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Dr. Ryan L. Lafollette, MD

(Dr. Ryan Lafollette, M.D.)

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Specializes in: Emergency Medicine

SUNY Upstate Medical University

Professional interests include: stroke, pulmonary edema, shortness of breath (dyspnea), and more.

3188 Bellevue Avenue
Cincinnati, OH 45219

(513) 584-1000

Dr. Ryan L. Lafollette, MD is an emergency medicine doctor in Cincinnati, OH specializing in emergency medicine. He graduated from SUNY Upstate Medical University. Dr. Ryan L. Lafollette, MD is affiliated with UC Health, Mercy Health, University of Cincinnati College of Medicine, The Jewish Hospital - Mercy Health and UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC.

Office Locations

Address:

231 Albert Sabin Way
Cincinnati, OH 45267

Address:

234 Goodman Street
Cincinnati, OH 45219

Address:

3188 Bellevue Avenue
Cincinnati, OH 45219

Address:

7700 University Drive
West Chester, OH 45069

Some issues Dr. Ryan L. Lafollette, MD can help you with:

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

emergency care	418

**Gender**
Male	159
Female	255

**Ethnicity**
Non-Hispanic White	315
Black	87
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	124
From 75 to 84	80
85 and over	64
Less than 65	146

Hypertension	75
High Cholesterol	59
Stroke	10
Ischemic Heart Disease	49
Depression	46
Chronic Kidney Disease	48
Asthma	34
Osteoperosis	13
Atrial Fibrilation	17
Heart Failure	36
Chronic Obstructive Pulmonary Disease	29
Diabetes	38
Dementia	21
Cancer	15

emergency care	701

**Gender**
Male	313
Female	418

**Ethnicity**
Non-Hispanic White	573
Black	131
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	222
From 75 to 84	144
85 and over	128
Less than 65	237

Hypertension	75
High Cholesterol	57
Stroke	14
Ischemic Heart Disease	48
Depression	47
Chronic Kidney Disease	47
Asthma	17
Osteoperosis	11
Atrial Fibrilation	19
Heart Failure	35
Chronic Obstructive Pulmonary Disease	27
Diabetes	38
Dementia	25
Cancer	13

emergency care	536

**Gender**
Male	255
Female	315

**Ethnicity**
Non-Hispanic White	441
Black	99
Hispanic	0
Asian	0
Other	12
Native American	0

**Age**
From 65 to 74	173
From 75 to 84	156
85 and over	96
Less than 65	145

Hypertension	75
High Cholesterol	63
Stroke	13
Ischemic Heart Disease	47
Depression	44
Chronic Kidney Disease	50
Asthma	13
Osteoperosis	11
Atrial Fibrilation	18
Heart Failure	31
Chronic Obstructive Pulmonary Disease	24
Diabetes	37
Dementia	30
Cancer	12

emergency care	429

**Gender**
Male	216
Female	256

**Ethnicity**
Non-Hispanic White	356
Black	97
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	152
From 75 to 84	122
85 and over	84
Less than 65	114

Hypertension	75
High Cholesterol	69
Stroke	13
Ischemic Heart Disease	48
Depression	47
Chronic Kidney Disease	51
Asthma	13
Osteoperosis	13
Atrial Fibrilation	19
Heart Failure	37
Chronic Obstructive Pulmonary Disease	27
Diabetes	39
Dementia	25
Cancer	15

cardiac procedures	13
emergency care	370
ultrasound (sonogram)	13

**Gender**
Male	184
Female	215

**Ethnicity**
Non-Hispanic White	307
Black	63
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	129
From 75 to 84	99
85 and over	72
Less than 65	99

Hypertension	75
High Cholesterol	64
Stroke	17
Ischemic Heart Disease	49
Depression	53
Chronic Kidney Disease	53
Asthma	13
Osteoperosis	15
Atrial Fibrilation	18
Heart Failure	33
Chronic Obstructive Pulmonary Disease	26
Diabetes	41
Dementia	33
Cancer	14

cardiac procedures	43
emergency care	720
ultrasound (sonogram)	43

Average Medicare Procedure Volume From 2016 - 2021

Volume of procedures performed by Dr. Ryan L. Lafollette, MD for Medicare patients.

The highest averages for the top procedures that Dr. Ryan L. Lafollette, MD treated as an emergency medicine doctor in Cincinnati, OH were emergency care, ultrasound (sonogram) and cardiac procedures.

cardiac procedures	28
emergency care	529
ultrasound (sonogram)	28

Average Medicare Patient Data From 2016 - 2021

Information about Medicare patients treated by Dr. Ryan L. Lafollette, MD.

**Gender**
Male	112
Female	145

**Ethnicity**
Black / African American	47
Asian / Pacific Islander	0
Non-Hispanic White	199
Hispanic	0
Native American / Alaskan Native	0
Other	1

**Age**
75 to 84	60
85 and over	44
Less than 65	74
65 to 74	80

Average of Total of Conditions of Medicare patients treated by Dr. Ryan L. Lafollette, MD From 2016 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Ryan L. Lafollette, MD treated were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	37
High Cholesterol	31
Stroke	6
Ischemic Heart Disease	24
Depression	23
Chronic Kidney Disease	24
Asthma	9
Osteoporosis	6
Heart Failure	17
Chronic Obstructive Pulmonary Disease	13
Diabetes	19
Atrial Fibrillation	9
Dementia	13
Cancer	6

Education & Training

Dr. Ryan L. Lafollette, MD graduated from SUNY Upstate Medical University. He completed residency at University of Cincinnati Affiliated Hospitals. He is certified by the American Board of Emergency Medicine (Emergency Medicine) and has a state license in Ohio.

Medical School: SUNY Upstate Medical University

Residency: University of Cincinnati Affiliated Hospitals (2016)

Board Certification: American Board of Emergency Medicine (Emergency Medicine)

Licensed In: Ohio

Affiliations & Hospitals

Dr. Ryan L. Lafollette, MD is associated with these hospitals and organizations:

UC Health

Mercy Health

University of Cincinnati College of Medicine

The Jewish Hospital - Mercy Health

UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC

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Biography

Dr. Ryan Lafollette, who practices in Cincinnati, OH and West Chester, OH, is a medical specialist in emergency medicine. For his residency, Dr. Lafollette trained at a hospital affiliated with the University of Cincinnati. He is affiliated with The Jewish Hospital - Mercy Health, the University of Cincinnati Health, and the University of Cincinnati College of Medicine.