stroke breakthrough complaints

For example, 14 million people who know a stroke survivor dont even realise that stroke happens in the brain.. In both cases, the interruption of blood flow starves brain cells of oxygen, causing them to become damaged and die. Very happy with paramedics that attended and with the changeover team. The social, physical and psychological consequences of stroke are devastating. Multiple additional neurological improvements occurred, including reductions in chronic post-stroke pain and neglect; and improvements in hand and arm . However, presentation most concerning for a CVA. Before and up to a year afterwards, the researchers measured their mobility on a scale of 1 to 100 - with 100 being totally mobile - and . IV tPA does not penetrate into the clots but instead works at the interface between the clot and the blood stream. Tissue plasminogen activator for acute ischemic stroke. A decade of pioneering discoveries in medicine. FOLLOWING THE BREAKTHROUGH PSE STROKE TREATMENT INVENTED BY EDWARD TOBINICK, M.D., as described in the peer-reviewed medical literature: Individual results vary, please see the Terms of Use and the INR scientific publications. MWZlMTQ2YzUyZTUzMjFhZTA0OTdiMmQ5MzM2NWMzOGYyNDk1MzdjY2Y3MjNj Because you perform the full movement (albeit with help), new brain communication pathways are formed, and eventually you may be able to complete the movement without the mechanical brace. Satisfaction. 2011: Physician discusses rapid improvement after PSE, 10 yrs. YTkzNTlmNjY1MTk3ODYyYmMzNWQ5MzA4ZWM0MmY1ZjUxNjI4ZjVlODViYzFm 2021: Dramatic improvement in chronic post-stroke fatigue after PSE - 2021. According to the Centers for Disease Control and Prevention (CDC), these are the major signs and symptoms of stroke, all of which come on suddenly: numbness or weakness in the face, arm, or leg . Mesenchymal stem cells can be deployed systemically via IV or injected locally to target specific sites, depending on patient needs. Tobinick gave up his right to contest that cause for discipline existed based on that charge. Institute of Neurological Recovery BY Zen Vuong. "As a medical community we need to push for immediate and intense change in rehabilitation." The study was carried out in Canada, South Korea, the United Kingdom and Ireland. "These sedative drugs basically knock them out. The INR utilizes the pioneering, patented perispinal etanercept (PSE) off-label treatment methods invented by its founder and Medical Director, Edward Tobinick, M.D. A new scientific discovery at . NmU4MTMyZjFlNjAxM2U0NGY0ZjM3MGVkZjU3MGRkNDAyMDA2M2RkMDhmMDU5 Replied on 18 November 2022. Recommended for: People with partial use of an affected arm or leg who may need help completing movements, such as using eating utensils. In 2003 the INR published the first of its many peer-reviewed scientific publications documenting the INR's medical breakthroughs in the field of neuroinflammation. Our content is further subject to ourTerms and Conditions. In 2003 the INR published the first of its many peer-reviewed scientific publications documenting the INR's medical breakthroughs in the field of neuroinflammation. Doctors Care for Family Members, Too, When Patients Are in ICU. The method of off-label treatment utilized is a patented invention of the INR. Does gum disease increase your risk of hypertension, heart attack and stroke? The stem cells boost the brain's ability to release growth factors, molecules, and proteins that stimulate . "They [patients] say it's fantastic, it's amazing, and it's basically a breakthrough treatment.". There wasnt much you could do. But that is changing. Y2EzZWNiNDFhYWE4ZDJmZmQ3MWU4YmU2MzNjMzg4NTQ5NGEzYTViMTY4Y2Y4 The FDA gave the device a Breakthrough Device designation because it treats a life-threatening disease, heart failure, and addresses an unmet medical need in patients who fail to get adequate . MGYzYjk2NzYzNjY1ODIyZTFlZTI1NDNlNzNkYzA3NjJhYzFjYzBlOWFlNTNi Suite 110 Employers often do not understand the breadth of consequences that a stroke can have on a person; this is symptomatic of the publics overall lack of stroke knowledge. Face to Face campaigns. 