“font-family: Verdana; font-size: 9pt;”>One of the most perplexing

comments Christal Adams has heard over the last few months is, “But

you don’t look like you’ve had a stroke.”

“font-size: 9.0pt; font-family: Verdana;”>That’s a blessing and she

is every so grateful.

“font-size: 9.0pt; font-family: Verdana;”>Although she’s made great

progress, Adams knows her journey continues to feel totally normal

on the inside.

“font-size: 9.0pt; font-family: Verdana;”>At 40 years old, she

didn’t have high blood pressure.

“font-size: 9.0pt; font-family: Verdana;”>She didn’t have

diabetes.

“font-size: 9.0pt; font-family: Verdana;”>To most folks, she seemed

to be the picture of health.

“font-size: 9.0pt; font-family: Verdana;”>Until she had that

stroke.

“font-size: 9.0pt; font-family: Verdana;”>In her sleep, just a

month after graduating with her masters of science in nursing last

summer.

“font-size: 9.0pt; font-family: Verdana;”>It was knee pain that

woke her up in the middle of the night. It was her body’s

unencumbered thud to the floor when she attempted to get out of bed

that sounded from the second floor to the basement of the

house.

“font-size: 9.0pt; font-family: Verdana;”>“When I woke up, I fell

to the floor and woke up the whole household,” Adams said, who hit

her head on the edge of a table on the way down. Her boyfriend came

to her aid.

“font-size: 9.0pt; font-family: Verdana;”>“My mom was like, ‘What’s

going on?’ And I could not answer her,” she said.

“font-size: 9.0pt; font-family: Verdana;”>Her mom, who was on

another floor, called Christal’s cell number and her boyfriend gave

her the phone.

“font-size: 9.0pt; font-family: Verdana;”>“At that point I could

see my arm had twisted up on my chest and besides, I was drooling

and my speech was slurred, and she immediately called 911,” she

said.

“font-size: 9.0pt; font-family: Verdana;”>“They were there in a

matter of seconds because she told them I had a stroke.”

“font-size: 9.0pt; font-family: Verdana;”>Adams went to Christian

Hospital for initial treatment.

“font-size: 9.0pt; font-family: Verdana;”>Her stroke was an

ischemic stroke (the most common type) and it occurred in the basal

ganglia, an area in the base of the brain that regulates body

movement and coordination.

“font-size: 9.0pt; font-family: Verdana;”>Because she is a nurse,

Adams asked to be given a drug called tPA, is an acronym for tissue

plasminogen activator – a clot-busting medication that must be

given to patients within a few hours of a stroke to dissolve the

clot, as long as  there is no bleeding in the brain.

“font-size: 9.0pt; font-family: Verdana;”>After an MRI, she

received the medication and was quickly transferred to

Barnes-Jewish Hospital in St. Louis where she wad admitted for a

few days.

“font-size: 9.0pt; font-family: Verdana;”>“By then the tPA had

pretty much started working, so within 12 hours I was able to move

my leg,” Adams said. “[Before] I couldn’t move it at all – it was

straight and stiff as a board.”

“font-size: 9.0pt; font-family: Verdana;”>By the next day, she was

able to move both her limbs on that side. Months of physical

therapy allowed her to regain full use of her body – with

occupational therapy they are working on her mind.

“font-size: 9.0pt; font-family: Verdana;”>“I’m a little bit weaker,

my endurance is shortened and cognitively, it’s taking me a little

while to get back to work,” she explained.

“font-size: 9.0pt; font-family: Verdana;”>Although Christal did not

have some of the obvious indicators that put people at increased

risk for a cardiovascular event, there were a few issues that may

have been busy working against this busy lady: not eating healthy,

not exercising, not getting adequate rest. And although she is

relatively tall, and it looked good on her – Christal concedes she

weighed too much.

“font-size: 9.0pt; font-family: Verdana;”>“I don’t look overweight,

but even for my height, I am overweight – I am obese,” she

said.

“font-size: 9.0pt; font-family: Verdana;”>And now thinking back at

the time a couple of days before her stroke, a vision disturbance

at work may have been a clue to the serious problem to

come.

“font-size: 9.0pt; font-family: Verdana;”>“I remember running

around like a chicken with my head cut off, and I was trying to

read something and the words were so tiny on the paper that I

couldn’t see it, and the words floated off the paper,” she

described. “And I thought that was kind of – but I didn’t recognize

it as being a sign of having a stroke, I just thought I was tired –

and I put on my glasses and I was able to see.”

“font-size: 9.0pt; font-family: Verdana;”>Following the stroke,

Adams is foregoing processed food and watching her calorie intake

as well as is beginning to exercise as much as her energy and

strength allows.

“font-size: 9.0pt; font-family: Verdana;”>She is also participating

in research studies that monitor the recovery of this type of

stroke.

“font-size: 9.0pt; font-family: Verdana;”>She looks forward to

going back to the career she loves.

“font-size: 9.0pt; font-family: Verdana;”>“I’m preparing to take my

boards so I can practice as a nurse practitioner and definitely a

lifestyle change,” Adams said. “I want to make sure I stay as

healthy as possible because the possibility I could have another

stroke is there, and I want to do whatever I can to prevent

that.”

“font-size: 9.0pt; font-family: Verdana;”>For more information on

stroke, visit www.strokeassociation.org.

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