1. The first thing to know is exactly where the stroke was located, size, dead area and damaged area.
2. Listing the functions of the gray matter affected.
3. Listing the size and location of the white matter affected.
4. Listing what likely functions are effected by that white matter damage.
5. Show on a 3d model of the brain where your stroke occurred.
Not knowing any of this means your doctor has no fucking clue how to prescribe any interventions.
6. There should be dozens of treatments in the first week, my list here: 31 hyperacute options
7. Your doctor should describe the neuronal cascade of death - how many neurons die during the first week.
8. Your doctor should have interventions that stop the 5 causes of the neuronal cascade of death.
9. Your doctor should have efficacy ratings for every stroke protocol that the therapists were prescribed to do for you.
10. Your doctor knows the tPA efficacy rate of their hospital, the 30day death rate from strokes, the full recovery percentage of patients under their care.
11. Your doctors knows exactly how to make neuroplasticity repeatable on demand.
12. Your doctor knows how to make neurogenesis repeatable on demand and knows where those new neurons end up.
If your doctor doesn't know all of this then ask when they will know it. You can tell from these answers with no medical background on your part if your doctor is worthy of trying to treat you.
Dean,
ReplyDeleteYour list makes total sense to me, but none of my medical providers addressed anything on the list on their own and only a few could respond to my questions once I knew enough to even ask.
This is after 3 years of experience post stroke and over $600k in medical billings spend on my behalf.
Nothing is very effective in stroke care as far as I can tell.