Wednesday, February 6, 2013

Stroke diagnosis - solving it

Got this quote from

db's Medical Rants

 

Our ER doctors seem to fall into this category a lot when presented with young patients with stroke-like symptoms. And then dismissing them until it becomes extremely obvious it is a stroke. The process should include a root cause analysis(taken from my programming background, your manager never allows you to dismiss a problem as unexplainable). This is simple, you come up with objective tests like these fourteen.
Them we can work on our neurologists lack of diagnosis of stroke damage, this is even simpler, you run a PET scan to determine the penumbra damage so you can tell the therapists exactly what areas to focus on for spontaneous recovery. The dead brain is a lot harder, the research on recovery for that is so limited that I have to point to possibilities rather than actual protocols. 

1. Mirror therapy 

2.  Multiple options


“It often seems to me that's all detective work is, wiping out your false starts and beginning again."
Yes, it is very true, that. And it is just what some people will not do. They conceive a certain theory, and everything has to fit into that theory. If one little fact will not fit it, they throw it aside. But it is always the facts that will not fit in that are significant.
? Agatha Christie, Death on the Nile

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