Harvey Weinstein, the former movie mogul who has been serving time at Rikers Island, was rushed to Bellevue Hospital for emergency heart surgery after experiencing chest pains, according to his representatives. Weinstein, 72, who has been battling multiple health issues, underwent a heart procedure on Monday. Details about the nature of the surgery were not disclosed by his representatives, Craig Rothfeld and Juda Engelmayer, who confirmed that Weinstein continues to require ongoing medical care.

Weinstein's Health Struggles
Weinstein's health has been a topic of concern for some time. He has been frequently seen in court in a wheelchair and has asked to remain at Rikers Island to continue receiving medical treatment. Just this past July, Weinstein was hospitalized at Bellevue after testing positive for COVID-19 and being diagnosed with double pneumonia.

Weinstein's representatives expressed gratitude to the New York City Department of Correction and Rikers Island's executive team for their quick action in transferring him to Bellevue Hospital for necessary medical attention.

Legal Battles Continue
This latest medical emergency coincides with mounting legal pressure against Weinstein. The disgraced film producer is scheduled to appear in court this week in New York, where prosecutors are actively working to secure a new indictment on sex crimes charges. A grand jury has been convened to consider evidence presented by the Manhattan District Attorney’s office regarding an alleged sexual assault that occurred between late 2005 and mid-2006 in a lower Manhattan residential building.

Additionally, prosecutors have indicated awareness of two other potential offenses: a sexual assault in May 2016 in a Tribeca hotel and another incident at the Tribeca Grand Hotel.

Previous Conviction Overturned
Weinstein's legal situation remains fluid after a significant legal development earlier this year. In April, the New York Court of Appeals overturned Weinstein's conviction on sex crimes charges against three women. The court’s 4-3 decision found that the trial judge had improperly allowed testimony about uncharged allegations, which unfairly prejudiced the jury against Weinstein.

Excessive Bleeding After Dental Procedure
A 57-year-old man presents to the emergency department due to excessive bleeding following a dental cleaning procedure. The patient's medical background includes the following:

No prior history of uncontrolled bleeding, easy bruising, or any bleeding disorders.
Recent fever 4-5 days ago but no other constitutional symptoms like weight loss or night sweats.
No symptoms of shortness of breath, chest pain, palpitations, dizziness, or gastrointestinal bleeding (such as vomiting, abdominal pain, hematuria, constipation, melena, hematochezia, or hemoptysis).
No signs of systemic disease, such as oral ulcers, joint pain or stiffness, rashes, alopecia, or dryness of eyes or mouth.
Medical and Surgical History:
No chronic illnesses or regular medication use.
Surgical history includes hernia repair 6 years ago.
No use of tobacco, illicit drugs, or alcohol.
Family History:
Unremarkable, with no known bleeding disorders.
Diagnostic Considerations:
Given the patient's presentation of excessive bleeding after a dental procedure, several potential causes need to be considered, including:

Coagulation Disorders: Although the patient does not report a history of bleeding disorders, acquired conditions (e.g., vitamin K deficiency, liver dysfunction, or medication-induced coagulopathy) must be considered.
Infection-Related Bleeding Tendencies: Given the recent history of fever, it is possible that an infection or sepsis is affecting the coagulation cascade.
Thrombocytopenia: Causes may include recent infection, immune thrombocytopenic purpura (ITP), or other hematologic disorders.
Vascular Abnormalities or Trauma: Minor trauma from the dental procedure may have led to excessive bleeding if there is an underlying vascular issue.
Medications or Supplements Not Disclosed: Though the patient denies medication use, potential undisclosed use of antiplatelets, anticoagulants, or supplements such as omega-3 fatty acids or herbal supplements that affect coagulation should be explored.
Systemic Diseases: Autoimmune diseases, such as lupus or other connective tissue diseases, can cause bleeding tendencies, though the patient does not present with symptoms like rashes, oral ulcers, or joint pain.
Recommended Diagnostic Workup:
To investigate the underlying cause of excessive bleeding, the following steps should be taken:

Complete Blood Count (CBC): To check for thrombocytopenia or signs of anemia.
Coagulation Studies: Including Prothrombin Time (PT), Partial Thromboplastin Time (PTT), and International Normalized Ratio (INR) to assess clotting function.
Liver Function Tests: To rule out hepatic causes of coagulopathy.
Renal Function Tests: To rule out uremia, which can also affect platelet function.
Infectious Workup: Blood cultures and inflammatory markers (e.g., CRP, ESR) if infection is suspected.
Review of Recent Medications or Supplements: To confirm there are no undisclosed medications or supplements that could contribute to bleeding risk.

sources: Medscape

If you think a heart-healthy diet means oatmeal and salads on repeat, think again! There are countless flavorful meals that support cardiovascular health. Cardiologist Dr. Tiffany Di Pietro shares what an average day of eating looks like for her:

General Dietary Guidelines: The Mediterranean Diet
Dr. Di Pietro follows the Mediterranean diet, which emphasizes vegetables, fruits, whole grains, seafood, olive oil, nuts, and seeds, while minimizing processed foods, red meat, and foods high in sodium or sugar. This diet has been scientifically shown to support cardiovascular health and reduce heart-related events.

A Typical Day of Eating for Dr. Di Pietro:
Breakfast: Dr. Di Pietro usually starts her day with low-fat Greek yogurt with granola or blueberries. Alternatively, she opts for whole grain toast with organic peanut butter and banana. Both options provide protein, fiber, and healthy fats, all of which are beneficial for heart health.

Lunch: Her lunch is typically vegan, often a salad packed with fresh produce. Plant-based meals are known to lower cholesterol and inflammation, both key for a healthy heart.

Snack: If she gets hungry between meals, she grabs a piece of fruit like a banana or apple, which is high in fiber and antioxidants.

Dinner: Dinner varies but often includes fish or lean proteins like ground turkey or chicken, accompanied by vegetables. She enjoys using herbs and spices for flavor, reducing the need for added salt. A family favorite is Moroccan tagine.

sources: Parade