In mid-December, my friend Tim announced the details of what can now be called the Annual Prairie Mountain Winter Sunrise Hike. This would be the third (or was it the fourth?) consecutive trek. Whatever the number, it’s still a great idea.
After consulting his celestial tables, Tim determined that the morning of December 30 would align us with the latest sunrise of the season, plus or minus a few seconds.
If you haven’t seen my posts on last year’s hike, I recommend you check out Part 1: The Hike and Part 2: The Science. (Tim even organized a Prairie Mountain summer solstice hike in June 2024 for the real early risers. You can read about that one here.)
For those who aren’t familiar with Prairie Mountain in Kananaskis, it is the most accessible mountain for Calgary hikers. Conditions on the trail and at the summit can be quite variable, so it’s important to check the weather and prepare for anything. Of course, allowance for the drive and the ascent were critical to getting us to the summit in good time for the sun’s (hopeful) appearance at 8:39 a.m.
This year, our party consisted of eight hikers. We had seven regulars and one PM rookie… welcome Ken! We woke up to snowy conditions in Calgary, a big change from the prevailing weather pattern of the previous month. What awaited us at the summit?
Dan and I joined the convoy that left Calgary at 6:10 a.m. We reached the trailhead at around 7 and were off and climbing just a few minutes later.
The conditions (or maybe it was my conditioning) made for a tougher hike than what I remember in 2023. After last year’s outing, I knew what to expect on the revamped (and in my opinion, significantly improved) Prairie Mountain trail. I put my head down and tried to dole out my energy efficiently. I knew that counting three one-kilometre beeps from my Garmin would just about put us on the summit ridge. I welcomed a couple of short breaks, first to shut off our headlamps and then to regroup at the lower viewpoint.
On this morning, there was only the dimmest of dawn light to guide us. Clouds socked in the summit as we arrived. There would be no repeat of last year’s glorious sunrise show. But no matter. Fortunately, there was little wind. We all grabbed a quick snack, posed for a couple of group photos, and got organized for the descent. I was thankful for my Kahtoola Microspikes, which were a necessity as we got to some slippery sections lower on the mountain.
Here’s my activity summary from Strava. One thing is clear: Prairie Mountain is always a good workout!
I was impressed by the calibre of our hiking group. What a hardy and enthusiastic bunch… including our youngest hiker, who didn’t even need a hat! Here are a few photos from this year’s hike, taken with my constant companion, the invincible Ricoh GR III.
And the sun? It made only the briefest of appearances, as if to tease us, just before we arrived back at the trailhead.
Too little, too late (December 30, 2024)
So, even though the sun didn’t show up to the party, it was still an enjoyable outing and a good way to close out 2024. I look forward to more adventures in the new year.
On that note, Happy New Year to all. Be well, and BE FAST!
Do you have any sporting heroes? Maybe you do, or maybe you think the idea of sporting heroes is quaint and outdated. Given the commercialization of sports, I can certainly understand this view. I do have several sporting heroes, but maybe the best way to explain this is to say that there are people I have looked up to throughout my life. Some of them happen to have been great athletes.
Bobby Orr
It was Sunday, May 10, 1970. Game four of the Stanley Cup finals. Overtime. One brilliant play was about to etch itself in my brain forever. Here’s what I wrote about that moment in my book, Stroke of Luck:
So it was that in May 1970, as an impressionable nine-year-old, I was watching game four of the Stanley Cup finals, between the Boston Bruins and the St. Louis Blues. It was less than a minute into overtime. Bobby Orr rushed the St. Louis net and took a pass from Derek Sanderson, who was behind the goal line. As Orr directed his shot into the net, to win the game and the Cup for the Bruins, I was in awe. I remember, like it was yesterday, Orr’s flying celebration of his goal. I was an instant fan of the Bruins, and I had found my first real sports hero in this young, talented defenseman.
Ray Lussier’s photograph of Orr flying through the air is one of the most iconic pictures in sports history. As Orr was half-tripped and half-jumped, he had already begun celebrating his cup-winning overtime goal. But here’s the thing: I don’t even need the photograph. I can play the whole video in perfect detail in my mind.
