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A stroke is a condition that occurs when the blood supply to part of the brain is reduced or interrupted, preventing the brain tissue from getting the nutrients and oxygen they need. When a stroke happens, brain cells can start to die in minutes. When you are having or have had a stroke, you may need stroke consultation. You will usually be referred for a stroke consultation if you have symptoms similar to a stroke or after your stroke is successfully treated. However, since a stroke is an emergency situation, and prompt treatment is crucial, stroke consultation may need to be done quickly to prevent further complications.
Stroke consultation can be done for various reasons, including:
Evaluating and treating patients with a stroke or suspected transient ischemic attacks (TIAs or mini-strokes).
Rapid evaluation and treatment for patients with low-risk of TIA. In some cases, with all necessary investigations carried out on the same day of consultation.
Urgent referrals for carotid surgery, if indicated.
Follow-up appointments for further investigations of stroke or a review of the long-term impact of stroke.
When you arrive at the hospital for your stroke consultation, your doctor will want to rule out other conditions that might cause your symptoms, such as migraine, a heart problem, seizure, or low blood sugar. To do this, your doctor will ask you several questions, including when your symptoms started. Your doctor will also review your medical history, including past hospitalizations and surgery, previous illnesses, medications you took in the past, and medications you are currently taking.
Once your doctor gathers all the information they need, they will check how alert you are and see if you have trouble with coordination and balance. They will also check if you cannot move one side of your face. Then, they will see if you feel weak or numb in any part of your body and see if you have trouble with your speech or vision.
Next, your doctor will do a physical exam, take your blood pressure, and listen to your heart. They will then need to do blood tests and imaging tests to find out the type of stroke you might have had, whether it’s ischemic or hemorrhagic.
The blood tests may include:
Complete blood count – checking the level of platelets and measuring the level of electrolyte in your blood.
Clotting time – this involves a pair of tests called prothrombin time (PT) and partial thromboplastin (PTT) time to check how quickly your blood clots.
The imaging tests may include:
Magnetic resonance imaging (MRI) – powerful magnets and radio waves are used in this test to create detailed pictures of your brain. The pictures created are typically sharper than other imaging tests.
Computerized tomography (CT) scan – several X-rays are taken from different angles and then put together to show if there is damage to your brain cells or bleeding.
Echocardiogram – This is an imaging test of the heart to look for enlarged parts of the heart or clots in the heart. It is done because in some cases, a clot forms in the heart and travels to the brain.
Carotid ultrasound – in this test, sound waves are used to find fatty deposits that may have blocked or narrowed the arteries that carry blood to the brain.
Angiograms of the head and neck – during this test, your doctor put’s dye in your blood in order to see your blood vessels through X-rays. This test is used to find aneurysm or blockage.
Once your doctor identifies the type of stroke you are having, they will immediately perform the appropriate treatment. If your symptoms are found to be caused by other illnesses, your doctor will refer you to the relevant specialist.
You will have follow-up appointments 6 and 12 months after your stroke, and then once a year. During these appointments, your doctor will ask you how you are managing and whether you are still making progress towards your goals. Make sure to tell your doctor if you are still having difficulties. You may be referred back to a speech and language therapist if you are still struggling with language or communication. You will also be offered assessment and treatment if you are having problems with your emotions.
Since stroke consultation is immediately followed by treatment, you need to stay in the hospital for five to seven days. It is advisable that you stay in Selangor for about 14 days for follow-up appointments and the initial recovery period.
Recovery time after a stroke can be slow and different for each person. The most rapid recovery, following your stroke consultation and immediate treatment, can take three to four months. However, some people continue to recover for one to two years after their stroke.
After stoke consultation and treatment, you will need rehabilitation, which may begin during your initial hospital stay. You can choose to have rehabilitation at the hospital in Selangor where you have your stroke consultation and treatment, or back at home. The goal of rehabilitation is to restore or improve your speech, motor, sensory, or cognitive skills so that you can be as independent as possible.
Stroke consultation is very effective and safe. It has success rates in finding out the type of stroke you have and the type of treatment you need. There is no risk involved in stroke consultation itself. However, the treatment you will receive after consultation does carry some risks.
There is no other alternative to stroke consultation. You need to go seek medical help immediately after symptoms begin. The longer a stroke goes undiagnosed and untreated, the greater the potential for disability and brain damage.
Before stroke consultation, you may be experiencing symptoms of stroke, which can be dangerous and cause disabilities. After the consultation, you should get immediate treatment, thus increasing your chance to fully recover.
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers
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Occupying the status of both the most populous and developed state, Selangor is indeed the pride of Malaysia. Its advanced infrastructure and superior living standards, coupled with the country's lowest instance of poverty, make it stand out. Perfectly positioned on the western coast of Peninsular Malaysia, it envelops Kuala Lumpur and Putrajaya, both of which were formerly a part of Selangor. Despite its impressive development marked by towering structures,
Selangor manages to retain its natural charm boasting splendid landscapes and tranquil retreats. The state's deep-rooted cultural essence and unmatched healthcare services further enhance its appeal.
