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Frequent MRIs and CANCER Surveillance Cause Patient Anxiety

DEAR DR. ROACH: I’m writing to seek your perspective on a diagnosis that has caused me significant anxiety. A recent incidental finding on an MRI, followed by an endoscopic ultrasound, revealed a cluster of several small cysts (3-7 mm) in my pancreas. They’re suspected to be branch-duct intraductal papillary mucinous neoplasms (IPMNs). My main pancreatic duct is mildly enlarged.
My doctors have recommended an MRI/MRCP with and without contrast in six months, followed by ongoing monitoring every six months to two years. I’ve been told that IPMNs are precancerous but usually don’t progress to cancer. The thought of frequent, lengthy MRIs and long-term cancer surveillance is overwhelming.
Is this intense level of monitoring truly necessary for cysts that are this small, or is it overly aggressive? Are there any safe alternatives such as shorter, non-contrast scans to help me manage the burden of testing? I’d deeply appreciate any guidance you can provide on how to balance medical safety with peace of mind. — J.D.
ANSWER: As you say, IPMNs can progress to pancreatic cancer, which is why your doctors want to keep a careful eye on them. There are several guidelines on the management of these cysts. The main risk factor in a person developing cancer is the size of the cyst; however, a dilated main pancreatic duct is also a worrisome feature, according to the guidelines.
Because of the dilated duct, the risk for developing cancer in the next five years is about 10%. Even though this means that 90% of the time you won’t develop cancer, doctors can find and potentially cure one person for every 10 people who agree to a careful follow-up.
CT scans aren’t as accurate and have the downside of ionizing radiation. I do understand that MRIs do take a long time (and can be very noisy), but your risk is high enough that I’d add my recommendation to your doctors’ to get the follow-up scans.
You should also get CA19-9 blood testing. If the main pancreatic duct enlarges over time (by more than 2 mm per year), then it’s time to consult a surgeon. It’s your body and your choice; however, an MRI is a time-consuming but safe way of checking the stability of these cysts.
***
DR. ROACH WRITES: A recent column on vertigo led many readers to question whether the reader had Meniere’s disease, rather than benign paroxysmal positional vertigo (BPPV). The information provided wasn’t enough to be sure, but the reader noted that a BPPV diagnosis had been confirmed.
There are several ways that a clinician can help separate these two diagnoses. In people with BPPV, vertigo is usually triggered by a change in head position; whereas with Meniere’s, vertigo is spontaneous. Attacks last for seconds to at most 1 minute in BPPV, but with Meniere’s, they can last anywhere from 20 minutes up to 12 hours.
In addition, Meniere’s disease causes hearing loss, which isn’t always noticed by the patient. Tinnitus and a sense of fullness in the ear are common with Meniere’s. Maneuvers that are done by clinicians in the office can also help separate the conditions.
People can also have both BPPV and Meniere’s, which complicates things. When I’m not certain, I often order audiology testing or send my patient to an expert in the diagnosis and treatment of vertigo. Another reader wrote in to tell me that I should’ve mentioned that neurologists and ENT physicians often have expertise in managing cases of dizziness, if the problem can’t be solved by the primary physician. Receiving the right diagnosis is essential to getting the right treatment.
Dr. Roach regrets that he is unable to answer individual questions, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

* In ancient Egyptian mummification, onions were sometimes used to fill body cavities, even serving on occasion as false eyes.
* About 90% of all harvested olives are turned into olive oil.
* Fijian war chief Ratu Udre Udre holds the rather dubious distinction of being the most active cannibal in recorded history, with a reported consumption of between 872 and 999 people during his lifetime.
* Teenagers naturally experience a biological shift that causes them to fall asleep later than adults.
* The red poinsettia originated in Mexico and is named after Joel Roberts Poinsett, the first United States ambassador to Mexico in the early 19th century.
* Shells and stones on the ritual blades used by the Aztecs symbolized the faces of the gods for which the hearts of sacrificed individuals were intended, with such rituals claiming between 10,000-15,000 people per year.
* Sheep only have teeth in their lower jaw and use a hard upper palate to break down food.
* Every second, the sun delivers about 173,000 terawatts of energy to Earth, which is more than 10,000 times the amount of power used by humans.
* Although English is the country’s most widely spoken language, the United States has never designated an official language at the federal level, though some states have at their level.
* The video game industry consistently brings in more money than Hollywood.
* Long before the Nazis adopted it, the swastika was an ancient religious symbol associated with good fortune, spirituality and prosperity. Versions of it have appeared across India, China, Greece and other ancient civilizations for centuries.
* Basketball shorts were short until 1984, when Michael Jordan petitioned the NBA for longer ones.
***
Thought for the Day: “Civilizations should

NYC EMERGENCY MANAGEMENT AND THE DEPARTMENT OF HEALTH AND MENTAL HYGIENE ADVISE NEW YORKERS TO BEAT THE HEAT

WATCH: Mayor Adams Warns New Yorkers About Coming Heat Wave

Heat Emergency Plan activated beginning Sunday through Tuesday.

Cooling centers will open across the city. To find locations, including hours of operation, call 311 or visit the City’s Cool Options Map.

New Yorkers should also take advantage of additional cool options such as museums, movie theaters, coffee shops, pools, houses of worship, or a neighbor, friend, or family member’s home.

July 13, 2024 — New York City Emergency Management Department and the New York City Department of Health and Mental Hygiene advise New Yorkers to take precautions to beat the heat. NYC Emergency Management is working closely with the National Weather Service to monitor the forecast as the city experiences the third occurrence of multiple days of consecutive high heat. The next few days are expected to have heat indices in the mid to upper 90s, through at least Tuesday, and possibly Wednesday.

“With another heat wave bearing down on New York City, we want to make sure New Yorkers stay safe and stay informed,” said New York City Mayor Eric Adams. “Our cooling centers will be open starting tomorrow through at least Tuesday, we will be closely monitoring the electric systems for any impacts, and we already have more lifeguards on staff than at our peak last year. As always, please check in on your neighbors, particularly older New Yorkers, as well as others who are particularly vulnerable to extreme heat, like our four-legged friends. New Yorkers, be prepared, be safe, and stay cool.”

“New Yorkers should prepare for extremely hot weather this week, with heat indices in the mid to upper 90s,” said NYC Emergency Management Commissioner Zach Iscol. “It’s going to be hot from Sunday through Wednesday. Remember, heat kills more New Yorkers than any other weather event. But as New Yorkers, we’re going to look out for one another. That means encouraging those around you to go to a cool option and spreading the word that heat is life-threatening. Use air conditioning, visit air-conditioned places, and avoid using major appliances during the day to protect our energy grid. If you don’t have air conditioning, check out cooling centers at nyc.gov/beattheheat or call 311. Learn the signs of heat stroke, stay hydrated, and stay safe.”

The New York City Emergency Management Department and the Health Department urge New Yorkers to take steps to protect themselves and help others who may be at increased risk from the heat. For more information, including heat-related health tips and warning signs of heat illness, visit NYC.gov/health or NYC.gov/beattheheat. In New York City, most heat-related deaths occur after exposure to heat in homes without air conditioners. Air conditioning is the best way to stay safe and healthy when it is hot outside, but some people at risk of heat illness do not have or do not turn on an air conditioner.

To help New Yorkers find relief from the heat, New York City cooling centers will be open throughout the five boroughs. Cooling center locations may have changed from last year. To find a cooling center, including accessible facilities closest to you, call 311 (212-639-9675 for Video Relay Service, or TTY: 212-504-4115) or visit the City’s Cool Options Map. This year’s newly-revamped map is now available around the clock and allows New Yorkers to easily locate cooling centers, which the City opens during heat emergencies, and cool options, which include free spaces that offer air-conditioned spaces to escape the heat. New Yorkers can now also find cooling centers that welcome pets throughout the five boroughs. As a reminder, service animals are always allowed at cooling centers.

New Yorkers can access a range of outdoor cooling options, including spray showers, drinking fountains, and more. These resources can be found online at Cool It! NYC. Many of these resources are located in neighborhoods across New York City. New York City outdoor pools are open 11AM-7PM, Olympic and intermediate-sized pools will be open until 8PM from Sunday through Tuesday. State Parks, including Denny Farrell Riverbank State Park pool and Roberto Clemente State Park pool are open, call ahead to confirm.

During extreme heat, the Department of Social Services (DSS) issues a Code Red Alert. During Code Reds, shelter is available to anyone experiencing homelessness, where those experiencing heat-related discomfort are also able to access a designated cooling area. DSS staff and the agency’s not-for-profit contracted outreach teams engage with individuals experiencing homelessness 24/7/365 and redouble their efforts during extreme heat, with a focus on connecting vulnerable New Yorkers experiencing unsheltered homelessness to services and shelter.

ADDITIONAL HEALTH AND SAFETY TIPS DURING EXTREME HEAT

Those most vulnerable to heat stress include adults aged 60 and older, and people with health conditions, including heart disease, diabetes, mental health conditions, or people with cognitive impairment. Check on people who are at-risk and help them find a cool place to stay during heat events.
Go to an air-conditioned location, even if for a few hours.
Stay out of the sun and avoid extreme temperature changes.
Avoid strenuous activity, especially during the sun’s peak hours: 11:00 AM to 4:00 PM. If you must do strenuous activity, do it during the coolest part of the day, which is usually in the morning between 4:00 AM and 7:00 AM.
Remember: drink water, rest, and locate shade if you are working outdoors or if your work is strenuous. Drink water every 15 minutes even if not thirsty (avoid beverages containing alcohol or caffeine), rest in the shade, and watch out for others on outdoor teams. Employers are required to provide water, rest, and shade when work is being done during extreme heat.
Eat small, frequent meals.
Wear lightweight, light-colored clothing.
Participate in activities to keep cool, such as going to the movies, visiting museums, walking in an air-conditioned mall, or swimming at a pool or beach.
Make sure doors and windows have tight-fitting screens and, in apartments where children live, window guards. Air conditioners in buildings more than six stories must be installed with brackets so they are secured and cannot fall on someone below.
Never leave a child or pets in the vehicle, even for a few minutes.

KNOW THE WARNING SIGNS OF HEAT ILLNESS

Call 911 immediately if you or someone you know has:

Hot dry skin
Trouble breathing
Rapid heartbeat
Confusion, disorientation, or dizziness
Nausea and vomiting

If you or someone you know feels weak or faint, go to a cool place and drink water. If there is no improvement, call a doctor or 911.

KEEPING YOUR PETS SAFE

Avoid dehydration: Pets can dehydrate quickly, so give them plenty of fresh, clean water.
Walk your dog in the morning and evening: When the temperature is very high, do not let your dog linger on hot asphalt. Your pet’s body can heat up quickly, and sensitive paw pads can burn.
Know when your pet is in danger: Symptoms of overheating in pets include excessive panting or difficulty breathing, increased heart and respiratory rate, drooling, mild weakness, unresponsiveness, or even collapse.

IMPROPER FIRE HYDRANT USE

The improper opening of fire hydrants wastes 1,000 gallons of water per minute, causes flooding on city streets, and lowers water pressure to dangerous levels, which hamper the ability of the Fire Department to fight fire safely and quickly.

Use “spray caps” to reduce hydrant output to a safe 25 gallons per minute while still providing relief from the heat. To obtain a spray cap, an adult 18 years or older with proper identification can go to his or her local firehouse and request one.

ENERGY-SAVING TIPS

During periods of intense electrical usage, such as on hot, humid days, it is important to conserve energy as much as possible to avoid brownouts and other electrical disruptions. While diminishing your power usage may seem inconvenient, your cooperation will help to ensure that utility providers are able to provide uninterrupted electrical service to you and your neighbors, particularly those who use electric powered medical equipment or are at risk of heat-related illness and death:

Set your air conditioner to 78°F or “low.”
Run appliances such as ovens, washing machines, dryers and dishwashers in the early morning or late at night when it is cooler outside to reduce heat and moisture in your home.
Close doors to keep cool air in and hot air out when the air conditioner is running.
Keep shades, blinds, and curtains closed. About 40 percent of unwanted heat comes through windows.
Turn off air conditioners, lights, and other appliances when not at home, and use a timer or smart technology to turn on your air conditioner about a half-hour before arriving home. Keep air conditioner filters clean.
If you run a business, keep your door closed while the air conditioner is running.
Tell your utility provider if you or someone you know depend on medical equipment that requires electricity.

For more information, visit NYC.gov/beattheheat. New Yorkers are also encouraged to stay informed by signing up for Notify NYC, the City’s free emergency communications program, to receive free emergency alerts and updates in your preferred language and format by visiting NYC.gov/NotifyNYC, calling 311 (212-639-9675 for Video Relay Service, or TTY: 212-504-4115), following @NotifyNYC on Twitter, or getting the free Notify NYC mobile application for your Apple or Android device.

New York State Announces Opening of $9.6 Million Intensive Crisis Stabilization Center in Buffalo

BestSelf Behavioral Health Opens 24/7 Facility Providing Stabilization Services for New Yorkers Experiencing a Behavioral Health Crisis

Western New York’s First Intensive Crisis Stabilization Center to Provide Alternative to Unnecessary Emergency Room Visits

The state Office of Mental Health today announced the opening of a new facility to provide urgent treatment to New Yorkers experiencing a mental health or substance use crisis and avoid unnecessary emergency room visits. Licensed in partnership with the Office of Addiction Services and Supports, the BestResponse Intensive Crisis Stabilization Center in Buffalo was developed with $9.6 million in state funding to provide urgent behavioral health care services to help stabilize individuals and connect them to other community-based services and supports. 

“Intensive crisis stabilization centers provide a place where people experiencing a behavioral health crisis can access high-quality treatment so they can avoid unnecessary emergency room visits and hospitalization and successfully connect with services that can help them recover in their community,” Office of Mental Health Commissioner Dr. Ann Sullivan said. “BestResponse represents our ongoing efforts to expand these facilities across our state so that individuals can get specialized treatment in a welcoming and healing environment that will support their recovery journey. This center, like others funded by the state, represents Governor Hochul’s continued focus on providing greater access to mental health care for all New Yorkers.”

BestResponse will operate 24-hours per day and seven days per week, providing screenings, counseling, medication support, therapeutic interventions, peer support, ongoing observation, care collaboration, and discharge planning –all delivered in a welcoming, trauma-informed setting. The new facility will also coordinate with local mobile crisis providers, and law enforcement, as well as community treatment and support services.

“Crisis stabilization centers ensure people can get immediate help and support whenever they need it, day or night,” OASAS Commissioner Dr. Chinazo Cunningham said. “These programs create a critical connection for individuals experiencing a substance use or mental health crisis, offering timely, lifesaving care close to home. This approach has already shown success in other parts of the state, and we are pleased to see it expand to Western New York.”

