Saturday, August 16, 2014

Daily Comics / August 16th - Summer Holidays



For Better and For Worse
Lynn Johnston

Canada Family Events
Dilbert
Scott Adams

Dilbert Office Events

Edmonton Journal
Malcolm Mayes
Politics Views from Canada

Doonesbury
Garry Trudeau

Politics Views from USA





  


** I tried to get low or free price at the people http://www.UniversalUclick.com/ 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 GoComics.comDilbert.com and EdmontonJournal.com.

Tom Sullivan on Robin Williams & "Mork & Mindy"

Published on Aug 11, 2014

In memory of Robin Williams, we wanted to share this outtake from the documentary CinemAbility, in which Tom Sullivan discusses Robin Williams humor and kindness as an actor, and a human being.


Standard YouTube License @ goldpictures

Tick Tock, Tick Tock...

Diane
The Pink House On The Corner
Saturday, August 9, 2014

Tick Tock, Tick Tock...

Well, the settlement is getting ready for "disbursement", and ducks are getting into rows, etc. Last week, our attorney paid off over $30,000 in unpaid/defaulted medical bills and credit cards (which were basically charged up with medical bills) and not having that hanging over our heads is a big relief. I can, perhaps soon, answer the phone again!

Mop, $27.99
This week, the attorney sent me a small check to cover a few current expenses and buy a few needed things... the first thing I bought was this:

Can Opener, $9.99
Yes, a mop! As I am certainly tired of getting down on my hands and knees to clean the floors.  The second thing I bought was this:

Yes, a can opener, as mine is being held together with duct tape. People have been asking me, "what's the first thing you're going buy?" and so, there you have the answer. A mop and a can opener! And believe me, it was nice to just buy something we need and not worry about having enough money for it. So, to celebrate, I also bought this third thing:



Frozen Pizza, $4.19





Which is something I never splurge on, but I wanted to celebrate our new found financial security. Unfortunately, the pizza wasn't that great...









Then I thought, all those goodies are for me and not Bob, so the fourth thing I bought was for Bob:

Speech Therapy is Like Boat Building

Mark A. Ittleman
The Teaching of Talking
August 5, 2014

Built by a man or woman
just like us.
We are on Prince Edward Island, in the Maritime and for the last few months have toured up the Atlantic Coast from Florida to Maine and Prince Edward Island.

Since I love boats, we have noticed many styles and sizes.  There is the rowboat, canoe, sailboat, fishing boat, nuclear submarine, pleasure boat, wood boat, fiberglass boat, steel hull boat and hull designs including catamarans, v-hull, tri-hulls, etc.  The manpower and skill to design and build these pieces of art is extensive.  I have seen simple row boats, kayaks, to full ocean liners; vessels that were present day, and those that were built over one hundred years ago.

Anything can be simple with the
appropriate mentor or instructor.
Boatbuilding, like speech and language therapy is an art, and I am sure that no one anywhere could dispute that.  Some boat builders are mentored by true artisans and others have gone to special Maritime schools for boat design and building.

The success of the boatbuilder is dependent on the marketplace; those who need the services of the boat builder.  Those who purchase boats must be satisfied with their purchase, or the boat builder goes out of business.  The person who purchases a boat goes out onto the river, lake, pond or ocean, and trusts that the water craft he has purchased and the piloting skills he has learned, returns him home to shore safely.

Boat builders must produce a product that is sea worthy and reliable.

Sunday Stroke Survival ~ Perception of Time

Jo Murphey
The Murphey Saga
Sunday, August 10, 2014

Credit
Time is measured the same for everyone in the world... 24 HOURS in a day, 7 DAYS in a week, and 365.25 DAYS in a YEAR. Right?

What's with that? Why are we taught from a young age and everything revolves around time. It's all put in neat, little, compartmentalized boxes of measured units.Time blogs are all abuzz around the stroke tribe so I'll add my quarter's worth here. (It used to be a penny, but with inflation...)

We are taught from a young age...
  • Not to waste time.
  • Time is money.
  • Time is power.
  • Just in time.
  • Always waiting for time to do or dreading something.
  • It's time for a change.
  • You're running out of time.
  • It's about time! When you're late.

For stroke survivors it is...

Doctors Hope to Retrain Brain Damaged by Stroke

July 17, 2014, by Tom O'Neal

ST. LOUIS, MO (KTVI) – "Doctors at Washington University School of Medicine are trying to see if they can re-train the brain to help stroke patients regain the use of paralyzed limbs.

