Aphasia Awareness Month

June is National Aphasia Awareness Month, a month dedicated to increasing understanding of aphasia. This acquired communication disorder impairs a person’s ability to process language but does not affect their intelligence.  

Aphasia affects the ability to speak and understand others, causing most people with the disorder to have trouble reading and writing. 

The most common cause of aphasia is stroke. About 25 to 40 percent of stroke survivors are afflicted with aphasia. It can also be a result of a head injury, a brain tumor, or other neurological causes. 

There are six types of aphasia, including: 

  • Global aphasia is the most severe form of aphasia and is applied to patients who can produce few recognizable words and understand little or no spoken language. People with global aphasia can’t read or write. It is often seen immediately after the patient has suffered a stroke and may rapidly improve if the damage to the brain has not been too extensive. However, with greater brain damage, there may be severe and lasting disability. 
  • Broca’s aphasia, or non-fluent aphasia, is a form of aphasia in which the speech output is severely reduced and is limited mainly to short utterances of less than four words. A person’s vocabulary access is limited, and so is their ability to form sounds. 
  • Mixed non-fluent aphasia is a form of aphasia that applies to people with sparse and effortful speech, which can resemble severe Broca’s aphasia. However, they remain limited in their speech comprehension and do not read or write beyond an elementary level. 
  • Wernicke’s aphasia, or fluent aphasia, is a form of aphasia in which the ability to grasp the meaning of spoken words is impaired. However, the ease of producing connected speech is not much affected. Reading and writing are often severely impaired. 
  • Anomic aphasia is a form of aphasia that is applied to people left with a persistent inability to supply the words for the things they want to say, particularly significant nouns and verbs. 
  • Primary progressive aphasia (PPA) is a neurological syndrome in which language capabilities become slowly and progressively impaired. Unlike the other forms of aphasia that result from stroke or brain injury, PPA is caused by Alzheimer’s or frontotemporal lobar degeneration. 

A healthcare provider can diagnose aphasia by performing physical and neurological exams. They can also use imaging tests, such as an MRI and a CT scan, to identify what is causing aphasia. 

Aphasia can also be diagnosed with the help of a speech-language pathologist who can complete a comprehensive language assessment to confirm the presence of aphasia and determine the appropriate course of language treatment. 

The assessment helps find out whether the person can: 

  • Name common objects 
  • Engage in a conversation 
  • Understand and use words correctly 
  • Answer questions about something read or heard 
  • Repeat words and sentences 
  • Follow instructions 
  • Answer yes and no questions and respond to open-ended questions about common subjects 
  • Read and write 

There are several treatments for aphasia, including: 

Speech and language rehabilitation therapy aims to improve the ability to communicate and help restore as much language as possible. This is done by teaching the person with aphasia how to make up for lost language skills and find other communication methods. This therapy: 

  • Starts early 
  • Often works in groups 
  • May include the use of computers 

Medications are being studied to treat aphasia that may improve blood flow to the brain and enhance its ability to recover or help replace the depleted chemicals in the brain. 

Brain stimulations, such as transcranial magnetic and direct current stimulation, are being studied to help improve the ability to name things. 

Because aphasia is often a sign of a serious problem, such as a stroke, seek emergency medical care if you suddenly develop any symptoms. 

If you are experiencing any symptoms of aphasia, you can consult with a neurologist at Jamaica Hospital Medical Center. To schedule an appointment, please call (718) 206-7246. 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Warning Signs of Blood Clots

Blood clots are gel-like clumps of blood that have partially solidified in a blood vessel. Clotting is a natural and essential process that stops bleeding when you’re injured. However, some blood clots can form anywhere along the 60,000 miles of blood vessels in the body and are most likely to happen in the veins. These are called venous blood clots. The most common kinds of venous blood clots are: 

  • Deep vein thrombosis (DVT)- DVT usually forms in the legs in the deep veins of the body. Thrombosis is when clots stay put and block blood flow. 
  • Pulmonary embolism (PE)- Embolisms are blood clots that break free and travel to other parts of the body. If a DVT breaks off and travels to the lungs, it can create a pulmonary embolism.  

Arterial clots are less common, occurring when a blood clot clogs an artery. These clots can block oxygen from reaching the heart or brain, which can lead to a heart attack or stroke. 

Anyone can develop a blood clot; however, certain factors can increase the risk of developing them, including: 

  • Prolonged immobility, such as during long flights or hospital stays 
  • Surgery, especially involving the legs, hips, or abdomen 
  • Pregnancy and the postpartum period 
  • Hormonal birth control or hormone replacement therapy 
  • Smoking 
  • Obesity 
  • Family history of blood clots or clotting disorders 
  • Cancer or cancer treatments 
  • Age 

Recognizing the signs and symptoms of a blood clot can be lifesaving. Here are the signs and symptoms to watch out for: 

  • Swelling in one limb 
  • Pain or tenderness in the affected area 
  • Red or discolored skin 
  • Warmth in the skin 
  • Sudden shortness of breath 
  • Chest pain 
  • Coughing, possibly with blood 
  • Rapid heartbeat or palpitations 
  • Leg fatigue or heaviness 
  • Dizziness or fainting 

Blood clots are known to be silent killers as their symptoms can be similar to symptoms of other, less serious conditions. That’s why it is crucial to understand and recognize the signs and symptoms of blood clots, especially if you are at an increased risk of developing them. Awareness and timely action can help prevent major complications from a stroke, pulmonary embolism, or heart attack.  

