Health & fitness
Woman, 26, shows how she pees through her belly button – and her eyes water when her bladder is full
A YOUNG woman has revealed how she pees through her belly button after a devastating car accident left her paralysed
Steph Aiello, from California, US, was due to start make-up artists training in October 2010.
But just a day before it began the now 26-year-old was involved in a major crash that killed one of her closest friends and left her paralysed from the waist down.
In a video shared with her 260,000 Instagram followers, the quadriplegic beauty influencer shows how she uses the toilet, aiming to break the stigma around disability worldwide.
In the clip, she opened up about the interesting sign that tells her she needs to use the toilet.
“My eyes start to water,” she said, explaining that this signals an immune reaction called autonomic dysreflexia.
Autonomic dysreflexia is an excessive nervous system response to stimulation.
It involves several symptoms including sweating and racing heart rate, and causes blood pressure to rapidly rise.
For those with spinal cord injury, it is commonly triggered when the bladder is full and needs to be emptied.
Holding up a long cylindrical compact blue catheter, known as a SpeediCath, Steph added: “I can be anywhere I want to do this.
“When I stick it into my belly button, it’ll reach my bladder.”
Pushing the catheter into her belly button allows her then to urinate.
When she is done, she sticks her thumb into a loop on the catheter bag, helping her slowly pull it out
“Then I will take the [catheter] cap in my hands, put it back in [the catheter tube] and push with my palm.”
“Now I can discard it in the toilet,” she added.
“To anyone who is thinking about getting this surgery, it is extremely brutal. It is a brutal surgery.
“The recovery is really rough but if I had to do it again every single year I would.’
A permanent fix
Before her life-changing surgery, Steph received Botox injections twice a year to relax her bladder muscles, allowing it to hold more urine.
A similar Botox treatment is recommended by the NHS for chronic anal fissures, helping muscles relax to heal the fissure.
Mitrofanoff surgery gave her a permanent fix.
It connects the bladder to the skin’s surface using the appendix or intestines, allowing her to use a catheter to drain urine.
“My appendix was big enough, so they didn’t need my intestines,” she said.
“But if it’s too small, they use part of the intestines.”
She takes bladder spasm medication to prevent leakage and has learned to manage autonomic dysreflexia, a condition she was initially scared of.
“Now, I sense when it’s coming on and check my bladder, clothes, and shoes to find the cause.
“It helps, because it warns me before something serious happens.”
What is Mitrofanoff surgery?
Mitrofanoff surgery creates a channel from the bladder to the skin, making it easier to drain urine.
Surgeons typically use the appendix or a small piece of the intestine for this.
After surgery, patients can insert a catheter through the opening to empty their bladder.
It’s especially helpful for those with conditions like spina bifida or multiple sclerosis.
The procedure helps prevent urinary tract infections and makes bladder management much simpler.
Patients also learn how to care for the catheter and stoma afterwards.
Overall, Mitrofanoff surgery can really enhance quality of life for people dealing with bladder issues.
Source: NHS
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Health & fitness
Mum-of-two, 43, died at home after her heart stopped while waiting 2 hours for an ambulance
A MUM-of-two died from a heart attack while waiting for an ambulance for more than two hours, a court has heard.
Julie Hurn, 43, died at her home in Attleborough, Norfolk on June 25, 2022, having suffered a myocardial infarction – a blood clot stopped her heart.
She called 999 after experiencing chest pains.
An inquest into her death at Norfolk Coroner’s Court heard that it was likely she would have survived if she had received immediate treatment.
Rajesh Logasundaram, who carried out a post mortem examination, said: “An earlier 999 call would have made a significant difference to her chances of survival.”
The court heard she had originally phoned for an ambulance at 3.26pm after she experienced chest paints, with her call given category two status.
Read more on heart attacks
Serious conditions such as strokes or chest pain which may require rapid assessment and urgent transport are classed as category two.
Julie called again around an hour later after she began vomiting, but it was not until shortly before 5pm that her call was escalated.
