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podcasts / transcript

The Truth About Oxalates

10/16/2019

0 Comments

 
Episode notes: Today Ruth talks about understanding oxalates and what they are and how to be aware of them in our diet.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global or onlineRehabilitation.org were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
  • Wrist exercises http://www.onlinerehabilitation.org/exercise.html 
  • Should you be concerned about oxalates? https://youtu.be/Cj4j7Yc-qQo 
  • The truth about oxalates https://youtu.be/220wx--jVIQ
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast.... today I want to talk about a real serious but often misunderstood topic of oxalates.  Oxalates are naturally occurring in foods and released in the body and must be expelled.  There are numerous thoughts and ideas about their function and involvement in:

  1. Kidney stones
  2. Thyroid issues
  3. Gall stones
  4. Kidney problems
  5. Chronic inflammatory bowel diseases


There has been a rapid panic or often a desire to remove all oxalate containing foods from our diets.... slow down!  It’s critical to understand those foods and what is also necessary in the body for proper functioning.  Foods that are rich in magnesium and calcium are also necessary. Research has shown you don’t need to remove all oxalates but be wise about food intake and usage. I am going to cut this podcast short so that you have time to watch both YouTube videos that I’ve linked to in the show notes. It’s critical that we work to maintain health and our diet is an integral part of that mission.

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me tomorrow...

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   
And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue in our adventure
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Pain and Joints

10/15/2019

0 Comments

 
Episode notes: Today Ruth talks about the ways we need to understand pain and it’s cause.  And how we can appropriately deal with pain and then build up and exercise our joints, specifically our wrist joint.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global or onlineRehabilitation.org were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
  • Wrist exercises http://www.onlinerehabilitation.org/exercise.html 
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast....one of the things we are challenged with as we get older, through normal use, or as an after effect of a brain injury or stroke is that of damage or control and usage problems of joints. Today we’re going to focus on the wrist.  I was asked last night by a friend about whether or not I knew how to “unfreeze a joint” in particular the wrist.  It’s unfortunately a common problem that occurs from over use in most people and control issues in brain injuries and stroke.

One of the biggest challenges is in increasing blood flow to the joint area.  This can be best addressed and accomplished in several ways... 

  1. Gentle Luffa rub increasing data flow and circulation
  2. Low Heat through a heating pad or adhesive heating patch ( be wary if you have sensitivity or decreased feeling not to burn the skin)
  3. Immersion wax bath for the hand and wrist ( be wary if you have sensitivity or decreased feeling not to burn the skin)
  4. Warning! Do not use “cooling sprays” they have long term negative impact on joints. Cold in TCM is not good. 


We often misinterpret pain and try to decrease it inappropriately.  In other words we think pain removal is the goal.  I learned as a paramedic that pain is an indicator of something that is happening and needs to be appropriately understood and addressed accordingly.  Removal of pain needs to be in conjunction with healing!  Not just pain removal for pain removals sake!  We often rush to remove the pain and in so doing can actually add to the damage or injury of the joint.  When there is pain in an area we need to ask the following:

  1. Where is the pain
  2. Can I point to a specific area with a finger or is it more general and pointed to with a moving hand gesture.
  3. Is the pain constant, intermittent, or brought about by specific movements
  4. What if anything decreases the pain 
  5. Have you sought professional advice


Most joint pain is due to misuse, nonuse, or injury of a joint and can be addressed through slowly and carefully dealing with building up and healing the joint... strains and sprains and nonuse are actually slower to heal than a break. Joint movements and exercises need to be done slowly, intentionally, and properly.  Using low heat to increase mobility, circulation, and internal lubrication needs to be done in conjunction with healing the joint.  Exercises must be secondary to that healing.  Pain in all reality is our friend and must be understood.  Do not think that you need to “push” through it! In this case... slow and steady heals and strengthens.

We ask a lot of our bodies and they can serve us well if we are patient and work with them.  Anti-inflammatories and pain medications need to be used only under supervision, and in conjunction with exercises to build up and strengthen those joints. There are far too may people who start using strong medication for pain relief only to  become addicted to the drug!

Some of the simplest wrist/arm exercises I have put together on our web site into a video whose link I’ve included in the show notes.  It includes:
  1. Wrist range of motion
  2. Hammer exercise
  3. Hand range of motion 
  4. Wrist rotation
  5. Chicken wing exercise 


Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me tomorrow...

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   

And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue in our adventure
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Daily Focus...

