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Stroke Awareness

Apr 26, 2009|

Susie Fisher is the Nurse Manager of the Stroke Center with Providence Brain Institute. She talks about stroke diagnosis and prevention and an awareness campaign called "Streaks for Stroke".

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Automatically Generated Transcript (may not be 100% accurate)

You're listening to -- -- a series of interviews with -- people of interest to northwest Oregon and southwest Washington. I'm your host Joe -- winter. Did you notice stroke is the third leading cause of death here in the US. With me today on -- -- is Susie Fisher she's a nurse manager of the stroke center with -- Providence brain institute. And she's here to explain how we can prevent a stroke from happening. And we'll also learn more about an awareness campaign for stroke prevention and we wanna thank you so much for joining us today on -- of Susie. Eight first of all what exactly is a stroke and what can happen if a person suffers from one. And -- happens when they're they've blockage of blood -- a part of the brain. And that can happen with into different ways often is state blockage of blood vessel. -- saying I'm the blood to be blocked off and that one particular area and they have lots of function and today area of the brain causing either. Now last week -- or total disability -- but that body or possible these deficits they're two different kinds there's the blood caught. Kind of stroke -- blocked off a blood vessel or they are depleting kind of stroke. Sometimes can be an Andy rip them or are other kinds of mechanisms that cause a blood -- to start bleeding which can cause damage to. Blood -- around that area of the brain. What would cause a blood clot to form and what would cause -- and you -- what exactly is an and you risen. -- any -- as a weakening have a blood felt possible leading out of a blood vessel. And so often that it's genetic and it's something we usually don't know we have until we have -- -- come. And if you have high blood pressure that could possibly make of people leaving work with an and you read some are positive start bleeding. And Dan what can cause a blood clot. It's either a buildup of plaque likely normally glad to act like -- heart attacks that people me understand more. And that eventually built up -- blocked off the artery or you may have a build a cup of tax somewhere and another about finding a body commonly the carotid artery. -- and breaks off and does that took part of the brain and blocks off. That Led -- the brain and and decreasing the function and that area. Why -- a lot of people think of stroke has to do with the hard -- is that not necessarily so. It is not necessarily. There's a lot of confusion when I talked to community groups about stroke -- and began talking about the heart. Approximately 30% of strokes are caused by a mechanism in the heart that may -- the plot to go up into their -- But -- did not -- in the heart it is actually in the brain and that just like the word -- exactly. Now -- struck a brain attacks. We talked earlier about how it is the third leading cause of death here in the US were referring to stroke -- what else can happen to a person. Other than death. Other than death which is something Leon we all want to blade. I'm still can't leave you a -- on disabilities and they can be quite devastating. You can be left with that one -- body unable to use special but -- your body unable to use the army your leg possibly unable to speak at all. Or possibly. And able to. Get words that they want to get out. They can be very devastating and they are the leading cause. Admission until long term care facilities to lead the country. And Oregon actually have one of the highest death rates from stroke in the country. You're listening mattress -- were speaking with Susie -- she is a nurse manager of the stroke center with Providence brain institute. Sort talking about stroke prevention and an awareness campaign is taking place during the month of may it's called streaks for strokes. And a stroke -- being the third leading killer sounds like it's a pretty common occurrence just how common is stroke. It's pretty comment I would say approximately. 10% of that population will have a stroke. That one message that we want to get across to people is that 80% percent of districts are preventable. Through our lifestyle changes and medications that we need to abide by what our physicians for a respected that we may have. I saw a statistic that basically shows someone suffers a stroke every 45. Seconds total tonight. It's pretty common in the country. We have people suffering stroke like you that every 45 seconds to. -- and I -- brain cells are dying every minute that somebody has -- stroke and so it's important for people together and the interesting part with that regard to how commented -- that less than 5% of the time did people actually recognize the symptoms. And then com 91 -- 911 to get in in time to be treated for strap and so we're really trying to. Get the word out to the communities so that people can -- and in time to get treatment. And proper care for their strokes. So how many people died here in the US on an average basis from stroke. So probably added a 40000 people die out and alien country from stroke like I that is it is that -- Levy. We are at the highest fifth highest in the country are -- death. -- -- you know or again and we do you have a task force in place. Where we are trying to do research and analyze why that debt rated so high. What about Washington you know the statistics there. Why can't it fairly high but they do believe or again -- -- I don't know exactly what the statistics are. There is an orchestra network which is -- Health care. Providers that are. Gathering together