Stroke Recovery Quotes

The most important thing in defining child sexual abuse is the experience of the child. It takes very little for a child’s world to be devastated. A single experience can have a profound impact on a child’s life. A man sticks his hand in his daughter’s underpants, or strokes his son’s penis once, and for that child, the world is never the same again.

Covert manipulators are quite gifted at provocation. As they learn more about you, they are investigating your weak spots and catering their comments towards what they know will hurt you the most. Knowing you’re triggered by their comments gives them a sadistic sense of satisfaction that alleviates their secret sense of inferiority and strokes their delusions of grandeur, control and aptitude. Having control over your emotions also gives them the power to effectively manipulate you and convince you that you don’t deserve any better.

How will this stroke steal away my remaining dignity, let me count the ways.

Individuality is deeply imbued in us from the very start, at the neuronal level. Even at a motor level, researchers have shown, an infant does not follow a set pattern of learning to walk or how to reach for something. Each baby experiments with different ways of reaching for objects and over the course of several months discovers or selects his own motor solutions. When we try to envisage the neural basis of such individual learning, we might imagine a "population" of movements (and their neural correlates) being strengthened or pruned away by experience. Similar considerations arise with regard to recover and rehabilitation after strokes and other injuries. There are no rules; there is no prescribed path of recovery; every patient must discover or create his own motor and perceptual patterns, his own solutions to the challenges that face him; and it is the function of a sensitive therapist to help him in this. And in its broadest sense, neural Darwinism implies that we are destined, whether we wish it or not, to a life of particularity and self-development, to make our own individual paths through life.

On top of his grudge holding, he had a reputation for impatience. Like so many brilliant people, Calvin just couldn’t understand how no one else got it. He was also an introvert, which isn’t really a flaw but often manifests itself as standoffishness. Worst of all, he was a rower. As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold out their hands and compare calluses. If you’re really unlucky, this could be followed by several minutes of head-bowing reverence as one of them recounts the perfect row where it all felt easy.

Depression can be due to a low endocrine function, nutritional deficiencies, blood sugar problems, food allergies, or systemic yeast infection. Depression can also result from medical illnesses such as stroke, heart attack, cancer, Parkinson's disease, and hormonal disorder. It can also be caused by a serious loss, a difficult relationship, a financial problem, or any stressful, unwelcome life change.

I was brain-dead. So disabled, yet blissed our. This, in stark contrast with what was to come- a heightened awareness of my shortcomings, a darkness to counter the lightness of those early weeks of recovery.

To my mind, every emergency room should have a low-intensity laser for people with stroke or head trauma. This therapy would be especially important for head injuries, because there is no effective drug therapy for traumatic brain injury. Uri Oron has also shown that low-intensity laser light can reduce scar formation in animals that have had heart attacks; perhaps lasers should be used in emergency rooms for cardiac

talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold out their hands and compare calluses. If you’re really unlucky, this could be followed by several minutes of head-bowing reverence as one of them recounts the perfect row where it all felt easy.

As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seas, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold their hands and compare calluses. If you’re really unlucky, this could be followed by several minutes of head-bowing reverence as one of them recounts the perfect row where it all felt so easy.

As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not.

1.​You believe that, because your therapy has ended, your recovery has ended. 2.​You are willing to continue your recovery, but you are not sure what to work on. You decide that you’ll join a gym and see what happens. 3.​You develop a plan that takes you to the highest level of recovery possible. You know that your plan will change over time. Your plan has built-in goals. Achieving goals gives rise to new goals and new achievements. This forces an upward spiral of recovery.

Duré felt the damage the cruciform reconstruction had done to his mind and memory. It was sickening—the equivalent of suffering a stroke with no hope of recovery. Reasoning that once would have been child’s play to him now required extreme concentration or was simply beyond his ability. Words eluded him. Emotions tugged at him with the same sudden violence as the time tides. Several times he had had to leave the other pilgrims while he wept in solitude for no reason he could understand.

A stroke will change your life no doubt. But it's not the end. It can be a beginning . Life is different but its far from over..A stroke happens in your head but it doesn't have to dominate your thoughts. You're stronger than that stroke.. Get pissed, work hard at recovery, Have fun , Make a plan to move forward!, Work on a prjoect read a book or anything with in your ability stay safe. Above all don't turn away family and friends they love you.. And love yourself too. It really makes a difference.. I've been thru this.too. God bless!

