Monday, June 04, 2012

Diabetes and Strokes: Being Prepared

By Dr. Bill Quick, Health Pro Sunday, February 14, 2010
I'm a believer now. Until this past Saturday, I honestly didn't think that the standard advice for stroke patients to get treated with the "clot-buster" drug would ever be feasible. Why? Because the drug (Tissue Plasminogen Activator or "tPA") must be given within three hours of the stroke. What wou...
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Gretchen Becker, Health Guide
2/15/10 11:16am

Bill, How great you were there and able to diagnose the stroke so quickly! I'm so glad your wife is OK.

2/15/10 10:58pm

December 12th, I was on the phone with my 89-year-old mother (me in Portland, her in Minneapolis) when she began speaking gibberish. Holding her on the landline in one hand while speaking gently to her, I grabbed my cell phone and called the paramedics near her in the other. The process worked here, too. She already had some dementia, but in spite of end-stage renal failure, she is coming back from the stroke amazingly well.

Anonymous
Steve Parker, M.D.
2/16/10 10:05pm

How do you tell the difference between a Transient Ischemic Attack and a stroke in the beginning stages? 

 

TIA's resolve, by definition, within 24 hours; usually much more quickly. And they resolve without any treatment.

 

[Just a reminder: the common types of strokes often do not show up on a CT scan during the first 24 hours of symptoms.  So the CT of an acute stroke looks the same as the CT of a TIA.]

 

-Steve

2/18/10 7:34pm

A week ago I went to the emergency room after suffering what I thought was a stroke or TIA.  On Wednesday, I noticed my lip starting to get numb.  I didn't pay much attention to it because I've had similiar instances when my lips and fingertips tingle and get numb.  That sometimes happens when my thyroid is out of whack.  By Thursday, the right side of my face from my jaw to the tope of my head was numb. I have no other symptoms other than that.  I was given a cat scan and had some blood drawn and sent home without any diagnosis.  At the time, I tried to get in to see my primary care doctor to no avail.  A week later I'm still numb.  Finally got to see her today and she thinks the numbness is due to my diabetes (type 2).  I admit my sugar count has been high and my A1C is 8.2.  I am scheduled to see a neurologist in three weeks.  Has anyone else had this problem and if so how long did it last?  Scary, since both my mother and grandmother died as a result of a stroke.

2/18/10 7:43pm

So happy for you and your wife. What are the chances? Congratulations for your quick (no pun intended) and effective action.

Mellow

2/19/10 12:55pm

Dr. Quick

We at Franklin Square Hospital are glad that, if your wife had to experience this stroke, it happened when you were in the vicity of a Magnet Hospital with National Stroke Certification.  Both of these credentials assure patients that they will receive excellent care from highly skilled professionals in a timely manner. 

 

Anonymous
Amega Global
3/ 4/10 8:26am

Good thing your wife was able to make it. Congratulations. :)

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By Dr. Bill Quick, Health Pro— Last Modified: 10/11/11, First Published: 02/14/10