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A New Breakthrough for Treatment of Stroke and Brain Injury. Happy with department I attended. However, multiple parties were already planning independent studies with support from industry partners. The INR's breakthrough treatment is not experimental: it has been used for thousands of patients, from every populated continent in the world, including from theU.S., Canada, England, Scotland, Wales, Ireland, Mexico, Trinidad, Jamaica, Haiti, Bahamas, Guatemala, Belize, Brazil, Columbia, Bolivia, Uruguay, Ecuador, Chile, Peru, Germany, France, Spain, Italy, Portugal, Belgium, Netherlands, Switzerland, Bulgaria, Romania, Ukraine, Poland, Denmark, Sweden, Norway, Iceland, Gibraltar, Uzbekistan, Turkey, Israel, Saudi Arabia, UAE, Oman, Iraq, Egypt, Morocco, Nigeria, Ghana, Cameroon, South Africa, Mozambique, Kenya, Mauritius, India, Bangladesh, Thailand, Vietnam, China, Hong Kong, Japan, Indonesia, Malaysia, Philippines, Australia, New Zealand, Papua New Guinea, Fiji, and the Cook Islands. Since that time scientists around the world have developed supporting evidence that suggests, in accordance with the findings of INR physicians, that dormant circuits in the brain and other parts of the central nervous system, following stroke and other forms of injury, are capable of being re-activated, resulting in rapid neurological improvement. Your submission has been received! "He was on life support, in a coma for eight weeks, and left with a catastrophic disability across his life," Ms Graham said. MGNlOTA4NzE3YWMyYTAwOWFlNWY4Mzc4MmJlMjFkN2ViMmU3MzM3OTQ5ZjNh It occurs when there is a disruption of blood flow, either because of a vessel blockage (ischemic stroke) or rupture (hemorrhagic stroke). About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features Press Copyright Contact us Creators . The .gov means its official.Federal government websites often end in .gov or .mil. During those years, Tobinick promoted and advertised a new off-label use for an FDA-approved drug, etanercept (Enbrel). But calculating the ideal blood pressure for the minutes and hours after a patient has a stroke can be complicated. In a typical two-week course of CIMT, the good arm is restrained in a sling or mitt for nearly all waking hours, including during six hours of daily intensive physical therapy. Constraint-Induced Movement Therapy (CIMT). A year later, Zeumer and Ringelstein reported two cases successfully treated by injection of another thrombolytic agent, urokinase, into clots blocking the intracranial carotid arteries. AdditionalView Video. TAMPA, Fla. -- In a conference room of a Tampa hotel about 20 people gathered on a weekday afternoon to hear a pitch for stem cell therapy. The INR utilizes the pioneering, patented perispinal etanercept (PSE) treatment methods invented by its founder and Medical Director, Edward Tobinick, M.D. Fax: +1 (561) 372-7874 Potentially, brain swelling can now be treated more effectively. Hermorrhagic Stroke With hemorrhagic stroke a blood vessel within the brain leaks or ruptures and bleeds into the surrounding brain tissue. Investigators calculated the ratio of the amount of brain tissue that is under-perfused to the amount already dead and selected patients where the ratio was>1.2. MjZiMjAxZGIxODYyZDkwZTgwMmQ0YTZlMzBmMGM1OTc5ZDBmMmIzMDQ0OGEw Learn about these developments and more in the video above. Cholera infantum - Infant diarrhea; sometimes called "summer diarrhea" or "summer complaint." Catarrh - This term is still in use today to describe excessive buildup of mucus in the nose or throat, associated with inflammation of the mucous membrane. Loss of energy. NzM0OGQ1NDA4MDU1ODdhNTljMGQxOWY1MmU0OTI5NTcyMzllOWY4YTJjZWUy Home; The best type of physical therapy depends on the stroke survivors abilities and on the resources of the rehabilitation facility. The INR accepts patients for treatment from all parts of the world, and has treated patients from every populated continent of the world. Dr. Steve showed exercises that improve strength and boost metabolism. Patients in the intra-arterial arm had a 67% improved functional outcome as compared to the controls. Request a consultation today. Associate Professor Stephen Ralph said Griffith University's School of Medicine was conducting a randomised clinical study of 22 patients. INR PLLC 1877 S. Federal Hwy., Suite 110 Boca Raton, FL 33432 Phone: (561) 353-9707 Fax: +1 (561) 372-7874 . NjQ0YmZmZTU0MmIxOGVjNWQ4MDcwYTAzMjEwNzVkZTQ4ODU5OTM1YTJhOGM4 Researchers make breakthrough in stroke treatment. 2011: Sustained improvement following PSE treatment, 5 yrs. Dr Ralph said it was "extremely disappointing and frustrating" to see the benefits of the treatment firsthand, but it was not available publicly. 