Podcasts about Stroke

Watch this wonderful video of the amazing Katherine Wolf here. --------Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org. Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

Kenzie's kitchen innovations are deeply upsetting to certain members of the show. Chicago’s best morning radio show now has a podcast! Don’t forget to rate, review, and subscribe wherever you listen to podcasts and remember that the conversation always lives on the Q101 Facebook page. Brian & Kenzie are live every morning from 6a-10a on Q101. Subscribe to our channel HERE: https://www.youtube.com/@Q101 Like Q101 on Facebook HERE: https://www.facebook.com/q101chicago Follow Q101 on Twitter HERE: https://twitter.com/Q101Chicago Follow Q101 on Instagram HERE: https://www.instagram.com/q101chicago/?hl=en Follow Q101 on TikTok HERE: https://www.tiktok.com/@q101chicago?lang=enSee omnystudio.com/listener for privacy information.

Kenzie's kitchen innovations are deeply upsetting to certain members of the show. Chicago’s best morning radio show now has a podcast! Don’t forget to rate, review, and subscribe wherever you listen to podcasts and remember that the conversation always lives on the Q101 Facebook page. Brian & Kenzie are live every morning from 6a-10a on Q101. Subscribe to our channel HERE: https://www.youtube.com/@Q101 Like Q101 on Facebook HERE: https://www.facebook.com/q101chicago Follow Q101 on Twitter HERE: https://twitter.com/Q101Chicago Follow Q101 on Instagram HERE: https://www.instagram.com/q101chicago/?hl=en Follow Q101 on TikTok HERE: https://www.tiktok.com/@q101chicago?lang=enSee omnystudio.com/listener for privacy information.

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Bryson DeChambeau's 2-stroke penalty. What to expect at the 154th Open Championship. Live from Land Run Links.

7-17-26 Hinkle Law Offices Top Five - Dechambeau gets a 2-stroke penalty as he heads into the weekend at 'The Open'

In this episode, I join the TriVelo Podcast to share my approach to swimming faster and more efficiently in open water. We discuss where to focus first when improving your stroke, the differences between galloping and balanced swim styles, why I believe many triathletes kick harder than they need to, and practical ways to stay calm and confident when racing in open water. We also dive into my thoughts on the Enhanced Games and the journey behind developing NanoClear anti-fog goggles to solve one of the biggest frustrations swimmers face. A big thanks to Gerard Donnelly and Jordan Donnelly from TriVelo Coaching for having me on the podcast. If you're a triathlete looking to train smarter and race faster, be sure to check out TriVelo Coaching. 0:11 – The starting priority for your stroke 2:09 – Analyzing Open Water galloping action 5:21 – Why you shouldn't swim like a speedboat 6:59 – The secret to fixing dragging legs 8:27 – Which Pro Athlete Has The Style To Copy? 11:33 – The kicking mistake costing you more time 15:00 – How to simulate open water in the pool 24:13 – How to sight without breaking your rhythm 27:50 – The recovery adjustment for choppy water 31:04 – Where to apply power in the pull 36:14 – Threshold sets to build raw durability 39:41 – Overcoming physical panic and hyperventilation 45:15 – Shifting your mindset on the beach 51:38 – Our honest thoughts on the Enhanced Games 56:13 – Designing a fog-free goggle

ClevelandMoto Podcast 557 Show NotesAprilia does a 125cc GP Bike for on-road use...but, we can't have it. At $7190 USD would you even consider it? https://www.totalmotorcycle.com/motorcycles/2026/2026-aprilia-rs125gp-replica/What does the European market get from Aprilia that we don't in the USA? https://www.aprilia.com/en_EN/models/Harley is selling off their training XR350a from QJMotor, but some dealers are out of their damned minds:https://motohunt.com/l/12877366/2023-Harley-Davidson-X350More sensibly priced units can be had in Florida: https://motohunt.com/l/13096446/2023-Harley-Davidson-X350RADo you really know what your Compression is? https://motorcyclemojo.com/2019/04/compression-ratio/So, you want a tough electric motorcycle? https://northforgemobility.ca/John Got a 77 GL1000,  Well, that escalated suddenly. https://magazine.cycleworld.com/article/1977/7/1/honda-gl1000Support the showRemember folks...Ride Fast and Take Chances! check out our Youtube channel at https://www.youtube.com/c/ClevelandMoto

A Podcast from Obstetrics & Gynecology highlighting the latest research and practice updates in the field. This episode features an interview with Dr. Liza R. Gibbs, author of "Modernizing the Analysis of Migraine With Aura, Oral Contraceptives, and Risk of Stroke," and Dr. Nancy Z. Fang, author of the accompanying editorial, "Modernizing the Analysis of Migraine With Aura, Oral Contraceptives, and Risk of Stroke."

India Stumps China in One Stroke - Amazing Innovation | Vimag Labs | Sanjay Dixit

Aaron Timm, CEO of Openwater, is driving the shift from single-purpose, room-sized equipment to multi-purpose, portable, light-weight medical devices designed on an open-source platform. Some tools use infrared light to measure blood flow in real time for applications such as stroke detection. Another device uses focused ultrasound to modulate tissue in the brain for treating neurodegenerative diseases and psychiatric conditions. The platform is designed so that a single hardware device can run multiple applications, allowing researchers to adapt and develop applications specific to their work, bringing innovation into the marketplace similar to the smartphone app environment. Aaron explains, "So we have two primary devices. One uses infrared light to measure blood flow and blood volume in real time. So that one is being used, for example, to measure blood flow to the brain to help determine whether someone is having a stroke. At the University of Pennsylvania, there was a study done using that device, where our device outperformed the existing stroke scales. The other device that we have is a focused ultrasound device. And what that device does is it uses sound waves or focused ultrasound to target and modulate tissue in the brain and elsewhere in the body. That's being used in research today for all sorts of neurodegenerative diseases, psychiatric diseases. And there's just a lot going on in the world of focused ultrasound, including using our devices."   "So this focused ultrasound device and the science behind it eliminates the need for drugs or surgery and just uses focused ultrasounds to modulate or stimulate things within the brain, for example. It's used for everything from depression, anxiety, Alzheimer's disease, and addiction. Many different indications are being addressed in research using these kinds of devices, including ours." #OpenwaterHealth #MedTech, #NonInvasiveCare, #PortableHealthcare, #PatientAccess, #HealthcareInnovation #FocusedUltrasound #LIFU #Hemodynamics #Openwater #OpenLIFU #OpenMotion #DigitalHealth #Neurotechnology #StrokeCare #AIinHealthcare #OpenSourceMedicine #ClinicalResearch #WearableMedicalDevices #HealthcareInnovation openwater.health Download the transcript here

Aaron Timm, CEO of Openwater, is driving the shift from single-purpose, room-sized equipment to multi-purpose, portable, light-weight medical devices designed on an open-source platform. Some tools use infrared light to measure blood flow in real time for applications such as stroke detection. Another device uses focused ultrasound to modulate tissue in the brain for treating neurodegenerative diseases and psychiatric conditions. The platform is designed so that a single hardware device can run multiple applications, allowing researchers to adapt and develop applications specific to their work, bringing innovation into the marketplace similar to the smartphone app environment. Aaron explains, "So we have two primary devices. One uses infrared light to measure blood flow and blood volume in real time. So that one is being used, for example, to measure blood flow to the brain to help determine whether someone is having a stroke. At the University of Pennsylvania, there was a study done using that device, where our device outperformed the existing stroke scales. The other device that we have is a focused ultrasound device. And what that device does is it uses sound waves or focused ultrasound to target and modulate tissue in the brain and elsewhere in the body. That's being used in research today for all sorts of neurodegenerative diseases, psychiatric diseases. And there's just a lot going on in the world of focused ultrasound, including using our devices."   "So this focused ultrasound device and the science behind it eliminates the need for drugs or surgery and just uses focused ultrasounds to modulate or stimulate things within the brain, for example. It's used for everything from depression, anxiety, Alzheimer's disease, and addiction. Many different indications are being addressed in research using these kinds of devices, including ours." #OpenwaterHealth #MedTech, #NonInvasiveCare, #PortableHealthcare, #PatientAccess, #HealthcareInnovation #FocusedUltrasound #LIFU #Hemodynamics #Openwater #OpenLIFU #OpenMotion #DigitalHealth #Neurotechnology #StrokeCare #AIinHealthcare #OpenSourceMedicine #ClinicalResearch #WearableMedicalDevices #HealthcareInnovation openwater.health Listen to the podcast here