Located at 430 Niagara St., BestResponse is dually certified by OMH and OASAS to provide an expertly staffed, effective, and cost-efficient alternative to often-stressful hospital emergency departments. The facility was developed in partnership with Erie County Medical Center, Crisis Services of Western New York, the Crisis to Care Collaborative, and local emergency responders to address a critical gap in the region’s behavioral health system.

“BestResponse reflects our commitment to meeting people with compassion in their most vulnerable moments,” BestSelf Behavioral Health CEO Elizabeth Woike said. “This center ensures individuals and families have access to timely, appropriate care when they need it most, without facing a crisis alone.”  

OMH awarded BestSelf $7 million in ongoing operating funding, $1.6 million for start-up costs and $1 million in capital funding to develop the center, which will serve Erie, Niagara, Chautauqua, Cattaraugus, and Allegany counties. The funding was part of OMH’s overall investment of $75 million to develop 12 intensive crisis stabilization centers statewide. 

BestResponse is the fifth intensive crisis stabilization center to open, joining Helio Health Crisis Stabilization Center in Syracuse, the Champlain Valley Family Center in Plattsburgh, CN Guidance & Counseling Services in Hicksville, and the Family Service League in Hauppauge. Supportive crisis stabilization centers are operated by People USA in Poughkeepsie and Upstate Caring Partners Inc. in Utica.

In addition to utilizing these centers, New Yorkers experiencing or who know someone experiencing a behavioral health issue may also contact the 988 Suicide & Crisis Lifeline, which connects them to trained crisis counselors 24/7 to help those thinking about suicide, struggling with substance use, a mental health crisis, or any other kind of emotional distress. New York 988 call centers received nearly 49,000 calls in December alone, making it the most-active 988 service in the nation.

Likewise, New Yorkers struggling with an addiction, or whose loved ones are struggling, can find help and hope by calling the state’s toll-free, 24-hour, 7-day-a-week HOPEline at 1-877-8-HOPENY (1-877-846-7369) or by texting HOPENY (Short Code 467369). Find available addiction treatment including crisis/detox, inpatient, residential, or outpatient care on the OASAS website.

The lowdown on high blood pressure: what the Hispanic community needs to know The American Heart Association stresses the power of prevention and early action for a healthy life and future generations

DALLAS, May. 28, 2026 — High blood pressure, also known as hypertension, is often called the “silent killer” and it is a disproportionate challenge facing Hispanic and Latino communities. Among Hispanic and Latino adults, more than half of the men and more than a third of the women are living with high blood pressure. To help them learn more about managing this risk factor, the  American Heart Association, the world’s leading nonprofit organization focused on changing the future of health for all, is sharing vital information and awareness on how to keep blood pressure in check — starting with simple lifestyle changes.

Why high blood pressure matters to you and your loved ones

  • Currently, approximately 125.9 million (47.3%) of all U.S. adults are now living with high blood pressure — an increase from previous years.
  • Among Hispanic and Latino adults:
    • 51.5% of men and 37.3% of women aged 20 and older have hypertension.
  • Of those, only about 1 in 4 adults (25.6%) have it under control.
  • The effects are serious: In 2023, cardiovascular disease, much of it driven by uncontrolled high blood pressure, claimed more than 66,000 Hispanic and Latino lives, nearly enough to fill a major professional soccer stadium.
  • This silent killer demands attention because controlling blood pressure is one of the most effective, evidence-based ways to reduce the risk of heart disease and stroke.

“In our community, family is everything and taking care of your heart is an act of love for those around you. Scientific research shows us that one of the most important things you can do to be heart healthy is to manage your blood pressure,” said Eduardo Sanchez, M.D., FAHA, the chief medical officer for prevention at the American Heart Association. “Managing blood pressure is a powerful, protective step you can take for your family’s future, and it starts with knowing your numbers today.” 

Know Your Numbers

Get your blood pressure checked regularly, even if you only visit your doctor or other health care clinician once a year or so. You can do it yourself with a home blood pressure monitor or even at a kiosk at your local pharmacy or other retail outlet.

According to the most recent guidelines from the American Heart Association, normal blood pressure is when:

  • Systolic pressure (top number) is less than 120 and
  • Diastolic pressure (bottom number) is less than 80.

“One high reading isn’t usually cause for concern, although, if your blood pressure is consistently high, talk to your trusted clinician about next steps,” Sanchez said. “However, an extremely high reading could be dangerous, especially if you are not exerting yourself or if you have certain other symptoms. Do not ignore that.”

If your systolic pressure is higher than 180 and/or your diastolic is higher than 120, it could be life-threatening. Call 911 right away if you have extremely high blood pressure and any of these symptoms:

  • Chest pain
  • Shortness of breath
  • Back pain
  • Numbness
  • Weakness
  • Change in vision
  • Difficulty speaking

A Healthy Lifestyle is Key

Making simple lifestyle changes is the first step to managing your blood pressure.

The American Heart Association’s Life’s Essential 8™ are simple, healthy habits that are proven to protect your heart. Follow these science-backed healthy habits:

Some people may still not be able to control their high blood pressure even with these changes. In that case, safe and effective medications are available, and you and your clinician can work together to choose the treatment plan that’s right for you. Check out My Life Check Calculator to get personalized tips to set your own health goals now.

Protect Your Brain

New research confirms that high blood pressure can damage blood vessels in the brain, which may lead to memory problems and dementia as you get older. Taking action now to lower your numbers is essential in protecting your cognitive health as you age.

A Special Focus on Women

It is critical for women to manage blood pressure before, during and after pregnancy. High blood pressure during pregnancy can lead to serious complications and may increase a woman’s risk of future heart problems.

Personalized Care

Don’t be afraid to talk to your doctor. They have new tools, like the American Heart Association’s PREVENTTM (Predicting Risk of cardiovascular disease EVENTs) risk calculator, to create a personalized plan for you. This tool helps your doctor look at your personal risk factors to estimate your chances of a heart attack or stroke over the next 10 to 30 years. This allows them to create a tailored treatment plan that might include starting medication earlier, if needed.

Whether dancing at family gatherings, cooking traditional meals with a healthy twist or walking with your kids after dinner, small steps can lead to big changes. Because when you take care of your heart, you’re also taking care of your loved ones.

For more information about heart and brain health, visit heart.org.

Understanding High Blood Pressure: Key Facts for Black Communities The American Heart Association stresses the power of prevention and early action for a healthy life and future generations

DALLAS, May 28, 2026 — High blood pressure is the #1 preventable risk factor for heart disease and stroke, yet, nearly half of U.S. adults have high blood pressure and many don’t even know it. That is why the American Heart Association, the world’s leading nonprofit organization focused on changing the future of health for all, is sharing tips and information on how to how to keep your blood pressure in check — starting with simple lifestyle changes.

Why high blood pressure matters to you and your loved ones

  • Currently, approximately 125.9 million (47.3%) of all U.S. adults are now living with high blood pressure, an increase from previous years.
  • The burden is significantly higher in the Black community, where high blood pressure affects 62.3% of non-Hispanic Black men and 59.2% of non-Hispanic Black women. This remains one of the highest prevalence rates in the world.
  • Despite high rates of awareness, only about 22% (roughly 1 in 5) of Black adults with hypertension have the condition under control.
  • In 2023, cardiovascular conditions heavily driven by uncontrolled high blood pressure claimed the lives of more than 119,000 Black Americans, enough to fill nearly two NFL stadiums.
  • This “silent killer” demands attention because controlling blood pressure is one of the most effective, evidence-based ways to reduce the risk of heart disease and stroke.

“Heart health is intensely personal, and scientific research shows us that one of the most important things you can do to be heart healthy is to manage your blood pressure,” said Keith C. Ferdinand, M.D., FAHA, FACC, volunteer co-vice chair of the writing committee for the Association’s 2025 high blood pressure guidelines and chair in preventative cardiology at Tulane University School of Medicine. “When you have high blood pressure, it’s not just a number on a chart, it’s your future at stake; it’s your ability to stay present for the people you love. The good news is: managing your blood pressure is not that hard. The first step is awareness.”

Know Your Numbers

Get your blood pressure checked regularly, even if you only visit your doctor or other health care clinician once a year or so. You can do it yourself with a home blood pressure monitor or even at a kiosk at your local pharmacy or other retail outlet.

According to the most recent guidelines from the American Heart Association, normal blood pressure is when:

  • Systolic pressure (top number) is less than 120 and
  • Diastolic pressure (bottom number) is less than 80.

“One high reading isn’t usually cause for concern, although, if your blood pressure is consistently high, talk to your clinician about next steps,” said Ferdinand, chair in preventative cardiology at Tulane University School of Medicine. “However, an extremely high reading could be dangerous, especially if you are not exerting yourself or if you have certain other symptoms. Do not ignore that.”

If your systolic pressure is higher than 180 and/or your diastolic is higher than 120, it could be life-threatening. Call 911 right away if you have extremely high blood pressure and any of these symptoms:

  • Chest pain
  • Shortness of breath
  • Back pain
  • Numbness
  • Weakness
  • Change in vision
  • Difficulty speaking

A Healthy Lifestyle is Key

Making simple lifestyle changes is the first step to managing your blood pressure.

The American Heart Association’s Life’s Essential 8™ are simple, healthy habits that are proven to protect your heart. Follow these science-backed healthy habits:

Some people may still not be able to control their high blood pressure even with these changes. In that case, safe and effective medications are available, and you and your clinician can work together to choose the treatment plan that’s right for you. Check out My Life Check Calculator to get personalized tips to set your own health goals now. 

Protect Your Brain

New research confirms that high blood pressure can damage blood vessels in the brain, which may lead to memory problems and dementia as you get older. Taking action now to lower your numbers is essential in protecting your cognitive health as you age. 

A Special Focus on Women

It is critical for women to manage blood pressure before, during and after pregnancy. High blood pressure during pregnancy can lead to serious complications and may increase a woman’s risk of future heart problems. 

Personalized Care

Don’t be afraid to talk to your doctor. They have new tools, like the American Heart Association’s PREVENTTM (Predicting Risk of cardiovascular disease EVENTs) risk calculator, to create a personalized plan for you. This tool helps your doctor look at your personal risk factors to estimate your chances of a heart attack or stroke over the next 10 to 30 years. This allows them to create a tailored treatment plan that might include starting medication earlier, if needed.

Staying informed and taking action can help you and your loved ones live a longer, healthier life. Talk to your doctor to learn more about your blood pressure and what you can do to manage it.

For more information about heart and brain health, visit heart.org.

The Power to Save a Life is In Your Hands

NEW YORK, NY, May 21, 2026 —   Sudden cardiac arrest can happen anytime, anywhere, and too often people hesitate to step in because they believe CPR can only be performed by medical professionals. During CPR and AED Awareness Week, June 1 – June 7, the American Heart Association, devoted to changing the future to a world of healthier lives for all, is working to change that misconception and empower everyday people to act when it matters most. 

According to the Association, more than two in three people in the U.S. believe only people with special training should perform CPR, a mistaken belief that contributes to the low survival rate of sudden cardiac arrest. If performed immediately, CPR can double or even triple a person’s chance of survival, and hesitation can cost lives. During CPR & AED Awareness Week the American Heart Association is reminding families and communities, you don’t need to wear scrubs or have a medical background to save a life. You just need the courage to act. 

Merrie Webel had just welcomed her daughter, Heidi, into the world. Born prematurely, Heidi’s lungs weren’t fully developed. During her stay in the NICU, she stopped breathing twice and had to be resuscitated by nurses.

“While I was in the hospital, I took an American Heart Association CPR class that they offered to all new parents,” Ms. Webel said. “I actually took the infant CPR class twice—and it’s because of that class that Heidi is alive today.”

Like any family bringing home a newborn, the family was filled with joy and excitement—but also a heightened sense of worry. “I would watch her sleep to make sure she was breathing,” Merrie recalled.

Then one day, the unthinkable happened. Heidi stopped breathing again—this time at home, without nurses nearby. Merrie had to act immediately.

“I didn’t even have to think,” she said. “I remembered exactly what I was taught in those classes and went straight into action.  We had waited so long for her, and the thought of losing her was devastating.”

Heading into summer, the Association offers this checklist for families, workplaces and other communities to take health and safety into your own hands: 

Learn CPR and join the Nation of Lifesavers™. In New York City, families can watch a 60-second video to learn Hands-Only CPR for adults or this video

 to learn how to save an infant or child using CPR with breaths. For groups and individuals who want more comprehensive training, discover the right course with the Association’s CPR course catalog. Travelers can also get trained in Hands-Only CPR in about five minutes with a Hands-Only CPR Kiosk, located in many airports and public spaces across the country. For more information on how to learn CPR, visit heart.org/nation.   

Plan ahead.  Summer is often a time for welcome disruptions. School is out, and it’s time for parties, camps and family trips. Check if your summer destination has a cardiac emergency response plan (CERP). A CERP establishes specific steps to reduce death from cardiac arrest in any setting — be it a school, community organization, workplace or sports facility.  

“Life can be unpredictable at times, and one way you can take control is by being prepared in an emergency,” said Deepak L. Bhatt, MD, MPH, MBA, President of the New York City American Heart Association Board of Directors and Director of the Mount Sinai Fuster Heart Hospital in New York City.  “Cardiac arrest doesn’t wait. It can happen to anyone at any time. When it does, that person is reliant on the people around them to be calm, be prepared and be ready to step in. This CPR Week, we’re reminding New York City residents that ordinary people have extraordinary power to save a life.” 

More than 350,000 out-of-hospital cardiac arrests occur in the United States each year, and 90% of people will not survive. Join the Nation of Lifesavers to help ensure everyone, everywhere has the best chance to survive cardiac arrest. 

The American Heart Association is committed to turning a nation of bystanders into lifesavers. The long-term goal: to ensure that in the face of a cardiac emergency, anyone, anywhere, is prepared and empowered to perform CPR and become a vital link in the chain of survival. 

“The American Heart Association is for everyone, at every age,” said Merrie. “Heart disease affects all of us, and CPR is a skill everyone should have—not just those already impacted by heart disease or stroke.”

For additional ways to raise awareness during National CPR & AED Awareness Week, visit heart.org/nation. 

Two Survivors. One Message: Why Every Second Counts at the Wall Street Run & Heart Walk

New York, NY, May 7, 2026 — On the morning of October 7, 2025, Robert Sevalrud headed out for what he thought would be an ordinary run along Manhattan’s West Side. Halfway through, his heart suddenly stopped.

Bystanders acted immediately. Strangers rushed to Robert’s side, called 911, and began CPR, while others ran to nearby FDNY Marine Company 1 to seek help. Marine 1 firefighters delivered Robert’s first shock with an AED, and when emergency medical technicians arrived, they administered an additional shock, restoring his pulse and rushing him to the hospital.

