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9-time grand slam champion Monica Seles reveals her diagnosis with myasthenia gravis

9-time grand slam champion Monica Seles reveals her diagnosis with myasthenia gravis

CNN2 days ago
Monica Seles first noticed the symptoms of myasthenia gravis — a neuromuscular autoimmune disease she discussed during a recent interview with The Associated Press — while she was swinging a racket the way she'd done so many times during, and after, a career that included nine grand slam titles and a place in the International Tennis Hall of Fame.
'I would be playing with some kids or family members, and I would miss a ball. I was like, 'Yeah, I see two balls.' These are obviously symptoms that you can't ignore,' Seles said. 'And, for me, this is when this journey started. And it took me quite some time to really absorb it, speak openly about it, because it's a difficult one. It affects my day-to-day life quite a lot.'
The 51-year-old Seles, who won her first major trophy at age 16 at the 1990 French Open and played her last match in 2003, said she was diagnosed with myasthenia gravis three years ago and is speaking publicly about it for the first time ahead of the US Open, which starts on August 24, to raise awareness about what is known as MG.
The National Institute of Neurological Disorders and Stroke calls it 'a chronic neuromuscular disease that causes weakness in the voluntary muscles' and 'most commonly impacts young adult women (under 40) and older men (over 60) but … can occur at any age, including childhood.'
Seles said she'd never heard of the condition until seeing a doctor and being referred to a neurologist after noticing symptoms such as double vision and weakness in her arms — 'just blowing my hair out … became very difficult,' she said — and legs.
'When I got diagnosed, I was like, 'What?!'' said Seles, who is partnering with argenx, an immunology company headquartered in the Netherlands, to promote their Go for Greater campaign. 'So this is where — I can't emphasize enough — I wish I had somebody like me speak up about it.'
It's been three decades since Seles returned to competition at the 1995 US Open, making it to the final, more than two years after she was attacked by a man with a knife at a tournament in Hamburg, Germany.
'The way they welcomed me … after my stabbing, I will never forget,' Seles said about the fans in New York. 'Those are the moments that stay with you.'
She talks about learning to live a 'new normal' nowadays and characterized her health as another in a series of life steps that required adapting.
'I had to, in tennis terms, I guess, reset — hard reset — a few times. I call my first hard reset when I came to the US as a young 13-year-old (from Yugoslavia). Didn't speak the language; left my family. It's a very tough time. Then, obviously, becoming a great player, it's a reset, too, because the fame, money, the attention, changes (everything), and it's hard as a 16-year-old to deal with all that. Then obviously my stabbing — I had to do a huge reset,' Seles said.
'And then, really, being diagnosed with myasthenia gravis: another reset. But one thing, as I tell kids that I mentor: 'You've got to always adjust. That ball is bouncing, and you've just got to adjust,'' she added. 'And that's what I'm doing now.'
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3 infants died in New York of congenital syphilis. Here's what you need to know
3 infants died in New York of congenital syphilis. Here's what you need to know

Yahoo

time2 hours ago

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3 infants died in New York of congenital syphilis. Here's what you need to know

