Obvious problems in the stroke world - perfect world

Anyone just by examining stroke for a while will immediately come to the conclusion that it is totally f*cked up.
1. We don't have an objective way to diagnose stroke. I have heard of waiting 30 hours in the ER to resolve to external physical symptoms.
2. The only drug usable in the first hours is tPA and that has an appalling efficacy(12%).
3. No damage diagnosis ever seems to be given. With no diagnosis there is no way to map therapy that works to the damage. Thus no repeatable protocols can be established.
4. We don't have standardized stroke therapy protocols. This can be traced directly to the canard,' All strokes are different, all stroke recoveries are different'. This stupidity needs to stop being repeated.
5. We don't have a coherent way to state how to reduce your stroke risk. Using 'Eat healthy, get exercise', is pure laziness.
6. There is no knowledge of how neuroplasticity works. We know it works, we don't know how to make it work on command. Thus making it nonrepeatable as a therapy.
7. No distinction or understanding of the differences needed to recover the penumbra functions vs. the dead brain functions. One therapist used the Shout louder and they will move protocol.
8. Our stroke associations and the world stroke organization have no clue how ineffective they are. Their heads are in the sand thinking that all they have to do is warn people about stroke risks and give them bland admonishments to exercise, eat better and promote F. A. S. T.
9. F. A. S. T. is a failure, it may save more lives but does  little for preventing disability