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ACHIEVEMENTSINHEALTHCARE4Our247TeleStrokePartnershipLydiaPerrythoughtshewasjustfeelingtheeffectsofstresswhenthesideofherfacelipsarmandlegwentnumbseveraltimeslastMarch.Itwasastrokenotstress.AndPerrybecameapioneernotjustapatient.JustonehourbeforePerryarrivedatConcordHospitalsEmergencyDepartmenttheHospitalhadnalizedahigh-techpartnershipthatspeedsdiagnosisandtreatmentduringastrokepatientscrucialrstmomentsattheHospital.WiththeTeleStrokevideoconferencesystemdoctorsatConcordHospitalconsultwithneurologyspecialistsatMassachusettsGeneralHospitalMGHwhoarebroughttothepatientsbedsidebyvideoconnection.TogetherthedoctorsviewandinterpretthepatientslabtestresultsandCTscansexaminethepatientconsultwithfamilymembersandrecommendtreatmenthopefullywithinahalf-hourofapatientsarrival.ConcordHospitaltreatsapproximately200strokepatientsayearmanylikeLydiasufferingfrombloodclotsthatcutoxygenowtothebrainandcancausepermanentdamage.Forthosepatientsthekeytosurvivalandareducedchanceofdisabilityispromptassessmentanddiagnosisandtreatmentwithaclot-bustingdrugknownastPAwithinthreehoursoftheinitialstrokesymptoms.ThatdayPerry63ofPenacookbecamethecenterofawhirlwindofactivityasdoctorsandnursesbegantestsandscanstodetermineiftherewasablockage.FollowingtheteststheteamthenbrokethenewstoLydiathatshewasgoingtobeapioneer.WiththeConcordHospitalteamatherbedsideaneurologyspecialistfromMassGeneralspokewithLydiafromatelevisionscreen.Togetherthedoctorsdeterminedsheshouldreceivethedrug.ItwassoquicksoprofessionalsoefcientandsopersonalPerrysaid.ForsomepatientstPAimmediatelydissolvesaclotandrestoresbloodow.Inothersitmighttakeseveralhours.Forsomeothertreatmentisneeded.InthosecasesConcordHospitalpatientsmaybetransferredtoMassGeneral.LydiaspentonenightinConcordHospitalsIntensiveCareUnitandhasrecoveredfully.Dr.MildredLaFontaineofCHMGNeurologyAssociatessaidspeediscrucialforpotentialstrokevictimsandstressesthattimelostequalsbrainloss.CHMGsfourneurologistsareondutyoroncall24-hoursadaybutwhenminutesmattertheTeleStrokepartnershipprovidesinstantaccesstoneurologistsforasecondopinionorswiftassessment.LaFontainesaidConcordHospitalsinvolvementispartofitslargerefforttotreatstrokeastheseriousbutpotentiallytreatabledisorderthatitis.ShesaidthepartnershiphasbeenparticularlyusefulfordoctorsinConcordHospitalsEmergencyDepartmenttypicallythersttoseestrokevictims.Knowingthatthereisthatimmediatebackupnomatterwhatthetimenomatterwhatthecircumstanceshasbeenveryhelpfulshesaid.Strokeisaverycomplexandmulti-faceteddisorderthatshowsitselfinmanydifferentways.ThepartnershipalsoprovidestrainingandhashelpedtheHospitalputmoreemphasisonstroketreatment.LaFontainesharesthattheultimategoalisforConcordHospitaltobecomeacertiedstrokecenterandthiscollaborationisjustonestepinthatprocess.ButevenadvancementslikeTeleStrokearentofmuchhelpifpotentialvictimsortheirfamiliesdontreactquicklywhenstrokesymptomsappear.ItjustbreaksmyhearteverytimeIhearsomebodyexperiencedsymptomslastnightbuttheywenttobedortheydrovetoworkandthencollapsedLaFontainesaid.Bythetimewemayseethemwelikelydontknowwhenthestrokestartedandoftentimescannotprovideeffectivetreatment.StrokepatientLydiaPerryINSETarrivesatConcordHospitalsEmergencyDepartment.Are-enactmentofactualeventTimelostbrainloss