07
Feb 2020
A Stroke of Genius
Published in General on February 07, 2020
 
                                                            Each year, about 15,000 Australians suffer from a stroke, which is a deadly and life-altering disease that is caused by a blockage of an artery in the brain. The good news is that Royal Melbourne Hospital’s recent breakthrough is expected to change the lives of many. They are launching Tenecteplase, a drug that is supposed to help stroke patients even after a day of the incident since it’s able to dissolve clots for patients who still have healthy tissue. Extensive tests on this drug revealed that it’s much more fast-acting than other medications available in the market today. This has been testified by Professor Mark Parsons, who is the Royal Melbourne Hospital’s director of neurology. Studies have also shown that Tenecteplase can lessen the number of stroke patients who need surgery because the drug can quickly dissolve the clot.
 
For the past two decades, TPA has been the primary and preferred medication used by many to dissolve clots. The downside with TPA, however, is that it has to be administered to the patient within four and a half hours after the stroke so that it’s able to restore blood flow in the body. It greatly affects those individuals who are “wake-up stroke” patients that have no idea when the episode happened and those that are far away from the hospital when it occurred. These patients are often ineligible recipients of the said drug because the time-sensitive window for treatment has already expired.
 
This has encouraged Royal Melbourne to challenge the time-limit of stroke medications, thus paving the way for the development of Tenecteplase. They are currently involved in a $2.7 million international trial of this drug.
 
“A more effective clot-busting drug will mean lots of patients might not need clot retrieval surgery. The beauty of this study is that you don’t need to know the exact stroke onset time as long as the patient was seen well within 24 hours,” said Professor Parsons.
 
Professor Parsons also added that in every five stroke patients, only one of them is able to have a clot retrieval surgery. Thus, the success Tenecteplase equates to more treatment access and more patients that can fully recover after a stroke.
 
Very soon, the phase III of the study will commence. This stage involves the recruitment of patients from eight countries including Australia. These efforts are made possible by the National Health and Medical Research Council's financial aid.
 
Dr. Timothy Ang, a neurologist from Newcastle, adds that although the treatment window is being expanded, timely treatment is still necessary since millions of brain cells die as each minute passes after a stroke.
 
“We don’t want anyone waiting at home after a stroke,” he emphasized.
 
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                     
                                                                                    ![“Surprise Noises Can Feel Like Pain”: New Airport Rule Eases Travel for Autistic Passengers Emma Beardsley once dreaded going through airport security. “I used to panic every time they made me take my headphones off at security,” she recalls. “The noise and the unpredictability can be overwhelming.” Now, thanks to a new policy allowing noise-cancelling headphones to remain on during security checks, Beardsley says she can “travel more confidently and safely.”
In Australia, one in four people lives with a disability, yet the travel system has often failed to accommodate varied needs. Autism-inclusion advocates at Aspect Autism Friendly have welcomed the government’s updated guidelines that let autistic travellers keep their noise-reducing headphones on during screening, calling it a “major step” toward more accessible air travel.
Dr Tom Tutton, head of Aspect Autism Friendly, emphasises the significance of travel in people’s lives: it connects them with family, supports work and learning, and offers new experiences. But he notes the typical airport environment can be especially intense for autistic travellers:
“Airports are busy, noisy, random and quite confusing places … you’ve got renovations, food courts, blenders, coffee grinders, trolleys clattering … and constant security announcements. It’s really, really overwhelming.”
“What might be an irritation for me is something that would absolutely destroy my colleague [who has autism]. Surprise noises of a certain tone or volume can genuinely be experienced as painful.”
Under the new policy — now published on the Australian Government’s Department of Home Affairs website — passengers who rely on noise-cancelling headphones as a disability support may request to wear them through body scanners. The headphones may undergo secondary inspection instead of being forcibly removed.
Dr Tutton describes this adjustment as small in procedure but huge in impact: it removes a key point of sensory distress at a critical moment in the journey. Aspect Autism Friendly is collaborating with airports to ensure that all security staff are informed of the change.
For many autistic travellers, headphones aren’t just optional — they are essential to navigating loud, unpredictable environments. Until now, being required to remove them during security has caused distress or even deterred travel.
Aspect Autism Friendly also works directly with airports, offering staff training, autism-friendly audits, visual stories, sensory maps, and other accommodations. Their prior collaborations include autism-friendly initiatives with Qantas. Dr Tutton notes:
“Airports have become this big focus for us of trying to make that little bit of travel easier and better.”
He advises people planning trips for travellers with disabilities to consult airport websites ahead of time. Some airports already offer quiet rooms or sensory zones — Adelaide, for instance, provides spaces where travellers can step away from the noise and regroup before boarding.
Beyond helping autistic individuals, Dr Tutton believes that more accessible airports benefit everyone. “These supports help lots of other people too,” he says. “When people are more patient, kind and supportive, the benefits flow to everyone. We all prefer environments that are well-structured, sensory-friendly, predictable and easy to navigate.”](https://c3eeedc15c0611d84c18-6d9497f165d09befa49b878e755ba3c4.ssl.cf4.rackcdn.com/photos/blogs/article-1061-1759742013.jpg) 
                                                                                    