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:

Friday, September 23, 2016

New stroke rehab gets patients back in their homes

Pretty soon stroke will just be going to a minute clinic and head home.
A pilot scheme is getting stroke patients out of hospital and back into their homes faster.
Instead of spending time in a rehabilitation ward, specialist teams in Waitematā are going mobile.
After suffering a stroke in May, John Rennie could barely hold a pen.
"Speech was a little slurred initially… [I] couldn't hold a knife and fork, couldn't feed myself properly with my right hand, couldn't walk properly, I had to have a walker in hospital to get anywhere," he says.
But he was out of hospital in a week as part of a pilot that sees a team of specialists come to him with intensive rehabilitation at home.
Clinical director of Geriatric Medicine at Waitematā DHB, John Scott, says the idea is to give patients a tailored service to meet their own goals and needs.
"Some of the practice things that you do can seem a little artificial and constrained, [like] why am I trying to walk up these five stairs in a gym," says Dr Scott.
"It's more meaningful if you're back in your own home, trying to use your own bathroom, your own kitchen, walk around your own yard."
For Mr Rennie it was walking and getting back to playing bowls, signing his name, and making the family meals.
"Being able to be in a place where you can do normal things when you want to, was huge," he says.
"Like drying dishes and cooking food and chopping vegetables and things like that, which was good therapy anyway."
Around 25 Kiwis a day have a stroke and while this scheme doesn't save money, it does free up hospital beds. 
And it's proving popular with patients.
"The feedback from patients was unanimously positive, that getting out of hospital and back into their own environments benefited both their experience and their health outcomes as they saw it," says Jay O'Brien, Waitematā DHB patient experience manager.
Not everyone will qualify and those who are sick and need hospital care will remain on a ward, but they hope to get 200 Waitematā patients through the scheme in the first year.
If successful, it could be something that's repeated across the country.


  1. More cherry picking. Many stroke survivors never regain the ability to write with their affected hand.

  2. I was no different, ability-wise, after 30 days of inpatient hanging around than I was after the first day, with the exception of knowing techniques to dress myself. During my frustrating stay in rehab, no one would tell me when I'd be able to go home, but some rogue did tell me that I'd stay as long as my insurance would pay. Turned out it was 28 days.