Robert survived.

Today, Robert is alive because of quick‑thinking bystanders, trained first responders, and a lifesaving system that worked exactly as it should. His story is one of survival, community, and the critical importance of CPR training and access to AEDs.

“I’m here today because people I didn’t know chose to act,” said Robert Sevalrud. “Sharing my story at the Wall Street Run & Heart Walk is my way of honoring them and reminding others that CPR training and AEDs truly make the difference between life and death.”

This year, Robert will share his story with thousands as part of the Wall Street Run & Heart Walk, the American Heart Association’s signature New York City event raising funds and awareness to fight heart disease and stroke. He will also participate in the Survivor Drum, a powerful, symbolic moment honoring survivors, first responders, and the steady heartbeat of a community committed to action.

The 2026 Wall Street Run & Heart Walk—one of New York City’s most iconic corporate wellness and community impact events—will take place on May 14, 2026, in downtown Manhattan. Start line is the intersection of Warren Street and Greenwich Street. 

Opening ceremony and the start of the Wall Street Run & Heart Walk is scheduled for 6:30pm.

Robert’s story is not the only reminder of why preparedness matters.

Rob LoCascio, a Scotiabank employee and heart attack survivor, also brings a deeply personal perspective to today’s event. Rob survived a cardiac emergency—an experience that underscored just how quickly lives can change, how critical timely medical intervention can be, and how important it is to recognize the warning signs of a heart attack. Knowing the symptoms and acting without delay can mean the difference between life and death, and Rob’s story is a powerful reminder of why awareness and preparedness truly matter.

“I never imagined it would happen to me.  Surviving a heart attack changes how you see everything. It’s why supporting efforts that raise awareness and preparedness is so important,” said Rob LoCascio.  “The more people who know and can recognize the symptoms, the more people we can help.”

Sudden cardiac arrest and heart attacks can strike anyone, anywhere. The Wall Street Run & Heart Walk brings together survivors, families, sponsors, and volunteers with a shared goal: building a world where more people are ready to respond—and more lives are saved.

Scotiabank is a long‑time supporter of the Wall Street Run & Heart Walk, and its sponsorship of the Survivor Drum underscores its commitment to community health, cardiac awareness, and preparedness—values reflected in the experiences of employees like Rob LoCascio and survivors like Robert Sevalrud.

For more information on the Wall Street Run & Heart Walk, visit www.heartwalknyc.org.

Tech Executive leads year-round campaign to improve health in New York City Bill McLaughlin named 2025-26 American Heart Association Heart of New York City Chair

NEW YORK, NY, January 6, 2026 – Through the Heart of New York City campaign, Bill McLaughlin, volunteer chair and CEO of Thrive will lead community-wide efforts to help ensure every individual in New York City and beyond has the opportunity for a full, healthy life. The Heart of New York City engages companies, community leaders, and individuals to make a lasting impact across the four chambers of the American Heart Association’s work: discovery, advocacy, access, and knowledge.

The campaign will culminate at the Heart of New York City Gala, celebrating hope and progress made through the dedication and passion of all who support the American Heart Association, a relentless force for a world of longer, healthier lives.

“I’m honored to serve in this role and excited to collaborate with our dedicated volunteers and the American Heart Association,” said Mr. McLaughlin. “Together, we’ll drive innovation and implement proven solutions in science, policy, and care—creating healthier communities, ensuring everyone has the chance to thrive. My mission is to build awareness both in New York City and internally within my organization.”

Bill McLaughlin brings over 25 years of leadership experience in the managed services and technology industry, with a track record of guiding companies through transformation and growth. At his current company, Thrive, he stepped into the CEO role following a successful tenure as President, helping steward the acquisition of multiple companies, expanding its global footprint, and reinforcing its client advocacy and people-first culture.

Outside of his corporate life, Mr. McLaughlin demonstrates a strong commitment to philanthropic leadership and community engagement. He was co-founder and chairman of The Jillian Fund, a nonprofit created to support families coping with a child’s intensive medical treatment, where he emphasizes transparency, service, and tangible impact. His personal leadership philosophy—built on values such as “extreme ownership,” accountability, teamwork and putting mission ahead of ego—underpins how he leads and how he gives back.

The American Heart Association and Thrive will work together to empower individuals to Listen to Your Heart and Thrive — championing wellness, awareness, and connection across our communities. Together, they encourage people to seek care when they need it, equip them with the knowledge to recognize the signs of cardiovascular disease and stroke, and honor the courage of survivors and their families who have faced health challenges with extraordinary heart and strength.

“Bill McLaughlin brings exceptional vision and energy as the CEO of Thrive. His commitment to the American Heart Association’s mission, combined with a clear passion for improving the well-being of our community makes him an outstanding choice to lead this year’s campaign,” said Joe Simone, President of Simone Development Companies, member of the New York City American Heart Association board of directors and past chair of the Heart of New York City Gala.  “We welcome Bill as the Heart of New York City chair, which unites leaders across our community to advance health and hope for everyone, everywhere.”

The 2026 Heart of New York City campaign is sponsored by Thrive and Simone Development Companies and will be held on Tuesday, June 2, 2026, at Cipriani Wall Street. The annual event is a night to celebrate the Heart Association’s year-round efforts to build a healthier New York City. Throughout the evening, the Heart Association will honor volunteers and patrons, share survivor stories, and entertain guests with dinner and an auction.

The New York Blood Center announced a blood emergency this week. The long term impact of the pandemic has resulted in a year of virtually no youth first-time donors, 3000 fewer blood drives and 100,000 New Yorkers that have yet to return to donate since before the pandemic. Complicating matters, recently there has been a surge in blood usage as hospitals perform surgeries and patients seek medical care that was postponed during the pandemic. The increased need and lag in donors has created a chronic gap in blood donations. 
 
 “As the region reopens, hospitalizations are going up and far outpacing the number of donations we are receiving,” said Andrea Cefarelli, Senior Executive Director Recruitment and Marketing. “Through our new media campaign, we must raise awareness and encourage lapsed donors who have not donated since before COVID-19 to return and to attract the next generation of blood donors to help us build a healthy blood supply.”
https://donate.nybc.org/donor/schedules/zip

MOMENTS IN TIME: The History Channel

* On Oct. 19, 1216, England’s King John (younger brother to Richard the Lionhearted) died of dysentery at Newark Castle during a civil war with his barons and was succeeded by his 9-year-old son, Henry III, just over a week later. The boy was crowned with a simple golden band belonging to his mother because the royal crown had been lost.
* On Oct. 20, 1910, the cork-centered baseball, invented and patented by Benjamin F. Shibe, executive director and part owner of the Philadelphia Athletics, made its debut in the World Series between the Athletics and the Chicago Cubs.
* On Oct. 21, 1867, the Medicine Lodge Treaty was signed. Consisting of three treaties following talks attended by more than 5,000 prominent chiefs and warriors near Medicine Lodge, Kansas, its aim was to bring peace by relocating Native Americans to reservations in Indian Territory.
* On Oct. 22, 2018, actress Selma Blair revealed that she’d been diagnosed with multiple sclerosis. In her book “Mean Baby: A Memoir of Growing Up,” Blair recounted how the announcement by doctors, after years of incorrectly attributed symptoms, “felt like giving birth” and gave her an overwhelming sense of relief.
* On Oct. 23, 1947, Gerty and Carl Cori became the first spouses to win a joint Nobel Prize in Physiology or Medicine, for their discovery of how the body breaks down, builds up and stores glycogen as an energy source.
* On Oct. 24, 1901, her 63rd birthday, widowed American schoolteacher Annie Edson Taylor became the first person to survive a plunge over Niagara Falls in a barrel, accompanied by her lucky heart-shaped pillow. Sadly, while she wrote a memoir and briefly earned money talking about her experience, she ended up dying penniless and in poor health at age 82.
* On Oct. 25, 1920, Greece’s King Alexander died at age 27 from wounds he received after a Barbary macaque attacked and bit him several times a few weeks earlier, as he walked on the grounds outside the castle with his dog. The monkey had first gone after the dog, and the king had stepped in to separate the animals.

Up to $30,000 in ‘Eat Well NY’ Grants Available to Bolster Healthy Eating Habits; Reduce Food Insecurity Among New Yorkers Living with Mental Illness Office of Mental Health Alerts Service Recipients and Providers About Federal Rule Changes to Supplemental Nutritional Assistance Program Eligibility

The New York State Office of Mental Health today announced the availability of individual $5,000 grants to help service providers reduce food insecurity and bolster healthy eating among individuals living with mental illness. Announced during National Nutrition Month, Eat Well NY is a three-part intervention program that teaches individuals how to incorporate healthy, nutritious foods into their diet –a practice that is connected with positive mental well- being.

“Access to sufficient healthy food is a bedrock of overall wellness, both physical and mental,” Office of Mental Health Commissioner Dr. Ann Sullivan said. “Through the Eat Well NY program, local service providers connect with New Yorkers living with mental health issues and provide them with access to fresh food and how to prepare a healthy nutritious diet.”

Established in 2022, Eat Well NY is designed to increase food access and affordability among participants, teaching healthy eating skills with a focus on fresh food. Recipients will receive program training, materials, and FreshConnect checks, which clients can use at local farmers markets to purchase fresh fruits and vegetables.

The grants are available for residential programs for adults living with serious mental illness, including congregate support, specialized housing, or they must operate Personalized Recovery-Oriented Services or ‘PROS’ where clients predominantly live in these settings. Applications are being accepted until April 9, with awards expected to be announced in May.

Approximately one in nine households in New York –roughly 875,000 people statewide – face food insecurity. Chronic stress associated with food insecurity is linked to ill-health effects including mental health conditions, including anxiety and depression.

Proper nutrition supports clearer thinking and greater emotional stability by giving the brain the nutrients it needs to function well. Research shows that diets rich in diverse vegetables, fruits, whole grains, nuts, seeds, legumes, and healthy fats provide the micronutrients — vitamins, minerals, and phytonutrients — that help reduce inflammation and support neurotransmitter activity.

Nutrition also influences mental health through the gut-brain connection. A diverse, well nourished gut microbiome is associated with lower rates of anxiety and depression, while diets high in ultra-processed foods can disrupt this natural balance.

Commissioner Sullivan outlined some of the benefits of good nutrition and positive mental well-being in a message she sent to providers today. In addition, OMH is educating service recipients and providers via a new infographic on recent federal rule changes that could impact eligibility for the Supplemental Nutrition Assistance Program.

New federal work requirements are in place for those receiving SNAP food benefits. All Able-Bodied Adults Without Dependents or ‘ABAWDs’ – defined as anyone between ages 18 and 64 who can work and doesn’t have any children under age 14 in their household – must now meet certain work requirements to continue receiving this assistance for more than three months over a 3-year period.  

There are a number of exemptions, including for individuals whose ability to work is limited by a mental or physical health condition or substance use treatment; those over age 65; those who receive disability benefits from a public or private source; and those in a caregiver role. New Yorkers are encouraged to research possible exemptions and contact their local social services district to determine eligibility and find additional resources.

“These stringent work requirements mandated by the federal government are putting hundreds of thousands of SNAP recipients in New York at risk of losing their food benefits, but help is available,” Office of Temporary and Disability Assistance Commissioner Barbara C. Guinn said. “SNAP recipients should engage with their local department of social services and learn more about the different ways they can meet the work requirement or to provide information to confirm that they are not required to meet these work requirements. Individuals unable to work 80 hours a month — including individuals who receive disability benefits, participants in a substance use program, and other vulnerable populations — are not required to meet these work requirements. We are grateful to the Office of Mental Health for sharing this vital information to help individuals retain SNAP and encourage individuals to visit our website for additional information.”

NEW YORK STATE RECOGNIZES LONG ISLAND ORGANIZATION FOR HELPING YOUNG PEOPLE EXPERIENCING A MENTAL HEALTH CRISIS

Response Crisis Center of Suffolk County Honored for Operating a Crisis Call Center, Advancing Suicide Prevention, and Fostering Resilience  

New York State is honoring Response Crisis Center of Suffolk County, a nonprofit organization in the Long Island Region, with the 2026 ‘What’s Great in our State’ Community/Organization Award. Representatives of the organization were presented with the award Tuesday during the event in Albany for their work to provide outreach and operate a call center supporting individuals in crisis –specifically youth, young adults, and their families.  

“Response of Suffolk County demonstrates ‘What’s Great in Our State’ through their exceptional work in reaching out to young people in the community and being there to help them in times of crisis,” Office of Mental Health Commissioner Dr. Ann Sullivan said. “From its humble origins, this organization has become a pillar of support for youth and their families when they are experiencing mental health challenges.”  

Response provides 24/7 support to youth, young adults, families, and individuals in crisis. The organization also provides backup support across New York State, handling approximately 15,000 calls and texts each month with a 97 percent answer rate.   

Established in the early 1970s, Response started operation with a small group of dedicated volunteers after a local student’s suicide attempt revealed a critical gap in services. This organization now has a staff of nearly 300 and serves as the local crisis call center for Suffolk, Rockland, and Putnam Counties.   

Response advances suicide prevention by supporting resilience and helping individuals connect with community resources that can support long-term well-being and recovery. Through collaboration with local partners and crisis systems, the organization continues to advance suicide prevention, foster resilience, and support long-term recovery in communities they serve.  

Response’s mission is to provide individuals in crisis or in need with unconditional acceptance, compassion, and respect, reducing emotional distress and empowering them to use personal coping strategies. Organization programming helps reduce stigma, strengthen coping and communication skills, and connects individuals to critical support, including mental health care and housing.  

“I’m so pleased to receive and accept this honor on behalf of the wonderful crisis counselors and staff of Response Crisis Center,” Response of Suffolk County Executive Director Meryl Cassidy said. “They are the true heroes — making a real difference in the lives of so many young people and youth-involved adults and in our communities 24 hours a day, seven days per week, 365 days a year. We strive to be there for all people in crisis in the moments they need caring human connection the most. Our vision is a world where all people feel connected and cared for and know their lives matter.”  

‘What’s Great in Our State’ recognizes individuals and programs that are successfully advancing the cause of children’s mental health in New York State and is celebrated annually during Children’s Mental Health Awareness Week. Established in 2010, the day-long conference in Albany features a ceremony recognizing honorees, in-person l workshops, and an art show featuring artwork created by children receiving services from New York State’s mental health system. 

Last week, Governor Kathy Hochul issued a proclamation recognizing Children’s Mental Health Awareness Month, the What’s Great in Our State event and the importance of fostering positive mental well-being among youth. Under her leadership, the state has undertaken key initiatives to improve youth mental health, including expanding Teen Mental Health First Aid training in schools, establishing the Youth Mental Health Advisory Board, funding Youth Safe Spaces, and adopting strong digital and social media protections for young people, including the nation’s first bell-to-bell restrictions on smart phone use during school.

