Saturday, October 25, 2014

Saturday News

Contents of This Week:

Definition: Plavix (Clopidogrel)

Clopidogrel From Wikipedia, the free encyclopedia.

Clopidogrel (Trade name: Plavix)
(MedlinePlus: a601040)
Clopidogrel (INN) is an oral, thienopyridine class antiplatelet agent used to inhibit blood clots in coronary artery disease, peripheral vascular disease, and cerebrovascular disease. It is marketed by Bristol-Myers Squibb and Sanofi under the trade name Plavix. The drug works by irreversibly inhibiting a receptor called P2Y12, an adenosine diphosphate (ADP) chemoreceptor on platelet cell membranes. Adverse effects include hemorrhage, severe neutropenia, and thrombotic thrombocytopenic purpura (TTP).

Medical Use

Clopidogrel is indicated for:
  • Prevention of vascular ischemic events in patients with symptomatic atherosclerosis
  • Acute coronary syndrome without ST-segment elevation (NSTEMI),
  • ST elevation MI (STEMI)
It is also used, along with acetylsalicylic acid (ASA, brand name Aspirin), for the prevention of thrombosis after placement of intracoronary stent or as an alternative antiplatelet drug for patients intolerant to ASA.

Video: Plavix (Clopidogrel)

SSTattler: Plavix is both good and bad about preventing strokes. Please ask your doctor to tell you as much information available about you & Plavix.

1. Yay - Plavix is the Good Drug...
2. Nay - Plavix has Problems...

1. Yay - Plavix is the Good Drug...

Commercial For PLAVIX

Uploaded on Feb 11, 2010

Plavix keeps blood platelets slippery and discourages formation of clots, thereby improving blood flow to your heart, brain, and body. The drug is prescribed to reduce the risk of heart attack, stroke, and serious circulation problems in people with hardening of the arteries or unstable angina (dangerous chest pain), and in people who've already suffered a heart attack or stroke.

Standard YouTube License @ iBenefitRX

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

Eclectic Stuff

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

Sunday Stroke Survival ~ Too Many Doctors in the Mix

Jo Murphey
The Murphey Saga
Sunday, October 19, 2014

There is a small, orange pill on the market that does a jam up job as a blood thinner called Plavix. It's a shame I wasn't on it at the time of my stroke or I might have been delayed my family history catching up to me. I had been on it for years prior to too many doctors in the mix. Here goes my story...

I was in the third vial category.
In 1998, my blood tests came back with cause for concern. I had a very high red blood cell count. So I was diagnosed with erythrocytosis (uh-rith-roh-sie-TOE-sis). A big word meaning high red blood cell count. I was put on Plavix to thin my blood because I was allergic to aspirin. Considering all the chemo I had received during my cancer treatments, I thought this was good news, but it wasn't. Now my bone marrow was producing too many of them. My blood was clotting too fast. I had, in fact, thick blood.


A Year of Living In My Head
Thursday, May 2, 2013

I was prescribed standard "post-ischemic stroke of unknown origin" drugs.  So: statin-blood pressure-blood thinners to add up to a anti-stroke cocktail that "studies have shown" will deter that other stroke.  Will lessen the chances.  Even though my chances are elevated because I already had one.

Thing is. Those drugs suck.  I took them for one year, 3 months.  Daily.  Religiously.  Because. I. Did. Not. Want. Another. Stroke.  And that is the only way I was told was proven. Yeah. Exercise.  Yeah. Weight loss.  Yeah, diet.  Did those inadvertently because I was so freaked out.

I did not want my kids to experience another stroke.  They are still dealing with the ramifications of July 2011, it drastically changed how we all see life.  It put fear in their life when honestly, I wish they did not have it.  (But we don't control lives now, do we?)

