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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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Thursday, 21 August 2008

Boylan Heights gets Dusted

Residents of Boylan Heights, the neighborhood adjoining the site of the new Central Prison Regional Medical Center and Mental Hospital, are being dusted by the airborne residual from the demolition of old buildings and site grading that is being conducted in preparation of construction. North Carolina Department of Correction and the contractor Balfour and Beatty have filed to implement standard practices to mitigate so-called fugitive dust, usually accomplished by simply watering the material being worked. They are avoiding the effort and attendant costs by letting the dust blow onto their neighbors, much as a litterbug would toss cigarette butts out the window of a car.

 

“They’re supposed to water the site. That’s the law in every state,” said a construction worker who did not want to be identified. “I haven’t seen watering truck one. You see trucks carrying fuel to the dinosaur track hoes, but I haven’t seen a single water truck.”

 

The result is a visible accumulation of greyish reddish dust on houses, vehicles – and places that are more than just a nuisance.

“There’s dust all over the houses and cars,” said Mindy Russell, a home owner on Cutler Street. My air conditioning filters are clogging up.” She has concerns about the impacts her health health as well.

“I thought I was coming down with a cold until I left town for the weekend and it cleared up. When I came back, I started coughing, that scratchy feeling in my throat.”

 

Another resident, a renter in the neighborhood, Leroy McAnder was mad. “I don’t use air conditioning. I’d been doing well enough through the heat by leaving windows open to let the trapped heat out my upstairs room. I have to keep them closed when those guys are working now. There’s dust all over my floors, furniture, my clothes. I feel like a prisoner in my own home. It really sucks.”

John Holley, an employee of the Land Quality division of Department of Environmental and Natural Resources, during a phone conversation, affirmed that construction and demolition sites were supposed to instill procedures to attempt as much as possible to control dust but was unaware of the situation.

“To be perfectly honest with you, I know very little about anything that you’re describing right now,” Holley said.

“I did see the piece in the paper early on that the construction was ongoing saying that the folks in Boylan Heights were upset about the project, but at that point it didn’t have anything to do with any actual airborne sediment or anything like that. The concerns seemed to be centered around the fact that they weren’t notified that this sort of construction was going to be occurring and the potential from it was what people were talking about. I don’t know of any complaints that we’ve received. This is the first mention from anyone that there was an issue there. So if you’ve spoken to people who have filed complaints and where have they filed them, I would hope that if you would encourage them to give us a call. Give them our name and number. I would appreciate that because quite frankly, short of us happening to see the problem in the course of doing a routine inspection of the site, which may or may not happen. When we make a routine inspection of a site, unless there’s a heavy wind at the moment that would show the dust being kicked up and being carried off the site, we wouldn’t have any idea that it would lead to waterborne sediment, you know, where you get runoff during a storm event and most of our best management practices and measures are focused on that.”

Mr. Holley’s can be reached at 791-4206.

Source: newraleigh.com 

Last Updated ( Wednesday, 12 November 2008 )
 
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