The New York State Department of Health (NYDOH) is warning about the risks of congenital syphilis after three infant deaths related to the disease have been reported in the state so far this year. The deaths occurred outside of New York City and are part of "a concerning rise" in congenital syphilis cases in the state and across the nation, according to the NYDOH. Cases of congenital syphilis have been rising nationwide in recent years, according to data from the Centers for Disease Control and Prevention (CDC). In 2023, there were more than 3,800 cases reported, a 106% increase from 2019 and the highest annual case count on record since 1994. MORE: Newborn syphilis cases at 'dire' levels as analysis shows tenfold increase in last decade: CDC Public health experts told ABC News that congenital syphilis is largely preventable and, when left untreated, it can be dangerous, or even deadly. "What's so devastating is that [congenital syphilis] is very preventable," Dr. Elizabeth Partridge, associate clinical professor of pediatric infectious disease at UC Davis Children's Hospital, told ABC News. "It's an epidemic of congenital syphilis and infections in women of childbearing age." What is congenital syphilis? Syphilis is a common sexually transmitted infection (STI). It starts as a painless sore where the infection entered the body. This infection is easily treated with an antibiotic when caught early. If left untreated, it often progresses, over weeks or months, to a worsening rash that may be accompanied by symptoms such as fever, muscle aches, headache and fatigue, according to the CDC. Symptoms can resolve on their own over time but without treatment, syphilis enters a "latent stage," or asymptomatic stage, that can last for years and may progress further to a "tertiary stage" that can impact multiple organs in the body. Congenital syphilis occurs when a pregnant person with untreated syphilis passes the infection to their baby either during pregnancy or at birth. It can be treated with antibiotics and it's best to treat as soon as possible to prevent more severe complications of the disease. The CDC recommends that all pregnant people get tested for syphilis at their first health care visit after learning they are pregnant. Some places with higher rates of this infection may recommend additional screening throughout pregnancy and at birth. Partridge said women of childbearing age who have barriers to prenatal care are at greater risk because they may miss out on syphilis screening. "I see a lot of times that moms don't get those full screenings done, they don't have access to that kind of prenatal care. And that, to me, is just tragic because if moms can get screened, then they can get treated," Partridge said. Why can it be so dangerous? Congenital syphilis can lead to miscarriage, stillbirth, low birth weight, prematurity or infant death soon after birth, according to the CDC. Babies born with this disease can have deformed bones, low blood counts, jaundice and organ dysfunction, including problems with the brain and nervous system or enlarged liver and spleen. Partridge says common symptoms of congenital syphilis are known but many aren't obvious at birth. MORE: Mississippi sees 10-fold increase in babies born with syphilis since 2016: Report "I think up to 70% of babies who may meet the case definition for congenital syphilis are actually asymptomatic, which makes diagnosing it quite challenging," Partridge said. Without treatment, babies who are asymptomatic at birth can begin to show signs of the disease weeks, months or years later. "If they're undetected, if the infants are left untreated, they go on to develop what we call later sequelae, and that's when you see deafness, blindness, developmental delay, the quite devastating illness," Partridge said. Why is congenital syphilis on the rise? Dr. James McDonald, commissioner of the NYDOH, told ABC News that the three newborn deaths from syphilis are concerning because it's uncommon to see infant deaths from the condition. McDonald said that New York State has seen 21 cases of congenital syphilis so far this year, compared to 36 cases all of last year. "Keep in mind, these may sound like big numbers, but for upstate New York, they are big numbers," he said. "What concerns me, though, is it should be zero." Kristin Wall, an associate professor of epidemiology at Emory University's Rollins School of Public Health, told ABC News the U.S. has seen a steady rise in congenital syphilis cases over the last 10 years. This is despite decreases in cases of chlamydia and gonorrhea, according to CDC data. She said that there are racial/ethnic disparities when it comes to the populations experiencing the highest rates of congenital syphilis. "So the highest rates we're seeing are in Native Americans, American Indians, Alaska Natives, Hispanic populations and Black populations," Wall said. "And I think it's really important to think about access to care barriers as one of the big reasons that we're seeing these increasing rates in certain populations." Barriers can include lack of insurance or lack of transportation as well as mistrust of the medical system due to past prejudices, according to Wall. How to drive down rates of congenital syphilis Wall said half of cases are occurring among patients who are receiving prenatal care, but are missing timely and appropriate treatment, and the other half are occurring in people who are not engaged in care at all. For those who are receiving prenatal care, Wall said there is a push to implement point-of-care testing, meaning testing outside of a traditional clinical laboratory, often at the patient's bedside. Delays in waiting for laboratory test results to come back and then trying to recontact the patient can lead to delays in delivering a diagnosis or administering care, Wall said. MORE: FDA authorizes 1st over-the-counter, at-home test for syphilis "A very exciting development to address that is the point of care syphilis testing, where you have a patient right in front of you, you're able to administer that test, get test results in 20, 30 minutes, and administer directly observed treatment right there, without sending, you know, your patient away," she said. For the patients who are not receiving care, Wall said it's important to work with community partners to enter underserved communities and spread awareness, as well as make sure men and women are getting tested to prevent cases from occurring in the first place. McDonald said that as part of an effort to eliminate syphilis from pregnancy, New York State requires three syphilis screenings for pregnant people. "When someone's pregnant, they're supposed to be checked for syphilis three times, one when they have their first visit, the second time around the third trimester, and then the third time is where they give birth," he said. "Part of our message to health care providers is: ensure people are being screened appropriately." He also encouraged people to practice safe sex to prevent the spread of STIs, including the use of condoms. Jade A. Cobern, MD, MPH, is board-certified in pediatrics and general preventive medicine, and is a medical fellow of the ABC News Medical Unit.

