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.

Showing posts with label apologist. Show all posts
Showing posts with label apologist. Show all posts

Sunday, February 28, 2016

The Bobath Concept/NDT: Clarifications and Context

Wow, The Bobath concept  is an individualised response-based treatment approach. Because of that it results in difficulty in investigating the Bobath concept using traditional experimental designs such as the Randomised Controlled Trial. What a crock, if you can't create a RCT then you have no basis in even using it for therapy. Apologists in force in this posting. I guess it is unprofessional to criticize Bobath, well shit, I'm not a medical professional so if you can't prove your stuff works then you can shove it.
http://www.bbta.org.uk/news/bobath-concept-clarifications-and-context

Point by point refutation here:
Thoughts on the BBTA’s thoughts

Monday, January 12, 2015

Researchers dispute warning that drugs for high cholesterol could impair memory, cognitive function

More statin apologists. These people still are not focusing on the real problem. Stop the inflammation!
http://medicalxpress.com/news/2015-01-dispute-drugs-high-cholesterol-impair.html
Researchers question whether there is substance to the US Food and Drug Agency's recent warning that statins could affect the memory, attention span and other cognitive abilities of people who take this drug to control high cholesterol. This follows a systematic review of 25 clinical trials incorporating nearly 47,000 people. It was led by Brian R. Ott, M.D., director of The Alzheimer's Disease & Memory Disorders Center at Rhode Island Hospital and professor at the Alpert Medical School of Brown University in the U.S. The review findings appear in the Journal of General Internal Medicine.
Since 2012, the FDA regulates that labels on statin packaging should warn that the drugs could change users' . These cognitive changes could include , problem solving, memory, and language or visuospatial abilities. The warning was based on surveillance and case reports, observational studies and randomized trials. Subsequent reviews of available research have cast doubts on the cautionary stance taken by the FDA. Ott's team therefore set out to do a more comprehensive analysis using well-studied analysis methods. They scrutinized the data of 25 relevant randomized that investigated a possible link between statin therapy and mental ability. Combined, these studies included the test results of 46,836 patients. Ott and his colleagues also contrasted and combined the results of 14 of these studies through a meta-analysis, which in total included 27,643 participants.
The review found no significant effect of statin use on the mental capacity of people with normal brain functioning or even those with Alzheimers' disease. The results suggest that the FDA's statin warning should be re-evaluated. Ott also believes there is a need to investigate the reasons behind the differences in the review results and the initial reports on which the FDA warning was based. It could be that some of the mental changes that were reported in the case studies were the result of overdosing with statins.
The review findings are congruent with the 2013 safety statement made by the American College of Cardiology and the American Heart Association Cholesterol Guideline. It advises that patients on statins who seem to be confused or who might have memory problems should be evaluated for causes other than their cholesterol medication. This could include the use of other drugs or systemic and neuro-psychiatric causes.
The researchers believe that there is more benefit to be had by sticking to statin therapy to manage heart-related diseases and prevent strokes than worrying about the possible adverse mental effects of these drugs.
"We found no significant effects of statin treatment on cognition," concludes Ott. "Given these results, it is questionable whether the FDA class warning about potential cognitive adverse effects of statins is still warranted."

Friday, November 29, 2013

Cervical artery dissection: a biomechanical perspective

Complete and total apologist for the chiropractic profession. I will never get my neck adjusted. These guys will say anything to not take responsibility.
I won't have this done for these reasons;
1. Call for age limit after chiropractor breaks baby's neck
2. 'My chiropractor gave me locked-in syndrome, but I survived': Astonishing recovery of woman, 46, who beat the odds to walk and talk  again
3. Woman claims stroke stems from spinal manipulation by chiropractor
4. Comparing chiropractic neck adjustment to hanging
5.  Mitchell, SD chiropractor denies causing Gunkel's stroke
6.  Cerebrospinal fluid leak secondary to chiropractic manipulation
7.  Chiropractor forged consent form after patient's stroke
8.  Letting a chiropractor 'crack' your neck to ease pain could trigger stroke
9.  Deaths after chiropractic: a review of published cases.
10.  Chiropractic stroke

The  apologist here:
Cervical artery dissection: a biomechanical perspective
276
J Can Chiropr
Assoc 2013; 57(4)
Commentary
Introduction
Although there has been a putative ??? link between cervical
spinal manipulative treatment (cSMT) and cervical artery
dissection (CAD) ever since Thornton’s report in the literature in 19341
, recent evidence suggests that this is an association rather than a causal relationship. Since 2008, several studies published by Cassidy and co-workers2-4
have attributed the association between cSMT and CAD
to patients seeking chiropractic care for neck pain and
headaches during the prodrome ??? of a stroke.
Most reviews in the literature now generally report
that there are no convincing data, either to prove or disprove, any causality between cSMT and CAD5. (really?)

However, case reports and case series still accumulate that identify
chiropractic as the sole cause of CAD6-7.

Furthermore, Tuchin8 recently tested the causality between CAD and SMT using Hill’s criteria, and concluded that there is no evidence that SMT is causally related to stroke. Nevertheless, some authors continue to claim that cSMT causes CAD.
Rather than using an epidemiologic approach to assess
the risk of whether cSMT can cause CAD, another approach is to investigate the mechanism(s) of how cSMT can cause CAD. Since 20029, our laboratory has focused on the latter strategy. Using cadaveric vertebral arteries (VAs) as a model for the in vivo neck, we have measured
the strains experienced by VAs using ultrasonography to dynamically measure the changes in VA segment lengths during manipulative procedures. The details of the experimental procedures have been described elsewhere9-11.
We have now replicated these experiments on a total of 16 VAs obtained from 10 cadavers9-11 in 3 different papers. 
You can read the rest of the blathering at the link.