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NEW YORK – Former President Bill Clinton had two stents inserted Thursday to prop open a clogged heart artery after being hospitalized with chest pains, an adviser said.

Clinton, 63, "is in good spirits and will continue to focus on the work of his foundation and Haiti's relief and long-term recovery efforts," said adviser Douglas Band.

Secretary of State Hillary Rodham Clinton left Washington and headed to New York to be with her husband, who underwent the procedure atNew York Presbyterian Hospital.

Stents are tiny mesh scaffolds used to keep an artery open after it is unclogged in an angioplasty procedure. Doctors thread a tube through a blood vessel in the groin to a blocked artery, inflate a balloon to flatten the clog, and slide the stent into place.

That is a different treatment from what Clinton had in 2004, when clogged arteries first landed him in the hospital. He underwent quadruple bypass surgery because of four blocked arteries, some of which had squeezed almost completely shut.

Angioplasty, which usually includes placing stents, is one of the most common medical procedures done worldwide. More than half a million stents are placed each year in the United States.

With bypass or angioplasty, patients often need another procedure years down the road because arteries often reclog.

"It's not unexpected" for Clinton to need another procedure now, said Dr. Clyde Yancy, cardiologist at Baylor University Medical Center in Dallas and president of the American Heart Association.

The sections of arteries and veins used to create detours around the original blockages tend to develop clogs five to 10 years after a bypass, he explained. New blockages also can develop in new areas.

"This kind of disease is progressive. It's not a one-time event, so it really points out the need for constant surveillance" and treating risk factors such as high cholesterol and high blood pressure, he said.

Doctors will have to watch Clinton closely for signs of excessive bleeding from the spot in the leg where doctors inserted a catheter, said Dr. Spencer King, a cardiologist at St. Joseph's Heart and Vascular Institute in Atlanta and past president of the American College of Cardiology.

Complications are rare. The death rate from non-emergency angioplasty is well under 1 percent, King said.

The former president has been working in recent weeks to help relief efforts in Haiti. Since leaving office, he has maintained a busy schedule working on humanitarian projects through his foundation.

Clinton's legend as an unhealthy eater was sealed in 1992, when the newly minted presidential candidate took reporters on jogs to McDonald's. He liked hamburgers, steaks, french fries — lots of them — and was a voracious eater who could gobble an apple (core and all) in two bites and ask for more.

Two of his favorite Arkansas restaurants were known for their large portions — a hamburger the size of a hubcap and steaks as thick as fists.

He was famously spoofed on "Saturday Night Live" as a gluttonous McDonald's customer.

Friends and family say Clinton changed his eating habits for the better after his bypass surgery.

Other than his heart ailments, Clinton has suffered only typical problems that come with aging.

In 1996, he had a precancerous lesion removed from his nose, and a year before a benign cyst was taken off his chest. Shortly after leaving office, he had a cancerous growth removed from his back. In 1997, he was fitted with hearing aids.

___

Associated Press Medical Writer Marilynn Marchione contributed to this report.

 

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Saturday, 09 August 2008

Addition to Pullen Memorial Baptist Church


Simple. Confident. Sensitive. These are not words that typically come to mind when describing most architectural works. But the addition to Pullen Memorial Baptist Church, designed by local Carrboro studio Dixon Weinstein, speaks these sensibilities in a most unpretentious tone.

Architecture is at its finest when a building convinces you that it could not possibly exist at any other place in the world. This addition to a historic building melds the slope of the earth with new and redefined usable spaces. The lower story of the building addition cuddles up to the existing structure and acts to negotiate all of the elements of the project: a new chapel and fellowship hall, a roof garden, and a new entrance to the church. A courtyard space outside of the original sanctuary on the Cox Avenue side continues around to the rear of the building and becomes the vegetative roof of the new spaces. This exercise in placemaking yields an elegant transition that weaves the building and its surrounding landscape into a singular architecture.

The progressive mindset of this congregation is evident in the attention towards sustainability in this project. (The goal of the building is to be as energy efficient as possible.)

The addition employs adjacent existing walls, earth, solar orientation, green roofs and water recycling while making an array of diverse spaces for teaching, fellowship, missions and worship. The project seeks to reconcile numerous dualities in the church’s experience—its sharing of both urban and natural environments, its desire to nurture both individual and community spirituality, its measuring of precious financial resources against even more precious global resources.

The new space serves major program objectives—Fellowship and Missions. It also supports an expansive roof garden that restores nature to the site and raises significant outdoor congregating space up to the main level of the existing Sanctuary. The remaining parking lot doubles as the field for a network of geothermal wells to heat and cool the new space. A system of ramps and walks leads from the city sidewalk to the Terrace, built above the addition, and links a new Chapel on one side with the Sanctuary entry on the other. The Chapel, occupying a prominent place on the southeast corner, steps up to street to give the formerly inward-focused church building a new and fitting presence in the neighborhood.

- Dixon Weinstein Architects

 

The jewel of this design is a new chapel element that is contemporary in its language and character. It respects the original architecture of the church by spatially and visually breaking away from the historic structure, and tying back through the one story portion. The result is a palpable contrast between old and new that allows each element to be perceived independently, simultaneously creating a unified composition.

The addition is currently under construction, and you can see the framing of the chapel piece from Hillsborough Street. The project won a North Carolina AIA Honor Award in its unbuilt form, the highest statewide recognition achievable. Those original award-winning drawings for the schematic design (below) were quite seductive in the rendition of the chapel element, which was arguably more rigorous in its contemporary expression than the final design. The predominantly horizontal chapel volume, with it’s monitor pop-top, gave way to a heavier, less simplified form with a pitched roof.

 

This structure will join Harwell Hamilton Harris’ Cube on Cox (his home/studio and later the office of Buckminster Fuller-originated Synergetics) as significant architecture on this street. Pullen’s addition will be a fun one to watch because of the unconventionality of the design and the high visibility of the site. This project is a great example of how smart, careful planning can yield design excellence. Source: newraleigh.com

Last Updated ( Thursday, 18 December 2008 )
 
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