Preventing Recurrent Strokes: The Importance of Post-Stroke Therapy and Rehabilitation Care

2024-01-10 20:10:00

As Emilia Sidorovich, Doctor of Medical Sciences and Professor of the Department of Nervous and Neurosurgical Diseases of the Belarusian State Medical University explains, many stroke survivors (especially young men and women) do not have a focus on therapy:

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“They don’t want to perceive themselves as sick, they don’t want to change their habits. There is a significant difference between a patient over 60 years old who comes to see a general practitioner and neurologist, and a patient 35–45 years old. The first usually has the entire treatment plan written out, he checks his blood pressure every day and more than once, keeps a food diary, and takes the pills prescribed by the doctor strictly by the hour. The second most often refers to the rehabilitation and prevention of recurrent stroke carelessly – the acute crisis has passed, they have been discharged from the hospital, and that’s enough. In my practice there was such a case: a patient with a repeated stroke was a man about 45 years old, very plump, with a burgundy complexion. After the first stroke, the task was to lower blood pressure, lose weight, and switch to proper nutrition. The doctor prescribed him the appropriate medications and prescribed a diet. I ask the patient whether he followed the specialist’s recommendations. Regarding the diet and giving up alcohol – no, I didn’t adhere to it. Did you take pills for high blood pressure? Yes, I took it for about a month, it felt better, so I quit. This is such a criminal approach to your own health. But it is known that people diagnosed with arterial hypertension, especially those who have suffered a stroke, are prescribed medication therapy for life. And never, under any circumstances, should you stop taking medications or reduce their dosage without your doctor’s permission.

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