Don't be polite, the world was not changed by polite people. Bring your questions on hyperacute treatments(I have 160 posts on them if you need inspiration) and hypothermia and cascade of death. It should be easy to overwhelm him with questions. Questions open on May 20 so you can submit them ahead of time. Be prepared with your questions when you register. I think I once had to register under 2 email ids to get all the questions in.
http://www.clevelandclinic.org/health/chatreg/ChatPage.aspx?ChatId=1367
Treatment Options in Acute Ischemic Stroke
Monday, May 21, 2012 - 12 Noon (Eastern Time)
Each year, more
than half a million Americans suffer from strokes. A stroke, or “brain
attack,” occurs when the blood supply is cut off from part of the brain.
When this happens, the blood-deprived brain loses its supply of oxygen
and nutrients. When the brain is deprived of blood for even a few
minutes, it begins to die.
There are two types of stroke-ischemic and hemorrhagic. In ischemic strokes, brain arteries become blocked and prevent blood from nourishing the brain. In hemorrhagic strokes, brain arteries rupture from damage caused by high blood pressure and other risk factors or an aneurysm (an abnormal out pouching of a blood vessel) and cause blood to flood the brain, creating pressure that leads to brain-cell death.
There are many risk factors that increase the risk of stroke. Some factors can be controlled, while others cannot. Some of these factors include: high blood pressure, high cholesterol, heart disease, being overweight, heavy, drinking, smoking, diabetics and a family history of strokes.
Ways to reduce these risks include: not smoking, limiting alcohol intake, control your weight and blood pressure, finding out if you have an irregular heartbeat or a diseased carotid artery.
Immediate treatment of a stroke may limit or prevent brain damage. A thrombolytic agent or “clot buster” medication may be given within the first 4.5 hours of the onset stroke symptoms, and patients may also qualify for emergent endovascular therapy to try to open blocked blood vessels. It is critical to call 911 and get to the hospital quickly if you experience stroke symptoms. Show him all the untested possibilities
Take advantage of this chat to speak to a specialist about techniques, medications and treatment options after a stroke occurs from M. Shazam Hussain, M.D, who is involved in both medical and endovascular treatment of acute stroke patients.
The Cerebrovascular Center at Cleveland Clinic’s Neurological Institute integrates a multidisciplinary team of neurologists, neurosurgeons, neuroradiologists, neurointensivists and rehabilitation specialists who provide expert diagnosis and medical, endovascular and surgical management of all cerebrovascular conditions. Cleveland Clinic is a designated Primary Stroke Center.
A Primary Stroke Center is usually housed in a hospital where a group of medical professionals who specialize in stroke, work together to diagnose, treat, and provide early rehabilitation to stroke patients. The Joint Commission’s Certificate of Distinction for Primary Stroke Centers recognizes centers that make exceptional efforts to foster better outcomes for stroke care. The Cleveland Clinic Primary Stroke Center provides services that have critical elements to achieve long term success in improving outcomes. We provide quality care and effectively manage the unique and specialized needs of stroke patients.
M. Shazam Hussain, M.D, is the designated stroke center director and staff physician in the Cerebrovascular Center at Cleveland Clinic. He received his medical degree from University of Saskatchewan College of Medicine in Canada, and then went on to complete a residency and fellowship at University of Alberta Hospital Canada in neurology and vascular neurology. Dr. Hussain joined Cleveland Clinic for his final fellowship in endovascular surgical neuroradiology. His specialty interests include acute stroke therapy, cerebrovascular diseases and neuroimaging.
To make an appointment with Dr. Hussain or any other of the specialists in our Neurological Institute at Cleveland Clinic, please call 216.636.5860 or call toll-free at 866.588.2264. You can also visit us online at clevelandclinic.org/cerebrovascular.
