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           Call 9-1-1 or
              other emergency services immediately if 
             
        
            Signs of a stroke develop suddenly.
              These may include:
			  - Numbness, weakness, or inability to move the face, arm,
                    or leg, especially on one side of the body.
 
                  - Vision problems which occur in one or both eyes. Symptoms
                    include dimness, blurring, double vision or loss of vision.
 
                  - Confusion is experienced, such as trouble speaking or
                    understanding language.
 
                  - You experience trouble walking, dizziness, loss of balance
                    or coordination.
 
                  - You experience a severe headache with no known cause.
 
           
  You have signs of a transient
ischemic attack (TIA). Symptoms are similar to those of a
                stroke, except:
                      
                        - The loss of vision is usually described as a sensation
                          that a shade is being pulled down over your eyes.
 
                        - TIA symptoms typically disappear after 10 to 20 minutes
                          but may last up to 24 hours. There is no way
                          to tell whether symptoms are caused by a stroke
                          or TIA; therefore, emergency medical care is needed
                          for both conditions.
 
                       
					 Call your doctor
					  immediately if you have:
                      
                        - Had recent symptoms of a TIA or stroke, even if the
                          symptoms have disappeared.
 
                        - Had a TIA or stroke and are taking aspirin or other
                          medications that prevent blood clotting and you notice
                          any signs
                          of bleeding.
 
                        - Had a stroke and have a choking episode from food
                          going down your windpipe.
 
                        - Experience signs of a blood clot in a deep
                            blood vessel, which include redness, warmth,
                            and pain in a specific area of your arm or leg.
 
                       
					  Call your doctor for an appointment if you:
                      
                        - Think you have had a TIA in the past and have not
                          talked with your doctor about it.
 
                        - Have a pressure
                            sore after experiencing a stroke. Pressure
                            sores usually develop along the elbows, heels,
                            knees,
                            buttocks,
                            and tailbone
                            and on the back along the spine, and are caused by
                            staying in one position too long. The first sign
                            of a pressure
                            sore is a reddened area that does not go away with
                            rubbing or massaging.
 
                        - Have had a stroke and notice that your affected arm
                          or leg is becoming increasingly stiff or you are not
                          able to straighten it.
 
                        - Have had a stroke and notice signs of a urinary tract
                          infection. Signs may include fever, pain with urination,
                          blood in urine and low back (flank) pain.
 
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           Watchful waiting is not appropriate if you have signs of a stroke.
              Emergency medical care is needed to prevent or treat any complications
              that may be life-threatening. Prompt treatment may prevent extensive
              damage to the brain, decreasing permanent disabilities from
              the stroke. 
 
           If the stroke is caused by a blood clot, early care by a doctor
              in the emergency room or hospital is critical. If you seek help
              within three hours, you can sometimes receive a medication  that
           dissolves clots such as tissue
              plasminogen activator, or t-PA, but this medication should be given
           within the first three hours after symptoms
              begin. Not everyone can safely receive this medication. | 
       
         
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