Neurosurgeon Eric Leuthardt, who organized the study, explains it involves trying to get the healthy part of the brain to take over the functions of the part damaged by stroke... "

See the full article: Doctors Hope to Retrain Brain Damaged by Stroke

RMR: Rick at the Calgary Zoo

Published on Feb 20, 2013

Rick becomes a zookeeper for a day and helps out with the new King Penguin Walk in Calgary.


Standard YouTube License @ Rick Mercer Report

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Saturday, August 09, 2014

Daily Comics / August 9th - Summer Holidays



For Better and For Worse
Lynn Johnston

Canada Family Events
Dilbert
Scott Adams

Dilbert Office Events

Edmonton Journal
Malcolm Mayes
Politics Views from Canada

Doonesbury
Garry Trudeau

Politics Views from USA





  


** I tried to get low or free price at the people http://www.UniversalUclick.com/ 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 GoComics.comDilbert.com and EdmontonJournal.com.

Sunday Stroke Survival ~
         ARGH! Despair and Agony on Me!

Jo Murphey
The Murphey Saga
Sunday, August 3, 2014

Not really! I just wanted to say the title yo see what it felt like. I've honestly never felt this way totally. So many stroke survivors live daily this way day in and day out. My question is why? Life sent you a curve ball and you have a decision to make...whether to swing and possibly hit it out of the park or take to strike.

I've never been one to take a strike. I root for the underdog and go for hitting the ball out of the park. I may miss but I at least try. That's how I feel about my stroke. It's a curve ball. I had dreams and aspirations before my stroke, and now it's just a matter of getting back to it.

Every so often I play a "Gotcha Day." It's been a long time since I've done one. It's a fun thing to do...telling a tidbit of information and see how it embellishes itself in the retelling. In other words...feeding the rumor mill.

I announced I was building a tiny house and homestead. Well, not so recently it was three years ago. But recently, I've evaluated the story from various sites and family to see where it led.

Comments among relatives...

  • She's lost her mind since the stroke and her impeding death of her husband.
  • How can she manage by herself? I mean look at her.
  • I admire her courage but it's insane!
  • Don't worry. It's just a fantasy and it will never happen.

On the web...

Calling Dr. Doolittle

Steven H. Cornelius
Music and Stroke
July 25, 2014
“Despite evidence that use of the impaired upper extremity has a positive effect on the neurophysiological consequences after stroke, recent studies in rats paint a very different picture. Restricting the unimpaired forelimb in rats with sensorimotor cortex lesions results in prevention of dendritic growth in the uninjured cortex, exaggeration of the neuronal injury, and more severe behavioral deficits.” 
RJ Nudo. “Remodeling of cortical motor representations after stroke: implications for recovery from brain damage.”  Molecular Psychiatry (1997) 2, 188–191.

The observation above comes after the author’s brief discussion of Edward Taub’s “constraint-induced movement therapy,” a stroke rehabilitation technique that has proven quite successful in humans.

For the record, I am appalled by Taub’s research technique, which involved cutting afferent ganglia (transmitters of sensory information to the central nervous system) then forcing the monkeys to learn to use their disabled limbs.

Dante Alighieri would have had a spot for Taub.

Was all that cruelty necessary? Couldn’t any moderately impaired stroke patient have told Taub that affected limbs improve with use?

Time and again, I return to the “hard science” literature looking for insights about stroke recovery. I come away with models and brain maps, but little insight. Invariably, I retreat to experience.

How has my brain adapted to tissue loss? I suppose an MRI might tell me what neurons are firing where, but that information won’t help my penmanship or Frisbee toss. Effective rehabilitation requires writing and tossing. Lots of it.

Until someone can convince me that I am wrong, I will continue to understand the brain (and its attendant neural patterns) not as a thought creator, but (as rills left in a hillside’s soil provide evidence of a heavy rain) the result of thinking.

Tipping my hat to Taub, I have typed this post using only (well, almost only) my left (affected) hand.

Regarding this post’s title…  Dr. Doolittle talked to the animals. Dr. D was the original “dog whisperer.” When I was a child, he was also my favorite fictional character. Rather than monitoring the brains of maimed rats, Dr. D would have protected them. Had he arrived too late for that, he would have asked the poor critters how he might relieve their suffering.



See the original article:
in

Drugwatch - Xarelto

Doctors prescribe Bayer’s billion-dollar blood thinner Xarelto to prevent blood clots and protect people from strokes. But the drug may also cause irreversible internal bleeding that can lead to hospitalization and death. Lawsuits filed against Bayer claim the company did not warn the public and want the drug removed from the market.