Calvin was a brilliant man, but if he had one flaw, it was his ability to hold a grudge. On top of his grudge holding, he had a reputation for impatience. Like so many brilliant people, Calvin just couldn’t understand how no one else got it. He was also an introvert, which isn’t really a flaw but often manifests itself as standoffishness. Worst of all, he was a rower. As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold out their hands and compare calluses. If you’re really unlucky, this could be followed by several minutes of head-bowing reverence as one of them recounts the perfect row where it all felt easy.

As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point

As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold out

The concept of “brain plasticity” refers to the ongoing capacity of the brain and the nervous system to change itself. Everything that we do, think, feel, and experience changes our brain. A stroke or a traumatic brain injury can affect brain plasticity, and plasticity may also be associated with such developmental disorders as autism. Increased brain plasticity may also potentially endow a person with unanticipated new abilities, as John appears to have experienced in this book. TMS, or transcranial magnetic stimulation, the intervention that John undergoes, provides a unique opportunity for us to learn about the mechanisms of plasticity, and to identify alterations in the brain’s networks that may be responsible for a patient’s problematic symptoms, and also for recovery.

As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold out their hands and compare calluses. If you’re really unlucky, this could be followed by several minutes of head-bowing reverence as one of them recounts the perfect row where it all felt easy.

Worst of all, he was a rower. As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold out their hands and compare calluses. If you’re really unlucky, this could be followed by several minutes of head-bowing reverence as one of them recounts the perfect row where it all felt easy.

Like so many brilliant people, Calvin just couldn’t understand how no one else got it. He was also an introvert, which isn’t really a flaw but often manifests itself as standoffishness. Worst of all, he was a rower. As any non-rower can tell you, rowers are not fun. This is because rowers only ever want to talk about rowing. Get two or more rowers in a room and the conversation goes from normal topics like work or weather to long, pointless stories about boats, blisters, oars, grips, ergs, feathers, workouts, catches, releases, recoveries, splits, seats, strokes, slides, starts, settles, sprints, and whether the water was really “flat” or not. From there, it usually progresses to what went wrong on the last row, what might go wrong on the next row, and whose fault it was and/or will be. At some point the rowers will hold out their hands and compare calluses. If you’re really unlucky, this could be followed by several minutes of head-bowing reverence as one of them recounts the perfect row where it all felt easy.

Since your asshole ex-husband took all his shit with him and we have nothing fun to burn, we’ll start with this pile of shitty clothes,” she tells me, kicking the stack with her toe. “We’re not burning my clothes. Do you have any idea how expensive those pieces were?” I argue, even though the sight of all my monotone, plain clothing makes me want to reach for the closest lighter. “Cindy, you had a breakthrough the other night. You are on the track toward recovery and the first step is admitting you have a problem. Repeat after me: I will no longer put things on my body that are golden wheat, ecru, light baby-shit tan, or anything else in the beige family unless what I’m putting on my body is an actual man with that color skin tone,” Ariel recites, putting her hands on her hips and raising one eyebrow as she waits for me to comply with her request. “And we don’t have to burn everything. Just a few pieces to make you feel better. And by you I mean me, because if I have to look at this crap any longer, I’m going to throw up in my mouth. We can sell the rest.

One year later the society claimed victory in another case which again did not fit within the parameters of the syndrome, nor did the court find on the issue. Fiona Reay, a 33 year old care assistant, accused her father of systematic sexual abuse during her childhood. The facts of her childhood were not in dispute: she had run away from home on a number of occasions and there was evidence that she had never been enrolled in secondary school. Her father said it was because she was ‘young and stupid’. He had physically assaulted Fiona on a number of occasions, one of which occurred when she was sixteen. The police had been called to the house by her boyfriend; after he had dropped her home, he heard her screaming as her father beat her with a dog chain. As before there was no evidence of repression of memory in this case. Fiona Reay had been telling the same story to different health professionals for years. Her medical records document her consistent reference to family problems from the age of 14. She finally made a clear statement in 1982 when she asked a gynaecologist if her need for a hysterectomy could be related to the fact that she had been sexually abused by her father. Five years later she was admitted to psychiatric hospital stating that one of the precipitant factors causing her breakdown had been an unexpected visit from her father. She found him stroking her daughter. There had been no therapy, no regression and no hypnosis prior to the allegations being made public. The jury took 27 minutes to find Fiona Reay’s father not guilty of rape and indecent assault. As before, the court did not hear evidence from expert witnesses stating that Fiona was suffering from false memory syndrome. The only suggestion of this was by the defence counsel, Toby Hed­worth. In his closing remarks he referred to the ‘worrying phenomenon of people coming to believe in phantom memories’. The next case which was claimed as a triumph for false memory was heard in March 1995. A father was aquitted of raping his daughter. The claims of the BFMS followed the familiar pattern of not fitting within the parameters of false memory at all. The daughter made the allegations to staff members whom she had befriended during her stay in psychiatric hospital. As before there was no evidence of memory repression or recovery during therapy and again the case failed due to lack of corrobo­rating evidence. Yet the society picked up on the defence solicitor’s statements that the daughter was a prone to ‘fantasise’ about sexual matters and had been sexually promiscuous with other patients in the hospital. ~ Trouble and Strife, Issues 37-43

