[Headline] NextGen Story No.

5,459 Second Time Around When morning dawned on April 18, 2009, Jess Arellano had Las Vegas on his mind. But in less time than it takes to get from overture to big finish in a Caesars Palace spectacular, Jess was fighting for his life. The day started routinely enough. As he was waiting for his sister to pick up him and his wife for a weekend in Las Vegas, Jess was checking off a few pre-trip tasks: watering plants and the grass, taking care of the dog, making sure windows were secure. Feeling a bit hungry, Jess went inside and made something to eat. Not long after, he got the sensation of a heartburn coming on. There was this burning inside me, like I had eaten chili, he said. The only problem was that I hadnt eaten any chili. Soon, the burning sensation turned to all-out pain. It started in his chest then moved to his back. He started sweating. Having had a heart attack three years earlier, Jess immediately recognized the symptoms. I thought, No, this isnt right, he said. Recalling his cardiologists instructions, Jess retrieved a nitroglycerin tablet and placed it under his tongue. He waited, hoping to feel the pain retreat. In the meantime, he let his wife, Martha, know what was going on and told her to get ready to go to the hospital. When the first nitroglycerin tablet failed to relieve his pain, Jess tried another. He waited. The pain persisted. Abandoning all thoughts of Las Vegas, Jess took a third nitroglycerin tablet, then he and Martha headed toward a nearby emergency room. [Subhead] Halting the Attack At the emergency room, the physician on duty made it official: Jess was having another heart attack. Because the hospital did not have the proper facilities to treat him, the emergency room staff made arrangements for Jess to be transferred to Methodist Hospital. Fortunately, an ambulance was right outside, and Jess was soon on his way. Although he was a little frightened, he was confident that he and Martha had done the right thing by acting quickly after he had begun feeling the symptoms of heart attack. In the ambulance, I was thinking that I was very lucky to have all the people there to treat me right away, Jess said. I had confidence that I was going to be OK.

Jess counted the minutes as the ambulance sped toward Methodist Hospital. By the time they pulled up at Methodists emergency department he had reached 11. The ambulance drivers told him it was record time. Terrence Baruch, MD, cardiologist and medical director of Methodist Hospitals catheterization lab, was waiting for Jess. I know what youre going through, Jess recalls Dr. Baruch telling him. I know what it is. Dont worry about it; were going to fix you up. Dr. Baruch confirmed Jesss symptoms and sent him directly to the hospitals cardiac catheterization lab. There, Dr. Baruch discovered that Jesss artery had clogged up around a stent placed three years earlier, after his first heart attack. Using a technique called angioplasty, Dr. Baruch reopened the artery and placed a new stent, which immediately relieved the pain Jess was experiencing. From the moment Jess arrived in Methodist Hospitals emergency department to the moment Dr. Baruch re-opened his artery in the cardiac catheterization lab, only 42 minutes had passed. This is well below the 90-minute standard for door-to-balloon set by the American College of Cardiology. Thanks to the quick intervention by Dr. Baruch and the staff at Methodist Hospital, Jess was discharged from the hospital in just two days with normal heart function. He attributes the fact that he suffered no permanent heart damage to his decision to seek medical treatment immediately and the speed of the care he received at Methodist Hospital. [Subhead] Back to Life Jesss recovery has been complete. Following his heart attack, he rested for a week then went right back to his work as a self-employed dental technician. When hes not working, you can often find Jess in his home recording studio. He makes Christian music recordingshe sings and plays the guitar and pianoand also invites people from his church and others to use the studio to make their own CDs. Today, Jesss life is much the same as it was before his heart attack, but he has become more conscious of exercising and keeping his heart healthy in other ways. He enjoys walking an hour a day, and he has managed to bring his blood pressure down to an acceptable level. About a month after his heart attack, Jess and Martha finally made it to Las Vegas. But Jess kept his distance from the casinos, opting instead to take in the fresh air and sunshine around the pool. If you experience any of the symptoms of heart attack, dont wait! Call 911 immediately.