10/14/2019

0 Comments

 
Episode notes: Today Ruth talks about the difference between TBI (traumatic brain injury) and stroke... how it’s treated and what can we expect.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global or onlineRehabilitation.org were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast...you know when I considered today’s podcast I had to ask myself what is it that people really need to hear.  Well, I’ve decided that once a week I will speak on and address our “focus” and what we choose to focus on, think about, is the subject of our conversations, worries, chats.... 
I am a member to several groups on Facebook so I can effectively listen and help if possible. I monitor them all... looking, watching and listening.  I feel if subjects are appropriately answered and don’t need my input then I read and make a mental note of the answer.  If I don’t feel it’s been addressed well then I’ll comment.

For those that have intermittent but rare days that are bad, upsetting or negative I offer encouragement and understanding... but to those who are constantly and consistently negative I’m afraid I ignore them because they don’t help me and can negatively affect my attitude if I’m not careful.  Years ago I read a book... ‘Happiness is a Choice”. 

It pointed out how we get to choose if we are happy or not, how we respond to our environment... things that have then the potential to affect us, either positively or negatively. So how do you choose? What determines if you are happy? Your physical status,.. your mental status... what? Here’s a more challenging thought question, before your “event”...  what affected whether or not you were happy?

You know I’ve been a mom for over 30 years now and I’ve always had to put my physical feelings and condition on hold and on the back burner to function and doing the “mom” things first. That meant no matter how I “felt” I had things that I was expected to do.  Physically it was often difficult to do or accomplish things but expectations were in place and I had to choose.

Because my event (a stroke) caused extensive physical and emotional challenges it was not easy to fulfill my kids expectations.  In fact they became my motivation for seeking healing and increasing function.  Kids are extremely compassionate and understanding and can handle more than we think possible.  

While I was seeking answers and healing I found that I was in the process of developing a new level of interaction with my kids.  They, knew, saw, and understood the physical limitations but at the same time their expectations for me as a “mom” didn’t waiver. They still needed me to support them, love them, voice my approvals and discuss my disapproval’s... the only real change in expectations was in the physical arena... what I could or could not do physically.  

I admit the event (stroke) changed me... but I like to think for the better.  Sure I had new limitationsæ that went into effect and I was forced to alter a lot of things temporarily but my “focus” remained on others... my kids in particular.  Everyday I was and am tempted to focus on self... my condition, my feelings, my shortcomings, my physical state or my challenges... but what is the advantage in that?  

In reality that selfish focus only exasperates my condition.  It places my mind in a negative state, which in turn promotes illness rather than healing.  You have a choice to make each day... what will you choose? What will you focus on today?

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me tomorrow...

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   

And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue in our adventure!
0 Comments

TBI and Stroke... Different?

10/11/2019

0 Comments

 
Episode notes: Today Ruth talks about the difference between TBI (traumatic brain injury) and stroke... how it’s treated and what can we expect.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global or onlineRehabilitation.org were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
Patients With Traumatic Brain Injury- Population-Based Study Suggests Increased Risk of Stroke
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast...as one who worked in the medical community for decades and saw and dealt with TBI and stroke until suffering my own stroke, I know too well the differences between what we’re told and what we’ve experienced.  A TBI (traumatic brain injury) is a nondegenerative, noncongenital insult to the brain from an external mechanical force, possibly leading to permanent or temporary impairment of cognitive, physical, and psychosocial functions, with an associated diminished or altered state of consciousness.  The important part of that definition is... insult to the brain from an external mechanical force!

TBI and stroke are very similar in there effects and only differences are in the cause of the damage.  Now the likelihood of recurrence is dependent upon a number of factors but people who have had a traumatic brain injury face a tenfold increase in the risk of having a stroke within three months, according to a new study.
Traumatic brain injury occurs when a blow or jolt to the head causes changes in a person’s normal brain function.

Although previous research has shown that traumatic brain injury can be associated with the future development of epilepsy, Alzheimer’s disease, and psychiatric conditions, this was the first study to link it to the future risk of stroke. The study appeared in the July 28 online issue of Stroke: Journal of the American Heart Association and I’ve provided the link in the show notes.  So the facts remain that regardless of the cause the results and effects are the same. 

The signs and symptoms of TBI vary extensively in severity and combinations of domains impacted, depending on the site and extent of injury to the neural substrate. Examples of physical, sensory, neurobehavioral, cognitive-communication, and swallowing effects of TBI are listed below.

