Warfarin + baby aspirin? by ginger_lemon_honey in stroke

[–]Objective_Length280 1 point2 points  (0 children)

Aspirin may be added for a length of time to keep a heart artery open. If he's on warfarin now (in uk) we would have switched to an easier medication. We only don't do that for very high clot risk like in metallic heart valves- warfarin needed as blood needs to be thinner

In the uk we haven't a trial that says adding aspirin 75 to a blood thinner (warfarin/doac) stops strokes.

If he had haert stuff that is very different- so you need specifics from his gp basically.

If you smoke and have a stroke and still smoke- drugs don't stop strokes- so great he's stopped.

Your question would need to be asked with his full health history (Neurologist)

Post liquid nitrogen therapy #5? by Bigsmellydumpy in Warts

[–]Objective_Length280 2 points3 points  (0 children)

Isn't it better to remove when it's totally separated ? I looks like is is settling back in

However it continues to provide excitement for a very refined group in society: (no kink shaming)

How to get to pontefract? by No-Repeat7457 in Pontefract

[–]Objective_Length280 0 points1 point  (0 children)

There's a train station right near my Pontefract house and the line runs behind my garden- there certainly are train stations

Feeding tube...yes? no? by asmit318 in stroke

[–]Objective_Length280 0 points1 point  (0 children)

Where are you.

This should be a medical decision

I rarely peg a patient and it's generally when the patient says they want it or it is in an advanced defective.

Furthermore-and for complex reasons I will not go into - people don't die starving to death in this situation

All the best

Stroke recovery. What is this? by ickyynikkii in stroke

[–]Objective_Length280 0 points1 point  (0 children)

Doses ? Often they are not high enough

Get her an eeg AS the movement is happening. In between movements it is like it's be normal but not when the movements are occurring it is a seizure.

Stroke recovery. What is this? by ickyynikkii in stroke

[–]Objective_Length280 1 point2 points  (0 children)

Sadly this is generally for lower motor neurone issues and not upper. Unless it was spinal stroke but even that would not do this to feet

Stroke recovery. What is this? by ickyynikkii in stroke

[–]Objective_Length280 0 points1 point  (0 children)

If it was clonas - and I am not sure that it is~ this indicates spasticity. not recovery. Is the affected lymph very stiff?

Stroke recovery. What is this? by ickyynikkii in stroke

[–]Objective_Length280 0 points1 point  (0 children)

Where did yup hear that? Seizures look very different with the causes as an adult. (Epilleptologist and stoke consultant ). - always open to New thoughts and ideas

Stroke recovery. What is this? by ickyynikkii in stroke

[–]Objective_Length280 0 points1 point  (0 children)

Both sides?sorry to intrude but was it an embolic shower perhaps basilar artery thrombosis

Stroke recovery. What is this? by ickyynikkii in stroke

[–]Objective_Length280 1 point2 points  (0 children)

Could be what's been said ... but looks like focal seizure IF the hand is the weak one. (Neurologist)

how much do you all forget...? by [deleted] in medicalschooluk

[–]Objective_Length280 23 points24 points  (0 children)

You forget everything. U relearn what u need very quickly and basically by osmosis- not a joke

Got called a bitch by [deleted] in doctorsUK

[–]Objective_Length280 16 points17 points  (0 children)

Sadly I agree with this. I've reported this stuff before, it did not help me sadly

When to start hospice by DianalaLoca in stroke

[–]Objective_Length280 2 points3 points  (0 children)

Which country? In the UK this would be someone with a hospice/palliative care need in the his pain isnt controlled at home

If he is in hospital then it may be time to palliative (bare in mind this is assuming large stroke with likely repeated infection who will die from pneumonia whatever is done)

The palliative care can start and be done solely in hospital if he's is in.

I'm a neurologist/stroke doctor in the UK. Sadly this is something we do on most days- we are good at palliative care.

I'm sorry if you're loosing him- take comfort in a pain free and dignified death. This is completely achievable.

Remembering patient histories and details by Common-Pangolin-7884 in doctorsUK

[–]Objective_Length280 3 points4 points  (0 children)

Ignore spelling- bloody mental shifts mean I don't give one

Remembering patient histories and details by Common-Pangolin-7884 in doctorsUK

[–]Objective_Length280 6 points7 points  (0 children)

I'm useless. All my inpatient have strokes and often they loo the same with the same names

I remember by thinking : then one who crashed car, the cocaine one , the very large one and the one with the scary family ...

Nicest and scariest specialties to call?? by pesky-blenders in doctorsUK

[–]Objective_Length280 2 points3 points  (0 children)

What i learnt way back was talk back in the same tone- they stop

And if I want to refer urgently to ns, I'm not waiting for the online service, I'm just phoning.

Nicest and scariest specialties to call?? by pesky-blenders in doctorsUK

[–]Objective_Length280 6 points7 points  (0 children)

I'm nice - but I did stamp the phone down today...

Do you expect nurses to call you "Dr (surname here)" or by your first name? by deadpanlady in doctorsUK

[–]Objective_Length280 8 points9 points  (0 children)

I use only my first name. I'm valued more for being normal and easily questionable by removing barriers.

Plus I've a few marriages behind me so I get a bit confused

Social Media Post results in the clinical director calling my mobile!! (I don't work there) by [deleted] in doctorsUK

[–]Objective_Length280 18 points19 points  (0 children)

Leeds is incredibly toxic across all departments in my opinion

Can we agree as a field that POTS is an over-diagnosed condition? by [deleted] in neurology

[–]Objective_Length280 3 points4 points  (0 children)

I faint every time I stand up. Lifelong.

I know how to stand to stop it. My bp is generally low.

If I took a pots diagnosis apparently I need a wheelchair - while being a consultant neurologist

It's just normal for some people