Did you or a loved one have uncontrolled bleeding after taking Xarelto?  

What is Xarelto?


Xarelto (rivaroxaban) is one of the newest anticoagulants – more commonly known as blood thinners. The drug is an oral medication developed by Bayer and Johnson & Johnson’s New Jersey-based unit, Janssen Pharmaceuticals. Blood thinners prevent dangerous blood clots that can obstruct the blood flow to the vital organs. Unlike older anticoagulants that require doctors to prescribe specific doses for each individual, Xarelto belongs to a new type of oral anticoagulant that is prescribed in one uniform dose.

The Food and Drug Administration (FDA) approved Xarelto for use in patients who have had knee or  hip replacement surgery  to reduce the risk of blood clots, reducing the risk of stroke in people with AF. Following a fast-track regulatory review, the FDA approved the drug for general treatment of deep vein thrombosis (DVT) and pulmonary embolism (PE).

Xarelto and Other Anticoagulants


Another better-known oral anticoagulant is the drug Pradaxa (dabigatran etexilate), manufactured by Bayer’s competitor, Boehringer-Ingelheim. Xarelto and Pradaxa are similar, but they work in different ways. Xarelto inhibits a protein involved in the coagulation process called Factor Xa, which interrupts the blood-clotting process and prevents another protein, thrombin, from forming. Pradaxa directly inhibits thrombin from forming.

CURRENT ANTICOAGULANT MARKET - $10 Billion - The current market for anticoagulants is estimated to be worth $10 billion, and many companies are developing newer drugs to get a piece of this market share. Previously, warfarin (Coumadin, Jantoven) was the industry standard anticoagulant. Because warfarin requires changes in diet and lifestyle, regular checkups, and has a risk of brain hemorrhage, drug companies developed and marketed oral medicines like Xarelto and Pradaxa as safer, more convenient alternatives.

HIGHER PER-PATIENT COST - $3000 Per Year - Although newer anticoagulants like Xarelto and Pradaxa are helpful to numerous patients, they are more costly than warfarin. Xarelto costs about $3,000 a year compared with $200 for warfarin. These drugs do not require frequent doctor checkups and have a uniform, “one-size-fits-all” dose. They can also have some very dangerous side effects that may lead to lawsuits.

If you or a loved one was injured by Xarelto, contact our Patient Advocates. 

Side Effects of Xarelto


One of the most severe side effects of Xarelto is uncontrolled bleeding. When bleeding occurs near a major organ, such as the brain, lungs or kidneys, blood flow to that organ is interrupted, causing it to lose some or all of its functionality. Also, pools of blood may form within the body and can cause other severe health risks. Because Xarelto prevents clotting, the hemorrhaging will continue until the drug is flushed out of the system.

Like Pradaxa, Xarelto has no known antidote for uncontrolled bleeding, while warfarin does. The drug’s manufacturers have yet to release information for doctors on how to treat uncontrolled bleeding.

  • Abdominal Bleeding
  • Brain Hemorrhage
  • Abnormal Liver Function
  • Reduced Platelet Levels


Xarelto Uses and Clinical Studies


Original FDA Approval - Xarelto’s original FDA-approved use was as a blood thinner for patients recovering from knee or hip replacement surgery. Since then, the agency approved the drug to blood clots in patients with irregular heartbeat (atrial fibrillation) and to prevent reoccurring blood clots despite their own panel's disapproval.

Comparison to Warfarin - In 2011, the New England Journal of Medicine published the results of the ROCKET AF study that compared Xarelto to warfarin – a drug used for over 50 years – in patients with AF. The FDA said the study failed to show that Xarelto was more effective than warfarin. The drug is also known to cause more abdominal bleeding than warfarin.

No Antidote - While all blood thinners carry the risk of internal bleeding, older drugs like warfarin have emergency antidotes to prevent serious harm. Xarelto does not have an antidote, and the drug cannot be flushed out of the system through dialysis. People who suffer bleeding can end up hospitalized, and the bleed may be fatal..... ========>


See the full article Xarelto in Drugwatch.

© 2014 Drugwatch.com

Drugwatch - Pradaxa

Pradaxa 

More than half a century after the blood thinner warfarin was first sold in the United States, a major challenger has come on the scene. Pradaxa (dabigatran), which was approved in October 2010, helps to prevent strokes, requires less maintenance than warfarin and is designed to have fewer side effects. After a year on the market, 16 percent of patients with atrial fibrillation (irregular heartbeat) were taking Pradaxa, compared with 44 percent who were taking warfarin. The remaining patients did not take medication. In late 2011, Xarelto (rivaroxaban) joined the anticoagulant market.