Selangor is the medical tourists’ favorite destination because of its geographical position and low cost of living. The state has some of the best medical experts with 12 government hospitals and over 30 private hospitals and medical centers, many of which are recognized internationally and accredited by Joined Commission International and the Malaysia Society for Quality in Health (MSQH).
Selangor has become a preferred destination for medical tourists who seek procedures such as dental surgeries, cosmetic surgeries, IVF treatments, and eye surgeries. Among the numerous hospitals offering these procedures, KPJ Ampang Puteri and Sunfert International Fertility Centre have gained immense popularity due to their high standards and patient-centric approach. This underlines Selangor's standing as a leading destination for healthcare in the region.
Tourists who want to indulge in Selangor’s beautiful nature can go to Kuala Selangor Beach (Mirror of the Sky), Chilling Waterfalls, Kuala Selangor Nature Park, or the National Zoo of Malaysia. Those who want to experience culture can visit Galeri Diraja Sultan Abdul Aziz, Mah Meri Cultural Village, and Sultan Alam Shah Muzeum.
Among Selangor's numerous tourist magnets, Batu Caves stands out. This impressive limestone hill is home to three large caves and multiple smaller ones. Revered as a national treasure of Malaysia, Batu Caves hold immense religious significance for the Hindu community.
Visitors are always in awe of the world's tallest statue of the Hindu deity, Murugan, situated here. In addition to the religious and natural appeal, the site also offers sights of varied cave fauna and thrilling climbing routes, delivering an all-round enriching experience.
The state’s capital, Shah Alam, also has plenty to offer. Tourists can go to I-City to see millions of LED lights, indoor park, or to shop. The Blue Mosque (Sultan Salahuddin Abdul Aziz Shah Mosque) is also a popular destination where tourists can see the beautiful mix of Islamic and Malay architecture.
Adorned with a tropical rainforest climate, Selangor is characterized by a warm and humid environment all year round. Daytime temperatures generally fluctuate between 25 - 35°C, but during the dry season, these can peak at a scorching 37°C.
The wet season ushers into the region as the calendar transitions into April, often extending as far as October, leaving the land generously watered. An increased intensity of rains is observed towards September and October, marking the peak of the rainy spell. For prospective visitors seeking to avoid the wet season, the months from late November to February typically prove the most comfortable for exploring and sightseeing, blessed with less rainfall and mild temperatures.
However, it should be remembered that even amidst the monsoon season, the weather isn't uniformly gloomy; there are often luminous intermissions. The sun tends to break through the rain-soaked clouds, bathing the land in its warm rays. Consequently, even during the monsoons, numerous days are well-lit, and visitors have ample opportunities to explore the local beauty undeterred. Brazil, in every season, has its unique appeal. Whether it's soaked in rain or draped in warm sunshine, it never fails to mesmerize its guests.
There are two main airports: Kuala Lumpur International Airport (KLIA) and Subang Airport. Kuala Lumpur International Airport is the main airport in Malaysia that has a multitude of routes across the globe. The airport is divided into two parts, KLIA that mostly serves large airlines, and KLIA 2 that focuses on serving low-cost carries. Subang Airport is the hub for FireFly and Malindo Air.
Navigating Selangor is made effortless by its well-established infrastructure. The primary means of transportation include taxis, trains, and buses. Taxis, while economical, can prove to be slightly tricky, as some drivers refrain from using the fare meter. Visitors are therefore advised to approach taxi counters to secure a fixed-rate coupon, ensuring they aren't subjected to inflated prices.
Public transit systems like the KTM Komuter Train, MRT, and LRT are widely recognized as the most efficient modes of transportation for traversing Selangor. However, it's important to note that these service networks may not extend to certain rural areas. When visiting these less accessible regions, tourists may find it beneficial to hire a car, thereby gaining the advantage of flexibility. Alternatively, the option of using bus services provides a more economical solution for easy mobility.
Nationals hailing from countries like China, India, Myanmar, Sri Lanka, Nepal, Bangladesh, Pakistan, Bhutan, Serbia, and Montenegro are required to secure a visa prior to their arrival in Malaysia. Meanwhile, most other nationalities are offered the convenience of visa-free entry, valid for either a 30-day or 90-day stay. It is crucial for all visitors, regardless of their country of origin, to hold a passport that remains valid for at least six months subsequent to their entry into Malaysia.
An online visa application platform or eVisa is available for selected foreign nationals. eVisa can be applied around the world except for Malaysia and Singapore. Tourists who wish to visit Malaysia for medical treatment can apply for an eVisa Medical, valid for a single journey with a maximum of 30 days. The Malaysian Government has a very strict visa regulation, overstaying will result in RM10.000 fine and/or 5 year’s imprisonment, do ensure to extend your tourist visa if you need to.