### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My husband & I left Mass. Sunday to attend an Army reunion in Myrtle Beach.  He has diabetes and associated problems but has been fairly healthy.  I drove on Sunday. Monday (Sept 30) he drove all morning; after having lunch he had trouble standing up & his speech was slurred.  Another patron helped me get him into the car.  It was clear that something was happening; I called 911 and an ambulance met us near Rt. 95 S at Ashland, VA and took him to Mem. Regional Med Ctr in Mechanicsville, near Richmond.  He underwent many, many tests, including MRI.  The diagnosis was probable TIA, accompanied by diabetes & hypertension.  All tests were normal for a 79 yr old man.  We asked for him to be discharged as he seemed back to normal, and we left hosp. Tuesday evening at 5 pm, arriving in Myrtle Beach about 11 pm.  On Wed (yesterday) there was another incident, with trouble walking and slurred speech, yet he was able to carry on a normal conversation.  After sleeping 2-3 hours, he was doing well--we went out with our group for the evening.  He slept well all night.  This morning, 2 hours after awakening, he again couldnt stand up and couldnt sit in his chair without slumping off.  For about 1/2 hour he could not smile on the left side; he could touch his nose with rt hand but couldnt move his left hand.  When we tried to get him into a wheelchair, he slumped down to the floor; 3 men helped him into the chair and back to our room, where he has slept for the rest of the day (about 1 pm until 7 pm; I woke him at 5:15 and he was able to sit up and walk to the bathroom with my help, then back to bed, again with my help.  I had thought that after resting, he would bounce back enough to get up and join the group, like last night.  That is not happening.  Now my concern is, should I take him to a hospital here in Myrtle Beach (I would probably need to get an ambulance to do that), have his friends help me get him into our car and drive 5-6 hours back to the hospital where they saw him Mon-Tues, try to drive him all the way home to Mass., etc.  I really dont know what is in his best interest right now.Thank you.Jeanne Johnson

### output:

Hello, Your husband is having recurrent TIA, and it is almost like a completed stroke. It is a very dangerous situation and needs urgent hospitalization, treatment and investigations to find the exact cause. Treatment is done by antiplatelet therapy, statins,ACE inhibitors, anti coagulants etc. Carotid artery circulation has to be evaluated and if obstruction is found, then surgery may be done. MRI brain is required to look for any hemorrhage or infarction. Best of luckThanks