Drug Combo May Reduce Risk of Second Stroke

Jeff Porter
Stroke of Faith
Thursday, June 27, 2013

I was on aspirin and Plavix for several years to prevent a second stroke. I eventually had a mini-stroke (or a transient ischemic attack) anyway. Still, more info to discuss with your own doctor. Check out this article about how a study shows this drug combo may reduce risk of second stroke:
After suffering a stroke or a mini-stroke, patients are usually given aspirin to prevent clots that can cause another stroke. Now a new study suggests that adding the drug Plavix (clopidogrel) to the mix can reduce the risk of a second stroke by nearly a third over aspirin alone. ... 
"Giving two drugs that block platelets works a lot better than aspirin alone in people who have had a minor stroke or TIA," said researcher Dr. S. Claiborne Johnston, a professor of neurology at the University of California, San Francisco. 
The trial was done in China, so whether the results would be the same in the United States isn't known. "They probably are, but we would like to see them confirmed," Johnston said.

See the original article:

Aspirin, Plavix Not Good Stroke Prevention Combo

Dean Reinke
Deans’ Stroke Musing
Tuesday, February 7, 2012

See what your doctor thinks about this research, No self-diagnosis. Aspirin, Plavix Not Good Stroke Prevention Combo.

Combining clopidogrel (Plavix) with aspirin did not prevent recurrent stroke deep in the brain, and even increased the risk of bleeding and death, according to a double-blind, randomized trial that was halted.

Patients receiving the dual antiplatelet therapy had a 2.1% risk of major bleeding -- double the 1.1% risk of those on aspirin plus placebo (P<0.001), Oscar Benavente, MD, from the University of British Columbia in Vancouver, and colleagues found.

Similarly, the annual risk of all-cause death was greater with the combined therapy: 2.1% for aspirin plus clopidogrel compared with 1.4% for aspirin plus placebo (P=0.005), Benavente reported here at the American Stroke Association's International Stroke Conference.

Persistent Insomnia and Alcoholism

Bill (William) Yates, M.D.
Brain Post
October 20 / 2014

Sleep problems complicate the treatment and recovery in alcoholism.

Heavy alcohol consumption modifies the nature of sleep architecture.

A high blood alcohol concentration at bedtime may promote sleep early in the sleep cycle.

However, as alcohol levels decline, sleep is often interrupted with limiting rapid eye movement (REM) sleep duration.

Shortened total sleep time with alcohol can produce a lack of feeling well rested on awakening.

For those with alcoholism or alcohol dependence, successful treatment and alcohol abstinence can restore a normal sleep pattern. However, the clinical picture appears more complicated.

Kirk Brower and colleagues at the University of Michigan published an important summary of the effects of alcoholism treatment on sleep.

A Breakthrough At Speech Therapy!

The Pink House On The Corner
Sunday, October 19, 2014

Well, he finally did it! On Wednesday, Bob was able to come up with a full, complete, grammatically correct sentence to describe a photo!!!!

This task (describing a photo with a sentence) has been a challenge for Bob and the ST has been running him through photo after photo for over a month now. Bob struggles so, trying to find the words, it's really heartbreaking to watch. He usually can come up with a noun, sometimes even the correct noun (ha!) but he seems at a loss on how to construct a complete sentence. You know, with verbs and conjunctions and modifiers and whatnot.

So on Wednesday, when the ST showed Bob a photograph of a girl riding a horse, Bob actually said, without prompting of any sort:

"The little girl is riding a horse."

well, actually, it was more like this:

"The little girl..... is.... riding.... a horse."

I tell you, both the ST and I jumped to our feet and applauded him!  I mean this is BIG. No, actually it's a HUGE step for Bob in the right direction. I mean, really, he actually said "The little girl is riding a horse."  All I can say, is WOW!!!

Enough about Ebola. Get a Flu Shot!

Joyce Hoffman
The Tales of a Stroke Patient
Oct 20th / 2014

The CDC and the Dallas Hospital are in deep doo-doo. Unlike Vegas, what happened in Dallas didn't stay in Dallas.

