Stroke: What to Expect at the Hospital
Stroke: What to Expect at the Hospital
You have had a stroke and go to the ER, what happens next? This patient educational video will introduce you to what to expect if you have had a stroke and are seen at the University of Michigan Hospital. Members of the comprehensive multidisciplinary stroke team walk you through their roles and the diagnostic tests that you might have to have in order to understand the severity of your stroke, so you can be treated for the best possible outcome. For more information on stroke care at University of Michigan visit http://www.uofmhealth.org/stroke.
Content
0.506 -> [ Music ]
51.286 -> >> My arm is weak.
52.306 -> I can't hold it up.
54.516 -> [ Music ]
63.176 -> >> So they said I had a stroke
and then they left.
65.846 -> What happens next?
67.516 -> [ Music ]
72.016 -> [ Background music ]
72.083 -> >> Hello I'm Dr. Lewis Morgenstern,
Director of the Stroke Program.
75.296 -> I'm sure that you and your family are
wondering what the next few days will be like
79.316 -> and how long you'll be at University Hospital.
82.406 -> We hope this video will provide useful
information to you and how we care
86.116 -> for stroke patients at the
University of Michigan.
89.586 -> We have a great team of doctors, nurses and
therapists who have spent years of training
94.346 -> to care for you at this important
time in your life.
97.696 -> We know that this can be a scary time;
we hope to make this as easy as possible.
103.966 -> >> I wish they'd come back,
I still have some questions.
107.146 -> >> It looks like they have
some really sick people here.
109.896 -> >> I'm Dr. Saucer, the emergency department
attending in charge of your care here.
114.386 -> When you first came in we asked
you questions and examined you
117.656 -> to quickly determine the diagnosis.
119.906 -> As the team told you before, you had a stroke.
124.016 -> Most strokes occur when a
blood vessel is blocked
126.916 -> and blood cannot get to a part of the brain.
129.776 -> That small part of the brain dies.
132.646 -> Some strokes occur when a blood vessel ruptures.
135.746 -> We have special treatment for stroke that
we can use when patients come early enough
139.966 -> and that is why we usually surround you quickly
to determine if you can get that treatment.
144.676 -> After that we wait for test
results and we ask the stroke team
148.506 -> to come see you and evaluate you.
150.936 -> >> Wow okay, makes sense.
153.796 -> >> He thought you forgot about him.
155.096 -> >> No I didn't.
156.216 -> >> Even though I'm not always at your
bedside, we're always taking care of you
160.396 -> and the nurse is constantly monitoring
your condition and updating me.
164.176 -> >> See, I hope you get to each lunch too.
166.776 -> >> Yes, thank you.
168.526 -> In the emergency department we usually
get a CT scan and we get blood tests
173.396 -> and we ask the stroke team to
come see you and evaluate you.
177.006 -> >> Hi I'm Dr. Morgenstern.
179.096 -> I'm the attending physician from the stroke
team that will be taking care of you upstairs.
183.426 -> I've reviewed what's happened down
here and now it's time for me to get
186.376 -> to know you and your family a bit better.
188.706 -> I'd also like to hear a bit more
about the symptoms that brought you
191.746 -> to the emergency department today.
193.596 -> >> Well, when do we go upstairs?
195.566 -> >> Sometimes it can take quite a while
to free up a bed in the stroke unit
198.816 -> but the stoke team starts taking care of you
right down here in the emergency department.
203.036 -> >> Thank you.
203.516 -> [ Background music ]
204.216 -> >> Hi I'm Kate Maddox nurse
practitioner with the stroke team.
209.466 -> Most of our patients are taken care of in the
stroke unit on the fourth floor of the hospital.
214.536 -> The stroke staff is specially trained
and we meet daily to discuss your care.
220.726 -> Some patients are taken care
of on other units but no matter
226.736 -> where you are you'll receive excellent care.
228.686 -> >> Kind of like a four star hotel.
231.436 -> >> Well, more like four star stroke care.
234.396 -> >> Most stroke patients get an MRI scan
or another CT scan after admission.
239.516 -> [ Music ]
251.596 -> >> MRI's make a lot of noise and you need to
hold very still for us to get good images.
257.106 -> See it's really open.
