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Category: *October Horror Challenge
October Horror Challenge: Day 21: "Friday the 13th"
October 22, 2011 January 13, 2012 Slasher Studios*October Horror Challenge
Looking at Friday the 13th, it's easy to see why the film was so controversial. Many feminist groups were so angered by these types of movies in the 1980's. After all, aren't these films merely an excuse to show a topless girl running through the woods waiting to get impaled on a killer's "long blade"? The references to death and sex aren't exactly subtle. As Going to Pieces: The Rise and Fall of the Slasher Film states, many feminists were downright disgusted by Friday the 13th finding it repulsive and borderline offensive that every female in the film, with the exception of the "final girl" (which I will go into detail on later), is killed because of her sexual experience and independence. What kind of message does this send to the female youth of America? Stay subservient to your male partner and everything will end up being okay for you?
Does Friday the 13th add to the "media's representation of women as passive, dependent on men, or objects of desire" as many feminist film critics have stated? Well, that is left up to debate. For example, a select group of feminists actually applauded this film and other slasher films like it. In fact, while most feminists theorists label the horror film as a "male-driven/male-centered genre", feminist critics like Carol Clover pointed out that in most horror films, especially in horror films like the Friday the 13th series, the audience, male and female, is structurally 'forced' to identify with the "innovative and resourceful young female" ("the final girl" as described earlier) who survives the killer's attack and usually ends the threat. She argues that "while the killer's subjective point of view may be male within the narrative, even the male viewer is still rooting for the "final girl" to overcome the killer."
Nonetheless, many key film critics disagreed with the argument that horror films like Friday the 13th are "pro-feminist." In 1981, Roger Ebert, film critic for the Chicago Sun-Times, launched a "famous diatribe against the subjective point-of-view killing mechanism" of the slasher film which, as he argued, "placed viewers in the position of 'seeing as' and, therefore, 'identifying with' the maniacal killers." Nevertheless, many filmmakers and other critics disagreed with the "simplistic association of subjective point of view shooting with audience identification by believing in point-of-view cutting as a stronger way of achieving audience identification with a character." If anything, it could be argued that this point-of-view shooting makes horror films forces the audience to identify with the female protagonist that much more. Or, as feminist critic Clover calls it, "masochistic rather than sadistic."
Looking at Friday the 13th, it is not hard not to see why the criticisms were made. The film is poorly acted, poorly directed on a minimal budget with a core story that, at best, rips off the Halloween franchise frame by frame. However, this would be avoiding the very essence of why these horror films are so popular. People don't go to Friday the 13th expecting a great, cinematic movie going experience; they are going to Friday the 13th to have fun. It can be argued that films like Friday the 13th are escapist entertainment at their very best. There is nothing fundamentally great about these films but that's really the point. They are fun, they are scary (if, by today's standards, cheesy and tame), and they are very entertaining.
The feminist critics that attack these films don't seem to see the power these films contain. Here, in Friday the 13th, is a young woman who must put all the pieces of the mystery everything together and save her friends in order to survive the night. And survive she does, something that not a single other male does in the course of the film. In fact, looking at the series as a whole, it takes the franchise until Part 4 before it even allows a male to survive in the end. It should come as no surprise that this male is survived with a female who, once again, was forced to save the day on her own. Whereas in other film genres, such as romantic comedies and dramas, where females are pushed aside to "girlfriend support" roles, Friday the 13th tries to do something different with gender roles by making the males the "supportive partner" and forcing the young female teenager to go take charge and same the day. In essence, the female in this film, as in many other horror films, is the hero.
October Horror Challenge: Day 20: "Poltergeist III"
October 21, 2011 February 2, 2012 Slasher Studios*October Horror Challenge
Every horror franchise has its black sheep of the family. For "Nightmare on Elm Street" it is "Freddy's Revenge." For "Friday the 13th" it is "A New Beginning." For "Scream" it is "Scream 3". For "Poltergeist" it is "Poltergeist III." The amount of hate for this film could fill up ten novels. The film was both a critical and commercial failure upon release and even the cast and the crew seem ashamed to be a part of it. But, the real question is, does the film deserve the hate. Is "Poltergeist III" really the abomination the cinematic world would like us to believe it is? Maybe not…
"Poltergeist III" begins with young Carol Anne being sent to live with her Aunt and Uncle in an effort to hide her from the clutches of the villainous Reverend Kane. In typical horror movie logic, he tracks her down and terrorizes her in her relatives' appartment in Chicago's John Hancock Building. Filled with windows and mirrors and evil behind reflections, can Carol Anne save the day and finally be able to rid her life of Kane? Or will he finally achieve his target and capture Carol Anne again? It's up to Carol Anne and her psychic pal Tangina to save the day.
"Poltergeist III" is, by all means, a film that I should hate. It's a sequel with only two returning characters (Carol Ann and the ever reliable Tangina), it's PG-13, and it's supernatural. By all means, this should be on my worst list of horror sequels. Hell, that's where most other horror fans would put it. But it's a good film damnit and it's a film that I will defend until the day I die. To be honest, I just don't understand the hate for this film. The mirror effects are surprisingly effective and the film attempts to bring closure to the story (even though there are only two returning cast members, it is surprisingly faithful to the original two films). The film is just plain fun from beginning to end and what the film lacks in logic it more than makes up for in inventive special effects. Sadly, this is young Heather O'Rourke's (Carol Anne) last film as she would pass away shortly after filming would commence. Sure they may say Carol Ann about a hundred times too many but it really just adds to the fun of the film. Have a few drinks and do a toast to Miss O'Rourke, one of the genre's youngest scream queens that was taken far too soon.
For those of you who love this guilty pleasure as much as I do, make sure to check out the fantastic "Poltergeist III" website by Webmaster David Furtney. This site gives you everything that you want to know about the making of, history behind, and the controversy around the horror sequel.
October Horror Challenge: Day 19: "Red State"
October 19, 2011 October 19, 2011 Slasher Studios*October Horror Challenge
On the way to school, Travis (Michael Angarano) notices members of the Five Points Church, led by Abin Cooper (Michael Parks) protesting the funeral of a local gay teenager who was found murdered. During Travis' first class, his teacher talks about how Cooper and his church had their town ridiculed for his actions and beliefs. Later, Jared (Kyle Gallner), a friend of Travis, reveals he received an invitation from a woman he met on a sex site for group sex with himself, Travis and Billy Ray (Nicholas Braun). They borrow Travis' parent's car and travel out into the country to meet with the woman.
Along the way, they accidentally sideswipe the vehicle of Sheriff Wynan (Stephen Root), while he was engaged in a homosexual affair in his car. Afraid, the boys drive off. Sheriff Wynan returns to the station and tells his deputy Pete (Matt L. Jones) to go and look for the vehicle. Meanwhile, the boys arrive at the trailer of the woman who sent out the invitation, Sarah Cooper (Melissa Leo). She encourages them to drink, and after being drugged by the beer, they pass out while undressing. Jared wakes up while being moved in a covered cage. He realizes he is in the sanctuary at Five Points after he identifies Cooper. Cooper begins a long, hate-filled sermon before identifying another captive, a homosexual they lured in through an internet chat room. They bind him to a cross using saran wrap, violently execute him with a revolver and drop him into a small crawl space where Travis and Billy Ray are bound together.
Cooper then begins binding Jared to the cross, but stops when he notices Pete driving up to the church. Travis and Billy Ray use a protruding bone from the corpse to cut themselves free, which is heard by Caleb (Ralph Garman). He lifts up the trap door just in time to see Billy Ray escape and begins after him. Billy Ray is not able to help Travis out of his tight saran wrap cuffs and leaves him for dead. Caleb chases Billy Ray while passing Travis into a room stocked with weapons, where the two end up shooting and killing each other. Pete hears the gunshots and calls Wynan for back-up, but is shot and killed by Mordechai (James Parks). Cooper then blackmails Wynan, telling him to stay away or he will reveal Wynan's homosexuality to his wife. In despair, Wynan calls ATF Agent Joseph Keenan (John Goodman), who begins setting up outside of the church.
While the family mourn Caleb, Travis (who had broken free and feigned death alongside Billy Ray's corpse) arms himself and makes a run for it, eventually making it outside where he is shot and killed by Wynan, who mistook him for a member of the congregation. Keenan tries to reason with the family but a shoot-out erupts instead after one Keenan's men is shot in the head. In the midst of the shooting, Agent Keenan receives a call from ATF higher-ups ordering him to start a full raid of the complex to ensure that no witnesses remain of the operation, and no one can tell of their mess up. Another tactical agent named "Harry" (Kevin Alejandro) struggles with this decision and argues with Keenan in private against doing this. Keenan coldly dismisses Harry's protests for personal reasons — rationalizing his decision based on personal gain and the reputation of the ATF — and Harry storms off in disgust. During the shoot-out, Cheyenne (Kerry Bishé) unbinds Jared, begging him to help her hide the children.
Jared coldly refuses due to the fact that the church is evil and had killed both his best friends, and the arguement turns into a fight. Sarah notices them and attacks Jared. Cheyenne tries to break up the fight and accidentally shoots Sarah in the process, killing her. Jared, realizing no matter what he does he will end up dead, helps Cheyenne hide the children. They run outside to plead with Keenan to spare the children but are brutally shot and murdered by Tactical Agent Harry, who has come around to accepting Keenan's rationales, though Keenan is now visibly disturbed the reality of this outcome and Harry's actions. The shoot-out is then suddenly interrupted when a mysterious loud trumpet ominously blast echos across the sky.
