Pikeville Medical Center’s Primary Stroke Center is among the top stroke treatment centers in KY. Our goal is to deliver the most effective care with cutting edge technology. Our Stroke Center aligns with the mission of PMC to provide world-class health care in a Christian environment.
Dr. Naveed Ahmed, a Board-Certified Neurologist and Stroke Specialist, is Medical Director of PMC’s Primary Stroke Center. The hospital’s neurology staff also includes Neurologist Dr. Ryan Owens, and Neurosurgeons Dr. Norman Mayer and Dr. George M. Ghobrial. In addition, Physiatrists (physical medicine specialists) Dr. Milton Calima and Dr. Sankar Chirumamilla help stroke patients recover through physical rehabilitation.
To provide patients with quality care, PMC works with Emergency Medical Service providers from across the region to ensure acute stroke care starts from the moment of patient contact.
PMC’s Emergency Department is highly trained for immediate identification of early stroke symptoms and equipped to provide intervention. The hospital has assembled a Stroke Team which has been trained to respond to stroke emergencies and provide expert neurological care.
Board Certified by the American Board of Psychiatry and Neurology in Neurology, Vascular Neurology (Stroke Medicine), the American Board of Headache Management, and the American Board of Physical Medicine in Spinal Cord Injury Medicine – Dr. Ahmed is a fellow of the American Heart Association (AHA) and American Stroke Association (ASA) Stroke Council.
Milton Calima, MD
Board Certified by the American Board of Physical Medicine and Rehabilitation
Sankar Chirumamilla, MD
Board certified by the American Board of Physical Medicine & Rehabilitation – Spinal Cord Injury Medicine Fellow
George M. Ghobrial, MD
Norman Mayer, MD, FAANS
Board Certified by the American Board of Neurological Surgery in Neurological Surgery – General
Ryan Owens, MD
PMC awarded Advanced Certification for Primary Stroke Centers
PIKEVILLE — Pikeville Medical Center (PMC) announced that it has earned The Joint Commission’s Gold Seal of Approval® and the American Heart Association/American Stroke Association’s Heart-Check mark for Advanced Certification for Primary Stroke Centers. The Gold Seal of Approval® and the Heart-Check mark represent symbols of quality from their respective organizations. PMC has received this honor for eight consecutive years.
The hospital recently underwent a rigorous onsite review during which experts from The Joint Commission evaluated compliance with stroke-related standards and requirements. This included program management, the delivery of care and performance improvement.
“Pikeville Medical Center has thoroughly demonstrated the greatest level of commitment to the care of stroke patients through its Advanced Certification for Primary Stroke Centers,” said Wendi J. Roberts, RN, executive director, Certification Programs, The Joint Commission. “We commend Pikeville Medical Center for becoming a leader in stroke care, potentially providing a higher standard of service for stroke patients in its community.”
“We congratulate Pikeville Medical Center for achieving this designation,” said Nancy Brown, CEO of the American Heart Association/American Stroke Association. “By adhering to this very specific set of treatment guidelines, Pikeville Medical Center has clearly made it a priority to deliver high quality care to all patients affected by stroke.”
PMC officials were pleased to once again receive Advanced Certification for Primary Stroke Centers.
“Pikeville Medical Center is pleased to receive advanced certification from The Joint Commission and the American Heart Association/American Stroke Association,” said Dr. Naveed Ahmed, PMC neurologist and medical director of the Primary Stroke Center. “This award is a great honor and is only possible thanks to the dedication of our stroke team and continued support of PMC’s administration.”
Established in 2003, Advanced Certification for Primary Stroke Centers is awarded for a two-year period to Joint Commission-accredited acute care hospitals. The certification was derived from the Brain Attack Coalition’s “Recommendations for the Establishment of Primary Stroke Centers” (JAMA, 2000) and the “Revised and Updated Recommendations for the Establishment of Primary Stroke Centers” (Stroke, 2011).
On average, someone suffers a stroke every 40 seconds; someone dies of a stroke every four minutes; and 795,000 people suffer a new or recurrent stroke each year.
What is a Stroke?
Stroke is a disease that affects the arteries of the brain. A stroke occurs when a blood vessel bringing blood and oxygen to the brain becomes blocked or ruptured and brain cells don’t receive the blood needed. Deprived if oxygen, nerve cells can’t function and die within minutes. The part of the body those cells control can’t function either.
