Case study 77 - MCA Stroke treated by hemicraniectomy EXPLAINED by Dr Betsy Grunch

Case study 77 - MCA Stroke treated by hemicraniectomy
In 2021, 1 in 6 deaths from cardiovascular disease was due to stroke.
Every 40 seconds, someone in the United States has a stroke. Every 3 minutes and 14 seconds, someone dies of stroke.
Every year, more than 795,000 people in the United States have a stroke. About 610,000 of these are first or new strokes.
About 185,000 strokes-nearly 1 in 4-are in people who have had a previous stroke.
About 87% of all strokes are ischemic strokes, in which blood flow to the brain is blocked.
Stroke-related costs in the United States came to nearly $56.5 billion between 2018 and 2019.2 This total includes the cost of health care services, medicines to treat stroke, and missed days of work.
Stroke is a leading cause of serious long-term disability. Stroke reduces mobility in more than half of stroke survivors age 65 and older. (Source: cdc.gov)
Check out Case Study 76 - • Case study 76- Dr. Gru...
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#healthcareworker #hospital #surgery #neurosurgeon #medicalschool #medstudent #medicalstudent #nursing #pastudent #paschool #disability #stroke #mca #hemicraniectomy #brainsurgery

[@jennynunez7946]

I have A Fib and I haven't started my Pradaxa. Seeing this really scared me and I'm getting my prescription filled today!!!!

[@cynthiadaniel9804]

I really enjoy your case studies. My father had a stroke and tried to wait it out thinking he'd feel better. Well, he never felt better and by waiting he made his situation so much worse!!! Stroke awareness is so important! Thank you for sharing!!❤️🥰🧠

[@lindagoosling]

By now I would have still been suffering from herpes if not for the fact that I visited HERBALIST DOCTOR KINGSLEY on KZbin who got me cured

[@geralynivettepereznegron2167]

As an Occupational Therapist that used to worked in Rehab, I really enjoy your vlogs and learn/refresh a lot of knowledge. Thank you Dr. Grunch from Puerto Rico 🇵🇷

[@christinafolmsbee4212]

One thing not mentioned is any emergency room won't do, you have to know which hospital in your area is a stroke center, they will have the specialists, available. If you are in a rural area you MUST know the stroke center closest to you, if they bring you anywhere else you are wasting time and as you can see from this video, you don't have it to waste

[@makeuplover6852]

This is VERY good information. My Father in law had a stroke while on vacation in the Dominican Republic (we live in Canada), Grandma went for a walk on the beach at around 6 am, when she returned at 7 am he had - had a stroke, she immediately knew and recognized the symptoms this had been a minor stroke as he was still able to walk, talk use both arms but had a noticeable shift in speech and loss of strength in one side, she went to the main desk to get help. It's a very long convoluted story but it took hours before he arrived at a small local clinic, they were furious that he'd been brought there vs the main hospital, he was then taken to the "main hospital" on route to the main hospital he had another stroke which left him brain dead. (So we believe, it has been a complete nightmare trying to get correct /accurate information). It was an astonishing 13 hours before he would arrive at the main hospital. When he arrived Grandma was told they were going to do brain surgery on him. She was alone and 80 years old. She didn't even call us for a few hours as she still at that time thought he was going to recover. Sadly, they lied to her. He never underwent any type of surgery, and was instead put on life support. Finally she called us and with the help of the Canadian embassy and my husband and his 2 siblings flying to the DR and hiring translators and the Canadian Embassy getting involved we began to get at the truth. Grandpa should have been air lifted from the resort to what they call the "tourist hospital" , the resort they stayed at claims they have access to medical air lift for emergencies, that is a lie. They do not. He was instead taken to what they call the "locals hospital" , where very little English is spoken. It took us 4 excruciating days fighting with the hospital administration leveraging our Canadian Embassy and finally it took calling in a favour of a relative who is in politics before we could finally get him released to be air lifted home to Canada. We had it all arranged and my husband was going to be flying back with his Dad on the medical flight, at 9 am the following morning. Everyone else flew back to Canada and my Grandma and sister in law went back to the resort to gather their things and interview people to compile notes. When my husband arrived at the hospital the morning he was going to fly home with his dad, they told him his father had passed in the night and had already been moved to an off sight morgue. Now my husband has no family support, and more back and forth with the embassy to finally get Grandpa's body released and sent back to Canada. It was the most unimaginable nightmare. Everyone in the family has vacationed in the DR for over 30 years, that was the last trip for any of us. We will never vacation anywhere again unless we know for absolute sure that in an emergency of any kind, if it's a remote island, and roads make travel long and difficult - be SURE that if the resort says they have medical air lift...they really do. Sadly, in our research we have found MANY other families have lived through same/similar horror because the resort does not have any access to air medic and thus diminishing the percentage of someone surviving a heart attack, stroke or any other type of severe injury or medical emergency.

