Deans' stroke musings: Defining Social and Cultural Barriers to Global Stroke Care: A SVIN

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.

Tuesday, May 19, 2026

Defining Social and Cultural Barriers to Global Stroke Care: A SVIN–Mission Thrombectomy Initiative

The first barrier to break down is changing the word 'care' to RECOVERY!

UNTIL THAT OCCURS YOU'RE NOT WORTH LISTENING TO!

Defining Social and Cultural Barriers to Global Stroke Care: A SVIN–Mission Thrombectomy Initiative

Fawaz Al-Mufti, MD https://orcid.org/0000-0003-4461-7005, Eric Feldstein, MD,

Aarti Kishore Jain, BS, Nimrod Gozum, BS,

Alexandria F. Naftchi, BS, Andre Calixte, BS,

Eris Spirollari, BA, … Show All … on behalf of the Mission Thrombectomy Collaborative

Author Info & Affiliations

https://doi.org/10.1161/SVIN.125.002168

Abstract

Stroke has become the single leading neurological illness that results in neurological disability and is the second most common cause of death worldwide. Approximately 85% of strokes are ischemic, whereas the remaining 15% are hemorrhagic. With the advent of increasingly effective(Not true, you are not delivering 100% recovery! And that IS MASSIVE FAILURE BY THE STROKE MEDICAL WORLD! You all need to be keel hauled!) treatment modalities, such as intravenous thrombolytics and endovascular mechanical thrombectomy, there has been a growing disparity in the ability to provide standard of care(NOT RECOVERY!), despite substantial efforts made in lower- and middle-income countries. substantial effort in high-income countries to provide the current standard of care(NOT RECOVERY!) to patients with stroke, with the hope of improving outcomes. Extensive research has shown that the disparities in treatment among various countries stem from multiple sociocultural barriers and the lack of robust healthcare infrastructure.(WRONG! It's because you haven't delivered 100% recovery protocols regardless of time to hospital!

Pedro Bach-y-Rita recovered fully back in 1958 with only a partial brain! Aren't you smart enough to duplicate that?)

The societal influences in play include the lack of knowledge of stroke symptoms, cultural beliefs, health, and spiritual fatalism, which are then associated with delayed healthcare-seeking behaviors. As a result, it is imperative to increase access to treatment for patients with stroke to address inequities in stroke care(NOT RECOVERY!) and diminish the global burden of stroke. This narrative review highlights causes of major gaps in stroke treatment infrastructure in several global communities and examines the pertinent sociocultural factors that impede progress in stroke treatment.