If "Red State" proves one thing it is that Kevin Smith is a much better writer than he is a director. In the comedy genre, direction only matters so much. If the jokes aren't there, what can a director do? He can't make "nothing" funny. In the horror genre, the role of the director is key. He is responsible for the scares, the pacing, the thrills, and the overall tone of the movie. "Red State" works as written but the film as directed is a bit of a mess. Far too many characters, a limp, lackluster editing, and too many "Kevin Smith type" characters. I kept thinking how a movie like this would be directed in the hands of a more accomplished filmmaker who could get a hold of the subject matter such as Rob Zombie. I appreciate the effort here and the performances are all uniformally good but it all adds up to very little.
Order "Red State" at Amazon: Red State [Blu-ray]
October Horror Challenge: Day 18: "Scream 3"
"Scream 3" for some reason has always been the black sheep of the "Scream" family. Maybe the fact that Kevin WIlliamson bowed out of writing early on left fans filled with dismay. Truth be told, it isn't very scary and the comedy is played quite broadly as opposed to the satire so brilliantly constructed by the first two installment. But..the question remains…is "Scream 3" really THAT bad or is there some hidden gold behind its rough exterior.
The film begins with Cotton Weary (Liev Schreiber), by called by Ghostface (voiced by Roger L. Jackson) demanding the whereabouts of Sidney Prescott (Neve Campbell) who has gone into seclusion since the events of Scream 2. He refuses and both Cotton and his girlfriend Christine (Kelly Rutherford) are murdered. Detective Mark Kincaid (Patrick Dempsey) meets with Gale Weathers (Courteney Cox) to discuss the murders prompting her to travel to Hollywood, where she finds Dewey Riley (David Arquette) working as an advisor on the set of "Stab 3", the third film in the film within a film series based on the Ghostface murders.
After Ghostface kills "Stab 3" actress Sarah Darling (Jenny McCarthy) he begins taunting Sidney by phone, having discovered her phone number, forcing her out of hiding and drawing her to Hollywood. As the remaining "Stab 3" cast gather at the home of Jennifer Jolie (Parker Posey), Ghostface kills her bodyguard Steven Stone (Patrick Warburton) and uses a gas-leak to cause an explosion, killing fellow actor Tom Prinze (Matt Keeslar).
Dewey, Gale, Jennifer and the remaining "Stab 3" actors Angelina Tyler (Emily Mortimer) and Tyson Fox (Deon Richmond) attend a birthday party for the director Roman Bridger (Scott Foley) where Ghostface strikes. Roman, Angelina, Tyson and Jennifer are killed and Ghostface orders Sidney to the mansion to save Gale and Dewey's lives.
"Scream 3" is the kind of movie that has a lot of great ideas mixed in with a few mediocre ideas. The film spends far too much time with Sidney away from the group, alone in the cabin. We want to see Sidney take on evil and put on a good fight. Something that doesn't happen here until the final act. That being said, Courteney Cox as Gale Weathers has never been better. Given a bitter rival to play against, played by a deliciously witty Parker Posey, she shines in every single scene that she is given. Overall, I think "Scream 3" is a fun film. It may be the worst installment of the franchise but it is still a hell of a lot better than 90% of the horror that is released today.
October Horror Challenge: Day 16: "House of the Devil"
October 17, 2011 Slasher Studios*October Horror Challenge
On first viewing The House of the Devil, I thought it was wonderfully retro and one of the best of the recent horror films. After multiple viewings, I've decided that this is one of the best horror movies ever made. It just has everything that makes the horror genre wonderful. House of the Devil is not just a nostalgia piece for director Ti West, one of the best horror directors working today, this is how horror movies SHOULD be made.
The film deterioration and cinematography take this already great premise to a whole new level. Extra long takes are intercut so perfectly that you literally lose yourself in the picture. The acting also ties in very well to the very realistic yet surreal backdrop. These college girls actually talk and feel like college girls. They don't have monologues prepared and "witty" banter that can last for twenty minutes straight. The whole creepy factor lies in the family, who are just way to volatile and bizarre. However, the chill factor lives in the real world, making it even more effective.
I think this brings up a very good point about babysitters that was never really touched on in the 80s or even today. Sure, Halloween made people realize that suburbia isn't as safe as it pretends to be, but this makes it scary to trust anyone. I just can't give Ti West more praise for doing what he's done here. Clearly he knows the genre inside and out. Every aspect of film making is flawless. I can't wait to see what Ti West comes up with next.
October Horror Challenge: Day 15: "Killer Party" Review
October 16, 2011 April 7, 2012 Slasher Studios*October Horror Challenge
Where do you start with a movie like "Killer Party"? Well we have three "gorgeous" babes going through hell night to join a sorority. A whole bunch of horny guys dump bees in the sorority's back yard as a joke. Where, of course, a bunch of girls are naked in the outside hot tub during said bee attack. Their house mother gets talked into letting the girls have a hazing party in a forbidden frat house. When she goes there to make sure the place is safe, she first stops at a handy grave in the front yard to explain to 'Allan' why she's letting the girls use the house (who 'Allan' is has not yet been explained). She tells him that it was all an accident and it's time for him to just let it go. Allan doesn't answer her, since he's dead. Or is he? As she is nailing down a loose banister on the stairway, a mysterious figure appears before her, brandishing what looks like a tire iron, she turns, asks "What are you doing here?" and this person answers her by striking her dead.
Back at the sorority, the three pledges go through a hazing (and there are some very nice set pieces here, watch for 'em), and are accepted into the sorority. One of the pledges is really good at special effects and she is told that the only reason that she was accepted was that skill. IN fact they want her to stage a traditional April Fools party that the sorority is hosting for a fraternity. Twenty-two years ago, the boy in the grave ("Allan") was killed at one of those parties by what everyone carefully refers to as an "accident." The girls talk about strange disappearances while they begin to set up the old house for the party, and more strange things happen. Will the youngsters figure out what's going on and who is doing it before they are all horribly killed?
"Killer Party" is grade-A 80's cheese and I loved every minute of it. From the campy opening music video number to the pink hair and the big glasses, this film is a loving tribute to everything that was wrong about the 80's. It's just plain fun and a hell of a good time. That's not that everything here works. The film goes from slasher to supernatural possession thriller about 2/3's of the way through and it makes for an interesting ending that doesn't seem to fit the rest of the film. Nonetheless, you could do a lot worse than this little slice of sleaze Heaven. The slasher gods shine down nicely on this one.
For all things "Killer Party" make sure to check out the ultimate fan site: http://www.killerpartythemovie.com/
October Horror Challenge: Day 14: "A Nightmare on Elm Street"
Wes Craven's definitive classic. Bet you can't guess what it is. A Nightmare on Elm Street is an unbelievably original, terrifingly realistic, and overall terrifying that, despite a weak ending, is one of the best horror flicks of the quarter of a century. The film deals with a deceased child molester who now lives only through the dreams of the children of those who burned him alive. Robert Englund is truly frightening as Freddy Krueger. Wes Craven delivers a surprising amount of tension that still holds up today.
Nancy is having nightmares about a frightening, badly-scarred figure who wears a glove with razor-sharp "finger knives". She soon discovers that her friends are having similar dreams. When the kids begin to die, Nancy realizes that she must stay awake to survive. Uncovering the secret identity of the dream killer and his connection with the children of Elm Street, the girl plots to draw him out into the real world.
The film goes for suspense, drama, and gore and delivers for the most part. Heather Langenkamp gives a very solid performance as Nancy Thompson, the young woman is the "leader" among her friends and the only one who may get out alive. Forget about Jamie Lee Curtis' whimpering performance in "Halloween". Here Langenkamp is the real deal and she kicks ass. A great horror film that still delivers today. Look for a young Johnny Depp who, arguably, has the best death scene in the flick.
October Horror Challenge: Day 13: "Drag Me to Hell"
October 15, 2011 May 18, 2016 Slasher Studios*October Horror Challenge
I will start this review off with one simple fact: I love Sam Raimi. I remember staying up late at night as a child watching the original "Evil Dead" through the corners of my fingers. It scared the hell out of me but, at the same time, there was something genuinely gratuitously amazing about the film. It was bold, bloody, filled with puss and maggots, and gore. It was incredible. If the nine year old me at the time could have married anything, it would have been The Evil Dead.
After the Evil Dead trilogy, Raimi pretty much stayed away from horror (not including the excellent and sorely underrated "The Gift"). That is until 2009 when Raimi splashed his way back into the scene with "Drag Me to Hell." I'll be the first to admit that I had no desire to see "Drag Me to Hell." PG-13? Yawn. Ancient spirits? Double yawn. Justin Long? I think I'm falling asleep already. Little did I know what I had coming.
The plot is relatively simple. Determined to impress her boss and get a much-needed promotion at work, Christine Brown lays down the law when mysterious Mrs. Ganush literally comes begging for mercy at her feet. In retaliation for being publicly shamed, Mrs. Ganush places the dreaded curse of the Lamia on her unfortunate target, transforming Christine's life into a waking nightmare. Her skeptical boyfriend, Clay, casually brushing off her disturbing encounters as mere coincidence, Christine attempts to escape eternal damnation by seeking out the aid of seer Rham Jas. But Christine's time is fast running out, and unless she's able to break the curse, she'll be tormented by a demon for three days before literally being dragged to hell.
What follows is gore, gore, and more gore. How this film was granted a PG-13 I'll never know. A waterfall of a nosebleed, gooey dentures, dancing goats, maggots…if you can imagine it, it's here. The film works as a social satire (the death of the middle and lower classes) and as a horror/comedy (the ritual at the end has to be seen to be believed). The performances are top natch and the ending is quite ballsy in its conviction (you'll see it coming a mile away but will be surprised they actually follow through on it). Overall though, if you love movies like "The Evil Dead", "Army of Darkness", or "Cabin Fever", it's a must watch. It is one of the best horror films of 2009.
Buy it here: Drag Me to Hell (Unrated Director's Cut) [Blu-ray]
October Horror Challenge: Day 12: "Husk"
