Ischemic Stroke/ Neurologist

[CCesar]

Had a stroke almost 2 years ago and did recover rather well in the beginning despite of getting late treatment, considering my circumstances, but lately I feel like losing more energy day by day.

I have seen a number of Neurologists around Pattaya, Rayong, and up north east, but still haven't found a Neurologist I feel confident about, since I got many different opinions about medication and follow ups, besides some online information. Found what I thought was an experienced and confident Neurologist in khon Kaen, but it is a long trip for follow ups etc., since I am living in the Rayong area, where I just cant find what I am looking for. 

I would appreciate any kind of information regarding ischemic stroke and Neurologists near by!

[BigStar]

Fighting Through Fatigue

[Sheryl]

I already replied to your PM before seeing this thread. Please do not both post and send PM with same question.

 

That said, from the added information you provide here, I am not sure if a neurologisf is what you need.

 

Please clarify what you mean by losing energy. Do you mean a decline in muscle strength,  or more like overall fatigue?

 

Have you had a recent blood count done?

 

What medications are you on? 

 

[CCesar]

I meant more like overall fatigue, besides losing a little weight even though I am eating regularly. I have a blood count done every 3 month, which seems to look ok. Medication I am taking baby aspirins 81mg daily, instead of Rivaroxaban 20mg, which I was prescribed by my first Neurologist, also taking Atorvastatin 20mg before bed, and Vitamin B1-6-12 daily, plus folic acid 5mg. I exercise 4 times a week and live relatively healthy.

Tanks you and kind Regards,

Chris

[Lorry]

36 minutes ago, CCesar said:

I meant more like overall fatigue, besides losing a little weight even though I am eating regularly. I have a blood count done every 3 month, which seems to look ok. Medication I am taking baby aspirins 81mg daily, instead of Rivaroxaban 20mg, which I was prescribed by my first Neurologist, also taking Atorvastatin 20mg before bed, and Vitamin B1-6-12 daily, plus folic acid 5mg. I exercise 4 times a week and live relatively healthy.

Tanks you and kind Regards,

Chris

Start with a GP or someone comparable, doctor for family medicine (in a hospital) for example.  Then take it from there.  

Your symptoms are not specific enough to go to a specialist. 

But you definitely should see a doctor. 

[Sheryl]

Fatigue is not a neurological symptom and probably not related to your stroke...or at least,  not directly related.  A neurologist is unlikely  to be interested/able to help.

 

Might you be depressed? As besides anemia, which you apparently do not have if your blood counts are OK, that is a common cause of fatigue. Another is medication side effect, and stains such as atorvastatin can cause this, how long have you been on it?

 

To be clear, what you have done every three months  is a complete blood count? Why is it being monitored?  Nothing in the history you gave would account fore that. Could you be confusing this with a lipid panel?

 

 

[CCesar]

I don't think that I am depressed, but feeling tired and being low on energy certainly doesn't help in my daily routine.

Did my last CBC blood test at the Queen Sirikit Hospital in Sattahip, where I am seeing a GP since March 2024.

Atorvastatin I have been taking since my stroke in 2024, but reduced from 40mg to 20 mg since January this year, because the Neurologist I saw in Khon Kaen thought that there was no need to take all the meds I was prescribed in Pattaya .

 

 

[Ralf001]

Whats your blood oxygen level like ?

[Lorry]

1 hour ago, CCesar said:

Did my last CBC blood test at the Queen Sirikit Hospital in Sattahip, where I am seeing a GP since March 2024.

So this GP is the doctor you should talk to. He knows your history,  he can judge whether your fatigue and weight loss is something to worry about, and he should be able to direct you to a specialist if needed. 

But, why did you see him at all? And why a CBC? I really think this is nothing for this forum,  as the information you publish seems very incomplete. 

[CCesar]

4 hours ago, Ralf001 said:

What's your blood oxygen level like ?

So far never below 95%

[CCesar]

Have another appointment end of August, and always try to get more information, but to get a straight answer doesn't always seem that easy . One Doctor told me that foreigners want to know everything, having a lots of questions, while the local people were much more easy. Questions are not always appreciated, and often ignored, but that is according to my personal experience.

[Sheryl]

There must be some reason nto given here for the frequent CBCs. Usually they are done in patients with anemia or some other blood abnormality (both of which could cause fatigue). Nothing related to a stroke. Do you have the results of the last one handy? If so please post, blocking out your name.

[orang37]

For ischemic stroke, sometimes it helps to look for specialists who are also involved in stroke rehab or have a good track record with stroke patients. 

[CCesar]

I agree, searching for all kinds of information regarding ischemic stroke. Communicating with other stroke patients,  getting information wherever I can, learning and trying to improve my condition.

Information is always appreciated.