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.

Wednesday, July 9, 2025

Address brain health before cognitive decline begins

Your competent? doctor has EXACT PROTOCOLS to address your cognitive decline post stroke, right? Oh no, you have an incompetent doctor who has nothing! Call the president and demand a new doctor! Let's check how long your doctor has been incompetent, only 14 years and assuredly much longer than that!

  • cognitive decline (326 posts to December 2011)
  • You're smarter than me; send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? Your patients need an explanation of why you don't have cognitive protocols!

    Why isn't your 'professional' solving stroke?

    Laziness? Incompetence? Or just don't care? NO leadership? NO strategy? Not my job? Not my Problem!

    Address brain health before cognitive decline begins CME 


    CREDITS: 2.50 CME
    EXPIRES: 12/19/25 | TIME: 150 MINS | FEE: $0
    Earn credit now
    Conversations Around Brain Health: Reframing Expectations for Healthcare Providers, Patients, and Caregivers
    Clinicians often fail to initiate conversations with patients and/or caregivers around brain health, frequently due to discomfort with the topic and the incorrect perception that there is little benefit to diagnosing Alzheimer’s disease (AD) early. However, the failure to detect early signs of cognitive decline and diagnose appropriately prevents patients from gaining access to treatment and support services and deprives patients and caregivers of the opportunity to plan for future healthcare needs. Beyond diagnosis, it may be even more beneficial to address brain health before cognitive decline begins. Recommendations now call for targeting modifiable risk factors to slow or even prevent cognitive decline and dementia. Key to identifying and delaying cognitive decline calls for integrated and system-driven screening and communication practices to effectively solicit patient- or caregiver-reported feedback for translation into actionable management practices. Unfortunately, although guidelines prioritize patient-centered care using communication systems to facilitate the delivery of care, they fail to explicitly describe what these communication systems are or elucidate how shared decision-making should be approached in persons “with varying cognitive impairment.”

    To overcome these challenges, this learning hub offers a mix of easy-to-introduce practical strategies and communication frameworks supported by the latest evidence. Learners can easily navigate the learning hub and pick and choose among the wide array of education modalities and resources, including animated whiteboards; a downloadable slide deck and facilitation guide to support peer-to-peer learning; patient education resources with practical guidance for their use; and representative processes and workflows for easy integration into routine clinical practice.
     
     
    Faculty
    Malaz Boustani, MD, MPH
    Richard M Fairbanks Professor of Aging Research
    Indiana University School of Medicine
    Geriatrician and Director of Care Innovation
    Eskenazi Health
    Indianapolis, IN
     
    Andrew E. Budson, MD
    Professor of Neurology
    Boston University School of Medicine
    Boston, MA
     
    Diana Summanwar, MD
    Assistant Professor
    Department of Family Medicine
    Indiana University School of Medicine
    Indianapolis, IN
     
    Earn credit now
     
     
    Release/ Expiration Date
    December 19, 2024 - December 19, 2025
    Accreditation Statement 

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