Single Parent Stroke Recovery: How Jeff Manuel Is Rebuilding His Life for His Kids Jeff Manuel was working two jobs to provide for his two teenage kids – a full-time role in electrical sales plus evening grocery-delivery shifts – when a stroke at 52 changed everything about how he could show up for them. Four years later, he’s not back to where he was. He’s become someone different, and by his own account, someone he likes better. A Normal Saturday Morning, Then Everything Changed Jeff’s stroke happened on a Saturday in March 2022, but the warning signs started the night before, on his last work shift. The next morning he made coffee, showered, and drove to drop off his kids’ things at their mother’s house in West Kelowna. When she opened the door, she immediately knew something was wrong – his face had visibly dropped. A local clinic ran a squeeze test that came back fine and prescribed inhalers for what they assumed was a breathing issue. It wasn’t until Jeff tried to pick up oranges with his left hand an hour later, and couldn’t, that they went to the hospital. A CT scan confirmed he’d had a stroke. He couldn’t move his arm or his leg. Raising Two Teenagers From a Hospital Bed Single parent stroke recovery comes with a particular kind of weight: the practical question of who looks after your kids while you can’t. Jeff and his ex-wife were separated but living close by, and when he was hospitalized for three months, she and their children – a boy and a girl, both thirteen at the time – stepped in to support him. She’s been doing a lot for me, and I really appreciate it. What could have been an awkward or strained dynamic instead became a stronger friendship than the one they’d had before the stroke. Jeff is candid about why the timing mattered to him: Thank goodness it happened when I was only fifty-two and not seventy-eight, when they’d got their families all grown up and their own worries. I didn’t want to be a worry to their father. His kids are now nearing graduation, and he stays in touch by text and phone, even though he doesn’t get to see them as often as he’d like. Two Years Learning to Live Again After hospital, Jeff moved into a residential rehabilitation program called Connect Communities, where he spent two years relearning basic independence – from walking to cooking to managing a wheelchair-accessible home. Progress wasn’t linear: partway through, his wheelchair tire caught on a mat and led to a fall that required a hip replacement, adding more recovery time on top of the stroke rehab. The program used occupational therapy milestones to unlock privileges – once he could complete a task within a set time, he earned the ability to grocery shop and cook for himself, working up to preparing a meal every night. That system became his bridge from full-time care toward the assisted living arrangement he’s in now, which he describes less as being stuck and more as “graduating” toward independent living. Managing Pain That Doesn’t Go Away Chronic pain has been one of the harder, more persistent parts of Jeff’s recovery – constant pain and tension on his left side, in his shoulder in particular. After four years of prescribed medication, Jeff made his own decision to stop his pharmaceutical pain pills and manage his pain with medicinal marijuana gummies instead, taken a few times a day. He credits them with helping not just with pain, but with sleep and digestion too. This is Jeff’s personal experience and decision, made under his own judgment about his body after years of living with it post-stroke – not a treatment recommendation, and as always, any change to medication should be made in consultation with your own medical team. A Rebirth, Not Just a Recovery What comes through most clearly in Jeff’s story isn’t the physical rehabilitation – it’s the internal shift alongside it. He describes the last ten years before his stroke as a period of grief he hadn’t fully processed, following the deaths of his mother and sister, and a tendency to put himself first that he says didn’t serve his family. The stroke, paradoxically, became the catalyst for the opposite: I’d like myself again because I know I’m a good person. He talks about his recovery in openly spiritual terms – leaning on his mother’s belief that “everything happens for a reason,” and describing his body’s limitations as temporary: “This is only part of your meat suit.” He’s quick to add that this reframing isn’t about denying the hard days. It’s about noticing small, cumulative wins: Sometimes you’re not aware of what’s happening, and then you think about it – I couldn’t do that yesterday, now I can. What Keeps Him Going Jeff found Recovery After Stroke the same way many listeners do – searching for answers in a hospital bed, trying to understand what had just happened to him. I’ve seen so many other people going through it. It really did help me. Now, four years on, he’s paying that forward by sharing his own story, pain and all, with the same honesty he found helpful when he needed it most. If Jeff’s story resonates with your own recovery – or your own path back to being fully present for the people who depend on you – Bill’s book, The Unexpected Way That A Stroke Became The Best Thing That Happened, digs deeper into this kind of transformation: recoveryafterstroke.com/book. If this show has helped you, you can support it directly at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Jeff Manuel: Raising My Kids Through a Stroke and Learning to Like Myself Again (Interview) A single dad’s 4-year journey from hospital to independence – raising his kids, relearning to cook, and rebuilding who he is. Highlights: 00:00 Jeff’s Journey: Single Parent Stroke Recovery04:01 The Day of the Stroke06:42 Personal Transformation Post-Stroke09:03 Rewiring the Brain and Recovery11:04 Support During Recovery13:32 Mindset and Spiritual Growth15:25 Challenges of Recovery18:52 Personal Transformation and Reflection20:24 Daily Life in Assisted Living24:01 Pain Management and Coping Strategies26:28 Future Aspirations and Independence28:13 Finding Community and Sharing Stories Transcript: Jeff’s Journey: Single Parent Stroke Recovery Jeff Manuel (00:00)Once you get over what has happened, you become a better person. I like myself again because I know I’m a good person. if it takes another four or five years to walk again, it takes that. But if I can get as many tools into my tool chest, I can use later in life. Bill Gasiamis (00:18)Welcome back Recovery After Stroke. I’m Bill Gassiamis. My guest today is Jeff Manuel, a single father of two teenagers who was working two jobs full time in electrical sales plus evening grocery delivery when he had a stroke at 52 that left him with left-side paralysis. Jeff describes his stroke as involving a clot and possibly a bleed as well. The exact clinical picture is something we talked through together in the episode. We get into what it’s like raising teenagers through three months in hospital and two years in residential rehab, and how his relationship with his ex-wife has changed since the stroke, how he’s learned to cook again with one hand and the pain management approach he’s landed for himself after four years of recovery. Quick note before we dive in, if you’re feeling stuck in your own recovery, I now offer one-on-one coaching for stroke survivors. It’s not therapy or medical treatment, it’s lived experience support, structure, accountability, and someone who’s actually been where you are, having survived three strokes myself. I only work with a small number of people at a time, so it stays meaningful. You can apply at recoveryafterstroke.com/momentum. If Jeff’s story resonated with you, I also wrote a book about my own experience called The Unexpected Way. That a stroke became the best thing that happened, it is available at recoveryafterstroke.com/book. And if this show has helped you, you can support it directly at patreon.com/recoveryafterstroke. Here’s my conversation with Jeff. BIll Gasiamis (01:58)Jeff Manuel. Welcome to the podcast. Jeff Manuel (02:01)Thanks for having me. BIll Gasiamis (02:01)Tell me a little bit about what life was like before stroke. What were your daily tasks? What kind of things did you get up to? Jeff Manuel (02:10)at the time I had two jobs. I had full time journal day and then after after the day job I would go and And I was I was before I was in a loop to try to catch up and Provide for my family. BIll Gasiamis (02:22)What kind of jobs did you do? Jeff Manuel (02:23)I was my last job was in sales, electrical sales. And I used to I would pick groceries for customers that were just driving by and picking up the groceries. So I’d pick mostly the the dry goods and have it ready for when they eat when they were ready to pick up the groceries. BIll Gasiamis (02:41)Was that the after hours job? Jeff Manuel (02:42)Pardon me? BIll Gasiamis (02:42)Was that the after hours task? Jeff Manuel (02:45)Yes. BIll Gasiamis (02:45)And how many hours a a week would a day would you say you were working then? Jeff Manuel (02:48)I’d be I’d probably have four four four shifts a week. Sometimes less. BIll Gasiamis (02:53)And on the day of one of your shifts. Jeff Manuel (02:54)It was manageable at the time. BIll Gasiamis (02:56)It was manageable. Jeff Manuel (02:57)Yes. BIll Gasiamis (02:57)And on the day of one of the shifts that you went to your regular job and then you did one of those shifts, how many hours would you say that? Jeff Manuel (03:06)Five hours. I believe I worked the five hours that was on my stroke happened on a Saturday. This was a Friday night. So I believe it was five hours. Cause I was started it at five and I finished at ten. BIll Gasiamis (03:07)The added So with your full time job, the regular job, that would be a normal eight hour day and then you would do an additional five hours? Jeff Manuel (03:30)Yes. BIll Gasiamis (03:30)Okay. And w other than work, what else did you get up to? Jeff Manuel (03:37)I’m a single father of two kids. So as much time as I could spend with him I spent with them even though we were not living in the same house. BIll Gasiamis (03:45)Understood. How old were the kids? Jeff Manuel (03:46)Thirteen. BIll Gasiamis (03:47)Two boys, two girls. Jeff Manuel (03:49)boy to give us BIll Gasiamis (03:50)Sorry, Jeff, what was that? Jeff Manuel (03:51)Boy and a girl, I’m sorry. BIll Gasiamis (03:52)A a boy and a girl. And you were working the extra hours to cover everybody and make sure they had everything they needed. Jeff Manuel (04:00)Yes. The Day of the Stroke BIll Gasiamis (04:01)And what what happened on the day of the stroke, Jeff? Jeff Manuel (04:05)Well, I woke up Saturday morning, everything was fine. Put on the coffee machine. Went and got a quick shower. Packed up my clothes cause I was going to to their house ’cause they lived with their mother in West Kelowna. And I was living in Peachland at the time. So I drove on the highway, popped into McDonald’s, cup of coffee, couple of sandwiches, and then they were just two minute drive away. knock on a door. She opens the door and she says, What the heck happened to you? I said, What do you mean? She said your face is on the ground. My whole left side, I guess, just collapsed. So then she says we’re going to the clinic. Is it okay? So go over does a squeeze test. I mean both hands, fine. And I was walking and talking and doing everything. Like nothing happened yet. I said the only the only issue I had was a little bit of breathing problems a couple of months previous. So we prescribe some inhalers and see if that helps. Mm got the inhalers, tried out an hour later. Didn’t do anything for me. Then I tried picking I had a shift at twelve o’clock and this was probably about eleven. And I went into the kitchen and tried picking up oranges with my left hand and I couldn’t grab it and put it in the bag and she said, We’re going to the hospital. So, okay. Then I was getting worried. So I didn’t know what it was. BIll Gasiamis (05:29)And and then you spent some time in hospital doing tests, were you? Jeff Manuel (05:32)Heard me? BIll Gasiamis (05:32)Then you spent some time at hospital, were they testing you? Jeff Manuel (05:34)Interested C D scan. Then he comes down and tells me that Mr. Manuel you had a stroke. Said okay. And then I still can’t comprehend what that actually meant. But I knew it was something wrong. And it wasn’t till the next day that I couldn’t move my arm or my leg. BIll Gasiamis (05:52)Mm-hmm. And how long ago was that, Jeff? Jeff Manuel (05:56)That was in Right of twenty twenty two. BIll Gasiamis (05:59)March of twenty twenty two. Jeff Manuel (06:01)Yes. BIll Gasiamis (06:01)Got it. And you seem to be quite still significantly emotionally upset about it. Do you find that you’re have a a few challenges about dealing with your emotions? Jeff Manuel (06:11)that’s cool. I’m sorry, Bible is not upset. It’s happiness. BIll Gasiamis (06:18)It’s happiness. Jeff Manuel (06:19)I’ve turned a big corner this year And I’m happy I’m happy where I am I’m happy for who I am This is just temporary. I know that. And I’ve learned to live with it for four years and it’s okay. I’m good. BIll Gasiamis (06:34)Lovely, man. So who are you now? Who are you now that you’re happy with who has turned the corner? Personal Transformation Post-Stroke Jeff Manuel (06:42)I’m I’m more of myself a long time ago with the name. In the last ten years it’s It’s just listening to other people having a broadcast and internalizing it and using it for the good. And trying to help people as much as I can. Even it just means a smile and hey you’re doing a great job. That means the world to people. And for some people they can’t say it, so I’d say it for them. BIll Gasiamis (07:02)Mm. So the the the guy from ten years ago wasn’t happy. What was wrong with that guy? Like what is it that he wasn’t doing that wasn’t serving you? Jeff Manuel (07:15)I wasn’t paying attention to what I had to pay attention to my my wife and kids. I was up north and in the North Territories, which is Canada’s Arctic, for twelve years. Awesome years. Beautiful people. BIll Gasiamis (07:32)And what were you doing there? What was the task? Jeff Manuel (07:35)Doing a couple of different jobs. My last job was I was assistant manager of like a Costco. But it was a a locally owned Inn Valley store, so BIll Gasiamis (07:42)I went Jeff Manuel (07:46)When my boss would be out of town I would have to look after the stores and transfer to other parts of the Arctic. BIll Gasiamis (07:46)And were you away from your family at that time? Did that have you away from your family? Jeff Manuel (07:55)No, my family lived right in the same community, so BIll Gasiamis (07:57)Uh-huh. And what you you weren’t satisfied with the way you were going about life? What was the difference between now and then? Because you’re quite co comfortable suggesting that there’s been a shift, a change? Were how how were you not Jeff Manuel (08:13)I was drinking way too much. And then along with grief. BIll Gasiamis (08:18)What was the grief in relation to? Jeff Manuel (08:19)my mother and my sister had passed away from cancer. But like pretty close to tw twenty years ago now. So and recently it’s been my brother. So it’s been I’ve been thinking a lot about that. BIll Gasiamis (08:32)And were you using alcohol to cope before the stroke? Jeff Manuel (08:34)Yes. BIll Gasiamis (08:35)And did that mess up your relationships? Jeff Manuel (08:36)Not necessarily. BIll Gasiamis (08:37)How how was it that you weren’t doing the right thing by your family? Jeff Manuel (08:41)I’m just thinking more about myself than others. BIll Gasiamis (08:44)Putting yourself first. Jeff Manuel (08:46)Yes. BIll Gasiamis (08:46)Mm-hmm. Got it. And then the stroke happened and how did that change everything? Because the stroke made you unwell. It put you in hospital. But how did that shift the way that you behaved and the the way you went about life? Rewiring the Brain and Recovery Jeff Manuel (09:03)Well, in this is my fourth year, so this year I know that my brain is rewiring itself because I can see minuscule changes every single day. And sometimes you’re not aware of what what what’s happening and well then you think about it and I couldn’t do that yesterday, now I can do it. BIll Gasiamis (09:24)understood. And hello Jeff Manuel (09:26)And it’s a it’s a it’s it’s a positive positive thing that happens to you every single day. BIll Gasiamis (09:32)Got it, I appreciate that. So you’re seeing small significant changes that are adding up and you’re getting results from that. And it’s been for years now. Jeff Manuel (09:40)Yes. I’m happy to say BIll Gasiamis (09:41)Understood. That’s excellent. Now, what kind of stroke was it? Did they determine the cause and have they put you on some kind of medication or program to prevent another one? What was the issue with the stroke? Jeff Manuel (09:54)No, it was a hemorrhagic stroke on the the right side. Yeah, I was prescribed a whole bunch of pills and stuff. I guess it helped at the beginning. I couldn’t tell. BIll Gasiamis (10:03)Did they tell you what caused the brain hemorrhage? Do you know? Jeff Manuel (10:06)the the doctor said said there was a clot in my this part of the artery on the my right side and my neck. And he also told me that I had a heart attack the week before. But I didn’t see it, I think. It was just a mark one, I guess. BIll Gasiamis (10:21)So so was So was it a brain hemorrhage or an ischemic stroke? Jeff Manuel (10:27)Maybe it’s a brain hemorrhage. BIll Gasiamis (10:28)Bleed in the brain? Jeff Manuel (10:29)Yes. BIll Gasiamis (10:30)Okay. But the clot usually refers to an ischemic stroke, which is like a very different from a a bleed on the brain. Jeff Manuel (10:39)No, the it was just the vein that was clouded. BIll Gasiamis (10:41)Uh-huh. As well as a brain hemorrhage. Jeff Manuel (10:43)Yes. BIll Gasiamis (10:43)So you were really going through it. You had a heart attack, a clot issue and a brain hemorrhage all at the same time? Jeff Manuel (10:49)Yes. BIll Gasiamis (10:49)Wow. Under. Got it. So how long did you spend in hospital, Jeff? Jeff Manuel (10:55)I was there from march twelfth to June fourth ninth in the hospital. BIll Gasiamis (11:02)About three months. Support During Recovery Jeff Manuel (11:04)Yes. BIll Gasiamis (11:04)And who was there to support you during that time? Because if you’re if you’re no longer married and you live separately from your your former wife, who was by your side? How how did you get through that time? Jeff Manuel (11:18)That’s funny because it was my ex wife and my children. She would bring in to see me and f they would feed me and look after me. BIll Gasiamis (11:28)That’s very cool. She stepped up. Jeff Manuel (11:31)She did she’ve been doing a lot for me. And I really appreciate it. BIll Gasiamis (11:35)Yeah, that is lovely. And then you left from the hospital. At some point they dismissed you or discharged you. Did you have to go into rehab after that to try and get your your left side up back up on board? Jeff Manuel (11:51)Well, in the hospital I was doing really hard but but I couldn’t I could still couldn’t walk or go up steps or anything, but they applied to put me into Connect. It’s called Connect Communities. And there was a whole bunch of different houses you live in. And it’s like you have your own room, you have your shower days, and you get fed three meals a day. But everything was wheelchair accessible. And it was the best two years I had. There was that place was amazing. The people were amazing. And what they offered ya and taught you was amazing. BIll Gasiamis (12:26)Yeah. It sounds like you’ve gone on qu quite a spiritual kind of shift, some kind of a journey, an internal journey as well as the physical healing of your body. Jeff Manuel (12:35)Exactly. This I can live with. This is only part of your meat suit you’re aiming your leg. It all depends on what’s upstairs and how you can teach p other people to live with what’s happening. BIll Gasiamis (12:49)What’s one of the biggest things that you learnt when you were in there, by the time you left after two years? Because at the beginning I imagine you wouldn’t have been as upbeat, as positive as you are now. Mindset and Spiritual Growth Jeff Manuel (13:02)No, because You still are learning your your limits of being disabled or paralyzed. You still gotta live it’s like a regrowth. You learn from a baby again to crawl and then walk. And it’s like up until then it’s learning you think about things if you have to use the watchroom you think about it like twenty five different times before you actually use it. It’s a like a learning process. And I’m just starting to learn again. BIll Gasiamis (13:37)So it sounds like the biggest recovery that you had that’s been the most meaningful then was that kind of mindset part of your recovery, the spiritual part of your recovery. Jeff Manuel (13:47)I I I think once you get over what has happened, you become a better person. But I I’d like myself again because I know I’m a good person. And if it takes another four or five years to walk again, it takes that. But if I can get as many tools into my tool chest, I can use later in life. BIll Gasiamis (14:09)Yeah. Yeah. And you know what I love about that is you’re kind of setting an example for your kids, right? Y they may not know it and Jeff Manuel (14:16)I tried to my best to set an example because I always said, Thank goodness it happened when I was only fifty two and not seventy eight when they got their families all grown up and their own worries. Didn’t want to be wrong about their father. They stepped up and being adults when they were thirteen. BIll Gasiamis (14:34)Yeah. Were you also a smoker then? Jeff Manuel (14:35)Yes. BIll Gasiamis (14:36)Okay. Jeff Manuel (14:36)I did quit three months before going into hospital but I’m back smoking again, so BIll Gasiamis (14:41)You’re back smoking again at the moment? Jeff Manuel (14:43)Yes. BIll Gasiamis (14:44)And drinking? Jeff Manuel (14:44)The occasional drink. I’ve tested my limitations and see where it led. But I don’t I don’t over anything, I’m sorry. BIll Gasiamis (14:50)Can I be can I be Can I be perfectly blunt with you? Jeff Manuel (14:57)Yes, you can. BIll Gasiamis (14:58)Why don’t you reduce the amount of time it takes for you to get on your feet from four years to a s a shorter amount of time? And the best way to do that and avoid another stroke and be a real example for your kids is to stop smoking and drinking. That’ll make you more in a in put you more in the zone of allowing your brain to heal rather than continuously putting it in a space where healing is not possible. Challenges of Recovery Jeff Manuel (15:25)So understood. BIll Gasiamis (15:26)I know the challenge with smoking and drinking is beyond just putting it down and not touching it. I know it’s linked to a lot of other emotions and a lot of other things. I used to smoke and drink as well. But the work to be done is in the it’s in when you don’t have those things to go back to to regulate your emotions or change your mindset, that’s where the work is need to be done. You need to pick up the skills that make it possible you for you to deal with those particular emotions or those particular things that are going on that make you drink, that make you smoke. And that will enable you to also deal with those challenges of the grief that you’ve suffered in the past. And also will simultaneously make the right environment for healing the brain. And that should speed up the amount of time it takes for you to get back on your feet. Jeff Manuel (16:20)That’s gonna be my start processing. BIll Gasiamis (16:22)Yeah. I thought you know, we’re here to be honest and frank, and you’re being honest and frank. And I thought, well, I might as well just put it out there. There’s a lot of people that want to get better after stroke, and sometimes they’re doing the things that are getting in the way of recovery without realizing that they’re getting in the way of their own recovery. And that’s kinda like my job, you know, is to sort of say, Hey, here’s a mirror, pay attention to this. Have you seen this before? Are you aware of this? And and then that way, maybe together. You know, we’ve learned something today and we can overcome and then we can move forward a little better. Jeff Manuel (16:56)That’s good advice. BIll Gasiamis (16:57)Are you back to independent living now? Jeff Manuel (16:59)No, no, no. I mean long term care. I was in BIll Gasiamis (17:02)Yep. Tell me about that. Jeff Manuel (17:03)It’s it’s it’s it’s good for me right now for what I need. two years ago I had broken my my hip, so I had to get a hip replacement. So it was extremely hard trying to get your legs into the bed. BIll Gasiamis (17:17)Did you have a fall because of the stroke? Jeff Manuel (17:20)Not because of the stroke, but there was a a mat that that my tire got jammed into. BIll Gasiamis (17:26)The wheelchair tire. Jeff Manuel (17:27)Yeah. BIll Gasiamis (17:29)man, I got it. Jeff Manuel (17:30)It just slowed down my my mobility a bit in my rehab of the the walking but but it was okay. I got through it. BIll Gasiamis (17:42)Got it. And they did a they did a hip replacement. Jeff Manuel (17:46)Yes. BIll Gasiamis (17:46)Understood. So then there was some rehabilitation associated to the hip replacement as well to get you back on your feet. Jeff Manuel (17:55)Well, caught sorta say get me on my feet, get me in the wheelchair. Yeah. it was another six weeks in hospital. BIll Gasiamis (18:00)Yeah, got it. Okay. Yeah. You had a quite a journey, man. Like a lot of sort of downtime as a result of this condition and then all the little complications and bumps in the road. How have you sort of dealt with that mentally? Have you had somebody to talk to? Have you done some therapy? Like how is it that you’ve been been managing to, you know, wrap your head around all of this stuff? Jeff Manuel (18:30)and my mom always had a good say and she said everything happens for a reason. We just don’t know what that reason is at that time. And it’s like, okay, this had happened to me, so now I’m getting to learn why it happened because this is the rebirth of me. In my journey. I’m not the guy I was four years ago or five years ago. I’m me now. Somebody different. Personal Transformation and Reflection BIll Gasiamis (18:52)Mm-hmm. Had you had you in those last ten years before the stroke, had you forgotten about that side of you, that kind of spiritual element of you that you’ve rediscovered? Was it lost in the grief and in the drinking and in the all the work? Jeff Manuel (19:09)It went away somewhere, I don’t know exactly where it went, but it went away. You know, being being on this on this side of the the grass, I guess, I don’t know how you would say it, but going through the healthcare system, you get to see a whole lot of people. And y and you you can sense their their expressions and stuff. A lot of good people. A lot of good people too. BIll Gasiamis (19:32)How’s your relationship with with your former wife and kids now? Are they nearby? Do you see them often? Jeff Manuel (19:37)And they are nearby, but I don’t see as often as you want. I see at least probably about once a month. Well, we’re in contact, we text each other and phone each other every now and then. to graduate next year, so BIll Gasiamis (19:47)Are the kids in school? they’re graduating, so they’ve been busy with school and Jeff Manuel (19:53)Their friends and stuff, so BIll Gasiamis (19:54)Pretty normal. Jeff Manuel (19:56)Yeah, that’s normal teenagers. BIll Gasiamis (19:57)Yeah, understood. And your relationship with your ex wife, is it very cordial? Do you guys get along, even though you guys are exes and Jeff Manuel (20:05)Yeah. Yeah, we get we always got along, but we’ve been way better friends the last couple of years. BIll Gasiamis (20:14)Yeah. That sounds like it’s a it’s a great relief for you. And also she’s able to really kinda take care and help out with the children. Jeff Manuel (20:24)Exactly. Daily Life in Assisted Living BIll Gasiamis (20:24)What is a day like in your facility there where you live? What what do you guys get up to? How do they keep you occupied? What’s it what’s that like? Jeff Manuel (20:33)There is a there’s a you have breakfast at eight to ten and then lunches from twelve to one and dinners from five to six. And then you have the rec department that do little games and stuff in the activity room. I usually go out and and enjoy the fresh air and the sun. It’s warming up here. much fresh year and San John I can get the better. BIll Gasiamis (20:55)And And do you have a few people that live in the facility with you? Is it quite a large facility? How many people are in there? Jeff Manuel (21:05)yeah, there’s three different floors. I’m on the main floor. And there’s probably BIll Gasiamis (21:10)Mm-hmm. Jeff Manuel (21:13)Probably two hundred people, two fifty in three floors. BIll Gasiamis (21:16)Mm-hmm. A lot of people that I’ve spoken to in the past about those types of facilities get really down about They kind of don’t feel like they should be there or need to be there. How do you manage being there? Jeff Manuel (21:29)I’m not totally at the point where I can go live by myself. Right now I still need I still need this. Until I can afford something that is realistic. And you have to be realistic. You gotta think about things a hundred and fifty times more than you would regularly think about things. BIll Gasiamis (21:34)So it’s a cent. Jeff Manuel (21:47)I can still cook, but Right now I gotta concentrate on being me. BIll Gasiamis (21:51)And getting better. And getting back on your feet. Jeff Manuel (21:54)Exactly. BIll Gasiamis (21:54)So you can still cook, which is awesome. So you adapted to cooking with one arm? Jeff Manuel (21:59)yeah, no problem. As long as you you know what you can do, your limitations, you can do anything. BIll Gasiamis (22:04)What’s the hardest part about preparing food with one arm? Jeff Manuel (22:07)Well, you it’s pretty hard to make a salad with one arm ’cause you can’t hold the tomato or the cucumber with the other. That’s about it. That’s where you get the you can get these the plastic cutting boards that have spikes in So you just lay out your vegetables. And then you can use the one hand to cut it off. BIll Gasiamis (22:27)And is cooking encouraged to cook for yourself or is that just part of your occupational therapy? Jeff Manuel (22:34)at Connect you kinda you led up to being able to cook so the O T would give you a certain task and if you could achieve that task within a certain time limit you you would get X amount of dollars per week to go grocery shopping so you could cook for yourself. usually and every night I would cook a meal for myself. And then that graduated into becoming more self sufficient for myself so I could go in assisted living. So they found a place on the west side in assisted living and I lived there for a year and two years. BIll Gasiamis (22:55)And the Jeff Manuel (23:09)Like just threw you throws your curveball. BIll Gasiamis (23:11)Yeah, it sure does. Jeff Manuel (23:11)And up there, but but you know what? I kinda like it. Because you get to meet people, you have discussions. When you when you’re dying for communication You can talk to anybody. BIll Gasiamis (23:22)Yeah. Your facility there, there’s is there a lot of downtime? Do you guys get to intermingle and connect with each other and share spaces together? Jeff Manuel (23:34)Yeah. We can do that. Until we up in the morning and that we go to bed tonight. BIll Gasiamis (23:40)Yeah. So it sounds like it’s the great kind of a great place for you, like a a like a space between being independent again to kind of help you get through all the things you need to get through before you qu kind of was it like graduate to independence, I suppose. Is that like i is w is that how you would describe it? Pain Management and Coping Strategies Jeff Manuel (24:01)That’s that’s pretty good. I think to me now mentally the better I can become, the better my whole body will become. BIll Gasiamis (24:08)Hmm. What would be the hardest part of this stroke journey for you that that you kind of would be able to recall from all of this journey, the thing that was the hardest for you to deal with or overcome or or be challenged by? Jeff Manuel (24:24)Still still deal with the post stroke pain. It’s the hardest. BIll Gasiamis (24:30)The fatigue. Jeff Manuel (24:31)The the constant pain. BIll Gasiamis (24:33)the pain. Yep. Is that on your left side? Jeff Manuel (24:35)And arm, leg and shoulder, yeah, all on the left side. BIll Gasiamis (24:39)Do they medicate you for that? Do they try and give you some kind of pain relief? Jeff Manuel (24:43)No, I found my own. More medicine. BIll Gasiamis (24:45)Understood. And is that manageable then now the pain? Does it kind of help ease the pain? Jeff Manuel (24:50)Yes, it does. BIll Gasiamis (24:51)Okay. Jeff Manuel (24:52)It eases it away for me and and helps me not think about it. BIll Gasiamis (24:57)Uhhuh. Understood. So is the smoking related to medic medicinal marijuana, perhaps? Jeff Manuel (25:04)No, I ’cause I don’t smoke it. I it’s take the gummies. BIll Gasiamis (25:07)okay. So it’s it’s medicinal marijuana then. Jeff Manuel (25:09)Yeah. Well it’s all legal in Canada, so BIll Gasiamis (25:11)The the Yeah, it’s legal almost everywhere now. And it sounds like it’s actually very supportive of a lot of people that gummies sin seem to be a good alternative to you know, like the the Yeah. Or and also for some people it seems to be a better solution than the pharmaceutical painkillers. Jeff Manuel (25:25)Smoking it. Yeah, these are I I g I s had to stop taking my pharmaceutical pills altogether. BIll Gasiamis (25:40)Why were they causing Jeff Manuel (25:41)After af after four years I should know what’s happening to my body. I didn’t feel no but it no better after four years of taking the drugs. So I decided no more drugs. I’ll just have a gummy, figure out how I feel. BIll Gasiamis (25:53)Yeah. Jeff Manuel (25:57)Yes, this is working. I like it. BIll Gasiamis (25:59)How often do you have to take it? Jeff Manuel (26:01)Mm. Wait, four four times a day. BIll Gasiamis (26:03)Okay. So you notice when it’s starting to wear off? Jeff Manuel (26:06)Yeah, it’s only when it comes to extremes that it would take another BIll Gasiamis (26:09)And it helps you sleep, I imagine. Jeff Manuel (26:10)It helps the whole body. From your digestion and it has helped me. BIll Gasiamis (26:14)Yeah. Jeff Manuel (26:14)And actually sleep also. Sleeping eight, nine hours a day. BIll Gasiamis (26:17)Wow, that’s great, man. Do you have a lot of contact with your medical team, the people who helped you through the early phases? Do you have regular follow ups or anything like that to check in with them? Future Aspirations and Independence Jeff Manuel (26:28)No, sir. I haven’t once. BIll Gasiamis (26:30)Does does the facility there have medical professionals that you can access? Jeff Manuel (26:33)Yes. Does the doctor assigned to me? That comes every supposed to come up every three or four weeks. BIll Gasiamis (26:41)So what’s one of the things that you hope to do after you graduate from being in assisted care to being in independent living? Jeff Manuel (26:52)It’d probably have to be assist lived against. BIll Gasiamis (26:54)So again. Jeff Manuel (26:55)Assisted living. BIll Gasiamis (26:56)Yeah. My question was when you do kind of graduate from being in the assisted living to being independent in your own place again, what’s something that you’re kind of looking forward to be able to do? Jeff Manuel (27:10)The independence BIll Gasiamis (27:11)Can you have guests come and visit you at the facility that you’re at and hang out with you for the day? Jeff Manuel (27:18)Yeah. And if I want, I can transfer in the vehicle and we can go somewhere else. BIll Gasiamis (27:23)Understood. So Jeff, somehow you came across my podcast. What was it that made you do the search and find it? Jeff Manuel (27:29)Well, as soon as I was when I was in the hospital I started searching up stroke and disability and everything started popping up on my YouTube page and then I seen podcast recovery after stroke, so I started watching it and within the last year seen so many other people going through what you you’re going through. It inspired me. It really did help me. BIll Gasiamis (27:59)And then you thought it was time to tell your story. Jeff Manuel (28:00)Yes. BIll Gasiamis (28:01)Yeah. Good move. I really appreciate you reaching out, letting me know what was happening to you, what you were going through, and also joining me on the podcast. Thank you so much for your time. Finding Community and Sharing Stories Jeff Manuel (28:13)Thank you, Bill. Bill Gasiamis (28:14)Well, thanks so much to Jeff for coming on the show and being so open about what the last four years have actually looked like. The hospital stay, the rehab, the setbacks, and the mindset shifts that came with all of that. If there’s one thing to take from this conversation, it’s Jeff’s line. I’d like myself again because I know I’m a good person. That’s recovery in a sentence. Not just getting your body back, but finding your way back to yourself. If you’re feeling stuck in your own recovery the way Jeff once did, I offer one-on-one coaching for stroke survivors, structure, accountability, and support from someone who’s lived it. You can apply at recoveryafterstroke.com/momentum. If you’re a parent navigating your own recovery or you know someone who is, please share this episode with them. My book, The Unexpected Way That a Stroke Became the Best Thing That Happened. is now available at recoveryafterstroke.com/book. And if this show has helped you, you can support it at patreon.com/recoveryafterstroke. Thanks for listening. I’ll see you in the next episode. The post Jeff Manuel: Raising My Kids Through a Stroke and Learning to Like Myself Again appeared first on Recovery After Stroke.

