June 2017

Wrong Dose of Anticoagulation and Stroke

By |2019-04-24T18:00:10+00:00June 27th, 2017|Stroke|

Improper dosing of anticoagulation can result in stroke, pulmonary embolism, bleeding, or death. Despite the great risk, a recent study published by the New England Journal of Medicine (NEJM) shows that underdosing and overdosing of newer blood thinner medications is rampant. The study focused on the use of novel direct acting oral anticoagulants (DOACs), such [...]

Comments Off on Wrong Dose of Anticoagulation and Stroke

March 2017

Failure to Prevent Stroke in A Fib Patients

By |2019-04-24T18:00:10+00:00March 29th, 2017|Stroke|

I have previously written about misdiagnosis of stroke on this blog.  When stroke is not timely diagnosed, the patient misses out on time-sensitive treatments that can preserve brain tissue, such as tPA (a “clot buster” medication) or thromboembolectomy (where a blood clot is removed through a surgical procedure).  However, in many circumstances, blood clots that [...]

Comments Off on Failure to Prevent Stroke in A Fib Patients

May 2016

Misdiagnosis of Stroke in Younger Adults

By |2019-04-24T18:00:09+00:00May 16th, 2016|Misdiagnosis, Stroke|

Misdiagnosis of stroke in younger adults is likely to be a growing problem as the rate of ischemic stroke in this population continues to increase.  A study published this month in the Journal of the American Heart Association showed that, while overall stroke rates have declined, strokes among individuals aged 25-44 increased by 44% during [...]

Comments Off on Misdiagnosis of Stroke in Younger Adults

November 2015

Causation in Delayed Diagnosis of Stroke Cases

By |2019-04-24T18:00:06+00:00November 4th, 2015|Stroke|

Strokes (also known as brain attacks, ischemic attacks, cerebral vascular accidents or CVAs) are a major source of death and disability in the U.S.  The American Stroke Association and the American Heart Association have taken great strides to educate Americans about the signs of an ischemic attack, so that patients can promptly avail themselves of time-sensitive [...]

Comments Off on Causation in Delayed Diagnosis of Stroke Cases

March 2015

Thrombectomy and Stroke

By |2019-04-24T18:00:05+00:00March 16th, 2015|Stroke|

Stroke is a leading cause of injury and death in the United States.  In past blogs, I have focused on preventative strategies for avoiding blood clots to the brain through identification and treatment of atrial fibrillation ("a fib") and use of anticoagulation medications, such as coumadin and warfarin.  I have also written about the use [...]

Comments Off on Thrombectomy and Stroke

June 2014

Stroke Prevention in Younger People

By |2019-04-24T18:00:05+00:00June 6th, 2014|Stroke|

Stroke (also called "cerebral vascular accident" or CVA) is often viewed as a disease of older adults.   However, I just watched a panel discussion by three prominent stroke experts that points to a trend towards CVAs occurring in younger patients, particularly aged 35-65.  More importantly, for purposes of assessing medical malpractice claims, many of these CVAs are [...]