Episode Transcript
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Speaker 1 (00:10):
Welcome back to Truly Significant Presents. I'm Rick Tokeeney and
Truly Significant dot com is the center where you can
go to honor people that have helped you. Today's special
guest is doctor Gary Seal, Regional director of Clinical Services
at Houston's Center for neuro Skills, a leading provider of
(00:36):
brain injury and stroke rehabilitation, and doctor Seal, it's great
to have you on. Welcome, Thank you, it's good to
be here. Tell us a little bit about yourself, your hometown,
and maybe a little bit about your education.
Speaker 2 (00:53):
All right, Well, I was born in Birmingham, Alabama. I
grew up in Alaba. I attended a small state college
in North Alabama, Jacksonville State University, earned bachelor's and master's
degree in biology and psychology. Went on to study psychology
(01:16):
in the master's program. Worked as a clinician in various
settings for a couple of decades. Went back to graduate
school at the young age of fifty at University of
Texas Medical Branch in Galveston, Texas, and obtained a.
Speaker 3 (01:35):
PhD in rehabilitation science.
Speaker 2 (01:39):
I've been working in post acute brain injury rebilitation for
about thirty five years and Center for Narrow Skills is
a provider of post acute rebilitation services. We have seven
clinics in both Texas and California and CNS has been
around for forty five years providing excellent postcute rebilitation to
(02:03):
individuals with acquired brain injury.
Speaker 1 (02:08):
That's fantastic that that really is significant because of the
lives that you are changing. And I want you know today,
with it being as hot as it is and the
heat wave that seems to be sitting over our nation,
I want to talk to you about what's going on
this summer and what's going on with the brain, and
(02:29):
maybe this is something that could be used year round. Two,
let's start with this. When the when the brain overheats,
it shuts down, and we understand it's it's like an
overwhelmed switchboard. What's the most compelling case you've seen where
someone has actually come back from the brink of brain
(02:50):
damage due to a heat stroke?
Speaker 3 (02:53):
Right?
Speaker 2 (02:54):
So, what happens during heatstroke is, you know, the body
is not able to regulate core temperature, and body temperatures
can soar to one hundred and four degrees or greater,
and at that point, some of the signature symptoms of
heat stroke include confusion, slurrege speech. People can become irritable
(03:23):
or agitated, and in severe cases experience a seizure or
a lapse into coma. And what happens to the brain
when it overheats like that, There is brain swelling. So
as the brain swells, it decreases what we call perfusion pressure. Right,
(03:46):
So blood carries oxygen and nutrients to the brain. When
the brain swells, you know, blood can't be pumped efficiently
into the brain and so it's robbed of oxygen and nutrients.
It also sets up chronic inflammation, and so the inflam
excuse me, the inflammation prevents the brain from communicating. The
(04:09):
brain is highly connected and so the brain can't communicate.
And also because of increased profusion pressure, auction and nutrients
can't get to the cells, and so the brain experiences
what's called hypoxia, which can interfere with areas of the
(04:29):
brain that are involved in learning memory.
Speaker 3 (04:33):
Those kinds of things.
Speaker 1 (04:37):
Walk us through a moment maybe from an athletic field
or job site or senior care facility where quick thinking
actually saved a life.
Speaker 2 (04:51):
Right, So, as you point out elderly individuals, children athletes
are at at the most risk for experiencing heat stroke,
and it occurs primarily early.
Speaker 3 (05:07):
In the year.
Speaker 2 (05:08):
You know, you mentioned a moment ago that we've experienced
this dome of high pressure that's bringing in excessive heat,
and so people just aren't ready for it, and so
they tend to engage in normal activities.
Speaker 3 (05:21):
Again.
Speaker 2 (05:22):
They're out practicing for you know, baseball or football, or
they're doing yard work or whatever, and they've become overwhelmed.
Speaker 3 (05:32):
I think the most.
Speaker 2 (05:33):
Dramatic case that I've seen is against someone out working
gentleman that I'm referred to as working on some lighting
at a stadium in East Texas, became overwhelmed with heat
and passed out on a He was on a platform
(05:57):
and actually fell onto the middle of a football field.
He was was He was recognized by his co workers
and they quickly were able to pull him into the
shade and begin cooling.
Speaker 3 (06:11):
You know.
Speaker 2 (06:11):
They had some some ice and some other things in
an ice chest, and they began cooling him, but called
nine to one one, uh, they were able to rush
him to the hospital. He did suffer a mild hypoxic
or anoxic brain injury, but through rehabilitation made a rather
(06:33):
remarkable recovery, was able to go back to work. But
it was the quick thinking of his co workers UH
and a very competent EMS team that were actually actually
able to get to him, quickly, cool him down, get
him to a Level one trauma center, and that quick
action probably prevented more serious brain injury.
