Podcasts about news don

  • 18PODCASTS
  • 59EPISODES
  • 1h 9mAVG DURATION
  • 1MONTHLY NEW EPISODE
  • Apr 10, 2025LATEST

POPULARITY

20172018201920202021202220232024


Best podcasts about news don

Latest podcast episodes about news don

New Podcast Trailers
The Eisman Playbook

New Podcast Trailers

Play Episode Listen Later Apr 10, 2025 0:47


Business and News - Don't Touch My Radio

The Music Authority LIVE STREAM Show
February 21, 2025 Friday Hour 2

The Music Authority LIVE STREAM Show

Play Episode Listen Later Feb 21, 2025 60:07


I misspoke the other day…and I want to correct the facts I spewed out. I said my music library for what is played here was 82,375 songs deep. That is TOTAL songs from the base selection, the oldies, and all the holidays' songs combined. My actual BASE library is just 71,460-ish individual songs deep. I just wanted to offer that correction! The Music Authority Podcast... listen, like, comment, download, share, repeat…heard daily on Podchaser, Deezer, Amazon Music, Audible, Listen Notes, Mixcloud, Player FM, Tune In, Podcast Addict, Cast Box, Radio Public, Pocket Cast, APPLE iTunes, and direct for the source distribution site: *Podcast - https://themusicauthority.transistor.fm/ AND NOW there is a website! TheMusicAuthority.comThe Music Authority Podcast! Special Recorded Network Shows, too! Different than my daily show! Seeing that I'm gone from FB now…Follow me on “X” Jim Prell@TMusicAuthority*Radio Candy Radio Monday Wednesday, & Friday 7PM ET, 4PM PT*Rockin' The KOR Tuesday, Wednesday, and Thursday at 7PM UK time, 2PM ET, 11AM PT  www.koradio.rocks*Pop Radio UK Friday, Saturday, & Sunday 6PM UK, 1PM ET, 10AM PT! *The Sole Of Indie https://soleofindie.rocks/ Monday Through Friday 6-7PM EST!*AltPhillie.Rocks Sunday, Thursday, & Saturday At 11:00AM ET!February 21, 2025, Friday, round two…@The Left Banke - Pretty Ballerina@ Jamie Hoover - Repo Man [For The Record - A Tribute To John Wicks] (koolkatmusik.com)@The Flashcubes - It's You Tonight [A Cellarful Of Boys: The Basement Tapes 1977-1980]@The Jangles - I Won't Shed A Tear [Pioneer]@Brian Setzer Orchestra - Jump, Jive, An' Wail@Susan Surftone - (You're So Square)Baby I Don't Care@Popdudes - Chains [Big Stir Singles The Second Wave] (@Big Stir Records)@Christopher Lee Lewis - What It Is [They Still Haven't Figured Out What's Wrong With Me]@The Kennedys - Made Of Sand@Liar's Club - Home [Come and Go]@Spygenius - So You Say You Lost Your Baby [Spygenius Blow Their Covers] (@Big Stir Records)@Ian Donaldson - The Alchemy Of Us@The Stan Laurels - Florida Man [There Is No Light Without The Dark] (@Big Stir Records)@The Most - I Wanna Know (@Jack Mehov @Tom O'Riley)@Chris Price - Stop Talking [Stop Talking] (@Omnivore Recordings)@The Grip Weeds - Times I Wasted [Trip Around The Sun] (@Jem Records)@Joe Mongan - Stay Young@Sean O'Hagan - Candy Clock@The Dahlmanns - You Gotta Tell Me Why [American Heartbeat -EP] (@Beluga Records)@Marshall Crenshaw - Someday Someway@Lisa Mychols & Super 8 – I Can't Explain @Huey Lewis & The News – Don't Ever Tell Me That You Love Me

Jesse Lee Peterson Radio Show
We got the worst mayor you can have in L.A. | JLP Thu 1-9-25

Jesse Lee Peterson Radio Show

Play Episode Listen Later Jan 9, 2025 180:00


JLP Thu 1-9-25 Bible Thumper Thursday HOUR 1 Jesse Watters: L.A. fires, CA leadership. Problem boss. // HOUR 2 Peace, John 14: 27. Calls, Supers // HOUR 3 Callers in their heads: Victims. Can't break up with black friend. // Biblical Question: Are you living from your spirit or from your mind? ⏰ TIMESTAMPS (0:00:00) HOUR 1  (0:04:36) L.A. fires, CA "leaders": Jesse Watters  (0:31:55) Joel evacuated!  (0:33:51) THERESA, TX: God is judge  (0:35:13) BRANDI, HI: You OK?  (0:40:27) MIKE, NC, 1st: Anger with boss, wanna quit  (0:50:48) Supers…  (0:55:17) NEWS: Carter  (1:01:16) HOUR 2, JLP does bible thumper opening  (1:04:51) John 14: 27, Peace I give you; but your heart is troubled…  (1:13:22) JACK, FL, 1st: Wish all well  (1:15:55) ED, HB, CA, 1st: God a He?  (1:18:52) JUSTIN, MI: BQ  (1:23:07) Supers: Don't argue…. No Joel, no Nick!  (1:33:28) JASON, Buffalo: arguing perfect peace  (1:36:44) OSVALDO, TX, 1st: BQ, living from thoughts  (1:40:50) AUSTIN, VA, 1st: Peace, in and out of consciousness  (1:43:05) Supers: Pre-BLM, BQ…  (1:49:04) GABRIELLE, NC: All thoughts in captivity, testimonial  (1:52:27) JUAN, WA: BQ…  (1:55:07) NEWS: Don't get sick  (2:00:53) HOUR 3  (2:04:28) Bible Thumper  (2:05:33) JUAN: tripping over court; no fight w wife  (2:14:31) MARIA, NY: Jason... BQ: not praying. Kids. Victim. Exhausted. Family, Matt 10: 35-37. Love hell. Evil!  (2:31:21) Announcements…  (2:36:08) Matthew 10: 34-37… 12: 46-50… Jesus your brother  (2:40:41) KYLE, Nashville, 1st, not ready  (2:40:59) RICK, VA: Joel… Does God judge? NOLA mayor  (2:47:49) AMY, IL, 1st, white, wanna end friendship w black woman. Anger  (2:52:58) Supers: Send an angel, not the mayor!  (2:56:00) Closing 

Jeff & Jenn Podcasts
Fake or For Real and News That Didn't Make the News: Don't flush the candy wrappers...

Jeff & Jenn Podcasts

Play Episode Listen Later Oct 24, 2024 17:18


Fake or For Real and News That Didn't Make the News: Don't flush the candy wrappers, What about becoming an adult?, and more. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Jeff & Jenn Podcasts
Fake or For Real and News That Didn't Make the News: Don't flush the candy wrappers...

Jeff & Jenn Podcasts

Play Episode Listen Later Oct 24, 2024 21:18


Fake or For Real and News That Didn't Make the News: Don't flush the candy wrappers, What about becoming an adult?, and more. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Rational Black Thought
Rational Black Thought Episode 200 – August 3, 2024 – “whether you grab hold of an inflection point and leverage it for all it's worth or just let it carry you along – is as important as the event itself.”— Eric C. Sinoway

Rational Black Thought

Play Episode Listen Later Aug 3, 2024 54:30


What's on my Mind: Convergence of Inflection Points:https://www.taosnews.com/opinion/letters/a-critical-inflection-point-for-democracy/article_fde13b46-121c-58b9-8824-bbdd6c329f54.html News: Don't Platform Jerks: https://www.theguardian.com/us-news/article/2024/aug/01/nabj-trump-interview-black-journalistsDip Shits Don't Get It: https://newrepublic.com/post/184487/trump-russia-prisoner-swap-bonkers-responseMore Often Than Not…: https://www.independent.co.uk/news/world/americas/crime/texas-pastor-indicted-soliciting-prostitute-b2589236.htmlConversations with an Atheist: How I Know I'm Right:Closing: GOAT of GOATS: https://www.nbcnews.com/news/sports/simone-biles-wins-olympic-gold-suni-lee-takes-bronze-rcna164561

The Social Change Career Podcast
E17S12 The Science of Change: Andres Casas on Leveraging Behavioral Science and Neuroscience for Social Good

The Social Change Career Podcast

Play Episode Listen Later May 24, 2024 84:08


Ready to see how behavioral science can drive social change? Check out Episode 17 of the Social Change Career Podcast, featuring Andres Casas. He combines neuroscience with policy, music, and activism to make a real impact. From redesigning infrastructure to changing narratives in conflict zones, Andres' story shows how diverse perspectives can build a better world. Be inspired, embrace new ideas, and see how science and society can work together for positive change. Why Take a Listen Neuroscience and Social Change: Discover how Andres Casas transitioned from psychology and biology to neuroscience, using his expertise to influence decision-making processes and drive meaningful social change. Learn how neuroscience can be a powerful evidence based approach for changemaking. The Power of Narratives and Behavioral Science: Explore how Andres leverages competing narratives, conflict resolution, and identity reframing to create positive societal transformations. Creating Positive Impact Through Collaboration: Delve into the innovative programs Andres has launched and/or supported in Colombia and aorund the globe. See how collaborative efforts in behavioral science, technology, and community engagement can address local challenges and boost your career in social change. Plus hear some amazing stories from the frontlines of change. Career Insights: Learn from Andres' experience fostering impactful change through interdisciplinary approaches, great tips on career upskilling, research and much more. Bio: Andrés Casas Casas is a distinguished expert in integrating brain and behavioral sciences to drive prosocial change through translational research and citizen science. He is currently a doctoral researcher pursuing dual Ph.D.s: one in Conflict Resolution and Management at the School of Social and Policy Studies, Faculty of Social Sciences, Tel Aviv University, under a postgraduate scholarship, and another in Neuroscience at the School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia, where he is an Award Fellow of the Academic Assistance Program Vice-Rectory.   As the founder of the Neuropaz initiative, Andrés brings together experts and communities to innovate in peace science. Since 2010, he has led the World Values Survey in Colombia and collaborated with the V-DEM Project. With a Master's in Behavioral and Decision Sciences from the University of Pennsylvania, a Master's in Philosophy, and extensive experience across Latin America, the US, Africa, and the Middle East, Andrés applies his expertise to public policy, social norms, and behavioral change communications, developing innovative interventions to overcome sociopsychological and cultural barriers. His consulting work spans these regions, focusing on applying behavioral science and technological innovations to create positive organizational dynamics and trust-building in weak institutional settings. PCDN.global News Don't miss out on the wealth of experiences shared by our diverse guests over 130+ episodes of the award-winning Social Change Career Podcast. Consider joining the PCDN Career Campus to tap into a wellspring of resources tailor-made for impact professionals. For the cost of a couple of coffees, you gain daily job opportunities, networking with peers, expert-guided learning, and exclusive workshops, as well as weekly office hours—essentially a 24/7 career center for those dedicated to making a difference.

The Social Change Career Podcast
E16S12 Where inclusion meets resistance: Lessons from a career in global peace and security

The Social Change Career Podcast

Play Episode Listen Later May 10, 2024 75:01


Episode 16 of Season 12 explores the very pertinent question on issues related to global peace and security with our distinguished guest, Nanako Tamaru, a licensed attorney and dedicated peace and security practitioner. She opens up about her journey from considering a career in medicine to being steered by her passion for addressing racial injustice and inequity towards a path in peace and security. Why You Should Tune In & What We'll Explore: - **Navigating Careers in Peace and Security**: Gain in-depth insights from Nanako Tamaru's transformative experiences, both as a practitioner and a consultant. Discover how her work facilitates crucial partnerships and research particularly designed to empower women leaders in conflicted areas, and the significant role these women play in constitution making. - **Challenges of Change Making in Global Settings**: Join our discussion on the systemic struggles inherent in peace and security, including the conflicts between community development funding and defense spending. We'll explore how Nanako manages to keep her focus and drive in a field where transformational change is often slow, yet incredibly impactful. - **Educational Paths and Strategic Career Decisions**: Hear Nanako's advice on the importance of graduate education in the field of peace and security, the strategic value of networking, and the necessity of choosing the right program and institution to maximize career prospects. This episode provides a comprehensive look at a career dedicated to making tangible changes in global peace processes, the personal and professional challenges encountered, and the profound satisfaction that comes from working toward greater social cohesion and security.     PCDN.global News Don't miss out on the wealth of experiences shared by our diverse guests over 130+ episodes of the award-winning Social Change Career Podcast. Consider joining the PCDN Career Campus to tap into a wellspring of resources tailor-made for impact professionals. For the cost of a couple of coffees, you gain daily job opportunities, networking with peers, expert-guided learning, and exclusive workshops, as well as weekly office hours—essentially a 24/7 career center for those dedicated to making a difference.  

The Social Change Career Podcast
E14S12Building a Rewarding Career in Youth Career Development with Evelyn Van Til

The Social Change Career Podcast

Play Episode Listen Later May 3, 2024 72:31


Episode 15 of Season 12 dives into the exciting realm of youth career development with Evelyn Van Til, a strategic partnership manager at American Student Assistance. Evelyn sheds light on her diverse journey in higher education and workforce development, emphasizing the transformative role of platforms like evolve.me in shaping promising career paths for Gen Z. All of us - from birth to earth - are navigating a dynamic and changing world. Empowering and engaging our kids with teens' digital career-readiness content, skill-building activities, experiential learning, and early career pathways opportunities is a critical piece of not only preparing our kids for their future, but also as adults creating our own.  As the Strategic Partnerships Manager at American Student Assistance, Evelyn is on a mission to reach 15M+ Gen-Z each year - creating engaging experiences, following the data, centering kids in education and transforming the pathways that lead to life after high school.  Why You Should Listen: Career Insights: Gain valuable insights into building a successful career in youth career development and learn how to navigate this rewarding field. Actionable Plans: Discover how Evelyn frames and creates organized, actionable plans from chaos, and how this skill can benefit your career development initiatives. Engaging Gen-Z: Explore Evelyn's expertise in early career, emerging talent, and K-20 experiential learning and learn how to create impactful programs for the younger generation. Diversity and Inclusion: Learn about Evelyn's approach to fostering diversity, equity, inclusion, accessibility, and belonging in people operations and culture architecture. Community Development: Gain insights from Evelyn's experiences in ecosystem and asset-based community development, and how these principles can be applied to youth career development.   PCDN.global News Don't miss out on the wealth of experiences shared by our diverse guests over 130+ episodes of the award-winning Social Change Career Podcast. Consider joining the PCDN Career Campus to tap into a wellspring of resources tailor-made for impact professionals. For the cost of a couple of coffees, you gain daily job opportunities, networking with peers, expert-guided learning, and exclusive workshops, as well as weekly office hours—essentially a 24/7 career center for those dedicated to making a difference.

The Social Change Career Podcast
E14S12 The Art of Change: Peacebuilding Through Creative Expression and Dialogue with Maria Elisa Pinto Garcia

The Social Change Career Podcast

Play Episode Listen Later Apr 26, 2024 60:11


Episode 14 of Season 12 immerses us in the transformative world of art, communication, and peacebuilding with multifaceted social entrepreneur, Maria Luisa Pinto Garcia , whose career spans across the realms of artistry and activism. Her unique journey reveals the symbiosis between creative expression and social change in Colombia's landscape affected by conflict. Why You Should Tune In & What We'll Explore: The Art of Peace: Learn about the captivating story of Maria Lisa's transition from musician to peacebuilder, driven by the tragic assassination of a Colombian comedian. Witness how her artistic talents have since become conduits for change, fostering relationships and facilitating healing in communities deeply scarred by war. Challenges and Triumphs in Peacebuilding: Delve into the complex world of sustaining non-governmental organizations in Colombia's intricate peacebuilding system. Gather meaningful insights from Maria Lisa's experiences, including her strides in the Prolongar Foundation and her pivot towards the groundbreaking initiatives of Reimagine Peacebuilding. Harmonizing Music, Memory, and Reconciliation: Tune into the conversation on the potent role of music in Colombia's social fabric, highlighting its use in trauma healing and memory work. Learn about the impact of projects that are integral to Colombia's journey toward reconciliation, as well as critical perspectives on the music's limitations and exploitation for propaganda. In this episode art and activism merges, catalyzed by innovative thinkers like Maria Lisa who transcend traditional boundaries of peacebuilding.   PCDN.global News Don't miss out on the wealth of experiences shared by our diverse guests over 130+ episodes of the award-winning Social Change Career Podcast. Consider joining the PCDN Career Campus to tap into a wellspring of resources tailor-made for impact professionals. For the cost of a couple of coffees, you gain daily job opportunities, networking with peers, expert-guided learning, and exclusive workshops, as well as weekly office hours—essentially a 24/7 career center for those dedicated to making a difference.

RPPR Actual Play
Savage Worlds: Rifts – Symphony of the End – Episode 8

RPPR Actual Play

Play Episode Listen Later Mar 21, 2024 139:41


The Muse Squad heads down south to Florida, now known as Dinosaur Swamp, to recruit a blues musician. They'll have to face dinosaurs, big game hunters, and a tribe of barbarians and a dangerous trip across the Gulf of Mexico. NEWS: Don't forget to back the Ludonarrative Dissidents Season 3 Kickstarter! Tom as Steve the Grackle Tooth Mercenary Chris as Cranberry Bog Hexer, Human Ocean Wizard David as 44, a Maxi Man tattoo warrior

Jeff & Jenn Podcasts
John Matarese and News That Didn't Make the News: Don't drink any coffee..

Jeff & Jenn Podcasts

Play Episode Listen Later Mar 4, 2024 20:10


John Matarese and News That Didn't Make the News: Don't drink any coffee..  Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

coffee drink news don john matarese
Jeff & Jenn Podcasts
John Matarese and News That Didn't Make the News: Don't drink any coffee..

Jeff & Jenn Podcasts

Play Episode Listen Later Mar 4, 2024 22:10


John Matarese and News That Didn't Make the News: Don't drink any coffee..  Learn more about your ad choices. Visit megaphone.fm/adchoices

coffee drink news don john matarese
Jeff & Jenn Podcasts
E News continued and News That Didn't Make the News: Don't wear this color on the 1st date...

Jeff & Jenn Podcasts

Play Episode Listen Later Jun 12, 2023 22:51


E News: Amy Schumer wants you to come clean, Bryan Cranston is not retiring, Conor McGregor does what? and News That Didn't Make the News: Don't wear this color on the 1st date...  Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Jeff & Jenn Podcasts
E News continued and News That Didn't Make the News: Don't wear this color on the 1st date...

Jeff & Jenn Podcasts

Play Episode Listen Later Jun 12, 2023 24:21


E News: Amy Schumer wants you to come clean, Bryan Cranston is not retiring, Conor McGregor does what? and News That Didn't Make the News: Don't wear this color on the 1st date...  Learn more about your ad choices. Visit megaphone.fm/adchoices

Strokecast
How do you measure blood pressure at home?

