One symptom of FAST is enough to act on stroke, warns charity

Act FAST on the first sign of stroke, the Stroke Association says. The charity is concerned people are waiting for all three of the ‘FAST’ stroke symptoms to appear before raising the alarm.

In fact, the public should be treating stroke as a medical emergency when any one stroke symptom appears. – most commonly these are Face (F) or Arm (A), or Speech (S). The moment a stroke is suspected, is Time (T) to dial 999.

Face weakness: Can the person smile? Has their mouth or eye drooped?

Arm weakness: Can the person raise both arms?

Speech problems: Can the person speak clearly and understand what you say?

Adam Henderson, 24 from Broxburn had a stroke at the age of 23, which initially only presented as one symptom. At the time his stroke began, he was in the hairdresser’s and noticed that as people were talking to him, he had started to grunt, and couldn’t speak properly.

Even though he only had one of the ‘FAST’ symptoms at the time, the customers realised something was seriously wrong with Adam. At this point, Adam’s arms and face were unaffected. They called his partner’s mum – a nurse, who immediately knew it was a stroke. Everyone acted quickly to get Adam the treatment he needed.

Adam said: “When I got to hospital, I couldn’t walk. My head was shaking and the need to fall asleep was overwhelming.”

John Watson, Associate Director Scotland of the Stroke Association, said: “There are amazing treatments for stroke which can prevent death and disability. However, there is a short time period to receive treatment.

“That is why immediate action is needed for any one symptom of stroke. Time lost is brain lost. A typical patient loses 1.9 million neurons each minute in which stroke is untreated, which can lead to death or disability.

“As soon as you notice any one symptom of stroke, it is time to take action. Very few people get all three of the FAST symptoms. Dial 999.”

Although Adam initially only had one FAST symptom (Speech), the inability to walk that he later developed can also be a sign of stroke:

The FAST test helps spot the three most common symptoms of stroke. But there are other signs that you should always take seriously. These include:

  • Sudden weakness or numbness on one side of the body, including legs, hands or feet.
  • Difficulty finding words or speaking in clear sentences.
  • Sudden blurred vision or loss of sight in one or both eyes.
  • Sudden memory loss or confusion, and dizziness or a sudden fall.
  • A sudden, severe headache.

When Adam got to hospital, he was quickly wheeled in for a brain scan. The doctors decided that given the seriousness of the stroke, the type of stroke and where it was in the brain that he would be a suitable candidate for clot removal surgery, mechanical thrombectomy.

Adam was a fortunate candidate for thrombectomy, because of the speed people had in spotting his stroke, getting to hospital and receiving a diagnosis quickly. At first, Adam was displaying only one sign of stroke using the FAST test, but thankfully that was enough for those who were with him to raise the alarm.

He was put to sleep and the procedure took 20 minutes. Within ten minutes of coming round, Adam was able to walk again. Having been completely unable to do anything physically before the procedure was performed, the first thing Adam wanted and was able to do, was go and have a shower by himself.

Around one in every three people who receive a thrombectomy following their stroke will be less disabled than they otherwise would have been as a result. Around one in five will be able to function completely independently afterwards.

Thrombectomy is a suitable treatment to save lives and reduce disability for around one in every ten people who have a stroke.

John Watson, Associate Director Scotland of the Stroke Association, said: “Strokes and TIAs [aka mini-strokes] are medical emergencies even if the symptoms appear to get better or go away.

“Treatments for stroke become less suitable over time, so calling 999 as soon as possible leads to the best chance of survival and the best recovery.  Look out for any one sign of stroke using the FAST test and take immediate action. 

“No matter what festivities are happening around you, at this time of the year, or at any other time, do not delay.”

Any symptom of FAST – take action

Do not wait for all three signs to appear. Any of these signs – even one sign – means you need to take immediate action. Time to call 999.

Adam feels very fortunate that his stroke was recognised and treated as a medical emergency. He is now back at work, driving and has returned to his hobbies.

