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.

Friday, January 9, 2026

WVU Medicine Princeton Community Hospital receives DNV Primary Stroke Center accreditation

  So what? That doesn't guarantee recovery, does it? The only goal in stroke is 100% recovery, anyone suggesting less can eat shit and die! 'Care' is NOT RECOVERY!

Oops, I'm not being humble enough for the failed stroke medical 'professionals' out there! The scare quotes are there because they are true. 

WVU Medicine Princeton Community Hospital receives DNV Primary Stroke Center accreditation

PRINCETON, WV (WVNS) — WVU Medicine Princeton Community Hospital received a DNV Primary Stroke Center accreditation.

According to a press release, the accreditation that WVU Medicine Princeton Community Hospital received is not only an important stroke care(NOT RECOVERY!) milestone for the region, it also shows the standards that PCH meets for the diagnosis, treatment, and management of stroke patients, which helps ensure better outcomes for the community.

The press release stated that as a Primary Stroke Center, PCH will be able to receive and treat any stoke patients, and be able to evaluate, start treatment, and begin the needed rehabilitation for recovery. The accreditation shows that PCH offers evidence-based care(NOT RECOVERY!) that follows guidelines(Guidelines don't guarantee recovery; protocols do! GET THERE!) from the American Stroke Association (ASA) and American Heart Association (AHA).

According to the press release, PCH’s stoke program and data on patient outcomes was examined in order for them to receive the designation. During the first three quarters of 2025, PCH treated an average of 23 stroke patients each month.

The press release stated that comprehensive stroke protocols that were applied by PCH include:

  • Specialized Training: All nurses caring for stroke patients are NIH Stroke Scale certified.
  • Ongoing Education: Physicians and emergency department staff finish at least eight hours of stroke education each year.
  • Rapid Response: The stroke team works with EMS to activate stroke alerts before patients arrive, ensuring immediate evaluation and imaging.
  • Community Education: PCH promotes stroke awareness and provides education to students, the general public, emergency responders, and senior-serving organizations.

According to the press release, patients who arrive with stroke symptoms at WVU Medicine PCH will be quickly evaluated and could receive thrombolytic therapy (clot-busting medication) when necessary. After treatment, patients will be admitted for monitoring and start rehabilitation, such as physical, speech, and occupational therapy, within 24 hours. After they are discharged, many people continue outpatient rehab at WVU Medicine PCH.

Improving stroke response in our region is critical. Accreditation assures patients that we have the expertise and resources to deliver high-quality care. Early recognition and treatment save lives, and this designation ensures our community has access to advanced stroke care close to home.

  • Dr. Stephen Rohrbough | Neurologist and Medical Director of PCH’s Stroke Program

The press release stated that stoke is the number five killer in the Mountain State, according to American Heart Association, ranking among the highest states for stroke risk factors such as obesity and smoking.

According to the press release from WVU Medicine PCH, people in West Virginia ” are also more likely to die after having a stroke.” The stroke mortality rate in West Virginia is 19 percent higher than in other states, according to the Centers for Disease Control.


West Tennessee Healthcare awarded Thrombectomy-Capable Stroke Certification from The Joint Commission

 So what? That doesn't guarantee recovery, does it? The only goal in stroke is 100% recovery, anyone suggesting less can eat shit and die! 'Care' is NOT RECOVERY!

Oops, I'm not being humble enough for the failed stroke medical 'professionals' out there! The scare quotes are there because they are true. 

West Tennessee Healthcare awarded Thrombectomy-Capable Stroke Certification from The Joint Commission

Jackson, TN – January 8, 2026 – West Tennessee Healthcare has earned The Joint Commission’s Gold Seal of Approval and Thrombectomy-Capable Stroke Certification.

WEST TENNESSEE HEALTHCARE

New West Tennessee Healthcare Jackson-Madison County General Hospital sign on A Tower entrance photographed from University of Tennessee Family Medicine roof.