Strokecast

Play Episode Listen Later Apr 24, 2023 69:10


Lots of stroke survivors joined the stroke club due to high blood pressure. I'm one of them. The biggest challenge with high blood pressure is that it doesn't hurt. Most people will feel no symptoms unless something goes terribly wrong. Or they might learn they have the condition if they get an annual physical. Because of the danger of high blood pressure directly, and because of the danger of other conditions that manifest as high blood pressure, it's important to check it regularly, and that doesn't mean you have to go to the doctor every week. You can find home blood pressure meters all over the place -- from Amazon to Costco to the corner grocery store. But which one is best? And what do you need to know if you've already had a stroke? This week, I'm joined by Carol Lucarelli of Omron Healthcare. Omron is a leading manufacturer of home blood pressure meters. In fact, one of their devices is sitting on the table next to me as I type this. It was that very device that gave me the 210 over 160 reading that kicked off my stroke story several years ago. More recently it read 134 over 77 -- not perfect, but still much better than the condition that collapsed my right middle cerebral artery. One reason I wanted to talk with Carol was that I heard about Omron's Going for Zero mission. The other reason is that I like tech and gadgets, especially when they can save lives. IMAGINE A HEALTHIER WORLD We believe the next generation won't be defined by age, but by a world without heart attacks or strokes. This is a world-changing mind-set we call Going for Zero™. We do our part through technology supporting personal fitness, heart health, healthy lungs and freedom from pain. You bring this commitment to life by understanding and sharing heart health with every step. https://omronhealthcare.com/generation-zero/ Carol joins us to talk about how these devices work, how they compare to the doctor's office, and why we should trust devices from Omron from wrist devices to upper arm cuffs to smart watches. If you don't see the audio player below, click here to listen to the conversation on the original site.   Click here for an AI-generated transcript Who is Carol Lucarelli? Carol Lucarelli is the Executive Director of Marketing and Ecommerce at OMRON Healthcare, the global leader in personal heart health and wellness technology. Lucarelli is a seasoned marketing professional with over 25 years of experience in the consumer packaged goods space. During her time at OMRON, Lucarelli has led the marketing initiatives for numerous product innovations, including the launches of HeartGuide Complete as well as VitalSight, OMRON's first remote patient monitoring service. Wrist vs Arm Home blood pressure monitors typically come in two types -- wrist or upper arm. The wrist mounted devices are typically smaller. You simply put it on your wrist, secure it, press a button, and raise your hand to get it at the appropriate level. The upper arm models will typically wrap around your bicep or upper arm. Some will have the guts of the device on the cuff; others will have a hose that goes to a device on your desk, table, or lap. In the past, I assumed the upper arm would be the more reliable device because that's what many medical facilities use. Over the past few years, though, I've seen more medical teams using the wrist versions for convenience. Carol also explained that whether it's wrist mounted or upper arm mounted, the devices are held to the exact same standard of accuracy. As long as a device is on the Validated Device List, you can assume the model is accurate. Ask your doctor if they have a recommendation. There are all sorts of health reasons why one style might work better for someone than another style. Different deficits after stroke may impact the choice. While cognitive, language, sensory, and pain challenges can all have an impact, hemiparesis - or limb paralysis - is probably the bigger factor. Once you choose your device, it's also a good idea to bring it with you the next time you go to the doctor. This way your doctor can double-check its accuracy against their own blood pressure equipment. While the Validated Device list ensures your model is generally accurate, this process ensures your particular meter is accurate. Hemiparesis recommendations Typically, we take blood pressure measurements on the left arm. It's closer to the heart and will provide a more accurate reading for non-stroke folks. After stroke, a stroke affected limb, however, doesn't have the same muscle activity of a non-affected limb. And that muscle activity affects blood pressure readings. That limb may also experience more edema or swelling due to less effective circulation, lymphatic draining, and other things. That can also impact the blood pressure readings. So, to correctly read blood pressure, you should take a reading on the unaffected side. A difference of 10 points between the sides is not uncommon. The other issue that impacts readings is arm position. The cuff where the reading takes place should be level with the heart. With an upper arm cuff, that's easy. With a wrist mounted device, it's more challenging. You have to be able to lift the wrist to the same height as the heart. Your arm is also supposed to be relaxed when you take the reading so it should be on a bed, table, shelf, or some other item to hold it at heart level. To get an accurate reading, the arm should not be held up under its own power. If you have a care partner who can fasten the device, great. Then an upper arm device can be easy to use. You don't need to worry about arm height because it's naturally at heart level. If the main unit connects via hose to the cuff, you can even use the unaffected hand to push the ON button. If you're by yourself, the problem is fastening the cuff in the first place. It took me several years after stroke until my left arm had enough strength and dexterity to tighten the cuff on my upper arm. Sometimes I still don't get it right and have to try again. Fighting with that costs energy and aggravation, which raises my blood pressure so now I have to take extra time to make sure I relax adequately to get an accurate reading. Once the cuff is set and I chill out a bit, I can get a good reading. A wrist cuff is easier to put on. It still requires a certain amount of dexterity and strength in my affected hand, but it's much less. And it's easier to reach the strap with my teeth, so I can use my bite to help tighten the straps. Then the trick is to get it at heart level. Sitting up can be tough because I have to use my affected side to lift my unaffected arm so I'm not messing with the reading by using the strength in the arm with the monitor. One solution to that which works with both types is to take readings in my recliner our lounge chair. I can get strapped in and then lay back with my arms in neutral positions and the device naturally at heart level, relative to the ground. So, putting the device on is likely easier with a wrist device. Getting an accurate reading is likely easier with an upper arm device. Of course, that all assumes I'm doing this by myself. If someone is able to consistently help, it changes that calculation a bit. Consider your goals, your deficits, and your doctors' recommendations. Try some different devices to find the one that you will use most consistently to generate the most accurate readings. Though the Omron Heart Guide wrist monitor / smart watch does activate my technolust… Getting Good Data Carol gave four recommendations for getting an accurate reading. First, sit upright in a hard-back chair. No slouching. This will give you a good base to start from, assuming your deficits allow you to do this. Second, be seated for 5-10 minutes before taking your reading. If you've been moving around from place to place or doing your sit-to-stand exercises for the day, your blood pressure will likely be elevated from that activity. Third, keep the cuff at heart level.  If it's an upper arm cuff, that's easy. If it's a wrist cuff, you may need to support the arm that's wearing the device. Fourth, keep your feet flat on the ground, assuming tone and spasticity allow that. Crossing your legs or ankles will restrict the flow of blood and reduce the accuracy of your readings. These tips will help you get readings, but more important than your exact posture is taking your readings in the same (or similar) posture each time to ensure consistency. Often the trends over time are more important than any particular reading. Validated Device List Whichever style of meter you choose, you want it to be accurate. And a good place to start is the Validated Device List. The Validated Device list is maintained by the American Medical Association. The devices on it have been evaluated by a third party to ensure they meet the standards for accuracy that doctors can trust. While Omron has a bunch of devices on this list, it includes plenty of other manufacturers, too. All of these devices will meet the minimum standards for accuracy. Consistency We end up talking about consistency a lot on this show. Carol talks about the importance of taking blood pressure readings consistently. The actual result often matters less than the trends over time. And the only way to spot trends over time is to consistently collect that data, like brushing your teeth. Consistency isn't just about blood pressure. Consistently executing a PT, OT, or SLP home exercise program is one of the keys to recovery. We talk about the thousands of reps needed for neuroplasticity over time, but it's the consistency that will make that happen. Doing 100 reps a day, every day will yield better results than doing 1,000 reps once a week. The core call to action for every episode of the show is, "Don't get best…get better." You don't have to become the best at anything to be successful; it's likely to be a fool's errand. Instead, just try to get a little better every day. Consistent work to improve just a tiny bit can add up to huge gains over time. What consistency lacks in flash and drama, it makes up for in long-term results. Hack of the Week Carol shared a couple tips and I have one of my own this week. First, use electronic reminders around the house. That could include smart phone alarms. Or it could be devices like the Amazon Alexa or the Google Home devices. Set those devices to remind you to check your blood pressure, take your medication, do your exercises, or whatever. Your brain is doing enough in recovery. If you can outsource some routine stuff to robots, go for it. When there are things about your devices that you don't like, let the manufacturer know. When enough people make suggestions or point out problems, then they may realize changes need to be made. If they don't hear from customers, or customers whose business they lost, it's a lot harder to make the most appropriate changes to the products. And, while I could be wrong (and hope I am) I don't think most medical device companies have folks with hemiparesis working in their engineering departments. Finally, my biggest struggle with an upper arm blood pressure cuff is tightening it adequately with my affected hand. My strength and dexterity are improving, but I still have a long way to go. One trick I have is to tighten it around my elbow and lower arm. I still can't tighten it all the way; it will be loose there. Once I have that secure though, I can slide it up to my upper arm (with effort). While it was loose on my lower arm, because my upper arm is bigger, it is now tight enough to get a reading without the machine throwing an error message. Links Where do we go from here? If you don't already have one, get a home blood pressure monitor from the Validated Device list and check your blood pressure consistently. The magic numbers you are looking for are 120/80. Share this episode and article with someone you know by giving the, the link http://Strokecast.com/Omron Subscribe to the Strokecast newsletter at http://Strokecast.com/News Don't get best…get better. More thoughts from Carol Lucarelli    

Jeff & Jenn Podcasts
News That Didn't Make the News: Don't buy blue swimsuits...

Jeff & Jenn Podcasts

Play Episode Listen Later Apr 12, 2023 22:17


News That Didn't Make the News: Don't buy blue swimsuits, Fortune cookie writers, Don't get called honking, and Grilled Cheese Sandwich Day. Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Jeff & Jenn Podcasts
News That Didn't Make the News: Don't buy blue swimsuits...

Jeff & Jenn Podcasts

Play Episode Listen Later Apr 12, 2023 24:47


News That Didn't Make the News: Don't buy blue swimsuits, Fortune cookie writers, Don't get called honking, and Grilled Cheese Sandwich Day. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jeff & Jenn Podcasts
News That Didn't Make the News continued and 1K Letter of the Day...

Jeff & Jenn Podcasts

Play Episode Listen Later Apr 11, 2023 18:21


News That Didn't Make the News: Don't use public chargers, Four-Day work weeks, and 1K Letter of the Day...  Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

letter news don
Jeff & Jenn Podcasts
News That Didn't Make the News continued and 1K Letter of the Day...

Jeff & Jenn Podcasts

Play Episode Listen Later Apr 11, 2023 20:51


News That Didn't Make the News: Don't use public chargers, Four-Day work weeks, and 1K Letter of the Day...  Learn more about your ad choices. Visit megaphone.fm/adchoices

letter news don
Strokecast
Tawnie, the Neuro Mermaid

Strokecast

Play Episode Listen Later Mar 27, 2023 73:57


Tawnie the Neuro Mermaid bled into her brain for a week before the doctors in Ohio took her seriously. When the neurosurgeons began treating her they were shocked she was still alive. Still, the hemorrhagic stroke ended her dual career paths in in bar tending and special education. Naturally, Tawnie came up with an alternative. She became a mermaid, an entrepreneur, and an advocate and supporter of other members of the stroke community. In this long overdue Strokecast interview, Tawnie shares her story of trying to get treatment, how she got into mermaiding, her experience with cannabis, and the power of the stroke community. If you don't see the audio player below, visit the original blog post on the Strokecast website here. Click here for a machine-generated transcript Who is Tawnie, the Neuro Mermaid? As Tawnie shares: At 28 I had a hemorrhagic stroke go misdiagnosed for a week. That's right I was bleeding in my brain

The Music Authority LIVE STREAM Show
February 3, 2023 Friday Hour 3

The Music Authority LIVE STREAM Show

Play Episode Listen Later Feb 3, 2023 60:02


Enjoy your weekend!  See some LIVE art happenings!  Take a painting class, a pottery class, see a play, a musical, a soliloquy, read a new book, see a band you've never seen or heard before, take a cooking class.  Find ways to be a better you!   The Music Authority Podcast... listen, like, comment, download, share, repeat…heard daily on Podchaser, Deezer, Amazon Music, Audible, Listen Notes, Google Podcast Manager, Mixcloud, Player FM, Stitcher, Tune In, Podcast Addict, Cast Box, Radio Public, and Pocket Cast, and APPLE iTunes!  Follow the show on TWITTER JimPrell@TMusicAuthority!  Please, are you listening? Please, are you sharing the podcast?  Please, has a podcast mention been placed into your social media?  How does and can one listen in? Let me list the ways...*Podcast - https://themusicauthority.transistor.fm/   The Music Authority Podcast!  Special Recorded Network Shows, too!  Different than my daily show! *Radio Candy Radio Monday Wednesday, & Friday 7PM ET, 4PM PT*Rockin' The KOR Tuesday, Wednesday, and Thursday at 7PM UK time, 2PM ET, 11AM PT  www.koradio.rocks*Pop Radio UK Friday, Saturday, & Sunday 6PM UK, 1PM ET, 10AM PT!  February 3, 2023, Friday, aisle three…Pezband - 20 Angelique @Wanderlust - Where Has Your Lover GoneHuey Lewis & The News – Don't Ever Tell Me That You Love MeRichard Turgeon - 08 Next to Me [The California Collection]Mike Ruekberg - 04 End Of The Party [Acrimony And Cheese]Bootchy Temple - Lost Future [In Consummated Bloom]Burt Bacharach & Elvis Costello - Such Unlikely LoversSteve Stoeckel - 01 Just One Kiss [The Power Of And] (Big Stir Records)Anton Barbeau - 11 Salt Lick [Oh The Joys We Live For] (Big Stir Records)@The Playmates - TonightClassic Ruins - Rawhide [Forget About It] (Rum Bar Records)Randy Klawon With Jim Bonfanti- Marlo MaybeThe Weeklings - I've Just Seen A Face (Jem Records)The Campbell Apartment- - What Do You Think of That [Sundog]Ryan Allen - 01 Get to the Gig [What A Rip]@Valiants - Shake Baby ShakeTerry Draper - Lost [(Not All Who Wander Are) Lost]Eddie Japan - 08 - If I Should Fall [After School Special] (Rum Bar Records)The Dave Clark Five - Everybody Knows (I still Love You)The Corner Laughers - 01 The Calculating Boy (Big Stir Records)@The Agents/ Tim Anthony - Don't Forget Me [Retro Fit]

Strokecast
Walking with Electric Pants

Strokecast

Play Episode Listen Later Oct 14, 2022 59:06


A minor electric signal is all it takes to move a couple hundred pounds of human. When we walk, the brain sends a signal through the spine to the individual muscles of the legs, feet, and core to manage the complex orchestra of contraction and relaxation that makes balance and walking possible. After stroke, the brain may stop sending all or some of those signals. That breaks the ability to walk. It happened to me and millions of others. There is nothing wrong with my leg, though. The muscles, joints, tendons and nerves in my leg, foot, and core are all still there and as fully functional as they were before the stroke. They're just waiting for he signal from my brain which, in the beginning, never came. Rehab was about getting the brain to send that signal again. And it started sending some of it. It's not as complete as it used to be. Or as strong. But it's enough that I can walk with my cane and brace well enough, and not quite as well without my aids. But, again, it's a brain issue, not a leg issue. If you can send a signal to those muscles without the brain, can you effectively get those muscles to move and walk more effectively? Yes you can. That's what Neural Sleeve from Cionic does. In this episode, I speak with Cionic CEO and founder Jeremiah Robison about the Neural Sleeve, why it works, how stroke survivors can learn more, and how his daughter inspired this product. If you don't see the audio player below, visit http://Strokecast.com/ElectricPants to listen to the conversation. Click here for a machine-generated transcript Who is Jeremiah Robison? Jeremiah Robison is the Founder and CEO of CIONIC, an innovative company that builds lightweight and durable bionic clothing driven by powerful algorithms that adapt in real time to each individual's mobility needs. He started the company in 2018 after his daughter was diagnosed with cerebral palsy and he was frustrated at the lack of effective technology available to help improve her mobility. Four years later, CIONIC introduced the breakthrough, FDA-cleared Cionic Neural Sleeve, the first product to combine sensing, analysis and augmentation into a wearable garment. Prior to CIONIC, Jeremiah spent twenty years at the intersection of data, algorithms, and the human body, driving innovation in sensing and machine learning at Apple, Openwave Systems, Slide, and Jawbone. Jeremiah has a BS and MS in Computer Science from Stanford University. Jeremiah's daughter Jeremiah's daughter, Sofia, was apparently in a rush to meet this amazing world. She was born early, weighing just 2 pounds, 4 ounces. She developed Cerebral Palsy in the process. Cerebral Palsy (CP) and stroke are similar conditions. In fact, as Dr. Heather Fullerton explained in episode 49 ( http://Strokecast.com/PediatricStroke) roughly 50% of CP is caused by stroke in utero or shortly after birth. CP is the result of not enough oxygen getting to the right part of the brain at the right time of development. Brain cells die or don't develop or don't form the right networks the way they should. As a result, a child can develop any number of challenges around mobility, speech, dexterity, and more. Just like adults (and other children) with stroke. The damage from stroke in the brain is also, in part, due to lack of oxygen getting to the right parts when they need it due to a disruption in the blood supply. Stroke survivors have a lot in common with our neuro cousins in the CP and MS communities, to name a few. Jeremiah talks about wanting to help Sofiawith her gait, as any parent would. Jeremiah was in a position to do something about it, and the Neural Sleeve comes from that experience. Sofia herself is now 12 years old and has developed a presence on Instagram with the family's nonprofit at @WAWOSORG. Sofia shares her own inspirational tips and exercise strategies for other kids with CP or other disabilities. View this profile on Instagram WAWOS (@wawosorg) • Instagram photos and videos FES FES stands for Functional Electric Stimulation. I talked about the technology in more detail in episode 92 - Electrodes and a Stationary Bike — FES for Stroke Treatment. I've used eStim in therapy while I was inpatient and then at home, too. Devices are available on Amazon for $30-$50.* You put 2-4 electrodes on an arm or leg, roughly at either end of a muscle. The AA battery powered unit sends a minor electric signal to the electrode. The nerves at the end of the muscle detect it and think the brain is sending the signal. The nerve then contracts or relaxes the muscle. The muscle is doing the actual work. It can be a great way to help an affected limb get some exercise, stretch some tendons, and generally not waste away. In the shoulder, it can even treat subluxation. FES is the next level of eStim. Instead of just making the muscle move, it makes it, and other muscles move much more precisely to accomplish a specific function. In the case of Restorative Therapies, this was to coordinate movement to drive rahab. https://youtu.be/HJo07_JimOA Some of the more well-known FES devices are those from Bioness and Walkaide. They specifically stimulate the muscles that lift our toes (the dorsiflexors) to eliminate foot drop while walking. They are an alternative to an AFO. The look like a cuff that a person wears just below the knee. They work great for some folks, but not all. They're also not typically covered by insurance. I tried them both earlier in my post-stroke life. The Walkaide worked better on my gait, but at $5K-$6K to buy the unit (in 2019), I decided the benefit simply wasn't worth the cost for me. For others, the device is a great solution. Author Maddi Niebanck who survived a stroke at 22 and was in episode 97 uses the Bioness and is a big fan. The Neural Sleeve takes this technology further. As Jeremiah explained, the network of electrodes in the device means that precise placement is not as important. Software can adjust for that.  With its larger assortment of electrodes, it can also stimulate more muscles and address other aspects of gait. And it looks less like a home-release ankle monitor. The rental aspect of the Neural Sleeve also makes it more accessible to more folks, similar to the approach adopted by show sponsor Motus Nova for its rehab device. The best rehab gear is the gear you won't need forever, and that rental becomes much more compelling. At least under the American model of health care financing. Cionic Images You can get a look at the device in these images. Or visit http://cionic.com. No Plateau Podcast Many stroke survivors have heard of Saebo. The make a series of devices for survivors. One of them is the Saebo Step, which is an alternative AFO. They sent me one several months ago, and I use it as my summer AFO. Specifically, it's the one I use when I wear short pants or sneakers. They also have a podcast called the "No Plateau Podcast" which is a great name for a stroke oriented show. And I'm the guest on episode 6. It was a lot of fun and I didn't have to do the editing. In the episode, I share my stroke journey and we talk about the good, the bad, and the ugly of stroke rehab. We also talk about what I mean when I say, "Don't get best…get better." And we talk about some of the inequities affecting female presenting and BIPOC stroke survivors. You can listen right here. If you don't see the audio player below, visit http://Strokecast.com/ElectricPants to listen to the conversation. Or go directly to the audio at this link. And check out more episodes of the No Plateau Podcast on Saebo's website or in your favorite podcast app. Hack of the Week Jeremiah recommends patience. Recovery is a journey as we well know, and we can take it just a piece at a time. It's also important to capture the process in notes, video, audio, and/or pictures. As we make progress day-by-day we won't see it. It's only when we look back at our records that we see how far we've come. And of course this aligns well with the idea of "Don't get best…get better." It's that incremental progress that matters…little bits every day that over time add up to success and goal achievement. Links Where do we go from here? To learn more about Cionic, Jeremiah, and Sofia, visit http://Cionic.com or check out the social media links in the table above. Share this episode with someone you know by giving them the link http://Strokecast.com/ElectricPants Subscribe to the Strokecast newsletter at http://Strokecast.com/News Don't get best…get better.

