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Fantastic!
"Mike Vandeman" <[email protected]> skrev i en meddelelse
news:[email protected]...
> So much for the alleged "health benefits" of mountain biking....
>
> Mike
>
>
> http://www.pressdemocrat.com/EarlyEdition/article_view.cfm?recordID=8508&publishdate=01/26/2008
>
> Different outcomes for 2 men felled by same ailment at Annadel park
>
> By DEREK J. MOORE
> THE PRESS DEMOCRAT
> Saturday, January 26, 2008
>
>
> Had Randy Nash been on the fire road just a few minutes earlier, he
> might have seen Carl Triola or heard the sirens of the ambulance that
> whisked the cross country coach away.
>
>
> But the 54-year-old lumber salesman and avid mountain biker had no
> idea anything had been amiss when he and four friends reached a bridge
> inside Annadel State Park in Santa Rosa and began their grueling
> ascent.
>
> Two hours later, the father of four lay on a trail high up in the
> park,
>
> dying from sudden cardiac arrest
>
> as his friends frantically attempted CPR.
>
> Triola, in the meantime, was fighting for his own life.
>
> Having turned around at the same bridge where Nash pressed on, the
> 38-year-old Casa Grande High School coach collapsed in a parking lot
> on Annadel's western edge.
>
> His heart suddenly stopped beating.
>
> Only the quick work of a retired cardiac nurse who happened to witness
> Triola's collapse and the timely arrival of paramedics who shocked his
> heart saved the man's life.
>
> What many are struggling to understand is how two seemingly fit men
> could suffer such calamity while doing something that is supposed to
> be good for the body and soul.
>
> The answer is a revealing tale of roads not taken, warning signs not
> heeded, luck and the workings of the human heart.
>
> Fateful decision
>
> Triola and Nash arrived at Annadel about an hour apart Jan. 13, a
> bitingly cold but sunny Sunday morning that was a welcome relief from
> several days of lashing rain and wind.
>
> Triola jogged to the park at about 9 a.m. from the Hoen Avenue home he
> shares with his wife, Vicky, and Luke, their 7-year-old son.
>
> He went in through the park's Stonehedge entrance and connected with
> Canyon Trail, a fire road that starts out flat before ascending
> sharply into the hills.
>
> It was to be, by Triola's standards, a short, four-mile jaunt. He runs
> regularly and has completed two marathons, including a respectable
> 4-hour, 23-minute finish last spring at the Napa Valley Marathon.
>
> But he decided to cut it short that morning because he hadn't been
> training as much and he donated blood the day before.
>
> At the bridge where Canyon Trail splits with Spring Creek Trail,
> Triola turned around.
>
> That decision probably saved his life.
>
> "You don't think one choice will make a difference," he said. "I
> decided to stay on the main trail and come back."
>
> When he collapsed in the parking lot, the retired nurse and an
> unidentified man began CPR immediately.
>
> Paramedics were on scene within four minutes.
>
> "He got medical attention early. That's why he survived," said Dr.
> Peter Chang-Sing, chairman of Santa Rosa Memorial Hospital's
> cardiovascular surgery and medicine department.
>
> Most people don't survive. Sudden cardiac death is the nation's
> leading killer, claiming 325,000 lives annually. Only one in six
> victims survive the initial attack without lasting brain damage,
> Chang-Sing said.
>
> Nash had no such luck.
>
> His ride took him farther and farther into Annadel's remote reaches.
>
> With its close proximity to Santa Rosa, Annadel can seem like a
> relatively benign playground. The reality is that with 27 miles of
> trails spread across 5,000 acres, it can be as rugged as any rural
> outpost.
>
> Two park rangers typically patrol that vast area, although the park
> currently has a vacancy. Volunteers on horseback and bikes also help
> out.
>
> "It would be virtually impossible to be on every trail and be ready
> for every incident. We do our best with what we've got," said
> Supervising Park Ranger Angy Nowicki.
>
> Nash was particularly out of range. He collapsed on Marsh Trail, which
> at 1,320 feet represents Annadel's highest point.
>
> As usual, he'd gotten up around 6:30 a.m. at the Rincon Valley home he
> shares with Ellen, his wife of 26 years, and 21-year-old Jordan, the
> couple's son.
