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After dangerous stroke, Lexington teen set to graduate high school

Destiny Taschner and her mother, Christina Bowen
Blog

/ by UK HealthCare

In June 2016, Destiny Taschner had just begun summer school when she came home with a headache that just wouldn’t go away. Her doctor diagnosed a sinus infection, but after several days Destiny’s mother, Christina Bowen, knew something was seriously wrong.

“She’s very peaceful by nature,” Bowen said. “But suddenly she was acting weird, almost like a caged animal.”

Bowen took Destiny to the nearest emergency room. Based on initial tests, doctors there wanted her to see a pediatric neurologist and sent her to UK HealthCare, where neurosurgeon Dr. Justin Fraser and his team took over her care.

Initial scans showed a large amount of fluid around Destiny’s brain. Almost all of the major veins that drain from the brain to the heart were clotted off. Destiny had a rare condition called cerebral venous sinus thrombosis.

She was on the precipice of a massive stroke.

A rush to save Destiny’s life

Destiny Taschner in the PICU (Pediatric Intensive Care Unit)
Destiny Taschner in the PICU (Pediatric Intensive Care Unit)

Fraser had to tell Bowen what her daughter’s condition meant. Of his last six patients with such a severe case of cerebral venous sinus thrombosis, only two had survived.

Fraser’s team sprang into action, inserting a drain in Destiny’s skull that siphoned off almost a quart of fluid, relieving the pressure on Destiny’s brain. Then she was rushed to surgery, where they snaked a catheter up through blood vessels to physically remove the clots that were causing Destiny’s stroke, a procedure called mechanical thrombectomy.

After 40 days in the hospital, Destiny was well enough to be discharged to Cardinal Hill Hospital for stroke rehabilitation. She was such a good student that a predicted 12-18 month recovery only took about three weeks. She has minimal residual effects from the stroke that nearly killed her, and on June 1, Destiny will celebrate another milestone as she walks with her classmates at Tates Creek High School’s graduation.

The gold standard of stroke care, right here at UK

This scenario is the reason why UK HealthCare’s Kentucky Neuroscience Institute, or KNI, has been re-designated a Comprehensive Stroke Center by The Joint Commission. In 2014, KNI became the first in Lexington to receive this designation, widely considered the gold standard for stroke care. There are only 162 such centers in the U.S.

To be eligible for Comprehensive Stroke status, organizations must meet rigorous standards of care, including having advanced imaging capabilities, around-the-clock availability of specialized treatments and unique competencies to care for complex stroke patients like Destiny.

The Comprehensive Stroke Center designation was accompanied by two other top awards from the American Heart Association/American Stroke Association: Get with the Guidelines Gold Plus and Target Stroke Honor Roll Elite Plus, both of which acknowledge KNI’s ability to respond quickly to a stroke emergency and to provide the highest possible level of evidence-based care.

“The Target Stroke Honor Roll Elite Plus designation means that at UK HealthCare, we treat more than 75 percent of appropriate patients with clot busting drugs within 60 minutes of arrival and more than 50 percent within 45 minutes,” said Dr. Larry Goldstein, KNI co-director and a national expert in stroke care. “Immediate intervention is crucial to long-term survival and quality of life for stroke patients, and these designations by The Joint Commission and the American Heart Association are intended to reflect a high level of care and recognize healthcare institutions that meet those goals.”

Combatting stroke in Kentucky

Goldstein came to UK three years ago in part because Kentucky has one of the highest rates of stroke in the country. Stroke is the third-leading cause of death in Kentucky (compared to fifth nationally) and is a leading cause of adult disability, according to the American Heart Association/American Stroke Association.

“For the past 30 years, we’ve seen a rapid decline in stroke-related death in America, probably due to a reduction in the prevalence of risk factors, such as smoking and obesity, combined with advances in stroke treatment,” Goldstein said. “Lately, however, our progress has leveled out, and in Kentucky we’re actually losing ground. That’s why having a Comprehensive Stroke Center – and all that it brings – is so important to the state.”

Bowen gets teary as she counts off the reasons why her beloved only child might not be here today.

“I thought I couldn’t get pregnant, and then I did. When Destiny was born, her pancreas wasn’t working right and she had to be in the NICU. And now this….” she trails off, voice breaking.

“Every day I look at her and I’m amazed that she’s here.”

Destiny Taschner

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