Talk:Stroke

Article Checklist for "Stroke"

Workgroup category or categories	Health Sciences Workgroup [Categories OK]
Article status	Developing article: beyond a stub, but incomplete
Underlinked article?	Yes
Basic cleanup done?	Yes
Checklist last edited by	Petréa Mitchell 11:51, 28 April 2007 (CDT)

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Plan

I used the WP version at first for a framework, and the section of hemorrhage is mostly their content, however, the WP version is extremely unclear, so this is turning into a major rewrite. I'm not sure what level of discourse we are aiming at (somewhere between layperson and medical professional?) I think external links at the end may help send people of different levels to different resources. Im still having trouble finding public domain images. I would especially like to find an illustration of plaque/thrombus, a ct or mr image, and a few others. Thanks. Peter A. Lipson 16:46, 28 April 2007 (CDT)

Additional help provided by Susan A. Catto, M.D., Administrative Director, Stroke Program, William Beaumont Hospital, Royal Oak, MI.

I figured I'd join in as well, it's such an interesting topic. I know that this is challenging, but our goal here should be to provide an entry that an intelligent person who is not necesarily a doctor can read this and know a lot about strokes by the end. The internet is a primary means of health education in the worl, and this article should serve the person whose loved one was just diagnosed with a stroke (as a source of information) as well as serve as a review for the physician. That's tricky but it can be done. I say-let's do it. Nancy Sculerati 10:53, 1 May 2007 (CDT)

Couple of suggestions

• Might be wise to distinguish traumatic subarachnoid hemorhage (etc) from "stroke".
• Role of hypertension in stroke?
• Risk of anti-coagulation?
• What about aspirin?
• What about hormone modification, eg oral contraceptives?

Thanks. Work in progress. As it progresses, let me know where you think I need to shore things up. Data on HRT and OCPs is a little fuzzy, but I'm working on it. HTN I have data for, and I've been folding it in. ASA will fall under prevention eventually (primary/secondary). I briefly mention warfarin in asoc. with AF, but as far as risk...well, I have a lot of cleaning up to do in the hemorrhage section. Thanks for your help.--Peter A. Lipson 19:05, 30 April 2007 (CDT)

Thanks for separating out epidemiology.--Peter A. Lipson 12:45, 1 May 2007 (CDT)

I'm still working on incorporating in prevention via statin, ace, arb tx, etc.--Peter A. Lipson 13:48, 1 May 2007 (CDT)

It's fun to go back and forth Peter, thanks for all your corrections. We will need another health science editor, at least, to get this approved eventually since I've become another author. I think for prevention we should get more basic than the kind of "medications" prose implied here. In other words, prevention means keeping arteries open and keeping blood pressure from going either too high or too low, and then from there we can talk about excersize, diet, medications and genetics, too. Anyway, really nice working with you, Nancy Sculerati 08:26, 2 May 2007 (CDT)

I agree, I threw the meds in there so I wouldn't forget to fill in the data. I think the bullet points on prevention are looking ok, but if you think we need to change that around, i'm open to suggestions...Peter A. Lipson 08:59, 2 May 2007 (CDT)

I'm sure we'll work it out as we go, and also get to undertsand how we work better. I had written some text about the world wide epidemiology of stroke that got removed, it was incomplete. I also had put it in to "remember". Since CZ is a world resource, I've been pushing to have the health articles aimed to a broader audience. I know it's hard to do that, and Stroke is such a big topic. As we go, though, I predict many other articles will end up branched off. Anyway, I'd be glad to have you author more in TB, as well. As we develope them, hopefully more editors will join. Nancy Sculerati 09:10, 2 May 2007 (CDT)