Scott (Devon Graye), Brian (Wes Chatham), Chris (CJ Thomason), Natalie (Tammin Sursok), and Johnny (Ben Easter), find themselves hunted by killer scarecrows motivated by the vengeful spirit. It seems that when any member of the group is killed, something possesses the dead body, forcing the corpse upstairs in one of the rooms to operate a sewing machine, creating a scarecrow mask. For instance, Johnny is missing after a flock of suicidal crows bombard the windshield of Chris' SUV causing a serious crash. Brian and Scott are able to find the farmhouse by passing through the ominous maze of cornstalks, encountering the dead body of Johnny operating the sewing machine, nails in his fingers, eyes white and lifeless, yet some evil presence motivates his hands into sewing that scarecrow mask. Before long Natalie is taken next, with boyfriend Brian unable to accept her death, this unwillingness to let her go offering possible grave consequences. Chris is thinking about one thing—survival. Brian finds a Chevy truck he believes can crank, and Chris wants the three to leave immediately, yet Natalie's memory will not fade. Meanwhile, the trio—Scott, Brian, and Chris—attempt to strategize on how to escape the cornfield and killer scarecrows.
Lame. For a killer scarecrow movie, "Husk" doesn't get a lot of things right. Though the film is well acted and gorgeously shot, the story is a bore. It doesn't know whether it wants to be a bloody slasher (killer scarecrows everywhere) or a supernatural tale (the brother who was killed and made into a scarecrow who now "haunts" the land). The characters are useless and the deaths aren't nearly as interesting as they should be (though one impalement is pretty damn sweet). Overall, it isn't a bad film just one with too much ambition. Maybe there are worse things after all.
Even Bad Movies Need a Little Love: "Best Worst Movie" Review
October 12, 2011 July 22, 2012 Slasher Studios*October Horror Challenge
Before I go into my love for "Best Worst Movie", I need to give some of you out there that are not familar with the cult of "Troll 2" a little background info. "Troll 2" was a 1990 horror film directed by Claudio Fragasso (under the pseudonym Drake Floyd) and starring Michael Stephenson, George Hardy, Margo Prey, Connie Young (here credited with her maiden name, Connie McFarland), Deborah Reed, and Jason Wright. Although produced under the title Goblins, United States distributors were skeptical about the film's ability to succeed as a standalone picture and renamed it Troll 2 in an attempt to market it as a sequel to the 1986 Empire Pictures film Troll. The two films, however, have no connection, and no trolls are actually depicted in Troll 2.
The plot concerns a family pursued by vegetarian goblins who seek to transform them into plants so that they can eat them. The English-language script was written by Fragasso and his wife Rosella Drudi, neither of whom actually spoke any English at the time. Despite filming the movie in Utah, and casting the movie entirely with American actors (many of whom had no prior acting experience and had responded to the casting call hoping to be extras), Fragasso also employed an exclusively Italian crew, who likewise spoke no English. The resultant communication breakdown, coupled with the cast's lack of experience and Fragasso's insistence that his script be read verbatim, has led to the movie being considered one of the worst movies ever made.
Which all leads us to our movie of the day, the strangely poetic "Best Worst Movie", a doc that revels in the notion of what is and is not considered a "bad" film. Probably the most heartfelt doc I've ever seen, "Best Worst Movie" examines the perspective of a "bad" movie from all angles. From the fans to the filmmakers to the cast, everyone talks about their experience. It's a really sweet doc that I wasn't expecting to find much weight behind but it's one of the best experiences watching a movie that I've ever had in my life. Just because something is "bad" doesn't mean it can't or doesn't deserve to be loved.
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Recently I was consulted on two patients who presented to the hospital after a syncopal episode. As syncope is relatively common, I thought that is what I should discuss in my next post.
So what is syncope? Well simply put a syncopal episode is nothing other than a fainting episode. It is characterized by momentary/ temporary loss of consciousness and posture. Patients may refer to it as I "fainted" or "passed out". Whenever a patient presents to the hospital after a syncopal episode we take pains to find out what led to the syncope.
So what are the different causes of syncope? Syncope can come either from the heart or from the brain. Let me explain this further. If for some reason the heart suddenly malfunctions and stops pumping blood to the brain, you will pass out (lose consciousness). This is referred to as cardiogenic syncope. Among the various causes of cardiogenic syncope are included disorders of cardiac rhythm such as atrial and ventricular arrhythmias. Heart blocks and of course an acute myocardical infarction (heart attack) may present as a syncopal episode with the patient collapsing and passing out.
Syncope though can also come from the brain and this is referred to as neurogenic syncope or at times as neurocardiogenic syncope. This neurally mediated syncope is also at times referred to as vasovagal or vasodepressor syncope. Let me explain what vasovagal syncope is with a classical example. Lets assume you are walking on the street. A car hits a cyclist right in front of you. You rush to help the poor man. As you come near, you see him bleeding profusely, his skull cracked open. You go pale, the blood drains from your face and you pass out. There you just had a vasovagal syncopal episode. Why you may ask did you pass out?
Vasovagal syncopal episodes classically occur in the upright position meaning either you are sitting upright or standing (they usually do not occur when you are reclining). The episode is usually preceded by an unpleasant or painful episode such as the sight of blood, a medical procedure, an intense emotionally disturbing argument or news (sudden extreme emotions), standing in the hot sun or a hot shower for a long time especially if you are hungry and dehydrated at the same time.
Other less common triggers may include a bout of violent coughing (cough syncope), urination (micturition syncope) and abdominal straining as during defecation.
Usually prior to the onset of the syncope (prior to passing out), patients feel dizzy and light headed. They may complain of blurring of vision and feel as if they are about to faint. If at this stage the person sits down, they usually do not pass out or lose consciousness. This is referred to as pre-syncope (A syncopal episode was about to occur but since the patient sat down it was aborted midway).
During a vasovagal synope episode there is transient loss of the baroreflexes (this is the autonomic nervous system which helps to maintain our blood pressure). Pooling of blood occurs in the dependent calf muscles and there is lack of blood flow to the brain resulting in the patient passing out. Hence one of the simple things to do when a person has a vasovagal syncopal episode is to make them lie down flat on the ground on their back and to lift the legs above the plane of the heart. As the blood rushes back to the brain, the person quickly comes around and may look a little dazed wondering what happened.
As seizures too are associated with loss of consciousness, one always has to differentiate whether a patient had a seizure Vs a syncopal episode. As you can imagine it is important to make this differentiation as the two conditions are treated in very different ways. So how does one differentiate a seizure from a syncopal episode?
A seizure can occur with the patient in any position: sitting, standing or lying down. Syncope usually occurs in the erect posture.
Seizures are usually not preceded by the prodrome seen in syncope. Patients before they pass out in a syncopal episode complain of feeling light-headed, dizzy, room spinning and blurring of vision. Seizure patients on the other hand may give history of their aura prior to the seizure. Common auras include smelling of burning rubber, metallic taste in their mouth or a funny rising sensation in their tummy.
Patients who have a seizure and fall usually hit and hurt themselves. They fall hard and may come to the hospital with craniofacial injuries like broken teeth. Syncopal patients on the other hand do not fall hard, they rather ease themselves to the ground.
Some but not all seizures are associated with tongue biting and loss of bladder and bowel control (patient may pee on themselves and wet their pants). Most syncopal episodes are not associated with tongue biting or loss of bladder control.
Patients after a seizure are usually confused and disoriented, they may fall asleep. We call this a post-ictal state. Syncopal patients as they come out of their syncope are not confused. They know where their are and may be embrassed by the fact they fainted.
In my next post I shall discuss the diagnostic work-up and management of syncope.
Thank you for this post. My 14 year old son has been experiencing fainting spells and has had blood work, an MRI and 2 EEG's. Our neurologist thinks it is something vascular and his symptoms sound very much like the syncope you have described. The only time it ever happens is when he has been sitting and then stands up and stretches, bending his neck back and forth. He has had several falls that have really alarmed us, but he has come out of them with no bumps and bruises. As you described, he seems to drop to his knees on the way down and it breaks the fall. It never lasts longer than a second or two and he immediately stands back up and says he's fine.
I've been searching for articles on this and have found a few, but look forward to any additional posts you have on this topic. The more aware he has become of it, the less it's been happening but I'm wondering if he will grow out of it?
thank you for writing in. From the history you give me, it does sound as if your son is having syncopal episodes rather than seizures. The fact it happens when he stands up, stretches and bends his neck is quite interesting. A couple of suggestions: did he have an MRI of the neck to look at the soft tissues and the carotid and vertebral arteries? Has he had a thorough cardiological examination?
There is something called carotid sinus syncope, in which patients have a syncopal episode whenever pressure is applied on their carotid sinus. The carotid sinus are baroreceptors in the neck along the carotid artery, they help to maintain the blood pressure. In some patients they are sensitive and patients are prone to syncopal episodes and falls whenever they are stimulated.
Continue to follow up with his doctors and I am certain they would be able to figure out the cause of his falls.
I seem to have been having vasovagul syncope for at least 6 years or so. I feel that they started when I began menopause (I am now 56 and haven't had a period for over a year. I almost always have a prodomal senation and have never actually passed out. My last episode happened yesterday at the theatre. Let me begin by saying that I take altace for high blood pressure and hychlorathyizide as a diuretic so I may have been dehydrated but I had just drunk quite a bit of water. What I am wondering instead if the lightling could have affected me. The lobby of the theatre has very dim and strange lighting that I find very disturbing. We got there early so I sat under the lighting for almost an hour. Then when we were seated, the area was fairly small and cramped. I had my legs crossed but fairly soon broke out into a sweat and began getting intestinal cramps. The feeling that I had to move my bowels became extreme and I got up to go to the bathroom but by then I was pretty woozy and weak. I managed to get to the usher but had to lie down. After a few minutes they helped me up and I laid down with my Legs elevated. I stayed in this position for only a few minutes while they got my information and I convinced the theatre staff not to call the paramedics. They helped me to the bathroom where upon I was able to evacuate and felt much better. I also drank some more water. I was ultimately re-seated on the ground floor and was able to finish watching the performance. But I have had close calls in this same theatre. It is close and crowded but I always wear sleeveless clothes so as not to overheat. I am not a nervois or panicky person. Most of my syncope episodes have been in warm places; after eating soup, having a pedicure with my feet in warm water. I can always avert the actual fainting. I have never lost consciousness. I guess what I am wondering is if lighting can have a neurological impact that would cause vasovagul syncope. I have had a number of stress tests, the last being last year, a nuclear echocardiagram; all clear. I do not think this is related to my heart but now I am wondering if I should consult with a neurologist. I would appreciate your advice. Also, very often the prodomal sensation includes a strong urge to move my bowels. Has this sensation been reported by others with syncope?
