Dr. Haitham Hussein
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Podcast Appearances
However, if someone comes with stroke symptoms that subsided, and we think that person might have had a transient ischemic attack or TIA, Many people feel that just getting an MRI will give us all the information we need beyond what a CT scan would do. I don't really remember if Tony went for CT first and did an MRI or went to MRI right away. I think we have both images.
However, if someone comes with stroke symptoms that subsided, and we think that person might have had a transient ischemic attack or TIA, Many people feel that just getting an MRI will give us all the information we need beyond what a CT scan would do. I don't really remember if Tony went for CT first and did an MRI or went to MRI right away. I think we have both images.
Right. Yeah, but there is, of course, a lot of work, Clarence and Stan, that we do to speed up the stroke code process. And we calculate the time from the patient coming to the hospital to the patient getting treatment in minutes. We call it the door-to-needle time. Yeah.
Right. Yeah, but there is, of course, a lot of work, Clarence and Stan, that we do to speed up the stroke code process. And we calculate the time from the patient coming to the hospital to the patient getting treatment in minutes. We call it the door-to-needle time. Yeah.
And, you know, there is a lot of resources that are utilized to just shorten the door to needle time by five minutes or something. And that would people, you know, count as great success. So what we struggle with is when people are late coming to the hospital. And we really want to avoid that. And I just did an analysis of our data. looking at white versus non-white.
And, you know, there is a lot of resources that are utilized to just shorten the door to needle time by five minutes or something. And that would people, you know, count as great success. So what we struggle with is when people are late coming to the hospital. And we really want to avoid that. And I just did an analysis of our data. looking at white versus non-white.
And we have about six or seven hours difference in the median time from stroke symptom onset to arrival to the hospital. Seven hours difference between the two groups. So I can talk about this later, but I want Tony to tell us you spent the entire night in the hospital and then the next day you saw a doctor, a hospitalist, and you were discharged?
And we have about six or seven hours difference in the median time from stroke symptom onset to arrival to the hospital. Seven hours difference between the two groups. So I can talk about this later, but I want Tony to tell us you spent the entire night in the hospital and then the next day you saw a doctor, a hospitalist, and you were discharged?
The neurologist who was on service that week.
The neurologist who was on service that week.
No, we do the intervention when we go with microcatheters, thin tubes and wires, arteries to open them up when there is 100% blockage.
No, we do the intervention when we go with microcatheters, thin tubes and wires, arteries to open them up when there is 100% blockage.
But when there is less than complete blockage, 70% or something like that, with oral medications most of the time such as aspirin and clopidogrel combination which he got when he was in the emergency room but he was not seen by the stroke team he was seen by an internist And the stroke team has a very long list of patients.
But when there is less than complete blockage, 70% or something like that, with oral medications most of the time such as aspirin and clopidogrel combination which he got when he was in the emergency room but he was not seen by the stroke team he was seen by an internist And the stroke team has a very long list of patients.
And because Tony's case was kind of special, they wanted to have enough time to sit down and talk to him. And they were not aware that he was being discharged. So he kind of freaked out and called him and asked him to come back. But at that point, I think in his mind, he was thinking, Oh, they just let me go because I'm black. And, um,
And because Tony's case was kind of special, they wanted to have enough time to sit down and talk to him. And they were not aware that he was being discharged. So he kind of freaked out and called him and asked him to come back. But at that point, I think in his mind, he was thinking, Oh, they just let me go because I'm black. And, um,
he just was angry and didn't yeah we tried to rectify that by having him come to the my clinic within like a couple days or something i don't remember how many days difference um and we explained everything well let me back let me back up because i want to correct something yeah and what's what's your colleague's name again
he just was angry and didn't yeah we tried to rectify that by having him come to the my clinic within like a couple days or something i don't remember how many days difference um and we explained everything well let me back let me back up because i want to correct something yeah and what's what's your colleague's name again
I think we talked in the office.
I think we talked in the office.