Saturday, May 23, 2015

Saturday News

Contents of This Week Saturday News May 23rd / 2015
      Falls in older adults in stroke are a significant cause of morbidity and mortality. The cause is often multi-factorial, and may require a multi-disciplinary approach both to treat any injuries sustained and to prevent future falls. Falls include dropping from a standing position, or from exposed positions such as those on ladders or stepladders. The severity of injury is generally related to the height of the fall. The state of the ground surface onto which the victim falls is also important, harder surfaces causing more severe injury. A longer definition comes from Wikipedia.
                      -- Falls in Elderly (and Stroke!): Regaining Your Balance
                      -- Timed Sit to Stand Test
                      -- Curb Step Test
                      -- Single Leg Stance
                      -- Breaking the Fall: Strategies for Older Adults
                      -- Preventing Falls - New York State of Health
                      -- Falls in Elderly: The Side Effects of Falls
                      -- Old People Falling Over!
    Saturday News | Future Topic
    May/30/2015   |
    Sticky Keys & Keyboard Shortcut
    Jun/06/2015   | Bicycle Sharing System or Repair Yourself or…
    Jun/13/2015   | Sexuality and Disability
    Jun/20/2015   | Cavernous Hemangioma (aka Cavernoma or...)

    Definition: Falls in Older Adults in Stroke!

    Falls in Older Adults From Wikipedia,
             the free encyclopedia

    SSTattler: In the early years you have had a stroke and you have many accidents like older adults, even you are relatively young. Your perceptive is your are healthy but the true cause in your body has a permanent injury from a stroke. You have to figure out how to fix your permanent injury with various different & positive techniques to not fall or, at least, minimize it especially using balance and gait correctly...

    Falls in older adults are a significant cause of morbidity and mortality. The cause is often multi-factorial, and may require a multi-disciplinary approach both to treat any injuries sustained and to prevent future falls. Falls include dropping from a standing position, or from exposed positions such as those on ladders or stepladders. The severity of injury is generally related to the height of the fall. The state of the ground surface onto which the victim falls is also important, harder surfaces causing more severe injury.


    The unintentionally dropping onto the ground or lower level, not as a result of a major intrinsic event (such as a stroke) or overwhelming hazard. Other definitions are more inclusive and do not exclude "major intrinsic events" as a fall. Such falls are clearly of accidental origin, which might include a large number of causes, such as slips, trips and over-balancing.

    Video: Falls in Older Adults in Stroke!

    SSTattler: Mostly are "older adults" but in the few years after a stroke you have an exactly the same problem i.e. especially falling for any age!

    Falls in Elderly (and Stroke!): Regaining Your Balance

    Published on Jun 12, 2014 1.866.727.3422

    Baker Rehab Group believes in excellence, period. Every one of our physical therapists, occupational therapists, and speech therapists share that commitment to excellence. That means they are dedicated to working with you toward one goal: improved health and well being, for life.

    Baker Rehab Group offers senior care at home, adult occupational therapy, home physical therapy, home speech therapy, dementia care, stroke rehabilitation, joint replacement rehabilitation, fall prevention and a variety of other home health therapy services in the home. We serve clients in Maryland, Southern Pennsylvania, Northern West Virginia & the Washington DC Metro area.

    Standard YouTube License @ Baker Rehab Group

    Headline Blog: Falls in Older Adults in a Stroke!

    Definition: Blog (noun). Add new material to or regularly update to a blog. (Origin 1990s: blog shortening of weblog)

    Fall Hazards Are Subtle

    Rebecca Dutton
    Home After a Stroke
    February 25, 2014

    Babies learning to walk do not get hurt when they fall because they are 18 inches (45 cm) tall.  When I fall I go crashing to the ground like a tree that has just been cut down.  Stroke survivors with impaired balance need procedures and equipment that prevent falls.  It's the small things we do not pay attention to that trip us up.  I do not fall because I crash into my sofa.  I fall when I do not lift my hemiplegic (paralyzed) leg high enough to stop my toe from catching the edge of a rug which lifts the rug up. The rugs in the photo keep the floor dry when people at church track in rain and snow.  I have fallen when my toes caught the edge of this type of rug.  I learned the hard way to look down to see where the edge of the rug is before I step onto it.

