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strokes

13 years ago

Thought I'd post something on this topic as kind of a "public service announcement". Learn the warning signs of stroke and if you or anyone you know has any of them, call 911 ASAP. Don't go lay down and hope to wait it out until you feel better as my husband was about to do on Wednesday night.

The stroke hit him about 6pm - while I was out of town on a business trip and he was home alone. He's one of those people who is the last you'd imagine to have something like this - the picture of health and fitness with no risk factors (other than family history). Mid-50s, totally healthy, fit and trim, runner, healthy eater, low cholesterol, low blood pressure, etc.

Through some sort of divine intervention, I happened to call him about 10 minutes after the stroke. First call he dropped the phone and I had to call back after it disconnected. Fortunately he managed to talk to me the second time around but I could tell he wasn't talking clearly - like someone who was severely intoxicated (which I knew he would not be). He also told me he was having difficulty standing and I immediately thought he must be having a stroke and told him to call 911 ASAP. He did manage to do that, though I called another friend and asked them to call too because I wasn't sure he could make the phone call.

It's a long dramatic story but I'll cut to the happy ending. He was fortunate to get medical attention quickly after the incident and was taken by ambulance to a leading stroke center. Because the stroke was caused by a clot in his brain (vs. bleeding) and because of his otherwise good health he was able to receive TPA - a very powerful "clot busting" drug.

This drug has risk of severe side effects and a small % of people get worse rather than better but TPA can be very effective in limiting and reversing the brain damage caused by an ischemic (clot) stroke under the right circumstances. The drug needs to be administered within three hours of the stroke so time is of the essence.

DH began his miraculous recovery within minutes of receiving the drug and by the next morning appeared to be completely back to normal. This after he wasn't able to stand up or formulate a coherent sentence. Today we are still unable to wrap our heads around the fact he is "well" instead of dead or severely disabled.

So moral of the story - strokes can happen to anyone including those you least expect. It's so important to the outcome of a stroke to get medical attention immediately. Don't wait thinking it will pass - call 911 ASAP if you or someone you know experiences any of these symptoms of stroke:

- Sudden numbness, tingling, weakness, or loss of movement in your face, arm, or leg, especially on only one side of your body.

- Sudden vision changes.

- Sudden trouble speaking.

- Sudden confusion or trouble understanding simple statements.

- Sudden problems with walking or balance.

- A sudden, severe headache that is different...

Comments (15)

  • 13 years ago

    Wow, what a series of events. I am glad he is on the mend.

    My former grad student, who is about my age (late 40's), had a stroke a year and a half ago, and, unfortunately, is still having a few complications from it though she has been able to work. She was healthy, not overweight, and taught aerobics and water aerobics. She did, however, have migraines with aura, and that is also a risk factor.

  • 13 years ago

    When I worked at a hospital, they often mentioned the "golden hour" related to stroke or head injury. The faster you get help, the more likely you are to survive and recover. Never ignore symptoms. My father knew he had a bruit ( a humming sound in a blood vessel of the neck that indicates a narrowing of the vessel) and he ignored it. How did he know he had it -- he was a doctor and could hear it with his stethoscope. Thinking he was Superman, he just let it go. Then he had a stroke, which was made worse by an angioplasty that knocked loose some plaque, causing a more severe stroke. It was just awful. He had no use of half of his body for five years before his death.

    He also had had a TIA, where his speech was garbled before the bigger stroke. Ignored it.

    So -- listen to Gibby! Do not ignore the symptoms of a stroke and get yourself to the ER fast. Don't wait to see your own doctor. You need to get there within that Golden Hour. Honestly, the people in the ER will not think you are a bother or being paranoid.

  • 13 years ago

    I suspect my mother also had a TIA before her 'big' stroke. She didn't tell anyone or go to the doctor either. I think older people tend to 'not want to know' or discount those when they could probably avoid a more severe stroke if they would just tell the doctor. My dad called our neighbor (a doctor) in PA when the severe one hit and he knew immediately that she was having a stroke. I guess they didn't call him in time for her to get the meds within that time frame. Since every one of my relatives has died of a stroke, I do think family history must have a huge impact.

    I agree with dedtired and gibby, don't ignore!

  • 13 years ago

    Oh and I am so glad your husband is fine, Gibby! I love happy endings.

  • 13 years ago

    What a miracle, Gibby! Your dh is so lucky that you called right at that time.

    Thank you for the reminders. I think it's also a good idea to take some aspirin if something like that is happening. Not sure if it interferes with administering other meds at the hospital.

    Did your husband by chance not take some aspirin daily or was he using that preventative?

    I'm sure you will beware of a general cardiovascular problem with him from here out but it sounds like he is already on a good path taking care of himself. Often there is one event before another larger one. Not to scare you more, but just to point it out if there's anything else he can do to prevent something like that.

