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, November 8, 2016

Heath and care services under review in Devon is announced

You have to change the focus of these reviews to how fucking bad stroke rehab is. Bring up all these points And don't let them off the hook for their incompetence.
Doctors are failing stroke patients for these reasons:
1. 12% full tPA efficacy is a failure.
2.  10% full recovery is a failure.
3. No publicly available stroke protocols with efficacy is a failure.
4. Nothing to cure spasticity is a failure.
5. Nothing to cure fatigue is a failure.
6. Nothing to stop the neuronal cascade of death in the first week is a failure.
7. Not able to objectively and accurately identify stroke in the ER is a failure.
8. Nothing to prevent dementia is a failure. 
This focuses on costs, have them focus on results.
Today marks the first in a series of public meetings being held to discuss which 72 community hospital beds will close across sites in Exeter and East Devon - and more changes are on the way.
A new document has just been released giving greater detail of further draft plans to reshape health and care services across Devon.
The latest submission, as part of the Wider Devon Sustainability and Transformation Plan (STP), has prioritised the following services for review following concerns, including over quality and sustainability ...

  • Stroke services (including hyper-acute and stroke rehabilitation).
  • Maternity (including consultant-led and midwife-led care)
  • Paediatrics and neonatology, (to be reviewed together given their inter-dependency)
  • Urgent and emergency services (focusing particularly on the acute hospital provision of accident and emergency and co-dependent services)
  • The first phase of the clinical reviews, beginning with stroke services, will start in mid-November and conclude in mid-January. Two further reviews on maternity, paediatrics & neonatology, and urgent and emergency services, will start in December and conclude in March.

    Dates and venues of public meetings to discuss community hospital bed closures...f-

    As well as these large scale reviews, a number of smaller services will be reviewed because they are currently facing particular difficulties in remaining sustainable and safe due to workforce and other challenges.
    The most urgent of these 'vulnerable' services to be reviewed are breast services, ear, nose and throat (ENT), interventional radiology, histopathology, neurology, interventional cardiology and vascular surgery.
    Due to necessity, early work has started on neurology, vascular and ENT which needs to be extended to be Devon wide.
    Any proposed changes will be subject to debate and challenge by the public, service users, local communities and their elected representatives, health and care staff and their trade unions.


    No comments:

    Post a Comment