ࡱ> {}z  bjbj]W]W ?=?= ||&t"8888r&t&t&t&t&t&t&$g(+&f"ff&88&f 88r&fr&$h%8p6p"*%^&&0&:%+4+ %+%`>/,[$&& &ffff+| :  What Do I Need to Know About Stroke? What is a Stroke? A stroke, also known as a brain attack or a cerebrovascular accident, occurs when blood flow to the brain is interrupted. Brain cells begin to die due to lack of oxygen and nutrients. You can have different types of strokes they can be ischemic (caused by a clot or plaque build up in the vessels) or they can be hemorrhagic (occurs when a blood vessel bursts in the brain). You may also have heard of a mini stroke or a transient ischemic attack (TIA). When a person has a TIA or mini stroke they experience stroke like symptoms, but those symptoms completely resolve within 24 hours. Often times a TIA is a warning sign to let you know there is something wrong that needs to be taken care of as soon as possible. How do you Know if Youre Having a Stroke? If you are experiencing any or all of the symptoms below it is possible you are having a stroke: Weakness on one side/leaning to one side Facial drooping and/or drooling Slurred speech Difficulty walking Difficulty seeing The American Stroke Association has come up with an easy way to remember the signs and symptoms of stroke you just need to remember to think FAST!  SHAPE \* MERGEFORMAT  If you experience or see anyone experiencing these signs and symptoms you need to get help immediately! Time = Brain The longer you wait to seek appropriate medical attention the worse the outcome may become. How is OakBend Medical Center involved in the diagnosis and treatment of stroke patients? When we receive a patient exhibiting signs and symptoms of a stroke we have specific protocols and pathways in place to ensure they receive the most appropriate and most efficient care. We do this by making sure we are following the most current clinical practice guidelines. Clinical practice