Post-TIA brain scans might yield vital information

Nobody likes to hear bad news - but sometimes, bad news might save a life.

Many people have transient ischemic attacks, or mini-strokes, before a larger stroke occurs. Now, imaging after a mini-stroke can help map a plan of treatment and, potentially, preventing a more serious stroke.

You can read here about how brain scans yield clues to future stroke risk:

Brain scans taken shortly after a mild stroke can help identify patients at risk of suffering another stroke within three months, a new study suggests.

Ignorance about stroke can kill or disable

If you're here, chances are you've had a stroke or know someone who had a stroke. That means you're likely more educated than most people about stroke risks, signs and the potential outcomes, both good and bad.

I ran across a couple of articles about the lack of knowledge in the United States - where this blog is based - and halfway across the globe. One article reports that more than half of Americans don’t know if they are at risk for:

Despite the prevalence and potential severity of stroke, many Americans still don’t know the risk factors or signs of a stroke. About one third of Americans are unable to recall the warning signs of a stroke, according to the American Heart Association (AHA). Nearly 60 percent of Americans don’t know if they are at risk for the disease, the American Stroke Association (ASA) said.

Post 700: '...there is no failure'

Inside the will of God there is no failure. Outside the will of God there is no success.

-Bernard Edinger

I ran across this quote not long ago. Now, I don't pretend to know all there is to know about God's will. Yet, this quote strikes me as true.

Today's posting is No. 700 on this blog. And I would hazard a guess that at least a time or two, I've had some success. Those times with positive responses, both public and private. The posts that were personally therapeutic.

My personal prayer with Post 700 is to move upward to success - not necessarily as people see it, but as God sees it.

Better speed to stroke treatment

More evidence that mobile stroke treatment can result in better outcomes. Just read about a recent study indicating that a mobile unit speeds access to tPA:

Nearly one-third of (32.6%) ischemic stroke patients who were transported in the special ambulance received thrombolysis, compared with 22% of patients who received conventional care ..., reported researcher Martin Ebinger, MD, of the Charite-Universitatsmedizin in Berlin, and colleagues.

Hospital transport ... increased the number of tissue plasminogen activator (tPA) treatments within the critical window of 1 hour (the "golden hour") from symptom onset almost 10-fold, they wrote online in JAMA Neurology.

Golden-hour thrombolysis was associated with better short-term outcomes in the study population, they added.

Read the whole article for details for a way to improve the application of this treatment and improved versions in the future.

'... Only God is here.'

Here then I am, far from the busy ways of men. I sit down alone; only God is here.

-John Wesley (1703-1791)

Happy Thanksgiving, everyone.

Today, I'm thankful of my times alone with God. Much of mine don't involving sitting, but rather running. In most places, there are lots of opportunities to run in groups. As a longtime runner, though, I like to run alone.

But not really alone. That's the time when I am away from the "busy ways of men" and find myself with God. When I pray, when I praise, when I worship. There are other times I do all these things, but today, I give thanks for those times when I'm alone with God.

 Have you found your times when you can sit down alone with only God? If so, when is that time? And if not - try it!

Right combo of aspirin and blood thinners found safe

I stopped taking blood-thinners seven years ago, after a heart procedure removed my extra-high stroke risk.

However, I always took them when ordered, despite the trouble of tests, diet-watching and bruising/bleeding risk.

Turns out, that's what you're supposed to do. Experts reported earlier this month that long-term use of aspirin plus blood thinner is safe:

The blood-thinning combination won't increase a patient's risk of early death, according to a new study presented Sunday at the annual meeting of the American Heart Association in Chicago. The report was also published online Nov. 16 in The Lancet.

Today - actually any day - is a good time to quit smoking

Today is the Great American Smokeout - a day to quit smoking.

Actually, any date is a good day to quit smoking. It's a leading cause of strokes. Here's some basic information from the U.S. Centers for Disease Control and Prevention about smoking and stroke:

How are smoking and exposure to secondhand smoke related to heart disease and stroke?

Smoking is a leading cause of heart disease. Smoking can:

• Raise triglycerides (a type of fat in your blood)
• Lower "good" cholesterol (HDL)
• Damage cells that line the blood vessels
• Cause thickening and narrowing of blood vessels
• Cause clots to form, blocking blood flow to the heart

So, listen to this former smoker in the video below:

Note to self: If you're going to have a stroke, schedule it

This week, I took a friend to a hospital's emergency room after normal business hours. This isn't the only visit that confirmed my belief that health care suffers after hours.

Now, from Denmark, a new study looks at that weekend effect:

Overall, death within 30 days was 15% more common among patients presenting to Danish hospitals on weekend, evening, or night-time hours compared with those admitted during regular business hours, Nina Sahlertz Kristiansen, MHSc, of the Centre for Quality in Middelfart, Denmark, and colleagues found.

Off-hours admissions were associated with a lower likelihood of meeting even eight out of 10 performance measures, but that difference diminished over time, particularly from 2003 to 2011 after a national quality improvement program, the group reported online in Stroke.

The key factor in the mortality difference appeared to be stroke severity, they noted.

If only strokes followed a calendar and time clock - only Monday through Friday, 9 to 5.

Watch out for that easy road

The safest road to hell is a gradual one. This is safe road has a gentle slope, without turns, without milestones, without signposts, without warnings.

-C.S. Lewis

First and foremost: I am not a theologian.

Neither, by the way, was C.S. Lewis.

However, that aside, and no matter what you or yours think about hell, his quote carries a lot of meaning in life in general. How much in life leads to bad results by a supposed easy path?

We roll along, perhaps not paying close attention to certain diet, exercise, smoking or other choices we make. Things seem to be going over life's paths that appear to be safe, without warnings.

You know what can happen. A stroke can come at young, old or in between, without warning.

A different road - more thinking through diet selections, deciding how to exercise, making conscious choices about smoking - seems harder. Not necessarily perfect, but at least considered. And with better possible outcomes. Not guaranteed, but more likely.

Again, I'm not here to debate the existence or characteristics of hell. But just be careful what road your life is taking. It might make a difference here on earth.

'My strength and my defense'

    I will trust and not be afraid.
The Lord, the Lord himself, is my strength and my defense;
    he has become my salvation.

-Isaiah 12:2

Truth be told, I was afraid on May 8, 1998.

But even on that day, God was my strength and my defense. And because of that, I trust God more. Will I ever be afraid again? That's an unanswerable question. I would like to say no - and as I continue building up my faith, I hope to one day give that answer honestly: No.

Everyone has - or will have - a day with threat, a day that could be filled with fear. Here's to all our faith journeys continuing to reach higher and higher levels of trust in God so that fear - like death - can be conquered.