3 infants died in New York of congenital syphilis. Here's what you need to know
3 infants died in New York of congenital syphilis. Here's what you need to know

Yahoo

time2 hours ago

  • Yahoo

3 infants died in New York of congenital syphilis. Here's what you need to know

The New York State Department of Health (NYDOH) is warning about the risks of congenital syphilis after three infant deaths related to the disease have been reported in the state so far this year. The deaths occurred outside of New York City and are part of "a concerning rise" in congenital syphilis cases in the state and across the nation, according to the NYDOH. Cases of congenital syphilis have been rising nationwide in recent years, according to data from the Centers for Disease Control and Prevention (CDC). In 2023, there were more than 3,800 cases reported, a 106% increase from 2019 and the highest annual case count on record since 1994. MORE: Newborn syphilis cases at 'dire' levels as analysis shows tenfold increase in last decade: CDC Public health experts told ABC News that congenital syphilis is largely preventable and, when left untreated, it can be dangerous, or even deadly. "What's so devastating is that [congenital syphilis] is very preventable," Dr. Elizabeth Partridge, associate clinical professor of pediatric infectious disease at UC Davis Children's Hospital, told ABC News. "It's an epidemic of congenital syphilis and infections in women of childbearing age." What is congenital syphilis? Syphilis is a common sexually transmitted infection (STI). It starts as a painless sore where the infection entered the body. This infection is easily treated with an antibiotic when caught early. If left untreated, it often progresses, over weeks or months, to a worsening rash that may be accompanied by symptoms such as fever, muscle aches, headache and fatigue, according to the CDC. Symptoms can resolve on their own over time but without treatment, syphilis enters a "latent stage," or asymptomatic stage, that can last for years and may progress further to a "tertiary stage" that can impact multiple organs in the body. Congenital syphilis occurs when a pregnant person with untreated syphilis passes the infection to their baby either during pregnancy or at birth. It can be treated with antibiotics and it's best to treat as soon as possible to prevent more severe complications of the disease. The CDC recommends that all pregnant people get tested for syphilis at their first health care visit after learning they are pregnant. Some places with higher rates of this infection may recommend additional screening throughout pregnancy and at birth. Partridge said women of childbearing age who have barriers to prenatal care are at greater risk because they may miss out on syphilis screening. "I see a lot of times that moms don't get those full screenings done, they don't have access to that kind of prenatal care. And that, to me, is just tragic because if moms can get screened, then they can get treated," Partridge said. Why can it be so dangerous? Congenital syphilis can lead to miscarriage, stillbirth, low birth weight, prematurity or infant death soon after birth, according to the CDC. Babies born with this disease can have deformed bones, low blood counts, jaundice and organ dysfunction, including problems with the brain and nervous system or enlarged liver and spleen. Partridge says common symptoms of congenital syphilis are known but many aren't obvious at birth. MORE: Mississippi sees 10-fold increase in babies born with syphilis since 2016: Report "I think up to 70% of babies who may meet the case definition for congenital syphilis are actually asymptomatic, which makes diagnosing it quite challenging," Partridge said. Without treatment, babies who are asymptomatic at birth can begin to show signs of the disease weeks, months or years later. "If they're undetected, if the infants are left untreated, they