The event is sponsored by the state Office of Mental Health, Department of Health, Department of Education, Office of Children and Family Services and the Office of Addiction Services and Supports. In addition, several children’s mental health advocacy organizations sponsor the event, including the Council on Children and Families, the Early Care & Learning Council, Families Together in New York State, Inc., Mental Health Association in New York State, Inc., National Alliance on Mental Illness – New York State, New York State Network for Youth Success, and Prevent Child Abuse New York. 

New York State Suicide Prevention Conference Focuses on Improving Mental Wellness among Uniformed Personnel

Suicide Prevention Center of New York Hosts Training and Workshops on Building Resilience; Addressing Job-Related Stress and Cumulative Trauma

Capital Region-Based Conference Aimed at Addressing Disproportionately High Rates of Suicide Among First Responders, Veterans, and Others

The New York State Office of Mental Health announced efforts to address disproportionately high rates of suicide among military veterans and uniformed personnel, including law enforcement, firefighters, emergency medical service workers, corrections officers, and 911 dispatchers. The agency today is hosting the second day of a conference with this focus –part of Governor Kathy Hochul’s ongoing efforts to support the mental health needs of veterans and uniformed personnel –featuring nationally recognized speakers, subject matter experts, training, and workshops related to the impact of stress and trauma associated with these professions.

“Understanding the tremendous importance of the mental health of our uniformed personnel and veterans and realizing the impact of the stress and cumulative trauma they may experience, we must effectively support them as they serve our communities and keep us safe.” OMH Commissioner Dr. Ann Sullivan said.  “This conference will provide information and invaluable insight into ways to promote mental wellness, build resilience, and address the nationally observed disproportionately high rates of suicide among these professionals.”

The conference in Troy is hosted by OMH’s Suicide Prevention Center of New York and features nearly two dozen speakers, including nationally recognized subject-matter experts, including mental health professionals, veterans, and leaders from the first responder community. Now in its second day, the event is drawing roughly 320 individuals representing 172 different agencies throughout the state.

Cumulative stress and trauma are common among uniformed personnel and have placed these individuals at greater risk of suicide. First responders were more likely to die by suicide than in the line of duty, according to one recent study.

Likewise, the inaugural New York State First Responder Mental Health Needs Assessment also highlighted the challenges facing these professions. Released earlier this year, the survey of roughly 6,000 individuals found that 53 percent experienced symptoms associated with depression, 38 percent experienced symptoms associated post-traumatic stress disorder, and 16 percent had thoughts of suicide.

Veterans in New York also disproportionately experience mental health issues and have a suicide rate nearly two times higher than civilians. Veterans under the age of 55 consistently experience the highest rates of suicide in New York.

The conference’s objective to build resilience is parallel to OMH’s CARES UP initiative, which provides $3 million annually to uniformed personnel agencies and veterans’ organizations to increase suicide prevention efforts and wellness programming.  So far, this initiative has provided funding to 36 first responder agencies and eight veteran-serving organizations via Onward Ops.

CARES UP fosters an open dialogue about mental health to reduce stigma and encourage uniformed personnel to seek help when they need it. The initiative uses a public health approach to integrate mental health and suicide prevention training with various wellness initiatives designed to enhance the overall health.

OMH is expected to release a request for applications for CARES UP later this fall. The initiative provides $60,000 over two years to agencies seeking the funding for the first time, and $40,000 organizations looking to continue the program.

Suicide Prevention Center of New York Director Dr. Jay Carruthers said, “We know that uniformed personnel are at elevated risk for a number of mental health challenges and even suicide by virtue of the work they have chosen. Cultural and organizational barriers can sometime pose a barrier to seeking help among our first responders and uniformed personnel. This conference, like the CARES UP initiative, will provide the expertise to foster an environment that prioritizes mental health and wellbeing among the uniformed personnel and veterans that serve and protect our communities and our nation. Together, we can chip away at the barriers.”

Colonie EMS Chief Erin Kelly said, “Despite growing staffing shortages and the physical and emotional demands of this work, our providers continue to answer the call because they care deeply about the people and community they serve. In many ways, EMS has become one of the most reliable and consistent sources of healthcare for people — when someone calls 911, EMS shows up. CARES UP gives us the opportunity to show up for our providers, giving them the best chance to thrive in their lives and careers, not just survive.”

Watervliet Firefighter and Peer Team Coordinator Tom Corcoran said, “Watervliet’s Brave Minds Firefighter Wellness program provides mental health awareness and stigma reduction training, mental health assessments, and an effective peer support team –all made possible with the help of CARES UP. We have firefighters who have a better quality of life, others who have successfully returned to work after challenges, and others who have retired with dignity on their own terms because of this hard work.”

Fitness is a Lifeline, Not a Luxury: Why Movement Matters for Aging New Yorkers

By Joanne Orlando 

We’re living longer than ever before, and seniors are New York City’s fastest growing population. One in five New Yorkers are over the age of 60, reshaping how we think about health, mobility, and independence. 

However, this longevity is a double-edged sword, carrying with it more complex and chronic health conditions, meaning while we’ve living longer, we’re also sicker and frailer. 

That’s why we must prioritize fitness programming that supports at-risk seniors — especially those recovering after being discharged from the hospital and rehab units.  

As the Baby Boomer generation eases into their senior years, they overwhelmingly prefer to “age in place,” remaining at home and in their communities. But this requires real investment in home-based wellness resources. Recovery doesn’t end when older adults leave the hospital but is rather the start of a vulnerable period. 

Nearly 20% of patients experience an adverse event such as a fall, infection, or medication error within three weeks of discharge. This can lead to a cascade of setbacks: ER visits, rehospitalizations, and even permanent loss of mobility. Those with multiple chronic conditions face higher risks, and “post-hospitalization syndrome” characterized by increased weakness and stress can make recovery harder.  

With May serving as National Physical Fitness and Sports Month, it’s a timely reminder that movement matters – and that for older adults, regular physical activity is essential for preventing falls and maintaining overall health. 

Yet access to physical and occupational therapy designed to prevent rehospitalization remains a barrier for many, and written home regimens can be confusing, inaccessible, or ineffective without guidance. 

Fitness and exercise regimens don’t need to be complex – just achievable and consistent through baby steps. 

As part of our programming provided through ElderServe Health, which provides home care aides to over 20,000 New Yorkers through Medicaid-funded Managed Long Term Care (MLTC) Plans, we’re always thinking of ways to boost at-home fitness. 

It’s not easy – and let’s face it: It can be tough to get motivated even when you’re in the best of health. But we’ve found that guided exercise classes allow our members to follow along with their occupational and physical therapists and have been beneficial in promoting mobility, strengthening recovery, and reducing the risk of ER visits and hospitalizations. 

However, just one program alone is not enough.  

Policymakers must recognize the critical role that MLTC programs play in delivering comprehensive, community-based care that helps New Yorkers age in place. As the city’s senior population grows, so does the urgency to protect and strengthen the essential services that older New Yorkers rely on. 

We’re also watching closely how Mayor Adams’ proposed executive budget will address senior wellness. The City Council has proposed key restorations to health and aging programs, but gaps remain. Advocates say the $550 million allocated to the NYC Department of Aging represents less than half of 1% of the overall $112.4 billion budget and won’t keep pace with a rapidly growing older population.  

 

It is critical for the city to follow through with targeted investments in physical fitness, community rehab, and culturally accessible health programs for older New Yorkers.  

Fitness is a lifeline that more and more New Yorkers will depend on in the years ahead. This National Physical Fitness and Sports Month, let’s commit to building a city where every older adult, regardless of income or borough, has the tools they need to move, thrive, and age with strength and independence.  

— Joanne Orlando serves as the vice president of rehabilitation services at the Bronx-based ElderServe Health, a Managed Long Term Care provider serving the New York City metro area 

ADMINISTRATION FOR CHILDREN’S SERVICES RECOGNIZES APRIL AS “NATIONAL CHILD ABUSE PREVENTION MONTH” ACS Hosts “Planting Pinwheels for Prevention” Event to Raise Awareness About Supportive Services Available to Families

ACS Hosts “Planting Pinwheels for Prevention” Event to Raise Awareness About Supportive Services Available to Families 

NEW YORK, NY – In recognition of April as “National Child Abuse Prevention Month,” the Administration for Children’s Services (ACS) is planning a number of events to raise awareness about the city’s efforts to prevent abuse, keep children safe and provide supports for families. For instance, ACS today hosted a “Planting Pinwheels for Prevention” event in City Hall Park. Pinwheels are the national symbol for child abuse prevention because they evoke a childlike sense of whimsy and wonder. Organizations across the country will be planting pinwheels throughout the month of April in order to take a stand against child abuse and raise awareness about the supportive services available to keep children safe and families supported. We encourage all families interested in learning more about the services available to participate. ACS is also teaming up with Scouting America, Greater New York Council to host a day of outdoor activities for children at the Alpine Scout Camp.

 

“There is no greater responsibility than ensuring our littlest New Yorkers are safe and their families have everything they need to help them grow and thrive, and that’s why during National Child Abuse Prevention Month – and every month of the year – we are doing all we can to make sure New Yorkers know about the resources available to them,” said Jess Dannhauser, Commissioner of the NYC Administration for Children’s Services.  “Whether it’s food insecurity, access to clothing and diapers, help with substance abuse treatment or being connecting to mental health counseling, we encourage all families with children to reach out to our dedicated prevention support line to get the services they need to help their families grow and thrive: 212-676-7667, or visit our website: www.nyc.gov/ForFamilies.” 

 

ACS contracts with over 100 prevention programs throughout New York City. In 2023, approximately 15,000 families were served in ACS contracted prevention programs. A 2024 survey of families participating in prevention services showed strong satisfaction with services. Approximately 93 percent said the services were helping them achieve their goals; 93 percent said they are happy with the services their family received; 91 percent said they would recommend the services to a family member and/or a friend; and 91 percent said they would go to their prevention provider for help again in the future. 

 

More and more, ACS has been collaborating with its partners in city government that work most closely with children and families to raise awareness about the services available and help families feel and be comfortable and safe enough to ask for and receive help without judgement or fear. For example, ACS has jointly trained over 6,000 staff at New York City Public Schools in more than 65 sessions and developed a training program that reached tens of thousands of school-based personnel last fall. As a result, we have seen a substantial increase in referrals from schools directly to prevention programs and other supportive services without involving the child protection system. ACS has also been training Department of Homeless Services shelter staff and Department of Youth and Community Development after school providers and helped revise a training program for NYC Health + Hospitals staff. These tailored sessions provide mandated reporters with tools they need to not only assess whether a report is truly needed, but also how to connect families with services and supports outside of the traditional child protection system. 

 

“Making the city safe is among the highest priorities of Mayor Adams, and that certainly extends to the well-being of our most precious young New Yorkers. At the core of DYCD’s mission and the work of our staff and nonprofit partners is ensuring that young people and their families have the resources, skills, and support to maintain a healthy and safe environment,” said NYC Department of Youth and Community Development (DYCD) Commissioner Keith Howard. “We stand with Commissioner Dannhauser, his ACS team, and our sister agencies in recognizing National Child Abuse Prevention Month and making New York City the best place to raise a family.”

 

“At NYC Parks, we know that access to safe, welcoming green spaces is essential to the well-being of all New Yorkers—especially our youngest residents. Parks are places where children can play freely, families can bond, and communities can grow stronger together,” said NYC Parks Commissioner Sue Donoghue. “We’re proud to work with ACS for Child Abuse Prevention Month and host the ‘Planting Pinwheels for Prevention’ event in City Hall Park. These pinwheels are a powerful symbol of the joy, innocence, and safety every child deserves, and we remain committed to ensuring our parks continue to be safe havens where children and families can thrive.”

 

“In addition to providing medical care, NYC Health + Hospitals is committed to ensuring our patients are connected to any necessary social supports,” said Aaron Miller, MD, MPA, Assistant Vice President of Child Abuse Prevention and Treatment at NYC Health + Hospitals. “The recent Pathways to Prevention initiative with ACS expands that support network and creates additional training for our staff, ensuring that thousands of children and families get the care they need.”

 

“Every child in New York deserves to grow up healthy. We’re proud to partner with the Administration for Children’s Services during National Child Abuse Prevention Month to protect our kids and connect families with the essential support they need to thrive,” said Acting Health Commissioner Dr. Michelle Morse. “The Health Department provides a wide range of resources to families such as comprehensive child developmental screenings and vaccinations. These services represent just a fraction of New York City’s comprehensive family support system. By working together, we’re creating a stronger, healthier future for our city’s youngest residents.”

 

“We are committed to making New York the safest big city to raise a family and that starts by keeping children safe and ensuring families have access to trauma-informed resources,” said Saloni Sethi, Commissioner of the Mayor’s Office to End Domestic and Gender-Based Violence (ENDGBV). “When we intervene early, we can interrupt intergenerational cycles of abuse and prevent future violence. This Child Abuse Prevention Month, ENDGBV is thrilled to partner with ACS to raise awareness and connect families to the support they need.”

 

“As a mother and public servant, I believe that every child deserves to grow up in a safe, nurturing environment where they are seen, heard, and supported. National Child Abuse Prevention Month is a critical time to raise awareness about the services available to families before a crisis occurs.” NYC Council Member Althea Stevens, Chair of the Committee on Children & Youth, emphasizes, “I’m proud to stand with ACS and our community partners to ensure that prevention remains a priority—not just in April, but all year round. When we invest in our families, we build safer, stronger communities for every New Yorker.” 

THE NEW YORK STATE OFFICE OF ADDICTION SERVICES AND SUPPORTS ANNOUNCES OPENING OF NEW INTEGRATED OUTPATIENT AND OPIOID TREATMENT PROGRAM IN WATERTOWN

New Program Provides Range of Addiction Services in One Location

Designed to Cut Down on the Need for Individuals to Travel to Multiple Different Providers

The New York State Office of Addiction Services and Supports (OASAS) today announced the opening of a new comprehensive integrated outpatient and Opioid Treatment Program (OTP) in Watertown. Operated by THRIVE Wellness and Recovery and located at 611 West Main Street, the new facility provides medication for addiction treatment, including methadone, as well as a comprehensive array of other addiction services. OASAS is providing more than $240,000 through the New York State Opioid Settlement Fund to support the integration of outpatient and OTP services in this new setting.

“This new center is a game-changer for the North Country region,” OASAS Commissioner Dr. Chinazo Cunningham said. “Medication for addiction, like methadone, is a safe and effective treatment that has been proven to save lives by reducing the risk overdose death by as much as 50%. As the first program of this type in Jefferson County, this facility will help more people access a range of lifesaving care without the need to travel long distances and will further support our efforts to provide lifesaving services to those in need.”

