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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 South Africa 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 South Africa 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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South Africa is home to some of the world's most luxurious private game reserves and lodges. Wildlife lovers come here from all corners of the globe in search of the "Big Five": lion, buffalo, leopard, rhino, and elephants. Coral reefs, shark dives, dragon-backed mountain ranges, white-water rafting, and golden beaches lapped by legendary surf breaks are some of South Africa's many other attractions. Traveling around this vast land and touring the vibrant cities, visitors can learn about the nation's turbulent history. Travelers coming to South Africa for medical treatments do so for cost savings, advanced medical technology, and the internationally qualified and skilled doctors. The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Stroke Consultation procedures. Medical Tourists travel from all across the globe, particularly from African countries with an inferior healthcare system. Popular destinations include the capital city, Pretoria, neighboring Johannesburg, and the stunning Cape Town.
With more than 57 million inhabitants, South Africa is the world’s 24th most populous nation. It is a multiethnic society with a large variety of cultures, languages, and religions. Known for its exhilarating outdoor adventure, fascinating wildlife, magnificent landscapes, and opulent history makes South Africa a truly magical destination
South Africa’s climate is determined by its situation in the Southern Hemisphere’s subtropical zone and between the Atlantic and Indian Oceans. The country is a year-round destination thanks to its varying regional climates. May to September is the Dry Season with little to no rain. The days are mostly sunny, but it gets cold in the evenings and mornings. The average temperature during this season is around 14 °C with June to August as the coldest months. The wet season starts in October and ends in April. There will be occasional short rain showers in the afternoon. The average temperature during the wet season is around 20 °C, but it can also be as high as 35 °C, especially in December, January, and February.
The main and the busiest airport in South Africa is the O.R. Tambo International Airport. The airport is located in Kempton Park, near Johannesburg and Pretoria. It serves as the primary domestic and international gateway to and from South Africa. The airport operates flights to other cities in South Africa as well as numerous major cities in the world including London, Singapore, Sydney, Abu Dhabi, and Atlanta. There are also two other major international airports: Cape Town International and King Shaka International. The inexpensive way to travel around the country is by flying with budget airlines such as FlySadair, Kalula.com, and Mango.
South Africa has an excellent infrastructure and is easy to navigate. However, if you wish to visit several cities, expect to have at least one long-distance trip. You can travel around by bus, train, or rental car. There are several long-distance bus companies you can choose, such as Intercape, Translux, and Greyhound. The buses are relatively affordable and safe. They are generally equipped with air-conditioning and an onboard toilet. For short-distance travel, Baz Bus is the best choice. A one-way ticket fare starts at around 500 ZAR.
Although trains are slow, they are less expensive than flights and more comfortable than buses. Shosholoza Meyl long-distance trains serve Cape Town, Johannesburg, Durban, Bloemfontein, and several other major cities. This train is very affordable with tickets costing as low as 400 ZAR for a sleeper train. If you’re looking for a more luxurious train, try the Blue Train which offers comfortable compartments, good food, and wine for around 18,300 ZAR.
Taxis are available to get around major cities. Tourists can hail one directly from the streets. However, since the taxi ranks are not common, it is best to call for one. The base fare can be different in every city, ranging between 11 ZAR to 20 ZAR.
A valid visa is required if you wish to visit South Africa. Citizens of more than 60 countries can enter and stay for up to 90 days. Other countries not listed in the visa exemption agreement must apply and obtain a visa to the nearest South Africa embassy or consulate. All visitors must hold a passport valid for at least 30 days after the expiration of their intended visit, and the passport must have at least two unused pages.