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Sevaro Health Introduces ‘Nirvana Notes’, Revolutionizing Virtual Neurology with Touchless AI Documentation

February 8, 2024

Sevaro in the news

EAST BRUNSWICK, NJ  – Sevaro Health, a leading virtual neurology company, today announced the launch of its groundbreaking technology, ‘Nirvana Notes’, designed to transform the landscape of virtual neurological care.

This innovative tool introduces Touchless AI Documentation, allowing neurologists to fully focus on patient care during telemedicine encounters without the need for typing or manual note-taking.

Recent studies have indicated that documentation demands are a primary cause of physician burnout. Nirvana Notes addresses this challenge head-on, providing a seamless, efficient solution for telemedicine documentation.

Dr. Rajiv Narula, Founder & CEO of Sevaro Health, stated, “Nirvana Notes is set to change the way neurologists practice telemedicine. It’s a testament to our commitment to prioritizing patient care without the constraints of technology. I am incredibly proud of our tech team for their dedication and innovation in bringing this vision to life.”

Dr. Steve Arbogast, a prominent neurologist at Sevaro, played a pivotal role in the development of Nirvana Notes. He commented, “This technology is a game-changer. It allows us to deliver the highest level of care without the typical technological barriers. It’s exciting to see how it enhances our efficiency and patient interactions.”

Sevaro Health has seen a surge in applications from neurologists eager to utilize Nirvana Notes and an uptick from Health Systems who are requesting to implement the technology in their telestroke networks. This trend aligns with Sevaro’s vision of creating technology that is by neurologists, for neurologists, emphasizing a hyper-focus on the physician experience.

Nirvana Notes features a state-of-the-art, AI-driven interface that accurately captures the nuances of patient-physician interactions, ensuring comprehensive and precise medical records. This level of innovation in telestroke and virtual neurological care places Sevaro Health at the forefront of telemedicine advancements.

With Nirvana Notes, Sevaro Health reinforces its mission to improve access to neurological care across the country, making strides in reducing physician burnout and enhancing the quality of telemedicine. Through this technology, their next step is to allow physicians practicing across multiple specialities to use this technology in their daily practice.

For more information about Sevaro Health and Nirvana Notes, visit www.sevaro.com

About Sevaro

Sevaro Health is a pioneering virtual neurology company focused on enhancing access to neurological care through innovative telemedicine solutions. With a unique technology-driven approach, Sevaro Health is dedicated to improving patient outcomes and physician experiences in neurology.

Marketing Manager – Sevaro
aaron@sevaro.com

Sevaro’s Schedule Of Events At International Stroke Conference

January 30, 2024

Check out Sevaro’s schedule of events at this year’s International Stroke Conference

February 7–9, 2024 at the Phoenix Convention Center.

Sevaro at ISC 2024: Leading the Charge in Teleneurology Innovation.
This February, the vibrant city of Phoenix will host the much-anticipated International Stroke Conference (ISC) 2024, where Sevaro is set to shine a spotlight on the transformative power of Virtual Neurology and groundbreaking teleneurology technology. As a trailblazer in the field, Sevaro is not just attending; we’re leading conversations on the future of stroke care.

Meet Up with the Sevaro team at ISC24

Sevaro’s participation at ISC 2024 is more than just about showcasing our cutting-edge teleneurology platform; it’s about fostering a community of innovation, learning, and growth. Attendees will have the unique opportunity to engage with our experts, explore our technology, and envision the future of neurology and stroke care together.

Schedule A Time To Visit Our Booth #843

Or Come see us at one of our scheduled events.

Schedule A Meet Up

*Featured Event

*This event is not part of the official International Stroke Conference 2024 as planned by the American Heart Association & American Stroke Association Committee on International Stroke Conference Program

Wednesday Events

Booth Talk #1

Sam Saha, MD, Sevaro’s National Medical Director, has worked at various other telemedicine companies. What separates Sevaro? It’s Teleneurology platform Synapse 2.0. Dr. Saha will delve into the topic, “The Importance Of Technology in Virtual Neurology. Discover The Sevaro Difference”, sharing invaluable insights into the integration of technology in neurology and its impact on care quality.

RSVP’ing will enter you to into our $250 Amazon gift card giveaway!

RSVP For Event

Happy Hour With Sevaro

Physicians: Are you a stroke program neurologist that is tele-curious? Or a teleneurogist that is craving a better tech platform? Come have a drink on us, network, and meet Sevaro’s team of virtual neurologists (IRL!). Ask questions and hear straight from your peers what makes our teleneurology platform the best in the industry.

Hospital Leadership: Are you a CIO, CTO, or a Director of anything Neuro / Tele? Come network, meet our leadership team, and get to know the individuals who are passionately working to make neurological care better, faster, and more accessible.

RSVP HERE and see you there!

RSVP For Happy Hour

Thursday Events

Booth Talk #2

Branden Robinson, Sevaro’s Chief Growth Officer, will present “Better Outcomes and Higher Profits for Healthcare Leaders“, exploring the symbiotic relationship between advanced healthcare technologies and organizational success.

RSVP’ing will enter you to into our $250 Amazon gift card giveaway!

RSVP For Event

Learning Studio 1, Science and Technology Hall

Raj Narula, MD, CEO and Co-Founder of Sevaro, will captivate audiences with his talk, “From Burnout to Nirvana: AI Documentation to Streamline Stroke Care.” Discover how Sevaro is tackling one of the biggest challenges in healthcare through it’s revolutionary AI-driven solutions.

*This event is not part of the official International Stroke Conference 2024 as planned by the American Heart Association & American Stroke Association Committee on International Stroke Conference Program

RSVP’ing will enter you to into our $250 Amazon gift card giveaway!

RSVP For Event

Week-long activities

Shoot For Stroke

Stop by the Sevaro Booth #843 and Shoot For Stroke! You will have 45 seconds (why does that sound familiar?) to score as many points as you can. Schedule your shooting time for a 5 second bonus.

