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

Sunday, May 21, 2017

Specialist rehab wards key to recovery of stroke victims, UAE doctors say

Bullshit, bullshit, bullshit!!! Notice the first problem, misdiagnosis of the likely TIA. 10% full recovery is failure of the first magnitude even at specialist stroke centers. They never say what their recovery rate is, probably because it is so bad.
http://www.thenational.ae/uae/health/specialist-rehab-wards-key-to-recovery-of-stroke-victims-uae-doctors-say 
Look for the stroke signs
Dr Sushil Garg, neurologist at NMC Hospital at Dubai Investments Park, gives tips on how to identify a stroke:
If the person’s face looks uneven or droops on one side.
If the person has weakness or numbness in one or both arms.
If they are having trouble speaking.
If you see any of these signs of stroke, call for an ambulance immediately.
You need to act quickly as the sooner treatment begins, the better the chances are of recovery.

ABU DHABI // Specialist rehabilitation wards are being championed by doctors who are hailing the recovery of an elderly Emirati man during Stoke Awareness Month.
Two months after being hit by a brain injury, 78-year-old Hamza Al Hashim is preparing to return home from hospital to continue his recovery.
As a fit and healthy man who regularly exercised and ate a good diet, Mr Al Hashim was the last person his family thought could be vulnerable to the stroke he suffered in March, shortly after waking one morning.
"The day before, dad was having severe headaches on one side of his head," said Mr Al Hashim’s son, Mohammed.
"He went to the hospital for a check-up, where the doctors said it was probably a migraine. He was given paracetamol and sent on his way.
"When he was driving back to Al Ain, he had to pull over in his car because of the headaches. I then picked him up and took him home. A day later, he woke up at 5am and fell down as he was losing the use of one side of his body."
Mr Al Hashim’s speech was slow and heavy, according to his wife. It was the early signs of a stroke, likely to have been caused by blocked blood vessels.
An ambulance was called and he was taken to the Cleveland Clinic, where doctors diagnosed a stroke. Once stabilised, he was moved to the stroke recovery centre at Amana Healthcare in Khalifa City.
Dr Khalid Anwar, a consultant of physical medicine and rehabilitation at Amana, said it is vital that stroke patients get medical help as quickly as possible to improve the chances of recovery.
"Management is defined by acute care to prevent brain damage as soon as possible, as millions of brain cells are lost every minute," he said.
"Medication is most effective if used within three hours of having a stroke."
Almost 50 per cent of victims will need rehabilitation.
"There is enough evidence to suggest stroke patients respond better in specialist clinics, rather than on regular medical wards," Dr Anwar said.
Mr Al Hashim’s son, who also lives in Abu Dhabi, said the whole experience had been a shock to the family.
"I had heard of strokes but my dad was healthy, so it was a shock," said Mohammed.
"Dad was healthy but then told me he had fallen down before about four years previously. Doctors said that could also have been a stroke but he had not told anyone before.
"I want my dad to walk again and be able to sit down and be able to get back up on his own so he can go to Friday prayers." Mr Al Hashim has been at Amana Healthcare for two months, and is now about to go home.
One of the exercises he has been repeating to regain his co-ordination and strength is getting in and out of a chair unaided. His speech is returning to normal and a bonus of being surrounded by many British and Irish nurses at the centre is that his English has also improved.
Another Emirati stroke patient is Mubarak Saeed Al Mansouri, 42, who suffered the brain injury as he was about to board a flight.
He felt weakness in his left arm and leg, and began slurring his speech.
A flight attendant recognised the symptoms and advised that he go straight to hospital.
Mr Al Mansouri was admitted to a stroke recovery unit in Abu Dhabi, and after intensive occupational therapy and physiotherapy sessions, he can now dress and wash himself. He recently has got back behind the wheel to regain his independence and a normal life.
nwebster@thenational.ae

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