In an article by Christina Coleman called "5 Mistakes The CDC and Texas Health Presbyterian (THP) Hospital Made While Handling Ebola," she wrote just a few days ago that 1) Thomas Duncan, the man from Liberia who had Ebola, was sent home from THP the first time despite his fever and his telling the nurse he came from West Africa, 2) improper protective gear, like for Nina Pham, the first person and a nurse in the US to contract Ebola, who attended to Duncan, 3) inappropriate disposal of waste, 4) lack of response by the CDC in regard to the training for nursing staff, and 5) the CDC's endorsement for Amber Vinson, the second person and a nurse who contracted Ebola and who also attended to Duncan, to board a jet packed with132 other people, all contributed to the exponential spread of Ebola.

Figure it like this, taking one of many examples: Vinson traveled from Dallas to Cleveland on a plane while she may have been showing early symptoms with Ebola. While in Cleveland, attending to her bridesmaids and their gowns, she may have been sweating or coughing or sneezing and she touched the gowns.

Our New Approach To Communication Meets The Challenge!!!

Gary Gray
PEI Stroke Recovery
Thursday, October 16, 2014

Nicole Caron
A guest post by:  Nicole Caron, the Social Media Manager at Voiceitt.

Voiceitt is an Israeli-based technology startup whose mission is to create innovative solutions that helps aid the lives of people with disabilities. The fundamental goal of VoiceItt is to foster independence and social inclusion for the disabled and improve their quality of life. Voiceitt is currently developing Talkitt, an innovative speech technology which is able to recognize unintelligible language and translate it into understandable speech. Ultimately, Talkitt is giving individuals with speech impairments their voice back!


Amy Shissler
My Cerebellar Stroke Recovery
October 18, 2014

The first couple of years that I was a practicing physical therapist, I was scared of everything.  It’s really scary when someone that’s already in a lot of pain and coming to you for help tells you that the exercises that you asked them to do caused more pain.  That’s a scary thing.  That’s when confidence and experience become critical.  Now, I only have 4 years of work experience so I don’t want to give the wrong impression but that being said, I kinda know a lot and I was really good at what I did.  I only have 4 years of work experience but I have personal experience now that most health care practitioners with decades of work experience don’t and never will have.  It took a few years after getting a lot of good results with people to have the confidence to say to someone “I know it hurts a little more or in a different spot, that’s ok.  Keep doing the exercises and I promise you’ll feel better.”  That didn’t always happen of course but I knew what to do and how to deal with it after a while.

Stroke Statistics zzzzz

Peter G. Levine
Stronger After Stroke
Tuesday, October 14, 2014

15 million people suffer stroke worldwide each year.

In the USA...
▶ 10% of survivors recover completely or almost completely recover.
▶ 25% recover with minor impairments
▶ 40% experience moderate to severe impairments that require special care
▶ 10% require care in a nursing home or other long-term facility
▶ 15% die shortly after the stroke
▶ Approximately 14% of stroke survivors experience a second stroke in the first year following a stroke.
If we concentrate on the people who may need help with recovery we'd include survivors with
▶ minor impairments to...
▶ those requiring care in a nursing facility
This includes everything from occupational therapy to AFOs. Therefore...

11.25 million people per year worldwide will require these services and equipment. 

See the original article:

Mobility = Physical Recovery + Problem Solving

Home After a Stroke
October 15, 2014

A study found that impaired attention and visual-spatial deficits 3 months after a stroke was significantly associated with a poor quality of life 12 months after a stroke (1).  Studying what seems like an obvious connection may seem wasteful if you do not know some therapists ignore cognition.  They focus on concrete issues like passive range of motion and strength and assume clients will know what to do with their physical gains when they go home.

Without cognitive skills I would not have the luxury of getting up in the morning whenever I feel like it, fixing what I want for breakfast, and sitting at the table after breakfast reading the newspaper. I used to drive 100 miles round trip to work so lounging after breakfast while other people are doing battle in rush hour traffic never gets old.

