Deans' stroke musings: Local stroke service would be inundated

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, June 16, 2013

Local stroke service would be inundated

I know this is in New Zealand but its symptomatic of the lack of forward thinking in all areas of stroke. You wouldn't need so damn much rehabilitation if you would stop the neuronal cascade of death. Less dead and dying neurons would result is much less need for rehabilitation. People are solving the problem using the existing tools when a complete new approach is needed. Why yes, I think I can solve stroke problems all over the world. And I am arrogant.
http://www.stuff.co.nz/manawatu-standard/news/8796282/Local-stroke-service-would-be-inundated
A dedicated community stroke rehabilitation service could be on the cards for the Manawatu region.

Early discussions have taken place at MidCentral Health following acute stroke patients being held up by a lack of outpatient services.
Early discussions have taken place at MidCentral Health focused around early supported discharge.
It follows acute stroke patients being held up by a lack of outpatient services.

MidCentral District Health Board says it wants to expand stroke services but is only funded for an acute service.

Corey Swensson, of Palmerston North, will go to Auckland for rehabilitation next month.

He had two strokes last year. A section of his skull was removed to let swelling in the brain go down - it was then replaced, but had to be removed a second time. He will soon be fitted with a titanium plate.

Mr Swensson's wife Rochelle said the demand for stroke rehabilitation in Manawatu was massive yet no services fitted the bill.

"I said to Corey just the other day, you imagine if someone set up a rehab unit in Palmerston North specifically for head injury and stroke and how inundated they would be, there is just nothing here," she said. "The closest thing there is, and it's an outpatient clinic, is in Whanganui. So they can go in and out but they can't stay . . . and get constant help."

Mrs Swensson said Corey's case illustrated the lacklustre stroke services in Palmerston North.

"A community rehab centre would change things hugely. Corey was at the Stewart Centre in December last year and they had no physiotherapy, no occupational therapist, no speech therapist and no gym facilities as such," she said. "His new programme is insane, he has 10 gym sessions a week, four physio, one speech and rehab in the morning, noon and at dinner - mind you, it is being paid for."

The acute lead physician at MidCentral Health has offered to assist with rehabilitation follow-ups and establishing a community-based rehabilitation team.