Now he is urging the public to learn how to recognise the signs of a stroke and take immediate action on should they suspect stroke.

“I was very lucky. I got to hospital fast and received this incredible treatment. Not everyone receives that treatment – one reason being the speed of a person able to identify any of the signs of stroke and taking immediate action.

“I know the people with me at the time are glad they recognised my stroke; they would have felt dreadful should it have been missed. “

John concluded: “Knowing the signs and symptoms of stroke needs to be reinforced on a regular basis to the public.

“That is why we are pleased to see a commitment from The Scottish Government in their Stroke Action Plan, to invest in the Act FAST campaign, and continue to raise awareness of the symptoms of stroke. We look forward to seeing this carried out in Scotland as soon as possible.”

Smokers encouraged to quit this new year for their health

The NHS is launching a brand new smokefree campaign to encourage all 5.3 million smokers in England to make a quit attempt this January

  • Former England goalkeeper and ex-smoker David James urges parents to quit for their kids’ sake in poignant video campaign discussing own struggles to kick the habit
  • Research shows teens more than three times as likely to smoke if their parents, caregivers or friends do
  • Comes as NHS Smokefree campaign encourages 5.3 million smokers in England to make a quit attempt this January to improve health and reduce likelihood of young people starting
  • Major new survey shows three quarters of people in England back government’s historic plans to create the first smokefree generation – regardless of age or region
  • First 259,000 vapes to be provided to authorities nationwide to support smokers to quit under world-first Swap to Stop scheme

In a hard-hitting campaign film released today, former England goalkeeper and ex-smoker David James joins a number of other ex-smokers to discuss the influence their parents’ smoking had on them taking up the habit themselves, and how being around children was their motivation to quit.

Watch the film here.

It comes as the NHS launches a brand new smokefree campaign to encourage all 5.3 million smokers in England to make a quit attempt this January – not only for their health, but also to help ensure young people are not being influenced to start smoking.

Research lays bare the stark reality – teens are more than three times as likely to smoke if their parents, caregivers, or friends do. In a new, poignant film released today, the former England goalkeeper discusses how his family members and friends smoked around him when he was a youngster, which led to him taking up the habit. In the film, he describes how smoking impacted his performance on the football world stage.  

The UK is now in the lead to be the first country in the world to create a smokefree generation by phasing out the sale of tobacco, and is set to introduce a new law to stop children who turned 14 in 2023 – or are younger – from ever legally being sold tobacco in England.

Three quarters (76%) of people in England support the principle of creating a smokefree generation a YouGov survey – commissioned by campaign group Action on Smoking and Health –has found with only 9% opposing. Support for creating a smokefree generation is similar regardless of age or region.

Former England goalkeeper, David James, said: “I smoked for about 15 years and at the time, it was normal. My mum smoked, my friends smoked, it was around me. It didn’t take long for me to be hooked.

“Looking back, it had a huge impact on my health and performance at the time, I wish I never started.

“My health, my children and my fans were huge motivators for me to quit – I didn’t want younger people to see me smoking and think it was okay.”

David James is joined by a number of other ex-smokers in the film to discuss the influence their parents’ smoking had on them taking up the habit themselves.

Watch the film here.

They are accompanied by Nick Hopkinson, Professor of Respiratory Medicine at Imperial College London, who was involved with the UK Millennium Cohort Study research, and TV doctor, Dr Sarah Jarvis, who talks through the wider impact of generational smoking.

Chief Medical Officer for England, Professor Sir Chris Whitty, said: “Smoking causes a range of diseases that affect people throughout their lives.

“Stopping people becoming addicted to smoking, and helping those who have been addicted to quit are two of the most important measures we can take to improve health.

“Quitting will improve your health whatever your age and no matter how long you have smoked, it’s never too late to stop.”

The government continues to go further and faster to support people to quit smoking. Under the world-first Swap to Stop scheme, the government has so far received requests from local authorities nationwide for an unprecedented 259,000 vapes.