go on to develop what we call later sequelae, and that's when you see deafness, blindness, developmental delay, the quite devastating illness," Partridge said. Why is congenital syphilis on the rise? Dr. James McDonald, commissioner of the NYDOH, told ABC News that the three newborn deaths from syphilis are concerning because it's uncommon to see infant deaths from the condition. McDonald said that New York State has seen 21 cases of congenital syphilis so far this year, compared to 36 cases all of last year. "Keep in mind, these may sound like big numbers, but for upstate New York, they are big numbers," he said. "What concerns me, though, is it should be zero." Kristin Wall, an associate professor of epidemiology at Emory University's Rollins School of Public Health, told ABC News the U.S. has seen a steady rise in congenital syphilis cases over the last 10 years. This is despite decreases in cases of chlamydia and gonorrhea, according to CDC data. She said that there are racial/ethnic disparities when it comes to the populations experiencing the highest rates of congenital syphilis. "So the highest rates we're seeing are in Native Americans, American Indians, Alaska Natives, Hispanic populations and Black populations," Wall said. "And I think it's really important to think about access to care barriers as one of the big reasons that we're seeing these increasing rates in certain populations." Barriers can include lack of insurance or lack of transportation as well as mistrust of the medical system due to past prejudices, according to Wall. How to drive down rates of congenital syphilis Wall said half of cases are occurring among patients who are receiving prenatal care, but are missing timely and appropriate treatment, and the other half are occurring in people who are not engaged in care at all. For those who are receiving prenatal care, Wall said there is a push to implement point-of-care testing, meaning testing outside of a traditional clinical laboratory, often at the patient's bedside. Delays in waiting for laboratory test results to come back and then trying to recontact the patient can lead to delays in delivering a diagnosis or administering care, Wall said. MORE: FDA authorizes 1st over-the-counter, at-home test for syphilis "A very exciting development to address that is the point of care syphilis testing, where you have a patient right in front of you, you're able to administer that test, get test results in 20, 30 minutes, and administer directly observed treatment right there, without sending, you know, your patient away," she said. For the patients who are not receiving care, Wall said it's important to work with community partners to enter underserved communities and spread awareness, as well as make sure men and women are getting tested to prevent cases from occurring in the first place. McDonald said that as part of an effort to eliminate syphilis from pregnancy, New York State requires three syphilis screenings for pregnant people. "When someone's pregnant, they're supposed to be checked for syphilis three times, one when they have their first visit, the second time around the third trimester, and then the third time is where they give birth," he said. "Part of our message to health care providers is: ensure people are being screened appropriately." He also encouraged people to practice safe sex to prevent the spread of STIs, including the use of condoms. Jade A. Cobern, MD, MPH, is board-certified in pediatrics and general preventive medicine, and is a medical fellow of the ABC News Medical Unit. 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New blood pressure guidelines recommend an earlier start to treatment and skipping alcohol
New blood pressure guidelines recommend an earlier start to treatment and skipping alcohol

CNN

time4 hours ago

  • CNN

New blood pressure guidelines recommend an earlier start to treatment and skipping alcohol

