Deans' stroke musings: Whats wrong with stroke rehab? treatment? diagnosis?

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.

Saturday, February 8, 2014

Whats wrong with stroke rehab? treatment? diagnosis?

Let me list the ways. I see absolutely nothing right about stroke.
This is why I think the whole stroke medical world needs to be destroyed and start over. Everyone is just tinkering at the edges and doesn't realize the complete failure of the whole system. I've addressed each one of these points multiple times. Damn am I arrogant.
1. ER diagnosis - Too machine and neurologist intensive, small hospitals can't easily diagnose stroke.
2. tPA - only 12% efficacy, until this is acknowledged as a failure will we get something better.
3. stroke protocols for rehab - there seems to be none.
4. 'All strokes are different, all stroke recoveries are different' - God, the stupidity of this causes everyone to throw up their hands and basically say I can't help you because your stroke is unique. No, its not.
5. Damage diagnosis - There is none, without this your doctor can't compare what worked in rehab from one patient to the next.
6. Cause of death - Stroke should never be listed as cause of death, Brain damage is the cause and until that damage is described in detail will we be able to correlate damaged areas to the possibility of recovery.
7. Research is uncoordinated - The major associations, ASA, NSA, WSO seem not to be doing anything about a strategic 5, 10,15,25 year plan to address all these problems.
8. Nothing is being done to stop the neuronal cascade of death. This is the single point that would alleviate a lot of dead/damaged neurons and make rehab much more likely to succeed.