Was The Mobile Stroke Unit Show Just Another Ploy by Summers, Gilman, & Co.?

[Lori Allen _]

This post is about The Mobile Stroke Unit being another ploy by Summers,Gilman and the Summers Company.

Hopefully, the two cities mentioned won't have a corrupt government like we have here.

Unfortunately here, we had a scam planned way in advance to run down our hospital and sell it to our friends for development.

Yes this was done by the alleged criminals ,Summers, Council, the Extended Company and all others, such as Gilman who allegedly went along with it.

[Kate McCarthy]

But what about our local stroke unit?

Facts and figures?

Exactly. If anyone believes that I need to further elaborate the nature of my doubts, or explain why the fire chief's comment demonstrates rather than responds to them, just let me know. Otherwise, I will presume that we're all clear on these matters.

(I will add that the Cleveland Clinic began promoting its Mobile Stroke Unit three years ago. If this incredibly well-resourced organization doesn't already have independently verifiable, aggregate numbers about its practical impacts by now… I will propose that this is very reasonable cause to suggest that aggregate, practical impact is not a serious consideration of the program.)

If anyone can get the full text of the article that is linked to here, I would like to see more about the model they used, but it appears they only compared patients brought to the ED via ambulance to patients brought to the ED via the stroke unit. To me it seems obvious that someone transported via a specialty unit would have better outcomes. I would like to see studies that compare a population cohort where a specialty stroke unit is available to a population cohort that is only served via traditional ambulance. Also, have studies been done to determine how many units need to be available in a geographic area with x number of people to have a significant impact on outcomes?

https://consultqd.clevelandclinic.org/2 ... udy-shows/

Unless the Mobile Stroke Unit was a permanent part of our emergency services dedicated to serving our population, I can't imagine it has made any difference and certainly would never be a substitute for an ED attached to a full service hospital.

Again, it would be nice to know exactly how many persons from Lakewood were transported by the mobile stroke unit.

[Brian Essi]

Again, it would be nice to know exactly how many persons from Lakewood were transported by the mobile stroke unit.

May I suggest, ZERO may be the answer.

Otherwise, Scott "Sean Spicer" Gilman would be touting the successes.

BTW, shouldn't he be nearing retirement soon?

[Marguerite Harkness]

In the deal, we GAVE Cleveland Clinic $90 million ($52 million in LHA, Lakewood Hospital Assoc. stocks/bonds investments and about $34 million in LHF Lakewood Hosp. Fndn stocks/bonds investments).

SURELY Cleveland Clinic could have afforded to build and staff ONE mobile stroke unit just for Lakewood????

[Bridget Conant]

https://www.google.com/amp/s/articles.c ... stroke.amp

The Clinic has ONE Mobile Stroke Unit. It is employed throughout the county to over 10 cities. No guarantee that it will be available if a call comes from Lakewood. In addition, they must know in advance that the issue is a Stroke and that is often not known upon the first EMS call.

It's a nice idea and all, but unless we see actual data on its utilization, it's meaningless.

[Lori Allen _]

Speaking of that, I am still trying to account for the $120 million that appears to be missing, specifically where it is or who has it.

[cmager]

In the deal, we GAVE Cleveland Clinic $90 million ($52 million in LHA, Lakewood Hospital Assoc. stocks/bonds investments and about $34 million in LHF Lakewood Hosp. Fndn stocks/bonds investments). SURELY Cleveland Clinic could have afforded to build and staff ONE mobile stroke unit just for Lakewood????

Has anyone ever looked inside such unit - is it purpose-built to treat strokes, or is it actually a food or plumbing truck? Lets get a tour!
More realistically, I too would like to see evidence that a "Mobile Stroke Unit" exists in "any" other city, county, state, or nation...and empirical evidence of its proven efficacy in treating the target populations. Lacking such evidence, it's more a McGuffin or Red Herring meant to further the narrative to demolish, dispose, privatize, and profitize Lakewood Hospital, it's endowments, and revenue stream.[img]

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[Bridget Conant]

http://www.mdedge.com/clinicalneurology ... spite-cost

As usual, an expensive and promising idea doesn't always pan out. While initiating treatment a bit earlier should be helpful, endpoint outcomes aren't much different or statistically significant. Given the initial cost, questions remain as to the economics of the mobile Stroke units given the high cost.

As usual, the Clinic goes for the show!