“The Goal” (Ray Lussier, May 1970)
Orr did more in his short career than most players could dream of. His ability to control a game was unmatched. I believe he was the best defenseman to ever play the game. And even today, I get goosebumps if I watch highlight videos of his end-to-end rushes. It’s a rare player who can make the best in the world look ordinary, but Orr did it to opponents game after game. And yet, he never grandstanded after scoring a goal. In interviews, he was quiet, almost shy. He let his ability speak for itself.
I followed Orr’s career from beginning to end. His wonky knees were his undoing, drastically shortening his career. I wonder how different things might have been had Orr played a generation later, given that surgical repair of torn ligaments is now routine. Instead, the last images of him (in a Chicago Blackhawks jersey, no less), struggling to execute moves that would have been routine just a few years earlier, are heartbreaking.
In my opinion, a worthy sporting hero can inspire us even in difficult circumstances, and beyond the field of play. Orr has been the perfect role model: humble in victory and accepting of defeat. We should all strive to emulate his example.
Sebastian Coe
I hinted at the depth of my admiration for Seb Coe in a brief passage when telling my own story:
My appreciation and love of athletics grew. I followed all the results for my latest heroes, the middle-distance stars Sebastian Coe and Eamonn Coghlan. Coe became a global sensation when he set three brilliant world records on the track, all within six weeks in the summer of 1979. But it was the way he ran, with elegance and effortless power—with passion—that I admired most.
My dilemma when writing my book was whether I should say more about this gifted and charismatic runner, and the impact he had on me, or keep it brief to move the story along. I opted for brevity, but I feel I should add to what I wrote.
For context, in the summer of 1979, I was well on my own path. I had just finished my first year of engineering. I was dedicated to athletics, having participated in cross country and track in high school for several years.
Coe seemed to emerge on the scene out of nowhere. Of course, we didn’t have instant news and 24-hour coverage then. The athletics world held its collective breath as this slight, supremely talented 22-year-old Brit smashed three major world records in rapid succession. Here’s a synopsis:
July 5, Oslo: Coe shattered Alberto Juantorena’s world 800m record at the Bislett Games, running 1:42.33.
July 17, Oslo: In the Golden Mile, Coe broke John Walker’s record in 3:48.95 against a world-class field.
August 15, Zurich: At the Weltklasse meet, Coe broke Filbert Bayi’s 1500m world record in 3:32.03.
World record in the Golden Mile, July 1979 (Getty Images)
I remember scouring the newspapers for any information on Coe and his races. His records all came within a few weeks of my birthday, so it was as if he was gifting me with these performances. I felt I was somehow a part of his epic summer. In fact, I was so taken by Coe’s streak that I decided to try out for the university athletics team when the school year started in September. (Sadly, my performances fell so far short of his that my experiment ended quickly.)
Since the summer of 1979, Coe has had a full and productive career. He won two consecutive Olympic 1500m gold medals. He went on to lead the 2012 London Olympic Games committee, and he is the current president of the IAAF. From my perspective, Coe has always carried himself with that same passion and dignity that set him apart on the track. I’ve admired him for decades, both in my athletic and personal pursuits. I considered him a role model 45 years ago, and I still do.
Eamonn Coghlan
In my view, Eamonn Coghlan is underrated compared to some other big names in athletics. It turns out I have a couple of tenuous connections to this great middle-distance runner. Coghlan was born in Drimnagh, Ireland, a suburb of Dublin. Drimnagh is a short distance from Monasterevin, the hometown of my paternal ancestors. I wrote about Coghlan in my book:
Coghlan’s specialty was the indoor mile. He had earned the nickname “Chairman of the Boards” due to his ability to perform well on tight, wooden indoor tracks. Deb humoured me for an evening in February 1981 at the Toronto Star Indoor Games, with its temporary track set up in Maple Leaf Gardens. I had run there as a schoolboy a few years earlier. We watched Coghlan win the mile in 3:55, an astounding achievement considering the quality of that track. I still have a black and white photograph that I snapped as he jogged around the track for his victory lap.
