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Category: Writing Samples

The Heart of a Runner

Originally published on August 8, 2018 on the Hartford HealthCare Health News Hub at https://healthnewshub.org/health-news-hub/healthy-living/the-heart-of-a-runner/

It’s a life on the run for Larry Allen, and he wouldn’t have it any other way.

Larry’s dedication to the sport of long distance running earned him a coveted spot in the Maine Running Hall of Fame. Yet as he rose the ranks, he always kept pace with another top performer: sports cardiologist Dr. Paul Thompson.

“His name as a top class regional runner in New England was always there, and I was always impressed, and I just remembered it,” Larry said.

And it’s a good thing he did.

On January 12, 2016, Larry had trouble finishing what was a typical workout: a seven-mile run. An emergency visit to a New York City hospital discovered a near-complete heart blockage, requiring he undergo immediate surgery to implant a pacemaker.

The surgery, however, was only partially successful. While Larry felt better, but still wasn’t able to run. He needed to find a trusted cardiologist who could help him get to the bottom of the issue.

“Suddenly the bell went off in my head one afternoon, and I remembered Dr. Thompson,” Larry said.

He tracked down Dr. Thompson, who as now the co-physician-in-chief of the Hartford HealthCare Heart & Vascular Institute.

“No matter whether a person is as famous as Larry is or as good a runner or they’re just a jogger, we give them the absolute best  we can so that they can return to the life that they want to live,” said Dr. Thompson, who agreed to take on Larry’s case.

After looking over the case, Dr. Thompson brought in Hartford Hospital electrophysiologist Dr. Steven Zweibel to take a closer look at Larry’s pacemaker.

“I had a feeling there was something about how the pacemaker was programmed that was limiting his function,” said Dr. Zweibel. “I committed to him that I would work with him for as long as it took.”

In this case, timing was everything.

“Turning off that algorithm actually fixed his heart, and got (Larry) back to his normal state of running,” said Dr. Zweibel.

Learn more about the Hartford HealthCare Heart & Vascular Institutehere

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Leadership Welcome Message: For The Institute of Living’s “The Record” (2014)

For nearly 200 years, the Institute of Living has been a vital part of the community that we serve. That community has expanded over time from our humble beginnings as Connecticut’s first hospital to encompass our city, state and nation – along with the international community of behavioral health providers, researchers and patients.

Never has this been more evident than in the past two years as we mourned in the aftermath of a tragedy of historic proportions: the Dec. 2012 shootings at the Sandy Hook Elementary School that took the lives of 27 children and adults in Newtown, Connecticut.

As terrible as it was, the shooting was a turning point, serving as an opportunity to foster the integration of behavioral health into mainstream health care and to work towards eliminating the stigma of mental illness. The IOL played a lead role in this initiative through the National Dialogue on Mental Health, an Obama-administration initiative born in the wake of the Newtown tragedy to raise community awareness about behavioral health.

With the National Dialogue now it its second year, the IOL has been actively involved in influencing and facilitating discussions large and small that we hope will bring real and lasting social change. These efforts included a standing-room-only forum at the Bushnell Center for the Performing Arts, PTA meetings, discussions at high schools across Connecticut, media outreach, and training through our Mental Health First Aid courses. The IOL has listened, presented, and proudly carried the mantle of mental health to the community and back again to improve the public’s perception of those with mental illness and, hopefully, reduce the risk of future tragedy.

Despite the continued focus on mental health, behavioral health services everywhere have struggled to meet the needs of their communities and enable people to access care. This issue is particularly acute in Connecticut, where the health care delivery system experienced an overwhelming increase in demand for child and adolescent psychiatric services for patients with serious mental illness, difficulties in accessing psychiatric beds, and inadequate alternative placements, resulting in delayed treatment as children
languished in emergency departments.

At the IOL, we continually seek new and innovative ways to meet the behavioral health needs of children and adolescents before they reach our emergency rooms. We’ve established Access Mental Health-CT, expanded our young adult (ages 18-25) outreach program, and celebrated the first anniversary of our LGBTQ/The Right Track program. All the while our research efforts and training programs continue to focus on preparing the next generation with the manpower and knowledge to deliver state-of-the-art behavioral health care.

