{"ancestors":[{"id":"111827349992116769","created_at":"2024-01-27T10:05:44.950Z","in_reply_to_id":null,"in_reply_to_account_id":null,"sensitive":false,"spoiler_text":"","visibility":"public","language":"de","uri":"https://medic.cafe/users/mikka/statuses/111827349992116769","url":"https://medic.cafe/@mikka/111827349992116769","replies_count":17,"reblogs_count":289,"favourites_count":254,"quotes_count":0,"edited_at":null,"content":"\u003cp\u003eBecause the \u0026quot;story\u0026quot; is making the rounds **again!** \u0026quot;I smell burned toast\u0026quot; is NOT a sign of stroke. Neither does smelling toast diagnose one, nor does not smelling one absolve you from one.\u003c/p\u003e\u003cp\u003eThere are three things (and one important facet) in stroke: FAST!\u003c/p\u003e\u003cp\u003eF: Face - is one eye drooping, is the mouth drooping, is the face asymmetrical? In short: does it not look like it looked a bit ago. It would make sense to ask the person if they\u0026#39;d been to the dentist today, other than that, it\u0026#39;s a good reason to call an ambulance.\u003c/p\u003e\u003cp\u003eA: Arms - have the person close their eyes and lift both of their arms at a 90° angle in front of their chest. Are they (at least mostly) evenly up? Have them queeze your hands, is one side squeezing less than the other? If so, call an ambulance.\u003c/p\u003e\u003cp\u003eS: Speech - is the speech slurred? Does it take longer for them to answer? Do they seem \u0026quot;drunk\u0026quot; to you? Do the answers not always make sense?\u003c/p\u003e\u003cp\u003eand, finally:\u003c/p\u003e\u003cp\u003eT: Time - you have minutes to get them to a hospital. Don\u0026#39;t drive them yourself, call an ambulance. There\u0026#39;s a mythical \u0026quot;golden hour\u0026quot; window, during which reversion is rumored to be possible, but that\u0026#39;s bullshit. Do it as fast as you can, time is brain, every second matters.\u003c/p\u003e\u003cp\u003eNone(!) of those purported \u0026quot;home remedies\u0026quot; work. Don\u0026#39;t cool their neck, don\u0026#39;t make them sing \u0026quot;Happy Birthday\u0026quot;, don\u0026#39;t make them recite old poems. Just be with them, document when you first noticed something, let the paramedics know.\u003c/p\u003e\u003cp\u003eStrokes are insidious in that the person affected by one often does not realize they do. To them, all is well, they answer quickly and coherently, they squeeze evenly. They might be or get agitated with you. Stay calm, stay helpful, and most importantly: stay human. Call your local responders and just \u0026quot;be there\u0026quot; for the person. There\u0026#39;s little to nothing you, or the paramedics for that matter, can do. That\u0026#39;s the job of a hospital team. Get them there as quick as you can, and you\u0026#39;ll always have a fighting change.\u003c/p\u003e","reblog":null,"application":{"name":"Elk","website":"https://elk.zone"},"account":{"id":"108214820180392864","username":"mikka","acct":"mikka","display_name":"Mikka, MD","locked":false,"bot":false,"discoverable":true,"indexable":true,"group":false,"created_at":"2017-02-22T00:00:00.000Z","note":"\u003cp\u003ePhysician and educator with a background in emergency and acute care. Works at the intersections of medicine, technology, and history - where institutions shape who is helped, who is managed, and who is excluded.\u003c/p\u003e\u003cp\u003eSciPunk by inclination. Trainer by habit. Wanderer by necessity.\u003c/p\u003e\u003cp\u003eKnown online for work on AI in medicine and mask effectiveness. Known offline for asking uncomfortable questions.\u003c/p\u003e\u003cp\u003e🇺🇦 Слава Україні · 🇮🇱 עַם יִשְרָאֵל חַי\u003cbr /\u003eNo tolerance for terror apologetics. \u003ca href=\"https://medic.cafe/tags/FKCHMS\" class=\"mention hashtag\" rel=\"tag\"\u003e#\u003cspan\u003eFKCHMS\u003c/span\u003e\u003c/a\u003e!