Strokecast
Stroke at 35 is no Match for Sportswriter Calli Varner

Strokecast

Play Episode Listen Later Oct 3, 2022 34:20


Calli Varner and I don't have a lot in common. Calli is athletic and into sports. I … am not. I was born in New York City; Calli was born in the Midwest. Calli thrives in Phoenix, AZ. I still don't understand whatever possessed someone to put the 5th largest city in the US in the middle of an oven. We do have a few things in common, though. We both like cats. We both like to write. And we both experienced stroke at a relatively young age. Sportswriter Calli Varner survived her stroke at 35 Thanksgiving weekend in 2021. I first read Calli's story through the America Heart Association's profile and wanted to learn more. You can read that original profile here. I wanted to hear more so Calli joins me in this episode to share her adventure. If you don't see the audio player below, visit http://Strokecast.com/MSN/Calli to listen to the conversation.   Click here for a machine-generated transcript Calli was lucky in her recovery, but luck isn't just about the randomness of fate in the universe. I like the definition that says luck is what happens when preparation meets opportunity. Getting to an ambulance quickly made a difference for Calli. Getting tPA quickly made a difference. Already being athletic made a difference. Determination in her recovery made a difference. Simple, clear goal setting made a difference. And the help of Lt Dan, pushed it over the top. Who is Calli Varner? Calli is a sports lover and writer in Scottsdale. At 35, she never expected to experience a stroke at such a young age. She is active, attending cycling classes three times a week. While visiting her parents over Thanksgiving, Calli suffered from a moderate acute ischemic stroke when a blood clot traveled to her brain. After eight months of recovery that included living with her parents, and going back and forth to doctor's appointments, Calli is now fully recovered and ready to get back to football games. Here is how she was able to become stronger after her stroke thanks to the support around her (especially her cat, Lt. Dan) and keeping her eye on the prize, attending a Chiefs game in the fall.  You can follow Calli on Twitter at @CalliDoesSports Calli and Lt Dan Fast Treatment The BEFAST stroke warning signs (Balance, Eyes, Face, Arms, Speech, Time) includes time in the list because it is so essential. Many ischemic (clot-based) strokes can be stopped with a drug called tPA. It has to be administered within the first 3-4.5 hours after stroke symptoms first appear, though. While research is looking to extend that window, today, those limits apply. Every minute of stroke means more dead brain cells. tPA can reduce the damage by restoring the flow of blood, oxygen, and nutrients to starving cells before they die, but can't bring them back once they're dead. Calling an ambulance is the essential first aid step when someone MIGHT be experiencing a stroke. In Calli's case, she got treatment quickly which helped drive her recovery and get her to the life she lives today. Fibromuscular Dysplasia According to the Mayo Clinic, Fibromuscular Dysplasia is a condition that leads to changes in the size of blood vessels, often supplying the brain or kidneys. Narrower blood vessels mean less blood flow to critical parts of the body. These choke points in the circulatory system can also lead to turbulence and turbulence makes clot formation more likely. Calli has this condition in the vessels in her neck and it MAY be what led to her stroke. Ultimately, up to 20% of strokes are "cryptogenic," meaning there is no known cause. It's frustrating because it means survivors don't know how to prevent it. In Calli's case, they speculate that the reason her fibromuscular dysplasia didn't cause issues before was because she was in such great physical shape. Being in great shape doesn't mean you won't have a stroke. It just makes it more likely and potentially delays it to a later point in life. And that could well be why Calli had her stroke at 35 instead of 25. But, again, I'm not a doctor. Just a random marketing guy. Strokecast Gift Guide Calli recommended the book, "Fear is a Choice" by James Connor.* James survived cancer and went on to an American  football career in the NFL. Calli found great inspiration in the book. You can find it here.* You can also find it in the Strokecast Gift Guide. If you're looking for books by guests on the show, books related to stroke or recovery from other folks, gadgets to help with recovery, or gadgets to make life a little easier, check out the Strokecast Gift Guide. It's a list of neat stuff with links to buy it on Amazon. You can check it out at http://Strokecast.com/GiftGuide. * THE Game On Sunday, September 11, 2022, the Kansas City Chiefs of the NFL journeyed to Phoenix, AZ to battle the Phoenix Cardinals, and Calli was at the game. Congratulations, Calli, on achieving one of your main stroke recovery goals. I hope the stadium experience was everything you hoped it would be. And to top it off, Calli's Chiefs won the game 44 to 21. https://twitter.com/CalliDoesSports/status/1569752438298800130 Hack of the Week Calli suggest you let yourself feel what you feel. So often after stroke or other trauma, we don't want to explore our feelings. We want to pretend things didn't happen or that they didn't affect us. But they did. Denying our feelings delays dealing with them but we can't delay forever. It's like we're borrowing from the future and we'll have to pay back that emotional energy with interest. Dealing with this stuff, though, helps us become the new person we are. I think every survivor I've talked with describes the "new me." We're transformed by stroke. The old life is gone. We may get back to aspects of it, or parts of it, and the person we are now may (or may not) be substantially similar), but we are new. And how do we grow into that? It starts with letting yourself feel your own feelings. Links Where do we go from here? Follow Calli on Twitter and Instagram Share this episode with someone you know by giving them the link http://Strokecast.com/Calli Subscribe to the Strokecast Newsletter at http://Strokecast.com/News Don't get best…get better

CinemaChat Podcast w/Rob & Brent…and Reggie

Don't forget that you can get this and a lot of extra weekly content by supporting us on PATREON No Rob this week, but the rest of us are here  to review the newest Jordan Peele movie, Nope (2022), but first... Dawson watched Paper Girls and The Rehearsal Reggie Watched Men in Black 3, Recurrence and Valley of the Dead Andor drops 9/21 on disney+ Drago Spin off, setting up the RCU Secret Invasion is a Crossover event? Leonardo DiCaprio and Martin Scorsese Attached to Apple TV Show Aquaman 2 News (Don't Blame Us) Scooby Doo 3?  Rated R? 3 Star wars titles leaked?  Showtime has Ordered A24 Series with The Daniels and Steven Yeun Box Office We now have a mid-week show called Cutting Room Floor that you'll only be able to catch by jumping aboard our Patreon, so go give it a look and toss us some cash if you have extra. You'll get an early release of the show (RAW LIVE SHOW on the weeks when we go live) most weeks and a bonus show every single week that no one gets for free!  If you don't feel like tossing us a little dough, fear not because the regular show will remain exactly the same each and every week.  THANKS FOR LISTENING! Follow us on Twitter Brent @XNotMalcolm Rob @Robbap1 Reggie @Hiddanas Dawson @andy_dawson You can also e-mail to us at CinemaChatPod@gmail.com You can find all of our previous scores HERE Thanks for listening!!

Strokecast
Stroke from a Genetic Condition Ended this Entrepreneur's Dream & Drove a New One

Strokecast

Play Episode Listen Later Jul 27, 2022 55:36


Depression sucks, and it lies. It's a life threatening condition that affects a lot of stroke survivors and can block their recoveries. In 2010, business owner Keith Taylor survived a stroke. A rare genetic condition meant that the arteries and veins in his body don't always connect the way they're supposed. It's called Hereditary hemorrhagic telangiectasia (HHT). One day, that flawed connection leaked and began killing brain cell. Keith began his journey through the stroke care system of the time, into the depths of depression, leaving the business he planned his life around  and to the life he lives today helping stroke survivors in Central Oregon and around the world live their best lives. He shares his journey in today's episode. If you don't see the audio player below, visit http://Strokecast.com/MSN/Keith   Click here for a machine-generated transcript Who is Keith Taylor? Keith Taylor runs Strength After Stroke Keith Taylor is a deeply passionate, and dedicated leader in the stroke community. He is dedicated to helping stroke survivors regain their own power and strength to live a full and productive life. While owning and being the sales manager of a large manufacturing business in Oregon, he had a stroke at the age of 48. After looking for, and not finding, anyone to help with the depression and lack of confidence after his stroke, he decided to create that for other stroke survivors. He is President of the Board of Directors with Stroke Awareness Oregon and is the owner of Strength after Stroke; a company dedicated to providing resources for stroke survivors to re-ignite their desires and regain their confidence. What is HHT? HHT stands for Hereditary hemorrhagic telangiectasia. That tells most of us…absolutely nothing. The condition impacts the way the blood vessels in our body connect. When the circulatory system works properly, blood flows from the heart under high pressure through the arteries to deliver oxygen and nutrients to the organs throughout the body. One big artery (the aorta) comes off the heart and splits into smaller and smaller arteries that carry blood to the kidneys, the toes, the brain, and every other part. The arteries are built to withstand the blood pressure. Veins take blood from the organs and bring it back to the heart. Along the way, the deliver carbon dioxide to the lungs and waste material to the kidneys, liver, and other disposal sites. The blood is no longer under such high pressure at this point. In between, there are capillaries. These are the tiny, thin blood vessels that allow oxygen and nutrients to pass from the blood to the organs and for carbon dioxide to pass back. Arteries branch smaller and smaller and thinner and thinner to become this huge network of capillaries, which the consolidate and get bigger and bigger until they become veins. Meanwhile, that branching down and consolidating up reduces the pressure on the blood in the system In a patient with HHT, those capillaries don't always form where they are supposed to. Instead, the arteries will connect directly to the veins. These malformations are weak spots since the veins may not be able to handle the pressure of the blood coming into them. These AVMs, or arterial-venous malformations can then rupture or leak resulting in a hemorrhagic stroke. You can learn more about HHT at the CDC's website here: https://www.cdc.gov/ncbddd/hht/index.html#:~:text=HHT%20is%20a%20disorder%20in,present%20between%20arteries%20and%20veins. HHT is not the only cause of AVMs but it is an important one. Nosebleeds Nosebleeds are an important signal that something may be wrong. Frequent or regular nosebleeds are something to discuss with your doctor. Nosebleeds are a common indicator of HHT. Someone who has HHT will need to keep on top of their monitoring to reduce the chances of a dangerous stroke or other conditions. HHT by itself doesn't have many visible symptoms so nosebleeds can be a good flag. In my case, it was nosebleeds that revealed my high blood pressure, which remains one of the top causes of stroke. The problem, of course, with high blood pressure is that it doesn't hurt. Unless you're checking it, you won't know you have it. Nosebleeds, however, are one powerful indicator. If you or someone you care about has frequent nosebleeds, discuss it with your doctor. There can be lots of different causes, but often the nosebleed is the least severe consequence of that cause. Depression Lies I talk about depression a lot on the show because it is a big deal and stroke has been shown to cause depression. Depression can be a deadly disease. It can also tell us not to get out of bed. Or to skip our exercises. Or to question if we should even be here. Or try to convince us we are a burden to the people who love us. Depression interferes with our recovery, our energy, our relationships, and our view of the future. But always remember the biggest fact about depression: Depression lies. All the time. I first encountered this concept while reading a blog post from writer, actor, and professional geek Wil Wheaton. You can see that post at http://Strokecast.com/DepressionLies When depression says we shouldn't get out of bed or off the couch, depression lies. When depression tells us our friends and families wish we weren't there, depression lies. When depression tells us to skip therapy because it doesn't matter, depression lies. Don't listen to the liar that is depression. Help is available. Your doctor therapist will be happy to point you in the right direction. Hack of the Week When you forget a name or word, channel your inner Elsa, and let it go. Just relax. It's okay to struggle with names and words. People you deal with will be okay with it. The more you stress about it, the harder it will be to remember and the more likely you are to struggle with other words, too. Often we worry about what strangers will think about us when we are out and about, but the thing is they don't really care. Everyone we see is caught up in their own fear that everyone is judging them that they don't have the attention or energy to actually judge others. If you think someone does give you a dirty look or something like that, remind yourself that their probably thinking about that cringey thing they said at their 8th grade dance. Somehow it just smacks them at random from the depths of their memory. But the key is that's it's not about you. So relax. And let it go. Links Where do we go from here? Check out Keith's work at http://StrengthAfterStroke.org Share this episode with someone you know by giving them the link http://Strokecast.com/Keith Subscribe to the free Strokecast newsletter at http://Strokecast.com/News Don't get best…get better.

Strokecast
Deb Shaw Champions the Challenges after 3 Strokes

Strokecast

Play Episode Listen Later May 31, 2022 62:56


Deb Shaw was at the top of her career, selling cybersecurity technical products to government customers for a silicon valley powerhouse. Things were going great. Then she had a stroke. And then she had another stroke. And then she had a third stroke, paired with a concussion. Since then, she started a nonprofit with her husband and has produced more than 10 booklets for stroke survivors to help them navigate their new lives. Recently, the American Heart Association named Deb their latest Survivor Hero. Deb shares her journey in this conversation. If you don't see the audio player below, visit http://Strokecast.com/deb to listen to the conversation.   Click here for a machine-generated transcript About Deb Shaw Deb Shaw is an inspirational three-time ischemic stroke survivor and the Founder & President of a nonprofit who remains steadfastly upbeat, despite her ongoing difficulties. Deb channeled her energy into creating “Champion the Challenges,” a nonprofit organization that helps motivate stroke survivors to pursue her three P's of a successful recovery: Patience, Positivity, and Practice. Be patient in everything, have a positive outlook, and practice your exercises every day. Deb founded and launched ChampiontheChallenges.org, a rapidly growing 501c3 focused on helping stroke survivors reimagine their stroke rehabilitation journey.  The website is filled with inspirational content, therapy ideas, and success stories all designed to encourage.  Deb has written 11 Quick Read Booklets ™ that are geared to inspire and educate the stroke community. The booklets are available on-line as flipbooks, or in print editions, all compliments of Deb. “Champion the Challenges” was started during Covid because she wanted to share the inspiration, motivation, technology, and helpful stroke ideas, all in one website. This is her way to give hope to many people needing to discover their inner strength. 3Ps Deb's approach to recovery is based on the three Ps: Patience Positivity Practice Patience with yourself is critical. While we are all trying to recover, it doesn't always happen as quickly as we would like. Sometimes we can't do things yet that we feel like we ought to be able to do. That's okay. It happens. Getting angry and frustrated with ourselves may be natural in the moment, but ultimately is not helpful. We need to be patient with our brains and our bodies to give them the space they need to heal and to relearn our lives. Positivity helps us get through the day. Negative feelings are natural and okay in the moment, and long term they can become a problem. Living in and dwelling in the negative is not going to get us where we need to be. A positive attitude and approach to our tasks and lives may not guarantee success, but I have never heard of someone succeeding while dwelling in a cloud of negativity. Practice is the other key element. A positive attitude may make recovery a possibility, but it's practice that can turn that possibility into actual success. Neuroplasticity is a powerful force in recovery, and building those new neural pathways requires thousands of repetitions of activities. It takes practice and then more practice. 2022 Stroke Hero Awards: Survivor Hero – Deb Shaw https://youtu.be/T7n4qx1JR-g Llamas and Alpacas For my Girlfriend's birthday, we went to Topstall Farm to visit play with llamas and alpacas. It's a short 1.5-2 hour drive from Seattle. The person who runs the farms limits groups to 6 people so we get a personal experience. She told us all about the critters and explained how they care for them.   Then we got up close and personal. We walked into the paddock and got to feed them by hand. One thing that amazed me was how soft the alpacas lips were as they took the pellets right from my palm. They were aggressive about getting to the food but gentle about taking it. After we fed the alpacas, we took the llamas for a walk. It was 2 people per llama. Cathy and I got to take Armando on a half mile hike around the property.  Armando wasn't terribly interested in the walk, but he went along with it. Every 20 or 30 feet or so he would stop and bend down to start snacking on some grass, as though to convince us he hadn't eaten in FOREVER. We weren't buying that however. The walk itself was a challenge because it wasn't a paved path or smooth trail. The ground was uneven and muddy in places, as you would expect. I managed pretty well with my cane (I used the cheap one), but I certainly got my PT in for the day. This is the alpaca I spent time feeding. His name is Woody. He's 14 years old and deaf since birth. His different color eyes are also a genetic quirk. Once we all wandered into the paddock with our bowls of food, Woody ignored everyone else and sauntered right up to me for his snack. Isn't it a coincidence that the disabled llama found the disabled human and decided to make a friend? Maybe, but I like to think he sensed a connection. If you want to get up close and personal with live, fluffy animals, and you happen to be in the Puget Sound region, head on over to Topstall Farm. Tell Armando, Woody, and (oh, yeah) their humans that I said, "Hi." COVID-19 It took more than two years, but COVID-19 finally got me. I was on a business trip in Hawaii. It was a successful trip, which was great. The day before I was supposed to fly home, I felt off, and not in a stroke-y way (you know what I mean). I took a rapid test. The instructions say to wait 15 minutes for a result. My test lit up brightly and boldly positive in less than 3 minutes. The next day, I visited a doctor's office for a PCR test to confirm. It confirmed. That meant cancelling my flight and isolating in the hotel for another 5 days. I probably could have gotten on the plane without telling anyone, but intentionally exposing 150 people like that seemed like the wrong choice. The CDC recommends 5 days of isolation. After that, if symptoms are mild, the CDC allows masked travel if necessary and recommends isolating as practical after that. You may think, "Awesome! Five bonus days in Honolulu!" Sounds great in theory, but, I was still not feeling well I couldn't leave the hotel room The beach and surf were tantalizingly close, but they just teased me from my city view room with a peek of the water. Housekeeping brought up a big table and put it in front of my door to signal that this was a quarantine room. They piled it high with towels, tooth brushes, and coffee packs so I would be all set to hunker down. I ordered all my food through Uber Eats. They would deliver to the front desk. The front desk would deliver to my blockading table. They would knock on the door and scurry away. I'd put on my mask, pop open the door and snatch my dinner. Then I'd go back to washing my underwear in the sink so I'd have clean clothes the next day. After 5 days, I was well enough to head back to Seattle. I'm still recovering. My voice is a little rough, as you may have heard in the opening and closing of this episode. I'm a little stuffed up. I still feel a little off, but for the most part I'm fine. I just need to get more sleep. My main concern at this point is not infecting Cathy so I'm masking up at home and sleeping on the couch. This could have been so much worse. And you know why this more of an inconvenience and not a full on health crisis? Because I got my damn vaccines! They may not have completely stopped the infection, but they gave my body the training and tools it needed to fight off this infection. I'm annoyed, but I'm not in a hospital on a ventilator. And I'm not knocked out. This is a big win during the pandemic. Hack of the Week Deb talked about 2 hacks this week. There is a lot of value in thinking about other people. I don't mean to compare ourselves to other people; that path leads to despair. Instead, think of how you can help other people, even if that's just a kind word. Brightening someone else's day can easily brighten yours as well. On the more concrete aspect of recovery, a towel can be a great tool to help with hamstring exercises. The hamstrings are the muscles on the back of your thighs. When they contract, they bend your knee and lift your heel towards your butt.  That bending is important for walking, stair climbing, balance, and more. Using a towel wrapped around your ankle can help you exercise your hamstrings to help them come back online consistently. Deb describes this in our conversation. I would add that this is a great process to discuss with your PT to make sure you know how to do this safely. The last thing you want is to fall and acquire another injury while rebuilding your life after stroke. Links Where do we go from here? Check out Deb's resources at http://ChampionTheChallenges.org Share this episode on your Facebook, Twitter, or Instagram account with the link http://Strokecast.com/Deb Subscribe to the free Strokecast email newsletter at http://Strokecast.com/News Don't get best…get better