guidelines are evidenced based best practices. Our stroke program is based on clinical practice guidelines published by the American Stroke Association. The clinical practice guidelines are updated regularly to make sure we are using only the best practices for our patients. Following these guidelines we have become a Joint Commission certified stroke center. We have also been recognized by the American Stroke Association for our outstanding stroke care. What Do We Do for our Stroke Patients? As soon as a patient arrives with signs and symptoms of a stroke they are taken to radiology for a CT scan. Here we are trying to determine what kind of stroke the patient is experiencing. If the patient has a hemorrhagic stroke or a bleed, the patient will need to be transferred to another facility for a higher level of care. If the patient does not have a bleed then they will continue through our stroke program to get the care they need. While in the hospital the patient will receive tests and services from several different departments including radiology, lab, pharmacy, social work, rehab services, dietary services, as well as cardiopulmonary services. All of these services play an important role in helping the patient reach the best outcome possible. How Can I Help the Stroke Patient During Their Stay? Most of the time a stroke patient will have deficits such as difficulty seeing and difficulty moving one side of their body. Try to approach the patient on their stronger side. Try to make sure things like the call light, beside table, and phone are on the side that is mobile. Make sure the bed rails are up to prevent a fall Be aware of any swallowing precautions or restrictions a patient may have before offering them anything to eat or drink Is there any way to prevent a stroke? Yes, it is thought that 80% of strokes are preventable. While the patients are here they receive a stroke