In this episode of I forgot to ask the doctor, Dr Gail Busby interviews stroke expert Dr David Hargroves. We discuss how blood pressure, pulse, lipids and stress can affect stroke risk. This conversation with a stroke specialist is illuminating about stroke diagnosis, stroke symptoms and stroke treatment, including physiotherapy and contact with a stroke nurse. We discuss risk factors for stroke. Brain scans and the difference between an ischaemic stroke from a blood clot and a haemorrhagic stroke or bleed on the brain. The use of anticoagulants and fibrinolytics or clot-busting drugs as well as aspirin, clopidogrel and antihypertensives and statins. The surgical procedure of mechanical thrombectomy discussed as well as the medical option of thrombolysis. TIA and stroke versus migraine headaches. Dr Gail also includes some gynaecology insights about the contraceptive pill and stroke risk and HRT and stroke risk.

The important role of knowing your: Pulse, Blood pressure, Lipids -especially non-fasting non-HDL levels, glucose.
Family history and risk of stroke. Age of stroke.
The risk of diabetes on stroke. Weight and exercise. Hardening of the arteries. Atrial fibrillation. Heart disease.

We speak about the F.A.S.T acronym. Also we discuss hidden symptoms after stroke such as fatigue and mental health issues such as depression, anxiety and panic attacks.

Referral to a hyperacute stroke unit is recommended for those with symptoms without delay.

Also discussed: What are the symptoms of a mild stroke?
Can you fully recover from a stroke?
How long does recovery from stroke take?
What is life like after a stroke?

Links to Charities (3rd Sector) - for stroke information and stroke support:

Stroke Association - https://www.stroke.org.uk/
Different Strokes - https://differentstrokes.co.uk/
Headway - https://www.headway.org.uk/

IMPORTANT NOTE:
If you’re aged 40 or over, you can get a free, simple, and non-invasive NHS blood pressure check at a local participating pharmacy, find one near you by clicking here - https://www.nhs.uk/health-assessment-tools/check-your-blood-pressure-reading

2 gynaecologists with interests in fibroids talk frankly about all the symptoms and treatment options women have for fibroids. Medical treatment, surgical treatment as well as radiological and novel treatments are discussed in detail

In this fascinating episode, I interview Professor Subodh Dave about Burnout. We discuss risk factors, how to recognise it and interventions. We also bottom out if this is an individual or organisational problem. Not to be missed!

Links:
RCPsych Psychiatrists' Support Services - https://www.rcpsych.ac.uk/members/workforce-wellbeing-hub/psychiatrists-support-service

RCPsych Enjoying Work Collaborative -https://www.rcpsych.ac.uk/improving-care/nccmh/quality-improvement-programmes/rcpsych-enjoying-work

BMA Counselling and Peer Support Services - https://www.bma.org.uk/advice-and-support/your-wellbeing/wellbeing-support-services/counselling-and-peer-support-services

Doctors in Distress - https://doctors-in-distress.org.uk/