Comprehensive integrated and OTP programs provide more opportunities to access person-centered services, including medication treatment for opioid use disorder, by co-locating both an outpatient treatment program and an OTP at the same site. These programs are designed to centralize medication treatment, including methadone, and other addiction and healthcare services to make it easier for New Yorkers seeking treatment for substance use disorders to access multiple services in one location.

OASAS has provided more than $18 million through the New York State Opioid Settlement Fund, as well as federal grant programs, to establish more than 40 integrated outpatient and OTP programs across the state.

New York State leads the nation in making settlement funding available, and has made $335 available to providers across the state to support various initiatives to address the opioid and overdose crisis. Additional funding from the settlement fund is being used to support other initiatives to increase medication for addiction treatment, as well as outreach services to connect at-risk individuals to services and resources, increased support for recovery centers, and more than $100 million delivered directly to municipalities across the state for them to address the opioid and overdose crisis on a local level. Details of this spending are available on the New York State Opioid Settlement Fund Tracker.

The New York State Office of Addiction Services and Supports oversees one of the nation’s largest systems of addiction services with approximately 1,700 prevention, treatment and recovery programs serving over 731,000 individuals per year. This includes the direct operation of 12 Addiction Treatment Centers where our doctors, nurses, and clinical staff provide inpatient and residential services to approximately 8,000 individuals per year.

New Yorkers struggling with an addiction, or whose loved ones are struggling, can find help and hope by calling the state’s toll-free, 24-hour, 7-day-a-week HOPEline at 1-877-8-HOPENY (1-877-846-7369) or by texting HOPENY (Short Code 467369).

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Experimental Drug Reverses Paralysis, Vision Loss in Multiple Sclerosis Model

Human Studies Linking Related Drugs to Lower MS Risk, Fewer Relapses Strengthen Case for Clinical Trials

CHARLOTTESVILLE, Va., Sept. 24, 2026 – A drug developed by a UVA Health scientist has not only stopped but reversed paralysis and vision loss in a mouse model of multiple sclerosis. The results are striking because existing MS treatments are designed to reduce future inflammatory attacks, not restore neurological function already lost. 

The drug, Kamuvudine K-9, is a derivative of HIV drugs already approved for use in people. It was developed by Jayakrishna Ambati, MD, founding director of UVA’s Center for Advanced Vision Science and the DuPont Guerry III Professor in the UVA School of Medicine’s Department of Ophthalmology.

In Ambati’s new lab results, K-9 preserved nerve fibers and their myelin insulation that MS destroys. The drug also halted the rise in neurofilament light chain (NfL), a blood biomarker of nerve damage. In the same experiments, animals treated with an approved MS drug did not recover nearly as much function as those receiving K-9.

Ambati said the case for the therapeutic potential of K-9 is bolstered by the apparent MS protection offered by the HIV drugs K-9 is derived from, called nucleoside/nucleotide reverse transcriptase inhibitors, or NRTIs. NRTI use in patients, Ambati’s team reports in a new paper, is associated with a 41% reduction in the risk of developing MS and a 36% reduction in the annual relapse rate among patients with MS. The researchers drew this conclusion based on an analysis of health insurance data from more than 3 million people.

“Most MS therapies are aimed at preventing the next attack. What’s remarkable is that K-9 not only prevented further neurological deterioration, but animals recovered function they had already lost,” Ambati said. “When that recovery is considered together with the preservation of nerve tissue, the NfL response and the human epidemiologic findings, we believe there is a compelling rationale to test this approach in patients.”

Stopping Multiple Sclerosis

MS is the most common disabling neurological disease among young adults and affects nearly a million Americans. It typically appears between ages 20 and 40. Initial symptoms often include vision loss and extreme fatigue, then can progress to weakness and difficulty moving. In severe cases, life-threatening complications can develop. The progression of the disease, however, can vary greatly from patient to patient. Some people enjoy long periods of remission, and doctors categorize the disease based on each patient’s symptoms and relapses. 

On average, patients with MS live 7 years less than people who do not have the autoimmune disorder. Existing medicines can slow the disease’s progression and reduce the number of flareups, but there is no cure. While the available drugs are beneficial, MS still can take a tremendous toll on patients’ quality of life, so new and better treatments are greatly needed.

MS is thought to develop when our immune cells begin attacking the myelin sheaths that insulate our nerves. This harmful inflammation ultimately disrupts the communication between the brain and the body. 

Ambati discovered, however, that NRTIs can block an important inflammation pathway called inflammasome activation. That prompted him to develop K-9 as an alternative to NRTIs that appears safer and even more effective.

K-9 has already entered clinical trials in eye diseases, including diabetic macular edema and thyroid eye disease. That existing clinical experience could help accelerate evaluation of K-9 in MS.

The researchers emphasize that K-9 remains experimental for MS and that controlled clinical trials will be required to determine whether the recovery seen in mice can translate to people. They hope the work will also inform studies of other neurodegenerative diseases in which inflammasome activation and axonal injury are implicated, including amyotrophic lateral sclerosis (ALS), in which K-9 is slated to be tested.

“Inflammasome inhibition is now recognized as the cutting edge of therapies for multiple inflammatory diseases,” Ambati said. “K-9 and the related K-8, which has already shown remarkable efficacy in macular degeneration, could also be beneficial in other diseases such as Alzheimer’s disease and Parkinson’s disease.”

Accelerating the development of new drugs and treatments for the most complex diseases is the cornerstone mission of UVA’s new Paul and Diane Manning Institute of Biotechnology. The institute’s efforts to more quickly translate UVA’s cutting-edge science into lifesaving and life-changing treatments is being complemented by the launch of a statewide clinical trials network that will provide Virginians access to the testing of these potential treatments as they are being developed.

A 350,000-square foot home for the institute is under construction in UVA’s Fontaine Research Park.

Review Reveals Real-World Results of New, Incisionless Liver Cancer Treatment Study Highlights Need to Define Which Patients Benefit Most as Use Expands

CHARLOTTESVILLE, Va., Sept. 23, 2026 – UVA Health researchers have reviewed patient outcomes from a new, noninvasive way to treat liver tumors called histotripsy and concluded that while the procedure was associated with low rates of laboratory toxicity and procedural complications, the findings highlight the need to better define which patients are most likely to benefit.

Early clinical studies that led the federal Food and Drug Administration to clear the procedure in 2023 demonstrated encouraging procedural safety and technical effectiveness in carefully selected patients. But UVA’s Allan Tsung, MD, and colleagues wanted to see how that has played out in the real world. They examined outcomes from 972 patients who underwent the procedure between 2023 and 2026, looking at factors such as patient survival, liver function before and after histotripsy and the chances of kidney injury.

Their findings showed low rates of laboratory toxicity and procedural complications, yet the researchers noted that 11% of patients died within 30 days. Although the study cannot determine whether histotripsy contributed to these deaths, Tsung said the low rates of procedural toxicity suggest that advanced cancer and overall disease burden may have contributed to the observed mortality. The findings raise questions about whether some patients with advanced disease may have had too limited a life expectancy to meaningfully benefit from a treatment directed specifically at tumors in the liver.

“What surprised us was the contrast between how well patients tolerated the procedure itself and the number of patients who died within 30 days,” said Tsung, a surgical oncologist and chair of UVA Health’s Department of Surgery. “That does not mean histotripsy caused those deaths. What it does tell us is that we need to better understand which patients are most likely to live long enough and have the right type of cancer to meaningfully benefit from this treatment.”

Histotripsy and Its Use

Histotripsy uses focused sound waves to create air bubbles within the diseased liver that can destroy cancer cells. It is typically performed as an outpatient procedure, requiring no hospital stay. But the researchers found that nearly 70% of treatments were performed in patients with metastatic cancer involving the liver, including patients with pancreatic cancer. This raised questions for Tsung and his colleagues about which patients with metastatic disease are most likely to benefit from a treatment directed specifically at liver tumors.

The researchers say the timing of histotripsy deserves careful consideration, particularly for patients with advanced disease and limited life expectancy. Even a treatment that can be performed safely may provide limited benefit if a patient’s cancer is too advanced. 

“Just because we can perform a treatment safely does not mean it is the right treatment for every patient,” Tsung said. “Histotripsy is a promising technology, and I hope this research helps move the conversation from ‘Can we do it?’ to ‘When should we do it, and for whom?’ Ultimately, our goal is to make sure that innovation translates into meaningful benefit for patients.”

Trial Testing Out-of-Body Experiences Produces Unexpected Twist Unexplained Results Could Enhance Future Efforts to Study OBEs

IMPORTANT NOTE FOR REPORTERS: Dr. Marina Weiler will be available for interviews between 10 and 11:30 this morning. To arrange an interview, contact Josh Barney at jdb9a@uvahealth.org or 434.906.8864. A high-resolution portrait is available as well.

CHARLOTTESVILLE, Va., Sept. 9, 2026 – A test to determine if people who report out-of-body experiences could identify objects in another room produced results no better than chance, but afterward something strange happened: Two participants described, unprompted, researchers’ locations and activities behind closed doors.

The participants’ unexpected observations were not part of the trial’s predefined outcome measures and therefore can’t be considered evidence for out-of-body experiences, or OBEs, UVA Health investigators say. But the unexplained results may help researchers design better, more effective ways to evaluate the potential validity of a phenomenon that has been reported for decades.

“I hope this study encourages researchers to think creatively about how we test these experiences. The unexpected findings give us a potentially useful new direction, but they also need to be tested prospectively and under rigorous conditions before we can know what they mean,” said researcher Marina Weiler, PhD, of the University of Virginia School of Medicine’s Division of Perceptual Studies. “For me, the most important takeaway is that unexpected findings can sometimes help us ask better questions. We now have a specific idea that can be tested in future experiments, and that is exactly what science should do.”

Understanding Out-of-Body Experiences

In the recent trial, conducted in Brazil, 21 participants attempted to identify a random object on a laptop screen in another room. Of the 21, 10 reported having an out-of-body experience, and 13 provided target descriptions. (The 13 included participants who had not reported leaving their bodies but said they could see images on an internal “mental screen” or the like.)

The descriptions the participants gave of the objects on the laptop screen did not prove statistically more accurate than what could be expected from guessing. But during interviews afterward, one participant described how a researcher in another room, behind closed doors, had been seated on the left looking at a laptop screen while another researcher was farther back reading a book. Another participant described how a researcher had been seated on the right, taking notes, while a second was sitting on the left at the computer.

Trial records confirmed both descriptions were correct at the time of the participants’ sessions. Further, there was no way the participants could have seen the researchers, according to the trial organizers.

That has prompted Weiler and her collaborators to propose that the targets provided during OBE trials may play important roles in determining outcomes. It’s possible, they suggest, that memorable, distinctive or emotionally engaging targets may be easier for participants to visualize. Researchers conducting future trials may want to supplement the traditional targets with other unseen details that participants might notice, such as having a researcher wear a distinctive or colorful item of clothing while behind closed doors. 

If participants could recall such items without seeing or being told about them, that might bolster the case for out-of-body remote viewing.

“I hope these findings encourage us to think more deeply about what they might mean for our understanding of consciousness and, ultimately, the nature of reality. If studies demonstrate that people can obtain accurate information that they could not have accessed through their ordinary senses, we would have to reconsider some of our assumptions about the relationship between consciousness, perception and the physical world,” Weiler said. “At its deepest level, this research is not only asking whether out-of-body experiences are real. It is asking what we mean by ‘real’ in the first place, and whether our current understanding of reality is broad enough to account for everything human consciousness can experience.”

New Sepsis Guidelines Seek to Reduce Infection’s Deadly Toll A Bane for Hospitals, Sepsis Kills at Least 1 in 5 Who Develop I

CHARLOTTESVILLE, Va., Sept. 17, 2026 – A UVA Health doctor and other leading national experts have developed important new guidelines to improve care for patients who develop sepsis, a dangerous full-body infection that kills at least 350,000 Americans every year.

Taison Bell, MD, MBA, interim chair of UVA Health’s Department of Medicine, and colleagues assembled the new guidelines on behalf of the Infectious Diseases Society of America and seven other professional groups. The guidelines aim to standardize and enhance infection-related practices and workflows in hospitals to ensure patients receive the best-possible sepsis care.

“What excites me most about this work is its focus on making high-quality sepsis care more consistent and reliable,” said Bell, part of the Divisions of Pulmonary and Critical Care Medicine and Infectious Diseases and International Health at the University of Virginia School of Medicine. “By strengthening the systems behind diagnosis, treatment, prevention and quality improvement, we have an opportunity to make a real difference for patients while continuing to evaluate the technologies that could shape the future of sepsis care.”

Sepsis remains a leading cause of serious illness and death despite decades of efforts to improve recognition and treatment. It occurs when a person’s immune response spirals out of control in response to an infection, potentially leading to organ failure and death.

The new guidelines address a vast area of sepsis-related care, including diagnostic testing and pathogen detection, antimicrobial management, infection prevention and surveillance and performance measurement, as well as hospital infrastructure and organizational support. Some of the recommendations:

  • implement rapid molecular testing of positive blood cultures;
  • ensure immediate antibiotic therapy for patients suffering the life-threatening medical emergency known as septic shock;
  • deploy electronic sepsis surveillance; 
  • and standardize daily toothbrushing to reduce hospital-acquired pneumonia.

In addition, the guidelines highlight emerging technologies with the potential to improve sepsis care, such as next-generation diagnostics and artificial intelligence-enhanced clinical decision support. The authors caution, however, that these technologies will need further validation before they are widely deployed in hospitals.

The sepsis guidelines have been published in the Clinical Infectious Diseases journal.

The guidelines were developed by representatives from the Infectious Diseases Society of America, the American College of Emergency Physicians, American Society for Microbiology, American Thoracic Society, Pediatric Infectious Diseases Society, Society of Critical Care Medicine, Society for Healthcare Epidemiology of America, Society of Hospital Medicine, Society of Infectious Diseases Pharmacists and Sepsis Alliance.

Finding new ways to improve care for patients across Virginia and beyond is a major mission of UVA’s new Paul and Diane Manning Institute of Biotechnology. The institute has been launched to accelerate the development of new drugs and treatments for the most complex and challenging diseases. 

To keep up with the latest medical research news from UVA and the Manning Institute, bookmark the Making of Medicine blog at https://www.uvahealth.com/making-of-medicine.

Targeting Calcium Could Improve Outcomes for Deadly Brain Cancer, Discovery Suggests Scientists Identify Essential Role for Mineral in Glioblastoma’s Growth, Spread

IMPORTANT NOTE FOR REPORTERS: Dr. Roger Abounader will be available for interviews between 11 a.m. and noon today. To arrange an interview, contact Eric Swensen at ews3j@uvahealth.org. A high-resolution portrait of Abounader is available as well.

