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On Hope

In a piece that stares down tragedy and refuses to give up, Jen Agg recounts the agonizing weeks following her husbandโ€™s stroke, which took place at the onset of the pandemic. This is a gripping essay about being strong for someone else, but itโ€™s also a piece about the devils and angels in the medical system: those who think dashing your optimism is some sort of sadistic duty vs. those who understand their role is to offer not only medical help, but most importantly, kindness and hope.

I started describing a stroke as a twenty-car pile-up on the highway of your brainโ€™s quickest route. Recovery is the next car getting off the highway just before the devastation and twisted-up metal of cars blocking the road, except itโ€™s night time, and the power is out, and itโ€™s a thunderstorm and actually, turns out there is no road. So one car slowly and timidly draws a new path where there never was one. Your brain is resourceful this way, but itโ€™s slow going. After a while, all the cars start taking this newly formed exit and your brain learns a whole new way of communicating with your body.

At first it was the destabilizing uncertainty: would it be a bad day, or a rare good day? How could I keep both our moods afloat when I was working really hard on the basics of our survival while maintaining an unbreakable facade of hopefulness? Was there effort in that? I donโ€™t remember. Roland was sad a lot at the beginning and I knew I couldnโ€™t let that sadness drown us both. Many of lifeโ€™s challenges force reaction and demand a change of perspective, but particularly with health issues, you have to really be committed or the ugliness of it can win. I absolutely refused to let it. This was not going to be the thing that unwound our loveโ€”a love born in a fireball of attraction, bonded over a shared enemy and nurtured over decades of simply never being bored of each other or running out of fascinating things to talk about while remaining enthralled with each othersโ€™ faces.

Unvaccinated more likely to have heart attack, stroke after COVID, study finds

A medical director in Germany sits in front of a monitor showing the real-time data of a patient with a heart attack.

Enlarge / A medical director in Germany sits in front of a monitor showing the real-time data of a patient with a heart attack. (credit: Getty | Arne Dedert)

A bout of COVID-19 is known to increase a person's long-term risks of having a major cardiovascular event, such as a heart attack or stroke. But being fully vaccinated or even partially vaccinated appears to bring that risk down, according to a study published this week in the Journal of the American College of Cardiology.

The study, led by researchers at Icahn School of Medicine at Mount Sinai in New York, drew on medical records from over 1.9 million patients who were infected with COVID-19 between March 2020 and February 2022. Of those 1.9 million patients, a "major adverse cardiac event," namely a heart attack, stroke, or another cardiac event, was identified in 13,948 patients, and 3,175 died following the event.

Overall, the researchers found that being vaccinatedโ€”fully or partiallyโ€”was linked to fewer cardiac events in the six months following a case of COVID-19. After adjusting for demographics, comorbidities, and time since the pandemic began, the researchers found that being fully vaccinated reduced the risk of having a major cardiac event by about 41 percent, while being partially vaccinated reduced the risk by about 24 percent.

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