>
> The couple, who met while both were at Santa Rosa High School in the
> 1970s, discussed Nash's retirement plans and about upping his life
> insurance policy. Then he drove off with his $1,500 Specialized
> mountain bike in the back of his work truck.
>
> "We were starting to think about retirement because a lot of our
> friends were retiring at 50," said Ellen Nash, an administrative
> assistant for the California Highway Patrol. "But Randy loved to
> work."
>
> Funny and outgoing, Nash had worked for Mead Clark Lumber Co. since
> the early 1990s. He'd been active all his life, but after learning
> three years ago that he had high cholesterol, he was trying to trim
> some weight off his 190-pound frame.
>
> Looking back, Ellen Nash said she'd recently noticed her husband would
> get winded simply bringing wood in for the stove.
>
> A grueling climb
>
> At Annadel, Nash joined up with four members of his regular riding
> group: Blake Ridgway, his wife, Jean, Rich Drady and Leighton Schnur.
>
> Ridgway, who'd known Nash for almost 30 years, worked with him at Mead
> Clark, as did Schnur. Drady is a Santa Rosa contractor.
>
> Ridgway said the group started out at about 10 a.m. with a warm-up lap
> around Howarth Park and Spring Lake before entering Annadel on Canyon
> Trail and heading for the summit, a route that would take them about
> eight miles and include an elevation gain of about 1,000 feet.
>
> "It's about as tough as it gets up there," Ridgway said.
>
> Emerging from the redwoods on Ridge Trail, the group stopped to admire
> the view. Sunlight streamed through clouds high above the city.
>
> "My God," Nash said. "This is so unbelievable."
>
> Near Ledson Marsh, the group paused again around noon to rest and
> refuel with energy bars. Nash told an off-color joke that got everyone
> laughing. Then it was back on the trail.
>
> The group had ridden about 100 feet on Marsh Trail when Jean Ridgway
> and Schnur saw Nash slump over on his bike and crash.
>
> Up ahead, Blake Ridgway and Drady heard Jean Ridgway whistling loudly
> and rode back to discover Nash on the ground. He wasn't breathing.
>
> Blake Ridgway, who has undergone CPR training, tried to breathe air
> into his friend's lungs while Drady pushed on his chest.
>
> It already was too late.
>
> Sudden death
>
> "Five minutes into it - I don't remember saying this - but I turned to
> everyone and said, This is not good. We're losing him,'" Blake
> Ridgway recalled. "He wasn't breathing on his own and he had no
> pulse."
>
> About 20 minutes later, in response to a cell-phone call to 911, the
> Sonoma County sheriff's helicopter landed at Ledson Marsh. But the
> only thing deputies could do was pronounce Nash dead.
>
> "You start out the morning with five people, and you have to ride back
> with four. That was tough," said Drady, who had the tough task of
> driving Nash's truck home.
>
> Ellen Nash came outside when the group pulled up. So, too, did the
> neighbors when they heard her scream.
>
> "It was absolutely gut-wrenching," Blake Ridgway said. "It was almost
> a second death watching Ellen and Jordan go through that."
>
> Both Nash and Triola were at risk for sudden cardiac death, but for
> different reasons.
>
> Sudden cardiac death is the result of an abrupt and rapid loss of
> heart function in a person who may or may not have diagnosed heart
> disease.
>
> The term "heart attack," on the other hand, refers to the death of
> heart muscle tissue due to a loss of blood supply. It, too, can cause
> sudden death.
>
> Nash's death certificate states that he died from sudden cardiac death
> resulting from coronary artery disease, which is the fatty buildup in
> the arteries that supply blood to the heart muscle.
>
> A contributing factor, according to the document, was "physical
> exertion of bicycling."
>
> Warning signs
>
> There may have been little anyone could do to help Nash after he
> collapsed. Most victims of sudden cardiac death require help in four
> to six minutes. But there were warning signs that could have alerted
> him to trouble.
>
> Besides taking Lipitor to control his cholesterol, he'd complained to
> his wife about chest pains. On bike rides a week before his death,
> Nash remarked to his buddies that the effort seemed to be getting
> harder.
>
> He also had a family history of heart disease - his father had had two
> open-heart surgeries.