Though time can never completely erase the sense of loss brought on by the events of that cold December day two years ago, time has given our community the opportunity to talk openly about the issues we face when it comes to continuing to deliver high quality behavioral health services. To that end, the IOL continues to reach out well beyond our campus to listen, learn, innovate, teach, and heal – all for the benefit of the patients we treat and the community we serve.

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Patient Story: Karen Ablondi

from the 2013 Rushford Annual Report

Karen Ablondi is very much a child of the 1970s.

“I had a real good family. We lived in the suburbs. My dad was town first selectman. My mom was a school nurse. We were an intact family. We had a very normal childhood,” she said.

But as anyone who came of age during the 1970s and early 1980s will tell you, the norms and attitudes toward drugs and alcohol were significantly different five decades ago.

“The late 70s were kind of a crazy time,” she said. “Anything went. I had older cousins and siblings who were partiers. The (legal) drinking age was 18, but I tried alcohol for the first time when I was 12 or 13.”

By early high school, partying “became a priority for me.” By 16, she was an IV drug user. “I did heroin and cocaine. I continued on that path on and off. I drank and smoked pot daily, too,” she recalled.

After high school, she headed to Florida to live, where her partying ways escalated to drug dealing.

“I was a risk taker. I was living on the wild side,” she admits.

For nearly six years, she lived what she considered a “normal semblance of life.”

Her family in Connecticut remained mostly unaware of her Florida situation. In Florida, she worked and attended community college — and partied using drugs and alcohol.

In 1986, her worlds collided. Finances crumbled and she returned to Connecticut, landing a good job. But she was still hooked on drugs, finding her fix now in prescription pain killers. In 1989, she and a boyfriend were arrested for trying to fill prescriptions at a pharmacy.

“It was the first time my parents realized something was seriously wrong,” she recalled. “They tried their best to help me.”

At age 25, she was out on a $40,000 bond and had 38 pending felony charges. She

still had no interest in getting clean. But her parents insisted.

After a successful stint at a detox unit in New Haven, Karen attended a residential addiction recovery halfway house program then located at Rushford’s Crescent Street, Middletown location.

“It was the third floor in a very old building,” she recalled. “The expectation was that I’d find a job to cover room and board. I had to work in the kitchen washing pots and pans. I hadn’t had a routine in a long time. I hadn’t had a job in a few years. I didn’t have to do anything at a regular time, like eat, make my bed, take a shower or go to work. Rushford provided me the structure so I could do that.” 

Her time at Rushford also gave her a chance to live with others who were living sober.

“I met all different kinds of people. I went to (NA and AA) meetings,” she recalled. “I was able to integrate back into the community. I got a job at Aetna.”

She found a sponsor, and she’s been sober ever since. She went on to receive her bachelor’s degree in sociology and criminal justice, and a master’s degree in social work. She is today a married mother of two who works full-time. She still attends NA meetings at least once a week. 

About a year ago, she and her husband opened a recovery house, not unlike the one at Rushford where Karen herself started her recovery journey in 1989. Her approach to helping is also not all that different from back in the day, either.

“When someone calls about getting into the sober house, they have to want to make a change on some level,” she said. “I do believe it is important to intervene whenever possible. You just never know when someone is going to grab onto (recovery) and run with it like I did.”

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Patient Story: Tim Harmon

from the 2012 Rushford Annual Report

Seeing him today, 19-year-old Tim Harmon fits the stereotypical picture of health: rosy glow, strong arms from hours spent in the gym and a confident gait.

But on the morning of October 19, 2011, Mary Ann Harmon discovered her son unresponsive.

“I found him face down in bed. He was cold and ashen. I yelled to him. No response. I could not feel a pulse, and he had just one breath every 10 to 12 seconds. I couldn’t pull him off the bed.” Mary Ann – a Registered Nurse – performed CPR, and ordered others in the house to call 9-1-1.

