Posts Tagged ‘Stroke’

My Stroke Experience

Monday, June 7th, 2010

Two years ago, I had a stroke. Fortunately, it was a mild one and I have completely recovered. I was lucky. but it was a sign from Above for me to modify my lifestyle and keep another stroke from happening to me. Here’s my story.

I’m 64 years old, 5′5" tall, weigh 190 pounds and have been treated for hypertension, high cholesterol, and high blood sugar. I’m a heart attack (or worse, a stroke) waiting to happen. I’ve been seeing a cardiologist for 20 years, and through increasingly better medications have got the high blood pressure and cholesterol under control. The Type-2 Diabetes is still a work in progress, but I’m still battling the diabetes, as it’s mostly a function of being overweight. My doctor says if I lost 30 pounds, the diabetes would most likely disappear. I already did that once and it did dissipate, but I gained the weight back. So the battle continues.

My Stroke

Now for the stroke. I had been taking my medication and my cholesterol was pretty good. For those of you don’t know exactly what causes a stroke, it’s caused by blockage in an artery that deprives the brain of oxygen. In most cases, as was the case with me, a small piece of placque broke off in my artery and was blocking some of the blood from getting to my brain.

I had been going through a very stressful  period with my business–a start up company that I was trying to raise money for, but was using my own personal funds and borrowing on the equity in my house. My partner, a former friend, controlled the company and made all the final decisions. Problem was that he was incompetent and was ruining any chance we had to succeed.I had corporate credit cards that I was paying off on my own because the company had no money. I couldn’t make the  payments on the corparate cards and the collection agencies were calling to collect their money. My partner had no money and refused to take responsibility for them, and since I had co-signed for them, I was on the hook. Needless to say, I was extremely angry and would totally lose it when a collection agency called and tried to collect their money.

I had an extremely heated exchange with one of the collection agencies one evening, slammed the phone down and went to bed. Sleeping was difficult but I finally dozed off. I woke up about five in the morning to go to the head and when I got out of bed, my legs felt very heavy–unusually so. But I managed to trudge off in the direction of the bathroom and everything was ok. I came back and went back to sleep for another hour and then got up for good. My feet, especially my right one, still seemed sluggish. I just figured I was still half asleep and didn’t think anything was wrong. I made coffeee, read the paper, then went downstairs to my office.

I’m not a very good typist, but I was having more difficulty than usual with my typing. So I stopped and went upstairs. As I was climbing the stairs, I tripped. My right foot hadn’t cleared the stair. Now I was starting to thinks something was wrong. But I continued up the stairs, had a light breakfast, then returned to my basement office. I typed a few emails, then returned upstairs a second time. I tripped again. Same thing happened. My right foot failed to clear the stair. So then I started to think that something was wrong, but I dismisssed it as I felt all right.

I had to take the dog for his walk. He did his duty in a neighbor’s yard. The yard had an incline in it where he had gone,and as I was squartting down to bag it, I lost my balance and fell on my side. And for several seconds I struggled to get up. But I finally did. Now I was worried. I felt absolutely no pain, but was obviously having a problem with my balance. So I called my doctor and he said I better come in right away. I drove to his office about ten minutes from my house, and he did an examination, tested my reflexes, heard my story, and told me to go to the hospital because he thought I had a stroke. He offered to drive me there, but I insisted I could drive myself, which I did, It was also about ten minutes away.

I checked into the emergency room, which was crowded. My doctor had called them and told them why I was coming in. I waited onlty about five minutes and was ushered back into one of the examination rooms. I took some tests, and the doctors there all thought I had had a stoke, which the tests later confirmed. They kept me in the hospital for more tests and examinations and treatments for several days.

It turns out my stroke was a mild one. One level above a TIA, which by definition is a stroke whose symptoms last for only 24 hours. Mine lasted longer, but mostly disippated after 72 hours. I basically had weakness in my right extremeties. The doctors would come to see me every three hours to check my vital signs, and they would tell me to squeeze their hand using my right hand to test my strength. They’d also test the strength of my right leg by asking me to push it against their hands and thighs. The most noticeable symptom I had was a lack of balance on my right side.  Walking across the room toe-to-heel was a challenge. But I got better each day and was discharged after 72 hours.