thank you for writing in. It does seem you have being having what we refer to as pre-syncopal episodes (meaning a syncope like episode but not quite syncope, since you do not pass out and lose consciousness). Moreover your history suggests you feel these episodes coming-feeling dizzy, light headed, about to faint type feeling and breaking out into a sweat.
Various factors might precipitate a syncopal episode. In the case of vasovagal syncope these might include strong emotional experiences like for example seeing blood for the first time. Strong visceral sensations may also bring on an episode. Micturition syncope has been reported in elderly men (they pass out when they get up at night to void urine). Patients have been reported to pass out as they sit on the toilet seat and exert pressure.
It is likely that something along the same mechanism might be operative in your case. Dehydration and been in a closed crammped theatre may have further contributed to the problem. Whenever a patient presents to the hospital with syncope, we have to determine whether the cause is the heart or the brain (cardiogenic versus neurogenic/ vasovagal). Also at times it is hard to differentiate seizures from syncope.
My advise to you would be to consult a neurologist (ask your PMD to refer you to one). I am sure they would be able to get to the bottom of your problem. Feel free to write in again.
Your post on this topic is very informative. I have a seven-year old daughter who is has had several syncopes, but spread out over a long time (one at 3.5 yrs, one at 5yrs and one a month ago at almost 7 years).
She has been seen by both a neurologist and a caridologist, but we still don't know if she is experiencing seizures or vasovagal syncope. She has had 4 EEGs, including 72-hr. video EEG with no sign of any seizure activity. This led us to see the caridologist. He thinks it probably is vasovagal syncope based on the description of the incidents.
What's confusing is that the majority of the history seems to match syncope but some factors seem to match seizure.
She was outside and standing in all 3 episodes. 2 were on very hot days — so she may have been dehydrated. She was exercising in 2 cases and had been on amusement rides in one case. In one incident, we think she tripped and scraped her leg before the syncope (may have been some very minor blood from the cut).
Also, I have some prior history of fainting, though in my teens to early 20s. I never had episodes as young as my daughter. Mine came one when I donated blood, when I scraped myself in a bike accident and when I was overheated.
After all 3 incidents, however, my daughter was disoriented and immediately slept after. This reaction seems to fit with seizure more than syncope. Also, in the first incident (the only one where I was present), her lips were definitely blueish. The cardiologist told me that syncope is usually characterized by complete pallor — very white whereas people having seizures are usually not white — he said they may appear flushed (red) or blueish. Also, when she was very young (12mos – 2 yrs) she had periodic staring spells that they thought might be absence seizures and daycare used to tell us that she occassionally had "drops" (vs. falls), but she never passed out with these falls.
Lastly, I'm a little confused as to how to distinguish a prodrome and an aura. The first incident (at 3.5 yrs.) she got very upset beforehand — complained of feeling "funny" and said her tummy hurt before she lost consciousness. This was an incident that occured on a hot day, in Central Park after going on kiddie rides that had some spinning.
thank you for writing in. Children can have paroxysmal episodes of loss of consciousness and at times it can be extremely difficult to determine whether they are seizures or syncope. Other vascular etiologies include migraine variants which in small children can present atypically since they do not complain of headache.
Children frequently daydream and this at times gets confused with Absence seizures. In breath holding spells a child usually after getting upset, holds his/her breath, becomes blud, may sweat and then loses consciousness and becomes limp.
Pallid syncope usually occurs in small children and the condition resolves by itself as the child grows up.
I am not certain what your daughter has. It may very well be syncope or some other paroxysmal disorder as I described above. At times it makes sense just to wait and watch how this condition evolves. Children frequently outgrow some conditions.
Hope I have been able to shed some light.
Thanks for your insights. For now, we will just wait and see if it happens again.
You are very welcome Coleen.
Thank you for writing in. I personally would not recommend going to a chiropractor after having a syncopal episode but I welcome your comments.
I found your article very informative. On January 13th, 2009 my 15 year old daughter, who is on the cheer team, was cheering at a basketball game. My wife and I were both at the game (thank goodness) watching her and the game. We soon noticed Camden had left the gym floor. When she didn't return we went over to find her on the bleachers with her head between her legs unconscious. Her face was pale white and her pulse was racing. She has fainted once or twice in the past but usually would wake up immediately and usually when she was ill. After about 5 minutes of trying to get her to snap out of it, I carried her to the car and went to the emergency room. On the way there I noticed a rash had broken out on her brow and she would stop breathing for a few seconds and then begin coughing. She finally woke up after being out for about 30 minutes. She remembered feeling dizzy and felt she should sit down before she fainted. She remembered her chest hurting badly but not much else. The ER doctor ran all of the tests but found nothing wrong with her. She took her asthma medicine that morning and had eaten breakfast and lunch. Our family doctor thinks its seizures and is recommending she see a neurologist and a cardiologist after that. My question is can I expect a conclusive diagnosis by going this route and expense or will it only be speculation?
thank you for writing in. The etiology of many fainting episodes remains undiagnosed inspite of running a battery of tests. In the case of your daughter, I am not sure what happened. The fact she says she felt dizzy and wanted to sit down indicates that she "felt it coming". Taking that into consideration along with her age and past history of fainting makes it likely that she did have a syncopal episode. When people have a syncopal episode they are frequently pale with a rapid but thready (weak) pulse.
A seizure and/ or a cardiac etiology for her syncope (cardiogenic syncope) remain in the differential diagnosis. My advise to you would be to request your family doctor for a second opinion. In my experience one can get a pretty good idea of the cause of the fainting by a good history and physical examination. This shall also avoid unnecessary and expensive testing.
It sounds as if vasodepressor syncope is neurologically induced. I'm not sure I understand the neurological connection. I have been diagnosed with both supraventricular tachycardia and vasodepressor syncopy. They completed an ablation to eliminate the supraventricular tachycardia in hopes that the vasodpressor syncopy was connected and would also be eliminated. However, my symptoms have returned (although they do seem more mild). Prior to the ablation procedure, my medication (verapamil) worked great. But I'm hoping to have children, and I was told I needed to be off my medication.
I guess all of this leads me to a few questions: 1. If vasodepressor syncopy is neurologically induced, why would my heart medication work? I understand the typical triggers for vasodepressor syncopy (an intense emotional event) and how this is neurologically induced, but mine have never occurred during an event like this. Usually, I'm just walking through a store or the hallway at work. I usually would "pass out" a couple of days after physical activity. I also have extreme fatigue, tingling in my fingers, and a numb sensation in my nose while both sitting and standing. All of these symptoms were gone while on Verapamil. 2. Is this serious? Can I just live with the symptoms, at least for a couple of years so I can have a child (from conception through breast feeding)?
thank you for writing in. While I cannot comment on your case as I do not have all the information, it seems your "syncope" is complicated by cardiogenic causes (supraventricular tachycardia).
The money lies in determining whether you have cardiogenic syncope or neurogenic syncope (vasodepressor syncope) or a combination of the two.
Your cardiologist and neurologists shall be the best to decide on future course of action.
Your article was very clear and helpful. Thank you for taking the time to maintain your site.
I couple of hours ago, my husband was sitting upright on the couch. He started violently coughing and gasping for breath. I actually thought he was choking on something. His eyes rolled back and he lost consciousness for about 30 seconds. He then came to and was completely alert and wondering why I was screaming hysterically. Does this sound like cough syncope? In all the descriptions that I have read, it does not mention this period of gasping for breath. It was so disturbing to see, I am still shaking at the memory.
Any thoughts you have are greatly appreciated.
thank you for your kind words of encouragement. Cough syncope has been well documented and does occur in circumstances similar to that which you describe with your husband. My advise to you would be to follow up with his primary medical doctor. Describe to him exactly what happened. He or she may like to run some additional tests to rule out any cardiac etiology for the above episode.
My now 17 year old daughter was diagnosed with neurocardiogenic syncope at age 14. The diagnosis came after several episodes of her passing out at volleyball practice. Most of her episodes are exercise related, a few heat induced. She normally "comes to" rather quickly and is fine after a short period of rest and fluids. They are not very frequent and she is very aware of the circumstances that normally cause her problems, and she has learned how to handle them rather well.
She is going on her Senior trip in May and one of the days they will be at an amusement park. Should she ride the roller coasters? She is adamant that she is not going to miss out on the fun, but I am concerned that if she passes out on a ride, it will cause so much commotion, and it may cause her to be very fatigued the rest of the day. Any suggestions?