I found that picture as I was sorting through some old files the other day. It took me right back into Maple Leaf Gardens on that cold February night.
The Chairman of the Boards takes his victory lap (Toronto, February 1981)
As a mature athlete, I’ve always been most impressed by Coghlan’s consistency. It would be enough to say that he broke the 4-minute mile 83 times, but he did so much more. He dominated indoor meets, where tight turns are a handicap as compared to outdoor racing. He ran the first sub-3:50 mile indoors (February 1983), and he was the first man over 40 to break 4 minutes for the mile (February 1994). Quite a career!
Coghlan’s competitive track career spanned 20 years. Like Coe, he has had a fruitful career after athletics. He works as a coach and served as a senator in the Irish parliament from 2011 to 2016.
Wrapping Up
I’ve highlighted some of the lessons that I’ve learned from watching these three outstanding athletes. It confirms for me that great sportsmen (or should I say great people?) still have the power to inspire greatness in all of us.
Although it extends an already long post, I will add a few words about sources. Stephen Brunt’s excellent book, Searching for Bobby Orr, is a well-researched and eloquent biography that puts Orr’s career and life in the context of a sport that was changing dramatically. There is a lot of material available on Coe, including his own books. I enjoyed The Perfect Distance by Pat Butcher, which delves into the rivalry between Coe and another talented British middle-distance man, Steve Ovett. As for Coghlan, I relied on an excellent piece by John Cobley, on his Racing Past website. Cobley’s piece cites Coghlan’s autobiography, Chairman of the Boards, which is unfortunately out of print.
Until next time, be well and BE FAST! Happy New Year to all.
Now for a post dedicated to the core subjects on this site: strokes, running, and of course photography. Covering all of that might seem like a tall order, but the last month has provided me with plenty of material on all three subjects. So, without further ado…
CanStroke Congress
In late November, Calgary hosted the 2024 Canadian Stroke Congress, which is described as “a forum for stroke researchers, trainees, clinicians, allied health, administrators, policymakers, and People With Lived Experience of stroke (PWLE) to share new discoveries and innovations, the latest science and therapies, and to build relationships for future collaboration.”
I learned about the congress in a recent conversation with representatives of the Heart and Stroke Foundation. By registering as a PWLE, I was able to attend any of the main sessions at a very reasonable cost. It was a unique opportunity to participate in an exceptional event.
Several workshops were offered on the day before the congress, and I attended one on patient engagement. We heard from scientists and advocates on a range of topics, all focused on ways that PWLE can become involved in stroke research and advocacy. Breakout sessions addressed the practicalities of various engagement paths. The workshop was a good chance to meet other people and share our respective stroke journeys.
I was so impressed with the workshop that I returned the next day to attend a couple of the main sessions. Dr. Andrew Demchuk, the hero of my own stroke story, and Dr. Thalia Field from UBC led a discussion, “What’s New in Stroke Prevention?” It was standing room only for this session. While much of the discussion was over my head, I was so impressed by the depth and breadth of the presentation, and the knowledge and confidence of the speakers. It reinforced my opinion that world-class stroke care is available in Canada.
Another session (“What’s New in Acute Stroke?”) had three eminent stroke neurologists discuss developments in stroke diagnostics and therapies, including some that I touched on in a recent post. It turns out I have a connection to all three of the speakers:
Dr. Michael Hill was one of the physicians involved in my care at the Foothills Stroke Unit in 2017. He kindly wrote the foreword for Stroke of Luck.
I’ve never met Dr. Mayank Goyal, but he would have been the physician responsible for inserting a stent into my blocked vertebral artery, should the decision have been made to follow this treatment route for me.
Finally, Dr. Aristeidis Katsanos is an eminent stroke neurologist at my alma mater, McMaster University.
My takeaway from attending the congress is that while stroke incidence is increasing and our healthcare system is under severe pressure, we should be encouraged by many significant advancements that are being made in stroke diagnostics and therapy. There is reason to be optimistic about the future.