My recent post begging someone to teach us to turn is a perfect example of what I am talking about.  Making multiple turns while concentrating on the steps of preparing breakfast requires constant attention and visual-spatial awareness.  I had to learn to pay attention to what objects are doing instead of concentrating on what my hands and feet are doing.  Squeezing Theraputty and walking in the PT gym did not make this possible.  Therapists who have a simplistic view of recovery need to incorporate cognition into their clinical practice.  Therapists and stroke survivors need to remember that mobility = physical recovery + problem solving.
  1. Cummings TB, Brodtmann A, Darby D, Berhardt J.  The importance of cognition to quality of life after stroke. J Psychosom Res, 2014;15: ??

See the original article:

You're Already Awesome. Just Get Out of Your Own Way!

Ramon Florendo
Life after a “STROKE"
Published on May 11, 2013

By Judson Brewer MD, Ph.D.

We have all experienced moments in our lives where everything just comes together in some almost magical way --whether playing music, participating in a sport, or just getting totally absorbed in a project. These moments are timeless, effortless, completely free of worry and delicious! As described by Mihaly Csikszentmihalyi, this is "flow" and is often a hallmark of exemplary performance -- whether it is Michael Jordan scoring 50 points in a basketball game, or someone rising to a challenge that they never thought they would be able to handle.

We're lucky if we get into this "flow state" a few times in our entire lives. Is this flow state that hard to achieve? Is it more accessible to all of us than we think? And are we the only barrier that is keeping us getting into flow?

Judson Brewer MD PhD, an addiction psychiatrist and neuroscientist at Yale University outlines several common ways that we get in our own way. Using examples such as Lolo Jones tripping on a hurdle in the 2008 Beijing Olympics and smokers resisting their cravings, he describes how we can get caught up in thinking, as well as resisting our own body sensations as ways that we prevent ourselves from performing optimally, in whatever situation arises.

Elderly Couple Texting - A True Romantic!

Jackie Poff
Stroke Survivors Tattler
An elderly couple, who had just learned how to send text messages on their mobile phones. The wife was a romantic type and the husband was more of a no-nonsense guy.

One afternoon the wife went out to meet a friend for coffee. She decided to send her husband a romantic text message and she wrote:
 "If you are sleeping, send me your dreams. If you are laughing, send me your smile. If you are eating, send me a bite. If you are drinking, send me a sip. If you are crying, send me your tears. I love you."
The husband texted back to her:
"I'm on the toilet. Please advise."

Socially Speaking and Conversational Courtesy

October 22 / 2014

Last evening my wife and I were invited to a niece’s birthday party.  You know the drill; pizza, cake and presents.  As what happens with most birthday parties there are guests who may be “new” to the group.   When this occurs it is customary to have the new visitor “introduced” to all the guests, with a repetition of each person’s name.  Whether child or adult, going somewhere new, and meeting unfamiliar people can be daunting, esp. if one is confronted with new names to remember.

So in walks Mom and her son.  As they were introduced one by one to the group, I noticed she was fingerspelling the names of each person to the young man, while his head was bowed, and making only eye contact with his mothers’ fingers, but never lifting his eyes to those of the other guests. That introductory process did not yield a “meeting of another person,” only the recognition of a finger spelled name.  There was no attempt to speak, repetition of the name, no eye contact, or gestures on the part of this child.  After the introductions, I realized no one really met him; that it was all a formality that seemed to have NO MEANING for this child, nor anyone else.  As soon as this process was repeated with all the guests the child sat down on the couch with his smartphone and continued playing a game without stopping although other children were coming up to him and checking out what game he was playing.  One child had the same game on his phone, but it was still curious there was minimal if any interactions with anyone at the party other than the game on his smartphone.

Jorge Soto: The Future of Early Cancer Detection?

Published on Oct 15, 2014

Along with a crew of technologists and scientists, Jorge Soto is developing a simple, noninvasive, open-source test that looks for early signs of multiple forms of cancer. Onstage at TEDGlobal 2014, he demonstrates a working prototype of the mobile platform for the first time.

