Dan Gilbert Hospitalized With Stroke-like Symptoms

**401don** · May-26-19, 08:43 PM

According to Detroit News:

**Atticus** · May-26-19, 08:44 PM

https://www.detroitnews.com/story/bu...ms/1247778001/

Thoughts and prayers for a speedy and full recovery.

**Zacha341** · May-26-19, 08:47 PM

Link:

https://www.detroitnews.com/story/bu...ms/1247778001/

https://detroitsportsnation.com/brea...6/2019/205249/

**Worldsgreatest** · May-26-19, 09:06 PM

Yikes, good thing he's okay. How likely is another stroke to happen?

Also I'm reading that strokes can happen to anybody at any time and that 80% of them are preventable.

**Worldsgreatest** · May-26-19, 09:12 PM

wait, so he suffered "symptoms? so not an actual stroke?

**rbdetsport** · May-26-19, 09:34 PM

Hoping for him to get back on his feet quickly.

**Dumpling** · May-26-19, 11:33 PM

Prayers for a speedy and full recovery and restoration to his loved ones.

We lose loved ones very suddenly to strokes and stroke-like syndromes sometimes.

Will add the quasi-editorial remark that it's good that he will be able to pay for any and all treatments he may require - it won't be a concern -and it's good that he is well networked and so will probably have the very best specialist care.

**Lowell** · May-27-19, 08:04 AM

I hope his speedy recovery and that this is short-lived, even a false alarm.

My late friend WC3 used to quip that the City of Detroit should take out a ten billion dollar insurance policy on Dan Gilbert. Scares like this add some wisdom to that jest.

**Worldsgreatest** · May-27-19, 09:11 AM

Medical people are saying this is definitely a mini stroke [[symptoms resolving in 24 hours) since if it were bad he would be given medication and put in an ICU.

Maybe this is good? A wake up call to be more aware of health.

**401don** · May-27-19, 09:11 AM

As a side note, Dan serves on the Boards of both the Cleveland Clinic and Children's Tumor Foundation [[due to his son's illness). Where does he find the time?

**stasu1213** · May-27-19, 09:21 AM

My prayers went out for a speedy recovery. He's has a lot on his plate taking on so many projects singlehanded.

**Cincinnati_Kid** · May-27-19, 10:17 AM

Originally Posted by Worldsgreatest

wait, so he suffered "symptoms? so not an actual stroke?

The synonym FAST is used to determine the warning signs of a stroke. FACE- ask the person to smile or does one side of the face droop? ARMS- person to raise both arms, does one droop down, SPEECH- can one repeat a simple phrase? is the speech slurred? TIME- if you observe any of these symptoms, call 911.

**Scottathew** · May-27-19, 01:24 PM

Originally Posted by Cincinnati_Kid

The synonym FAST is used to determine the warning signs of a stroke. FACE- ask the person to smile or does one side of the face droop? ARMS- person to raise both arms, does one droop down, SPEECH- can one repeat a simple phrase? is the speech slurred? TIME- if you observe any of these symptoms, call 911.

Good info, thanks for sharing!

**mikefmich** · May-27-19, 01:27 PM

This makes my head swim......I cannot even fathom the demise or incapacitation of Mr. Gilbert, in regards to the city.

**313WX** · May-27-19, 02:20 PM

That is very unfortunate. Thoughts and prayers...

**Worldsgreatest** · May-27-19, 03:09 PM

A man's story who had a stroke at 14. https://www.youtube.com/watch?v=-A91kqrcs9s

Glad we have one of the country's most highly capable hospitals for strokes [[Beaumont Royal Oak) here in Detroit. I know where I'm going if I ever catch somebody with symptoms.

**p1acebo** · May-27-19, 07:49 PM

Originally Posted by Worldsgreatest

Medical people are saying this is definitely a mini stroke [[symptoms resolving in 24 hours) since if it were bad he would be given medication and put in an ICU.

Maybe this is good? A wake up call to be more aware of health.

This is almost verbatim what I said on Reddit, but yes that is a good sign.

Could be a wake up call, he definitely is a workaholic, and may have ignored his health.

**Worldsgreatest** · May-27-19, 09:10 PM

He's fine yall, it was a mini stroke https://www.clickondetroit.com/news/...y-after-stroke

and yes I lurk the reddit sub, that's where I got the info.

**401don** · May-27-19, 09:16 PM

Originally Posted by Worldsgreatest

He's fine yall, it was a mini stroke https://www.clickondetroit.com/news/...y-after-stroke

and yes I lurk the reddit sub, that's where I got the info.

