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, June 20, 2023

New National Clinical Guideline for Stroke (2023) now published - UK

 So email them and ask why they don't have protocols rather than useless guidelines. Survivors want to actually 100% recover. Guidelines don't guarantee that.  YOU have to do this, the stroke medical world will incompetently stay with the status  quo of only  10% getting fully recovered.

In my non medical opinion these guidelines are a piece of crapola, you need no medical training to see how useless these are for the only goal in stroke of 100% recovery! Prove me wrong, EXACTLY WHERE FOLLOWING THESE WILL GET YOU 100% RECOVERED! Document the thousands of people following these guidelines that got to 100% recovery. If you can't do that then what use are they?  Don't use the tyranny of low expectations to justify your failures to get survivors fully recovered. No whining allowed.

New National Clinical Guideline for Stroke (2023) now published - UK

The 2023 edition of the National Clinical Guideline for Stroke for the UK and Ireland is now available. The guideline is endorsed for use in clinical practice by the RCP, the Scottish Intercollegiate Guidelines Network (SIGN) and the Royal College of Physicians of Ireland.

Over half the recommendations are new or have been updated. Major changes in the evidence base since the previous edition in 2016 have led to significant updates in three key areas: 

  • A big expansion of patients eligible for thrombolysis and thrombectomy  
  • More intensive interventions in secondary prevention – antiplatelets, cholesterol, blood pressure 
  • More intensive rehab in hospital and at home to promote motor and language recovery.  

Compared to the 2016 edition, there are new/expanded sections on thrombectomy/thrombolysis, rehab potential, remotely delivered therapy, fatigue, return to work, CADASIL, CAA, cerebral microbleeds, and more.

For the first time this is a ‘five nations’ guideline, covering all of the UK and the Republic of Ireland, aimed at ensuring the same high standards of care and treatment across all countries. 

Publication is online only at www.strokeguideline.org. This is supported by a plain language summary for people affected by stroke.    

For more information

Questions about the guideline can be emailed to the coordinating body, strokeguideline@kcl.ac.uk. EMAIL ADDRESS HERE!

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