The next time you get your blood pressure checked, expect your medical provider to be a bit more aggressive about high levels. And if you like a glass of wine with dinner or a cocktail on the weekends, brace yourself: New guidelines from the American Heart Association and the American College of Cardiology released Thursday suggest you abstain. Committees from the heart organizations continuously assess the latest research so they can help medical providers figure out the best approach to high blood pressure, but this is the first new set of guidelines since 2017. Heart disease has long been the No. 1 killer in the world and blood pressure is one of the most easily modifiable ways to avoid such a death. Keeping your blood pressure in check can also reduce your risk of kidney disease, type 2 diabetes and dementia. Nearly half of all adults in the US have higher than normal blood pressure. The goal numbers for adults haven't changed, according to the guidelines: Normal blood pressure is less than 120/80 mm Hg, elevated blood pressure is 120-129/80 mm Hg. If you are at 130/80 mmHg or higher, according to the new guidelines, your medical provider will want you to make some changes. Blood pressure is measured in millimeters of mercury, which is abbreviated as mm Hg. The measurement has an upper number, or systolic reading, and a lower number, a diastolic reading: Systolic pressure measures the force of blood as it pumps out of the heart into the arteries, and diastolic is the pressure created as the heart rests between beats. High blood pressure doesn't have any symptoms typically. But when your blood pressure is high, the force of your blood pushes against the walls of your blood vessels, making your heart less efficient, so both the vessels and heart must work harder. Without treatment, high blood pressure will eventually damage your arteries, raising your risk of having a heart attack or stroke. How high blood pressure is treated The new blood pressure guidelines say that if your systolic blood pressure is in the 130 to 139 range, your medical provider should first encourage you to adopt healthy lifestyle changes. After three to six months, if the lifestyle changes alone don't lower your blood pressure to the goal range, then medication is recommended, the new guidelines say. That's a shift from 2017 recommendation that anyone with systolic blood pressure above 140 should be prescribed lifestyle changes and medication. 'So just trying to more aggressively control blood pressure, for it to be better for more people, to prevent cardiovascular disease, strokes, kidney disease, and now we know lowering blood pressure actually helps reduce the risk for dementia as well. So that's really big news out of this guideline,' said Dr. Daniel Jones, American Heart Association chair of the writing committee for the guidelines. Lifestyle changes, according to the new guidelines, include maintaining or achieving a healthy weight, eating a heart-healthy diet, reducing the amount of salt in what you eat and drink, managing stress, at least 150 minutes of moderate physical activity per week and resistance exercise like weight training. There's another shift from 2017: The new guidelines also recommend forgoing alcohol. The guidelines used to say that if people chose to drink, it should be one drink or less a day for women, and two or less a day for men. Jones said there's just too much evidence now that alcohol negatively impacts your blood pressure. 'A lot of people enjoy drinking, but because the evidence is there, we want you to make an informed decision,' said Jones, who is also dean and professor emeritus of the University of Mississippi School of Medicine. 'There's a lot of individual variability with the relationship between alcohol and blood pressure, but we put forward the ideal as abstinence, and for those who choose to drink, less than one for women and less than two for men.' Based on a growing body of evidence, there's also more emphasis on how important it is to lower blood pressure to reduce the risk of developing dementia, Jones said. With more studies about women having trouble with high blood pressure during pregnancy, Jones said, the guidelines also newly emphasize how important it is for people who want to become pregnant or those who are pregnant to monitor their blood pressure. High blood pressure can hurt the pregnancy and can raise a person's risk of having elevated blood pressure even long after pregnancy. Dietary recommendations still include the DASH diet which is a diet high on fruits, vegetables, whole grains, fish, poultry, beans, nuts, and vegetable oils and and low on fat, sugar, and tropical oils like coconut and palm oils. 'We also harp on sodium again and we know salt and alcohol are favorites for lots of people, but we do recommend limiting salt intake, increasing potassium intake,' Jones said. One easy way to do that is if cooking at home to use potassium-enriched salt substitutes. Sodium intake should be less than 2,300 mg per day, moving toward a more ideal limit of 1,500 mg per day. For people with overweight or obesity, the guidelines recommend losing at least 5% of body weight. For people with more severe obesity, the guidelines recommend what Jones says are clinically proven interventions: diet and exercise, and weight loss medications including GLP-1s. For people with very severe obesity, the guidelines also suggest surgery. Jones said he knows it can be difficult for people to keep their blood pressure in check, but taking these steps can help a person's health significantly. 'The reality is the first line of things we recommend for both prevention and treatment of high blood pressure have to do with eating and we live in a very difficult environment for food. It's hard for people to have a low sodium intake. It's hard for people to eat enough potassium. It's hard for people to take in a small number of calories, but the good news is that all that stuff works if you're willing to do it,' Jones said. 'It's hard, but it works.'

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