By August 2012, more than 3.7 million U.S. patients had filled prescriptions for Pradaxa. In 2011, Boehringer Ingelheim, the German manufacturer of Pradaxa, spent $464 million to promote the drug, and it has paid off: In the first quarter of 2012, worldwide sales reached $209 million. The anticoagulant therapy market is estimated to bring in $10 billion a year in the United States alone.

Just two years after its arrival, however, Pradaxa is being blamed for more than 500 deaths. Patients and their families report instances of hemorrhaging and uncontrollable bleeding. Some are taking action against Boehringer Ingelheim by filing personal injury lawsuits.

Uses

For many years, warfarin — and its brand-name versions Coumadin and Jantoven — has been the standard anticoagulant treatment for patients at risk for strokes and other conditions caused by blood clots. Heparin is another anticoagulant with a longer history, available since 1936, but it is not popular as it must be taken intravenously. Warfarin treatment can be difficult, as it requires regular doctor visits, blood tests and diet restrictions. In addition, side effects of warfarin can be debilitating, causing brain hemorrhages and other types of internal bleeding. A Duke University cardiologist noted that warfarin is one of the leading causes of emergency room fatalities in the United States.

Pradaxa and warfarin both treat patients with atrial fibrillation (AF) who do not have heart disease but are at risk for stroke and blood clots. In clinical trials, Pradaxa outperformed warfarin, reducing the risk of stroke more effectively than warfarin. Pradaxa is also easier to administer, as it does not have the strict requirements that come with warfarin. However, Pradaxa sells at a higher price and still causes some of the same side effects. Warfarin costs about $200 a year, while Pradaxa runs about $3,000 a year.

Warfarin and Pradaxa both prevent blood clots, but they function in different ways. Warfarin thins blood by decreasing the activity of vitamin K , which is essential to the chemical reaction that forms blood clots. Pradaxa inhibits the action of thrombin (a clotting protein) and is part of a drug class called direct thrombin inhibitors. The European Medicines Agency advises doctors to check a patient’s kidney function before prescribing Pradaxa.

Pradaxa is administered in 75 and 150 mg capsules, with most people taking 150 mg capsules twice a day. People with kidney problems may take lower doses. Suddenly discontinuing Pradaxa or missing doses may increase the risk of stroke. Pradaxa is used to treat atrial fibrillation and venous thromboembolism ....  ===>

See the full article Pradaxa in Drugwatch.

© 2014 Drugwatch.com 

Nikolai Begg: A Tool to Fix One of the Most Dangerous Moments in Surgery

Published on Jul 15, 2014

Surgeons are required every day to puncture human skin before procedures — with the risk of damaging what's on the other side. In a fascinating talk, find out how mechanical engineer Nikolai Begg is using physics to update an important medical device, called the trocar, and improve one of the most dangerous moments in many common surgeries.


Standard YouTube License @ TED

Catherine Mohr: Surgery's Past, Present and Robotic Future

Uploaded on Jun 18, 2009

http://www.ted.com Surgeon and inventor Catherine Mohr tours the history of surgery (and its pre-painkiller, pre-antiseptic past), then demos some of the newest tools for surgery through tiny incisions, performed using nimble robot hands. Fascinating -- but not for the squeamish.


Standard YouTube License @ TED

RMR: Rick at the Paramedic Academy

Published on Oct 16, 2013

Rick visits the Justice Institute of British Columbia in Kelowna, BC to train as a paramedic.


Standard YouTube License @ Rick Mercer Report

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Saturday, August 02, 2014

Daily Comics / August 2nd - Summer Holidays



For Better and For Worse
Lynn Johnston

Canada Family Events
Dilbert
Scott Adams

Dilbert Office Events

Edmonton Journal
Malcolm Mayes
Politics Views from Canada

Doonesbury
Garry Trudeau

Politics Views from USA





  


** I tried to get low or free price at the people http://www.UniversalUclick.com/ 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 GoComics.comDilbert.com and EdmontonJournal.com.

Sunday Stroke Survival ~ Odds, Ends, and Thanks!

Jo Murphey
The Murphey Saga
Sunday, July 27, 2014

Thank you for all the good wishes and concern about my hand and my fall. Y'all make it the best of a bad situation. I do appreciate you. My left hand is better. See all you naysayers out there it wasn't broken. You know who you are.