It was through this imposed accumulation of chaos that she struggled to move now: beyond it lay simplicity, unmeasurable, residence of perfection, where nothing was created, where originality did not exist: because it was origin; where once she was there work and thought in causal and stumbling sequence did not exist, but only transcription: where the poem she knew but could not write existed, ready-formed, awaiting recovery in that moment when the writing down of it was impossible: because she was the poem. Her hand tipped toward the paper, black stroke the pen made there, but only that stroke, line of uncertainty. She called her memory, screamed for it, trying to scream through it and beyond it, damned accumulation that bound her in time: my memory, my bed, my stomach, my terror, my hope, my poem, my God: the meanness of my. Must the flames of hell be ninety-story blazes? or simply these small sharp tongues of fire that nibble and fall to, savouring the edges and then consume, swept by the wind of terror at exposing one's self, losing the aggregate of meannesses which compose identity, in flames never reaching full roaring crescendo but scorch through a life like fire in grass, in the world of time the clock tells. Every tick, synchronised, tears off a fragment of the lives run by them, the circling hands reflected in those eyes watching their repetition in an anxiety which draws the whole face toward pupiled voids and finally, leaves lines there, uncertain strokes woven into the flesh, the fabric of anxiety, double-webbed round dark-centered jellies which reflect nothing. Only that fabric remains, pleached in the pattern of the bondage which has a beginning and an end, with scientific meanness in attention to details, of a thousand things which should not have happened, and did; of myriad mean events which should have happened, and did not: waited for, denied, until life is lived in fragments, unrelated until death, and the wrist watch stops.

John Bradshaw, in his best-seller Homecoming: Reclaiming and Championing Your Inner Child, details several of his imaginative techniques: asking forgiveness of your inner child, divorcing your parent and finding a new one, like Jesus, stroking your inner child, writing your childhood history. These techniques go by the name catharsis, that is, emotional engagement in past trauma-laden events. Catharsis is magnificent to experience and impressive to behold. Weeping, raging at parents long dead, hugging the wounded little boy who was once you, are all stirring. You have to be made of stone not to be moved to tears. For hours afterward, you may feel cleansed and at peace—perhaps for the first time in years. Awakening, beginning again, and new departures all beckon. Catharsis, as a therapeutic technique, has been around for more than a hundred years. It used to be a mainstay of psychoanalytic treatment, but no longer. Its main appeal is its afterglow. Its main drawback is that there is no evidence that it works. When you measure how much people like doing it, you hear high praise. When you measure whether anything changes, catharsis fares badly. Done well, it brings about short-term relief—like the afterglow of vigorous exercise. But once the glow dissipates, as it does in a few days, the real problems are still there: an alcoholic spouse, a hateful job, early-morning blues, panic attacks, a cocaine habit. There is no documentation that the catharsis techniques of the recovery movement help in any lasting way with chronic emotional problems. There is no evidence that they alter adult personality. And, strangely, catharsis about fictitious memories does about as well as catharsis about real memories. The inner-child advocates, having treated tens of thousands of suffering adults for years, have not seen fit to do any follow-ups. Because catharsis techniques are so superficially appealing, because they are so dependent on the charisma of the therapist, and because they have no known lasting value, my advice is “Let the buyer beware.

to muscle and other soft tissue, whether affected by the stroke or not. Retaining flexibility keeps your body young. Stretching will benefit muscles on the unaffected side, the trunk, and in other areas of the body. Bringing a joint through its entire range of motion (which stretching does) also helps to keep the

Just as the discoveries of medication and surgery led to therapies to relieve a staggering number of conditions, so does the discovery of neuroplasticity. The reader will find cases, many very detailed, that may be relevant to someone who has, or cares for someone who has experienced, chronic pain, stroke, traumatic brain injury, brain damage, Parkinson’s disease, multiple sclerosis, autism, attention deficit disorder, a learning disorder (including dyslexia), a sensory processing disorder, a developmental delay, a part of the brain missing, Down syndrome, or certain kinds of blindness, among others.

Naeser, a research professor at the Boston University School of Medicine, had done studies using lasers for stroke and paralysis and was one of several pioneers using “laser acupuncture” by placing light on acupuncture points.

