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, February 23, 2015

VIDEO: "Too good to treat" stroke patients may benefit from tPA

This is f*cking appalling. Because the stroke medical world has put all their eggs in one basket - tPA, these people are totally screwed. Maybe if your doctor would look at   these 31 hyperacute possibilities I'm going to insist my doctor give me the first week. 
Or these 177 hyperacute therapies that need more research.
Damn it all, have your doctor do something useful, solve some of the problems in stroke.
Does this contradict this earlier research?

Outcomes mostly favorable for ‘too good to treat’ stroke patients



http://www.healio.com/cardiology/stroke/news/online/%7B87954125-bb0e-4c90-920d-f0faa8ad2c76%7D/video-too-good-to-treat-stroke-patients-may-benefit-from-tpa 
 Khwaja Siddiqui, MD, clinical research fellow in the department of neurology at the Massachusetts General Hospital Institute for Heart, Vascular and Stroke Care, outlines his study on predictors of poor outcomes among patients with stroke considered "too good to treat."
Patients with stroke who present within the window for treatment with IV tPA but have mild or rapidly improving symptoms are not usually treated, Siddiqui said at the International Stroke Conference. However, prior research has indicated that patients who do not receive treatment at presentation for this reason experience poor outcomes.
In this trial, researchers evaluated 238 patients with evaluable baseline and infarct characteristics who did not receive treatment on presentation due to mild or improving symptoms. A good outcome was defined as discharge home from the hospital, while negative outcomes included discharge elsewhere or death. Multivariate analysis indicated that advanced age, Hispanic ethnicity, bihemispheric infarcts and higher score on the NIH Stroke Scale were independent predictors of poor outcomes without treatment.
Siddiqui said this study provides a basis for recognizing patients with stroke who present with symptoms that would normally be considered "too good to treat," but may benefit from TPA.

1 comment:

  1. Sounds like similar to my case. I was admitted to the hospital in 1 hour with nondefinite symptoms that werent consistent and scans showed nothing, they missed the dissection of the carotid artery. so I stayed overnight for observation, then woke up with a true ischemic stroke that was visible on the scans. It was too late for tPA. all they could do was give me a light bloodthinner plavix and hope the clot would disappear. I have had pretty bad luck with my recovery too because the stroke happened at an important place( cut alot of the corticospinal tract), if only I got blood thinners the first day, id probably be up and running and healthy in a week I believe

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