education booklet informing them of their risk factors and how to change them. All of the following are risk factors for stroke. If you have any of these risk factors you should work closely with your physician to make sure you keep them under control. High blood pressure or hypertension High cholesterol Diabetes Atrial fibrillation Smoking &'9) 1 v    9   ӇӇuu]Hu)jh&q/hx0pCJ OJQJU^JaJ .jh&q/CJ OJQJU^JaJ mHnHu#jh&q/CJ OJQJU^JaJ h&q/CJ OJQJ^JaJ h"J5CJ OJQJ^JaJ h45CJ OJQJ^JaJ h4CJ OJQJ^JaJ #h4h45CJ OJQJ^JaJ hoCJ OJQJ^JaJ hoh4CJ0OJQJ^JaJ0h`,CJ0OJQJ^JaJ0&'9  9       gd&q/ & Fgd&q/gd4gd`,$a$gd4 5 6 6Wn"WǸǧ֙xjj[MMMh|nCJ OJQJ^JaJ h|n5CJ OJQJ^JaJ hJCJ OJQJ^JaJ #hx0phx0p5CJ OJQJ^JaJ ho5CJ OJQJ^JaJ hCJ OJQJ^JaJ hx0ph(CJ OJQJ^JaJ hx0p5CJ OJQJ^JaJ h(5CJ OJQJ^JaJ hx0pCJ OJQJ^JaJ h4CJ OJQJ^JaJ h(CJ OJQJ^JaJ  6 C  !"W ogdx0p & Fgd|ngd($a$gd(gd4BEx   ҶҶҶҶė{h mCJ OJQJ^JaJ h(CJ OJQJ^JaJ hCJ OJQJ^JaJ hJh|nCJ OJQJ^JaJ h|nCJ OJQJ^JaJ hx0pCJ OJQJ^JaJ hJCJ OJQJ^JaJ hJ5CJ OJQJ^JaJ h|nh|nCJ OJQJ^JaJ B   & FgdJgdJgd( 21h:ph/ =!"#$% FpNQ`'RŅJFIFddDucky2Adobed         #"""#''''''''''     !! !!''''''''''" !1A"Qa2qr#3s4BRT5bS$tUCDd%67euc&!1AQaq"2BR$b3S4T ?KS2jgG^p@<捫Ϊ]GB)[+%rFVrH}IMoOxP^[} yJ%07_ލ9T!TYO_k eLJa9ǁhIx( 1x8А )R[DNw2K㞽L뺻Vީ-~ZlttD5ΡUV]Iڔ=s<ΝjX#RQJwZo wFkJh+{C3oh?eGt{A~3Ҩkc0^\\FPw҈.j^0m4A6כ*h_Wo_gK'!Wؕ⏽/}ϝg|IȄi  UVʢ]f=^JG]*n\+1eTXWٝwL+G;Q|ܜOœ M꽘 /P[Ν),}6q}QKN,XHɺpEӈYT8fL}-/g i*5<9>Ff\4둅oH"Lhy[t5"/KR! zq8X9]nޓLe ⚥ ^dܵ( ֟fmhޤ% JS⨪]QG& 44\i:Rߢ"ke;3`!tS¥8-Uy-jO"ba)N#LɄE%݈ʽv#faU|iC4ՕRY2|g(>MِMA)zx?uL4ޚZꏦMm2Oⶮv6Xw|l /c ԈQVբl϶ hNŒ@4JTt{Tr;BnJ=:d9 M>T:"Hu'&&z|惘dLd?IU *1+/&:9܉# ì)܇sNU"Jvܕ} eQ Zi{nKn6sټv1\9}|9쮰$$qY<a>>L̆bApXG-hXhLJq$'WTK-[;7b=8_}0z'mQ#`c**&n+i\1)r5pMI`WOok{3:`dbЂ"Gh {2/EWq߳*̹KUw@Jz ȟ mzˠtژLF`%F"j:k$U^RL҅=FXy,<3M>fPhw{z%ol%U4M-*.ZSro$FD UWM(H:Q>*o0BLtⴢЗymQqOoM鸲oj7_j#/Tnڟ5f!zfJmjU)co?Z 6tǪC2aE Rȋ.