Is this the first time you see her swim?” Shla’s mum asked me quietly. She was sitting right next to me, it was impossible for her to miss my tears. “Yes.” “Ah,” she said, she kept watching the pool for a few beats. “Do you need to go?” “What?” I said, confused besides upset. She turned to me, her blue eyes hard as flint. “Do you need to go?” I was trembling slightly, but I was angry, too. What right did she have to tell me not to be upset when the person I loved had lost so much? “No.” “Then you need to look back,” she said, and turned away from me. I followed her gaze to the pool and felt my heart stutter when I caught Shla pushing off the opposite wall once again. I had missed her going up to the poolside on her clutches because her mum had been practically gushing about the race and her daughter’s recovery and how she was going to win despite all odds -- everybody else in the pool was able-bodied. I could see her right leg for a moment, but it wasn’t like the other leg couldn’t have been underwater or something. I forced myself not to look away this time: She was incredibly beautiful, and after a few strokes, as captivating as any animal in its element, body blending with the water that surrounded her like it didn’t recognize it as a separate substance. And then she reached our side and turned, upside down for a few endless seconds to switch directions. Her left leg ended below the round bone of her knee like someone had photoshopped reality to erase the rest of it. I blinked and she was back in the water, more competent in it than I had ever felt on solid ground with full use of all my limbs.

THE SECOND SPEAKER, ANITA SALTMARCHE, focused specifically on studies of light therapy used for traumatic brain injury, stroke, and depression.

Dr. Margaret Naeser and colleagues from Harvard, MIT, and Boston University, including Harvard professor Michael Hamblin, a world leader in understanding how light therapy works at the cellular level. Hamblin, at Massachusetts General Hospital’s Wellman Center for Photomedicine, specializes in the use of light to activate the immune system in treating cancer and cardiac disease; he was now branching out into its use for brain injuries. Building on lab work that applied laser therapy to the top of the head (transcranial laser therapy), the Boston group had studied its use in traumatic brain injury and found laser treatment helpful. Naeser, a research professor at the Boston University School of Medicine, had done studies using lasers for stroke and paralysis and was one of several pioneers using “laser acupuncture” by placing light on acupuncture points.

Some introductory books on neurofeedback: J. Robbins, A Symphony in the Brain: The Evolution of the New Brain Wave Biofeedback (New York: Grove Press, 2000); M. Thompson and L. Thompson, The Neurofeedback Book: An Introduction to Basic Concepts in Applied Psychophysiology (Wheat Ridge, CO: Association for Applied Psychophysiology and Biofeedback, 2003); S. Larsen, The Healing Power of Neurofeedback: The Revolutionary LENS Technique for Restoring Optimal Brain Function (Rochester, VT: Healing Arts Press, 2006); S. Larsen, The Neurofeedback Solution: How to Treat Autism, ADHD, Anxiety, Brain Injury, Stroke, PTSD, and More (Toronto: Healing Arts Press, 2012).

Count Bezúkhov had a sixth stroke. The doctors pronounced recovery impossible.

In My Stroke of Insight, the brain scientist Jill Bolte Taylor’s book about her recovery from a massive stroke, she explains the physiological mechanism behind emotion: an emotion like anger that’s an automatic response lasts just ninety seconds from the moment it’s triggered until it runs its course.

In My Stroke of Insight, the brain scientist Jill Bolte Taylor’s book about her recovery from a massive stroke, she explains the physiological mechanism behind emotion: an emotion like anger that’s an automatic response lasts just ninety seconds from the moment it’s triggered until it runs its course. One and a half minutes, that’s all. When it lasts any longer, which it usually does, it’s because we’ve chosen to rekindle it.

In My Stroke of Insight, the brain scientist Jill Bolte Taylor’s book about her recovery from a massive stroke, she explains the physiological mechanism behind emotion: an emotion like anger that’s an automatic response lasts just ninety seconds from the moment it’s triggered until it runs its course. One and a half minutes, that’s all. When it lasts any longer, which it usually does, it’s because we’ve chosen to rekindle it. The fact of the shifting, changing nature of our emotions is something we could take advantage of. But do we? No. Instead, when an emotion comes up, we fuel it with our thoughts, and what should last one and a half minutes may be drawn out for ten or twenty years. We just keep recycling the story line. We keep strengthening our old habits.

People boasted about their cancer battles and their stroke recoveries, she maintained, and yet society still viewed psychological trauma as a lesser affliction, as something you could conquer just by giving yourself a good talking-to.