I had all sorts of expensive tests (fortunately I have a good health care plan)–MRI, sonar imaging, and others I can’t even remember. They concluded I had blockage in my carotid arteries (which my father also had–a heriditary factor), and I had a sonar imaging test on each carotid. The technician puts a sonar device on your neck and it creates an image on a screen of what your artery looks like, including any obstructions from placque build up. I had 35% blockage in one and 55% in the other, which was the artery where the blockage had caused my stroke.

The doctors said surgery was a possibility but it was premature. If the blockage had been 75% or greater, surgery would have been necessary. They advised me to modify my diet, get back on a regular exercise program, take an aspirin daily (it thins the blood), and check in with my doctor in three months. If anything developed, I was supposed to get back in touch with the neurological team at Evanston Hospital, where I live. They also said what might have triggered the stroke was my high-stress exchange on the phone with the collection agency. I got me so pumped up that my blood pressure probably dislodged a speck of the placque in my carotid artery.

So that’s my story. I was lucky. I knew I was in a high risk cardiovascular category and was more aware than perhaps the average person might be of potential problems like stroke or a heart attack. If you’re still reading this, I hope this has helped you understand what a stroke can feel like. There’s one VERY IMPORTANT thing you should remember. The sooner you get to a doctor if you think you’re having a stroke, the better your odds of  surviving one if in fact you are having a stroke. Don’t delay or ignore the fact that something is happeneing to your body. It’s better to be safe than sorry! Take it from me!

  

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    The Risks of the Maze Procedure

    Monday, March 8th, 2010

     

    A lot of people misunderstand the causes and potential side effects of atrial fibrillation (commonly known as Afib). Even among those who have coped with the disorder for years, there is a mistaken belief that the condition is harmless. In reality, it is not.

    It can lead to stroke, heart failure, and other consequences.

    To review, Afib is characterized as an erratic discharge of rapid electrical impulses that spread across your heart’s atria (i.e. the two upper chambers). Rather than contracting in sync with your heart’s ventricles (i.e. the two lower chambers), the atria flutter – or fibrillate. In some cases, the disorder causes no noticeable symptoms. In other cases, the patient might be at risk of experiencing medical events that can be life-threatening.

    In this article, we’ll explore some of the dangerous risks involved with not addressing atrial fibrillation. We’ll also detai an operation known as the maze procedure that a growing number of surgeons are using to help solve the problem.

    The Risk Of Stroke

    A stroke is caused by blood clots that clog one of the arteries of the brain. Clots rarely form in these arteries; instead, they form elsewhere, break away, and travel along your bloodstream.

    Atrial fibrillation can result in the pooling of blood with one or both of your atria. As a result, the blood begins to clot. As long as the clots remain inside the atria, they pose little danger. However, they can break away and move through your ventricles on their way to the aorta.

    Blood flows from your heart into the aorta and toward your brain. The clots and then travel through your bloodstream until they reach and clog a major artery. That produces a stroke. Common symptoms of a stroke can include partial paralysis, eye problems, and difficulty remembering things.

    The Risk Of Heart Failure

    Heart failure occurs when the heart muscle is overworked to the point of exhaustion. This can happen for a number of reasons, including coronary artery disease, diabetes, and of course, atrial fibrillation. In the latter case, the rapid electrical signals cause the atria to flutter so quickly that they eventually wear themselves out and weaken the heart. That reduces your heart’s ability to pump blood effectively throughout your body. As a result, the heart muscle becomes enlarged and is further weakened.

    Secondary Side Effects

    The reduced ability of your heart muscle to pump oxygen-rich blood to your tissue and organs can produce a number of secondary side effects. For instance, your lower extremites (i.e. ankles and feet) may begin to swell. Moreover, it’s quite common for the abdomen to also begin expanding.

    Depending on the severity of the Afib-induced heart failure, you may experience a level of organ damage. This is due to your organs not receiving a sufficient supply of oxygen-rich blood.

    You might also develop a persistent cough and shortness of breath if the condition produces excess fluid around your lungs. Unless Afib is resolved, these side effects can become permanent.

