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Dennis Bippes and his wife,<br />

Christine, woke up to the<br />

sound of their coffee maker,<br />

as they usually do. Soon, Dennis<br />

saw something that he didn’t expect<br />

but definitely recognized: the signs of<br />

stroke. As Christine was making the bed,<br />

she stared blankly into the middle of the<br />

room. “I asked her if she was OK,” he<br />

recalls, “and slurred words came out.”<br />

Although the suddenness of the<br />

stroke is something that will take a<br />

while to get over, Dennis says, he knew<br />

what to do in that moment. He dialed<br />

911. It was 8:15 a.m.<br />

Christine, 75, was aware of her husband<br />

telling her she had to go to the<br />

hospital. Her memory of events over the<br />

next few hours, however, is fragmented.<br />

She remembers being loaded into an<br />

ambulance and then a helicopter to fly<br />

her to Providence Sacred Heart Medical<br />

Center in Spokane. She also remembers<br />

waking up and being told that she would<br />

make a full recovery, thanks to rural<br />

medicine emergency services and a<br />

real-time video connection to neurology<br />

stroke specialists at Sacred Heart.<br />

ADDRESSING RURAL<br />

CHALLENGES<br />

The Bippeses live 5 miles outside of<br />

Naples, a small town in northern Idaho,<br />

closer to the Canadian border than to<br />

Spokane. The ambulance had to get<br />

there from Bonners Ferry, about 10 miles<br />

away, and then travel 26 miles to Bonner<br />

General Hospital in Sandpoint.<br />

En route, the crew called the hospital<br />

to describe Christine’s condition. The<br />

call allowed Mike Taylor, emergency<br />

department director at Bonner General,<br />

to initiate the hospital’s stroke protocol.<br />

This included a call to neurologist<br />

Cynthia Murphy, M.D., at Sacred Heart.<br />

When the ambulance rolled in, the<br />

team was in place.<br />

It was 9:16 a.m.<br />

Dennis and Christine Bippes<br />

enjoy a stroll with their daughter,<br />

Jennifer McHan (right).<br />

Cynthia Murphy, M.D., was<br />

ready for a real-time video<br />

visit with Christine Bippes<br />

as soon as Christine arrived<br />

at her local hospital,<br />

70 miles away.<br />

READ ON YOUR TABLET OR PHONE: PHC.ORG/HEARTBEAT 19

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