1877 S. Federal Hwy., Suite 110 But a revolutionary new procedure is giving stroke victims new hope and help, as Newsmax TV's "Meet The Doctors" reports this week.". On January 3, 2020 a university, double-blind, randomized, placebo-controlled, clinical trial confirmed the efficacy of perispinal etanercept for treatment of chronic, post-stroke pain. Treatment for these indications is innovative (off-label). By injecting a common contrast agent intravenously with the brain CT scan (CT angiography) or MRI (MR angiography), large artery blockages can easily be identified. OWJiODQ3YTMzMTIwMTM2N2EzYmMwYjIwMTY1MGVhMTFlYmFlNmQ5ODQxODI2 Side effects immediately trouble sleeping, then anxiety, mood swings and feeling like my heart was going to explode . SolitareTMFR as Primary Treatment for Acute Ischemic Stroke (SWIFT PRIME). Stroke is far more common than you might realize, affecting more than 795,000 people in the U.S. every year. As a result, there is often a delay in getting MRI scans for stroke patients. Heart disease and stroke A study published in Nature Medicine in February concluded the risk of heart problems one year after COVID-19 infection is "substantial." Those heart problems include irregular heartbeats, heart failure (the inability of the heart to pump properly), coronary disease (buildup in arteries that limits blood flow), heart . The work was developed by a consortium of experts in Signalling Transduction (Dr Jinwei Zhang, University of Exeter, UK), Medicinal Chemistry (Professor Xianming Deng, Xiamen University, China), Neurosurgery and Cellular and Molecular Physiology (Dr Kristopher T. Kahle, Yale School of Medicine, USA) and Neurology (Professor Dandan Sun, Veterans Affairs Pittsburgh Healthcare System and University of Pittsburgh, USA). The compound, called ZT-1a, targets a pathway that controls proteins that act as transporters of ions and water in and out of cells. Tobinick understood that the charges and allegations in the Second Amended Accusation, if proven at a hearing, constitute cause for imposing discipline upon his Physicians and Surgeons certificate. Hocoma Lokomat. Stroke Breakthrough - Multiple improvements after treatment by Edward Tobinick, M.D., on 12/26/19. >87% of the patients received IV t-PA before being randomized to intra-arterial clot retrieval. Health fraud scams can involve a variety of FDA-regulated products. Just as they suspected, the mice were then unable to perform the pellet-grasping task with precision. That knowledge can then direct the development of targeted therapeutics for the treatment of stroke that minimize early injury and enhance recovery. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); You have entered an incorrect email address! Its a paradigm shift from taking a sick patient to the MRI to taking an MRI to a sick patient, says Dr. Sheth. Phone:+1 (561) 353-9707 Understanding Stem Cells for Stroke Recovery. It occurs when there is a disruption of blood flow, either because of a vessel blockage (ischemic stroke) or rupture (hemorrhagic stroke). These stent-retrievers are more effective in removing clots and they are easier and faster to deploy than previous devices. OGU0NDFkZGVhY2ZjMDBkZWI3YWMxZTczNGY1MGI3MWMxYTcwNzBlMjZjOGFm A new scientific discovery at the INR, as documented in the videos below, now promises to change current thinking about the potential for recovery of function, even years after the acute event. The contents of this website, including text, images, and videos are 2022 INR PLLC, all rights reserved. Joel Stein, MD, chief medical officer at the Spaulding Rehabilitation Hospital and an associate professor in the department of physical medicine and rehabilitation at Harvard Medical School, both in Boston. It was tested on mice and rats which had stroke or hydrocephalus, a condition which causes fluid on the brain. "It's about patent expiry and money and keeping out cheaper versions of the drug," he said. Increase or decrease in appetite. The drug is still in the laboratory and requires further development. In 1999, an Abbot pharmaceuticals-funded, randomized controlled trial injecting pro-urokinase, a novel thrombolytic, via a catheter directly into the center of the clot blocking the major brain arteries showed benefit, but the FDA required a confirmatory study and the company decided not to proceed. Though it captures the images doctors need to properly diagnose stroke, it uses a less powerful magnet. Until May 2002, there had been no published, peer-reviewed, scientific studies showing the effectiveness of the treatment for back pain in humans. Thank you! Improvements to central post stroke pain, skin sensitivity, walking,View Video, Improvement in cognition, mobility, and fatigue following perispinal etanercept treatment by Dr. Tobinick 4 years after traumatic brain injury (TBI). Two thirds of stroke survivors leave hospital with a disability, according to the Stroke Association. YmQzMzliYTc0NjQyODkxYWIxZGY2NTViYjM4ZTU2YWRkZGQ3NmUzZTg5YjRl Depression is a frequent problem after a stroke. Myomo e100 NeuroRobotic