The devastating effects of stroke are often permanent since dead brain cells can’t be replaced. The degree of disability depends on the size of the stroke and location in the brain.
Types of Strokes
Most strokes are ischemic, caused by a lack of blood supply to part of the brain.
A hemorrhagic stroke occurs when the brain ruptures an artery. Brain cells beyond the rupture are also deprived of blood and damaged. High blood pressure is the most common cause of hemorrhagic stroke. The constant force of high blood pressure can weaken blood vessel walls, resulting in bleeding in the brain or brain hemorrhage.
Transient Ischemic Attack (TIA)
A Transient Ischemic Attack (TIA) is a temporary interruption of blood flow to part of the brain.
The symptoms for a TIA are the same as for a stroke, but appear for a shorter period of time (several minutes to 24 hours) and then disappear.
A TIA indicates a serious underlying rick that a stroke may follow.
About one-third of all people who have suffered a stroke have experienced a TIA previously.
Medical attention and evaluation are needed immediately.
After the underlying cause of the TIA are determined, medication, surgery or lifestyle changes may reduce the risk of having a fatal or disabling stroke.
Risk factors for stroke
Knowing your risk factors is the key to prevention. You can learn about your risk factors by having regular medical checkups. Some rick factors can be changed or treated. It is critical for those who have experienced a stroke or TIA to manage risk factors and be compliant with prescribed medications. The rick of a stroke is 10 times greater in patients who have already had a stroke or TIA than it is in those who have never experienced one.
What risk factors can I change or treat?
High blood pressure
Carotid or other artery disease
Atrial fibrillation or other heart disease
Certain blood disorders
High blood cholesterol
Physical inactivity and obesity
Excessive alcohol intake
Illegal drug use
What are the risk factors I can’t control?
What can I do to control my risk factors?
Lower blood pressure
Be physically active
Ask your physician about narrowing of the carotid artery (asymptomatic)
Reduce alcohol use
Do not use illegal drugs
Monitor heart disease with your physician
Avoid high cholesterol
To lower your cholesterol you should:
Eat a low-fat, low cholesterol diet
Eat more fruits, vegetables and grains
Eliminate or reduce meat intake, particularly red meat
Eat only lean cuts of red meat
Limit whole eggs to no more than two to three times a week
Choose dairy products made with skim milk or low-fat milk substitute
Reduce your saturated fat intake
Use monounsaturated oils (such as canola, olive or peanut) or polyunsaturated oils (such as corn, sunflower or soybean) instead of saturated fat (butter and lard)
Avoid hydrogenated oils
If your blood cholesterol level does not improve with lifestyle changes alone, your physician may prescribe cholesterol-lowering medication.
ACT F.A.S.T. to increase recognition and response to stroke symptoms
FACE: Ask the person to smile. Does one side of the face droop?
ARM: Ask the person to raise both arms. Does one arm drift downward?
SPEECH: Ask the person to repeat a simple sentence. Does the speech sound slurred of strange?
TIME: If you observe any of these signs, it is time to call 911. Go to the nearest emergency department immediately for treatment.
Effects of a Stroke
Uncontrolled crying and/or laughing
Slow adjustment to new things
Bowel & bladder control problems
Disturbed sleep or appetite
Severity of Physical Effects depends on the following:
Type of Stroke
The extent and location of the damaged brain cells
How well the body repairs the blood supply to the brain
How quickly other areas of the brain tissue take over the work of the damaged cells
When a stroke occurs, it usually takes place in a single area in one hemisphere.
A stroke in the left hemisphere affects the right side of the body and a stroke in the right hemisphere affects the left side of the body.
To diagnose a stroke, information on the type of stroke, source of the stroke and location of the brain injury is needed.
