Jun 11, 2021
A 15-year-old girl had a stroke linked to birth control and was in a coma for 27 days. Doctors thought she'd overdosed on drugs.
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Tria Potts, who was 15 at the time, recovers from her stroke. "I"m forever, ever, ever grateful for OHSU," Potts said of Oregon Health and Science University. Tria Potts
- Tria Potts had a stroke after going on birth control at age 15. Doctors thought it was drugs.
- She was in rehab for five months, but still became the first in her family to graduate high school.
- Potts had a severe blood clot while pregnant at 25, but was turned away at the first hospital.
- Visit Insider's homepage for more stories.
Tria Potts doesn't remember losing consciousness at age 15 while her eyes rolled toward the back of her head. Her grandmother told her about that.
Her memories of coming-to in a hospital bed after 27 days in a coma are fuzzy too. Her mom told her her first words were "Michael Jordan" before she reverted to using sign language, which the straight-A student been studying. Speaking, like eating and walking, would be something she'd have to relearn.
Potts, now a 37-year-old mom of two in Battle Ground, Washington, had suffered a massive stroke, something one doctor later attributed to her birth control pills. She also knows now she has a genetic predisposition toward blood clots. But the only explanation that seemed to make sense to clinicians at the time was illegal drugs.
"The doctors swore to my mom that I had overdosed on drugs or done some experimental thing because it was so uncommon for a 15-year-old just to have a stroke out of nowhere," Potts told Insider.
While Potts' experience happened decades ago, experts and other women have told Insider the challenge of having life-threatening condition taken seriously as a young woman persists.Potts went on birth control to manage painful periods
Potts went on Ortho Tri-Cyclen, a combination birth control pill containing estrogen and progestin, at age 15 to manage periods heavy and painful enough to keep her home from school. "The doctor assured me that it's 1 in a million chance that I would have a stroke or any side effects," she said.
So she and her mom decided to accept the prescription without requesting blood tests. "That was our biggest mistake," Potts said. Less than a month later, she had a stroke. It was caused by multiple clots, at least one which traveled from her heart to the brain.A Polaroid of Tria Potts before she had a stroke at age 15. Tria Potts
Doctors had to drill a hole in her head, Potts said, to relieve the pressure. (Much to her disgust, her aunt and uncle still have the drill to commemorate one of their scariest times of their lives. Fortunately, Potts said, "it's clean and stuff.")
Potts was in a coma for 27 days, during which doctors conducted "every test possible test," she said. They found that she had protein S deficiency, or a disorder that increases the risk of abnormal blood clots. Potts also learned she naturally produces a lot of estrogen, another clot-risk booster. Adding combination birth control seemed to light the fire.
And yet, no one put that together until the day of Potts' release from rehab, when a doctor told her and her mom he was sure the pill triggered the stroke.Birth control raises the risks of clots, but it's still less than a one in 1,000 chance
Estrogen, a hormone found in combination hormonal-birth-control methods, increases the risk of any type of blood clot. That's because it prompts the body to produce more of the plasma that helps blood stick together. Older iterations of birth-control pills tended to contain higher levels of estrogen, making clots more likely.
These days, the risk of birth-control-linked clots can generally be compared to rare but serious events like a car crash, Dr. Melanie Davies, a gynecologist in London and professor at University College London, previously told Insider.
"For 10,000 women over a year, one to five will have a blood clot anyway, and on the [pill] that rises to three to nine, so it is still less than one in 1,000 chance," she said.
Rare doesn't mean worth dismissing, though. In interviews with 24 women who'd had negative birth control side effects, including clots from pills containing drospirenone and ethinyl estradiol, researcher Alina Geampana found women didn't think they'd received enough information about the risks before starting the pills.
"It's one of these things where if this was a man's issue, this would have been solved like a hundred years ago," Rebecca Ungarino, an Insider reporter who had a birth-control-linked stroke at age 20, said in a previous story. "That's how I feel, like no one would be getting blood clots. It's just crazy to me."Potts spent five months in rehab and almost dropped out of school
When Potts finally woke up on day 27 for no apparent reason, her mom wasn't surprised. "My mom [had] said, 'There's no way in hell she's not going to wake up.' I'm too pig-headed," Potts said.
That attitude humbled her during inpatient rehab, too, where she spend five months in speech and physical therapies.
"I remember trying to walk and do things on my own and then realizing, OK no, I can't and I need help," Potts said. "And it was embarrassing."Tria Potts rests in her hospital bed with her uncle while recovering from stroke. She's grateful for the friends and family who stayed by her side throughout her entire stay. She still has the teddy bear a nurse gave her today. Tria Potts
Returning to school was maddening, too. "My train of thought was all over the place," she remembers. "I'd read a sentence or two and lose my spot and get so upset with myself that I'd break out crying. Then I'd have to excuse myself."
She almost dropped out to get her GED, but remained steadfast in her goal to graduate — even though she needed to do summer school to catch up. She graduated with her class in 2002.Potts had deep vein thrombosis during her pregnancy
After high school, Potts used a progesterone-only birth control pill and saw a doctor every six months. "For quite a few years, I was a normal person."
Then, she got pregnant. Blood clots are more common in pregnancy and the three months postpartum than on birth control, even for people with no history. As many as 65 out of every 10,000 new mothers experience a clot. Potts ended up being one of them.