Vaping is rightly used by adults as a tool to quit smoking, but the health advice is clear: if you don’t smoke, don’t vape – and children should never vape.

As part of the scheme, almost 1 in 5 of all smokers in England will be provided with a vape starter kit alongside behavioural support to help them quit the habit. This is part of a series of new measures to help the government meet its ambition of making England smokefree.

Public Health Minister, Andrea Leadsom, said: “Smoking is the biggest preventable killer in the UK and places a huge burden on our NHS.

“Cigarettes are responsible for 64,000 deaths a year in England alone – no other consumer product kills up to two-thirds of its users.

“That’s why we need to act now to prevent our children from ever lighting one. Our historic Tobacco and Vapes Bill will protect the next generation from the harms of smoking and risk of addiction.”

Watch the film here.

Smoking is still the single largest preventable cause of death in England. Almost every minute of every day someone is admitted to hospital with a smoking related disease.

Smoking costs the economy and wider society £17 billion a year. This includes an annual £14 billion loss to productivity, through smoking related lost earnings, unemployment, and early death, as well as costs to the NHS and social care of £3 billion. This is equivalent to the annual salaries of over half a million nurses, 390,000 GPs, 400,000 police officers, or 400 million GP appointments.

Reducing the prevalence of smoking will reduce those costs, lower pressure on the NHS, and help the economy become more productive.

Professor of Respiratory Medicine at Imperial College London, Nick Hopkinson, said: “We know that most people who smoke start as teenagers, and taking up smoking at a young age is linked to a greater risk of health problems later in life.

“Our research shows that the influence of family and friends is a significant driving force in young people taking up cigarettes in the first place, making them more than three times as likely to start smoking if their parents, caregivers or friends do.

“We must do what we can now to ensure our children are the first smokefree generation.”

Research suggests that people who start smoking under the age of 18 have higher levels of nicotine dependency and are less likely to quit smoking later in life.

Imperial College London’s analysis of UK Millennium Cohort Study data also found that 1 in 10 (10.6%) teenagers were regular smokers at the age of 17 – this equates to approximately 160,000 young people in the UK being regular smokers by the age of 17.

Currently, 4 in 5 smokers start before the age of 20 and smoking from a younger age is linked to being more likely to smoke in later years. This has a significant lasting impact, as someone who quits before turning 30 could add 10 years to their life.

Deborah Arnott, chief executive of Action on Smoking and Health (ASH) said: “Over three quarters of the public support the Prime Minister’s ambition to create a smokefree generation.

“Legislation to end cigarette sales to anyone born on or after the 1 January 2009 will be crucial to delivering that ambition. But as role models for their children, parents who smoke can play their part too.

“Stopping smoking will not only improve their health and put money in their pocket, but also significantly increase the chances their children will grow up to be part of the smokefree generation.”

TV doctor, Dr Sarah Jarvis, said: “Smoking is highly addictive, particularly for our children. We know that most smokers start in their youth and many want to quit – but the addictive nature of cigarettes means they cannot.

“But there’s help available for those looking to stop smoking. The NHS has a range of free support, including local stop smoking services.

Better Health offers a range of free quitting support, including a local stop smoking services look-up tool, as well as advice on stop smoking aids including information on how vaping can help you quit smoking.

For free support to quit this January, search ‘Smokefree’.

Visit https://www.nhs.uk/better-health/quit-smoking to find out more on what support is available.

NOTE: I’m sure Scots are encouraged to quit smoking too! – ED.

A family Christmas at home for Elijah

Last week, Elijah Bell (2) from East Kilbride walked out of hospital and is now having festive fun at home with his mum, dad and brother, Issac (1) following almost three months in the Royal Hospital for Children, Glasgow.

During most of Elijah’s stay, he was unconscious in bed. He had no movement on his right side, and his parents – Natalie and Jamie – had no idea what his future looked like. They didn’t know if he would ever move or talk again.

