My reply to this self-serving excuse;
If we had anything even approaching a barely decent stroke association they would be evaluating regional disparities and ensuring that best practices and clinical research is disseminated to all stroke hospitals. But we don't and stroke patients suffer. You'll have to hope you don't get a stroke under the current lack of stroke rehab protocols. Don't start with the 'All strokes are different'. Leaders solve problems, not make excuses.
http://strokeblog.strokeahajournal.org/2015/06/and-crown-thy-good-with-efficient.html
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