A Blast of Winter
Coincident with the stroke congress was Calgary’s first blast of winter. This likely gave the conference organizers fits. It was quite a wallop. I think we got something like three times our usual November snowfall in one day. Now, while that did complicate a lot of things, it also provided for some great photography. Here are some shots from around the city… with a reminder that the copyright for all images is mine.
Strides Run Streak
Here we are, already halfway through December. Cue the usual observations about where the year has gone. December is also when many Calgary runners take on the annual Strides Run Streak. The challenge is simple: run at least one mile every day during the month.
I have some meaningful connections to this event, so whatever else is going on at this time of year, I like to sign up for it. One mile a day is an achievable goal. I give myself the added challenge of finding a worthy photo or two while I’m completing my run. Sometimes that is a bigger test, particularly with the days getting shorter and shorter!
This year, my commitment is strong, but the challenges are not insignificant. We started the month with plenty of snow on the roads and sidewalks, which have slowly turned into skating rinks. Ah, Calgary weather! I’m also doing most of my running solo these days, as my favourite training partner is sidelined with a sore hip. We are both hoping for some improvement soon.
Two weeks into December, my streak is intact, and I have managed to accumulate a few images. Maybe more images than miles, if I’m honest. While it is nice to capture the festive spirit… the snow does help with that… it isn’t essential. Rather, my goal is to find images that can transport me back into that time and place. It’s a way of adding meaning to my runs. When it comes together, it’s a nice feeling. Here’s a sample.
And while I did say the images don’t have to be festive, there is one that has the potential to put even a Grinch like me into the Christmas spirit. See what you think.
Look for more images soon. I have ideas for other posts before I shut things down for the holidays. In case that doesn’t happen, I will take this opportunity to offer my best wishes for a Merry Christmas to one and all.
I don’t have hard rules for the topics on this blog, and there are times when I feel I need to write about something of importance to me. Or someone. This is one of those times.
Gerard Rejskind passed away a year ago to the day that I’m writing these words. I suspected something may have happened to him. As I’ve done occasionally if I’m unsure about someone’s personal situation, I reluctantly typed his name and “obituary” into Google. I was right… he died peacefully in Montreal in December 2023 after a short illness.
So who was Gerard?
It would not be true to say he was a friend. But as I wrote in a similar tribute piece almost two years ago, it is possible in our highly connected world to feel close to someone even if you’ve only spoken to them a few times on the phone. Through his writing, I came to know Gerard and understand him quite well.
Gerard wrote with passion, and he was the driving force behind an independent audio publication (UHF Magazine) that had a small but dedicated following. Through his reviews of audio equipment and recorded music, Gerard influenced many people, including me.
Let me first make a connection, between a subject that I do post about on this site… photography… and music. It isn’t a stretch to say that both these art forms have much in common. They are subjective; that is, they are things that cannot be quantified. If done well, they evoke an emotional response in us. And at their best, they are timeless.
When I found out that Gerard had passed away, I thought about the many ways he had influenced me over more than twenty years. Initially, I had been looking to upgrade my entry-level Sony CD player, a tinny-sounding thing. A colleague lent me a few back issues of UHF, and I was immediately hooked.
UHF (now defunct) was a publication unlike anything else I’d seen. With a modest budget and a small crew, Gerard managed to produce a magazine that bettered any of the big, commercial publications. It did so with a rare offering: totally honest reviews. There were none of the filtered, biased reviews that I read elsewhere. My favourite feature was a short, subjective paragraph from each of the review panelists about a particular piece of gear. This was invaluable for someone like me, who was new to the hobby.
Besides the magazine, Gerard also wrote a couple of books about “hi-fi”. Again, in plain language, he explained what the equipment did (or should do) and how it ought to be designed. This hit a chord with my engineering sensibilities. I found myself coming back to these books time and time again.
My wife will attest that I dropped everything when the latest print issue of UHF showed up in the mail. Because of their shoestring operation, the frequency of publication was, shall I say, variable. Gerard kept UHF going through COVID and his own health challenges. Those things only increased the appeal of the enterprise. I read every word of every issue, and I would save Gerard’s editorial page on the inside of the back cover until last. There, he would offer another nugget of audio wisdom, in his usual style… self-effacing, but with the authority he had earned over a lifetime of experience.
