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Tick, tock says the brain, what you need to do, do “FAST”.

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By Ovundah Nyeche.

Strokes occur due to problems with the blood supply to the brain: either the blood supply is blocked or a blood vessel within the brain ruptures, causing brain tissue to die. A stroke is a medical emergency, and treatment must be sought as quickly as possible.

It is important that a stroke is diagnosed quickly, not just to reduce the damage done to the brain, but because some of the treatment for stroke is time dependent.

There are two main kinds of stroke, ischemic and hemorrhagic, both caused by different factors and requiring different forms of treatment.

Once anyone has a stroke, you need to act FAST,  like it is said in medical parlance “Time is Brain, Brain is Time”. Most times people delay when their relatives have strokes, most send them to places that will not help them, many pray alone and forget prayer reaches any distance and faith without work is dead, most times many fail to realize the symptoms of stroke.

Okay let me bore you a bit with some facts.

* There are 200 billion neurones in the brain

* In a stroke 2 million neurones die per minute.

* The brain ages 3.6 years per hour of oxygen deficiency.

* 830 billion synapses or junction between 2 neurones are lost per hour (14 billion synapses /min).

* 714 km of myelinated fibres are lost per hour (12 km fibres / min)

You now know why I said initially, that time is brain and time is neurone.

Delay is dangerous, we will learn about basic symptoms in a moment.

FAST is an acronym used as a mnemonic to help detect and enhance the responsiveness a stroke victim needs.

 

F: Facial weakness, let’s say someone you know wakes up or suddenly develops weakness of their face, or bending of their mouth to one side, inability to smile, it may be a pointer that all is not well. It’s a pointer that you need to act fast.

A: Arm Weakness, let’s say suddenly there is weakness in the arm or leg of one side of the body or someone you know, heaviness of one part of the body, funny sensation on one side of the body, or abrupt inability to move the arm on leg or sudden inability to write, hold biro or sign signatures,it is a pointer that you may need to act fast. Also inability to walk suddenly or walking as though the person is staggering or having sudden reduced movement of one side of the body, or sudden inability to lift one arm or leg, you may need to rush to the hospital.

S: Speech difficulties, let’s say someone you were speaking with suddenly has slurred speech, the person can no longer speak clearly or pronounce clearly, you were speaking with someone and then you say Ndaa ( which in Ikwerre means how are you) and you expect to hear Orvuroma ( which means fine) and you hear meka ( which is thank you), you notice someone that could pronounce certain things is speaking as though a hot potato or food is in his or her mouth, someone can suddenly not swallow, cannot speak suddenly and is drooling saliva from the mouth, you may need to act fast.

T: Time; It is time to call for help and rush to the hospital, time is Brain. Time is of essence, every minute counts. In our setting 911 hardly works, but if you are confused and you stay in Rivers State you may need to know the numbers of the Rivers State Emergency Medical Services 112, 08033104730, 08079733265.

Time is brain, the brain clock ticking, act fast to limit the disabilities from stroke.

However, prevention is better than cure.

The best way to prevent a stroke is to address the underlying causes. This is best done by living healthily, which means:

  • Eating a healthy diet
  • Maintaining a healthy weight
  • Exercise regularly
  • Not smoking
  • Avoiding alcohol or moderating consumption.

Eating a healthy diet means getting plenty of fruits, vegetables and healthy whole grains, nuts, seeds and legumes; eating little or no red or processed meat; limiting intake of cholesterol and saturated fat (typically found in foods of animal origin); and minimizing salt intake so as to support healthy blood pressure.

Other measures taken to help reduce the risk of stroke include:

  • Keeping blood pressure under control.
  • Managing diabetes well.

As well as these lifestyle changes, see your doctor to assess your risk for a stroke and reduce it by prescribing anti-stroke medications.

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4 Comments

4 Comments

  1. Avatar

    Kay

    September 2, 2017 at 12:58 pm

    Really nice. I’m sharing this.

