YesterdaySenate Minority Leader Mitch McConnell had a sudden change in his mental status while delivering remarks on Capitol Hill. McConnell was hospitalized with a concussion and rib fractures in March of this year, and per reports, has suffered both some physical challenges and an apparent slow-down in some of his work.
This is clearly an acute change in mental status. Possible causes are extensive, but certainly include small strokes or transient ischemic attacks [TIAs]. He would absolutely require medical attention. If this sort of thing has been happening often, it may not necessarily need an ER or hospital visit, but that would be certainly worrisome overall for different reasons. But generally, if I saw this in a patient and it was a "new event," I'd be doing a pretty big barrage of tests.
Yes, garbled/nonsensical speech would be a very common presentation of a TIA. But sorta trailing off like this is another one we see. Partial seizures can also look like this. And certainly his prior head injury could have been caused by an event like this (he briefly loses attention focus/ orientation and then falls) or could be the result of the fall (intermittent symptoms of chronic concussion). It's very broad, but some tests can quickly narrow it down.
The senator had a transient alteration of brain function that caused him to stop speaking, likely affecting his awareness and gait. At the very least, he should have had an evaluation by a medical professional ( I assume that was available) who could decide whether he needed to go to an ER. Also, with transient events with a broad differential diagnosis, an evaluation at the time of the event may provide the best chance of arriving at the correct diagnosis, as sometimes subsequent extensive testing does not solve the problem.
In this \u201Cevent,\u201D his remarks began normally enough, before he suddenly faded out, seemingly. He then proceeded to stare off into space for an alarmingly long period of time before anyone (he or anyone else) said anything.
I clocked it. There\u2019s around 27 seconds of silence from the 81-year-old Senator\u2014and it is a long 27 seconds. It\u2019s not easy to watch. But he did respond to his colleague, and made some verbalization at the end of the 27-second stretch. A short time later, as the video below shows, he was apparently back to his normal.
This is clearly an acute change in mental status. Possible causes are extensive, but certainly include small strokes or transient ischemic attacks [TIAs]. He would absolutely require medical attention. If this sort of thing has been happening often, it may not necessarily need an ER or hospital visit, but that would be certainly worrisome overall for different reasons. But generally, if I saw this in a patient and it was a \\\"new event,\\\" I'd be doing a pretty big barrage of tests.
McConnell\u2019s colleagues didn\u2019t seem to fazed by this. It\u2019s almost as though they\u2019d seen this before and knew how to handle it. (They did a nice job.) Partial seizures (which don\u2019t always have shaking) are always a risk after concussions like the one the Senator suffered earlier this year.
Based on the video alone, my impression is that any patient who experienced such an acute change in mental status would have required an immediate transfer to an emergency room for tests and observation. There\u2019s a caveat, though. If these events have happened to McConnell many times in recent months, it might have been determined by the Senator\u2019s doctors that he and his staff need not activate 911 every time it happens\u2014unless the events have changed in some way, either in duration, frequency, character, or in severity. Knowing what to do in such events can be tough calls when they happen frequently.
So it\u2019s possible that McConnell did not \u201Cneed\u201D to go to an ER, because the event was in line with what his doctors and he determined was \u201Cokay\u201D to ride out, under supervision of aides. Of course, if these events have become commonplace for the Senator, it raises other questions about his overall cognitive abilities and risk.
I\u2019ve worried aloud about our aging politicians on both sides of the aisle. It\u2019s not an age thing. It\u2019s not even about being able to function at a high level with some medical problems. But watching the McConnell video\u2014and as well as other recent examples of politicians looking a little frail\u2014made me wonder just how well some of our aging leaders are able to handle complex and nuanced information. Can they be relied on to react quickly and clearly in a key moment? Our leaders don\u2019t literally need to be able to dodge a shoe\u2014although to this day, I remain impressed with then-President George W. Bush\u2019s nimble reaction to being ambushed by flying footwear. There\u2019s just something to be said for that level of situational awareness.
I noticed today that occasionally the seconds display would disappear then reappear some time later. The interval between disappearing and reappearing would vary as well as the time between disappearances. The minute continues to update, so the watch is frozen. I can also select a widget when the seconds are missing, then back to the watch display and the seconds would be displayed.
I noticed it too. It appears to occur when the watch has been still for a while. The seconds indication returns as soon as the watch is moved. Its a bit of a quirk (possibly helps to conserve battery power?) and I see it as an undocumented "feature" rather than a bug. It can be a pain, however, if you're using the main watch display to time something (e.g. waiting for it to return to 00 to set the time on another clock).
I understand that this is how the watch is designed to work (to conserve battery by reducing the need for screen refreshing), but it's really annoying when you're timing something when you're absolutely still (e.g., holding a plank! ;-) ). I would like to see an option in System Settings for turning this behavior on and off.
Unfortunately, from the version 6.52 it is only 15 seconds (sometimes 30 seconds). Before the version 6 it was 5 minutes. A few days ago I was trying to configure windows scheduler to wake up my computer, and I needed to see real time including seconds. My frustration from non working scheduler was worsened by the Instinct, laying on the table, which needed to be shaken by every 15 seconds.
I have found, that when some activity is running, seconds never disappear, neither after original 5 minutes. It is a workaround for my situation, but if I need sometimes to save battery life, it is just when an activity is running. So I think that this new feature is quite questionable.
Yes, using the Activity mode is a good workaround also for other cases - for example if you want to keep the Steps, Floors, Compass, or any other widget on the screen without the default limit of 2 minutes. With a dummy activity running in the backgroud, it will stay displayed as long as you want. I use it often too.
I lost my son Colton Shero on October 17, 2013. He was two days away from his 2nd birthday. Colton was playing in our family room playing with his 3 yr. old brother Stan. The boys had been playing in that room for their entire lives and we had done this every single day. That morning was so ordinary. I looked at my watch and realized that it was getting close to nap time and decided to go into the kitchen and make the boys a before nap snack. I also came into the bedroom to turn on a video for them to watch.
When I returned to the family room I found Colton hanging on the window blinds. We only had two sets of blinds up in our home and the family room was on of those locations. At first glance I thought he had fallen asleep, however when I got closer to the window, I quickly realized he was not breathing. My son was pronounced dead at the hospital. The Medical Examiner for the county told me that Colton died within seconds of being in the cord. I had no idea that a silent danger was hanging in our play room.
Colton was my baby and fifth child. I felt that I had this child proofing thing down pat. I knew what size car seats were recommended, I checked expiration dates on foods and medicines. I kept all chemicals out of reach and used the straps in shopping carts. I got his immunizations on time and tracked his growth on national charts. I know what he was allergic to, and monitored him at all times. I was only gone for a few moments and that is literally all it took for my healthy and beloved child to die.
A few weeks later, I had the privilege to fly to Utah to help with the filming of the PSA and be interviewed. I met Linda in person and became the Director of Communications for PFWBS. It is an honor to work for this non profit group and a privilege to be in contact with the families that have experience this tragedy. I no longer feel alone, unfortunately. It has been the biggest support for me on this horrible journey of grief. I am still reeling in my loss. I miss my baby every single day. I ache for his kisses and hugs. He was a bright light in my life and I am will never truly recover for the day that I lost him.
My family has been though a parents worst nightmare, yet God has given me blessing and strength. To say that the non profit has been a blessing would be an understatement. It has been the difference between my ability to get out of bed and my opportunity to share what I have learned in the hopes of saving children and families from the same fate that I have encountered.
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