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May 14, 2024 14 mins
Stroke is the fifth most common cause of death in America and the leading cause of adult disability.  But, with quick action and appropriate treatment, patients can not only survive a stroke, they can live full, independent lives after the disease. For Survive Stroke Week, an annual effort to educate Americans about stroke symptoms and lifesaving treatment options, our guest is Dr. Violiza Inoa of Semmes-Murphey Clinic in Memphis. Dr. Violiza Inoa is a board-certified neurologist with a focus on vascular neurology and neurointervention, and Chair for the Women in Neurointervention Committee at the Society of Neurointerventional Surgery (SNIS).  For more, visit getaheadofstroke.org.
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(00:02):
Welcome to Get Connected with Nina delRio, a weekly conversation about fitness,
health and happenings in our community onone oh six point seven Light FM.
Good morning, and thanks for listeningto Get Connected. Stroke is the fifth
most common cause of death in Americaand the leading cause of adult disability.
But with quick action and appropriate treatment, patients cannot only survive a stroke,

(00:27):
they can live full, independent livesafter the disease. This is Survived Stroke
Week, an annual effort to educateAmericans about stroke symptoms and life saving treatment
options. To learn more, ourguest is doctor Vialisi and Noah of SEM's
Murphy Clinic in Memphis. She isa Board certified neurologist with a focus on
vascular neurology and neuro intervention and chairfor the Women in neuro Intervention Committee at

(00:50):
the Society of neuro Interventional Surgery.Doctor Vialisi and Noah, thank you for
being on the show. Thank youso much for having me. You can
find out more about everything we discussedat the website get Ahead Ofstroke dot org.
So doctor Enoa, if the averageperson knows anything about a stroke,
we might know that there's a hugetime factor the sooner you get treatment,

(01:11):
the better chance of survival and recovery. Why is getting care quickly so important?
That is such a great question becausepeople need to understand that stroke is
treatable, stroke is survivable, andthe notion that if someone gets a stroke

(01:33):
that's it for them is just nottrue. So in the past, many
many years ago, we did nothave any treatments for a stroke, and
we're talking about decades and decades ago. We have been treating stroke with IV
trombolytics, which is a clodboster medicationthat is given through your IV and for

(01:57):
the past decade or so, we'reall also able to do throm vectomy,
which is a standard procedure for peoplethat come with large vessel occlusion stroke,
meaning a large vessel in your brainis blocked, and we doctors are able
to identify that and go through atiny vessel from your groin or from your

(02:23):
wrist navigate all the way to thevessels of the brain. These are minimally
invasive procedures. We do not openthe skull for that, and we do
it pretty routinely, and then wego to the brain, we get the
cloths out and that is the bestway in which we know that we can
save that patient's life and that thatpatient is more likely to become independent again.

(02:49):
And the reason why we think againit is important that people understand that
stroke is survivable and treatable is becausetime is and what happens is that people
think that if they are getting astroke, there's nothing to do. They
would not do anything, they wouldwait it out. The fact of the

(03:10):
matter is that in order for peopleto get these treatments and go to the
right facilities and the appropriate hospitals,they have to call nine one one.
They have to call nine one one. So the triage that happens after people
call nine one one is very differentfrom when people drive themselves to the emergency

(03:31):
department. Let me ask a fewthings so we can sort of unpack some
of the stuff that you said sofar. So a thrown back to me
is the preferred treatment? Can anyhospital do that? That is such a
good question because the short answer tothat is that no, you cannot get
up from back to me. Everywherethere are hospitals that are specialized with the

(03:55):
right equipment and the right teams ofphysicians and texts and everyone supporting this type
of procedure. Some of these hospitalsare named comprehensive stroke centers. Other hospitals
are primary stroke centers, and theeasiest way to get to those hospitals is

(04:15):
by calling nine one one, becausethe population is not expected to know which
hospitals are which, but the EMS, the systems of care are prepared to
treache these patients to these hospitals.So all we have to do is that
once we identify symptoms and signs ofa stroke, we have to call the

(04:40):
ambulance because the EMS will treach thepatients to the right to the right facility.
So this is the short version ofsaying it's better to call an ambulance
than drive to the er. Drivingto the er, you might not end
up at the right place and traffic, et cetera. Oh absolutely, and
there's great data behind this. Sowhat happens is that when someone is having

(05:03):
symptoms of a stroke, and we'llget to those symptoms in a bit,
But when someone is calling nine oneone for these symptoms, the EMS and
the paramedics they will identify these symptomsand they will call the emergency department.
Once the patient gets to the urgencydepartment, they will be a group of

(05:29):
people waiting on this patient, toidentify the symptoms, to test the patient,
to do the right things in orderforget the right treatments for these patients.
And if you don't mind, Iwould like to talk about the symptoms
of a stroke. Let me remindeverybody who are speaking with first, just
so they know what they're listening to. This is a Survived Stroke Week.

(05:50):
It's an annual observance aimed at increasingawareness of stroke symptoms and the importance of
calling nine to one one right awayfor the best possible chance to survive and
thrive after a stroke. Our guestis doctor Vialize Andoa of SEM's Murphy Clinic
in Memphis, Associate Professor of Neurologyand Neurosurgery at the University of Tennessee Health

(06:11):
Sciences Center. You can find outabout this conversation more about the details of
stroke and the symptoms at get AheadOfstroke dot org. You're listening to get
connected on one oh six point seven. Let FM. I'm mina del rio.
The presence of one stroke symptom isenough to call nine one one and
the symptoms can be recalled using theacronym B fast. I wonder if we

(06:31):
could just start going through those andtell everybody we're looking for perfect Thank you
so much. So yes. Bstands for balance, when people think or
feel that they're off balance, notable to walk right, sometimes even spinning,
sensation, vertigo E stands for eyesight, blurry vision, double vision.

