Doctor insights on:
Exercise Bike For Stroke Patient
Great value: A nurse presence in the home can provide support for feeding, dressing, cleaning, and other activities of daily living. Extremely helpful during the process of rehab, as many patients will be unable to take care of themselves a visiting nurse in the home setting can allow other family members to pursue their individual responsibilities. ...Read more
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
F/u with Neurologist: Take him to the neurologist who may try medicines for neuropathic pain like lyrica, (pregabalin) Gabapentin or others. Otherwise take him to pain management to help him control the pain. Attempt to pinpoint where is the pain located, which joints, or between joints, the back, the neck, shoulders, knees, elbows, hands? May benefit fron cortisone shots. ...Read more
Every 3 - 4 hours: Preventing bed sores is extremely important in a bedridden patient. Turning every 3 - 4 hours should suffice for most patients. Watch the sacrum and the heels, which are very susceptible. There are special beds available which can help as well. ...Read more
Very fast (TPA?): Improvement can be dramatic, sometimes within 10-15 min, and even up to an hour or so. ...Read more
How common do u see young patient with stroke. Is it becoming more cpmmon in young. Also what would be most common cause?
Common: I recently had a 22 yo female that developed a stroke a month after she started oral contraceptives. Young patient can develop stroke depending upon their risk factors, such as genetic predisposition, hypertension, diabetes, obesity, a combination of smoking and oral contraceptives, etc. ...Read more
Stroke: Not necessarily in ICU, if unstable certainly patient goes to icu. ...Read more
Stroke: You have to be more specific - sabotage? Sounds like "goldfinger" is out to get you and only "james bond" can help. If you mean not covered by insurance - then this is becoming a reality with new healthcare these days. As stroke patient are regarded as not economically viable to society and hence dollars are not spent on them. Its rationed care-the new order of the day. ...Read more
Vomiting: Vomiting in a stroke patient may mean increased intracranial pressure. Have the patient evaluated asap. ...Read more
They can: If having a stroke one can receive intravenous tpa (alteplase) up to 3 hours once symptoms begin and up to 4.5 hours in certain cases. After this intra. ...Read more
Melas: Teens to 20s usually depending on age of first symptom or stroke. ...Read more
Highly variable: Stokes come in all degrees of severity. Some people begin improving immediately. Others take longer. You should understand that improvement is possible for up to two years following a stroke so don't despair - keep trying and working with pt. ...Read more
Wrong question: There is no systematic evidence that korean ginseng is good for anything, let alone stroke. Ginseng is one of those bogus "ancient wisdom" things. Its use is based on a superstition called the "doctrine of signatures:" because the root looks like a little headless man, the ancients got this delusion that it would cure things. Arm yourself with modern knowledge, not ancient superstition. ...Read more
If a patient faces looks lopsided and he is drooling is he likely yo have a stroke or what disease might he be experiencing?
Please can drugs be given to stroke patient to heal and repair the damaged nerves and other parts, and also so help recovering process?
Drugs are usually: Given to prevent another stroke. Recovery requires time and rehabilitation. ...Read more
Several reasons: If the patient needs oral nutrition or oral medication & has trouble eating or swallowing, a nasogastric tube provides a relatively short term solution other than ivs or tpn. Also, if there is any impairment of gastric motility in a stroke patient, this may alleviate discomfort. Reducing risks of aspiration (inhaling stomach content into the lungs creating a bad pneumonia) may be another reason. ...Read more
Both might help: Standard approaches, generically, include physical therapy, occupational therapy, and speech therapy. Once improvement begins, exercise is next, but key to emphasize that yoga might be beneficial once muscular control has improved. Biggest issue remains prevention of the next event. All my best. ...Read more
My fiancé and I are trying to have a bby he has had a stroke in 2001 I have a son already is it possible for stroke patients to conceive?
Probably: Male reproductive organs may suffer negative consequences after a stroke and it depends on the nature of the stroke. Some people with mild to moderate strokes can make a full recovery with only subtle symptoms noted. In-vitro fertilization is also an option. Sexual intercourse can cause excitement & lead to transient increase in blood pressure. Discuss options with your doctor. ...Read more
Time critical: Within 3 hours of symptoms (up to 4.4 hours in some cases) intravenous tpa (alteplase). After that up to 6 hours, intraarterial tpa (alteplase) through a catheter in the artery to the brain. Up to 8 hours can use special devices to pull clot out of vessel to brain. These procedures usually done at stroke centers. ...Read more
To be determinated: It depends the class of stroke, the territories affected and the lesions observed. ...Read more
This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase).
It also depends on how long the symptoms have been occurring.
But to answer your question, theoretically all could potentially benefit. ...Read more
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