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Wednesday, October 20, 2004

recognize a stroke

          I had a patient recently that came in with his wife because he was suddenly seeing double. He could not touch my finger accurately with his finger while either eye was covered (so he didn't see double). I referred him immediately to his primary care physician and to the emergency room for an MRI.
          He was in the process of "stroking". Fortunately he received the help he needed and avoided paralysis and/or death. It is important that when one suddenly notices change of speech, double vision, or loss of motor control; that impending stroke needs to be ruled out quickly. Sincerely Dr. Mike Wesson.
          Recognizing a stroke: This might be a lifesaver if we can remember the three questions!  It was sent to me by a nurse, whose husband is a medical doctor. I had never heard this advice before and hadn't a clue. Perhaps you hadn't either and would like to file it away in the back of your head. Sometimes symptoms of a stroke are difficult to identify. Unfortunately, the lack of awareness spells disaster. The stroke victim may suffer brain damage when people nearby fail to recognize the symptoms of a stroke.
          Now doctors say any bystander can recognize a stroke asking three simple questions:
          1  * ask the individual to smile.
          2  * ask him or her to raise both arms.
          3  * ask the person to speak a simple sentence.
          If he or she has trouble with any of these tasks, call 9-1-1 immediately and describe the symptoms to the dispatcher. After discovering that a group of nonmedical volunteers could identify facial weakness, arm weakness and speech problems, researchers urged the general public to learn the three questions. They presented their conclusions at the American Stroke Association's annual meeting last February. Wide spread use of this test could result in prompt diagnosis and treatment of the stroke and prevent brain damage."
          Remember the person you save may be your parent, your child, your spouse, or your friend.  Lets hope it never happens around you but if it does, will you remember the questions?
 

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