This video masterfully uses a relatable personal narrative to dismantle the misconception that strokes only affect the elderly. It is a vital piece of public health communication that turns clinical knowledge into life-saving awareness for a younger generation.
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Welcome to our live show!追加:
Um, and so if you can just when you give your answers, can you just include the question in your answer? I don't know if anybody sort of prepped you with that.
So the questions, what's your name? My name is, you know, what was your experience? My experience was that kind of thing. Awesome. Thank you.
>> Okay. Um, Alex, so yeah, I you know, please introduce yourself briefly and then you can kind of talk about um what happened to you um and you know, feel free to go into as much detail as you want, of course. But yes, my name is Alex Wilson Garza. Um I am uh 28 years old.
I'm from uh Texas, born and raised here my entire life. And I am currently residing in Georgetown, Texas. And I work here at St. David's Round Rock um emergency room. Um I've been a nurse here for about six years now as of this year and I've worked here in the ER the entire time and all my family, my son, we all we all live close to here. Um so yeah, um at at the age of 24 just kind of like get off. I had a stroke on January 20th of 2023. Um definitely uh that day has led to so many events afterwards and I've completely changed my life for I like to think actually the better. Um so on that day it was just kind of like any normal day actually. Um I just got off of work and I I am a night shift nurse. So I just got off of work that morning and when I woke up my husband and I were just kind of talking about some plans for the weekend. Um, we were thinking about like going to the river to flow and we're about to go to our Brazilian jiu-jitsu class, which we both do and love to do together. And kind of just I remember that suddenly I wasn't just like feeling too great and then the room just started spinning. I I became so dizzy and then just kind of like after that I actually don't really remember what happened and everything that I know now is based off of what my husband has told me. So my husband said that like I started to like slur my speech and I was having a lot of difficulty talking and I wasn't making any sense either. And he said the left side of my face became like really droopy. He described it like I was like my face was melting off on the left side and then I did lose control of pretty much like seems like the left side of my body.
He said I tried to like pick something up with my left hand and I flung it across the room and he said that lasted for, you know, a few minutes and the first thing that I remember is that I was sitting on the edge of my couch and he was trying to put on my shoes and he was like, "Hey, we're going to the emergency room like right now." And of course, like I always I've told a lot of people that like nurses, we are very hard-headed people, especially an emergency room nurse. We always think that like everything is wrong with everyone else, but we're like resilient. There's no nothing wrong with us ever. And we went we had a lot of back and forth and I'm just very thankful for his persistence because if it wasn't for his persistence, I would have probably not gone to the emergency rooms to address what happened because in my mind I felt like I was like, "Oh, that was a little weird, but I was fine."
So, u my husband, he's actually a police officer as well. So, I would like to say he's uh he's has a good education in some medical emergencies and he he was I think the only one that truly knew like I was actually having a stroke at in that moment. You know, a lot of he would tell a lot other people like, "Hey, I think she's having a stroke." And I think there's a lot of second guessers just because of my age. And I'm also like just I pride myself on being a very healthy person, too. I've been active my whole life. I've been an athlete. I've played basketball, tennis, ran cross country, played volleyball, and I do Brazilian jiu-jitsu, too. I had never had a single medical problem ever in my life either or ever been to the emergency room other than to work at it.
So, um, he took me to, at the time, I lived literally right down the road from my job. So, he was like, "We are going there." I said, "No, we're not." But he's like, "I don't care. We are." and he took me to uh my ER that I just left a few hours ago. I walked in through triage and I just started the you know the check-in ER process and from there they took me back and of course um I was so thankful for the dayshift team that I had that was working there all the dayshift nurses and doctors who I've known for years and who I've worked with. Um they got me back immediately.
They the symptoms that my husband was describing was very concerning to them.
So I was activated as a stroke activation for like our hospital protocols and um they got me back to CT imaging really quickly, blood work, EKG, just all of these things that I've done on others, they now started doing on me and I've never had them done before. And it was uh pretty soon after I got back from CT that the neurologist came in the room. He's like, "Hey, I don't know how.
I don't know why, but you are having a stroke." And they found out that I had a blood clot in my right middle cerebral artery. So, I had a very textbook um blood clot in the right side of my brain and left-sided symptoms.
And due to the time frame of um the time I first started having symptoms and the time I was able to get to the emergency room, I was very lucky that I was a candidate for TPA, which is like a major um it's pretty major blood thinning made medication that they were able to give me to kind of help dissolve the clot.
And then I was also very fortunate as well too to get a second treatment which was a throbectomy. So a throbectomy is when a um neurointerventionist doctor he goes in through your formoral artery and he's able to go physically into your brain to retrieve the rest of the clot out. And I was awake for the entire procedure and I do remember like I remember that suck travel that that blood clot getting sucked out of my brain and traveling all the way through my body and he showed it to me on some gauze afterwards. So I was just very very fortunate, very lucky. Like I said, some people aren't even lucky to get any treatment for their stroke and I got two. So um and then just from there I was in ICU for a few days and luckily I was discharged after about three days in the hospital.
>> Wow.
>> Sorry. I feel like that was a lot.
>> No, no, no. That was perfect. Um, so I mean did you ever did they ever get a sense of what could have caused the stroke or >> Yeah, that was definitely the golden question because yes, like I said, I'm very >> sorry.
>> No medical problems.
>> Yeah, start with for me just start with the question. Um, why did I have a stroke is the golden question. That way we know. Yeah.
>> Oh yes, yes, yes. Okay, perfect. I forgot prompt a little prompt first.
Okay, so yes, why did I have a stroke?
um still to this day we're not even really sure why. So I was I've saw multiple specialists. I saw cardiologists, neurologists, I even saw hematologists. I was they put me through a lot of tests trying to look at my heart first to see because a lot of the times the cause of the stroke is sometimes a heart related issue. Um I don't have any heart problems at all.
The structure of my heart and the muscles are all good. Um and then they tested me for some blood clotting disorders which I also tested negative for and also like just my brain too.
They're like other than the stroke that you had, my brain was very healthy. So um after just a again trying to find the opinions of other doctors, I think the one we came to the conclusion of is that I was actually on birth control at the time and it was a pill with some estrogen in it. And I kind of like think and believe in my gut that that was the cause of my stroke because I was only on it for just a few months at the time I had my stroke.
>> Oh, that's really interesting. Um I mean I guess can you talk a bit more for people who aren't really aware of um the risks birth control can sometimes pose?
Um and you know just kind of go into the background of that.
>> Yeah, birth control. Yes, there have. It sounds like, you know, I'm glad that it's more of a conversation today, more than I feel like it ever has been, that you know, there are actually multiple side effects of birth control and blood clots is one of them. You know, a lot of times women can get blood clots in their lungs from it or in their legs. That's why we always, you know, ask women if they come in with like swelling in their legs like, "Hey, like, have you recently traveled before? Are you on any birth control?" No. That's one of the reasons why we ask that. And then um you know also like a lot of women don't know too like people with actually migraines and everything really bad headaches that are on birth control too that can increase their risk as well. So um I can't really talk for I guess like the really like the chemistry of of birth control or anything. I really truly only know like the side effects that it does cause and I do Um, we may have Rachel. Are you Rachel Burkehead? Are you guys still there?
>> Yes. I was trying to reconnect.
>> Okay. Okay. I think you're back. Sorry, you kind of like froze on the side.
Do you want to just repeat your answer about >> You want to just repeat your answer about the birth control?
>> Oh, okay. Yes. So, can you say the question one more time so I can put it in the prompt to start off?
>> Oh, yeah. Um, you know, can you just talk about some of the side, you know, uh, clotting being one of the side effects of birth control?
>> Yeah. So um yes, birth control from just the knowledge that I've gathered and everything and just my experience with my stroke uh that it can increase your risk of blood clots as well. So I do believe that you know my birth control was the cause of me developing a blood clot in some somewhere in my body that traveled to my brain to caused caused me to have my stroke as well. And I just think that, you know, birth control, I'm glad that it's more of a conversation today in women that there are multiple side effects to birth control and I think blood clots is one of them as well. Um, I was saying a little bit before that that um there's a >> Did we lose them again?
>> Yeah, I can't hear her.
Okay, in theory, Riverside should be recording her response, but um let's wait and see what happens.
>> We lost them. That's okay. It's still going to save everything. Um hopefully they hop back on and can just pick married Star with American Heart. I can text them really quick and see what's going on on their end.
>> Okay. It seems like it's their end cuz the rest of us are still here. So, >> and apologies I joined late. Hopefully, >> all good. Happy to have you.
while we wait for them to join. Um, I'm not sure if Gabby has shared with y'all, but we do have an infographic around women and stroke and some of the different risk factors like birth control, menopause, preeclampsia. Um, if that's helpful, I'm happy to share that over.
>> Yeah, if you could email that, that would be super helpful to put up on screen. Um and or put in the article both.
>> Yeah, we'll send that to you.
>> Great.
>> Um Darcy, do you have Alex's cell phone?
>> They're trying to reconnect now.
>> Okay.
Okay, I see them.
>> Can y'all hear us?
>> Yep.
>> We don't know why it did that.
>> No worries.
>> But um do we need to look at switching or do you think it's >> I'm getting a spinny wheel.
was because I moved it.
>> Can y'all see the TV in the background or do I have it? Did I put it back where it was?
>> Uh I Hold on. Let me see. I can only see her in a square.
>> I think the TV >> Yeah, they don't they can't see the TV.
They just see the frame and the >> Okay, that's fine. I can't tell because it's not you're not the big picture on there. I can't see.
>> I cannot I cannot see the TV. It's cropped out. Well, >> perfect.
Let me get off.
There's something way. Okay, perfect. I think we're back.
>> Yep. So, um, you were talking about birth control and you were almost done.
>> So, what about birth control, right?
>> Yeah, >> we could probably go. It's up to Rachel Uda, but if you want to go to the next question, Rachel, just to keep going.
>> Yeah, I think that's fine.
Um Mary was saying that um the program should have captured your response anyway even if you froze on our end. So um so yeah, I think um you know uh if you could kind of just go over the um warning signs that people should be aware of um that'd be great.
>> Yes. So the warning signs there are multiple warning signs of stroke and I think one of the best ways to actually know and be aware of the signs and symptoms of stroke is the acronym be fast. So be fast each letter stands for a certain symptom and strokes. Um B it means balance. So whenever you're sometimes people have balance issues and have trip uh difficulty walking while having strokes. Um then E is for I. So sometimes there can be like a sudden loss of vision or a loss of vision in one or one eye or the other. Then F is for face. So um you can have a facial droopage on the left or the right side.
And then A is for and this is the A that always gets me. So A is for um Wow, I have said this so many times and I always draw a blank on on A. I'm so sorry.
It is for um arm weakness. Um is it okay if I repeat that again?
>> Why don't you just start with A is for arm weakness.
>> Yes. A is for arm weakness. So kind of like the joke that I had, I had some left arm weakness. So and you can have also have some right arm weakness as well. And then um C is for uh sorry.
>> Yes.
>> Oh. Oh my gosh. Oh, >> see this is why I I have said this multiple times and I always like mess up on the A and it tracks me out. S is for speech as well. So you can have difficult difficulty speaking. Also have some surge speech as well. Then T is for time. So that means it's time to go to the emergency room. Time to call 911.
Try to get there as fast as possible. In our line of work, we like to say that time is brain. And the quicker that you get to the emergency room to address your symptoms, the better chance that you have of getting a life-saving treatment.
>> Okay, perfect. And can you just go over briefly um you know which of these symptoms did you experience?
>> So yes, I experienced multiple of be fast. So definitely the arm weakness. I had some left arm weakness. I also had some slurred speech as well and some difficulty speaking. I was not making any sense either. Um, and I also had a facial droop on the left side. And luckily, I like to say I followed te that I did get to the emergency room really quickly.
Um, perfect. All right. Um, I mean, is can you just talk a bit about um, you know, why you think this message is so important? um why people should be aware of this especially in you know younger healthier people like yourself who you wouldn't necessarily suspect of having a stroke.
>> So yes, I think it's so important especially with it being May and May is stroke awareness month that it is so important to educate yourself on the signs and symptoms of stroke because it is a common cause of death actually in the United States. I believe it's one in three uh people die of a stroke and I hope that uh Julia can kind of help confirm that. Um so and multiple people die of a stroke every day and I feel like also strokes also cause a lot of um physical and physical and mental deficits after having them too when people if people are able to survive them. So, I think education is key, especially like as a nurse. I feel like I would it is so important for us to be able to educate our patients on the signs and symptoms of a stroke or anything actually. And I feel like I would be doing a disservice if I didn't follow those words and help be able to spread the word of stroke awareness as well. So yes, I I love that there's so many um resources available today to educate yourself on the signs and symptoms of stroke, especially with social media. I feel like it's been such a great reach to be able to like especially the American Heart Association to be able to see like those little one pagers on being able of be fast being able to um just learn just a few signs and symptoms of it because maybe one day if you're just at this grocery store, you know, you're taking a walk and you notice that you know someone is starting to not feel well and their speech is slurred, they're losing control of one side of their body or the other that maybe you can help identify those symptoms and help persuade them to to the emergency room.
>> Great. And um you know, can you talk a bit about your situation now? You said you're 28, you have a child, you know, just tell us how you're doing.
>> Yeah, I am so lucky to like be able to say that after my stroke, I never had like any physical deficits at all. It took me a few months to kind of truly get back on my feet and recover. Um just because after my stroke I had a little bit of problems like sometimes if I was standing up for too long I would get a lot of dizziness and I would just feel really weak and kind of out of breath.
And so um my recovery luckily was quicker than most. And I was able to kind of I did a lot of just simple aerobic exercises like walking. Um did a few push-ups and also I was able to actually really use Brazilian jiu-jitsu as a part of my recovery. I know that some people are like, "Oh, why would you go straight to a combat sport that can strike your head?" That was absolutely not the case for me at all. I have such a great coach that was really able to kind of, you know, protect me and able to like help me um just kind of use like simple movements to really help and exercise and also jiu-jitsu is so important like exercising your brain to like help me kind of get back onto my feet with especially my balance too because I had a little bit of I felt a little topsyturvy at times uh when it came to walking. Um, I will say that mentally after having my stroke, it was for sure a challenge. I was scared to kind of be by myself cuz I kept thinking like what if I had my stroke and my husband wasn't there, you know, like I it was very hard to be by myself. Um, and also just kind of scared. I didn't want it to happen again because it just happened very suddenly out of the blue, too. So, it took some time to get comfortable with being by myself again and to also just gain confidence back with my body that like you're going to be okay. Like you're going to get through this, like even if it does happen again, like surround yourself with the resources and they'll help you again. So, yes, just so lucky. And I think that after having my stroke, it's just given me like so many just wonderful opportunities actually to be able to share it in just cases like this with other people to raise awareness of that stroke can happen to anybody and it did strokes don't discriminate especially with uh younger folks.
>> Perfect. Um Mary, anything else you want to hit?
No, I was just wondering if you'd be willing to um send us some pictures of yourself doing the jiu-jitsu and like I don't know if that's something you'd be willing to share or like any literally like any photos you're willing to share would be great. Like if you have photos of yourself in the hospital recovering, if you have photos of you and your family now, like these all sort of help make the piece like the video more produced.
>> We can send Sorry, this is Cat. We actually we have a video I'm on Hello.
Um, we have a video of uh Alex doing jiu-jitsu and in the hospital, so we can share that with y'all. That'd be great.
>> I have a few I have a few other like personal ones too as well that I can um share too.
>> That'd be great. Yeah. Just like any photos that sort of like make it more personal. Like definitely will help people relate and be like, whoa, this actually really could happen to me. It's not, you know. Yeah. Yeah. Totally. I'm so sorry you went through that, but um so happy for you that your husband was fast acting and um that everything's okay. And what do you is there anything you have to do now? Like regular checkups to make sure are you on like blood thinners? Like anything you're doing now to just make sure it doesn't happen again?
>> Oh yeah. So after it initially happened um after my stroke I had to be on aspirin and plavix for a few for like I think about month or two. Then after that, I was actually put on a blood thinner just to make sure just kind of as more of a precaution to make sure that if I did have a blood client disorder or a heart condition to just kind of cover me until they could roll everything out. After that, I was so glad to be able to stop the blood thinner. And I've just been on like a baby aspirin a day. So, it was great. My dad and I, we buy aspirin together now at Costco. It's amazing. And um yeah, and I just kind of go to my regular, you know, primary care checkups like I'm supposed to. And um l yeah yeah again I'm I'm so lucky like I'm lucky more you know unfortunately you know some people usually have some sort of deficit like you know a facial droopage or not being able to move one of their arms or their legs you know so I'm very blessed and lucky to not still have my body and my mind for sure. Just one other question because our we're really big on preventative care and I just wonder if there's anything that you've heard from a doctor or like anyone. It feels like stroke I is there anything you could have done to prevent this or like is there any sort of like advice you have for people to go to a doctor and get checked out or anything that people could do to just try to make sure that this doesn't happen to them and if not that's fine. I know you're not like a doctor, so >> No, no. I I am a firm believer too in preventative care, you know, to to prevent emergencies like this. I feel like in my case that actually I feel like I did do everything right in my life and it wasn't my intention to take birth control and for this stroke to happen at all. And I just think that it was just an unfortunate unfortunate luck on my side. But everything that I've done before, I'm still doing today. And I'm confident in what I'm doing that I know that I live a healthy lifestyle.
And I'm very grateful that um that my healthy lifestyle actually is what got me through my stroke. I'm a firm believer in that. That if I feel like if I didn't take as good of care of my body and I had a stroke that things would be looking a lot differently today. So, um I'm very again just very very grateful of my healthy active lifestyle to help me get through that traumatic day and the also the recovery afterwards and just yes I yeah I do preventative care I think it is so important that every person if you have the the ability to do so is you know go see your primary care get some lab work done address symptoms if you feel like that there's something wrong with your body um and to also just have body awareness to know your body, know what looks right, know what looks wrong, and you know, know when you're feeling off is and go address those symptoms, too. And I also think that, yeah, it so important to live to to exercise a lot. And I think, you know, whether it's just a walk a day or going to lift weights or doing a sport like jiu-jitsu if you're able to or playing some pickle ball, it doesn't matter what, as long as you're being active, I think it's just so important for your health and it's also important for your heart as well. And I think it's Don't do smoking, drugs, none of those stuff. That's also equally as important, too.
>> I think that's a really good point. Um, just because it's almost, you know, in your situation would have been almost impossible to prevent. So, but living a healthy lifestyle still helped you with the recovery and I think that's like a great message for people >> is like even if a stroke happens by fluke, like because you are taking care of yourself, you're able to recover that much faster. So, >> yeah. fullheartedly agree that um I even had a doctor um tell me that the reason why I was able to get two treatments for stroke because sometimes people people don't get usually like a blood thinner like tpa and then a throbectomy he said the reason why that he was confident in doing the procedure on me is because of my health and that I was before the stroke there's nothing wrong with me and that he knew he was very confident that he's like this procedure will be good for you and that you'll get through it just fine. So very grateful for that.
>> That's fantastic.
>> Hey Mary, it's Darcy um with American Heart. Alex, do you want to mention so 80 up to 80% of strokes are preventable and Alex didn't really fall into that category, but the biggest risk factor is blood pressure. Um, Alex, do you feel comfortable speaking to that knowing that's not a part of your story, but the fact that high blood pressure is the leading risk factor or not necessarily?
>> If just as a note, like regardless, that's something Rachel can put into the article that goes along with this. But if Alex feels okay talking about it, great. If not, I just don't want her to feel pressure, but Rachel can still put that all that into the article.
Um yeah, I can try to say like a little something about uh blood pressure. Very lucky that I don't have high blood pressure. Um but I do think that it is important to definitely get your blood pressure checked too and especially if you don't have it now, but to watch it and especially if you have a family history of it. I do know that I have a very family history of blood pressure.
So I do know that when I get older, it's something that I'll have to pay more attention to as well. Um, but I think that kind of all draws back to that, yeah, blood pressure, the causes of blood pressure are, you know, being overweight, smoking, not taking care of yourself. And I just think that kind of pri uh circles back to preventative care that, you know, if you try to take care of yourself and you're doing things that you're supposed to do, eating right and exercising, that you can prevent actually having some high blood pressure.
>> Great. That's all the questions I have and I think Rachel that you had too. Is there anything else anybody wants to add or feels like is important to talk about?
>> Yeah. The one other thing um is Alex when you mentioned a statistic you said one in three people die from stroke.
That's actually not accurate. It is um stroke is the third leading cause of death in women. So >> what I meant >> I knew where I knew where you were trying to go with that. So I >> was trying to remember that from last week. I'm sorry.
>> Yeah. Not a problem.
Can you So do you want to just say that line one more time?
>> So uh yes uh stroke is the third leading cause of death >> in women.
>> I'll say it one more time.
>> Yeah. One more time.
>> Yes. Uh yes. Uh stroke is a leading cause of death in women.
>> Was there one other was there something else too? Like one in three one in five women will have a stroke. Okay.
>> Yes, that was too dark.
>> You want to just say um stroke is a leading cause of death in women and one in five women will have a stroke. So, it's really important to >> keep an eye out for you know remember be fast something like that.
>> Yeah. And Alice because stroke isn't the leading cause. Sorry, Mary. It's the number third cause. So, yeah. If you is it Do you want both stats or do you just want to say one in five women will have a stroke and knowing the warning signs?
Uh she could do either. Sorry.
>> Yeah, >> I just say the one in five then.
>> Uh so yes uh one in five women in the country can have a stroke. And so it's really important to educate yourself on the acronym of be fast.
>> Great. I think we're if everybody else is good, I think we're all set.
Yeah, I'll send you over a beast graphic in the women's stroke infographic and just kind of Yeah, actually didn't talk about that yet.
>> I thought that was a really good point.
Um, there's one thing I didn't know I it was I was just trying to remember it from Rachel brought it up too that actually I think and just one other really important part of my story too is that actually how um having a stroke and being a patient in the emergency room really actually changed me and how I carried myself as a nurse afterwards. I always say that there was a nurse before, like nurse Alex before my stroke and a nurse Alex after my stroke. And I'm really proud of the nurse that I've become afterwards. I feel like I've gained just a different perspective of my patients because I know what it's now like to be on the other other side in the in the hallway in the stretcher, you know, being treated. Um, so I'm just so thankful for actually that experience and helping me gain some more empathy with my patients and just understanding what they're going through because you know going to the ER usually you're there when it's one of your worst days and sometimes you know an emergency room nurse sometimes you kind of just it's a good reminder to be able to think of that.
>> What a beautiful perspective on everything. So thank you for sharing with us.
Yeah, thank you, Alex.
>> All right.
>> Um, yeah, so we are hoping to get this out. I mean, we will get this out this month. Um, we'll give you guys a heads up. Um, Mary will be making a video.
I'll have um companion article and it'll be featured in um our newsletters uh in the next couple weeks.
>> That's awesome. And we'll um >> Alex, if there's any pictures that you have that you want us to send over, we'll share them and then Darcy um if you want to shoot me over the be fast and women in stroke infographics, I can pass them along to.
>> Perfect. And I have a whole folder of photos and videos of Alex. Um Alex and Rachel at HCA, if y'all can add the particular video you were referencing, the jiu-jitsu video. I believe I may have one, but if you can put that in there and then we can get that over to them.
>> Should be in there. Um, it's the the video that we did of Alex sharing her story with her coworker Britney. So, there's some B-roll of her in that video doing jiu-jitsu.
>> Okay, perfect.
>> Yep.
>> All right, thank you.
>> Yeah, I I tried to actually send Darcy some stuff and I had trouble with my email. So, if you guys have like a like a one drive link or something, that was like kind of the best way that I was able to share videos because my email is not having it at all.
>> We have Mary, we have a one drive folder with all of the photos and videos. So, I'll make sure Gabby gets you that.
>> Okay, great. Thank you.
>> And Darcy, I can add some more jiu-jitsu stuff because I think I only added like I don't think there's any videos, but there was I think like three like three or four photos. So, I can add some videos. Let's we may be good because I know that the video has it in there. So, we we probably will be good with that, but I'll let you know.
>> All right. Thank you everyone.
>> You all
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