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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Headache, One Hand Cooler Than Other, Short Term Memory Loss, Has Hypothyroidism. Any Ideas?

My father is 61. He is overweight and smokes. Heis being treated for hypertension , diabetes, and cholesterol concerns. He has been diagnosed with hypothyroidism , but does not take his medicine because after taking it for 2 weeks, he said he didn t notice a difference. He had an episode at work where he became dizzy and unsteady on his feet. I came to pick him up and by the time we came home he said he was feeling some better, bit it took a day for the dizziness to go away. He complains of a headache and has noticed that one hand is cooler than the other hand. He has very little memory of that night, but remembers what has happened since. Any ideas what might be going on?
Thu, 11 Oct 2012
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General & Family Physician 's  Response
Hi, thanks for using healthcare magic

With a history of diabetes, excess weight, hypertension,smoking and high cholesterol, you father has all the risk factors for cardiovascular complications (heart attack, stroke, aortic aneurysm).
It is possible with a history of abnormal sensation in one aspect of his body (the cold sensation), dizziness and headache , that he may have suffered a mild stroke or transient ischemic attack- which is transient reduction in blood flow to areas of the brain resulting in neurological symptoms that resolves in 24 hrs.Persons with a history of a transient ischemic attack are at risk of a major stroke.

Your father needs to modify his lifestyle to reduce his risk, this would involve smoking cessation, control of the blood pressure, cholesterol and diabetes by diet , exercise and medication.He should consider restarting his thyroid medication.
He should consider visiting his doctor for a neurological assessment.

I hope this helps
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Headache, One Hand Cooler Than Other, Short Term Memory Loss, Has Hypothyroidism. Any Ideas?

Hi, thanks for using healthcare magic With a history of diabetes, excess weight, hypertension,smoking and high cholesterol, you father has all the risk factors for cardiovascular complications (heart attack, stroke, aortic aneurysm). It is possible with a history of abnormal sensation in one aspect of his body (the cold sensation), dizziness and headache , that he may have suffered a mild stroke or transient ischemic attack- which is transient reduction in blood flow to areas of the brain resulting in neurological symptoms that resolves in 24 hrs.Persons with a history of a transient ischemic attack are at risk of a major stroke. Your father needs to modify his lifestyle to reduce his risk, this would involve smoking cessation, control of the blood pressure, cholesterol and diabetes by diet , exercise and medication.He should consider restarting his thyroid medication. He should consider visiting his doctor for a neurological assessment. I hope this helps