  • Physical Effects
  • Visual Effects
  • Auditory and Vestibular Effects
  • Neurobehavioral Effects
  • Cognitive-Communication Effects
  • Dysphagia


Physical Effects
Physical effects resulting from TBI include
  • changes in level of consciousness (ranging from brief loss of consciousness to coma);
  • seizures;
  • headaches;
  • dizziness;
  • nausea;
  • vomiting;
  • fatigue;
  • reduced muscle strength (paresis/paralysis);
  • impairments in movement, balance, and/or coordination, including dyspraxia/apraxia;
  • motor programing deficits (dyspraxia/apraxia).
Visual Effects
Visual effects resulting from TBI include
  • changes in visual acuity,
  • double vision (diplopia),
  • problems with visual convergence and accommodation,
  • sensitivity to light,
  • visual field deficits/visual neglect.
Auditory and Vestibular Effects
Auditory and/or vestibular effects of TBI include
  • auditory dysfunction stemming from mechanical injuries to the outer ear (debris, tears, etc.); middle ear (ruptured tympanic membrane or ossicular disarticulation); and/or inner ear (cochlear injury, trauma to the cochlear nerve, disruption of the membranous labyrinth, and vascular compromise); and temporal lobe lesions;
  • central auditory dysfunction;
  • difficulty hearing speech in noise;
  • hearing loss that may be transient or permanent;
  • hypersensitivity to sounds (hyperacusis);
  • tinnitus;
  • dizziness, vertigo, and/or imbalance.
In blast injuries, the severity of auditory and/or vestibular effects may depend on the size of the blast, distance from the blast, orientation of the ear canal to the blast, and the environment (e.g., reflective surfaces or enclosed spaces).
Neurobehavioral Effects
Neurobehavioral effects resulting from TBI include
  • affective changes, including over-emotional or over-reactive affect or flat (i.e., emotionless) affect;
  • agitation and/or combativeness;
  • anxiety disorder;
  • depression;
  • difficulty identifying emotions in others (alexithymia);
  • emotional lability and mood changes or mood swings;
  • excessive drowsiness and changes in sleep patterns, including difficulty falling or staying asleep (insomnia), excessive sleepiness (hypersomnia);
  • feeling of disorientation or fogginess;
  • increased state of sensory sensitivity accompanied by exaggerated response to perceived threats (hypervigilance);
  • impulsivity;
  • irritability and reduced frustration tolerance;
  • stress disorders.
Cognitive-Communication Effects
Cognition and language are intrinsically and reciprocally related in both development and function. An impairment of language may disrupt one or more cognitive processes, and, similarly, an impairment of one or more cognitive processes may disrupt language. Cognitive-communication effects post-brain injury include difficulty with
  • cognitive processes and systems (e.g., attention, perception, memory, executive function);
  • verbal as well as nonverbal communication (e.g., listening, speaking, gesturing, reading, and writing) in all domains of language (phonology, morphology, syntax, semantics, and pragmatics).
Cognitive Deficits
Cognitive deficits resulting from TBI include
  • attention deficits, including
    • reduced attention span (easily distractible),
    • difficulty with selective attention,
    • impaired sustained attention for task completion or conversational engagement,
    • deficits in shifting attention between tasks;
  • executive function deficits, including difficulty with
    • goal setting,
    • strategy selection,
    • initiating and self-directing,
    • planning and organization,
    • reasoning and problem solving;
  • information processing impairments, including
    • reduced processing speed and processing length (e.g., difficulty with longer messages and rapid rate of speech),
    • increased processing time for auditory and visual input (e.g., increased response latency when responding to questions in a conversation);
  • memory and learning deficits, including
    • post-traumatic amnesia marked by impaired memory of events that happened either before (anterograde) or after (retrograde) the injury,
    • deficits in both retrieval of previously acquired knowledge and creation of new memory traces—long-term memory is often less impaired than short-term memory;
  • impaired metacognition, including
    • deficits in subjective knowledge and insight into one's own cognitive processes,
    • reduced awareness of deficits (anosagnosia),
    • impaired self-monitoring,
    • poor self-regulation;
  • deficits in orientation to self, situation, location, and/or time;
  • impaired spatial cognition, including functional deficits in activities, such as navigation, driving, ambulation, dressing, and self-care (independent of any comorbid motor deficits).
Language Deficits
Along with the typical language comprehension and production deficits associated with co-existing aphasia, individuals with TBI may also present with linguistic deficits in the domains listed below (See aphasia for information related to neurogenic language deficits in adults):
  • comprehension deficits, including
    • deficits in processing abstract language/concepts (e.g., figurative speech);
    • difficulty in interpreting the subtleties of conversation (e.g., humor, sarcasm);
    • impaired interpretation of nonverbal communication, such as tone of voice, facial expression, and body language;
    • increased auditory processing time;
  • verbal expression deficits, including
    • anomia or word retrieval deficits;
    • difficulty with discourse, including
      • coherence, confabulatory speech,
      • content,
      • story grammar;
    • increased response latencies;
    • perseveration of verbal responses;
    • reduced word fluency;
  • difficulty with pragmatics/social communication, including
    • conversational topic selection and maintenance marked by verbosity,
    • initiating conversation,
    • producing/interpreting nonverbal communication, such as facial expressions and body language,
    • turn taking,
    • using an appropriate tone of voice;
  • reading deficits, including difficulty in reading comprehension, especially with complex syntax and figurative language (e.g., idioms, metaphors, similes);
  • writing deficits that may mirror deficits in verbal communication—writing difficulty may also be a result of motor deficits in the dominant hand and/or visuospatial deficits.
Considerations for Bi/Multilingual Speakers
Cognitive control deficits uniquely impact linguistic abilities in bi/multilingual speakers (Ansaldo & Marcotte, 2007), especially in individuals with frontal lobe and subcortical lesions (Price, Green, & von Studnitz, 1999). Difficulty in maintaining output in the target language is strongly influenced by the speaker's premorbid proficiency in the two languages. In addition to the language production errors noted in monolingual speakers, bi/multilingual individuals with acquired brain injury may also demonstrate
  • code-mixing errors,
  • language-switching errors,
  • semantic/phonological paraphasias produced in the nontarget language,
  • translation errors.
Speech-language pathologists consider variations in narrative structures secondary to cultural and linguistic factors to ensure that a communication difference is not inaccurately diagnosed as a disorder.
Motor Speech Deficits
Motor speech deficits of TBI include
  • apraxia of speech marked by inconsistent error patterns in phoneme production due to deficits in motor planning;
  • aprosodia/dysprosodia, including deficits in intonation, pitch, stress, and rate, marked by monotonous verbal output;
  • dysarthria characterized by reduced respiratory support, articulatory imprecision, and/or vowel distortions that impact speech intelligibility and resonance disorders secondary to paresis or paralysis of musculature of the speech motor system.
Voice Deficits
Voice deficits resulting from TBI include
  • aphonia/dysphonia consequent to intubation, tracheostomy, or dependence on mechanical ventilation;
  • laryngeal hyper/hypofunction marked by
    • abnormalities in pitch;
    • poor control of vocal intensity (excessive loudness or whisper);
    • changes in vocal quality, such as harshness, hoarseness, strained-strangled voice quality, and glottal fry;
  • psychogenic (related to post-traumatic stress disorder) or neurogenic (related to injury to sensory or motor innervations of the vocal folds) phonatory abnormalities.
Dysphagia
Typically, swallowing disorders in TBI are neurogenic in nature, secondary to cortical or subcortical damage, resulting in oral/pharyngeal sensory disorders and/or motor deficits (e.g., weakness or paralysis of oropharyngeal musculature, oral apraxia). Cognitive impairments, such as poor memory, reduced insight, limited attention, impulsivity, and agitation, in TBI survivors may affect swallowing and increase aspiration risk.