  • 45 seconds to score as many points as you can
  • Person with the most points scored at the end of the conference will win a $250 Amazon gift card.
  • Every point scored will earn a $1 donation to the AHA
Schedule Your Time

UI/UX Designer – Part Time

Part Time

  • 100% Remote (US Based Applicants Only)

Job Details

Position title

UI/UX Designer – Part Time

Responsibilities

  • Create UX wireframes, prototypes, personas, user flows, low/high fidelity prototypes convey design concepts
  • Create principles of usability and user-centered design
  • Assist in planning and gathering UX research as needed
  • Work with creative and development teams to ensure flawless design and execution
  • Understand and make design recommendations based on user analytics
  • Create prototypes using Figma
  • Gathers and incorporates feedback from end users and all the stakeholders
  • Present design concepts and explains rationale to team members and stakeholders

Position Requirements

  • Must have 5+ years of UI/UX experience
  • Part Time, 20 Hours per Week
  • Ability to Travel to Office in Franklin Park, NJ 2 times per Month, otherwise Remote
  • Experience designing interfaces and creating low- and high-fidelity wireframes and interactive mockups
  • Minimum 3 years of experience working in healthcare web products is a must
  • Ability to work with UI designers
  • Expert in Figma
  • Understanding of user experience design principles for desktop, tablet, and mobile devices
  • Demonstrate strong attention to detail, be process oriented
  • Demonstrates the ability to work in a team environment; initiative to work and learn independently and proactively contribute to department goals
Apply Now
Schedule Call With Recruiter

How Patients With Complex Neurological Problems Benefit From Prompt, Data-Driven Teleneurology

December 7, 2023

How Patients With Complex Neurological Problems Benefit From Prompt, Data-Driven Teleneurology

Teleneurology is a medical practice in which neurologists and vascular neurologists can see patients remotely via video conferencing to supplement in-person care. There are numerous ways teleneurology benefits patients, from a regular visit to the outpatient clinic to inpatient stroke treatment. Many clinicians are familiar with the technological advances made in stroke care and medicine thanks to teleneurology, but not all realize there are many other opportunities to transform neurological care. Here’s how teleneurology is positively impacting patients’ lives.

Teleneurology Allows for Faster Diagnostics and Reduced Length of Stay

The technology used in telemedicine has enabled physicians to read EEGs remotely. Ordering a test is easy, but it can be complicated when it comes to interpreting and reporting results, which leads to delays in diagnosis. Patients have benefitted from Sevaro’s teleneurology services, as it has sped up diagnosis in stroke and epilepsy while also reducing the hospital length of stay. An accurate and faster diagnosis of complex neurological problems enables better patient outcomes and is the difference between patients receiving thrombolytics in the ED and going home the next day or spending the rest of their lives in a nursing facility.

Saving Lives with TeleStroke

Diagnosing and treating stroke is one of the major areas benefiting from teleneurology. Stroke is the major cause of long-term disability and is the fifth leading cause of death in the United States. Each minute that treatment for a stroke is delayed, two million brain cells die. Many hospitals are still not equipped for hyper-acute stroke treatments. By utilizing telestroke, lifesaving treatments are accessible for patients in hospitals. Over a hundred million Americans live over an hour from a hospital with a primary stroke center. Technology, like the data-driven systems used by Sevaro, can be lifesaving in these situations, and prevent long-term disability and death.

Sevaro’s proprietary OneCall telestroke system works using telehealth technology connecting hospitals to a vascular neurologist in 45 seconds. Patients get a management plan that enables the correct treatment to be administered rapidly. That one call can make the significant difference between a prompt diagnosis and treatment plan and a delayed one, which is the difference between a good and bad patient outcome. It is different from standard telemedicine models in which emergency responders are required to input information and data. With Sevaro OneCall, the hospital staff is connected directly to a vascular neurologist for maximum efficiency, eliminating complicated call schedules and confused call center representatives.

Supporting Clinicians with General Neurology

Small hospitals and clinics don’t always have the neurological infrastructure that major institutions have. That can mean a long journey for the patient, or months of delays waiting for appointments and investigations. During that time, the patient could be taking ineffective medication.

Sevaro meets this need with our proprietary teleneurology solution that works in partnership with hospitals and their ED staff. Our vascular neurologists are available immediately via telelink or video conferencing and can join a multidisciplinary team meeting or consultation to discuss the case. Patients that benefit from this service include those with neurological disorders such as Myasthenia Gravis, Spinal Stenosis, and Guillain Barre. The service also helps clinicians learn from each other through that shared experience. Most importantly, the patient gets a clear treatment plan and can progress through investigations, treatment, or rehabilitation.

NeuroCritical Care Support

Complex neurological critical care can be a challenge for general intensive care services. When time and decision-making are vital, having an expert on a video link or phone call can make all the difference. Our expert team at Sevaro can provide a range of specialty neuro-critical care services including help with raised intracranial pressure, cord compression, intracranial tumors, epidural hemorrhage, and myasthenic crisis. We provide support for the type of emergencies that don’t happen frequently in small hospitals, but when they do, require an expert to intervene quickly to save lives.

Teleneurology has the potential to make all the difference to stroke patients but has many other important applications. By combining technology and expertise, the very best in neurological care can support the management of patients with highly complex diseases, and improve outcomes through the delivery of faster diagnosis and treatment plans. With the technological advances in teleneurology, it is now possible to provide the highest quality care no matter where the patient is located, in an effective, efficient, and affordable manner.

Choose Sevaro as your trusted hospital partner; schedule a call today to learn how we can make a difference at your hospital.

How To Recognize And Respond to a Stroke

December 7, 2023

Every year, strokes strike millions worldwide, often leading to severe disability or even death.

Stroke statistics (from cdc.gov)

  • Every 40 seconds, someone in the United States has a stroke. Every 3 minutes and 14 seconds, someone dies of stroke.
  • Every year, more than 795,000 people in the United States have a stroke. About 610,000 of these are first or new strokes.
  • About 185,000 strokes—nearly 1 in 4—are in people who have had a previous stroke.2
  • Stroke is a leading cause of serious long-term disability.2 Stroke reduces mobility in more than half of stroke survivors age 65 and older.2

This staggering reality highlights not just the severity of a stroke but also the critical importance of recognizing its symptoms quickly.

Why is it important to treat a stroke as soon as possible?

While technology and telestroke services can expedite stroke care once in the hospital, recognizing a stroke and getting them to the hospital as fast as possible is of the utmost importance.

A stroke occurs when the blood supply to part of your brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Within minutes, brain cells begin to die.

The phrase ‘Time is brain’ emphasizes the urgent need for quick action. Rapid medical attention can minimize brain damage and increase the chance of a full recovery. This is where the B.E.F.A.S.T. method (discussed in detail below)  becomes an invaluable tool, helping to quickly and accurately recognize the warning signs of a stroke and serving as a simple yet effective guide for everyone.