#yE2 (hd%Tɸ9Ise1d}XЦ" [spqjt,:Ka( .KZ$j?SN<%lL*k.dtͨXlA$dD^D%v). )КA[Uji֢SKlN Ϝ Ys?2cFҍI. ѧtNćBv`"6m:'R6߈vGző ]IƭT񲯖YWRݘbke|bS-Mt m[!i wTTQ?O-^ 0lA%[Kjh9Vr%b[OG^@#E4mW6t 7KX9ׄW//mQ\y3|Wױ2 _! x_ݪ,o 0ѝOK*kD[*Z;5gyzm<82gC+ R!wvv*b.2pI,jv[*FrDNjx{2 $cx(Mia@ΕvY nꘗv\lcaH2Dy M?YRQ$hgbdt&g$yRe54^5|'La9c]9h@Bw_UpJrH`K)6)I@jޛڔ58@.+J D] m%u%PHADtW "-*#W+"-V'DvNM8N*bFZWO PaY(˝:}YV O 6bB+6XtX1,fј.Zk?qxN?$&:*"A#^`Ud׵љ% c%rAo{Yljѷߕ" )&;qwGINV&$8T:x.kumUȍW3ݗڛ^|,Jci:CZmZ-f6Kpnbd1qp҂:V[pߝBu],c7<Ԙ&MBC{Z ̥#ǟY*ֻ>=r֐UU*<JAɟHU.(!hRֲU<+zBeQqUF\XyMI2 ^|jղsC?&I=!$uSQ26MբݖYm"ˋ9I#Qq5go`P[ rќmj@* Tu[tVv9X{k6nl~/CQ{ESŹ]KRKUETEP߮?.OJ}ttv7#n| / )& Ű'p1ENڏžrqX.-~+FВݫvy22uL${_6tŒ5pTݪf3FsiL ׍9 xA"RUN{յj7 yYNkE)yU5htqTyM=NSIN3'rPc fhc2iW]$NwNLLذ@a$"DFfD;i$RSq:Z/ ӜŨOzvXm>Oȷuu QqǞ`VS1$gʸQrRu:䚲kT֯XUma^EFoU<,$r.)tgCԷ$'u׻_L J"3Eي25^42]Z.+mnradI<GT:/);:AP z@}7qe䐭H `Hi!DV֫hH(5pE^D+wFiȀVwش(EB-KV^Y<. @s\%;t?oX> z*X"4QEs(_$nIIqyeBmP$;-*1imqc7,d"wnj+!FvY*Xl)D/bTk(@^nz-Z(ewO/KwO/TETEPw}RG*] OZ9w7XNnE|-$k pTE_u+xۻwK$NIIy >#nKEi\EкIBoQTJ\wUҝ$̗†H*U&_?6Nu%^*ԗj*CV 73%&ٕx!!к5 URƕ 5g 4숅iq@p8Rg,Di@TTn wUtTNIuڶMK} 2nUk*VCN{gLcwb+E̶AeiQoԞV]MQ@QEsb\%;t?ob;vBc1)21j(=2r![)vg79cҏJK~>Z?0u)/ F9 Yϊ bG18 |.P^jW^fcAՓ 4m*hHBBn/T +ĩ 1bFyV!6+Ωki򁟆rR4q5"(TmHpUOva{mXpз/o.S/]n0A r8H6m"rߍ6=5$گ^w26;[2M g٭ \%Ƶo ˳aerwDAtjdҒj+ (N%xR욖꽜yE3:s0H(jw'+ըT%RUROinZUzҭGmQMH5&lx"-_f-͍u ψhܰo*\WMit?%^qI:(xsM̥,(H1VD(9U-/Mx┩HWMĔ_pRDȔUo[LvǘK/Wgp~'NL?ޣ3L4z?xǓey?^}6>Ц;J2}zL?ޫ?{~OM*6d23S[Ԑɤ+t._V5!xt')??^}0F8(7/=qݔ]|KDFG(d~7:A\Tx y z5*"qIu'%od9A=uQDVmhY=G(٤~7:7o#l%qAeb:v%?KϦh4X(T?m4 4 lPW/;qْ9&*t@fDLDDUUZM-\WWPc 9)1tz!{P+a`q;f 7eӨ"ju&ʇwq5E?97] :1Bt:d/FtRƸ̃h#/;BIGԝ료X_Zbb؃B F uiAEOE+c G,~mBp|HV1'u7]*&ĜXB7n;;I̭Q;uqEՄ !jߝ}cq y[3$iGP8ɲhƤ%aD,tՇ[f5D)0x~чSKȿ?2՝\wʝ|W2ӓnM>(AOY=qfo'Stݧ{o>nXe;=rm˘z) 3ƺ4qcuptCMҚ񑖄;}`diw꠯Aϐ_.fjѩ94 Mtؔť dwF'2Hm]rEMD xWlRIą9O+1]Qy**%}CƤf簘,^;pq ȍ$tj*㔔H$҈ vpw YGpu0*S<@JǝX=L!L8 +˿U6;t?orLhXXc.r-4 ږzݗq!mR3q͒.#]a]CԜ/R;c1뷢fV8He%q֌(:}4Kڸͳij_p5 ,)ޚZɤyxu;;)_ył 䱈Ӓ#@IEǼ\bn >RIٶh\{xWϛ?MǴWRkWǂmu X V~T(ba;[<*ک|>5`9y\q_*3=S=/ x6!֛ےWX Sfd00s_ 3Mf`F[$NR>yc ,Ά=&\q-2.