What I wish doctors and researchers would acknowledge is that tPA doesn't work very well. I saw a 32% efficacy in the 3 hour period and 16% efficacy in the 3-4.5 hour period. And besides it doesn't stop the cascade of neuronal death from glutamate poisoning, excitotoxicity and the closed capillaries due to pericytes. My doctor told me I didn't get the fast recovery, I would have to hold out for the slow rehab recovery, and I got it within 90 minutes. In general there is little that can't be massively improved in stroke research and rehabilitation. But first you have to admit that there are problems and try to solve them rather than sticking your head in the sand and saying the solution is to blame the public for not eating and exercising correctly, thus the public is not preventing their own stroke. Someday I'll rant about this in Deans' Stroke Manifesto.
I had to be informed several times during bowling on Friday that I needed to be quiet and bowl. (143,158,105)
As vital as prevention is, shifting the blame for life style onto the survivor is not the answer.
ReplyDeleteContinuing research needs to be diversified but continuing cooperation and communication between researcher teams is a vital component in improving outcomes for survivors.
Love your friends telling you-- more bowling less talking. It sounds like you had fun.
Best in the New Year Dean!