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For Immediate Release

Midwest City Doctor Thanks Mercy for Full Recovery after Stroke

Oklahoma City — For 78-year-old Felix Kay, a Midwest City physician who has been practicing medicine for almost five decades, the tables were turned when he recently suffered a stroke.

After getting up for a drink of water, he suddenly couldn’t see. While making his way back to a chair to sit down, he decided to call out to his wife in the next room, but he couldn’t speak. Then when he tried to get up from his chair, he couldn’t move.

“I was trying to do something, but I couldn’t do anything,” said Dr. Kay, who recalls the event with raw emotion. “It felt like I was trapped in some underground tunnel. It was very frightening. And although I knew Mercy had a stroke program, I never dreamed I’d personally experience it. Thanks to Mercy, I have no after effects from the stroke. I had the stroke on a Monday night and by Friday, I was seeing patients in my office. I feel like I’m the luckiest guy going.”

Over the past four years, physicians at Mercy NeuroScience Institute have developed the only stroke treatment protocol in the state—intra-arterial thrombolysis treatment—that provides stroke patients help in the critical six hours after the first signs of stroke. By inserting a catheter into a patient’s artery, interventional radiologists can go directly to the clot in the brain with a clot-dissolving drug. Although clot-dissolving drugs can also be injected into a patient’s vein within a three-hour window after a stroke, they are much less precise. While Mercy offers both stroke treatments, most patients don’t get to the hospital within the three-hour window. By providing a six-hour time period, more than six times the number of patients are now able to be treated.

For the intra-arterial treatment, an arteriogram is required (venous treatments don’t require arteriograms). The arteriogram is vital because it shows whether or not there is even a clot causing the problem. “If there’s a clot, we can guide the catheter to tiny arteries in the brain and place the clot-busting drug directly on the clot to break it up, but if we use the venous treatment, we just give it and hope for the best, not knowing whether or not there’s a clot,” said Dr. Vance McCollom, Mercy interventional radiologist.

For this family practice physician, the results from Mercy’s stroke treatment were nothing short of amazing. “I was perfectly fine after the procedure,” said Dr. Kay. “I didn’t need speech therapy or physical therapy or anything else. I walked out the same as I’d always been. It was like a miracle.”

Thanks to Dr. Kay’s wife Karen, who immediately called 911, Dr. Kay was able to get to Mercy and have the procedure within the six-hour window. But for many people, they wait too long. “The problem is that most people start having signs of a stroke—sudden confusion, disturbed vision, severe dizziness, paralysis or numbness — but they wait, thinking it will pass. But what passes is critical time,” said Dr. McCollom. “If we can get to a stroke patient quickly, we can often return them to a normal life with reduced or minimal after effects from the stroke. If we lose that time, stroke patients can be left with devastating disabilities.”

Oklahoma ranks 12th in the nation for the number of deaths due to stroke, according to the American Heart Association. About 80 percent of all strokes are caused by blood clots that cut off the blood supply to the brain.

“It really takes the effort of a lot of people to make sure a patient gets to us before it’s too late,” said Dr. McCollom. “Because Mercy provided extensive training to the area medical community about this treatment and the signs of stroke, ambulance drivers often bring stroke victims directly to us to assess these patients. And because we are committed to our stroke patients, a Mercy interventional radiologist is on-call at all times. Brain cells die very quickly and permanent damage occurs, such as paralysis or loss of speech, but there’s that six-hour window when we can reverse or improve the effects of a stroke.”

Studies show that the average person waits 13 hours after experiencing the first symptoms of stroke before seeking medical attention, and 42 percent of patients wait as long as 24 hours.

Nationally, interventional radiology is making great headway because patients undergo less invasive procedures with better results. Interventional radiology provides a shorter recovery, less pain and the greater possibility of a full recovery.

The following are the most common symptoms of stroke to watch for:

• Sudden numbness or weakness in the face, arm and/or leg, especially on one side of the body • Sudden confusion, trouble speaking or understanding speech • Sudden trouble seeing, including double vision, blurred vision or partial blindness, in one or both eyes • Trouble walking, dizziness, loss of balance or coordination • Sudden severe, headache with no known cause

If someone experiences any of the above symptoms, they should seek immediate emergency attention. “Again, timing is critical,” said Dr. McCollom. “The clock starts ticking the moment a patient feels the first symptom. People must know the signs of a stroke and get immediate care.”

Press Release dated: November 11, 2005
 

Mercy Health Center, the only Magnet hospital in Oklahoma and among only 2 percent of hospitals in the nation to be awarded Magnet status, is a member of Mercy Health System of Oklahoma and the Sisters of Mercy Health System. Magnet-designated facilities: report higher patient satisfaction rates, deliver better patient outcomes, provide more nursing care at the bedside of patients and consistently outperform non-magnet organizations.

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