The objective of this study Patient refusal of thrombolytic therapy for suspected acute ischemic stroke published online in IJS, was to determine factors associated with patients refusing IV t-PA for suspected acute ischemic stroke and then compare outcomes of patients who refused t-PA and those who were treated with t-PA. I spoke to authors DR Farhaan Vahidy, and DR Sean Savitz from the University of Texas Medical School-Houston and UT Health about this novel paper and interesting findings.