So the solution is to blame the victim, rather than figuring out how to address the problem of tPA only being usable for a short time. Goddammit, you are running away from the problem. Leaders solve problems, they don't hide from them. Confront these lazy assholes. 100% recovery is the goal, regardless of when the patient comes in. That is non-negotiable. That means you need to solve the neuronal cascade of death, neuroplasticity and neurogenesis. Better get cracking.
http://www.upi.com/Health_News/2016/08/22/People-often-delay-seeking-stroke-treatment-study-says/9121471878287/
While a public campaign in England has raised stroke awareness, researchers at one hospital say it is not good enough.
Despite a campaign to inform the public of stroke symptoms, as well
as raise awareness of strokes overall, researchers in England say most
still have limited knowledge.
Nearly two-thirds of people in a study conducted by researchers at
the John Radcliffe Hospital in Oxford waited to seek treatment for a
stroke, delaying care for an adverse health even that requires immediate
attention to minimize its long-term effects.
Doctors and researchers have long acknowledged that every minute a stroke patient does not
receive treatment -- among the most effective are clot-busting drugs
which have become standard in the last several years -- lowers the
doctors' ability to limit damage from the stroke, and lessens the
potential for full recovery.
The Stroke Association started a campaign in 2009 in England to raise awareness of strokes in the hope people would sooner recognize whether they were having one and seek treatment.
While the National Stroke Strategy had some success, researchers say
the acronym FAST, which stands for "Face Arm Speech Time" -- the order
of things affected by a stroke -- may not have conveyed the most
important part of the message.
"FASTER -- Face, Arm, Speech, Time, Eyes, React -- may be a better
acronym for the public campaign," Dr. Ashok Handa, an assistant
professor of surgery at the University of Oxford and lead author of the
new study, said in a press release.
For the study, published in the British Journal of Surgery,
researchers analyzed 150 patients who presented with a confirmed minor
stroke between June and October 2014, analyzing the progression of their
symptoms and when they sought treatment.
Nearly all the patients -- 92 percent -- delayed going to the doctor and 58.7 percent did not think they were having a stroke.
Of the patients, 34 percent had a history of stroke and 23.3 percent
had undergone some type of "index" event, or basic health event that can
indicate a stroke. Of the patients, 30 percent experienced a reduction
or loss of vision, and none attributed the symptom to a cerebrovascular
health event.
With about a third of patients unaware of the National Stroke
Strategy, the researchers recommend a more rigorous, more effective
public campaign to help patients recognize stroke symptoms and seek
treatment with greater speed.
"Two-thirds of patients were not aware they were having a stroke,
one-third were unaware of the FAST campaign and nearly one-third
presented with eye symptoms," researchers write in the study. "Inclusion
of eye symptoms and reaffirmation of the need to react might avoid
unnecessary delays in the presentation of patients."
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