I too feel she should not miss out on the fun. As you can see I have a weakness for roller coasters. A couple of suggestions though—ask her to hydrate herself well before getting on (now this may be tricky, I do not want her throwing up. What I am saying is ask her to hydrate herself well that morning. When she gets up have a couple of glasses of water or OJ. That shall keep her blood pressure up and avoid syncope). Also if she happens to be under the weather that day, ask her not to get on the rides.
Easier said than done though….
My daughter is a 16year old cheerleader who also suffers from neurocardiogenic syncope. Her episodes started 3 years ago. In fall 2008 her episodes were occuring weekly and usually with little or no warning. She has had every test possible by her cardiologist and neurologist. After trying several medications, we ended up putting her on florinef to retain the fluid and salt and Norpace. She is doing much better, now down to an episode just once a month. This week we are going to see a chiropractor. We are hoping to eliminate the problem all together, she has hit her head 2x and had concussions.
The reason for my letter, was to let you know that my daughter has never had a syncope episode from rides. She has been to the Disney parks, Busch Gardens and Universal in the past year. She rides all the roller coasters, and it has never induced a syncope episode. She even rides them in the heat. I do make her drink as much water and gatorade as possible prior to riding.
thank you for writing in. I hope "concerned parent" and you can connect and exchange your experiences about this relatively common condition.
I can't thank you enough for your informative post regarding different forms of syncope.
I have a 16 yr. old daughter who was diagnosed with neurocardiogenic syncope about two years ago.
There are a few new concerns that I have, that her cardio dr. seems to think I shouldn't worry about. I'd like to explain the situation and would very much appreciate your thoughts on whether or not I should get a second opinion, or if you agree with her pediatric cardiologist.
Since diagnosed with syncope, she was placed on Thermo-tabs, 1 ea. morning, another if needed midday, up to four on active or hot days with an average of 64oz. water daily. Syncope events still occur, but she's aware of symptoms so can usually get enough water or an extra salt pill and some rest to circumvent them.
Emergency room trip after one evening attack showed no abnormalities with blood work, EKG and chest xrays. We were in the waiting room for nearly 2 hrs. before she was seen and she no longer had any symptoms when she was called back. (Which I totally understand, and why I usually don't take her to the ER because this is the norm).
Three months ago, her biological father (who lives several states away), contacted us to report that he was diagnosed with Brugadas Syndrome and his cardiologist recommended I speak to my daughter's cardiologist about this. When he found out that my daughter's cardiologist didn't respond, her father's cardiologist tried to contact her several times to no avail. Her receptionist informed me, if her doctor thought it was important she would have called me back or spoke to her father's cardiologist about it. That I shouldn't worry and she'll probably speak w/us about it at her next annual check up the end of July.
Another issue, there are no pediatric cardio's. who will see patients here without a referral. Can she be seen by an adult cardiologist at the age of 16? Should I just wait until July 30th for her annual or do you think that any of the symptoms she's experiencing need to be checked out sooner?
Sorry, this is a bit long winded and many thanks for your valuable time. Any insight or thoughts on whether or not she should have a second opinion would be greatly appreciated.
thank you for writing in. Hmmm I shall not attempt to make a diagnosis here as I have not seen your daughter and the diagnosis of Brugada Syndrome in her biological father makes the picture even more complicated. Brugada syndrome as I remember is a disorder due to a mutation in the sodium channel (we call disorders like these channelopathies). It leads to sudden cardiac death in apparently healthy men and women due to malignant arrhythmias of the heart (disturbance in cardiac rhythm). The syndrome does have a genetic basis though I am not certain about the penetrance. While syncope and cardiac arrest are the most common clinical manifestations leading to the diagnosis of Brugada syndrome, nightmares or thrashing at night has been described. Your daughter seems to be displaying some such symptoms.
I am not sure what plagues your daughter but I agree with you and would get a cardiologist's opinion at the earliest.
Please feel free to write in again.
Thank you so much for your thoughtful and timely response. We will look into finding another cardiologist for a second opinion right away. I appreciate you not making me feel like a Nervous Nelly about getting a second opinion. I'll make sure I post the results of that visit and her annual cardiology visit in July.
You are very welcome concerned mom. I look forward to hearing from your end again.
In reading some of the information on syncope it was very informative.
we have an 8 yr old granddaughter that has been complaining of headaches, that at some points are bad enough to make her cry.
This morning she told her mother she had a headache and than she slightly stiffened, her eyes rolled back and she fell to the floor. I must explain this was first time as such. When she came to she asked what happened. Did not remember. Her mother stated that her breathing seemed to stop for minute. was going to call 911 when she came to. Mother took girl to ER . check BP, blood, and did CAT scan. Tomorrow a sleeping EEG is to be done.
Do you have any insights.
I think she warrants a thorough evaluation to differentiate seizure from a syncopal event. That would include a good EEG study.
Hello Doctor: Last two times I have flown (airline) I have fainted during the take off. As soon as the plane leaves the ground , I feel the acceleration and the upward movement. My head spins. I don't see anything. I am conscious. It is very scary, and very disorienting. I am immediately motion sick. I am panting (for breath.) I am miserable the entire rest of the flight. AT O'Hare, I went to the airport clinic and was given an iv.
I am flying again for the holidays. I am very nervous at it.
On take off, will putting my head between my knees help?
This flight will be 4 hours long and if I faint there will be vomiting and four hours of misery for me and to a lesser extent, to my neighbors in the plane.
I enjoy excellent health. Age 62, male, and on no medications.
I do tend to dehydrate, probably from the running that I enjoy doing.
thank you for writing in and I apologize for the delay in reply. No excuses apart from work. Well it seems you have severe motion/ air sickness. While meclizine may provide symptomatic relief, I would surely recommend good hydration prior to flight. Drink at least 2 glasses of water and avoid coffee and alcohol while on the plane.
Meclizine is a vestibular suppressant and by all means try it and see how it works. You should take it an hour or so before you fly.
I was diagnosed in my early teens with neurocardiogenic syncope with convulsions and mitral valve prolapse. Are the two related or connected in any way?
you ask a good question. Neurocardiogenic syncope is common in the teenage years. Syncope and seizures are two very different conditions. One can have what is called "convulsive syncope". Let me try to explain this in a simple way. Let us assume you have a neurocardiogenic syncopal episode when you are with a friend. You fall/ go down. Your friend with your best intentions in his heart tries to pull you up. Now you have a condition where in there is prolonged lack of blood flow to the brain ( the best thing would have been to let you remain flat on the ground and to raise your legs). This may lead to a secondary convulsion. So you had a syncopal episode but that in turn triggered a convulsion.
thank you for your kind words of encouragement and thank you for writing in to me. So as has remained my principle, I shall not attempt to diagnose what plagues your daughter (since I strongly believe that the Internet is not the ideal medium for this and nothing replaces a face to face visit with the physician), I shall though give you a few thoughts. The differential diagnosis remains between a seizure and a syncope and the gold standard shall be capturing one of her typical events while she is on the EEG monitor. Ideally this should be a video-EEG study (where apart from been connected to an EEG machine, she is also been monitored by a video camera which is usually mounted on the ceiling and is synced with the EEG machine). At the same time her heart should also be monitored (EKG). If we are luckly and the events are not too infrequent, she shall have one while connected to the machine and her doctor shall be able to tell you whether it is a seizure or a syncopal episode (and if indeed it is a syncopal episode, did it come from the heart or the brain?).
–abdominal migraine: usually the child complains of stomach pain and may throw up.
–cyclical vomiting: where the child has episodes of vomiting.
–benign paroxysmal vertigo of childhood.
My advise to you shall be to remain in follow up with her neurologist. He may decide to treat her for migraine. Do you have a history of migraines?
My son is nine years old now, when he was five he hit his head on the gym wall and passes out, he also had a concussion. Through age five and six he had febrile seizures. At age five he cut his toe and while on the couch looking a his toe he turned very pale and passed out tightening and bending his arms to his chest. At age seven he was playing soccer and said he didnt feel good, he turned pale and passed out with no movements. Age eight he had been sick and taking triaminic and zyrtec felt fine then said my head and fell the the floor, he tightened and bent his arms to his chest, took to hospital and almost passed out three more times and vomited. Age nine he is running in gym and starts feeling sick to stomach, goes to tell teacher he dont feel good said he got lightheaded then on his way to sit down he falls face forward and then rolls to his side moving his legs in a running motion. All his episodes have only lasted about 30 seconds to a minute and he has always woke up fine, no confusion or anything. Could this just be syncope episodes?
thank you for writing in to me. Your son's clinical presentation is very interesting and I do have a few thoughts. It is still entirely possible that all these episodes present vasovagal syncopal episodes (taking the circumstances under which they occurred into consideration). That said, it would be prudent that a diagnosis of seizures is looked for and ruled out and/or cardiogenic causes of syncope are ruled out. For that a EEG study shall be extremely useful. My advice would be that you should follow up with your child's pediatrician and through him/her request a consultation with a pediatric cardiologist/ pediatric neurologist. By the way out of curiosity, does he suffer from headaches and do you have a history of migraines?
Thank you so much for your reply. I do not have any history of migraines and the only time my son had any problems with a headache was last year when he was sick for about 3 months with sinus and coughing, which was when he had the episode when I was giving him the zyrtec and triaminic. After that time we took him to a neuro and he had a 30 min sleep deprived eeg and he also had the heart tests all came back normal, the neuro also scheduled us for a 24 hr eeg which at the time we did not do. When we took him to the neuro he said he did not think it was seizures. Of course now after the episode in gym we are going back to the neuro Tues. Im sure we will be doing the 24 hr now. But my question is will the 24 hr only show if he is having seizures in his sleep, because although my son is nine he still seems to find his way into my bed each night and he has never done anything in his sleep that i would associate with seizure activity. Since his 30 minute eeg was ok, is the 24 hr only to find if he is having them in his sleep. Also if he is having seizures is the only option giving him meds with him doing it so few times. And if it shows no seizures what's next, where do we go from there.
