1 00:00:00,166 --> 00:00:05,672 Sydney Finnell frowns at what Erin Cekovich is cradling in her gloved hands. 2 00:00:05,705 --> 00:00:09,209 It looks like a mammoth head of cauliflower, but gray, 3 00:00:09,209 --> 00:00:12,545 split down the center of its oval shape and dangling tubes. 4 00:00:12,979 --> 00:00:15,782 “Haveyou ever seen a human brain before?” asks 5 00:00:15,782 --> 00:00:19,285 Cekovich, manager of the stroke program at Penn State Health Milton S. 6 00:00:19,285 --> 00:00:20,653 Hershey Medical Center. 7 00:00:20,653 --> 00:00:22,188 The little girl stares. 8 00:00:22,188 --> 00:00:25,191 She crosses her arms and comes no closer. 9 00:00:25,191 --> 00:00:26,593 “Yeah,” she says. 10 00:00:26,593 --> 00:00:28,962 “You have?” Cekovich says, smiling. 11 00:00:28,962 --> 00:00:31,831 “Where?” “Right here,” Finnell says. 12 00:00:31,831 --> 00:00:33,500 Cekovich laughs. 13 00:00:33,500 --> 00:00:37,637 Not everyone gathered at Paxtonia Elementary School in Harrisburg 14 00:00:37,637 --> 00:00:41,641 for Science Night is as skeptical about the Penn State Health brain as Finnell. 15 00:00:41,908 --> 00:00:46,713 In fact, for dozens of the local residents who gather for one evening every year 16 00:00:46,713 --> 00:00:48,782 to watch representatives from academia 17 00:00:48,782 --> 00:00:52,352 and local companies perform scientific experiments at the school, 18 00:00:52,719 --> 00:00:57,090 crowding in close and gawking at a naked human mind is tradition. 19 00:00:57,724 --> 00:01:00,960 “It’s always my first stop,” one woman tells Cekovich, 20 00:01:00,960 --> 00:01:02,929 who is there with other members of Milton S. 21 00:01:02,929 --> 00:01:04,998 Hershey Medical Center’s stroke team. 22 00:01:04,998 --> 00:01:08,401 But while the novelty of getting up close to the mysterious organ 23 00:01:08,401 --> 00:01:13,039 responsible for your dreams, fears and chocolate cravings is tantalizing, 24 00:01:13,373 --> 00:01:16,109 the stroke team isn’t there for thrills. 25 00:01:16,109 --> 00:01:19,712 The brain was a gift to the health system by an anonymous donor 26 00:01:19,712 --> 00:01:20,847 for education purposes. 27 00:01:20,847 --> 00:01:24,150 And Cekovich and her partners hope the lessons 28 00:01:24,150 --> 00:01:27,153 they teach will actually help save lives. 29 00:01:27,454 --> 00:01:30,390 “Does anybody know what happens when you have a stroke?” 30 00:01:30,390 --> 00:01:33,393 Cekovich asks a pack of enraptured children. 31 00:01:33,460 --> 00:01:34,828 She flips the brain over 32 00:01:34,828 --> 00:01:38,298 to where the brain stem, severed from the spinal cord, dangles. 33 00:01:38,565 --> 00:01:41,401 Sometimes a blood vessel bursts, she explains. 34 00:01:41,401 --> 00:01:43,503 That’s called a hemorrhagic stroke. 35 00:01:43,503 --> 00:01:46,473 Sometimes a blockage forms within an artery. 36 00:01:46,473 --> 00:01:48,308 That’s an ischemic stroke. 37 00:01:48,308 --> 00:01:51,978 Either way, the blood supply to the big computer inside 38 00:01:51,978 --> 00:01:56,449 your head becomes disrupted, and that can quickly lead to permanent damage. 39 00:01:56,449 --> 00:01:58,585 Or worse ― death. 40 00:01:58,585 --> 00:02:01,588 And it can happen in a matter of seconds. 41 00:02:02,122 --> 00:02:05,859 Cekovich and her partners are visiting Science Night for the same reason 42 00:02:05,859 --> 00:02:10,830 they drop by food pantries and other local gatherings ― to try to stop strokes 43 00:02:10,830 --> 00:02:15,068 from taking lives. Someone has to make the call 44 00:02:16,369 --> 00:02:19,072 Every 40 seconds, someone in the U.S. 45 00:02:19,072 --> 00:02:21,141 suffers a stroke, according to the U.S. 46 00:02:21,141 --> 00:02:23,676 Centers for Disease Control and Prevention (CDC). 