Height - 5'7

Weight - 173

Gender - M

Race - Bengali

Medications - Ramipril (5mg), Aspirin (81mg, OTC), Statin (forgot dosage and which statin)

Smoking Status - Quit in 1994

Previous Medical Issues - Spinal Disc surgery in 2003 (lower back, don't know L#), TIA in 2012, High BP, sudden weight loss due to lack of protein intake,

Duration of complaint - 3 months of neck/shoulder pain. 2 weeks of right arm feeling heavy. 2 weeks of legs feeling weak.

*Edit* - He also has had moments where it becomes difficult to talk due to lack of oxygen but never had a history of anemia until the most recent blood tests from the ER.

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Complaint:

My dad just got out of the ER yesterday afternoon after going through a TIA (He went to the ER with a BP of 183/77). His bloodwork showed that he also has low hematocrit and hemoglobin but never had a history of anemia. The MRI confirmed the TIA (this is his second in almost 8 years).

The doctors also told him that he has a degenerative nerve in his neck that was causing his neck/shoulder pain for the last few months. He was going to physical therapy but only last week was told to see his neurologist.

I wanted to know what are some good physical and dietary changes to help mitigate the effects of the TIA as well as prevent/delay the next one.

He's a music producer so he does spend all day at his desk which explains the clot. He's currently taking 81mg of aspirin, Ramipril (I think at 5mg), and a cholesterol medication (he hasn't had high cholesterol in many years). His blood glucose floats around the pre-diabetic range and was recorded at 111 when he went to the ER but had dinner roughly 4 hours before the visit.