I’ve bought quite a lot of audio equipment and recorded music since I first encountered Gerard and UHF. In all that time, I wouldn’t think about buying anything unless I had checked to see if Gerard had reviewed the gear in question. If he liked it, that was good enough for me. If he really liked an item, he would become a distributor, which said a lot about his motivation. It was also quite convenient. I can honestly say he never steered me wrong.
Beyond all that, he made sure I and his other readers became more self-sufficient, by writing frequent articles and opinion pieces that educated us. In fact, the last edition of UHF, the 101st, consists of a series of introductory “101” pieces (in the usual nomenclature of first-year university courses) on various audio gear. It seems a fitting legacy to Gerard. The final paragraph of his last “State of the Art” piece is worth repeating here:
“The final rule is to do what we do: take notes, with details on what you liked and what you didn’t. Concentrate on the music, which is the purpose of the system in the first place.”
Gerard was a rare person: an honest businessman; a knowledgeable and generous resource; and above all, a gentleman. He will be missed.
Now I think I will go and put on a record and re-read some of his pieces.
Anyone who has read Slaughterhouse-Five (SH5) by Kurt Vonnegut will recognize this phrase. It stays with you after reading the most famous (or is it infamous?) and arguably the most representative of Vonnegut’s novels.
I’m not sure if SH5 is still required reading in high school English courses… I know it used to be. (I’d be reluctant to guess what required reading might be in high school these days, but that’s another topic.) For my part, I missed the opportunity to read SH5 when I was in school. Perhaps the book wasn’t considered appropriate fare for a Catholic school curriculum.
I’ve only come around to Vonnegut’s works in the last few years. I did read Galapagos in my early twenties, but I found it to be quite forgettable… it certainly didn’t convince me to read anything more by him. Maybe I wasn’t ready for the author’s unique style and keen critical eye.
Something must have changed, because I’ve read three of his books in rapid succession. In this post, I offer my thoughts on what may be his best-known novels. My comments are organized in my order of reading, which just happened to be in reverse order of their publishing date.
Kurt Vonnegut
The author of the books I’m going to discuss is worthy of some discussion himself. Kurt Vonnegut, Jr. (1922-2007) was born in Indianapolis, to German immigrants. He attended Cornell University but dropped out in 1943 after being placed on academic probation. He enlisted in the US Army and was deployed to Europe in 1944 as an intelligence scout. After the war, he pursued academic and technical career paths, never quite succeeding at anything. Vonnegut had a couple of stories published in the early 1950s, which persuaded him to give up other opportunities to pursue writing full-time. His success as a writer did not happen overnight.
Slaughterhouse-Five (1969)
It’s a challenge to summarize SH5. At its core, the story is an account of the Allied fire-bombing of Dresden, Germany in the final months of the Second World War. What genre is the book? Good question. There is an element of historical fiction, but it could just as easily be classified as science fiction. Given that the book was influenced by Vonnegut’s time in the US military, we could even label it as a biography. The author was captured by the Germans, and as a POW he witnessed the destruction of the city firsthand.
In Vonnegut’s signature style, there is a sharp satirical edge to the book. Vonnegut makes no secret of his disdain for “military intelligence”. The casual disregard for life in wartime is a theme repeated often in the book… almost sickeningly so. I think that’s exactly the response Vonnegut wants to elicit from us. That’s where the phrase “so it goes” comes from. SH5 was published at the height of the anti-war movement in the US, and it was the book that made Vonnegut a household name.
The main character in SH5 is Billy Pilgrim, a US draftee. The science fiction element to the story is that Pilgrim experiences time travel. He calls it coming “unstuck in time.” I think the message here is that history is bound to repeat itself. I found this to be a very effective tool; one that shows Vonnegut exercising his full prowess as a mature storyteller.
To summarize, I thought SH5 was brilliant. An amazing creative piece… forceful in its social commentary and totally original. Considering the current events in the world, it is as timely now as when it was written. Very highly recommended!
