Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, January 3, 2022

Determination of Brain Death

I wonder what the explanation is used on death certificates for people dying from stroke effects. People do not die from the stroke, they die from brain damage. Until this reporting is changed we never will be able to determine the reason for dying. Stoke is way too simplistic and uninformative. We used to have the category of dying from old age, that was eliminated because it told us nothing useful.

Determination of Brain Death

  • David M. Greer, M.D.

The determination of brain death is typically made on the basis of clinical assessment (shown in a video) and requires demonstration of the permanent loss of all brain function, including brainstem function, in the absence of factors that may confound the assessment. If these factors cannot be eliminated, or if the examination cannot be safely or fully performed, ancillary testing is conducted.

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Disclosure forms provided by the author are available with the full text of this article at NEJM.org.

The author thanks Dr. Rafael Ortega for his assistance with the videos of the examination for the determination of brain death.

Author Affiliations

From the Boston University School of Medicine and Boston Medical Center — both in Boston.

Dr. Greer can be contacted at or the Department of Neurology, 85 East Concord St., Rm. 1145, Boston, MA 02118.

 

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