A Patent Foramen Ovale (PFO) is a heart hole present in approximately 10% of the population that allows blood to bypass the lungs and travel directly from the right to left side of the heart, potentially carrying dangerous blood clots to the brain and causing stroke, especially during intense physical exertion that increases right-sided heart pressure.
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Stroke After Intimacy? Cash O’Reilly’s Life-Threatening Medical EMERGENCY | Sex Sent Me To The ERAdded:
I've always liked whiskey, chasing women, and loud music. I've always been a bit of a wild card. I'm a rambling man.
Cash is very charismatic. I find one of the sexiest men I've ever ever seen.
Anna's beautiful. She's smart, she's down-to-earth. She's [music] my anchor.
She's the first woman in my whole life that actually makes me want to be a good man. We fit together just like [music] puzzle pieces. We actually both have a tattoo with the date that we met.
Because that day I think he [music] felt the same thing. There was just something there that maybe neither one of us could put our finger on then, but it blossomed into something amazing.
I did my 3-hour show and I was tanked and having fun and went home, then went to the bedroom, start having our time and enjoying ourselves.
What's wrong? I I don't know. My whole My whole left side has gone weak. No control.
My left leg and arm are numb. We realized that maybe there's something a little more here going on than just exhaustive love making.
Thanks, babe.
Damn.
When he tried to bring it up to his mouth, there was just no motor skills there whatsoever. Nothing seemed to be working. You should get it to a doctor.
Excuse me, ma'am. I I I think I need to see a doctor.
Okay, what's the problem?
My whole left side seems to be the problem. I think I pinched a nerve or something.
Okay. Did you do anything that could cause this?
W- Well, uh I've been raised with manners and everything like that and uh sex is something you didn't talk about in my household. Mr. Riley, this is an emergency room. There is nothing you could possibly say that I haven't heard.
We were having We were having sex.
And?
He collapsed during his orgasm.
During orgasm.
Well, uh >> [music] >> yes, ma'am. It uh It was a doozy.
Really? We just told him everything that was going on. They brought him right back.
After his orgasm, Mr. O'Reilly collapsed. Did he seem confused?
I don't know.
Maybe a little.
Was his [music] speech slurred?
Straight.
Not really. I don't think so. They're asking me questions. Did anything ever change with his facial expression? You know, and did you ask him to smile?
We're going to have to run a CT scan to see what's going on here.
Do I really have to go through all this work you do, doc? You just give me something for the pinched nerve and get me out of here. I I got a gig tomorrow night. Let's just see what the scan says first. Okay.
And being a musician without health insurance, all I could hear was the cash register and all my books going down, you know.
Let me show you this.
What I see here is a lot more serious than a pinched nerve.
And we're still in just both kind of looking at each other like, you know, what is this? What are we talking about, doc?
You've had a stroke.
A stroke? Doc, I'm only 39.
Normally strokes are an old person's disease. And so anytime it happens to someone younger, under age 50, we get very concerned that there's either something else going on or they're not taking care of themselves and they're causing it.
Do you smoke, Mr. O'Reilly?
Yeah.
How much?
About two packs a day. How long have you smoked?
Since I was 9 years old. How much do you drink?
Doc, I'm a musician. I work in honky-tonks. I I tend to drink a little.
Probably a bit too much.
How's Bell's, doc? A stroke?
Are you serious? Yeah. I'm afraid so.
Strokes are very serious business. Don't just sit there and think that you're going to shake it off or it's a pinched nerve. There is a very short window to get in and have something done.
A blood clot developed somewhere in your body. We don't know where yet, but it broke off and traveled here to your brain.
Reduced [music] blood flow and oxygen to the brain cells.
You can see the impacted tissue. So we've got to admit you. We have to assume that you're at great risk for another stroke. [music] When someone has stroke symptoms, you don't know if that is going to become a full stroke or a worse stroke. The bad news is you're at very high risk for an actual stroke happening and very soon after that. He's a musician for a living. We were really concerned. At that point he did have some movement left, but we didn't know what was going to come back and what wasn't going to come back.
I think it's getting better.
Mr. O'Reilly, we're going to do a transesophageal echocardiogram. And they decided to run all these tests. And one of the last tests was called a TEE. In plain English, we're going to take a peek at your heart.
Look at that. PFO.
I think we found out why Mr. O'Reilly had a stroke.
That's when they discovered that I had a hole in my heart.
In general, you don't get clots being thrown out from the heart and going and causing strokes. And the reason is that most clots come from the veins and then they go out to the lungs and they get filtered out in the lungs. They never make it to the left side of the heart and out to the brain. But it can happen if you have a hole in your heart so that blood can travel from the right side of the heart to the left side of the heart without ever going through the lungs.
This is the hole in your heart showing the unfiltered blood flowing back [music] into your bloodstream.
About 10% of the population has holes in the heart and doesn't realize it. It never causes any problem at all unless something unusual happens that causes the pressures of the right side of the heart to go up. Aggressive or very stimulating sex could do that. Can't you fix the hole? Yes, we can.
We'll have to do more tests. So short of repairing the heart if you're known to have that hole, you would often be put on medications to try to drop those pressures. If you have recurrent problems with clots, you would be put on full anticoagulation so that even if that hole opened up from time to time, there'd be no clot to go through it, which would be the big risk.
>> [music] >> You really need to get healthier.
You need to take your blood pressure medication, better diet, and no more smoking, and no more drinking. Oh. I'm just trying to help you live a longer life.
Yes, ma'am.
We definitely joked when he was in the hospital that he was the sexy stroke victim.
>> [laughter] >> We have to. You have to. You either cry about it and get sad thinking about it or you can laugh about it and move on with your day.
Eat your heart out.
>> [screaming]
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