Updated on May 23, 2026 | Featured, Your Health

Author David Schwab, left, and his tennis partner James
My friend recently had a stroke while we were playing tennis and didn’t know it.
This may seem hard to believe. But it was confirmed after a visit to the Emergency Room, hours after we had stopped running around the court and smashing tennis balls.
James, 62, is one of the fittest guys I know and one of the most intense competitors on the tennis court. Thanks to medical professionals, he is fine now. After spending three days in the hospital, where he was treated for a stroke and prescribed a blood thinner, he doesn’t have any lasting effects. Doctors are trying to figure out whether this might have been related to a pre-existing condition.
But the lesson is clear: Don’t ignore symptoms, and call 911 immediately if you suspect a stroke, which is the key to recovery and avoiding long-term damage, according to the American Stroke Association. A stroke is a medical emergency and, while those who are older and have existing conditions such as high blood pressure are more at risk, a stroke can happen to anyone, which is the point of Stroke Awareness Month in May.
“We see these kind of cases all the time. Strokes can happen for all kinds of reasons, including in people who are healthy and have minor symptoms,” says Laura Stein, MD, MPH, Associate Professor, Neurology, at the Icahn School of Medicine at Mount Sinai, who treats patients and is a researcher who focuses on improving the detection of strokes and the emergency services available to treat patients.

Laura Stein, MD, MPH
“Stroke can be very subtle, and patients need to take any sudden change in neurologic function seriously,” she says. In fact, if you suspect stroke you should call 911 and not drive to hospital. That’s because you can begin receiving treatment immediately in the ambulance and because the 911 response system is specifically set up to take you to the hospital best equipped to treat the type of stroke you may be having, according to Dr. Stein.
On the tennis court that morning, something did not seem right from the outset. When we walked on the indoor court as we normally do about 6:30 am, James told me he didn’t feel great. He asked if I had ever seen streaks of light in my eyes. He said something about “bumping into things” at his house that morning. He said he had trouble driving to the club. I was a bit alarmed. For most people, these signs might be discounted as early morning fog before you have your coffee. But not him. I suggested he sit down on the chair beside the net. He brushed me off and popped open a new can of balls.
Most people may associate strokes with obvious symptoms, such as a drooping face or slurring your words. But other key signs can be more subtle, such as balance loss, vision changes, and speech difficulty as James was experiencing.
So we began playing as if nothing were wrong. We are pretty strong players. We don’t sit around much. Our goal is to hit as many tennis balls, as hard as we can, for at least an hour and 15 minutes. I’m not in such great shape, so occasionally I try to stop early. But he normally won’t have it. We played for 90 minutes as we often do.
During this time, he seemed a bit off, not so much in how hard he was hitting the ball but in his manner on the court. He seemed at times a bit subdued, unfocused, agitated. You would notice things like this because this guy is normally so focused when we’re playing.
When we finally did stop, we stood by the net, pulling off our soaked tennis shirts for dry ones and packing our tennis bags. He said he still didn’t feel good. I suggested he sit down. He scoffed at that. But he looked a bit dazed. Some might have that look of exhaustion after an intense workout, but not him. Often he heads to the gym. I asked if he could drive himself home. He paused for a moment, and he seemed to think about that. So I offered to take him. Declined.
I urged him to make sure that he spoke with his wife when he got home; I knew she would know what to do. Unbeknownst to him, I drove behind him to make sure he got to his house, a 15-minute drive away in the northern New Jersey town where we both live.
“Stroke can be very subtle, and patients need to take any sudden change in neurologic function seriously.” — Laura Stein, MD, MPH
When I got home, I was still very concerned. About 20 minutes later I got a text: His wife was taking him to the nearby urgent care center. I was relieved.
The urgent care doctor would immediately send him to the Emergency Department at nearby Overlook Hospital in Summit, New Jersey. The doctor called ahead, so at the ED they were waiting for him at the door with a wheel chair. There were a series of tests. The next day, a neurologist confirmed he had had a stroke, which meant that a clot had blocked the blood supply to a part of his brain. And it probably was related to a pulmonary embolism (a clot in his lung) he had years earlier, something his doctors will be examining further.
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Updated on Apr 24, 2026 | AIGH, Featured

Biraj Man Karmacharya, MBBS, PhD, MS, left, and Ram KM Shrestha, MD, review scientific posters at Research Day.
Dhulikhel Hospital in Dhulikhel, Nepal, recently hosted the first AMPATH Nepal Research Day, coming alive with ideas, energy, and a shared sense of purpose.
Supported by AMPATH Nepal and held in collaboration with Kathmandu University School of Medical Sciences and the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, the day was a celebration of research, partnerships, and people. The theme, “Innovation Through Collaboration,” was not merely a slogan; it was the lived experience of everyone involved.
Archana Shrestha, PhD, MPH, Co-Director of AMPATH Nepal, first had the vision of establishing Dhulikhel Hospital’s own Research Day for clinicians, researchers, students, and partners to share knowledge and inspire one another.

