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

Wednesday, May 17, 2017

Study: Patients may fare worse when treated by older doctors

My doctor obviously had not read any research papers since graduating from medical school 25-30 years prior.Ask your doctor how many clinical research studies they have implemented in their hospital in the last 10 years.
http://www.fiercehealthcare.com/practices/study-patients-may-fare-worse-when-treated-by-older-docs?
by Paige Minemyer |

Patients treated by older doctors have higher mortality rates than those treated by younger physicians, according to a new study.
Researchers at Harvard T.H. Chan School of Public Health and Harvard Medical School found higher mortality rates for patients treated by physicians aged 60 or older than those aged 40 or younger, according to a study published in The BMJ. Mortality rates for inpatients within a month of admission were 12.1% compared to 10.8%, which accounted for one additional patient death per 77 treated for the older docs.
The results, which the researchers said were “modest yet clinically meaningful” in an announcement, are similar to the differences in death rates for patients with heart disease who are treated with the correct medications versus those given no medications.
Readmission rates were not linked to physician age, though healthcare costs were slightly higher for patients treated by older doctors, according to the study.
The researchers also found that the age of a physician didn’t impact mortality rates for those who treat large volumes of patients. This suggests, they conclude, that older doctors more removed from residency training may need regular refreshers to keep their clinical skills sharp if they treat relatively small numbers of patients.
Additional training is especially key, they said, as technological innovations continue to drive change in the industry.
"Older physicians bring invaluable richness of knowledge and depth of experience, yet their clinical skills may begin to lag behind over time," Anupam Jena, an associate professor of healthcare policy at Harvard Medical School and one of the study’s authors said in the announcement. "The results of our study suggest the critical importance of continuing medical education throughout a doctor's entire career, regardless of age and experience."
The team examined more than 730,000 Medicare inpatient records from between 2011 and 2014, encompassing nearly 19,000 hospitalists. They also compared that data to information from the American Hospital Association’s annual survey on potential factors like hospital infrastructure, staffing and service lines, along with data from professional physician network Doximity.

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