There are two types of stroke-ischemic and hemorrhagic. In ischemic strokes, brain arteries become blocked and prevent blood from nourishing the brain. In hemorrhagic strokes, brain arteries rupture from damage caused by high blood pressure and other risk factors or an aneurysm (an abnormal out pouching of a blood vessel) and cause blood to flood the brain, creating pressure that leads to brain-cell death.
There are many risk factors that increase the risk of stroke. Some factors can be controlled, while others cannot. Some of these factors include: high blood pressure, high cholesterol, heart disease, being overweight, heavy, drinking, smoking, diabetics and a family history of strokes.
Ways to reduce these risks include: not smoking, limiting alcohol intake, control your weight and blood pressure, finding out if you have an irregular heartbeat or a diseased carotid artery.
Immediate treatment of a stroke may limit or prevent brain damage. A thrombolytic agent or “clot buster” medication may be given within the first 4.5 hours of the onset stroke symptoms, and patients may also qualify for emergent endovascular therapy to try to open blocked blood vessels. It is critical to call 911 and get to the hospital quickly if you experience stroke symptoms. Show him all the untested possibilities
- (What is the success rate of tPA? full recovery) Is Draculin available for use?
- Edaravone is used in Japan, why isn't it available here?
- Should anti-depressants be prescribed for all survivors to enhance rehabilitation?
- Should Tenecteplase be used in combination with tPA during ER treatment?
- There have been over 1000 treatments that worked in mice or rats that failed in humans, Why didn't we see more successes?
- Would it be possible to use magnetic nanoparticles to deliver tPA directly to the clot? Reducing the amount needed and the risk of bleeds.
- How long does the neuronal cascade of death continue in ischemic stroke?
- Should hypothermia become the standard treatment in the ambulance?
- Which body cooling device do you think has the best chance of becoming standard in the ambulance? core body cooler, drug cooler , brain helmet, nasal cooler , neck cooler?
- Is Enzogenol a possibility?
- What is the outlook for microrobots to travel in the bloodstream and remove clots?
Take advantage of this chat to speak to a specialist about techniques, medications and treatment options after a stroke occurs from M. Shazam Hussain, M.D, who is involved in both medical and endovascular treatment of acute stroke patients.
The Cerebrovascular Center at Cleveland Clinic’s Neurological Institute integrates a multidisciplinary team of neurologists, neurosurgeons, neuroradiologists, neurointensivists and rehabilitation specialists who provide expert diagnosis and medical, endovascular and surgical management of all cerebrovascular conditions. Cleveland Clinic is a designated Primary Stroke Center.
A Primary Stroke Center is usually housed in a hospital where a group of medical professionals who specialize in stroke, work together to diagnose, treat, and provide early rehabilitation to stroke patients. The Joint Commission’s Certificate of Distinction for Primary Stroke Centers recognizes centers that make exceptional efforts to foster better outcomes for stroke care. The Cleveland Clinic Primary Stroke Center provides services that have critical elements to achieve long term success in improving outcomes. We provide quality care and effectively manage the unique and specialized needs of stroke patients.
M. Shazam Hussain, M.D, is the designated stroke center director and staff physician in the Cerebrovascular Center at Cleveland Clinic. He received his medical degree from University of Saskatchewan College of Medicine in Canada, and then went on to complete a residency and fellowship at University of Alberta Hospital Canada in neurology and vascular neurology. Dr. Hussain joined Cleveland Clinic for his final fellowship in endovascular surgical neuroradiology. His specialty interests include acute stroke therapy, cerebrovascular diseases and neuroimaging.
To make an appointment with Dr. Hussain or any other of the specialists in our Neurological Institute at Cleveland Clinic, please call 216.636.5860 or call toll-free at 866.588.2264. You can also visit us online at clevelandclinic.org/cerebrovascular.
This Health Chat will open on
Sunday, May 20, 2012
to allow you to submit questions. We will try to answer as
many questions as possible during the chat. Please create an account to
attend the chat and submit your questions.
No comments:
Post a Comment