The Role of Neurologists in Long-Term Stroke Care

Neurologists play a crucial role in the stroke care continuum. Frequently, a neurologist will be involved from the very beginning, as there are several treatments that can be applied if a stroke is diagnosed early enough- that is why it is so very crucial to B.E.F.A.S.T whenever you suspect you or a loved one might be having a stroke! (Insert instagram BEFAST link)

So what do neurologists do?

• Neurologists work with the Emergency Providers to decide which course of action is best for you. Depending on whether or not you are getting a very strong blood thinner called tPA (tissue plasminogen activator), you might be admitted to the intensive care unit, or ICU, for observation. Sometimes, a stroke caused by a blood clot might be amenable to clot extraction.

• Neurologists then run several tests to determine what the reason for the stroke was in the first place. It can involve a bit of detective work at times!

• Neurologists will also prescribe medications to prevent a future stroke from occurring. New research is constantly being published about what treatments are most effective, so it is really important to work with a neurologist who is very experienced in stroke care!

• Neurologists will also set health goals for you, including regarding your blood pressure, blood sugar, smoking habits, and cholesterol levels and refer you to a nutritionist for dietary changes if needed.

• Once you leave the hospital, the neurology team will likely want to see you for follow up in the outpatient setting- consider this a partnership for life! The outpatient follow up is very important. In some situations you might need consultations with other doctors like a cardiologist, nephrologist, endocrinologist – all of which your doctor will let you know

In short, your Neurologist is the Quarterback of your stroke care and in charge of ensuring that you recover as well as possible from your current stroke as well as minimizing your risk of future strokes.