CHARLOTTESVILLE, Va., Sept. 3, 2026 – University of Virginia Comprehensive Cancer Center scientists have uncovered a crucial role for calcium channels in glioblastoma, the most common and deadliest brain cancer, suggesting that an existing calcium-blocking drug could improve patient outcomes.

UVA’s Roger Abounader, MD, PhD, and colleagues found that calcium-transporting channels in tumor cells and surrounding nerve cells play vital roles in promoting glioblastoma’s growth. Blocking the flow of calcium through these channels in lab mice slowed tumor formation and let the animals live longer. 

Further, the results indicate that combining the FDA-approved calcium-blocking drug mibefradil with existing treatments could make the tumor cells easier to kill, the scientists say.

“Blocking the T-Type calcium channels acts both on the tumor cells and on connections of the tumors with surrounding nerve cells, which promote tumor growth. Because of that double effect, blocking these calcium channels is very efficacious in slowing down glioblastoma growth,” said Abounader, of UVA’s School of Medicine, the UVA Comprehensive Cancer Center and UVA’s Center for RNA Science and Medicine. “Because mibefradil is FDA-approved, it could be rapidly tested in clinical trials for newly diagnosed glioblastoma patients.”

More Effective Glioblastoma Treatment

Glioblastoma kills more than 13,000 American adults every year – most within two years of diagnosis. It is an extremely difficult cancer to treat, as it aggressively threads itself through the brain. Full surgical removal is impossible, so doctors remove as much as they can, then use radiation and chemotherapy to extend patient survival.

Blocking calcium in the tumors and surrounding nerve cells could both slow the cancer’s growth and make the cancerous cells easier to kill, Abounader’s research suggests. He and his collaborators found that calcium played important roles both in the cancer cells and in the surrounding “microenvironment.” The flow of the calcium helped the tumor cells form connections with nerve cells called neurons which are known to promote tumor growth. Shutting off the flow of calcium put the tumors at a major disadvantage and slowed their growth.

The results suggest that mibefradil or a similar calcium-blocking drug could slow the progression of glioblastoma and sensitize the cancer cells to radiation and chemotherapy. Mibefradil has been approved by the federal Food and Drug Administration for treating high blood pressure, but it was voluntarily withdrawn by its manufacturer because of potential interactions with drugs used for treating heart disease. That means doctors would need to avoid giving those drugs together.

“To conduct clinical trials, clinical-grade mibefradil would have to be manufactured,” noted Abounader, part of UVA’s Department of Microbiology, Immunology and Cancer Biology. “The clinical drug manufacture is very expensive, and we are searching for funding sources in order to be able to do it.”

In addition to their calcium research, Abounader and collaborators at UVA are developing a new approach to treating glioblastoma using microRNAs in combination with nanoparticles, focused ultrasound and microbubbles.

Finding new ways to improve cancer care is a core mission of both UVA Comprehensive Cancer Center and UVA’s Paul and Diane Manning Institute of Biotechnology. UVA Comprehensive Cancer Center is one of just 57 cancer centers in the nation to earn the “comprehensive” designation from the National Cancer Institute. The prestigious accolade recognizes elite centers that offer both exceptional patient care and cutting-edge cancer research.

The Manning Institute, meanwhile, aims to accelerate the development of new drugs and treatments for the most complex and challenging diseases. This is being complemented by a statewide clinical trials network that expands access to potential new treatments as they are developed and tested.

Findings Published

Abounader and his colleagues have published their findings in the scientific journal Neuro-Oncology. The research team consisted of Collin J. Dube, Ying Zhang, Shekhar Saha, Tyler C.J. Deutsch, Matthew Yorek, Michelle Lai, Myron K. Gibert, Miguel Escalante, Kadie Hudson, Doris Wong, Pawel Marcinkiewicz, Ulas Yener, Yunan Sun, Esther Xu, Aditya Sorot, Elizabeth Mulcahy, Benjamin Kefas, Farina Hanif, Fadilla Guessous, Ashley Vernon, David Schiff, Hui Zong, Benjamin Purow, Eric Holland, Swapnil Sonkusare, Harald Sontheimer, Manoj K. Patel and Abounader. The scientists have no financial interest in the research.

The work was supported by the National Institutes of Health’s National Institutes of Neurological Disorders and Stroke, grants R01 NS122222 and 1R21NS122136; NIH grants R01 NS122834 and NIH R01 NS120702;

National Cancer Institute grants U01 CA220841 and 5T32CA009109-47; NCI Cancer Center support grant P30CA044579; a UVA Comprehensive Cancer Center pilot grant; a Schiff Foundation grant; and a Parson Weber Parsons Fellowship

New, Noninvasive Options Show Promise for Treating Substance Use UVA Health Exploring Innovative Approaches to Easing Addiction, Other Psychiatric Disorders

CHARLOTTESVILLE, Va., Sept. 2, 2026 – Doctors may be able to use focused sound waves and other noninvasive forms of “neuromodulation” to treat substance use disorder and reduce drug and alcohol cravings, according to UVA Health researchers on the front lines of this groundbreaking work.

Scientists leading UVA’s Center for Neuromodulation Research have surveyed the state of their emerging field in a pair of new scientific papers. They highlight the potential of two neuromodulation techniques, focused ultrasound and vagus nerve stimulation, to target the underlying drivers of addiction. 

The focused ultrasound approach uses highly precise sound waves to reset reward centers in the brain. Vagus nerve stimulation, on the other hand,  stimulates an important cranial nerve to regulate how the brain responds to stress via the release of serotonin and other neurotransmitters.

“Findings have shown that these different forms of neuromodulation have great potential in reducing drug craving and use and also reduce other emotional symptoms like depression and anxiety,” said center Director James J. Mahoney, PhD, a clinical neuropsychologist with the Department of Psychiatry and Neurobehavioral Sciences at the UVA School of Medicine. “Neuromodulation provides another treatment option for those who don’t have success with the standard of care, especially for those with stimulant use disorder, which doesn’t currently have any medication treatments available.” 

Noninvasive Options for Substance Use Disorder

Vagus nerve stimulation is a time-tested medical treatment first developed in the late 1800s. But it was only in 1997 that the federal Food and Drug Administration approved an implantable nerve stimulator to treat medication-resistant epilepsy. After that, doctors noticed that recipients often showed improvements in mood, leading to the approval of the implantable stimulator for treatment-resistant depression in 2005. Now researchers believe vagus nerve stimulation could benefit people with substance use disorder.

Vagus nerve stimulators can be costly and require surgery for implantation as well as additional procedures when the battery needs replaced. Researchers have developed more affordable, non-invasive alternatives, however, that eliminate the need for surgery. One such device is already FDA-approved to help manage opioid withdrawal symptoms. These new approaches stimulate the vagus nerve either through the ear or via the neck and could potentially be used at home to help people with substance use disorders manage symptoms such as depression and poor sleep.

Researchers are also investigating low-intensity focused ultrasound as a non-invasive approach to neuromodulation in substance use. This form of focused ultrasound uses precisely targeted sound waves to modulate activity in specific brain regions involved in reward, motivation and addiction. 

Unlike high-intensity focused ultrasound, which uses thermal energy to remove tissue to treat disorders such as Parkinson’s and essential tremor, low-intensity focused ultrasound is designed to influence brain activity without damaging or destroying tissue.

Based on their review of the existing research, Mahoney and the center’s associate director, Daisy Thompson-Lake, PhD, found there is encouraging evidence, albeit preliminary, for the potential of both approaches. They say larger studies are needed to explore how these techniques could be used to complement existing substance use treatments and make it easier for people to manage cravings and, ultimately, stop using drugs. 

About the UVA Center for Neuromodulation Research

Much more needs to be done before the new approaches could become available to patients, but the UVA Center for Neuromodulation Research is already on the front line of that work. Mahoney and Thompson-Lake founded the center just a year ago, but it has already launched an aggressive research program. The researchers have established several industry partnerships, secured more than $200,000 in funding and designed and deployed a mobile app that can capture important data about volunteers’ cravings and mood in real time.

The center builds on UVA’s long history at the forefront of focused ultrasound research. For example, UVA’s work already paved the way for federal approval of focused ultrasound for treating both Parkinson’s and essential tremor. UVA is also home to the Focused Ultrasound Immuno-Oncology Center (FUSION), the world’s first center devoted specifically to using focused ultrasound to enhance immunotherapy treatments for cancer.  

Now Mahoney and Thompson-Lake hope to bring similar innovation to the battle against substance use disorder – a condition that affects almost 50 million Americans. Their first vagus nerve stimulation study is set to start recruiting this fall, and focused ultrasound studies won’t be far behind, projected to begin in early 2027. 

Whether it is focused ultrasound, vagus nerve stimulation or another noninvasive technique, the UVA researchers are working to find ways to help people across Virginia and far beyond.

“We started with substance use disorder, but our ambition is much larger: to bring the same rigorous science to other psychiatric conditions like post-traumatic stress disorder, obsessive-compulsive disorder and eating disorders, where people are too often left without options that work,” Thompson-Lake said. “That is why we have built partnerships with device companies across the neuromodulation space; so we can ask the questions that get these treatments to patients safely and give people a reason to hope again.”

Nanotechnology IDs New Genetic Target for Treating Glaucoma Faulty ‘Drain’ Linked to Damaging Eye Pressure in Leading Cause of Blindness

CHARLOTTESVILLE, Va., Aug. 27, 2026 – A University of Virginia scientist and colleagues have used cutting-edge nanotechnology to obtain important new insights into sight-stealing glaucoma and provide researchers a much-needed new tool in their search for a cure.

Nanotech expert Evan Scott, PhD, the director of UVA’s Institute for Nanoscale Scientific and Technological Advanced Research, and collaborators deployed astonishingly small “nanocarriers” to probe a tiny vessel that is responsible for draining fluid in the eye. Deficiency in the drainage of this fluid, called aqueous humor, causes harmful pressure increases inside the eye and is associated with vision loss.

Doctors often seek to reduce eye pressure to preserve glaucoma patients’ sight, but not all patients respond to or comply with their treatment, which typically involves daily eye drops. Scott’s new findings help scientists understand key mechanisms behind fluid drainage and what can go wrong. This nanotech work has allowed the research team to develop the first genetic mouse model with sustained “intraocular” pressure, allowing scientists to more easily study and hopefully treat glaucoma.

“Primary open-angle glaucoma is an incurable, progressive disease that is the leading cause of irreversible blindness worldwide,” said Scott, of UVA’s Department of Biomedical Engineering, a joint program of UVA’s School of Medicine and School of Engineering. “Although we know that glaucoma is associated with high intraocular pressure, usually referred to as ‘IOP,’ studying this process has been challenging due to a lack of relevant disease models. Our nanocarriers allow us to selectively probe specific cells in the eye to both better understand how IOP can increase and, importantly, identify new therapeutic targets for gene therapy that could one day cure glaucoma.”

Understanding Glaucoma

Glaucoma is a leading cause of vision loss, affecting 64 million people worldwide and blinding more than 3.5 million. Intraocular pressure is the only modifiable risk factor for the most common form of the disease. Patients are commonly prescribed eye drops to reduce this pressure and improve fluid drainage, but more than 50% are noncompliant with or discontinue their topical therapy within the first year because of inconvenience and side effects. This compliance gap is a major cause of preventable vision loss in glaucoma, so researchers continue to seek new therapies for permanent IOP reduction with minimal adverse effects.

Part of the challenge in developing new treatments is that researchers have lacked effective ways to study the site of fluid drainage in the eye, known as the Schlemm’s canal. Scott and his collaborators used nanocarriers to deliver a drug, tamoxifen, directly to the cells lining the canal’s walls to modify the expression of a gene called Prox1. This allowed them to simulate problems with the drain in lab mice so they could better understand what was happening.

The results were striking: Intraocular pressure shot up within four weeks and stayed that way permanently. The canal also stopped functioning correctly, becoming stiffer and less permeable. 

The findings suggest that scientists may be able to use targeted nanotechnology and gene therapy to address the faulty canal walls and restore their proper function. But while that lead is promising, the creation of a way for scientists to study the canal’s workings may prove equally or even more important. 

“Our nanocarrier-based method identified Prox1 as a new genetic target within the Schlemm’s canal that can modify IOP. We’re now focused on developing a gene therapy that could permanently decrease IOP after a single administration and without daily eye drops or surgery,” said Scott, the Thomas A. Saunders III Family Jefferson Scholars Foundation Distinguished University Professor at UVA. “This work not only shows the promise of gene therapy in the treatment of glaucoma but also highlights how nanotechnology can be employed both as a tool to understand disease as well as a means for therapeutic intervention.”

Nanotechnology is a major focus area for UVA’s new Paul and Diane Manning Institute of Biotechnology. The institute brings together top experts across the university and beyond to accelerate the development of new drugs and cures for complex diseases, to benefit patients across Virginia and around the world.

New Research Tool Uncovers How Nature, Nurture Shape Child Autism Risks

CHARLOTTESVILLE, Va., Aug. 20, 2026 – A powerful new research tool from a University of Virginia School of Medicine scientist and colleagues is set to advance our understanding of how genetics and environment contribute to autism risk.

UVA’s Ziqiao Wang, PhD, and collaborators at Johns Hopkins have assembled a “statistical framework” called PGS-TRI that can untangle the complex web of genetic and environmental factors that contribute to childhood conditions. By analyzing “case-parent trios” – data from a child and both parents – this tool provides a more precise look at how “nature” and “nurture” interact within families.

“Traditionally, genetic studies focus on the ‘direct effects’ of genes passed from parent to child. However, a child’s health is also shaped by ‘indirect effects’—how a parent’s own genetic makeup influences the environment they provide for their child,” said Wang, an assistant professor who recently joined UVA’s Department of Genome Sciences. “PGS-TRI analyzes families, both parents and children, to figure out which health effects come directly from your genes versus which come from the environment your parents created.”

Understanding Autism Spectrum Disorders

Large-scale genetic studies have led to the development of genetic risk scores that estimate a person’s predisposition to diseases and health conditions based on their DNA profiles. The new framework allows researchers and clinicians to analyze these scores using family data and to characterize the risk of conditions such as autism and other developmental conditions in children based on family DNA and environmental influences such as maternal diet and lifestyle factors.

For their study, the researchers analyzed more than 18,000 case-parent trios, autistic children and their parents, across diverse ancestral populations in the Simons Foundation Powering Autism Research for Knowledge (SPARK) consortium and the Genes and Environment Autism Research Study (GEARS).

