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24 Key Questions to Ask Your Doctor if you Had a Stroke

     Cerebral vascular accidents, more commonly known as stroke, occur when an area of the brain dies because of lack of blood flow. The brain needs a constant supply of oxygen and sugar to live, without blood flow the nerves in the brain will die.

     The major causes of stroke are clogging of an artery in the brain, a blood clot in one of the blood vessels, bleeding in the brain, low blood pressure and a blood clotting disorders. Strokes cause permanent brain hurt and are the leading cause of disability and death worldwide. The amount of disability is dependent on the size of the stroke. Stroke is the third leading cause of death in the United States with nearly 150,000 deaths from strokes occurring annually. The total cost for strokes is estimated to be approximately 70 billion dollars in 2009

     You need to partner with the health care system to actively manage stroke. Do not count on the health care system to take responsibility for managing your disease. The health care system will help, but if you want to avoid depression, disability and death, you need to be an active, responsible health care consumer.

     Becoming knowledgeable about disease is an vital part of having a successful health care experience. Individuals must have a basic understanding of his or her disease. The better you know your diseases the better you can partner in your medical care.

     No one has a greater interest vested in your well being than you. Physicians manage very busy office practices and may overlook some vital aspects of your care. It is imperative that you help your health care providers give you the care that is needed to prevent death and disability.

     As part of health care responsibility you need to know your disease.  Below are a list of questions you should question your health care provider if you had a stroke

    This is an excerpt from a free ebook available at www.mini-medicalschool.com.  The chapter on stroke is available at: http://www.mini-medicalschool.com/Stroke.html

  • What type of stroke did I have? Ischemic or Hemorrhagic?
  • What part of my brain was affected by the stroke? What are the likely consequences? The brain is a complex organ and strokes can affect different areas of the brain resulting in different symptoms. Talk to your doctor about where your stroke is located and what effects you are likely to experience secondary to the stroke.
  • How did you diagnosis my disease?
  • Will it progress/Can I expect any improvement?
  • What type of follow up do I require/Do I need to see a neurologist?
  • What type of rehabilitation can benefit me after the stroke? Many stroke victims require a stay in a skilled nursing facility after the stroke. Some patients are rehabilitated at home. Key players in the rehabilitative efforts include: physical therapists, occupational therapists and speech therapists.
  • Am I at risk for pneumonia because I am not swallowing well? Should I have testing such as a modified barium swallow to see if I am aspirating?
  • Am I able to return to work?
  • Am I able to resume driving?
  • Do I need any medical equipment to help me function better? This takes an evaluation by a physical/occupational therapist to determine which equipment would best benefit your particular deficits. Typical equipment used after a stroke include: wheelchairs, canes and motorized wheelchairs.
  • Could I benefit from a special mattress? Patients after stroke are often at risk for breakdown on the skin. Some mattresses reduce the risk of breakdown. Not all stroke patients require the use of special mattresses.
  • Do I qualify for any health services such as nursing or therapy? Immediately after a stroke some patients qualify for in home nursing or therapy services.
  • Could I benefit from a home health evaluation from an occupational therapist? Occupational therapists are able to evaluate your home and determine what assisting devises could best benefit you in achieving maximal function in your home.
  • If you have urinary problems; should you see a urologist? This is a doctor who specializes in diseases of the urinary system and may be able to maximize your treatment to prevent

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