What is tetralogy of Fallot – the disorder Jimmy Kimmel's son has?

Published: Tuesday, May 02, 2017 @ 10:12 AM

Jimmy Kimmel (L) and his wife, screenwriter Molly McNearney attend the premiere of Paramount Pictures'
Jimmy Kimmel (L) and his wife, screenwriter Molly McNearney attend the premiere of Paramount Pictures' "Office Christmas Party" at Regency Village Theatre on December 7, 2016 in Westwood, California. (Photo by Matt Winkelmeyer/Getty Images)(Matt Winkelmeyer/Getty Images)

On Monday, late-night talk show host Jimmy Kimmel told viewers in an emotional monologue that his newborn son had been diagnosed with a heart defect and underwent open heart surgery.

Kimmel said his son Billy, born on April 21, was discovered to have a disorder called tetralogy of Fallot (teh-TRAL-uh-jee of fuh-LOW), a congenital (meaning present at birth) disorder where the wall that separates the two sides of the heart is missing. 

Kimmel said his son had surgery last Monday and is now home recovering. 

Here’s a look at tetralogy of Fallot and pulmonary atresia, the other problem Kimmel said his son is suffering from.

What was Kimmel’s son diagnosed with?
The disorder is called tetralogy of Fallot. It is a rare condition – only about 5 children out of 10,000 are diagnosed with it each year.

What is it?
The disorder happens because of a structural problem with the heart. Tetralogy of Fallot is caused by a combination of four heart defects that are present at birth.

What are the defects?

According to the Centers for Disease and Control, the defects are:

1. A hole in the wall between the two lower chamber – or ventricles – of the heart. This condition also is called a ventricular septal defect.

2. A narrowing of the pulmonary valve and main pulmonary artery. This condition also is called pulmonary stenosis.

3. The aortic valves, which opens to the aorta, is enlarged and seems to open from both ventricles, rather than from the left ventricle only.

4. The muscular wall of the lower right chamber of the heart (right ventricle) is thicker than normal. This also is called ventricular hypertrophy.

What happens because of the problems?

The structure of the heart is affected and the defects cause blood that is oxygen-poor – meaning it has gone through the body and is being pumped back to the heart for recirculation – to be incorrectly routed through the body. Oxygen-poor blood is usually moved to the lungs to be infused with oxygen then routed through the heart to the brain and other organs. 

With tetralogy of Fallot, the blood mixes in the heart, sending the oxygen-poor blood throughout the body. Because the blood does not have enough oxygen, it leaves a baby’s skin with a blue tinge.

What is the treatment?

Surgery is needed soon after birth. During the surgery, doctors widen or replace the pulmonary valve and place a patch over the ventricular septal defect to close the hole between the two lower chambers of the heart. 

The surgery is incredibly delicate. Dr. Jennifer Ashton on “Good Morning America” Tuesday, offered this perspective on the complicated nature of the surgery: Try to imagine operating on an organ the size of a walnut with veins the diameter of angel-hair pasta.

Is it always diagnosed at birth?

No, not always, but usually. Sometimes it is diagnosed when the baby is still in the womb. Sometimes it is not diagnosed until later in life.

What about the other problem Kimmel mentioned – pulmonary atresia?

Pulmonary atresia (PULL-mun-airy ah-TREE-sha) is a birth defect of the pulmonary valve. That valve controls the blood flow from the right lower chamber of the heart into the blood vessel that carries blood from the heart to the lungs. Pulmonary atresia means that no pulmonary valve ever formed in the baby’s heart.

What caused these problems?

The cause of the defects is not known. Some are caused by gene or chromosome changes, some by something the mother and baby are exposed to – environmental factors or food, drinks or medication the mother uses. 

What is the prognosis? Can children with this lead normal lives?

The baby needs surgery not long after birth to repair the problem if possible. When the defects are caught early and the child is treated, most lead fairly normal lives. Usually, three surgeries are required to fix the defects. 