I am trying to determine whether I fainted or had a seizure Saterday night, Sunday morning. I had fallen asleep on my sofa while watching TV. My wife was in our bed and she had awoke and noticed I wasn't in bed. She got up and woke me up which I then went into the bath room to urinate. After begining to urinate I felt my self gettting light headed and that is the last I remember until my wife finally woke me as she was on the phone with 911. I fell like a brick hitting my head on the tile. After she heard all the noise she ran in the bath room and found me on the floor. She said my eyes were opened but rolled in the back of my head and I was making a very loud growling noise which lasted for almost 2 minutes. She said my face was a gray color. I had my brother in town over the weekend and the noise I was making was so loud it woke him up on the other side of the house. He said the noise I was making sounded "wicked" like nothing he has ever heard. My wife said it was none stop until I came to. I don't remember any of it. I was disoriented and a little confused when I came to, asked my wife who she was on the phone with and asked my brother what was he doing in the bath room. I laid on the floor for a few minutes before they had helped me to my feet and walked me over to the bed. My wife had got an ice pack for the big egg on my forhead. I felt fine the next day besides all the bumps and bruises from the fall. I called the doctor Monday and had an Ecocardiogram, EKG and a stress test done today and have a EEG scheduled for Thursday. The doctor said it was probably just a syncope. I haven't been able to find anything regarding syncope and the loud noise I was making. The doctor has never given me an answer why I was making the noise. Any thoughts or recommedations would be helpfull as my wife is very worried and keeps having nightmares seeing me in the state I was in.
I have had this fainting problem for over 10 years now, and I think it may be syncope but I have some peculiar incidences that make it difficult to be sure. If you wouldn't mind offering your expertise I would greatly appreciate it.
It initially started when I was 14, I was horse-riding and after jumping a course (strenuous activity) I stopped and waiting in the middle of the arena while someone else went. At this time I became very dizzy and had to get off. When my feet hit the ground I passed out. I woke up a little later, then after sitting and drinking water for approx 10 minutes I was helping out of the arena. While walking out, I passed out again. When I woke up, they wouldn't let me walk out and instead had someone carry me into the barn. While I was being carried I passed out again. Prior to this incident there had been several occasions where I had to get off my horse early because I was lightheaded. After this incident I had my blood drawn, EKG, and MRI's with no results. Then my doctor retired and I stopped getting tested because I was 15 and wanted to get my drivers license. My question about these incidents is about the fact that I was sitting when I got lightheaded and fainted. Is that possible with syncope?
Over the past 10 years I have consistently had problems with getting up too fast and walking a few steps and instantly getting light headed. I can feel myself starting to lose consciousness and I try to pull it back. A majority of the time these episodes are accompanied by seizure like symptoms, usually in my legs and body. My question here is, in your article you mentioned that people with syncope don't fall and injure themselves, and rather ease themselves to the ground. This is not always the case with me. Usually I'll grab a wall or table, and will start seizing in the lower half of my body. Sometimes I will fall over and continue to seize for a little bit. On one occasion I fell in the bathroom, hit my chin on the counter, my ribs on the toilet seat and seized. I did not lose consciousness however, I just couldn't control my body. Usually if I do lost consciousness, it will only be after I hit the floor, but I can always remember going down. But more often than not, I will hold on to something, seize, and then be ok. Would this be syncope?
I am particularly confused by the fact that it happens when I go horse-riding. If I do get light headed and feel like I am going to pass out, it is always after I jumped a course or did something difficult, stopped, and was catching my breath. Then it will hit suddenly. Do you think this is more in line with seizures or syncope? And is there any way to prevent the seizing? I don't mind the lightheadedness or even fainting, but I really wish i could make the spasms stop. You're advice and help is greatly appreciated!
I forgot to mention that when I was in high school I was suffering from headaches all the time. I used to get them 3-5 days a week and would have to go to bed with the lights off. They have stopped being a problem at some point in college I believe.
Also, the symptoms always occur when I am upright and standing (well, when I'm sitting upright on a horse too). My blood pressure tends to be on the low end of the scale (110-100 over 60-70 ish). Light to Medium intensity cardio will send my heart rate to 180-190bpm and I am 23 years old and weigh approx 118pds. Could my blood pressure be a reason for this? Sorry for such a long post, I really do appreciate the help!
I was diagnosed with neurocardiogenic syncope and few tests were done on me "As i am reading this post i am kind of confused.
1: Since i am diagnosed with syncope how come when i faint i go in deep sleep and i do wet myself. I never actually got hurt bc i get warned before I'm about to pass out. I had this problem since i was 17 y old and they just diagnosed me now 36 y old ..I been reading comments here and there and still don't truly know if i have a sign of seizures and syncope at same time.This had bothered me a lot bc lot of times i had pass out when my 10 y old kid is around even that she had saved my life many time.When i pass out i was told i pea and sometimes swallow my tongue and after that i see myself in emergency.
Thank you for this post, it was very informative. Today I had a very freaky incident… I was riding my horse in our weekly group lessons when after about 15 minutes of warming up and only a few laps around the arena cantering, I got a headache and quickly became light headed. I haulted and was talking to my trainer (I had calmed down, no longer dizzy) when my vision quickly became blurred and I went limp collapsing on the neck of my horse, I became very pale, my eyes rolled back and I began to shake/ tremble. This was the first time I had passed out in close to 7 years. From the ages 6-12 I passed out about nine separate occasions. And lately I have been "almost passing out" (getting light headed, blurred vision) close to once a month. Can you help me decipher what this is?
I just read your post and still don't know which I have been experiencing… about 3 or 4 years ago I got up at 11:44pm to use the bathroom…(I post the time because that is the only clear memory I have) My stomach hurt and I felt like I was going to have diarrhea. the next thing i remember is my husband yelling at me to wake up. I couldn't figure out why he was yelling at me or why he was waking up until I realized my face hurt and that I was covered in my own feces. He cleaned me up and after an hour we went to bed. He told me that I had stopped breathing for just a few moments and he gave me CPR and I began to breathe right away. The next day I went to the Doctor and I got a CT scan (1 with and 1 without contrast) which turned up nothing. They never could explain it. I hadn't had any other issues what so ever. Last May I would experience pre-syncope episodes when I was going through a sever Asthma flare but no abdominal pain. Last night (or morning rather) about 2:44 am I experienced abdominal pain so I went to the bathroom. I urinated but could not defecate however I passed gas. I then had this feeling like I was going to throw up so I got my garbage can. The next thing I knew there I was again on the floor with my husband yelling at me to wake up but this time there was no confusion I knew what had happened. This time however I did not loose control of my bowels… I did however have severe diarrhea and vomiting all at the same time. When it had passed I went to bed but today I am very tired and a bit dazed (but that may be from the fact that I have a mild concussion) I cannot afford to go to a neurologist and the fact that the 2 times I have completely passed out were so far apart I don't think they could really tell what is going on. So…. seizure or syncope?
I have been searching for your follow-up "management of syncope" mentioned at the end of the Aug 2008 article.
When I cough hard I go into the symtons you described. It will even happen while driving and just standing. Iam scared the someone will run into the back of me because I have to stop the car when these feeling come on, even if I am in tyhe middle of the road while driving and I may cause a accident. I have been to a Cardiologist and Neurologist and have I had every test you could amagine. But they found nothing that would cause these coughs and what would make me have the feeling of blackouts. But they don't last long and these blackout feeling can even if happen if I am standing. Then you lose controll over standing and you stager and then fall and when you try to get up you just stager on the ground until the black out feeling and a dream feeling ends. What would you recommend I do and waht kind of test should should I ask my regular doctor to do.
My son 14 year tried to hold his breath for 10 second as part of a game with his sister and he suddenly fainted. He fell on the ground and took around 5 seconds to come back to consciousness. He was holding breath while swimming and diving underwater, had not experienced this before. Is it a cause of concern?
Thank you for your informative post. I had some concerns about my father and would greatly appreciate your expertise, if you have the time.
My father is in his late 40s and has had about 5- 6 "episodes" over the past few years. He just had one today, after almost 1.5 years. He was walking out of the bathroom and was by the sink when he suddenly collapsed. He hit the countertop and bruised his nose. His eyes were still open but rolled back. He twitched slightly a couple of times but then stilled, which was very alarming to me. He was out for about 2 – 3 minutes. At one point, he stopped breathing and I could not feel a pulse, so I performed compressions on his chest. He then regained consciousness, but stayed lying down for about 5 minutes. He also had a loss of bladder and bowel control. He didn't remember exactly what happened, immediately. Over the next half over, he recalled that he felt a bit nauseous and sweaty, so he was going to go wash his face. He is fine now, but he still looks weak to me. He did not let me call 911, but I have scheduled a doctor's appointment for him for Thursday. He has seen the doctor for this same issue in the past, but they only conducted a blood test and sent him home.
One thing I noticed is that about 4 out of his 5-6 incidents happened after he had 1-2 drinks of scotch. He is not an alcoholic and only drinks at social gatherings, but could this be related in any way?
I would appreciate any thoughts you could share.