Elijah first became unwell on the 23rd of September 2023 when he had a spike in temperature. At first, it was suspected that he had a viral infection, followed by tonsilitis due to his symptoms. Elijah quickly began to deteriorate and could barely stand. He was stumbling all over the place. His concerned GP referred him to Wishaw General Hospital.

At hospital, things progressively got worse, and Elijah was sleepy to the point of unconscious. After tests, it was confirmed that Elijah had Pneumococcal Bacterial Meningitis. He was put on antibiotics and after five days, started to show a little bit of progress.
Elijah’s mum, Natalie explained: “He was getting on top of his infection, but then on day six, he completely deteriorated, and he started having seizures. It was at this point we were transferred to the Royal Hospital for Children in Glasgow.

“When we arrived, the team placed him in an induced coma for two days to try and get control of the seizures and prevent any further brain damage. We thought we were going to lose him.

“We had no idea what was going to happen, and we have never been so scared in our entire lives. After a few days, the doctors removed his tubes and he was able to breathe on his own, but he was still very much asleep and unconscious, to the point where he was unable to open his eyes for days in the Paediatric Intensive Care Unit.”

The neurologist advised that Elijah had suspected areas of stroke due to vasculitis as a complication of meningitis. After five days in PICU, Elijah was moved to the Neurology Ward, but he was sleeping about 90% of the day. Another scan showed that he had Hydrocephalus, a build-up of fluid in the brain that increases the pressure.

Elijah then had an external drain fitted to his head to help drain this. Prior to having the surgery, he had right-sided weakness because of the areas of stroke. He couldn’t move his right leg or arm. After he had the fluid drained, he began to move his right leg again. The drain was in for around two weeks, and, on the 31st of October, he had further brain surgery, and a shunt was fitted for life.
Natalie continued: “It was at this point that we saw a big improvement in him. After his post-surgery recovery, he had intense neuro rehabilitation which included daily physio, speech and language, occupational therapy and daily visits from different doctors as well. He made amazing progress.

“At this point we were allowed home for visits and Elijah took a couple of steps unaided in the house which was amazing. We couldn’t believe he was able to walk. The doctor was lost for words.”

The home visits had helped Elijah’s recovery so much that the hospital team decided that he would make more progress at home fulltime. Elijah was officially discharged on the 7th of December 2023, and walked out of the hospital, holding his parent’s hands.

Natalie explained that the family now has the future to look forward to, thanks to Elijah’s treatment, medical team, and determination.

“We have been staying in Ronald McDonald House the last few months. One of us would stay with Isaac and the other with Elijah. We would switch each night. The first weekend we got home, you would have thought it was Christmas Eve in our house. When the boys woke up the next day, our Christmas tree was up, and it was all snowy outside. It really was magical.

“We are looking forward to the next few weeks of Christmas visits and events, followed by a quiet day at home, just the four of us.

“We are so grateful Elijah is here. We owe the medical team at the Royal Hospital for Children. They saved our son. Ronald McDonald as well, the amazing facility helped us so much. Being able to stay on the grounds, was amazing.

“They made us feel so welcome from the moment we arrived. We may not stay miles and miles away, but we had no idea how Elijah was going to be health wise and being able to be only a few minutes from the hospital was truly amazing.

“We also want to say that that we are beyond proud of our brave boy. He has shown the true meaning of strength and courage, and we love him so much. Thank you to everyone who was involved in saving Elijah’s life, we will be eternally grateful to you all,” she said.
Shuko Joseph, Consultant in Paediatric Neurology at the Royal Hospital for Children, Glasgow said: “It was our great privilege to be part of Elijah’s recovery journey as part of the neurology- neurorehabilitation team.

“The family endured such challenging time with incredible resilience, strength, and hope. It is so wonderful to hear the family is getting on well at home especially at such a special time of year.

“Such recovery has been a credit to Elijah and family’s wonderful efforts and excellent engagement with therapy sessions and would not have been possible without the expertise of the PICU staff, ID team, neurosurgical staff, neurology ward staff, nurse specialists and neurorehabilitation therapists.

