A question I got this weekend from a good friend. I wasn't able to articulate it very successfully at the bar we were at. To give you an idea of what we are dealing with, here is the first conversation we had with each other years ago, 'I'm Dean, I'm arrogant'. 'I'm Sue, I'm obnoxious'.
At first I was somewhat offended that I'm assigned the task of fixing the f*cking broken stroke medical world rather than the neurologists and stroke hospitals that allowed such a disaster to happen.
So here goes;
1. Report on all the various problems that exist in the stroke world. If you don't even acknowledge there are problems solutions will never occur. Our stroke hospitals and stroke associations have their heads so far up their asses they never see anything wrong with the rosy stroke world they see. Their world only sees that if we could have everyone in the world trained in F.A.S.T. and delivered to a stroke hospital quickly then everything will be hunky-dory and those survivors will praise those efforts. What a load of bullshit. Everyone associated with these should be fired for incompetence.
2. Report and lay down an evidence base of existing research that just needs further validation and translation into stroke protocols. My blog is doing a good job of that. I should never have had to do this. Every hospital should have someone assigned just to update stroke protocols based on published research. That alone is why every hospital president and stroke department head should be fired.
3. Create a strategic plan that lays down a step by step process to address each of the problems in stroke.
4. Engage every survivor to scream at their doctors and hospitals as to why they haven't fixed anything from the first two points. 10 million persons a year can get very noisy.
5. Either start a survivor focused stroke association or take over an existing one.
6. Create a research foundation that sponsors research to follow that strategic plan and solve those problems in stroke.
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