During a time when many people are delaying appropriate health care due to fear of COVID-19, Patricia Miata, 58, says timely treatment is ultimately what saved her life after suffering a stroke. She survived a left middle cerebral artery (MCA) ischemic stroke, one of the worst types that is known for leaving patients with severe disabilities.

Patricia couldn’t walk or speak after the stroke in February of 2018 – the only thing she could say was her dog’s name, Diesel. She also experienced some vision loss. But just eight months later, she was back to work and even back to her exercise routine, thanks to timely treatment from neurologists with The University of Texas Health Science Center at Houston (UTHealth).

在中风的那天，帕特里夏（Patricia）独自一人，柴油（Diesel）是一种救援实验室组合，在她突然发现自己在厨房地板上后冲到她身边。她一直在做饭，值得庆幸的是，因为有些事情感到不满，这就是中风打击的时候。

“I just fell out of my chair,” Patricia said. “I had the sense to crawl to the oven to turn it off, then I army crawled out my front door, across the concrete, just yelling out into the neighborhood for help.”

帕特里夏（Patricia）的邻居听到了她并打电话给911。她立即被带到纪念赫尔曼纪念城市医疗中心，该中心最近被证明为综合中风中心。在那里，Uthealth的McGovern医学院中风训练的医生迅速评估并治疗了她，以最大程度地减少恢复大脑血液流动所需的时间。

“我们与EMS机组人员合作，以识别中风的迹象，因此他们知道跳过当地的小型医院，直接去一家大型医院，患者可以立即服用称为组织纤溶酶原激活剂（TPA）和内血管内的药物。血栓切除术，去除凝块的手术，全部都在一个地方。Uthealth神经科学。“这些干预措施是时间敏感的，每分钟都要迅速消除阻塞，使血液从大脑中流动。”Sheth还是Uthealth的中风和脑血管疾病研究所的成员。

端神学评估和血管血栓切除术

中风小组利用远程医疗来使帕特里夏（PatriciaUthealth神经科学。

“We had been taken into a room in the emergency department and I heard someone talking, but no one there,” said Patricia’s husband John Miata, who had met her there at the hospital. “I heard it again and realized there was a robotic computer rolling up to me and a doctor was on the screen trying to look at Trish. She was trying to assess whether to give her tPA.”

“UTHealth Teleneurology疼痛。病人就医时最多可以确保中风主诉ts can be cared for by stroke specialists in any emergency room, 24/7,” Cossey said. “We are able to quickly assess the patient, start treatment, facilitate advanced treatments such as thrombectomy, and expedite transfers when appropriate. Based on the neurological exam performed virtually, I could tell that Mrs. Miata had suffered one of the worst types of stroke and a sizable portion of her brain was affected.”

通过虚拟考试，Cossey注意到Patricia的视力丧失，右臂和腿部明显的弱点以及说话和理解的困难。她订购了TPA，并打电话给Sheth进行血栓切除术。

约翰说：“我对一切的发生速度感到震惊。”“我问其中一位医生是否会为自己的妻子做过程序，他说是的，所以我说，‘好吧，让我们去做吧。’”

“在我到达医院后的16分钟内，进行TPA治疗如此之快 - 直接的血栓切除术对我能够像现在一样能够发挥作用给我带来了很大的影响。当我仍在重症监护病房时，我能够开始身体，职业和语音疗法。他们建议越早建议，这对我的康复产生了很大的影响。许多人比我经历的情况还要糟糕，因为他们没有得到很快的待遇。”帕特里夏说。

“许多遭受MCA中风的人没有重返工作岗位，由于中风可能留下的严重残疾，他们的生活质量很差。帕特里夏（Patricia）在短短几天内就开始获得一些力量，大部分视线，使她成为康复的理想候选者。”“并不是每个人都有足够的力量来迈出下一步。”

Post-stroke recovery and rehabilitation

“中风后，她唯一可以说的是柴油。她可以说这只狗的名字，但不能说丈夫的名字。”约翰开玩笑地说。

Patricia was dealing with aphasia, or the inability to speak, and loss of sensation and slight weakness on her right side from head to toe, which are both common residual deficits of stroke. She was referred to Reza Sadeghi, MD，，，，a neurologist with McGovern Medical School and UTHealth Neurosciences, for post-stroke recovery to help gain back her speech and body movement.

“Dr. Sadeghi helped us work through all the different stages of Trish’s recovery,” John said. “His encouragement and his awe of Trish encouraged us to keep pushing through – of course with the aphasia and also when she was having headaches, cramps, or any other leftover symptoms. He was so easy to talk to, and told you like it was – he told us she may never get feeling back completely on the right side, which she hasn’t, but that’s okay because he helped us to figure out ways to make everything work in spite of that.”

In just eight months after the stroke, Patricia was able to return to her job as a registrar at a local high school. Sadeghi also referred her to different rehab programs – two local inpatient programs and a more advanced outpatient one at TIRR Memorial Hermann that helped her gain back even more strength, so she was also able to walk and run with Diesel.

“She blew them away at both rehab programs,” John said. “They would give her packets to practice her speech and exercise to help with movement and she was always asking for more. She has been active her whole life and was determined to get back to that. We even went hiking in Colorado just a little over a year after the stroke and she was doing great – right after the stroke she couldn’t walk at all and there she was walking the trails.”

萨迪（Sadeghi）推荐了一种可以帮助她打字的软件 - 她可以在其中说话，它将输入她的需求。

“I still struggle sometimes with spelling but the program helps me with that,” Patricia said.

Back to regular life

Now, Patricia still has partial loss of sensation in the right side of her body, but she’s back to normal in all other respects, even driving.

约翰说：“特里什（Trish）于2018年8月去了当地的驾驶康复设施，然后实际上不得不与DPS官员一起进行驾驶测试，以使她的执照更新。”

She went from monthly meetings with Sadeghi to yearly, and now simply on an as-needed basis.

“态度在任何人从中风中康复中都起着重要作用。许多人在经历残疾后放弃了，但是拥有强大的意志，就像帕特里夏（Patricia）有助于很多人。”“帕特里夏证明，及时治疗和积极的态度，可以恢复。”

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