“We are so grateful for everyone involved in Elijah’s recovery.”



Sarah Boyack ‘disappointed’ in Edinburgh City FC’s decision to scrap women’s team

Lothian Labour MSP Sarah Boyack has expressed her deep disappointment in Edinburgh City FC’s decision to scrap their women’s team and their development teams.

This decision follows weeks of financial turbulence for the team.

Ms Boyack has expressed her dismay that the burden of stabilising the club’s finances has fallen on the Women’s Team.

It will be a huge blow on the drive to get women more represented in sport.

The team have indicated that they hoped this decision would be temporary but have provided no timeline for when the teams may be reinstated.

Commenting on the decision, Sarah Boyack said: “I am extremely disappointed by Edinburgh City FC’s decision to scrap their women and development team.

“I acknowledge the financial difficulties of the team but at a time when women’s football is finally getting the audience it deserves, to scrap the Women’s Team sends entirely the wrong message.

“We should be doing more to encourage women into football and sports more generally.

“Women’s’ teams represent the best opportunity to showcase the talented female footballers we have here in Scotland.

“If Edinburgh City FC are serious about this being a temporary decision, they need to lay out a clear timetable for when the Women’s and Development teams will be restored.”

Scottish Ambulance technician speaks of cancer battle

A Scottish Ambulance Service (SAS) staff member diagnosed with cancer has spoken about his experience to encourage more people to be aware of the condition, know the risks and seek help early if they have concerns.

Iain Sullivan, 48, of Kirkliston who works out of McDonald Road Community Fire and Ambulance Station as a Technician, received the news earlier this year he had prostate cancer.

Speaking of his journey, Iain, who is ex-military with 25 years full colour service and been with SAS for three years, said: “My father was his early 60s with prostate cancer. At the time, I was only 40, so it was deemed not necessary to get checked by NHS due to young age. After going through this, it is really important for me to raise awareness and encourage people to talk openly about any worries they may have and seek medical advice.”

Iain said last December his dad was advised his cancer had spread which led his dad to ask Iain in February this year to get tested due to the increased risk. The tests were simple and painless consisting of a blood test that measures the amount of prostate specific antigen (PSA), a marker in the blood, a digital rectal examination and a MRI scan. Following these tests, Iain was advised that he had tested positive for prostate cancer.

Iain said he wasn’t surprised by the news and added: “I had a feeling I was going to be positive – luckily my brother was clear.”

During the first months since the diagnosis, Iain said his “head has been all over the place”, but has since revealed his current position is Stage 1 of 4 which is the lower end of the spectrum, and at present hasn’t spread to other parts of the body.

Speaking of the support he has received he said his work colleagues have been “fantastic and supportive”.

Iain, who is currently off work, added: “My Crewmate Lewis has been checking up on me, along with the rest of the gang, and also my other friends and staff within the Edinburgh area have been supportive to me even through their own times of difficulties.

“They all work tirelessly and still have the kindness to look after each other. My partner Julie, who is also Ambulance technician, has shown amazing support and so has my son Brad, and other family members or course.”

Iain said he would urge people in his age bracket – and younger – to understand the risks, talk about them with friends and colleagues and seek help if they have concerns. It is important to understand that prostate cancer is the most prominent cancer in men.

He added: “It seems to be radio silence for men. I am surprised at the limited awareness of prostate cancer which is the most common cancer in men with more than 52,000 diagnosed every year.

People need to ask questions, seek advice and get help if you are worried. If nothing else, it’s worth the peace of mind and I will feel better for knowing you read this, are worried and then go to your GP”.

For more information, visit NHS inform or Prostate Cancer UK | Prostate Cancer UK who have a simple online risk checker that anyone can access to understand their risk in 30 seconds.

Boyack accuses Health Secretary of misleading patients over New Eye Pavilion decision

Lothian Labour MSP, Sarah Boyack has written to Cabinet Secretary for Health, to ask him for clarity over when the decision will be made over the New Edinburgh Eye Pavilion.

