Medical Affiliations:

Manila Doctors Hospital

Cardinal Santos Medical Center

Chinese General Hospital

winnielimkhoo@gmail.com

+63 (998) 5500497

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© 2015 by Winnie Lim Khoo MD. Proudly Philippine Made

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Is it really just a headache? Although a bad migraine might make you wish for the end of everything, headaches are not usually life threatening. However, a severe headache can signal something much more serious, requiring emergency attention such as stroke or aneurysm. These are not terribly common, but it's worth watching for a headache that feels markedly different from normal—even if normal is agonizing. Here are a few signs to watch for.

1. Worst headache you've ever had. One of the first things medical students learn is that when people use this sort of language about a headache, they must be seen immediately. Called a "thunderclap headache," this sudden, excruciating pain, which reaches maximum intensity within seconds to a minute, may signal the rupture of a brain aneurysm, when a blood vessel in the brain tears, cutting off the blood supply to a part of it. Brain aneurysms can be treated, but only if you get to the ER within hours of an attack.

2. You have neurological symptoms....

The brain damage that stroke inflicts is one of the leading causes of adult disability throughout the world. To prevent this figure from rising even higher, it's essential that adults are familiar with the risk factors, symptoms and preventative measures for stroke. It's never too late for senior citizens to learn about the condition and how to lower their risk of experiencing an incident.

Stroke results after the brain fails to receive adequate blood flow and cells begin to die, leading to disability and even death in severe cases. There are two common types of stroke: ischemic and hemorrhagic.

Ischemic is the most common type, accounting for 85 per cent of strokes. It occurs when blood flow is inhibited due to a blood clot. While Hemorrhagic strokes tend to be more dangerous and result after a blood vessel that supplies the brain bursts, causing swelling and bleeding.

While people of all ages are at risk of stroke, the condition is most frequently experienced by older adults, as they're...

Motor Neurone Disease (MND) is the name given to a related group of diseases which destroy the motor nerves (neurones) in the body. Symptoms vary, but among them, MND can cause paralysis, impair speech, and cause eating and drinking difficulties. As MND progresses, the motor neurones of t he body are gradually damaged. This blocks the stimulating signals from the brain reaching the muscles, causing them to weaken.

There are four main kinds of Motor Neurone Disease. Less than 10% of cases are thought to be inherited, so called “familial MND‟. The vast majority of cases, in the region of 90%, occur to people whose families have no previous history of the condition and are therefore described as “sporadic‟. If lower motor neurone damage occurs the reflexes of the affected muscles are slowly destroyed, so the muscle becomes flaccid and paralysed. If the upper motor neurones are damaged eventually the muscles becomes spastic and paralysed. As MND progresses symptoms can combine. If you exper...

A stroke means that the blood supply to a part of the brain is suddenly cut off. The brain cells need a constant supply of oxygen from the blood. Soon after the blood supply is cut off, the cells in the affected area of brain become damaged or die. A stroke is sometimes called a brain attack.

The blood supply to the brain comes mainly from four blood vessels (arteries) - the right and left carotid arteries and the right and left vertebrobasilar arteries. These branch into many smaller arteries which supply blood to all areas of the brain. The area of brain affected and the extent of the damage depend on which blood vessel is affected.

Because stroke symptoms can occur suddenly and unexpectedly, it is important to recognize the signs. An easy way to remember how to recognize stroke is the FAST test: 

  • F — Face Drooping. Is one side of the face drooping or numb? Ask the person to smile. 

  • A — Arm Weakness. Is one arm or leg weak and numb, especially on one side? Ask th...

If you’ve had a stroke, you probably have concerns about what lies ahead in the weeks and months of stroke recovery. You may have a limited amount of time with your doctor to get all the stroke recovery information you need.


