They can be lifesavers if you know the precise onset of the stroke but after that window the side effect risk outweighs the benefit since it's already done most of its damage. The brain drain in rural areas is a mix of longterm systemic cuts to budgets, better opportunities in urban hospitals and things to do in cities, and now their antivaxxer patients. There used to be a lot of romanticism to the idea of the country doctor, someone who truly had to do it all, but even before the pandemic I was reading stories about rural psychiatrists covering multiple counties and several hundred patients. That infrastructure was hollowed out years ago along with the prestige of the position.
Thanks, this was really informative. Had no idea anti clotting interventions were that dangerous.
I haven't heard about this, is it GPs just giving up on their patients after they refuse treatment or something else?
They can be lifesavers if you know the precise onset of the stroke but after that window the side effect risk outweighs the benefit since it's already done most of its damage. The brain drain in rural areas is a mix of longterm systemic cuts to budgets, better opportunities in urban hospitals and things to do in cities, and now their antivaxxer patients. There used to be a lot of romanticism to the idea of the country doctor, someone who truly had to do it all, but even before the pandemic I was reading stories about rural psychiatrists covering multiple counties and several hundred patients. That infrastructure was hollowed out years ago along with the prestige of the position.