In my view the most important development in clot stroke literature.
I first saw the S.A.P term in a lengthy article on stroke in which the author interviewed S.A.P.S about their condition and feelings after stroke. Occasionally complaining that some fell asleep – missing the casual connection to another condition.
Now, hopefully, the full term version of S.A.P will replace the dreaded S word and consign it to emerging medical intervention areas such as those in major stroke units, and stop at the point of discharge.
Now, our S.A.Ps face recovery in a different way to other maladies. As treatments fail and health declines many patients are transferred to stage four care, letting nature take its course with all relevant comfort.
Our expected S.A.P.S enter stroke units at stage four of the health spectrum. I write only of unfit males over 60 stroke increases their health problems requiring emergency treatment then stabilization (the term for lifesaving) by the stroke team. Depending on what recovery therapy was given they will leave the acute hospital at, say, level 3.1 or 3, rising to one under more therapy. I hesitate to guess what comes beyond one because I cannot rise to that level as a one hander.
Now that we have established that the health of S.A.P.s can be tracked over time and between individuals, we need someone to codify the levels. I think a senior neuro-physiotherapist could do the job as a Ph.D. project.
Enough?
Angus