Well that’s quite a list... does any of that sound similar... it should!  The cause of brain injury can be mechanical or environmental but the changes and challenges are the same.  All of us saw a rapid change and we all need to heal and fight to become ourselves again.

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me Next week...

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   
And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us next week as we continue in our adventure!
0 Comments

Honesty about Rehab

10/10/2019

0 Comments

 
Episode notes: Today Ruth talks about the challenges she has seen in medicine, treatment and as a stroke survivor herself.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global or onlineRehabilitation.org were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast... ok I’m just going to say it.... never say never... don’t allow yourself to buy in to others ideas of what you can accomplish or not. You set your own goals... you determine your own future.  Don’t let someone in a white coat tell you what your future looks like.  They don’t know! Something I learned years ago is this... often get caught up asking ourselves the wrong questions and as a result, setting ourselves up for failure.  I learned as a mom to always give my kids 3 choices...
  1. The best choice
  2. Adequate choice
  3. Poor choice that won’t hurt them


Why? To steer them in the direction of learning how to make good choices.  So too when it comes to our lives and how the stroke has affected you... you need to learn how to make good, smart, motivating choices and set proper expectations.  It is not unrealistic to desire and expect to heal and get e everything back.  But I know we are often told to “be content”,  allow your physical self to limit your thinking.  Hogwash!  We need to be open.... seeking our greatest potentials!  The key to healing and yes... to living  is being realistic in timelines and immediate expectations.  Here I will give you a powerful statement “believing is seeing”. We need to exercise faith and an optimistic attitude.  Too often we allow our future to be dictated by what we see rather than what we believe.

Now don’t confuse optimism with an outward smile that has to be pasted on our face all the time... but optimism is that positive confidence, faith, and trust that exerts  control and direction in our future!  A few years ago I started working with a paraplegic and I asked him what he wanted... what his expectations were.  In typical fashion he smiled and said he love to wake up and walk! Because his injury was from a compression and he had minimal movement I knew that in time with the appropriate tools... he would walk again. It took 3 months but we got him upright, out of his wheelchair with assistance, shifting his feet forward, and taking steps with assist.  Then we was supported in a cage that surrounded him and was mounted on wheels.  By the end of our session he was well on his way to walking and I saw him 6 months later with leg braces and walking with a walker!

