{"id":76482,"date":"2024-06-19T14:44:51","date_gmt":"2024-06-19T20:44:51","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=76482"},"modified":"2024-06-19T14:56:18","modified_gmt":"2024-06-19T20:56:18","slug":"mobile-stroke-unit-save-man-stricken-with-brain-clot-while-on-golf-course","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/mobile-stroke-unit-save-man-stricken-with-brain-clot-while-on-golf-course\/","title":{"rendered":"UCHealth Mobile Stroke Unit responds within minutes to save Centennial man stricken with brain clot while on the golf course"},"content":{"rendered":"
<\/div>
\"Pete
Pete Ryan enjoys golfing and also works at the Aurora Hills Golf Course. He was working near the 17th tee when strange symptoms hit him. Ryan was lucky that experts with a mobile stroke unit were nearby and were able to treat him immediately. Photo by Cyrus McCrimmon, for UCHealth.<\/figcaption><\/figure>\n

It was on the 17th<\/sup> hole at the Aurora Hills Golf Course earlier this spring when Pete Ryan ran into problems.<\/p>\n

It wasn\u2019t a bunker, a sand trap or figuring out what club to use that stopped him in his tracks. It was a life-threatening blood clot lodged on the left side of his brain that abruptly halted his work as a member of the groundskeeping crew.<\/p>\n

It began like any other day for the semi-retired Pete, who began work at the course<\/a> about two years ago to stay fit, be outdoors and keep busy. The job entailed cutting grass along the fairways and maintaining the roughs, greens and bunkers, along with other landscaping duties.<\/p>\n

A golfer in his spare time, he enjoyed being on the course and it was a nice break from his previous occupation in the IT world. A Connecticut native, Pete spent 10 years in Germany after a 20-year career in the U.S. Navy before moving to Colorado in 2010 with his wife, son and daughter.<\/p>\n

That April morning, he and the grounds crew set about sprucing up the course. After driving a small truck with dirt up to the 17th<\/sup> hole, Pete was spreading dirt around the tee box when suddenly he felt different.<\/p>\n

He sat down on the ground. Luckily, he was with two co-workers. One noticed the right side of Pete\u2019s face drooping \u2014 a telltale sign of a stroke \u2014 and immediately called 911. His other co-worker tried to reassure him.<\/p>\n

\u201cI can\u2019t really describe what I was feeling,\u201d said Pete, a 61-year-old Aurora resident. \u201cI just felt off. It wasn\u2019t painful at all. I remember it, but it\u2019s fuzzy and patchy, like when you wake up from a dream.\u201d<\/p>\n

About five minutes passed.<\/p>\n

The next thing Pete remembers is being a gurney inside a vehicle \u2013 the UCHealth Mobile Stroke Treatment Unit<\/a> (MSTU). He recalls his shirt being removed and being asked by Devin Groves, the mobile stroke unit nurse, whether he could move his right foot.<\/p>\n

\u201cI was looking at my leg dumbfounded, like, \u2018Why I couldn\u2019t move my foot?\u2019<\/p>\n

I didn\u2019t have any pain. I wasn\u2019t panicked or scared; I was sort of confused, and by that point, I was just sort of along for the ride.\u201d<\/p>\n

The ride would take him to the emergency room at UCHealth University of Colorado Hospital<\/a> on the Anschutz Medical Campus<\/a>, where surgeons would remove the blood clot. He would wake up a mere two hours later in the intensive care unit with little to no side effects.<\/p>\n

\u201cIt was a matter of being in the right place at the right time,\u201d Groves said. \u201cAll the chips fell into place for Pete.\u201d<\/p>\n

Bringing advanced technology and ER services to Aurora residents<\/strong><\/h2>\n
\"Pete
Pete Ryan’s outcome after suffering a stroke was so good thanks to UCHealth’s Mobile Stroke Unit that he was able to play at a recent tournament at the course where he works, Aurora Hills. Photo by Cyrus McCrimmon, for UCHealth.<\/figcaption><\/figure>\n

