Welcome to Helix Talk, an educational podcast for healthcare students and providers covering real-life clinical pearls, professional pharmacy topics, and drug therapy discussions.

This podcast is provided by pharmacists and faculty members at Rosal Franklin University College of Pharmacy.

This podcast contains general information for educational purposes only. This is not

professional advice and should not be used in lieu of obtaining advice from a qualified health

care provider. And now on to the show. Welcome to Helix Talk episode 98. I'm your co-host

Dr. Kaine. And I'm Dr. Patel. And today's episode is entitled, Stroke me once, shame on you, stroke me twice, let's

talk prevention.

Today we're talking about secondary prophylaxis of ischemic stroke, so preventing a stroke,

a second stroke after a patient has experienced a stroke already.

So Dr. Kane, I see these patients in my clinic, not firsthand treatment, but secondhanded.

But let's get started with the case perhaps so our audience has an idea of what we're talking about.

Sure.

So let's say Dr. Patel that you had a patient, we'll call him SM.

He's a 65-year-old male presenting to your primary care clinic for routine follow-up.

He had a stroke about a year ago,

and basically he's had complete neurologic recovery, so he has no neurologic deficits as a result of that

stroke. He was basically lost to follow-up during that time period, and he's noncompliant. He

stopped all medication, stopped all contact with health care providers. So he's basically come in

one year after his stroke saying, hey, what do I need to do to make sure I don't have that stroke again?

In terms of past medical history, he knows he has hypertension, he knows he has hyperlipidemia,

and obviously the ischemic stroke that happened a year ago. Social history-wise, he does not drink,

he does not smoke, he does not use illicit drugs.

...