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, December 21, 2015

Doctors beat calculators when predicting stroke recovery

No clue how believable this is because no references are supplied. I wouldn't trust doctors or calculators because both are based on subjective inputs. Only when we start using objective inputs like 3d size and location will we be able to predict anything useful. And that will need to wait until after the neuronal cascade of death has killed off more neurons in the first week.
http://news.yale.edu/2015/12/17/doctors-beat-calculators-when-predicting-stroke-recovery
In the past 15 years, clinicians have developed scientific “calculators” to predict long-term outcomes for patients with bleeding strokes. This information is used by families and doctors to make life-and-death decisions about whether to continue life support or undertake aggressive treatment.
A new Yale-led study, however, identifies a better tool to predict outcomes for patients suffering from life-threatening brain hemorrhages — a clinician’s own judgment.
“Doctors and nurses should trust their own judgment in these life-or-death situations and not rely on prognostic scales by themselves,’’ said David Y. Hwang, assistant professor of neurology at Yale School of Medicine and lead author of a study appearing Dec. 16 in the journal Neurology.
Hwang and colleague Kevin N. Sheth, associate professor of neurology and neurosurgery and senior author of the study, led a national team that enrolled 121 patients who had suffered intracerebral hemorrhages (ICH) at five different hospitals. For each patient, a doctor and a nurse actually taking care of the patient were each asked what level of function the patient would have at three months. The three-month prognosis for each patient was also predicted using two common prognostic scales, which estimate a patient’s likely outcome using clinical data such as patient age, ICH location, and ICH size.
The researchers found that the estimated patient prognoses by doctors and nurses tended to be more accurate than those generated by the outcome “calculators.” This was true even though all the doctors and nurses who were surveyed in the study were asked about patient prognosis within only one day of patient arrival in the hospital.
“For these types of bleeding stroke, early subjective predictions of recovery are still better than our best available scientific prediction tools,” Hwang said.
This study was funded by the American Heart Association and National Institute of Neurological Disorders and Stroke.


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