More than 200 participants attended AMPATH Nepal’s first Research Day.
Watching that vision turn into reality was incredibly rewarding. The response exceeded our expectations, with 38 oral presentations, 62 poster presentations, and 263 participants gathered under one roof. The audience included researchers, clinicians, medical residents, students, and dignitaries from Dhulikhel Hospital, Kathmandu University School of Medical Sciences, the Arnhold Institute, and AMPATH Nepal, reflecting the strength of our national and international partnerships.
As the Project Coordinator, this journey was deeply meaningful to me. From organizing and coordinating the event to hosting sessions, keeping time, troubleshooting behind the scenes, and even performing on stage in a dance with fellow researchers, every role reminded me that successful events, like successful research, are built through collective effort. Months of hard work culminated in a day filled with learning, teamwork, joy, and growth.

Members of the Arnhold Institute’s AMPATH Nepal team celebrate the start of Research Day.
The journey began three months before Research Day, with planning that was both ambitious and meticulous.
To manage the scale of the event, we formed 20 committees, each entrusted with specific responsibilities that together ensured the seamless execution of the day. Every detail mattered, from participant registration and scientific session alignment to logistics, documentation, cultural performances, and live streaming. What stood out most was how harmoniously these teams worked, communicating across roles and stepping in for one another whenever needed. That collaboration was innovation in its truest form.
Celebrating collaboration and connection as core elements of impactful research
The opening ceremony set the tone beautifully. As we began with a lamp lighting and the Nepali national anthem, the atmosphere was filled with pride and anticipation. Along with my co-host, Sagar Adhikari, MDS, BDS, I had the honor of welcoming our esteemed guests and participants. Dr. Archana Shrestha’s opening remarks reminded us that progress happens when ideas, institutions, and individuals come together with a shared purpose. Speakers Ram KM Shrestha, MD, founder and Executive Director of Dhulikhel Hospital; Dr. Biraj Man Karmacharya, MBBS, PhD, MS, Administrative Director of Dhulikhel Hospital; and AMPATH Nepal Director Rose House, MD, further highlighted the importance of collaboration in strengthening research and health systems in Nepal.

The Department of Community Programs perform a cultural dance, emphasizing the importance of human connection in research
The keynote sessions truly embodied the theme of innovation through collaboration. Namita Ghimire, PhD, Chief of Ethical Review and Monitoring and Evaluation from the Nepal Health Research Council, offered invaluable insights into ethical governance, national and international research collaboration, and the evolving research landscape in Nepal. Her reflections emphasized that innovation must always be grounded in ethics and accountability.
Tim Mercer, MD, MPH, Director of AMPATH México/MAPAS, shared compelling experiences from his work, illustrating how partnerships across borders and communities can transform health systems. His discussion on community engagement, mental health integration, and addressing non-communicable diseases reinforced the idea that sustainable innovation grows out of collaboration with the people we aim to serve.
Beyond scientific rigor, the day also celebrated culture and connection. The welcome dance performed by the Dhulikhel Hospital Department of Community Programs was a joyful reminder that creativity and innovation flourish together when people unite. Moments like these added warmth and humanity to Research Day, reminding us that collaboration extends beyond academia into shared experiences and collective pride.
The takeaway: Meaningful research ecosystems are not built by individuals alone
As a project coordinator, the responsibilities were many and often demanding, but they were balanced by the incredible support of the entire team. Every challenge was met with cooperation, every success shared collectively.
This Research Day reinforced my belief that meaningful research ecosystems are not built by individuals alone, but by teams that trust one another and work toward a shared vision. I am deeply grateful for everyone who came together to achieve this milestone for AMPATH Nepal.
As we look ahead to our second Research Day in 2026, I hope this inaugural event continues to inspire stronger partnerships, ethical and impactful research, and a future where shared knowledge leads to shared progress.
Prapti Giri, BDS, MPH, is the Program Coordinator for AMPATH Nepal.