Cat’s Cradle (1960)
Where to begin in explaining this novel?
Cat’s Cradle is a first-person account of the narrator, Jonah, who travels to San Lorenzo, a fictitious and extremely poor island nation. Through an unbelievable sequence of events, Jonah becomes president of the country. At the subsequent inauguration ceremony, an unfortunate incident results in mass destruction on a global scale, when a material called “ice-nine” accidentally comes into contact with seawater.
The book deals with two important themes and manages to touch on several others besides. One major subplot in the book is a fictitious, hedonistic religion called Bokonism. It is the dominant religion in San Lorenzo, seemingly a response by the poor citizens of the country to their dire socioeconomic circumstances.
The book is also a biting commentary on the risks of technology. Ice-nine was invented for military purposes by a brilliant scientist who has complete and callous indifference to the great risks it poses. The obvious parallel is to the proliferation of nuclear weapons, which would have been in Vonnegut’s mind when he wrote Cat’s Cradle in 1960. The story takes the idea of a manmade technological threat to its logical and tragic conclusion.
Only someone with a vivid imagination, black humour and a gift for sharp insight… someone like Vonnegut… could have created Cat’s Cradle. It was a fascinating read, and like SH5, very relevant to the unstable world we find ourselves in.
Player Piano (1952)
Player Piano was Vonnegut’s first novel. It tells the story of Paul Proteus, an engineer and manager of the Ilium Works, one of many large industrial complexes that have radically revamped American society. Machines have replaced human beings in every facet of life. For his part, Proteus becomes increasingly uncomfortable as he is being groomed for an expanded role in the system he helped create. The story turns on a clever “double agent” plot, as Proteus finds himself aligned with other, like-minded rebels.
As compared to the other novels, I found the storyline in Player Piano to be the least risky… maybe even simplistic. There are no tricks with time travel here. I suspect Vonnegut was still finding his voice and his style when he wrote the book. Even so, it is a well-constructed story of an all-too-possible dystopian future. Such a future may have been easy to imagine in the early 1950s, as post-war innovations began to change American society; at least it was for Vonnegut.
Of the three novels, Player Piano had the most impact on me. I accept that as a result of my own work as an engineer and manager. Did my career path make me more sensitive to the sharp commentary that Vonnegut dishes out for these vocations in his grim novel? Probably. I don’t take any of it personally, but I do relate to his criticism of an unbridled drive for efficiency.
The world Vonnegut imagines in Player Piano is devoid of almost all pleasure, at least for the average citizen. For the elite (that is to say, the politically savvy) the upside is limitless, as long as the growing majority of displaced citizens are kept notionally busy and marginally employed. It’s a novel that heads to an inevitable tipping point.
The fatal flaw exposed in Player Piano is a conflation of an unstoppable quest for perfection (in countless industrial processes and even in human interactions) with human happiness. I found myself making connections to recent opinion pieces that assess the risks of the increasing use of Artificial Intelligence in our society. Again, Vonnegut’s story seems eerily relevant to our current circumstances.
I can recommend all three of these Vonnegut novels. In my view, his social commentary is timeless, and that keeps the books current. I want to continue my exploration of his work, to see how well his insights have held up in other areas.
I haven’t written much about strokes lately, so it was time to scan the recent headlines. It turns out there is quite a lot to report on, and much of it (but not all) is good news. I always prefer to start with the positives, so here goes…
Announcing the Black Friday Sale!
If you’ve been waiting to order your copy of Stroke of Luck: My Life in Amateur Athletics, now’s the perfect time. I’ve reduced prices for e-book and print editions by a marathon-inspired 26.2 percent. These are the best prices you’ll see in 2024. The book would be a great gift for a runner… or non-runner… on your holiday gift list!
Order your copy of Stroke of Luck on Amazon today!
Sale prices will be in effect until December 1.
Awareness Campaigns are Working
June is Stroke Awareness Month in Canada. Heart and Stroke is committed to helping improve the lives of people at risk for and living with heart disease and stroke. When it comes to stroke, much has changed in the last several decades. The keys are increased awareness of the signs of stroke, and some revolutionary changes in stroke diagnostics and treatment.