[RpOGD$`BXCg,:ɲҪEEDŞ]'g6 TZE84i_;Gz8>h&W8'YK#~v|xb ˩mi5j-N*[r&wr!Ֆ^eD歡Un;%;>l.+3TRRD{k74(P(d~;|Bv|?k9fu5"OXfnc1N27MT{$*kTݫ>\tܫ޴vJM&[Yo,#¢^?Q͸vKȍmU\VO5*1Ju}STM\mQ[ #{T%j6.YyJ9Scˏ>Ln.C>+̒"?(}kLwn=B1,q43%YTTFlyYېqQ;N=Q ^}%P :y𭐀n\'r9LaFQ oÍ_\ !m6 <(6DK\t݋«n-eGB": #FWSJЖ[**h\l¤-eH̜ өAmK_+q%[cm(,CBX"#WFQ*On@,aPD#pEQ[ W3lHIqQS:.YxwrIƀgYYY($Xpݏvc2 EzKOjAlFZcrB%8QEyP*{tnƗ%_@ P5pI8]jxa㺠|^+%VǩZT]dv˄=ۇ{2L~ y;oPK+)BV:sDz؃.|YM\D@,#\Q ԉ"V'?s4D|sg)Mq86$)uGTTkl*J: C*^lK8h, @;]yU$8n3ZdD/DJc,.Yiv}촬X 1j->At⍥zؠ͉/ dKzUy8ۛb}]߀^_R-TWwjԣ} *_IS{6V*oȸ7!C[eDWjz`-YH dJ2&$Fɢ"zp`\2SU./TWղޱ\cvZG@܆Nfd [U[xEݻubIoo’XՓ0ɒ =c!R%zs;|n#mMoߏ}yXDQ? G)Tn9Cy4>x?F%1_Sr ZJu U4j8yt9Cq+)@'2KƂШ?~cE#cx$GN nڔ%t<.*T7Vf\Q p@7psWUvNFox ĉTbi$"&M$<dRrp1J : 6Mq?e ( ([: }4[: }4((NiӜK~tsOvྡྷ_O#[@J( ()*b"J)Ux%Xw !{m_Mh<.NŽSaxr\C"H>Mw~?Jgm&&.PU Wet)W"5%[o~/B /F*T е Q/d12"2#ST^bNJx{0~; Jmu4n_( HZ..>+>X&d{kmm>O8,6 ]\.fW]ژ|F@&B>Hh,TQEs(QEEPQ@QExvb;k>cmt4DѴDR$իw{4eTtcZȶ9bCrC6QL zȊ<}DT\Y*}OvrbȰƜnqk'$emS4G9'А&e1ѭYDl-_>.jw!u:x[yAcR{Js<_?u;Ġ[H TPC˦ x-κ;ƻ`=nQW%R]F?$YR躚]nOGl>1 (A}H@MSWuGR\{kRc&Q9-N؅j=ܡmIHWl[6~H,E}1({!RymltfMkں":LkܽQg1xg{_wt{_wu|اj˭_+2SimÄ?mOƪEHEN85 :=/\_;:=/\_;:a"SO]>m&2EU9ڟE6cp,TRT;qfF=`/dZZcUUTU?^D,c G"f miL~.DJaw'$|m׈ A81F.*SXW؍ 2 qe[F=u /uln|sކ[2%@(ݕq}WN-֯ۿ{2x/XaVP*i)WiEěұ'\yF7j0&^QSv(6Dp7;oqdDŠ:pz *)  rMevo/ܸ#nKZ&J(k׿mM"M[ٷkDt]Hͮx۵<5Y(QEZ}$0iqE{@D-a;k2HU9i߀=ޜE'M["{~:6B#r1M.6hQ{;|jב{vo-+.n Krmy#o!vV>t`o˻':ΪYM_NKZr[6'b*B(!X/ÝgzkSy\UlY.\*)&-2]ujW[E*`cY>Ųi^EԾ{Np_Q_3?3DY)jN..Em -p7Zl3NI붍%]U$4%tgEf ^&E(Nec6Aut8=ђ 3 K#!Nʼ/ƀp[9GCx8f#Hwx-L*W8fBEKJSXq'@VdTFl'g<()zMpAEr,8g+1C*F77my.:WNumcW/ >=}fu_O%U[_+9v~Ч;vKJ@e$q e@׸~k~28riȀشa!PuzK$Jk2_Z&4щD WxH3*KJ%D7IǵPldH1"f3hZy%UV/IA)u["U ǶYcP~HA}'u]q/AZͬݻH;a,y@o¾=طz#(&HU;ozgco7-68#5m n8bM"B 57RvF؞q_b{^Je9[Tٽ&$3ܱ|@ Q ,k~쭩}&4b88ҭ "E*,)bZ<3BMAV3;-}YWE H{ݘ!R_sP.D!*ZʕאL* 5+(%n?a? ʒOaY K$mFi3wLsbY)kHۅӗjHF騀Nj k8mцs60(ӨQ"pE[V ŚdžkmDvt< ڴ遶kTs_$_rYz﫛>?> m0XeW bAׅmS5QF{y<#jDL^.