Hello hi here again hi hi here what's the problem you're welcome nice to meet you nice to meet you hi this is this is natalia yadick I'm his daughter his he doesn't speak english oh that's his weak sign that's but no no that's okay still very good so daughter is translating everything can I take yeah so from what I know mhmm symptoms within 24 hours last seen at midnight by geta mhmm but unsure if he woke with these symptoms or not so over that 4 to 6 hours but certainly within 24 hours okay he's had a previous tia about a year ago mhmm but no other strokes so this time certainly difficulties getting words out mhmm he's got a weakness to that right side dragging right leg as well no changes in vision I don't think no headache I'm about to do ops on him and that's all I've got to at at the moment alright that's okay is that alright that's fine so tell me a bit more about the weakness when did it start can you repeat this take this off sorry just while you're chatting yeah that's so he his routine in the morning he gets up around 9 10 mhmm he goes to have a coffee and cigarette outside and he said that after that cigarette probably around 10:00 I would in this morning yeah this morning mhmm he that he noticed that his right side was weak okay fine and difficulty finding words I appreciate that the same time he said it it got worse progressively mhmm I think that's what he's trying to say well we'll some that's fine take this 1 off as well okay so you've got lots of layers yeah because of cold he's very thin and he has more yeah yeah but anyway I think it's it's not lysable but it could be thrombatomizable so sort of going those heads that's a symptom okay right right that's fair word finding yeah yeah thank you that's good do you want me do this review I think crack on with the waiting room reckon that's the place to be is that alright yeah no I'm happy with that appreciate it mate alright alright you yeah oh you got it hold up I'll leave it with you oh hey there is this something could I take that it could be it could be lyse sorry thrombectomy but not lyse I didn't even know that within 24 hours you said maybe 10:00 this morning so this is the medical doctor hello and the reason why we act within 24 hours really is because if it's something we might have to you know reverse some of these symptoms so the blockage can be dispersed so I know it's with medication yeah exactly yeah so we just move fast to see what's going on have to do a few tests to generate a score which we can use to to work out what what the next best okay so I'll ask you to do a few things I'll just check we'll check the temperature first can try to write no it's all about speech so that's fine and what month is it so he's trying to pronounce the correct month but he's not able to say it is he he's he's the syllables around okay understood thank you I can you squeeze my finger that is not too impressed blood pressure sorry I was just taking some time very good can you blink your eyes very good can you follow my finger and follow my finger very good I keep your head still following my finger he needs bit longer processing time normally yeah that's that is normal basically I would okay fine 1 stick thank you next I just pop this right hand over your right arm like this it's okay difficult okay that's fine okay you I will help you can you see this no no yes and if you keep looking at my face can you see it in the corner of your vision no no yes mhmm and here and keep looking at my face no yes and then other side keep looking at me yeah no I'm just seeing you now obliter mhmm and here now you can see all of that good is that right I'm I'm not missing anything can you see all of that good not good when he says ah no it's actually 1 word and it means yes okay so it's a constant fine can you give me a big smile be very big yes it's fine yes can you lower your cheeks okay can you lift your eyebrows like this very good scrunch up your eyes very tightly as much as much and as don't let me open them that's fine lovely thank you so I finished the pool could you do this for me you put your right hand up like this little bit there 1 2 3 lovely put it down now lift up again can you lift it yourself lovely and keep it up push 2 3 and this side you now the leg 1 2 5 and this side thank you that's lovely so there is a tiny drift on the right I'll ask you to do something else so clap up over and back so with your hand okay it's difficult okay it's okay just okay next test the feeling the sensation do you feel me touching you here same on both sides I don't think that was the same not the same no here no can you try maybe 1 x 1 of course it's difficult to say whether they're the same if you touch them separately I usually try to touch them together okay it's the same same and on your legs no no so you just stain it no I don't okay alright the next ask him to name some objects mhmm obviously he can say it in whichever yeah language he likes and you can help me that would be great so here's the list of the objects can you tell me what this is yes no no so he's trying to say the word he has the first syllable correct okay but nothing else after no fine and how about this okay not not that's good and how's his reading would you be able to read these to me no ma'am how about some sentences sometimes they're easier can I write a sentence for him yeah of course yeah please I won't go to the pen if you like it have I got anything there b is for him thank you ah fine there you are he likes fountain pen oh just this you're speaking in other words not even a sound okay so it's the it's the dog is hungry and you can't take the dog so of course it's going to be familiar yeah no that's helpful thank you and then next a funny 1 I will ask you to tell me which of my hands is moving so keep