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.

Friday, July 26, 2024

Central Carolina recognized for ongoing efforts to improve rural stroke care

I wouldn't go there if all they are offering is 'care'; NOT RECOVERY!

Anytime I see 'care' in any stroke press release I know the stroke medical world is not willing to disclose actual results because they are so fucking bad, it wouldn't look good, so misdirection is used. Don't fall for that misdirection! By touting 'care' they are not telling you about results or recovery which survivors want! Survivors don't care about your 'care'; you FUCKING BLITHERING IDIOTS; they want 100% recovery! Why aren't you providing that?

Big fucking whoopee.

 

 But you tell us NOTHING ABOUT RESULTS. They remind us they 'care' about us multiple times but never tell us how many 100% recovered.  You have to ask yourself why they are hiding their incompetency by not disclosing recovery results.  ARE THEY THAT FUCKING BAD?


Three measurements will tell me if the stroke medical world is possibly not completely incompetent; DO YOU MEASURE ANYTHING?  I would start cleaning the hospitals by firing the board of directors, you can't let incompetency continue for years at a time.

There is no quality here if you don't measure the right things.

  1. tPA full recovery? Better than 12%?
  2. 30 day deaths? Better than competitors?
  3. rehab full recovery? Better than 10%?

 

You'll want to know results so call that hospital president(whomever that is) RESULTS are; tPA efficacy, 30 day deaths, 100% recovery. Because there is no point in going to that hospital if they are not willing to publish results.

In my opinion this partnership allows stroke hospitals to continue with their tyranny of low expectations and justify their complete failure to get survivors 100% recovered. Prove me wrong, I dare you in my stroke addled mind. If your stroke hospital goal is not 100% recovery you don't have a functioning stroke hospital.

 

All you ever get from hospitals are that they are following guidelines; these are way too static to be of any use. With thousands of pieces of stroke research yearly it would take a Ph.D. level research analyst to keep up, create protocols, and train the doctors and therapists in their use. 

If your stroke hospital doesn't have that, you don't have a well functioning stroke hospital, you have a dinosaur. 

Read up on the 'care' guidelines yourself. Survivors want RECOVERY not 'care'

“What's measured, improves.” So said management legend and author Peter F. Drucker 

The latest invalid chest thumping here:

Central Carolina recognized for ongoing efforts to improve rural stroke care

Central Carolina Hospital has received the American Heart Association’s Get With The Guidelines® – Stroke Rural Recognition Silver award for its ongoing efforts to optimize stroke care and eliminate rural healthcare outcome disparities.

This award recognizes the efforts of hospitals nationwide to address the unique health needs of rural communities. People who live in rural areas live an average of three years fewer than their urban counterparts. They have a 40 percent higher likelihood of developing heart disease and face a 30 percent increased risk for stroke mortality — a gap that has grown over the past two decades.

“Rural communities such as ours deserve high quality stroke care,” said Dave Santoemma, Chief Executive Officer of Central Carolina Hospital. “I’m proud of our team for their commitment to stroke care excellence and this achievement.”

Last year, CCH received the American Heart Association’s Get With The Guidelines® – Stroke Rural Recognition Bronze award.

“We are proud to be recognized for the important work we do every day to improve the lives of people in Lee County who are affected by stroke, giving them the best possible chance of recovery and survival,” said Sarah Ricks, RN, MSN, CPHRM, Director of Quality, Patient Safety and Risk Management at CCH. “We work every day to improve the lives of people who are affected by stroke, giving them the best possible chance of recovery and survival.”

The American Heart Association award recognizes hospitals nationwide for their efforts toward acute stroke care excellence as demonstrated by composite score compliance to guideline-directed care for:

Intravenous thrombolytic therapy
Timely hospital inter-facility transfers
Dysphagia screening
Symptom timeline and deficit assessment documentation
Emergency medical services communication
Brain imaging
Stroke expert consultation

As the world’s leading nonprofit organization focused on heart and brain health for all, the American Heart Association recognizes the importance of healthcare services provided to people living in rural areas by rural hospitals that play a vital role in initiation of timely evidence-based care.

“Patients and health care professionals in Lee County face unique healthcare challenges and opportunities,” said Karen E. Joynt Maddox, MD, MPH, volunteer expert for the American Heart Association, co-author on “Call to Action: Rural Health: A Presidential Advisory From the American Heart Association and American Stroke Association” and co-director of the Center for Health Economics and Policy at the Institute for Public Health at Washington University in St. Louis, MO.

“Central Carolina has furthered this important work to improve care for all Americans, regardless of where they live.”

About Central Carolina Hospital

Central Carolina Hospital, a Duke LifePoint Hospital, is a 137-bed acute care hospital that serves the health care needs of Lee County and surrounding communities. With nearly 200 providers, the hospital offers a wide range of specialties, including cardiology, orthopedics, general surgery, obstetrics, gynecology, otolaryngology, emergency medicine, emergency medical services, gastroenterology, pediatrics, hospitalist services, internal medicine, nephrology, neurology, hematology, urology, podiatry, dentistry, pulmonary medicine, and wound care and hyperbaric medicine.

Hospital services include emergency room, physical and occupational therapy, ophthalmology, cardiac rehabilitation, diagnostic imaging and radiology, inpatient and outpatient surgery, dialysis, maternity services, nutritional counseling by clinical dietitians, and diagnostic cardiac catheterization. Central Carolina Hospital was reaccredited by the Joint Commission for a three-year period in 2021.

About Get With The Guidelines®

Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 14 million patients since 2001. For more information, visit heart.org.

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