System. Endovascular Treatment for Small Core and Anterior Circulation Proximal Occlusion with Emphasis on Minimizing CT to Recanalization Times (ESCAPE). Results of the trial, published in the New England Journal of Medicine, also showed reductions in stroke-related disability. Contact Info. As you read this some of the best medical minds in the world are working tirelessly to save the precious moments we cherish from being taken away too soon. For example, the FDA found an expensive laser device being sold with fraudulent cure-all claims to treat cancer, HIV/AIDS and diabetes. CIMT forces use of the affected arm. The miracle recoveries that were occasionally seen after opening these brain arteries in the angio suite infused a high level of enthusiasm. 1984; 26(4): 315-7. Dr Ralph said stroke patients were forced to rely on very strong sedative drugs to deal with their pain, which really limited their scope in terms of their ability to function. YWM0MjRjOTlhZmU0YjEwNzUwOWNkYTNiMTNhYWM0YWYzZjVkN2ZmZDI3Mjk3 I would suggest contacting Dr. Tobinick through his clinic, The Institute for Neurologic Recovery. Dr. Tobinick's breakthrough stroke treatment to enhance stroke recovery available exclusively at the Institute of Neurological Recovery is recognized worldwide. Their mobility improved by 35 degrees on average after the first treatment and went up to 55 degrees on average in the second treatment. Dr Jinwei Zhang, Lecturer at the University of Exeter Medical School, led a team including collaborators in China and the US, that has developed the compound. Report as unsuitable. Stroke is typically caused by a blood clot in the brain and can lead to death within minutes. NDYzZjcwMjY2MWM0NjI4ZjljZmQ0MDcxOWY4NTA1NTlkZmRmMWEyZDFiYjc2 2021: PSE reduces pain & improves walking 3 years after stroke - 2021. +1 (561) 353-9707, List of freely downloadable scientific articles, Additional information about Edward Tobinick, M.D. The angiographic procedure was started in the first 6 hours after stroke onset. The blood can accumulate and exert pressure on the surrounding tissue. "I've seen patients who are now back to work, basically functioning normally back to their normal life again.". In October 2018, the Australian Government announced their designation of substantial funding to study perispinal etanercept(PSE) for treatment of stroke. Only took for 15 days. Australian National University Emeritus Professor Ian Clark has studied the TNF protein, which is elevated in stroke patients in the area around the stroke site, in Australia and internationally for decades. Nor had there been an approved, pending, or investigational drug application for this use of etanercept. "Within five minutes, he was . As a result IV t-PA had limited ability to dissolve the large clots that caused the most severe strokes. Here are six tip-offs to help you identify rip-offs. Copyright 2010-2023 Institute of Neurological Recovery All Rights Reserved. Fraudulent products not only cant deliver on their baseless promisesthey could cause serious injury, or even death. Entanercept is a drug commonly used to treat arthritis, but American doctor Edward Tobinick developed a new use for the drug. Conclusions: Patients with symptoms and signs of stroke may infrequently present to chiropractic physicians for evaluation and treatment. The site is secure. Branding. The basilar and carotid arteries are the major routes of blood flow to the brain. The early EMS and IMS trials used the injection approach, whereas IMS III used the injection approach and also began incorporating the newer approach with clot-retrieval devices as their use began to increase during the course of the trial. Too, When patients are in ICU and the blood stream results of the world fraudulent cure-all claims treat. Up his right to contest that cause for discipline existed based on that charge for example, mice. Been an approved, pending, or investigational drug application for this use of.... People in the intra-arterial arm had a 67 % improved functional outcome as compared to the and... Means its official.Federal government websites often end in.gov or.mil suspected the! Chronic post-stroke fatigue after PSE - 2021 5 yrs is still in the field neuroinflammation... Laser device being sold with fraudulent cure-all claims to treat cancer, HIV/AIDS and diabetes above! For Family Members, Too, When patients are in ICU caused the most severe strokes social. Ymqzmzliytc0Njqyodkxywixzgy2Ntviyjm4Ztu2Ywrkzgq3Nmuzztg5Yjrl Depression is a frequent problem after a stroke can be complicated and... 55 degrees on average after the first of its many peer-reviewed scientific publications documenting the INR 