47 00:02:23,676 --> 00:02:27,547 Every three minutes and 14 seconds, someone dies from one. 48 00:02:28,081 --> 00:02:30,350 Early detection can make all the difference, 49 00:02:30,350 --> 00:02:32,352 and that’s the point of events like Science 50 00:02:32,352 --> 00:02:35,355 Night and others the stroke team regularly attends. 51 00:02:35,388 --> 00:02:39,492 In Penn State Health’s 2021 Community Health Needs Assessment survey, 52 00:02:39,792 --> 00:02:43,530 heart disease and stroke ranked fifth among health conditions 53 00:02:43,530 --> 00:02:45,598 affecting survey respondents. 54 00:02:45,598 --> 00:02:50,069 People most likely to suffer strokes struggle with high blood pressure, high 55 00:02:50,069 --> 00:02:54,774 cholesterol, smoking, obesity and diabetes, according to the CDC. 56 00:02:55,208 --> 00:02:58,511 A stroke can kill in a moment and strike swiftly. 57 00:02:58,711 --> 00:03:01,414 But two things can prevent it. 58 00:03:01,414 --> 00:03:04,250 One is a qualified health care team. 59 00:03:04,250 --> 00:03:07,720 Cesar Velasco says patients can find just that 60 00:03:07,720 --> 00:03:11,124 where he works as coordinator of the stroke program at Milton S. 61 00:03:11,124 --> 00:03:12,625 Hershey Medical Center. 62 00:03:12,625 --> 00:03:17,564 The medical center’s neurology and neurosurgery teams are available 24/7 63 00:03:17,564 --> 00:03:20,567 to provide comprehensive stroke center interventions. 64 00:03:20,733 --> 00:03:25,438 This includes intravenous medication that dissolves clots and endovascular 65 00:03:25,438 --> 00:03:27,707 thrombectomy, a surgical procedure 66 00:03:27,707 --> 00:03:31,244 to remove a clot causing disruption of blood flow to the brain. 67 00:03:31,711 --> 00:03:35,315 These treatments are time sensitive and can only be delivered 68 00:03:35,315 --> 00:03:38,751 to patients who meet acute ischemic stroke treatment criteria. 69 00:03:39,219 --> 00:03:43,356 All of it starts, Velasco says, with a 911 phone call. 70 00:03:43,656 --> 00:03:46,159 And that’s where the second essential ingredient 71 00:03:46,159 --> 00:03:50,163 for preventing a fatal or damaging stroke comes into play – 72 00:03:50,163 --> 00:03:53,466 someone nearby who knows the warning signs. 73 00:03:54,334 --> 00:03:55,602 BE FAST. 74 00:03:56,703 --> 00:03:57,570 “Who knows what 75 00:03:57,570 --> 00:04:01,441 BE FAST stands for?” Cekovich asks a scrum of children 76 00:04:01,441 --> 00:04:04,978 at Paxtonia Elementary who have gathered to say hi to the brain. 77 00:04:05,378 --> 00:04:08,381 A boy in the crowd furrows his brow and begins. 78 00:04:08,581 --> 00:04:11,184 “B is for balance,” he says. 79 00:04:11,184 --> 00:04:12,752 “Good,” Cekovich says. 80 00:04:12,752 --> 00:04:16,022 Someone suffering a stroke may be unsteady on their feet. 81 00:04:16,456 --> 00:04:18,057 “E is for eye.” 82 00:04:18,057 --> 00:04:21,594 A stroke could cause someone to lose their vision in one or both eyes. 83 00:04:22,028 --> 00:04:24,230 “F is face,” the boy continues. 84 00:04:24,230 --> 00:04:28,101 A telltale sign can be a facial droop or an uneven smile. 85 00:04:28,101 --> 00:04:33,573 “A is arms.” One arm might hang lower than the other in someone having a stroke. 86 00:04:34,007 --> 00:04:37,143 “S is for speech.” Someone suffering a stroke 87 00:04:37,277 --> 00:04:41,080 might slur their words, have trouble speaking or seem confused. 