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Welcome back everybody it is time now for Sunday house call on joining us this morning is doctor David somebody vice chairman of the department of urology cheaper robotics at the Mount Sinai Medical Center.
And we have doctor Marc Siegel associate professor of medicine at the NYU's land -- medical center.
Also author of the inner pulse unlocking the secret code of sickness and health good morning doctor mourning mourning that is what we do every Sunday morning unlock all those secrets exact -- -- first tell -- -- may as you know is stroke awareness month.
What can we do to inform people how they can avoid strokes because some people they might be at the tipping point of actually -- when not even know it quote.
This is a very serious health hazard we've spoken about this many times and over 700000.
Americans are affected by stroke.
But the good news is that a lot of it is preventable whether it's as a result of high blood pressure diabetes and cholesterol which mark will get into a little more.
You can prevent this by looking at the what you're eating and exercise -- -- there are many different type of strokes Kelly.
Won the most common ones are steamy ones a block club will go up blocked artery.
When the blood can get to the brain you would have a brain attack exactly like a heart attack and that's what stroke is.
The sooner you get depicted diagnose this I get the patient to the hospital.
-- more brain you're going to save and depending on the extent and location of the -- you would have different symptoms.
We've talked about the new one -- stroke which is fast.
-- stands for facial.
Weakness so you would ask them to smile and if there's any kind of weakness on -- side you have that.
Have them raise their hands that is one of the hands basically fall and it's weak that's another sign of him.
Speech would be scenario and finally time is up and -- -- sooner you call 911.
Time loss is brain loss and if they get to the hospital.
Before three hours we have these problematic or agents that we can cut the blood get the books look to the brain and save the patient that's very important.
And doctors you know some people actually survive the strokes and they're able to carry on and function with their lives as normal way as they did before perhaps even better because they now know what they need to do.
In order to take care of themselves.
But what else can be done in order to move forward and make sure that one you can avoid a stroke and if you do go through it what do we need to do.
You know the first point to of -- are some David says.
People are in denial lot of times when they have these symptoms they think they're gonna disappear -- they think.
They're gonna go away or they're frightened or they're hoping they'll go away so they delay.
They -- they think the worst is gonna happen you can't delay you've got a call 91 right away.
Anything from -- -- happening officially symmetry if you have a problem with slurring your speech you can form your words you're dizzy suddenly have a headache.
You've got weakness on one side you've got a call 911 then on the ambulance -- they may give -- an aspirin and -- -- in the hospital that's before three hours they may give you have a clot buster.
All of that can decrease the amount.
Of rehabilitation you actually need now you asked that question rehabilitation is getting back on your feet it's learning to balance again it's learning to speak properly again.
The point about what causes stroke is also something I deal with every day in my practice I -- to lower cholesterol.
I look to get people up and exercise.
I gotta get their blood pressure under control diabetes has to be under control.
And the two big ones that are wanna mention today we talk about on the program a lot here alcohol and smoking while smoking really really leads -- this we talk last week by the way about how smoking does it.
It interferes with your blood vessels in your brain it starts to -- -- -- the clock hits you get the stroke stroke is either the clock hitting in the brain.
Or that or the vessel to bring bursting which is -- which -- believe -- camera.
I think the point that marked just brought up is very -- huge something that also known as TIAA which is a transient ischemic attack.
So this is a short term the patient would have this for about twelve hours -- -- -- similar symptoms.
And it's exactly like the way that a lot in -- -- -- -- you don't have delight all sorts of go out in the coming on and off the carriers that's CIA and the sooner you fix that.
You can prevented other ways it can become a full blown stroke.
What if I can ask this question because often times when people have a headache doctor -- they think oh my goodness I'm having a stroke especially if it's a migraine.
Taken aspirin or don't take an aspirin if you think you're having a stroke.
Great question Jamie I don't think you should do anything you you being the patient I think you have to get your doctor in the loop right away and hopefully you'll have a doctor or respond what were way.
Because if you have a sudden headache and that's -- only symptom.
That could be a believe and I don't want people like that taking an aspirin but the ambulance on the way to the hospital makes that decision so you don't pop and aspirin.
They may tell you take what -- are extremely helpful in the situation.
If we don't think -- -- believe going on it will decrease the mortality.
What we call the amount of damage from a stroke dramatically and stroke.
Is the number one cause of long term disability United States it's a huge problem it's the number one reason for admission to nursing homes.
I'm so glad that your raising awareness I ask if people want to help someone who appears to be having a problem 911 as a way to go -- stock.
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