looking at me no mhmm okay that's fine and keep looking at me very good great that's fine thank you we will just scan your head is that okay we'll take you through our ct scanner I'll just request the scan and then we can get it sorted where you have a band on can I borrow your number is that alright just to put you back a few matches for that +1 43219 thank you and tell me about his life more generally what what kind of things does he do in a normal day so normal day his routine is getting between the 9 to 10 he has his coffee with cigarettes straight away after he gets up he then feeds the dog mhmm he's in breakfast mhmm if it's he lives by himself he lives with me mhmm but I work full time of course fine so he usually then either he watch the uses his tablet watch the youtube or he's doing the crosswords mhmm it is nice he goes and works on the garden right lovely and when did he did he last get when does he get out of the house does he get out of the house very often to the garden it's yeah just to the garden he's not going on his own outside mhmm and why is that what stops him from doing that public okay right so he doesn't have any money very difficult yeah fine and he's been drinking tonight no to date I should say no no and any seizures or anything like that recently that you noticed similar personal incident about a year ago and that was when he had the tia is it mhmm fine k fair enough we'll get some blood test we'll put on a little drip into his arm and then we can take him around for a scan he has recently lost quite a little weight has he right fingers and he I believe that he forgets to eat oil so he's able to put the beans that I prepared in the microwave mhmm and he's able to make himself a sandwich mhmm but you see sandwiches yeah mhmm but he's able to prepare that and he's able to warm his food but I believe he tends to forget now forget everything he's thinking I'm trying to put his food on a worktop in the kitchen to to remember but it's he's recognized that he's lost probably 5 kilos lately have over how long I would say 3 months 4 months mhmm which is quite a lot percentage wise a lot percentage wise% isn't it yes yeah cool let's call the radiologist hi hi austin it's robin tove again you alright I'm just with a yeah fine I'm with a stroke this chap with dysarthria and right sided weakness I was hoping to do an angio because the onset was at 10:00 this morning do want his hospital number it's at +1 438092 8092 he would they don't do it here but we have a 24 service in derriford yeah so we refer them up the road if it's if there's a large vessel occlusion obviously symptoms would be yeah suggestive of a left mca he hasn't known he hasn't had any blood tests in a while he's had some from march 2024 where it was normal if that helps yeah he's gonna have some bloods but yeah obviously we just do it rapidly because he's just walked in the door thank you austin appreciate it talk to soon mate cheers bye great you're ready for me to add your next bag we get the saucy do you want a waddle you just need to have a drip in your hand so you can number 1 is a waddle oh so what should we and I said did you say yeah we'll stay in the chat we'll we'll do is that okay so I'll just remove this so I'm ready to go okay this is easier can guess because you're walking you know where you're going no I'm gonna go to the main entrance the main entrance is difficult to get to from here you have to walk through a and e you got 2 flights of stairs it may be better to go out and you see then you then you're out and then the main entrance is literally just oh fine yeah it may have quite a bit a delay sorry I thought you were sorry sorry thanks well that's a few people thank you course of course I agree and I'm again I'm gonna say I'm gonna you know I'm you can know about 1 more video thanks thank you can you please have a nice her you saw her earlier you just saw things like medication and then she would have gone so you feel this is our ct scanner thank you very much alright hello hello hi I'm just with a man mister smith yeah you might say I think you're so good yeah okay you like to have a look at for me or it's it's okay okay yeah yeah is it yeah and then we'll discuss that each time yeah you already have a full time I'm just gonna full time it's okay yeah so I just need to stop that okay do you have any notes at all yeah yeah you can thank you here we are thank you sorry that was a little drip that's a little of an x-ray yeah you know what mean yeah that's what I'm doing alright thank you so much bye bye alright so I I've got that already we were just missing it thank you hi donna I can't see the camera I'm not able to the tools yet please like to talk out of the garden and feed him I'll feed him ready no we are in the hospital rest him and and be be glad but yeah kobe would you please let me kobe out and give him a a portion 30 of the jab and give him some food okay learned about the vessel just popped no it's okay we just called alright thank you very much just call me I'm on a phone if you need anything yeah yeah fine can I have a look at the other side yeah it is weak so just you sort of a a a a a a a ready just some blood test alrighty now yeah you will have to go out from the from the side doors so just be careful down the stairs right yeah and then what you can do is you need to go outside of the because you need to go see the dog so it's blocked down it's blocked down down so you don't have blocked they don't block it I'd probably have yeah so you can you only need to go through the outside branch right just the other day oh not you just made it she just started having a hard time hearing okay okay let me know if you have a problem I'll you in a moment yeah yeah yeah let me see okay yeah can I go to the er er yeah