Standard YouTube License @ TED

Tadpole Update - Spokes Fighting Strokes - Oct/25/2014

Anacortes, Washington to Key West, Florida
The Cast: Dan, Catherine, Bill, Dana, David

Date            | Start           ✔︎ = DONE
Jun 29 Stage  1 | Anacortes, WA; 462 miles ✔︎
Jul 16 Stage  2 | Sandpoint, ID; 342 miles ✔︎       
Aug 03 Stage  3 | Cutbank, MT; 544 miles ✔︎       
Aug 17 Stage  4 | Dickinson, ND; 413 miles ✔︎ 
Aug 30 Stage  5 | Pierre, SD; 485 miles ✔︎
Sep 13 Stage  6 | Council Bluffs, IA; 559 miles ✔︎
Sep 28 Stage  7 | St. Louis, MO; 570 miles ✔︎
Oct 12 Stage  8 | Tishomingo, MS; 454 miles ✔︎
Oct 25 Stage  9 | Mobile, AL; 570 miles Start at Mobile, AL...
Nov 08 Stage 10 | St. Augustine, FL; 533 miles
Nov 23 Stage 11 | Ft. Lauderdale, FL; 189 miles
Nov 29 End   12 | Key West, FL; End of Ride

Some details from Spokes Fighting Strokes and CrazyGuyonaBike:

DanTrikeMan - Spokes Fighting Strokes:
Dan Zimmerman
Oct 21, 2014

"Road to Margaritaville" 10/21/14

Delta RV to Meaher State Park AL 30.8miles 1512.5ft climbing, max speed 35.85mph 54-73degree good ride! Beautiful country, we went out for dinner T Boudreaux's food was excellent! I dedicate this ride to "Bill & Louise Berette" you believe in me & my cause. Check out David click on journal my website

Attitude is 90% of life, think positive! "Fins Up"

David Babcock - CrazyGuyonaBike:
Day 117: Meaher State Park (another rest day)

Thursday Oct 23, 2014, 6 miles (10 km) - Total so far: 3,889 miles (6,259 km)

Another rest day at Meaher State Park. With most of our work and errands done we got to have fun today. Dan and I got up and rode over to Starbucks. We got to ride on the first part of our route out of town we will use tomorrow.

This is Felicia who talked to us as we were leaving
Starbucks. She really liked our bikes and wished us well
on the rest of our trip.
We talked to a lot of people there and Dan handed out quite a few cards. It had been pretty cool going over but was much nicer on the way back to camp.

Later in the morning Bill, Dana, Catherine and I went on a boat tour of the bay courtesy of Five Rivers Delta Safaris. Justin was our boat driver and Valerie gave us the details on the plants and animals we saw along the way. She was very interested in our trip and asked a lot of questions about it. It was a very good trip with about 10 of us on the tour.

The others went out to lunch and to do some more touring around while I stayed in camp with Dan. He was working on his trike and I worked on the computer. One of our neighbors, a woman named Pat, came by and talked for quite a while with Dan about the trikes. She even made a donation to us before driving on.

It's been nice being here and resting but I think everyone is excited to be heading down south to the actual gulf area. We've seen pictures of the white sand beaches down there and are looking forward to that.

RMR: Rick at the New Brunswick Exhibition

Published on Oct 15, 2014

Rick visits Fredericton, New Brunswick for the 186th (!!) annual Exhibition.


Saturday, October 18, 2014

Saturdays News

Contents of This Week:

Definition: Darts

Darts From Wikipedia, the free encyclopedia

SSTattler: In Ottawa we had the Darts for Stroke Survivors  for many years. I came back to Edmonton, Alberta and about 3 years ago we (John A. & Gary G.) start playing darts for stroke survivors every week. About 20 +/- people for the first year in the centre of Edmonton at Ceili’s pub - it was great! The second year, Ceili’s pub changed with no darts boards  (our expression is drat *!&% !!) So, we moved to the Hilltop pub and changed leader to Carrie L. She tried valiantly for the whole year but at the end it was very close to dead - about 10 people tops - so we closed it down.  
  • It is about time to start again...?, 
  • If you any good ideas, maybe every 2 weeks instead of every week?, 
  • Where is a good pub?, 
  • Location?, 
  • Near LRT?, 
  • .... call me or e-mail and we will talk.