She was working the night shift at a casino when the pain in her leg was so debilitating she couldn't stand.
Her dad, who also worked there, drove her to the nearest hospital. There, she was told the pain was happening because of the way her daughter was positioned, and she was released. Potts knew they were wrong. So she went to another, bigger hospital, where she'd been receiving prenatal care, and made her case.
An ultrasound quickly revealed Potts had a clot that extended from her groin to her kneecap, diagnosed as deep vein thrombosis. Potts was promptly treated with a heparin drip, and had a healthy baby two months later.
"If I don't get some kind of answer or a second opinion, I go somewhere else," she said. "I feel that we know our bodies better than doctors."Tria Potts and her husband, Chad, on their wedding day in 2018. They now have two teenage kids, one from Chad's prior marriage. Tria Potts
These days, Potts' biggest lingering side effect from her stroke is poor short-term memory. She also says her smile isn't quite symmetrical, but no one else notices. She's been on Warfarin for 22 years and had a hysterectomy to reduce her risk of ovarian cancer; she has the BRCA gene. That took care of her heavy periods, too.
Her biggest gripe is that, when she tells people, doctors included, she had a stroke at age 15, they say, "Oh no, you didn't," Potts said.
In medicine, combinations like "young people" and "strokes" often doesn't compute. Brittany Scheier, a lawyer who had a stroke a few years ago at age 27, also told Insider about how her symptoms were brushed off in the ER as drug- or alcohol-related.
Dr. Suzanne Steinbaum, an American Heart Association Go Red for Women volunteer medical expert and cardiologist in New York City, previously told Insider it remains critical for women — who are more likely to get, and die from, strokes than men — to advocate for themselves.
"So many times I hear, 'I was listening to the doctor. Maybe they're right,'" she said. "No one knows our bodies as well as we do. Nobody is living in our bodies. We know when we're not OK."
News Source: insider.com
Tags: increases the risk birth control pills birth control pill was in a coma birth control on birth control doctors thought still less five months have a stroke hospital bed grateful side effects a few years blood clots at the time estrogen less and her mom high school to graduate more likely
Family of girl, six, hit and killed in horror crash in front of her dad pay tribute to ‘beautiful and happy’ daughter
Six-year-old Sharlotte Naglis and her dad were hit by a car while they were walking in Norton, Stoke-on-Trent last night.6Sharlotte Naglis was hit by a car while she was walking in Norton, Stoke-on-TrentCredit: SWNS 6The girl, six, was mowed down by a car on Endon RoadCredit: BPM Media 6The driver of the car is being treated for a head injuryCredit: BPM Media
Despite the best efforts of passersby, the little girl was pronounced dead at the scene on Endon Road at 7.15pm.
Her family released a touching tribute to her today, saying: "Sharlotte was so beautiful, full of life, always smiling, sassy, so brave and happy.
“Sharlotte had just started her gymnastics classes which she loved and was shining so bright in.
“She was loved by everyone that met her, so caring and loving.
“Every night since she was born she would never sleep without holding her mum’s hand.
“There will never be another child like her for anyone who met her.
"She was taken so early from us and will never be forgotten.”
Her dad was treated for injuries - while the 44-year-old driver of the car was treated for a head injury.
A distraught man who said he was the girl's father this morning visited the scene where the six-year-old was tragically killed and paid tribute to her as "the loveliest little girl ever."
The man, in his 30s, who didn’t wish to be named, was accompanied by two friends and could be seen completely inconsolable and sobbing.
The group who spent around two minutes at the scene of the crash stood and looked at bunches of flowers placed in tribute of his little girl by the side of a wall.6A driver mounted the pavement and collided with a father and his six-year-old daughterCredit: SWNS 6Flowers have been left at the sceneCredit: SWNS 6Cops are appealing for witnessesCredit: SWNS
Friends and the dad could be seen wiping away tears with tissues as he was heard wailing as he explained to them what happened.
The man wiped his eyes and was consoled by his two friends at the scene of the tragedy.
Stood only a minute away from the crash scene by his home he said: “She was the most loveliest little girl ever.
“I can’t say anything else right now it’s too hard.”
Residents at the scene laid bunches of flowers next to a wall at the side of the road to pay their respects to the little girl.
Cops are appealing for witnesses.
Sergeant Rich Moors, of the Staffordshire and West Midlands Serious Collision Investigations Unit, urged witnesses to come forward.Most read in NewsExclusiveHOLE UPGirls risking sepsis after buying $1.50 ear piercing device online to copy TikTokWORDS OF WISDOMBest Father's Day quotes from Nelson Mandela to Michelle ObamaFATAL BLAZEWoman in her 30s found dead after fire rips through home as cops launch probeExclusive'SPY IN A BAG' HOPECould DNA solve mystery of dead MI6 spy found naked in padlocked bag?'MY BABY'Mum’s tribute to son who died in e-scooter crash after girlfriend's hospital picExclusiveDI DAY TRUCEWarring Harry & Wills call truce for Diana - but are 'further apart than ever'
He said: “We’re continuing to investigate and understand fully what happened last night. We’d urge anyone with CCTV or dashcam footage, or who witnessed the collision or saw a blue Skoda in the area to get in touch with us.
“Again, we’d kindly urge people not to speculate as to the circumstances.
“Sharlotte’s family are being supported by specially trained officers. Our thoughts are with them all at this time.”