to try to figure out reasons why and raise awareness. And there's not that so an organization with me and then the north glass to. The. You said that and you're isms are typically genetic. Who is likely to be a victim of stroke give us the profile. Well it's interesting way -- think as a classic profile but we're surprised every day because mr. can happen to anybody at any time. We have recently been treating people in their forties we recently treated somebody his nineteenth. So. It is it is not just the classic older person and just do occur most commonly in people over the age of 55. They took her mother more authentic and man and a women however women -- more often than men do. And in population. People who have high blood pressure high cholesterol. Diabetes. To have a prior. Kelly history of stroke or heart disease and also people who have had a struck previously are at a much higher risk of having another one. And what about lifestyle -- ex smokers drinkers. Oh yeah -- so 80% of struck a preventable I believe I said that among -- attic and that's the big piece that we can control. And how much of what week. -- that struck we can't control like our age or our gender our family history. But the majority of -- lifestyle changes that we -- can really control strokes so one of the biggest I like to talk about is obesity. And that obesity is so high and our country and it's the one thing that we do. Have been our lives that we can control that really controls and a lot of the other risk factors. One of the highest risk factors for stroke can type blood pressure. And high blood pressure is -- whenever a person has blood pressure of 140 over in ninety. They should be seeing their position and am making lifestyle modifications. To either lose weight exercise -- their study -- Diabetes is really a big risk factor for heart disease as well as stroke. I can anytime you are exercising controlling your diet and in diabetes cases taking your medication will really -- just. Your risk factors for stroke so. Lifestyle modification is really important. As well as. For alcohol. And people don't think about it debt binge drinking at is a high risk factor for -- -- encourage people to avoid. They've finished drinking and drinking in moderation and once alcoholic drink today yes it's medically indicated to not drink and it's important of course cannot give. One alcoholic drink a day can actually. Decrease your risk factors -- -- so it's important to just on moderation. So you'd be better off with one alcoholic drinks per day rather than. Seven on the weekend. Eight yes seven and one day went well. With that would be increased Fear Factor for struck at -- are definitely. You're listening to match her scope and we're speaking with Susie -- she is a nurse manager of the stroke center with Providence brain institute and we're talking about stroke prevention. And an awareness campaign has taken place during the month of may now. We discussed earlier than younger people can also suffer stroke is not just the elderly but is that pretty common. It's not comment that we do see it and down one of the things that can and increase they young person's risk factor for stroke especially in women. Is the women had the smoke as well as are taking birth control pills. So that combination. Is really bad and raises your risk for -- pretty high so we really encourage young women to avoid those two together. Birth control pills to hormones and general. And increase the risk factors for stroke and went and and also one thing that most people don't realize is that more women do it -- construct and breast cancer every year. And there's so much -- focus some breast cancer which is great and breast cancer awareness but we also want people to now that more women are likely to die from stroke and breast cancer. Now what about women who are say. Having hormone replacement therapy and an older age aren't they at a higher risk. Yes anytime you any -- apartment you're putting someone at higher risk for stroke. Absolutely. -- history of different from regular stroke. Yes he's -- is not related to our regular steps heat stroke is when -- dehydrated. And you often have a high temperature and it it leads to other. Other factors if not it's related to the kinds of struck that we're talking about where you have a blockage or a breaking up -- up on your brain. Yes somebody could suffer he struck and it could be mistaken for stroke cracked. I'm connect can be more often which he -- you have them cameras that cost. -- patients do. Be weak and overall weakness. Versus the struck query usually -- focus is commonly on one side of the body or speech problems. And rarely if that's an -- all we -- and easily drop comes on very suddenly. Susie is it possible to suffer several strokes in one episode. If possible can have a stroke. I suppose yes patent that mostly what will happen if you will have the event of the stroke. And you have the original than -- and let me appear to be suffering several strokes usually at the fact that the stroke is. The effects of the stroke are causing more damage of -- A period of hours. Or days and so you may be getting worked over days versus actually suffering multiple strokes. Is it possible to suffer stroke and not even know it. Yes. It's. It's not uncommon sometimes we will have patients command and and look at their MRIs or their cat scans -- that they have had really small strokes and parts of their brain that may not have -- -- actual -- towns and though. Offense as our front people here who live with high blood pressure. And solo seat really small areas where they've actually have strokes and not been aware that. So they even know until they went in for an MRI. Draft or maybe it coming and -- for their baker stroke. And we'll see that they have a