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  1. Join Date
    Apr 2010
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    1,118
    #91
    Quote Originally Posted by scharnhorst View Post
    and hindi pa ako MD...
    basta ang alam ko, if you do well, Magiging Doktor karin..

  2. Join Date
    Apr 2010
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    1,118
    #92
    Quote Originally Posted by uls View Post
    i understand there are 2 kinds of stroke -- embolic and hemmorhagic

    so when a patient is brought to you showing symptoms of stroke (slurred speech, weakness on 1 side of body etc) how do you find out what kind of stroke is it? i mean how do you find out really fast?

    coz i also understand there is a 3 hour window of opportunity to prevent permanent damage if you inject the patient with tissue plasminogen activator to dissolve the blot clot

    but you gotta find out first if the stroke is caused by a blood clot
    there is one that could give idea..HISTORY..
    usually hemorrhagic stroke are usually in coma and and deteriorates rapidly, unless the bleeding is controlled and the the clotted blood removed at OR. usual history? very severe splitting headache that sends one to his knees, there can be a shout or a cry, then patient fells down unconscious.

    embolics? History pa rin. chronic hypertensive and hyperlipidemic, usually fainting spell or dizziness spell. but usually awake and nakakausap mo pa, ngiwi nga lang..

  3. Join Date
    Apr 2010
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    1,118
    #93
    Quote Originally Posted by uls View Post
    hey thanks doc

    abangan mo, you're gonna get a lot of questions from me hehehe
    will be glad to help as long as i can..

  4. Join Date
    Apr 2010
    Posts
    1,118
    #94
    Quote Originally Posted by uls View Post
    so based on symptoms hindi ganyan kasigurado kung bleeding stroke or clot stroke

    so kelangan mag CT scan para maging sure

    pag nasigurado na may bara, then the doc injects a patient with tPA?

    paano kung wala CT scan yung hospital?

    will the doc risk injecting the patient with tPA?

    it's only a 3 hour window

    paano kung bleeding stroke yan and na-inject ng tPA? lalo di titigil yung bleed

    btw, lahat ba ng ER meron tPA?
    not all hospitals may tPA or CTScan..
    yup, bleeding will be your problem, especially if you gave it to a hemorrhagic case..

    sa bundok, i have a case of embolic stroke. mataas ang BP, weakness on right side. no tPa. no CTScan. ayaw magparefer to a tertiary center.. so i was forced to pull out all i can sa hospital at sa nearby pharmacies what they can supply.. old school aspirin and newer clopidogrel ang ginawa.. ngayon, patient is on stable bp, fully regained all muscle strength and sensation of previously affected side to full capacity. the only thing we did not able to get back, his voice. medyo ngiwi na talaga sya magsalita. but he was thankful that he can walk normally, use his hands properly.

  5. Join Date
    Nov 2005
    Posts
    34,332
    #95
    Quote Originally Posted by surgeon_jm View Post
    HINDI PUWEDE!!!
    at saka mahal...
    mahal nga. nagtanong ako sa Mercury kagabi hehe

    more than P50 each

    wag nalang


  6. Join Date
    Nov 2005
    Posts
    34,332
    #96
    Quote Originally Posted by surgeon_jm View Post
    not all hospitals may tPA or CTScan..
    yup, bleeding will be your problem, especially if you gave it to a hemorrhagic case..

    sa bundok, i have a case of embolic stroke. mataas ang BP, weakness on right side. no tPa. no CTScan. ayaw magparefer to a tertiary center.. so i was forced to pull out all i can sa hospital at sa nearby pharmacies what they can supply.. old school aspirin and newer clopidogrel ang ginawa.. ngayon, patient is on stable bp, fully regained all muscle strength and sensation of previously affected side to full capacity. the only thing we did not able to get back, his voice. medyo ngiwi na talaga sya magsalita. but he was thankful that he can walk normally, use his hands properly.
    thanks doc jm for the replies

    i can't get answers like that sa google hehe

    i have a lot of questions i want to ask doctors

    magpo-post uli ako

    thanks again

  7. Join Date
    Jul 2010
    Posts
    4,390
    #97
    Quote Originally Posted by uls View Post
    di lang sa yosi yan. sa pagkain, kulang exercise, puyat
    Major part siguro yung family history broUls..

    madami talagang ganyan....mahihina ang puso ang dumadaloy sa pamilya...

    Good day doks and pasyentes....

  8. Join Date
    Nov 2005
    Posts
    34,332
    #98
    hey docs, got another question

    this time re blood thinners

    i understand there are a number of blood thinners (antiplatelet drugs like aspirin, dipyridamole, clopidogrel. anticoagulant drugs like vit.K antagonists, heparin)

    how do you doctors decide which to prescribe?

    what factors do you look at?

  9. Join Date
    Apr 2010
    Posts
    1,118
    #99
    Quote Originally Posted by uls View Post
    mahal nga. nagtanong ako sa Mercury kagabi hehe

    more than P50 each

    wag nalang

    hehehe! kaya mahal na ng total cost of treatment ng stroke..
    blood thinners, neuro-enhancers, anhtihypertensives, statins, etc..
    (mukhang di matatapos listahan na ito)

  10. Join Date
    Apr 2010
    Posts
    1,118
    #100
    Quote Originally Posted by uls View Post
    thanks doc jm for the replies

    i can't get answers like that sa google hehe

    i have a lot of questions i want to ask doctors

    magpo-post uli ako

    thanks again
    no probs. as long as nakakaya..

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Salamat Dok!!!!