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.

Monday, August 19, 2024

Maui Memorial Medical Center recognized for excellence in heart and 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:

Maui Memorial Medical Center recognized for excellence in heart and stroke care

August 19, 2024 · 3:32 PM EDTListen to this Article
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Maui Health’s Quality Team, who worked to achieve the AHA Resuscitation Gold Award, includes (L to R) Quality Management Analyst Nurse Sarah Gaoiran, Education Manager Sarah Lane, Nurse Educator Ash Cutland, Critical Care Medicine Dr. Sharon Peach, ICU Assistant Nurse Manager Amy Angha, ICU Nurse Manager Mary Osborne, and Critical Care Nurse Inese Kudeja.

Maui Memorial Medical Center (MMMC) has again earned the highly distinguished Gold Plus and Target: Honor Roll Quality Achievement Awards from the American Heart Association’s (AHA) Get With The Guidelines® (GWTG) program for excellence in heart and stroke care(NOT RECOVERY!)

This year marks the 16th consecutive year that MMMC has been awarded and more than 10 consecutive calendar years of Gold Plus achievement.

Additionally, this year, AHA recognized MMMC for excellence in resuscitating patients during in-hospital cardiac arrests with the GWTG Resuscitation Gold quality achievement award. The award, the highest possible honor for resuscitation, signifies that MMMC’s “Code Blue” response team of physicians, nurses, respiratory therapists, and pharmacists consistently follow evidence-based best practices and the latest treatment guidelines when performing CPR on adult inpatients.

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MMMC ranks among the top three hospitals in the state for these national honors. GWTG recognizes our team’s demonstrated commitment to following up-to-date, research-based guidelines for treating heart disease, cardiac arrest, and stroke, ultimately leading to more lives saved, shorter recovery times, fewer readmissions to the hospital, and a healthier community.

Maui Memorial Medical Center Stroke Program Team including (L to R) Director of Nursing Ian Igarta, Director of Rehabilitation Services Cindy Tamayo, Hospitalist Dr. Giedre Karakalpakis, HBV Nurse Manager Elsie Crowninshield, Neurologist & Stroke Program Medical Director Dr. Cordia Wan, Stroke Program Manager Casi Saranillio, Maui South Assistant Nurse Manager Stephanie Roberts, Maui South Nurse Manager Randi Casco, ICU Assistant Nurse Manager Amy Angha, and Imaging Manager Alisha Gilbert. Not pictured are Emergency Department Physician Dr. Vince Truong and Emergency Department Manager Julius Montehermoso.

“These awards show Maui Memorial Medical Center’s commitment to caring for those in their community who need cardiovascular care,” said Donald Lloyd-Jones, chair of the American Heart Association Quality Oversight Committee and chair of the Department of Preventive Medicine at Northwestern Medicine. “By following the American Heart Association’s quality improvement protocols, Maui Memorial Medical Center can help realize our shared vision of improved patient outcomes, fewer readmissions, and lower mortality rates – a win for health care systems, families, and communities.”

Maui Memorial Medical Center Heart Failure Program Team including (L to R) Internist Dr. Andrew Sumida, Heart Failure Program Lead and Quality Analyst RN Leslie Lexier, Hospitalist Dr. Constantin Novoselsky, and Cardiologist Dr. Kimble Poon.

2024 AHA Get With The Guidelines® awards:

  • Heart Failure Gold Plus, Target: Heart Failure Honor Roll, and Target: Type 2 Diabetes – MMMC is one of only two hospitals in the state to receive both the Heart Failure Gold Plus and Target: Heart Failure Honor Roll Awards. To obtain the honor roll distinction, hospitals must meet specific criteria that improve medication adherence, provide early follow-up care(NOT RECOVERY!) and coordination, and enhance patient education.
  • Stroke Gold Plus, Target: Stroke Honor Roll Elite, and Target: Type 2 Diabetes – To qualify for this recognition, hospitals must meet specific high-performance criteria that reduce the time between a patient’s arrival and treatment with clot-buster therapy.
  • Target: Type 2 Diabetes Honor Roll™ – This award recognizes hospitals that adhere to specific guidelines that ensure patients with Type 2 diabetes, who might be at higher risk for complications, receive the most up-to-date, evidence-based care(NOT RECOVERY!) when hospitalized due to heart disease or stroke.
  • Resuscitation Gold – This quality achievement is awarded to hospitals that consistently meet resuscitation guidelines, including patient safety, medical emergency team response, and post-resuscitation care. MMMC is one of only two hospitals in the state to receive this award.
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“Maui Health is dedicated to enhancing the care(NOT RECOVERY!) we deliver by following the most recent treatment guidelines and refining our processes to ensure prompt and effective treatment for heart attacks and strokes,” said Maui Health Chief Medical Director Michael Shea, MD. “We want to help our loved ones on Maui and Lanai live longer, healthier lives.” 

MMMC also meets specific scientific guidelines as a Certified Primary Stroke Center, featuring a comprehensive system for rapid diagnosis and treatment of stroke patients admitted to the emergency department. 

“Our caregivers are the most talented and dedicated individuals you will ever meet,” said Maui Health CEO Lynn Fulton. “We are incredibly proud and want to recognize and congratulate our team for their achievements.”

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