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.

Saturday, February 21, 2026

A Review of Odd-Chain Fatty Acid Metabolism and the Role of Pentadecanoic Acid (C15:0) and Heptadecanoic Acid (C17:0) in Health and Disease

 Saw an ad for this in Super Age so had to find the research behind it.

But I guess your competent? doctor told you about this last June, right?



A Review of Odd-Chain Fatty Acid Metabolism and the Role of Pentadecanoic Acid (C15:0) and Heptadecanoic Acid (C17:0) in Health and Disease

,
and
MRC HNR, Elsie Widdowson Laboratory, Fulbourn Road, Cambridge CB1 9NL, UK
*
Author to whom correspondence should be addressed.
This article belongs to the Section Metabolites

Abstract

The role of C17:0 and C15:0 in human health has recently been reinforced following a number of important biological and nutritional observations. Historically, odd chain saturated fatty acids (OCS-FAs) were used as internal standards in GC-MS methods of total fatty acids and LC-MS methods of intact lipids, as it was thought their concentrations were insignificant in humans. However, it has been thought that increased consumption of dairy products has an association with an increase in blood plasma OCS-FAs. However, there is currently no direct evidence but rather a casual association through epidemiology studies. Furthermore, a number of studies on cardiometabolic diseases have shown that plasma concentrations of OCS-FAs are associated with lower disease risk, although the mechanism responsible for this is debated. One possible mechanism for the endogenous production of OCS-FAs is α-oxidation, involving the activation, then hydroxylation of the α-carbon, followed by the removal of the terminal carboxyl group. Differentiation human adipocytes showed a distinct increase in the concentration of OCS-FAs, which was possibly caused through α-oxidation. Further evidence for an endogenous pathway, is in human plasma, where the ratio of C15:0 to C17:0 is approximately 1:2 which is contradictory to the expected levels of C15:0 to C17:0 roughly 2:1 as detected in dairy fat. We review the literature on the dietary consumption of OCS-FAs and their potential endogenous metabolism.
Graphical Abstract
Graphical Abstract

1. Introduction

The development of chromatographic technologies has enabled the study of lipid biochemistry and the role lipids play in the pathology of many diseases. There has been an ever increasing drive to improve the resolution and sensitivity of lipid analysis starting from thin layer chromatography several decades ago to ultra-performance liquid chromatography coupled to high resolution mass spectrometry. This has led to a considerable development in the understanding of lipids and their associations with disease, through disease etiology, biomarkers, treatment and prevention. To the present date, there have been over 150 different diseases connected with lipids, ranging from high blood pressure and artery plaques [1], obesity [2], type II diabetes [3], cancer [4] and neurological disorders [5].
Fatty acids are the basic building blocks of more complex lipids [6] and their composition in different lipid species are often used as a means for comparison within a lipid class when examining disease and physiological perturbations in lipid metabolism. It has been shown that saturated fatty acids [7] are associated with increased relative risks for diseases such as coronary heart disease, atherosclerosis, fatty liver disease, inflammatory diseases and Alzheimer’s disease. In contrast many unsaturated fatty acids including both mono-unsaturated and poly-unsaturated, have been associated with a reduced risk for each of the previously described disorders in certain studies [8]. Fatty acid chain length is also used for the diagnosis and prognosis of disease with respect to adrenoleukodystrophy, Refsum disease and Zellweger Syndrome where the propagation of very long chain fatty acids (>22 Carbon length chain [9]) is indicative of these disorders [10].
The majority of research into fatty acid metabolism has been conducted primarily on even chain fatty acids (carbon chain length of 2–26) as these represent >99% of the total fatty acid plasma concentration in humans [11,12]. However there is also a detectable amount of odd-chain fatty acids in human tissue. As a result of the low concentration there are only four significantly measureable odd chain fatty acids, which are C15:0, C17:0, C17:1 [13] and C23:0 [14]. C15:0 and C17:0; these have been gaining research interest within the scientific community as they have been found to be important as: (1) quantitative internal standards; (2) biomarkers for dietary food intake assessment; (3) biomarkers for coronary heart disease (CHD) risk and type II diabetes mellitus (T2D) risk (although the objective is not to provide a meta-analysis of odd chain saturated fatty acids (OCS-FAs) and disease risk); (4) evidence for theories of alternate endogenous metabolic pathways, where these are discussed hereafter. The purpose of this review is to address these points and highlight the importance of their inclusion into routine lipidomic analyses, as well as introduce areas that need further research.

