Neurology

Stroke and Young Adults (SAYA) Program

Most people do not realize that stroke can strike at any age: when we are at the top of our careers, when we are beginning to raise a family, when we are still in school, when we are children, or even at the moment we are born or still in the womb. The Stroke and Young Adults (SAYA) Program is built to help identify causes of your stroke, optimize prevention of future strokes, estimate your risk for recurrent stroke and late complications of stroke, and provide counseling on stroke survivorship. Learn more about the causes and symptoms of stroke.

Most strokes do not result in our deaths. Most of us will recover. However, many of us will be left with some disability or persistent symptoms. Typical current models for treating and guiding individuals after their strokes often do not account for long-term survival: many stroke survivors live with the specter of stroke for the rest of their lives. However, you do not have to live in fear. You do not have to downscale your ambitions and dreams. Together, we will aim to help you live a full life: happy, strong, and more than just a victim of stroke. 

With the help of experts in specialties across Tufts Medical Center, Vascular Neurologist Lester Y. Leung, MD has built a comprehensive, longitudinal care program to help young adult and pediatric stroke survivors navigate their lives after stroke.  

The SAYA Program at Tufts Medical Center in Boston, MA is constantly growing and seeking to help more stroke survivors. Please contact us at 617-636-5848 if you are a stroke survivor or know one who might benefit from our program. You are a stroke survivor, and you are not alone.

Long-term, comprehensive care after stroke

Many young adults with stroke are diagnosed with cryptogenic stroke, a stroke resulting from an unknown cause that deprives part of the brain of oxygen and nutrients, resulting in permanent damage. The Stroke and Young Adults Program aims to identify this cause with advanced testing tailored to individual patients: your symptoms, your story, your health. If the cause of your stroke can be identified, we are committed to finding it. 

While many people who have had a stroke are left with persistent symptoms or neurologic deficits, young adults with stroke have to manage these issues over decades of life. At the SAYA Program, we are committed to helping you navigate your life after stroke for as long as we can help. We will work with you to: 

  • Minimize your risk of future strokes (resulting from the same cause as the first stroke or other causes that might develop over time)
  • Manage persistent symptoms (language problems, weakness, spasticity, neuropathic pain, headache, lethargy, etc.)
  • Provide surveillance and treatment for late complications (epilepsy, depression, cognitive impairment, adverse effects to treatments, etc.)

We will work closely with your primary care physician and other specialists to coordinate your care in a holistic manner.

Tufts Medical Center specializes in providing survivorship services to adults who have suffered stroke earlier in life. Our survivorship program recognizes that there is no “one-size-fits-all” approach to recovery. As best as we can, we will help you try to return to your old life, or we will help you adapt and find enjoyment in your new life. 

Young adult stroke survivors are often susceptible to medical complications including:  

Young adults are also susceptible to non-medical complications including:

  • Difficulty returning to work
  • Strain on relationships
  • Problems with intimacy and sexual relations
  • Difficulty with returning to driving
  • Social isolation 

However, these risks are not the same for each individual, and these risks can change with time, treatment, and lifestyle changes. We want to help you understand and estimate your health risks, develop and implement strategies for minimizing those risks, and not be afraid to live your life well.

Besides guiding you in the clinic, we also have periodic events hosted by the SAYA Social Support Group, a group of young adult stroke survivors in our program. The events are generally social and/or educational events that help you:

  • Break the tendency to isolate oneself after stroke
  • Learn from the experiences of other stroke survivors
  • Form friendships with other stroke survivors
  • Learn about lifestyle changes you can make to improve your health from our stroke specialists and therapists
  • And have some fun!

On prior occasions we have organized events including:

  • Painting classes
  • Candlepin bowling
  • Mini-golf
  • Gathering for coffee and pastries at a bakery

David E. Thaler, MD, PhD, FAHA
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David E. Thaler, MD, PhD, FAHA

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Accepting New Patients

Virtual Appointments Available

Title(s): Neurologist-in-Chief, Department of Neurology, Tufts Medical Center; Chair and Professor, Department of Neurology, Tufts University School of Medicine
Department(s): Neurology
Appt. Phone: 617-636-4948
Fax #: 617-636-8199

Stroke

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Zachary W. Bohart, MD
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Zachary W. Bohart, MD

Accepting New Patients

Title(s): Adult Physiatrist; Assistant Professor, Tufts University School of Medicine
Department(s): Physical Medicine and Rehabilitation
Appt. Phone: 617-636-5631
Fax #: 617-636-2551

Spasticity and tone management including stroke, multiple sclerosis, spinal cord injury, traumatic brain injury

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Bryan K. Ho, MD
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Bryan K. Ho, MD

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Accepting New Patients

Virtual Appointments Available

Title(s): Director, Movement Disorders Program; Director, Medical Student Education; Neurologist; Assistant Professor, Tufts University School of Medicine
Department(s): Neurology
Appt. Phone: 617-636-4948
Fax #: 617-636-8199

Movement disorders

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Thomas Laudate, PhD

Thomas Laudate, PhD

Virtual Appointments Available

Title(s): Clinical Neuropsychologist; Assistant Professor, Tufts University School of Medicine
Department(s): Neurology, Neuropsychology
Appt. Phone: 617-636-5423
Fax #: 617-636-8199

Cognitive assessment of memory problems, dementia (major neurocognitive disorder), mild cognitive impairment, epilepsy, brain tumor, neurobehavioral disorders, traumatic brain injury, and other acute, acquired, and degenerative conditions

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Lester Y. Leung, MD, MSc
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Lester Y. Leung, MD, MSc

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Accepting New Patients

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Title(s): Director, Comprehensive Stroke Center; Director, Stroke and Young Adults (SAYA) Program; Associate Professor, Tufts University School of Medicine
Department(s): Neurology, Comprehensive Stroke Center, Stroke and Cerebrovascular Diseases Clinic, Stroke and Young Adults (SAYA) Program
Appt. Phone: 617-636-4948
Fax #: 617-636-8199

Stroke (ischemic, transient ischemic attack, intracerebral hemorrhage, subarachnoid hemorrhage), stroke in young adults, stroke in pregnancy, cerebral venous sinus thrombosis (CVST), carotid dissection, vertebral dissection, reversible cerebral vasoconstriction syndrome (RCVS), fibromuscular dysplasia (FMD), carotid web, Moya Moya disease, central nervous system vasculitis, cerebral cavernoma, patent foramen ovale-associated strokes, silent strokes, stroke survivorship, stroke rehabilitation

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Emiliya Melkumova, MD
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Emiliya Melkumova, MD

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Accepting New Patients

Virtual Appointments Available

Title(s): Director, Stroke Consult Services; Associate Director of Neurology Residency; Assistant Professor of Neurology, Tufts University School of Medicine
Department(s): Neurology
Appt. Phone: 617-636-5848
Fax #: 617-636-8199

Stroke

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Katelyn Skeels, MSN, FNP-C

Katelyn Skeels, MSN, FNP-C

Virtual Appointments Available

Title(s): Stroke Advanced Practice Nurse
Department(s): Neurology, Comprehensive Stroke Center
Appt. Phone: 617-636-5848
Fax #:

stroke

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Lester Leung, MD, Director, Comprehensive Stroke Center; Director, Stroke and Young Adults (SAYA) Program

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