history. They've had some other smaller structures just not. Is there a way I can tell -- suffering from a stroke or someone else's what are the warning signs. The warning signs are well discontent that I talk to you before and they're usually very -- So sudden numbness or weakness as the face and -- usually on one side of the body. A sudden confusion trouble speaking -- understanding so people either be. Staying words that are totally inappropriate and don't make them. Or they may be staying. Trying to get -- -- out having difficulty getting -- term normal or without warning me not be able to speak at all. Another. Effective struck with the language -- that people made just look at -- and not the other comprehend what you are saying to them. And get together piece other risk factors are other symptoms include trouble seeing and one or both eyes. At channel blocking or feeling dizzy block of balance and coordination and again -- usually fairly button. I'm an and a sudden severe headache with none -- -- Usually that's so content they'd yell out and it's the worst aspect of their life kind of a headache. So what we're trying to teach the community because that's a lot to try to remember. Is this Akron and called fast and it's. The words are face arms speech and time. And so don't let the asked for faces that you know you look at a pretty penny out and that smile and doesn't want -- -- of their faces -- at all. We'll ask him to raise both -- -- -- that are able to raise doubt that there arms and made race but that there arms and does one of them starts dripping down. And for speech at the asked. You ask them to repeat this simple sentence like it's a sunny day today. And are -- -- their words can not get the words that are based -- done. I'm oddly. And then -- he desperate time and again we really need to get people into the emergency department quickly because the treatments that are available have to happen. Rapidly that the -- but also can be re opened. And so did he again desperate time and it's time to call 911. We also like to encourage people to look at their clocks and notice what time it -- so that. When they do you -- an emergency department we won't know what times the effect actually happened which will help in treating a patient. You talked about a lot of things to look for are we going to see all of these items and a stroke victim or as a possible that we may just noticed wine or may just kind of slip biases such a small miners strike that we may not even notice that -- -- and we -- may just blow it off does. Okay something weird happened not quite sure. Absolutely other things so first of all yes it can be only one of those things and that's a really good point. Again there are they are a number of things to look for and and we really try to encourage the whole face arms speech. Piece of it because you'll see the majority of struck if you focus on now. And it can be either their face they can be any one of those kinds of things and another thing to note is that offense -- patience that person that's happening. -- -- -- Will. Deny it or not recognize that there having these problems. And so often -- argue and not want to and I don't want to be called or not want to be taken to Americans to department. I'm the one thing we see or hear a lot is -- that the patient what they they just went to take a nap. It has that they just kind of felt that if they've laid down -- feel better. And all in raising awareness and a community we're trying to cheer encouraged. You know this stroke victim themselves too if they can't recognize what's going on with them cannot -- and have to com 911 and not be embarrassed I think that there. You know that it's too minor. Because they could get -- the next few hours or you that you could be stating yourself from a devastating outcome. You're listening to metro scout them we're speaking with Susie Fisher she is the nurse manager of the stroke center with Providence brain institute. And we're talking about the stroke prevention and an awareness campaign that is taking place. During the entire month of may. So what should we do if we see somebody is suffering a stroke -- so we should call 911 that is there anything else that we can do in the meantime. Well in the meantime you just need to stay with that patient and courage and chilly down until relax until wait for 911 there isn't anything such as. You would do wear a heart attack patient or CPR kinds of things. That recognizing the symptoms and calling nine on land staying with the patient reassuring them. And and tell. Emergency services get there. And -- BE MS providers all the ambulance providers now have protocols and it's important when you do comment on want to actually use the words stroke. Or say I think this person having a stroke because that to use them. -- -- rapidly and and then prompts them to start their protocol. There are there's some items that can be mistaken for stroke them. There are some items that can't be -- mistaken for stroke. Sometimes. Occur what we would call a complicated migraine could be a stroke. There are many things low blood sugar which is one of the things that the ambulance personnel what chuck right away. Because that's it's -- blood pressure is too loud there are certain instances at the blood sugar is too loud. There are instances where they can be. It -- what we call mimic a stroke. So there are a couple of things that they tried to correct early on possible and that's also the importance of going to. What is called -- primary stroke center and -- Ambulance personnel now. Will try to take. Stroke victims to a primary stroke center we're fortunate in apartment metro area to have. A trust placed sixth primary strokes senator. To have rigid protocols and treatment available. For the patient. But it sounds like even