Shifting the Narrative: Dr. Babu G. Welch on Stroke Risk and Responsibility in the Black Community

An Interview for Stroke Awareness Month

When we talk about stroke care, we often focus on medicine and technology. But for Dr. Babu G. Welch—Professor and Vice Chair of Neurosurgery—it’s just as much about changing mindsets, both in medicine and in our communities.

“Cerebrovascular neurosurgery is the perfect combination of medicine, delicate surgical technique, imaging, and technology—for anyone who loves all four.”

What truly drives Dr. Welch, however, is education and equity. He recalls asking a resident why Black communities experience more stroke complications. The answer? “Because they are Black.” That moment reshaped his mission.

“That answer—given in 2025 by someone being trained to care for people—showed me the importance of our community being involved in our education.”

Dr. Welch believes we need to reframe how we view stroke risk. It's not just about DNA. It’s also about lifestyle, access, and cultural habits.

“You may be more at risk because you eat what your family eats than because you share their blood.”

In the treatment room, Dr. Welch takes a nuanced approach to both ischemic strokes (caused by clots) and hemorrhagic strokes (caused by bleeding). While medications can address clots, surgery becomes vital when restoring blood flow or managing ruptures.

“Knowing where your closest Comprehensive Stroke Center is can make the difference between life and loss.”

Dr. Welch encourages the public to remember the BEFAST acronym to recognize stroke symptoms early. He also warns that stroke is often mistaken for alcohol intoxication, delaying urgent care.

Beyond the OR, his message to patients is one of hope and persistence:

“Rehabilitation never ends. A body in motion stays in motion.”

To future cerebrovascular neurosurgeons, he offers this challenge:

“This is hard work. But if you see it as a challenge every day, the rewards are limitless. Be a doctor first—and a surgeon second.”

For Dr. Welch, stroke awareness is about reclaiming the narrative. One patient, one provider, and one empowered community at a time.