Marilyn Erwin, Stroke Clinic R.N
What we really mean when we use the words “stroke clinic” is secondary stroke prevention clinic.
It has been known for a number of years now that people who have had a mild stroke, or even what’s often called a “mini stroke,” or T.I.A., are at great risk for a seriously debilitating or even fatal stroke any time over the next 48 hours to 90 days.
The good news is, in many of these cases, we can prevent this second incident, or at least greatly reduce the severity of its impact.
When these “stroke clinics” were first introduced, one of their key roles was to ensure the individual at risk underwent investigative screenings to determine why they were experiencing the symptoms they were, and to correct the underlying problems.
For instance, someone seen at the emergency department would go on to see a nurse practitioner, who then would order checks on that person’s blood cholesterol or ultrasounds of their carotid arteries.
Some patients with irregular heartbeats may need to wear a heart activity monitor for a few days, or have an echo cardiogram to see if there is a problem actually inside the heart itself.
Many people may have undiagnosed high blood pressure, and measures taken to monitor and treat that condition may be all it takes to prevent that second, big stroke from ever happening.
Here in Fort Frances, we are benefitting greatly from all of these research discoveries. On most occasions, these investigations are being ordered by the “on call” doctor while you still are in the emergency department—and often you will receive your first dose of what could be a life-saving medication right there and then.
The ER doctor is in the unique position of being able to prescribe something new, or maybe just change a dose of medication you already are taking, right on the spot.
So why the stroke clinic?
The stroke clinic in Fort Frances has a lot to offer. Our biggest advantage is we can see you before you’ve gotten past the risk stage and actually had a stroke or T.I.A.
The registered nurse there can compile a full profile of all your risk factors with you, and develop a plan which best suits you, in how to reduce some or, even in some cases, eliminate other factors completely.
No two people are the same; no stroke will effect two families the same way. The Fort Frances stroke clinic makes it our mandate to completely tailor the health management plan to best suit the needs of the individual.
We also are here to provide follow-up checks on how well you’re doing after a stroke.
The clinic provides information and education on what has happened, what next to expect, and, just as importantly, how to involve your family and care-givers in your health management plan.
This private and confidential service is covered by your OHIP health card and is easy to access. You may call and leave your telephone number at 274-3266 ext. 4542.
We will get back to you within the week to arrange an appointment or just a convenient time for you to drop by and pick up some informative literature.
We are opposite the hospital, and share the same building as the diabetes education centre.
We look forward to hearing from members of the public.
Who knows? This may be your most important telephone call this year towards a stroke-free future.
