Dr Thomas on stroke

Dr. John Thomas 
MBBS; MD (India), MRCP (Lond), DGM (Lon), CCT (Oxford)   

Consultant Physician at Noble's Hospital and Geriatrician with Specialist interest in Stroke and Movement Disorders.

Stroke is a condition of enormous significance both at the individual and public health levels. Research in the last decade or so has proven beyond any doubt that preventive strategies as well early treatment will make an enormous difference to the outcomes of individuals who are affected by this condition. Both mortality and disability can be minimised by this approach.

Awareness of stroke as a medical emergency is much higher due to various educational efforts as well as the activity of the Manx Stroke Foundation. Rapid Access TIA (mini stroke) clinics for early assessment and treatment of this condition without necessarily admitting all the patients into the hospital were started in early 2008. Around this time we also introduced Carotid Doppler imaging for TIA patients. Currently we have the facility for surgery for those patients who have a significant blockage in their carotid artery.

The radiology department at the Noble’s Hospital is also geared for urgent scanning (CT and MRI) of stroke patients as per latest guidelines. An Acute Stroke Unit with state of the art monitoring facilities and evidence based care is now operational. 

I consider it a great privilege to work in the Isle of Man as the Consultant Physician. Currently there is no other Health service in the British Isles, outside of the UK, where there are so many facilities in stroke care. However, we will continue to strive to improve our services towards achieving our goal - The Best Stroke Care in the British Isles and indeed Europe!

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