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

Tuesday, June 27, 2017

Kings County Hospital earns national awards - New York City

Who the hell cares about 'care' We want to know results you lazy fucking idiots.
1. Nothing on 100% recovery statistics.
2. Nothing on 30-day deaths compared to other hospitals.
3. Nothing on the efficacy of their stroke rehab protocols.
4.  Nothing on tPA full efficacy.
5. Nothing on their misdiagnosis percentage of strokes, especially young strokes.
Guidelines prove nothing.
You'll' want to know results so Call that Executive Director(





Ernest J. Baptiste

general number  (718-245-3131  and demand to know what the RESULTS are; tPA efficacy, 30 day deaths, 100% recovery, misdiagnosis percentage.
Big fucking whoopee.


The puffery article here:
http://www.caribbeanlifenews.com/stories/2017/6/2017-06-30-nk-kings-county-hospital-awards-cl.html
Brooklyn’s Kings County Hospital says it is among 10 NYC Health + Hospitals to receive national recognition awards for implementing specific quality improvement measures related to the treatment of patients suffering from heart failure, cardiac arrest, and stroke.
The awards from the American Heart Association and the American Stroke Association recognize the consistent application of best-practice, research-based standards of care, which reduce recovery time, disability and mortality rates for stroke patients, and reduce hospital readmissions for heart failure patients, Kings County Hospital said on Thursday.
“Across NYC Health + Hospitals, staff continue to push the mark each year to meet the guidelines set by the American Heart Association and the American Stroke Association,” said Machelle Allen, MD, chief medical officer of NYC Health + Hospitals.
“Our patients should be reassured to know that, when they come to NYC Health + Hospitals, the care they will receive is nationally recognized for its high quality,” she added.
NYC Health + Hospitals/Kings County received two “Get with the Guidelines” (GWTG) awards: GWTG-Heart Failure Silver Award for cardiac care excellence and GWTG-Stroke Gold Plus & Target: Stroke Elite Honor Roll Award.
Kings County Hospital said it has received the Stroke Gold Plus Award for the past six years.
It said it recently launched a new state-of-the-art procedure for stroke patients who can benefit from a mechanical thrombectomy to remove blood clots on the brain.
Eight sister hospitals received the highest award for excellence in stroke care, and six received high honors for excellence in heart failure care; three received awards for excelling in both.
“I am very proud of the life-saving care provided by our stroke team which enables many patients to have the best possible outcomes,” said Ernest J. Baptiste, chief executive officer, NYC Health + Hospitals/Kings County.
“The quick response of our clinical teams has made it possible for many patients to resume their daily lives,” he added. “The additional recognition for cardiac care underscores the priority we place on providing state-of-the-art treatments for our community.”
Dr. Susan Law, director of the Kings County Stroke Center, said that, as part of a safety-net hospital, the Stroke Center is “dedicated to provide the highest quality stroke care to everyone.
“The success of our Stroke Center is a collaborative effort from nursing, education, emergency medicine, critical care and neuroradiology departments,” she said.
According to the American Heart Association, about 5.7 million adults in the United States suffer from heart failure, with the number expected to rise to eight million by 2030.
Statistics show that each year about 870,000 new cases are diagnosed and about 50 percent of those diagnosed will die within five years, according to Kings County Hospital.
However, it said many heart failure patients can lead a full, enjoyable life when their condition is managed with proper medications or devices and with healthy lifestyle changes.
“The awards recognize success in meeting or exceeding standards established by the American Heart Association and the American Stroke Association through their ‘Get with the Guidelines’ (GWTG) program,” Kings Country Hospital said.
It said that in order to earn recognition in stroke care, the standards include aggressive use of medications, such as clot-busting and anti-clotting drugs, blood thinners, and cholesterol-reducing drugs; preventive action for deep vein thrombosis; and smoking cessation counseling.
To earn the award for excellence in heat failure care, standards include the proper use of medications and aggressive risk-reduction therapies; provision of educational materials to patients on managing heart failure and overall health; and scheduling of follow-up visits, Kings County Hospital said.
It also said to earn recognition for resuscitation, the standards include adopting protocols for patient safety, medical emergency team response, effective and timely resuscitation and post-resuscitation care.
Most of the awards received by NYC Health + Hospitals also featured add-on “Elite” and/or “Plus” recognition, noting that additional rigorous criteria had also been met—criteria such as, for stroke, “time to intravenous thrombolytic therapy – 60 min.”
Nine of the public health system’s hospitals, including NYC Health + Hospitals/Kings County, are designated Stroke Centers by the New York State Department of Health.
“Trained in stroke diagnosis and treatment, dedicated stroke teams are committed to providing patients with rapid diagnosis and effective treatment,” Kings County Hospital said.

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