Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, June 5, 2024

Back behind the wheel: After stroke, Huntley man relearns how to drive to regain independence lost

You'll want this to learn to drive so ask your doctor for EXACT STROKE PROTOCOLS TO RETURN TO DRIVING.

Health goes downhill when older adults stop driving

Maybe your doctor can look at these and actually help you get back to driving.

Predicting road test performance in drivers with stroke

Stroke survivor, researchers encourage patients to discuss driving with their doctors

Stroke survivors more likely to make dangerous driving errors

The latest here:

Back behind the wheel: After stroke, Huntley man relearns how to drive to regain independence lost 


Dan Davis didn’t seem like a candidate for a stroke. The Huntley man didn’t smoke and rarely drank alcohol.

But nearly a year ago, on June 28, Davis was getting ready for work when he suddenly collapsed. His wife, who has a medical background, called 911 but already realized what it was — a stroke.

Davis retained his cognitive abilities through his 27-day hospital stay.

What the stroke took from the now 47-year-old was strength on his right side. It also threatened to take away his independence.

Could the working father of two sons continue to drive when his right foot could no longer work the gas and brakes in his car?

“I was dependent on my wife to take me places. Even getting down the stairs … I had to quickly assess how I lived my life and think more carefully about it than I did before,” Davis said. “Every move I make, I have to assess if it is feasible to do it.”

It’s Karyn Silvestri’s job to determine whether Davis will be able to get behind the wheel of a car again.

Silvestri, an occupational therapist at Northwestern Medicine, exclusively works with people — both teens and adults with acquired or congenital disabilities — to determine if they can drive and help them learn to drive with adapted vehicles. Some have had a traumatic brain injury or, like Davis, a stroke.

Silvestri says she is one of just a handful of occupational therapists in Illinois who is also a licensed driving instructor. She has clients come from Indiana and Wisconsin.

“There are not enough to serve the clientele that really needs driving rehabilitation services,” Silvestri said.

Her role is twofold, Silvestri said. First, she evaluates clients to determine if they can safely drive. Then, she works with them to ensure they can pass the state’s driver examination, often with a vehicle adapted for them.

Much of the behind-the-wheel training happens in parking lots at Northwestern Woodstock Hospital or Marianjoy Hospital in Wheaton. They don’t use simulators, but real vehicles the drivers will be using that better represent what being behind the wheel feels like, Silvestri said.

These days, a majority of his driving is going to Marianjoy for his rehab appointments, Davis said. Getting behind the wheel with Silvestri to practice was “like being a 16-year-old again, learning how to do this.”

His car is adapted with a knob on the left side of the steering wheel — his stronger hand — allowing him to steer. Instead of using his right foot for the brake and gas pedals, Davis now uses his left foot. It helps, Davis said, that he had 30 years of driving experience.

“How to turn — that doesn’t go away. The muscle memory resides in me,” he said. “But the nerves … it was like being a 16-year-old. The stakes are high, and you don’t want to fail those tests.”

After practicing with Silvestri and re-memorizing the rules of the road, Davis aced his driving test. He’s had his license back — with a C restriction requiring a mechanical aid or adaptive devices — for three months. He has driven about 3,000 miles since then, running errands and getting back to a little normalcy.

He has to think about where he is going, too — not how to get there, but what will be required of him when he gets there.

“Keep in mind the independence you gain [by driving], but you also have to be conscious of what you have to face where you are going,” Davis said. Those obstacles might be getting from a parking garage to his destination.

“Stepping onto a curb — I have to think about it. If I have to carry something heavy, I have to plan it out more than I did a few months ago,” he said.

Davis is hoping for surgery for a device that will help his nervous system operate his right side again, but insurance would not approve it. As a right-handed person, not having control over that side of his body has made everything from writing to reading a book a lot harder, Davis said.

“Even eating dinner. I am good at left-handed eating,” Davis said, “but for things like cutting my meat … I am figuring it out.”

No comments:

Post a Comment