Strokecast
Communicate without Words

Strokecast

Play Episode Listen Later Apr 27, 2022 65:22


"Communication is the process by which shared meaning is created."  CO 101 That's the first lesson we learned in Communications class back in college. Communication isn't spoken words or written words of photos or symbols or sounds or touches. Or even scents or tastes.  Those are all just vehicles for communication. They are the trucks intended to carry the freight of meaning from one person to another. After stroke, some of those trucks are no longer available. Aphasia and dysarthria may interfere with speech. Hemiparesis may interfere with writing or gestures. Sensory overload and attention challenges may interfere with listening. And yet communication continues. Because the other lesson we learned in the class CO101 is, "You can't not communicate." Combine those principles with the idea that your actions always speak louder than your words, and we have deeper understanding of how important it is for clinicians to think deliberately about the things they say and do when working with clients. Marabeth Quin and Physical Therapist Danielle Stoller joined me in this episode to share their stories and how they came to develop Expanded Practice -- a training program for clinicians that helps them tune their communication strategies to build better relationships with their patients. Note: This isn't the first time I talked about communication in an academic context. This was also something I talked about with Drs. Sara Parsloe and Patricia Geist-Martin in episode 111 at http://Strokecast.com/process. If you don't see the audio player below, visit the original post at http://Strokecast.com/ExpandedPractice.   Click here for a machine-generated transcript Who are Danielle and Marabeth? Danielle Stoller is a neuro physical therapist who helps stroke and brain injury survivors improve their lives through a holistic rehab approach.  Marabeth Quin uses the experiences and insights she has gained from her daughter's stroke recovery to improve therapist's understanding of the mental and emotional aspects at play in the recovery process.  Together they co-founded Expanded Practice. Expanded Practice Expanded Practice is the training organization that Danielle and Marabeth started  once they saw the need to help therapists connect more effectively with their patients. Their goal in part is to go beyond the technical details of the tasks that go into a session and to help therapists think more about the client experience -- to connect to the clients as individuals with specific therapeutic, emotional, and psychological needs. That's not about providing counseling per se; it's about understanding the patient and building a trusting relationship with them to promote a more effective session. In some ways it parallels the work I've done as a corporate training help folks learn how to sell technology products. It's not about the high-tech features of the product. It never is. It's about what those features and those products will do for the customer. Effective salespeople ask themselves, "How will this product or service make THIS customer's life better? How will this benefit them?" To answer that, they have to talk to their customers and ask questions. They put the focus on the customers' lives. That focus on the client is something Danielle and Marabeth teach to. As we talked about in the episode,  they teach therapists about the environment they create. If the therapist appears rushed or tense, that will affect the client's perception of what is happening. That increase in tension makes a session less effective. Here's how Marabeth and Danielle describe the program: Expanded Practice teaches physical, occupational, and speech therapists to start utilizing the power of positive mindsets and expectations in the recovery process so they can connect with their patients on a more significant level and help them reach greater recovery potentials.  Expanded Practice is passionate about improving the rehab experience for patients and therapists so both thrive and achieve the highest possible outcome. Stroke Awareness Month May is Stroke awareness month in the US. What does that mean for you? Well, whatever you want it to. It's a month when many survivors will share their stories or post on social media about how to recognize a stroke or just have personal conversations with others they are close to. Some may choose more subtle signs, like adding a stroke awareness frame to a Facebook avatar or wearing a red ribbon. Some may give a talk at school, church, or work to help raise awareness. And many folks will choose to treat it like any other month. What matters most is to treat it in the way that best supports your needs, goals, and recovery. And if you want to do something, but you're not sure what, you can always tell folks about your favorite stroke related podcast :). Or find a new stroke podcast to listen to at http://Strokecast.com/strokerelatedpodcasts. Hacks of the week Two guests again means 2 hacks. Marabeth makes a point of reminding us to keep going. The thing about recovery -- whatever part you're in -- is that it can be easy to stop and give up. It seems so enticing to do that somedays. It really does. But then you stop getting better. And you may get worse. Even when it's hard, you have to keep going. That's the only way to get to the better days that are coming. Danielle suggested looking at trees. Even better is getting outside into nature -- even if it's just a short time. There's research demonstrating this helps with recovery. Getting out and being near the grass and trees and plants helps. And it can be one of the cheapest things you can do to help your recovery. Links (If you don't see a table of links, visit http://Strokecast.com/ExpandedPractice) Where do we go from here? Check out the Expanded Practice resources above. Share this episode with the therapists in your life by giving them the link http://Strokecast.com/ExpandedPractice Subscribe to the Strokecast Newsletter at http://Strokecast.com/News Don't get best…get better.

Davin's Den
AUTOBLOW AL IN EVERY POT APRIL 19, 2022 PT 2

Davin's Den

Play Episode Listen Later Apr 20, 2022 63:18


RNC pulls out of presidential debates, School of Fools (A teacher makes a joke about Muslims being terrorists), Transgender prison pregnancy, A sex shop heist, and Drunks in the News (Don't piss off the bartender)

Strokecast
When the Pros Deny a Stroke

Strokecast

Play Episode Listen Later Apr 11, 2022 65:38


Olga and her husband were having the vacation of a lifetime. They hooked up a teardrop trailer to their Subaru in NJ and headed out west. The planned to explore the gorgeous landscapes of the Washington State parks before jumping on ferry to Alaska. On July 19, 2021, at a campground in Deception Pass State Park on the Washington State Peninsula, things started to unravel. Olga had a brain stem stroke. She felt tingling up and down one side of her body and could not stop vomiting. She felt it was a stroke. Her husband called 911 and they made it out of the woods to a fire house. The EMT said she wasn't having a stroke. The ambulance that arrived said she wasn't having a stroke. The ER staff said she wasn't having a stroke. The neurologist said she probable wasn't having a stroke and specifically discouraged the tPA that could have solved the problem And no one sent her to the more advanced hospitals in Seattle for stroke treatment. The window for tPA came and went. This whole time, Olga was having a stroke. Olga shares her story in this conversation. If you don't see the audio player below, visit http://Strokecast.com/Olga   Click here for a machine-generated transcript. Who is Olga Wright? Olga is a married mother, grandmother, and recently retired educator. She lives in central New Jersey, where she practices extreme gardening. She and her husband recently returned from a six-month, 24,000-mile road trip to Alaska and back, with their ultra-light, solar-powered camper. Her goal is to educate the public and medical professionals at all levels to recognize nausea, vomiting, and tingling as stroke symptoms so that no one else is misdiagnosed as she was. Olga can be reached at olgawrightstrokestory@gmail.com Deception Pass Deception Pass State Park is a gorgeous corner of the state. It's filled with hiking trails (including accessible trails), lakes, salt water shoreline, and campgrounds. It's also just an amazingly beautiful part of the state. It seems remote but it's also within just a couple hours of Seattle to the Southeast and 90 minutes from Canada to the north. It's easy to see why Olga and her husband chose to camp there. Zofran and the Brain Zofran is a medication I was not familiar with, and it's what finally got Olga's vomiting under control. It's typically used to help treat nausea associated with chemotherapy. In Olga's case, it was used to treat a malfunctioning brain that was sending the signal of, "OKAY! Everyone out the way you came in!" even though there was nothing left. The brain tries to protect us in lots of ways. Sometimes those threats are real and sometimes they are not. In Olga's case, her dying brain stem knew something was wrong but didn't know what. It went to an early reflex for poison and just kept trying the expulsion solution because it didn't know what else to do. Meanwhile, Olga's higher level brain functions were still working and trying to seek medical treatment for the stroke. And this conflict is an illustration that the brain is not one, cohesive unit. It's different parts grabbing different pieces of data and attempting to execute a solution based on the tools at its disposal. The brain does not always work as a single unit. But back to Zofran. One of the interesting things I learned while reading about it is that Serotonin, one of the brain's "happy" chemicals is also responsible for the vomiting function/command. Zofran works by suppressing Serotonin. And that makes me wonder how its use as an antiemetic impacts things like depression. I suppose that will be a future research project. Swedish ARU The reason Olga and I connected is that she spent her inpatient rehab time at Swedish Medical Center. It's the same place I lived for the month following my stroke. You can learn more about the Acute Rehab Unit here. Olga was lucky enough to work with OT Emilee who told her about the Strokecast. Emilee was also one of my OTs 4 years before Olga made it there. I interviewed Emilee in episode 20. You can hear that conversation here: http://Strokecast.com/Emilee I've stayed engaged with members of my rehab team over the years. I've also met other folks on the stroke team at Swedish. Here are some other interviews I've done with the team at Swedish: http://strokecast.com/Swedish Licensing for PT and OT The pandemic has brought a dramatic increase in the availability of telemedicine. This is great because a lot of follow up appointments really don't need to be in person. I'd much rather do a 15 minute video appointment versus a 15 minute in person appointment I have to travel to and back from. In Olga's case, it almost worked out for Outpatient PT. She would be able to continue her travels after leaving the hospital and get therapy on the road via the internet! It's a great idea, but it didn't work. Not because of technology or willingness, but because of state level bureaucracy. A Washington licensed physical therapist cannot legally treat a patient who happens to be in Alaska or whatever other state Olga happened to be travelling through. Hack of the week Walking is one of the best ways to drive recovery. At certain points, walking 100 feet may be the most you can do. At other points, a mile or two may be achievable. Regardless of the distance, walking as much as you can helps to drive recovery. The most important thing, though, is to do it safely. Olga uses traction cleats for all her hiking activities. Traction cleats are basically snow chains for your feet. Even if there's no snow, they help traverse the wilds with less slipping and falling. You can find an assortment on Amazon here: https://strokecast.com/Hack/TractionCleats *. A walker or cane can be great in a city environment, but they are less usable on the trail. What is usable whether hiking in Alaska or going down to the corner bodega is a pair of trekking poles. These are much taller than a cane. As you use them they give many folks plenty of stability and an upper body work out. You can find them on Amazon at http://strokecast./com/Hack/TrekkingPoles *. Links Where do we go from here? Connect with Olga via email at OlgaWrightstrokestory@Gmail.com Share this episode with the road trip lover or medical professional in your life by giving them the link http://Strokecast.com/Olga Subscribe to the free Strokecast newsletter for more updates at http://Strokecast.com/News Don't get best…get better.

Strokecast
Researching Brain Blood Clots

Strokecast

Play Episode Listen Later Mar 28, 2022 62:09


More than 80% of strokes are caused by blood clots. These strokes are called "ischemic" because the clot block the flow of blood through a blood vessel, starving brain cells of oxygen and nutrients. My own stroke was ischemic. There are new treatments to clear the clot and restore blood flow and we talk about them a lot on this show. What we don't usually discuss is the nature of clots themselves and how that impacts patient recovery. So this episode is a little different. We go deep into understanding the biologfy of blood clots with Michael Gilvarry and Dr. Patrick Brouwer from Cerenovus, a Johnson & Johnson company. Cerenovus commits a lot of research and resources to understanding clots because they make equipment used in Mechanical Thrombectomy and reduce the impact of stroke on thousands of patients a year. You can listen to the conversation here or in your favorite podcast app. If you don't see the audio player below, visit http://Strokecast.com/Clots   Click here for a machine-generated transcript Meet Dr. Patrick Brouwer and Michael Gilvarry Dr. Patrick Brouwer, Head, Worldwide Medical Affairs - CERENOVUS Dr. Patrick Brouwer is a clinician and scientist who has made significant contributions in the field of interventional neuroradiology and endovascular surgery. Before joining CERENOVUS as Head of Worldwide Medical Affairs, he served in senior staff positions for over 20 years as a neurointerventionalist at various university hospitals in Europe. As a key opinion leader in his field, Patrick has published close to 100 scientific papers and book chapters and lectured, including for invited professorships, on more than 400 occasions around the world on a variety of topics related to neurointervention. Patrick has additionally contributed by serving in various board positions across key societies, such as the European Society of Minimally Invasive Neurological Therapy (ESMINT) and the World Federation of Interventional and Therapeutic Neuroradiology (WFITN). He received his medical degree, with honors, from the Free University in the Netherlands. Connect with Dr. Brouwer on LinkedIn. Michael Gilvarry, General Manager, CERENOVUS Galway Michael Gilvarry is the General Manager of CERENOVUS in Galway. With a distinguished career in research and development (R&D) spanning over 20 years, Michael leads the CERENOVUS campus in Galway which is a key hub for producing world-class leading research on stroke and clot science, as well as R&D for the business' product pipeline. He leads a distinguished team who informs new innovations and the development of medical devices to address real-world challenges faced by neurovascular physicians in the treatment of stroke. This work has led to many international research projects in collaboration with universities and hospitals in the field of acute ischemic stroke. He is the recipient of a Johnson Medal, the most prestigious award for R&D excellence within Johnson & Johnson, and is a named inventor on over 60 U.S. patents. Connect with Michael on LinkedIn. Cerenovus CERENOVUS, part of Johnson & Johnson Medical Devices Companies, is an emerging leader in neurovascular care. Our commitment to changing the trajectory of stroke is inspired by our long heritage and dedication to helping physicians protect people from a lifetime of hardship. CERENOVUS offers a broad portfolio of devices used in the endovascular treatment of hemorrhagic and ischemic stroke. For more information, visit www.cerenovus.com and connect on LinkedIn and Twitter. Nature of clots Most folks who encounter clots only experience them on the surface of the body or when they come out of the body, but we don't think too much about their nature, especially wqhen they stay inside the body. At the most basic levels, the structure of a clot is determined by the ratio of fibrin to red blood cells. Clots that are high in fibrin tend to be "tougher" and more compact, thanks to the way platelets help tighten them up. That also makes them easier to remove with Mechanical Thrombectomy.  Clots that are higher in red blood cells may be softer and less dense, but they are also more fragile. Pulling one out of a blood vessel in one piece is a lot harder. An environment with higher sheer forces is more likely to generate a high-fibrin clot. What is a high sheer environment? Think about a river with a strong, fast flowing current. One way to get a high sheer environment is with high blood pressure. With high blood pressure, blood is coursing through less flexible vessels with greater speed and strength. A high red blood cell clot is more likely to be formed in a turbulent environment. AFIB, or atrial fibrillation is one such environment. A space where blood flows unevenly or pools can lead to a clot like this which can then travel to the brain. Clots can also be different shapes. It's not like they are just a disk that closes off a blood vessel. They could be in the shape of a cylinder blocking a blood vessel. The can easily be longer than 8 mm. Cerenovus recently presented a paper at the American Heart Association's International Stroke conference looking at the impact of clot composition on patient outcomes in mechanical thrombectomy. They showed that thrombectomy had better patient outcomes with high-fibrin clots. Of course, today there really isn't a way from a neuro-interventionist to know the type of clot before they go in to get it. In the future such information may help inform treatment protocols or refine the type of equipment used in the clot removal process. You can read more about the research paper here. What is AFIB? More than 12 million people in the US live with Atrial Fibrillation. It's a condition that can easily lead to stroke. Afib happens when the heart gets out of sync with itself. The upper chambers don't beat in the same rhythm as the lower chambers. That results in inefficient blood flow through the heart. Not all the blood that should leave on a beat actually leave. Bill's Zio Patch heart monitor is looking for signs of Afib. It did not find any. This results in blood pooling in the heart and creating a turbulent environment that is a breeding ground for blood clots. Eventually one of those clots will shoot out of the heart and lodge in the brain causing an ischemic stroke.  When I got home from the hospital, I wore a heart monitor for two weeks that looked for signs of Afib. It did not find any. Folks with Afib, and especially a history of Afib-related stroke may be put on a lifelong course of anticoagulant medication to prevent those clots from forming. There may be other treatments, as well. What happened to my clot? I had a wakeup stroke in 2017. As a result, I was outside the window for tPA and thrombectomy at the time. So what happens when the clot doesn't get removed? I just assumed it would break down over time and blood would start flowing through the dead brain tissue again. But that's probably not what happened. Because the blood vessel where I had my stroke is so small, it's likely still in place. That clot never went away. It simply became part of the blood vessel itself and that part of the system permanently collapsed. Basically, the cave collapsed and there's no way to dig it out. And now I'm imaging some sort of Fantastic Voyage/D&D crossover game to go explore that cave. Meade Musings I recently appeared on the Meade Musings Podcast sharing my story. We talk about my stroke  and the impact of Sleep Apnea on blood pressure. You can hear the episode here. If you don't see the player below, visit http://Strokecast.com/clots JoCo Cruise I just got back from the JoCo Cruise. It's a weeklong cruise in the Caribbean with 1800 nerds, geeks, gamers, creators, and more. We chartered the Nieuw Amsterdam cruise ship for the journey and had a blast. The crew was great and my fellow cruisers were fantastic. Unlike a traditional cruise, the official programming is all done by the group that charters the boat, led by musicians Jonathan Coulton and Paul & Storm. They bring on a bunch of other well-known and soon to be well known musicians, writers, voice over folks, actors, and generally fun, nice, talented people. And then the attendees ourselves put together a bunch of programming. I ran a meet up for folks with neuro conditions, a professional networking session, a podcaster meetup, and a photoshoot for the stuffed animals people travelled with. I have lots of other thoughts and feelings about this year's cruise, but I'm having trouble articulating them in writing this time. If you'd like to learn more or are thinking about going in 2023 (or in the future) you can visit http://JoCoCruise.com for more details https://youtu.be/5spvXMkF20g Hack(s) of the Week Hack 1 Dr. Patrick Brouwer emphasized the importance of setting goals and appreciating the life around you. At first glance it seems those two things are in conflict, but in reality, they are not. Setting goals helps you build a plan for the future with tasks you can do today that can get you there.  The steps you take today are what will shape your future. And if the steps you take can get you there, there is fulfillment to be found in taking them. At the same time, we don't live in the future. We live in the present. It's the only reality we will ever have. We need to appreciate the world and the people around us and if we can't then we need to take steps to change that. And execute those steps while recognizing the sheer power of the here and now. Because before we know it, the here and know will simply be the past. Survivors who've come close to not having any more future on this earth can appreciate that more than most. Hack 2 Michael Gilvarry talked about adding additional therapy while doing other tasks. He suggested closing your eyes while you brush your teeth. It's something he found helpful while rehabbing his own knee. I like this approach especially for folks after stroke because it forces you to work on proprioception - the sense of where your body parts are in space. This is a challenge for many survivors. It's a skill we may need to develop. It also forces use to focus more on the balance in our core and affected leg while our unaffected hand is busy with the tooth brush.  This can be a good challenge after stroke. That said, do it safely. Make sure you can stand with your eyes closed without falling, first. Talk to a PT or OT before trying things like this. You want to challenge your brain with these balance tasks, but any fall could undo months of progress. So don't fall. Links Where do we go from here? Learn more about Cerenovus or the JoCo Cruise at these links Share this episode with someone you know by giving them the link http://Strokecast.com/clots Subscribe to the free Strokecast email newsletter at http://Strokecast.com/News Don't get best...get better.