In this best of episode of Moolala: Money Made Simple, host Bruce Sellery digs into the money conversations we avoid most, starting with the taboo "Bank of Mom and Dad." The Purse founder Lindsey Stanberry unpacks the "boomer lifestyle subsidy" and the myth of the self-made success story, while RBC's Lucianna Adragna shares new poll findings on why parents hesitate to talk to their kids about money, and simple, everyday ways to build financial confidence at home. Portfolio manager Dan Bartolotti of PWL Capital offers a practical approach to helping family members without jeopardizing your own retirement, and certified financial therapist Erika Wasserman introduces her "MONEY" method for turning tense money talks into productive ones. Finally, author Jane Blaufus shares the sudden loss that inspired With the Stroke of a Pen and explains how "courageous conversations" and a clear plan can protect the people you love. Honest, practical, and full of heart, this is your guide to making money talk a normal part of family life. To find out more about the guests check out: Lindsey Stanberry: thepurse.con | Instagram Lucianna Adragna: X | Facebook | Instagram Erika Wasserman: yourfinancialtherapist.com | Instagram Jane Blaufus: janeblaufus.com | Facebook | LinkedIn Bruce Sellery is a personal finance expert and best-selling author. As the founder of Moolala and the CEO of Credit Canada, Bruce is on a mission to help you get a better handle on your money so you can live the life you want. High energy & low B.S., this is Moolala: Money Made Simple. Find Bruce Sellery at Moolala.ca | X | Facebook | LinkedIn

