Wednesday, September 07, 2005

Dad's stroke, a review.

This may be helpful to others going through something similar:

On June 8, 2005 my Dad had a stroke in the left side of his brain. It was not a hemorrhage (or a bleed in the brain), but an ischaemic stroke (blockage). The symptoms were slurred speech, confusion, and weakness on the right side. Prior to this he was brought to the hospital with similar symptoms, although more mild, and since they subsided before they got in to see a doctor, he was released. No one ever mentioned that these little episodes could have been transient ischemic attacks (or TIAs).

Lesson #1: If you have any stroke-like symptoms no matter how short-lived or mild, demand that they are looked into. Getting on medication early can prevent a stroke that will most likely cause brain damage!

The day of the stroke and the day after it my Dad was still having trouble with his speech. With some effort he could get a few words out and a short phrase here and there. His right side was weak, but he was able to feed himself and walk just fine (he'd stray to the right a little when he walked, though).

The day after the stroke my Dad was scheduled for an MRI and a swallow test, but both tests kept being delayed. The hospital had not allowed him any food or water in over 24 hours and my Dad started getting very angry. By noon he was shaking his fist at my Mom and saying "never again". As time went on he got more and more angry. Eventually they did the swallow test brought him some food, but it didn't help. He was still very angry and he began throwing things. Security had to be called. It was obvious that my Mom was getting the brunt of his anger, so she had to go wait down the hall while they tried to get him to take a tranquilizer.

The tranquilizer didn't help. He was pacing and my Mom was frantic. My Dad wanted to go home, and nothing we could do could convince him to stay. We begged the staff at the hospital to keep him, but since he was determined to be of sound mind, he was allowed to sign himself out. We asked the staff and his doctor what to do if he was to get violent, seeing how angry he was, but no one had any answers for us. So, we brought my Dad home.

Throughout this day (the day after the stroke) my Dad's speech grew more and more garbled. At the end of the day and for the next 3 months (so far) he hasn't been able to get any words out unless they're automatic responses like "Hi" when he sees me or 4 letter words when he drops something -stuff like that. The doctors say that after a stroke the brain swells, and it takes up to 6 months for the swelling to go down, so it can be awhile before you see the stroke victim regain speech, movement, etc. The movement on his right side grew worse in the days after the stroke as well. A couple days after it he was unable to eat using his right hand. Now, 3 months later he's able to again and he has good stregth in his arm and leg as well, but he's not 100% yet.

Lesson #2: Expect things to get worse before they get better.

Months later we're still having our ups and downs, but we're learning to ride out the bad times in anticipation of the good times to come. They always do. It's just a matter of time.

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