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.

Tuesday, September 29, 2015

Best of Stroke Forum - Determining Candidacy: Applying Inclusion and Exclusion Criteria for IV Thrombolysis

This is certainly not a very good CME. Not one word on the appalling full tPA efficacy rate of 12% or the fact that this doesn't address the neuronal cascade of death at all. No wonder stroke survivors are screwed. Even supposedly the best doctors don't even talk about any of the problems in stroke. Naked emperor and all.
http://opencme.org/sites/opencme.org/medical/180200178/index.php?
When you see the exclusion criteria on slide 6 you realize you practically have to be the perfect candidate to get tPA. Survivors are almost never perfect candidates, if they were they likely wouldn't be having a stroke in the first place. With that mindset it is obvious why we haven't found a better replacement for tPA.  This just continues to prove that the current stroke medical leadership should have no say in how a stroke strategy is created and followed.
Slide 21 discusses door-to-needle time and never mentions delivering it prior to the door or any way to achieve that. No focus on a BHAG (Big Hairy Audacious Goal).
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