    Another procedure keeps me safe at bedtime.  I rely on my vision to tell me if I am vertical.  If I turn around after I darken a room by turning the lamp off I stumble badly.  I quickly learned to make sure I am turned to face the lighted room I am heading towards before I look down to find the light switch.  It's a relief to find the lit room as soon as I look up.

    If these procedures sound trivial, let me tell you about a stroke survivor who could have ended up in a long-term care facility because of a bad fall.  He has impaired balance so the hospital staff gave him a long-handled reacher so he would not lean over to pick up objects on the floor.  But using a reacher at home was frustrating.  If he was downstairs the reacher was upstairs.  If he was at one end of the house the reacher was at the other end of the house.  This repeated aggravation tempted him to reach down to pick up something even though he knew it was not safe.  He fell and broke his sound wrist.  When he finally got back home he bought three more reachers.  A reacher is always close because he has two reachers per floor with one at each end of the house.

    I learned not to let subtle fall hazards lull me into a false sense of security because they do not make me fall every time I encounter them.  Are there hazards in your home you are not paying attention to, like a poorly lit front porch or extension cords snaking across a room?

    See the original article:


    Amy Shissler
    My Cerebellar Stroke Recovery
    February 22, 2014

    I said something in a comment once about falls and our friend Dean replied that I would make an excellent neuro PT and that I might actually know what I’m talking about.  Now, I had to do a post about this because Dean has a strong, strong dislike of physical therapists, understandably so.  So him saying that is a HUGE HUGE compliment!  What I said that made him say that was this…..All neuro PTs listen up!  Falls are a necessary evil for stroke survivors.  It’s gonna happen.  It just is going to happen.  So instead of therapy focusing so much on preventing a fall, therapy should focus on what to do in certain scenarios.  If someone is falling, teach them to throw out a protective extension, if possible.  Teach them and practice ways to control the fall as best as possible.  Dean said, and I LOVE this, that learning to walk again after a stroke is just a series of controlled falls.  Good God that’s beautiful.  Therapy needs to teach people how to get up after a fall.  I know for a fact this skill is not taught.  Maybe it’s taught to some people, but it’s sure as hell not taught to the majority of patients.  A series of controlled falls, therapy needs to focus on controlling those falls, not preventing them.

    See the original article:

    Falls and Stroke Survivors: 5 Recent Studies in 5
             Continents, and 5 of My Tips for Preventing Falls

    Joyce Hoffman
    The Tales of a Stroke Patient
    May 17, 2015

    I'm out of the hospital. The reason I was in there at all for two weeks is because of blood clots--in my leg (DVT) and lung (pulmonary embolism, PE as an acronym).

    No matter what you call it, I feel like a ticking time bomb, never knowing if the time will come where another clot ultimately goes to my brain, and it's lights out--permanently. The docs assured me that wouldn't happen, but who knows? It's just the docs' educated guesses, one after another. I have an educated guess, too. I may be fucked.

    A stroke survivor
    So to take my mind off death, for the moment, I started to research falls as related to stroke survivors. Between 40 to 70% of stroke survivors worldwide have serious falls within a year of their stroke. I had many falls, most my own fault out of chancy stupidity and a few  not. Here's some of my favourite findings, from 5 of the 7 continents. South America has an excuse. (And is anybody even living in Antarctica?) All continents used international and certifiable scales as related to stroke survivors and the falls they encountered.


    New AFO

    Barb Polan
    Barb’s Recovery
    Posted 29th September 2011

    My PT is intent on getting me a new, smaller, less objectionable AFO because I don't wear mine now - except on uneven surfaces: lawn, beach, cobbles and deep gravel. So much for spontaneity - although that's long-gone in my life anyway. My PT went on today about how I'm going to "break" my ankle as a result of never wearing my brace; most therapists have said "sprain," but Mary pulled out the big guns and said "break" and "which is the last thing you want to do." She's right about that, but I am REALLY careful. She thinks I'm going to step on a rock on the sidewalk, on something someone has left on the floor or step wrong on a curb... and then ... snap! I am as diligent, though, as an 80-year-old walking on ice, afraid to fall and break her hip. I inspect the ground/floor/sidewalk and the angle of my foot/ankle before each step. I'm not supposed to, but I walk looking down at my feet, not straight ahead.

    At my PT appointment next week, she has a brace specialist coming in to hear me out about the problems with my current brace and to suggest an acceptable alternative.

