THE ANSWER

In this case the patient will be past the 3 hour window before you reach the local hospital, therefore, intravenous fibrinolytic therapy will likely not be an option.  However, the stroke center may have the ability to administer intraarterial fibrinolytics well beyond the 3 hour time period.  Therefore the best choice will be to bypass the local hospital and go directly to the stroke center.  Unfortunately, at this time there are only two hospitals in Mississippi with this capability, UMC and St Dominics.  Hopefully, others will be going on line soon.