In this episode, Dennis sits down with Brock, a civilian critical care flight paramedic who flies Medevac in the States, to break down what it actually takes to move a sick patient from point A to point B — and why drone evacuations are nowhere near as simple as the headlines suggest.They cover the real decision matrix behind scene calls versus interfacility transports, why time-sensitive patients (STEMI, stroke, major trauma) get priority, and the constant safety calculus of weather, maintenance, and crew fatigue. Brock reveals the shocking frequency of “stable” hospital patients who decompensate the moment transport begins — and why the dynamic environment of movement, vibration, and altitude changes everything.They also tackle the hard questions around drone evac: What kind of patient is actually stable enough to fly without a provider? What technology gaps (remote vent/pump titration, redundant IV access, real-time monitoring) must be solved before drones can handle true critical care? And why drone resupply might be the capability we should be training on right now.If you're a medic, planner, or leader betting on unmanned systems to solve evacuation problems in austere or contested environments, this conversation is your reality check.Key Takeaways:Scene crews decide destination based on capability; interfacility decisions are physician-driven.Over-triage happens — CCT assets sometimes get used for patients who could go ground.The “3 to go, 1 to say no” rule keeps aircraft missions safe (weather, maintenance, fatigue).Patients stable in the static hospital environment frequently decompensate once transport starts.True ICU-level patients on vents and drips currently require human titration that drones can't provide.Drone resupply is already viable and should be trained aggressively now.Realistic logistics training prevents dangerous “training scars” in younger medics.Chapters00:00 – Welcome & Why Drone Evacs Are the New Hotness (But Not That Simple)00:27 – Guest Intro: Brock, Civilian Critical Care Flight Paramedic01:59 – Scene Calls vs Interfacility Transports: Who Actually Decides?03:45 – Over-Triage Problem: Using CCT Assets on Patients Who Could Go Ground04:46 – Key Decision Factors: Time-Sensitive Patients (STEMI, Stroke, Trauma, Burns)06:56 – Aircraft Safety Culture: Weather, Maintenance Packages & Crew Fatigue (“3 to Go, 1 to Say No”)09:31 – Ground Critical Care Trucks as Backup When Weather Grounds Flights11:12 – Drone Evacs: What Kind of Patient Is Stable Enough for Unmanned Transport?13:32 – The Core Problem: Static Hospital vs Dynamic Transport Environment15:57 – Why Patients Decompensate in Transport (Real Examples from the Street)18:48 – What Drone Critical Care Would Actually Require (Remote Titration, Redundancy, Monitoring)21:44 – When It's Safer to Leave the Patient Where They Are22:48 – Drone Resupply: Already Working and Why We Need to Train It Now27:03 – Logistics Nightmares in Critical Care Transport28:50 – Training Scars: Why Realistic Logistics Training Matters for Medics29:58 – Closing Thoughts & Where to Find More PFC ContentFor more content, go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care⁠⁠

Nutrition After Stroke: Eating Safely When Swallowing Is Hard | Stronger After Stroke After a stroke, something as simple as eating can suddenly feel overwhelming or even dangerous. If you or someone you love has been told they need a modified texture diet, you probably have more questions than answers. In this episode of "Stronger After Stroke," Rosa Hart, BSN, R.N., SCRN, stroke nurse navigator, Norton Neuroscience Institute, sits down with Bethany Farmer, RDN, LDN, M.Ed., registered dietitian and clinical nutritionist, to take the confusion out of eating safely at home after stroke. Bethany brings clinical expertise and practical real-world guidance to the table. She breaks down what a modified texture diet means, how the IDDSI (International Dysphagia Diet Standardisation Initiative) framework works, and why following the prescribed diet level is one of the most important things a stroke survivor can do to protect their recovery. In this episode, you'll hear about: ·      What modified texture diets are and why they matter after stroke ·      Common foods that seem safe but can be dangerous for people with swallowing difficulties ·      How to thicken liquids correctly and consistently at home ·      Practical tips for keeping meals nutritious, appealing and dignified ·      Signs that swallowing may be improving and when to ask for a reevaluation ·      How caregivers can support safe mealtimes without added stress One of the biggest fears involving dysphagia is that mealtimes will never feel normal again. Bethany's message is one of both caution and hope. With the right knowledge and the right team, eating can still be safe, satisfying and even enjoyable. Whether you are a stroke survivor navigating a new way of eating, a caregiver trying to keep your loved one safe at the table or a clinician looking for patient-friendly resources to share, this episode is packed with information you can use right away. Want more inspiring stories and real-life resources? Subscribe and share "Stronger After Stroke" with someone who needs a little extra support navigating life after stroke. For more support after stroke, check out the programs available virtually and in person through Norton Neuroscience Institute Resource Centers: https://nortonhealthcare.com/services-and-conditions/neurosciences/patient-resources/resource-center/ If you enjoyed this podcast, listen to Norton Healthcare's "MedChat" podcast, available in your favorite podcast app. "MedChat" provides continuing medical education on the go and is targeted toward physicians and clinicians. Norton Healthcare, a not-for-profit healthcare system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.   Date of original release: July 13, 2026

The Tragedy of Woodrow Wilson and the League of Nations Guest: David Pietrusza The 1920 election cycle begins with a physical and political crisis as President Woodrow Wilson suffers a massive, debilitating stroke in October 1919. This event leaves him frail for the remainder of his life and turns the League of Nations into the central, polarizing issue of the upcoming campaign. Historian David Pietrusza notes that while Wilson viewed the League as his "crusade," the Republican Party was deeply divided between isolationists and those seeking specific "reservations" to protect American sovereignty. Amidst this, Theodore Roosevelt — who many believed would be an "unstoppable" candidate for 1920 — dies in January 1919. Wilson reportedly reacted to his rival's death with "hatefulness" and "vulgarity." As Wilson's inner circle masked his declining health, the political stage was set for a transition from his rigid internationalism to a new era of Republican leadership. (1)1920

Baby D is back, and catches up with Rory and Mal after two weeks of not seeing each other. The gang shares some of their weekend plans, including Jay-Z’s Yankee Stadium shows, Love Island watch parties, and more. Justin Bieber, Madonna, Shakira, and BTS are announced as FIFA World Cup Halftime Show performers, 50 Cent receives three Emmy nominations for his Diddy documentary, Future and THE-DREAM prepare for new albums, and Kodak Black reveals the group name with Kendrick Lamar and Ye. Finally, a caller inquires about how to tell his partner that she has bad breath, and the guys give some innovative solutions. All lines provided by Hard Rock Bet Visit your nearest Boost Mobile store or https://www.boostmobile.com/promo/25-foreverSee omnystudio.com/listener for privacy information.

Melissa McGregor's strength training journey began years after suffering a stroke while 10 weeks pregnant. In this Beast Over Burden episode, Niki Sims and Andrew Jackson are joined by Barbell Logic coach Joel Rasmussen and client Melissa McGregor to talk about stroke recovery, adaptive strength training, coaching, and rebuilding physical confidence. Melissa shares what it was like to regain the ability to move, lift, cycle, ski, and do the physical things that mattered to her and her family. Joel explains how he coached her through proprioception challenges, drop foot, balance issues, neurological fatigue, modified lifts, pain signals, and the long process of rebuilding movement. They also discuss the importance of trust between coach and client, why pain does not always mean something is broken, and how consistent training can help people keep moving forward after serious injury or neurological setbacks. This is a powerful conversation about strength, recovery, family, resilience, and refusing to give up on your body. PS - IF YOU'RE INTERESTED IN TAKING ONLINE COACHING FOR A TEST RUN, CHECK IT OUT HERE.    Connect with the hosts Niki on Instagram Andrew on Instagram Connect with the show Barbell Logic on Instagram Podcast Webpage Barbell Logic on Facebook Or email podcast@barbell-logic.com

We are happy to welcome back actress Erin Áine and director Kyle Valle to talk about the series Autonomous Autonomous: A couple boards a Gomo — a self-driving rideshare cab — only to find themselves trapped with no way out. 16 episodes of pure claustrophobic terror. Kyle Valle is known for ZombieCON (2018), Journeyman (2015) and ZombieCON Vol. 1 (2024). He has been married to Erin Áine since 2024. They have one child. Growing up in Atlanta, Erin began performing in school plays and musicals as well as singing in Atlanta's International Youth Chorus before signing with a theatrical agent at 11. Erin built a thriving acting career, booking roles in Bobby Jones, A Stroke of Genius, indie darlings Dance of the Dead and The Fat Boy Chronicles, NBC's Field of Vision, and worked as a host in Guatemala for travel series WayFinder. While studying at Vanderbilt University., she booked co-star and lead roles in shows and films including The Vampire Diaries, Revolution, Quarantine 2: Terminal, and Tom Holland's Twisted Tales, etc. Since relocating to Los Angeles, Erin co-founded production company Big Squid Productions and streaming platform MewNowTV with husband Kyle Valle and has produced, cast, and worked as 1st or 2nd Director while occasionally starring in over a dozen short films, series and features. If you want to support the show, head over to http://tee.pub/lic/HIbVFqhaUyA and grab a shirt! We are proud to be part of The Dorkening Podcast Network https://www.thedorkeningpodcastnetwork.com/ Find out more at https://wicked-horror-show.pinecast.co Send us your feedback online: https://pinecast.com/feedback/wicked-horror-show/528c058b-2e1e-4e49-ba5c-072007d8860e This podcast is powered by Pinecast.

My friend and mentor Kim Puzey (age 75) lives in Oregon, joins us to share his story: * Growing up in a blue-color world * Dad dying at age 12 * Friends dying at age 17 * Surprise decision to serve an LDS mission * 50 years of Church service—but a feeling that he worshipped the Church and callings * Less active, “steeple chaser” looking for the beauty in all faiths * Stroke—going from age 45 to age 75 In some of the most moving segments of any podcast, Kim shares powerful stories of ministering to “the one” including: * Why Walmart is sacred to me * The Chicago L * Importance of names * Waitresses are angels * Workers in the fields I was so moved listening to Kim's discipleship focused on “the one” with powerful stories of making a difference in people's lives—the core of our discipleship at followers of Jesus. Thank you Kim of being on the podcast. Thank you for your example to me over these many years. You are a good man. Honored to have you on the podcast. Links : Kim on Facebook: https://www.facebook.com/kim.b.puzey

