THIS IS IMPORTANT ENOUGH TO SHARE WITH EVERYBODY .
>
>
>
> New Sign of a Stroke.........Stick out Your Tongue.
>
> STROKE: Remember The 1st Three Letters.. S.T.R.
>
> STROKE IDENTIFICATION:
>
>
>
> During a BBQ, a friend stumbled and took a little fall - she assured
> everyone that she was fine (they offered to call paramedics) and just
> tripped over a brick because of her new shoes. They got her cleaned up and
> got her a new plate of food - while she appeared a bit shaken up, Ingrid
> went about enjoying herself the rest of the evening. Ingrid's husband
> called
> later telling everyone that his wife had been taken to the hospital - (at
> 6:00pm , Ingrid passed away.) She had suffered a stroke at the BBQ.
Had
> they
> known how to identify the signs of a stroke, perha ps Ingrid would be with
> us today. Some don't die. They end up in a helpless, hopeless condition
> instead.
>
>
>
> It only takes a minute to read this...
>
>
>
> A neurologist says that if he can get to a stroke victim within 3
> hours he can totally reverse the effects of a stroke...totally. He said
> the
> trick was getting a stroke recognized, diagnosed, and then getting the
> patient medically cared for within 3 hours, which is tough.
>
>
>
> RECOGNIZING A STROKE
>
>
>
> Sometimes symptoms of a stroke are difficult to identify.
> Unfortunately, the lack of awareness spells disaster. The stroke victim
> may
> suffer severe brain damage when people nearby fail to recognize the
> symptoms
> of a stroke.
>
> Now doctors say a bystander can recognize a stroke by asking three
> simple questions:
>
>
>
> S * Ask the individual to SMILE.
>
>
>
> T * Ask the person to TALK to SPEAK A SIMPLE SENTENCE(Coherently)
> (i.e. It is sunny out today)
>
>
>
> R * Ask him or her to RAISE BOTH ARMS.
>
>
>
>
>
> NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick'
> out their
>
>
>
> tongue. If the tongue is 'crooked', if it goes to one side or the
> other
>
>
>
> that is also an indication of a stroke. If he or she has trouble with
>
>
>
> ANY ONE of these tasks, call 911 immediately !! and describe the
>
>
>
> symptoms to the dispatcher.
>
>
>
>
>
New signs of a stroke
Moderator: Available
"A neurologist says that if he can get to a stroke victim within 3 hours he can totally reverse the effects of a stroke...totally. He said the trick was getting a stroke recognized, diagnosed, and then getting the patient medically cared for within 3 hours, which is tough."
This is mostly true, or optimistically true. Patients who immediately call 911 and get to the ER and have a head CT done, and have no other reason NOT to get a clotbuster drug (a variety of things make one higher risk for bleeding from it) are eligible to receive it (tpa) within 3 hours of onset. It's hard to give. Woke with your symptoms or not sure? No treatment. Got there at 2:30? Won't have time to get treated before 3 hours probably.
And, the drug shifts the outcomes for the better. The average treated person is more independent with less deficits than the average untreated person; it doesn't mean that treatment = cure, benefit or even survival. For individuals, the drug may save, injure, help or do nothing. It's dicey either way.
Look for acute (basically sudden) onset of:
--focal weakness (eg, half a body, or an arm, half a face (assymetry))
--change in mental status (confusion, inability to speak or understand, level of awakeness)
--balance and coordination
--"the worst headache of your life" indicates a bleed and while a brain emergency, totally different. Strokes don't hurt.
A smile, a sentance, and test of ability to stand legs together with arms palm up and in front of the patient is a good start (look for drifting down and palm-downing of an arm). Ask if vision changed.
Other easy stuff to check in seconds includes ability to flex and extend the elbows, shrug the shoulders, grip, and bend and straighten the knee and hip, and lift the toes/step on the gas. You can also see if the patient hears symmetrically, can turn the head either side, ad keeps their eyes pointed the same way if they look left/ right and up/down. All motor tests are against resistance.
Better than treating stroke is avoiding it.
Get your blood pressure checked and TAKE YOUR MEDICINE.
Ask your doctor if you need ASPIRIN or CHOLESTEROLG DRUGS.
If you have atrial fibrillation (check your pulse--unpredictable and irregular?) you generally need to take COUMADIN, a blood thinner.
Control your diabetes.
If you have temporary stroke symptoms, go to the ER anyway. Stroke risk is high for days to weeks. Treatable causes may be present (eg, narrow arteries to brain in need of surgery).
This is mostly true, or optimistically true. Patients who immediately call 911 and get to the ER and have a head CT done, and have no other reason NOT to get a clotbuster drug (a variety of things make one higher risk for bleeding from it) are eligible to receive it (tpa) within 3 hours of onset. It's hard to give. Woke with your symptoms or not sure? No treatment. Got there at 2:30? Won't have time to get treated before 3 hours probably.