Tim had overdosed on a combination of drugs, including K2 (synthetic marijuana), cough syrup, and, most significantly, morphine.

In the five days that followed, Tim Harmon’s survival was in doubt. He was in a coma for the first 48 hours, having suffered from aspiration pneumonia and a collapsed lung.

“We are fortunate that he recovered fully without any cognitive defects,” Mary Ann said.

Upon his release from the hospital, Mary Ann and her husband, Justin, sent their son to rehab at Rushford at Stonegate in Durham, a residential facility, designed to treat adolescent males between the ages of 13 and 18.

Choosing a facility close to their Guilford home was important.

“If he had a problem, I wanted to be nearby and be involved in it and have people teach me about what was happening,” Mary Ann stated.

“I wanted a high quality facility nearby that treated the entire family. We found that in Rushford.”

“We were involved in Tim’s recovery through weekly family meetings,” Mary Ann noted. “Rushford staff communicated openly with us, some- times daily. That was so important.”

Recovery has not been easy for Tim, but both he and Mary Ann remain optimistic for Tim’s continued success. Mary Ann, however, noted that recovery is not a simple process.

“CPR was easy,” she said modestly. “Recovery is hard.”

As for the future, Tim is considering college classes, possibly to become a therapeutic recreation provider. As for advice he’d give others who might be dealing with substance use issues, Tim Harmon is wise beyond his years.

“Stop. Breathe. Ask for help,” Tim said.

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Suicide and Celebrity: What Does That Link Mean for Us?

Originally published on June 8, 2018 on the Hartford HealthCare Health News Hub at https://healthnewshub.org/health-news-hub/top-news/suicide-celebrity-opportunity-talk/

Designer Kate Spade is dead at 55. Chef and CNN world traveler Anthony Bourdain is dead at 61.

These are just the latest in a long line of tragic, high-profile deaths by suicide.

Google “celebrity suicide” and the lists are seemingly endless. They stretch back centuries. Included are people whose influence on our collective culture remains strong today: Robin Williams, Kurt Cobain, Sylvia Plath, Ernest Hemingway and Marilyn Monroe.

By all outward appearances, celebrities have it all: fame, fortune, talent and power. Yet none of that could save the people on these lists from the ravages of the mental illnesses that ultimately appear to have caused their deaths.

“Depression and suicide do not discriminate,” said James F. O’Dea, PhD, MPH, vice president of the Hartford HealthCare Behavioral Health Network. “They impact the rich and the poor, the famous and the not so famous, men and women, young and old.”

Perhaps most significant now — in the immediate aftermath of the deaths of Spade and Bourdain — is the significant and continued influence of their celebrity. Bourdain, in particular, was a master communicator, publicly portraying a zest for life and adventure that belied his personal demons of addiction and mental illness.

According to a 2007 study published in the Journal of Epidemiology and Community Health, “Celebrity suicide is a risk factor for suicidal ideation over a short term as well as over a long term.”

What that means can be unfortunate: that even from their graves, these celebrities are telegraphing to large masses of people a dangerous and untrue message: that ending one’s life is a solution to ending mental illness. Kate did it. Robin did it. Marilyn did it. Anthony did it. It must be OK for me, too.

And that’s where some celebrities fail society as a whole: Suicide is NEVER an option. Not today. Not tomorrow. Not ever. The voices — earthly and otherwise — telling you that it is okay to hurt yourself are just plain wrong.

But there is something positive to gain from our grief in the aftermath of the deaths of Kate Spade and Anthony Bourdain.

“Prominent incidents like these give us the chance to talk more about mental health and recovery, and get ahead of the issue,” said Dr. O’Dea.

If you or someone you know is experiencing an immediate mental health crisis, including suicidal ideation, the first step to get help is by calling 9-1-1, or visiting your local hospital emergency department.

Other resources include the National Suicide Prevention Lifelineat 1.800.273.8255, and the Crisis Text Line (text the word “HELP” to 741741), as well as an anonymous depression screening available here, and the numerous short-term and long-term recovery options available across Connecticut from the Hartford HealthCare Behavioral Health Network.

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