Stroke in children and younger adults differs significantly from adult stroke, with varied presentations and a broader range of underlying causes such as congenital heart disease and arteriopathies. This episode highlights key diagnostic considerations and evolving approaches to treatment in these younger populations. In this episode, Aaron L. Berkowitz, MD, PhD, FAAN, speaks with Thalia S. Field, MD, FRCPC, MHSc, coauthor of the article "Stroke in Children and Younger Adults" in the Continuum® June 2026 Cerebrovascular Disease issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology in the Department of Neurology at the University of California, San Francisco, in San Francisco, California. Dr. Field is a professor at the University of British Columbia and the Sauder Family Heart and Stroke Professor of Stroke Research, and a stroke neurologist at the Vancouver Stroke Program, Vancouver Coastal Health in Vancouver, British Columbia, Canada. Additional Resources Read the article: Stroke in Children and Younger Adults Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Full episode transcript available here Dr Berkowitz: Most neurologists are used to evaluating and treating adults with stroke since it's one of the most common neurologic conditions. But stroke can also occur in children, in infants, and even in utero. Today, I have the privilege of interviewing Dr. Thalia Field to talk about pediatric stroke.  Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Berkowitz: This is Dr. Aaron Berkowitz, and today I'm interviewing Dr. Thalia Field about her article on stroke in children and younger adults. This article appears in the June 2026 Continuum issue on cerebrovascular disease. Welcome to the podcast, Dr. Field, and could you please introduce yourself to our audience?  Dr Field: Well, thanks so much. It's a pleasure to, uh, be speaking to you. I'm a stroke neurologist, and I treat adults generally. My wonderful colleague, Thivya Selvanathan, who's a neonatal neurologist, co-wrote the chapter with me. We do, unfortunately, have to treat some children with stroke collaboratively and I do advise on those cases. My practice is about one-quarter clinical, so I treat patients with acute stroke, look after them on the wards, see patients in stroke prevention clinic, and the rest of my time is mainly research and some administrative work and teaching. I run the clinical trials program for the Vancouver Stroke Program, and I do research of my own, mainly focused on stroke in younger adults. We previously did a trial and registry on cerebral venous thrombosis, and more recently, I've been running a national study looking at brain health in adults and children with congenital heart disease.  Dr Berkowitz: Fantastic. Wow, that is a lot that you do, and we'll look forward to the results of some of those studies. So, when adults suffer a stroke, they typically present with sudden onset focal neurologic deficits, very common scenario we're consulted on.  And one thing you and your colleague talk about in the article is that strokes can present differently in infants and in young children. Can you talk a little bit about the differing clinical presentations of stroke in the youngest young as compared to our usual experience treating the older adults?  Dr Field: Sure. So, you know, speaking about this as someone who doesn't see the children directly but has had the opportunity to discuss these patients with my colleagues and, like we all do, learn about it during our training, I think one of the distinctions, especially with neonates, is that it's generally not a presentation with focal neurologic deficits. Often these babies will have seizures or encephalopathy as their main presentation, and sometimes we're only finding out after the fact if they're presenting with developmental delay or early preference for handedness and hypotonia, things like that. So, in very young children, that's a distinction. And in older children, there can be sudden onset deficits and, and unfortunately, sometimes these are mistaken for other conditions that are more common in children, like seizures. But sometimes you can have a more indolent course, say, with something like a focal cerebral arteriopathy or something like that. So, it depends on the scenario, but the big difference primarily is in neonates, as far as I understand.  Dr Berkowitz: Perfect. That's very helpful. So as an adult neurologist, when I think about causes of stroke or teach sort of the categories of causes of stroke to our residents and students, when we think about the evaluation of stroke, I divide them broadly into causes related to the heart, causes related to the blood vessels, and causes related to the blood with, in the adult world, the most common things, of course, being atrial fibrillation for the heart, atherosclerosis for the blood vessels, and then risk factors for atherosclerosis in the blood, diabetes, hyperlipidemia, very rarely picking up a hypercoagulable disorder in the blood column. And reading your article, it seems that, correct me if I'm wrong, stroke in young adults, stroke in the pediatric population can basically be organized into those same broad categories, heart, blood vessels, and blood, just that there's many more conditions on the differential diagnosis that you would consider in young adults to begin with and then children and then neonates as we get into the younger and younger population. So, I'd like to talk about each of these sort of buckets of etiology in turn and ask you about some of the causes we would consider in young adults and children in each of these, and then as they come up, probably ask you more questions about how frequently we find these sorts of things, how frequently they're the cause of stroke treatment, et cetera. So, let's start with the heart. As I said, in adults, we're mostly looking for rhythm disorders, right, atrial fibrillation. Sometimes we'll pick up a patent foramen ovale or PFO or other structural abnormalities, but mostly we're thinking about atrial fibrillation. But reading your paper, I was struck by the huge variety of conditions that you might be looking for in the heart in children or infants with stroke. So, can you tell us a little more about cardiac etiologies of stroke in the young?  Dr Field: Yeah. So, I'd say unlike in older adults, where it tends more often to be a rhythm disorder, in children and adults who are younger, it's primarily a structural cause, and congenital heart disease being the most common. And it changes a little bit from younger adults shifting downwards in age to younger children in terms of the fact that often if we're seeing an adult with stroke related to congenital heart disease, it can be a paradoxical embolism from a previously undiagnosed PFO. Not in all cases, but fortunately this is improving over time. You know, generally people with diagnoses of more severe congenital heart disease are followed up from childhood and people are aware of the diagnosis, and hopefully they're being managed and watched for things like premature arrhythmias or depressed heart function or other things that can develop and require their own distinct antithrombotic management, for example. In young children, however, more severe causes of congenital heart disease tend to more frequently be associated with stroke. And in many cases, those strokes can be early on in life or associated, say, with perioperative complications or other iatrogenic-related causes in, in that way. Again, congenital heart disease can be associated with stroke at, at any point in the life course. But as adult neurologists, most frequently we're seeing very simple lesions like PFO with large shunts, and in children, it tends to be the more complex causes of congenital heart disease.  Dr Berkowitz: Got it. So, let's move on to the blood vessels. Again, in adults, we're usually thinking about atherosclerotic disease, be that of the cervical arteries or of the intracranial arteries. But in your paper, a lot of discussion about the various vasculopathies, arteriopathies that can be cause of stroke in younger adults and in children. Could you talk a little bit more about some of the vasculopathies and vascular conditions that are causes of stroke in the younger population?  Dr Field: Sure. Before I do that, I will say that especially in older younger adults, particularly over the age of thirty-five, and you know, kind of makes me shudder that that's an older younger adult. But, um, in, in any case, certainly conventional vascular risk factors are more common in this population with stroke, especially in those who don't have PFO-associated stroke. Like conventional atherosclerosis, you know, certainly is a cause of stroke in younger adults. But that being said, certainly other vascular causes and vasculopathy in particular is a much more common cause of stroke in younger adults and, and children than it is in older adults. In particular, dissection is an extremely common cause of stroke in younger adults. Generally cervical artery dissection from non-inflammatory vasculopathy, usually on, sometimes on the FMD fibromuscular dysplasia spectrum and, and sometimes, you know, provoked by minor trauma or something post-infectious that may make the vessels a little bit more susceptible. And in younger children, this inflammatory focal cerebral arteriopathy is a distinct cause that is a common cause of stroke in, in young children. There are other causes that can affect the blood vessels, you know, rarer things like vasculitis and vasculopathies that can develop in the context, say, of sickle cell anemia. But in general, as a bucket, vessels are still very important, but the pathology tends to shift.  Dr Berkowitz: Got it. And you, um, alluded to a point that I wanted to ask you about. You mentioned the sort of, there's stroke in the young, and then where do you draw the line at young? Less than sixty, less than thirty-five, and then we've also talked about strokes as young as before the age of birth. Yeah, I'm remembering, is it the Helsinki study, one of the early large series of stroke in younger individuals? I think that, was it eighteen to forty-nine in that or fifty-nine? I don't remember the exact age, but being struck reading that paper as a resident and thinking about the workup for exotic causes we do, right, and when a young patient has a stroke. And correct me if I'm wrong, the most common etiologies of stroke in that series, and I'm curious the other large series yourself have been involved with, have still been vascular risk factors and arrhythmias and things that we, even common, quote unquote, common things in the young, such as dissection or hypercoagulable states. Uh, the things that we sort of tend to think about first are actually less common. But acknowledging that that paper has folks up to the late forties when the vascular risk factors may be, um, unfortunately kicking in earlier, uh, and earlier due to dietary and lifestyle factors. So is that true, or do you have sort of an age cutoff when it's, we say stroke in the young, people sort of think, "Oh, they'd work someone up differently if they're less than sixty, and they have no vascular risk factors or few vascular risk factors." When do we start getting into the kind of younger population where atherosclerosis and cardiac arrhythmias are not number one and two?  Dr Field: I'd say first of all, you and I must have trained around the same time because I was also in my training, really struck by the results of the Helsinki study going, "Wow, I, I really didn't know how much of a role these conventional vascular risk factors still play." And I think we're seeing that information reiterated, unfortunately, like even with higher prevalences and more attributable risk in some of the newer series. There are newer European series looking at stroke in younger adults, and more recently, there's been one that we mentioned in the article from the Florida Stroke Registry. And it's true that generally the burden is in the older younger adults. But what I would say overall in terms of kind of how things guide the workup, you need to look at the patient and consider things. I mean, obviously you don't want to miss things that can be treated differently and identified by tests easily. You know, things like ruling out syphilis or antiphospholipid antibody disease in, in younger patients. You really want to make sure that that's not something that, that you'd miss because, you know, obviously your treatment is going to change. However, certainly we start with the basics for stroke workup in any patient that's coming in. At my center, CT angiography. Some centers it may be MR angiography and echocardiography. We take a careful history. We look at the blood work. We look at the vascular risk factor burden. We find out if there's kind of any worrisome personal history, family history, look at their general health context. I think that really helps to guide how far we go in a particular workup, and it also helps to direct the other investigations and types of follow-up we need to do. For example, if a patient has a fairly suspicious story for dissection, let's say they're getting over a cold, and they went to the gym, and, you know, there was a sudden movement that they did that really produced headache and neck pain, and there's an obvious cervical artery dissection. I'm not going to go too far down testing them for rare infections and doing advanced cardiac imaging unless something shows up on their initial echo, for example. But I will make an effort to do more detailed vascular imaging of the rest of their body, find out careful family history. If there's additional manifestations of a non-inflammatory vasculopathy elsewhere, say consider sending them to medical genetics, or obviously, if this is, you know, a second event, your flags raise even more. So, it really depends on the patient. If I find out that there's, you know, a family history of premature cardiac disease and things like that, you know, obviously we're gonna be keeping a close eye on their cholesterol, making sure that we're not identifying, for example, familial hypercholesterolemia, which is, you know, something that comes up not infrequently where we'll see an LDL in an untreated patient of more than five. I apologize, you're gonna have to do the conversion to American units on that. But there are things we identify and, you know, again, you don't want to fall solely on heuristics and your preconceived notion of, of the patient. You do have to consider the results of the investigations that you do order. But I think you can certainly be mindful in terms of how you direct your workup and in turn, how you direct your follow-up.  Dr Berkowitz: That's great to hear your approach. Yeah, as you said, our approach always begins with the same, coming back to these three categories, right? Doing some type of structural imaging of the heart, rhythm monitoring for the heart, and then vascular imaging of the head and neck. And then I was going to ask you, and you sort of began to answer this question. Yeah. What's next and how far do you go? I think most people think the expanded stroke workup in the young is at a minimum, a TEE if there's been no signal thus far on the original workup. I just mentioned and you spoke about, and then probably hypercoagulable testing and only sending arterial side if there's no shunt and venous and arterial side if there's a shunt. Is that your second pass approach or did I miss anything, or are there other nuances there that are helpful to discuss?  Dr Field: No, I think that's generally in keeping with what I do. I think with TEE being very important. I mean, the first pass are arterial stuff. Really, it's antiphospholipid antibodies and, and making sure there's no cancer. Like you said, only if there's a shunt do I pursue other venous hypercoagulability testing. Again, you [chuckles] kind of reiterate, go through with the history, make sure there's kind of no red flags. And sometimes, obviously, you do your best reasonable job with the first pass workup, and you will find out when someone presents with a second event that it's something very unexpected. Maybe first manifestation, someone with no obvious history and very initially normal-looking imaging, say with, with CATASL or something like Fabry's disease or something where you would consider it if there was kind of a more classical picture. But it wouldn't be something you would do kind of on your first or even second pass workup in the absence of any sort of clinical suspicion, family history, or something along those lines.  Dr Berkowitz: I'm curious just as far as rough percentage. I feel like many of these patients we see it's a patient who's young and who's had a stroke, and the initial first pass has been unremarkable, and we do our TEE, and we do our hypercoagulable workup. Again, antiphospholipid antibodies only if it's-- there's no shunt. And if there's a shunt, adding on some of the venous hypercoagulability protein C, protein S, factor five, Leiden, et cetera. A lot of the times I feel like we don't find anything. What's your sort of general gestalt? Again, as a general neurologist who does a lot of inpatient neurology, I feel like when these cases come up, it's not that common that you say, "Oh, I actually diagnosed protein S deficiency." Or every once in a while, diagnose an antiphospholipid antibody, or you'll find a PFO on TEE. You didn't find on TT. I've maybe found one fibroelastoma in many years. How often do you find something? How often is it just as an adult a cryptogenic stroke in a young adult or child?  Dr Field: So much of what we see is PFO-related, dissection-related, conventional vascular risk factor-related. We do send referrals to medical genetics. Sometimes we'll do testing for rare things like Fabry's or consider other diagnoses. But I mean, those tend to be the exceptions. About one in four to one in five young adults with stroke end up with this cryptogenic label. I like to keep them on my radar for a few reasons. I think, one, it produces tremendous anxiety for them to not have a cause of stroke identified and just to kind of have a generic approach to secondary prevention. So, I think just to kind of keep an eye on them, manage their anxieties each year, make sure there's kind of no updates in, in terms of general secondary preventionAnd sometimes just things dawn on you later or there are new conditions, say things like, you know, DADA2, this, you know, adenosine deaminase deficiency. You know, there are new diagnoses that, that come on the radar. And sometimes treatments change. You know, for example, when I was starting my early career, the evidence hadn't yet been in place for PFO closure, and then all of a sudden, the paradigm completely changed. And you want to make sure that you can get in touch with those patients to reconsider your approach at the time. So I realize that not everybody has the luxury of extended follow-up with their patients, but I think often you can kind of encourage them or their healthcare team or just, you know, patient themselves to keep in touch periodically just to make sure that there haven't been any changes in treatment paradigms or just with your own awareness of particular, you know, diagnoses or, or just kind of readdressing the situation, uh, a year after and seeing if there's anything that may have occurred to you in the interim.  Dr Berkowitz: Perfect. Really illuminating to hear your approach to these challenging cases. And as you said here and then a couple of times, I think, in this interview is in many of these cases it's your first pass, maybe even your second pass, you haven't found anything. And the key is, unfortunately, as distressing as it may be for the patient as well as for us to not have an answer, to just keep following these patients. And sometimes you really can't sort it out until something else happens, either neurologically or systemically, where you say, "Oh, that's what this was." But there would've been no way to know it from the first presentation. So, we've talked a lot about the diagnosis of causes of stroke in younger adults and children. And in the last minute or two here, I just wanted to talk a little bit about treatment. You mentioned early on that you're involved in thrombectomy cases in children. What's the state of evidence or at least state of practice in terms of offering therapies like thrombolysis and thrombectomy in our patient population? I guess it would be under 18, right, who is not studied in the major trials. Do we have evidence and, or in the absence of evidence, what's sort of the, the expert guidance on treating young adults under 18 and children with some of these acute therapies?  Dr Field: So, trying to keep up with the literature on this. You know, certainly the evidence has been more established in a small trial and pediatric registries for use of tPA, tissue plasminogen activator, in children just because, you know, it's been around much longer. In terms of tenecteplase, which I, I really think signifies a, a practice shift in adult stroke because of its, you know, non-inferior efficacy and ease of use and potentially better rates of recanalization over time. In children, to my knowledge, that evidence base is, is limited to case series and anecdotal shifts in availability of drug and, and different practices. So, the evidence base is not particularly strong for tenecteplase in children who are identified within a reasonable amount of time who are still otherwise candidates for thrombolysis, you know, thrombolysis in children. Children who are a little bit older, I think, can't remember the exact age, but generally very young, like neonates, children who are under the age of two, I believe. I would want to double-check that thrombolysis is less commonly used and just because the safety has not really been that well-established. And for thrombectomy, it's now recommended to use thrombectomy in otherwise eligible children in the newest AHA guidelines. It gets a little bit more controversial in very young children. Under the age of six, there's less of an evidence base and, and often it will depend on people's level of comfort in terms of the size of the arteries. It's my understanding that once you get to about age six, the artery diameter is similar to that in fully grown people. But in younger children, I think just because of the catheters, there can be risk of, of injury. So, it's more of a case-by-case conversation with your interventionalist for younger children. And again, the evidence to intervene is not there for very, very young babies, for example.  Dr Berkowitz: That's very helpful to hear the current state of the evidence and the current state of practice, acknowledging, of course, there's not that much evidence, and these are relatively uncommon occurrences, fortunately, for children, but making it challenging for practitioners and practices may, um, vary based on different institutional protocols. So again, today I've been interviewing Dr. Thalia Field about her article on stroke in children and younger adults. This article appears in the June 2026 Continuum issue on cerebrovascular disease. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining us today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Every 40 seconds, someone in the United State has a stroke; and every 3 minutes and 14 seconds, someone dies of a stroke. So what exactly IS a stroke? What are the risk factors and warning signs? We go over it all with Dr. Nicholas Helmstetter, Assistant Professor of Clinical Neurology at LSU Health New Orleans School of Medicine.