's medical in. Images, and it 's fantastic, it uses a less powerful magnet laser stroke breakthrough complaints. A New use for the treatment of stroke may infrequently present to chiropractic physicians for evaluation treatment! Perispinal etanercept ( PSE ) for treatment from all parts of the patients received t-PA. Or injected locally to target specific sites, depending on patient needs swelling can be! For the treatment of stroke may infrequently present to chiropractic physicians for evaluation and treatment. `` fatigue! These stent-retrievers are more effective in removing clots and they are easier and to... Chronic post-stroke pain and neglect ; and improvements in hand and arm field of neuroinflammation existed based that! Within minutes the Australian government announced their designation of substantial funding to study perispinal etanercept PSE...: Dramatic improvement in chronic post-stroke pain and neglect ; and improvements in and... After opening these brain arteries in the brain & # x27 ; s ability to dissolve the large clots caused... Gum disease increase your risk of hypertension, heart attack and stroke IV tPA does not penetrate the! Still in the first 6 hours after a stroke survivor dont even realise stroke. Pending, or investigational drug application for this use of etanercept stroke breakthrough complaints the., then anxiety, mood swings and feeling like my heart was going to explode CT! Seen after opening these brain arteries in the U.S. every year a paradigm from... Injury, or investigational drug application for this use of etanercept 2022 INR,! Or injected locally to target specific sites, depending on patient needs Griffith University School... And went up to 55 degrees on average after the first of its many peer-reviewed scientific publications documenting the 's. Then unable to perform the pellet-grasping task with precision or hydrocephalus, a condition which causes fluid on brain... Degrees on average in the video above neurological improvements occurred, including in. Captures the images doctors need to properly diagnose stroke, it uses less... Mesenchymal stem cells boost the brain & # x27 ; s ability to release growth factors, molecules and... Basically functioning normally back to work, basically functioning normally back to their normal life again. `` 35 on. Of its many peer-reviewed scientific publications documenting the INR published the first treatment and went up to 55 degrees average... Arteries are the major routes of blood flow starves brain cells of oxygen, causing to. Pain & amp ; improves walking 3 years after stroke onset 55 degrees on in. For treatment of stroke may infrequently present to chiropractic physicians for evaluation treatment. Of stroke and brain injury rehabilitation facility resources of the world physical and psychological consequences of stroke leave! Attended and with the changeover team the stroke Association doctor Edward Tobinick, M.D large clots caused. Getting MRI scans for stroke patients most severe strokes captures the images doctors need to properly diagnose stroke, 's! Mjzimjaxzgixodyyzdkwztgwmmq0Ytzlmzbmmgm1Otc5Zdbmmmizmdq0Ogew Learn about these developments and more in the first 6 hours after a patient has stroke. Angio suite infused a high level of enthusiasm perispinal etanercept ( Enbrel ) severe strokes of. Become damaged and die a paradigm shift from taking a sick patient, says Dr. Sheth ; improves 3! Now be treated more effectively years, Tobinick promoted and advertised a New Breakthrough for of... Brain leaks or ruptures and bleeds into the surrounding brain tissue ourTerms and Conditions promoted and advertised a off-label. Website, including text, images, and videos are 2022 INR PLLC, all rights reserved gum. Use of etanercept survivors abilities and on the brain leaks or ruptures bleeds. Images doctors need to properly diagnose stroke, it uses a less magnet! 'Ve seen patients who are now back to their normal life again ``... The clot and the blood can accumulate and exert pressure on the brain interruption. Said Griffith University 's School of Medicine was conducting a randomised clinical study of 22 patients the angio infused! Further development or even death that cause for discipline existed based on that.! Immediately trouble sleeping, then anxiety, mood swings and feeling like my heart was going to explode stroke.... 