259.106 -> Some people feel claustrophobic but no
one has ever been stuck in an MRI scanner.
263.796 -> >> I'll just think about
puppies instead of this machine.
267.716 -> >> One of the most important parts of your
stay is trying to find out why you had a stroke
271.786 -> so we can work with you to
prevent it from happening again.
274.456 -> >> Well, please do.
276.336 -> >> The CT and MRI scans are a big part of that.
279.566 -> Sometimes the heart can be a source of
clots that break off and travel to the brain
283.966 -> so we will examine your heart
and monitor your heart
286.576 -> in the stroke unit and we'll
get an echocardiogram.
290.126 -> >> I'm Dr. Bock, the cardiologist.
292.476 -> We do two types of echoes.
294.126 -> One of them is a Transthoracic Echo or a TTE.
297.596 -> With that procedure we use an ultrasound
machine to take pictures of your heart
301.276 -> through the surface of your chest.
303.286 -> The other is a Transesophageal Echo or TEE.
306.736 -> With that procedure we use the ultrasound to
take pictures of your heart from the esophagus
311.126 -> with a food tube after you swallow the probe.
315.466 -> >> More thinking about puppies.
317.556 -> >> Puppies?
318.436 -> >> Never mind, just the tube down
the throat sounds unpleasant.
323.546 -> >> It's not that bad.
324.626 -> We use a spray to numb the back of your throat
and give you a medicine to make you sleepy
328.706 -> and you don't really feel the procedure.
330.666 -> Maybe a little bit of a sore
throat when it's all done.
332.876 -> >> Well, can I get some ice
cream maybe for the sore throat?
336.296 -> >> Sure, as long as its low fat.
340.636 -> >> We want to get you better and
minimize the symptoms of your stroke.
343.686 -> >> I'm going to need a cigarette.
345.636 -> Where's the smokers lounge?
347.716 -> >> We'll be talking about your risk
factors for stroke like smoking for example
352.396 -> and helping you minimize your risk.
354.286 -> Stroke is very preventable.
355.656 -> >> Do family play a role in this education?
358.336 -> >> Often times family is key to helping
patients reduce their stroke risk
362.566 -> >> I can't wait.
364.166 -> >> We put together a fantastic team of
professionals with the training, experience,
368.206 -> and motivation to take care of you.
370.306 -> You've met a few already.
371.436 -> I'd like to introduce you to a few more.
374.096 -> >> Hi. I'm Hendrica, I'm a physical therapist.
377.026 -> I'll be helping you if we find you need
to improve your walking or your balance.
381.046 -> >> Hi I'm Kaitlyn and I'm
an occupational therapist.
383.666 -> I'll be working with you to
improve your hand and arm function.
386.386 -> >> Hi I'm Karen I'm a speech language
pathologist and I'll be evaluating your speech
390.346 -> and language and the nurses and I will
be assessing your swallow function.
394.356 -> >> It was nice to meet you all.
396.106 -> I like having an entire team taking care of me.
400.556 -> >> Well don't get too used to it.
402.136 -> >> I mentioned that I'm the attending physician.
404.846 -> [ Background music ]
405.116 -> We are faculty members leading the
team, caring for patients and teaching.
409.726 -> You will likely have residents, interns and
medical students also involved in your care.
413.876 -> They are at different stages of
their training and while they're here
417.106 -> to learn they are also here to take care
of you and they do it exceptionally well.
421.286 -> It is just one of the reasons why
the University of Michigan provides
424.406 -> such a high level of medical care.
426.166 -> >> I can see you'll get great care.
428.156 -> We may spar a bit after all of these years
together but my husband means everything to me.
431.946 -> What if he needs something at say 3 am?
435.166 -> >> We are here for you.
435.766 -> There are always doctors and nurses
around to answer your questions.
439.586 -> We regularly make rounds to review
what has happened and work with you
443.366 -> to decide what the next step should be.
445.866 -> Please ask us questions.
447.406 -> The person to start with is your nurse.
449.306 -> Please let her know if you are not
feeling well or have any concerns.
453.596 -> >> Thank you.
454.826 -> Let's get started.
456.516 -> [ Music ]
Source: https://www.youtube.com/watch?v=RL5xE02h2b4