Speaker 3 (06:57):
My goodness.
Speaker 1 (06:59):
Over the course of the forty five history forty five
year history of Center for Nurow Skills, I'm sure things
have changed, but I'd love to get your observation on
have you observed that these conditions have been enhanced by
increasing heat that we've had. That's question number one and
(07:22):
part two is is there any truth behind the myth
that we may be predisposition to heat stroke based on genetics.
Speaker 2 (07:35):
Well, I will tell you currently about sixty thousand cases
of heat stroke are recorded every year, and it appears
that those cases are increasing. About twenty percent of those
sixty thousand that experienced heat stroke each year will require hospitalization,
(07:59):
and there are about, unfortunately, about twelve hundred heat related
deaths each year, so those numbers are are slowly increasing
over time. It could be again due to you know,
climate change, could be due to the fact that you know,
people feel a need to you know, engage in and
(08:23):
work or recreational activities in the.
Speaker 3 (08:26):
In the outdoors.
Speaker 2 (08:28):
But I also think that it has to do with
lack of prevention. This really is a case where an
ounce of prevention is worth a pound of cure. You know,
people really need to be aware of, especially in the
beginning of the summer, that any any heat index of
(08:49):
ninety degrees or more, and a heat index obviously is
a combination of heat plus humidity.
Speaker 3 (08:55):
So if it's ninety.
Speaker 2 (08:56):
Degrees or more, people really need to pay attention to
their exposure, particularly between ten am and say four pm,
uh and where light clothing, hydrate take breaks.
Speaker 3 (09:12):
You know, just just be be.
Speaker 2 (09:14):
Mindful and engaging in preventive activities. In terms of a
genetic predispision position, I'm I'm.
Speaker 3 (09:21):
Really not not aware of that, so i can't I
can't speak to that.
Speaker 1 (09:29):
That's good, you know, that's I like to put myths
to bad here on our podcast. So that was that
was my one of my bonus questions for you. The
way you answered it to me, it sounds like it
will remain a myth.
Speaker 2 (09:44):
Yeah, I mean, people are people are genetically predispo treat
pre disposed to stroke, which is more of a vascular issue,
So that that is true, that is not a myth.
People are are predisposed to basketer of injury in the brain,
their predisposed of cardiovasketer accidents that can lead to again
(10:07):
an oxic hypoxic brain injuries. But I'm not aware that
there's a genetic predisposition to heat stroke.
Speaker 1 (10:15):
Thank you. What has been some of the changes over
the last decade or so when it comes to stroke recovery.
I'd love for you to share some positive news there.
Speaker 2 (10:27):
Yeah, so a number of things. One is a medication
called TPA and it was developed as a way to
restore blood flow to a brain that has experienced stroke
(10:48):
due to a blockage or what we call.
Speaker 3 (10:51):
An ischemic infarct.
Speaker 2 (10:53):
So this is a medication that if it is administered
within a few hours of the onset of stroke symptoms,
it can restore blood flow and reduce the amount of
damage to the brain. Most again, level one trauma centers
(11:13):
can deploy this medication to patients experience and a schemic
stroke if it's administered again within within the first few
hours of stroke symptoms. So again, the time is of
the essence if individuals noticed that a loved one or
a coworker again has you know, unilateral facial group slurge,
(11:39):
speech confusion, you know, weakness on one side or the other.
Those are classic symptoms of a stroke. To call nine
to one one, get them to a level one trauma
center where t PA can be administered and again reduce
the damage and the long term impact of ischemic stroke.
Speaker 1 (12:03):
Thank you doctor for those warning signs. And I'm being
warned by my production people that we need to take
a break, so we'll be right back after this message.
Speaker 4 (12:16):
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Speaker 1 (13:57):
We are back with doctor Gary Seal. We were talking
about heat strokes, brain trauma and enjoying this conversation. I think,
even though it's hot out here, over the course of
my lifetime, I have noticed it's got become hotter and
hotter and hotter. And I'm sure that there's been if
(14:20):
you did a line shart strokes have increased with the
heat right.
Speaker 3 (14:25):
Right, the heat strokes.
Speaker 2 (14:28):
As I mentioned earlierier, there are about sixty thousand documented
case of heat stroke annually, and those are those again
if you looked over time, excuse me, those numbers have
increased over time.
Speaker 1 (14:43):
Yeah, it's that's the reason why we do programs like
this is almost a public warning, and I think we
have to continue to educate our audiences on all of this.
Speaker 3 (14:57):
It's very important.
