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, September 21, 2015

"Evidence-Based Medicine" Compared with Prussian "Enlightened Absolutism" in Journal of American Physicians and Surgeons


If there is any EBM for anything in stroke it is completely hidden from the public so we as survivors can't criticize the lack of protocols. EBM is precisely what our fucking failures of stroke associations should be doing but don't because press releases are obviously more important than solving all of the problems in stroke. I'm sure our stroke medical professionals will use this reasoning to not do anything in stroke because; 'All strokes are different, all stroke recoveries are different.'
If you ever hear this statement, scream bloody hell because that person has not been using their brain correctly when thinking about stroke.
Of course the main problem with EBM for stroke right now is that there is none so with nothing to follow it seems that stroke survivors have no need to be treated at all.
Wouldn't only 10% full recovery be considered malpractice on its face or 12% full tPA efficacy?
What the hell is it going to take for the stroke world to face up to their failures? Charging $1,000 for every neuron lost? That would be 1.9 billion a minute. That might focus the mind on getting tPA delivered in the ambulance with an objective diagnosis(no neurologist needed).

http://www.prnewswire.com/news-releases/evidence-based-medicine-compared-with-prussian-enlightened-absolutism-in-journal-of-american-physicians-and-surgeons-300142263.html
 "Evidence-based medicine" has been elevated to the status of an obligatory "gold standard" of medical care. Physicians who deviate from the EBM "standard of care" are likely to be marginalized and face malpractice liability or even the ruin of their careers. In the fall issue of the Journal of American Physicians and Surgeons, Hermann W. Børg, M.D., draws some historic parallels to medicine in Prussia at the time of the Enlightenment.
"There are striking similarities between the culture of the early Enlightenment and today's post-modern digital revolution," he writes. There was rapid change, with empowerment of new groups, as knowledge became more widely available. This threatened the existing power structure. Outright suppression by force backfired. So the political aristocracy outwardly seemed to embrace the new ideas while covertly sabotaging and subverting them.
The Prussian model shows most clearly the effects of injecting political power into medical practice, Børg explains. The Prussian system conferred the title Geheim Rath (secret or confidential counsel) on persons of recognized professional achievement, who had great influence both inside and outside academia.
"The main stated objectives were to improve the quality, effectiveness, and affordability of medical care throughout the kingdom," Børg writes—just like today. "This was supposed to be done by elimination of 'nonscientific' treatment methods through leveraging the expertise of accomplished physicians."
The guiding principle of EBM is also the old Prussian principle of "one elegant formula can solve all the problems," Børg states. Enlightenment theorists could not understand why medicine did not achieve spectacular advances like those in industry and agriculture. "Perhaps the idea that treating patients cannot be compared to making machines or farming did not occur to them," he suggests.
Instead of improving medical care, the Geheim Rath system caused chaos, fostered corruption and exploitation of young physicians, and promptly became fossilized and interfered with any innovations, especially those contradicting government dogma, he states.
Despite its claims to be totally "objective," EBM generates guidelines through consensus of chosen experts, each of whom has subjective biases. But consensus is the basis of politics, not science, Børg points out.
The two outwardly different schemes have many common denominators, he notes. In both the Geheim Rath system and EBM, the decision-making process is being out-sourced. It is removed from the individual patient-physician interaction.
The results for medicine are likely to be similar, he concludes.
The Journal of American Physicians and Surgeons is published by the Association of American Physicians and Surgeons (AAPS), a national organization representing physicians in all specialties since 1943.

SOURCE Association of American Physicians and Surgeons (AAPS)

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