Strokecast
Stroke in your 20s Will Change Your Path

Strokecast

Play Episode Listen Later Feb 11, 2022 60:09


A stroke is, of course, a traumatic event. It kicks off a deep dive into the medical system of whatever country you're in. For some, the first stroke is just a preview. Or even an intermission in other ongoing medical issues. That was the experience of Kawan Glover. He's come back from multiple strokes and brain surgeries to be an author, coach, and speaker. And he did all that before he was 25. Today, I talk with Kawan about his journey. (If you don't see the audio player below, visit http://Strokecast.com/KawanGlover)   Click here for a machine-generated transcript About Kawan From KawanGlover.Com In the summer of 2014, Kawan noticed a lack of coordination and muscle control, specifically on his right side. One morning, while working at his internship, it became clear he had difficulty speaking and writing. He was instructed to go to the Doctor's off where they ran neurological tests. After seeing the results, the Doctor strongly advised Kawan to go to the Hospital. Kawan was not alarmed and felt the issue was being overblown. Despite what he felt, Kawan heeded the Doctor's instructions and went to the Hospital of Southern Maryland. There he waited six hours to get a CT scan. After some time, the Doctor came out to shed light on what, if anything, was wrong. The Doctor told him he had a lesion (area of tissue that has been damaged through injury or disease) on his brain, but he would need an MRI to get more in-depth details. To get the MRI done, Kawan went to George Washington Hospital. The imaging came back and the doctors told Kawan he had a Cavernous Malformation. Kawan didn't know what that meant, so he thought nothing of it when he was told to go home and monitor. Within a few days, Kawan was back in the Hospital when his coordination worsened, and his vision became blurry. He returned to GW Hospital and had his first brain surgery on August 15th, 2014. That may have been a moment of pause and reflection for most, but at 20 years old, there was no stopping Kawan. Only a week later, he returned to school and everything that came with it. Drinking, partying, and staying up late. As a result, he had a stroke a month later, on September 18th, 2014. After spending a month in rehab, he returned to school with a new mindset, but yet again, life had other plans. The benign brain tumor would grow back twice, resulting in two more brain surgeries on October 1st, 2015, and October 12th, 2017. In between those surgeries, Kawan struggled with suicidal ideations, depression, and opioid addiction. After everything was over, Kawan had a whopping medical bill of $1.2 million. Despite all his hardships, Kawan still graduated and started a coaching business called Overcome Adversity LLC. He is also a Podcaster with a podcast called Favor: The Podcast. All fitting for someone with his background. Kawan wrote a book called "Favor: How Stroke Struggle and Surgery Helped Me Find My Life's Purpose"* He is an author, a coach, but most notably a survivor. He now uses his story to inspires others, and transform them from a victim to a Victor! Favor ain't fair. It's Just Favor. Kawan quoted his grandmother as saying, "Favor ain't fair. It's Just Favor." Good things and bad things will happen to good people and bad people. We can complain all we want that it isn't fair. It isn't just. And maybe it's not. Maybe we lived a good life. We were nice to everyone. We took care of the less fortunate. We respected our partners, friends, and family when appropriate. And stroke still happened. Maybe we did all the health stuff right: No smoking No illicit drugs No excessive alcohol consumption Healthy diet and exercise Appropriate blood pressure and blood sugar Etc. And we still had a stroke. Maybe no one even knows why. It's not fair. Now that we know that, what are we going to do about it? We can mourn the loss of our previous life -- the hopes and dreams we don't think we can entertain anymore. Grief and mourning are fine. Healthy even. But then what? Favor ain't fair. We've still got to live our lives. Just because it's not fair is no reason to stop and give up. There's so much more for us to do. The Power of the V Kawan talked about the  nature of the V. I like the representation of the shape. The idea is that at our lowest point in life, we've fallen down into a valley. We may be hurt or injured from that fall. But that's only half the letter V. To make it to victory, we have to climb back up the other side of that V to get out of that valley of pain and loss and figure out the next step for ourselves. Climbing that V -- getting out of the bottom of that trough is hart work. That's where it's important to leverage the community around us. The other survivors still climbing out of their own Vs and those who've made it can help. The family and friends around us who want us to succeed can help. We can help ourselves through our own efforts. And as we start to climb the V, a look over our shoulders will show us other people just trying to start their own climb or thinking about starting their own climb. We can help our own efforts, too, by helping them, and sharing our own tips of the best routes, paths, and climbing gear. Hack of the Week Kawan mentioned floss picks.* This is a great tool for flossing one handed. They're basically disposable picks with an inch or so of dental tightly strung between 2 ends. It makes it easy to hold with one hand and slip (or force) the floss between your teeth. This is especially important if you have face weakness. After a stroke, it's easy to fall into the habit of having food bits accumulate on the affected side of our mouth as we eat. We don't feel them as much and the assorted muscles in our mouth are not as effective at getting rid of everything. Plus, after stroke, I picked up some tendencies of a toddler. Everything ended up in my mouth -- key fobs, credit cards, tough-to-open bags, and more. My mouth became an emergency hand. That probably wasn't a good idea, but for many of us, it is reality. The point is that dental hygiene -- brushing AND flossing -- is even more important after a stroke. Take care of your teeth. You don't want to add more dental issues on top of the other issues you're dealing with. Floss picks like these can help. * Links (If you don't see the table of links below, visit http://Strokecast.com/KawanGlover) Where to we go from here? Connect with Kawan at the social links above and check out his book here.* Share Kawan's story with someone you know by giving them the link http://Strokecast.com/KawanGlover Subscribe to the Strokecast Newsletter at http://Strokecast.com/News Don't get best…get better

Strokecast
Jaz vs. The Red Dragon: A Stroke Story

Strokecast

Play Episode Listen Later Jan 17, 2022 76:00


Jasmine Loh was enjoying a pleasant lunch at work when the aneurysms hidden in her brain suddenly burst. Her world went blank briefly while the stroke settled into this thirty-something's head. A few minutes later, she reconnected with reality and went back to work to continue validating the performance of semiconductor fabrication equipment. That was in 2014. She left her job in semiconductor manufacturing due to her stroke, wrote a book, taught herself email marketing, and now does digital services for friends and clients In 2021 I met Jaz  through Clubhouse.  She co-hosts an online support group there from her home in Singapore. I enjoyed hearing Jaz's perspective on her stroke story, her dreams in the early days, and her experience of nearly "crossing over." You can experience all that, too, in this conversation with Jasmine Loh. (If you don't see the audio player below, visit http://Strokecast.com/Jaz)   Click here for a machine-generated transcript About Jasmine Loh Want to know about me? I am... - a brain aneurysm stroke survivor and a cancer survivor from Singapore

Jeff & Jenn Podcasts
News That Didn't Make the News: Don't chase your cat with your Christmas Tree...

Jeff & Jenn Podcasts

Play Episode Listen Later Dec 17, 2021 29:23


News That Didn't Make the News: Don't chase your cat with your Christmas Tree, Potato Chip vodka and How many toys should your kid have?

christmas trees potato chips enews fritsch jeff thomas q102 second date update jenn jordan news don best friend game tim timmerman wkrq jeff and jenn
Strokecast
Finding Forward after Stroke

Strokecast

Play Episode Listen Later Dec 13, 2021 70:37


Jeffrey Morse went into surgery to repair an aneurysm. There was a 75% chance he wouldn't survive. Fortunately, he did wake up, but when he did, he discovered he was paralyzed from the neck down. Complications from the surgery that saved his life cause a spinal cord stroke that mean everything would change. And then, after a lot of hard work, Jeffrey defied all the odds and walked out of the hospital. One thing that jumps out at me from this interview is how much Jeffrey's career as a pilot informed his mindset and recovery -- perhaps more than he realizes. You can hear the conversation in the player below or by clicking this link.   Click here for a machine-generated transcript. About Jeffrey A Morse At 49 years old, Air Force reservist, flight instructor, and scuba diver Jeffrey Morse found himself lying in a hospital bed, paralyzed from the neck down after suffering both an aneurism and a stroke. Doctors told him that he would likely never walk again, but Jeffrey wasn't the type to give up. With incredible inner strength, determination, and faith, Morse defied all odds against him. He set a goal that he would walk out of the hospital in six weeks when he was set to be released. And to the astonishment of his medical team, he did just that! He continues to live with disabilities such as the use of his right arm--in fact, he wrote this entire book FINDING FORWARD: You Have the Will Within* with one hand. Still, Finding Forward encourages positive thinking and forward movement. With piercing honesty, Morse takes the reader through many of the challenges that he had to face through both therapy and every day life. He discusses the fears, the continuous claustrophobia, guilt from the burden he felt that he was putting on his loved ones... he shows how he dealt with these arising challenges and learned to overcome them. There is always a path forward, and as Jeffrey Morse says, we need to help each other find forward together. His mindset was liberating, and in many ways it saved his life. The Pilot of his Recovery Jeffrey served as a pilot in the military and in private life -- flying into and out of combat areas. As he went into surgery, he knew he might not survive. He had spent his life living his life. By the time surgery came around he had already had to confront his mortality and the possibility that he might not come back from work. While that can happen to any of us, it's not something most of us spend time thinking about. It's part of the reason many of us were unprepared for stroke. Jeffrey also talks about what to do when you encounter trouble in the air: Never stop flying the airplane. As a pilot your job is to keep that plane flying until you want to put it down. For those of us not driving aircraft, it means figure out your most important task -- for example, to live -- and focus on doing that job. Live and move in the direction to keep living. Keep flying the airplane that is you, no matter what. It's your only option. Jeffrey also described his process in various parts of the conversation in terms of steps he would take. He broke things down into their constituent parts and then executed them in order. Checklists are an important part of flying. You go through the list every time for every step. When an emergency comes up, one of the first things a pilot will do (while the other pilot continues to fly the plane) is pull up an emergency checklist to govern their actions. Checklist are not limited to airplanes of course. NASA uses them. Accountants use them. Logistics teams use them. The ER uses them when they call a stroke code. Checklists are an important part of everyday life and a great tool to use in our recovery. With pilots it is such an ingrained habit and procedure that using checklists not only tells them what to do. It informs how they think about what they do. And that logical and determined thought process can get us through some very stressful times. Finally, Jeffrey talked about the importance of communication with air traffic controllers around the world. The default language for all air travel is English, but that's not enough to ensure clear communication when thousands of lives are at risk. First, even among native US English speakers, there are miscommunications over words and pronunciations. For example, in college, I, a native New Yorker, was pair with Angie, a native Texan, for a game of Pictionary. We ended up in a bit of a conflict because she disagreed when I said that "saw" and "sore" were pronounced the same. She insisted they were pronounced differently. Now, expand the challenges beyond the US an when speaking English with folks from England, we can still have language based communication challenges. Simple words like "pants" mean different things in the two countries. And that's to say nothing of the rest of the world where English is not someone's first language. Aviation English makes strict use of vocabulary that is standardized across dialects around the planet to enable pilots to communicate key facts, questions, answers, and instructions with other pilots and controllers to reduce the likelihood of mistakes. We see this in the medical field, too. There is very specific language. Outside the medical context, its fine to say, "My arm is not straightening today. In the medical field we might say, "I'm experiencing high tone in my bicep." Neither is wrong; just like "sore" and "saw" are pronounced the same. One is just more precise than the other. That precision can make difference between treating an arm for tone and spasticity in an overactive bicep, or simply pursuing exercises to break down accumulated fascia. Jeffrey talked about learning and using the language of the doctors and therapists. Doing so makes communication clearer and faster which can result in better treatment and quicker relief. And these are just some of the ways that a lifetime in aviation has informed Jeffrey's thought process. It would not surprise me to learn there are many more. Fascia and the Fuzz Speech Jeffrey gets a lot of relief from neuro-muscular massage. This technique breaks up the fascia that naturally forms on and between muscles. As it builds up, it makes it harder to move. It's why our muscles feel stiff when we first get out of bed or if an injury keeps us immobilized for a time. Massage, Tai Chi, Yoga, aerobics, and really any extensive movement can help break it down and help us move with less resistance. The video, "The Fuzz Speech," is a fascinating exploration of fascia. It's the one Jeremy talked about in our conversation. You can watch The Fuzz Speech here. The Writing Process To hold and read a book that someone has written and published it kind of amazing. Those incredibly thin documents, with ink and pigments spread throughout them in precise patterns, are piled on top of each other and combined transmit a deeply personal story from one person to another. And how does this magical artifact come into being? What complex steps do authors have to take? Again and again they tell me you just have to write. You can listen to other conversations I've had with authors at http://Strokecast.com/authors and you hear that theme keeps coming up, expressed slightly differently. In Jeffrey's case, he says it comes down to simply butt-in-seat time. You've got to carve out the time and then dedicate that time to just making it happen. If you don't feel you have the skills to create a polished manuscript, that's okay. A ghost writer, like Bonnie, can help with that part. But it's still your story and your feelings that you need to get on the page. And to do that, you just have to consistently take the time and do it. Hack of the Week Carry a flashlight with you. This is even more important this time of year in the northern hemisphere when it gets darker earlier and stays darker later. You need to be able to see where you are going, and many of us need to be able to see our feet while walking. You don't want to trip over something in the dark and have another injury. A flashlight doesn't need to be a big thing. It can be a small thing. There are plenty of designs that will fit on a key chain or in a small pocket. You can even find options for connecting them to your cane. Before my stroke, whenever I travelled I kept a small "tactical" flashlight in my pocket. It was bright, had a strobe function, and was easy to hold in one hand. It was great when power would go out in a hotel, I would try to find things in an unfamiliar rental car, or an airplane would have a power glitch. I also found it helpful to have the extra light when I plug cables in.  You can often get free ones as branded give aways from all sorts of organizations, if you don't have one. Your doctor's office may even have some spares laying around printed with the name of whatever drug the pharmacy reps are promoting on any given day. Or you can order one to fit your particular needs. Obviously, flashlights are not hard to find. Here are a few I found on Amazon that look interesting: OLIGHT I1R 2 Eos 150 Lumens EDC Flashlight Powered by a Single Built-in Rechargeable Li-ion Battery, Tiny Rechargeable Keychain Light USB Charging Cable Included* This one is cheap, fits on a keychain, and you can easily recharge it from a computer or many phone chargers. Streamlight 66122 Stylus Pro 100-Lumen Penlight* This is slimmer and longer. It will be more at home in a short or coat pocket or a purse or bag. The classic pen light can be unobtrusive when you don't need it. Some folks with dexterity challenges may find it harder to hold with an affected hand. Fenix PD36R 1600 Lumen Type-C USB Rechargeable EDC Tactical Flashlight* This type definitely gets more spendy. It may be overkill for most purposes, but it is super bright and durable. It's practical, the strobe may make you feel safer since it may temporarily blind someone who may cause you harm, and…and…Ok. It's kind of an expensive toy. But look how cool! LightBaum- Adjustable LED Flashlight for Crutches, Canes, & Walkers* This is interesting. It's a flashlight you can mount on a cane or other mobility device. You don't have to hold it and can use it to directly illuminate your path in the dark. PS ZAP Cane 1,000,000 Volts W/CASE* Finally, if it's legal for you to purchase one and possess one in your jurisdiction, this may be an option if you need a weapon of some sort. The cane has a built-in flashlight, sure, but it can also shock someone with a million volts. Links (If you don't see the table of links below, visit http://Strokecast.com/FindingForward) Where do we go from here? Connect with Jeffrey on Facebook and check out his website at JeffreyAMorse.com Share this episode with someone you know by giving them the link Http://Strokecast.com/FindingForward Sign up for the monthly Strokecast email news letter at http://Strokecast/com/News Don't get best…get better

Strokecast
Surfer, Author, and Survivor Blake Hill's Journey

Strokecast

Play Episode Listen Later Nov 23, 2021 62:14


Click here for a machine-generated transcript. Blake Hill is an over achiever with an easy going attitude. Talking to him, you get the sense of a calm guy going with the flow, but underneath, he is paddling like crazy to get to the next big wave. After surviving a stroke, the turbulence in his life continued to increase, to the point where he was biking up a mountain in Canada and knew it was time to write Westfalia. We explore the events leading up to his mainly auto-biographical novel in this episode. To listen to episode, click the player above or click this link. About Blake Hill Blake is often thought of as a quiet person. Put a strong cup of good coffee in him and he becomes a chatter box. Although quiet on the surface his brain is always engaged and bounces from thought to thought. If you ask him his greatest accomplishment in life. It would be his role as Dad. Blake has two amazing children. He has spent countless hours flying on airplanes and traveling the world with his pro-surfer son. They have chased waves from California to Europe, Mexico, Indonesia, Japan, Australia and countless other destinations. He's the proud dad of a daughter who's strong and independent with a passion for dance. Blake's professional life began in the movie business doing lighting for movies and TV shows. During this time period he would balance working on set with cultivating his passion for writing. His day would typically begin at 3am. He honed his craft for writing screenplays while also working on the set of movies. Over the years he amassed a collection of ten screenplays and a children's book along with having his poetry published many times. Once his children were born he chose to quit the movie business and focus on his kids. This was truly an amazing time in his life and a true gift from the universe. He is truly grateful to have had so much time with his children while they were growing up. There's an adventurous spirit that lives within his soul. He's been riding motorcycles since he could walk. He's raced motocross, hare n' hounds and spent days riding across the Mojave Desert and camping under the stars. His rides across the USA have taken him through blizzards, tornadoes, and across the Arctic circle. His passion for life was dimmed one day when he encountered a stroke. It was as if a light switch had been turned off. This experience was beyond humbling and fueled his passion for living even more. He's not only physically strong but he's mentally fit. The stroke tested his will and mental fortitude. He kept the event private with only a few friends knowing about his mental capacity. He was challenged by the everlasting question of; how are you feeling? His focus was on healing and getting his memory back. He didn't want the constant reminder of what had happened. His physical self is truly one hundred percent. His mental self is challenged occasionally with loss of memory. He is extremely grateful to be where he is today on a physical, emotional and spiritual level. Blake's typical day begins at 4am with an awesome cup of coffee, splashed with cream while spending some quiet time with his two dogs. He works out with free weights, resistance bands, hikes with his dogs and tries to surf every day. He believes that keeping active mentally and physically is the key to happiness. He's 55 years old and with each and every wave he surfs, he strives to ride the next one better than the last. He truly feels blessed for his amazing life. You can find Westphalia at Amazon* or wherever you find your books. Writing Practice Blake's method of writing combines old school and new. He starts with a distraction-free environment. To keep himself in the mindset of writing every time, he listens to the same music -- Jackson Browne's Solo Acoustic Volumes 1 and Volume 2.* He also does all his drafts on yellow legal pads. These habitual behaviors help ease the brain into writing mode.  It's another way of leveraging the power of neuroplasticity -- the nerves that fire together, wire together. By reinforcing these patterns repeatedly, it makes it easier to write in the future. Then, he takes his handwritten drafts and types them up. As he types them in to the computer, he's doing a first editing pass. Visualization Blake talks about the importance of visualization. He describes how athletes learn to enhance their performance by visualizing that performance. In their mind they go through the movements, activities, and successful results. The idea is that parts of he brain can't distinguish between actually doing a thing and visualizing doing a thing. You get extra practice.  Last year, Peter Levine, author of Stronger After Stroke, talked about the same thing. Peter talked about it from thew scientific/medical perspective. According to studies with FMRI machines, when you watch someone walk or run, you activate the same part of the brain that lights up when you actually walk or run. Imagining the activity gives you similar results to doing the activity. The best parts of visualization is that it's free and completely harmless. There is no downside and there is a significant upside. So when you have a few moments or hours as you try to get back a limb or control your jaw, take some time to imagine yourself doing it again and again. To learn more, listen to my interview with Peter G Levine in this episode. Hack of the Week Blake talked about his strategy for dealing with the massive life changes after a stroke. Accept where you are. You can start to fix a situation or otherwise address it. Process it. Spend some time with the situation and feel your feelings about it. Ignoring your feelings isn't going to help. Forgive yourself for your feelings. If your feelings are counterproductive, that's okay. Forgive yourself for feeling that way. Then you can work on the situation or reality that you are in. Visualize where you want to be. Leverage the power of your brain to engage your natural neuroplasticity. Figure out how you want your life to look, and visualize your life that way and your abilities that way. Do it again and again. Use your mantra. A preferred phrase or mantra can help you center yourself and bring your mind back to focusing on your priorities and where you want to be. Links Helpful resources for more information. (If you don't see the links below, visit http://Strokecast.com/ByBlakeHill) Where do you want to go from here? Learn more about Blake and his work at ByBlakeHill.com and connect with him on Instagram @ByBlakeHill Share this episode with someone you know by giving them the link http://Strokecast.com/ByBlakeHill Subscribe to the free Strokecast email Newsletter at Strokecast.com/News Don't get best…get better

