Medical Services Barnes-Jewish St. Peters Hospital

Neurology and Stroke

Warning Signs of a Stroke Can Include the Sudden Onset of:

  • Numbness or weakness of the face, arm or leg; especially on one side of the body
  • Confusion
  • Difficulty speaking or understanding
  • Trouble seeing in one or both eyes
  • Problems with walking
  • Dizziness, loss of balance and coordination
  • Severe headache with no known cause  

Every Second Counts

The longer someone goes without treatment for a stroke, the more damage and permanent disability that can occur to the brain.

To be most effective, tPA (tissue plasminogen activator), the only FDA approved clot-busting drug, must be administered to the patient to break up the blood clot in the brain as soon as possible, preferably within the first three hours of symptoms.

Call 911 immediately if you think you are having a stroke.

What is a Stroke?

There are different causes of stokes, but what matters is that the warning signs of a stroke are recognized and immediate action is taken. 

A stroke can occur if a blood clot blocks an artery -- a blood vessel that delivers blood from the heart to the body, including the brain. 

A stroke can also occur if a blood vessel ruptures, causing bleeding into the surrounding brain tissue and decreasing the flow of blood to other parts of the brain. 

With either event, the brain no longer receives an adequate amount of blood and brain cells suffer, causing eventual brain damage.

Bodily functions such as speech, movement and memory can also be affected. Depending on the amount of time it takes to treat the stroke, the amount of damage can vary. 

It is critical to call 911 if you think you are experiencing a stroke, because the treatment can actually begin while you are in the ambulance. Emergency response teams begin vital tests and communication with health care experts before you reach the hospital. The Stroke Network enables Barnes-Jewish St. Peters Hospital to provide cutting-edge stroke care to you in your time of need. Every second counts.

Stroke Network Provides High-Quality, Coordinated Care 

Barnes-Jewish St. Peters Hospital and Progress West HealthCare Center have partnered with the world class stroke team at Barnes-Jewish Hospital and Washington University School of Medicine. This health care alliance speeds the process of assessing a patient’s condition, and if that patient is having a stroke, treating them as soon as possible.

Barnes-Jewish St. Peters Hospital provides stroke care and is ready for anyone that comes to our emergency department with stroke symptoms. The hospital stroke team is currently working to achieve Joint Commission Primary Stroke Center certification and MO Level II designation. 

Progress West HealthCare Center, in partnership with the stroke experts at Barnes-Jewish Hospital and Washington University School of Medicine, has a state-of-the-art Telemedicine Robot located in the Emergency Department that brings the network stroke expert directly to the patient’s bedside 24/7. The hospital stroke team is currently working to achieve Joint Commission Primary Stroke Center certification and MO Level III designation. 

Because of the critical time element related to stroke care, Barnes-Jewish St. Peters Hospital and the entire stroke network are providing more urgent, quality stroke treatment than ever before.

Stroke Network Team 

F. Duane Turpin, DO, Neurology/Neurophysiology
Medical Director, Stroke Program
Barnes-Jewish St. Peters Hospital

“We are very excited to offer a stroke care program that improves the level of care for stroke patients, a program that the St Charles community deserves and should expect. Every effort is applied to ensure that patients are properly treated and cared for with the utmost respect and professionalism. Ample resources and support are available from our partners throughout the Barnes-Jewish Hospital Stroke Network.”


Linda Canoy, RN
Stroke Network Coordinator
Barnes-Jewish St. Peters Hospital and Progress West HealthCare Center

With more than 15 years of critical-care experience, Linda Canoy, RN, is well-suited for the role of Stroke Network Coordinator. She established pre-arrival procedures with EMS staff to help them recognize stroke symptoms in patients in transit. This early stroke detection allows more time for treatment when the patient arrives in the Emergency Department. Canoy documents the data and coordinates the procedures needed for Barnes-Jewish St. Peters Hospital to qualify as a Level II Primary Stroke Center and Progress West HealthCare Center to qualify as a Level III.


Jane Puszkar, RN, BSN
Stroke Network Consultant, Neuroscience Center
Barnes-Jewish Hospital 

“Through the Barnes-Jewish Hospital Stroke Network, patients suspected of having a stroke will have access to the latest research and innovative treatment protocols currently being used by the neurologists and neurosurgeons at Barnes-Jewish Hospital. These protocols are continually evaluated and updated as both science and medicine evolve. This continual evaluation will ensure that our patients at Barnes-Jewish St. Peters Hospital receive the highest level of evidence-based treatment. We are truly excited to be able to assist in the treatment of these patients.”

After undergoing on-site evaluations and demonstrating compliance with nationally developed standards for stroke care, Barnes-Jewish St. Peters and its sister hospital in O’Fallon, Progress West Hospital, have earned The Joint Commission’s Gold Seal of Approval™ for certification as Primary Stroke Centers. 

“In stroke care, time is brain,” says Linda Canoy, stroke network coordinator, Barnes-Jewish St. Peters Hospital and Progress West Hospital. “By achieving certification as Primary Stroke Centers, both Barnes-Jewish St. Peters and Progress West have proven their ability to provide effective, timely care that can significantly improve outcomes for stroke patients. We’re proud to achieve this distinction, and we are pleased to have The Joint Commission recognize our commitment to providing the best possible care to our patients and our community.” 

The Joint Commission’s Primary Stroke Center Certification is based on the recommendations for primary stroke centers published by the Brain Attack Coalition and the American Stroke Association’s statements and guidelines for stroke care.

Find A Doctor or Make An Appointment: 636.928.WELL
General Information: 636.916.9000