And, the drug shifts the outcomes for the better. The average treated person is more independent with less deficits than the average untreated person; it doesn't mean that treatment = cure, benefit or even survival. For individuals, the drug may save, injure, help or do nothing. It's dicey either way.
Look for acute (basically sudden) onset of:
--focal weakness (eg, half a body, or an arm, half a face (assymetry))
--change in mental status (confusion, inability to speak or understand, level of awakeness)
--balance and coordination
--"the worst headache of your life" indicates a bleed and while a brain emergency, totally different. Strokes don't hurt.
A smile, a sentance, and test of ability to stand legs together with arms palm up and in front of the patient is a good start (look for drifting down and palm-downing of an arm). Ask if vision changed.
Other easy stuff to check in seconds includes ability to flex and extend the elbows, shrug the shoulders, grip, and bend and straighten the knee and hip, and lift the toes/step on the gas. You can also see if the patient hears symmetrically, can turn the head either side, ad keeps their eyes pointed the same way if they look left/ right and up/down. All motor tests are against resistance.
Better than treating stroke is avoiding it.
Get your blood pressure checked and TAKE YOUR MEDICINE.
Ask your doctor if you need ASPIRIN or CHOLESTEROLG DRUGS.
If you have atrial fibrillation (check your pulse--unpredictable and irregular?) you generally need to take COUMADIN, a blood thinner.
Control your diabetes.
If you have temporary stroke symptoms, go to the ER anyway. Stroke risk is high for days to weeks. Treatable causes may be present (eg, narrow arteries to brain in need of surgery).
--Ian
-
Bill Glasheen
- Posts: 17299
- Joined: Thu Mar 11, 1999 6:01 am
- Location: Richmond, VA --- Louisville, KY
It's true of everything! 
Strokes come in several varieties:
1) Bleeds: controlling your blood pressure is good, but taking an aspirin obviously won't help. Also, statins (the best drugs for reducing plaque on blood vessels) appear to increase the risk (but not as much as they help with other strokes).
2) Atherosclerotic strokes, where plaque at the site and narrowing causes a blood clot to form. This is the one where blood pressure AND aspirin (for some) helps. It's "normal" to see a bunch of small strokes on a scan of an older brain.
3) Embolic strokes, where something breaks off, floats to the brain, and blocks the artery there. The major sources are:
--atrial fibrillation, treated with coumadin so clots don't form in the heart and float out
--diseased arteries in the neck that are narrowed and encourage clots--surgery may be the best option
--diseased arteries with plaque anywhere along the way from heart to brain where plaque can break off and float up, treated as you would #2
A long list of other less common diseases cause other kinds of embolic and ischemic strokes.
Strokes come in several varieties:
1) Bleeds: controlling your blood pressure is good, but taking an aspirin obviously won't help. Also, statins (the best drugs for reducing plaque on blood vessels) appear to increase the risk (but not as much as they help with other strokes).
2) Atherosclerotic strokes, where plaque at the site and narrowing causes a blood clot to form. This is the one where blood pressure AND aspirin (for some) helps. It's "normal" to see a bunch of small strokes on a scan of an older brain.
3) Embolic strokes, where something breaks off, floats to the brain, and blocks the artery there. The major sources are:
--atrial fibrillation, treated with coumadin so clots don't form in the heart and float out
--diseased arteries in the neck that are narrowed and encourage clots--surgery may be the best option
--diseased arteries with plaque anywhere along the way from heart to brain where plaque can break off and float up, treated as you would #2
A long list of other less common diseases cause other kinds of embolic and ischemic strokes.
--Ian
-
Bill Glasheen
- Posts: 17299
- Joined: Thu Mar 11, 1999 6:01 am
- Location: Richmond, VA --- Louisville, KY
There is a certain class of hemorrhagic stroke that's a bird of another feather. Some folks are born with bad genes, and end up with weak or weakened blood vessels in various parts of the body. If you're damn lucky, these aneurisms get discovered before they burst. But sometimes a blood vessel is going to burst in an otherwise healthy individual. It's rare, but it happens.
On that note... It's a REALLY good idea to learn proper breathing during your training. Particularly during resistance training, it's important not to Valsalva. That would be holding the breath and straining (a la red-faced strain). That's just plain not good for you. If you're lucky, you don't have any weak vessels anywhere in your body. But over time, that kind of wear-and-tear isn't good for you.
There is an association between certain athletes who train in a certain fashion (e.g. power lifters who use trunk support) and strokes/CVD. Let's just say that the proof there is in the putting.
- Bill
On that note... It's a REALLY good idea to learn proper breathing during your training. Particularly during resistance training, it's important not to Valsalva. That would be holding the breath and straining (a la red-faced strain). That's just plain not good for you. If you're lucky, you don't have any weak vessels anywhere in your body. But over time, that kind of wear-and-tear isn't good for you.
There is an association between certain athletes who train in a certain fashion (e.g. power lifters who use trunk support) and strokes/CVD. Let's just say that the proof there is in the putting.
- Bill