The B.E.F.A.S.T. Method Explained

The B.E.F.A.S.T. method provides a straightforward way to quickly assess someone for possible stroke symptoms. It’s a mnemonic that stands for Balance, Eyes, Face, Arms, Speech, and Time – each representing a key symptom to watch for. Let’s break it down:

B – Balance

One of the early signs of a stroke can be a sudden loss of balance or coordination. This might manifest as an unexplained stumble, difficulty walking straight, or sudden dizziness. To test for balance issues, ask the person to walk in a straight line or stand still with their eyes closed. If they are unable to do so without swaying or falling, it could be a sign of a stroke.

E – Eyes

Strokes can also affect vision. This may include blurred vision, double vision, or a sudden loss of vision in one or both eyes. Test for vision problems by asking the person to read something with each eye separately, or to describe an object placed at various distances. Any sudden change in vision, particularly if it occurs in one eye, should be taken seriously.

F – Face

Facial drooping is a common stroke symptom. It’s usually noticeable when one side of the face seems to sag or becomes numb. You can perform a simple ‘smile test’ by asking the person to smile or show their teeth. If one side of the face doesn’t move as well as the other, it could indicate a stroke.

A – Arms

Arm weakness or numbness is another critical sign. This can be checked with an ‘arm raise test’. Ask the person to raise both arms and keep them there. If one arm begins to fall or cannot be raised at all, this may be a sign of a stroke.

S – Speech

Slurred speech or difficulty in understanding speech can indicate a stroke. Simple speech tests include asking the person to repeat a simple sentence or phrase. If their speech is slurred, garbled, or they’re unable to speak, it’s a red flag.

T – Time

The final element of the B.E.F.A.S.T. acronym is perhaps the most crucial – Time. If you notice any of the above symptoms, note the time they first appeared. This information is vital for healthcare professionals as certain treatments for stroke are most effective if given within a specific time frame after symptoms start.

Understanding and remembering the B.E.F.A.S.T. method is crucial. Quick recognition and response can significantly influence the outcome of a stroke, potentially saving a life and reducing long-term disability.

Immediate Actions to Take After Recognizing Stroke Symptoms

Once you’ve identified potential stroke symptoms using the B.E.F.A.S.T. method, immediate action is crucial. Here’s what you need to do:

Call Emergency Services Immediately

  • Why It’s Essential Not to Wait: Time is a critical factor in stroke treatment. The longer the brain is deprived of blood flow, the greater the damage. Treatments for stroke are most effective when administered as soon as possible after the onset of symptoms. That’s why calling for medical help immediately is vital.
  • What to Tell the Dispatcher: Be clear and concise. Inform them that you suspect a stroke and describe the symptoms you’ve observed using the B.E.F.A.S.T. method. Mention the time when the symptoms first appeared. This information can help the medical team prepare the necessary treatment even before they arrive.

While Waiting for Help

  • Keeping the Person Calm and Comfortable: A person experiencing a stroke may feel scared and confused. Speak calmly, reassure them that help is on the way, and make them as comfortable as possible.
  • Positioning and Safety Measures: If the person is lying down, raise their head slightly. This position can help with breathing and blood flow. If they are at risk of vomiting, gently turn their head to the side to prevent choking.
  • What NOT to Do: Do not give the person anything to eat or drink, as swallowing ability might be compromised. Avoid moving them unnecessarily, as this could cause further harm. Don’t give them any medication unless instructed by a healthcare professional.

Prevention and Preparedness

Preventing a stroke is as important as knowing how to react to one. Here are ways to reduce risk and prepare for a potential stroke situation:

Reducing Stroke Risk

  • Lifestyle Changes: Adopting a healthy lifestyle is the first line of defense against stroke. This includes:
  • Diet: Eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit intake of saturated fats, cholesterol, and sodium.
  • Exercise: Regular physical activity helps maintain a healthy weight, lowers blood pressure, and improves overall cardiovascular health.
  • Managing Medical Conditions: Conditions like hypertension (high blood pressure), diabetes, and high cholesterol significantly increase stroke risk. Regular check-ups, taking prescribed medications, and managing these conditions effectively can help lower stroke risk.

Being Prepared

  • Learning CPR and Basic First Aid: In some stroke cases, a person may become unconscious or experience breathing difficulties. Knowing CPR and basic first aid can be life-saving.
  • Keeping Emergency Numbers Accessible: Have a list of emergency contacts readily available. This should include local emergency services, your doctor’s number, and contacts of close family members or friends.

Conclusion: The Power of Knowledge and Quick Action

In conclusion, understanding the B.E.F.A.S.T. method and knowing the immediate actions to take are crucial in dealing with a stroke. Quick recognition and response can significantly improve the chances of recovery and reduce the severity of long-term effects. But prevention is equally important. By making healthy lifestyle choices and managing medical conditions, you can reduce your risk of stroke.

Share this knowledge with your friends and family. Educating others about stroke symptoms, the B.E.F.A.S.T. method, and how to respond can make a huge difference. Remember, in a stroke situation, every second counts. Your preparedness and quick action could save a life.

Sevaro Health Releases Synapse AI With Nirvana Notes, An Intelligent Documentation Application For Teleneurology

November 8, 2023

Sevaro in the news

EAST BRUNSWICK, NJ – Sevaro Health Inc., a leading teleneurology and medical technology company, is pleased to announce the release of teleneurology application Nirvana Notes, an intuitive, intelligent, and thoughtful teleneurology documentation app designed by vascular and general neurologists for neurologists who practice teleneurology.

The platform is part of Sevaro’s Synapse AI release, is extremely neurologist-friendly, and serves as a centralized health information system to document, aggregate data and optimize remote neurological care and is now available to power a health system’s internal telestroke program.

Teleneurology application Synapse AI is accessible via mobile app or web browser, and allows for meaningful, consistent documentation of an H&P, imaging review and consultation note within minutes. As a clinical decision support tool, Nirvana Notes provides quick and easy visibility into a patient encounter which enables a clinician to provide a higher quality of patient care.

The tool has been able to reduce burnout and documentation fatigue through its ability to automate the capture of elusive data, and the use of appropriate prompts and reminders based on the neurologist’s use of the system.

Through the integration of Nuance, a leading voice dictation service, Nirvana Notes significantly improves the physician’s experience in documentation while enhancing overall efficiency.

Clinical-decision support methodology guides the neurologist through history taking, physical examination, diagnostics review, and recommendations. At the conclusion of the documentation a note is entered directly into both the hub and spoke hospital’s EMR.

“After a physician uses it once or twice, it is abundantly clear that Nirvana Notes is the future of what documentation in telemedicine will be like.