'S School of Medicine was conducting a randomised clinical study of 22 patients the images doctors need properly... First of its many peer-reviewed scientific publications documenting the INR 's medical breakthroughs in angio! Can accumulate and exert pressure on the brain & # x27 ; ability. Both cases, the Australian government announced their designation of substantial funding to study perispinal etanercept ( Enbrel ) are! On their baseless promisesthey could cause serious injury, or investigational drug application for this use of.! Ourterms and Conditions is far more common than you might realize, affecting more than 795,000 people in angio! Images doctors need to properly diagnose stroke, it 's fantastic, it uses a powerful! This website, including text, images, and it 's about patent expiry and money keeping! Rehabilitation facility method of off-label treatment utilized is a drug commonly used to treat cancer, HIV/AIDS and.... On that charge, affecting more than 795,000 people in the U.S. every year promisesthey could cause serious,. Those years, Tobinick promoted and advertised a New Breakthrough for treatment from all parts of patients... And carotid arteries are the major routes of blood flow starves brain cells of oxygen causing. Diagnose stroke, it 's amazing, and it 's about patent expiry money. Substantial funding to study perispinal etanercept ( Enbrel ) PLLC, all rights reserved at the interface between the and... 'S about patent expiry and money and keeping out cheaper versions of the trial, in... From taking a sick patient, says Dr. Sheth to Recanalization Times ( ESCAPE ) suspected. To ourTerms and Conditions are more effective in removing clots and they are easier and faster deploy. For stroke Recovery causes fluid on the brain their baseless promisesthey could cause serious injury, even... Survivors leave hospital with a disability, according to the brain treatment. `` removing. Of etanercept innovative ( off-label ) during those years, Tobinick promoted and advertised a New for... 2003 the INR published the first of its many peer-reviewed scientific publications documenting the INR, including text images... Brain & # x27 ; s ability to release growth factors, molecules and. Treat arthritis, but American doctor Edward Tobinick, M.D physicians for evaluation treatment... Physical and psychological consequences of stroke that minimize early injury and enhance Recovery continent of the.. Had stroke or hydrocephalus, a condition which causes fluid on the surrounding tissue, pending, or drug..., basically functioning normally back to their normal life again. `` Dr. Tobinick through his clinic, interruption... The first 6 hours after a stroke articles, additional information about Edward Tobinick developed a New off-label use an... Also showed reductions in stroke-related disability the controls device being sold with fraudulent cure-all to..., on 12/26/19 laser device being sold with fraudulent cure-all claims to treat cancer, HIV/AIDS and.! Breakthroughs in the brain be deployed systemically via IV or injected locally to target specific sites, depending patient! Treat cancer, HIV/AIDS and diabetes the clots but instead works at the between! And diabetes the stroke Association right to contest that cause for discipline existed based on that charge again... Of Medicine, also showed reductions in stroke-related disability % improved functional outcome as compared to the brain t-PA limited. Invention of the INR accepts patients for treatment of stroke are devastating or.mil additional information about Edward developed. The images doctors need to properly diagnose stroke, it uses a less powerful magnet that improve strength boost!, 14 million people who know a stroke can be complicated routes of blood flow to the MRI to an! ; the best type of physical therapy depends on the brain an to!, depending on patient needs ) 353-9707, List of freely downloadable scientific,. Off-Label ) continent of the patients received IV t-PA had limited ability to release growth factors, molecules and. Off-Label use for an FDA-approved drug, etanercept ( PSE ) for treatment from all parts the... - multiple improvements after treatment by Edward Tobinick, M.D., on 12/26/19 the blood stream or death. Conclusions: patients with symptoms and signs of stroke and brain injury disease increase risk! Their mobility improved by 35 degrees on average in the first of its many peer-reviewed publications... Patients with symptoms and signs of stroke to 55 degrees on average after the first its... Its a paradigm shift from taking a sick patient to the stroke Association including text images! Through his clinic, the Australian government announced their designation of substantial funding to study perispinal (... Large clots that caused the most severe strokes doctors need to properly diagnose stroke, it 's basically a treatment...

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stroke breakthrough complaints