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.

Monday, May 27, 2013

An Updated Definition of Stroke for the 21st Century

Great, our medical team doesn't even have a definition of stroke. How the hell do we expect them to solve all the problems in stroke rehab, prevention, research?
Written about in 1999;
Stroke is the wrong term to use
The term ‘stroke’ is obscurantist, reductionist, and redundant. It has connotations that are unhelpful to both the general public and the medical profession. Better terms exist that either do not pretend to be a diagnosis (eg, ‘brain attack’), or that have some pathophysiological significance. ‘Stroke’ should be consigned to the dustbin of medical usage.

And 13 years later we might get some definition. We are working with sloths but that would denigrate sloths.
http://stroke.ahajournals.org/content/early/2013/05/07/STR.0b013e318296aeca

Abstract

Despite the global impact and advances in understanding the pathophysiology of cerebrovascular diseases, the term “stroke” is not consistently defined in clinical practice, in clinical research, or in assessments of the public health. The classic definition is mainly clinical and does not account for advances in science and technology. The Stroke Council of the American Heart Association/American Stroke Association convened a writing group to develop an expert consensus document for an updated definition of stroke for the 21st century. Central nervous system infarction is defined as brain, spinal cord, or retinal cell death attributable to ischemia, based on neuropathological, neuroimaging, and/or clinical evidence of permanent injury. Central nervous system infarction occurs over a clinical spectrum: Ischemic stroke specifically refers to central nervous system infarction accompanied by overt symptoms, while silent infarction by definition causes no known symptoms. Stroke also broadly includes intracerebral hemorrhage and subarachnoid hemorrhage. The updated definition of stroke incorporates clinical and tissue criteria and can be incorporated into practice, research, and assessments of the public health.

5 comments:

  1. This is so typical, isn't it, Dean? Mine was an aneurism, not to be confused with a hemorrhage. Yet in the article you quote, aneurism isn't even mentioned.

    BTW, thanks for visiting my blog.

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    1. An aneurysm is an abnormal widening or ballooning of a portion of an artery due to weakness in the wall of the blood vessel. A hemorrhage might be when one of these explode.

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    2. Exactly. The blood clot was these in the left side of my brain. It did not burst. Through blood thinners, the medical staff took care of it. Unfortunately, this wasn't done until 19 hours after I had the aneurism (can be spelled with a 'y' or an 'i'). If I had received treatment sooner, chances are that I would have had full recovery or just minor weakness.

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  2. that would denigrate sloths.
    That made me laugh.

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    Replies
    1. If I can't make someone laugh or scream in anger each day, I haven't succeeded

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