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Against persistent fear of death, mortality avoidance, and the vices that emerge from terror management, this episode offers a personal testimony of a Christian experience of dying. With scientific precision, disarming honesty, and immense gratitude for life, biologist Jeff Schloss offers an intimate, firsthand account of his recent diagnosis of an extremely rare terminal neurological disease: multiple system atrophy (MSA). His doctors put the prognosis plainly: "It is terminal, it is incurable, and it's rapidly progressive." A longtime and beloved Westmont College biology professor and senior scholar at BioLogos, Schloss offers speaks directly to the experience of dying—as he encounters each new week of this rapidly progressive disease. He reconsiders the meaning of a "good death": increased gratitude and awareness of gift, the reality of pain, the loss of surfing and guitar-playing, the sacredness of family, and the surprising nearness of Christ as everything else falls away. A profound witness to Christian attitudes about life and death, Schloss seeks not a hero's death, but a daily, humble life-giving commerce with Christ. Schloss revisits a life that began in a nonreligious Jewish refugee family and pivoted through a dramatic conversion as a college-dropout surf bum in Hawaii. He traces what has changed, and what hasn't, now that death is no longer an abstraction but a daily fact in his body. With pastoral care and hope, Mark Labberton explores with Schloss what it means to experience dying rather than simply anticipate it, the grief of losing fifty years of surfing and guitar-playing to pain and paralysis, the gift of Simone Weil's writing on suffering, the Heidelberg Catechism's opening words on "our only comfort in life and in death," and the difference between the thrill of surfing and the sacredness of family and commerce with Christ. Episode Highlights I knew from the second grade that I wanted to be a scientist. I was out collecting butterflies and dragonflies and looking through microscopes at all sorts of things that I couldn't believe were there. As we were talking, it just occurred to me ... he either had what I wanted, or he was clinically crazy. It is terminal, it is incurable, and it's rapidly progressive ... the process of dying I find it fascinating ... It's not fun, but it is fascinating. She wasn't sad just for herself, I'm gonna lose you. And she wasn't sad empathetically just for me, so sorry for you. It was a joint sadness that the life we had hoped to share together, we are not gonna have. The things that are most life giving are out of reach ... I've come to see it's actually not true. The things that have been delightful are out of reach ... the thing that is most life giving, and that is commerce with Christ. I think it was the single most thrilling day of my entire life ... I said, no, those weren't thrilling, those were sacred. I don't want to market this season. I'm not looking for a hero's death, or any kind of publicly attended death. I would have never guessed that in this home stretch, my son and wife could carry me up the slopes of Yosemite Valley. About Jeff Schloss Jeff Schloss has spent four decades at the intersection of evolutionary biology and Christian theology. Now retired as Distinguished Professor of Biology at Westmont College, he continues as senior scholar at BioLogos, working alongside Francis Collins for more than fifteen years. He co-edited "The Believing Primate: Scientific, Philosophical, and Theological Reflections on the Origin of Religion" and "Evolution and Ethics: Human Morality in Biological and Religious Perspective," a Templeton Science-Religion Book of Distinction winner. He has lectured at Cambridge, Oxford, and Harvard. Helpful Links and Resources Jeff Schloss's page at BioLogos, where he serves as senior scholar: https://biologos.org/people/jeffrey-schloss Finding Faith: An Evolutionary Biologist Shares His Story, Schloss's own video testimony for BioLogos: https://biologos.org/resources/finding-faith-an-evolutionary-biologist-shares-his-story Tackling the Divide Between Science and Faith, Westmont Magazine's profile of Schloss's career: https://www.westmont.edu/magazine/spring-2025/tackling-divide-between-science-and-faith The Believing Primate: Scientific, Philosophical, and Theological Reflections on the Origin of Religion, Schloss's co-edited volume: https://global.oup.com/academic/product/the-believing-primate-9780199597086 Evolution and Ethics: Human Morality in Biological and Religious Perspective, Schloss's Templeton Award-winning co-edited volume: https://www.eerdmans.com/9780802826954/evolution-and-ethics/ Alvin Plantinga, Where the Conflict Really Lies: Science, Religion, and Naturalism, source of the Augustinian science concept Schloss references: https://global.oup.com/academic/product/where-the-conflict-really-lies-9780199812097 Heidelberg Catechism, Lord's Day 1, the confession Labberton reads to close the episode: https://www.heidelberg-catechism.com/en/lords-days/1.html Multiple System Atrophy overview, National Institute of Neurological Disorders and Stroke: https://www.ninds.nih.gov/health-information/disorders/multiple-system-atrophy Show Notes Childhood in a nonreligious German Jewish refugee family Grandfather taken by the Gestapo, relatives lost in the Holocaust Early love of butterflies, dragonflies, and microscopes A sixth-grade encounter with Confucius sparks a love of philosophy College philosophy major searching for purpose and for God Dropping out, becoming a surf bum in Hawaii A stranger's dinner invitation becomes a turning point A late-night prayer of surrender met by an unmistakable presence Grad school pairing biology, philosophy, and the study of altruism Alvin Plantinga's Augustinian science and reading creation with a map Decades as senior scholar at BioLogos alongside Francis Collins Why church and science drifted apart over vaccines and politics Science as a reliable path to facts, not truth itself A new diagnosis: rare, terminal, rapidly progressive neurological disease—multiple systems atrophy (MSA) Doctors estimate an average of three years, with wide variation The difference between studying death as a biologist versus the real-time experience of dying A spouse's grief for a shared future that will not happen Losing surfing and guitar-playing as an unplanned kind of fasting Pain described as systemic, exhausting, disorienting Cognitive decline and dark humor about it Distinguishing what is thrilling from what is truly sacred The ache of no longer being able to research and create A flicker of despair met by a choice not to despair Wanting a real death, not a hero's death A wish to thank former students and colleagues before the end Not wanting to become a burden to family Giving God all of one's heart, without earning salvation by it Bonhoeffer's costly grace versus cheap grace Gratitude over entitlement as the ground of faith Simone Weil on suffering as a place grace can work A closing blessing and the Heidelberg Catechism's opening words Carried up the slopes of Yosemite by a son and a wife #ConversingPodcast #MarkLabberton #JeffSchloss #FaithAndScience #BioLogos #MultipleSystemAtrophy #Mortality #ChristianFaith #Westmont #Gratitude Production Credits Conversing is produced and distributed in partnership with Comment Magazine and Fuller Seminary.

Richard Dadd's The Fairy Feller's Master‑Stroke is one of the most intricate, unsettling, and mesmerising fairy paintings ever created — and few people speak about it with more insight and imaginative clarity than Lena Heide Brennand. Lena is a curator, researcher, and host at the Last Tuesday Society and the Viktor Wynd Museum.In this episode, we explore the uncanny brilliance of Dadd'swork, the story of his life and legacy, and the strange magnetism of The Fairy Feller's Master‑Stroke. Lena shares her love of Nordic and fairy folklore, the threads of myth and music that run through her creative practice,and the ways folklore becomes a living, breathing presence in her work.Elimination of a Picture & its Subject—called The Fellers' Master Stroke - Queen – The Fairy Feller's Master Stroke

Human brain tissue contains far higher concentrations of microplastics than liver or kidney tissue, and researchers found the burden increased sharply between 2016 and 2024 Researchers discovered that patients with microplastics embedded inside carotid artery plaque faced a 4.53-fold higher risk of heart attack, stroke, or death compared to patients without detectable plastics in plaque Studies found plastic particles inside blood clots and diseased artery walls, while animal experiments showed nanosized plastics disrupting blood flow and worsening brain injury after stroke Ultraprocessed foods, bottled beverages, plastic packaging, contaminated water, and airborne particles expose your body to microplastics daily, allowing the burden to build gradually inside tissues and blood vessels Reducing ultraprocessed foods, avoiding heated plastic containers, filtering drinking water, and improving metabolic and vascular health help lower ongoing exposure and support your body's defenses against chronic inflammatory damage

Immerse yourself in captivating science fiction short stories, delivered daily! Explore futuristic worlds, time travel, alien encounters, and mind-bending adventures. Perfect for sci-fi lovers looking for a quick and engaging listen each day.

Housekeeping for next week...Matt cries...AI...Stroke victims...Doug does war history...Comparing theaters...Licking the rim...Doug's a simple man...Doug has problems with a character name...Matt phones a friend...Happy 4th everybody...

This week's topics include technology to improve stroke outcomes, adult use of social media and health decisions, impact of social media ban on Australian youth, and an LLM to augment clinical management in a low resource setting.

Stroke survivor Shalini Aggarwal shares her powerful story of sudden stroke, intensive recovery, and rebuilding her life step by step. She talks about the early challenges, the importance of support, and how faith and mindset keep her moving forward. A moving reminder that recovery is ongoing, and resilience is built along the way. Guest Social Media info -  https://youtube.com/@booboowithshamuoyeah and https://www.instagram.com/shaliniaggarwal  Send us Fan MailSupport the showYou can find this episode's transcript here.New episodes drop every other Thursday everywhere you listen to podcasts. 

Zach Henderson, CEO at MindMaze Therapeutics, has designed a precision neurotherapeutic solution designed to offer a scalable, engaging and immersive platform for patients recovering from strokes or managing Parkinson's disease. The solution is deployed across the entire care continuum from hospital to the patient's home, providing high-intensity therapy during the neuroplastic window. The emphasis is on augmenting therapists' care by equipping them with tools to encourage therapy adherence and with data to deliver precise, personalized care. Zach explains, "So at a very high level, there are millions and millions of people across the neurology spectrum who need this type of neuro rehabilitation, neurotherapeutic solutions, either with a therapist or without, but there are only so many therapists to go around. So there's a massive supply-demand imbalance that frankly cannot be, despite the efforts of the great therapists out there, it can never be filled without resorting to technology. And that's the exact gap that we're trying to fill in the marketplace."   "So MindMaze Therapeutics has a suite of solutions that are deployed across the whole continuum of care. So from acute care to the hospital to inpatient rehabilitation facilities, IRFs, to long-term acute care, to skilled nursing facilities, to outpatient, and all the way even patients taking the technology home. And then in that way, we're meeting the patient wherever they may happen to be. We're supporting the health system around the world. And importantly, we're giving therapy in this important neuroelastic window, which, in some studies, is the first 90 days following, say, a stroke, and in other studies, it goes all the way up to six months. And we're helping the health systems around the world scale their ability to treat even more patients at a very high and even improved rate." #MindMaze #ParkinsonsDisease #DigitalHealth #Neuroplasticity #PrecisionMedicine #Physiatry #Neurology #PhysicalTherapy #OccupationalTherapy #RehabInnovation #HealthTech MindMazeTherapeutics.com Download the transcript here

Zach Henderson, CEO at MindMaze Therapeutics, has designed a precision neurotherapeutic solution designed to offer a scalable, engaging and immersive platform for patients recovering from strokes or managing Parkinson's disease. The solution is deployed across the entire care continuum from hospital to the patient's home, providing high-intensity therapy during the neuroplastic window. The emphasis is on augmenting therapists' care by equipping them with tools to encourage therapy adherence and with data to deliver precise, personalized care. Zach explains, "So at a very high level, there are millions and millions of people across the neurology spectrum who need this type of neuro rehabilitation, neurotherapeutic solutions, either with a therapist or without, but there are only so many therapists to go around. So there's a massive supply-demand imbalance that frankly cannot be, despite the efforts of the great therapists out there, it can never be filled without resorting to technology. And that's the exact gap that we're trying to fill in the marketplace."   "So MindMaze Therapeutics has a suite of solutions that are deployed across the whole continuum of care. So from acute care to the hospital to inpatient rehabilitation facilities, IRFs, to long-term acute care, to skilled nursing facilities, to outpatient, and all the way even patients taking the technology home. And then in that way, we're meeting the patient wherever they may happen to be. We're supporting the health system around the world. And importantly, we're giving therapy in this important neuroelastic window, which, in some studies, is the first 90 days following, say, a stroke, and in other studies, it goes all the way up to six months. And we're helping the health systems around the world scale their ability to treat even more patients at a very high and even improved rate." #MindMaze #ParkinsonsDisease #DigitalHealth #Neuroplasticity #PrecisionMedicine #Physiatry #Neurology #PhysicalTherapy #OccupationalTherapy #RehabInnovation #HealthTech MindMazeTherapeutics.com Listen to the podcast here

In part two of this series, Dr. Andy Southerland and Dr. Seemant Chaturvedi discuss the use of dual antiplatelet therapy with intravenous thrombolysis in patients with acute ischaemic stroke.  Read more about the TAPIS trial.  

