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!