 Darts is a form of throwing game in which small missiles are thrown at a circular target (dartboard) fixed to a wall. Though various boards and rules have been used in the past, the term "darts" usually now refers to a standardised game involving a specific board design and set of rules. As well as being a professional competitive sport, darts is a traditional pub game, commonly played in the United Kingdom, across the Commonwealth, the Netherlands, Belgium, Republic of Ireland, the Scandinavian countries, the United States, and elsewhere.


Video: Darts

Contents for Darts:
1. How to: Beginners, Shoot and Play Perfect Darts,
2. A few darts rules & equipment for disability, deafness & blindness, 
3. A chuckle for the architects, a Dutch guitar player and bad rules about Cheetos,
4.  The last YouTube is very serious between van Gerwen vs Taylor - Premier 
     League of Darts 2013.

1. How to: 

How To Play Darts: Tips for Beginners

Uploaded on Oct 20, 2010

Throwing darts is a popular pub activity, but when played at a professional level it's in a whole new league. works on our stance, grip, aim and shot and gives some advice to new dart players.

Standard YouTube License @

         Canada + US + UK + India + [Australia + NZ]

Dr. Beagle C. Cranium
Stroke Survivors Tattler
% Country Sessions per 3-Quarters
  (Jan-2014 thru Sep-2014)

  | Country         | % Sessions
1 | Canada          |  22.33%   |
2 | United States   |  40.69%   |
3 | United Kingdom  |   7.62%   |
4 | India           |   2.96%   |
5 | Australia       |   2.58%   |

  1. Total number of % Sessions within the date range. A session is the period time a user is actively engaged with your website, app, etc (SSTattler: not exactly "User" but close enough).

Maps with Cities / %Sessions      

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

Eclectic Stuff

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

Time Out

Steven H. Cornelius
Music and Stroke
March 13, 2012

I mentioned in an earlier post that while I was still the ICU, a neurologist, who was interested in music, asked me whether or not I could tap out a steady rhythm. I responded by tapping a complex rhythm loop with my unimpaired right hand (presumably by using my unimpaired left brain). But I didn’t really understand the problem. Nor perhaps did he.

When I began regularly to practice drumming, I used a metronome. Before my stroke, by playing exactly in sync, I could mask the metronome’s click and make it seem to disappear. But now, I wasn’t even close. Ahead or behind? I had no idea. Part of the problem was coordination (I was accurate when using the right hand alone). With my affected hand, however, I couldn’t even figure out when to begin the stroke so as to strike the drum pad at the proper time. Using my left hand also compromised the timing of my right. (More on this in a future post.)

How bad was my time? My violinist wife once came into my office and asked me, why turn on the metronome if I was going to ignore it?  I wasn’t ignoring it, but my best effort was really lousy.

Even so, I used the metronome to discipline my basic tempo while gradually zeroing in on the beat. I came to think of drumming as a kind of musical game of darts. Now that I could throw a dart (a drumstick) and actually hit the wall (hit the drum pad), my next goal was to hit the actual “dart board”—that is, to play respectably close to the beat.  A “bull’s eye” meant masking the metronome’s sound.  That still happens only rarely. But the fact that it happens at all is most encouraging.

See the original article:

Sunday Stroke Survival ~ The Balloon and Dart Game

Jo Murphey
The Murphey Saga
Sunday, October 12, 2014

Living post stroke is like the carnival game of balloons and darts. You know the one I'm talking about, where you pop three balloons with darts and win a prize?

I have carnival on the brain because the county fair is coming to town next week. Every store, radio station, and television program is running ads for it. Actually, I plan on missing it again as I have for the past twenty years. It's a waste of money for me because I can't ride the rides and the games are rigged towards losing.

