For Many Strokes, There’s an Effective Treatment. Why Aren’t Some Doctors Offering It?

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For Many Strokes, There’s an Effective Treatment. Why Aren’t Some Doctors Offering It?
Stroke treatment guidelines issued by the American Heart Association and the American Stroke Association strongly endorse T. P.A.
“In my experience, almost no one — after hearing a neutral version and then a positive version — chose T. P.A.,” Dr. Hoffman said.
At Sierra Vista Regional Medical Center in San Luis Obispo, Calif., Dr. Scott Bisheff, an emergency
medical physician, tells patients there is great uncertainty about whether T. P.A.
At Yale, Dr. Wira said, patients sometimes are transferred from community hospitals where they have not received T. P.A.
A., he said in an interview, he has spoken to stroke patients and their families even as their medical teams headed into the emergency room.
For years, doctors had tried — and failed — to find a treatment that would preserve the brains of stroke patients.
About half of his stroke patients decline the treatment, Dr. Bisheff said.
Close to 700,000 patients have strokes caused by blood clots each year and could be helped by T. P.A.
Dr. Hoffman said he has debated renowned neurologists about the benefits of T. P.A.
He reviewed the raw data from the federal study and concluded that more patients who got T. P.A.

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