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With MGH - Marion General Hospital

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you?” Then he noticed the right side of her mouth<br />

was drooping and she could not talk to him.<br />

He immediately knew this as a sign of stroke,<br />

because a family member had suffered the same<br />

symptom. (See sidebar for more signs of stroke.)<br />

David took the wheel and drove them both<br />

directly to <strong>MGH</strong>.<br />

QUICK TO ACTION<br />

Upon arrival at <strong>MGH</strong>, emergency room staff, with<br />

their specialized stroke care training, immediately<br />

went into action. “They rushed me inside and<br />

without delay took me to a room and the nurses<br />

began evaluating me,” Callahan says. “I could<br />

hear them, but I was unable to speak or respond.”<br />

Part of Callahan’s evaluation included telemedicine<br />

and teleradiology. This modern technology<br />

is provided to <strong>MGH</strong> patients through a unique<br />

partnership between <strong>Marion</strong> <strong>General</strong> <strong>Hospital</strong><br />

and the Fort Wayne-based StrokeCareNow<br />

Network (SCNN).<br />

<strong>With</strong> telemedicine, high-quality audio and<br />

video is transmitted electronically between a<br />

stroke specialist at one location and a patient who<br />

has stroke symptoms at a different location.<br />

“Our partnership with SCNN gives our patients<br />

the opportunity to be physically lying in a bed in<br />

our ER while being seen, heard and evaluated by<br />

an off-site neurologist,” says Tamara Cornelious,<br />

emergency department administrative director.<br />

“We can then decide the best possible treatment<br />

for our patients based on that evaluation.”<br />

In Callahan’s case, it was decided she needed<br />

to be transferred by helicopter to Fort Wayne<br />

for more intense care for her stroke. (That is not<br />

always the case. Since partnering with SCNN,<br />

<strong>MGH</strong> has decreased the number of stroke<br />

patients needing to be transferred to another<br />

location by 42 percent.)<br />

Through teleradiology, the results of<br />

Callahan’s radiology procedures were quickly<br />

and safely transmitted to the off-site neurologist<br />

for evaluation.<br />

SAVING TIME WHEN IT<br />

MATTERS MOST<br />

“By time we arrived in Fort Wayne only 45 minutes<br />

later, the neurologist there had looked over<br />

the tests, and we already had answers as far as<br />

Signs of Stroke<br />

A stroke occurs when a blood clot blocks an artery (a blood vessel<br />

that carries blood from the heart to the body) or a blood vessel<br />

breaks, interrupting blood flow to an area of the brain. When either<br />

of these occurs, brain cells die and brain damage occurs.<br />

Two million brain cells die each passing minute during a stroke,<br />

increasing the risk of permanent brain damage, disability or death.<br />

Nearly 60 percent of stroke deaths happen to females.<br />

Called a “brain attack,” a stroke strikes suddenly, often with the<br />

following warning signs. Remember to act FAST.<br />

Facial weakness. Ask the person to smile. Does one side of the<br />

face droop?<br />

Arm and leg weakness. Ask the person to raise both arms.<br />

Does one arm drift downward?<br />

Speech problems. Ask the person to repeat a simple sentence.<br />

Are the words slurred? Is the sentence repeated correctly?<br />

Time is critical. If the person shows any of these symptoms, time<br />

is important. Call 911 immediately . . . brain cells are dying.<br />

Remember, every minute counts! The most effective treatments are<br />

only available if the stroke is recognized and diagnosed within three<br />

hours of the first symptom.<br />

Source: www.stroke.org<br />

what they were going to do to further<br />

help her. That was incredible,” David<br />

says. “The fact that my wife is sitting<br />

here today and talking is positive<br />

proof the partnership between <strong>MGH</strong><br />

and SCNN works. I thank God, <strong>MGH</strong><br />

and the SCNN for saving my wife.”<br />

Callahan feels as good as she has felt<br />

in years and reports no side effects of<br />

her stroke. Perhaps best of all, just six<br />

weeks after her life-threatening ordeal,<br />

she joined the celebration of her son’s<br />

wedding—as scheduled.<br />

Sources: www.strokeassociation.org,<br />

www.stroke.org<br />

JoDell Callahan joins son Zachary<br />

on his wedding day, just six weeks<br />

after her stroke.<br />

Vim & Vigor · WINTER 2011 51

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