 My guest provides advanced, patient-centered care for stroke, brain aneurysms, and a wide range of neurovascular conditions. Dr. Liff is recognized for his expertise in both medical and catheter-based treatments, including procedures such as cerebral angiography, mechanical thrombectomy, aneurysm coiling and stenting, carotid stenting, and embolization for arteriovenous malformations and tumors.Dr. Liff completed his undergraduate studies in Cognitive Science at Johns Hopkins University, earned his medical degree from SUNY Upstate Medical University, and trained in Neurology at Albert Einstein College of Medicine, where he served as Chief Resident. He specialized in fellowships in Vascular Neurology at Mt. Sinai Hospital and Endovascular Neurosurgery at NYU Langone Medical Center.He has presented original research at major conferences and published it in respected journals. Dr. Liff is a senior member of the Society of Neurointerventional Surgery and is dedicated to serving patients throughout the Tri-State Area, performing procedures at leading hospitals such as St. Francis Hospital, NYU Langone Hospital Long Island, and Lenox Hill Hospital. https://jeremyliffmd.com/#homehttp://www.yourlotandparcel.orgSupport the show

LISTENER DISCRETION IS ADVISED!!! References: Carunchio, M. (July 2020). Atypical Stroke Presentations. EMS World. Available: https://www.hmpgloballearningnetwork.com/site/emsworld/article/1224541/atypical-stroke-presentations Clawson, J. J., Scott, G., Gardett, I., et al. (2016). Predictive Ability of an Emergency Medical Dispatch Stroke Diagnostic Tool in Identifying Hospital-Confirmed Strokes. Journal of Stroke and Cerebrovascular Diseases, 25, 2031-2042. Gardett, Olola, Scott, Broadbent, & Clawson. (March 22, 2017). Comparison of EMD Stroke Identification and Paramedic On-Scene Stroke Assessment. Annals of Emergency Dispatch & Response. Peter Antevy Substack Article on RQI. Available: https://handtevymd.substack.com/p/jalen-brunson-didnt-win-a-championship?r=khz4&utm_campaign=post-expanded-share&utm_medium=post%20viewer&triedRedirect=true Prehospital Stroke ID Article: Caffarelli M, Wood AJ, Crowe RP, Amorim E, Kamel H, Kim AS, Guterman EL. PMID: 39398987.

In part one of this series, Dr. Andy Southerland and Dr. Seemant Chaturvedi discuss insights from the LATE-MT trial that was presented at the 2026 European Stroke Organization Conference.  Read more about LATE-MT trial.  

She's known as Dr. Pimple Popper. But six months ago, she had a stroke on set, and almost missed it entirely.KB sits down with Dr. Sandra Lee for one of the most honest conversations you'll hear this year. Beyond the TV show and the social media empire, Sandra opens up about the stroke she experienced while filming, the warning signs she ignored, and what she's learning - for the first time - about slowing down.They also go deep on something most people overlook: skin conditions aren't just physical. Acne, psoriasis, and chronic skin issues can quietly reshape a person's confidence, relationships, and identity. Sandra reflects on the patients who changed her, the failures that shaped her career, and her own complicated relationship with aging in an industry that demands perfection.We Talk About:The real story behind her stroke and the critical 4-hour window that could save your lifeWhy dermatology is "just as much psychiatry as it is dermatology"The honest truth about aging, cosmetic procedures, and pushing back against the pressure to look youngerWhat microneedling, exosomes, and peptides actually do to your skinThe one toxic-free habit Dr. Lee says anyone can start today, and it costs nothinThis conversation is raw, honest, and deeply human.If it moves you, share it with a woman in your life who needs to hear it. Follow Toxic Free with KB so you never miss an episode like this one.

Dr. Andy Southerland talks with Dr. Seemant Chaturvedi about recent research presented at the 2026 European Stroke Organization Conference.  Read more about TAPIS trial.  Read more about the ODEA-TIA trial.  Disclosures can be found at Neurology.org.   

Is your health really as good as you think?

Pregnancy and the postpartum period are critical windows of increased stroke risk, driven by physiologic changes such as hypercoagulability and blood pressure fluctuations. This episode highlights key warning signs, including headache and hypertension, along with practical guidance on evaluation, management, and risk reduction to improve outcomes for pregnant and postpartum patients. In this episode, Kait Nevel, MD, speaks with Michelle H. Leppert, MD, author of the article "Pregnancy and Stroke Risk" in the Continuum® June 2026 Cerebrovascular Disease issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Leppert is an associate professor of neurology at Tufts Medical Center in Boston, Massachusetts. Additional Resources Read the article: Pregnancy and Stroke Risk Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @humich Full episode transcript available here Dr Nevel: The time during and around pregnancy is often thought of as a very joyful time, full of hope. But for some, medical complications such as stroke can lead to devastating disability and sometimes even death. Today, we're going to learn about pregnancy and postpartum stroke, including stroke risk evaluation and best practices in management and risk reduction to help our pregnant and peripartum patients reduce stroke risk and achieve best possible outcomes.  Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Nevel: Hello, this is Dr. Kait Nevel. Today, I'm interviewing Dr. Michelle Leppert about her article on pregnancy and stroke risk. This article appears in the June 2026 Continuum issue on cerebrovascular disease. Michelle, welcome to the podcast, and please introduce yourself to the audience.  Dr Leppert: My name is Michelle Leppert. I'm a stroke neurologist, and I currently work at the Tufts Medical Center in Boston, Massachusetts.  Dr Nevel: Thank you so much for being here, Michelle, and I'm looking forward to talking to you about your article. I always love starting with the question, what's the most important takeaway from your article for the practicing neurologist?  Dr Leppert: I think in this article, I'm trying to highlight that during pregnancy and especially postpartum, there's a heightened risk of stroke for women, and that's important for clinical neurologists to understand that this is a particularly vulnerable time for the population that we take care of. I think that one of the few of the things that could be informing this heightened stroke risk are the physiological changes that women undergo during pregnancy. So, that includes coagability, where there's an increased likelihood of clotting, and also the cardiovascular adaptations, including increased cardiac output and having an increased cardiac volume. And all of these mechanisms all contribute to the increased risk of strokes around pregnancy and postpartum.  Dr Nevel: Great. Thanks for that. What are some of the unique aspects of stroke types in etiology in pregnancy that we should be aware of?  Dr Leppert: When we think of strokes overall, generally the majority of our strokes are ischemic. So, for the overall population, about eighty-seven percent of strokes are ischemic, while the remainder are hemorrhagic. However, interestingly, during pregnancy, what we're seeing is about half of our strokes become hemorrhagic strokes, and now only a half of our strokes are ischemic, and this is in contrast to what we see in the overall population. One of the reasons is because pregnancy is associated with preeclampsia, and preeclampsia increases the risk of hemorrhagic stroke during pregnancy.  Dr Nevel: Can you tell us just more about headache in general in pregnancy and association of headache with secondary causes of headache and how that relates to stroke risk in this patient population? It seems like in this patient population that when somebody has a headache, we need to be very careful in our headache questions and evaluation.  Dr Leppert: Yeah. And I think the most concerning symptom that we're finding in this population is headaches, and the reason is because headaches is one of the clinical signs of having preeclampsia, which dramatically increases your risk of having a stroke, and especially a hemorrhagic stroke. So just to back up, we can talk about blood pressure for a little bit and some of the pathophysiologic changes during pregnancy. What most people may not know is that there's a dramatic vascular expansion that occurs during pregnancy. And somewhere during the second trimester, your blood pressure is actually the lowest. So, it can drop below pre-pregnancy levels and make your blood pressure appear low for the baseline. However, during the third trimester, as the baby is growing, there is increased vascular volume. The blood pressure starts to increase. We're seeing some of the highest prevalence of blood pressures, which is a sign for preeclampsia, and headaches develop during that third trimester, and particularly during the time around delivery and postpartum. And one of the most concerning signs, the most common sign of preeclampsia is having a headache. So, I think that with any patient that's presenting with a headache, especially during the third trimester or after delivery, that we really need to pay attention and take their blood pressure. That's one of the easiest clinical indicators that something could be going very wrong. Some of the other red flags clinically that we look for in headaches is that acute onset of a severe headache. That headache quality is different from what they usually have. Any woman with focal neurological symptoms associated with their headache, kind of excessive nausea and vomiting that's not characteristic for them. Not getting any relief with medications, and then lastly, checking that blood pressure is very important.  Dr Nevel: And what are the thoughts on blood pressure management in this patient population? I know that there is a little bit of difference in guidance in some of the obstetric societies on how we should manage blood pressure in this patient population. And then, is there anything beyond blood pressure management that we should be thinking about doing for this patient population to reduce their stroke risk?  Dr Leppert: I think that's a good question, and I hadn't really understood that this could be an area of controversy, cause my practice is mostly in stroke, and for most of adult population, the guidelines for blood pressure is very clear. We treat everybody over 130/80. If you're elderly, then your blood pressure limit might be a little higher. However, there's disagreement in the OBGYN guidelines from the American guidelines to the European guidelines. So, what the current American guidelines suggests is that if you have a history of chronic hypertension, then we would want your blood pressure treated during pregnancy below 140/90. However, if you don't have a history of chronic hypertension, then we allow the blood pressure to be higher and then it's an acute intervention if it's anything over 160. One of the issues with this strategy that is concerning is we had just mentioned that the pathophysiology of a pregnancy where you have the lowest blood pressure in that second trimester, and so your blood pressure may be abnormally good. [laughs] And it appears that it's better than your baseline. And so, by the OBGYN definition, any gestational blood hypertension is considered at 20 weeks and later. Sometimes these blood pressures are masked in some women who are pregnant. I think regardless of the controversy and what the practice should be, the focus is that most of the strokes are happening actually peripartum and postpartum, right? So, the woman's no longer pregnant. It is these time periods of the highest risk that we wanna make sure that the blood pressure is controlled. So, after the woman delivers the baby, we're no longer, you know, hampered by the whatever is chronic or gestational. We should be treating that blood pressure to 140/90. I think that not focusing on the controversy until the science catches up is probably what we should do. But like, really, the message here is that we should be checking women around the time of delivery and also postpartum, that we can't forget about their blood pressures postpartum, cause it actually doesn't peak until day five after they deliver the baby.  Dr Nevel: Does knowing that, that blood pressure peaks around day five, do you think that that should impact how we counsel patients in checking their blood pressure at home? Cause most women at day five are home. They're not still in the hospital.  Dr Leppert: Yeah, I think that's a really good point. One of the best interventions has been having a blood pressure at home for pregnant women. So even during their pregnancy and then postpartum, allow them to check their blood pressures, cause there's... Most of the cases, to be honest, that I've seen of preeclampsia and intracranial hemorrhage has happened postpartum. And I think what's unfortunate is that the woman is at home, they're distracted cause they have a newborn baby. They have a headache. They're just taking some Tylenol. And then if you have that blood pressure cuff readily accessible, that's a, a really easy way for them to check and notice that, hey, the blood pressure's too high, they have to go into the hospital.  Dr Nevel: Yeah, absolutely, and it's not just like a headache because you're sleep deprived and have a newborn. It's a headache that you need to pay attention to. Okay, maybe we could talk a little bit now about evaluation when we are suspicious of potential stroke. What do we need to know about imaging modalities and safety considerations of imaging in this patient population?  Dr Leppert: Yeah, that's a great question. I think when I was training, it was fairly controversial to give a pregnant woman MR contrast with gadolinium during their pregnancy. And as I was researching for this article, actually there's not definitive evidence that that is harmful for the fetus. However, in general, for the acute evaluation of patients during pregnancy, we're recommending using the CAT scan and then a CT angiogram. And then if the acute evaluation is not necessary, then an MRI. And if we need vessel imaging, you can employ an MRA time-of-flight study. That doesn't require the gadolinium contrast. However, one thing that I learned from this article that I thought was really interesting was the use of abdominal shielding. So, you're scanning someone's brain. I always thought, "Hey, doesn't it make sense to put a lead shield over the abdomen?" It turns out the lead shield actually interferes with the automatic calibration of the CT machine, so studies have found that actually increases the dose of radiation that the fetus is exposed to. So, it's much better when we're doing acute evaluations to not shield the abdomen, and really the only thing that can help reduce the radiation dose is the duration of the study. So, what we would recommend is if you want a rapid CT angiogram, rapid CT head, go ahead and obtain it. But if you don't need extra sequences, like a delayed phase of the CT angiogram, then to avoid that and reduce the exposure. Dr Nevel: I'm so glad that you talked about that because I was shocked when I read that in your article that we shouldn't be using abdominal shielding in pregnant women. I had no clue. I thought that that was, like, something that we absolutely should do. So, I found that really interesting. Thank you for that. So, any special considerations for acute stroke intervention or management in pregnancy in the postpartum phase, especially things like thrombolysis and thrombectomy?  Dr Leppert: Yeah. So, I think that as our evidence is getting better for thrombectomy, I would be more judicious about using IV thrombolysis, especially around the time of delivery, cause there is some evidence that it can be associated with postpartum hemorrhage. Patient selection, I think, is key here. So, women who have disability associated with their stroke, and then women who aren't candidates for thrombectomies are still candidates for IV thrombolysis. But understanding that this is a little bit of an unchartered territory for us, and only using IV thrombolytics when we think that there is a big benefit to be had.  Dr Nevel: Can you talk a little bit more about RCVS and PRESS in pregnancy and some of the overlap that we see in this patient population and its relationship to preeclampsia? It seems like there's a lot of interconnections there, and I thought that that was pretty interesting in your article.  Dr Leppert: Right now, the thinking is that RCVS and PRESS are on the same spectrum of pathology, and we think that it has something to do with the autoregulation of vascular resistance in the posterior circulation of the brain. We're not sure what triggers this, but there is something about pregnancy that classically we'll see this postpartum RCVS phenomenon. It likely has to do also with blood pressure that we're seeing. So really classically we think of this, like, thunderclap headache. You see vasospasms on imaging that is transient, that are kind of the classical signs of RCVS. But I think that we're still not completely sure what triggers it, but it's a very well-described clinical phenomenon.  Dr Nevel: Great. Thank you. Could you share a little bit about migraines in pregnancy and stroke risk? [laughs] I also thought that this also a segment of your article that caught my attention because migraines are so common. What's the association of migraine, pregnancy, and stroke risk?  Dr Leppert: Yeah. So that's a very complicated association. So, we know that migraines are associated independently with strokes, and especially people with migraines with aura. However, migraines are also highly associated with PFOs, right? And during pregnancy, what we see is that there is a hypercoagulability state, and so we see lots more DVTs, we see more PEs associated with women during pregnancy. So potentially, because migraineurs also are more likely to have PFOs, they could be presenting with more cardioembolic, kind of paradoxical emboli from these thrombus. But I'm not quite sure that we know why migraines in and of itself, especially with migraines with aura, lead to strokes. And especially during pregnancy, I'm not sure because we have very little understanding about pathophysiology of pregnancy while having migraines with aura also leads to more strokes, or that risk is really just associated with PFOs. So, I think that we need to think about that a lot more. The recommendation is a baby aspirin if you have some of these risk factors for preeclampsia, any vascular risk factors, and including migraines with aura during pregnancy. And we think that baby aspirin is relatively safe, especially starting around the 12 to 16-week period.  Dr Nevel: So just to clarify, in a woman who's pregnant, who's 12 weeks or beyond in their pregnancy and who has migraine with aura, is that a patient that we should consider aspirin for them to reduce their stroke risk?  Dr Leppert: I think you can. I am not sure that there is a specific recommendation. I think that, like, a conversation with your OBGYN is, you know, a good idea. But we do recommend that baby aspirin for women, um, above 35 years old because it's considered advanced maternal age. And then we recommend baby aspirin with women with a history of hypertension, multiple gestations, diabetes, renal disease, autoimmune disease. So, I definitely think that is something to consider.  Dr Nevel: Yeah. Interesting. Okay, great. Thank you for that. When someone has a stroke and they're pregnant again, what are some strategies for secondary stroke prevention? And you mentioned some of the primary risk reduction, but are there any others that you haven't mentioned yet other than aspirin and blood pressure control for primary prevention? Dr Leppert: Yeah, absolutely. So, I think that it's important to plan ahead. So, for women who are thinking about getting pregnant after they've had a stroke, one of the tenets of stroke neurology is trying to figure out why the first stroke happened. So, I feel like before getting pregnant, it's great to have a very thorough stroke workup so that you understand what the risk factors were and that those risk factors are controlled. One of the interventions, one of the only interventions that's, has evidence in young people with strokes is PFO closure. So, if you do have a stroke from a PFO, we recommend you get that closed prior to your pregnancy because then hopefully even given the hypercoagulability of pregnancy, there's some protection against another embolic stroke.  Dr Nevel: Another really interesting part of your article that I did not know before I read it was about the risk of cardiovascular disease long term in women who have had stroke during pregnancy. Could you talk a little bit more about that?  Dr Leppert: What we understand is that gestational diabetes and gestational hypertension sets you up for having diabetes and hypertension later on in life, and it's really developing the actual diabetes to the hypertension that increases your risk of strokes. So, what's really an important takeaway for providers is that after women develop gestational diabetes or they have gestational hypertension or they develop preeclampsia, it's very important for their primary or their neurologist to be very vigilant of these risk factors developing so that they can be modified before the women are at higher risk for strokes. And the reason why we think this happens is because pregnancy is like a stress test for your body. And so, the fact that you've developed the gestational diabetes or the gestational hypertension kind of already suggests that you're more likely and more vulnerable to developing these traditional risk factors later on.  Dr Nevel: That makes sense. Thank you for that. What do you think is a common misconception about stroke in pregnancy?  Dr Leppert: When I was earlier in my training, it kind of felt like having a stroke during pregnancy was being struck by lightning. It was really random. There was nothing you could do. It just happened to people. And I think as I learned more in my career, and especially researching for this article, I'm kind of shocked and disturbed by how much of the strokes in pregnancy we can actually prevent. Through management and monitoring of blood pressure for women. And so, I do think that it does our patients a disservice if we think that these are rogue events. But really, it might be a sign of the failure of our health system where we're not taking care of women around their delivery and postpartum and being more vigilant about their blood pressure and more vigilant about the clinical signs that they're developing.  Dr Nevel: Yeah, I really got that from your article, how important it is to monitor for blood pressure and other risk factors, and that that continues after the baby's born. Thank you so much for that, and thank you for talking with me today about your article about stroke and pregnancy. Again, today I've been interviewing Dr. Michelle Leppert about her article on pregnancy and stroke risk. This article appears in the June 2026 Continuum issue on cerebral vascular disease. Please be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining us today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal which is full of in depth, and clinically relevant information, important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members– you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Tune in to hear a story about an artist named Placido in Brazil who left a Wheels for the World distribution with a smile on his face. He now has newfound hope. -------- Thank you for listening! Your support of Joni and Friends helps make this show possible.     Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org   Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