Exciting? You bet! And more than he thought realistically possible.  The key... never say never!  Set your goals high but allow things to be accomplished in a step by step manner.  Healing first... restoration second. I was floored when I came to China and was kept in my room, prevented from a gym environment for 1 month!  The effect... healing!  Who’d thought after 3 years it was even possible.  Now their 90 day program is not quite as dramatic but the paces you go through are much slower, healing in nature, and produce positive results at a much faster rate.

Too often we push and are then disappointed at little to no results.  After all it was just prior to the stroke when all was fine and we functioned just fine.  Well guess what... in that moment, that instant... we were changed... dramatically!  If we don’t reset our bodies and minds now... in ways we never thought necessary we will not only be depressed and discouraged.... we will fail!  We have the opportunity today to put the past in the past and map a new course.  The sky is the limit? No we need to reach for the stars! We need to believe and act accordingly.  Plan and pray, do... not just dream, sure... pause and prepare but then act!

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  Because you control your future... you determine what you’ll do and where you’ll go.  I also hope you’ll find time to join join me tomorrow... we all need a dose of “I can!”·

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   

And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue in our adventure!
0 Comments

TCM and China

10/9/2019

0 Comments

 
Episode notes: Today Ruth talks about the difference between traditional Chinese medicine and treatment in the USA and China.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global or onlineRehabilitation.org were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast...well I thought today I’d address an often held belief head on.  China!  I understand all the political facts and arguments that are currently going on but this tends to be one of the most asked questions I get.
Treatment in China is different than what can be offered in the US.  So people ask is that why people go to China for treatment? What is it that is different?

Let me begin by asking you a simple question - it happened to be one that one of our clients, a doctor and stroke survivor,  asked...”where do you go to find the pyramids? ...Egypt!”

He was right! Egypt!

Just as you go to Egypt for pyramids so too the best Traditional Chinese Medicine is offered in China!  Now, although there are many good acupuncturists in the US the fact remains when it comes to TCM (Traditional Chinese Medicine) you must go to the source to get the very best. Hence why it’s called TCM.  They have been using this medicine in China for over 4000 years quite effectively. Let me ask you another question...

"Who do you want treating you?" (How would you answer:)
  • Master
  • Teacher
  • Student


I hope you would answer "Master" and that's the only level TCM Restoration deals with! Let’s face it.. it would be difficult if you just had to go and find the best.. here they arrange it for you! In the United States it's the AMA that regulates how medicine is practiced and determines what is acceptable. But there is no guarantee that you will have the best doctors...  With new government oversight we often don't even get to choose or keep our doctors. It's also the FDA that approves and controls all medications and food supplements. Yes there are good things about that but many bad things too. Don’t get me started.... I could talk for hours on that subject alone!

The reality is that the type of TCM available and practiced in the US is limited. The TCM in China is vastly different and the TCM medications that are available in China are very limited in availability  in the US and most times in formulations they are required to leave out vital and key ingredients just to get them approved and then imported into the US.  I know... many people will tell me they are seeing a Chinese doctor... or one who was trained in China.  Question: do we export the very best doctors to practice overseas.... 

I get it.. I hear you but this same client (the US doctor) researched for months and went to the best facilities and physicians in the U.S. with the same results... none of them provided the results or hope that he received in treatment in China. 

Just to be clear you control the results of your treatment and they are dependent upon several key things:
  • The amount of energy you invest in rehabilitation 
  • Your attitude
  • Your expectations 
  • Quality of the physicians treating you
  • The physicians access to materials he needs for treatment 
  • The physicians attitude and expectations for the person they treat


Most people get discouraged in their rehab and are told they must be content.  Well, the primary reason rehabilitation produces limited results is that it is forced and begun when healing has not.  It is why after 3 years of rehabilitation failures I could get healing and restoration. It is a personal question that each of us has to answer for ourselves... what is healing and restoration worth to us?

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me tomorrow...

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   

And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue in our adventure!
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MRI/A vs CT- Scan

10/8/2019

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Episode notes: Today Ruth talks about the between an MRI’s, MRA’s and CT Scans.  It is important to know what is best for each area of expertise.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global or onlineRehabilitation.org were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast...today we’re going to talk about the difference between a CT Scan, an MRI and an MRA.  Trust me you need to understand the difference because many times tests are ordered because they can be and not that they will provide any benefit.  I saw a post recently and felt that I could not easily respond to it in a few words so this is your crash course on radiography tests...

So what is the difference between an MRI’s MRA’s and CT Scan machines... well a CT scanner passes X-rays through the patient’s body as it moves through an arch, clicking various pictures through every angle.