Strokecast
Stroke in Antarctica in a Novel

Strokecast

Play Episode Listen Later Oct 7, 2021 69:51


  (If you don't see the audio player above, visit http://Strokecast.com/Antarctica) Click here for a machine generated transcript   I don't see many novels that deal with stroke and aphasia. Memoirs, sure, but not novels. That's one of the things that makes Jon McGregor's novel, Lean Fall Stand,* interesting. That, pls the fact that Jon himself is not a stroke survivor. He's someone who has taken an interest in our community an endeavored to learn more. Jon's novel follows the story of Robert, a research scientist in Antarctica. Robert gets caught in a storm , suffers a stroke, and acquires aphasia. The novel chronicles Robert and his wife's adventures as they enter and then adjust to living in stroke world. Jon and I talk about the book, Jon's research, his adventure in Antarctica, writing beyond an author's personal experience, and more. About Jon McGregor Jon McGregor is the winner of the International IMPAC Dublin Literary Award, the Costa Book Award, the Betty Trask Prize, the Somerset Maugham Award, and the American Academy of Arts and Letters E. M. Forster Award, and has been long-listed three times for the Man Booker Prize, most recently for his novel, Reservoir 13. His latest novel, Lean Fall Stand*, is out from Catapult in September 2021. He is professor of creative writing at the University of Nottingham, England, where he edits The Letters Page, a literary journal in letters. Jon's Resources Jon talks a lot about the research he did to understand the experience of stroke and aphasia. He met with therapists. He talked with survivors. He attended support groups. The Stroke Stories podcast is another resource he used to learn about Aphasia and stroke from a survivor's perspective. It's a show that tells stories more as news type pieces rather than in a traditional podcast interview. You can find it in popular podcast apps. A couple years ago, I was lucky enough to be a guest on the show. You can listen to that episode here: Stroke Stories Episode 50 - Bill Monroe The Aphasia Access Conversations podcast is another one Jon found helpful. It's a show focusing on the education, experience, and thoughts of speech therapists who work with folks who have aphasia. For more stroke related podcasts, visit http://Strokecast.com/StrokeRelatedPodcasts. Jon also learned from Sara Scott's YouTube channel. Sarah survived a stroke at age 18, about 12 years ago. Since then she has posted videos recognizing various strokeaversaries. You can watch her progress in dealing with aphasia over the decade and see her recovery over the years. Sarah Scott 10 years living with Aphasia (If you don't see the embedded video, visit http://Strokecast.com/Antarctica) Edwyn Collins is a Scottish musician who made it onto the worldwide charts in the 80s with his post-punk band Orange Juice. He survived a stroke with aphasia in 2005. Jon drew inspiration from the documentary of Edwyn's story, "The Possibilities are Endless" The Possibilities Are Endless (Official Trailer) (If you don't see the embedded video, visit http://Strokecast.com/Antarctica) Jon also learned from the Stroke Odyssey production from Rosetta life: SO Trailer 7 (If you don't see the embedded video, visit http://Strokecast.com/Antarctica) Artists' Residencies Artist residencies are a fascinating thing. In the one Jon talked about, he applied to go to Antarctica. He would be provided transportation, lodging, and access to the work of research scientists. In return, he would, eventually, make a thing. In Seattle a couple years ago, the city offered space in a draw bridge that an artist could have for months to make a thing inspired by the space. The variety of residencies available to artists is kind of amazing. It's an interesting intersection of public relations, marketing, public art, patronage, and other elements. If you feel a desire to create but want space, education, or inspiration, it may be worth exploring the idea of residencies. Writing About Marginalized Communities We discussed the idea of writing about marginalized communities in this interview, specifically about disabled people or people with disabilities.   A lot of the same concerns apply when writing about folks of a different race, gender identity, sexual orientation, religion, cultural background, etc. When you write a character who is of a different group, especially if the character is part of a historically marginalized group, the writer has a special obligation to get it right -- to make sure they can write about the character and the character's experiences with honesty, accuracy, and individuality, without reducing them to a series of stereo types. I've read parts of Lean Fall Stand* (Jon's team sent me a copy) and so far, his portrayal seems good. Of course, my experience with aphasia is all second hand. I'd encourage you to check it out and share your thoughts. Become a better writer Jon is a long time novelist and a professor of creative writing. You might expect him to have advanced models and techniques for becoming a better writer and telling better stories. But what is Jon's advice? Read more. Write more. It's that simple. Sure you need to read deliberately and think about the choices a writer makes in the pieces you read. To get better at walking, we need to walk more. To get better at moving our fingers we have to move our fingers more. To get better at speaking, we have to speak more. To get better at writing, we have to write more. More reading and more writing. Hmm. I can get behind that. Hack of the Week Jon talked with as bunch of folks with aphasia and cited two things they did that were helpful. First, the used their phones and tablets to help communicate. It wasn't just about typing out messages or using special apps, though. It was about using other tools for communication. For example, telling the story of travelling to a city by using the maps app. It was about thinking of different ways to share the story without strictly telling the story. Second, a lot of the folks Jon spoke with carried a card that explained they have aphasia and explains what aphasia is. There are still millions of people out in the world who have never heard of aphasia and folks with aphasia still have to deal with them. A simple card can make a big difference. Links (If you don't see the list of links below, try visiting http://Strokecast.com/Antarctica) Where do we go from here? Follow Jon on Instagram and Twitter. Take a look at Lean Fall Stand on Amazon* Share this episode with the book or writing lover in your life by giving them the link http://Strokecast.com/Antarctica Subscribe to the Strokecast newsletter at http://Strokecast.com/News Don't get best…get better.

Strokecast
From Locked in to Pageant Queen

Strokecast

Play Episode Listen Later Sep 2, 2021 90:27


  Click here for a machine-generated transcript.   At 30 years old, social worker Jeri Ward was incredibly busy. Perhaps too busy. Having a stroke was the not even on her radar. But then again, is it ever? Multiple hospital visits and a failed thrombectomy later, she found herself completely paralyzed and unable to speak for months in a hospital bed. Scared, bored, and frustrated she would go on to recover, win the title of Mrs. Ohio International, and partner with the American Heart Association to raise awareness of stroke in the general population. Jeri spoke to me for over an hour in the days leading up to the Mrs. International. About Jeri Ward Jeri Ward lives and works in Ohio. She built a busy career as a social worker, Autism specialist, and volunteer. Jeri was always on the go, with one project after another. In the midst of that hectic schedule she nourished her passion of pageant life and lived it for decades. In 2018, Jeri was crowned Mrs. Ohio America. Later that year, Jeri barely survived a massive ischemic stroke. She was locked inside her own body in an ICU bed for months. Gradually, she recovered her speech and movement. And she rededicated herself to the cause of stroke awareness and advocacy. In 2021, Jeri returned to pageant life, winning the title of Mrs. Ohio International with a new platform of raising stroke awareness and advocating for survivors both at home and around the world. She started the Lemonade Project to help folks learn and practice appropriate self-care. Jeri currently works at the American Heart Association as a Development Director. Mrs. International Pageant A  lot of folks have preconceived notions about pageant winners, and often those notions are not true. Jeri is the fourth pageant winner I've had the pleasure meeting. Marsha Scmid was a guest on the show a couple years back after winning the title of Ms. Wheelchair USA. It was a stroke caused by a chiropractor that her eligible for that pageant. Ina previous job, I had the pleasure of working with Hilary Billings, a former Miss Nevada. I interviewed Hilary for my other podcast, 2-Minute Talk Tips. You can hear that conversation here. And I went to college with a woman who would go on to become Miss Montana. They have all been some of the smartest, hardest working people I know. Really incredible individuals. The Mrs. International pageant, as Jeri describes it, puts a premium on contestants' platforms, a I don't mean their shoes. This was a great match for Jeri who has turned her stroke into a cause -- to take every opportunity she can to help with stroke education and advocate for survivors. Jeri did an amazing job at the finals, coming in in third place. She chronicled her journey on Instagram Ohio Legislation Jeri channeled her career experience, her stroke advocacy work, and the drive she uses in pageant life to help the Ohio State legislature pass SB21, which updates protocols for EMS. The short version is that this law will require ambulances to take stroke patients to an appropriate hospital, rather than the closest hospital. As we know, time lost is brain lost, and moving folks from hospital to hospital costs time, money, and long-term disability This legislation will help change that in Ohio. Hack of the week Explain things to people simply. Jeri talks about the headphones she wears due to her sensory processing challenges. She'll mention briefly why she wears them in meetings at work. Disclosing and talking about disabilities is a challenging subject. Outside of our doctors, no one is entitled to know our medical history. Even then, there are limits. There are lots of very good reasons for minimizing disclosure given how wide-spread ableism is in this world. At the same time, there's something to be said for acknowledging the elephant in the room. The elephant is metaphor in this case. Imagine you are having a conversation with a few people at somebody's home. You are not circus or zoo folks. Then an elephant walks into the room and just sits there. And no one says anything. How can anyone focus on the main thrust of the conversation? A fraking elephant just walked into the room! In order for conversation to continue, someone needs to say something about the elephant. Pretending it's not there isn't going to work. Once the owner/roommate of the elephant says, "Oh, that's just Bob. He's cool. So, anyway…" You may still have a lot of questions about Bob, but you can put those aside from now and get back to a productive conversation. When folks mention "the elephant in the room," they are talking about something that is big, unexpected, and that folks might want to ignore, but can't. Acknowledging the elephant lets us get back on track. Sometimes, all we need to do is acknowledge our elephants. When Jeri puts in her earphones in a business meeting, is that an elephant worth acknowledging? Often, yes. Should it be? Probably not. But someone who isn't familiar with sensory processing challenges may be speaking, see someone put on headphones and assume they are being blatantly rude and ignoring them in an aggressive manner. By telling people what you need, such as when Jeri mentions why she uses them without going into detail, it lets the meeting get back on track without someone taking offense. On another note, this is why it's important, if you're comfortable doing so, to share your story. To normalize disability and the tools we use to make our world more accessible. Canes and headphones and rollators and splints and service dogs may be elephants today, but they don't have to be in the future. Links Where do we go from here? Follow Jeri on Instagram at  MrsOhioIntl2021 Share this episode with someone you know by giving them the link http://Strokecast.com/Jeri Subscribe to the free, monthly Strokecast newsletter at http://Strokecast.com/News Don't get best…get better

Strokecast
Brain Remapping After Stroke

Strokecast

Play Episode Listen Later Aug 23, 2021 53:34


  Click here for a machine-generated transcript.   After a stroke, do nearby nerve cells take over the function of dead nerve cells as folks regain function? That's what we would expect, but new research from Dr. William Zeiger suggests that is not the case. After giving very specific strokes to mice, they used advanced imaging techniques to understand just what was happening in those little mouse brains. It was not what they expected. We talk about that research, brain remapping after stroke, the importance of constraint induced therapy, and more in this episode. Bio Dr. Zeiger is a physician scientist in the Department of Neurology at UCLA. Clinically, Dr. Zeiger works as a neurologist specializing in movement disorders, particularly Parkinson disease and atypical parkinsonian disorders. Dr. Zeiger also runs a neuroscience research lab focused on investigating cortical circuit dysfunction in neurological disorders.   The Study You can read the paper Dr. Zeiger and his team produced here: https://www.nature.com/articles/s41467-021-24211-8 You can read an article about the study here. It's how I learned about the research and is a little more accessible: https://www.eurekalert.org/pub_releases/2021-06/uoc--hbc062521.php Basically, researchers gave mice strokes in a specific part of the brain to stop a single whisker from working. They use a technology called 2-Photon Microscopy to examine the brains of these mice. They wanted to see if other nerves would simple take on responsibility for that whisker. That did not happen. Then they removed all the other whiskers from the mice. Once they did that, mice began recovering function in that remaining, stroke affected whisker. Essentially, it was a form on Constraint Induced Therapy for the mice. This gives us some interesting information about neuroplasticity. It's hard to extrapolate to humans, but it does point toward the needs for ongoing research into just what is happening during brain recovery. The Neuro Nerds The Neuro Nerds is one of my favorite podcasts. Host Joe Borges was a guest on this show back in episode 65. This week, I was Joe's guest on The Neuro Nerds. We talked stroke stories, nerd stuff, Doctor Who, podcasting, the brain injury community, and much more. You can listen in your favorite podcast app or right here by pressing play. Hack of the Week One of the biggest risks for stroke survivors and Parkinson's Disease patients is falls. Falling is of course even more likely at night because it's dark and we're tired. And many of those late night falls happen during late night trips to the bathroom. If you're a fall risk, one solution is a bedside commode or a urinal jug (sorry that doesn't help you, ladies). It may not be pretty or something you want in your bedroom, but if it means you don't fall and pick up another brain injury or other injury, it's probably worth it. Links Where do we go from here? Check out ZeigerLabs to learn more about the research Dr. Zeiger and his team are doing. Share this episode with someone you know by giving them the link Strokecast.com/Mice Subscribe to the free monthly Strokecast email newsletter at Strokecast.com/News Don't get best…get better

Strokecast
Can you treat depression with Tai Chi?

Strokecast

Play Episode Listen Later Aug 10, 2021 45:58


Click here for a machine generated transcript Recent research shows that doing Tai Chi after a stroke may reduce depression. We talk with the author of the study in this episode. It's a nice complement to our previous episode where we talked about the nature of Post Stroke Depression. Depression is an insidious illness that undermines recovery, healing, relationships and the joy we could find in life. Traditional treatments may include talk therapy and/or medication. There are also a host of new treatments being studied. And there's a bunch of snake oil or scam treatments out there, too. Plus there's a whole bunch of stuff in between. Dr. Ruth Taylor-Piliae has been working in the stroke field and with Tai Chi for a long time. Her research is a promising starting point for exploring the potential of ancient Tai Chi practices to treat Post Stroke Depression. Bio From the University of Arizona College of Nursing Dr. Ruth Taylor-Piliae is an Associate Professor in the College of Nursing at the University of Arizona. The goal of her research is to increase physical activity among older adults with heart disease and stroke through the implementation of innovative interventions such as Tai Chi, to improve physical functioning, reduce fall rates and improve quality of life. Dr. Taylor-Piliae received her B.S.N. from California State University Fresno, her M.N. from the Chinese University of Hong Kong, and her Ph.D. from the University of California San Francisco. She completed a 2-year post-doctoral fellowship in cardiovascular epidemiology and prevention at Stanford University. Dr. Taylor-Piliae has received funding as a principal investigator from the American Heart Association/American Stroke Association, Hospital Authority of Hong Kong, National Institute of Health, and the Robert Wood Johnson Foundation. She reviews for professional journals and has had over 70 peer-reviewed manuscripts published in top-tiered journals both within nursing and inter-professional journals. She is highly cited for her work (citations>3600, h-index=30, i10-index=54). For more details, see https://www.nursing.arizona.edu/rpiliae Should you do Tai Chi? Maybe. Ask your doctor. Before engaging in any new exercise program or treatment, ask your doctor to make sure you can do it safely. I am not a doctor. I say it all the time. I'm just a marketing guy who knows way more about neurology and neuroplasticity than any marketing should know. That said, let's run Tai Chi through my snake oil filter. Is Tai Chi safe? For the most part, yes. Of course if you have balance or movement challenges, an adaptive for may be more appropriate. Take steps to make sure you don't fall. Falling is probably the biggest risk, but it should be an easy one to mitigate, Is it expensive? Generally, it's probably not that costly. It's not going to cost you tens of thousands of dollars. With some searching, you can find free or low cost options. Will it interfere with traditional therapies? It doesn't have to. If you have the time and energy, you can do Tai Chi in addition to PT, OT, Speech, or Mental Health therapy. If you decide to do Tai Chi as part of your recovery, this random guy on the internet suggests to do it in addition to, rather than instead of regular therapy. Will it actually help your recovery? Maybe. As Ruth and I discussed, her research shows it does reduce Post Stroke Depression. Granted, it's a small study. There are a lot of things survivors are encouraged to do to help recovery. Move. Exercise. Practice patterns. Learn stuff. Connect with other people. Find things you enjoy doing and do them. Those are just a few, but Tai Chi does support those. Final analysis Especially if you enjoy doing Tai Chi and your doctor says its safe, then go for it. There appears to be a potential benefit and no significant downside. That's a win by my math. Paralympic Games The 2020 Paralympic Games will take place in Tokyo between August 24th and September 5. You can learn more about the games from the main site here. You can also learn more about the US team of 200+ athletes here. Check out their stories. Try to catch some of the games on TV or online. These are athletes who are competing with disabilities and showing what can be possible. Perhaps there's a sport you would like to become more involved in. These athletes may show you a way. Check out the athletes' stories and follow your favorites on social media. What an you learn from them that you can apply to your own life? And maybe there's not a life-changing takeaway other than, "That was awesome!" And you know what? That's okay, too. Hack of the Week You don't need specialized grippers for jars and containers. Simple rubber band can make handling things with weak hands much simpler. They're cheap and come in a variety of sizes. Here's a listing on Amazon.* Links Where do we go from here? Read about Dr. Ruth Taylor-Piliae's work here. Share this episode with someone you know by giving them the link http://Strokecast.com/TaiChi Subscribe to the free, monthly Strokecast newsletter at http://Strokecast.com.News Don't get best…get better