    Out of the Comfort Zone

    Friday, January 25, 2013
    Grace Carpenter
    My Happy Stroke

    Right after the stroke, I was warned repeatedly to be very, very careful. So I was. I went without falling at all for more than six months after the stroke. When I did finally fall, it was a very gentle plop in my backyard. I've stumbled some other times, but I've always been able to catch myself.

    But since October, I've fallen three times. The last time was Monday, when I got up early (very unusual for me) and decided to go outside to get the newspaper with my PJs and  robe on. As I was climbing up the four steps up to the porch, with the newspaper clutched under my right arm, I suddenly lost my balance and fell sideways. I landed beside the steps, into a pile of plastic shovels. I broke my daughter's play shovel. I got a scratches on my right hand knuckles. My dignity was hurt. I was shook up.

    Sometimes a little thing can mess up my balance: an especially windy or cold day; an outfit I haven't worn much; two steps that don't have a place to grab on to; holding something I usually don't hold. That day, I was challenged by all these things. (That, and my lack of coffee.) Usually I'm meticulous about preparing myself, but I didn't do that on Monday. I just wanted to get the damned newspaper.

    My husband and I agree that, in some ways, it's a sign of progress: I'm  pushing at the edges of my comfort zone. I just hope that I can get through this phase of my recovery without any more serious injuries than scratched knuckles.

    See the original article:

    Falls. Only Funny in the Movies.

    Peter G. Levine
    Stronger After Stroke
    Monday, September 8, 2008

    There are few luminaries in the stroke recovery game that I really respect. Few bring anything new and most just add to an expanding din of quasi-misinformation. Two that I do respect are Carr and Shepard. These two Aussie therapists are vanguards of the paradigm shift that stroke recovery theory is now in. They have a book called Stroke Rehabilitation (go figure) that has some gems in it. One of those gems is about what causes falls after stroke. I hate falls. Heck, I’ve broken bones falling. For stroke survivors, falls can be the beginning of the end. There is a statistic that has always resonated with me: If someone is 65+ and they have a fall that lands them in hospital for at least one night they have a 50% chance of dying in the next year! And up to that 70 % of patients have a fall in the six months after their stroke.

    So what do Carr and Shepard say about falling?

    Falls very often happen in four situations:
    • Starting walking
    • Stopping walking
    • Turning
    • Uneven surfaces

    See the original article:

    New Exercise Guidelines Add Neuromotor Domain

    Bill Yates
    Brain Posts
    Posted 12th July 2011

    Article first published as New Exercise Guidelines Are Here on Technorati.

    The American College of Sports Medicine (ACSM) recently published an update on their recommendations for exercise.  These guidelines follow an extensive review of the research literature and update guidelines that were previously published in 1998.

    The guidelines note four specific areas of exercise: cardiorespiratory fitness and reduction in risk of cardiovascular and metabolic disease, maintenance of muscular fitness, flexibility and neuromotor fitness.

    The guidelines provide a very extensive review of exercise research.  I will summarize the key recommendations by area of exercise:

    Cardiovascular fitness and reduction in risk of cardiovascular and metabolic risk factors:
    • Moderate intensity aerobic exercise for 30 minutes per day on five or more days per week or
    • Vigorous intensity aerobic exercise for 20 minutes per on three or more days per week or
    • A combination of moderate and vigorous aerobic exercise resulting in a total energy expenditure of 500 to 1000 MET minutes per week

    Life as Rehab

    Rocky Mountain Stroke Survivor
    Posted on June 24, 2013

    My perfect day: Having slept in as late as I wanted, I woke up in my beautiful and peaceful bedroom to the feel of a light breeze coming through the open window.  I close the window and curtain before the heat of the day and pad into the kitchen where my husband has breakfast waiting for me.  Everyone smiles at me and I at them as I walk into the room.  The kids are already diapered/pottied and dressed for the day.  They are each settled into an age appropriate, interesting, and educational activity.  My husband is wiping down the completely clear table after their breakfast (did I mention they were already fed too?) and as soon as I finish my breakfast, my dish is whisked into the dishwasher in order to not dirty the freshly scrubbed sink. Supper is already in the crock pot and my husband announces that he has a picnic lunch already packed so the kids and I can go on a little jaunt while he finishes up a project in the back yard.  I put on the clothes that were laid out for me and away we go.  When we get home an hour or so later, my husband has gotten an amazing amount of work done around the house and yard; he takes over the kids while I take a 2-3 hour nap.  I wake up refreshed.  We spend a little time together as a family before supper and everyone stows themselves neatly in bed nice and early.

