Please comment here, you have til June 5th. They need to hear from survivors that they are complete failures. Write again even if you already commented, they need to hear from us in full throated roar.
My comment is below, make sure you mention 100% recovery and that this is all guidelines NOT PROTOCOLS.
2020 AHA/ASA Measurement Set Specifications for Adult Stroke Rehabilitation and Recovery:
- Clinical Performance Measures for Healthcare Professionals From the American Heart Association/American Stroke Association
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Public Comment PeriodWe would like to invite you to participate in the review of the draft 2020 AHA/ASA Measurement Set Specifications for Adult Stroke Rehabilitation and Recovery. This initiative aims to provide a standardized set of performance measures specific to adult stroke rehabilitation while helping to accomplish AHA/ASA’s mission of being a relentless force for a world of longer, healthier lives.
Friday May 8 – Friday June 5, 2020My comment, I put it in the last box.If you are the one of the 1 in 4 that the WHO suggests will have a stroke, is there anything in here that will guarantee that you will 100% recover? I see nothing here that suggests that anything is being done to stop the neuronal cascade of death in the first week. Neuroprotection doesn't convey any sense of urgency. Rockefeller University in January 2009 named it the cascade of death. That sounds urgent, especially if your doctor tells you they can do nothing to stop that cascade of death.
With only 10% getting to full recovery thru rehab something new needs to be tried and all this is old and barely works. At what point will you acknowledge than 10% full recovery is appalling failure and work on solving the neuronal cascade of death? By fixing at least these five known causes:
1. glutamate poisoning
2. excitotoxicity
3. Capillaries that don't open due to pericytes
4. Inflammatory action leaking through the blood brain barrier.
http://link.springer.com/article/10.1007/s12975-013-0301-2
5. Lysosomal Membrane Permeabilization as a Key Player in Brain Ischemic Cell Death: a “Lysosomocentric” Hypothesis for Ischemic Brain Damage
All this is measuring is processes, not results. Management 101 would never allow goals of processes, They would always demand results be measured.
So I consider everything in here a failure.
If you don't know of me you should, I write Deans' Stroke Musings
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