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Strokes are serious medical emergencies

PCEC Member Darrel Vaught speaks to the PCEC on the topic of strokes, also known as “brain attacks,” and why they are medical emergencies requiring prompt treatment.

Strokes are serious medical emergencies requiring prompt treatment. This was the message delivered by club member Darrel Vaught at the Sunday, June 15, meeting of the Pattaya City Expats Club. Darrel, who is a long time member, suffered a stroke about a year and a half ago. As a result of his personal experience and that a stroke can happen to anyone, at anytime, and anywhere, he felt it was important for everyone to be able to recognize the symptoms of a stroke and the importance of getting prompt treatment.
First, he pointed out that his presentation would be that of a layperson as he was not a medical doctor or practitioner. Further that other than his own personal experience, the information was based on research of reputable medical websites on the Internet.

Pat Koester, who is also a USA Embassy Warden, advises the PCEC on the importance of registering with their embassies including how to contact their next of kin in case of need.

Darrel then described the two types of stroke that can happen and how they cause damage to brain cells. Further, when brain cells die the abilities controlled by that area of the brain are lost; these include speech, movement and memory; how a stroke victim is affected depends on where the stroke occurs in the brain and how much the brain is damaged.
One is a Hemorrhagic Stroke and is caused when a blood vessel in the brain bursts, spilling blood into the spaces surrounding brain cells; the other is called an Ischemic Stroke and is caused when the blood supply to part of the brain is suddenly interrupted. Hemorrhagic Strokes for example can be caused by high blood pressure and aneurysms (balloon-like bulges in an artery that can stretch and burst). Ischemic Strokes are most often caused by blood clots blocking a blood vessel in the brain. In both cases, there will be damage to brain cells. Sometimes instead of strokes, they are referred to as “brain attacks.” Ischemic strokes are the most common and account for 85% of all strokes. Darrel said he would concentrate his talk on this type of stroke.

PCEC Master of Ceremonies updates everyone on upcoming events such as Amari Resort’s upcoming Wine Experience and the PCEC Club Dinner.

Darrel emphasized during his talk that time is of the essence for treatment as doctors have only a limited time to safely give clot-busting drugs (3 hours for all and up to 4 and half hours for those whose condition qualifies) and from 6 to 8 hours for treatments for extract clots. The clot busting drugs, tissue plasminogen activator (tPA), dissolves the clot and improves blood flow to the part of the brain being deprived which can help to reverse the damage done. The sooner such drugs can be given will improve the chances of not having a lasting disability as a result of the stroke.
Darrel described the primary risk factors for ischemic stroke (the usual suspects for causing other diseases) - high blood pressure, high cholesterol, diabetes, smoking, obesity, and family history. Also, anyone having previously had a mini-stroke (Transient Ischemic Attack) is at a very high risk. Darrel then described two other conditions that put a person at risk for a stroke, Atrial Fibrillation (AF) and Carotid Artery Disease. AF is an irregular heartbeat which can cause blood clots to form in the heart that break away to travel up to the brain. Carotid Artery Disease is a buildup of plaque in the neck artery that supplies blood to the brain.

During the PCEC meeting’s Open Forum, Chris Harmon takes the opportunity to announce the upcoming three one-act plays being presented by the Pattaya Players.

The most important message that Darrel wanted to get across was how to recognize stroke symptoms. He presented a chart showing the acronym F A S T that he said everyone should become familiar with - “F” for face (is it drooping?); “A” for arm (is it weak?); “S” for speech (is it slurred?); and last “T” which is not a symptom, but a reminder that time is of the essence in getting treatment. Although the F A S T acronym helps in remembering the most common symptoms, Darrel noted that the following are also symptoms if there is a “sudden” onset: Numbness or weakness in the leg; Confusion or trouble understanding; Trouble seeing in one or both eyes; Trouble walking, dizziness, loss of balance or coordination; and Severe headache with no known cause. If one or more of these symptoms are present, medical attention should be sought right away. Darrel then went over the diagnostic procedures that your doctors will most likely use to confirm that there was a stroke and the type. He mentioned that one or more of the procedures may be performed.
Darrel concluded his presentation by sharing his own experience with a stroke. His symptoms were he could not raise his left arm, his speech was slurred, and the left side of his mouth was drooping. He called Bangkok Hospital Pattaya (BHP) for an ambulance and was being evaluated and treated in BHP’s emergency room within about 50 minutes of having the stroke. A CT scan confirmed that he had a blood clot on the right side of the brain (the side of the brain affected controls the opposite side of the body). He received the clot busting drug and spent the night in the ICU where he also received an EKG that showed he had an irregular heartbeat (Atrial Fibrillation). He mentioned that several doctors and others visited him in ICU and later in a regular room to evaluate his progress. In his case, he said that he had recovered the use of his arm, lost the drooping face, and had normal speech not too long after the clot busting drug was administered. He said he still has some lasting effects; numbness in the left side of his mouth and in his left little and ring finger which most likely will be with him forever.
After Darrel answered several questions, Master of Ceremonies Richard Silverberg brought everyone up to date on upcoming events and called on Roy Albiston to conduct the always informative Open Forum where questions are asked and answered about Expat living in Thailand, especially Pattaya.
For more information on the PCEC’s many activities, visit their website at www.pcecclub.org.