I held Boke when they gave her anesthesia and stroked her head as she slipped off to sleep. I thought I’d leave, but Dr. Magee invited me to stay. I watched, wanting to be a witness to this miracle. It took what, forty-five minutes? And it would change Boke’s life forever. And mine, too. I had come to Kenya thinking I would be blessing these kids with good works, and I was the one being blessed. When it was over, Dr. Magee said he was impressed I didn’t flinch once. It was one of the best reviews I’ve ever received. I went with Boke to recovery so that I would be the first person she saw when she woke up. I sat cradling her and marveling that you could already see the transformation of her mouth being made whole. I held her in the crook of my right arm, and in her postoperation sleep, she wrapped her little hand around my left index finger. When she was fully awake, someone went to get her mom to tell her that the surgery was a success. She came in, and we smiled at each other. She had no idea who I was and wanted nothing from me but to step in when she was in need. I hugged her, thinking how scared she must have been. The doctors worked all day, so I stayed late and did the same the next day. When it was over, Ken and I were exhausted, and I could not stop thanking him for getting me involved in Operation Smile. It gave me perspective on what mattered. I hadn’t planned on doing so much soul searching, but being so far away gave me an opportunity to look inward in stillness.

for example, “home brewing” or “stroke recovery.

If your “I want to” statement is, “I want to help people recover from a stroke,” Bullseye Keywords could be “stroke treatment,” “post-stroke therapy,” “stroke recovery,” or “overcoming strokes.

When I woke up after my stroke, I felt like the life I’d always planned for was impossible, like everything I’d ever wanted was suddenly out of reach, and would be forever. But maybe I was wrong. Maybe everything is still there, and all I have to do is find my way back to it.

I know from my professional work that someone who pulls through this kind of personal history and thrives cannot remain ordinary.

Similar considerations arise with regard to recovery and rehabilitation after strokes and other injuries. There are no rules; there is no prescribed path of recovery; every patient must discover or create his own motor and perceptual patterns, his own solutions to the challenges that face him; and it is the function of a sensitive therapist to help him in this.

Similar considerations arise with regard to recovery and rehabilitation after strokes and other injuries. There are no rules; there is no prescribed path of recovery; every patient must discover or create his own motor and perceptual patterns, his own solutions to the challenges that face him; and it is the function of a sensitive therapist to help him in this. And

Neuroplasticity is the science behind the brain’s ability to heal itself. It was once thought that the brain, once matured, was fixed and that there was little that could be done for people, like me, who suffered neurological accidents, such as strokes and paralysis. However, more recent advances in medicine have brought new discoveries and an understanding that the human brain is in fact plastic, that it can heal, and that we can grow new neural pathways, which, in effect, means that we can purposefully heal from many conditions by harnessing the power of the mind and the brain to form new neural circuits. My own recovery is the living proof of this neuroplasticity and completely underpins my fascination with this whole area of therapy, which purposefully utilises the power of the subconscious mind to heal both physical and emotional issues.

Be sure you are well rested.

Vitamin D3 boasts a strong safety profile, along with broad and deep evidence that links it to brain, metabolic, cardiovascular, muscle, bone, lung, and immune health. New and emerging research suggests that vitamin D supplements may also slow down our epigenetic/biological aging.29, 30 2. Omega-3 fish oil: Over the last thirty years or so, the typical Western diet has added more and more pro-inflammatory omega-6 polyunsaturated fatty acids versus anti-inflammatory omega-3 PUFAs. Over the same period, we’ve seen an associated rise in chronic inflammatory diseases, including obesity, cardiovascular disease, rheumatoid arthritis, and Alzheimer’s disease. 31 Rich in omega-3s, fish oil is another incredibly versatile nutraceutical tool with multi-pronged benefits from head to toe. By restoring a healthier PUFA ratio, it especially helps your brain and heart. Regular consumption of fatty fish like salmon has been linked to a lower risk of congestive heart failure, coronary heart disease, sudden cardiac death, and stroke.32 In an observational study, omega-3 fish oil supplementation was also associated with a slower biological clock.33 3. Magnesium deficiency affects more than 45 percent of the U.S. population. Supplements can help us maintain brain and cardiovascular health, normal blood pressure, and healthy blood sugar metabolism. They may also reduce inflammation and help activate our vitamin D. 4. Vitamin K1/K2 supports blood clotting, heart/ blood vessel health, and bone health.34 5. Choline supplements with brain bioavailability, such as CDP-Choline, citicoline, or alpha-GPC, can boost your body’s storehouse of the neurotransmitter acetylcholine and possibly support liver and brain function, while protecting it from age-related insults.35 6. Creatine: This one may surprise you, since it’s often associated with serious athletes and fitness buffs. But according to Dr. Lopez, it’s “a bona fide arrow in my longevity nutraceutical quiver for most individuals, and especially older adults.” As a coauthor of a 2017 paper by the International Society for Sports Nutrition, Dr. Lopez, along with contributors, stated that creatine not only enhances recovery, muscle mass, and strength in connection with exercise, but also protects against age-related muscle loss and various forms of brain injury.36 There’s even some evidence that creatine may boost our immune function and fat and carbohydrate metabolism. Generally well tolerated, creatine has a strong safety profile at a daily dose of three to five grams.37 7.

