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:

Wednesday, January 11, 2017

Hackney stroke patient denied an ambulance by 999 and 111 call handlers

So until they get objective, fast, non-neurologist stroke diagnosis kits in the ambulance this will continue to occur, they could then send an ambulance out, verify if an actual stroke is occurring and transport. So until then, if you have a stroke you better have all the classic symptoms, or knowing what the tick-list contains lie about your symptoms. The solution here is to go to the root cause and fix that; Lack of objective diagnosis, call handlers can't do that, it will require a trained person using the latest in stroke diagnosis protocols. Fixing the tick-list is a bandaid not a solution.
Maybe these 17 diagnosis possibilities to find out which one is the best? Or maybe the Qualcomm Xprize for the tricorder?
A woman who had suffered a potentially fatal stroke was told to go and see her GP the following day instead of being sent an ambulance to rush her to hospital – because her symptoms did not match the tick-list used by their call handlers.
"I wouldn’t recommend anyone uses the 111 service. It might be ok if you have a cold but I wouldn’t even give it a chest infection"
NHS nurse Angela Braeger
Staff at the 999 and 111 numbers – which use similar software – considered 68-year-old Edna Braeger a non-emergency because she told them she was able to raise her hand above her head – the classic symptom of a stroke.
Despite not being able to move her hand at all, they told her not to worry and advised her to call back again if her symptoms got any worse, or to go to her GP later that day when they opened.
But feeling unwell and disoriented Mrs Braeger, a retired shop manager from Victoria Park, was convinced something was wrong - and starting to panic she phoned back her out-of-hours GP.
Luckily Dr Allison phoned 999 to call an ambulance herself, saying she couldn’t rule out a stroke. In a stark recording obtained after the event – which the Gazette has heard - the GP is asked: “Does this represent an immediate threat to her life?” and she replies: “I would say so.”
Her daughter Angela, an NHS nurse, has slammed the 111 service as incompetent.
“I wouldn’t recommend anyone uses it,” she said. “It might be ok if you have a cold, but I wouldn’t even give it a chest infection in case something was missed. They are trained in spreadsheet questions and it’s tick-box ‘do you fit the criteria or don’t you’. It doesn’t have to be you can’t raise your arm above your head if you have had a stroke - she could raise her arm but couldn’t move her hand. It’s more than that - and if they don’t recognise that they fail every patient that contacts them.”
The incident happened in October 2015 and Angela still finds it difficult to listen to the recording of her mum’s call. “When you listen you can tell my mum is disoriented. She is talking quite slowly. The worst case scenario is she could have been dead. Simple as really,” she said. The best outcome came from her treating herself with Aspirin. The stroke doctor said she did the right thing.”
Under NHS England’s proposed money-saving Sustainability and Transformation Plans (STP) for North East London (NEL), there are plans to roll out the 111 phone line.
A spokesman for the London Ambulance Service apologised for Mrs Braeger’s distress.
She said: “We prioritise all emergency calls so those in life-threatening conditions get the quickest response. From the information provided to us, the patient was conscious, breathing, alert and did not require an emergency ambulance. This is the recognised failsafe to telephone assessment and used throughout the UK.”
A spokesman for the NHS said they will investigate the matter: “We are sorry that the patient doesn’t seem to have received the care she needed,” he added.

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