PGS-TRI will help scientists better understand the role of genes and distinguish their effects from the results of those other, outside factors. Initial tests of the tool have already offered reassuring evidence that “polygenic scores” used to calculate autism risk are generally accurate. But these scores were more accurate for families from the Americas, Europe and South Asia than for families of African or East Asian ancestry. This difference likely reflects the groups used to build the scores, the PGS-TRI developers say. The results highlight the need to include people of diverse backgrounds in genetic research, to ensure the findings benefit all patients, they note.

Another finding is that maternal genetic susceptibility for certain traits, including obesity and certain neurocognitive characteristics, may increase the risk of autism in children. 

In addition to vouching for the validity of prior research, PGS-TRI is already producing promising leads for future work. The researchers used the tool to identify the CADM2 gene as a promising target for developing ways to prevent autism.

“We hope that PGS-TRI will empower researchers to look beyond just the DNA a child inherits and start understanding the broader family environment that shapes their health, leading to more personalized and effective ways to support children with complex conditions like autism,” Wang said. “This tool gives us opportunities to study the potential causal relationships of parents’ phenotype and their child’s disease risks and better understand how nature and nurture work together to influence a child’s health.”

Findings Published

Wang helped assemble the tool while completing her postdoctoral training at Johns Hopkins; the project was overseen by Nilanjan Chatterjee, PhD, of Hopkins’ Department of Biostatistics, Bloomberg School of Public Health and School of Medicine. The scientists have described their new tool in the scientific journal Nature Genetics.

The tool is available at https://ziqiaow.github.io/PGS.TRI/ or at Zenodo, https://zenodo.org/records/19339894.

The research team consisted of Wang, Luke Grosvenor, Debashree Ray, Tianyuan Cheng, Ingo Ruczinski, Terri H. Beaty, Heather Volk, Christine Ladd-Acosta and Chatterjee. The scientists have no financial interest in the work.

The research was supported by the National Institutes of Health, grants R00HG013674, R01HG010480, U01CA249866, R01ES034554, R35GM150836 and R01DE031855.

To keep up with the latest medical research news from UVA’s School of Medicine and UVA’s new Paul and Diane Manning Institute of Biotechnology, bookmark the Making of Medicine blog at https://makingofmedicine.virginia.edu.

New Book Reveals How to Manage Pre-Diabetes and Type 2 Diabetes Without Drugs, Weight Loss or Supplements GEM Program Emphasizes Smart Eating, Physical Activity

CHARLOTTESVILLE, Va., Aug. 17, 2026 – After 16 years of research and clinical testing, a University of Virginia School of Medicine diabetes expert has authored a book detailing how people with pre-diabetes or type 2 diabetes can manage their condition without the need for weight loss, insulin, medication or supplements.UVA’s Daniel J. Cox, PhD, not only created the GEM program, he has used it successfully for many years to manage his own type 2 diabetes – putting the disease in remission for the past 15 years. The program, Glucose Everyday Matters (GEM), teaches users to listen to their bodies, understand the consequences of their food choices and use exercise strategically to regulate their blood sugar.

Cox says the goal is to provide people with a practical alternative to medication that does not require dieting or deprivation. “I wanted to give patients, and myself, a way to directly and immediately control blood sugar,” he said. “All other approaches indirectly control blood sugar by increasing insulin production, assisting sugar to exit the body through urine or reducing insulin resistance.”

More than 600 million people around the world have pre-diabetes, and 530 million have type 2 diabetes, a condition in which the body becomes unable to regulate blood sugar. This can lead to heart disease, kidney disease, blindness, dementia and many other serious medical conditions. Type 2 diabetes typically affects people over age 45 but is increasingly striking children, teenagers and young adults. Many people must use medication or insulin injections to manage the disease.

In his new book, “A GEM for Your Pre- or Type 2 Diabetes,” Cox lays out his alternative. The program emphasizes how small choices, such as food selection, ultimately have a big impact on blood-sugar levels. But it also emphasizes flexibility: If someone craves a sugary treat, they can have a small piece, but they may need to take a walk after to keep it from spiking their blood sugar.

In addition to controlling blood sugar, the GEM program can have far-reaching health benefits, Cox says. It can help cut down on cravings, reduce fatigue and help prevent energy crashes. It can boost motivation, confidence and emotional well-being. And it can help build smart habits that support long-term wellness.

Many users find they lose weight without really trying. “People learn that they are in control of their blood sugar, not a victim of it, and learn that while focusing on controlling the blood sugar, they are getting healthier and more fit in the process,” said Cox, part of UVA Health’s Center for Diabetes Technology. “I’m always juiced after talking to people in the program, hearing how empowered they felt and [how they were] surprised to learn high blood sugar depends on what they choose to do.”

The approach has been tested in multiple clinical trials, and the vast majority of participants have benefited greatly, Cox noted. It does not work for everyone, but it can be life-changing for many.

“This book is for those people who want to take charge of their diabetes and feel empowered in the process. This book is also beneficial for significant others who live, eat and exercise with the person with diabetes,” Cox said. “My goal is to translate our years and millions of dollars of research findings into real-world benefits for those millions managing pre-diabetes and type 2 diabetes.”

Cox’s book is now available at Amazon in an electronic format, for $2.99, and in print as well.

To keep up with the latest medical research news from UVA’s School of Medicine and UVA’s Paul and Diane Manning Institute of Biotechnology, bookmark the Making of Medicine blog at https://www.uvahealth.com/making-of-medicine.

Discovery Explains Link Between Delirium After Surgery, Dementia Research IDs Promising Therapeutic Target to Reverse Harmful Brain Changes

CHARLOTTESVILLE, Va., Aug. 11, 2026 – UVA Health researchers have discovered how a form of delirium that often strikes older patients after surgery may set the stage for dementia – and identified a drug that could reverse the underlying brain changes.

Nadia Lunardi, MD, PhD; Hari Prasad Osuru, PhD; and colleagues found that anesthesia, surgery and intensive care stress (ASI) altered gene activity in the brains of aged mice. These changes disrupted memory formation and regulation of the internal biological clock, leading to cognitive impairment and sleep disturbances similar to those observed in postoperative delirium in human patients.

But vorinostat, an FDA-approved drug used to treat certain types of T-cell lymphoma, reversed many of these harmful changes. Mice that received the drug before exposure to anesthesia, surgery and intensive care-related stress showed improved neuronal structure and cognitive performance. The drug restored the function of genes involved in memory and regulation of the body’s biological clock, improved sleep patterns and led to fewer delirium-like symptoms.

“Postoperative delirium affects millions of older adults worldwide and is associated with longer hospital stays, increased complications and a greater risk of subsequent cognitive decline. Despite this, the biological mechanisms driving this condition and linking an acute episode of delirium to long-term cognitive decline remain poorly understood,” said Lunardi, UVA Health’s neuroanesthesia division chief and a member of the University of Virginia School of Medicine’s Department of Anesthesiology. “By identifying reversible biological changes associated with surgery and intensive care – or perioperative stress – that contribute to postoperative delirium, we hope this work will pave the way for new strategies to prevent the condition and reduce the risk of long-term cognitive decline in vulnerable older patients.”

Postoperative Delirium’s Dire Effects

Postoperative delirium can strike people of any age but is particularly common in older and frail patients. The American Delirium Society estimates that the condition affects 7 million hospitalized Americans each year and is responsible for up to $152 billion in healthcare costs. 

The condition is also a strong risk factor for subsequent cognitive decline and dementia. The connection between postoperative delirium and dementia, however, has remained unclear. 

The new work by Lunardi and her collaborators helps explain that link by identifying brain vulnerabilities that may contribute to longer-term decline.

The researchers found that the stresses of anesthesia, surgery and intensive care left a molecular imprint on the brain, altering how genes function. These changes involved two “epigenetic” mechanisms that control whether genes are turned on or off. The resulting changes impaired the brain’s ability to form memories and learn new information while also disrupting the internal clock that regulates healthy sleep patterns, the research suggests.

“These findings provide an important biological substrate for how the cognitive vulnerability associated with delirium develops and identify epigenetic pathways as promising preventative and therapeutic targets,” said Osuru, a research scientist in UVA’s Department of Anesthesiology.

While the scientists are continuing their research, the finding that these brain changes could be reversed by vorinostat is promising. It suggests that the drug, or other treatments targeting the same pathways, may eventually provide similar benefits to human patients, potentially helping prevent the long-term cognitive problems that can follow postoperative delirium.

“We are now using advanced single-cell technologies and spatial transcriptomics to determine how specific brain cell populations respond to perioperative stress. These studies will help us identify the precise cell-specific mechanisms driving postoperative delirium and guide the development of more targeted therapeutic strategies,” Lunardi said. “Ultimately, our goal is to translate these discoveries into interventions that prevent postoperative delirium, improve recovery after surgery, preserve long-term brain health and reduce the risk of cognitive decline in vulnerable older patients.”

$6.5 Million Grant Advances High-Tech Imaging for Lymphatic Diseases MRI Detects Sodium in Tissue With Chronic Swelling

IMPORTANT NOTE FOR REPORTERS: Crescenzi will be available for interviews between noon and 1 today. To arrange an interview, contact Eric Swensen at ews3j@uvahealth.org.

CHARLOTTESVILLE, Va., July 27, 2026 – A University of Virginia School of Medicine scientist has received a $6.5 million grant to develop the “lymphatic medicine exam of the future” to improve care for chronic swelling, known as lymphedema, and other lymphatic diseases. 

Patients with chronic lymphatic disorders are often misdiagnosed, or face delayed treatment, because of the limitations of existing diagnostic technologies. But UVA’s Rachelle Crescenzi, PhD, and her team aim to use non-invasive magnetic resonance imaging (MRI) to change that.

“For too long, patients with chronic swelling have been dismissed until severe swollen limbs become obvious. Imaging helps us look beneath the skin at early changes in tissue, and we saw something unexpected,” said Crescenzi, of UVA’s Department of Radiology and Medical Imaging. “We saw sodium builds up in tissue with chronic swelling using a special MRI exam called sodium MRI. Together with vascular imaging, this exam could provide a non-invasive way to detect swelling earlier and identify new treatment strategies.” 

Understanding Lymphatic Diseases

Lymphedema is estimated to affect more than 10 million Americans and up to 250 million people worldwide. Around one third, and up to 50%, of breast-cancer survivors develop it, as do 20%-40% of patients recovering from gynecologic cancer. Once known as dropsy, lymphedema typically causes the arms or legs to swell as the body retains fluid draining from the lymphatic system. This swelling can also strike the torso, neck and genitals. 

Crescenzi is also a recognized leading scientist studying lipedema, a disease that causes swelling of the legs in women because of the buildup of uneven, often painful deposits of fat. These patients’ swollen legs often look like lymphedema. Up to 11% of women worldwide are thought to suffer from the condition. There are no diagnostic tests for lipedema.

The grant will allow Crescenzi and her collaborators to apply MRI to measure sodium, adipose tissue (fat) and lymphatic fluids in the body. By tracking how sodium and adipose tissue accumulate through the body, the researchers will be better able to understand how it affects lymphatic function in both good health and disease. They call their approach SALT MRI, short for “sodium, adipose and lymphatic translational sciences.” 

Crescenzi and her team have already found that patients with lymphatic disease store more sodium and adipose tissue in the affected parts of their bodies. They hope that better understanding the amount of sodium within tissues will offer important answers about lymphatic diseases. 

“We hope that SALT MRI will give doctors more objective ways of viewing and detecting lymphedema and lipedema, before symptoms become debilitating,” Crescenzi said. “It should not take 20 years to receive a diagnosis for lymphatic diseases. Sodium imaging could give us important clues to earlier diagnosis and also treatment options.”

The researchers already have completed an observational trial in patients with leg lymphedema. They found that tissue sodium increases with disease severity and reduces following standard-of-care physical therapy.

About SALT MRI

Over the next seven years, the scientists plan to deploy SALT MRI to study the progression of leg lymphedema and to develop better ways to diagnose lipedema. They also intend to develop a SALT MRI exam to address breast cancer-related lymphedema. 

They hope their work will ultimately provide doctors with important new imaging tools to assist in the diagnosis of lymphatic diseases. This would accelerate how quickly patients receive treatment, help doctors tailor treatments to individual patients and improve the care patients receive.

“This award is the start of establishing a center for lymphatic disease research and clinical excellence at the University of Virginia. We’re thankful for strong support from the National Institutes of Health and the University of Virginia to advance research of these conditions,” Crescenzi said. “We’ll be able to train new investigators in the relationship between sodium and the lymphatic system and translate discoveries into meaningful clinical care for patients with lymphedema and lipedema.”

The $6.5 million NIH grant, R35HL184172, was awarded by the National Heart, Lung and Blood Institute.

To keep up with the latest medical research news from UVA’s School of Medicine, bookmark the Making of Medicine blog at https://www.uvahealth.com/making-of-medicine.

New Approach Targeting Deadly Brain Cancer Shows Promise in Early Testing Suppresses Multiple Genes Responsible for Glioblastoma’s Growth, Spread

CHARLOTTESVILLE, Va., July 22, 2026 – University of Virginia Comprehensive Cancer Center scientists have developed a promising new experimental approach to targeting glioblastoma, the most common and deadliest brain cancer. The approach could overcome many of the limitations of treatments using existing drugs.

 

UVA’s Roger Abounader, MD, PhD, and colleagues have identified “microRNAs” that can simultaneously suppress multiple malfunctioning genes responsible for glioblastoma’s formation and growth. The scientists use a combination of brain penetrating nanoparticles, focused ultrasound waves and microbubbles to deliver the miRNAs through the brain’s natural protective barrier – a barrier that typically blocks treatments for tumors and neurodegenerative diseases. 

 

“This new approach could help target numerous molecules that promote cancer growth, including those for which no drugs exist, at the same time to achieve better therapies,” said Abounader, a professor at UVA’s School of Medicine, Department of Microbiology Immunology and Cancer Biology, Comprehensive Cancer Center and Center for RNA Science and Medicine. “We are hoping to translate our findings into future clinical trials for patients with glioblastoma and other brain tumors.”

 

Treating Glioblastoma

 

Glioblastoma is the most common and aggressive malignant brain tumor in adults, killing more than 13,000 people in America alone every year. It is difficult to treat because the tumors thread their way through healthy brain tissue, making them extremely hard to remove. Meanwhile, the natural “blood-brain barrier” that protects the brain from infections and toxins also keeps out anti-tumor drugs.

 

Doctors now typically remove as much of the cancer as they can with surgery, then use radiation and chemotherapy to help patients survive as long as possible. 

 

By using miRNA – tiny molecules of genetic material – Abounader’s approach would let doctors suppress the effects of multiple faulty genes at one time. This would slow or stop tumor growth by blocking the genes driving the cancer. Attempting to target multiple genes with existing treatments is complicated by the toxicity caused by combining multiple cancer drugs and by the fact that many molecules do not have drugs that target them.