...an incisive, smartly informative memoir that celebrates the power of the cohesive family unit—its outcome will offer positivity and hope to those facing similar challenges. —KIRKUS REVIEWS Deep Waters is a survival story of the highest order, navigating the complex terrain of marriage, medical crisis, and a future reimagined. After the trauma of her husband’s stroke, Mathews returns to a basic truth: through love, we discover who we are, and who we hope to become. —CAROLINE VAN HEMERT, award-winning author of The Sun is a Compass Mathews has penned a deeply personal love story with the careful rigor of the scientist she is, free of any giddy prose or rainbows. Instead, Deep Waters comes at the reader with the gloves off and goes a full twelve rounds, documenting in granular detail the fears and conflicts attending a life-altering event that can drive even a strong relationship onto the ropes, and the endurance, commitment, and deep love that can save it. —LYNN SCHOOLER, critically acclaimed author of The Blue Bear and Walking Home With love as rugged and wild as the Alaskan landscape she made home, biologist Beth Ann Mathews tells the story of another wilderness: marriage after a life-altering stroke. Deep Waters is a thoughtful and provoking read, a reminder that life and love are inexplicably fragile and resilient, full of unexpected discovery. —ABBY MASLIN, author of Love You Hard Urgent, informative, emotionally satisfying, and thought-provoking, Deep Waters opens with a harrowing medical mystery and rewards the reader with a loving account of an adventurous partnership made stronger by crisis. —ANDROMEDA ROMANO-LAX, author of Annie and the Wolves We felt like we were there with Beth, sharing her emotions, anguish and struggles through the stroke, hospital stay, and recovery. We felt like part of the family as we read, gasped, cried and hoped for recovery and for peace in her heart.”—TBD BOOK CLUB, Seattle, WA If books were birds, this one would be an arctic tern—powerful and graceful, beset by storms and learning to survive, and more, to thrive. The writing is feather-light yet strong. —KIM HEACOX, author of Jimmy Bluefeather Mathews writes with poignant honesty about the challenges of marriage, family, and community in a moving story that highlights the strengths of human relationships. Deep Waters starts with a bang and just keeps going—lively, vivid, and personal. — ROMAN DIAL, author of The Adventurer’s Son: A Memoir

First, I am thrilled that paramedics are finally getting the respect they deserve for being the professionals they can be. The scope of practice is expanding, and patient care modalities are improving, seemingly by the minute. Patient outcomes are also improving as a result, and EMS is passing through puberty and forging into adulthood. On the other hand, autonomy in the hands of the “lesser-motivated,” can be a very dangerous thing. You know as well as I do that there are still plenty of providers who operate from a subjective, complacent, and downright lazy place. Combined with the ever-expanding autonomy, that provider just became more dangerous than he or she ever has been – to the patients and to you. Autonomy in patient care places more pressure for excellence on the provider charged with delivering it, and also on the partner and crew members on scene. Since the base hospital is not involved like it once was, they are likewise less responsible for the errors and omissions of the medics on the scene. Now more than ever, crew members are being held to answer for the mistakes and follies of their coworkers; now more than ever, EMS providers are working without a net. What’s next? I predict (and hope) emergency medical Darwinism is going to force some painful and necessary changes. First, increasing autonomy is going to result in the better and best providing superior patient care. More personal ownership of the results is going to manifest in outcomes such as increased cardiac arrest survival rates, faster and more complete stroke recovery, and significantly better outcomes for STEMI patients, all leading to the brass ring: EMS as a profession, not just a job. On the flip side of that coin, you will see consequences for the not-so-good and completely awful providers. There will be higher instances of licensure action, internal discipline, and wash-out. Unfortunately, all those things will stem from generally preventable negative patient outcomes. The danger for the better provider will be in the penumbra; the murky, gray area of time when providers are self-categorizing. Specifically, the better provider who is aware of the dangerously poor provider but does nothing to fix or flush him or her, is almost certain to be caught up in a bad situation caused by sloppy, complacent, or ultimately negligent patient care that should have been corrected or stopped. The answer is as simple as it is difficult. If you are reading this, it is more likely because you are one of the better, more committed, more professional providers. This transition is up to you. You must dig deep and find the strength necessary to face the issue and force the change; you have to demand more from yourself and from those around you. You must have the willingness to help those providers who want it – and respond to those who need it, but don’t want it – with tough love by showing them the door. In the end, EMS will only ever be as good as you make it. If you lay silent through its evolution, you forfeit the right to complain when it crumbles around you.