Strokecast
Ep 137 - Get the Arm Back with Vagus Nerve Stimulation

Strokecast

Play Episode Listen Later Aug 3, 2021 51:20


Click here for a machine generated transcript A lot of the attention in stroke research is paid to the acute phase. How can we treat a stroke in the ER? What can we do so it doesn't get worse? How can we prevent strokes from happening? What can we do in inpatient rehab to help folks get better? Those are all important things,  and the stunning innovations happening around us are amazing, newsworthy, and truly impacting people's lives in a meaningful way. But there's not as much attention given to chronic stroke. Sure, there's some. There are people working really hard to help stroke survivors recover even years after stroke. But not as much makes it into the news. That's one reason I was interested in Dr. Jesse Dawson's work at the University of Glasgow. The recently published a study in the Lancet about using Vagus Nerve Stimulation to drive recovery in patients years after stroke. And their procedure looks promising. Bio Dr. Jesse Dawson is a Professor of Stroke Medicine and Consultant Physician in the Queen Elizabeth University Hospital. His research portfolio includes prevention and rehabilitation clinical trials in stroke survivors. His main interest is in improving the long-term outcome after stroke. Dr. Dawson holds a BHF/Stroke Association programme grant, HTA NIHR funding and NIH funding and runs a large outcomes adjudication system for multi-national stroke trials. He is the NHS Research Scotland lead for stroke research and sits on the editorial board of Stroke. Dr. Dawson is currently researching the role of xanthine oxidase inhibition as a novel preventative treatment after stroke. This is the focus of a UK wide clinical trial, funded by a programme grant from the BHF/Stroke Association. He is also studying novel treatments for upper limb weakness after stroke, including vagus nerve stimulation and robotic therapy. These studies included a large NIHR funded study, funding from Chest Heart Stroke Scotland and a collaboration with industry.  Dr. Dawson is the Medical Outcomes Manager for the endpoint committee of the large NIH funded CLEAR III trial, the NIH funded MISTIE III study, the European Union FP-7 funded EuroHYP study and the international SITSOPEN collaboration. This involves review of all trial endpoints and co-ordination of the endpoint adjudication process for these large phase III studies. He supervises several PhD and MD students, including students with competitive government and charitable funded fellowships. He co-directs a large MSc programme in Clinical Pharmacology and is Director of the Vertical Theme for Clinical Pharmacology and Therapeutics for the MBChB programme. He is a regular MRCP PACES examiner and external higher degree examiner for several UK univeristies. The Research This is a fascinating study because even though they are stimulating the Vagus nerve, they are not actually treating it. Instead they are using it as a messenger to the brain to say, "Wake up! It's time to learn something." Essentially, it's trying to get the brains attention so traditional Occupational and Physical Therapy can work. And it seems to be working. It will be interesting to see if in future studies they can get similar results with Speech Therapy. The other important take away here is that this work with chronic stroke survivors -- folks who had strokes years ago -- even in the control group. Granted the experimental group that got the Vagus Nerve Stimulation got better results. The point is, though, that intense physical and occupational therapy gets results even years after as stroke, demonstrating once again that the 6 or 12 month caps on recovery are complete and utter nonsense. Hack of the Week Pick a small thing to focus on. Perhaps it's a small task. Or part of a small task. Or maybe it's a new goal you haven't done before but it seems within reach. Do that. Focus on that. Achieve that. The look for more small challenges. Lots of wins on small challenges adds up to big success in the long run. Links Where do we go from here? Lear more about this study here. Share this episode with someone you know by giving them the link http://Strokecast.com/VNS Subscribe to the free, monthly Strokecast newsletter at http://Strokecast.com/News Don't get best…get better.

Strokecast
Ep 137 - Get the Arm Back with Vagus Nerve Stimulation

Strokecast

Play Episode Listen Later Jul 15, 2021 51:20


A lot of the attention in stroke research is paid to the acute phase. How can we treat a stroke in the ER? What can we do so it doesn't get worse? How can we prevent strokes from happening? What can we do in inpatient rehab to help folks get better? Those are all important things,  and the stunning innovations happening around us are amazing, newsworthy, and truly impacting people's lives in a meaningful way. But there's not as much attention given to chronic stroke. Sure, there's some. There are people working really hard to help stroke survivors recover even years after stroke. But not as much makes it into the news. That's one reason I was interested in Dr. Jesse Dawson's work at the University of Glasgow. The recently published a study in the Lancet about using Vagus Nerve Stimulation to drive recovery in patients years after stroke. And their procedure looks promising. Bio Dr. Jesse Dawson is a Professor of Stroke Medicine and Consultant Physician in the Queen Elizabeth University Hospital. His research portfolio includes prevention and rehabilitation clinical trials in stroke survivors. His main interest is in improving the long-term outcome after stroke. Dr. Dawson holds a BHF/Stroke Association programme grant, HTA NIHR funding and NIH funding and runs a large outcomes adjudication system for multi-national stroke trials. He is the NHS Research Scotland lead for stroke research and sits on the editorial board of Stroke. Dr. Dawson is currently researching the role of xanthine oxidase inhibition as a novel preventative treatment after stroke. This is the focus of a UK wide clinical trial, funded by a programme grant from the BHF/Stroke Association. He is also studying novel treatments for upper limb weakness after stroke, including vagus nerve stimulation and robotic therapy. These studies included a large NIHR funded study, funding from Chest Heart Stroke Scotland and a collaboration with industry.  Dr. Dawson is the Medical Outcomes Manager for the endpoint committee of the large NIH funded CLEAR III trial, the NIH funded MISTIE III study, the European Union FP-7 funded EuroHYP study and the international SITSOPEN collaboration. This involves review of all trial endpoints and co-ordination of the endpoint adjudication process for these large phase III studies. He supervises several PhD and MD students, including students with competitive government and charitable funded fellowships. He co-directs a large MSc programme in Clinical Pharmacology and is Director of the Vertical Theme for Clinical Pharmacology and Therapeutics for the MBChB programme. He is a regular MRCP PACES examiner and external higher degree examiner for several UK univeristies. The Research This is a fascinating study because even though they are stimulating the Vagus nerve, they are not actually treating it. Instead they are using it as a messenger to the brain to say, “Wake up! It's time to learn something.” Essentially, it's trying to get the brains attention so traditional Occupational and Physical Therapy can work. And it seems to be working. It will be interesting to see if in future studies they can get similar results with Speech Therapy. The other important take away here is that this work with chronic stroke survivors — folks who had strokes years ago — even in the control group. Granted the experimental group that got the Vagus Nerve Stimulation got better results. The point is, though, that intense physical and occupational therapy gets results even years after as stroke, demonstrating once again that the 6 or 12 month caps on recovery are complete and utter nonsense. Hack of the Week Pick a small thing to focus on. Perhaps it's a small task. Or part of a small task. Or maybe it's a new goal you haven't done before but it seems within reach. Do that. Focus on that. Achieve that. The look for more small challenges. Lots of wins on small challenges adds up to big success in the long run. Links Dr. Jesse Dawson at the University of Glasgow https://www.gla.ac.uk/researchinstitutes/icams/staff/jessedawson/ Dr. Dawson on Google Scholar https://scholar.google.com/citations?user=7_DW_FMAAAAJ&hl=en Dr. Dawson on Neuro News https://neuronewsinternational.com/jesse-dawson/ Vagus nerve stimulation paired with rehabilitation for upper limb motor function after ischaemic stroke https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)00475-X/fulltext#%20 Where do we go from here? Lear more about this study here. Share this episode with someone you know by giving them the link http://Strokecast.com/VNS Subscribe to the free, monthly Strokecast newsletter at http://Strokecast.com/News Don't get best…get better. Strokecast is the stroke podcast where a Gen X stroke survivor explores rehab, recovery, the frontiers of neuroscience and one-handed banana peeling by helping stroke survivors, caregivers, medical providers and stroke industry affiliates connect and share their stories. *Affiliate links

Strokecast
Ep 135 - Your Pet Brain

Strokecast

Play Episode Listen Later Jun 19, 2021 60:19


  Click here for a machine-generated transcript   "Your Pet Brain" is a big adorable, plush brain with giant eyes for those of us who could use a spare one. And my girlfriend wanted one. We could both use some extra neurons. As her birthday approached I decided to order one. Brain shipped in his box (yes, I'm already anthropomorphizing and gendering him). Cathy went downstairs to take care of something and the saw the distinctive box. She felt a wave of mild envy, and thought, "Aww, someone else got a brain."  Then she took a closer look at the box and saw my name on it. She scooped it up, brought it up stairs and giddily shuffled through our apartment to show me. She was thrilled! I briefly toyed with the idea of making her wait another day until her birthday, but that seemed unfair since the box made it clear what it was.  And I think brain appreciated it too, because the box wasn't super comfortable. This week's conversation is wide ranging. While it all starts with how a delightful, big, plush brain can help and empower folks with physical brain damage or psychological it conditions It goes deeper than that. We talk about the importance of play, emotional education, the nature of the brain, the mind and soul, and outsourced manufacturing strategies. Ultimately, it's about how to human. Anyway, our pet brain is now named Brian and I'm delighted by that combination of wordplay and mundanaity. He's sitting on the couch next to my desk as I type this thinking brainy thoughts and snacking on smart food. Bio Artist, adventurer, neuro-hobbyist and Humanity's #1 fan, Engagement Art Producer Aydika James creates things that make the world a better place. (She also makes a killer cocktail.) With global projects ranging from The Kodiak Queen to YourPetBrain.com, to wacky ride-able “art cars”, to private legacy sculptures that tell the story of someone's life, Aydika is fascinated by how art, play and “edu-tainment” can be used to unite crowds around a shared experience that stimulates widespread change. A firm believer that any vision can be achieved when we keep asking the question, “How do you paint with people?”... Her wish is to see a world where each person is supported in seeing, being and celebrating their own unique gifts, so we may astound ourselves with how profoundly beautiful we can make this planet, and our experience on it together. Miles the Traveling Penguin Years ago, I had a job that involved travelling 80-12 nights a year across the US. I did really enjoy it. My most frequent travelling companions was Miles, the traveling penguin. He maintained a blog of his travel photos for many years. He was beginning to switch to Instagram just before COVID-19 closed everything. You can see his old adventures here. Fluffy Photo Shoot I mentioned the JoCo Cruise while talking with Aydika. This is the fluffy friends group photo from March 2020. It's all in my Head One of the themes I come back to time and again is the idea that there is nothing wrong with my arm, and there is nothing wrong with my leg, It's literally all in my head. And it is. Because that's where my injury happened. That's where the damage is  -- right near the middle cerebral artery on the right side. When most folks say, "It's all in your head!" they're saying it derisively. They're saying there's nothing wrong and that you're just thinking wrong. They're saying it's not real. “Tell me one last thing,” said Harry. “Is this real? Or has this been happening inside my head?” Dumbledore beamed at him, and his voice sounded loud and strong in Harry's ears even though the bright mist was descending again, obscuring his figure. “Of course it is happening inside your head, Harry, but why on earth should that mean that it is not real?” Harry Potter and the Deathly Hallows The things that happen in our head are our reality. They're the only reality we have. The real world is just light waves/particles, sound waves disturbing the air, and pressure on our skin that sends signals to our brain. Our brain is where that raw data gets turned into our reality. It's where those raw impulses become our experience of the world. It's where we assign meaning to the waves, particles, and impulses. As stroke survivors, we know this better than most folks. Mental health, physical health, and spiritual health have fuzzy lines between them, at best. In reality, they are much closer to being the same thing than many folks realize. How we move in the world is all dependent on how our brains process all that incoming data and compares it to the meaning it assigned to previous rounds of incoming data. It is a simultaneously scary and empowering thought. Hack of the Week Find something funny everyday. That doesn't mean you have to tell jokes or be funny. Look around you in your home, in your work, in your social media, in your hospital room, wherever you are, Just try to find one thing that can make you smile, chuckle, or laugh every day, Because when you can laugh, you can learn. Our world can seem absurd at times because it is. Acknowledge that. If you can find one funny thing a day, that can help tremendously. Links Where do we go from here? To learn more about Brain, visit http://YourPetBrain.com Share and discuss this episode with a friend by giving them the link http://YourPetBrain.com The Strokecast newsletter launches in July. Subscribe for free at http://Strokecast.com/News Don't get best…get better. Brian the brain relaxes with a snack

The Music Authority LIVE STREAM Show
May 13, 2021 Thursday Hour 3

The Music Authority LIVE STREAM Show

Play Episode Listen Later May 13, 2021 59:30


Gratitude!  Appreciation!! Thanks!  To all who listen and share.  To all who download the podcast.  To ALL The artists that make my show possible.  To my wonderfully beautiful and talented wife for allowing me my musical adventure!  Show hours all over the place again next week!  Daily reports as to when they will happen!  The Music Authority LIVE STREAM Show & Podcast...listen, like, comment, download, share, repeat daily on Listen Notes, Google Podcast Manager, Mixcloud, Player FM, Stitcher, Tune In, Podcast Addict, Cast Box, Radio Public, and Pocket Cast, and APPLE iTunes! AND NOW ON MORNINGS IN CANADA!  https://s1.citrus3.com:2000/public/HCRRadio Hamilton Co-Op Radio! Follow the show on TWITTER JimPrell@TMusicAuthority! Are you listening? How does and can one listen in? Let me list the ways...Listen LIVE here - https://fastcast4u.com/player/jamprell/ Podcast - https://themusicauthority.transistor.fm/   The Music Authority LIVE STREAM Show & Podcast!  Radio Candy Radio Monday Wednesday, & Friday 7PM ET, 4PM PT, Rockin' The KOR Tuesday, Wednesday, and Thursday at 7PM UK time, 2PM ET, 11AM PT  www.koradio.rocks  Also, Pop Radio UK Friday, Saturday, & Sunday 6PM UK, 1PM ET, 10AM PT!  May 13, 2021 Thursday, welcome to an early weekend……The Vinylos - No Trash [No Trash] (Clifford Records)Matthew Sweet & Susanna Hoffs - The Warmth Of The Sun [Under The Covers Volume 1]Terry Draper - Honey B. [When The World Was Young]Jason Falkner - Miss Understanding [Author Unkown]Quincy - 05 - Words Are Words [35 Years On] (koolkatmusik.com)@Bobby Brogan - 04 Love Is Only Sleeping [Pisces, Aquarius, Capricorn & Jones Ltd – The TM Collective]True Margrit - Electricity [Seaworthy]Huey Lewis & The News – Don't Ever Tell Me That You Love Me@Little Billy Childish & Chatham Singers - 07 7. Wiley Coyote (Blues) [Kings Of The Medway Delta]Rob Clarke and The Wooltones - 03 Walking On The WaterThe Bottle Kids - 07 Tell Her That You Mean It [Let Me In On This Action]trashcan sinatras - You Make Me Feel [Cake]@Linda Campbell - 08 -Nothing in the End [My Geography]@The Right Here - 01 - Here We Go Again [Rebel Rousers] (Rum Bar Records)Georgia Randall - 2. Anticipation Blues [Help Wanted]STRAND - 02 - Stole A Train [Can't Trust The Rain] (koolkatmusik.com)The Overtures - Find What You Mean To Me [Once In A World] (koolkatmusik.com)Jamie Notarthomas – Goodbye [Jamie Notarthomas] (@Soulamander Records)

Geeking Around
Geeking Around Season 2 Episode 3: Demon Slayer: Kimetsu no Yaiba

Geeking Around

Play Episode Listen Later Mar 6, 2021 138:21


Louis Mihael and co-host Gabby review the anime Demon Slayer: Kimetsu no Yaiba and discuss the firing of Gina Carano from Lucasfilm and many more... 18:44:12 Main Topic 01:02:44:01 News “Don't try to ruin my life with lies when yours can be with the truth.” - Gina Carano #firekathleenkennedy #istandwithginacarano Send support to: https://www.buymeacoffee.com/NeverStudios Links: https://www.liinks.co/neverstudios Teespring: https://teespring.com/stores/geeking-around Youtube: https://www.youtube.com/channel/UCLBndztPI8CTI_gDsjKN9Jw Podcast: https://anchor.fm/geeking-around2 Blog: https://vocal.media/authors/louis-mihael Webcomic: https://tapas.io/series/Geeking-Around-The-Webcomic Kickstarter: https://www.kickstarter.com/projects/kirastarwars/geeking-around-the-webcomic-vol-1-ep-1-12?ref=project_build If you want to help support Us, please like and subscribe. Never Studios: https://neverstudios.wixsite.com/neverstudios- Send email if you like to commission Louis Mihael for Graphic design, Comic/Anime Illustration, Video/Podcast Editing or Music Creation: louis_mihael@icloud.com #demonslayer #themandalorian #blackclover #conceptart #marvel #geek #anime #movies #starwars #comic #manga #darthvader #ComicArt #comicbook #lucasfilm #marvelcomics #dccomics #fanart #kimetsunoyaiba #nezukokamado #shinobukochou #cosplay #nezuko #demonslayercosplay #tanjiro #zenitsu #tagwagai #zenitsuagatsuma #kimetsunoyaibacosplay #inosukehashibira #otaku #attackontitan #tanjiroukamado #inosuke #animeart #art #myheroacademia

Fortnite with The Llama Buddy
Fortnite Season 5 - Week 4 Quests

Fortnite with The Llama Buddy

Play Episode Listen Later Dec 25, 2020 5:32


Welcome to the episode 41 of the llama buddy podcast, your source for Fortnite news, with me your llama buddy. News * Don't forget the Free Sing Along Emote * Fornite Crew Pack Green Arrow DC Skin * Black Panther, Captain Marvel, Taskmaster in the idem shop Quests Operation SnowDown * Destroy 5 Nutcracker Statues - Snowman outposts, Retail Row, Pleasant Park are great locations * Shoot down opponent structures with X-4 Stormwings * Travel 5,000 meters in X-4 Stormwings * Collect 100 Gold bars Before we get into the challenges this week, lets hear about our sponsors for this episode. Week 4 Quests: * Get 1 elimination within 5 m * Get an elimination while below 50 health * Destroy 10 enemy structures with a pickaxe * Deal 100 damage to opponents with a pickaxe * Collect a tomato basket from a nearby farm (Orchard or Steel Farm) * Ignite and dance at a tomato shrine near Pizza Pit or Pizza Food Truck If you like this show tell your friends, and if you didn't well you could tell your enemies until next time I'm your llama buddy signing off --- Send in a voice message: https://anchor.fm/llamabuddy/message Support this podcast: https://anchor.fm/llamabuddy/support (https://anchor.fm/llamabuddy/support)

VECTORMEN
A Wholesome Little Bean - VECTORMEN - Episode #19

VECTORMEN

Play Episode Listen Later Nov 3, 2020 84:55


We have all braced for the inevitable Vision of ‘Big Chris'. -- Hosted by Lee Brady (@leepaulbrady) and Lawrence (@BPR_Lawrence) Music by Lee Brady, created using Beepbox (beepbox.co) Listen to more episodes on Spotify, Apple Podcasts, Google Podcasts, Anchor and all good podcast providers (anchor.fm/vectormen) -- Segments: 00:00:00 – All Saint Ghouls Day 00:01:41 – Vectormen Live Plug (Outlast Marathon) 00:11:32 – Lee finishes Danganronpa 00:30:36 – Lawrence plays (some of) Amnesia: A Machine for Pigs 00:48:58 – Lawrence talks Among Us sky map 00:50:38 – Vectormen talk Pink Floyd 00:58:49 – News: Netflix Assassin's Creed show announced 01:01:42 – News: Cyberpunk 1066 delayed forever 01:03:46 – News: Terry Bogard gets handsy 01:06:22 – News: Tomb Raider Movie 2 delayed (also: exists) / Games cause Embarrassment 01:10:42 – News: Into the Spider-Verse is really good 01:14:11 – News: Nintendo Direct 01:17:36 – News: CODBLOPSCW destroys hard drives 01:19:16 – News: Sony set to buy Crunchyroll 01:20:18 – News: Don't take a Fortnite to go to the polls / Get Real 2 01:21:55 – News: Elden Ring exists / Daisy Cheesecake / Week Break — Links: https://kotaku.com/joe-biden-has-a-fortnite-island-now-1845539140 ^Joe Biden Fortnite Island news https://twitter.com/FGC_Daily/status/1321171915298369536?s=20 ^ SNK All Stars Ad — Send us your thoughts! Twitter: @VectormenPod E-mail: vectormenpodcast@gmail.com Twitch: twitch.com/VectormenLive --- Send in a voice message: https://anchor.fm/vectormen/message

Massively OP
Massively OP Podcast Episode 282: Gate crashers

Massively OP

Play Episode Listen Later Aug 4, 2020 65:23


On this week’s show, Bree and Justin cover WoW Classic's big event, shady and not-as-shady MMO revivals, EVE Echoes' launch date, and mail about making game stories memorable and MMOs less greedy. It’s the Massively OP Podcast, an action-packed hour of news, tales, opinions, and gamer emails! And remember, if you’d like to send in your own letter to the show, use the “Tips” button in the top-right corner of the site to do so. Show notes: Intro Adventures in MMOs: SWTOR, LOTRO, SWG, WoW News: WoW Classic starts the Gates of Ahn'Qiraj event News: Don't trust this revival of Dragon's Prophet News: Warhammer Online rogue server gets Twitch drops News: PSO2 comes to Steam August 5th, EVE Echoes launches August 13th Mailbag: What makes for memorable MMO stories? Mailbag: Are our games too greedy? Outro Other info: Podcast theme: "The Gates of Ahn'Qiraj" from World of Warcraft Your show hosts: Justin and Bree Listen to Massively OP Podcast on iTunes, Stitcher, Player FM, TuneIn, Google Play, iHeartRadio, Pocket Casts, and Spotify Follow Massively Overpowered: Website, Twitter, Facebook, and Twitch If you’re having problems seeing or using the web player, please check your flashblock or scriptblock setting.