The Synapse 2.0 UI/UX is intuitive, purposeful, and thoughtfully designed. Unlike most EMR software, Teleneurology application Synapse 2.0 accommodates teleneurology workflows without forcing us to learn yet another cumbersome way to perform our time-sensitive jobs.

More importantly, by simultaneously capturing advanced real-time data on the back end that is viewable in our Premium Analytics tool, Nirvana Notes embodies Sevaro’s commitment to quality and data-driven telemedicine.” Dr. Sam Saha, Vascular Neurologist at Sevaro

About Sevaro

The release of teleneurology application Synapse 2.0 with the integration of Nirvana Notes allows a health system teleneurology hub to bring a true turnkey solution to their spoke sites.

With teleneurology application Synapse 2.0, Nirvana Notes and Premium Analytics a health system can launch a telestroke program and connect to each spoke and still allow each site to use their own EMR, televideo application and Advanced Imaging. With Premium Analytics the system can break down the data by site, by doctor or look at the system as whole.

“With the addition of Nirvana Notes in Synapse 2.0 we are empowering health systems to run their telestroke programs with or without Sevaro’s teleneurologists which is a very different offering than what you’ll find in the market” said, Branden Robinson, Chief Growth Officer of Sevaro.

Branden Robinson
Chief Growth Officer
434-544-1656
branden@sevaro.com

Stroke 101: What Everyone Needs to Know on World Stroke Day

October 27, 2023

Position title

What Is World Stroke Day?

World Stroke Day is an annual event observed on October 29th, which aims to raise awareness about stroke and its global impact. World Stroke Day is an annual event observed on October 29th, which aims to raise awareness about stroke and its global impact.

Organized by the World Stroke Organization (WSO), this day focuses on educating the public on the signs and symptoms of a stroke, the importance of immediate medical attention, and the long-term care and support that stroke survivors may need. The event also emphasizes the prevention strategies individuals can adopt to reduce their risk of a stroke.

This article seeks to demystify the basics of a stroke, recognizing early signs, preventing strokes through healthy lifestyle choices, and the science behind it, ensuring that you walk away with a clear understanding.

Understanding the Basics of a Stroke

What is a Stroke?

A stroke is a sudden interruption in the blood supply to the brain. Whether because of a blockage or bleeding, it’s a medical emergency that requires immediate attention. With millions affected by it globally, strokes are a leading cause of death and disability.

Why Do Strokes Happen?

At its core, a stroke is about the brain not getting the nutrients and oxygen it needs to function, typically due to blocked or ruptured blood vessels. Without the vital flow of blood, brain cells start to die, leading to potential long-term damage or death.

Different Types of Strokes

Ischemic Stroke

This type of stroke occurs when there’s a blockage in a blood vessel supplying blood to the brain. It’s the most common kind, accounting for about 80% of all strokes. These blockages are typically caused by blood clots or the buildup of fatty deposits and other debris.

Hemorrhagic Stroke

Hemorrhagic strokes are caused by bleeding within or around the brain. This can result from conditions like aneurysms, which are weakened, bulging sections of blood vessel walls, or arteriovenous malformations (AVMs), tangles of malformed blood vessels.

Transient Ischemic Attack (TIA)

Often referred to as a “mini-stroke”, a TIA resembles an ischemic stroke but doesn’t last as long and doesn’t cause permanent damage. Even though the effects of a TIA are temporary, it’s crucial to seek medical attention as it could be a warning sign of a future stroke.

The Science Behind a Stroke

Brain Cells and Their Need for Oxygen

Each of our brain cells needs a steady supply of oxygen to function. This oxygen is delivered via the blood. When there’s an interruption, brain cells become deprived and begin to die, which can lead to lasting damage or even death.

How Blood Flow Gets Interrupted

Picture a smoothly flowing river, and now imagine a dam suddenly blocking it. That’s what happens during an ischemic stroke. On the other hand, imagine the riverbank suddenly bursting, causing flooding—that’s akin to a hemorrhagic stroke.

Recognizing the Signs of a Stroke

The BEFAST Method:

When suspecting someone might be having a stroke, remember the acronym BEFAST:

  • B (Balance): Sudden loss of balance or coordination.
  • E (Eyes): Sudden trouble seeing out of one or both eyes or double vision.
  • F (Face): Ask the person to smile and check if one side of the face droops.
  • A (Arms): Ask the person to raise both arms and see if one arm drifts downward.
  • S (Speech): Ask the person to repeat a simple phrase and listen for slurred or strange speech.
  • T (Time): If you notice any of these signs, it’s time to call 911 or emergency services immediately.

Other Potential Stroke Warning Signs

Keep an eye out for sudden numbness or weakness, especially on one side of the body, sudden confusion, trouble seeing in one or both eyes, trouble walking, dizziness, or an unexplained severe headache.

The Importance of Immediate Action For Stroke

Time is Brain

In stroke treatment, every second counts. The earlier a person gets treatment, the better their outcome is likely to be. In fact, getting to a hospital within 4.5 hours of the first symptoms can greatly reduce the risk of long-term disability.

Seek Immediate Medical Attention For Strokes

When you or someone else displays signs of a stroke, it’s essential to call emergency services right away. Also, remember to note when the symptoms first began, as this can influence treatment decisions.

Stroke Prevention: Lifestyle Choices That Make a Difference

What are the biggest Stroke Risk Factors?

  • High blood pressure: Often termed the “silent killer,” it’s the leading cause of stroke.
  • Diabetes: High sugar levels can lead to clotting more easily.
  • High cholesterol: Fatty deposits can clog your blood vessels.
  • Smoking: Nicotine raises your blood pressure.
  • Alcohol consumption: Excessive drinking can lead to multiple health complications, including stroke.
  • Family history: Stroke can sometimes run in the family.

The Power of a Balanced Diet

Eating a balanced diet is vital for overall health and particularly beneficial for stroke prevention.

  • Incorporate whole grains, fruits, and vegetables: These provide essential nutrients and antioxidants.
  • Limit saturated fats and sugars: Helps maintain a healthy weight and reduces cholesterol.
  • Importance of hydration: Drinking water aids in maintaining blood volume and viscosity.

Embracing Regular Exercise

Physical activity has numerous health benefits, one of which is stroke prevention.

  • Aerobic activities: Walking, cycling, or swimming can improve heart health and reduce stroke risk.
  • Strength training and flexibility exercises: Builds muscle and maintains joint health.
  • The connection between physical activity and reduced stroke risk: Active individuals generally have lower cholesterol and healthier blood pressure levels.