Lifetime Risk Estimates for Dementia, MCI: New Data

 Your risk is definitely higher post stroke; BUT YOUR COMPETENT? DOCTOR HAS EXACT PROTOCOLS TO PREVENT THAT, RIGHT?

Nope! You got one of the incompetent? ones, didn't you!

Lifetime Risk Estimates for Dementia, MCI: New Data

TOPLINE:

Lifetime risk for dementia and mild cognitive impairment (MCI) was 43% and 62%, respectively, in adults aged 55 years or older, new research showed. Additionally, the onset of MCI occurred 10 years earlier than the onset of dementia, women had a higher lifetime risk for both conditions, and Black individuals had an earlier age of onset.

METHODOLOGY:

  • Researchers pooled data from five cohort studies at Rush Alzheimer’s Disease Center for more than 4600 community-dwelling event-free adults aged 55-105 years (mean age at baseline, 77 years; 75% female; 28% Black individuals) for dementia analyses. Nearly 4000 of these participants were also assessed for MCI.
  • At annual standardized clinical evaluations, participants reported their medical histories and underwent neurologic examinations and neuropsychological testing.
  • Researchers assessed lifetime risk for incident dementia and incident MCI, accounting for the competing risk for death, with participants stratified by age, sex, race, and history of stroke.

TAKEAWAY:

  • From age 55 to 105 years, the lifetime risk was 43% for incident dementia and 62% for incident MCI — with the risk increasing sharply after age 75 and 65 years, respectively. Approximately 84% of cases for both conditions were diagnosed between 75 and 95 years of age.
  • Women had a higher lifetime risk than men for dementia (45% vs 39%) and MCI (63% vs 59%), and their diagnoses occurred approximately 2 years later (P < .05).
  • Black participants had a slightly higher overall risk for dementia than White participants (45% vs 43%) and were diagnosed about 5 years earlier (P < .001). The overall risk for MCI was lower in Black participants than in White participants (59% vs 64%), but Black participants had a higher cumulative incidence at age 55-75 years (15% vs 10%) and were diagnosed a median of about 6 years earlier (P < .001).
  • Exploratory analyses showed a significant association between stroke and increased risk for both dementia (hazard ratio [HR], 1.4; < .001) and MCI (HR, 1.3; < .003).

IN PRACTICE:

“These findings extend lifetime risk estimation beyond age 90 and highlight the need for equitable, culturally informed dementia prevention and monitoring strategies,” the investigators of the study wrote.

SOURCE:

The study was led by Lianlian Du, PhD, Rush Alzheimer’s Disease Center, Rush University Medical Center, Chicago. It was published online on February 03 in Alzheimer’s & Dementia.

LIMITATIONS:

The study population primarily comprised Black, White, and urban-dwelling individuals, with a limited number of Latino participants and no Asian American participants, which potentially affected generalizability. Genetic and cohort effects were not examined. Additionally, the apparent plateau in the cumulative incidence analysis after age 95 years warrants careful interpretation because analyses indicated continued increases in risks for dementia or MCI and mortality.

DISCLOSURES:

The study was funded by the National Institute on Aging. The investigators reported having no relevant conflicts of interest.

This article was created using several editorial tools, 

Trail Running for Longevity: Build VO2 Max, Balance, and Strength by Super Age

 This paragraph should immediately change your doctor and therapists approach to balance recovery. Only once did my therapists take me outside to walk on the grass.