I call this blog the Murphey Saga because nobody would believe what life throws at us on a daily basis unless I write about it. My tagline remains the same although I'm not writing (book or article wise) right now. Because my stroke and my life IS getting in the way of my love of writing and storytelling.

I thought I would explain this to the fifty odd new followers and readers (maybe more) of this blog that didn't know. The title came about in the Compuserve Writers Forum too many years ago. It was in answer to a response I got to a post. I don't remember what it was about now.
I answered, "The Murphey Sa-a-aga-a. The ongoing story of a family in a small town in Georgia. Where the Luck of the Irish and Murphy's Law collide in writing. A soap opera so unbelievable that if it was truly on-air you would not watch it because it had to be fake."
There you have it. That's the reason behind my title of this blog. Any questions?

Notables -

Stimulating Words to Sentences

July 28, 2014 


One of the Foundation Stones in Speech Therapy for those with Articulation, Voice, Rhythm, and Language Difficulties.

I have been blessed with a desire to practice speech language pathology for over 40 years, and have worked with some amazing colleagues, clients-patients and administrative people.  I would like to thank all of you who have been friends through the years.

The subject I would like to discuss today deals with the SENTENCE.  The SENTENCE is basic to the whole speech therapy process.  The SENTENCE  is the format that we speak in.  The SENTENCE is one of the most challenging aspects of rehabilitation/speech therapy for those who do not speak, either children or adults who have a diagnosis of head injury, aphasia, and other neurological insults.  Simply defined it is a collection of words which when placed together in the correct order form a complete thought or sentence.  It can vary from 2 words to more than 10!

The SENTENCE is one of the most critical aspects of the speech therapy process for those of us who are helping children and adults speak.  I learned about the SENTENCE when first starting out as a speech language pathologist and doing articulation therapy with children.  I would work on a sound in isolation, and when mastered would stimulate the correct production of the sound into single words until it could be readily said accurately, and then begin stimulating phrases and SENTENCES while assuring the new sound was correctly produced in each word.  It was the production of the target sound within each target word within the SENTENCE which I believe was the crucial aspect of moving the client into Carry Over or automatic speech.  Not only would I work on the stimulation of SENTENCES for those words, but my wife would craft simple books that would have pictures and SENTENCES with the target words that the child needed in his/her expressive vocabulary. The story would always be about silly characters and would have a plot and a conclusion which made a point worthy of learning.  The child would circle the target sound in each word within the story with a colored marker to help cue accurate production in the sentence.  We would have stories for each sound, and position within the word.  We had a bunch for the (s) and (r) due to the considerable words for all positions and blends.

Commute with Your 'Cycle

Tips for your Bike Commute - Pack Clothing etc

Uploaded on Mar 26, 2010

Tips and suggestions for making your ride to work easier. Brought to you by R-TRIP. Visit www.GOrtrip.com for more information!


Standard YouTube License @ go RTRIP





The Commute - How to Cycle a Recumbent Trike to Work

Uploaded on Aug 8, 2009

This is my 1 hour, 13.5 mile commute to work, condensed to 10 minutes. I ride a recumbent trike (TerraTrike) on the streets of Orange County and the Santa Ana River Trail (SART) to get to my office. I wanted to give people an idea of what it is like. It is a lot more fun to commute by trike, plus I get exercise, and it costs me nothing in gasoline. In this video you will note that I ride streets where there is bike lane, where there is no bike lane and how I handle those areas. There is a segment where I ride the wide sidwalk, but only because there is no side lane at all on the right side of that street. using hand signals, and taking lane control when there is need is also demonstrated. Notice when I get off the trail and onto the last street portion near my office, I wait for an 18 wheeler and a few other cars to pass before entering the bike lane. That truck and those cars were driving VERY close to the right almost on the bike lane stripe. But later as I rode that lane and cars approached from behind you can see they do see me and keep good distance from the bike lane. Because the Trike is so unusual, most cars notice and give me more room than I ever got on a conventional bike.

I shot two other videos of my commute in HD here and here.


Standard YouTube License @ dregerclock

Groningen: The World's Cycling City

Published on Oct 9, 2013

"Groningen decided in the 1970s to enact policies to make it easier to walk and bike, and discourage the use of cars in the city center. By pedestrianizing some streets, building cycle tracks everywhere, and creating a unique transportation circulation pattern that prohibits vehicles from cutting through the city, Groningen actually made the bicycle -- in most cases -- the fastest and most preferred choice of transportation."