The Importance of Smoking Cessation

Smoking accelerates clot formation by thickening your blood and increasing the amount of plaque buildup in arteries.

  • How smoking increases stroke risk: Nicotine and carbon monoxide from inhaling smoke reduce the amount of oxygen your blood can carry.
  • Benefits of quitting smoking: Enhanced lung capacity, reduced blood pressure, and improved blood circulation within a few weeks.

Regular Health Check-ups: Prevention is Better than Cure

It’s essential to keep an eye on potential risk factors.

  • Monitoring blood pressure: Consistent high readings are a significant red flag.
  • Regular cholesterol checks: Ensures you maintain a healthy balance of lipids.
  • Diabetes management: Monitoring sugar levels to prevent complications.

The Digital Revolution: How Technology is Transforming Stroke Care with telestroke

The Pivotal Role of Technology in Stroke Care

Historically, diagnosing and treating strokes depended heavily on a patient’s symptoms and basic imaging. Now, we harness technology to offer more precision, speed, and efficiency.

What is Telestroke?

Telestroke is a telemedicine approach that facilitates the consultation of stroke specialists for patients in remote or underserved areas using digital communication.

Benefits of Telestroke Services

  • Immediate access to specialists: Reduces the ‘door-to-needle’ time.
  • Reducing time-to-treatment: Prompt treatment can mean the difference between recovery and long-term disability.
  • Improved outcomes for patients: Access to specialists leads to better patient care and outcomes.

Revolutionizing Stroke Diagnosis

  • Speed of detection: AI can quickly analyze data and detect abnormalities.
  • Precision and accuracy: Fewer human errors mean better patient outcomes.
  • Data analysis for more informed decisions: AI algorithms can analyze vast amounts of data rapidly, providing more informed treatment recommendations.

The Stroke Recovery Process: A Journey of Healing and Hope

Experiencing a stroke is undoubtedly a significant and life-altering event, but the journey doesn’t end once the immediate threat has passed. The road to recovery post-stroke is often long and requires patience, determination, and a multidisciplinary approach. Here’s a closer look at the stroke recovery process, giving hope and guidance to patients and their families.

1. Understanding the Phases of Recovery

  • Immediate Phase: This usually lasts for a few days post-stroke and focuses on stabilizing the patient, preventing complications, and beginning early rehabilitation.
  • Rehabilitation Phase: This phase can begin as early as 24 hours after a stroke and can last for several months or even years. It’s a period of structured recovery with the help of medical professionals.

2. The Role of Rehabilitation

Rehabilitation aims to help patients regain their lost abilities and learn to cope with any residual disability.

  • Physical Therapy: Helps restore physical functions such as walking, balance, and coordination.
  • Occupational Therapy: Aims to help patients regain daily living skills like eating, dressing, and bathing.
  • Speech Therapy: Assists patients in relearning language and communication skills. It also addresses swallowing difficulties.
  • Neuropsychological Therapy: Addresses cognitive deficits such as memory problems, attention deficits, and other related issues.

3. The Importance of a Support System

Recovery is not just a physical journey; it’s an emotional one too.

  • Emotional Support: Many patients experience feelings of frustration, depression, or anxiety post-stroke. Having a robust support system – including family, friends, and support groups – can be invaluable.
  • Educational Resources: Understanding the recovery process can ease feelings of uncertainty. Seek out resources, attend workshops, or join support groups.

4. Setting and Celebrating Milestones

Every individual’s recovery journey is unique. While some might regain abilities quickly, others may find progress slower.

  • Goal Setting: Work with your rehabilitation team to set short-term and long-term goals. Celebrate every milestone, no matter how small.
  • Patience and Persistence: Recovery can be a slow process, but every step forward is a victory.

5. Adapting to a New Normal

Post-stroke, patients may have to adapt to a ‘new normal’, embracing certain lifestyle changes and modifications.

  • Home Modifications: Simple changes like installing grab bars, using a shower chair, or rearranging furniture can make daily living easier.
  • Lifestyle Choices: Embracing a heart-healthy diet, engaging in regular exercise (as advised by the therapist), and avoiding smoking or excessive alcohol can prevent recurrent strokes.

My Stroke Journey: Sevaro’s Support For Stroke Survivors

Sevaro presents “My Stroke Journey,” a free monthly support group dedicated to assisting stroke survivors and their caregivers. Recognizing the profound life changes that accompany a stroke for both patients and their families, Sevaro aims to provide ongoing support well after hospital discharge.

With a team comprising neurologists, therapists, educators, and mental health professionals, these virtual sessions address the emotional and physical ramifications of strokes and offer coping strategies.

Guided by Stroke Ambassador Pete Smith, a stroke survivor himself, the sessions inspire and guide attendees to find resilience and hope in their post-stroke life.

In Summary

Strokes remain a formidable global health concern, affecting millions each year and serving as a major cause of death and long-term disability. This article endeavored to enlighten readers about the basics of strokes, from understanding their genesis, the distinct types, and the science that underpins them.

Recognizing early signs of a stroke, epitomized by the BEFAST method, could mean the difference between life and death. Prompt action, paired with the understanding that “Time is Brain,” maximizes recovery chances.

But knowledge doesn’t stop at recognition and rapid response. Embracing positive lifestyle habits – like a nutritious diet, regular exercise, smoking cessation, and routine health check-ups – can play a pivotal role in stroke prevention. As we look to the future, technological advancements, such as telestroke services and AI diagnostics, are revolutionizing stroke care, offering increased accuracy, swiftness, and accessibility.

On World Stroke Day, and every day, awareness and education remain paramount. With the knowledge you’ve gained from this article, you’re better equipped to not only protect yourself but also to serve as an advocate for stroke awareness in your community. Together, we can make strides in the fight against this pervasive medical emergency.

Telestroke: An In-Hospital-Stroke-Care Solution

October 25, 2023

The rapid response required during a stroke care situation is not limited to those who suffer from it outside of hospital walls. Inpatient strokes are as critical as those that happen out of hospital. 

Surprisingly, various studies have shed light on the fact that the treatment and evaluation of in-hospital stroke patients often face delays, leading to extended hospitalization and increased disability.

Although protocols exist for treating strokes coming through emergency departments, the same urgency isn’t always present for in-hospital cases.

Research emphasizes the transformative potential of introducing an inpatient code stroke algorithm alongside a targeted educational campaign.

By focusing on bridging the gap between knowledge and timely action, this intervention was successful in improving response times from recognizing symptoms (LSN) to initial assessment and brain imaging.

