrical stimulation. Also making presentations to Veasey was Cowtown Angels, a group of approximately 45 area investors interested in early-stage companies, and the Space Alliance Technology Outreach Program. The state-funded program offers free engineering and technology to small businesses and houses its North Texas site at TechFW, located off West Rosedale Street. Bob Francis is business editor for the Fort Worth Report. Contact him at bob.francis@fortworthreport.org. At the Fort Worth Report, news decisions are made independently of our board members and financial supporters. Read more about our editorial independence policy here . Your support makes TWICE the impact today. As November draws to a close , time is running out to double your impact. Thanks to the generosity of the Nicholas Martin Jr. Family Foundation, every dollar you give will be matched—up to $15,000. Will you give today to help trusted, local reporting thrive in Fort Worth and Tarrant County? Related Fort Worth Report is certified by the Journalism Trust Initiative for adhering to standards for ethical journalism . Republish This Story Republishing is free for noncommercial entities. Commercial entities are prohibited without a licensing agreement. Contact us for details. This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License . Look for the "Republish This Story" button underneath each story. To republish online, simply click the button, copy the html code and paste into your Content Management System (CMS). Do not copy stories straight from the front-end of our web-site. You are required to follow the guidelines and use the republication tool when you share our content. The republication tool generates the appropriate html code. You can’t edit our stories, except to reflect relative changes in time, location and editorial style. You can’t sell or syndicate our stories. Any web site our stories appear on must include a contact for your organization. If you use our stories in any other medium — for example, newsletters or other email campaigns — you must make it clear that the stories are from the Fort Worth Report. In all emails, link directly to the story at fortworthreport.org and not to your website. If you share our stories on social media, please tag us in your posts using @FortWorthReport on Facebook and @FortWorthReport on Twitter. You have to credit Fort Worth Report. Please use “Author Name, Fort Worth Report” in the byline. If you’re not able to add the byline, please include a line at the top of the story that reads: “This story was originally published by Fort Worth Report” and include our website, fortworthreport.org . You can’t edit our stories, except to reflect relative changes in time, location and editorial style. Our stories may appear on pages with ads, but not ads specifically sold against our stories. You can’t sell or syndicate our stories. You can only publish select stories individually — not as a collection. Any web site our stories appear on must include a contact for your organization. If you share our stories on social media, please tag us in your posts using @FortWorthReport on Facebook and @FortWorthReport on Twitter. by Bob Francis, Fort Worth Report November 26, 2024
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B.C. premier says feds and premiers have right-left strategy to tackle Trump tariffsThe rift within the BC Conservative party has deepened over the resignation of a Vancouver police board member. Elenore Sturko, who represents Surrey-Cloverdale, publicly defied Leader John Rustad's request that she meet with Comfort Sakoma-Fadugba, the VPD board vice chair who resigned over controversial comments about diversity and inclusion in classrooms. "I stand by my position, and I won't be meeting with her," Sturko told reporters on Tuesday shortly before a B.C. Conservative caucus meeting in Victoria. Sturko says she had "no trepidation" going into the caucus meeting with the 13 MLAs who condemned her in a leaked letter but acknowledged it might be "feisty." Sturko told CBC News last month that Sakoma-Fadugba's comments were offensive and that she was right to resign. That put her at odds with some B.C. Conservatives, who said Sakoma-Fadugba raised valid issues about protecting Christian values, and she was a victim of cancel culture. In screenshots shared to Reddit, one of Sakoma-Fadugba's posts discusses how "mass immigration" and "a growing aversion to assimilation" are "transforming Canada into a place where a shared identity is disappearing." Another post questions Diwali celebrations at schools, saying the "push for secular education isn't about religion — it's about erasing Christian values from the lives of our children." Group of B.C. Conservative MLAs turn on fellow caucus member for backing police board member's resignation Vancouver Police Board vice-chair resigns following social media comments A third references "gender transitions" while criticizing a "woke culture that pits children against their parents." Thirteen Tory MLAs signed a letter condemning Sturko's comments and pressing Rustad to ask her to apologize." It is our view that the statements caused undue harm to Ms. Sakoma and called into question our commitment to the core values shared by Conservatives," they wrote. As they walked into their party's caucus meeting, all 13 MLAs refused to comment on why they signed the letter. Rustad had been silent about the issue until Monday night when he posted on social media that he had shared a meal with Sakoma-Fadugba in her home and invited Sturko to meet with her as well. On The Coast 10:14 Cracks appearing in B.C. Conservative Party B.C. Conservative Party board president Aisha Estey talks about 13 B.C. Conservative MLAs turning on fellow B.C. Conservative MLA Elenore Sturko in a leaked letter to party leader John Rustad. "I want to make it crystal clear where I personally stand — I support Comfort Sakoma, and I don't believe she should have been asked to quit the VPD police board," Rustad wrote. He said he understands "the critical importance of freedom of speech, particularly for MLAs." However, he said Sturko should "meet with Comfort Sakoma before drawing further judgment. "Comfort is a wonderful person with so much to offer, and I hope she continues to advocate for the Conservative movement in British Columbia and in Canada." CBC News asked Rustad Tuesday if Sturko publicly defied him by responding that she would not meet with Sakoma-Fadugba. "I expected that she would," he said. "They have the right to be able to say things, they have a right to bring forward issues." Rustad denied there's a rift in the party, saying differences of opinion are welcome. B.C. Conservative Leader John Rustad speaks to reporters after forming Opposition on Oct. 29, 2024. (Mike McArthur/CBC) Sturko said she was disappointed to learn about Rustad's position on social media but insists she stands behind him as party leader. "I came to Victoria and joined this party to work side by side with John. I intend to do that," Sturko said. "I think that what people don't necessarily realize is that caucuses do have disagreements." Former B.C. United spokesperson Andrew Reeve told CBC News he expected divisions within the big tent B.C. Conservative Party which formed as a result of several high-profile defections among B.C. United MLAs, including Sturko. However, Reeve said he didn't expect those rifts to happen just weeks after the Conservatives became the Official Opposition and for them to be exposed so publicly. B.C. Conservative leader names shadow cabinet, takes shots at NDP Rustad has said he will allow his MLAs to have free votes on issues and vote according to their conscience, but Reeve says that could expose further divisions between social conservatives and more progressive centrists in the party. The letter's signatories are: Tara Armstrong, Rosalyn Bird, Dallas Brodie, Brent Chapman, Reann Gasper, Sharon Hartwell, Anna Kindy, Jordan Kealy, Kristina Loewen, Macklin McCall, Heather Maahs, Korky Neufeld and Ward Stamer.
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