Once in the emergency room, your doctor or stroke emergency team may do the following:
Many patients in Eastern Kentucky experience unexplained symptoms that can often be treated by a neurologist. These specialized physicians treat disorders that affect the nervous system, which includes the brain, spinal cord and nerves. Signs can be subtle and often blamed on other problems, and as a result, go untreated. These can include muscle weakness,
Stroke is a leading cause of death in the United States and is one of the primary causes of disability among adults, according to the CDC. Each year, an estimated 795,000 people in the U.S. have a stroke, with about 610,000 of these being first or new strokes. The good news is that strokes are
Pikeville Medical Center (PMC) is the first hospital in Eastern Kentucky to use new, advanced software powered by artificial intelligence to help identify certain types of strokes even quicker than before. The software, powered by Viz.ai, is linked directly to PMC’s CT scanner, which uses rotating x-ray machines to create detailed images of the inside
According to the American Heart Association, at least 2.7 million Americans are living with atrial fibrillation (AFib). AFib is a quivering of the heart, or irregular heartbeat that can lead to blood clots. People with AFib are at a significantly increased risk of stroke due to clot formation within the heart. The Pikeville Medical
Stroke is the leading cause of disability in the U.S. and the fifth leading cause of death, according to the American Heart/American Stroke Association. However, about 80 percent of strokes are preventable. Unmanaged high blood pressure and high cholesterol are risk factors that can lead to stroke. Last February, Gilford Hall, 56 of Wheelwright Ky,
Pikeville Medical Center (PMC) Primary Stroke Center Medical Director Naveed Ahmed, MD, accepted the Outstanding Achievement Award at the International Stroke Conference in Hawaii, on behalf of the hospital. Together, with American Heart/American Stroke Association Quality and Systems Improvement Director Cynthia Keely, they presented the award to CEO Donovan Blackburn and the PMC Board of
Pikeville Medical Center (PMC) announced that it has earned The Joint Commission’s Gold Seal of Approval® and the American Heart Association/American Stroke Association’s Heart-Check mark for Advanced Certification for Primary Stroke Center. The Gold Seal of Approval® and the Heart-Check mark represent symbols of quality from their respective organizations. The hospital has held this prestigious
The Pikeville Medical Primary Stroke Center has added many feathers to its cap over the years. But this year, the Stroke Center has come full circle by appointing Trauma Director, Sandy Tackett, RN, as the interim Stroke Program Coordinator. Tackett has been with the hospital for over 20 years. Her experience includes serving as Stroke
I would like to take this time to welcome you to PMC’s Stroke Support Group page. According to the Centers for Disease Control and Prevention, stroke is the leading cause of serious long-term disability, affecting someone in the United States every 40 seconds. This means, on average, 788,400 Americans will suffer from a stroke in one year alone.
Our goal for this group is to provide support for patients, family, friends, and caregivers who are dealing with the after-effects of a stroke and stroke recovery. Stroke affects more than just the patients, and we here at PMC would like to extend a helping hand to those who may need us, despite their role. To me, this is much more than a profession, but rather a work of heart stepping into the lives of my patients, watching them recover and thrive.
Latest Support Group Posts:
This month is all about caregivers.
Stroke survivors sometimes leave the hospital independent and without disabilities. However, others need 24-hour care and compassion that is typically given by a family member who steps up and takes on the role of caregiver.
Being a 24-hour caregiver is rewarding at times when your loved one shows signs of improvement. Being a stroke survivor caregiver also requires a lot of strength, the ability to put someone else’s needs above your own, and resilience.
I recently joined a group on Facebook specifically for stroke caregivers, called “Stroke Caregivers Support Group”. From the past few weeks of just observing the posts and comments, I have learned that the best thing that you as a caregiver can do for yourself, is take time off from your caregiving duties.
Taking a break, while it may seem selfish at first, is necessary for the caregiver to “recharge their batteries”. As the saying goes, “you can’t pour from an empty cup”. Self-care needs to be a priority before the job of caregiving becomes a burden that you can sometimes resent.
Some examples of how to recharge as a caregiver:
Reach out to family members, friends, church family, or neighbors, to help for a few hours once or twice a week. Many people are often willing to help, they just are not sure how to approach the topic. They may feel like they are prying or crossing a boundary.
Consider hiring an aide to assist during daytime (or nighttime) hours, if feasible. There are resources in the community for affordable assistance. Caregivers can contact a hospital social worker to inquire about more information.
If the above are not options, consider contacting the stroke survivors’ insurance company. Case managers who work for the insurance company can assist with obtaining respite care at times. If your stroke survivor is a hospice patient, respite services are offered through the hospice company, as well.
Caregiving is not for the weak, but caregiving should not make you weak. Take care of yourself as a caregiver. Search for resources that are out there and available. Ask for help.