    My real day: Our daughter, age 1, has a fever and wakes me up with her piteous cries at 4am.  I kick my husband until he wakes up enough to understand that I need him to fetch the infant ibuprofen from the bathroom.  By the time he comes back, I’ve fallen asleep in an uncomfortable position holding my daughter.  As soon as he wakes me up and hands me the syringe of medicine, he’s konked out (in an uncomfortable position).  I dose the baby and spend the rest of the night in that weird sort-of sleep that only parents of sick kids and political prisoners understand…you’re exhausted so you fall asleep instantly but the instant you fall asleep, you are awoken by kicks and screams.

    Tai Chi Might Help Prevent Falls

    Jeff Porter
    Stroke of Faith
    Tuesday, February 12, 2013

    As a runner, and as a generally clumsy person, I've fallen before. It's no fun, and it seems that the older you get the more serious a fall can be.

    So was interested in finding this article (which you should read entirely by clicking on the link) about how tai chi might help stroke survivors avoid falls:
    "Learning how to find and maintain your balance after a stroke is a challenge," lead author Ruth Taylor-Piliae, an assistant professor at the University of Arizona College of Nursing, in Tucson, said in an American Stroke Association news release. 
    Taylor-Piliae's team tracked 89 people, who had an average age of 70 and had suffered a stroke an average of three years before the start of the study. 
    Twenty-eight of the patients received usual care, 31 were assigned to a national fitness program for Medicare-eligible seniors called SilverSneakers and 30 practiced Tai Chi. 
    Tai Chi, an exercise routine that dates back to ancient China, includes physical movement, mental concentration and relaxed breathing.
    (Photo from the National Institute
    of Neurological Disorders and Stroke

    See the original article:

    Eclectic Stuff

    Definition: Eclectic(noun) a person who derives ideas, style, or taste from a broad and diverse range of sources.

    The Problem With a Rare Disease Diagnosis

    Monday, May 18, 2015

    Thankful for Every Day!
    Six months after the birth of my first child, I was diagnosed with a cavernous angioma. I never expected to have my life changed in so many ways. While cavernous angiomas are actually very common (one in every 500-600 people have them). They are still considered "rare" because most people that have them never know it as only about 30% of those with angiomas become symptomatic. Common onset symptoms can vary but often include:  seizures, stroke symptoms, hemorrhages, and headaches. Typically, a diagnosis only comes after an individual becomes symptomatic and has an MRI. The most common age for a diagnosis is in a person's 20-30's even though most people are born with their angiomas. Some people only have one (sporadic) or others have many/multiples (genetic).  By definition, cavernous angiomas, are abnormal clusters of blood vessels often resembling a raspberry configuration. The problem is that the lining of the blood vessels in cavernous angiomas are grossly dilated/defective, they have thin, weak walls that can leak or bleed easily. When these cavernous angiomas are in the brain and spinal cord and they bleed... They often become problematic.

    Well, that's exactly what happened to me. When mine starred to bleed after my first pregnancy, I became symptomatic (dizzy, spacey, feeling weird, eyes not working right, etc). At first, I thought it was due to sleep deprivation, hormones, and everything new moms go through. By 6 months postpartum, I went to the doctors. Of course, they were sure I had postpartum depression. I insisted otherwise. No, I was not depressed but something was wrong. Eventually, I got an MRI which showed a 2.2cm cavernous angioma in the insular cortex....incidental finding....ugh!

    Brain Health Clearing House

    Tim Seefeldt
    Brain Food Cafe for the Mind
    Posted May 14, 2015

    It’s been a couple of weeks since my last blog, but I’m back with a different state of mind.

    Some travel set me behind. Then, interviews I was planning for a few posts on concussions were delayed. I didn’t want to just tell my story all of the time. I felt I’d hit a wall. And it was compounded by that personal issue I wrote about a few blogs back.

    Then I got an email from fellow ex-reporter, Ron, that set my mind right.

    Ron’s wife had a stroke 18 months ago. He’s by her side at their home just outside of Charlotte, North Carolina. Ron read about my story while doing some research on the National Stroke Association’s website ( where I’d posted a piece on their ‘faces of stroke’ page.  He tracked me down.  Reporters, even us ex-reporters, are good at this stuff.  Now two ex-newspaper guys — one from the South Eastern US and one from Western Canada – were connected.