+YH Y8/AqIEUM*/_B=&da #hK߃vҞxXa(F\j""AVC[nk`yeɍ %v{p9GYGyS* k3u`c[WcV^T[w&(!hX"Фu^)Ҷ~HI1Td:HHnڵaLJbXx$xmFeA%T*uZR^ ʻ`םQ! U ;a=m3(iy(RjTB-63 LR wn ]&͋sgf;;r5lIn$>{KRI 3dZeDeXb *'%-(D  v$iIdc&C#`'rBMV" %M8M>B(Ҫr}DMfjeV-Tn(o.UI!uL\fTsJ-Bڭ?3S%ȇ%KQhCGCi{+ȾRYgqGt\Ɯsq@T͸; 2՞*d75qk9Ƞϲ<(3pU~ k ɤg!FBcMF:nc=3"ͥ.|]d:_瓕*whmFm򇐎m3Ѵ-u +JW=n[rգ mҌ,,q("ђ*)"*])'!Y̸"N1ZSi9 4GU;‹v?? g(I轥QTA%+!wj\Inb8:&{o$#l{qTTvKOΗP"ym?X$/; е (BJNHEW2QHEPQHEPQ@QE~ti~tiX ( (;R~IkQyAB#a\WOSݬxf]'3T7.Mˢ+0ugi=sHIa9N|rUetɈCyvYÒX~GDim p{TF/oLq̘5.2MbV-3鼶OWRÉG+o/Siفiu#SD" c9s6律+oHR:QlQKGٛ76"i&a #hTl.=[RpyesgQ(ʊ򐎽n҂]K%Jk$d3FX x\yvTʉb,罢S11  Q=#-@oob nju,2Zyi(%6$bʼncf2M "Pu'gIV{; nc)J=v#X:31Lq{la'FwbZ}$D7{l̵1 {;O )hwEQL2J0 mJn2bpIjmKY[+]5眔ԳmqfY+CM9Zs b.@tu1Hs_K,)do<>N(4ƏVCfݜ&HuB]Hh /-2s|ę;&<ШwM%ir cn="ڰnH2 iQEdhAԶ88,a\~TCv w E--fv:FNcltj#7A"^ W<rƦSFz0<(&0$!抩Q.<Ԩh>7BClTW6?^.IN>TACvQƀ'EHH((Ԭ,n,̓n19 !EDֹڔJꪽy :>,Ra2rn8wFNCVPU~V-L|#`:5Nh*7Gm|;c; 't[EKiqnYo~T!Hz)4hb޵gvVSa-%5DqQYAQI \!ɐ8EM-* Il#)fwT{ം.NʖHvM?T-x%=sXEg%dn&8 ֑G$K̂Ry,e_Aim-Rqj&"*AՒ/1f ~^E);!n"/.uqn*Pyl뜕g;khᱯDo}M(o m5~U_y+g|12\FqZSꃼ엩Í{.FCSpȬ&1kP8#ukJ{q,tYx!2,Q3Sl#ڜeAQGH;9 .R&>Ȳߌ &08/)ӥyXG..cc9?cL>B-ƀZ⪃Φ>RDGaB7Ic_ST㠛]$^$vg#e,{LfUUm~Q JƠ#'3e)(i4G/B ?F*W;*;QEQ@QEQEEPQ@QE~ti~ti@QEQEҪrb沎I y?eCK_:ʲbLgs:NJ6-*J qAE[!]1)c$Xc7(e_܌יU=`]4 ; )hJKl3v)(. jE/'uӮz*y\lA Y_|;[y0^Tk,b"*E~"W#.b$I2p_V|A})Z[Y$NNK |OsKU\V2N g?ť+sQvV-QSΊKp 3/n!"2` 'D]&N1|@s*˹((52аN8H:tq5&Q-^(a5I$+θquh^@<7Mh@-o"YQs](uPY{E)Wwjԣ} *zOZ(BJ~EGj(P(( ((((Ο_M"gơJn+*j(Šn/ޝ9d}a;Mif4MTONCS蓡d|0PK"ԽTږC(Aꞏ-cLF[$/V9Dy@7ǁ')H8I^6WnuZ Be8OJiASQ$_2lc5)$nVhdʪ iTJ9eTkn< Ur^oUenFCjL+NB|ĒMXψm4ևI[Ro~BU?_#/4yQl%'[I-k'ζ2 Lp$ʊHN ^WM*G _h_5@UUXPEGb ߵq}> V?D(_V?D(_O}v?C/P:B'B7>V?D(_V?D(_G3#)VD *E\/F*W-X8!pTI  Fd-YQX(QEEPQ@QEQEEP{oܱ>ϖ댶6P;JՅ} -# & )Byjw/?s dzFKkq3.n7򝭐/g?.CG[hEEC+ZӶ>&.+B鼆퐮vU ִ$: W>W:ڭWHOb0+Bᾥߝ*eO0QΕn}*uCBs%u[DNەveb$GTi h+E{٦\gp.V\Mb:Ħ֯1(RG &mGWP)/S€9 P>чJUcX"[&NK^%V`EqQ):|]cXxÚʘ6j.GR髒ڲڑ&E(/dUTDU*3č3ac #nc& ȅ:G6REP9lϳF&/YI$].?