As a result a CT scan can diagnose different levels of density and tissues inside a solid organ, and can also provide detailed information about the body, which includes the head, brain, eyes, inner ear, sinuses, chest, neck, shoulders, spine, pelvis, hips, reproductive systems, bladder and gastrointestinal tract.

Just to let you know an advanced CT scan focuses more on the patients comfort, shorter scanning times, and higher resolution images. MRI scans generally depend on powerful magnetic fields and radio frequency pulses for producing detailed pictures of organs, soft tissues, bone and other internal body structures. So an MRI image is capable of producing clearer pictures of normal and abnormal tissues.  

A CT Scan is thought to be better than an MRI because:
  • They produce better images of tissues like bones
  • They produce excellently detailed diagnosis of osteoarthritis and fractures
  • They are quicker and usually take only 5-10 minutes
  • The scanner is less sensitive to the patient’s movements
  • They are typically cheaper
  • A CT Scan cost ranges between $1,200- $3,200 and can be almost half the cost of an MRI.


MRI’S are thought better than CT scans for these reasons:
  • They can diagnose abnormalities in ruptured discs
  • The procedure is longer, and therefore the diagnosis produced is tends to be more detailed and accurate


For immediate diagnosis of stroke the CT Scan is most helpful but long term diagnosis should use something called an MRA.  An MRA, or magnetic resonance angiogram, is a type of MRI scan that uses MRI's magnetic fields and radio waves to produce pictures of blood vessels inside the body, allowing doctors to locate problems that may cause reduced blood flow. An MRI, or magnetic resonance imaging, is the technology behind an MRA, and it is used to examine soft ligament tissues and tendon injuries. Both scans are generally safe for most patients and do not expose them to ionizing radiation.

Because MRA scans look at the body's blood vessels, they are well suited to examining arteries in the brain, neck, chest, and abdomen and stomach. MRA scans are typically used for the following reasons:
  • To identify and document any areas of decreased blood flow that may have resulted from a stroke
  • To find bulges (aneurysms), clots, or buildups of fat and calcium deposits in the blood vessels leading to the brain.
  • To find aneurysms or tears in the aorta, which carries blood from the heart to the rest of the body.
  • To find blood clots in arteries and veins.
  • To see if any blood vessels leading to the heart, lungs, kidneys, or legs are narrowing. (Narrowing blood vessels can lead to hypertension, painful walking, and non-healing ulcers.)


I hope this helps you in understanding the difference between CT Scans, MRI’s and MRA’s.  If you have questions you can talk with your doctor but hopefully this will give you a better foundation to have that discussion.

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me tomorrow...

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   

And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue in our adventure!
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Breathing

10/7/2019

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Episode notes: Today Ruth talks about the challenge that we often have with breath control and aphasia and stroke.  

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global  were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
  • Stroke Global site onlineRehabilitation.org
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast... as someone who suffered a severe stroke, battled with breathing issues, aphasia, and speaking problems I thought I’d give you a little if not a lot of hope.  The stroke can cause many issues that can create and/or multiply other health issues.  Many times in order to reduce blood pressure issues, physicians can go a little over board and not realize or pay attention to things that they are putting into a state of imbalance.

My doctor was well meaning but had me on a combination of drugs that lowered my BP and made it appear that  I was doing great.  But in so doing he created a fluid imbalance and dehydrated me to a point I dropped 40 lbs of water weight in 2 weeks and became so severely dehydrated that I required eye drops, needed moisture swabs and salve for my lips, was unable to utter anything but raspy sounds, drank incessantly yet still suffered from severe constipation, bordering on an intestinal compaction and blockage.

As a result I will be the first to state that “Stroke” needs to be evaluated and treated carefully, taking in to account the function of the entire body.  It took months to become rehydrated and stabilized from that inappropriate treatment.  Had I been more aware of my medical situation and been more mentally capable I would have argued sooner.  The fact is that most people take the advice of the physician assigned to them and don’t argue or question treatments or medications.  My husband did just that!  
It was weeks before I was aware enough and could get my concerns conveyed to the nursing staff that things began to change. As I said earlier in a past podcast I signed myself out and re-assessed my medications with my general practitioner who knew me better.

Please keep in mind that lab tests taken in the hospital or clinic are simply pictures in time and they can change and vary with a variety and numbers of factors and need to be treated cautiously.  One other thing that you should be aware of is that the spoken word and singing are managed in different areas of the brain and often one is effected leaving the other area untouched or unaffected.  

Now breathing and breath are critical and after suffering a severe stroke it can be greatly affected leaving you short of breath.... Breathing or attempting to speak incorrectly.  When I was young I had about 10 years of professional singing instruction and as a result use many of the vocal exercises and techniques to overcome speaking and breathing issues.  

