Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, April 10, 2011

A faster, better, cheaper clinical trial

Getting this done could mean that practices at hospitals could produce clinical trials and we would have the start of case studies.
Read this book to help you design experiments;
The design of experiments in neuroscience by Mary Harrington
http://scopeblog.stanford.edu/archives/2011/04/a-faster-better.html
It's still early days for electronic medical record systems, but a study published in Clinical Trials today shows how the VA Boston Healthcare System is using them to zero in on what treatments work best and get them to patients quicker. It's a really smart, less costly way to do clinical trials - it guides doctors to switch to the best treatment even before the trial is completed.
Stanford biostatistician Philip Lavori, PhD, the study's senior author, explains in an Inside Stanford Medicine article I co-wrote with Kris Newby:
Our idea is that if systems of care like the VA can integrate implementation of research results directly into care, we will keep the decision-making where it belongs. It brings medical decision-making back down to expert physicians and their patients, and out of the political realm.
The catch is this kind of trial is feasible only when a large group of physicians are all using a common electronic medical record system. Lavori told me that only two institutions are in a position to do this kind of study today: the VA and Kaiser.

We somehow have to change medical research so we can produce it faster. We could follow The Knife Man; http://oc1dean.blogspot.com/2011/03/surgery-transformation-into-scientific.html

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