Here are some guide questions that can help you with your quick stroke recovery:

1.  What really caused my stroke?

2.  What can I do to lower my risk of another stroke?

3.  How soon can I completely recover?

4.  Do I need therapy?

5.  Do I need to check on with my cardiologist?

6.  What changes will I experience after a stroke?

7.  Will stroke happen to me again?

8.  Do I need regular check up?

9.  Do I need regular blood test?

10.Can I live a normal life?


Once you gather the information you need about your stroke recovery plan, you'll feel more confident and better able to move forward on your road to wellness. 


#stroke #strokecare #strokerecovery #strokerehabilitation #stroketreatment #strokespecialist #neurologist #winnielimkhoo #doctor #specialist #manila #philippines #h...

Brain Attack is a term many physicians are starting to use for strokes. That’s because people often confuse strokes with heart attacks. Both involve blockages: a heart attack occurs when the blood cannot flow to the heart, and a stroke occurs when blood cannot reach the brain. Without the oxygen the blood carries, brain cells start dying within minutes and disability results.

Every stroke is a medical emergency because it means that blood flow to part of the brain has been interrupted. Everyone needs to be able to recognize the signs of a stroke and get to a hospital fast because "time is brain." The longer you wait, the more brain cells could die.

For the best protection from stroke, match your wariness for stroke signs with changes in lifestyle to reduce the risk of having a brain attack in the first place. In general, anything that is good for your heart is also good for your brain.

A stroke is a persistent, interruption of blood supply to the brain. It can happen when an artery i...

Stroke occurs when the blood supply to part of your brain is interrupted or severely reduced, depriving brain tissue of oxygen and nutrients. Within minutes, brain cells begin to die. It is is a medical emergency! Immediate treatment is crucial. Early action can minimize brain damage and potential complications. The great news is that strokes can be treated and prevented.

Stroke risk rises with age, and there is much you can do to lower your risk. A heart-healthy diet and lifestyle is essential. This includes:

  • If you smoke, stop.

  • Do something active for at least 30 minutes a day on most days of the week.

  • Lose weight, if you are overweight.

  • Eat a diet rich in fruits, vegetables, and lowfat dairy products and reduce consumptions of meats, sweets, and refined grains (such as white bread or white rice).

  • Eat less salt (sodium).

  • Limit the amount of alcohol you drink.

Immediate action has a few important benefits. For one thing, you could find out that you are not...

A stroke is a life-changing event that can affect your emotional well-being as much as your physical function. You may experience feelings of helplessness, frustration, depression and apathy. You may also have mood changes and less of a sex drive.

Maintaining your self-esteem, connections to others and interest in the world are essential parts of your recovery. Several strategies may help you and your caregivers, including:

  • Don't be hard on yourself. Accept that physical and emotional recovery will involve tough work and that it will take time. Aim for a "new normal," and celebrate your progress. Allow time for rest.

  • Get out of the house even if it's hard. Try not to be discouraged or self-conscious if you move slowly and need a cane, walker or wheelchair to get around. Getting out is good for you.

  • Join a support group. Meeting with others who are coping with a stroke lets you get out and share experiences, exchange information and forge new friendships.

  • Let friends an...

Knowledge on stroke risk factors, following your neurologists’ recommendations and adopting a healthy lifestyle are the best steps you can take to prevent a stroke. If you've had a stroke, these tips may help you avoid having another stroke. The follow-up care you receive in the hospital and afterward may play a role as well. Many stroke prevention strategies are the same as strategies to prevent heart disease. In general, healthy lifestyle recommendations include:

  • Controlling high blood pressure (hypertension). One of the most important things you can do to reduce your stroke risk is to keep your blood pressure under control. If you've had a stroke, lowering your blood pressure can help prevent a subsequent transient ischemic attack or stroke.

  • Lowering the amount of cholesterol and saturated fat in your diet. Eating less cholesterol and fat, especially saturated fat and trans fats, may reduce the fatty deposits (plaques) in your arteries. If you can't control your cholesterol...

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