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

Tuesday, October 18, 2016

“Stroke clearly is a brain disease”

Why it is not even a disease at all, you just stabilize them and push them out to home care, similar to colds. Reading between the lines of ASA, NSA and WSO pronouncements; stroke is perfectly taken care of with F.A.S.T. Nothing to fix there at all. Sarcasm notifications needed in my posts.
http://www.alphagalileo.org/ViewItem.aspx?ItemId=169040&CultureCode=en
International experts concerned about WHO moves in classification process
“The medical rationale for stroke being a disease of the brain is overwhelming.” This is the key message of an urgent appeal launched by leading neurology experts in The Lancet.1 The authors are making public their concern about the classification of stroke in the draft revision of the “International Statistical Classification of Diseases and Related Health Problems” (ICD) after an unexpected and uncoordinated change in the classification scheme made by WHO staff.
The ICD-10 currently in place is based on outdated medical knowledge and concepts from the 1980s. The new ICD-11, which has been under discussion since 2009, is aimed at reflecting the changes in science and practice.
“There are very good reasons that we agreed five years ago, in a transparent process and after extensive debate in the WHO Neuroscience Topic Advisory Group and with WHO representatives, that all types of stroke should form a single block in the new classification that should be part of the nervous system disease chapter”, explained Prof Raad Shakir, head of the advisory body and President of the World Federation of Neurology. “All manifestations of cerebrovascular disease are related to brain dysfunction. The relationship with dementia and particularly Alzheimer’s disease is becoming clearer.”
According to Prof Shakir, the unilateral decision by WHO staff to move the newly created cerebrovascular thematic block from neurology to circulatory disease is not only incomprehensible, but also “did not follow the expected transparency of WHO decision-making.”
“The main purpose of any enduring classification should be to serve the interests of patients, which is not the case unless stroke is acknowledged as being a brain disease”, the authors of the comment cautioned. “The latest classification decision with respect to stroke needs to be reversed in order to safeguard patient care and provide correct figures and funding for health care provision.”
1 Revising the ICD: stroke is a brain disease. Raad Shakir, Steve Davis, Bo Norrving, Wolfgang Grisold, William M Carroll, Valery Feigin, Vladimir Hachinski; The Lancet, published online 13 October 2016: http://www.thelancet.com/ journals/lancet/article/ PIIS0140-6736(16)31850-5/ fulltext?rss=yes
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(16)31850-5/fulltext?rss=yes

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