Hemorrhagic lesion USUALLY progress faster than thrombotic
lesion. The rapidity of the decline of the patient's status and
condition with the Glasgow Coma Scale may be one way out if the
patient's condition is very very bad.
Experiences are experiences, as far as I know, the higher one's
rank is, the more cautious the doctor can be rather than to be
blind. Neurology is a rather in-depth subject and not to even
mention it's sister's subject, Neurosurgery, Psychiatry and
Psychology, since most of the human brain's are left to be
explained in terms of hypothesis. The documentations are never
sufficient to predict that this will happen, and that will happen,
because the way it takes its course or route is very varied.
The symptoms can be very similar, only the progression is the way
of seeing it. Hence with these group of patients, I as a house
officer would have no say, but to immediately notify my superiors
whom their decisions are best to say left it to them to make.
However, if I were to be the consultant, I will pull out all
investigations, verify them and get them assessed and check, and in
the meantime, supporting the patient as much as the team can. It
has been known that certain thrombus can be as bad as hemorrhage,
not to even mention that in hemorrhagic stroke, there are plenty
more differential diagnosis you have to rule out before you can say
that this is a stroke.
You have to know, that our pledge before becoming doctors are to
practice as safe doctors, and not gung-ho doctors based on our
experience, no matter how long that can be. 