>
> In hindsight, Ellen Nash said, her husband should not have been riding
> such a challenging route the day he died.
>
> "It was too strenuous," she said. "But did he know that? He was having
> the time of his life."
>
> Triola had no warning anything was wrong with him, however.
>
> Tests afterward revealed one of the arteries leading to his heart is
> out of place. Unknown to the track coach, it had been that way since
> birth and was restricting blood flow to his heart.
>
> That produced an arrhythmia - an abnormal heart rhythm - that
> ultimately led to his heart stopping.
>
> Chang-Sing said the men might have benefited from a nuclear stress
> test, in which a small amount of radioactive material is injected into
> a person and traced to reveal any problems with the heart.
>
> He recommends such tests for men over 50 and for post-menopausal
> women, as well as for anyone who has risk factors for heart disease,
> including those with hypertension or diabetes.
>
> "Exercise can be a trigger and put a strain on the heart in the wrong
> patient who does not have a clear understanding of what their
> underlying heart condition might be," he said.
>
> A new life
>
> Drady said he's already scheduled an appointment for his first-ever
> stress test. The lesson he learned from Nash's death: "Don't just blow
> off those little things. When you feel something that's not right, get
> it checked out."
>
> Triola is convinced that running actually improved his odds.
> Amazingly, his heart muscle suffered no lasting damage from the
> momentary pause.
>
> Doctors implanted a defibrillator in Triola's chest that automatically
> will deliver a shock should his heart's rhythm ever go haywire again.
> He's also considering open-heart surgery to fix the errant artery.
>
> It's likely he'll never be able to run like he once did. On the other
> hand, he should be around for the birth of his second child six months
> from now.
>
> "I'm looking forward to that and spending more time with my son and
> wife," he said.
>
> You can reach Staff Writer Derek J. Moore at 521-5336 or
> [email protected].
> --
> I am working on creating wildlife habitat that is off-limits to
> humans ("pure habitat"). Want to help? (I spent the previous 8
> years fighting auto dependence and road construction.)
>
> Please don't put a cell phone next to any part of your body that you are
> fond of!
>
> http://home.pacbell.net/mjvande
"Mike Vandeman" <[email protected]> skrev i en meddelelse
news:[email protected]...
> So much for the alleged "health benefits" of mountain biking....
>
> Mike
>
>
> http://www.pressdemocrat.com/EarlyEdition/article_view.cfm?recordID=8508&publishdate=01/26/2008
>
> Different outcomes for 2 men felled by same ailment at Annadel park
>
> By DEREK J. MOORE
> THE PRESS DEMOCRAT
> Saturday, January 26, 2008
>
>
> Had Randy Nash been on the fire road just a few minutes earlier, he
> might have seen Carl Triola or heard the sirens of the ambulance that
> whisked the cross country coach away.
>
>
> But the 54-year-old lumber salesman and avid mountain biker had no
> idea anything had been amiss when he and four friends reached a bridge
> inside Annadel State Park in Santa Rosa and began their grueling
> ascent.
>
> Two hours later, the father of four lay on a trail high up in the
> park,
>
> dying from sudden cardiac arrest
>
> as his friends frantically attempted CPR.
>
> Triola, in the meantime, was fighting for his own life.
>
> Having turned around at the same bridge where Nash pressed on, the
> 38-year-old Casa Grande High School coach collapsed in a parking lot
> on Annadel's western edge.
>
> His heart suddenly stopped beating.
>
> Only the quick work of a retired cardiac nurse who happened to witness
> Triola's collapse and the timely arrival of paramedics who shocked his
> heart saved the man's life.
>
> What many are struggling to understand is how two seemingly fit men
> could suffer such calamity while doing something that is supposed to
> be good for the body and soul.
>
> The answer is a revealing tale of roads not taken, warning signs not
> heeded, luck and the workings of the human heart.
>
> Fateful decision
>
> Triola and Nash arrived at Annadel about an hour apart Jan. 13, a
> bitingly cold but sunny Sunday morning that was a welcome relief from
> several days of lashing rain and wind.
>
> Triola jogged to the park at about 9 a.m. from the Hoen Avenue home he
> shares with his wife, Vicky, and Luke, their 7-year-old son.