WIRED Security: News, Advice, and More
A Handy Chrome Feature, a Sonos Update Warning, and More News

WIRED Security: News, Advice, and More

Play Episode Listen Later Jan 23, 2020 2:28


Chrome is protecting and Sonos is disconnecting, but first: a cartoon about the new big screen. Here's the news you need to know, in two minutes or less. Want to receive this two-minute roundup as an email every weekday? Sign up here! Today's News Don't ignore Chrome's new password checkup feature If you've logged in to any accounts on Google Chrome recently, you've probably noticed a new pop-up nagging you about your password security.

22 Shots Of Moodz And Horror – Horrorphilia
Episode 175: – David Cronenberg (Directors Spotlight) – 22 Shots Of Moodz And Horror

22 Shots Of Moodz And Horror – Horrorphilia

Play Episode Listen Later Jan 23, 2020 293:32


Intro: Welcome Mr. Watson, 5 Questions with Mr. Watson. 02:00:34 -News: Don’t Breath 2, Owen King’s Sleeping Beauty adapted, Animated Gremlins show, Black Christmas Alternate [...]

Jeff & Jenn Podcasts
News That Didn't Make the News Part 2 and We were wondering... 9-26-2016

Jeff & Jenn Podcasts

Play Episode Listen Later Sep 26, 2019 17:20


News That Didn't Make the News: Don't do this while having sex and We were wondering: What celeb do you want to do your Alexa voice?

wondering enews fritsch jeff thomas q102 second date update jenn jordan best friend game news don tim timmerman wkrq jeff and jenn
Mile High Endurance Podcast
Solo Row Across The Atlantic with Terence Steinberg

Mile High Endurance Podcast

Play Episode Listen Later Jul 27, 2019 61:37


Welcome to Episode #188 of the Mile High Endurance podcast. You are listening to your weekly connection to coaches, experts and pro athletes to help you reach your endurance goals. We are your hosts coach Rich Soares and 303 Chief Bill Plock. Thanks for joining us for another week of endurance. Thanks to last week's guest coach Will Murray joining us to talk about how we can develop Post Traumatic Stress to events in our lives that affect our ability to function and perform. Today's guest is preparing for an extraordinary feat of endurance. Terence Steinberg is getting ready to participate in a rowing race across the Atlantic starting this December. We are going to hear more about the United World Challenge and the Talisker Whisky Atlantic Challenge in just a bit. Announcements: Go to MileHighEndurancePodcast.com, click on the "subscribe" button, and you will get the newsletter with show notes and all the links and articles sent to you automatically every week. If you love the show, please consider making a donation of any amount by clicking the PayPal donate button at the bottom of the Podcast page. If you are a coach or have something to share with an audience of endurance enthusiasts, please reach out and tell us about the topic you want to share. Sponsor - iKOR Labs: Today's show is supported by iKOR Labs. iKOR is a clean, natural source of recovery enhancing CBD that protects your body from the stresses of training, improves recovery from intense efforts and helps you maintain a positive mental state. It is the most bio-available CBD product on the market, iKOR is a protective anti-oxidant and highly effective anti-inflammatory. It is used by world class professional athletes. Save 20% by using the code "endurance" at checkout and consider saving even more by doing auto recurring order. Go to www.ikorlabs.com for more details. In Today's Show: What's new in the 303 News Don’t Fry Bacon Naked Video of the Week Feature interview Upcoming Interviews "What's New in the 303": https://303cycling.com/mines-colorado-classic-trailblazing-women-panel-july-26th-dont-miss-this-one/  The Colorado Classic, a four-stage women’s pro road cycling race, and Colorado School of Mines, are joining forces to celebrate trailblazing women, athletes, and engineers as a part of the climb to this year’s Colorado Classic (August 22-25). Ironman Boulder 70.3 coming up on August 4th Dennis vanderhoven damien   Endurance News: https://ragbrai.com/routemaps/2019-route-maps/     Shout out to all those doing races this weekend.  Special good luck to one of my co-workers and friends in Ohio racing Ohio Ironman 70.3.  Crush it Kelly Garland!   Sponsor - Riplaces: Our interview is sponsored by Riplaces. Riplaces are an elastic lace system that integrates a bungee loop with a plastic core to connect the loop in each eyelet of your running shoe. The bungees come in 5 sizes to achieve custom tension for the perfect fit. The bungees and the cores come in a variety of colors and styles to help you personalize your set. Or, you can choose the MHE logo package. Pro triathlete proven and endorsed, use the code MHE25 to get that 25% discount. Go to www.riplaces.com for more information, or go to the MHE Sponsor Discounts page by going to www.milehighendurance.com, or directly to https://www.riplaces.com/collections/mile-high-endurance Interview Introduction: A little history: Sir Charles "Chay" Blyth CBE BEM (born 14 May 1940) is a Scottish yachtsman and rower. He was the first person to sail single-handed non-stop westwards around the world (1971), on a 59-foot boat called British Steel.   Blyth was born in Hawick, Roxburghshire. He joined the British Army Parachute Regiment when he was 18 and was promoted to Sergeant at the age of 21. In 1966, while in the army, Blyth, together with Captain John Ridgway, rowed across the North Atlantic in a 20 ft open dory called English Rose III. After successfully completing this in 92 days, Blyth was awarded the British Empire Medal (BEM).   Rowing the Atlantic first became mainstream when the first Atlantic Rowing Race was launched by Sir Chay Blyth, after reflecting on his own ocean row that propelled him to international fame. This was the Port St. Charles, Barbados Atlantic Rowing Race. Thirty double-handed teams lined up at the start line in a "one design" rowing boat just outside Los Gigantes marina on Sunday 12 October 1997. The race was won by Kiwi Challenge, rowed by Rob Hamill and Phil Stubbs after 41 days at sea. Second place went to the French crew of Atlantik Challenge, Joseph Le Guen and his partner, a double convicted murderer, Pascal Blond.   Fast forward to today.    Terence Steinberg is preparing to compete in a 3,000 mile rowing race across the Atlantic.  As you will hear he is doing this for the UWC (United World Colleges), which is a global movement that makes education a force to unite people, nations and cultures for peace and a sustainable future.    The movement began in 1962 when Atlantic College in Wales, UK admitted its first students. The Cold War raged and UWC set out to bring together young people from different nations to act as champions of peace through an education based on shared learning, collaboration, and understanding. UWC has since gained global recognition a catalyst for international understanding, and today teaches 3,000 college students each year in 17 locations on 4 continents. Students come from more than 155 countries, each selected for their demonstrated promise and potential. The Talisker Whisky Atlantic Challenge: The World’s Toughest Row. The premier event in ocean rowing – A challenge that will take you more than 3000 Miles west from San Sebastian in La Gomera, Canary Islands (28oN 18oW) to Nelson’s Dockyard English Harbour, Antigua & Barbuda (17oN 61oW). The annual race begins in early December, with up to 30 teams participating from around the world. The race structure brings together an environment where teams from across the globe gather in the race village San Sebastian in La Gomera, Canary Islands.     Sponsor - Halo Neuroscience: Our post interview discussion is sponsored by Halo Neuroscience. The Halo Sport from Halo Neuroscience will help you learn the technique and form to get faster. 20 minutes of neural priming with the Halo Headset gives you an hour of neural plasticity to work and lock in the muscle movement that leads to strength, power and endurance. Use the code "MHE" at checkout to save an additional $20.   Video of the Week: Talisker Whisky Atlantic Challenge 2017 - Race Promo           Don't Fry Bacon Naked: Last week we discussed how to not get burned by getting your altitude acclimatization right.  The example we were discussing was Bill had been at sea level for a week, came back to Colorado to do the Triple Bypass and felt a lack of fitness. How much of that was due to a loss of altitude acclimatization? How quickly to make an altitude acclimatization?  http://www.bodyresults.com/e2deacc.asp According to Lawrence Armstrong, PhD, in his book, Performing in Extreme Environments (1), the rate of disappearance of the body’s adaptations to high altitude varies widely from person to person; just as it’s difficult to tell who exactly will experience signs of altitude illness, it’s hard to know how long your acclimatized state will last once you descend from high altitude. If you spend less than a day or two at altitude (say, on a moderate climb of a peak like Baker or Rainier, where most people return to sea level within 24 hours of reaching the summit), your body will not have had enough time to permanently adapt to the altitude. The composition of the blood changes after about 2 weeks of altitude exposure by producing more red blood cells and hemoglobin (the iron-protein compound that transports oxygen) (3) but most people climbing peaks in the Pacific Northwest are only exposed to elevation for about 3-4 days at a time.   Training acclimatization time needs to be longer as the altitude becomes higher. Training for 14 days at or above 6,500 feet (as at the U.S. Olympic Training Center in Colorado Springs) and 28 days at or above 8,000 feet are currently the best recommendations for athletes wishing to compete at similar elevations, while complete adaptation to the extreme altitude of 13,000 feet is possible after a continuous stay for 14 months (3). Obviously, climbers have a tiny fraction of this time open to them.   One study cited by Armstrong indicates that the red blood cell volume of high-altitude natives (people who spend most of their lives above 7000 ft) decreases as quickly as ten days after spending time at sea level. Someone spending several hours to perhaps a day or two at altitude simply won’t have enough time for any long-lasting physiological changes. Those who choose to trek in Nepal, however, or participate in an expedition-type climb of a peak over 15,000 ft will have to spend a substantial amount of time adapting to the altitude in order to prevent altitude sickness. This is why climbers who gradually ascend their first peak in Alaska, Bolivia, Chile, or the Himalayas in order to get properly acclimatized can then speed up subsequent peaks, because the body’s ability to perform physical work at high altitude can persist for a few weeks (2). Through personal discussion with our African guide, cook, and porters on Mt. Kilimanjaro, and in talking with local Northwest guides and rangers who spend a lot of time on the mountains, we learned that they typically spend a week in the mountains above 10,000 ft and a week back home; their acclimatization and improved cardiovascular function may persist for several months after returning from altitude, and allows them to make subsequent trips quite easily without needing extra time to adapt. https://www2.palomar.edu/anthro/adapt/adapt_3.htm How quickly to lose altitude advantage? How does living at altitude affect how quickly you lose or gain altitude adaptations? https://www.princeton.edu/~oa/safety/altitude.html What is High Altitude?   Altitude is defined on the following scale High (8,000 - 12,000 feet [2,438 - 3,658 meters]), Very High (12,000 - 18,000 feet [3,658 - 5,487 meters]), and Extremely High (18,000+ feet [5,500+ meters]). Since few people have been to such altitudes, it is hard to know who may be affected. There are no specific factors such as age, sex, or physical condition that correlate with susceptibility to altitude sickness. Some people get it and some people don't, and some people are more susceptible than others. Most people can go up to 8,000 feet (2,438 meters) with minimal effect. If you haven't been to high altitude before, it's important to be cautious. If you have been at that altitude before with no problem, you can probably return to that altitude without problems as long as you are properly acclimatized.   What Causes Altitude Illnesses?   The concentration of oxygen at sea level is about 21% and the barometric pressure averages 760 mmHg. As altitude increases, the concentration remains the same but the number of oxygen molecules per breath is reduced. At 12,000 feet (3,658 meters) the barometric pressure is only 483 mmHg, so there are roughly 40% fewer oxygen molecules per breath. In order to properly oxygenate the body, your breathing rate (even while at rest) has to increase. This extra ventilation increases the oxygen content in the blood, but not to sea level concentrations. Since the amount of oxygen required for activity is the same, the body must adjust to having less oxygen. In addition, for reasons not entirely understood, high altitude and lower air pressure causes fluid to leak from the capillaries which can cause fluid build-up in both the lungs and the brain. Continuing to higher altitudes without proper acclimatization can lead to potentially serious, even life-threatening illnesses. Acclimatization   What is altitude illness? The major cause of altitude illnesses is going too high too fast. Given time, your body can adapt to the decrease in oxygen molecules at a specific altitude. This process is known as acclimatization and generally takes 1-3 days at that altitude. For example, if you hike to 10,000 feet (3,048 meters), and spend several days at that altitude, your body acclimatizes to 10,000 feet (3,048 meters). If you climb to 12,000 feet (3,658 meters), your body has to acclimatize once again. A number of changes take place in the body to allow it to operate with decreased oxygen. The depth of respiration increases. Pressure in pulmonary arteries is increased, "forcing" blood into portions of the lung which are normally not used during sea level breathing. The body produces more red blood cells to carry oxygen, The body produces more of a particular enzyme that facilitates the release of oxygen from hemoglobin to the body tissues.   Are there genetic dispositions to altitude? There is considerable variability between individuals and between populations in their ability to adjust to the environmental stresses of high mountain regions.  Usually, the populations that are most successful are those whose ancestors have lived at high altitudes for thousands of years.  This is the case with some of the indigenous peoples living in the Andes Mountains of Peru and Bolivia as well as the Tibetans and Nepalese in the Himalaya Mountains.  The ancestors of many people in each of these populations have lived above 13,000 feet (ca. 4000 meters) for at least 2,700 years. More from The Sports Gene by David Epstein in Chapter 14.   Upcoming Interviews: Tom Walker from InnerFight Coaching on run strength training programs to prevent injury and promote performance. Carole Sharpless, former pro, triathlon and swimming coach; listen to our original interview on episode #36 (8/28/16)   Closing: Please support our affiliate brands that support the show and help you get faster! See the https://milehighendurancepodcast.com/sponsors page. Be sure to follow us on social media to get the show announcement each weekend, plus additional links to show content. We forward information related to our guests and provide teasers for upcoming interviews. Facebook @milehighendurancepodcast Twitter @milehighpodcast Instagram @tripodcasterrich YouTube Channel @Mile High Endurance Podcast We hope you enjoyed today's show. Please rate us on iTunes or your podcast player. Be sure you are subscribed in iTunes so you get the show automatically downloaded on Saturday evening and recommend Mile High Endurance to a friend. Stay tuned, train informed, and enjoy the endurance journey!

Jeff & Jenn Podcasts
News That Didn't Make the News: Don't give away your good ideas on an interview. 7-23-2018

Jeff & Jenn Podcasts

Play Episode Listen Later Jul 23, 2018


News That Didn't Make the News: Don't give away your good ideas on an interview, What to do if you're on a plane and someone stinks, and being a bad mood can make you more productive, John Matarese.

good ideas enews fritsch jeff thomas q102 second date update jenn jordan news don best friend game john matarese tim timmerman wkrq jeff and jenn
Jeff & Jenn Podcasts
News That Didn't Make the News: Don't be a backseat driver. You could get into an accident. 6-11-2018

Jeff & Jenn Podcasts

Play Episode Listen Later Jun 11, 2018


News That Didn't Make the News: Don't be a backseat driver. You could get into an accident, Are you a vegan? That may not last long, What are the five best things you can change on your dating profile?, and why you don't ever need to grow up.

accident enews fritsch jeff thomas backseat driver q102 second date update jenn jordan news don best friend game tim timmerman wkrq jeff and jenn
Jeff & Jenn Podcasts
News That Didn't Make the News: Don't have these conversations on a date. They're a buzz kill 4-25-18

Jeff & Jenn Podcasts

Play Episode Listen Later Apr 25, 2018


News That Didn't Make the News: Don't have these conversations on a date. They're a buzz kill, Don't worry if you can't keep up with your kids, Fast Food Rivals, and Amazon will come to your car now.

amazon conversations enews buzzkill fritsch jeff thomas q102 second date update jenn jordan best friend game news don tim timmerman wkrq jeff and jenn
Jeff & Jenn Podcasts
Sorry for the audio glitch... News That Didn't Make the News: Don't forget to spring forward this weekend. 3-9-18

Jeff & Jenn Podcasts

Play Episode Listen Later Mar 9, 2018


Sorry for the audio glitch... News That Didn't Make the News: Don't forget to spring forward this weekend and do you have nothing to wear?

glitch spring forward enews fritsch jeff thomas q102 second date update jenn jordan news don best friend game tim timmerman wkrq jeff and jenn
RPPR Actual Play
Call of Cthulhu: Sunset of the King

RPPR Actual Play

Play Episode Listen Later Jun 16, 2013 231:05


News: Don't forget about RPPR B-Sides! Listen to other unreleased Call of Cthulhu AP episodes and other unique offerings from our archives. Synopsis: In this one shot, a group of filmmakers has been gathered to create a very special film, but as they soon realize, the writer and director is a madman, armed with terrible powers. So what do they do? Make the movie, of course! It's a surefire way to get into all the film festivals! What could possibly go wrong?

RPPR Actual Play
Call of Cthulhu: Shadows of Leuven

RPPR Actual Play

Play Episode Listen Later Oct 31, 2012 355:43


News: Don't forget to support RPPR by backing our Kickstarter, Base Raiders! If you like this scenario, please support Pagan Publishing by buying their excellent books! Synopsis: At Gencon 2012, we were fortunate enough to play and record the playtest of a World War 1 scenario written by Mr. Glancy and Frank Frey. In the Blegian city of Leuven, a man is murdered in an impossible manner - taken out of a locked room and thrown from a great height, his body dashed across the street a great distance away. The German occupation force wishes the murder solved quickly and without incident. To that end, they've assembled an unlikely task force of Belgians, Americans, and Germans. Given the backdrop of war, atrocity, and the occult, can this group of investigators find the real murderer before it's too late?