(Sources: Centers for Disease and Control, Mayo Clinic;

University of California San Francisco)

 

Want to save thousands of dollars? Lose weight, study says

Published: Wednesday, September 27, 2017 @ 5:22 PM

New research from the Johns Hopkins Bloomberg School of Public Health says losing weight can save thousands of dollars.
JGI/Jamie Grill/Getty Images/Blend Images
New research from the Johns Hopkins Bloomberg School of Public Health says losing weight can save thousands of dollars.(JGI/Jamie Grill/Getty Images/Blend Images)

Weight loss has its share of benefits — lower risk of heart disease or diabetes, better-fitting clothing and boosted energy, to name a few.

>> Read more trending news

But, according to new research from the Johns Hopkins Bloomberg School of Public Health, if you’re either obese or overweight, shedding those pounds could save you upwards of $30,000 in your lifetime.

The findings, published Tuesday in the journal Obesity claim 20-, 40- and 50-year-olds would save significant dollars in direct medical costs and productivity losses over their lifetime if they go from obese to overweight or from obese to a healthy weight.

Related: Want to lose more weight? Ditch your diet for a couple of weeks, study suggests

Using previous knowledge that people with a high body mass index (BMI) are more prone to conditions such as diabetes, cardiovascular disease and cancer -- all conditions with steep price tags -- the researchers created a computational simulation of the U.S. adult population.

The simulation examined adults at various ages, weights and health statuses, and then calculated estimated direct medical costs, productivity losses (including sick time).

Here’s how much money you could save by losing weight:

Age 20

Obese to overweight: $17,655

Obese to healthy weight: $28,020

Age 40

Obese to overweight: $18,262

Obese to healthy weight: $31,447

Age 50, cost savings peak

Average total savings: $36,278

Though researchers found that cost savings peaked at age 50 and decreased with older ages, they noted that older adults who lose weight can still save money.

In the U.S., more than 70 percent of adults are considered to be overweight or obese. That costs the country nearly $210 billion each year, study authors wrote.

Related: These 9 healthy-sounding foods have more sugar than a Krispy Kreme doughnut 

“Over half the costs of being overweight can be from productivity losses, mainly due to missed work days. This means that just focusing on medical costs misses a big part of the picture, though they're a consideration, too,” Bruce Y. Lee, executive director of the Global Obesity Prevention Center at the Bloomberg School, said in a news release. “Productivity losses affect businesses, which in turn affects the economy, which then affects everyone.”

Read the full study and its methodology at onlinelibrary.wiley.com.

Woman gives birth in car to baby still in amniotic sac

Published: Saturday, September 02, 2017 @ 12:26 PM

Woman Gives Birth to Baby While in Car

A woman’s Instargram post showing a photo of her newborn baby still in its amniotic sac after she gave birth in a car went viral this week.

Raelin Scurry, who lives in the Pittsburgh area, said that on the morning of Aug. 5 she thought she was feeling false labor contractions 29 weeks into her pregnancy.

“After about 45 minutes of consistent contractions that were increasing in intensity I decided I should probably go in,” Scurry said in her Instagram post

She then got into the car with her boyfriend, but a few minutes into the drive Scurry knew she was not going to make it to the hospital in time. 

“The contractions continued to get closer together and more intense and before I knew it I knew it was time to push. I called 911 because I was so scared. They couldn't understand me between the screams with contractions,” she said in her post.  

Once Scurry delivered the baby, she realized her son was still wrapped up in his amniotic sac. Although dispatchers told the couple to pull over, she did not want to wait and they arrived to the hospital seven minutes later. 