It was not a mini-stroke. They do not call a stroke "mini" unless it's an iscemic attack. This sounds more serious.

**Worldsgreatest** · May-27-19, 09:35 PM

The procedure they used is specifically for acute ischemic stroke

which includes a mini stroke, I guess we don't know 100% yet but that's what it sounds like, especially if he's responsive immediately.

**p1acebo** · May-27-19, 10:00 PM

Originally Posted by Worldsgreatest

The procedure they used is specifically for acute ischemic stroke

which includes a mini stroke, I guess we don't know 100% yet but that's what it sounds like, especially if he's responsive immediately.

Unfortunately we were wrong, and that is journalism at it's best [[or worst) by describing his recovery as "comfortable," ultimately deceiving us.

The new freep article confirms that he had catheter directed tpa [[clot busting medication) and probable embolectomy:

https://www.freep.com/story/news/loc...ed/1255404001/

The fact that he had these procedures done means he had significant deficits [[i.e., not being able to speak at all, significant weakness, etc), and found a clot big enough to treat on imaging [[At Beaumont they do what is called a CT perfusion scan to assess for large blot clots). With this knowledge it means that he definitely did not have a mini stroke [[TIA, or transient ischemic attack).

The patient would only receive these type of procedures if they saw a large enough clot to treat. Recovery is not "comfortable," you have have a special IV placed in your radial artery, placed on IV blood pressure medication, frequent neuro checks and lab draws, etc.

I am glad they treated him aggressively, I hope he has a full recovery and continues to do business in Detroit.

**Worldsgreatest** · May-27-19, 10:14 PM

All we know is the official statement says they used a catheter-based procedure which is also used for mini strokes. has nothing to do with journalism. Drugs are used for mini strokes too.

Arteriography. This procedure gives a view of arteries in your brain not normally seen in X-ray imaging. A radiologist inserts a thin, flexible tube [[catheter) through a small incision, usually in your groin.
The catheter is manipulated through your major arteries and into your carotid or vertebral artery. Then the radiologist injects a dye through the catheter to provide X-ray images of the arteries in your brain. This procedure may be used in selected cases.

https://www.mayoclinic.org/diseases-...t/drc-20355684

He's comfortable currently which mean's he's probably no longer in ICU.

I think the most important thing is that no time was wasted, he was literally at the hospital before anything happened.

**p1acebo** · May-27-19, 10:31 PM

Originally Posted by Worldsgreatest

All we know is the official statement says they used a catheter-based procedure which is also used for mini strokes. has nothing to do with journalism. Drugs are used for mini strokes too.

https://www.mayoclinic.org/diseases-...t/drc-20355684

I am not here to argue, but I want to point out that this is incorrect. Thrombolytic medication in general is something that should NOT be used for TIAs. By definition, a TIA is stroke like symptoms that resolve in 24 hours, but generally do not cause significant neuro deficits [[As it is a transient decrease in blood flow of small vessels as opposed to a large vessel). In addition, when neuro deficits are not very significant [[Based on the NIH stroke scale), thrombolytic medication is not indicated:

https://www.mdcalc.com/nih-stroke-scale-score-nihss

So, either someone comes in to the emergency department with significant neuro deficits in the appropriate window for systemic tpa [[3-4.5 hours). Or, if someone is presenting past this window they are candidates for catheter directed tpa or thrombectomy.

They didn't give us all the information, I am saying possible thrombectomy [[I misspoke in my initial post) because interventional radiology will mechanically remove these clots:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5091327/

So since we were not given all the information, it is very possible that he received both catheter directed tpa +/- thrombectomy.

And the way they described his hospitalization in the first article has everything to do with journalism. These are not benign procedures, and his hospitalization was framed in a way that would suggest otherwise.

**Worldsgreatest** · May-27-19, 10:47 PM

It was an official statement that said he was resting comfortably and it's been said twice now.. officially, journalists did not come up with it. However it was framed is entirely on his party.

I think we can agree that this was an ischemic stroke since a thrombectomy was used with the catheter. How severe it was is just conjecture. Whatever it was it's removed now and he's okay.

**Gistok** · May-27-19, 11:29 PM

Well if he's a workaholic... Gilbert needs to make some life altering changes. My uncle was a business owner workaholic as well... and died at 53 of a stroke. This should be not only a wakeup call to Gilbert, but also a cultural change at his company. I just read thru reviews of Quicken Loans employees... common thread... "horrific work/life balance, overworked."