In a November meeting organised by Ms Boyack between patients and Michael Matheson, the Cabinet Secretary assured patients that any decision over the Eye Pavilion would be made in December, in line with the budget.

However, a Scottish Government spokesperson has now claimed that the decision will not be made until the Spring.

Delaying this decision will force patients to rely on outdated services and face further cancelled appointments.

Campaigners were hoping that the current budget would provide long awaited clarity for whether the new facility would get the go-ahead.

Sarah Boyack MSP said: “Michael Matheson has fundamentally misled patients.

“To tell patients that the decision would be made in December, only for it to be pushed back to the Spring is a slap in the face for all those who need a new facility.

“Michael Matheson needs to confirm on the record when the capital spending will be announced and apologise for misleading patients.

“Every day the Scottish Government delays, the project becomes more expensive, and the current Eye Pavilion deteriorates further.

“If Michael Matheson does not provide clarity now, we are heading towards a crisis for eyecare services in Edinburgh.”

Craig Spalding, Chief Executive of Sight Scotland, added: “We’re concerned the Scottish Government’s plans to review this project again in the spring is too little too late.

“It’s now 10 years on since the current hospital was declared unfit for purpose and by delaying the decision again is ignoring the critical need of patients and staff attending the current hospital.

“As time goes on, the building deteriorates further and the risk to people’s safety increases. People with visual impairment and eye conditions deserve better.”

Christmas at Cramond Residence

A BUMPER month-long festive celebration is well underway at one of Scotland’s most luxurious care homes.

Pensioners at Cramond Residence have been treated to the homes’ biggest ever range of activities in the build-up to Christmas thanks to the dedicated efforts of the Lifestyle Team.

In the lead-up to the big day, residents have enjoyed a delightful mix of songs, carols, parties, fine food, Christmas jumper celebrations as well as a pantomime, creating a buzzing festive atmosphere.

Elaine Vallance, Head of Lifestyle at Cramond Residence said: “This is our sixth and biggest Christmas at the home and it’s our goal to ensure it’s a magical experience for our residents.

“We focused on creating a festive atmosphere with activities that cater to all tastes to help get everyone into the spirit.

“The residents have thoroughly enjoyed the events so far, and we’ve made sure that Christmas week is filled with fantastic activities to help carry the joy into the New Year.”

Across December, Cramond Residence sparkled with festive spirit, beginning with the annual Christmas lights switch-on and a carol performance by Fettes students.

The month has featured a variety of events including religious ceremonies, sensory sessions, a Kirk service, pub nights, and numerous parties.

On Christmas Day, residents will enjoy a special festive lunch, followed by a week full of seasonal movies, a pub night, a Nutcracker ballet performance, and a grand New Year’s Eve celebration to bring in 2024 in style.

Christian Daraio, Client Liaison Manager for Cramond Residence said: “We are lucky to have Elaine and her exceptional team orchestrating an incredible array of activities for our residents.

“Christmas at Cramond Residence is always a special time for both our staff and residents. This year has been particularly memorable, and we’re looking forward to celebrating Christmas and New Year’s with all our residents.”

Cramond Residence is dedicated to meeting the unique needs of its residents, offering a bespoke activity programme that blends the luxury of a hotel with the warmth of home living. Constructed at a cost of £8m, the residence opened its doors in October 2018, embodying a philosophy of small group living with a strong focus on social interaction.

The facility provides an extensive array of dementia care services, available both within the general living environment and in a dedicated area specially designed for those in more advanced stages.

With a variety of activities specifically tailored for individuals with dementia, Cramond Residence aims to enrich their lives. The home boasts state-of-the-art facilities and a team of trained professionals committed to offering both support and respite.

For further information about Cramond Residence, call 0131 336 1064 or visit the care home’s website at cramondresidence.co.uk.

To get in touch directly, please email enquiries@cramondresidence.co.uk.