Promoting stroke awareness is a priority for Heart and Stroke. Their media campaigns rely on an easy-to-remember acronym… F-A-S-T. By now, most of us will have seen the television ads and billboards, which remind us of the major signs of stroke, as follows:
F is for FACE… Is it drooping?
A is for ARMS… Is the person unable to lift both?
S is for SPEECH… Is it slurred or incoherent?
T is for TIME… Call 9-1-1 if any of these conditions exist!
Heart and Stroke notes that awareness campaigns have been successful. For example, 4 in 10 Canadians surveyed can name at least 2 signs of stroke. Women and older Canadians are more likely to recognize stroke symptoms. Of course, there is always more that can be done.
At this point, I will add a caveat about stroke awareness, because my symptoms did not fall into the F-A-S-T framework. It’s an 80-20 situation. I encourage everyone to read my blog pieces where I describe the less frequent symptoms. These include problems with balance and eyes/ears. So, if you can, please remember BE FAST, to cover off all the signs of stroke.
U of Calgary – Leading in Stroke Research
While there can never be a good time or place to have a stroke, it’s been said that Calgary is the place to be if is going to happen to you. I do have some direct experience in this regard, but I didn’t fully appreciate how much innovation is happening here.
A couple of March 2024 articles in Arch, the University of Calgary magazine (here and here) highlight advancements in diagnosis and treatment that originated at the Calgary Stroke Program (CSP). Here are just a few:
(1) A Calgary-based clinical trial led to a procedure known as EVT (endovascular thrombectomy), which is drastically reducing the death rate from one of the most common types of strokes. EVT is a procedure that can disrupt large clots in the brain. If done promptly after the onset of symptoms, EVT can triple a patient’s chance of making a full recovery from certain strokes.
(2) The Alberta Stroke Program Early CT Score (ASPECTS) is a grading system for strokes. This tool, which is based on a brain CT scan, has been adopted around the world as a way of measuring changes in a patient’s condition.
(3) A clinical trial of a clot-busting drug called Tenecteplase (TNKase™) compared it to the standard drug used for dissolving blood clots in brain arteries with acute ischemic stroke. As a result, TNKase™ is becoming the standard of care in hospitals around the world.
I could go on. The innovations originating in Calgary cover diagnostic processes, treatment options and rehabilitative therapies. It is a remarkable success story. On a personal note, I have come to know several of the doctors involved in these research programs. They are truly miracle workers.
Stroke Incidence is Increasing
A study in The Lancet Neurology found that the global prevalence of cardiovascular disease, including stroke, increased from 271 million in 1990 to 523 million in 2019. The study found that population growth and aging account for this increase. While stroke mortality rates had been declining in the latter part of the twentieth century, some countries have actually seen a reversal in this trend since 2010. Unfortunately, the US and UK are two countries that have seen an increase in stroke numbers.
A study on stroke prevalence by the Centers for Disease Control and Prevention fills in some of the details for the US. Here are a couple of headlines: stroke is the fifth leading cause of death in the US and it costs the economy about $56 billion annually. Digging deeper, the CDC study confirms the trend in stroke incidence. Overall US stroke prevalence increased by about 8 percent from 2011-2013 to 2020-22. The increase was slightly higher in females than males. There was an inverse relationship between education level and stroke prevalence. Perhaps most worrying was a significant increase in adults aged 18-64. As you might guess, obesity is a leading risk factor for stroke.
Not surprisingly, the trends in Canada are similar. Stroke is the fifth leading cause of death in Canada, accounting for about 13,000 deaths annually. There are more than 108,000 strokes in Canada each year… that’s one every five minutes. And nearly 900,000 Canadians are living with the outcome of strokes. As in other countries, it’s a result of our aging population.
Fortunately, when strokes do happen, more people are recognizing them and taking action.
Before signing off, I couldn’t help but include a photograph taken on yesterday’s short walk along the Elbow River in Calgary. The picture has nothing to do with strokes, but I liked it. Yes, winter is here!
My Second Running Life 