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Dr. Andrew Rynne

Family Physician

Exp 50 years

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My wife has returned home after having a stroke and

My wife has returned home after having a stroke and rehab. She has additional knee problems and is not very mobile. She has been having problems with swollen ankles but her medication CITALOPRAM (10mg) doesn't seem to have any apparent results. She tries to keep her feet elevated when sitting but has pain trying to flex her feet. Do you have any suggestions to relieve the swelling?
Thu, 31 May 2018
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doctor1 MD

I have been reading about strokes & am wondering if I may have had a mini stroke. Have had sudden onset of dizzy spells & have had to lie down for a few hours. One happened after reading for the afternoon & when I went out I felt my vision was off & after returning home the dizziness hit.I put it down to reading but now I wonder as I have had the problem twice previously this year. Both other times I felt okay- no vision issues. I m 72 with no other serious health issues. I am aware of the stroke symptoms. Blood pressure is normal but cholesterol is slightly elevated &I need to have it checked again.

doctor1 MD

I am a 49 year old female who was rushed to the ER Oct 2013. Dr s in the ER said I had a stroke. A neurologist was called in by my floor doctor, as he did not believe I had a stroke. My height and weight was no problem, my cholesterol was perfect, I eat very healthy, exercise 5 to 6 days a week, never have smoked or drank, and no family history of stokes. My neurologist ran a long battery of tests for everything that could mimic a stroke, which all came back negative. After all was said and done I was left with “You had a stroke. We don’t know why. You just did, and you have had more than one. This one was just big enough to draw attention to”. I had a little paralysis in my leg. It would just drag behind me. My leg would shake uncontrollably when it was cold or I had worked out. Then three months later I had an episode where the muscles on my left side started contract to where I had no control over my leg or arm. It lasted only a minute and then I was fine. (I had this twice within the first two weeks after the stroke as well) I seemed to walk much better after the first two, so I thought nothing of this one either. The following morning I had another one only a bit stronger that I had to lie down. When I went to get up I could not get my legs to function. I was rushed to the ER again. I had another episode on the way to the ER. I had about 4 more while in the ER (that I remember) each one getting worse and worse. Towards the end, I recall the episodes starting and the end but nothing in between. I don’t recall leaving the ER to ICU that Saturday morning and nothing until sometime on Tuesday night. The first thing I can recall on Tuesday, was I honestly thought it was Sunday morning. They tell me I was having more than 20 episodes in a day’s time. They said my neurologist did an EEG, another CT, tests for poisoning. All showed nothing. They said he started me on some Tegretol and at some point switched to Lamictal. I recall the floor doctors saying that the episodes were because I was severely depressed and stressed. ( I totally disagreed but I am not a doctor either) They gave me some depression medication and sent me home that Thursday. I followed up with my neurologist, who stressed that the problem was not from depression. Removed the depression medication and increased my seizure medication. He ordered an MRI of my back, more tests I do not recall and more tests for toxin poisonings, still checking for anything that could be causing my problems. The MRI showed two discs ruptured and some compressed nerves, probably from the “seizure things”. However, I have had back pain on and off for 12 years. No more episodes since Feb 6th at 2:14. Again “Don’t know why, you just did’. I have had physical therapy to get me walking again and to strengthen my back muscles. I get along pretty well now, I can jog about ½ mile. Occasionally my leg will jump once or twice when I have exerted myself or exposed to cold. It also quivers when exposed to cold, which could last all day even though I have warmed up (this was true after the stroke as well). It’s a long story to get to a few questions. However, the more information you have the better I thought you could assist me. With today’s internet high-way, should I be wearing a Medic-alert bracelet? And if so what should it state? Since the episodes were not Epilepsy what should I be calling them? Is there anything that where Epilepsy lies dormant, so to speak, and then will show up later, or that, this problem could lead to Epilepsy? And last, is there anything that you could think of that might have caused the episodes that we are not thinking of? Thank you. Robin

doctor1 MD

My wife had a stroke a year ago and she is now home but her blood press seems a little low she is taking high blood presseds and narco 10 mil vit b and she injects humalog insilon for diabetis at what # s should we take her to the ER as far as low blood press goes

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