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re: Gary Kubiak had a "Mini-Stroke"

Posted on 11/4/13 at 8:38 pm to
Posted by Michael J Cocks
Right Here
Member since Jun 2007
47153 posts
Posted on 11/4/13 at 8:38 pm to
Mini stroke > Fake cancer, that's for sure.
Posted by OldTigahFot
Drinkin' with the rocket scientists
Member since Jan 2012
10500 posts
Posted on 11/4/13 at 8:46 pm to
That explains why they gave him tPA immediately. He evidently exhibited stroke symptoms and tPA has to be administered within 3 hours of the event to be effective.

FYI,

quote:

tPA is an enzyme found naturally in the body that converts, or activates, plasminogen into another enzyme to dissolve a blood clot. It may also be used in an IV by doctors to speed up the dissolving of a clot. tPA should be given within three hours of symptom onset


LINK
Posted by Atari
Texas
Member since Dec 2009
3718 posts
Posted on 11/4/13 at 8:49 pm to
My dad had a TIA about 45 minutes before his stroke. The hospital was just about to release him to go home when the stroke hit. We were told they're often a precursor for a "real" stroke but not often enough that they can really do anything just because someone has a TIA.

In my dad's case the TIA was caused by a lessened flow of blood to the brain by a clot in his neck, but the clot broke loose so the TIA subsided, then the clot got to a place where his artery had a little more plaque and it lodged in his brain and he had a full on stroke.

Posted by hawgndodge
Member since Jun 2009
4741 posts
Posted on 11/4/13 at 9:10 pm to
Joe Adams had one during the season a couple years back.

Old Link talking about his recovery
Posted by Sid in Lakeshore
Member since Oct 2008
41956 posts
Posted on 11/4/13 at 9:35 pm to
quote:

Mini stroke > Fake cancer, that's for sure.



:golfclap:
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26973 posts
Posted on 11/4/13 at 9:50 pm to
quote:

That explains why they gave him tPA immediately. He evidently exhibited stroke symptoms and tPA has to be administered within 3 hours of the event to be effective


This was confusing for me. Where was this administered? They made it sounds like it was on the sidelines? Have to have a ct scan before it's given. If a minor bleed then tPA killed him.
Posted by Atari
Texas
Member since Dec 2009
3718 posts
Posted on 11/4/13 at 10:00 pm to
quote:

Have to have a ct scan before it's given. If a minor bleed then tPA killed him.


No you don't. You do have to either be a cardiologist or have a cardiologist OK it before it's administered but a CT scan isn't always necessary.
Posted by Stingray
Shreveport
Member since Sep 2007
12420 posts
Posted on 11/4/13 at 11:27 pm to
quote:

* DPH stroke care recommendations modified for BMC. Guidelines for Use of Intravenous tPA in Acute Ischemic Stroke Approved FDA use for LESS than 3.0 hours from initial symptoms Off-label use for 3 to 4.5 hours (see additional warnings box below) A. Indications New symptomatic ischemic stroke with clearly defined onset AND Onset of symptoms to tPA < 3.0 hours (3 to 4.5 hours with warnings below) AND Non-contrast CT showing no intracranial hemorrhage or well-established acute infarct (>1/3 MCA territory) AND Patient evaluated by in-house neurology Fellow or Resident and tPA approved by stroke attending (via phone or in person)


notice where the need for a ct is described, I certainly would demand a ct before i received tpa
Posted by Stingray
Shreveport
Member since Sep 2007
12420 posts
Posted on 11/4/13 at 11:29 pm to
quote:

cardiologist or have a cardiologist


oh, i get it. u are talking tpa for heart attacks.

keep up buddy, we are talking strokes
Posted by hikingfan
Member since Jun 2013
1658 posts
Posted on 11/5/13 at 1:13 am to
quote:

I've had them. They are not fun, certainly not the first time. They have never manifested in a sudden fashion like Kubiak though, I don't think that's standard. For me they always start with numbing of one side of the body and gradual loss of cognitive function. First time it happened I thought I was going to die, I couldn't read simple English or speak coherently. Subsided within an hour.

Dude, how old are you? Are you in a at-risk demographic or something? Have you made any life style changes because of it?
Posted by Atari
Texas
Member since Dec 2009
3718 posts
Posted on 11/5/13 at 1:23 am to
quote:

oh, i get it. u are talking tpa for heart attacks.

keep up buddy, we are talking strokes


You're right, not cardiologist. I was getting his doctors confused. You have to either be a Neurologist or consult one before it can be administered...but you don't always have to have a CT scan.

My dad was as a small rural hospital with no CT Scan capability but they administered TPA after calling the Med Center in Houston. They then lifeflighted him into Houston.
Posted by Buck Magnum
Springdale
Member since Dec 2003
11613 posts
Posted on 11/5/13 at 6:39 am to
He has carotid stenosis, this can be corrected by an angiogram.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
26973 posts
Posted on 11/5/13 at 7:17 am to
quote:

You do have to either be a cardiologist or have a cardiologist OK it before it's administered but a CT scan isn't always necessary.



Screw that. And a Neurologist better agree too.

If he has a little bleed and you give tPA, you may as well have shot him in the head.

And the sudden onset (apparently) of symptoms. He collapsed and could not open his eyes due to pain. That is like the "thunderclap" or "worst headache of my life." Would take some stones for a doc to ask for tPA without a CT scan.
Posted by SpartyGator
Detroit Lions fan
Member since Oct 2011
75407 posts
Posted on 11/5/13 at 7:24 am to
My dad had a mini-stroke 10 yrs ago and that was scary as shite. Really hope GK gets healthy again and never runs into this problem. Just scary.
Posted by Ric Flair
Charlotte
Member since Oct 2005
13653 posts
Posted on 11/5/13 at 7:26 am to
No way Kubiak got tPA without a CT scan showing no bleed.

And to the guy who has TIA's, I hope you take at least an aspirin a day, and have had a full workup (hypercoagulable workup since you're young, carotid dopplers, echo, and at least a holter monitor if not an implantable monitor to rule out paroxismal afib).
Posted by AngryBeavers
Member since Jun 2012
4554 posts
Posted on 11/5/13 at 10:00 am to
I was with my grandfather when the exact same thing happened to him. I was 13 and we were walking in his cow pasture when he just went to one knee and said he was dizzy and couldn't feel his arm. Scary situation but he was up and out of the hospital 3 days later.
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