West Tennessee Healthcare underwent a rigorous, unannounced onsite review on November 21, 2025. During the visit, a team of Joint Commission reviewers evaluated compliance with related certification standards including program management, supporting self-management, and delivering and facilitating clinical care(NOT RECOVERY!). Joint Commission standards are developed in consultation with health care(NOT RECOVERY!) experts and providers, measurement experts and patients. The reviewers also conducted onsite observations and interviews.

“Thrombectomy-Capable Stroke Certification recognizes healthcare organizations committed to striving for excellence and fostering continuous improvement in patient safety and quality of care,” says Ken Grubbs, DNP, MBA, RN, Executive Vice President of Accreditation and Certification Operations and Chief Nursing Officer of The Joint Commission. “We commend West Tennessee Healthcare for using The Joint Commission certification process to reduce variation in clinical processes and to strengthen its clinical program to drive safer, higher quality and more compassionate care(NOT RECOVERY!) for individuals served.”

“We congratulate West Tennessee Healthcare for this outstanding achievement,” says Nancy Brown, Chief Executive Officer of the American Stroke Association. “This certification reflects its commitment to providing the highest quality of care(NOT RECOVERY!) for stroke patients.”

“Achieving Thrombectomy-Capable Stroke Center certification from The Joint Commission is a powerful recognition of our team’s unwavering commitment to delivering timely, evidence-based stroke care(NOT RECOVERY!),” said Dr. Bethany Lawrence, chief medical officer of West Tennessee Healthcare – Jackson Madison County General Hospital. “This certification reflects our dedication to continuous improvement, multidisciplinary collaboration, and most importantly, fostering better outcomes for the stroke patients and families we serve.”

For more information, please visit The Joint Commission website.

Leveraging neural drive to assess hand motor function in individuals with chronic stroke

 

'Assessments' don't get you recovered, only EXACT PROTOCOLS DO! SURVIVORS WANT RECOVERY! GET THERE!

I'd fire everyone involved with this crapola! You're 'assessing' based on the failure of the status quo! Change the status quo, you blithering idiots!

Leveraging neural drive to assess hand motor function in individuals with chronic stroke

    Abstract

    Background

    Stroke is a leading cause of disability, with up to 80% of survivors experiencing motor impairments. These impairments are attributed to various factors, including reduced neural drive and altered motor unit firing patterns. Rehabilitation aims to restore motor function by enhancing motor unit recruitment and synchronization. High-density electromyography (HD-EMG) is a valuable tool for evaluating these changes in motor unit activity.

    Methods

    We tested a wearable HD-EMG forearm sleeve to investigate the relationship between motor function and motor unit properties including firing rate, motor unit module activation, and coherence. Seven individuals with chronic stroke and seven able-bodied individuals attempted 12 cued hand and wrist movements while EMG was recorded. Motor units were decomposed across all movements using convolutive blind source separation.

    Results

    Fewer motor units were detectable in individuals with stroke compared to able-bodied participants. There was a significant reduction in motor unit firing rate during specific movements such as wrist flexion and hand open. Motor unit coupling and activation were altered following stroke, with reduced module activation in 8 of the 12 attempted movements. Furthermore, a reduction in coherence for gross movements and an increase in coherence for more dexterous thumb movements suggest altered neural drive to motor units after stroke that is differentially tuned to the complexity of movement. A combined neural control signature, consisting of multiple motor unit features, demonstrated strong correlation (

    ) with clinical motor function scores.(You're ignoring the dead brain problem, no firing of any motor units. What is your solution to that problem?)

    Conclusions

    This study demonstrates that HD-EMG can capture detailed motor unit activity and neural control characteristics across multiple forearm muscles in individuals with chronic stroke. By integrating multiple HD-EMG features, this approach provides new insights into neuromuscular alterations linked to hand motor function after stroke. These findings support the use of HD-EMG for monitoring recovery, predicting outcomes, and guiding more targeted rehabilitation, thus advancing both stroke research and patient care.