Benny Cooperman detective novels. After suffering a stroke, Engel developed alexia sine agraphia in 2000, a condition that prevented him from reading without great effort. This, however, did not inhibit his ability to write, and he later penned a memoir about the experience and his recovery called The Man Who Forgot How to Read. Engel is a founder of Crime Writers of Canada

In many ways, this chemical medium behaves like the human sexual response. Sexual arousal and recovery depend on the properties of nerve tissue, which, like Zhabotinsky soup, belongs to a general class of systems called excitable media. A neuron has three states: quiescent, excited, and refractory. Normally a neuron is quiescent. With inadequate stimulation, it shows little response and returns to rest. But a sufficiently provocative stimulus will excite the neuron and cause it to fire. Next it becomes refractory (incapable of being excited for a while) and finally returns to quiescence. The parallels with chemical waves extend to action potentials, the electrical waves that propagate along nerve axons. They too travel without attenuation, and when two of them collide, they annihilate each other. In fact, all of these statements are equally true of electrical waves in another excitable medium: the heart. That’s the beauty of this abstraction—the qualitative properties of one excitable medium hold for them all. They can all be studied in one stroke.

It was through this imposed accumulation of chaos that she struggled to move now: beyond it lay simplicity, unmeasurable, residence of perfection, where nothing was created, where originality did not exist: because it was origin; where once she was there work and thought in causal and stumbling sequence did not exist, but only transcription: where the poem she knew but could not write existed, ready-formed, awaiting recovery in that moment when the writing down of it was impossible: because she was the poem. Her hand tipped toward the paper, black stroke the pen made there, but only that stroke, line of uncertainty. She called her memory, screamed for it, trying to scream through it and beyond it, damned accumulation that bound her in time: my memory, my bed, my stomach, my terror, my hope, my poem, my God: the meanness of my. Must the flames of hell be ninety-story blazes? or simply these small sharp tongues of fire that nibble and fall to, savouring the edges and then consume, swept by the wind of terror at exposing one's self, losing the aggregate of meannesses which compose identity, in flames never reaching full roaring crescendo but scorch through a life like fire in grass, in the world of time the clock tells. Every tick, synchronised, tears off a fragment of the lives run by them, the circling hands reflected in those eyes watching their repetition in an anxiety which draws the whole face toward pupiled voids and finally, leaves lines there, uncertain strokes woven into the flesh, the fabric of anxiety, double-webbed round dark-centered jellies which reflect nothing. Only that fabric remains, pleached in the pattern of the bondage which has a beginning and an end, with scientific meanness in attention to details, of a thousand things which should not have happened, and did; of myriad mean events which should have happened, and did not: waited for, denied, until life is lived in fragments, unrelated until death, and the wrist watch stops.

To test this they gave mice a first stroke in motor cortex and then waited a week before beginning retraining. As expected, the mice recovered only minimally because too much time had been allowed to pass before training was initiated. They then gave these same mice a second stroke in an area near to the original stroke, and, not surprisingly, the animals developed an even worse impairment. The surprising result was that with retraining the mice returned to normal levels of performance. In essence a previous stroke was treated with a new stroke. It should be made clear that this experiment was done to prove definitively that there is a sensitive period after stroke that allows training to promote full recovery at the level of impairment. It is clearly not a viable therapeutic option to induce a second stroke in patients after a first stroke. Other means will need to be found to have the same desired effect without causing more damage to the brain. One promising option is to combine drugs, such as the serotonin reuptake inhibitor Fluoxetine (Prozac), with training early after stroke.25 Another is to drastically increase the intensity and dosage of behavioral training that patients receive early after stroke. At the current time in the first weeks after stroke patients spend about 60 percent of their time alone and 85 percent of the time immobile.26 We know from basic science that hundreds, if not thousands, of movement repetitions are needed to induce detectable changes in motor cortex in animal models.27 Current therapy offers only about thirty!28

