What I wish doctors and researchers would acknowledge is that tPA doesn't work very well. I saw a 32% efficacy in the 3 hour period and 16% efficacy in the 3-4.5 hour period. And besides it doesn't stop the cascade of neuronal death from glutamate poisoning, excitotoxicity and the closed capillaries due to pericytes. My doctor told me I didn't get the fast recovery, I would have to hold out for the slow rehab recovery, and I got it within 90 minutes. In general there is little that can't be massively improved in stroke research and rehabilitation. But first you have to admit that there are problems and try to solve them rather than sticking your head in the sand and saying the solution is to blame the public for not eating and exercising correctly, thus the public is not preventing their own stroke. Someday I'll rant about this in Deans' Stroke Manifesto.
I had to be informed several times during bowling on Friday that I needed to be quiet and bowl. (143,158,105)
Use the labels in the right column to find what you want. Or you can go thru them one by one, there are only 29,294 posts. Searching is done in the search box in upper left corner. I blog on anything to do with stroke. DO NOT DO ANYTHING SUGGESTED HERE AS I AM NOT MEDICALLY TRAINED, YOUR DOCTOR IS, LISTEN TO THEM. BUT I BET THEY DON'T KNOW HOW TO GET YOU 100% RECOVERED. I DON'T EITHER BUT HAVE PLENTY OF QUESTIONS FOR YOUR DOCTOR TO ANSWER.
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.
As vital as prevention is, shifting the blame for life style onto the survivor is not the answer.
ReplyDeleteContinuing research needs to be diversified but continuing cooperation and communication between researcher teams is a vital component in improving outcomes for survivors.
Love your friends telling you-- more bowling less talking. It sounds like you had fun.
Best in the New Year Dean!