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Different Strokes: An Intimate Memoir for Stroke Survivors, Families, and Care Givers PDF

256 Pages·2011·3.323 MB·English
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d i f f e r e n t s t r o k e s d i f f e r e n t s t r o k e s An Intimate Memoir for Stroke Survivors, Families, and Caregivers Steven BoorStein skyhorse Publishing Copyright © 2011 by Steven Boorstein All rights reserved. no part of this book may be reproduced in any manner without the express written consent of the publisher, except in the case of brief excerpts in critical reviews or articles. All inquiries should be addressed to Skyhorse Publishing, 307 West 36th Street, 11th Floor, new York, nY 10018. Skyhorse Publishing books may be purchased in bulk at special discounts for sales promotion, corporate gifts, fund-raising, or educational purposes. Special editions can also be created to specifications. For details, contact the Special Sales Department, Skyhorse Publishing, or [email protected]. Skyhorse® and Skyhorse Publishing® are registered trademarks of Skyhorse Publishing, inc.®, a Delaware corporation. www.skyhorsepublishing.com 10 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data is available on file. iSBn: 978-1-61608-471-4 note: this book is not intended as a substitute for the medical advice of physicians. the reader should regularly consult a physician in matters relating to his/her health and particularly with respect to exercises and physical therapy. Although the author and publisher have made every effort to ensure that the information in this book was correct at press time, the author and pub- lisher do not assume and hereby disclaim any liability to any party for any loss, damage, or disruption caused by errors or omissions, whether such errors or omissions result from negligence, accident, or any other cause. Printed in the United States of America to my wife Barbara — my Florence nightingale — and my sons Ben and Bryan. i would not be where i am today without their love and constant support. i would also like to acknowledge my fourteen new friends and stroke survivors, as well as their spouses and partners, for sharing their stroke recovery stories with me. ContentS introduction by Dr. Jie Mao ................................................................ix Foreword by John newcomb .............................................................xiii PART ONE: My Story .................................................................5 Chapter 1: tiAs (April 2, 2008) ..........................................................7 Chapter 2: rehabilitation and Getting Back on the Slopes: Week Before the Stroke ....................................................15 Chapter 3: emergency room (April 2, 2008 – Day one) ...................19 Chapter 4: Life as i Knew it “Pre-Stroke” ..........................................27 Chapter 5: Surgery Day—the Actual Procedure (April 3, 2008) .................................................................31 Chapter 6: Assessing the Damage .......................................................35 Chapter 7: iCU—Day two ...............................................................41 Chapter 8: the rehab Wing ..............................................................47 Chapter 9: Home At Last ...................................................................55 Chapter 10: the easiest things Made Difficult ..................................61 Chapter 11: Back to Business .............................................................71 Chapter 12: My Hands! .....................................................................77 Chapter 13: Good Days and Bad Days ...............................................81 Chapter 14: it’s time to Drive! .........................................................89 Chapter 15: traveling ........................................................................97 Chapter 16: the next Level .............................................................103 Chapter 17: Wimbledon ..................................................................109 Chapter 18: Getting Back to it! ......................................................115 epilogue ..........................................................................................125 vii viii •  DiFFerent StroKeS PART TWO: Interviews With Stroke Survivors ........................135 interviews with Stroke Survivors .......................................................137 PART THREE: Glossary and Resources ..................................231 Glossary ...........................................................................................233 exercises for therapy .......................................................................239 Links and Statistics ...........................................................................240 introDUCtion BY Dr. Jie MAo in my line of work, i see numerous stroke victims. Katelyn is one example. Katelyn was admitted to the emergency room with a very bad sore throat. She’d had tonsillitis before, but this time the pain was particularly bad. She was coughing up blood, sometimes a whole cup at a time. Her ent doctor suspected an infected blood vessel; a subsequent Ct angio- gram confirmed a pseudoaneurysm— a false aneurysm or bruise from a leaking hole in an artery—actively bleeding next to her right-side tonsil. Surgery was considered, but would have been dangerous. the amount of bleeding would have most likely hampered our visualization during surgery. Any attempt at clamping off that false aneurysm may have been futile, and could have resulted in damage to other surrounding structures such as the main carotid artery. i was called in to perform a catheter-directed angiogram, with intention to treat—mean- ing to embolize, or plug up, the false aneurysm from the in- side. What we found was jaw-dropping. Katelyn’s right-sided middle cerebral artery, which sup- plied blood to half of the right side of her brain, was completely blocked! the tonsil infection had weakened her carotid ar- tery, and had caused her to sustain a massive stroke. A physical exam performed immediately on the table confirmed complete left-sided hemiplegia (total paralysis) and an inability to speak. this lively, walking, talking nineteen-year-old girl with full po- tential was now looking at severe, permanent, life-threatening disabilities. eight hours into what was an intense, adrenaline- pumping procedure, Katelyn’s bleeding pseudoaneurysm was ix

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