The proposed study will be performed at the Kaiser Permanente (KP) San Diego Medical Center. Kaiser Permanente patients that are admitted with acute ischemic stroke, resulting in moderate disability, in the prior two weeks to enrollment range will be recruited in the medical center. Patients will be directly offered participation in the study by the principal investigator, at the time of hospital admission to the KP San Diego Medical Center with ischemic stroke. For patients interested in participating in the trial, screening based on written inclusion and exclusion criteria will be done by reviewing patient information in the electronic medical record system. If patient meets initial eligibility criteria, they will be notified by telephone.