Against All Odds: The Remarkable Journey of a Stroke Warrior
How we managed a Complex Stroke patient
A 62-year-old patient grappling with a stroke, while carrying the weight of multiple health challenges. From COPD to high blood pressure, diabetes, atrial fibrillation, obesity and recent vascular surgery (femoral embolectomy) for pAVK, her case was a complex situation, making their journey even more remarkable.
As doctors in the Stroke Unit assessed the patient's condition, they were met with a daunting challenge. Despite no major artery blockages, the MRI already showed a FLAIR demarcation which prompted us not to go for Thrombolysis. Proceeding cautiously, we adopted a conservative treatment approach.
Suddenly, the patient's health took a sudden downturn, struggling to breathe, Hypotension, Tachycardia, and agitation. We sprang into action, determined to uncover the cause, I did an arterial BGA, venous blood for Blood picture, CRP and electrolytes and ordered an X-Ray of the Lungs.
The patient was fighting a severe lung infection and descended into pneumologic sepsis. The stakes were raised, and the battle became even more urgent.
In the Intensive Care Unit, a fierce struggle unfolded. Seizures entered into the picture, adding yet another layer of complexity. Powerful medications like midazolam and levetiracetam became indispensable weapons against these relentless adversaries.
The patient's failure to adhere to prescribed medications for atrial fibrillation emerged as a main Aetiology. Further investigations uncovered a small hole in their heart, known as a patent foramen ovale (PFO). While not directly responsible for the stroke, it posed a future risk that demanded attention.
Through a comprehensive approach encompassing medications, physical therapy, ergotherapy, and speech therapy, the Stroke Unit paved the way for the patient's rehabilitation journey. These tireless efforts brought a glimmer of hope in a path filled with uncertainty.
As the survivor's strength grew, attention turned toward a long-term solution. Collaborating with cardiologists offered the possibility of closing the PFO, eliminating the need for lifelong anticoagulant medications. This marked a turning point in the patient's life, brimming with newfound possibilities.
Conclusion:
In the face of overwhelming challenges, this stroke warrior shines as an inspiration to us all.
Her tale illuminates the unwavering determination of both medical professionals and the indomitable human spirit. Through resilience and unwavering hope, they prove that triumph can emerge even from the darkest moments. The journey of this stroke warrior will forever remind us of the extraordinary power within the human heart.