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:

Monday, January 9, 2017

StrokeApp NIHSS Calculator

Once again using subjective means to diagnose a stroke. Fuck-it-all, do it objectively, maybe these 17 diagnosis possibilities to find out which one is the best? Or maybe the Qualcomm Xprize for the tricorder? With this you better have the major classical symptoms to accurately diagnose a stroke and not be blown off by suggesting you are drunk or drugged.  I don't care that it has been used since 1983, is it 100% accurate? Appeal to authority and appeal to antiquity are not valid scientific reasons to keep using this.


Ever wonder why the NIHSS looks so simple when neurologists or stroke nurse coordinators perform the assessment? What’s "double simultaneous stimulation"? What’s “stupor” mean? When did I test for “extinction” & how is “anosagnosia” pronounced? But mostly, how is an entire exam completed in under 10 minutes?

personalRN’s NIH StrokeApp Calculator has now made the NIHSS easy to use for any doctor or nurse from the ER to the floor, whether attending, resident, medical or nursing student! Our StrokeApp Calculator is the only automated NIHSS that streamlines clinical assessment without losing accuracy. This added efficiency becomes advantageous in a busy ER or ICU since acute stroke patients can be non-cooperative during NIHSS assessment, wasting precious clinical time and leaving patients, their loved ones & practitioners frustrated. Neurologists & stroke nurse coordinators have training and experience that allows their intuitive adjustment of the NIHSS to fit the patient's immediate clinical state and cognitive limitations. The StrokeApp Calculator's development reflects many consultation hours with stroke neurologists that are considered thought leaders in the specialty. Our calculator is designed to act as a mobile stroke neurologist on your iPad, providing insight to skip and automatically assign scores to questions with dependencies, and provide real-time adjustments based on the patient's:

- mental status
- comprehension
- visual impairment
- ability to speak, respond and interact, all of which may be affected by
- aphasia
- respiratory status requiring intubation for mechanical ventilation

All adjustments to the exam are in agreement with the rules and regulations set in place by the original NIHSS without alterations or omissions of the original 15 questions. Lastly, the StrokeApp Calculator is the only mobile application for the NIHSS supported by clinical studies at a Comprehensive Stroke Center to evaluate whether simple instructions & easy-to-understand multimedia educational content of the calculator will allow for higher accuracy obtained in less time.

We believe that healthcare should be user-friendly for everyone, whether patient, caregiver or provider. Since 1983, the NIHSS has proven to be an exceptional clinical assessment tool for the assessment of stroke by doctors & nurses. personalRN’s NIH StrokeApp Calculator preserves the standardization of the NIHSS, which has allowed for its reliability, reproducibility and validity over three decades. The NIHSS has now become accessible to any healthcare provider at any stage of their training, from the first responders like paramedics or firefighters, or rehabilitation specialists like PT, OT & speech therapists.

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