STROKE IS THE LEADING CAUSE
OF LONG-TERM DISABILITY IN THE
UNITED STATES AND IT IS ALSO
PREVENTABLE.
80% OF ALL STROKES ARE OUR - -
THEY ARE ALL AVAILABLE.
STROKE IS THE FIFTH LEADING
CAUSE OF DEATH AROUND THE
UNITED STATES AND EACH YEAR,
795,000 PEOPLE SUFFER STROKES.
AND ANDREW GRAND IS A
NEUROSURGEON WITH THE
UNIVERSITY OF MINNESOTA AND HE
IS JOINING US THIS HOLIDAY
WEEKEND.
SO MANY PEOPLE SUFFER STROKES
EACH YEAR AND WE WANT TO SEE
THE SIGNS - - WE WANT TO SEE
THE SIGNS AND THE SYMPTOMS AND
THE ACRONYMS THAT WE CAN USE,
FAST.
FACIAL DROOPING, WEAKNESS,
SPEECH DIFFICULTIES, T IS FOR
TIME.
IT IS IMPORTANT FOR PATIENTS TO
GET TO THE HOSPITAL QUICKLY.
WHAT IF YOU ARE ALONE AND
YOU THINK THAT YOU ARE THE ONE
WHO IS SUFFERING, WHAT SHOULD
THAT PERSON DO?
IMMEDIATELY CALL 911.
PEOPLE GET HIM TO TO GO BACK TO
SLEEP OR TRY TO SLEEP OFF THE
SYMPTOMS BUT THE REALITY IS
THAT THIS COULD BE A STROKE AND
THEY NEED TO GET TO THE
HOSPITAL QUICKLY.
THERE IS A CURRENT TREATMENT
FOR STROKE?
YES, IT IS IMPORTANT, A LOT
OF PEOPLE ARE NOT AWARE THAT
THERE ARE ACTUAL TREATMENTS WE
CAN DO, AND IF YOU GET TO THE
HOSPITAL WITHIN THREE HOURS, WE
CAN BREAK UP THAT CLOT.
WITHIN SIX HOURS WE CAN
ACTUALLY TAKE A MECHANICAL
DEVICE TO GO INTO THE ARTERY
ITSELF.
WE CAN ACTUALLY RETRIEVE THAT
CLOT AND TAKE THE DEVICE OUT,
PULL IT OUT, I HAVE SEEN
PATIENTS TALK IMMEDIATELY.
IT GOES BACK TO A TIME
REFERENCE WHERE YOU HAVE TO ACT
QUICKLY.
IT IS CRITICAL.
WE HAVE TO GET THEM WITHIN A
SIX HOUR.
OF TIME.
IN REALITY, IF YOU DON'T GET
THAT TIME WINDOW, THERE IS NOT
MUCH WE CAN OFFER TO A PATIENT.
EVEN IF THEY ARE NOT HAVING A
STROKE, THE NEED TO GET TO THE
HOSPITAL AS QUICKLY AS
POSSIBLE.
COULD WE SEE ANYTHING ELSE
IN THE FUTURE THAT COULD MAKE
RECOVERY FASTER OR BETTER?
WE ARE STARTING TO LOOK FOR
THE TREATMENTS FOR THESE
PATIENTS WHO HAVE HAD STROKES,
WHO HAVE HAD DEFICITS, I HAVE
SEEN PATIENTS WHO ARE LOOKING
FOR A TREATMENT AND WHAT CAN I
DO NOW?
WE ARE DOING REHABILITATIVE AND
STIMULATING THINGS, AND WE ARE
TRYING TO DO SOME MORE
STIMULATING TREATMENTS, LIKE
ROBOTICS IN THE ARM THAT HELP
TO MOVE THE ARM AND HELP TO
REHABILITATE SOMEONE.
AND THIS CAN ESTABLISH
PLASTICITY IN THE BLAINE - - IT
CAN ESTABLISH PLASTICITY IN THE
BRAIN.
YOU CAN HAVE A PATIENT TRYING
TO MOVE THEIR ARM.
IF THEY CANNOT, YOU MAY MOVE
THAT ARM FOR THEM.
WE HAVE ROBOTS THAT CAN
ACTUALLY DO THAT.
ONE OF MY COLLEAGUES AT THE
UNIVERSITY OF MINNESOTA, HE HAS
BEEN WORKING ON THIS, A
NONINVASIVE COMPUTER INTERFACE
THAT CONNECTS THE BRAIN TO A
COMPUTER WITHOUT INTRUSION.
SO THEY ACTUALLY THINK ABOUT
MOVING THE ARM, AND WE HAVE A
PAIR OF ARMS.
ONE OF THEM REACHES OUT FOR THE
CUP OF COFFEE.
AND YOU HAVE TO THINK ABOUT
DOING THIS AND THINK ABOUT
MOVING YOUR ARM.
THEY MAY NOT BE MOVING THE ARM
ITSELF.
BUT BY THINKING ABOUT IT, YOU
START TO ESTABLISH A NEURAL
CONNECTION.
YOU TRAIN YOUR BRAIN TO GET THE
MOVEMENT BACK.
AND WE HAVE PAIRED THAT WITH
MAGNETIC STIMULATION.
AND IT ENABLES THE BAD SIDE TO
PARTICIPATE IN REHABILITATIVE
SESSIONS AND WE WILL PAIR THAT
WITH THE INTERFACE.
SOMETIMES PEOPLE MAY SUFFER
A STROKE AND MAY NOT BE ABLE TO
GET TREATMENT, WHAT CAN BE
DONE?
WHAT IF THEY STILL HAD A
STROKE?
SOME PATIENTS ARE UNABLE TO
GET ANY TREATMENT AT ALL.
IT IS IMPORTANT FOR THEM TO GET
INTO REHABILITATION PROGRAMS
AND PATIENTS DO WANT TO GET
CLOSER TO HOME.
IT MAY NOT BE THE BEST PLACE
FOR THEM.
I AM ENCOURAGING PATIENTS TO GO
TO THE BEST FACILITIES
POSSIBLE.
THERE ARE SEVERAL IN THE TWIN
STATES THAT SPECIALIZE IN
REHABILITATION.
GETTING THEM IN AND GOING
THROUGH THOSE PROGRAMS, IT IS
VERY IMPORTANT.
I CANNOT EMPHASIZE ENOUGH THE
IMPORTANCE OF FAMILY FOR THESE
PATIENTS.
HAVING A STROKE CAN CHANGE YOUR
LIFE.
IF YOU CANNOT GET BACK TO WORK,
WE HELP YOU TO DEAL WITH THE
SOCIAL SITUATIONS.
AND HAVING SOCIAL SUPPORT IS
CRITICAL.
I HAVE SEEN PEOPLE HAVE FAMILY
SUPPORT AND LIVE MEANINGFUL
LIVES.
AND SOME END UP STRUGGLING WHEN
THEY DON'T HAVE THAT SUPPORT.
FOR SOME OF THE PATIENTS THAT
DON'T HAVE FAMILIES, THE
COMMUNITY NEEDS TO STEP IN AND
HELP THE PATIENTS OUT.
THERE IS A LOT OF IMPORTANT