    Reporters — again, even us ex-reporters — are also good at asking questions. And in his emails to me, Ron asked a lot of good questions about life after stroke and support, tools and the like that are out there for recovery. He made some excellent points, like the ‘facts’ on the time after stroke that a person can still make gains seems to be greater than the experts used to think.

    What an Amazing Week

    Sas Freeman
    May 18, 2015

    Well this has been such an amazing week, thanks to so many wonderful people, I don’t know where to begin.

    Perhaps best to recall in event order. Thanks to the efforts of so many others, I have been able to take part in some fabulous events this week, all of which are both beneficial to Stroke and raising greater awareness. I feel so excited, despite the tremendous fatigue I now feel, well worth it, excitement shines through.

    Events with the Edge
    This began on Tuesday with a phone call from Charmian Walker-Smith from the Stroke Association at the beginning of the week, inviting me to be a part of the BBC 24 hour news ‘Stroke Awareness broadcasting, which was taking place. I would first be contacted by Harriet Hall from The BBC, who after chatting with me would decide whether or not I was right for this occasion. Luckily not only was she a delight to talk with but she did select me. I went along to the BBC and was interviewed live from London. Everyone interviewed that day was helping to spread the message that sadly stroke has risen in the 40 to 50 year old age group, in men by 50% & 30% in woman. The main reason has been identified as obesity, but it isn’t this alone, but high blood pressure, stress, changing life styles, irregular heartbeat, HRT in some and the risk rises in pregnant woman.

    Because woman go through childbirth, menopause etc we generally have our blood pressure taken more often throughout our lifetime, but men do not so are unaware of what their blood pressure is.

    Hopefully with the constant news interviews throughout the day with many different people’s stories as stroke survivors, awareness has risen.

    Take Care

    Mark A. Ittleman
    Teaching of Talking
    May 17 / 2015

    (This is a message from the "ether."  The "all knowing" part of us and the universe.)

    There are always new expressions that show up in our language and then emerge universally.

    One of the expressions I have not heard in quite awhile is: Take Care!

    At one time I heard and used that expression repeatedly.  I rarely use or hear it anymore.

    Everyday expressions are the phrases that people often use when they communicate.  It seems there are those expressions that are generation specific.  Some of the words and expressions currently in vogue include: Perfect....Awesone… Gothcha....

    Then there are the typical everyday phrases such as “Have a good day!  (although that seems to be falling out of favor, or "Have a good one!"

    But I still have not heard  TAKE CARE!  (How could I have used that expression for such a long time, and only now realize that I have stopped using it?)  Hmmm…. interesting question.

    #Aphasia Tweetchat – What You Said! #strokerecovery

    Kate Allatt
    Stroke Recovery Tips
    May 13, 2015

    After a rather shaky start, what some confusion over British Summer Time (some didn’t realise our clocks have already sprung forward!) we were finally able to have the aphasia tweetchat at 9pm UK time in the end. (We’re really sorry if you missed the group chat and wanted to participate!) I’m also sorry that aphasia sufferers themselves would find getting involved with a tweetchat on aphasia somewhat difficult.  I guess I had family, loved-ones, clinicians, companies, academics and researchers more in mind when devising this tweetchat to learn and contribute to our knowledge pot to better help patients. However, if we offended or prevented patients from contributing directly on this occasion, we sincerely apologise.

    There are a few themes that came out from yesterdays chat which I’ve tried to summarise here but feel free to scan the transcript and analytics!

    It is estimated by @TactusTherapy that there are around £2 million people with aphasia in the USA and The Stroke Association says there are around 367,000 sufferers in the UK.

    Aphasia can last one day, one week or where there is a spontaneous recovery or it can be a chronic long term illness.

    Weekly Columnists

    Definition: Columnist |ˈkäləmnist| (noun). A blogger or a journalist contributing regularly to a blog or newspaper.

    Musing: Clinic Helps Stroke Patients Recover Balance,
             Avoid Future Falls

    Dean Reinke
    Deans’ Stroke Musing
    Monday, May 27, 2013

    Something like this should be available in every hospital/clinic. Objective evaluation of your walking and falling practice. Remember to ask your therapist to perturb your walking. Clinic Helps Stroke Patients Recover Balance, Avoid Future Falls.