Some of the techniques are:
  • Repetition and parroting of sounds and words
  • Word flash cards or alphabet flash cards
  • Attempting to sing scales
  • Diaphragmatic loud reciting of consonants 
  • Diaphragmatic loud reciting of vowels
  • La, Aa, Ba, Ha, Ka, Ja, Pa, Ma, Na
  • Sitting - bending your head down between knees and reciting out loud 
These are just a few... One of the things that we often also fail to realize... is how powerful air control in breathing is. We have the ability just through our breathing to lower our pulse rate and blood pressure by up to 10 points. For those who practice “relaxation” techniques regularly, even more.

  • 12 -20 breaths per minute is normal for an adult.  20 - 30 for a child.
  • The challenge comes from breathing in slowly through the nose and then exhaling by gently and slowly breathing out through your mouth (gentle blowing)
  • Do this exercise once per hour for 1 minute
  • Try and breathe in for a 5 count and out for a five count - 6 cycles
  • Advanced learners may continue this for 5 minutes or while listening to music or a calm sound
If you feel like you are short of breath... practice breathing slowly and build your stamina up.  Set goals for yourself.

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me tomorrow...

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   
And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue in our adventure.
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Weather changes

10/4/2019

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Episode notes: Today Ruth talks about the changing seasons and weather and how that can impact us as stroke survivors..

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global  were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
  • Stroke Global site onlineRehabilitation.org
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast... can weather affects stroke?  Imagine hearing a weather forecaster warn that tomorrow could be "colder with a chance of stroke." A study showed possible associations between certain weather conditions and the incidence of strokes. Larger daily temperature variations and higher humidity each were associated with higher stroke hospitalization rates.

But in TCM they’ve known that for a long time.Integrated Medicine and TCM understands and bases everything on the concept that everything is composed of two complementary energies; one energy is yin and the other is yang. They are never separate; one cannot exist without the other. This is the yin/yang principle of interconnectedness and interdependence; it is not oppositional. The intertwined relationship is reflected in the classic black and white yin/yang symbol. No matter how you might try to divide this circle in half, the two sections will always contain both energies. The energies themselves are indivisible. From the TCM perspective, this is universal law at its simplest and deepest.

The “Theory of Yin and Yang” contains no absolutes. The designation of something as yin or yang is always relative to, or in comparison with, some other thing. For example, the sun and daytime are considered to be yang in relation to the moon and the night, which are yin. However, early morning is yang in comparison to late afternoon, which is more yin. According to the Theory of Yin and Yang, male is yang; female is yin. Everything in the body is also under the control of the binary system of yin and yang. Because yin and yang have an inseparable relationship, if there is a problem with one, the other will definitely be affected. Hence hot and cold....

Ideally, yin and yang should always remain in harmony, not just in balance. Understanding harmony is an important aspect of understanding true Integrated Medicine and TCM. Often, in the western understanding of Complementary and Alternative Medicine (CAM), the term "balance" is described as the desired state, however, in TCM, "harmony" is the ultimate goal. Although the words "balance" and "harmony" are often used interchangeably, in TCM theory they are quite different, balance is merely the first step toward harmony.

The meridian network is like a system of highways, roads and streets that links major cities. The highways (meridians) and the cities (organs) make up an entire energy map (the body). It is through this system of roadways that energy (Qi) runs. For example, if a city's internal streets are blocked with traffic, eventually this situation will cause a problem with the highways leading into this city. If the traffic condition worsens, even the cities linked by the major highways will experience a problem. Or two cities may be fine and traffic may be flowing smoothly within their areas. Yet, if there is an accident and traffic builds up on one of the roads linking the cities, eventually one or both of these cities will find themselves affected by traffic congestion. In the example of a stroke that highway may have been flooded out and either needs repair or a bypass road needs to be built for traffic (information) to travel.  This analogy offers a way to understand how blockages in meridians can cause problems in organs.

Meridians form a powerful information system within which each Organ also forms its own data system. In addition to transmitting Qi, meridians also transmit actual information to and among the Organ Systems. It is through the meridians and the flow of Qi that the various parts of the body communicate with each other faster than the speed of light. Interestingly, meridians are also sensitive to time and place. Two things can be balanced; they can be of equal proportion or have equal weight, and yet still be separate. Balance has to do with the relationship between two separate entities: for instance, the relationship between the Heart and Kidney. First, a relationship must be in balance; the next step is to achieve harmony. When two things are in harmony, their energies are not just equally proportioned but blended together into a seamless whole. 