So why do I say living post stroke is like this game?

It's almost impossible to break a balloon let alone three to win. I know darts. I have a dart board in my Playhouse. One of those electronics things with all the bells and whistles. I used to play and win in tournaments also. The varying factors in this game are...
  • The balloons can move depending on the wind.
  • You are trying to break a round, air filled balloon with a sharp pointy object that displaces air as it flies.
  • How many balloons have been broken. The more that are broken the more they move. So faster is better for success.
  • It's a game of chance and the odds aren't in your favor.

With recovery after a stroke...

Billiards Stroke Rehab

Dean Reinke
Deans’ Stroke Musing
Sunday, February 26, 2012

I was in northern Minnesota this weekend visiting a friend who owns a bowling alley. My bowling was not good the balls that fit my fingers were 14-16 lbs and at that weight I can't really control the swing very well, my regular bowling is with a 10 lb. ball. But the really fun part was playing bottle billiards. The official rules are listed here. Our rules are slightly different, you can't start scoring until you Carom the cue ball off both object balls, either object ball sank in a pocket is 1 point, a carom during a game is 2 points. We use an empty plastic soda bottle. This requires you to really stretch your arm out straight, loosen your fingers or thumb to guide the cue stick. My modification is to place the cue in crook of my wrist or sometimes underneath my wrist. I tried once to put the cue between my fingers but that only resulted in not being able to move the cue at all due to finger spasticity. We played 4 games and a lot of fun was had by all, especially the last game where my team won 31-0. The bars up there had dart games also so that would probably be another therapeutic possibility. So join your friends at the bars and play pool or darts with them. Ordering a diet Coke is acceptable.

See the original article:

AFO After Stroke:
        Once Its On There, Its On There For Life.

Peter G. Levine
Stronger After Stroke
Thursday, October 9, 2014
Never discontinue the use of an orthotic without first consulting the appropriate health care provider. Then call your doctor. Then have your doc talk to any other providers as needed. Then discuss it some more. Thank you.
For years I've been pointing out how what clinicians focus on can hurt recovery. Clinicians focus on having the patient be safe and functional (able to do everyday tasks). Clinicians have the "safe and functional" mantra running through their heads constantly. There are two other things that influence what clinicians will to use to help survivors recover:
  1. What managed care will pay for
  2. What therapists know about stroke recovery
This leaves a very small group of available options. These options may or may not lend themselves to promoting the highest level of recovery. Recovery, yes. But not necessarily the highest level of potential recovery.

I think the best example of this is the AFO.

Selfie Helped Woman Who Was Having a Stroke:
         She Captured the Whole Thing

Joyce Hoffman
The Tales of a Stroke Patient
Oct 6, 2014

One of the many dictionary-type websites defines selfie as, "a photograph that one takes of oneself with a digital camera or a front-facing smartphone, tablet, or webcam, especially for posting on a social-networking or photo-sharing website."

I have done so myself in a moment when I wanted to capture myself with a new hairstyle or a new outfit, albeit without posting it anywhere. Selfies are pure vanity moments, but so what? Everyone is allowed. And hardly no one takes one selfie. It has to be right. The least I took was three--I won't tell you the most--and I was on break and had nothing to do but photograph myself.

Thanks to one woman's stroke selfie, she has put a "face" on the symptoms. Back in April, 2014, Stacey Yepes, from Ontario, Canada, started experiencing stroke-like symptoms. Her docs from the ER told her that her symptoms were just stress and sent her home. Later, it happened again on the way out of the hospital's parking lot.

During that second attack, Yepes recorded a selfie on her Smart phone. When she arrived at the ER again, doctors saw the picture and knew for sure she was having a stroke. (I believe the correct interjection here is "duh").

One vascular neurologist, Elizabeth Carroll, D.O., serves as South Austin Medical Center Stroke Medical Director who saw Yepes stroke selfie. Dr. Carroll says when Yepes initially experienced stroke-like symptoms that went away, she probably had a transient ischemic attack (TIA).