Pete\u2019s amazing outcome is the direct result of the mobile stroke unit, an ambulance equipped with a CT scanner, lab testing equipment and clinicians trained to care for stroke patients with critical medication and on-board diagnosis. A telehealth system includes advanced audio and visual equipment allowing neurologists at Anschutz to diagnose and recommend treatment for patients in real time, as they read brain scans from patients being cared for in the mobile unit both on site and en route to the hospital.<\/p>\n

\u201cThis is the best-case outcome for a worst-case scenario,\u201d said Melanie Schwindt, a charge nurse with the Mobile Stroke Treatment Unit.<\/p>\n

When UCHealth launched the mobile stroke unit in 2016, it split time between Aurora and Colorado Springs and was only the third of its kind in the country and the fifth in the world. In February, UCHealth Memorial Hospital Central in Colorado Springs<\/a> began operating its own mobile stroke unit, meaning that the Aurora unit can serve residents full time, as well as make rendezvous with patients in small towns in eastern Colorado that lack advanced medical facilities.<\/p>\n

Both Memorial and University of Colorado Hospitals are designated Comprehensive Stroke Centers<\/a>, which provide the highest level of stroke care. Since 2016, the mobile stroke treatment units have been dispatched nearly 5,600 times.<\/p>\n

\u201cThese units are really groundbreaking and innovative,\u201d Groves said. \u201cWe\u2019re bringing an ER to patients.\u201d<\/p>\n

\u2018Time is brain\u2019 as every second counts <\/strong><\/h2>\n

Every moment counts in an emergency. Those who work with stroke patients have an expression, \u201ctime is brain.\u201d That\u2019s because for every one minute that passes without oxygen to the brain, up to 2 million brain cells can be lost, underscoring the importance of identifying stroke symptoms right away so a patient can get help as soon as possible.<\/p>\n

Strokes are the fifth-leading cause of death and disability in the United States.<\/p>\n

\u201cThe longer you wait, the more damage strokes do, and the less likely a patient has for an optimal recovery,\u201d Schwindt said.<\/p>\n

Signs of a stroke are:<\/strong><\/h3>\n

B<\/strong>: Balance for difficulty walking<\/p>\n

E<\/strong>: Eyes for sudden loss of vision or double vision<\/p>\n

F<\/strong>: Facial drooping on one side<\/p>\n

A<\/strong>: one Arm is weak<\/p>\n

S<\/strong>: Speech slurred or jumbled<\/p>\n

T:<\/strong> \u201cTime to call 911. Time is Brain!\u201d<\/p>\n

For Pete, his alert coworkers noticed that the right side of his face was drooping and that he was having trouble speaking \u2013 symptoms they conveyed during the 911 call. Because the call met specific stroke unit criteria, the UCHealth mobile unit was dispatched to the scene, along with Aurora Fire Rescue and its contracted ambulance service.<\/p>\n

\"Pete
Pete Ryan feels incredibly fortunate that medical experts with UCHealth’s Mobile Stroke Unit were able to start treatments the moment they arrived at the golf course where he works. Photo by Cyrus McCrimmon, for UCHealth.<\/figcaption><\/figure>\n

\u201cI\u2019m in the back of the unit, and we go off road. I looked out the window, and we were driving down the fairway, on the golf course, to the 17th<\/sup> hole where Pete and crew had been working,\u201d Groves said.<\/p>\n

\u201cI\u2019ve been a paramedic for 13 years, and I\u2019ve taken the ambulance to some pretty weird places, but that is my first time on a golf course,\u201d said Groves, who is also a nurse and has been on the MSTU for the past three years serving a dual role as a paramedic and a nurse.<\/p>\n

When he arrived on scene, he quickly diagnosed that Pete had aphasia (inability to speak), was confused, and couldn\u2019t move the right side of his body. It was obvious he\u2019d suffered a stroke, but Groves had to determine which kind: A \u201chemorrhagic,\u201d stemming from a brain bleed, or an \u201cischemic,\u201d caused by a brain clot, which comprise most strokes.<\/p>\n

The crew immediately went to work. Pete was moved to inside the unit where a CT scan was performed. If it was a bleed, it would appear as bright white in the scan.<\/p>\n