Want to share your feedback? Send us a message!Catherine Theys, Ph.D., Professor at the University of Canterbury in New Zealand, joins host Sara MacIntyre, M.A., CCC-SLP, to discuss acquired stuttering, including both neurogenic stuttering and functional stuttering. Drawing on her clinical and research expertise, Dr. Theys provides an overview of acquired stuttering, different subtypes, and how it differs from developmental stuttering in terms of etiology, presentation, and experiences. The conversation explores assessment, differential diagnosis, and treatment considerations, including the unique challenges faced by individuals who develop stuttering later in life. Dr. Theys also shares insights from the research literature, highlighting the need for more systematic investigation in this area and discussing projects her lab is pursuing to advance our understanding of the neurobiological mechanisms underlying acquired stuttering and improve clinical assessment and intervention. Throughout the episode, listeners gain practical guidance for evaluating and supporting individuals with acquired stuttering while developing a deeper understanding of this less frequently discussed area of stuttering research and clinical practice.Resources for further learning:Theys & Fairbairn (in press). Acquired stuttering: recent developments. In: The Routledge International Handbook of Stuttering. Howell & Gattie (Eds.). Routledge International Handbook of Stuttering. Grout-Brown & Theys (2025). Assessment and treatment of acquired stuttering: A single subject study. Journal of Fluency Disorders, 84, 106121.Theys, Jaakkola, Melzer, De Nil, Guenther, Cohen, Fox & Joutsa (2024). Localisation of stuttering based on causal brain lesions. Brain, 147(6), 2203-13. Gooch, Melzer, Horne, Grenfell, Livingston, Pitcher, Dalrymple-Alford, Anderson, McAuliffe and Theys (2024). Higher frequency of stuttered disfluencies negatively affects communicative participation in Parkinson's disease. Journal of Speech, Language, and Hearing Research, 67(10), 3631-42. Gooch, Horne, Melzer, McAuliffe, MacAskill, Dalrymple-Alford, Anderson & Theys (2023). Acquired Stuttering in Parkinson's Disease. Movement Disorders Clinical Practice, 10(6), 956-966. Theys & Tetnowski (2023). Case reports of acquired stuttering. In: Case Reports in Stuttering and Cluttering. Eggers & Leahy (Eds.), pgs. 114-123. Routledge, Taylor & Francis Group. Theys & De Nil (2022). Acquired stuttering: etiology, symptomatology, identification and treatment. In: Stuttering: Characteristics, Assessment and Treatment (4th ed.). Zebrowski, Anderson & Conture (Eds.), 33 pgs. Thieme Publishers. De Nil, Theys & Jokel (2018). Stroke-related acquired neurogenic stuttering. In: Aphasia Rehabilitation: Clinical Challenges. Coppens, P. & Patterson, J. (Eds.), pgs. 173-202. Jones & Bartlett Learning. Theys, van Wieringen, Sunaert, Thijs & De Nil (2011). A one-year prospective study of neurogenic stuttering following stroke: Incidence and co-occurring disorders. Journal of Communication Disorders, 44, 678-687. Theys, van Wieringen, Tuyls & De Nil (2009). Acquired stuttering in a 16-year-old boy. Journal of Neurolinguistics, 22, 427-435. Theys, van Wieringen & De Nil (2008). A clinician survey of speech and non-speech characteristics of neurogenic stuttering. Journal of Fluency Disorders, 33, 1-23. Bio: Catherine Theys is a Professor at the University of Canterbury in New Zealand. She trained in Speech-Language Therapy and Audiology at KU Leuven (Belgium), where she also completed her PhD in Biomedical Sciences. Her research seeks to advance understanding of speech and language difficulties by integrating behavioural and neuroimaging approaches. Her key research interests include developmental and acquired stuttering, acquired neurogenic communication disorders, and the neuroscience of speech and language. 

Michael Jackson film review. God said your thoughts are not His. Kier Starmer resigning.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-490 Overview: In the US, maternal morbidity and mortality rates are among the highest in the western world, and stroke is one of the leading causes—responsible for 1 of 12 maternal deaths. This rate is estimated to be much higher in high-risk pregnancies. Join us as we discuss a recent study examining rates of maternal stroke in which 1 in 4 women with stroke experienced a missed diagnostic opportunity and hear what these findings mean for your practice. Episode resource links: Haghighi N, Bourscheid RM, Shang C, et al. Identifying missed diagnostic opportunities in maternal stroke. Stroke. 2026;57(2). doi:10.1161/STROKEAHA.125.052995 Chen Y, Shiels MS, Uribe-Leitz T, et al. 2025. Pregnancy-Related Deaths in the US, 2018-2022. JAMA Network Open.  Lappen JR, Pettker CM, Louis JM. 2021. American Journal of Obstetrics and Gynecology. Society for Maternal-Fetal Medicine Consult Series #54: Assessing the Risk of Maternal morbidity and Mortality. American Journal of Obstetrics and Gynecology. Miller EC, Bello NA, Chen PR, et al 2026. Prevention and Treatment of Maternal Stroke in Pregnancy and Postpartum: A Scientific Statement from the American Heart Association. Stroke.  Bushnell C, Kernan WN, Sharrief AZ, et al. 2024. Guideline for the Primary Prevention of Stroke: A Guideline from the American Heart Association/¬American Stroke Association. Stroke.  Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com  The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.

Lazlo got freaky with SlimFast's wife. Is debtors' prison real? Lazlo immediately knows his groceries are going to be messed up if the delivery guy's name is Steve. Our boss asked SlimFast to dial back the drunks. Would you pay fifty bucks for a Teenage Mutant Ninja Turtles pizza? Lazlo's seeing someone and wants to get a no-eared dog named Bombpop. SlimFast thinks he can undercut the local poop squad. China has a robot toilet that comes to you. Where's the robot that blows you? Stream The Church of Lazlo podcast on Apple Podcasts, Spotify, or wherever you get your podcasts!

Stephanie is again joined by Jody Hamilton. They dissect Trump's repeated declarations of imminent deals with Iran, questioning the credibility of his statements as he seems increasingly detached from reality. The conversation takes a humorous turn as they highlight his bizarre behavior during public appearances, including falling asleep on stage and his drugged demeanor. They also touch on the political implications of Trump's actions, from his perceived threats to Iran to the ongoing cover-up of serious allegations against him. With special guests John Fugelsang and Frangela, they explore the outrageousness of the current political climate, the hypocrisy of Republican narratives, and the need for accountability in the face of such overwhelming chaos.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

John talks about Trump's repeated declarations of imminent deals with Iran, questioning the credibility of his statements as he seems increasingly detached from reality. He highlights Trumps bizarre behavior during public appearances, including falling asleep on stage and his weird drugged demeanor. John also discusses Trumps ​new ​nominee ​for ​Director ​of ​National ​Intelligence, ​Jay ​Clayton. ​And ​if ​you're ​wondering ​what ​intelligence ​experience ​Clayton ​has ​that ​qualifies ​him ​to ​oversee ​your ​country's ​entire ​intelligence ​apparatus, ​the ​answer ​is... ​he ​went ​on ​CNBC ​this ​week ​and ​hinted ​that ​California ​elections ​might ​be ​rigged. Next, Ann Larson, author of "Clean Up on Aisle Five," joins the conversation, shedding light on the struggles of grocery workers during the pandemic and the systemic issues of poverty and exploitation in the food industry. Together, they explore the implications of corporate greed and the urgent need for a living wage for essential workers. Then, Simon Moya Smith and Julie Francella, return for another edition of "We're Still Here". One of the standout moments in the episode is the discussion around the upcoming House of Smoke and Ash event, organized by the James Beard Foundation. This indigenous culinary event showcases the rich foodways and traditions of native chefs, emphasizing the importance of food sovereignty and the need for greater recognition of indigenous contributions to our culinary landscape.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

1. Jill Biden and President Joe Biden Jill Biden’s remarks about President Biden’s debate performance. She feared he may have been having a stroke, arguing that: Her actions afterward (campaign event, public praise, restaurant visit) contradict that concern. This suggests either exaggeration or dishonesty. Claims that President Biden experienced cognitive decline. Allegations that political leaders and media knowingly concealed this. Media organizations and Democratic officials were aware of Biden’s alleged condition. There was a coordinated effort to hide or minimize it. They frame this as an example of: Political power being prioritized over transparency. A broader credibility problem in U.S. politics. 2. U.S. Shipbuilding and National Security Key points: Heavy reliance on foreign-built ships is presented as a national security risk. A major funding initiative (~$24 billion) for the U.S. Coast Guard is described. Investment includes: New ships and helicopters Arctic icebreakers Shipyard construction (notably in Texas) Claimed benefits: Increased domestic manufacturing Job creation (thousands of jobs) Strategic competition with China and Russia in the Arctic The senator describes: Internal negotiations over where shipbuilding contracts would go (Texas vs. Louisiana). Involvement of the White House and President Trump (in this narrative timeline). Emphasis is placed on: Negotiation strategy Achieving a “win-win” outcome Expanding production beyond initial goals 3. College Sports Crisis and NIL Issues Problems identified: Escalating athlete compensation (tens of millions per team) Transfer portal instability Financial losses for universities Elimination of non-revenue sports (e.g., tennis, Olympic sports) Proposed solution: A bipartisan bill called the “Protect College Sports Act” Supporting arguments: College sports provide educational opportunities for disadvantaged students They promote social unity and personal development Includes testimony from Nick Saban highlighting unsustainable financial trends. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the 47 Morning Update with Ben Ferguson and The Ben Ferguson Show Podcast Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening YouTube: https://www.youtube.com/@VerdictwithTedCruz/ Facebook: https://www.facebook.com/verdictwithtedcruz X: https://x.com/tedcruz X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.