[@christinafolmsbee4212]

@@makeuplover6852 So sorry you had to go thru that. I 've been thru similar treatment for my parents as well and it leaves a ptsd, besides their passing. I am in florida and was in nyc. You cannot count on paramedics to know which hospital to bring the patient to, yes they should know but they might have been directed by a supervisor , or some issue they have to follow. Just don't count on it. If he was brought to the proper hospital and has a ct scan, they would have known what course of action was needed and if it was not available then they could have airlifted him. i'm sure this happens all the time in the states as well

[@cedixx]

I am a med student but haven't started clinical classes yet. So thank you for showing me how all of the information I'm learning will come together to treat patients!

[@missycampbell4925]

i had a midline shift due to a MCA CVA caused by a carotid srtery dissection, foc gave mannitol snd my family asked him to wait for meds to work before doing thst surgery, meds worked but im still here,not whole, but here. i love all your stuffgreat job!!

[@Sharonmxg]

I just love your explanations. I read the documentation for these events on the regular as a coder and have a basic, rudimentary understanding of the disease process but you show me the images that the charts don't and give me visual context for the conditions I am reading about. I did not realize the TPA window was so brief! That explains the routine documentation of "outside the window".

[@lindaarmstrongjackman9788]

Wow. Thank you for another informative video. I used to work as a Nurse in the Angio Suite and in the CT Scan. It is always good when the patient can get to the ER in time for treatment. We always stressed the importance of patients taking the BP meds and Blood Thinners as directed and to have a medic alert bracelet. It was important to make sure families knew what signs and symptoms to watch for so that early intervention can start.

[@wagonwitch]

Thanks Betsy for another great Case study. Your doing a great service for awareness of strokes.

[@meghananello5232]

I really love watching your study’s and also all your other videos! So glad I found your page on FB! My 2 y/o had a left MCA stroke at birth, she also has syringomyelia which was an accidental finding during one of her MRI’s ( they are unrelated but still interesting)

[@deannad9105]

If there was even a remote possibility that he had the stroke during the time frame, why wouldn't the clot be surgically removed? What surgical outcome could be worse than brain death and partial paralysis? And if the answer is death, why can't the person choose if they want to roll the dice (through a previously established advanced directive or their POA)?

[@builtontherockhomestead9390]

My elderly neighbor had a stroke that affected his speech region. He had trouble talking and understanding. For some reason he had no problems understanding me. We live 120 miles from the nearest VA hospital and I drove him and his wife there. So I was always around. Anyway, the neurootologist was from South America and my neighbor couldn't understand her at all, so I became the translator. She quickly realized what was going on and would tell me what to say and that she didn't want me showing him what to do. I had to translate for a lot of doctors, both American and foreign. He joked he only understood Texan, but I'm from California, lol.

[@cooleyincali6239]

Absolutely fascinating.

[@cathy91225]

Love this channel! I thinks she is so amazing!

[@christinao8877]

Hi, can you examine my case? Left totally occluded artery recently due to surgery and right is 80% blocked.

[@kellyguillory2352]

Paramedic here, can you do one on small vessel stroke? I do follow you on other channels as well and love the content.

[@owlbyovrprepared1128]

Do you already have any videos on case studies involving ehlers danlos syndrome or connective tissue disorders? I'm especially curious after this video.

[@mostafaneotn1175]

Thank you your doctor for your great presentation, and I wanna ask ” is there any possibility from going to do mechanical thermboectomy, I hear some doctors said that it can be done up to 16 hours”

[@the13920]

My mom just had this surgery due to RT MCA. Do patients recover at age 75? Her vitals are normal but lethargic these past 3 days. She's moving her left side and didn't loose rt side mobility. Swelling is at 10mm dr believes it's her peak at day 6. Will see.

[@Molly77709]

I'm not a doctor, but when I heard his symptoms and his cardiac issues, I knew it was a stroke immediately.

[@CharLotteSoriano3030]

Please answer me. I have a brother who had vehicular accident. His final diagnosis is traumatic malignant right MCA infarct. He had undergone decompressive craniectomy. Everything went well. Now he is undergoing therapy every other day. Will he ever regain the sensation on his affected side?

[@canon3892]

My mother had Cardio embolic stroke because of Atrial Fibrillation and had MCA infarct. Her whole right part is numb. What is the chances of recovery?

[@jodystorie3006]

Scary

[@patrickdonegan9559]

I have a-fib. I have had 2 RF ablations ... did not stop the a-fib. I am on 5 mg of eliquiis 2x a day. I am freaking out now!

[@patrickdonegan9559]

Are you a Bucky fan?