\u003c/p\u003e","url":"https://medic.cafe/@mikka","uri":"https://medic.cafe/users/mikka","avatar":"https://medic.cafe/system/accounts/avatars/108/214/820/180/392/864/original/9358159cabb19eaf.png","avatar_static":"https://medic.cafe/system/accounts/avatars/108/214/820/180/392/864/original/9358159cabb19eaf.png","header":"https://medic.cafe/system/accounts/headers/108/214/820/180/392/864/original/e3957f10647605ac.jpg","header_static":"https://medic.cafe/system/accounts/headers/108/214/820/180/392/864/original/e3957f10647605ac.jpg","followers_count":1465,"following_count":535,"statuses_count":4418,"last_status_at":"2026-03-20","hide_collections":false,"noindex":false,"emojis":[],"roles":[{"id":"3","name":"Owner","color":""}],"fields":[{"name":"Website (DE)","value":"\u003ca href=\"https://mikka.is\" target=\"_blank\" rel=\"nofollow noopener me\" translate=\"no\"\u003e\u003cspan class=\"invisible\"\u003ehttps://\u003c/span\u003e\u003cspan class=\"\"\u003emikka.is\u003c/span\u003e\u003cspan class=\"invisible\"\u003e\u003c/span\u003e\u003c/a\u003e","verified_at":"2025-12-13T17:55:59.107+00:00"},{"name":"Camino de Santiago App","value":"\u003ca href=\"https://ultreia.me\" target=\"_blank\" rel=\"nofollow noopener me\" translate=\"no\"\u003e\u003cspan class=\"invisible\"\u003ehttps://\u003c/span\u003e\u003cspan class=\"\"\u003eultreia.me\u003c/span\u003e\u003cspan class=\"invisible\"\u003e\u003c/span\u003e\u003c/a\u003e","verified_at":null}]},"media_attachments":[],"mentions":[],"tags":[],"emojis":[],"quote":null,"card":null,"poll":null,"quote_approval":{"automatic":[],"manual":[],"current_user":"denied"}},{"id":"111830451169029670","created_at":"2024-01-27T23:14:20.673Z","in_reply_to_id":"111827349992116769","in_reply_to_account_id":"108214820180392864","sensitive":false,"spoiler_text":"","visibility":"public","language":null,"uri":"https://bofh.social/notes/9p096mblpj7m3ntz","url":"https://bofh.social/notes/9p096mblpj7m3ntz","replies_count":1,"reblogs_count":0,"favourites_count":0,"quotes_count":0,"edited_at":null,"content":"\u003cp\u003e\u003ca href=\"https://medic.cafe/@mikka\" class=\"u-url mention\" rel=\"nofollow noopener\" target=\"_blank\"\u003e@mikka@medic.cafe\u003c/a\u003e\u003cspan\u003e That works great if someone else is around you to recognize the signs and symptoms, but are there any signs and symptoms that someone is alone can recognize that they might be having a stroke?\u003c/span\u003e\u003c/p\u003e","reblog":null,"account":{"id":"108335872705297469","username":"gme","acct":"gme@bofh.social","display_name":"George E. — :usd::NM::ath::adhd:🇺🇦🇵🇸🏳️‍🌈🏳️‍⚧️","locked":true,"bot":false,"discoverable":true,"indexable":false,"group":false,"created_at":"2022-05-20T00:00:00.000Z","note":"\u003cp\u003e\u003cspan\u003eGeorge — Information Security professional with 30+ years across the digital frontier, from dial-up-era networks to critical infrastructure. Early career: managed networks at one of Orlando’s first ISPs and secured systems for pioneering internet ventures, including the nation’s first internet bank; later roles at Home Depot and Southern Company. 25+ years specifically in InfoSec; most recently managed vulnerability management and PKI at Southern Company.\u003cbr\u003e\u003cbr\u003eProgressive democratic socialist with deep technical roots. Fiercely principled, unapologetically direct, and a proud member of the LGBTQIA+ community. Queer atheist who views religion as a major source of global conflict. Zero tolerance for bullshit; developed a razor-sharp perspective and lost patience for nonsense about a decade ago.\u003cbr\u003e\u003cbr\u003ePolitical positions: condemns systemic injustice with the same rigor used in securing IT systems. Supports Black Lives Matter and trans rights; opposes the 2nd Amendment; wants accountability for ICE and DHS over human-rights violations.\u003cbr\u003e\u003cbr\u003eAlso curious and humane: finds wonder in scientific complexity, humor in life’s absurdities, and joy in intellectual pursuit. If you’ve been marginalized, questioned everything, and refuse to be defined by cruelty, you’ll likely get along with George.\u003cbr\u003e\u003cbr\u003eIn late 2025 I was diagnosed with, and began treatment for, ADHD.\u003c/span\u003e\u003c/p\u003e","url":"https://bofh.social/@gme","uri":"https://bofh.social/users/a04bqfsrttaf0001","avatar":"https://medic.cafe/avatars/original/missing.png","avatar_static":"https://medic.cafe/avatars/original/missing.png","header":"https://medic.cafe/headers/original/missing.png","header_static":"https://medic.cafe/headers/original/missing.png","followers_count":910,"following_count":733,"statuses_count":7809,"last_status_at":"2026-03-26","hide_collections":true,"emojis":[],"fields":[{"name":"FediLink","value":"\u003cp\u003e\u003ca href=\"https://fedilink.net/@gme\" rel=\"nofollow noopener\" target=\"_blank\"\u003ehttps://fedilink.net/@gme\u003c/a\u003e\u003c/p\u003e","verified_at":null},{"name":"Sex","value":"\u003cp\u003eMale\u003c/p\u003e","verified_at":null},{"name":"Gender","value":"\u003cp\u003eMale\u003c/p\u003e","verified_at":null},{"name":"Pronouns","value":"\u003cp\u003ehe/ him/ his\u003c/p\u003e","verified_at":null},{"name":"Signal","value":"\u003cp\u003e\u003ccode\u003ebofh.72\u003c/code\u003e\u003c/p\u003e","verified_at":null},{"name":"Jami","value":"\u003cp\u003e\u003ccode\u003egme87121\u003c/code\u003e\u003c/p\u003e","verified_at":null}]},"media_attachments":[],"mentions":[{"id":"108214820180392864","username":"mikka","url":"https://medic.cafe/@mikka","acct":"mikka"}],"tags":[],"emojis":[],"quote":null,"card":null,"poll":null,"quote_approval":{"automatic":[],"manual":[],"current_user":"denied"}}],"descendants":[{"id":"111830552821827250","created_at":"2024-01-27T23:40:12.809Z","in_reply_to_id":"111830519183911973","in_reply_to_account_id":"108214820180392864","sensitive":false,"spoiler_text":"","visibility":"public","language":null,"uri":"https://bofh.social/notes/9p0a3vyhif85ft0x","url":"https://bofh.social/notes/9p0a3vyhif85ft0x","replies_count":0,"reblogs_count":0,"favourites_count":0,"quotes_count":0,"edited_at":null,"content":"\u003cp\u003e\u003ca href=\"https://medic.cafe/@mikka\" class=\"u-url mention\" rel=\"nofollow noopener\" target=\"_blank\"\u003e@mikka@medic.cafe\u003c/a\u003e\u003cspan\u003e That's good information, thank you.\u003c/span\u003e\u003c/p\u003e","reblog":null,"account":{"id":"108335872705297469","username":"gme","acct":"gme@bofh.social","display_name":"George E. — :usd::NM::ath::adhd:🇺🇦🇵🇸🏳️‍🌈🏳️‍⚧️","locked":true,"bot":false,"discoverable":true,"indexable":false,"group":false,"created_at":"2022-05-20T00:00:00.000Z","note":"\u003cp\u003e\u003cspan\u003eGeorge — Information Security professional with 30+ years across the digital frontier, from dial-up-era networks to critical infrastructure. Early career: managed networks at one of Orlando’s first ISPs and secured systems for pioneering internet ventures, including the nation’s first internet bank; later roles at Home Depot and Southern Company. 25+ years specifically in InfoSec; most recently managed vulnerability management and PKI at Southern Company.\u003cbr\u003e\u003cbr\u003eProgressive democratic socialist with deep technical roots. Fiercely principled, unapologetically direct, and a proud member of the LGBTQIA+ community. Queer atheist who views religion as a major source of global conflict. Zero tolerance for bullshit; developed a razor-sharp perspective and lost patience for nonsense about a decade ago.\u003cbr\u003e\u003cbr\u003ePolitical positions: condemns systemic injustice with the same rigor used in securing IT systems. Supports Black Lives Matter and trans rights; opposes the 2nd Amendment; wants accountability for ICE and DHS over human-rights violations.\u003cbr\u003e\u003cbr\u003eAlso curious and humane: finds wonder in scientific complexity, humor in life’s absurdities, and joy in intellectual pursuit. If you’ve been marginalized, questioned everything, and refuse to be defined by cruelty, you’ll likely get along with George.\u003cbr\u003e\u003cbr\u003eIn late 2025 I was diagnosed with, and began treatment for, ADHD.\u003c/span\u003e\u003c/p\u003e","url":"https://bofh.social/@gme","uri":"https://bofh.social/users/a04bqfsrttaf0001","avatar":"https://medic.cafe/avatars/original/missing.png","avatar_static":"https://medic.cafe/avatars/original/missing.png","header":"https://medic.cafe/headers/original/missing.png","header_static":"https://medic.cafe/headers/original/missing.png","followers_count":910,"following_count":733,"statuses_count":7809,"last_status_at":"2026-03-26","hide_collections":true,"emojis":[],"fields":[{"name":"FediLink","value":"\u003cp\u003e\u003ca href=\"https://fedilink.net/@gme\" rel=\"nofollow noopener\" target=\"_blank\"\u003ehttps://fedilink.net/@gme\u003c/a\u003e\u003c/p\u003e","verified_at":null},{"name":"Sex","value":"\u003cp\u003eMale\u003c/p\u003e","verified_at":null},{"name":"Gender","value":"\u003cp\u003eMale\u003c/p\u003e","verified_at":null},{"name":"Pronouns","value":"\u003cp\u003ehe/ him/ his\u003c/p\u003e","verified_at":null},{"name":"Signal","value":"\u003cp\u003e\u003ccode\u003ebofh.72\u003c/code\u003e\u003c/p\u003e","verified_at":null},{"name":"Jami","value":"\u003cp\u003e\u003ccode\u003egme87121\u003c/code\u003e\u003c/p\u003e","verified_at":null}]},"media_attachments":[],"mentions":[{"id":"108214820180392864","username":"mikka","url":"https://medic.cafe/@mikka","acct":"mikka"}],"tags":[],"emojis":[],"quote":null,"card":null,"poll":null,"quote_approval":{"automatic":[],"manual":[],"current_user":"denied"}}]}