If you are experiencing symptoms of a blood clot or think you may be at risk of developing one, you can schedule an appointment with one of our vascular surgeons in NYC or learn more about the services at our vascular surgery center in New York. Please call 718-206-6713. 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Signs and Symptoms of Stroke in Women

Men are more likely to have a stroke. However, women have a higher lifetime risk and are also more likely to die from a stroke.

The Centers for Disease Control and Prevention (CDC) estimates that one in five women will have a stroke. Women have a higher lifetime risk of stroke because they tend to live longer than men. They also have unique risk factors, including:

  • Pregnancy
  • Preeclampsia
  • The use of hormonal birth control
  • Hormone replacement therapy
  • Obesity
  • Migraine with aura, which is more common in women
  • Atrial fibrillation (AFib), which is more common in women over 75 years of age

Many symptoms of stroke are common in both men and women, including:

  • Sudden difficulty seeing in one or both eyes
  • Sudden numbness or weakness of the face and limbs, most likely on one side of the body
  • Sudden difficulty speaking or understanding
  • Sudden and severe headaches with no known cause
  • Sudden dizziness, difficulty walking, or loss of balance or coordination

Women may report symptoms that are often not associated with strokes in men. These symptoms can include:

  • Nausea or vomiting
  • Seizures
  • Hiccups
  • Shortness of breath
  • Pain
  • Fainting or loss of consciousness
  • General weakness

Because these symptoms can signify a different condition, it can be difficult to connect them immediately to a stroke. This can delay treatment and slow recovery.

The American Stroke Association recommends an easy strategy for identifying the symptoms of a stroke. If you think you or someone around you may be having a stroke, you should act FAST:

  • Face – ask the person to smile. Does one side of their face droop?
  • Arms – ask the person to raise both arms. Does one arm drift downward?
  • Speech – ask the person to repeat a simple phrase. Is their speech slurred or strange?
  • Time – if you observe any of these symptoms, it is time to call 911 or your local emergency services.

When it comes to a stroke, every minute counts. The longer you wait to call emergency services, the more likely it is that the stroke will result in brain damage or disability.

Jamaica Hospital Medical Center has been accredited as a Comprehensive Stroke Center (the highest designation of stroke care) by the Joint Commission. Whether you’ve survived a stroke or may be at risk of experiencing one, you can schedule an appointment for neuroendovascular screening, stroke rehabilitation, or any other form of stroke treatment that we provide. To schedule an appointment, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

National Afib Awareness Month

September is National Afib Awareness Month. Afib stands for atrial fibrillation, a type of arrhythmia or abnormal heartbeat. During Afib, the heart’s upper chambers, or the atria, beat chaotically and irregularly. They beat out of sync with the lower heart chambers, the ventricles.

Afib can lead to blood clots in the heart. It also increases the risk of stroke, heart failure, and other heart-related complications.

It usually isn’t life-threatening, but it is a serious medical condition that needs proper treatment to prevent serious health issues.

There are many symptoms of Afib, they can include:

  • Feelings of a fast, fluttering, or pounding heartbeat
  • Chest pain
  • Dizziness
  • Fatigue
  • Lightheadedness
  • Reduced ability to exercise
  • Shortness of breath
  • Weakness

People can experience three types of Afib, including:

  • Paroxysmal Afib
  • Persistent Afib
  • Long-standing persistent Afib

The most common cause of Afib is problems with the heart’s structure. Other health problems and heart diseases that can cause Afib include:

  • A congenital heart defect
  • Sick sinus syndrome
  • Obstructive sleep apnea
  • Heart attack
  • High blood pressure
  • Lung diseases, including pneumonia
  • Coronary artery disease
  • Thyroid diseases
  • Infections from viruses

Many factors can increase your risk of Afib, including:

  • Age
  • Caffeine, nicotine, or illegal drug use
  • Drinking too much alcohol
  • Changes in the level of body minerals
  • Family history
  • Long-term health conditions
  • Obesity
  • Some medicines and supplements

Healthy lifestyle choices can reduce the risk of heart disease and prevent Afib. Some basic heart-healthy tips include:

  • Controlling high blood pressure, high cholesterol, and diabetes
  • Not smoking or using tobacco
  • Eating a diet that is low in salt and saturated fat
  • Exercising at least 30 minutes a day at least five days a week
  • Getting at least seven to nine hours of sleep a day
  • Maintaining a healthy weight
  • Reducing and managing stress

Afib is diagnosed when a healthcare provider examines you and asks questions about your medical history and symptoms. Tests may be done to look for conditions causing irregular heartbeats such as heart disease or thyroid disease, including:

  • Blood tests
  • ECG or EKG
  • Holter monitor
  • Event recorder
  • Implantable loop recorder
  • Exercise stress tests
  • Chest X-ray

The goals of Afib treatment are to reset and control the heartbeat and prevent blood clots. Treatment for Afib depends on how long you’ve had it, your symptoms, and the cause of the irregular heartbeat. Afib treatment can include:

  • Medications
  • Cardioversion therapy
  • Surgery or catheter procedures

If you are experiencing any symptoms of Afib, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please dial 911 right away.