    Janet Raymond leans forward, her upper body supported by a vest-like harness suspended from the ceiling. She's waiting for the apparatus to deliver the jolt she knows is coming, its goal is to test how steady she is on her feet. There's an abrupt release of tension on the harness and Raymond lurches forward, her face betraying a touch of uneasiness, despite having gone through this manoeuvre many times before. But she's kept her footing and hasn't fallen -- and that means she's making progress.

    About eight months ago, Raymond was about to board a Toronto streetcar after a night out with friends, when her legs suddenly felt too weak to mount the vehicle's stairs. It turned out she had suffered a mild stroke, which affected her right leg and part of her hand. After a stay in hospital, Raymond was transferred to the stroke unit at Toronto Rehab, where therapists took over her recovery. "When I first arrived, I couldn't walk at all," says Raymond, 62. "I was in a wheelchair. I was quite upset and I wondered what was going to happen, if I'd be in a wheelchair all my life."

    Caregiver: Frustration, Anger & Guilt

    The Pink House On The Corner
    Monday, May 11, 2015

    Two stories here. The first, as told to me by Bob's CNA (who comes in twice a week).  I call her "E."

    E. was pulling into a drug store parking lot when she witnessed a man grab an elderly lady and "drag" her toward a car.

    On hearing the beginning of this story, I said, "Oh my gosh! A kidnapping!"

    E. said, "No, it was his mother."

    So the story goes that E. slams on her brakes and jumps out of the car because, as she says, the man is  yelling at his mother in a way "one should never speak to a woman" and she confronts the man, who explains to E. that he had only gone into the store to "pick up one thing" and had told his mother (who has Alzheimer's) to wait in the car and when he was standing at the check-out he saw his mom ambling off across the parking lot, so he ran out and grabbed her and was taking her back to the car.

    E. then tells the man that this is "no way" to "treat a woman".

    The man tells her to "mind her own business" because she (E.) "has no clue" what it's like "to be a 24/7 caregiver".

    Tadpole Update: Spokes Fighting Strokes - Preview

    Rails to Trails Tour (aka RTT)
    Albuquerque, New Mexico
    Decpina, North Carolina
    and back
    (June 1st to September 29th)

    Calling: All Trike & Bike Riding - Ride with Dan, Cat & Zach
    (Dan's son Zach also HHT!)
    Spokes Fighting Strokes

    Summer Ride 2015

    We would like to invite you to participate in our joint venture to spread awareness about Stroke, Brain Injury & HHT (Hereditary Hemorrhagic Telangiectasia) which caused Dan's stroke.

    Catherine is the survivor of 2 brain injuries. She survived a criminal assault, and learned how to walk and talk 2 times after her injuries. To learn more about Catherine's story

    Catherine Brubaker has joined Spokes Fighting Strokes as a board member and brings to the organization her education, (masters in organizational leadership), and skills sets with marketing and networking which she will apply to grow SFS.

    Catherine has followed her own calling and found her voice by starting her own foundation Hope For Trauma.  Both foundations focus on recumbent cycling and recovery.

    Jester: Guess What This Is!

    Jackie Poff
    Stroke Survivors Tattler
    Try to guess what this is? This picture was taken in 1956.

    Answer Below:

    It's a hard disk drive back in 1956... with 5 MB of storage.

    In september 1956 IBM launched the 305 RAMAC, the first "super" computer with a hard disk drive (HDD). The HDD weighed over a ton and stored a "whopping" 5 MB of data.

    Do you appreciate your 16 GB memory stick a little more now?

    It would take 3200 of these units to equal the capacity of that little 16-Gig stick plugged into the side of your PC!

    TED Talks - Matthew Childs:
             9 Life Lessons from Rock Climbing

    Uploaded on Apr 17, 2009

    SSTattler: Actually, he describes falling... very nice movie! In this talk from TED University 2009, veteran rock climber Matthew Childs shares nine pointers for rock climbing. These handy tips bear on an effective life at sea level, too.

    Standard YouTube License @ TED

    Rick Mercer Report: Rick and Neil Peart & Train of Death

    Rick and Neil Peart

    Uploaded on Mar 17, 2010

    Rick learns how to drum from Neil Peart from RUSH. (originally aired: November 07, 2006)

    Music - "Tom Sawyer" by Rush
    Artist - Rush

    Standard YouTube License @ Rick Mercer Report

    Train of Death

    Uploaded on Oct 7, 2009

    Rick train races in Varney, ON.

