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, April 21, 2014

What Would Dean Do? - As head of a stroke hospital dept.

First, you have to know how bad your department is. Nothing here would require the stroke head to be a doctor.

Statistics will be kept on everything, 30 day deaths, 5 day deaths, tPA efficacy, time of tPA delivery., Correct and incorrect diagnosis in the ER of stroke vs. bad balance vs. bleeder and clot based.

This will all be compared to other hospitals and a strategic plan will be created for making each goal a perfect response(100% recovery, no 30day deaths, etc.) You may not know how to initially reach the goals but there will be no slacking off in my hospital. I expect an innovative idea from every person in the dept. on a monthly basis. This person will know every single stroke hospital and dept. head in the US. All local researchers will have office facilities and help with grants/equipment.

Actual size of each stroke dead area and penumbra area will be measured.
Stroke protocols will be created for each deficit AND each dead and damaged area.
An intern will be assigned to compile  new stroke research on a daily basis. That will be required reading and translation by all neurologists, PMR doctors, ER doctors and therapists into stroke protocols within a week.
All stroke deaths will be autopsied and dead and damaged areas compared to the initial measurements. Stroke will not be allowed as cause of death. Specific damage will be written up as to why that damage caused the death.
There will be no negativity around the patients - nocebo effect.

Man, am I arrogant.  But what is YOUR hospital doing to improve stroke rehab and recovery?  ANYTHING AT ALL? Ask for a public acknowledgement of the problems and the goals. Get With the Guidelines and Joint Commission certification are not anywhere close enough to improve stroke results. We can't wait that long. Many people will die unless YOU the public takes charge.

Let the flame wars begin, I look forward to medical apologists and their reasons for not being able to accomplish this.

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