[Jo212xkB IsB0M YR6͔.65ٹ&wPQMbt$]q'elZ9Zm*\mMOP=M)T\c,#qߓ=AG5xJ&i8-H&UDUԢl6QE~pk3k0GKş|e~握^W<.&';.[feqt"^Ję|fA|$yҡqTƲݨ-/$̪pnEMc clE['ykx8?(g_ҍEb87Ԉ{%)NC,dō/:#p;avæR5{ y >j ~%b킊=N\+[fa~ߝ*hHUNh^)NQΕZq+*nB.7.,y1%t]++t4ZejO*Gff.F*Wޢpd%ûNwNě$ozN-]7^֩mwm[v;L2q]*If#6JE%UBNZd{i7ge".Dg%t$8Uڏ\c\W6貁C8͑<8`@@--ˉ qNWp3gَQct椣_BgϏʣSrC"2fU %@;,F4q .Jc6JQp]6}+Y FaK"o6n mh=)R>fLM4om9(%K' a?t$6ThMSMa}GSF\d]f2y8`k3 ':(]p]*vbV qec(!XWUѸn {ɂbgZ<{2m4Xkިo;cۜb*!;)[aFDU6I7bq;.g=\$w! S]Nht;HU7zlWfN+>0)(^)%*Cqm̖S59f9hيf>e5{Ҁ ! 'T^(s/%#m]h[dcx] -QO64v~(ptj0W}Tv67؝{%%HQr5"wf\%Uc0/E@DF_QkoIDk kB/&ay7&ր"i*q}hr-n+'Ja K/ti?"h( B ]8MB ;Y=ŜewL(hBq uV&>[W7 BA8ى1qR$hcj^*i|%KK:$ʛ/4T5/>v\mǶmf@e{1YQ֑w{޵)Fg|;}m[Vv$WήKZ %o;2 X]#e^&jVLdEV,EB$e)v'#K7M6IQ몬kj4LfL͂PFLD|C",ͼ/Q@iSHJJ7D;N.9zd,7[m i{`x=s0:b0M2.7(@f.[üU(Ð܅|H50jkdi{cL`FU=Sz䜐8V͌YnكhX;WmO1ә>n 0dȸvj^#b+_MW7>ыITUߝ?ENS,&i$ W@tGQ+owJ/Z3m>i&jGt^ݢ$N<ʄEM&]7"XxR+*sjZ#"@ER%[""qUUZ7=$(-S[\AZPJIuj/\+A{WDy^?ĶLCrw+LٲN0)?xILd@i'騽îY qPA*pOO,u$.8zV˧Y ۚ^ʫ[O#WǑ3_݌V,Ȝɲ$-^#o! D[{ mUoe3fr ʊrt'Ru.%_ux=<+E^0/E@DF*}s"}U*;Qj(e ,Q@袊x(Q@QE~ti~ti@QEQEO0QΕ3_jJN>_6UI;Q5Kϳ28Qu88 |ipr}5}s 8$e '&]k2)%Ɍ4N'rZDYm#֭sN} g`YŖt Q(鰪R;V'E^ ۀHs*Y!bNu.(V^ 2YS/8-WVƯ?AI=fKa䤩iiU!2DKyKH'Vt*![-9P|W$˒9T.8هH!Y]@Jk-tұp_8 4>Z3;iS n.^}HP'=VD{Q),^zQ5"UaPk W!_ԋúx~|Qq#sCFd74祿ofKqϣ#!!ARu[4EK/ _)~+1}Y,Lc"@KR&+z`(WND{%=< Kޯr)bDЖ^aCq0qzIv"WmRmh[wO Ԍ4>wZIU#2zPBo B,Z2 *eMI$eIm<; |aIEx5g-sP棑 vfn- !co+:⦗c)Xg#j*1SC%>:Vݵ4ߊHA;$"$m DAI*z\<3u݀оH<J*P2'r8ʔJ& w \v "ǔ M#/p,DJW7G|]=r_t.;exZC'}>~S&O2k9ߴ2Hp7רp Nj$o‘L .Do-p3tbC&I K^)&i??sO^ rGrG/Lۖ&::wtqmFЊph+Z0u HZ$s\Q{ZI9,C|n+׬?2+hfaq@hF+_%bWЖN θ|FFR&^r%U^?=wC%}>~Kg7eS2"tU5#~z܌f3x'mT,:93/g;Sݮl6mb#tQ8G~,iq0\f[dЪ =1ED%qJ⊵njFz J" )i u^I]k6箁.!EVJQEQEEPQ@QEDdj ^D  3 @@"?^ 2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭V$ !)O^rC$y@/yH*񄴽)޵߻UDb`}"qۋJחX^)I`nEp)liV[]1M<OP6r=zgbIguSebORD۫qu gZo~ٺlAplxpT0+[}`jzAV2Fi@qv֬5\|ʜ̭NleXdsjcs7f W+Ն7`g ȘJj|h(KD- dXiJ؇(x$( :;˹! I_TS 1?E??ZBΪmU/?