Un caso di ictus d'urgenza prende una piega ancora più spaventosa

Film comici Italiani

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00:00You've been, your chest was on.

00:08With Teresa's condition becoming worse by the minute,

00:11the team needs to work out what is causing her to feel so unwell.

00:17Paramedics are bringing in a 65-year-old female,

00:20who they suspect is having a stroke.

00:22Nurse Becky takes the handover.

00:30What we do now is, this morning at Harpesh,

00:33she got and had a sudden onset of a central chest pain,

00:36saying she couldn't breathe, couldn't get a seat,

00:39and it was a little wobbly, and it says,

00:41no, it's a very side repair, it's got a bit room,

00:43but that's normal for her belt, wasn't it?

00:46She's been unable to recall that she's been to Slimming World at all,

00:49which is a shame, because she's had a good week.

00:55Teresa and husband David are taken to cubicle nine,

00:59where physician associate Wayne has noticed her sudden deterioration.

01:04Your chest is on.

01:14So what happened today?

01:16So it's Monday, we're on this morning,

01:18and I've got a phone call saying come down because she's not well.

01:35It's got a good morning that's sorted.

01:39Because of Teresa's chest pain,

01:41Wayne does an urgent ECG to check her heart.

01:44With Teresa's condition becoming worse by the minute,

02:11the team needs to work out what is causing her to feel so unwell.

02:16In charge of her care is consultant Dr Laura Buxton.

02:21So, it says in my notes that you've been confused,

02:26more confused than normal.

02:29Does that fit with how you feel?

02:33Can you remember back to when you got up this morning and how you felt?

02:36Can you see my face normally?

02:47Yeah.

02:48It's a bit blurred, but yes.

02:49Is it?

02:50Yeah.

02:51Dr Buxton quickly assesses Teresa

02:53for any signs that she could be having a stroke.

02:56What I'm going to do is get you to stretch both hands out in front of you

03:00and keep them up.

03:04Shut your eyes.

03:06Good.

03:07And I'm going to push on them and you're going to keep them up, OK?

03:12Good.

03:13Can you lift this leg up?

03:15Up strong.

03:17Good.

03:17And this one.

03:19Good.

03:19You've got weakness in your right arm and in your right leg

03:25and I just think that there's a possibility it might be a stroke.

03:30So, I'm going to get a brain scan, see where that takes us

03:33and I'll get one of the stroke nurses to come and have a look at you.

03:35OK.

03:37It's just a little bit of an unusual presentation

03:39for somebody who might have had a stroke.

03:41She does present with a mixed picture of confusion.

03:47She's got quite a complicated past medical history.

03:50So, it's not a typical case of a straightforward stroke.

03:54If Teresa is having a stroke,

03:56she'll need treatment straight away to limit any damage to her brain.

04:02I've looked at your CT scan.

04:03I can't see anything untowards.

04:06So, I just need to get a clear picture, basically,

04:11of what's been going off

04:12and how long this has been going off, right?

04:16I remember being at Slimming World, but that's it.

04:21When you're saying you can't remember...

04:24I just can't remember.

04:25Yeah.

04:25She's got memory problems to start with.

04:28I had a cardiac arrest.

04:30In 2012.

04:31And since then, has she been...

04:33She was starved with oxygen.

04:35Right, so...

04:36and memory problems.

04:37And the tireless she gets,

04:39the more confused she gets.

04:41She gets.

04:42So, you've been having these...

04:43So, these memory problems have been long-spanning since 2012.

04:48Mainly when I get tired, but...

04:49And mainly when you get tired.

04:51I'm not...

04:52I can't...

04:53I don't normally forget so much.

04:55It's normally quite good, what I remember,

04:58but I can't remember this more than much.

05:01Yeah.

05:02But...

05:03What will I say?

05:04Just now.

05:05I can't remember that.

05:08I can't remember that.

05:09Are you not as bad as that?

05:12No, I'm not.

05:13I'm not this bad.

05:15Nurse Pauline updates Dr Buxton.

05:18There's lots of different things, I think, that's going off,

05:21and she probably will need an MRI.

05:23That's my concern, that she's having fluctuating episodes...

05:25Yeah.

05:25..where she has complete lucidity in between.

05:30Yeah.

05:31And for her to have a process that was causing memory loss,

05:35confusion, that was transient,

05:37that got better with a rest at night,

05:40seems unusual.

05:43I think it's very unlikely that it's stroke-related.

05:45OK.

05:46Well, that's been really useful.

05:47Thank you.

05:48I'm grateful for your second opinion.

05:49Particularly in MI.

05:50OK.

05:54Did everything that we've been chatting about make any sense to you at all?

05:58No, perhaps not.

06:04So, we've got some concerns about your memory and about your confusion,

06:09and what we want to do is admit you for a bit of time

06:13so that we can work to get to the bottom

06:16of what all these symptoms are being caused by.

06:20OK.

06:20Don't keep me for long.

06:22I won't keep you for long, I promise.

06:23We'll do our very best.

06:24We don't think this has been a big stroke.

06:26And it's something maybe going on in the brain

06:29that's causing you to have these acute episodes of confusion.

06:32I could sleep on a washing line.

06:36But, yeah, I just need some sleep.

06:39I'd sooner be going home and going to bed,

06:41so I could sleep properly.

06:43It could be a couple of days, actually.

06:45But, er...

06:47I know there's something that are going wrong

06:50and that needs sorting out.

06:53It's just one of them things.

06:54But there'll be a lot of people in here,

06:56a lot worse off than me, so...

06:58Teresa stayed overnight

07:00when it was discovered her symptoms

07:02were caused by her pre-existing heart issues.

07:06She's now home, and her treatment is ongoing.

07:09So, thank you.

07:09Thank you.

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