Deans' stroke musings: City needs stroke unit says health campaigner

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.

Friday, November 2, 2012

City needs stroke unit says health campaigner - Worcester

Under the current system of hyperacute interventions for stroke using tPA this very expensive and time-consuming process needs to be setup. This just points out the imperative need to completely change the way ischemic vs. hemorrhagic strokes are identified. Numerous ways are listed here.
So rather than trying to shoehorn the existing broken system into a very expensive shoe maybe we should rethink exactly what truly needs to be done. Try using your thinking caps sometime.

http://www.worcesternews.co.uk/news/10017943.City_needs_stroke_unit_says_health_campaigner/
A PATIENT leader says a hyper acute stroke service for Worcester is vital in the new-look NHS as a region-wide review of stroke services continues.
The NHS in the Midlands and East region, which includes Worcester, is reviewing care for those who suffer strokes or transient ischaemic attacks (TIAs) which are also called mini-strokes.
The review covers stroke care for adults from pre-hospital care through to rehabilitation/social care and end of life and aims to improve survival rates and reduce disability.
Hyper acute stroke services deal with emergency care within the first 72 hours of a stroke rather than later rehabilitation.
All stroke patients in Worcestershire are currently admitted to A&E and assessed for thrombolysis. If required, they are thrombolysed in A&E and then admitted to the acute stroke unit. If not required, they are admitted directly to the acute stroke unit. There were 718 confirmed stroke admissions in Worcestershire last year and 238 TIA admissions.

Hereford’s stroke services, which treats around 20 per cent of stroke patients from Powys, Wales, are also subject to the review.
Although no formal options have yet been announced, patient representative Brendan Young, of Powick, near Worcester, has been involved in discussions with health chiefs and has been pressing for hyper acute stroke services at the Worcestershire Royal Hospital, Worcester. “I made it clear that the centralised option for hyper acute stroke services at Worcestershire Royal Hospital was non-negotiable since we have gone through a rigorous, lengthy and sometimes painful process to arrive at that decision earlier this year,” said Mr Young.
“We could not have Worcester not having hyper acute stroke services. In an ideal world Hereford should have a hyper acute stroke service as well,” he said.

The Hereford and Worcester Cardiac and Stroke Network is in talks with local hospital leaders to identify what are the best options to move towards providing the best service possible for stroke patients, but this is still described as a work in progress.
The networks will submit their final recommended proposals to the external expert advisory group, an independent board of experts from a number of disciplines involved in stroke care including consultants, nurses and therapists, in January. Firm plans are scheduled to be submitted in March and by April members of the new NHS Commissioning Board will oversee the review through to its conclusion.