~xY'y5g&΋/ɋ>GMGeD3Vq%'#q$8K)fw9:ĵ x}rxwr:\TZaG*y8IjbRc|XŻǿI u3KGnD1NIBs RuK>V.EL+M2#'fi ~V vl{u8zH *:(W☕ ~JTe\O*tHGHY}KNP*ݾ˦TѼ9/#A7qZ$*c?qUnwN%Oi4 =3N)cbJ uV4(Tn 7_?m-ٛ{UBwznʜ"Z xJZp; {/<P;,)''KQk5qpN8KGbe Sd̛\17 pa>SR! 3K4'+rzQ TTIIvt]Kc⫲K#v5+|D~O@%\w_nN[L9KqgVhn R!y+Un;*&/HrT >>\ t=.Tġ S; Z~!P9giCڧ!# B,;X=ۻ,I2UWV9$lk=Aj;{AP79|s*Y;̠[MCۿhf]o{oY=1kyVV5E8Vk+֜\80X4D)!!?*|fv u"xA@T_q64)kڬuV7 t '%;i9s9x,ڎ-45xd8?ǘd/Y|t &LILJ`& -Gt/PK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!0C)theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] &      _l,R$NQ`'RŅp4&@(    S 0@@A 20410-1aC"?B S  ? X &tbbbb  9*urn:schemas-microsoft-com:office:smarttagsplace=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType Iz  33&&''  >kq)[z2N,y>ƵwAxK4h ^`o(hH.^`o(. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHhhh^h`OJQJo(hHh88^8`OJQJ^Jo(hHoh^`OJQJo(hHh  ^ `OJQJo(hHh  ^ `OJQJ^Jo(hHohxx^x`OJQJo(hHhHH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohpp^p`OJQJo(hHh@ @ ^@ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHh^`OJQJo(hHh^`OJQJ^Jo(hHohPP^P`OJQJo(hHh^`OJQJo(hHhTT^T`OJQJ^Jo(hHoh$ $ ^$ `OJQJo(hHh  ^ `OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hHhdd^d`OJQJo(hHh44^4`OJQJ^Jo(hHoh^`OJQJo(hHq)z2,y>wA> ܜ4K                                           (&q/i4%G"J mx0pu`,o5^|n&e%4hJ  @     @UnknownG*Ax Times New Roman5Symbol3. *Cx Arial?= *Cx Courier New;WingdingsACambria Math"hCf9gZ& Zd d !243QHP ?42!xx #What Do I Need to Know About Stroke Laura Hathway Lisa Schwarz      Oh+'0 0< \ h t $What Do I Need to Know About StrokeLaura HathwayNormalLisa Schwarz12Microsoft Office Word@ @v?@!e@rj`6d ՜.+,0$ hp   Sugar Land Family Practice $What Do I Need to Know About Stroke Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKMNOPQRSUVWXYZ[\]^_`abcdefghiklmnopqstuvwxy|Root Entry F p6~Data L1TableT+WordDocumentSummaryInformation(jDocumentSummaryInformation8rCompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q