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, August 9, 2017

2017-18 Best Hospitals Honor Roll and Overview

You are completely on your own trying to find the best stroke hospitals. Our fucking failures of stroke associations should have statistics for every stroke hospital so we only go to those that deliver results, not 'care' or 'processes'.
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.

U.S. News ranks the top 20 hospitals in the nation, plus the best hospitals in each state and metro area.

Somewhere in America, at a pace of about once per second, a patient checks into a hospital. With more than 33 million hospitalizations a year and so many patients on whom to sharpen their skills, hospitals could be expected to meet the most demanding standards for quality and safety.
Yet too many hospitals fail even those whose medical needs are relatively straightforward – such as hip replacement, uncomplicated heart bypass surgery or removal of a cancerous section of colon. The hospital that makes treating patients like these its bread and butter is the very definition of a community hospital, and it should perform at a high standard.
Even fewer hospitals excel at caring for patients with especially challenging or complex diagnoses, for whom the stakes may be a matter of life or death. For those patients, venturing beyond a trusted community hospital to seek care at a truly exceptional medical center, even one farther from home, may be the wisest option.
To help readers narrow their search for hospitals that best match their needs, U.S. News ranks hospital performance in 16 areas of complex specialty care and also rates hospitals in nine bellwether procedures and conditions such as heart bypass, hip and knee replacement, heart failure and lung cancer surgery.
The Best Hospitals Honor Roll takes both the specialty rankings and the procedure and condition ratings into account. Hospitals received points if they were nationally ranked in one of the 16 specialties – the more specialties and the higher their rank, the more points they got – and also if they were rated "high performing"in the nine procedures and conditions. The top 20 point-getters made up the Honor Roll, which has a maximum total of 480 points.
U.S. News 2017-18 Best Hospitals Honor Roll
1 Mayo Clinic, Rochester, Minnesota 415
2 Cleveland Clinic 365
3 Johns Hopkins Hospital, Baltimore 363
4 Massachusetts General Hospital, Boston 358
5 UCSF Medical Center, San Francisco 303
6 University of Michigan Hospitals and Health Centers, Ann Arbor 294
7 Ronald Reagan UCLA Medical Center, Los Angeles 292
8 New York-Presbyterian Hospital, New York 267
9 Stanford Health Care-Stanford Hospital, Stanford, California 251
10 Hospitals of the University of Pennsylvania-Penn Presbyterian, Philadelphia 244
11 Cedars-Sinai Medical Center, Los Angeles 239
12 Barnes-Jewish Hospital, St. Louis 236
13 Northwestern Memorial Hospital, Chicago 228
14 UPMC Presbyterian Shadyside, Pittsburgh 218
15 University of Colorado Hospital, Aurora 204
16 Thomas Jefferson University Hospitals, Philadelphia 202
17 Duke University Hospital, Durham, North Carolina 199
18 Mount Sinai Hospital, New York 196
19 NYU Langone Medical Center, New York 194
20 Mayo Clinic Phoenix 186

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