 

Abounader would direct the miRNA to the brain using focused ultrasound guided by magnetic resonance imaging (MRI). The highly focused sound waves guide tiny “microbubbles” to open the blood-brain barrier just long enough for the miRNA nanoparticle carriers to make their way through.

 

Testing their approach in the lab, Abounader and his team found that the miRNA was effective at slowing tumor growth and extending survival in glioblastoma animal models. More research will be needed before the approach could be tested in people, but Abounader says the results are a positive indicator for the approach’s potential not just for glioblastoma but for other cancers as well.

 

“This approach could have broad applications for several brain and other human diseases,” Abounader said. “We and many others are intensively working to lighten the burden of cancer, and hopefully also completely cure it, but this requires a continued investment in cancer and medical research.”

 

Focused Ultrasound at UVA

 

UVA Health was one of the earliest pioneers in the field of focused ultrasound. UVA’s expertise with the technology has led to a robust research program examining the use of focused ultrasound to treat many different conditions.

 

The technology’s tremendous promise prompted UVA and the Charlottesville-based Focused Ultrasound Foundation to launch the Focused Ultrasound Immuno-Oncology (FUSION) Center, the world’s first center dedicated specifically to exploring the benefits of combining focused ultrasound with cancer immunotherapy. Experts hope the treatment approach could revolutionize cancer care for the 21st century.

 

Finding new ways to improve patient care is a core mission of both UVA Comprehensive Cancer Center and UVA’s Paul and Diane Manning Institute of Biotechnology. UVA Comprehensive Cancer Center is one of only 57 cancer centers in the country to earn the elite “comprehensive” designation from the National Cancer Institute in recognition of their exceptional patient care and cutting-edge cancer research.

 

The Manning Institute, meanwhile, has been launched to accelerate the development of new drugs and cures for the most complex and challenging diseases. This is being complemented by a statewide clinical trials network that expands access to potential new treatments as they are developed and tested.

 

Findings Published

 

Abounader and his colleagues have described their approach and the results of their initial lab testing in JCI, the Journal of Clinical Investigation. The article is open access, meaning it is free to read. 

 

The research team consisted of Shekhar Saha, Ying Zhang, Myron K. Gibert Jr., Collin Dube, Farina Hanif, Elizabeth Qian Xu Mulcahy, Sylwia Bednarek, Yunan Sun, Pawel Marcinkiewicz, Xiantao Wang, Gijung Kwak, Ahsan H. Polash, Haolin Li, Kadie Hudson, Manikarna Dinda, Tapas Saha, Matthew McCord, Fadila Guessous, Nichola Cruickshanks, Rossymar Rivera Colon, Lily Dell’Olio, Rajitha Anbu, Wenjie Liu, Songy Choi, Benjamin Kefas, Pankaj Kumar, Alexander L. Klibanov, David Schiff, Jung Soo Suk, Justin Hanes, Jamie Mata, Markus Hafner and Abounader. The scientists have no financial interest in the work. 

 

The research was supported by the National Institutes of Health’s National Cancer Institute, grants U01 CA220841 and P30 CA044579; the NIH’s National Institute of Neurological Disorders and Stroke, grants R01 NS122222 and R21 NS122136; a UVA Comprehensive Cancer Center pilot grant; a Schiff Foundation grant; the Ben and Catherine Ivy Foundation; and the Focused Ultrasound Foundation.

 

To keep up with the latest medical research news from the UVA School of Medicine and UVA’s Manning Institute, bookmark the Making of Medicine blog at https://www.uvahealth.com/making-of-medicine.

Doctors Develop Guiding Principles for Future of AI in Healthcare Emphasize Hospitals Must Remember Their Primary Mission: Helping Patients

CHARLOTTESVILLE, Va., July 21, 2026 – A UVA Health emergency medicine doctor and colleague at Clemson University have developed a framework to help hospitals integrate artificial intelligence to not just increase efficiency and cut costs but ensure high-quality patient care remains the top priority.

 

With the massive potential of artificial intelligence to transform healthcare in the coming years, UVA’s R. Andrew Taylor, MD, MHS, and Clemson’s Arwen B.L. Declan, MD, PhD, created the new framework to ensure healthcare remains “rooted in its ethical obligations” to serve patients, communities and local workforces, they say in a new paper outlining their creation. Their Total Mission Value framework arrives as hospitals face mounting pressure to adopt AI quickly, often with little practical guidance on how to weigh a tool’s worth beyond its price.

 

Declan and Taylor’s framework puts patient care and the patient experience at the top of a pyramid built on a foundation of ethics and supported by a base of economic sustainability. It emphasizes that AI should support care providers in their mission rather than replace them or simply create more work for them. 

 

“AI is being adopted in medicine at a scope and velocity we have never seen before, but hospitals haven’t had a good way to weigh these decisions as a whole,” said Taylor, vice chair of research and innovation for the University of Virginia School of Medicine’s Department of Emergency Medicine. “Typical approaches tend to measure cost, because cost is the easiest thing to measure. We built this framework to give organizations a structured way to also weigh what an AI tool does for patients, for staff and for the quality of care.”

 

The Future of AI in Healthcare

 

Declan and Taylor are candid that AI’s promise cuts both ways. “AI tools could enhance care speed, diagnostic accuracy and costs efficiency while supporting population health, scientific inquiry and operational management,” they note in their paper. “However, they also introduce risks of bias, opacity, workforce displacement and erosion of the patient-clinician relationship that are invisible to cost-focused analyses.”

 

Declan and Taylor note that hospitals have lacked a structured way to weigh these choices as a whole—the standard approaches for evaluating a new technology tend to center on cost. Their framework is built to fill that gap, integrating five “ethically grounded” priorities: patient care, staff experience, hospital operations, economic impact, and education and research.

 

Patient care, which the authors place at the top of the framework, emphasizes the importance of “patient-centered” care and traits such as integrity, honesty, trust, compassion and respect. The staff-experience category, meanwhile, calls for hospitals to use AI to drive workforce development, teamwork and collaboration across disciplines.

 

Declan emphasizes that realizing AI’s full potential means resisting the urge to evaluate it narrowly. “Hospitals are seeing a huge number of new AI tools marketed to improve healthcare. The challenge is to figure out which ones actually will,” said Declan, clinical assistant professor in Clemson University’s School of Health Research. “That requires weighing an AI tool’s impact across clinical, operational and financial dimensions, while keeping patient care at the center of every decision.”

 

Ultimately, it is vital that hospitals remember that patient care is their “central, defining mission,” Declan and Taylor write.

 

“Our hope is that keeping the mission front and center actually speeds good AI adoption rather than slowing it down, because it builds the trust that patients and clinicians need,” Taylor said. “Technology should help us take better care of people. If we keep that as the goal, the efficiency and the savings tend to follow.”

 

Framework Published

 

Taylor and Declan have unveiled their framework in the scientific journal npj Digital Medicine. The article is open access and free to read. 

 

Taylor noted that he has received a grant from Beckman Coulter to support evaluation of a clinical decision-making algorithm called TriageGo and that he is an adviser for VeraHealth.

 

To keep up with the latest medical research news from UVA and UVA’s new Paul and Diane Manning Institute of Biotechnology, bookmark the Making of Medicine blog at https://www.uvahealth.com/making-of-medicine.

Bile Acid Buildup Drives Spread of Breast Cancer, UVA Research Reveals Existing Drugs Could Improve Patient Outcomes, Prevent Breast Cancer Spread, Findings Suggest

CHARLOTTESVILLE, Va., July 15, 2026 – A buildup of bile acids caused by an unhealthy gut can drive breast cancer to other parts of the body, new University of Virginia Comprehensive Cancer Center research reveals. The findings could open the door to new ways to prevent breast cancer metastasis (spread), improve patient outcomes and save lives. 

 

The research from UVA’s Melanie Rutkowski, PhD, and colleagues helps explain how the gut microbiome – the collection of microorganisms that live in and on our intestines – plays a role in the spread of hormone receptor-positive (HR+) breast cancer. The work adds to a growing understanding of the far-reaching influence of the microbiome in both disease and in maintaining good health.

 

“We found that an unhealthy gut microbiome loses the ability to regulate the composition of bile acids, potent signaling molecules that when not properly regulated can cause havoc on your health, metabolism and the immune system. This creates an environment throughout the body that favors breast tumor metastasis,” Rutkowski said. “Our findings suggest that we could reduce breast cancer metastasis either by replenishing the bacteria that can modify the composition of bile acids, or by treating breast cancer patients with bile acid sequestrants, drugs that are already FDA-approved for treating metabolic diseases.”

 

Targeting HR+ Breast Cancer

 

HR+ breast cancer is by far the most common form of metastatic breast cancer, with 225,000 diagnoses each year in American women. HR+ breast cancer tends to spread early, with tumors often forming in the lymph nodes and lungs. Once the cancer has spread, it is much more difficult to treat, and the patient’s risk of death goes up.

 

Prior studies had linked gut microbiome imbalance – known as gut “dysbiosis” – with poor patient outcomes, but Rutkowski’s research identifies a specific mechanism responsible for this. The study found that gut dysbiosis led to a buildup of bile acids, which play important roles in digestion and metabolism. They further found that bile acid buildup triggers harmful breast inflammation that ultimately fuels the spread of breast cancer cells to other parts of the body, especially the lungs. 

 

“We found that certain bile acids produced when the gut microbiome is disrupted can create conditions that make it easier for breast cancer cells to spread,” said Audrey Putelo, PhD, co-author of the study. “Because bile acids can be measured and modified, this finding opens exciting possibilities for developing new approaches to identify high-risk patients and reduce the likelihood of metastatic disease.”

 

Effects in Human Patients

 

While the scientists’ work was in lab mice, they went on to look at human patients with HR+ breast cancer. They found that elevated bile acids and insulin resistance were associated with reduced survival. Further, patients with metastatic disease who received bile acid-suppressing medications tended to live longer. (These medications, known as bile-acid sequestrants, have already been approved by the federal Food and Drug Administration, but the researchers caution that more studies are needed to determine if the drugs are directly causing the benefits seen in patients.)

 

Rutkowski’s promising results suggest that targeting bile acids, or the underlying dysbiosis, could eventually improve outcomes for patients with metastatic HR+ cancer. 

 

“Because many of the patients who were on bile-acid sequestrants have health issues that tend to favor a worse prognosis for breast cancer, the survival of patients who were prescribed bile-acid sequestrants and who had metastatic breast cancer are extremely encouraging,” Rutkowski said. “Now we want to know if these existing, FDA-approved drugs can prevent the cancer from spreading in the first place. If that proves true, this could support the use of a well-tolerated class of drugs for the prevention of metastatic breast cancer.”

 

Finding new ways to improve patient outcomes and battle cancer more effectively are the primary missions of UVA Comprehensive Cancer Center, one of only 57 cancer centers in the nation to earn the prestigious “comprehensive” designation from the National Cancer Institute. The designation is awarded only to elite cancer centers with the most outstanding cancer care and research programs in the country. 

 

The UVA Comprehensive Cancer Center’s efforts are complemented by UVA’s Paul and Diane Manning Institute of Biotechnology, which works to accelerate how quickly discoveries such as Rutkowski’s can be turned into new drugs and treatments to benefit patients around the world

New Machine-Learning Tool Improves Accuracy of Genomics Research

PATTY Corrects Hidden Bias in Popular Genomics Method,
Helping Scientists Distinguish True Biological Discoveries From Technical Artifacts

CHARLOTTESVILLE, Va., July 20, 2026 – University of Virginia School of Medicine scientists have identified a widespread source of error in a popular method for studying the genome – our genetic instructions – and created a machine-learning tool to correct it. 

The free tool could improve the reliability of both conventional and single-cell data generated using this method, giving researchers a clearer view of how gene activity is controlled in health and disease and providing stronger foundations for future diagnostic and drug-development efforts.

Although nearly every cell in the body contains the same DNA sequence, different cells use different sets of genes to maintain their identities and functions. Much of that control comes from the “epigenome” – chemical modifications and structural features of chromosomes that influence whether genes are turned on or off without changing the DNA sequence itself. The CUT&Tag (Cleavage Under Targets & Tagmentation) method can map these epigenomic features efficiently from very small samples and even from individual cells. However, the UVA researchers, led by Chongzhi Zang, PhD, found a “hidden bias” in the method that creates artifacts resembling genuine biological signals.

“The DNA sequence is like the sheet music. The epigenome determines which notes to play, when they are played and by what instruments,” said Zang, of UVA’s Department of Genome Sciences and director of computational genomics at UVA Comprehensive Cancer Center. “When a technical artifact looks like a real signal, researchers can be led toward the wrong biological mechanism. That risk is especially serious in single-cell data, where the true signals are already sparse.”

Finding and Fixing Hidden Bias

CUT&Tag has many advantages over prior methods and has quickly become popular among scientists. But it also has weaknesses that have gone unnoticed until recently. The assay relies on an enzyme called Tn5 transposase, which naturally favors open, accessible regions of the genome. Zang and colleagues found that this preference can create misleading and confusing research results that the scientists described as “severe” after examining nearly 300 published datasets.

Having discovered the unexpected scope of the problem, Zang and his team developed PATTY (Propensity Analyzer for Tn5 Transposase Yielded bias), a tool that uses machine learning to correct the CUT&Tag bias. It is effective both in conventional data from many cells and in sparser single-cell data, the scientists report.

“Detecting true signals in noisy data is like finding a needle in a haystack, and it is even more difficult when many pieces of hay look like real needles,” Zang said. “PATTY does not detect signals simply by subtracting a background. It learns how a real needle differs from hay and uses the learned model to reduce the artifact while preserving real signals.”

Zang and his colleagues have made PATTY available as a free, open-source software package at Github (https://github.com/zang-lab/PATTY) and Zenodo (https://doi.org/10.5281/zenodo.20078737). They hope their tool will improve genomic research and eventually help get new diagnostics and medicines to patients faster, a major mission of UVA’s new Paul and Diane Manning Institute of Biotechnology.

“We believe that bias correction should become a routine part of CUT&Tag analysis,” Zang said. “Cleaner data can keep scientists from wasting time and resources pursuing technical artifacts and can make real biological differences easier to see. More broadly, PATTY provides a conceptual framework for correcting similar biases in other genomic technologies.”

Findings Published

The researchers have described the development of PATTY in an article in the scientific journal Nature Communications. The article is open access, meaning it is free to read. The UVA research team consisted of Shengen Shawn Hu, Qingying Chen, Megan C. Grieco, Mengxue Tian and Zang. Collaborators Zhangli Su and Anindya Dutta of the University of Alabama at Birmingham and Lin Liu of Shanghai Jiao Tong University also contributed. The scientists have no financial interest in the work.