Deans' stroke musings

Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 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:

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's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:

Tuesday, August 30, 2016

How analytics may improve stroke patients' quality of healthcare

Your doctors fall out of the information channel when you are doing out-patient therapy because they know absolutely nothing about stroke rehab. As proven by the prescriptions they write, ET - Evaluate and Treat. The first problem your doctor has to solve is an objective diagnosis of your damage; dead areas and penumbra or bleed area.  This whole analysis is a joke, it has to be, no connection with reality.
Strokes are the second leading cause of death globally. Over 75% of patients survive a first stroke during the first year, and over half survive a first stroke beyond five years. Stroke survivors have a greater chance(Not Results!) of regaining lost function than ever before, especially if they are treated within the first six hours of the occurrence of a stroke. (Really! tPA only fully works 12% of the time)
After the initial effects of stroke are treated, the normal course of action is stroke victims are rehabilitated and attended to by physicians specializing in neurological disorders. Stroke victims return home after a rehabilitation period, where they continue on a regimen of medication and therapy.
SEE: Big Data Policy (Tech Pro Research)
Unfortunately, the information channels often break down once patients are back home. For instance, a patient might be connected to care providers and therapists whom they see at home, but the vital link between the patient and doctors is lost except for periodic visits. This disconnect can be result in a lack of effective continuous care and improvement results.
"The problem is that patients get their home visits from speech and language pathologists, but their doctors fall out of this ongoing process," said Veera Acanthi, co-founder and president of Constant Therapy, which provides neurological exercises and feedback systems delivered on mobile devices like iPads. "We enable continuous communications between patients and doctors with the help of mobile technology."
The goal with such technology is to forward the patient's analytics from their home to their doctors so the physicians can get in the loop quicker. If there is a need to alter therapy, doctors have the visibility to be able to respond immediately.
"Clinics are used to using paper-based tools like flashcards and workbooks to see how well patients' cognitive abilities are improving," said Acanthi. "They don't have objective measures of progress in place like, 'Did the patient have to be given a cue to get an answer? Or, did the patient have to try four or five times before he got an answer right? When we use digital tools like an iPad to perform the tests and to evaluate the results, the data can be transmitted immediately to the physician, who can then respond to the situation."
This is not a premier data analytics solution requiring large corporate investments into expensive data scientists and Hadoop databases; rather, it is the kind of ground level, common-sense analytics that are driven by very specific business cases and that can be highly effective in the right types of situations—like improving the long-term recovery and quality of life prospects for stroke patients and others with neurological disorders.
"With this digital, self-reporting technology, the missing communications dots between the doctors and their patients can be reconnected on a more continuous basis," said Acanthi. "Many doctors whom we've spoken with welcome this, because they can be in a position where they can continuously monitor how their patients are doing, and they can also make immediate moves to change treatment or care when they see a need(What the hell treatment would they possibly suggest? They know nothing.). Traditionally, continuous monitoring by physicians of patients in home settings, and the continuous application of therapy adjustments to patients once they were recovering at home, wasn't thought of. Now we have a more holistic approach to treatment that is available and that can tie into what studies already tell us: that persons with severe neurological impairment are more likely to benefit from more therapy—but to prescribe the right kind of therapy, you have to be able to see the need for it when that need first arises."

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