The past two years have been hard for everyone. Whether or not you had Covid, were exposed to Covid, or know or cared for someone with Covid, we have all been affected by the pandemic in some way. Recently, case numbers have been dropping, and more businesses and organizations are opening back up to in-person opportunities. This “post-Covid” period can be strange getting back into your routine that you have not done in two years. While Covid caused mild symptoms for some, and was unfortunately deadly for others, the American Heart Association has revealed that complications due to Covid, may reveal themselves long after one recovers from the virus. It is important for people who did recover from Covid, to be aware of the following complications that could arise.
Regardless to whether or not someone suffered from a mild or severe case of Covid, studies are showing potential heart, lung, and brain problems. These have been found to be a possible complication of Covid up to one year after the infection. Not only physical symptoms, but mental and behavioral problems could arise as well. Although it is not rare to experience long-term issues from Covid, the percentage of possibly experiencing these are about 10% to 20%; this is according to the World Health Organization. 10% to 20% does not sound like many, but hundreds of millions of people around the world have been affected by Covid. In the United States alone, approximately 80 million people have previously been infected since the pandemic began.
It is very difficult to be able to determine who is at a higher risk for post-Covid complications, and even how long they may last, but experts who have researched the topic have encouraged everyone who is post-Covid to keep an eye out for the possible symptoms which include:
-Heart disease and Stroke. Neither heart disease nor stroke are insignificant issues and need to be treated to prevent so many other problems. Some instances have shown cases of irregular heart rhythm, heart failure, coronary disease, heart attacks, and POTS. Also, the risk of suffering from a stroke within one year post-Covid increased to 52%.
-Brain issues. This would include feelings of brain fog. Brain fog is comparable to the inability to multitask and difficulty learning new things. A study also showed an increase in brain shrinkage in post-Covid patients compared to those who did not have Covid.
-Mental Health. Along with the physical issues. There are some reports of mental issues, as well. An increased risk of anxiety disorders and depression were also shown to be higher. Although mental health is not considered a “physical” symptom, it can absolutely affect one’s physical health. It is specifically related to cardiovascular health. Mental health can prevent a person from exercising, maintaining a proper diet, keeping a healthy sleep cycle, or taking care of themselves. All those things can affect one’s physical health in addition to mental health.
All of this sounds distressing. However, there are ways to be proactive against post-Covid complications.
Take care of yourself! Make one small change that could increase your cardiovascular health. Once that change becomes a habit, make another small change. One small change could be drinking more water. You could go to sleep one hour earlier. Cut out one dessert per week. Don’t create a change for yourself that is so drastic that it is impossible to adapt to.
Set goals. If weight loss is a goal, do not try to lose 50 pounds in one month. Instead, set small, realistic goals. Go for a walk, see how far you can go. Then next time, go a little farther, then a little farther than that. Eventually you will see yourself doing more than you ever thought you would be able to do. Small goals means you will obtain them more often, which leads to that feeling of satisfaction more often. That feeling is what will motivate you to create more goals, beat those goals, etc.
Pay attention to your body. Do not ignore symptoms. If they have been present longer than six weeks, it’s time to be evaluated by a healthcare provider.
Stay informed. Research is still going on about Covid, and likely will for some time. For trustworthy, evidence-based information, the Centers for Disease Control and Prevention has a website you can visit. Remember, the CDC does recommend getting vaccinated against Covid.
Stroke recovery is not the easiest thing to have to go through. Especially alone. The support of friends, family, colleagues, etc. is vital when recovering from a stroke. We have previously discussed this in earlier months. However, this month I wanted to provide a few resources for additional assistance during you or your loved ones stroke recovery.
Pikeville Medical Center does offer a Stroke Support Group meeting once per month. It is usually the last Wednesday of each month at noon, however, since Covid has come about and we are no longer able to meet in person, we created this webpage to provide information, resources, and support. My name is Chelsea Kinney, BSN, RN, and I am the stroke program manager at PMC. My contact information is: Office: 6064307580, Cell: 6067945715, Email: firstname.lastname@example.org. My colleague is Katlin Runyon, BSN, RN. Her contact information is Office (same as above), Cell: 6062130631, Email: Katlin.email@example.com. We are both available to provide any type of assistance that we possibly can, even after discharge. If we are unable to assist you, we can definitely point you in the right direction of someone who can. Covid has created some hard times for all of us, but we are doing our best to continue to offer support needed for stroke recovery.
The American Heart Association website also provides stroke support resources.
