The Importance of Early Doctor-Patient Relationships

In our practice it's very easy to be pigeonholed a little bit by the NIH stroke scale. Having a method like this to pick out those patients for whom the symptoms would still be disabling in their eyes does a great job of really reinforcing that early doctor-patient relationships. Now in this trial this was a non-inferiority study comparing altiplays versus dual-intiplay with therapies so tell us about the results what are the trial teaches? It pivots on the point that the NINDS trial the initial trial that demonstrated that TPA was effective in patients presenting within three hours they were excluding patients with rapidly improving or minor strokes.