    International Stroke Conference February 4–6, 2026 Ernest N. Morial Convention Center | New Orleans, Louisiana

     Absolutely nothing on getting to 100% recovery! It's as if survivor needs mean nothing! 

    I'd fire everyone presenting here for incompetence since they don't know what survivors want! Been doing the same useless crapola for years and never learn anything since there are NO survivor presentations. I'd have a barnburner, offending everyone there that needed to be offended!

    International Stroke Conference February 4–6, 2026
    Ernest N. Morial Convention Center | New Orleans, Louisiana       
     
           

    Thursday, January 8, 2026

    Brain stimulation device, Alpha-Stim, gaining traction as an anti-anxiety tool

    If your doctor prescribes this for your massive anxiety about not getting recovered that just proves EXTREME INCOMPETENCE in not having EXACT  100% recovery protocols!

    You want your doctor to prevent post stroke depression and anxiety the proper way; 100% RECOVERY PROTOCOLS!  Not any after the fact intervention.

    Post stroke depression(33% chance).

    Post stroke anxiety(20% chance).  

    Brain stimulation device, Alpha-Stim, gaining traction as an anti-anxiety tool


    By 
     Alpha-Stim is being used by Northamptonshire NHS Healthcare Trust as a mental health intervention
    The device uses gentle electrical currents to rebalance the Default Mode Network in the brain
    People who have anxiety or insomnia often have disruption in this area of the brain
    More than 100 clinical studies have been carried out

    Brain stimulation device, Alpha-Stim is receiving growing support from health professionals and people with anxiety, insomnia and chronic pain. 

    Alpha-Stim uses cranial electrotherapy stimulation (CES) to deliver small, pulsed currents to the brain, via a small clip attached to the outer ear. A low-amplitude waveform is used to rebalance the default mode network, which is often disrupted in a number of mental health conditions, including anxiety and insomnia.  

    Alpha-Stim was launched in the US in 1981 and more than 100 clinical studies and trials have been carried out on Alpha-Stim and CES. In 2010, it was brought to the UK by Stephen Hutchinson, who discovered it when he was looking for an alternative to medication to help with insomnia and anxiety. 

    In 2014, Northamptonshire NHS Healthcare Trust was the first NHS Trust to trial Alpha-Stim for patients. After extensive trials, the Trust added it to its routine primary care pathway for patients with anxiety two years ago. 

    Headline figures from research include a 94 per cent improvement in anxiety after five weeks.

    After five Alpha-Stim insomnia treatments, military service members with insomnia reported an increase of 43 minutes of sleep.

    A study on CES found the number of subjects rating their quality of sleep as poor dropped from 60 per cent to 5 per cent.

    In a study of severe pain patients, Alpha-Stim significantly reduced pain by an average of 71 per cent after five treatments.

    Dr James Kustow, consultant psychiatrist and author of ‘How to Thrive with adult ADHD’, said, “I’m really excited by the results my patients have reported when using Alpha-Stim for their anxiety symptoms over many years.

    "I have found that it has made a huge difference to the quality of life of many of my patients, some of whom have been struggling to get good control of their anxiety and emotional dysregulation for many years. It’s a really excellent non-medication solution for a common and impairing problem.”

    Higher Brain Care Score Linked to Lower Risk of Incident Stroke

     Your competent? doctor HAS EXACT PROTOCOLS TO MEET THIS, right?

    Let's see how long your doctor has had to be competent! A year and a half is plenty of time to get protocols written!

  • Brain Care Score (7 posts to July 2024)
  • Do you prefer your doctor, hospital and board of director's incompetence NOT KNOWING? OR NOT DOING?

    Higher Brain Care Score Linked to Lower Risk of Incident Stroke


    The MOST Important Leg Stability Exercise Often Skipped for Standing & Walking After Stroke by Tracy L. Markley Fitness & Author

     10.5 minute video, did you get this from your therapist?

    The MOST Important Leg Stability Exercise Often Skipped for Standing & Walking After Stroke

    What Cold Plunging Teaches the Body by Super Age

     Hasn't your competent? doctor already informed you of the benefits of cold and heat shock proteins? NO? So, no competence at all from your doctor?

