UK HealthCare

Don't Let COVID-19 Fear Keep You From Seeking Medical Care

The University of Kentucky Public Relations & Strategic Communications Office provides a weekly health column available for use and reprint by news media. This week's column is by Dr. Larry Goldstein, chairman of University of Kentucky’s Department of Neurology and the Co-Director of the Kentucky Neuroscience Institute.

LEXINGTON, Ky. (May 18, 2020) — The fear of contracting COVID-19 is keeping many people at home who should be coming to the Emergency Department for life-threatening conditions. Emergency departments, however, have been reorganized to isolate patients with suspected or known COVID-19 to protect those who are not infected. Yet, in the face of the pandemic, hospitalizations for stroke have decreased dramatically all over the world, including in Kentucky. 

Avoiding or delaying seeking emergent help can have drastic consequences because effective stroke treatments are available, but need to be started soon after the symptoms begin.  It is important not to dismiss even transient symptoms because they are a warning that a major stroke may occur over the next hours or days.

There are emerging reports suggesting that COVID-19 infection, even among young adults and those with no COVID-19 symptoms, can increase the risk for a major stroke. There is now evidence that COVID-19 can affect the linings of blood vessels and the regulation of the body’s blood clotting system. These changes can lead to a clot that blocks an artery supplying the brain, which can cause irreversible damage if not quickly treated.

Regardless of your age, it is important to know the signs of stroke, and to call 911 immediately if you think you are having a stroke or if you see these signs in someone else. The acronym BE FAST can help remember some of the more common signs of stroke, and it helps remind you to act fast by calling 911 immediately.

BE FAST stands for a sudden onset of problems with Balance or leg weakness, problems with the Eyes such as visual loss or double vision, Facial droop, Arm weakness, Speech that is slurred or otherwise changed- Time – the need to call 911 immediately). It is also important to know which hospitals in the area are stroke certified. A hospital may be designated as an Acute Stroke Ready Hospital, a Primary Stroke Center, a Thrombectomy-Capable Stroke Center, or the most advanced certification of a Comprehensive Stroke Center. Each level of certification requires compliance with strict criteria to receive and maintain. Remember, if a stroke does occur, time is essential.  Do not ignore the symptoms – you or a loved one may be spared permanent disability by acting quickly.

The University of Kentucky is increasingly the first choice for students, faculty and staff to pursue their passions and their professional goals. In the last two years, Forbes has named UK among the best employers for diversity, and INSIGHT into Diversity recognized us as a Diversity Champion three years running. UK is ranked among the top 30 campuses in the nation for LGBTQ* inclusion and safety. UK has been judged a “Great College to Work for" two years in a row, and UK is among only 22 universities in the country on Forbes' list of "America's Best Employers."  We are ranked among the top 10 percent of public institutions for research expenditures — a tangible symbol of our breadth and depth as a university focused on discovery that changes lives and communities. And our patients know and appreciate the fact that UK HealthCare has been named the state’s top hospital for four straight years. Accolades and honors are great. But they are more important for what they represent: the idea that creating a community of belonging and commitment to excellence is how we honor our mission to be not simply the University of Kentucky, but the University for Kentucky.