Vim & Vigor - Summer 2017 - University of Virginia - 30

DAYS

HOURS

30

SUMM ER 2017

drug that's injected into a
vein and travels to the blockage to break it up. Or doctors
may use a newer procedure in
which they thread a thin wire
into a blood vessel to the site
of the blockage to remove the
clot. Hemorrhagic (bleeding)
strokes are treated with drugs
or surgery aimed at reducing
pressure on the brain.
The tPA must be delivered
within three hours of stroke
onset, which includes the time
it takes to get to the hospital,
confirm a diagnosis and complete imaging, so you can't
wait at home for hours before
deciding to seek treatment.
"The three-hour window
was determined because that
was found to be the peak time
to be able to restore to normal functioning," Goldberg
says. "The longer you wait,
the less function, if any, can
be restored."

ILLUSTRATION BY MCKIBILLO

Stroke care can begin as soon
as emergency medical services
arrive, which is why calling
911 is preferable to driving a
stroke sufferer to the hospital.
Technicians and paramedics
initiate lifesaving treatment in
the ambulance and alert the
hospital they're on their way.
That sets the hospital's stroke
team into action, preparing to
receive the patient.
At the hospital, your care
team will evaluate your symptoms to confirm a stroke
diagnosis. Once confirmed,
you'll have a CT scan or MRI
to help doctors decipher where
in the brain the stroke is and
whether it's the result of a
blockage (ischemic stroke) or
tear (hemorrhagic stroke) in
a blood vessel. Then the care
team goes to work.
Ischemic strokes are treated
with tPA (tissue plasminogen activator), a clot-busting

Once your stroke has passed
and doctors have assessed the
amount and type of functionality that may have been lost,
rehabilitation will begin in the
hospital. From there, you may
require continued rehabilitation
in an around-the-clock facility
or on an outpatient basis.
"Different people have different levels of disability, depending on what part of their brain
was affected," Goldberg says.
Your rehabilitation therapist will help you improve
function of the affected body
parts with the goal of being as
independent as possible. That
may include relearning basic
skills such as bathing, dressing,
eating and walking.



Table of Contents for the Digital Edition of Vim & Vigor - Summer 2017 - University of Virginia

Contents
Vim & Vigor - Summer 2017 - University of Virginia - Cover1
Vim & Vigor - Summer 2017 - University of Virginia - Cover2
Vim & Vigor - Summer 2017 - University of Virginia - Contents
Vim & Vigor - Summer 2017 - University of Virginia - 2
Vim & Vigor - Summer 2017 - University of Virginia - 3
Vim & Vigor - Summer 2017 - University of Virginia - 4
Vim & Vigor - Summer 2017 - University of Virginia - 5
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Vim & Vigor - Summer 2017 - University of Virginia - Cover3
Vim & Vigor - Summer 2017 - University of Virginia - Cover4
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