Christmas in July: A Case Report of Santa Claus and His New Left Ventricular Assist Device

Mr. SC is a 62-year-old male retired truck driver who enjoys creating bi-annual holiday cheer as Santa Claus. Mr. SC was admitted to Acute Inpatient Rehabilitation at Johns Hopkins Hospital for severe deconditioning following placement of a Left Ventricular Assist Device (LVAD). Post-operative complications included fever of unknown origin, leukocytosis, fluid overload, new blurry vision, new bouts of confusion, new onset benign tremors, acalculous cholecystitis, and new pain, weakness, and paresthesia in the left hip due to a psoas hematoma. Mr. SC’s goals for treatment were to return home and reengage with hobbies. Mr. SC eventually achieved a satisfactory level of fitness and ability to be discharged home

Effects Of Submental Surface Electrical Stimulation On Swallowing Kinematics In Healthy Adults: An Error-Based Learning Paradigm

Purpose: Hyoid bone and laryngeal approximation aid airway protection (laryngeal vestibule closure) while moving toward their peak superior and anterior positions during swallowing. Submental surface electrical stimulation (SES) is a therapeutic technique that targets the muscles that move the hyoid bone during swallowing. It is unknown whether submental SES only increases peak hyoid bone swallowing positions but not peak laryngeal swallowing positions, which could require faster or greater laryngeal movement to achieve adequate laryngeal vestibule closure. Method: We examined the effects of submental SES on hyo-laryngeal kinematics in 30 healthy adults who swallowed 50 times using an error-based learning paradigm. Results: Submental SES did not alter any hyo-laryngeal swallowing kinematic. However, submental SES significantly changed the starting position of the hyoid bone just prior to the swallow onset (more anterior; p = .003). On average, submental SES immediately prior to swallow onset can position the hyoid approximately 20% closer to its peak swallowing point. Conclusions: These findings indicate that electrical stimulation of the agonists for hyoid movement might not alter swallowing outcomes tested in this study. However, submental SES could have clinical utility by minimizing swallowing impairments related to reduced hyoid swallowing range of motion in individuals with dysphagia.Wo