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Q: Detect Ckeditor failure I suppose this is a more specific version of my recent question Browser-sniffing alternative for bugs/misbehaviors (NOT lack of features).
CKEditor is known not to work on certain clients like iOS Safari. Rather than use hackish browser detection, is there a way to see at runtime whether ckeditor will work on the current browser so that I can not load it or fall back to an alternative in case it won't?

A: Use CKEditor.env.isCompatible and that way you can know exactly if a browser version is supported or not (for example iOS 5 is supported in 3.6.2 as Clive has mentioned)

A: CKEditor has the instanceReady() event. That might help - if you can afford to wait for that to fire, and have a timeout of sorts in case it doesn't.
There doesn't seem to be a onerror event in CKEditor. The list of main events is here.

redpajama_set_name: RedPajamaStackExchange


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Costa Rica launches first electric bus route in San José
Alejandro Zúñiga - February 23, 2021
Over the last six years, Costa Rica has generated at least 98% of its electricity through renewable means.
Electric vehicle adoption rate in Costa Rica remains low
Alejandro Zúñiga - December 29, 2020
Costa Rica this year added 727 new electric vehicles for a total of 3,106 registered in the country.
Costa Rica launches plan to adopt electric buses
The Tico Times - March 5, 2020
She said that buses, which will begin to circulate at the end of this year, will provide information on the behavior of electric transport in the geographical and climatic conditions of the country.
Costa Rica says it's the first country in the region with nationwide electric vehicle charging grid
When the National Decarbonization Plan was inaugurated last year, modernizing the country's transportation infrastructure was listed as a pillar of the initiative.
Throwback Thursday: Electric car
The Tico Times - February 28, 2019
The Costa Rican government announced its plan to fully decarbonize the economy by 2050 this Sunday. A big part of their plan involves electrifying the public and private transport system. While electric cars still feel new, they've been around for some time. Here's a photo of an electric car in Costa Rica back in June 1996.
Harley's electric hog targets selfie-taking green hipsters
The Tico Times - September 28, 2014
Harley, the manufacturer of road hogs famous for roaring throttles, said in June it's considering selling a relatively quiet, electric motorcycle. It's now showcasing the bikes on a 30-city tour to seek feedback and drum up interest among people like Tyler Dean, who cares about the environment and can spread the word about his likes on social media like Twitter and Instagram.
Let the gas prices climb, but give us electric cars
If the price of gas goes down, none of us will do anything to change.
Meet CambYoCar: the first car to be designed and built in Costa Rica
The Tico Times - November 25, 2013
With a hybrid and electric model, CambYoCar could help ease Costa Rica's emissions problems. "Our goal here is to change the world," says inventor Jesse Blenn.

redpajama_set_name: RedPajamaCommonCrawl


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- Corepoint Health - https://corepointhealth.com -
According to KLAS: Apple Health records adopters see positive impact
Posted By Rob Brull On May 9, 2018 @ 10:58 am In Industry News | Comments Disabled
According to a recent report from KLAS Research, titled Apple Health Records 2018: Early Participants Weigh In [1] early adopters say that Apple's move is more than just a marketing ploy and has short-term benefits and long-term potential to impact how providers interact with patients and how patients manage their health.
Originally reported in Healthcare Informatics [2]:
Close to 60 percent of respondents say they expect Apple's "ready-to-go" patient-record portability to have an immediate positive impact, within zero to six months. Another 33 percent expect to see benefits from the Apple health records feature within six to 12 months. According to the report, one CIO said, "Honestly, there are no hurdles for us. The work effort to turn the app on is measured in days. There is no IT team that needs to do anything fancy or complicated. The wonder of this app is that the lift is tiny and the benefit is huge."
These executives feel that allowing patients to access personal medical records on their smartphones is a revolutionary idea, one that disrupts current paradigms by setting off a series of small changes that may have major impact downstream. Three of the most mentioned benefits include empowering patients (67 percent), helping solve interoperability (58 percent) and speeding innovation and change (50 percent). When asked how impactful they think the effort will be for healthcare, on a scale of one to nine (most impactful), 33 percent rated the effort a '9,' 11 percent an '8', 33 percent a '7' and 22 percent a '6'.
Alex Lin, Corepoint Health's Solution Architect, described his experience using Apple Health's medical records app in this recent blog post: Updated Apple Health app uses FHIR to import patient health data [3]. Alex, whose provider in the Philadelphia area is part of the Apple beta group, had this to say about how he hopes the app evolves with future iterations:
"Steps and vitals tracked by an Apple Watch could be integrated into an EHR [4]Electronic Health Record (EHR), as defined in Defining Key Health Information Technology Terms (The National Alliance for Health Information Technology, April 28, 2008): An electronic record of health-related information on an individual that conform..., which could be useful in the event of a medical emergency. This data could also inform physicians as to how patients are doing in prescribed weight loss programs, managing diseases like diabetes, or any number of things. But as of yet, there's no integration functionality."
Article printed from Corepoint Health: https://corepointhealth.com
URL to article: https://corepointhealth.com/klas-apple-health-records/
[1] Apple Health Records 2018: Early Participants Weigh In: https://klasresearch.com/report/apple-health-records-2018/1364
[2] Healthcare Informatics: https://www.healthcare-informatics.com/news-item/patient-engagement/klas-early-adopters-apple-health-records-see-immediate-positive-impact
[3] Updated Apple Health app uses FHIR to import patient health data: https://corepointhealth.com/apple-health-fhir
[4] EHR: https://corepointhealth.com/glossary/ehr/
Copyright © 2016 Corepoint Health. All rights reserved.


Swedes who start companies in Estonia and Great Britain are to receive closer scrutiny from Swedish tax authorities.
Officials from Sweden's National Tax Board (Skatteverket) suspect that many such companies are used to evade taxes on commercial activity taking place in Sweden.
Skatteverket's Angela Langenskiöld told Dagens Nyheter (DN) that Swedes who start companies in Great Britain for a few pounds can then open subsidiaries in Sweden.
The number of Tax and Contributions Liability notification forms sent to Skatteverket from British subsidiaries operating in Sweden has tripled over the last three years.
Advertisements and marketing campaigns for starting a company in Estonia feature the country's low taxes, including a corporate tax rate of 0 percent.
Taxes on dividends and income are also lower in Estonia than in Sweden.
Around 100 Estonian companies have filed notification forms with Skatteverket, according to DN.
The agency's goal is to uncover cases in which foreign companies are set up with the sole intention of avoiding Swedish taxes.
"We also want to make sure those who are not acting intentionally are properly informed of the rules," said Langenskiöld.
Skatteverket calculates that fraud and mistakes result in about 133 billion kronor in lost revenues every year.