    I'm sure your competent? doctor told you all about the benefits of cold and heat shock proteins and how to get them.

  • cold shock proteins (2 posts to October 2023)
  • heat shock proteins (3 posts to April 2013)
  • Hasn't your competent? doctor implemented cold showers for you in the hospital? Or even a sauna?

    What Cold Plunging Teaches the Body

    The 30-Gram Rule: How Much Protein Do You Need to Maintain Muscle? by Super Age

     What EXACT PROTOCOL does your doctor have to prevent sarcopenia(muscle loss) post stroke? Oh, nothing at all and doesn't know anything about the problem? Congratulations, you've identified one of the many incompetent stroke medical 'professionals'! 

    Let's check how long your doctor has been incompetent!

  • sarcopenia (27 posts to March 2016)
  • The 30-Gram Rule: How Much Protein Do You Need to Maintain Muscle?

    International Position Paper on Outcome Selection After Aneurysmal Subarachnoid Hemorrhage

     You're missing the survivors' most important outcome: 100% RECOVERY!  Not measuring for that is pure incompetence!

    Here is your business101 requirements. 

    The ONLY goal in stroke is 100% recovery! That is a survivor requirement, why the fuck aren't you getting there?

    International Position Paper on Outcome Selection After Aneurysmal Subarachnoid Hemorrhage


    Christopher R. Andersen, MD https://orcid.org/0000-0002-9321-8660, 
    Gordon Fernie, PhD, 
    Justin Presseau, PhD https://orcid.org/0000-0002-2132-0703, 
    Bev Shea, PhD https://orcid.org/0000-0002-7686-2585, 
    Maria Luisa Marti, 
    Isabel C. Hostettler, MD, PhD https://orcid.org/0000-0002-9004-2540, 
    Redi Rahmani, MD https://orcid.org/0000-0003-3161-2125, 
    Tracy A. Iona https://orcid.org/0009-0000-1033-2410, and 
    Shane W. English, MD https://orcid.org/0000-0002-9477-6146 senglish@toh.ca 
    on behalf of the SAH Core Domain Set and Core Domain Definitions Working Groups and the Canadian Critical Care Trials GroupAuthor Info & Affiliations
    Stroke
     New online 

    Abstract

     The health outcomes currently reported in aneurysmal subarachnoid hemorrhage (aSAH) research lack consistency and do not sufficiently reflect what is important to people most affected. The objective of this article was to establish consensus on the aspects of health (domains) clinicians and researchers should measure in aSAH research.

    METHODS:

    Informed by 2 international prioritizing surveys (involving 239 participants from over 25 countries and 6 continents), we used established consensus methodology in a hybrid in-person/online consensus meeting to establish which domains of health researchers should measure in aSAH research. Sixty-nine participants with lived experience with aSAH (35%), clinical and research leaders (62%), or from aSAH-related charity (3%) took part. International multidisciplinary working groups established consensus definitions for each domain.

    RESULTS:

    Consensus (>70% endorsement) was sought on a proposed group of 6 domains of health, and failing that, each domain individually. The 6 domains which reached consensus and were formally defined are (1) health-related quality of life, (2) survival, (3) cognition and executive function, (4) functional outcome, (5) delayed cerebral ischemia and cerebral infarction, and (6) rebleeding and aneurysm obliteration.

    CONCLUSIONS:

    This International Position Statement reports the consensus process undertaken and the core domain set established to guide the choice of outcomes for evaluating new treatments for aSAH. It will ultimately help shape the future aSAH research agenda.
    Graphical Abstract

    8 Things to Remember About Stroke Recovery as We Start 2026 by Flint Rehab

     They managed to not tell you: NOBODY IN THE WORLD KNOWS ANYTHING SPECFIC ABOUT STROKE RECOVERY! You're getting pretty much useless guidelines, and you're paying for those incompetent? stroke medical 'professionals'!