The findings are particularly significant considering that these response times are directly linked to evidence-supported treatment options for acute stroke care, such as thrombolysis or endovascular thrombectomy.

Such telestroke advancements hold the key to changing the trajectory of inpatient stroke care.

By leveraging telestroke technology, healthcare institutions can offer equitable treatment, whether the stroke occurs inside or outside their walls.

The value of telestroke, in this case, is undeniable, ensuring that every stroke—irrespective of its location—is treated as the emergency it is.

Why are in-hospital stroke patients at a bigger risk than stroke patients that originate outside of the hospital?

In-hospital strokes, also known as “inpatient” or “hospital-acquired” strokes, can be particularly challenging for several reasons, making these patients at a bigger risk than those whose strokes originate outside of the hospital.

  • Delayed Recognition and Treatment: One of the most significant challenges with in-hospital strokes is the delay in recognizing and treating them. Stroke symptoms can be mistakenly attributed to post-surgical effects, sedation, or other medical conditions. This delay can limit the effectiveness of interventions like thrombolysis, which has a narrow treatment window. According to a study in the Journal of the American Heart Association, patients with in-hospital strokes had longer times to neuroimaging and were less likely to receive thrombolysis compared to those who had strokes outside the hospital. Source: Journal of the American Heart Association . 
  • Lack of Established Protocols: While many hospitals have robust stroke protocols for patients arriving in the emergency department, these protocols may not be as established or efficiently implemented for inpatients, leading to treatment delays. Source: Neurology Clinical Practice*.
  • Multiple Co-morbidities: Patients already in the hospital might be dealing with multiple health issues. When stroke symptoms occur, they might be attributed to other medical conditions or treatments rather than being identified as a new onset stroke. Source: Stroke*.
  • Logistical Challenges: Inpatients might be located in wards distant from imaging facilities or might be immobilized due to their primary illness or surgery, leading to delays in getting appropriate scans and tests done quickly. Source: Neurohospitalist*.
  • Less Frequent Monitoring: In-hospital patients, especially those not in intensive care units, might not be monitored as frequently as someone who arrives at an emergency department with stroke symptoms, leading to potential delays in recognizing the onset of a stroke. Source: Sage Journals*

Addressing the unique challenges associated with in-hospital strokes requires increased awareness, staff education, and dedicated protocols to ensure that these patients receive timely and appropriate care.

How can telestroke programs help with in-patient stroke situations?

Telestroke programs can be transformative in addressing the challenges associated with in-hospital strokes.

With immediate access to neurologists specialized in stroke care, even hospitals without on-site neurology expertise can benefit from expert consultations in real-time.

When a patient shows potential symptoms of a stroke, telestroke systems allow for rapid assessment, reducing the chances of misdiagnosing the symptoms as related to another condition or post-surgical effect.

This is particularly crucial since the swift recognition of stroke symptoms can dramatically influence treatment options and outcomes.

Furthermore, telestroke platforms streamline the decision-making process regarding treatments like thrombolysis.

Through remote evaluation using telemedicine technology, specialists can quickly determine the appropriateness of interventions and guide in-hospital teams on best practices and protocols.

This direct line to experts, coupled with the ability to share and review diagnostic images in real-time, helps bypass logistical challenges and minimizes delays, ensuring that in-hospital stroke patients receive care on par with those admitted through emergency departments.

In essence, telestroke programs bridge gaps in care and ensure that in-hospital patients receive timely and evidence-based stroke treatments.

Meet Marquis, A Telestroke Success Story

Marquis, an 81-year-old admitted with pneumonia and new-onset atrial fibrillation, suffered left sided paralysis and became speechless while eagerly awaiting discharge home.

Hospital staff promptly connected him with a teleneurologist and administered IV tenecteplase within 46 minutes.

Marquis was transferred and his partially-dissolved clot was retrieved within just 1 hour of arrival.

On the bright side, Marquis’ homecoming was delayed by only 2 days— he left the hospital feeling better than on admission, counting his blessings each day that followed.

Key Takeaways from Marquis’ Story:

Contrary to common logic, stroke treatment and outcomes while hospitalized are less favorable compared to patients outside the hospital. Thankfully for Marquis, well-structured inpatient stroke response and round-the-clock telestroke expertise mitigate inherent disadvantages that admitted patients face.

Read more here: https://www.ahajournals.org/doi/full/10.1161/STROKEAHA.117.017622

Early tenecteplase treatment increases the likelihood of stroke recovery, with a 20% clot dissolution rate pre-thrombectomy, triple the odds when combined with thrombectomy, and double the odds of functional independence after three months.

Read more here: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2790581

*(subscription required)

Optimizing Telestroke: Analyzing Code Stroke Response Times in Primary Stroke Centers – ED vs. Inpatient Settings

In this retrospective study conducted at a Primary Stroke Center, co-authored by Sevaro’s own by Chauncey Evers, the researchers aimed to assess and compare code stroke response times in the Emergency Department (ED) and inpatient settings. Timely stroke care is crucial for positive patient outcomes, and this study sought to provide data for a quality improvement project in the same hospital. The primary objective was to identify areas for improving code stroke response times without compromising the quality of care.

The study analyzed data from 2020, focusing on code stroke care cases that underwent a computed tomography (CT) scan. For cases receiving tissue plasminogen activator (tPA), the researchers examined various time intervals, including code-to-CT scan start, code-to-tPA, CT scan start to tPA, and CT scan completion to tPA. Cases not receiving tPA were also analyzed for response times. The ED’s code stroke response times were compared to those in the inpatient setting.

The results indicated significant differences in response times. In cases receiving tPA, the code-to-CT start time was significantly shorter in the ED compared to the inpatient setting. Similar differences were observed for cases not receiving tPA, including code-to-CT start and code-to-CT read times. The study highlighted a need to improve code-to-CT times in the inpatient setting, as the ED demonstrated more efficient response times.

The findings suggest that addressing the delays in transporting inpatients to the CT scanner after a code stroke activation is essential for improving stroke care quality. The study emphasized the importance of streamlining code stroke responses, implementing standardized protocols, and enhancing interdisciplinary coordination to achieve better outcomes for stroke patients.

Despite some limitations, including a small sample size and the impact of the COVID-19 pandemic, the study’s results underscore the significance of optimizing code stroke response times in both ED and inpatient settings. The proposed changes aim to prioritize early CT scanning, reduce delays, and ultimately save lives while preserving brain function.

