Posts Tagged ‘Stroke’

The image below is one “sample” copy / version of the Montreal Cognitive Assessment (MOCA) “test” which President Trump claims his physicians recently asked him to take and which he claims they said he “Aced”.  The President also stated he felt the last five(5) questions were very difficult.  You be the judge…
Sample of MOCA-Test-English


Double-click on the image to see a larger version.
My opinion: if you find ANY part of this assessment difficult, you should not be President!
The assessment is meant to be a quick test of cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation.  The measure can be used for, but is not limited to patients with stroke, early dementia, Alzheimer’s or concussive injury.  Please note:  the above sample is the “quick” version.  I understand their is another more extensive version of approximately thirty(30) questions which takes about 10 to 15 minutes to complete.  The White House did not state which version the President took, but they have not specifically denied he took this “quick” version.
I’d like to know why multiple physicians felt it was necessary for this President to take this assessment, when he actually took the assessment, and what was his actual score.  Just asking…
Just a small addendum:  You’ll note the assessment sample (above) has a score of thirty(30) points maximum.  It is not clear to me if there is some confusion between the above “sample” test maximum score and the “extensive” version.  I did a quick Google for the extensive version and it seems the on-line versions are only available for health professionals (which I am not).  Other than the requirement to wait five(5) minutes before the word recall portion, it doesn’t seem to me this assessment would take 10 to 15 minutes to complete.  And I’m not the stable genius which President Trump claims to be.
On This Day In:
2019 Historic Contact
All Good
2018 History Judges Incompetent Presidencies, Too
2017 Our Confident New President
2016 Ways
2015 Be Happy, Too
2014 At Least Smile
2013 Comfortably Bound
2012 Certainty
Thinking About Fathers
2011 And In Every Level Of Media

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The end of day six and the start of day seven…
The last 24 hours was a bad day which may have had nothing to do with the fast.
Yesterday felt like a real good day.  I felt good getting up.  I walked the dog and even went for a late morning jog to end day 5.  After noon, I started day six still feeling pretty good.  I even went for an evening swim (tread water for 60min).  Except while in the pool, my heart started palpitating.  This happened multiple times during the time in the water.  When I got home, I took my blood pressure (BP&HR) and pulse and found I was in active AFib.  Generally, this means my heart is beating erratically.  In my case, too rapidly (accelerated) and not with regular timing (sinus rhythm).
This is all quite “normal” for me.  I tend to go into and out of AFib often if not regularly.  Most times I feel the palpitations for a minute or two and then they go away.  This time they didn’t…  Go away.  In my particular form of AFib, my heart doesn’t accomplish a full beat.  It flutters.  This means I have “stale” blood in my heart and / or in my cardiovascular system.  When blood doesn’t circulate, it tends to clot after a bit of time –  usually about 4 to 7 minutes.  If the clot stays in your heart it may block other blood and then you have a heart attack.  If the clot moves or a chunk of it breaks off and runs around your body, then lodges, you have a stroke.   Depending on where the clot lodges, that’s how serious the stroke is.
What does one do about this?  Well, I mostly wait.  I wait to see if I will get additional or continuing symptoms.  I wait to see if I drop back into normal heart rhythm on my own.  If I get more symptoms or I’m in AFib for too long, I go to the Emergency Room (ER).  This is what happened to me in the last go round.  The rhythm never reverted back to normal and it lasted almost three days.  When I finally went in, the doctors ended up giving me an electro-cardio inversion treatment.  Basically, they electrocuted me to stop and restart my heart with the hope that: 1)  it will restart; and, 2)  that the heart with come back with a normal pulse rhythm.  Mine did.
Day 6’s palpitations (the AFib) lasted all through the night and finally ended about 4:30 pm this afternoon (into Day 7).  The good news is I have been checking my BP&HR almost every hour since then and it’s now after 9:30pm and I’m still in normal sinus rhythm.  So, it looks like I’ve dodged the bullet another time…
Tomorrow at noon is the end of day 7 of my juice fast.  This is the goal I set myself when I started this (juice fast) last week.  This morning’s weight:  363lbs.  That’s down 2lbs from yesterday where I stalled and didn’t lose any weight from the prior day.  As of this morning, that’s 17lbs down from the starting weight of 380lbs.  And, again, subtracting out the “assumption” weight (10lbs), I’ve now lost 7lbs in six days.  I am feeling good and have enough veggie juice to last me at least until Monday which would make it a round 10 days of juice fasting.  I think from here on I will take it one day at a time and just see how far I can go.  At the minute, I feel like I can make the 10 day mark with no problem…
On This Day In:
2017 The Soul Of Victory
2016 Getting Furrowed?
2015 Pretty Good So Far
2014 Still Learning?
There Ain’t No Thing Like Me, ‘Cept Me!
2013 Little Lives
2012 Evolution
2011 Excellence At Performance = 10,000 Hours
2009 A Brief Poem…
Crater Lake Trip with James

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