A neighbour had phoned again to say she had gone into cardiac arrest – meaning her heart stopped beating – and paramedics arrived at 5.14pm.
Mrs Hurn, who worked as a contracts manager for Norfolk County Council, died at 5.48pm, 142 minutes after her first call to emergency services.
It was revealed in court that when her original call was made, 50 of the region’s ambulances were stranded outside Norfolk’s three main hospitals.
The incident happened during a “black surge”, a phrase used to describe a period of acute demand on emergency services and acute hospitals.
Chris Hewitson, a patient safety specialist officer at the East of England Ambulance Service Trust, said Mrs Hurn’s initial call was correctly categorised.
But at that time there were also 50 outstanding calls with the same priority level.
He added that there were 19 ambulances stranded outside of the Norfolk and Norwich University Hospital alone.
Yvonne Blake, area coroner for Norfolk, said: “The medical evidence we have heard so far is that if she had a cardiac arrest and either received immediate treatment or was in hospital, that given her age it is more likely than not that she would have survived.”
On Monday, Prof Saul Myerson, a consultant cardiologist based at the University of Oxford, said at the inquest that a faster response would have improved her chances.
Subtle signs of a heart attack
A HEART attack is when the supply of the blood to the heart is suddenly blocked.
It is a medical emergency and needs to be treated right away.
Around 100,000 people are admitted to hospital due to heart attacks every year in the UK, according to the British Heart Foundation.
That’s 290 each day, or one every five minutes.
Some symptoms, like chest pain, shortness of breath and feeling lightheaded or dizzy, can be fairly obvious.
But the signs aren’t always so blatant, the NHS warns. Other more subtle symptoms of a heart attack include:
- Pain in other parts of the body (it can feel as if the pain is spreading from your chest to your arms, jaw, neck, back and stomach)
- Sweating
- Feeling sick
- Vomiting
- An overwhelming feeling of anxiety (similar to a panic attack)
- Weakness or fatigue
- Coughing
- Wheezing
A heart attack and cardiac arrest are similar, but not the same.
A cardiac arrest is when the heart stops pumping blood around the body.
He said that while was unlikely her heart attack would have been prevented, had she been in hospital when it occurred her survival chances would have been better.
In a statement read to the court, her brother Gary Hambling said: “As a family we believe the NHS has let us down.
“The time taken to get an ambulance to her was unacceptable.”
Clare Gooch, a medical negligence lawyer from Switalskis, who is representing the family, said “This has been an incredibly difficult time for Mrs Hurn’s family who are still coming to terms with their loss.
“They now hope this inquest will help to provide some further insight into the circumstances leading up to her death.”
The inquest continues.
Symptoms of a cardiac arrest
A cardiac arrest is when your heart suddenly stops pumping blood around your body.
It’s sometimes mistaken for a heart attack but it’s different.
A cardiac arrest is an emergency that usually happens without warning.
If someone is in cardiac arrest, they collapse suddenly and:
- Will be unconscious
- Unresponsive, and
- Not breathing or not breathing normally – this may mean they’re making gasping noises.
Without immediate treatment, the person will die.
If you see someone having a cardiac arrest, phone 999 immediately and start CPR.
Source: British Heart Foundation
Health & fitness
Catching Covid doubles your risk of heart attack or stroke for the next THREE years, scientists warn
COVID doubles the risk of a heart attack, stroke or dying up to three years later, a new study warns.
The danger is even higher among people with blood types A, B or AB who were infected with the virus compared to those with type O, say scientists.
They reviewed data from more than 10,000 adults aged over 50, including around 8,000 who tested positive for Covid-19 from February 1 to December 31, 2020, and about 2,000 who tested positive for the virus in hospital in 2020.
A group of more than 200,000 adults who had no history of Covid infection during the same time frame and who were also taking part in the ongoing UK Biobank study were reviewed for comparison.
None of the participants were vaccinated at the time of infection because Covid-19 jabs were not yet available.
Researchers found that adults who had mild to severe Covid were more likely to have suffered a heart attack, stroke or died during the following three years.