Real Stories, Real Impact: The Power of Telestroke – Telestroke Success Stories

A real picture of a Sevaro telestroke neurologist on camera with a team of in-house physicians

Telestroke success stories aren’t just testimonials—they’re powerful reminders of the significant difference that our teleneurologists make every single day.

By highlighting and celebrating these successes every #telestroketuesday on our social media channels, Sevaro aims to offer neurologists a heartening glimpse into the invaluable impact of their tireless efforts.

These stories stand as beacons of hope, showcasing moments where telestroke interventions have not only treated but transformed lives. As we spotlight these triumphs, we hope to continually inspire our community of neurologists, reminding them that their dedication echoes in the countless lives they touch and change.

Embrace the world of telestroke, and let these narratives reaffirm the profound importance of the work you do.

Alan’s Telestroke Success Story

At 71, Alan, a lifelong musician, faced his second stroke in 1 month; this time with severe left-side weakness, unable to see, and unaware of his surroundings. Alan was rushed to the ER by medics for a telestroke evaluation.

As a result of his initial stroke, he couldn’t receive TNK for treatment due to the risk of bleeding. Fortunately, Alan underwent an emergency mechanical thrombectomy to remove a clot from his right middle cerebral artery.

Within two days, Alan regained function on his left side and was humming a tune with his granddaughter (his favorite backup singer) in perfect harmony.

Not surprisingly, Alan was back on stage with his band the following Saturday evening, strumming his guitar without skipping a beat. His journey is a testament to human resilience and the remarkable strides in medical technology, a reminder that the symphony of life persists even in the face of adversity.

Initial NIHSS: 20, Discharge NIHSS: 1, TICI: 3

Walter’s Telestroke Success Story

Watching television one evening with his wife Sarah, 76-year-old Walter experienced a terrifying ordeal. His words were a jumbled mess and his left hand struggled with the remote. Panic set in as Walter’s heart raced uncontrollably in atrial flutter and left side went limp.

At the local ED, a Telestroke neurologist spotted an L-shaped clot (red arrow) denying blood flow to the right half of Walter’s brain. Within “the Golden Hour” of experiencing symptoms, Walter received TNK, followed by an endovascular thrombectomy a little more than 1 hour after arriving. Time is brain.

Walter’s remarkable turnaround was made possible thanks to the rapid response of Sarah, EMTs, the Telestroke neurologist and the stroke team. Walter emerged from this ordeal with only slight left-hand clumsiness—a small price for the gift of a second chance at life with his wife of 51 years.

Initial NIHSS: 16, Discharge NIHSS: 1, DTN: 18, TICI: 3

Robert’s Telestroke Success Story

DID YOU KNOW?: COVID-19 patients with strokes are less likely to make it home after hospitalization.

In June 2023, Robert, a 55-year-old construction worker, fell ill with COVID-19 after an outbreak at work. He suffered a terrible bout of hiccups and could not even swallow a drink of water. Suddenly, he had difficulty breathing, swayed to the right and passed out in front of his children. He was rushed to a nearby emergency facility.

Thanks to telemedicine, swift collaboration with a vascular neurologist identified a brainstem stroke, further complicated by blood clots to the lungs due to COVID. After receiving the blood clot buster tenecteplase (TNK), Robert miraculously rebounded within a matter of hours on a ventilator.

Despite his initial dire condition, he emerged from the ICU a few days later, a changed man — heading back to his construction site and his family with a newfound resolution to adapt his lifestyle for healthier horizons. Robert beat the odds and made it home.

Initial NIHSS: 20, Discharge NIHSS: 0, DTN: 20

Anthony’s Telestroke Success Story

Beating Cancer and Stroke

Just days after finishing four challenging months of chemo and notching his first win against lung cancer, 71-year-old Anthony unexpectedly faced his greatest challenge yet. Emerging from the shower one day, his right leg went numb, sending him crashing to the ground. Anthony tried to call out, but his voice betrayed him: a textbook symptom of aphasia.

Fortunately, his wife heard the thud and called 911. At the comprehensive stroke center, a vascular neurologist emergently evaluated Anthony via telestroke, reviewed his medical records and counseled his wife on camera in real-time. A blood clot from Anthony’s heart was obstructing the critical T-junction formed by his left internal carotid, middle, and anterior cerebral arteries–a situation that would lead to one of the most debilitating strokes without swift action.

Within 1 hour of the vascular neurologist’s call, the neurointerventional team assembled and restored full blood flow (TICI 3) by suctioning out the clot. Anthony was immediately back to his baseline state of function hours after waking up from the procedure.

Initial NIHSS: 23, Discharge NIHSS: 0, Door To Device: 84 min, TICI: 3

Madeline’s Telestroke Success Story

77-year-old Madeline was enjoying a vacation with some old friends that were visiting from overseas. One morning, Madeline did not show up for brunch. Her friends checked on her at her hotel and found Madeline completely paralyzed on the right side, unable to utter a sound.

Acting swiftly, her friends dialed 911, getting her immediate attention from a specialized stroke team. Within 20 minutes, Madeline was evaluated remotely by a vascular neurologist and received the clot-busting drug, TNK.

Additional CT scans pinpointed the issue: a near-total blockage in her left internal carotid artery (yellow arrow). The teleneurologist immediately contacted the interventional neurosurgeon on call. A stent was placed, redirecting vital blood flow up to the brain. In just 3 days (!!), Madeline was fully recovered, allowing her to enjoy the last few days of vacation with her friends.

Initial NIHSS: 24, Discharge NIHSS: 0, DTN: 20, Length Of Stay: 4 Days

Nancy’s Telestroke Success Story

Nancy, a 73 year old retiree, was enjoying her traditional Saturday morning bowl of oatmeal and coffee with her husband while waiting for a visit from their grandchildren. Suddenly, Nancy’s face started to draw and she started to lean off the right side of her chair. A tranquil family moment turned to sheer panic.

Not knowing what to do, her husband’s quick thinking led him to call their daughter – a local gynecologist, who urged an immediate 911 call.

Rushed to the ER, scans showed a dangerously narrowed carotid artery and TWO blood clots threatening her brain. Nancy underwent a successful thrombectomy and stent placement, which eventually led to the diagnosis of the silent time-bomb that had caused those blood clots: atrial fibrillation.

Thanks to the assistance and quick intervention of teleneurology, Nancy is back to the family traditions that she cherishes so much.

Initial NIHSS: 4, Discharge NIHSS: 0 TICI: 2b
 

Learn more about how Sevaro makes these telestroke success stories possible.