(06:56):
F stands for phase phase trooping.A stands for arm arm weakness. S
stands for speech. Speech problems couldbe slurred, the speech in a biitlity
to find words, think of words, even reading, and T stands for
time. It's time to call nineone one. Remember that time is brain.

(07:21):
So a couple of questions about thesymptoms again, any one of those
reasons enough to call nine one one. Symptoms of heart attack are different for
men and women. Do symptoms ofstroke present differently for men and women?
Not necessarily, but symptoms from astroke will present differently depending on the attery
that is blocked, the attery ofthe brain that is blocked. And that's

(07:44):
why sometimes people get a little bitconfused. So, for example, people
that will have blockage of the utteriesin the back of the brain, sometimes
they have headache or dizziness or spinningsand safe and they're not going to be
affected in the arms at all,or their speech can be completely okay.

(08:07):
So that's why one symptom of astroke is enough. And then the other
thing is that if you're not feelingright right, if you do not know,
it is okay to call nine oneone because it is better, it's
best for the patients to get treated. They do not have to diagnose themselves.

(08:31):
They just have to have the awarenessthat this could be a stroke,
and even if the symptom is minor, it could be a devastating stroke.
So that person needs to call nineone one and still go to the er
and get evaluated. It's really interestingto know that the symptoms you're having have
to do with the artery. Asyou know, some people might have advanced

(08:54):
symptoms of something like an aneurysm.People will say they had the worst headache
of their life, and that couldhave a few days before. Are there
other symptoms that could show up afew days before of a stroke. So
there is a condition called transient ischemicattack, which is the same stroke symptom,

(09:15):
but it will last often will takefifteen forty five minutes, and it
disappears. Even if the symptom disappears, people need to call nine one one.
It is a stroke symptom, andthat is a prodrum of a quote
unquote real stroke. So people needto come to the hospital. They need
to get evaluated. Sometimes people willhave the stroke symptoms that will be intermittent

(09:43):
and they will come back and theywill stay. So again those people will
get treated, but treatment won't happenat home. And that's the message we
really want to convey. I wantedto address the fact that that is one
of the main reasons why people wouldn'tcall the ambulance because they might even fear

(10:05):
that it is a stroke mimic thatis not a real thing that it has,
or they fear that you know,they'll have to pay a lot of
money to go to the hospital forthings that are that are quote unquote real.
But the fact of the matter isthat it is more important to get
to the ambulance, get to theer, get the treatment because otherwise we

(10:30):
can end up with death and disability. Also, that thing about cost is
a real thing. People don't wantto have to think about the cost of
an ambulance if I didn't really needit. But in addition to being that
much more likely to recover or findout if a stroke is imminent. The
health care costs save on the otherside, and the therapy required on the
other side is so expensive. Absolutelybillions of dollars spent in health care every

(10:56):
year for stroke care due to thedisability that it causes. To the United
States, and well health has nocost. It does. But again it
doesn't right because if you do notget treated, it is more likely that
you are going to be disabled.And imagine you would not be able to

(11:18):
function, you won't be able towalk, you won't be able to interact
and be the person that it usedto be. We do not look at
age for struct treatment, gender,sex, socioeconomic status. Everyone gets treatment,
Everyone gets treatment. There is alot of data behind it. Unfortunately,

(11:41):
you know there's this party of astroke care because some people, you
know, low socio economics. Racecan play a factor. Black Americans won't
call nine one one as often asother races. So there's a lot in
it. And we just want towe want to create awareness about this because

(12:05):
it is important because all of usshould be treated. And as you say,
that, isn't it true that BlackAmericans and black women I believe are
more likely to suffer a stroke correct, correct, So Blacks, Hispanics right,
And depending on the causes Asian theAsian population, you know, a

(12:26):
lot of plaque in the brain,etc. So yes, absolutely. And
regarding lifestyle, just in our lastcouple of minutes, what might be the
most common or contributing factors hypertension,on treated diabetes, on healthy lifestyle,
on healthy diet, obesity, andthose are very high, very high prevalence

(12:50):
in the United States. So we'vesort of drilled down on. You have
a stroke, you call for anambulance immediately rather than drive. If you
have any one of the symptom whichyou can find out about on the website,
you would call an ambulance or getmedical help right away. While you're
waiting for an ambulance to arrive,or if you are the patient, God

(13:11):
forbid. Is there something you cando in the meantime, Just stay quiet,
stay and be safe. Yeah,yeah, especially if you are weak.
For example, do not put yourselfin situations where you're going to get
harmed. Right, So, forexample, do not start climbing stairs and
things like that. But that isa good question. I've been never asked

(13:33):
before what to do in the meantime, And I think, be next to
the phone, and do not tryto go anywhere. Just wait. You
can find out more at get AheadOfstroke dot org. This is Survive Stroke
Week. Please to have our guestdoctor Vialize Andoa of Sam's Murphy Clinic in
Memphis. Thank you for being onGet Connected. Thank you, thanks for

(13:56):
having me. This has been GetConnected with Nina del Rio on one oh
six point seven light Fm. Theviews and opinions of our guests do not
necessarily reflect the views of the station. If you missed any part of our
show or want to share it,visit our website for downloads and podcasts at
one o six seven lightfm dot com. Thanks for listening.
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