Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 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:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. 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 lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Tuesday, October 8, 2019

Ask the consultant: Stroke

Notice that this CME has NOTHING on stroke rehab. So your tyranny of low expectations will stay the same even with new medical students. Your children and grandchildren will be screwed when they have a stroke.  Everyone in stroke needs to be fired for extreme 'not my job' behavior. 

Ask the consultant: Stroke


In our series for internal medicine trainees, consultant stroke physician Dr Don Sims answers trainees’ questions on topics including initiating anticoagulation following an ischaemic stroke, mechanical thrombectomy, anticoagulation in patients with atrial fibrillation, selecting appropriate imaging, and distinguishing stroke from a transient ischaemic attack (TIA) in the first few hours.

Learning outcomes

After completing this module you should understand the importance of:
  • Admitting all patients diagnosed with stroke to a (hyper)acute stroke unit to give them the best chance of a good outcome
  • Rapid assessment and treatment of patients presenting with a suspected transient ischaemic attack (TIA)
  • Investigating patients to determine the exact aetiology of their stroke
  • Screening people with ischaemic stroke for atrial fibrillation and when and how to start anticoagulation in patients with a positive diagnosis
  • When to use computed tomography (CT), magnetic resonance imaging (MRI), or vascular imaging to determine the cause of a stroke and inform management.
The clinical questions addressed by Dr Don Sims in this module were submitted by our audience panel of UK core medical trainees. If you are interested in joining the panel, please contact Abigail Davis (abigail.davis@bmj.com).

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