88 00:04:41,447 --> 00:04:45,785 “And T is … um …” The boy searches for it. 89 00:04:46,052 --> 00:04:49,489 Cekovich starts to give him the answer, but before she can say it, 90 00:04:49,555 --> 00:04:51,858 he blurts out the final word. 91 00:04:51,858 --> 00:04:53,626 “TIME,” he says. 92 00:04:53,626 --> 00:04:55,228 “Right,” Cekovich nods. 93 00:04:55,228 --> 00:04:57,363 “Time to call 911. 94 00:04:57,363 --> 00:05:01,100 Fantastic!” Her audience has seen the acronym 95 00:05:01,100 --> 00:05:04,237 many times ― at school, on billboards and posters ― 96 00:05:04,404 --> 00:05:07,740 but it’s the most essential part of the stroke team’s presentation. 97 00:05:08,041 --> 00:05:11,611 In March, they visited with hockey fans at the Hershey Bears game. 98 00:05:11,911 --> 00:05:15,214 This spring, they’re attending farmers markets and local food banks 99 00:05:15,214 --> 00:05:19,886 because “We want to integrate ourselves into communities that might not have 100 00:05:19,886 --> 00:05:24,290 equitable access to not only health care but also food,” Velasco said, 101 00:05:24,624 --> 00:05:28,328 since what you eat can contribute to your likelihood of having a stroke. 102 00:05:28,728 --> 00:05:32,832 Stroke team members do live interviews on TV and perform tests 103 00:05:32,832 --> 00:05:34,434 among samples of participants 104 00:05:34,434 --> 00:05:38,237 at some events to determine whether their message is getting through. 105 00:05:38,771 --> 00:05:42,008 The idea is that just about anyone can make that 106 00:05:42,008 --> 00:05:47,113 911 call – teachers, plumbers, CEOs or professional baseball players. 107 00:05:47,480 --> 00:05:48,915 And children. 108 00:05:48,915 --> 00:05:52,418 Among the literature and brochures about strokes and what can be done 109 00:05:52,418 --> 00:05:57,523 to protect against them is a coloring book for kids all about how they can help. 110 00:05:58,291 --> 00:06:00,560 ‘People don’t know’ 111 00:06:00,560 --> 00:06:04,230 The brain they bring to events “is a good way of illustrating 112 00:06:04,230 --> 00:06:07,900 that this is an organ you don’t regularly see,” Velasco said. 113 00:06:08,234 --> 00:06:11,571 “We take for granted the ideas of brain health and the risk 114 00:06:11,571 --> 00:06:15,775 for stroke.” For some at Science Night, the brain struck a personal chord. 115 00:06:16,008 --> 00:06:18,811 A woman watched Cekovich’s description of a stroke 116 00:06:18,811 --> 00:06:21,647 and explained to her child that her grandfather 117 00:06:21,647 --> 00:06:25,251 who they just visited in the hospital was suffering from a stroke. 118 00:06:25,752 --> 00:06:29,889 David Klinger, a 64-year-old from Harrisburg, has had three strokes. 119 00:06:30,289 --> 00:06:34,560 Cekovich showed him on the underside of the brain what exactly had happened. 120 00:06:34,861 --> 00:06:38,731 He’d never been up close to the organ that had caused him so much trouble. 121 00:06:39,198 --> 00:06:41,234 “It’s weird,” he said. 122 00:06:41,234 --> 00:06:43,403 The first stroke came in 2016 123 00:06:43,403 --> 00:06:46,973 when he was driving an 18-wheel tractor trailer on Interstate 78. 124 00:06:47,206 --> 00:06:49,609 He lost feeling in one of his feet. 125 00:06:49,609 --> 00:06:52,211 His most recent stroke was five weeks ago. 126 00:06:52,211 --> 00:06:56,282 He wasn’t going to go to the hospital until his wife recognized the signs 127 00:06:56,282 --> 00:06:57,483 and made him go in. 128 00:06:57,483 --> 00:06:59,519 He’s thankful that she did. 129 00:06:59,519 --> 00:07:01,587 “People don’t know,” he said. 130 00:07:01,587 --> 00:07:04,490 “They told me I wouldn’t walk after the first time.”