tPA was used for a acute ischemic stroke, rght MCA territory

i was called around 9:19 pm on 2007/6/19 to visit a 63-year-old male patient with suspected acute ischemic stroke. i noticed the patient is a brother Chen's father. His NIHSS was 14. Head CT showed no ICH, there was dense MCA sign at the right MCA, and there was no contraindication for tPA. CTA and CT perfusion were tried but failed because the patient was irritable on exam, and so Dormicum was given. On arrival at the 4D1 stroke ICU, stroke attending VS Dr. Tsai just arrived at NTUH. So the time is not delayed. But the patient's neurological status was about 4 points worsen due to drug effect of Dormicum. It is under the control of God, and i believe there should be something wonderful happened in the family of Br. Chen. May the Lord of gace stengthen our brother and bless alll his family to believe into Christ and gain eternal life soon.
Lukas at the 5D classroom 5:9 am 2007/6/20