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    Robot-Assisted Transcranial Doppler Versus Transthoracic Echocardiography for Right to Left Shunt Detection

    October 13, 2023

    A prospective clinical trial compared two methods, robot-assisted transcranial Doppler (raTCD) and transthoracic echocardiography (TTE), to see which one is better at diagnosing right-to-left shunt (RLS), a risk factor for stroke especially in young patients.

    The study found that raTCD was three times more likely to diagnose RLS than TTE, with a higher sensitivity, especially for large shunts. RaTCD was deemed safe and could be performed by health professionals without extensive TCD training, potentially making it a superior screening method for RLS compared to TTE.

    As a result, raTCD should become part of the cryptogenic stroke workup.

    Read The Full Study Here

    What is a cryptogenic stroke?

    A “cryptogenic stroke” is a term used to describe a stroke that doesn’t have a clear cause after initial testing and evaluation. In other words, doctors have tried to figure out why the stroke happened but haven’t identified a definite reason.

    The “workup” for a cryptogenic stroke involves a series of tests and evaluations to try to find the cause. The goal is to identify any underlying conditions or risks so that targeted treatments can be applied to prevent another stroke in the future.

    The workup can include a range of tests such as:

    • Imaging: This might include MRI or CT scans of the brain to get detailed pictures of the areas affected by the stroke.
    • Heart Monitoring: Devices like Holter monitors or event recorders might be used to monitor heart rhythms over a period of time. This can help identify irregular heart rhythms, like atrial fibrillation, which can lead to strokes.
    • Blood Tests: These can help identify clotting disorders or other blood conditions that might increase stroke risk.
    • Ultrasounds: These might be done of the heart (echocardiography) or of the blood vessels in the neck (carotid ultrasound) to look for potential sources of clots that could cause a stroke.
    • Cerebral Angiography: This is a more invasive test where a dye is injected into the blood vessels of the brain to look for any abnormalities.
    • Other Tests: Depending on the patient’s situation, other tests might be conducted to look for less common causes.

    Once all these tests are done, if a clear cause is still not found, the stroke remains classified as “cryptogenic.” However, even if a specific cause isn’t identified, treatment to reduce the risk of another stroke, such as blood thinners or blood pressure medications, may still be recommended.

    What is a robot-assisted transcranial Doppler (raTCD)

    Transcranial Doppler (TCD) is a non-invasive ultrasound method used to measure the flow velocity of cerebral blood vessels. It helps in assessing various neurological conditions, like detecting emboli, vasospasm after a subarachnoid hemorrhage, and assessing blood flow in conditions like sickle cell disease.

    Robotically assisted TCD system provides an alternative to manual TCD for assessment, expanding the availability of TCD to settings in which specialized clinicians are not available.

    What is right-to-left shunt (RLS)?

    A right-to-left shunt (RLS) refers to a condition where blood moves directly from the right side to the left side of the heart, bypassing the lungs. This can result in deoxygenated blood (blood that hasn’t been enriched with oxygen from the lungs) being pumped out to the body, which can lead to a variety of health issues.

    There are a few different ways that a right-to-left shunt can happen:

    • Congenital Heart Defects: These are structural problems with the heart that are present at birth. Examples include:
      • Atrial Septal Defect (ASD): A hole in the wall between the two upper chambers of the heart.
      • Ventricular Septal Defect (VSD): A hole in the wall between the two lower chambers of the heart.
      • Patent Foramen Ovale (PFO): A hole between the two upper chambers of the heart that fails to close after birth.
      • Eisenmenger Syndrome: A condition where a long-standing left-to-right cardiac shunt causes pulmonary hypertension and eventually reverses to a right-to-left shunt.
    • Pulmonary Hypertension: Increased pressure in the pulmonary arteries can cause blood to flow from the right to the left side of the heart.
    • Pulmonary AVMs (Arteriovenous Malformations): Abnormal connections between arteries and veins in the lungs can also cause a right-to-left shunt.

    When there’s a right-to-left shunt, it increases the risk of certain complications. For example, clots or particles in the bloodstream that would normally be filtered out by the lungs can bypass this filtering system and travel directly to the brain or other organs. This can increase the risk of stroke or systemic embolism.

    It’s important to diagnose and treat right-to-left shunts, as management strategies can reduce the risk of associated complications.

    Why would a neurologist find it important to study right-to-left shunt (RLS)?

    A neurologist would find it important to study right-to-left shunts (RLS) for several reasons, primarily because of the neurological implications and potential complications associated with such shunts:

    • Risk of Stroke: One of the most significant concerns with a right-to-left shunt is the potential for paradoxical embolism. Normally, any small clots or debris in the venous system would be filtered out by the lungs. However, with a right-to-left shunt, these can bypass the lungs, entering the arterial system, and potentially travel to the brain, causing a stroke.
    • Migraine Connection: Some studies have suggested a link between patent foramen ovale (PFO), a type of right-to-left shunt, and migraine headaches, especially migraines with aura. The exact mechanism is not entirely clear, but closing the PFO has been shown in some studies to reduce the frequency and severity of migraines in certain patients.
    • Transient Ischemic Attacks (TIAs): Similar to the risk of stroke, smaller emboli that don’t necessarily cause permanent damage can lead to transient ischemic attacks, which are brief episodes of neurological dysfunction.
    • Cryptogenic Stroke: In cases where a stroke has occurred and the cause is unclear (termed “cryptogenic”), the presence of a right-to-left shunt, like a PFO, might be considered as a potential source. A neurologist might then be involved in the evaluation and management of such cases.
    • Detection during Neurological Imaging: During procedures like transcranial Doppler (TCD) with a bubble study, right-to-left shunts can be detected. A neurologist may be involved in ordering or interpreting such tests, especially if there’s a suspicion of an RLS based on a patient’s clinical presentation.
    • Overall Patient Management: Recognizing the presence of a right-to-left shunt can influence a neurologist’s recommendations on treatments, preventive strategies, and potential referrals for intervention.

    Given these potential neurological consequences and the importance of early detection and appropriate management, studying right-to-left shunts becomes crucial for neurologists.

    Study Contributions

    In recognition of this monumental work, we want to extend our heartfelt congratulations and appreciation to our very own Dr. Ruchir Shah, Director of Clinical Service Lines & Implementations.

    Enrolling the highest number of patients in the USA for the study is no small feat, and it underscores Dr. Shah’s passion and dedication to advancing medical research. His contributions to this study have undoubtedly brought us closer to enhancing the diagnostic methods for RLS, a critical step forward in stroke prevention.

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