    Doctors do say that good habits can gradually over time undo the effects of bad ones in the past.

    This post was edited by snookums2 on Sun, Feb 17, 13 at 16:43

  • 13 years ago

    Wow. What a great outcome. You two are blessed. Really? What perfect timing!!!

    'Mom' has Heart Failure, Afib with renal damage. She has been under the weather for three weeks... Had to run her to hospital for dehydration shortly after my Florida trip. We had an Eco cardio gram last week but still waiting to hear from the Doctor (!!???).

    She is always confused, doesn't walk well (some days are worse than others) and hates drinking fluids. I have to force her to drink while I stand and watch her. Stroke and dehydration often mirror the same symptoms, as far as I can tell. Can't wait for the Dr to call. I phoned him twice Friday but he didn't respond. I'm frustrated because they canceled her first Cardio gram and pushed it out 9 days. She had it last Tuesday and I have yet to hear anything...

    We had a gastro bug go through the house Friday and Saturday. I was only able to bark orders to DH. " Make her drink pedalite.,". "Give her water and watch her dink it..." "What color is her urine?". Poor DH.

    Today she is still dehydrated but holding everything down. Feeding her celery and other water bearing foods along with Smart Water.

    Sorry to take over the thread but I am wondering if anyone can tell me how to know if it's a stroke or dehydration? It seems dehydration can lead to stroke...
    Also, she is taking water pills for her heart. Seems like an oxymoron to make her take water pills when she is dehydrated...

    (So many questions for the absent Dr.)

  • 13 years ago

    SLARS (my own acronym) - Smile, lift arms, repeat sentences. You could think of it as the classic stroke symptom: slurs speech. Or SLURS, lift up (arms).

    3-step stroke test:

    1. Bystander told the patients, "Show me your teeth." The "smile test" is used to check for one-sided facial weakness -- a classic sign of stroke.

    2. Then the patients were told to close their eyes and raise their arms. Stroke patients usually cannot raise both arms to the same height, a sign of arm weakness.

    3. Finally, the patients were asked to repeat a simple sentence to check for slurring of speech, which is another classic sign of stroke. "In Cincinnati, the researchers asked patients to say, 'The sky is blue in Cincinnati,'" says Brice. But in the study, the researchers varied four simple phrases such as "Don't cry over spilled milk."

    Another article on the test: article on stroke test for laypeople>

    Here is a link that might be useful: 3-step stroke test

    This post was edited by snookums2 on Sun, Feb 17, 13 at 18:05

  • 13 years ago

    Gibby--glad you called when you did and glad dh got tpa in time.

    He is a lucky man.

    Thanks for sharing your story and educating us.

  • 13 years ago

    I got chills reading your post, gibby. How scared you must have been not being able to be with him while all of this happened. I definitely believe it was divine intervention that you called him then.

    So happy he's ok. Will keep you and DH in my prayers.

  • 13 years ago

    The acronym used by the National Stroke Association is FAST, which is easier to remember than snookums' acronym.

    Face - ask the person to smile. Does one side of the face droop?
    Arms - ask the person to raise both arms. Does one drift downward?
    Speech - ask the person to repeat a simple phrase. Is their speech slurred or strange?
    Time - if you observe any of these signs call 9-1-1 immediately.

    My ex-BIL had a stroke while seeing a patient, who lucky for him, knew FAST.

    Wow Gibby, what an incredible thing that you were on the phone with your husband. I'm so happy for you and your husband that it worked out as it did.

  • 13 years ago

    Well, I just made up something quick so people might be able to remember the test. Surprised the official one wasn't part of the article. I will be lucky to remember either, I think, and hopefully will simply remember the steps, which are pretty simple. Hope to never be in that position! When in doubt, always call 911 and don't play doctor.

  • 13 years ago

    Gibby, what an ordeal. Thanks for the useful information, though I'm sorry it's now based on your first-hand experience. Hoping your DH recovers completely and never has an episode again.

  • 13 years ago

    Goldust,
    My Mom lived with Afib for 10 years and had very severe side effects from the drugs she was prescribed. She would always feel nauseas and would land up in the hospital for weeks. Once the Cardiologist she insisted on staying with left the practice and went out of state, we were able to switch Doctors. It was a blessing.

    He took her off the medication that was controlling her heart beat and making her very ill. He treated her irregular hearbeat as normal since she had such an extreme reaction to the medication that controled her heartbeat .She no longer required multiple hospitalization per year.

    My point is her symptoms could be a result of one of her medications specifically blood pressure medication.

  • 13 years ago

    Great information. So glad you had a happy ending.

  • 13 years ago

    Gibby,
    How terrifying.
    I am so glad to hear that everything was done and your DH is well. One of those bad situations where the stars align so that every possible piece fits properly into place and the outcome is optimal.

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