• Stroke

    Stroke is a treatable condition. The treatment for stroke is much more effective if it’s given early. If patients can recognize the warning signs of stroke and act early, the outcomes are better. The hallmark of stroke is the sudden onset of symptoms, and there are five major symptoms that people should be aware of.

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    Dr. Dean Johnston, MD, MHSc, FRCPC, Neurologist, discusses Role of a Neurologist if you have Suffered a Stroke.
    Dr. Dean Johnston, MD, MHSc, FRCPC, Neurologist, discusses Role of a Neurologist if you have Suffered a Stroke.
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    Cirelle K. Rosenblatt, PhD, RPsych, discusses stroke signs and symptoms.
    Cirelle K. Rosenblatt, PhD, RPsych, discusses stroke signs and symptoms.
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    Dr. Dean Johnston, MD, MHSc, FRCPC, Neurologist, discusses What Medications are Right for Stroke Patients.
    Dr. Dean Johnston, MD, MHSc, FRCPC, Neurologist, discusses What Medications are Right for Stroke Patients.
  • Diagnosing A Stroke

    Stroke is a treatable condition. The treatment for stroke is much more effective if it’s given early. If patients can recognize the warning signs of stroke and act early, the outcomes are better. The hallmark of stroke is the sudden onset of symptoms, and there are five major symptoms that people should be aware of.

                            

    Those are the sudden onset of numbness or weakness affecting the face or the extremities; the sudden onset of speaking difficulty; the sudden onset of difficulty with vision, double vision or loss of vision, for example; the sudden onset of severe headache; the sudden onset of imbalance, sometimes dizziness experienced by patients.

    The diagnosis of stroke is made first off by a physician taking a history and examining the patient. In the situation of a stroke, this is usually done very rapidly. This will be followed quickly by a CT scan or a CAT scan of the brain, possibly blood tests, and possibly a cardiogram. The initial severity of the stroke will often determine whether the patient will recover or not. However, with modern treatments and ongoing rehabilitative supportive care, patients can recover quite well from initially severe strokes.

    Once the patient has been assessed in the emergency room, a diagnosis is then made as to the type of stroke, and whether or not the stroke is treatable. This can only be done in an emergency room. Subsequent decisions about treatment will be made by a physician and the patient or patient’s family, and these need to be made rapidly.

    If patients have symptoms of stroke, they should seek immediate medical attention. If they’re not having symptoms, but simply have questions about stroke, warning signs and risk factors, they should speak to their local cardiologist.

    Presenter: Dr. Dean Johnston, Neurologist, Vancouver, BC

    Now Health Network Local Practitioners: Neurologist

  • The Symptoms of Stroke and The Need For Immediate Treatment

    Stroke symptoms depend on the part of the brain that’s affected. Sometimes stroke symptoms are transient, meaning they will resolve after a few minutes or up to an hour. And we call this a transient ischemic attack, a TIA, or some patients will call it a mini stroke. And sometimes they will be persistent. It’s impossible for patients to know whether these symptoms will resolve or not at the onset, and therefore, any patient or an individual who’s experiencing stroke symptoms, should seek immediate medical attention.

    Many people who suffer stroke will not recover from the effects of a stroke. About one in five people who suffer a stroke will end up in a long-term care facility, requiring assistance for the rest of their lives.

    About two out of those five patients who suffer a stroke will have some form of disability, such that they will require assistance for things that they take for granted in their everyday life now. Only one of those five patients will escape a stroke with little or no disability.

    If you think you are experiencing the symptoms of a stroke, you must seek immediate medical attention. If you have questions about stroke, you should discuss that with your family doctor. Often seeing a local family physician or a physiotherapist in conjunction with a registered dietitian and athletic therapist is a great option to take control of this condition. Smart Food Now and exercise is also optominal for overall health. 

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