My dad medical history

Writing medial history

I am writing to inquire about a consultation with Dr. Erwin Joe regarding my father's post-stroke condition and potential treatment options for aphasia recovery.

Patient Information:

• Name: Redacted • Age: 66 years old • Gender: Male

Current Condition: My father experienced an acute ischemic stroke approximately 1-2 weeks ago. His primary symptom is aphasia with difficulty in speech. Motor function remains intact.

Medical History:

• Type 2 Diabetes (HbA1c: 7.9%) • Hypertension (currently controlled with medication)

Tests Completed:

• MRI Brain with contrast + MRA Brain + MRA Neck (16 Jan 2026, Tung Shin Hospital) • Blood test and urine test (15 Jan 2026, UMSC) • ECG (UMSC) • Echocardiogram (19 Jan 2026, UMSC)

Key MRI/MRA Findings:

• Acute left parieto-occipital lobe infarcts • Chronic lacunar infarcts in both lentiform nucleus with chronic small vessel disease • Mild narrowing at cavernous part of left ICA (atherosclerotic changes)

Echocardiogram Summary:

• LVEF: 66% (normal), Grade I diastolic dysfunction, no significant cardiac abnormalities

Current Treatment: He is on medication for secondary stroke prevention (blood thinners, diabetes, cholesterol, and blood pressure management) prescribed by specialists at UM Specialist Centre.

Consultation Request: We are seeking expert consultation on treatment options for aphasia recovery. Specifically, we would like to understand:

• Whether thrombectomy or any interventional procedures are still viable given the timeframe • Available treatment options beyond speech therapy and preventive medication—such as methods to enhance neuroplasticity, neurostimulation therapies (e.g., TMS, tDCS), or other emerging approaches for aphasia recovery • Recommended rehabilitation protocol for his specific case

Please advise on:

• Availability for consultation with Dr. Erwin • Any additional records or imaging needed (we can provide full reports) • Consultation fees and process • Whether teleconsultation is available for initial assessment

Thank you for your assistance.