>
> He went in through the park's Stonehedge entrance and connected with
> Canyon Trail, a fire road that starts out flat before ascending
> sharply into the hills.
>
> It was to be, by Triola's standards, a short, four-mile jaunt. He runs
> regularly and has completed two marathons, including a respectable
> 4-hour, 23-minute finish last spring at the Napa Valley Marathon.
>
> But he decided to cut it short that morning because he hadn't been
> training as much and he donated blood the day before.
>
> At the bridge where Canyon Trail splits with Spring Creek Trail,
> Triola turned around.
>
> That decision probably saved his life.
>
> "You don't think one choice will make a difference," he said. "I
> decided to stay on the main trail and come back."
>
> When he collapsed in the parking lot, the retired nurse and an
> unidentified man began CPR immediately.
>
> Paramedics were on scene within four minutes.
>
> "He got medical attention early. That's why he survived," said Dr.
> Peter Chang-Sing, chairman of Santa Rosa Memorial Hospital's
> cardiovascular surgery and medicine department.
>
> Most people don't survive. Sudden cardiac death is the nation's
> leading killer, claiming 325,000 lives annually. Only one in six
> victims survive the initial attack without lasting brain damage,
> Chang-Sing said.
>
> Nash had no such luck.
>
> His ride took him farther and farther into Annadel's remote reaches.
>
> With its close proximity to Santa Rosa, Annadel can seem like a
> relatively benign playground. The reality is that with 27 miles of
> trails spread across 5,000 acres, it can be as rugged as any rural
> outpost.
>
> Two park rangers typically patrol that vast area, although the park
> currently has a vacancy. Volunteers on horseback and bikes also help
> out.
>
> "It would be virtually impossible to be on every trail and be ready
> for every incident. We do our best with what we've got," said
> Supervising Park Ranger Angy Nowicki.
>
> Nash was particularly out of range. He collapsed on Marsh Trail, which
> at 1,320 feet represents Annadel's highest point.
>
> As usual, he'd gotten up around 6:30 a.m. at the Rincon Valley home he
> shares with Ellen, his wife of 26 years, and 21-year-old Jordan, the
> couple's son.
>
> The couple, who met while both were at Santa Rosa High School in the
> 1970s, discussed Nash's retirement plans and about upping his life
> insurance policy. Then he drove off with his $1,500 Specialized
> mountain bike in the back of his work truck.
>
> "We were starting to think about retirement because a lot of our
> friends were retiring at 50," said Ellen Nash, an administrative
> assistant for the California Highway Patrol. "But Randy loved to
> work."
>
> Funny and outgoing, Nash had worked for Mead Clark Lumber Co. since
> the early 1990s. He'd been active all his life, but after learning
> three years ago that he had high cholesterol, he was trying to trim
> some weight off his 190-pound frame.
>
> Looking back, Ellen Nash said she'd recently noticed her husband would
> get winded simply bringing wood in for the stove.
>
> A grueling climb
>
> At Annadel, Nash joined up with four members of his regular riding
> group: Blake Ridgway, his wife, Jean, Rich Drady and Leighton Schnur.
>
> Ridgway, who'd known Nash for almost 30 years, worked with him at Mead
> Clark, as did Schnur. Drady is a Santa Rosa contractor.
>
> Ridgway said the group started out at about 10 a.m. with a warm-up lap
> around Howarth Park and Spring Lake before entering Annadel on Canyon
> Trail and heading for the summit, a route that would take them about
> eight miles and include an elevation gain of about 1,000 feet.
>
> "It's about as tough as it gets up there," Ridgway said.
>
> Emerging from the redwoods on Ridge Trail, the group stopped to admire
> the view. Sunlight streamed through clouds high above the city.
>
> "My God," Nash said. "This is so unbelievable."
>
> Near Ledson Marsh, the group paused again around noon to rest and
> refuel with energy bars. Nash told an off-color joke that got everyone
> laughing. Then it was back on the trail.
>
> The group had ridden about 100 feet on Marsh Trail when Jean Ridgway
> and Schnur saw Nash slump over on his bike and crash.
>
> Up ahead, Blake Ridgway and Drady heard Jean Ridgway whistling loudly
> and rode back to discover Nash on the ground. He wasn't breathing.