    • Avatar

      Ovundah

      September 8, 2017 at 9:20 am

      Thank you so much Sir

  2. Avatar

    Amax

    September 4, 2017 at 2:55 pm

    Good one. I hope the Rivers State EMS will also do well to respond promptly when called upon.

    • Avatar

      Ovundah

      September 8, 2017 at 9:21 am

      Test and see…you may first want to try the numbers to ensure they are going through.

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Healthy Living

Living Test Tubes…

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By Ovundah Nyeche.

And so one day I was seated with a patient, who came for a particular complaint…

And boom the  discussion turned to fibroids…

And boom I hear…

I am taking a herbal remedy for my fibroids…

And here was I sweating…

Madam, do you know what the herbal remedy you are taking contains? Nooooooooooo!

Madam, can you explain to me what fibroids are? The look changed to “if I had the chance, I will beat”… You can you explain to me what strength of material is? or explain to me the theory of relativity?…

Okay Madam, please do not be annoyed, “na play I dey play”…

Okay, jokes apart,  how does this herbal remedy work? Erm how am I supposed to know?

Madam, you know you are on other drugs, does this herbal remedy interact with other drugs you are taking?  And there was this “come young man you better behave yourself”… Well you know that look…

Erm Madam lest I forget, what are the side effects of this herbal remedy? “Haba” Doctor… These drugs are organic and have no side effect whatsoever…

Madam is beans you eat not organic? Shebi it has side effects… Which can range from firing, rumbling, peppering to praaaaaaaaa…

You say your medicine does not have any side effects at all? Yes oh…

Ironically, if a real doctor tells this patient anything, the patient will likely Google it… But when a wannabe is playing with the patient’s  life…They will likely look the other way…

Don’t kill yourself for nothing…

#hearword #OvdSpeaks #hearwordseries

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Features

Apologies My Dear Melanin Umbrella.

