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紧急求助！！！

紧急求助！！！# Medicine - 求医问药

K*r2013-02-20 08:02

1 楼

老妈来美快一年了。以前有过中风经历，主要是血脂太高。现在一直服用可定和阿司匹
林控制血脂。前一段时间因为胃里不舒服，停吃了阿司匹林和可定大约一个星期。昨
天忽然感觉右手和腿不太听使唤，过了大约三个小时才好起来。当时就马上给她从新吃
了可定(20mg)并加大阿司匹林的用量200mg。她今天感觉好多了，只是担心会不会继续
加重。。。以前医生说三到五天是危险期。。。。
我想问问是不是这种情况一定要去医院看看？我妈妈没有保险，即使有保险也不报以往
有的病。如果去医院是不是费用会很高？有没有其他的方法？
费用如果很高的话只有回国看，这种情况下回国坐飞机会有问题么
多谢

EA2013-02-20 08:02

2 楼

I think ct is needed to identify if there is any bleeding in the brain. and
I also heard if you said you don't have insurance, the cost of procedure is
much cheaper than the one with insurance. you may call the hospital to quote
the price. anyway, 中风 is life threathen, be very careful.

K*r2013-02-20 08:02

3 楼

Thanks much!!!

a*22013-02-20 08:02

4 楼

Calm down, don't panic. Most likely it is a TIA, although stroke cannot be
completely ruled out. But for management, it is not an emergency anymore at
this time (for ischemic stroke, tPA window period is 3.5 to 4 hours. For TIA
, statins and aspirin are all you need to do plus source investigation.
Unlikely
hemorrhagic stroke, you didn't mention HTN history and symptoms unlikely
improve so fast). You can go to ER to get an CT or MRI, but the most
important thing is CTA or MRA +/- ECHO to look for the source if TIA or
ischemic stroke. Plus lipid profile and HbA1C for risk factor management.
You can increase stain to 40mg nightly. Good luck!

a*22013-02-20 08:02

5 楼

She won't be turned down in the ER. Make sure you don't sign anything with
your name. It should be your mom who signs all the paperwork. Later on when
she receives the bill, just say that she has no income. No worry, this is
the USA, not China.

K*r2013-02-20 08:02

6 楼

Thank you guys very very much!!!!!!!!!!

l*h2013-02-20 08:02

7 楼

3 hours of TIA? possible but quite rare. you need the clot to block blood
flow in such an exquisite way that the brain stops functioning but there is
still some blood to support cell survival for such a long time. rare is the
least in my experience.

at
TIA

【在 a**********2 的大作中提到】

: Calm down, don't panic. Most likely it is a TIA, although stroke cannot be
: completely ruled out. But for management, it is not an emergency anymore at
: this time (for ischemic stroke, tPA window period is 3.5 to 4 hours. For TIA
: , statins and aspirin are all you need to do plus source investigation.
: Unlikely
: hemorrhagic stroke, you didn't mention HTN history and symptoms unlikely
: improve so fast). You can go to ER to get an CT or MRI, but the most
: important thing is CTA or MRA +/- ECHO to look for the source if TIA or
: ischemic stroke. Plus lipid profile and HbA1C for risk factor management.
: You can increase stain to 40mg nightly. Good luck!

l*h2013-02-20 08:02

8 楼

not signing documents for your family can shed your financial burden in some
instances, but will also deprive your access to any of his/her health info
except that defined by law by default if s/he becomes unable to clearly
communicate.
also be aware you are under legal obligation to provide all expense for your
family's visit to the US when you sign the paper for them to visit (it's a
contract you have with the federal government). there are many instances big
medical bills are accumulated resulting in lawsuit at which point
information becomes in the public domain and then results into the permanent
barring of the family's future visits and the visa sponsor's fraud charges
and losing their own immigration status (if not US citizen yet).
the notion you can abide by only laws of your own choice is troubling.

when

【在 a**********2 的大作中提到】

: She won't be turned down in the ER. Make sure you don't sign anything with
: your name. It should be your mom who signs all the paperwork. Later on when
: she receives the bill, just say that she has no income. No worry, this is
: the USA, not China.

a*22013-02-20 08:02

9 楼

Large artery low flow TIA usually lasts minutes to hours.
Embolic TIA usually lasts hours.

is
the

【在 l*h 的大作中提到】

: 3 hours of TIA? possible but quite rare. you need the clot to block blood
: flow in such an exquisite way that the brain stops functioning but there is
: still some blood to support cell survival for such a long time. rare is the
: least in my experience.
:
: at
: TIA

l*h2013-02-20 08:02

10 楼

still not likely a low flow TIA.
the symptoms indicate MCA while low flow in MCA is quite rare. this could be
an ICA low flow event (event, not TIA). for such a long time, it would be
extremely rare if you don't see infarct in MCA-ACA watershed.

【在 a**********2 的大作中提到】

: Large artery low flow TIA usually lasts minutes to hours.
: Embolic TIA usually lasts hours.
:
: is
: the