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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can An Ischemic Stroke Be Treated?

My mother just had an ischemic stroke last Friday. She arrived at the hospital quickly (within a couple hours) from first symptoms. She was given the tPA drug. Unfortunately, it did not seem to work. She is at a smaller hospital (New Bern, NC) and unfortunately there are no Neurologists on staff. Should we expect and push to have the hospital bring in a Neurologist to evaluate her situation, condition, and treatment options since that is there specialty? If so, how do you recommend getting that pushed through?
posted on Thu, 30 Nov 2017
Twitter Mon, 2 Jul 2018 Answered on
Twitter Fri, 6 Jul 2018 Last reviewed on
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Sorry to hear of the sad incidence. I can understand your concern, however to be very honest, stroke is something that can be managed without a neurologist if there is no confusion of the diagnosis. As she has received TPA ,that what the latest treatment, so I do not thing if presence of the neurologist would be necessary. However if their is diagnostic un-certainty , them definitely yes . I think the doctor can better understand when they would need to ask a neurologist, and they would hopefully do it themselves. But most of the times strokes can be managed without it.

Hope I have answered your query.
Let me know if I can assist you further.
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How Can An Ischemic Stroke Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Sorry to hear of the sad incidence. I can understand your concern, however to be very honest, stroke is something that can be managed without a neurologist if there is no confusion of the diagnosis. As she has received TPA ,that what the latest treatment, so I do not thing if presence of the neurologist would be necessary. However if their is diagnostic un-certainty , them definitely yes . I think the doctor can better understand when they would need to ask a neurologist, and they would hopefully do it themselves. But most of the times strokes can be managed without it. Hope I have answered your query. Let me know if I can assist you further.