Seeing no evidence of a hemorrhage, Groves next lowered Pete\u2019s blood pressure, which had spiked, so he could be treated with an important and powerful clot-busting drug called TNK.<\/p>\n

After the TNK was administered, the mobile unit\u2019s CT technologist performed a CT angiogram on Pete\u2019s brain, this one with contrast dye. If there was a blood clot, it would show on the scan as a light-colored mass, which it did.<\/p>\n

Both CT scans were diagnosed and interpreted by a UCHealth teleneurologist at Anschutz who was working with Groves. The neurologist also was in contact with Pete\u2019s wife, Mary, who received updates on his condition and made the decision to have him transported to Anschutz.<\/p>\n

The neurologist then notified\u00a0 UCHealth\u2019s Intervention Radiology Unit<\/a> that Pete would be arriving shortly, allowing him to bypass the ER and receive the fastest-possible help. There, surgeons performed a thrombectomy, removing the blood clot through a small, thin tub inserted in his femoral artery in the right groin area. A wire and a catheter then were inserted through the sheath into the artery where the brain clot is located.<\/p>\n

Within two hours of the initial 911 phone call, Pete was recuperating in an intensive care unit room. An immediate test measured the removal of the clot and whether the affected part of the brain was receiving full blood flow. The test, called a TICI score, showed Pete with a 3, the highest score possible.<\/p>\n

Pete emerges unscathed from stroke<\/strong><\/h2>\n

\"\"\u201cAt first when I woke up, there were four or five people in the room. They told me I had had a stroke. I answered all their questions like my name and the date, and they asked me to move my hands and feet. I saw that they were all smiling at each other \u2026 I guess I was in as good shape as I could have been,\u201d he said.<\/p>\n

His amazing recovery and his perfect TICI score were amplified by positive assessments from speech, occupational and physical therapists who found nothing wrong with him.<\/p>\n

After a few days recovering in the hospital, Pete was discharged. Acknowledging he hasn\u2019t been as diligent about his health care as he could have been, Pete said the stroke was a \u201cwake-up\u201d call.<\/p>\n

Because his care team found he needed to have his aortic valve replaced, he returned to the hospital in mid-June for successful pacemaker surgery.<\/p>\n

It\u2019s possible that a clot developed around Pete\u2019s damaged heart valve, became dislodged and traveled up to his brain causing his stroke. While he may never know why he had the stroke, he does feel very fortunate.<\/p>\n

\u201cI\u2019m super thankful and super lucky. It couldn\u2019t have turned out any better. From the mobile stroke unit to everyone in hospital, they all did a fantastic job.\u201d<\/p>\n

A reunion between patient and the frontline caregiver who helped save his life was an emotional one for Pete and Groves.<\/p>\n

\u201cIt can be rare for anyone on the unit to reunite with a patient, so for me, it was very humbling and brought a smile to my face when I saw Pete walking and talking perfectly. He came up and gave me a big hug \u2013 it was great \u2013 he\u2019s definitely one of my miracle stories for sure.\u201d<\/p>\n

Pete agreed. Before stopping at the 17th hole, he had almost ventured alone to another part of the course to take on another task, an action that likely would have resulted in a completely different, and much worse, outcome.<\/p>\n

\u201cOne of the reasons it doesn\u2019t seem real to me is that I feel absolutely fine; like there should be lingering effects, but aside from being a little tired, that\u2019s it. I got so amazingly lucky, and I don\u2019t want to waste this opportunity. I got a second chance.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

It was on the 17th hole at the Aurora Hills Golf Course earlier this spring when Pete Ryan ran into problems. It wasn\u2019t a bunker, a sand trap or figuring out what club to use that stopped him in his tracks. It was a life-threatening blood clot lodged on the left side of his brain […]<\/p>\n","protected":false},"author":2357,"featured_media":76488,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[184,3234],"class_list":["post-76482","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-neurology","tag-uchealth-mobile-stroke-treatment-unit"],"acf":[],"yoast_head":"\nMobile stroke unit saves man stricken with brain clot while on golf course - 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