When two elements exist in harmony, there is an ongoing, unconscious dance between them that happens naturally. When one predominates, the other recedes; this is homeostasis internal harmony that is a dynamic condition. In a healthy system, harmony happens naturally within the body itself, and between the body and external forces of nature. So, when nature's Qi undergoes change as it does seasonally, a person's internal Qi will respond automatically. If, for any reason, it can't make a smooth transition to the energy of the next season, TCM understands that illness will result.

In Western medicine, this lack of harmony can be seen in patients with hot flashes. Those who suffer from this condition during the day have a yang Qi or energy deficiency; those who suffer nightly hot flashes are experiencing a yin Qi deficiency. If a woman experiences hot flashes at both times, then both energies are deficient and must be strengthened.

So differences in our environment affect us inwardly and outwardly and we need to take into consideration those changes and how we must alter our behavior and immediate environment to control those changes. 

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me next week... 

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   

And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us Monday as we continue in our adventure
0 Comments

Multiple Strokes

10/3/2019

0 Comments

 
Episode notes: Today Ruth talks about the need to exercise regularly but to do it in such a way that it builds and increases strength rather than draining the body and destroying motivation.

Ruth is a stroke survivor sharing tips and advice for rehab, recovery and healthy living including nutrition, exercises, personal care, healing and maintaining a grateful attitude. She can be found online at http://stroke.global  were she offers help to stroke survivors and caregivers.

  • Relaxation breathing techniques 
  • Attitude of Gratitude Journal 
  • TCM Restoration TCMRestoration.net
  • Luffa stimulation rub
  • Register for notification of the Do-app
  • https://www.cdc.gov/stroke/facts.htm
  • Stroke Global site onlineRehabilitation.org
——————————————————————————————————————--

Welcome back to the Healthy Life Podcast... a few days ago I encountered a post where an individual posted a very real fear and concern...  “I’m seeing a lot with multiple strokes and it’s starting to scare me.” Wow I understand that fear all to well... in fact after having my stroke I became an advocate for the AMERICAN stroke association and an expert on strokes. 
Stroke Statistics can be scary and it’s important to acknowledge them and understand them.... not avoid the truth.

  • Stroke kills about 140,000 Americans each year—that’s 1 out of every 20 deaths.1
  • Someone in the United States has a stroke every 40 seconds. Every 4 minutes, someone dies of stroke.
  • That means every year, more than 795,000 people in the United States have a stroke. And of that number about 610,000 of these are first timers or new strokes.
  • About 185,000 strokes—nearly 1 of 4 (25%)—are in people who have suffered a previous stroke.
  • About 87% of all strokes are ischemic strokes, in which blood flow to the brain is blocked.
  • Total Stroke costs the people in the United States an estimated $34 billion each year.  This total includes the cost of health care services, medicines to treat stroke, and missed days of work.
  • Stroke is a leading cause of serious long-term disability.  
  • Stroke severely reduces the mobility in more than half of stroke survivors age 65 and over.
Stroke Statistics by Race and Ethnicity
  • Stroke is the fifth leading cause of death for Americans, but the risk of having a stroke does vary with race and ethnicity.
  • The Risk of having a first stroke is nearly twice as high for blacks as for whites, and blacks have the highest rate of death due to stroke.
  • Though stroke death rates have declined for decades among all race/ethnicities, Hispanics have seen an increase in death rates since 2013.1
Stroke Risk Varies by Age
  • Stroke risk increases with age, but strokes can—and do—occur at any age.
  • In 2009, 34% ( over 1/3) of people hospitalized for stroke were less than 65 years old.
Stroke is the great equalizer... affecting all ages, genders and races!  So it’s important that you are educated about stroke and what it can and will do to affect you...   And work to both establish and maintain healthy living habits! It’s up to you!

Well it’s time to close for today...Thanks so much for joining me and remember to visit the stroke.global ( “onlinerehabilitation.org” ) web site often and give us your feedback!  I also hope you’ll join me tomorrow... oh and my new grandson is perfect... opinionated and has a great set of lungs. You can be sure that he and his parents get a healthy dose of”stroke education and healthy living advice from me!

As always it’s an honor and  a pleasure sharing with you today.... thank you! I pray that you’ve enjoyed this podcast... we keep it brief so it’s easy to add to your day...  we are on iTunes, Spreaker, & Google Play and have links on our stroke.global page... please subscribe it boosts us in the ratings and helps us rise in the ranks so we can continue these stroke survivor podcasts.

As always we want to thank our sponsor TCM Restoration for helping us by making  this podcast possible.  Check them out online at tcmrestoration.net   

And thank you again for listening... Please feel free to share this podcast with others, offer your feedback and questions, and follow us online at our website  stroke.global or on our Facebook page. Well...this is Rehab Ruthie...hoping  you’ll join us tomorrow as we continue WINNING in our adventure...
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