Speaker 1 (14:59):
There's a second, dary reason for having you on today,
and it's because we are obsessed with the topic of
success versus significance. And I would you being serving in
the medical field. Thank you for that, for starters and
for going back to school at fifty. I was quite
brave and courageous of you. I would love for you
(15:21):
to tell us what the word significance means to you
at your wonderful age and stage of your career.
Speaker 2 (15:30):
I think significance to me is about is about making
a difference, making an impact in whatever area you find
yourself in, making a contribution, trying to leave your field
(15:51):
or the world just a little bit better for having
been in it. So that's I feel like maybe I
rambled through that, but that that would be my that
would be out my off the cuff.
Speaker 3 (16:03):
Definition of significance.
Speaker 1 (16:06):
What what do you wish your legacy to be.
Speaker 3 (16:12):
I'm very well obviously I would like to make.
Speaker 2 (16:16):
Some some mark on the on the field of brain
injury rebilitation, brain injury is a you know, is a
public health problem not only in the US but globally.
When we talk about brain injuries. In the United States,
there are about two and a half million traumatic brain
(16:37):
injuries and other eight hundred thousand or so strokes each year.
Speaker 3 (16:43):
There are also other.
Speaker 2 (16:44):
Brain injury ideologies and oxic hypoxic injuries, viral processes. So
again there's about about three and a half million brain
injuries each year and they can be devastating and certainly
with that out proper rehabilitation, meaning the right amount of
(17:04):
rehabilitation at the right time of you know, appropriate intensity
and duration, people can and do recover and regain a
life of quality and high satisfaction. But it takes. It
takes rehabilitation. So wanting to make a make a mark
(17:26):
on on the field, but also leave a legacy with
with my family have five children and nine grandchildren, uh
and obviously want them to to grow to be a
good kind, productive human beings. So wanting to to leave
(17:47):
a legacy there as well.
Speaker 3 (17:50):
Way to go.
Speaker 1 (17:51):
Gary, Now we're talking about not that brain injuries aren't important,
and that's the reason why you're on today. Grandchildren. I
have two, you have nine. On the big scoreboard of life.
So what are you teaching them about taking care of
(18:12):
themselves from an overarching health perspective.
Speaker 2 (18:17):
Yeah, so, I you know, this is going to sound oversimplified,
but it's really it's really more difficult to pull off.
But in terms of overall health, and particularly when we
think about heart health, brain health, if we were more
intentional and again I try to teach my children and
(18:38):
my grandchildren this, if we were more intentional about what
we put in our mouths, right, so, eating, eating a
clean diet again, whole fruits, vegetables, staying away from processed
kinds of food again, hydrating not you know, not putting
(18:59):
you know, alcohol or cigarette smoke in your mouth. If
we were more intentionally about what we ate, If we're
more intentional about moving, exercising, and again, you don't need
to go to the gym and pump iron and grunt
for ninety minutes. You can you can walk briskly for
twenty or thirty minutes a day and provide a great
(19:21):
you know, it provides a great deal of benefit cardiovascularly.
And then finally being intentional about sleep, we are a
sleep deprived nation. Sleep deprivation is associated with all kinds
of health related problems, anxiety, cognitive impairment. It's been linked
(19:44):
to obesity and various cancer. So again, eat, sleep, move.
If we can be more intentional about those three things,
we can prevent a number of chronic conditions that can
lead to, for example, stroke.
Speaker 1 (20:06):
Way to go, Gary, that's what I wanted to hear.
I should have found out you were a grandparent at
the beginning of the show, and then that would have colored.
Speaker 3 (20:14):
The made this show a little bit different.
Speaker 1 (20:16):
Thank you so much for being on, so informative, so
important and truly significant. I appreciate your work in the
field and how you expressed yourself today not only as
a dad, a granddad, but as a professional within the
health industry. Thank you, sir for being on.
Speaker 5 (20:36):
Well.
Speaker 2 (20:36):
We appreciate you having us and Center for neuro Skills
appreciates the opportunity.
Speaker 3 (20:40):
Thank you so much of.
Speaker 1 (20:43):
Course, and folks, we hope that you found this show useful. Gary,
do you want to give out a website for any
additional information?
Speaker 2 (20:52):
So sure, we are at Neuroskills one word in Euros
l LS dot com. And again we have facilities in Bakersfield,
which is a home office, Los Angeles and San Francisco
and in Texas, We're in Houston, Austin, Fort Worth, Dallas,
(21:16):
and later this year we will open our new location
in Plano, Texas, so look for us at neuroskills dot com.
Speaker 1 (21:27):
Very good and folks, we hope that you enjoy today's
illuminating program and as we always say, we wish you
success but on your way to significance.
Speaker 3 (21:38):
Have a great week.