    8 Things to Remember About Stroke Recovery as We Start 2026

    Here are 8 important things to remember about stroke recovery in 2026.

    1. Progress Happens Through Consistency, Not Perfection

    Stroke recovery is built on repeated practice, not on “perfect” days.

    It is easy to think progress requires massive effort. But in reality, the nervous system responds best to steady, repeated activity. That might mean:

    practicing hand movement for 10–20 minutes a day
    repeating walking drills regularly
    using speech exercises daily rather than once in a while
    Missing a day does not erase progress. What matters is coming back.

    Learn More About Massed Practice

    2. The Brain Can Continue Healing for Years
    One of the most encouraging truths about stroke recovery is this:

    Recovery does not end at six months.

    While early recovery can feel fast, neuroplasticity, the brain’s ability to rewire, continues long-term when you stay engaged in therapy and movement. 

    Many survivors can continue to regain function years and some report major changes even decades after their stroke with things like:

    improved hand movement
    better speech
    smoother walking
    stronger balance
    greater independence
    The key is ongoing, targeted practice. When you give the brain input, it adapts. When practice stops, progress slows.

    If you are still trying, your brain is still learning.

    3. Progress Is Not Linear. Plateaus Are Normal.

    One of the hardest parts of recovery is the so-called “plateau.”

    It can feel like all progress suddenly stops. But plateaus usually don’t mean recovery is over. In fact, they often mean:

    the brain is consolidating skills
    the exercises need variety or progression
    fatigue, mood, or pain may need attention
    the body needs time to adjust
    Sometimes switching strategies, modifying exercises, or increasing challenge helps restart momentum.

    Plateaus are frustrating. But they are also completely normal.

    Keep going — the story does not end there.

    Learn More About Stroke Recovery Plateau: Why Progress Slows Down & How to Keep Going

    4. Repetition Matters More Than Effort Alone
    Stroke recovery is not just about effort. It is about the right kind of effort.

    The brain builds pathways through repetition. That means repeated, purposeful movement is more effective than random exercise.

    For example:

    repeating grasp-and-release motions helps hands relearn control
    repeating walking cycles helps retrain gait
    repeating speech drills helps rebuild communication patterns
    Structured tools, guided therapy, and rehab programs are powerful because they encourage high-quality repeat practice.

    Repetition is what tells the brain: “This movement matters.”

    Learn Why Repetitive Task Training Is So Important to Stroke Rehab

    5. Recovery Is More Than Physical Strength

    When people think of stroke recovery, they often picture walking or moving the arm again.

    But true recovery also includes:

    emotional health
    confidence
    resilience
    sleep quality
    stress reduction
    social connection
    Depression, fatigue, fear, or isolation can slow physical progress. Support, encouragement, and mental health care make rehab more effective.

    Recovery is not just about muscles. It is about rebuilding life.

    6. Asking for Help Is a Strength, Not a Weakness

    Stroke recovery is complex. It often involves:

    therapists
    physicians
    caregivers
    support groups
    adaptive devices
    technology and therapy tools
    Trying to navigate it alone can feel overwhelming and discouraging.

    Asking for help means you are problem solving. It shows commitment. It gives you more tools to work with and more people on your side.

    No one recovers entirely on their own so do not feel bad for reaching out to friends, loved ones, and support groups asking for help.

    Reaching out moves you forward.

    7. Celebrate Every Single Win
    Motivation is the key to consistency and recovery. And celebrating wins is a great way to stay motivated.

    Remember to celebrate every win no matter how big or small it may seem. Things like:

    lifting a finger for the first time
    speaking a clearer word
    sitting up longer
    walking an extra step
    completing therapy even when tired
    Celebrating every win reinforces motivation and rewires your brain toward progress. These moments are proof that the brain is changing.

    Nothing is “too small” to count.

    8. Hope Is Not Naive — It Is Fuel for Your Recovery

    Hope is not pretending everything is easy. Instead, it means believing effort still matters. It means recognizing that you are still capable of learning, adapting, and improving.