But the one that was new to me, and could be very beneficial, is the Stroke Family Warmline. It is used to connect stroke survivors, caregivers, families, friends, etc. with an American Stroke Association member who can provide not only support, but information and even just a listening ear. The Stroke Family Warmline number is 1-888-4-STROKE (1-888-478-7653).
While our ultimate goal is to be able to meet back in person soon, we want all of you to know we are here for you anytime you need us. Please don’t hesitate to reach out.
Life After Stroke. Many people discuss the symptoms of a stroke, or how to prevent a stroke, but sometimes it is uncommon to hear the effects that a stroke can have on your life after you have gone home.
The American Heart Association and American Stroke Association work closely together to help patients and their families with every aspect possible in regards to stroke care and education.
The Guide in the link below is a great tool for such. The guide begins with the definition of a stroke, different types of strokes. Different types of strokes can affect people in different ways. It discusses how a stroke is diagnosed, and how it is treated. There are different types of affects that can happen after a stroke. You can have physical changes. Weakness to one side, numbness, difficulty with grip strength, etc. You can have communication changes. Difficulty speaking as in slurred speech, or difficulty speaking as in you are unable to get the appropriate words out. You can also have emotional or personality changes after a stroke. Since the brain controls the entire body, so much can be affected when the brain is injured. This can be frustrating. Especially without the right support.
The guide also discusses the types of rehabilitation that one could need after a stroke, where to go for this, and why it is important. It is essential to create goals for yourself or your loved one to strive towards when it comes to rehabilitation after a stroke.
Please use this guide to educate yourself or your loved one. Share it as you wish.
Life after suffering a stroke is challenging not only physically, but also mentally. A stroke can leave one with deficits that can make the smallest tasks seem daunting. Post-stroke conditions such as arm or leg weakness, numbness to an affected body part, trouble with speech and vision changes can cause one to have to learn different ways to complete some tasks.
Tasks like dressing, cooking, and taking care of one’s self can prove to be challenging when dealing with the residual effects from a stroke. It is important to be patient with yourself or your loved one. As the stroke survivor, always be patient with yourself as you relearn tasks that you were able to do so easily without assistance before. As a caregiver, have patient with your loved one and offer help, but allow them to perform tasks as independently as safely possible.
Just as learning to care for yourself took time, so will relearning how to perform activities of daily living after a stroke. You may need to take rest breaks more often, and that’s okay.
The American Stroke Association has several videos which highlight safe stroke recovery, and how to create a safe home environment post-stroke, in order to prevent accidents and injuries.
Please take the time to watch some or all, and please reach out if you have any questions.
In the United States, 65% of deaths caused by diabetes are attributed to heart disease or stroke. Up to 23% of adults in the U.S. do not know that they currently have diabetes. Whether prior to your hospitalization or during your hospitalization for a stroke, you may have learned that you have diabetes. Diabetes is a risk factor for stroke due to several reasons. Those can be that diabetes creates hardened arteries and decreased elasticity in the arteries compared to those without diabetes. During a stroke, your body may naturally create more glucose due to stress it is experiencing. High blood sugar has been shown to make the effects on the brain during a stroke even worse. This can cause additional damage to the brain, leading to increased risk for long-term disability, or even death.
Maintaining a normal glucose level post-stroke is important, as well. The typical treatment for maintaining adequate blood glucose levels during the first 24 hours, especially, after a stroke is the use of insulin. Normalizing blood glucose during the post-stroke phase has benefits. If you or your family member has not done so already, make a plan to discuss blood glucose control with your primary care provider or nurse.
In conclusion, the risks of hyperglycemia, or high blood glucose, in acute stroke patients have been determined to be increased risk of death, long-term disability and the re-occurrence of another stroke. Be proactive against diabetes and know your A1C level, and what your blood glucose normally runs in order to prevent either the development of diabetes, or future heart disease or stroke. If you do not know your levels, speak to your provider about obtaining these levels in order to become knowledgeable and work towards a better health. There is always room for improvement.