if you are feeling better after you think somebody may has you know suffered stroke if if that person is starting to feel better you should still. Call 911. Because -- what can what can happen -- it's called a transient ischemic attack Cory TIAA. And what -- our. It's the same exact mechanism of a stroke. Usually what's happened -- they a portion of your. Your blood -- has been blocked shots just exactly like an actual stroke. But for whatever reason it has devolved and moved on and you instantaneously have those symptoms but then within moments usually. -- -- You know 1520 minutes maybe those symptoms go away and it's so easy for all of us to think well okay -- up on I don't have to do anything now. And that it's really important and to get into the emergency grant com 911. Because that means that you have even have all the risk factors for stroke. Andy you will be having another step continued mr. if you don't if you cannot prevent what's causing the problem the first. There are medications that you can take to prevent strokes from recurring correct. From Maria current cast that also it but it all depends on what kind of stretch you've had it all depends on what Igor personal risk factors are so whether it's high blood pressure. And then medications are you know making sure you take the blood pressure medications. It's blood pressure is really interesting because you don't feel that you don't know that you have that it's it's often called the silent killer. And so people will. Stop taking their medication or cut back on their medications and so it's important I want to person has had obstructed get a really good work up and find out what you or personal risk factors are. So that then you take your medication that you need weather at the cholesterol medications. Or blood pressure medications diabetes medications whatever. You're listening to -- scope and we're speaking with Susie Fisher she's the nursery manager of the stroke center with Providence brain institute -- talking about stroke prevention. And an awareness campaign is taking place during the month of may called streaks for strokes. And tell us about streaks for strokes was going on. Pictures Jack as early fun -- that we started this with our thirty year. And it all started. From the concept of a study that was done and Cincinnati kind of beauty shops study where they actually. I get a trial in African Americans salons they educated their clients. On prevention and risk factor for stroke. And and that by having that captive audience and you're sitting in the chair and -- the line you're able to provide education chip clients when they're there. So what we have done here and take. Take off on that concept. And we. Provide ready Harris streaks through collaboration -- that Robert salon and Deanna McCadam. And aid putting and these red hair extensions with which we use that lets them involved 4 -- -- -- Aaron. And we kind -- for stroke and allows these people are in the salon they have information upon -- is that they can. Discussed with -- B. Stylist about struck prevention and struck awareness. And information is given that any client that comes just about Avalon. Throughout the month of may as well. And and we also happening is that -- scanner where we will give blood pressure screenings and strokes screenings for people on Saturday may second. From noon to 4 PM. And Roberts will also be putting red hair streaks and again they're -- Extensions they can be honest. For anybody here would like que con man and half that hair extensions for stroke awareness. And world this event be taking place on May second at the -- centered. It's stamina lower level right outside -- Why the -- association just simply because you've. Got a captive audience there. Well it is a captive body and and -- can you know we we thought about that whole. Beauty -- study. And and how wonderful ideas to be able to you know. -- have a captive audience sitting in the chair in elk Erie usually sitting in the chair for at least thirty Nanette. How we work with the stylist at the salon to give them some really simple strokes in British land that they can at least have that a brief discussion. With the clients while they're there and hopefully they go home at least that's a little bit more awareness on struck prevention and and that whole importance of calling 911 and -- actually how to recognize struck those around them. So rundown for us again the events may second is going to be an event taking place of lights -- -- tell us when and where again. Okay it is at -- center of the lower level just outside of arts demo on Saturday may expect that from noon to 4 PM. And you can get your red streak to show that you are aware about stroke. And then again DS salon it's going to be doing it throughout the month of may. Just a lot of that we'll begin laying. Free fat red hair extensions stressed that month of may -- to Robert a heartland it's on top left Adam. And it's somewhat like more information about stroke or streaks for stroke were commando. They can go to Providence dot -- splash. -- And you have all the information there it will be out there all right Susie wanna thank you so much for joining us today on mantra scope your bottom scale. That's Susie fish shirt nurse manager of the stroke center with Providence brain institute and we've been talking about stroke prevention. And an awareness campaign that's taking place during the month of may call street. For stroke. And that's that's Frisco and Entercom communications public affairs program. I'm your host Joe and winter if you have a public affairs or non profit and anything you'd like to let others know about. Email me and @entercom.com. Or you can go to the station's website and click on the community page and submit the information. This is mattress got it.