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Old 7 September 2018, 17:50
Bryan Bryan is offline
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Exclamation Post stroke and low blood pressure question.

My stepfather (67 yo)has been in and out of the hospital for the last week+. He had a stroke a few months ago, has had dual corotid artery surgeries for obstructions, and recently has been suffering severe dizzy spells, loss of lower extremity limb control(falling out of nowhere), and I just got off the phone with my mother, and I heard him in the background speaking incoherently as if he's in the middle of another stroke.

Mind you, he was admitted into the hospital(again) earlier today for similar symptoms, and they released him soon after to return home. He was told to go to his PCP again for another adjustment to his blood pressure medication. Also, his magnesium has been severely low.

I find it abhorrent that they haven't mentioned or referred him to a specialist by now after over a week of these symptoms and hospital admissions.

My question to you who know far much more than I medically is, what sort of specialist should I recommend to my mother for him to advocate for, and if possible, does anyone have experience with a loved one having similar symptoms?

I will provide more specific info once I know the right questions to ask, and thank you all for reading. This man taught me everything, and I'm scared to death.

Thank you for reading, and for any advice you may offer.
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Old 7 September 2018, 17:56
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Gray Rhyno Gray Rhyno is offline
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Quote:
Originally Posted by Bryan View Post
I heard him in the background speaking incoherently as if he's in the middle of another stroke.
Your mom needs to take him to the ER now. If he is having another stroke, time is of the essence.
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Old 7 September 2018, 17:59
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Stop typing.

9-1-1.
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Old 7 September 2018, 18:47
Bryan Bryan is offline
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I called my mom and told her to get him to the ER ASAP. They live within 15 minutes of it. I stressed the fact of him being confused/incoherent is an emergency situation conducive to another possible stroke.

Well, I call back 25 minutes later to give her time to get there, and she hadn't left. My stepdad also started spiking a fever within the dwell time of my last call, and she said she called the ER and all they said was to take advil to reduce the fever, and wait for his next PCP appt.

During this call, toward the end of it, I stressed the fact that he still needs to go to the ER at least for observation. She said she was headed out, but I'm not certain as of the time of this post.

Thank you gentlemen for the urgency recommendations, and as of now I'm hoping that he's at least on his way to getting some form of care.

I will update as things progress, and I'm still on the hunt for some specialist field recommendations for things like this, since apparently the local docs don't seem to know jack shit. For reference, this in in Easton, MD. Maryland Eastern Shore.
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To look around at what you have accomplished in a day gives a man a good feeling. Too many men work on parts of things. Doing a job to completion satisfies me.- Richard Proenneke

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Old 7 September 2018, 19:11
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Gray Rhyno Gray Rhyno is offline
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I'm glad he's heading to the ER. Immediate treatment is the only way to deal with a possible stroke.
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Old 7 September 2018, 19:31
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9-1-1. If this is Hypoglycemia the body is starving. It is not just time to the hospital it is examination and treatment enroute.
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Old 7 September 2018, 22:32
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It’s been a couple hours since the OP, but just for future reference you can call 911 on their behalf. When I was a street medic we used to get calls all the time for various things where the reporting party was a family member out of state or otherwise not present. Better to call then not in this type of situation if your parents just aren’t able/understanding. The medics will either help or they will find they aren’t needed; they won’t be upset.
I hope all is well.
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Old 8 September 2018, 15:27
Bryan Bryan is offline
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Thank you for the responses everyone. You can take credit for saving his life as well. Turns out, he almost had to be narcanned for a medication overdose(Hydrocodone and Tramadol). They're not sure if it was accidental, or if he genuinely didn't know what he was doing at the time.

That mixed with his low blood pressure sent him over the edge requiring immediate hospitalization. Thank you all for the advice to get him to an ER ASAP. Otherwise, who knows what could've happened. Life savers, the lot of you.
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1000 days of evasion are better than one day in captivity

To look around at what you have accomplished in a day gives a man a good feeling. Too many men work on parts of things. Doing a job to completion satisfies me.- Richard Proenneke

"Blessed is the man that walketh not in the counsel of the ungodly, nor standeth in the way of sinners, nor sitteth in the seat of the scornful."-KJV
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Old 8 September 2018, 16:30
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Quote:
Originally Posted by Bryan View Post
Thank you for the responses everyone. You can take credit for saving his life as well. Turns out, he almost had to be narcanned for a medication overdose(Hydrocodone and Tramadol). They're not sure if it was accidental, or if he genuinely didn't know what he was doing at the time.

That mixed with his low blood pressure sent him over the edge requiring immediate hospitalization. Thank you all for the advice to get him to an ER ASAP. Otherwise, who knows what could've happened. Life savers, the lot of you.
Glad it all turned out well.

Altered level of consciousness, altered mentation can be caused by a thousand things.

Thankfully he did not stop breathing enroute to the hospital. That would have added a whole new set of problems.

Please dial 9-1-1. It may turn out to be nothing, but that is unknown until a Paramedic gets there.

Food for thought.
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Old 8 September 2018, 18:22
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Awesome job Socnet
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  #11  
Old 8 September 2018, 21:55
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I'm glad he's alive. Good work.
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Old 9 September 2018, 21:32
Lima Lima is offline
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Bryan;

If after he clears this set of issues, his carotids/strokes remain a concern, feel free to hit me up. That's right in the middle of the lane I practice surgery in.

Very glad this turned out as well as it did.
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Old 10 September 2018, 07:40
Bryan Bryan is offline
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Quote:
Originally Posted by Lima View Post
Bryan;

If after he clears this set of issues, his carotids/strokes remain a concern, feel free to hit me up. That's right in the middle of the lane I practice surgery in.

Very glad this turned out as well as it did.
I appreciate that. I'll have to take you up on it once we know more.
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1000 days of evasion are better than one day in captivity

To look around at what you have accomplished in a day gives a man a good feeling. Too many men work on parts of things. Doing a job to completion satisfies me.- Richard Proenneke

"Blessed is the man that walketh not in the counsel of the ungodly, nor standeth in the way of sinners, nor sitteth in the seat of the scornful."-KJV
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  #14  
Old 10 September 2018, 16:37
Hopeless Civilian Hopeless Civilian is offline
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My father in law had an ischemic stroke and his internal right carotid is totally occuluded which resulted in reduced blood flow to the brain and he has Myoclonic jerks of the left arm and leg. Often the right leg will start as well resulting in numerous falls over the past three years. Finally got a diagnosis from a Vascular Nuerosurgeon this past June after 8 different neurologists! Maybe seeing one ( vascular neurosurgeon ) might help!

Usual disclaimer. I'm not a medical professional!
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