My Husband, Who Is 58 Years Old Went On A

Question : My husband, who is 58 years old went on a ski trip 6 days ago (3/11) from XXXXXXX (sea level) to Big Sky, MT (8k altitude). After flying all day Monday, he went on an uphill hike with his son and then to the gym. After the gym, he felt awful. His speech was very slurred and he had a slight headache but said his head felt "weird" and he couldn't find his words. When I spoke to him on the phone I noticed his speech was very slurred. He told me he was just "tired" and needed sleep. The next day there was little improvement so he went to the hospital. They performed an MRI which was negative for stroke, however he was dx with a TIA. His sugar was high (even though he only had a Cliff Bar) which depends on when it was eaten compared to the time of the blood test and his Creatinine was high 1.9 as opposed to 1.6 - 1.8. The doctor told him to go home and take one aspirin a day.

My husband had a kidney transplant 14 years ago at Mayo Clinic. He also is being treated for seizures due to a head injury suffered when he was a boy. He sees his neurologist regularly and has the seizures under control with Lamactil. He also takes Cellcept/Prograph, bp med, cholesterol med and was recently (two weeks ago) placed on Flomax by a urologist for small urine stream due to enlarging prostate. He is not to take blood thinners per his original nephrologist's orders. His current nephrologist is not communicating with the neurologist who wants to put him on Plavix (75mg/day) but wants to speak with neurologist first. We are seeking out a new nephrologist and he has an appointment tomorrow (3/18) with his neurologist who will review the MRI taken in XXXXXXX He continues to take the one aspirin/day until we can get some answers.

My husband's job is very stressful and he sits most of the day working at the computer. He cycles once a week between 40 and 70 miles, works out at the gym a couple times a week and swims laps in the pool once every couple weeks. He has skied all his life and never had an issue with altitude.

My question(s): Could this have been more than just a TIA even though the MRI showed nothing? Could the Flomax have caused this episode? I read that Flomax has been affiliated with strokes in older men. Also, he is extremely tired / fatigued now -- I read this normal? We have an appointment at Mayo Clinic in XXXXXXX Fl for his yearly kidney testing (2 days). He will also see his Neurologist tomorrow like I mentioned before.

One more thing I forgot to mention: He had had an ultrasound of his carotid arteries a couple months ago at his cardiologist office (his primary dr is his cardiologist who oversees his bp meds). One of his carotids was 35% blocked. The attending physician in XXXXXXX had suggested a piece of plaque could have broken off from this area and cause the episode.