>
> Blake Ridgway, who has undergone CPR training, tried to breathe air
> into his friend's lungs while Drady pushed on his chest.
>
> It already was too late.
>
> Sudden death
>
> "Five minutes into it - I don't remember saying this - but I turned to
> everyone and said, This is not good. We're losing him,'" Blake
> Ridgway recalled. "He wasn't breathing on his own and he had no
> pulse."
>
> About 20 minutes later, in response to a cell-phone call to 911, the
> Sonoma County sheriff's helicopter landed at Ledson Marsh. But the
> only thing deputies could do was pronounce Nash dead.
>
> "You start out the morning with five people, and you have to ride back
> with four. That was tough," said Drady, who had the tough task of
> driving Nash's truck home.
>
> Ellen Nash came outside when the group pulled up. So, too, did the
> neighbors when they heard her scream.
>
> "It was absolutely gut-wrenching," Blake Ridgway said. "It was almost
> a second death watching Ellen and Jordan go through that."
>
> Both Nash and Triola were at risk for sudden cardiac death, but for
> different reasons.
>
> Sudden cardiac death is the result of an abrupt and rapid loss of
> heart function in a person who may or may not have diagnosed heart
> disease.
>
> The term "heart attack," on the other hand, refers to the death of
> heart muscle tissue due to a loss of blood supply. It, too, can cause
> sudden death.
>
> Nash's death certificate states that he died from sudden cardiac death
> resulting from coronary artery disease, which is the fatty buildup in
> the arteries that supply blood to the heart muscle.
>
> A contributing factor, according to the document, was "physical
> exertion of bicycling."
>
> Warning signs
>
> There may have been little anyone could do to help Nash after he
> collapsed. Most victims of sudden cardiac death require help in four
> to six minutes. But there were warning signs that could have alerted
> him to trouble.
>
> Besides taking Lipitor to control his cholesterol, he'd complained to
> his wife about chest pains. On bike rides a week before his death,
> Nash remarked to his buddies that the effort seemed to be getting
> harder.
>
> He also had a family history of heart disease - his father had had two
> open-heart surgeries.
>
> In hindsight, Ellen Nash said, her husband should not have been riding
> such a challenging route the day he died.
>
> "It was too strenuous," she said. "But did he know that? He was having
> the time of his life."
>
> Triola had no warning anything was wrong with him, however.
>
> Tests afterward revealed one of the arteries leading to his heart is
> out of place. Unknown to the track coach, it had been that way since
> birth and was restricting blood flow to his heart.
>
> That produced an arrhythmia - an abnormal heart rhythm - that
> ultimately led to his heart stopping.
>
> Chang-Sing said the men might have benefited from a nuclear stress
> test, in which a small amount of radioactive material is injected into
> a person and traced to reveal any problems with the heart.
>
> He recommends such tests for men over 50 and for post-menopausal
> women, as well as for anyone who has risk factors for heart disease,
> including those with hypertension or diabetes.
>
> "Exercise can be a trigger and put a strain on the heart in the wrong
> patient who does not have a clear understanding of what their
> underlying heart condition might be," he said.
>
> A new life
>
> Drady said he's already scheduled an appointment for his first-ever
> stress test. The lesson he learned from Nash's death: "Don't just blow
> off those little things. When you feel something that's not right, get
> it checked out."
>
> Triola is convinced that running actually improved his odds.
> Amazingly, his heart muscle suffered no lasting damage from the
> momentary pause.
>
> Doctors implanted a defibrillator in Triola's chest that automatically
> will deliver a shock should his heart's rhythm ever go haywire again.
> He's also considering open-heart surgery to fix the errant artery.
>
> It's likely he'll never be able to run like he once did. On the other
> hand, he should be around for the birth of his second child six months
> from now.
>
> "I'm looking forward to that and spending more time with my son and
> wife," he said.
>
> You can reach Staff Writer Derek J. Moore at 521-5336 or
> [email protected].
> --
> I am working on creating wildlife habitat that is off-limits to
> humans ("pure habitat"). Want to help? (I spent the previous 8
> years fighting auto dependence and road construction.)
>
> Please don't put a cell phone next to any part of your body that you are
> fond of!
>
> http://home.pacbell.net/mjvande
