Finally, some info on Bob's original stroke, Feb 29, 2012
Well, some of you might remember that when Bob was in the big hospital, getting test after test, not one time, did anyone come to me and say, "we have the results of his latest test, and what we find is..." - Never. I didn't ever know more about what his MRIs & catscans had shown, then the original information that he had a blocked caratid artery and the stroke team was standing by to do emergency brain surgery on him, if I gave permission. His 'doctor' from that hospital, never had anything to say, and it was a teaching hospital, with loads of doctors/interns constantly in and out, I didn't even know if I ever saw his doctor. The only contact I had with him was when I finally was able to send a message thru one girl to his other right hand girl (not) that he had not sent a report to the disability at his company and we were not going to get a paycheck and I couldn't make our mortgage payment. He called and said he was sorry he hadn't done it, and he said about Bob, 'well, at least he didn't have any blood clots'. I'm going, 'what?.... he had clots!?' He answered, 'oh, guess I should have looked at his file before I said something'. Now wait.... he was only in that hospital 5 days... and he was 'his doctor' - but he didn't know this.
Later, when he got out of his month of live-in rehab, I asked why he wasn't getting a blood thinner and they said because he had a bleeder. I'm going, "no, he didn't"..... Them, "yes, he did". Now I was upset all this time because he had had a bleeder and 'his doctor' hadn't mentioned it to me. It was only 2 weeks or so ago, that I realized he didn't mention it, not because he was hiding info, but because he thought that's what he came in with! The doctor had not even bother to read his 5 day history of when he came in with clots, had brain surgery there, and THAT gave him the bleeder! So, you can see why I was not bother to go back to see him.
At any rate, found a local neurologist finally, and complained about this, and he followed thru with telling me nothing either, just kept saying, 'he had a stroke'. When I asked him about the 'white matter disease' that I saw in his records, he totally invalidated my quesstion by saying anyone could have it, it had nothing to do with the stroke. Now, him being the brain doctor, I was looking to him for info on this white matter disease, but he wasn't interested. Actually, it CAN come from having had a stroke - anything that causes the tiny vessels in the white matter to close off and then info can't go from neuron to neuron thru the white matter, where it needs to travel.
So, the day after that we had a reg doc appt, and I complained about the neurologist doing the same thing as the old one - telling me nothing. To which he replied, that the other doctor had already sent his notes to him, did I want a copy? So, finallly! I have info on my husband's test showings from his stroke:
==============================================================================================
Embolic shower of left MCA territory and some right hemisphere also left PCA with occlusion left ICA and throbus of left MCA.
The stroke is possibly cardiogenic. Echo doppler showed mild diffuse hypokinesia, but no throbus was seen.
PAFIB is possible vs hypercoabuable state.
Since the stroke is cryptogenic embolic I advised to use max and safest antiplatlet therapy, aggrenox.
Lab test:
2-29-12 Ct head w/o contrasat Left MCA hyperdense M2
3-1-12 left frontal and temporal embolic shower, right side as well slightly.
MRA brain neck LICA occluded
Echo mild diffuse HK
*ok, the only thing I really get here is the embolic shower, any comments on what the rest means are welcome.
===============================================================================================
-I notice he didn't mention the bleeder, and only said, 'oh, there is always a little seepish with clots - so I don't know if he even got to the info about his bleeder, and still have no idea to what extent it was.
He also saw a cardiologist, which has him on a 30 day heart monitor. He said, that there was another thing that could have created an embolic shower, besides fibrilation. He could have had a plac rupture in his carotid artery, which would have caused many red blood cells to fly in there to try to cover it, like make a scab - blocking it, and sending either some of the plac or blood clots, or both, to his brain. He didn't really have much plac on a 2 year before ultrasound, but freak things happen.
I had known he had had more than one blood clot. I mean, I knew the minute I saw him, because both sides were affected. When I called 911, I told them I thought my husband had a double stroke. I believe the TPA cleared out the lesser one on his dominant side - thank God.
I have read on the internet that embolic showers are usually fatal, so I am so thankful to still have my guy with me!
So the neuro guy ordered a new catscan and carotid ultrasounds, and what looks like probably pro-time type blood test. The cardiologist did the heart monitor and ordered lipid panel. We will find out next year, what he is left with, damage wise. I'm not restless about the delay in time before our next appts, because it is not new symptoms, just finding out where his brain is now, technically. Hopefully the neurologist will bother to tell me the results of the test, if not, the family doctor will!
7 Comments
Recommended Comments