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, September 30, 2012

Why your stroke doctor should be paid based on your outcome

Double rant rating here:

This is one of the keys to getting better stroke rehab. Our doctors have no incentive to find better ways of doing rehab. And I know this is going to be controversial. So if you have a response that doesn't just attack me for sticking my opinion into medical matters, I will print it.

Lets put it baldly out there: Stroke rehab is a failure, look at the statistics, 10% full recovery is godawful.
http://oc1dean.blogspot.com/2011/05/stroke-recovery-statistics.html
http://oc1dean.blogspot.com/2012/05/5-things-physicians-can-learn-from.html

1. I think maybe doctors and teachers might be the only professions left that are not compensated based on results, you write up objectives and at the end of the year justify your rating based on how close you came.
2. If we have results-based therapy;
     A. We'll get a specific damage diagnosis because a baseline would be             needed to prove improvent.
B.   We'll get doctors asking their stroke associations to provide them with concrete proven therapy protocols.
   C. We'll get translation from clinical research to therapy much faster.
   D. Stroke patients will actually have a say in the way stroke rehab is provided thru their doctors.
   E. Stroke survivors could look up with a factual basis those that provide the best recovery possibilities. None of this crap, 'We're certified by the Joint Commission' (A great place to hide behind).
   F We'll get faster and much better hyperacute therapies that stop the neuronal cascade of death because stopping neuronal death is much easier than therapy after the fact.
G. Followup will occur rather than being released to home after 2-3 months.
H. We'll actually get written stroke protocols.

Have at it, I want to see some well-reasoned arguments against this or your own proposal that would accomplish the same thing. Prevention will not be accepted as a viable answer. Copying the crap from the WSO does not count.

Only one rant off because this rant needs to be left open.

A doctor blogging disagreeing about pay for performance, I disagree.