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.

Friday, December 4, 2015

Understanding the doublings - applied to stroke

Stroke patient satisfaction is going to be very very hard to accomplish. This Seth  Godin post explains why, stroke rehab hasn't even reached the starting point of pleasing 90% of your customers.  The goal has to be 100% recovery, not this crap of compensating for everything.

Understanding the doublings 

If you seek to please 90% of your potential customers, all you need to do is the usual thing.
To please half the remaining potential market, you're going to need to work at least twice as hard.
And to please the next half, twice as hard again. It's Zeno's paradox, an endless road to getting to the end.
So, a letter with a stamp gets you on time deliverability 90% of the time.
Priority mail gets you the next 5%, and if you want to be sure of reaching just about everyone in a trackable, reliable way, you're going to have to step up and pay for a courier service. (And note the expensive part... you often don't know which people need to be couriered, so you have to pay to do it for everyone).
The rules apply to more than fulfillment. They apply to bedside manner, to customer service, to effort and originality in the kitchen as well.
Cheap food, quickly served, will please 90% of the audience. You'll have to invest in quality, preparation and service to get the next half, and then double it again for the half after that... etc.
Health care works the same way. 90% of the patients will respond to a treatment, but the next 5% will cost twice as much, and on and on...
The very end of the curve, the .5%, might be unpleasable, uncurable, unreachable without insane effort. Which is why organizations that please everyone are so extraordinarily rare.
One approach, which some organizations use, is to redefine your usual systems so you are able to please most people without your team going through a Herculean sprint every day, and then (this is a key element as well), eagerly and regularly apologizing and giving refunds to the one in 150 where it just can't be done. Hell, our stroke professionals would have to apologize 90% of the time. You can't refund your loss of functionality. Money means nothing.
Perfect is nice, but you can't afford it. None of us can.

 

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