The Man Who Did Not Take His MedicineToday’s guest post is by Dr. Olajide Williams, a general neurologist with special interest in stroke. He is Associate Professor of Clinical Neurology at Columbia University. The following story is an excerpt from his book, “Stroke Diaries,” which is a collection of his experiences, both somber and hopeful. I find this piece on Oxford University Press’s blog, which you can get to by clicking here.

Pedro was lying on the bathroom floor next to the toilet bowl. Water was still running from rusty faucet, overflowing the sink, and pooling around his body as he lay limp on wet porcelain tiles. Lucy was standing over him and whining. The young black Labrador retriever had not left her owner’s side since the previous night. It was as if she had predicted it, as if she was responding to some perceptible change in his body, perhaps even a “stroke odor” that her heightened sense of smell allowed her to detect. Lucy had followed him everywhere; she lay awake next to him throughout the night, constantly licking the left side of his body. She rushed after him into the bathroom that morning, before Pedro’s world began to tilt-the visual metamorphosis, tilting up to 180° in second, and developing into a violent vertigo that caused him to slump to the ground, hitting his head against the toilet bowl on the way down.

It was 5:30 a.m. The sun had just begun its ascent above the coastline when Pedro woke up to brush his teeth. And now, hours later, he could not get up off the floor. He could not move his left arm or left leg, and he could not feel Lucy licking his left palm.

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