Re: the deeps joys of the uk national health to Renee
From: Renee (anonymous@obgyn.net)
Sat, 04 May 2002 19:05:58 -0700
I'm in the US. We scan in the ER.
Renee
janet renn wrote:
>
> Its true Renee, I know that bleeds show up but it tends to be the policy
> that unless a sub dural bleed is evident we dont scan for at least 24 hrs at
> the very least. Are you in the uk or the much more dynamic US?
>
> regards Janet
>
> >From: Renee Cordrey
> >Reply-To: pcos@obgyn.net
> >To: Multiple recipients of list PCOS
> >Subject: Re: the deeps joys of the uk national health
> >Date: Sat, 4 May 2002 11:49:56 -0500
> >
> >I can't believe that. The morbidity is improved so much by early
> >intervention. A CT won't show the dead brain tissue from a clotting stroke
> >for about 48 hours, but it will show the bleeding immediately. Plus,
> therapy
> >is best when initiated quickly. The brain has the most potential for
> >"re-wiring" sooner. Wow. In a socialized health system, it definitely
> >makes sense to provide early intervention, as the follow-up costs are lower
> in
> >the long run.
> >
> >Renee
> >
> >janet renn wrote:
> > >
> > > Policies obviously must differ from area to area, definately no
> treatment
> > > within 48hrs here!
> > >
> > > >From: Renee Cordrey
> > > >Reply-To: pcos@obgyn.net
> > > >To: Multiple recipients of list PCOS
> > > >Subject: Re: the deeps joys of the uk national health
> > > >Date: Fri, 3 May 2002 00:32:21 -0500
> > > >
> > > >Actually, there IS treatment for strokes within the first 48 hours. In
> > > fact,
> > > >it is crucial to get treatment as soon as possible. A CT scan or MRI
> can
> > > >determine if the stroke is a clot or from bleeding. If it's a clot,
> then
> > > >anticoagulant meds (eg: TPA) must be given within 3 hours of the stroke
> to
> > > be
> > > >most effective. If it's a bleeding stroke, then surgery may be needed
> to
> > > >drain the hemorrhage. Again, the sooner the better, to avoid more
> serious
> > > and
> > > >permanent damage.
> > > >
> > > >Renee
> > > >(physical therapist)
> > > >
> > > >janet renn wrote:
> > > > >
> > > > > Lisa, I was sorry to hear of your terrible experience with your
> mother
> > > in a
> > > > > NHS hospital, however what the nurse (idiotic or not) was probably
> > > trying to
> > > > > say was that there is no treatment for strokes within the first 48
> > > hours. It
> > > > > takes this long for the irritation within the brain to subside and
> also
> > > for
> > > > > the cause of the stroke ie. clot or bleed tobecome apparent. The
> > > treatment
> > > > > is very different for each cause and if treated wrongly can cause
> > > further
> > > > > damage.
> > > > >
> >--
> >--------------
> >Renee Cordrey, MSPT, MPH, CWS
> >---
> >Dwell in Possibility.
> >--Emily Dickenson
> >
>
--
--------------
Renee Cordrey, MSPT, MPH, CWS
---
Dwell in Possibility.
--Emily Dickenson
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