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By Belema Omuso Abbey.
I need to say I am sorry dear melanin. Can you ever forgive me? Can I ever undo this wrong? Is there a way I can make this better? How come I was never told I despised you with my actions. I was unknowingly telling you to get lost, literally!!! How come my brain never actually registered the counselling and all the caution I heard? Repeatedly heard.
A deep groan escaped Fabby’s lips as she clutched at her head, sobbing quietly. Then, she pressed send, delivering her message. She got up from the toilet seat and stood in front of the bathroom mirror. She looked at her once “glowing, very fair” skin, scattered in patches of red, black and yellow discoloration. Her skin was shriveled, she could see very tiny and large blue-green veins literally making a map all over her skin. It is a map indeed.
Her doctor says it shows the way the superficial blood vessels course through her body. Her left arm had a long scar, a lasting memory of the surgery she had 4 weeks earlier. The wound took 4 weeks to heal. Dr Regina said it was because her skin has lost all its protective, healing and regenerative functions. Fabby listened as her husband opened the door for the team comprising of doctors and nurses. Her husband called out to her, she is needed he said.
You see, she begins chemotherapy today for melanoma, a skin cancer. That was the outcome of the surgery on her left arm. Melanin stood rigidly against Dr Tan’s consulting room walls. Fabby’s message overwhelmed him as her words echoed all around him. He remembered reading Dr Regina’s notes a few months ago. “Mrs Fabby Dema, a 38 year old female, manager at a bank, who presented with an ulcer on the left arm. She was said to have previously developed an itchy black spot (before the ulcer started) that bled occasionally. She had been using over the counter whitening creams and soaps for 10 years, including a whitening cream following which she would pluck and pull out her skin after a few hours, revealing supposedly new skin. She is married, has just gotten to the peak of her career, her 3 kids are in secondary school. She does not smoke nor take alcohol.”
An angry loud thump drew melanin’s attention back to Dr Tan’s consulting room. It was the angry female patient. She is quite furious because Dr Tan is insisting that she has developed an addiction to steroid creams as she refused to stop applying them 5 months ago. He had prescribed it for an acute flare of her eczema but was surprised to see her much lighter in complexion during the clinic visit. She explained that the steroid cream made her skin fairer and more beautiful. She stomped out of the consulting room as the young dermatologist refused to prescribe some more for her. Melanin pitied Dr Tan. He had particularly had a bad day at the dermatology clinic.
He reminisced about his previous patients. He wondered whether he was complicit in 45 year old Mrs Owuna’s addiction to hydroquinone. He had prepped her skin for a chemical peel with 2% hydroquinone after counselling her on the benefits of the controlled procedure. Following sessions of chemical peels with glycolic acid, he withdrew hydroquinone, placing her on sunscreen.
Despite pre procedure counselling, Mrs A has refused to go off hydroquinone. Today, she informed Dr Tan that her 23 year old daughter’s skin is doing very well with a hydroquinone cream. Dr Tan felt some warmth on his shoulders as Melanin wrapped his arm around him. “No” Melanin said, the patient chose to continue the use of hydroquinone, you did not. He thought of Ms A. Ms A’s ebony skinned friend had accompanied her to her follow up clinic visit today. She needed to consult Dr Tan for a cream that could get her fair. Her group of friends had all started using naturally mixed soap and cream that made their skin luminous. She was rightly worried about the contents of those products, so she came to consult Dr Tan for safer options.
Melanin then screamed through the doctor. “Do not be tempted madam”. Do you know what the different shades of “black” you see on different skin do for us? It protects us from the damaging effects of the ultraviolet rays of the sun. It actually forms an umbrella shield around our skin’s DNA preventing damage and leading to skin cancer. It helps us not to photo age as fast as the white race. Ever heard of the phrase “black don’t crack”?
Bleaching agents with toxic contents like mercury and hydroquinone can give you kidney failure, steroids can cause growth retardation in children and cause a disease called Cushing’s disease. In the long run, when compared to your peers, your skin will look older, is prone to rashes, prone to skin infections, looks more wrinkled, does not heal properly and looks transparent. “I am Melanin, I live in your skin, I protect you, please do not hurt me” the doctor heard himself plead loudly. Those words sliced through Fabby as she dropped the cup of cream. 

 

You see, she is now in remission, her skin cancer treatment had resulted in a very good prognosis. Fabby was about applying whitening/bleaching cream because she noticed her ankles and knuckles look really dark she needed to even up the complexion one more time. Just one more week of use she thought, then I am done with toning my skin forever. So she planned, until melanin replied her long forgotten message.

Belema Omuso Abbey is a consultant dermatologist and physician of the West African College of Physicians. She trained at the University of Port Harcourt Teaching Hospital and The University of Nigeria Teaching Hospital Ituku-Ozalla, Enugu state. She is presently into private practise. She loves to dance, read and allow her imaginations run wild.
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Healthy Living

Ticktock says the breast…

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By Ovundah Nyeche.

In medicine, time is everything…

And many times the difference between life and death is time…and not necessarily money…

Husbands please do a lot of night watch and EFCC on your wife’s breasts…

Ladies be vigilant about your breasts…

Don’t dismiss casually…

Breast pain…

Nipple deviation…

Sunken Nipple…

Dimple on the breast…

Skin changes on the breast…

Swelling on the breast…

Wound on the breasts… ( leave village people, bluetooth and staphylococcus alone)…

Strange Nipple discharge…

Swelling under your armpits…

Please see a doctor urgently… As in immediately with all alacrity…

TIME is EVERYTHING…

And breast cancer is beatable many times, if fought on time…

Many times when caught late… Even your money… may mean nothing…

Do not just play with your breast… Watch and take care of it…

Do not just flaunt it… Inspect it…

And present to a doctor once you notice any foul play…

You are needed…

Your life matter…

Ladies your life matter…

#hearword #OvdSpeaks #hearwordseries #Ovdiasis

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