After a stroke, you may realize that a lot of your lifestyle habits may need to change in order to decrease your risk for another stroke. It can be easy to become overwhelmed by all the changes and you find yourself giving up. Instead of trying to change everything at once. Take one thing at a time. After a stroke, your doctor or nurse may mention to you the need to improve your diet. While that sounds easy enough, once you delve into nutrition information like fats and carbohydrates and sugars, it can easily become overwhelming. A couple risk factors for stroke are high cholesterol and high blood pressure. Diet has been proven to play a role in controlling these two things. A low-fat, low-salt diet can greatly improve not only your overall health, but your risk for future stroke, as well. This video simply breaks down everything you need to know about how to maintain a healthy diet to prevent a future stroke.
This story is about a neurologist who woke up in her own hospital, after having a stroke. The most important thing to remember after having a stroke and beginning therapy in order to recover is that there is no expiration date to your stroke recovery. Each person’s recovery is individual and its vital to recognize that the more you put into your stroke recovery, the more you will get out of it in the long run.
This month our topic of discussion will be Transient Ischemic Attacks, or TIA’s. TIA’s are also known as “mini-strokes”. TIA’s are still an emergency, and one should go to the ER to be evaluated quickly. Ischemia can cause damage to the brain, but the goal is to prevent an infarct, which causes irreversible damage. TIA’s can sometimes progress into an ischemic stroke, and are a warning sign for future stroke. Please view the following educational video regarding TIA’s and how to prevent one.
The topic for this month’s Stroke Support Group post is risk factors. There are two types of risk factors for stroke. There are those that are uncontrolled, or cannot be changed, and manageable risk factors, those that can be modified with medications, lifestyle changes, diet, etc.
Uncontrolled risk factors include:
Manageable risk factors include:
High blood pressure
Atrial Fibrillation (A-fib)
Lack of physical activity or sedentary lifestyle
By making a commitment to decrease your risk for stroke, you can also improve your overall health and decrease your risk for other diseases such as heart disease, blood clots, etc. Increased exercise and improved diet are a good way to start making changes. Make it a point to talk to your healthcare provider to find out how you can decrease your risk factor for stroke.
Symptoms of a stroke are sudden. They should not be ignored. It is better to overreact to stroke symptoms, than to ignore them. The best thing you can do for yourself or your loved one is to get them to the hospital immediately. BE FAST is an easy way to remember signs of a stroke. Any of these signs could mean a STROKE has happened.
B: Balance. Watch for sudden loss of balance. This can indicate a stroke has occurred.
E: Eyes. Check for sudden vision loss or blurriness in one or both eyes.
F: Face. Assess for an uneven smile, or facial “droop”. Ask them to smile and see if only one side of the mouth goes up.
A: Arm. Look to see if one arm is weaker than the other. Are they able to hold it up, or does it “drift”, or fall down?
S: Speech. Listen for slurred speech, or the sudden inability to speak.
T: Time. Begin transport to the hospital right away.
BE FAST, Call 911!
As a stroke survivor it is common to feel isolated and alone. One must try to remember that strokes occur every day, every minute, so there are numerous survivors. Having support is so important to recovery. Every stroke is different, so everyone’s recovery is different. Some strokes leave people unable to walk, or even move. With hard work and determination survivors can improve to have enhanced quality of life. Recovery is never promised to be easy, but it will be worth it.
Watch Jim’s story about his stroke recovery with the use of technology.
Welcome back to PMC’s Online Stroke Support Group! Aphasia is defined as the loss of ability to understand or express speech. Aphasia is a common symptom and result of a stroke. This month we will show you what it’s like to live with and take care of someone who suffers from aphasia. Aphasia is a common symptom of stroke that can sometimes last for days, weeks, months, or years. Please watch this informative video regarding aphasia and how to live with it.
Stroke Program Manager
Today, I want to recommend to you a couple of books I’ve read regarding actual stroke patients sharing their stories of impact and recovery. These books have given me an insight to what my patients are going through. I wanted to show these to you, so those watching may read (or listen to) these, and grasp a better understanding of how a stroke affects the patient.
1. My Stroke of Insight by Jill Bolte Taylor, Ph.D. This book is written by the stroke survivor herself. She explains her stroke, her struggles with her identity after her stroke and her long recovery.
2. Healing the Broken Brain by Dr. Mike Dow and David Dow with Megan Sutton, CCC-SLP. This book answers 100 questions asked about strokes and recovery, and the author tells the story of his brother who had a stroke at a young age.
Thank you so much for joining us today! These will be posted monthly to this page for viewing. If you have any questions or recommendations for our next Stroke Support group, please feel free to let us know!
Stroke Program Manager