(WARNING: Graphic image) READ MORE BELOW

Our birth story! ❤ The human body is truly an amazing thing. 8.5.2017 at about 10am I started having contractions. I was only 29 weeks and 4 days so I just figured they were Braxton hicks and decided to wait it out. After about 45 minutes of consistent contractions that were increasing in intensity I decided I should probably go in. I there in some clothes. Grabbed my daughter some clothes, her my fiance And I left for the hospital. I dropped my daughter to her God mommy Nicole And headed to the hospital. Well the contractions continued to get closer together and more intense and before I knew it I knew it was time to push. I called 911 because I was so scared. They couldn't understand me between the screams with contractions. So I handed the phone to my fiance. I pulled my pants off and reached down, sure enough his head was right there. I pushed one time and my miracle baby was here. When I looked down I realized he was still completely wrapped in the amniotic sac. The dispatcher told us to pull over. But I knew we would make it to the hospital before they would make it to us. So I told Ean to keep driving. I was so scared. My Fiance was so calm driving and on the phone with 911. At first the baby was still and all I could do was pray he would be okay. And then I rubbed his face with my thumb and he pulled his little hands and feet up to his face as if he understood my prayers and wanted to reassure us he was okay. About 7 minutes passed that I held this miracle baby in my hands until we made it to the hospital. A familiar face came running out and grabbed my baby. He was born an caul. This happens 1 in every 80,000 births. Usually during c-section. He was 3lb 1oz. He doing wonderful all things considered all He went through I know he's going to be an awesome little man! ❤ he is truly a miracle baby. We are so blessed to be his parents. #encaul #encaulbirth #carbirth #miriclebaby

A post shared by Raelin Scurry (@raeee_nacoal23) on

What happened during Scurry’s delivery was a phenomenon called caul birth, which only happens 1 in every 80,000 births, usually by cesarean section, she explained in her post. 

The baby boy, named Ean Jamal Vanstory Jr. (E.J. for short), is doing well, Scurry said in updates on Instagram.

CDC: Over 100 people sickened in deadly salmonella outbreak involving Maradol papayas

Published: Friday, August 04, 2017 @ 12:51 PM

CDC: Over 100 People Sickened In Deadly Salmonella Outbreak Involving Maradol Papayas

In an update from officials with the Centers for Disease Control and Prevention released Friday, the number of people sickened in the salmonella outbreak involving Maradol papayas has grown.

A total of 109 people from 16 states have been infected in the salmonella outbreak as of Aug. 3, the CDC said in a news release.
The states involved are CT, DE, IA, KY, LA, MA, MD, MI, MN, NC, NJ, NY, OK, PA, TX, VA, and WI.

>> Read more trending news

One death has been reported, and 35 people have been hospitalized, according to the CDC.

An additional strain of salmonella tied to Maradol papayas imported from Mexico has also been discovered, the CDC reported.

The FDA has found salmonella strains in other papayas from Carica de Campeche farm, which expands the original recall notice that urged consumers to avoid Caribeña brand Maradol papayas, distributed by Grande Produce.

The CDC and FDA are continuing their investigation to determine where in the supply chain the papayas became contaminated.

CDC: Deadly salmonella outbreak linked to Maradol papayas

Published: Saturday, July 22, 2017 @ 2:58 PM
Updated: Wednesday, July 26, 2017 @ 1:44 PM

Yellow Maradol papaya
Centers for Disease Control
Yellow Maradol papaya(Centers for Disease Control)

Dozens of people have been sickened and at least one person has died in a salmonella outbreak linked to a specific variety of papayas, the Centers for Disease Control said.

A total of 47 people in 12 states have been diagnosed with salmonella infections believed to have been caused by yellow Maradol papayas, the CDC said in a news release.

The U.S. Food & Drug Administration is investigating the outbreak and in a Tuesday recall notice, urged consumers to avoid all Caribeña brand Maradol papayas. Grande Produce initiated a limited recall of their Caribeña brand Maradol papayas distributed nationwide from July 7 - July 18, 2017, according to the recall notice.

The FDA said there are reported illnesses in states where Grande Produce did not distribute papayas, so the investigation is ongoing. 

>> Read more trending news 

At least a dozen people have been hospitalized and one death has been reported, according to the CDC. Illnesses were first reported in mid-May and ended in late June, but the CDC said any illness reports filed after June 23 may not be captured in the current data.

The CDC urges all consumers, restaurants and other businesses to refrain from serving and eating yellow Maradol papayas at this time. The yellow Maradol papaya is described by the CDC as "a large, oval fruit that weighs 3 or more pounds, with green skins that turn yellow when the fruit is ripe. The flesh inside the fruit is salmon-colored."

Other forms and brands of papaya are not part of the recall at this time.