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Blood Clots

Blood clots are gel-like clumps of blood that form in your arteries and veins. Blood clots help control bleeding, but can also cause serious medical issues like deep vein thrombosis, pulmonary embolism, and heart attack.

Blood clots are the first line of defense if something damages your blood vessels. This is why bleeding usually stops after a few minutes when you cut yourself. You can also develop a blood clot when you have been immobile for a long time or have medical conditions that increase your risk of getting them.

Blood clots are made of small colorless fragments of cells produced by your bone marrow called platelets. They are also made of a sticky blood protein that looks like strings called fibrin. Platelets and fibrin work together to seal injured areas of your blood vessels.

You can have blood clots anywhere in your body. When they develop in the veins of your arms and legs it’s called deep vein thrombosis. Blood clots that form in the arteries of your lungs are called pulmonary embolism. A stroke occurs when blood clots block blood flow to your brain. When blood clots are in your heart, they can cause a heart attack.

If you are experiencing leg pain, swollen legs, or skin discoloration, these may be symptoms of deep vein thrombosis. Chest pain or shortness of breath can be symptoms of blood clots in your lungs or heart.

Some other possible symptoms of blood clots to be mindful of include:

  • A cough that produces blood sputum
  • A fast heartbeat
  • Lightheadedness
  • Pain that spreads to the shoulder, arm, back, or jaw
  • Sudden weakness or numbness of the face, arm, or leg
  • Sudden difficulty speaking or understanding speech

Some conditions focus on blood clots such as blood clotting issues. Some blood clotting disorders include:

  • Factor V Leiden- an inherited disorder and most common blood clotting disorder. It slightly increases your risk of deep vein thrombosis or pulmonary embolism.
  • Prothrombin Gene Mutation- an inherited condition that slightly increases your risk of deep vein thrombosis or pulmonary embolism.
  • Antiphospholipid Syndrome- an autoimmune disorder that increases the risk of blood clots.

People who have an increased risk of developing blood clots include:

  • People 65 years of age or older
  • Pregnancy
  • People who are obese
  • People who have cancer
  • Those on birth control or hormone therapy
  • Smokers
  • Immobile people

Ways to reduce the risk of developing blood clots include:

  • Avoid sitting for long periods
  • Drinking plenty of fluids
  • Changing your lifestyle

If you are experiencing any of these symptoms, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center, please call (718) 206-7001. If you are experiencing an emergency, call 911.

 

 

 

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Strokes On The Rise In Younger People

A stroke occurs when blood supply to part of the brain is blocked or reduced, or when there is bleeding in the brain.  A stroke can result in brain damage, long-term disability, or death.

Data shows that people over the age of 55 have a higher risk of stroke than others. Although the risk of stroke increases with age, it is important to remember that it can happen to anyone. Younger people can have strokes too.

According to the American Heart Association, approximately 10-15% of strokes occur in adults aged 18-50 years, and the incidence of ischemic stroke (caused by a clot blocking blood flow to the brain) is rising in that group.

Several factors may increase the risk of stroke in younger adults. They are:

  • Pregnancy
  • Smoking
  • Illicit drug use
  • Binge drinking
  • Taking birth control pills that include estrogen
  • Sickle cell disease
  • Blood clotting disorders
  • Migraine with aura
  • Diabetes
  • Hypertension
  • Patent foramen ovale
  • Obesity
  • Genetics

The risk of stroke can be reduced by receiving the appropriate care for certain diseases and health conditions, avoiding the use of illicit drugs, and making positive lifestyle changes such as eating healthy, exercising, quitting smoking, and minimizing alcohol consumption.

Having a stroke can have a serious impact on your health. This is why knowing the warning signs and receiving timely treatment is crucial. The acronym B.E.F.A.S.T (balance, eyes, face drooping, arm weakness, speech difficulty, time to call 911) can help you remember the warning signs of a stroke and respond quickly.

Jamaica Hospital Medical Center has been accredited as a Comprehensive Stroke Center (the highest designation of stroke care) by the Joint Commission. Whether you’ve survived a stroke or may be at risk of experiencing one, you can schedule an appointment for neuroendovascular screening, stroke rehabilitation, or any other form of stroke treatment that we provide.   To schedule an appointment, please call 718-206-7001.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.