ISPP 2015

Career Opportunities in Pharmacy
The Mobile Stroke Unit | Saving Lives Through Early Intervention | Weill Cornell Medicine

I’m Roy Pizzarello
I’m a retired cardiologist and I live in New York City it was a February of 2011
and I was home vacuuming all of a sudden I couldn’t move my right arm or my right
leg and I remember I couldn’t I couldn’t speak and luckily I was right by the bed
so I lay down on the bed my wife came in and she saw right away
that I was having a stroke it took around 15 minutes for the ambulance to
come and then probably another 15 minutes to get to the emergency room
when Roy developed symptoms of a stroke he was brought by ambulance to New York
Presbyterian Weill Cornell our stroke team was waiting for him in the
emergency department it was discovered that he had blockage of what we call the
left middle cerebral artery he was then treated with a clot-busting
drug and then went immediately to the angiography suite where he underwent a
procedure to remove the blood clot Roy benefited immensely from the treatments
that we have because he got to the hospital quickly the key to success is
speed with which we deliver the treatments we’re now in a situation where patients
are getting to the hospital as fast as they can
but they’re still not getting there fast enough so we’re moving into the next era
of treatment which is to take the treatment to the patient in the field
time is so critical with a stroke because with every minutes you will lose
1.9 million brain cells the history of emergency medical services has always
been about how quickly we could get to a patient what we are looking to do here
with the mobile stroke treatment unit is truly transformational the mobile stroke
treatment unit is a custom design ambulance that has a specially designed
CT scanner built into the ambulance so that we can do brain scans in the field
and we carry TPA with us we carry a variety of other medications that can be
delivered on the ambulance the goal being that we can treat the patient with
the critical medications that can make a big difference we work collaboratively
with the 9-1-1 dispatch operators to develop specialized questions these
questions are designed to make sure that this unit gets appropriately routed
we’re collecting a huge amount of data to compare the benefit of treatment on
the mobile stroke unit to a standard ambulance arrival to our emergency room
the mobile stroke unit is an amazing opportunity to identify stroke patients
in the ultra early setting and target these patients for clinical trials our
researchers at the file family brain of mine Research Institute are actively
investigating which biomarkers of blood imaging and examination are useful for
determining long-term prognosis in the stroke model we think that the monocytes
in addition we are one of 25 selected NIH funded regional coordinating centers
for stroke net and our mission is to streamline and lead exciting clinical
research trials in stroke prevention stroke treatments and stroke recovery
having early intervention got me well I’ve been very active I play tennis I go
to the park a lot and my wife and I travel about three to six months a year
even though I had a stroke I have no disability we are really pleased to have
full support of the State Department of Health as well as the Fire Department of
New York without that support we would not be able to launch the mobile stroke
treatment unit this is a true partnership between wild Cornell
Medicine New York Presbyterian Hospital and Columbia College of Physicians and
Surgeons I think we’re showing the rest of the world that we really are the best
in the field and that we will continue to be a leader in health care and a
leader in treating patients with stroke

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