My Journey Through Stroke and the Stroke System: Importance of - - PowerPoint PPT Presentation

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My Journey Through Stroke and the Stroke System: Importance of - - PowerPoint PPT Presentation

My Journey Through Stroke and the Stroke System: Importance of Advocacy Ronald M. Stewart, MD December 21, 2011 End of Life Regrets Friends and family Not spending enough time or attention Not mending broken relationships Chasing


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My Journey Through Stroke and the Stroke System: Importance of Advocacy

Ronald M. Stewart, MD

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December 21, 2011

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End of Life Regrets

  • Friends and family

– Not spending enough time or attention – Not mending broken relationships

  • Chasing rather than choosing happiness
  • Failure to follow dreams / Failure to take a

stance or a chance

Goldsmith and Reiter (2007-01-09). What Got You Here, Won't Get You There. Eric Jackson: The 25 Biggest Regrets In Life. What Are Yours?, Forbes, 10/18/2012. Bronnie Ware: 5 Top Regrets of the Dying: Don’t wait until your health fails before living the life you want to live. AARP, February 1, 2012

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Lessons Learned

  • Gratitude
  • Joy
  • Knowledge
  • Time
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Thank You!!

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Following Stroke

  • Maximizing recovery

– Working with rehabilitation team – Goal – maximal functional recovery

  • Prevention of recurrent stroke

– Routine medical care

  • Hypertension
  • Diabetes mellitus
  • Smoking
  • Dyslipidemia
  • Physical inactivity
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Advocacy Importance of Our Leadership

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The Gift

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Pillars of a Modern Trauma System

  • Prevention
  • Acute Care

– Communications systems – EMS – Trauma Centers

  • Rehabilitation
  • Framework for Disaster Preparedness
  • Framework for other time sensitive diseases
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Pillars of a Modern Trauma System

  • Prevention
  • Acute Care

– Communications systems – EMS – Trauma Centers

  • Framework for Disaster

Preparedness & time sensitive disease

  • Rehabilitation –

reintegration Requires timely structured cooperation and communication.

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Cooperation + Competition = “Coopetition”

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2HOURS 40MINS 57MINS

1 6 0 M I L E S

  • 27,000 miles2
  • 2.6 million people
  • Urban-Frontier

ZAVALA ATASCOSA KARNES VAL VERDE BANDERA COMAL GUADALUPE MAVERICK WILSON GONZALES DIMMIT KERR KENDALL REAL MEDINA GILLESPIE UVALDE FRIO EDWARDS LA SALLE

UNIVERSITY HOSPITAL SAMMC

KINNEY

VAL VERDE REGIONAL MEDICAL CENTER

UNIVERSITY HOSPITAL VAL VERDE REGIONAL MEDICAL CENTER

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Conscious Leadership

  • Conscious decisions
  • Leadership
  • Far more likely to do unconscious harm than

unconscious good.

“Deliberation to do evil is less harmful in sum than carelessness about doing good.” Sherman Goodwin, MD

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Leadership Attributes for the Advocate 7 P’s to Be

  • Participatory – Be friendly and collaborative
  • Professionalism – doing what’s right for patient
  • Problem solver – Promote a culture of Yes
  • Process improvement
  • Passionate
  • Patience
  • Perseverant
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Questions and Thank you!

Bluebonnets after the storm, R Stewart

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Wildflowers

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  • Bluebonnet
  • Beautiful
  • Delicate
  • Enduring
  • Small lupine
  • Weed of the pea

family

  • Endemic to South and

Central Texas

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Context

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Context!

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Vision

  • Perspective
  • Illumination
  • Context

Our view of the profession determines our response.

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A Better Perspective

  • Reframe the profession from a different

perspective—in my mind a more correct perspective

  • Shine a gentle, soft light on the subject
  • View the beautiful context of the Profession