Who is the Real “Hero” of Stroke Care?

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Who is the Real “Hero” of Stroke Care?


Who is the Real “Hero” of Stroke Care? (Read more)

By Dr. Chandril Chugh / In Neurosciences , Interventional Neurology


In multiple sclerosis, the communication within the brain, and brain and body is disrupted. Multiple Sclerosis is a chronic, unpredictable and often a disabling disease which affects the central nervous system, spinal cord, and optic nerves. It is categorized as an autoimmune disease caused by the immune system attacking and damaging the nervous system...

We know more about our clothes and cars than we know about our health and body. It is astonishing that we spend more time to research about which laptop to buy, but when it comes to our own health most of us take a passive approach. This deficiency of knowledge is even more evident when it comes to dealing with emergencies. “Ït is too late now, I am sorry!” Unfortunately, we have heard this line more often in the real life than in films.

The question arises, what can we do to change this? How do we tackle this deficiency? Dr. Chandril Chugh, Senior Consultant, and Head, Interventional Neurology, explains this with an example.

We had a 70-year-old female brought to the emergency room by her granddaughter for confusion and difficulty walking due to weakness on the right side. The granddaughter was sure that the symptoms had started right after the breakfast. It took them 45 minutes to drive, so they were in the hospital within the first hour of the symptoms. The patient was evaluated and head imaging was done which showed occlusion of the left middle cerebral artery (largest blood supply to the brain).

An Interventional Neurologist intervention was necessary, who recommended Mechanical Thrombectomy. The patient underwent the procedure successfully and was discharged without any deficits. The entire family was happy and satisfied with the treatment. Now my question is: who deserves the credit for this good outcome- The Interventional Neurologist, Neurologist or the emergency physician? I personally believe that the “Hero” of this scenario is neither of the above but, the granddaughter. If she had not recognized the symptoms and brought her grandmother to the hospital in time, then we would not have been able to achieve what we did. She was aware of the stroke symptoms and took the right decision of coming to the hospital. When it comes to dealing with emergencies like Stroke or Brain attack, information and knowledge are life-saving.

Below mentioned are the important aspects of stroke diagnosis and care.

How do you recognize a stroke?

STROKE: REMEMBER THE 6 S METHOD TO DIAGNOSE STROKE

  • SUDDEN (symptoms usually start suddenly)
  • SLURRED SPEECH ( speech is not clear, as if drunk)
  • SIDE WEAK ( face, arm or leg or all three can get weak)
  • SPINNING ( VERTIGO)
  • SEVERE HEADACHE
  • SECONDS ( note the time when the symptoms start and rush to the hospital)