  • Improved balance: If you want to be upright, it helps to stay upright. People with better balance are less likely to fall, making them less likely to break bones and sit (and calcify) on the sidelines after a fall. And trail running helps. In one very small (but interesting) study of novice runners, 10 ran on trails for 8 weeks, while the other 10 ran on the road. At the end of the two-month trial, the trail runners had improved their balance more than twice as much as the road runners in a metric called the “BESS test.”

Trail Running for Longevity: Build VO2 Max, Balance, and Strength

CCTH unveils stroke unit to help reduce long-term disability, preventable deaths

 YOU will need to contact them to make sure 100% RECOVERY IS THEIR ONLY GOAL! Not 'reducing' disability!

CCTH unveils stroke unit to help reduce long-term disability, preventable deaths

Cape Coast, Feb. 18, GNA – The Cape Coast Teaching Hospital (CCTH) has for years grappled with rising cases of stroke without the benefit of a specialised treatment facility.

The facility often received patients in critical condition as dedicated health professionals worked under challenging circumstances to save lives, amidst the absence of a fully equipped stroke unit.Relief has, however, come to both patients and caregivers with the inauguration of an eight-bed Stroke Care Unit on Tuesday, dedicated to providing specialised and timely intervention for stroke cases.

The Unit, funded and supported by the Korea Foundation for International Healthcare (KOFIH) Ghana, is equipped with modern monitoring systems, new hospital beds, and diagnostic tools.

Officials from KOFIH and CCTH inspected the facility before its official unveiling.

At the ceremony, hospital authorities recounted the journey towards establishing the unit, expressing optimism that it would significantly reduce preventable deaths, enhance recovery outcomes, and strengthen neurovascular care.

Dr Eric Ngyedu, Chief Executive Officer of CCTH, said the partnership between KOFIH Ghana and the hospital stemmed from a shared vision to minimise mortalities and long-term disabilities associated with stroke(Wrong goal! 100% recovery is the goal! Don't let them off the hook!). Through sustained funding, technical support, and collaboration, the vision had been realised, he noted.Describing the unit as “a gift of life” to residents of the Central Region and beyond, Dr Ngyedu said CCTH had also invested in training healthcare personnel to ensure high standards of operation.

He anticipated notable reductions in stroke-related deaths within the first year, alongside improved quality of life(NOT GOOD ENOUGH! Why are you setting your sights so low?) for survivors and their families.

Dr Ngyedu added that the broader goal was to position CCTH as a leading centre for stroke and neuromuscular care in Ghana and across West Africa.

Mrs Seoyon Kook, Deputy Country Director of KOFIH Ghana, reaffirmed the organisation’s commitment to strengthening Ghana’s healthcare system.

Stroke, she said, remained one of the country’s leading causes of death and disability. Establishing the dedicated unit at CCTH would therefore improve survival, rehabilitation, and long-term recovery outcomes.

She underscored the importance of strong partnerships in advancing healthcare, noting that the collaboration with CCTH continued to demonstrate KOFIH’s dependability.Dr Romeo Boaheng, the lead of the project, outlined plans for rapid-response protocols to ensure swift assessment and intervention the moment a stroke patient arrived. Improved diagnostics and coordinated care pathways, he said, were expected to drastically reduce complications.

Stakeholders later toured the facility before it was officially opened for operation.

GNA

Edited by Alice Tettey / Lydia Kukua Asamoah

CCTH unveils Stroke Unit to help reduce long-term disability, preventable deaths© Provided by Ghana News Agency (GNA)

Provided by SyndiGate Media Inc. (

Syndigate.info

The biggest mistake older travelers make, according to Rick Steves

 My happy childhood is now, damn good health, enough money to travel.

2023 was Ecuador, Bhutan/Tiger's Nest

2024 was Iceland, Madeira

2025 was Australia, Peru/Machu Pichu, