o rt l¿xnh ffibseruer
M ay 24. 2 0 0 6
Page A 5
Risks, Warning Signs for Stroke Focus on Prevention
W hat is the number three killer in time in which injured brain tissue
the United States, behind heart dis can be saved - approxim ately three
ease and cancer? Congratulations hours after sym ptom s begin. So,
if you’ve answ ered stroke.
the sooner you recognize the signs
Knowing the warning sings of and the sooner you can call 9-1 - 1,
stroke can save a life.
the better the chance of survival.
T w o recent studies found that
In support o f National Stroke
A w areness Month, expens from stroke patients that arrived at the
Providence Portland Medical C en hospital by am bulance are more
ter and the Providence Brain Insti likely than other patients to be
tute ask that people invest a few evaluated by a staff physician and
m inutes o f their tim e to raise their receive the necessary diagnostic
aw areness about stroke.
m easures and be adm itted to the
The phrase "tim e is brain" is hospital or Intensive Care Unit.
Losing som eone special in your
often used in asso ciatio n with
stroke, due to a limited window of life to a stroke takes only an instant.
O
SAFEWAY
The Providence m edical providers
urge you to rem em ber the follow ing
w arning signs o f stroke and you
could save a life:
• Sudden num bness o r weakness o f
the face, arm o r leg, especially on
one side o f the body
• Sudden confusion, trouble speak
ing o r understanding
• Sudden trouble seeing in one o r
both eyes
• Sudden trouble walking, dizzi
ness, loss o f balance o r coordina
tio n
• Sudden, severe headache with no
known cause
Some people are at higher risk for
stroke, yet m uch o f this risk can be
reduced with the help o f a p h y si
cian to m anage the "m odifiable"
risk factors that can be controlled,
such as high blixxl pressure; heart
disease, especially atrial fibrillation;
sm oking; high cholesterol; and d ia
betes.
T alk w ith P ro v id en ce ex p e rts
to find out how h igh y o u r risk o f
stroke is; to learn the d iffe ren ce
betw een the risk facto rs you can
and can n o t co n tro l: and for those
you can c o n tro l, how b est to
m anage them .
Ingredients fo r life.-
Dora Lee Nonne completes an exercise under the watchful eye
of physical therapist assistant Doyle Marvin at Providence
Portland Medical Center.
Recovering from Stroke
First comes quick action
Dora Lee Nonne remembers start
ing to dress on that Saturday m orn
ing. “ I got one leg in my pants, and
my other leg w ouldn’t m ove,” she
recalls. “T he last thing I rem em ber
is falling to the floor.”
N onne’s daughter heard her 78-
year-old m other hit the ground. Her
eyes did n ’t track, and the left side
o f her face drooped dram atically.
Palanuk knew her m other had suf
fered a stroke. And she knew time
was o f the essence.
F ire d e p a r tm e n t c r e w s r e
sponded to the 9-1-1 call. Palanuk
rode with her m other in the am bu
lance and dem anded they be taken
to the acute stroke program at Provi-
d£hce P ortland M edical C enter
where they expected to get expert
stroke care.
The stroke team was alerted,
Palanuk was tested and aclot-bust-
ingdrug was adm inistered. Palanuk
and her siblings w ere am azed at
what happened next. “ We literally
watched the movement com e back,”
rem em bers Palanuk. "H er left arm
started to m ove again, her face re
laxed, her eyes started to see us
again and follow m ovem ent.”
N onne’s stroke was debilitat
ing enough she could have died or
at the least been significantly dis-
abled for the rest o f her life. Instead
the tiny, gray-haired woman walked
out o f Providence after 12 days o f
treatm ent and rehabilitation with
only the slightest rem nants o f the
stroke. W hat seem s like a miracle
recovery is really the result o f tim
ing and attention.
“D ora Lee was lucky to be with
som eone who recognized the signs
o f stroke and called 9-1-1,” said Dr.
Lisa Y anase, medical director o f the
Providence stroke program. “ If ev
eryone w ho thought they w ere
having a stroke or w itnessing a
stroke would call 9-1-1, we could
save many people from severe dis
ability and even death.”
Palanuk knew how a stroke mani
fested because her m aternal aunt
had suffered a debi I itating one years
ago. She also knew tim e was im por
tant - she rem em bered seeing huge
P rovidence Brain Institute b ill
board s along the freew ay that
stated in cases o f stroke “Tim e lost
is brain lost."
Strokes occur when a blood ves
sel supplying blood to the brain
either bursts or is blocked by a
blood clot. In a m atter o f minutes,
brain tissue within that area is dam
aged, and may die without proper
treatment.
Heart, Brain Healthy Recipe
Savory Tuna and Rice Wedges
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1 Rancher’s Reserve
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(Serves 6; 1 wedge per serving)
• V egetable oil spray
• 1 1/2 cups w ater
• I 1/2 cups uncooked instant brown rice
• 12-ounce can albacore tuna in distilled or spring water, rinsed, drained,
and flaked
• W hites o f 2 large eggs plus I w hole large egg. or egg substitute
equivalent to 2 eggs
• 14.5-ounce can no-salt added diced tom atoes, drained
• I cup plain dry bread crum bs ( I tablespoon reserved for topping)
• 2 medium green onions, finely chopped
• 3/4 teaspoon dried oregano, crum bled
• 1/2 teaspoon salt-free all-purpose seasoning blend
• 1/8 teaspoon salt
• 3 ounces fat-free or light cream cheese, softened
• I /3 cup fat-free or low -fat grated C heddar cheese
• 2 medium Italian plum tom atoes. diced (optional)
P reh eat the oven to 350°F .
Lightly spray a 9-inch pie pan with
vegetable oil spray.
In a small saucepan, bring the
w ater to a boil over high heat. (The
amount o f water may differ from the
directions on the package.) Stir in
the rice. Reduce the heat and sim
mer, covered, for the tim e specified
in the package directions.
Meanwhi le. in a large bowl, whisk
together the tuna, egg w hites, and
Nutrients per Serving
Calories
< Total Fat
292
4.5 g
Saturated
1.0 g
Polyunsaturated
1.5 g
Monounsaturated
1.5 g
Cholesterol
63 mg
Sodium
429 mg
egg. Stir in the tom atoes, bread
cru m b s (ex cep t I tab lesp o o n ),
green onions, oregano, seasoning
blend, and salt.
G ently stir the cream cheese into
the cooked rice until thoroughly
com bined. Stir into the tuna m ix
ture. Spread evenly in the pie pan
and spri nk le with the reserved bread
crumbs.
Bake for 25 minutes. Remove from
the oven and sprink le with the Ched
dar. Return to the oven and bake for
2 to 3 m inutes, or until melted. Cut
into wedges. G arnish with the diced
tomato.
This recipe is reprinted with per
m ission from Love Your Heart,
Copyright © 2006 by the American
Heart Association.
Carbohydrates 36 g
Dietary Exchanges
Total Sugars
5g
2 starch
Dietary Fiber
4g
1 vegetable
Protein
25 g
2 1 /2 very lean meat
75
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