Stroke 2023: A Change Has Come and Is Still Coming

For the non-neurologist, it may be hard to keep up with all the latest controversies, exciting advances, and paradigm shifts in the management of acute strokes - as chronicled in this week’s New York Times Magazine. In this Grand Rounds, Andy Josephson, chair of the UCSF Department of Neurology and award-winning neurology educator, will bring us up-to-date on the latest in treatments and secondary prevention strategies for patients with strokes and TIAs.
Speaker:
S. Andrew Josephson, MD, is chair of the Department of Neurology at UCSF where he specializes in neurovascular and other neurologic disorders, caring for general neurology and stroke patients in the hospital as well as in clinic. He is the founder of UCSF's Neurohospitalist Program and specializes in difficult to diagnose inpatient neurologic conditions. As a go-to educator in the Department of Neurology, Andy has won numerous teaching awards from medical students and residents at UCSF including being selected to present the keynote address for the School of Medicine Commencement; the Henry J. Kaiser Award for Excellence in Teaching; the Academic Senate Distinction in Teaching Award, and the Robert Layzer Golden Toe Award for resident teaching. He also serves as the editor-in-chief of JAMA Neurology, a leading journal in the field.
Note: Closed captions will be available within 48-72 hours after posting.
Program
Bob Wachter: Introduction
00:02:10-00:52:17 - S. Andrew Josephson, MD, chair of the Department of Neurology at UCSF
00:52:22-1:00:33 Q&A
See previous Medical Grand Rounds:
• March 2: A Fireside Chat with Eric Topol
• A Fireside Chat with E...
• February 23: Protecting the Legitimacy of Medical Expertise: Combating Misinformation in Medicine
• Protecting the Legitim...
• February 16: Addressing the Crisis of Clinician Burnout - A Conversation with Tait Shanafelt
• Addressing the Crisis ...
• February 9: ChatGPT: Will It Transform the World of Health Care?
• ChatGPT: Will It Trans...
See all UCSF Covid-19 grand rounds, which have been viewed over 3M times, at • UCSF Department of Med... .

[@Cathy-xi8cb]

If people saw the devastating effects of having a stroke they might consider altering their actions decades before they become a high risk patient. I think every high school student should be forced to volunteer in a nursing home to see what can happen to you. And every medical student should too. Vascular dementia, stroke, diabetes...it is all there in devastating ways. Every football player should visit a TBI unit. I want younger people to see what horrendous things can happen and be brought to tears.

[@karenkaren3189]

My BIL had a stroke a few months ago. He got early treatment with the new clot buster and has had almost a 100% recovery!

[@brendahoupt6373]

Why does the WEF want their pilots that fly their jets unjabbed ?

[@Lp78Ch]

Defund UCSF!!!!!!

[@RNancy13]

As a physician this is the best stroke review I’ve ever seen. Thanks so much!

[@stevej02]

“Brought to you by Pfizer”

[@Lp78Ch]

The clot-shots worked as planned!!!!!!!

[@esraaabdalkhalek939]

Thank you so much for this informative session I still have a question of anticoagulation in patients with AF ? therapeutic anticoagulation will be delayed according to size of infarct or according to NIHSS and if so meanwhile should the patient take anti-platelet? And for how long

[@willzsportscards]

Fun review. As a resident around 2005, I remember the old clot retrieval stuff was very hit/miss and time intensive. Good to see the new stuff is faster/more effective. ps went to ugrad with Andy, good to see him as a big dog at ucsf.

[@sunving]

Thank you very much. Thank you Mr Chairman Wachter. The Lecturer is so wonderful , he made topic which boring to me to be very very interesting and informative.

[@pvaidyan123]

Excellent talk! Thank you!!

[@saratalha926]

Thank you so much for this informative video.

[@eunbeeyoutube]

This is great lecture, thanks

[@popeye885]

Fantastic review

[@WVS-KFD]

Great one. Thanks.

[@JoeMalone-uk6hb]

Pump it up losers