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:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Sunday, August 21, 2016

University Hospitals in Cleveland selected to participate in new national initiative to prevent heart attacks and strokes

I guess once again it is too fucking difficult to address all the problems in stroke or attack some of the BHAGs(Big Hairy Audacious Goals) 
We can't even identify the most common 30day death reasons and solve those cases.
No, I guess conscience laundering by doing press releases is all we can expect from our supposed stroke medical leaders. You are fucking screwed if you have a stroke and no one cares.
http://www.mdlinx.com/internal-medicine/top-medical-news/article/2016/08/19/4
University Hospitals in Cleveland, Ohio, is one of 516 awardees from 47 states, Puerto Rico and the District of Columbia selected by the Centers for Medicare & Medicaid Services (CMS) to help reduce the risk of heart attacks and strokes among millions of Medicare fee–for–service beneficiaries. Health care practitioners participating in this new Million Hearts Cardiovascular Disease Risk Reduction Model will work to decrease cardiovascular disease risk by assessing an individual patient’s risk for heart attack or stroke and applying prevention interventions. “We are excited to join this initiative because it offers tremendous potential for us to save thousands of lives here in northern Ohio, and share our outcomes with colleagues around the country, ultimately improving care for hundreds of thousands,” said Todd Zeiger, MD, family medicine physician at UH Sharon Family Physicians. “Engaging patients in the process of developing personalized intervention plans is a crucial component to success, and we are eager to work with our eligible population to do so.” UH’s primary care network is the largest group of family and internal medicine providers in northern Ohio, with 375 family and internal medicine providers in 112 locations. Many of the physicians in the UH primary care network, were assigned to the model’s intervention group. They will work with Medicare fee–for–service beneficiaries to determine their 10–year individual risk for a heart attack or stroke using a widely accepted data–driven, predictive modeling approach for risk assessment provided by CMS. These providers will then work with patients individually to identify the best approach or approaches to reduce their risk of having a heart attack or stroke – ranging from behavioral or lifestyle changes, such as smoking cessation or weight loss, to medical treatments including blood pressure management or cholesterol reduction. Each beneficiary will receive a personalized risk modification plan that will identify individual motivators to encourage patients to actively manage their own health outcomes related to reducing the risk of heart attack and stroke.

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