Creative Commons Attribution License @ ashleytjoseph

RMR: Royal Canadian Marine & Coast Guard College

RMR: Rick and the Royal Canadian Marine Search and Rescue

Published on Nov 6, 2013

Rick trains with members of BC's all-volunteer coast guard auxiliary in Nanaimo, BC.


Standard YouTube License @ Rick Mercer Report




RMR: Rick at the Coast Guard College

Published on Nov 7, 2012

Rick enrolls at the Canadian Coast Guard College in Sydney, NS for a day.


Standard YouTube License @ Rick Mercer Report

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Saturday, July 26, 2014

Daily Comics / July 26th - Summer Holidays



For Better and For Worse
Lynn Johnston

Canada Family Events
Dilbert
Scott Adams

Dilbert Office Events

Edmonton Journal
Malcolm Mayes
Politics Views from Canada

Doonesbury
Garry Trudeau

Politics Views from USA





  


** I tried to get low or free price at the people http://www.UniversalUclick.com/ 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 GoComics.comDilbert.com and EdmontonJournal.com.

Don't Ever Give Up

Dean Reinke
Deans’ Stroke Musing
Saturday, July 19, 2014

I've seen this image a few times over the last week. Even using tineye.com I can't figure out who originated this.  This needs to be posted over every survivors bed.  I imagine the bird being my doctor.

It reminds me of the other frog story I've heard.

Two Frogs

By: Author Unknown

A number of frogs were traveling through the woods. Two of them fell into a deep pit. All the other frogs gathered around the pit. When they saw how deep the pit was, they told the two frogs that they were as good as dead.

The two frogs ignored the comments and tried to jump up out of the pit with all of their might. The other frogs kept telling them to stop, that they were as good as dead.

Finally, one of the frogs took heed to what the other frogswere saying and gave up. He fell down and died.

The other frog continued to jump as hard as he could. Once again, the crowd of frogs yelled at him to stop the pain and just die. He jumped even harder and finally made it out.

When he got out, the other frogs said, "Did you not hear us?" The frog explained to them that he was deaf. He thought they were encouraging him the entire time.

This story teaches two lessons:

  1. There is the power of life and death in the tongue. An encouraging word to someone who is down can lift them up and help them make it through the day.
  2. A destructive word to someone who is down can be the push over the edge. Be careful of what you say. Speak life to those who cross your path. Anyone can speak words that can rob another of the spirit to push forward in difficult times.




See the original article:
in

Sunday Stroke Survival ~ What Goes Up...

Jo Murphey
The Murphey Saga
Sunday, July 20, 2014

Credit
When I was in inpatient rehab, I made the statement..."It's not if I fall but when I fall." Well, I did it again Wednesday.

Let me backtrack to Tuesday's OT. I awoke later than usual so I decided to double up on my Baclofen before therapy. The tightness in my bicep and pectoral muscles gave me an inkling that therapy may have to stop after this week. Higher tone is the precursor for me that the Botox is wearing off with the spasticity to follow quickly after. Therapy confirmed it even after ice and heat were used but the fingers still stretched.

I got home to find the sitter gone and daughter #2 and her youngest son at the house. Triston (15 next month) is my yard man. They'd been at the house long enough for him to mow the front and half the back before I came home via the tractor. Next came the mandatory Skype call to our #4 daughter in AZ. During that time daughter #1 comes in from Savannah with daughter #2's oldest son and her two boys (13 &7). A houseful! I set each of them on a task, mostly outside to keep them busy. As you can imagine, my hubby and I were both exhausted by the time all of them left.

Wednesday morning was bad from the start. I had slept hard so everything decided it wanted to play at Rice Krispies (snap, crackle & pop). With a groan and several attempts, I got out of bed. I waddled my way into the living to administer my husband's medicines and empty his urinal. Then it was, hop into the shower for a bath before therapy at 11. Needless to say, all the energy from a good, solid night's sleep was diminished by half by just these simple acts including getting dressed. Getting dressed was more of a chore than it usually was. I got my panties in a wad, fought with my compression knee-highs, and my shirt wanted to bunch up and make life difficult. But I fed the animals, watered them, and gave each of them undivided attention that they craved. So now I've used six of twelve spoons via the spoon theory of energy.

Before leaving and the sitter arriving, I checked in with my hubby to see if he needed anything. Coffee. Keep in mind that the pressure sore on my foot ruptured three days ago and walking is difficult, I waddled to the kitchen and made his coffee. Thanks to my #2 daughter buying him a Keurig one cup coffee maker for Christmas, this was a quick fix.