    Hope helps people:

    stay engaged in therapy
    push through hard days
    try again after setbacks
    maintain emotional strength
    Many stroke survivors surprise themselves with what they regain when they refuse to give up.

    Hope keeps recovery moving.

    Moving Into 2026 With Purpose, Patience, and Hope
    Stroke recovery is rarely about sudden breakthroughs. More often, it is built through steady choices, quiet persistence, and faith in the body’s ability to adapt over time. As we move into 2026, give yourself permission to take recovery one day at a time.

    Keep practicing, even when progress feels slow. Ask for help when you need it. Protect your energy, celebrate what is working, and remind yourself that your brain is still capable of learning.

    There will be setbacks. There will also be wins you did not expect.

    Most importantly, remember this: improvement does not require perfection. It requires showing up, staying curious, and continuing to believe that effort matters.

    Here is to a year of steady progress, renewed confidence, and hope that feels both realistic and strong.

    We hope you enjoyed this article and subscribe to our newsletter for weekly articles just like this delivered straight to your inbox — subscribe here.

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    Riyadh hospital earns top global stroke care certification

     

    This is the whole problem in stroke enumerated in one word; 'care'; NOT RECOVERY! 

    Our non-existent stroke leadership should be demanding RECOVERY NOT 'CARE'!

    My god, anyone in the business world would be fired immediately for managing or caring about something rather than delivering RESULTS. And this is why this is a complete fucking failure! This does nothing to guarantee recovery for survivors!

    If your stroke medical 'professional'/hospital is touting 'care' it means they are a failure because they are delivering 'care'; NOT RECOVERY! I would never go to a failed hospital! Anytime I see the word 'care' associated with a stroke hospital; I immediately think fucking failure!

    YOU have to get involved and change this failure mindset of 'care' to 100% RECOVERY! Survivors want RECOVERY, NOT 'CARE'!

    I see nothing here that states going for 100% recovery! You need to create EXACT PROTOCOLS FOR THAT!

    ASK SURVIVORS WHAT THEY WANT, THEY'LL NEVER RESPOND 'CARE'! This tyranny of low expectations has to be completely rooted out of any stroke conversation! I wouldn't go there because of such incompetency as not having 100% recovery protocols!

    RECOVERY IS THE ONLY GOAL IN STROKE!

    GET THERE!

    Riyadh hospital earns top global stroke care certification

    RIYADH, Saudi Arabia (MNTV) — King Faisal Specialist Hospital and Research Center (KFSHRC) in Riyadh has received the Comprehensive Stroke Center Certification from the American Heart Association and the Middle East and North Africa Stroke Organization. 

    The recognition places the hospital among a select group of leading medical institutions worldwide in advanced stroke care(NOT REOVERY!), according to Arab News.

    The certification reflects the hospital’s capacity to deliver fully integrated stroke services, including rapid diagnosis, advanced interventional procedures and continuous rehabilitation programs, contributing to higher survival rates and fewer complications, KFSHRC said in a statement.

    The hospital has further enhanced its emergency response through the launch of the region’s first Mobile Stroke Unit, equipped with a CT scanner and a specialized medical team capable of initiating diagnosis and treatment at patients’ locations within minutes, according to the Saudi Press Agency.

    The mobile unit has played a key role in saving lives through early intervention and was deployed extensively during the Hajj season, the report said.

    KFSHRC said the achievement adds to its growing list of international recognitions and reflects its commitment to improving healthcare quality, strengthening national medical expertise, and supporting the objectives of Saudi Vision 2030.

    In 2025, the hospital ranked first in the Middle East and North Africa and 15th globally among the world’s top 250 academic medical centers. 

    It also holds the highest-valued healthcare brand in Saudi Arabia and the region, according to Brand Finance 2025, and has been listed by Newsweek among the World’s Best Hospitals 2025, World’s Best Smart Hospitals 2026 and World’s Best Specialized Hospitals 2026.