The elevated risk of heart attack, stroke or death linked to Covid-19 infection was comparable to cardiovascular risk factors such as type 2 diabetes, peripheral artery disease and cardiovascular disease, according to the findings.
The study, published in the journal Arteriosclerosis Thrombosis and Vascular Biology, also found that having a non-O blood type was associated with an increased risk of a heart attack, stroke or death among those who were infected by Covid.
The American research team say their findings suggest that people infected with Covid might benefit from cardiovascular disease prevention treatments to lower the risk of a heart attack or stroke.
Study lead author James Hilser, of the University of Southern California Keck School of Medicine, Los Angeles, said: “We found a long-term cardiovascular health risk associated with Covid, especially among people with more severe Covid-19 cases that required hospitalisation.
“This increased risk of heart attack and stroke continued three years after Covid-19 infection.
“Remarkably, in some cases, the increased risk was almost as high as having a known cardiovascular risk factor such as type 2 diabetes or peripheral artery disease.”
Previous research has shown that Covid-19 increases the risk of serious cardiovascular complications within the first month after infection.
The new study examined how long the increased risk lasted and whether it subsided after recovering.
Researchers found that, during the near three-year follow-up period, the risk of a heart attack, stroke and death was more than double among adults who had Covid-19.
This risk was nearly four times greater among adults hospitalised with Covid-19, compared with those never infected with the virus.
People hospitalised with Covid, who didn’t have cardiovascular disease or type 2 diabetes, had a 21 per cent greater risk of a heart attack, stroke or dying compared to people with cardiovascular disease who didn’t get the virus.
The researchers also found a “significant” genetic interaction among the non-O blood types and hospitalisation for Covid.
Who can get an NHS Covid jab this autumn?
THE NHS has started offering autumn Covid boosters to the most vulnerable.
Many pharmacies also now sell the Covid jab privately.
Can I get it?
The following groups can have an NHS Covid booster between 3 October and 20 December:
- over-65s
- people aged between six months and 64 years with health conditions that make them more vulnerable, including pregnant women
- people living in care homes for older people
- frontline NHS and social care workers,and those working in care homes for older people
The NHS has already contacted more than 11 million people, but those who qualify for the jab can also book their own appointments via the NHS App,, GPs, pharmacies, drop-in clinics,or by calling 119.
Anyone also entitled to the flu jab will be offered this at the same time.
Patients who are also entitled to the respiratory syncytial virus (RSV) vaccine, will not usually be given it at the same time as a flu or Covid jab.
However, pregnant women can have the RSV vaccine at the same time as the Covid jab.
People with severe Covid-19 infections had an increased risk of heart attack and stroke, but that risk was even higher in people who had non-O blood types.
The risk of heart attack and stroke was around 65 per cent higher in adults with blood types A, B or AB compared to those who had type O blood.
‘Explains the rise in heart disease’
Study co-senior author Professor Stanley Hazen, chair of cardiovascular and metabolic sciences at Cleveland Clinic’s Lerner Research Institute, said: “Worldwide, over a billion people have already experienced Covid-19 infection.
“The findings reported are not a small effect in a small subgroup.
“The results included nearly a quarter million people and point to a finding of global health care importance that may translate into an explanation for a rise in cardiovascular disease around the world.”
Study co-senior study author Professor Hooman Allayee, also of the University of Southern California Keck School of Medicine, said: “The results of our study highlight the long-term cardiovascular effects of Covid-19 infection.
“Given the increased risk of heart attack, stroke and death, the question is whether or not severe Covid-19 should be considered as another risk factor for cardiovascular disease, much like Type 2 diabetes or peripheral artery disease, where treatment focused on cardiovascular disease prevention may be valuable.
“The results suggest that people with prior Covid infection may benefit from preventive care for cardiovascular disease.”
Professor Sandeep Das, co-chair of the American Heart Association, said of the findings: “They show that something located close to the genetic home of ABO blood type is associated with different degrees of susceptibility to Covid.”
He added: “This is really fascinating, and I look forward to seeing scientists tease out what the specific pathway may be.”
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