Lions Club of Pratamnak-Pattaya donates 80,000 baht in scholarships

Manas Kongwattana (left), principal of Pattaya School No. 7, receives 20 scholarships, amounting to 20,000 baht, for the selected students from years 1-6 of the school.

Urasin Khantaraphan
The Lions Club of Pratamnak-Pattaya donated 80,000 in scholarships to students at four Pattaya-area schools.
Club President Navin Khakhai handed out the 1,000-baht stipends to the 80 students from Nernplabwan School and Pattaya schools No. 6, 7 and 9 at School No. 7 June 12.
The donation, organized in tandem with Lions Magazine and International District 310 rewarded students who had good grades and were from poor families.
Navin encouraged the students to keep improving themselves, be good children, grateful and obedient to parents and teachers.
Though the scholarships were not much, he said, the students should be proud of themselves for being selected.


PILC hosts beach fun day at Pinnacle Jomtien Resort

In the evening we moved to Pinnacle’s beachside restaurant for the BBQ Buffet.

Nancy Aly-Hegazy
Special Events Chair PILC

PILC hosted another of its special events on Saturday 14th June. This time it was at the lovely Pinnacle Resort in Jomtien and was a fun-filled day brimming with pool and beach games, prizes, good food, music and even some dancing.
Thank you to all our members and friends who joined us. Though we were nervous about the cloudy conditions and rain we had that morning, the day turned out to be perfect.
We had approximately 85 people attend on the day and it was great to see so many different nationalities, and families from all over Pattaya and beyond join in the event.
Our daytime activities centered around our young families and were held at Pinnacle’s kids’ pool. We were extremely fortunate to have our special friend Margaret Grainger from Hand to Hand Foundation help us out with the kids’ activities. Hand to Hand brought with them their special helpers from ‘Play Around the World’ who ensured that the children were entertained throughout the day with pool games, crafts and activities, lawn games and even a sandcastle competition on the beach.
The fun continued well into the evening when we then moved to Pinnacle’s beachside restaurant for the BBQ Buffet. Pinnacle hosted an amazing array of food; there were steaks, sausages, salads, curries, desserts and much more.

Party games are a big hit with all the children.

After the feast, PILC drew raffle prizes and sold wine bottles with the profits once again going towards PILC’s charities. A special thank you to Jan Bremauer, guest relation manager at Pinnacle Resort, for his kind donation to the raffle. Jan managed to secure us 2 vouchers to Pinnacle’s Resorts in Jomtien and Bangkok for the raffle. Congratulations to all our winners.

Margaret Grainger from Hand to Hand Foundation helped with the kids’ activities.

Overall, feedback from the event was very positive, with both adults and children having a great time and enjoying the event. I was asked by several children when we would do it again.
A very big thank you to Hand to Hand and Play Around the World for their generosity, hard work, creativity and for helping to ensure the day was a great success. A big thanks to Raegan for her wonderful organisation skills, Wayne for the photography and music, PILC Committee for sourcing the raffle prizes and of course to the staff at Pinnacle Jomtien Resort and Spa for hosting the event at their wonderful hotel and restaurant. We look forward to working with you again.
PILC looks forward to seeing you all at our next event, and don’t forget that this year the PILC Christmas Bazaar will be held at the Holiday Inn on Sunday 23rd November 2014. See you soon!

We even had a sandcastle competition on the beach.


Hilton Pattaya plants coral to commemorate 2014 World Environment Day

Hilton Pattaya’s general manager, Rudolf Troestler, together with over 20 Hilton Pattaya executives, joined a coral reef planting project to commemorate the 2014 World Environment Day June 5. The event took place at Toei-Ngam Beach in Sattahip, illustrating the hotel’s environmental concern as well as demonstrating commitment to live sustainably and take action by caring for the environment.
“Growing coral is one of many ways we take responsibility for our local area and the planet. We started the first planting project in order to rehabilitate the marine ecosystem in Sattahip by planting young coral at the bottom of the ocean and we are delighted to take this kind of activity to support live coral, and a wide variety of plant and animal life,” said Rudolf Troestler.
World Environment Day is the United Nations’ principal vehicle for encouraging worldwide awareness and action for the environment. Over the years it has grown to be a broad, global platform for public outreach that is widely celebrated by stakeholders in over 100 countries. It also serves as the ‘people’s day’ for doing something positive for the environment, galvanizing individual actions into a collective power that generates an exponential positive impact on the planet.


HEADLINES [click on headline to view story]

Strokes are serious medical emergencies

Lions Club of Pratamnak-Pattaya donates 80,000 baht in scholarships

PILC hosts beach fun day at Pinnacle Jomtien Resort

Hilton Pattaya plants coral to commemorate 2014 World Environment Day

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