    Maze Procedure To Resolve Afib

    The most common method for addressing atrial fibrillation is the maze procedure. This is an operation during which your surgeon will create incisions or use catheter ablation to produce a maze of scar tissue across the surface of your atria. Scar tissue cannot conduct electricity. By creating this path, your surgeon can disrupt the erratic patterns of the electrical impulses. In effect, the surgeon is able to guide the signals along a defined path, thereby eliminating the fluttering and restoring a uniform rhythm for your heartbeat.

    Atrial fibrillation can remain undetected for years. This has been attributed to many patients never seeking treatment. The problem is, the conditin can be very risky, depending on the severity of the case. If you suspect you have Afib, consult your doctor regarding whether the maze procedure is an appropriate solution for your circumstances.

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    Diagnosing And Treating A Stroke

    Tuesday, May 19th, 2009

    If you or someone you know is having a stroke, a quick diagnosis and treatment might mean the difference between life or death or a permanent paralysis if the stroke victim survives. So it is essential that you know the signs of a stroke.The odds of not only surviving a stroke but recovering from one are dramatically increased if you get the stroke victim to a hospital within three hours of the attack.

    First, some facts about strokes and who is most likely to suffer one. Every minute, someone in the United States has a stroke. Of the 750,000 victims each year, one-third die, and another third suffer permanent paralysis, loss of speech or memory lapses.

    Strokes are caused by a lot of factors, but a stroke occurs when the brain is deprived of blood due to a blockage in the carotid artery or a plaque particle breaking away from the walls of the carotid artety and lodging in the brain, depriving it of the blood it needs to nourish the body.

    signs of a stroke

    Persons who are at risk for stroke are:
    1) Hereditary–If a person comes from a family where other memebers have suffered strokes.
    2) Gender–Women are more likely to have a stroke than men.
    3) Age–The chance of having a stroke approximately doubles for each decade of life after age 55.  While stroke is common among the elderly, a lot of people under 65 also have strokes.
    4) Race–African Americans are more likely to have one than are Caucasians.
    5) Prior Diseases–Sickle cell anemia. Sickled red blood cells are less able to carry oxygen to the body’s tissues and organs. They also can stick to the walls of the blood vessels, which can block arteries to the brain, causing a stroke.
    6) Prior Stroke Victims– Also, persons who have already had a stroke before or a TIA, a mini-stroke with no permanent damage,are much more likely to have another stroke.

    Signs of A Stroke

    Doctors say a bystander can recognize a stroke by asking the victim four simple questions:

    1.) Ask the individual to SMILE. If the person is having a stroke, the smile will be crooked.
    2.) Ask the person to TALK and SPEAK A SIMPLE SENTENCE (Coherently).I.e., "it’s sunny out today." Persons suffering a stroke will have difficulty doing this.
    3.) Ask him or her to RAISE BOTH ARMS.He’l be able to raise only one.
    4.) Ask him to STICK OUT HIS 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.

    Additional signs of a TIA, or mini-stroke, include a feeling that one leg or arm is heavier than the other and walking or climbing stairs is difficult.The victim might fall as he climbs the stairs because one leg just didn’t clear the stair all the way, resulting in tripping. The victim loses his or her sense of balance and might even fall over and then have difficulty getting up.

    If this happens to you or someone you’re with, call 911 or go to the hospital immediately and tell the receptionist you’re suffering from possible stroke symptoms.You’ll immediately be taken into the medical ward and be given tests to determine if it is a stroke and immediate treatment. And congratulations! You’ll likely survive and escape any permanent damage.

    If the stroke victim is someone you’re with, he might try to resist going to the hospital, telling you he really feels ok or it isn’t that bad. I know about this. I have an uncle who is so stubborn that he’d likely refuse going to the hospital.That’s hooey! That’s why we’re giving you this little telltale test. No matter how much the victim objects, get him to the hospital–call another friend who can come over right away and try to talk some sense into him. If you call 911 and they talk to the victim and feel he’s having a stroke, they’ll be there shortly for sure!

    But, remember, if this happens as I’ve described and it’s "only" a TIA, you have been given a warning and need to take preventative measures to ensure you’ll live your full life. Take it from me, because it happened to me.We’ll talk more about preventative measures on future posts.

    Published by Heart Wellness Store
     

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