The results in rodents suggest that there is something about ischemic stroke itself that induces a time-limited window of augmented responsiveness to training. Dramatic proof of this conjecture came from a recent experiment by Steve Zeiler and colleagues at Johns Hopkins University School of Medicine. They reasoned that a second motor cortical stroke might paradoxically reopen a sensitive period of responsiveness to training and promote full recovery from a previous first stroke. To test this they gave mice a first stroke in motor cortex and then waited a week before beginning retraining. As expected, the mice recovered only minimally because too much time had been allowed to pass before training was initiated. They then gave these same mice a second stroke in an area near to the original stroke, and, not surprisingly, the animals developed an even worse impairment. The surprising result was that with retraining the mice returned to normal levels of performance. In essence a previous stroke was treated with a new stroke. It should be made clear that this experiment was done to prove definitively that there is a sensitive period after stroke that allows training to promote full recovery at the level of impairment. It is clearly not a viable therapeutic option to induce a second stroke in patients after a first stroke. Other means will need to be found to have the same desired effect without causing more damage to the brain. One promising option is to combine drugs, such as the serotonin reuptake inhibitor Fluoxetine (Prozac), with training early after stroke. Another is to drastically increase the intensity and dosage of behavioral training that patients receive early after stroke.

explained the elements of each stroke: the catch, the drive, the finish, and the recovery.

The emerging picture was dramatic: the brain’s representations of the body, of movements, and of sounds are all shaped by experience. Our brain is marked by the life we lead and retains the footprints of the experiences we have had and the behaviors we have engaged in. “These idiosyncratic features of cortical representation,” Merzenich said in a model of understatement, “have been largely ignored by cortical electrophysiologists.” As early as 1990 Merzenich was floating a trial balloon: maybe, just maybe, the behaviorally based cortical reorganization he was documenting supported functional recovery after brain injury such as that caused by a stroke, which until then (and to some extent, even now) was attributed to entirely different causes.

Ed Taub had shown that the more stroke patients concentrated on their tasks—the more they paid attention—the greater their functional reorganization and recovery. In stroke patients who sustain damage to the prefrontal cortex, and whose attention systems are therefore impaired, recovery is much less likely. Two months after the stroke, a simple measure of attention, such as the patient’s ability to count tones presented through headphones, predicts almost uncannily how well the patient will recover motor function. The power of attention, that is, determines whether a stroke patient will remain incapacitated or not. Ian Robertson’s research group at Trinity College found much the same thing: “How well people can pay attention just after a right-brain stroke predicts how well they can use their left hands two years later.” If the attention circuits in the frontal lobes are damaged by the stroke, the patient recovers less well from injury to other regions of the brain than if the frontal lobes are spared.

In constraint-induced movement therapy, stroke patients wear a sling on their good arm for approximately 90 percent of waking hours for fourteen straight days. On ten of those days, they receive six hours of therapy, using their seemingly useless arm: they eat lunch, throw a ball, play dominoes or cards or Chinese checkers, write, push a broom, and use standard rehab equipment called dexterity boards. “It is fairly contrary to what is typically done with stroke patients,” says Taub, “which is to do some rehabilitation with the affected arm and then, after three or four months, train the unaffected arm to do the work of both arms.” Instead, for an intense six hours daily, the patient works closely with therapists to master basic but crucial movements with the affected arm. Sitting across a pegboard from the rehab specialist, for instance, the patient grasps a peg and labors to put it into a hole. It is excruciating to watch, the patient struggling with an arm that seems deaf to the brain’s commands to extend far enough to pick up the peg; to hold it tightly enough to keep it from falling back; to retract toward the target hole; and to aim precisely enough to get the peg in. The therapist offers encouragement at every step, tailoring the task to make it more attainable if a patient is failing, then more challenging once the patient makes progress. The reward for inserting a peg is, of course, doing it again—and again and again. If the patient cannot perform a movement at first, the therapist literally takes him by the hand, guiding the arm to the peg, to the hole—and always offering verbal kudos and encouragement for the slightest achievement. Taub explicitly told the patients, all of whose strokes were a year or more in the past, that they had the capacity for much greater use of their arm than they thought. He moved it for them and told them over and over that they would soon do the same. In just two weeks of constraint-induced movement therapy with training of the affected arm, Taub reported in 1993, patients regained significant use of a limb they thought would forever hang uselessly at their side. The patients outperformed control patients on such motor tasks as donning a sweater, unscrewing a jar cap, and picking up a bean on a spoon and lifting it to the mouth. The number of daily-living activities they could carry out one month after the start of therapy soared 97 percent. That was encouraging enough. Even more tantalizing was that these were patients who had long passed the period when the conventional rehab wisdom held that maximal recovery takes place. That, in fact, was why Taub chose to work with chronic stroke patients in the first place. According to the textbooks, whatever function a patient has regained one year after stroke is all he ever will: his range of motion will not improve for the rest of his life.