    SSTattler: Different drums but sortOf equal ... :-)

    Standard YouTube License @ Rick Mercer Report

    Laid-Back Admin: Please say Welcome to Elizabeth

    Dr. Beagle C. Cranium
    Stroke Survivors Tattler
    Hi SSTattler et al,

          Please say Welcome Elizabeth to be a new Guest Blogger for Stroke Survivors Tattler.  She had “...large bleeding cavernous angioma from a deep part of her brain” and she will tell the details, both positive and negative, in her blog -  Thankful for Every Day!. As well take a look at Angioma Alliance - "Angioma Alliance is an organization by and for those affected by cavernous angiomas and their loved ones, health professionals, and researchers...”.

    Below is her biography and a copy in About Us and the ▶ Guest Bloggers Index.

    Welcome Elizabeth,

    Dr. Beagle C. Cranium
    Stroke Survivors Tattler

    SSTattler Blogger - Elizabeth
    Thankful for Every Day!
    • I originally started in my blog, Thankful for Every Day!, in November 2010 just prior to having a major brain surgery to remove a large bleeding cavernous angioma from a deep part of my brain. 
    • You can best understand the gravity of our experience by reading the first several entries.
      • Nov 2010-Dec 2010 - I wrote the first one and my sweet, adoring husband, John, wrote the next several (while I was too sick to do much of anything) that documented surgery, immediate recovery, and our reaction to the surgery complication that was revealed 2 days after surgery. 
      • This recovery process has been difficult but we are making it. 
    • We appreciate all the kind words of encouragement we have received and we would like to thank everyone that has participated in helping us along this difficult journey. 
    • Please ask a real professional, or probably several. :) I hope to be able to help at least one person along the challenging road of brain surgery and recovery. 
    • Also, if you have any questions about my personal experience, please leave them as a comment or contact me directly at and I will respond although I am not a doctor and this is not a replacement for medical care or advise. 
    • Please see my site of course - Thankful for Every Day!

    Daily Comics

    For Better and For Worse
    Lynn Johnston

    Canada Family Events
    Scott Adams

    Dilbert Office Events

    Edmonton Journal
    Malcolm Mayes
    Politics Views from Canada

    Garry Trudeau

    Politics Views from USA

    ** I tried to get low or free price at the people for the images for the cartoons. It was too high for Stroke Survivors Tattler i.e. we are not a regular newspaper and our budget is very, very low. Fortunately, you will have to do only 1-click more to see the cartoon image, it is legit and it is free using and


    Saturday, May 16, 2015

    Saturday News

    Contents of This Week Saturday News May 16th / 2015
          Receptive aphasia, also known as Wernicke’s aphasia, fluent aphasia, or sensory aphasia, is a type of aphasia in which people with the condition are unable to understand language in its written or spoken form, and even though they can speak with normal grammar, syntax, rate, and intonation, they cannot express themselves meaningfully using language. A longer definition comes from Wikipedia.
            --  Fluent Aphasia
            --  Language: Broca and Wernicke's Areas
            --  News Reporter has a Stroke on Air - Serene Branson
            --  Receptive Aphasia: Improving Language Comprehension
            --  Speech-Language Therapy: Working with a Patient with Fluent Aphasia
            --  Wernicke's Aphasia
            --  Tono Tono
            --  Wernicke's and Broca's Aphasia
            --  Wernicke's Aphasia
            --  Max Receptive Aphasia
            --  Caregiver: A Family with Wernicke's Aphasia
            --  Aphasia Caregiver Stories -- Severe Wernicke's aphasia
      Saturday News | Future Topic 
      May/23/2015   | Falls in Older Adults in Stroke!
      May/30/2015   | Sticky Keys & Keyboard Shortcut
      Jun/06/2015   | Bicycle Sharing System or Repair Yourself or…
      Jun/13/2015   | Sexuality and Disability

      Definition: Receptive Aphasia (or Wernicke or Fluent or...)

      Receptive Aphasia From Wikipedia,
               the free encyclopedia

      Receptive aphasia
      Broca's area and Wernicke's area
      Receptive aphasia, also known as Wernicke’s aphasia, fluent aphasia, or sensory aphasia, is a type of aphasia in which people with the condition are unable to understand language in its written or spoken form, and even though they can speak with normal grammar, syntax, rate, and intonation, they cannot express themselves meaningfully using language. People with Wernicke's aphasia are typically unaware of how they are speaking and do not realize it may lack meaning.  Having a deficit and not knowing it exists or denying it exists is called anosognosia. People with Wernicke's Aphasia typically remain unaware of even their most profound language deficits.

