Whose responsibility is it to solve all the problems in stroke?

No one is responsible because SOMEONE ELSE WILL SOLVE THE PROBLEM?  

1. Doctors?

Of course not, there were no stroke protocols taught in school that would get patients to 100% recovery. 

2. Therapists?

Of course not, there were no stroke protocols taught in school that would get patients to 100% recovery.

3. Emergency room doctors? Of course not, even though they knew immediately that tPA only worked to completely reverse the stroke 12% of the time, they seemed to have raised no hue and cry about that failure. For 20 years the stroke medical profession has been pushing to expand the timeframe for a failed intervention.

4. Patients? Yep, this is completely up to you

5. Stroke Associations?

Never, they only know how to do press releases. They would rather follow the fucking failure model rather that figure out how to become a great stroke association.

6. Neurologists?

Are Neurologists Respected? Read and weep. 

Why doesn't any neurologist have their protocols and statistics posted for all to see?

7. Researchers?

Of course not, they are following their own muse rather than any sort of strategy that will help survivors recover.

8. Stroke hospital?

They are here to make money, Who gives a shit about patients?

Every single stroke hospital in the world should be under fire.

1. Using tPA with only 12% efficacy.

2. No fast and objective way to diagnose strokes.

3. Only 10% of stroke patients get to full recovery.

4. Nothing being done in the first week to stop the neuronal cascade of death.

Every hospital and neurologist in the world is incompetent for allowing these problems to fester for years.  

9. Dean? Yes, you are responsible Dean. Get cracking on those solutions. You are that someone else. 

Quitter!

I'm seriously thinking of pulling back from my stroke blog for a while. It has completely consumed my life for the past 5 years and I'm not seeing much effect yet. Everything is pretty much laid out on how to fix the stroke medical system. Every single stroke hospital in the world should be doing  the exact same thing I'm doing, analyzing stroke research and seeing where it applies in the stroke protocols or setting up research to answer the question of how to get translational effects out of the research. I'm superfluous  There is no real intellectual challenge anymore in this. It is a management challenge and I've already proven in an earlier career that I hit the Peter Principle really hard when I was promoted to manager. Part of this is because I'm tired and I want to recover a couple hours for myself each night, maybe I'll finally catch up on sleep.
I will still post but probably put them up in a draft status until the weekend when I can blast them all out.
 There is still lots to do:
1. I have 20-30 ebooks to write yet on stroke
2. I have to create content for the various URLs I own.
    AFTERYOURSTROKE.COM   
    AFTERYOURSTROKE.INFO
    AFTERYOURSTROKE.NET
    AFTERYOURSTROKE.ORG
    DEANREINKE.COM
    DEANREINKE.INFO
    DEANREINKE.NET
    DEANREINKE.ORG
    DEANSSTROKEMUSINGS.COM
    STROKERESEARCHINSTITUTE.COM
    STROKERESEARCHINSTITUTE.INFO
    STROKERESEARCHINSTITUTE.NET
    STROKERESEARCHINSTITUTE.ORG
    STROKESURVIVORINSTITUTE.COM
    STROKETRIBEBLOGS.COM


3. I have to start up a stroke research foundation.
4. I have to recover enough to start running again.
5. I have to start a stroke blog farm.
Part of this is because I want to start another blog:
Deans' Michigan musings - Michigan is in a world of hurt from all the disastrous policies that have been implemented. And I happen to think that if I apply myself I could solve these problems. Hopefully leading to another career in public policy.
http://www.jamesaltucher.com/2015/06/quitter/?

Minnesota Stroke Hospital Designation

You Minnesotans will need to demand to know why there are no survivor goals in this. Nothing on 30 day deaths or 100% recovery. Just procedures and processes. Ask how many dead strokies could get 100 % success on the processes yet still die!

February 4, 2014 Webinar - MN Stroke Hospital Designation (PPT 825 KB/20 slides)
Email address here; jenny.patrin@state.mn.us  I already gave her my two cents worth.
Ask whom is responsible for this?
7.  Written protocols that detail available emergent therapies and reflect current treatment guidelines, which include performance measures and are revised at least annually

A complete and total failure that could have been prevented with some intelligent survivor input. Damn the medical stroke world should stay out of crap like this, they are just making it worse.