50 Cool Gallery Of Grosfillex Resin Patio Chairs.
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Wet è un brano musicale del rapper statunitense Snoop Dogg, estratto come secondo singolo dall'album Doggumentary del 2010. Il brano è stato prodotto dai Cataracs e ha raggiunto la 40ª posizione della classifica Hot R&B/Hip-Hop Songs e la 18° della Hot Rap Songs.

Del brano è stato prodotto un remix intitolato Sweat, con la collaborazione del deejay David Guetta, inserito nell'album di quest'ultimo Nothing but the Beat, quest'ultimo ha ottenuto un buon successo, che la canzone originale non aveva ottenuto.

Il video
Il video incomincia con una foto scattata al Palms Casino di Las Vegas, dove Snoop Dogg lancia un addio al celibato. Il video mostra scene dove Snoop balla con molte donne prima ai bordi di una piscina e poi su una stanza. Ci sono altre scene in cui Snoop Dogg cammina attraverso un corridoio con più donne che gli ballano attorno. Il video musicale per la canzone è stato pubblicato in anteprima sul suo canale Vevo il 5 gennaio 2011.

Una versione modificata del video è stata pubblicata anche per il remix di David Guetta, dove Guetta non partecipa al video.

Tracce
CD, download digitale

 Wet (Radio Edit) - 3:47

Download digitale (Remix)

 Sweat (David Guetta Remix) - 3:15

EP digitale (Remix)

 Sweat (David Guetta Remix) - 3:15
 Sweat (David Guetta Extended Remix) - 5:43
 Sweat (David Guetta Extended Remix) - 5:42

Classifiche

Note

Collegamenti esterni

Singoli al numero uno in Australia
Singoli al numero uno in Austria
Singoli al numero uno in Francia
Singoli prodotti da David Guetta

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ikea design DIY furniture patio decorating exterior PL19 Faux Pressed Tin Finishes Ceiling Tiles Antique White Color 3D Quirky Loveable 1 in high resolution for free images. This wallpaper hd was added in Tuesday, October 23, 2018 and 45 users has viewed and downloaded this wallpaper hd. PL19 Faux Pressed Tin Finishes Ceiling Tiles Antique White Color 3D Quirky Loveable 1 have and approximately Unknown Size bandwith was consumed. If you like it, all you need to do is help us grow by sharing this design pictures for homes PL19 Faux Pressed Tin Finishes Ceiling Tiles Antique White Color 3D Quirky Loveable 1.


East Africa Time or EAT is a time zone used in Eastern Africa. It is often named as UTC+3. There is not daylight saving time since it is so near the equator.
East Africa Time Facts for Kids. Kiddle Encyclopedia.


Health & Fitness up first. Fitness lab burned 2.3 million calories testing watch to make it more accurate.
New Activity feature: Competitions. Earn points as you compete against your friends. When you win, you get a new award.
Shortcuts appear on Apple Watch based on time and location.
You can also now see third-party apps and suggested content on Siri watch face.
New feature. Now when you raise your wrist, you don't have to say Hey Siri: just talk.
New more interactive notifications for third party apps on Apple Watch.
Looking at a safari website. "I'll tap you when the page has loaded." Smart.
ATV only Dolby Vision + Atmos verified box. Atmos coming to iTunes this fall. Free upgrades like 4K was.
New: Zero sign-on. If you're on your cable providers network, it will securely unlock all your content.
Now Tap Siri remote to see where a screensaver is from. Swipe between them.
New ISS filmed screen savers!
Video integrated into screen shooting.
Also adds screen capture for video, and a HUD to easily control it.
New privacy protections. Enabled by default.
Social sharing and comments tracking? Apple is SHUTING THEM DOWN.
Digital fingerprint tracking is also being discouraged through data starvation.
Tabs will be ~ discover, create, work, play, develop, categories, updates. Video previews.
Now talking underlying technologies. Metal on the Mac: over 1 billion Metal-enabled devices.
Group FaceTime also coming to Mac!
And FavIcons in Safari tabs.
Closing video by families on having a developer in the family!!


Wings of Vi is a challenging 2D platformer in which you play as the angel Vi, tasked with defeating the Demon Lord Jehoul after he is freed from captivity. Throughout her journey she must traverse dangerous worlds and fight countless hellspawn in order to discover where JehOul lurks and save the world from his demonic clutch.
Wings of Vi is an action platformer that brings to best out of old-school platformers while removing most of the arbitrary difficulty brought with them. That being said, you will die. A lot. But dont let that turn you off! Theres three different difficulties and some hidden modifiers catered to multiple audiences, so youre sure to find a challenge setting suitable for you.
Battle your friends or random folks on the internet for a spot at the top of online leaderboards. The boards track your completion time and deaths, separated into sections based on both difficulty and game modifiers. Theres even a section for boss rush!


Christmas was a very special and magical time in our family when I was growing up in the 1980s and '90s in Lithuania. We were living in the same house with my father's parents much of that time, as well as my father's sister's family. My parents and grandparents would prepare us for Christmas by telling us stories about Jesus, as well as Lithuanian folk stories of the season. We loved them all. I truly believed that animals talk on Christmas Eve, and that the longest straw pulled from under the tablecloth during our special Christmas Eve feast, called Kucios (or Kuciu vakaras), would mean the longest life.
Then after all the cleaning, decorating, and cooking, we would wait until the appearance of the Evening Star. Only under its clear and beautiful light would we then go to the table, usually between 8 and 9 p.m., and sit down to our family Christmas Eve dinner. The oldest person said the opening prayer and broke the large Christmas wafer, which we all passed around and shared, each person breaking off a piece. (This is a communion-like wafer that is specially blessed in church in preparation for Christmas.) After that, everyone did their best to sample at least a portion of all 12 traditional Kucios dishes and not overeat. There were never any alcoholic beverages on the table on Christmas Eve and no meat, just fish. Wine was tasted only on Christmas Day.
Wonderful memories, Asta! I got ones, too- very similar to yours. When I was a child, and that was many many years before you had been born, we used to go to church at midnight. And only then, after church, we would find a huge bag at the door with Christmas presents. If we found a bag in the house under Chritmas tree, we, kids, would be told that Santa Claus brought the presents through the chimney.Oh, I miss those sweet times.
What an absolutely charming story of Christmas traditions that I would have assumed were long gone. Many thanks for sharing, and Merry Christmas this year!
Merry Christmas, Asta! Wonderful blog post. One question- can you say more about the long straw and long life? How do you decide who draws the straws in what order?
Thank you for such a poignant rememberance of Christmas in Lithuania.
my Uncle Joe and Montie Yanor. Father Yunker from St. Vincent de Paul Church would come give us communion, and of course, he would have a drink of wine before leaving. Many Lithuanian decorations, food and desserts are some of my wonderful memories of Christmas. Loved it all and miss it so much.
My apologies to everyone who commented right after the post. For some reason, I did not receive your comments to moderate and approve. I was wondering why no one had anything to say about Asta's Kucios memories!


For years, various fad diets have promoted a connection to the Mayo Clinic. In reality, the Mayo Clinic has never been officially associated with any dietary program until now.
Jennifer and Donald Nosbisch decided to try the plan after developing high blood pressure and high cholesterol.Dr. Donald Hensrud is the editor-in-chief of The Mayo Clinic Diet book.


Where are the biggest gaps in endpoint security models today? This Ponemon study identified three main areas: unprotected mobile devices, the insider threat, and third-party cloud applications. Given these gaps, most IT security pros say that employees are the biggest threat to companies. Forrester estimates that Insiders accounted for 39% of data breaches in 2015. These internal incidents also accounted for more breaches than external attacks alone.
Since then, our understanding of the Insider Threat has evolved. We know now that malicious employees are not the ones who should make you worry. In my article on Infosec Island, I explore the Insider Threat in the context of past breaches at AT&T Services and SnapChat and the resulting fallout. These events show that well-meaning employees can cause as much damage as malicious ones. And cyberattacks originating from negligent employees are rapidly increasing.
Here at Absolute we like to talk about the Three Faces of the Insider Threat. Traditional data security tools such as encryption simply can't address the Insider Threat directly. Insiders are already authorized to bypass these types of security barriers. They have verified network credentials. In order to address the Insider Threat, we need to ensure our security policies and technologies can see more than just malicious behaviour.
Read the full article Insider Threat: Why Negligence Is More Dangerous Than Malevolence at Infosec Island.
Monitor and protect against malicious and negligent insiders, regardless of user, location or whether they're on or off network with Absolute DDS. With intelligence-driven data and automated alerts for unusual device or user behaviour or for the presence of sensitive data on the endpoint, you can take pre-emptive action to enforce security policies or to remediate security incidents before they become data breaches.