      Receptive aphasia is not to be confused with Wernicke-Korsakoff syndrome.


      Video: Receptive Aphasia (or Wernicke or Fluent or...)

      Fluent Aphasia

      Published on May 5, 2014

      Fluent Aphasia PSA

      Standard YouTube License @ Shelby Mills

      Headline Blog:
               Receptive Aphasia (or Wernicke or Fluent or...)

      Definition: Blog (noun). Add new material to or regularly update to a blog. (Origin 1990s: blog shortening of weblog)

      Horse Sense

      Steven H. Cornelius
      Music and Stroke
      Posted on March 28, 2012

      Two-and-one-half years after my stroke, I continue to have difficulty with speech. On the best days, my speech is relatively normal, at least to the casual listener. On those days, astute conversation partners tell me my speech is perhaps a bit slow, that my speech gait is different from what it once was (though not “unnatural”), or my articulation occasionally sounds “careless” (as does the speech of many English speakers). But speech does not sound “impaired” in a pathological sense.

      That is not how it sounds and feels to me. Even on my best days speech production feels clumsy. Many sound combinations present articulation landmines that, unless approached slowly and with the focus and technical rigor of Professor Higgins, are certain to be mangled.

      Until recently, I assumed my lingering problems had to do with aphasia. Why? Because that was how a neurologist labeled my problem while I was still in the ICU a few days after the Big Event. Now I doubt that aphasia was the correct diagnosis.

      Clearly, I did not have receptive aphasia. From my earliest post-stroke memories, I had no difficulty understanding spoken language. (Believing the dire scenarios my caretakers presented me was a different issue.) As soon as I could focus my attention, I could read as well.

      Do Speech Therapy for Aphasia or Dysarthria at Home

      Mark A. Ittleman
      Teaching of Talking
      January 10, 2015

      And then I watched her perform the speech and language stimulation and it looked like I was doing it, and noticing she had a certain confidence and was doing quite well! Then I realized it wasn’t me, it was the person I mentored.” -Ittleman 2005-

      The other day I was working with a caregiver whose son had been in a motor vehicle accident. He was left with an apraxia, dysarthria, and an expressive aphasia. For the layperson or student, he had difficulty articulating accurately, even with intensive articulation stimulation. The words he was having difficulty with had to be broken down into individual syllables, and articulator placement stimulation had to be done before the actual attempt at speaking.

      When I was a speech pathology student it was always a cardinal rule that placement of the articulators was a prerequisite prior to verbal production of the target sound or the phoneme. Correct articulation of a sound is often rather simple to stimulate with many clients if they have a good “eye” and “ear,” but with this young man the speech model a.k.a. therapist had to break a complex word down into syllables and assure the sounds within those syllables were said accurately.   Even though this young adult had a moderate to severe apraxia, he was stimulable to produce words accurately if the correct principles of articulation therapy were followed.

      But that’s not the point of this article. This young man also had a severe expressive aphasia and receptive language component. That means he had severe trouble finding the words he wanted to express in addition to severe difficulty comprehending spoken language when it was directed to him in rapid succession; typical of the way normal speakers communicate with machine gun-like speech rate.

      When the Words Don't Come...

      Jeff Porter
      Stroke of Faith
      Wednesday, March 31, 2010

      Ever struggle for the right word?

      For most people, that happens from time to time. But for some stroke survivors, that struggle happens every day. The next few blog entries will include some resources about stroke-related aphasia - problems that arise when your someone's speech is affected.

      A reference from
      There are many ways a stroke can affect a person’s ability to speak. Symptoms are typically related to the specific area of the brain affected, as language function in the brain is localized inside highly specialized areas such as Broca’s, Wernicke’s, and other areas.
      In my case, I couldn't say a word initially, and hours later, was able to struggle some words. Not all of them made sense. Some were the wrong word. Others just gibberish. And not only speech, but reading and writing were affected as well.

      Talk about frustration. I was writing for a living, based on questions I posed and answers I wrote down. That was all suddenly taken away.

      Not only frustrating, but incredibly frightening.

      I slowly regained reading and writing skills. But still, I wonder when I stumble in speech: Would it have happened if my stroke had never happened?

      To get more information about aphasia, read the link above and the previous postings covering aphasia or speech. Then check back for more entries during the next few weeks.

      See the original article: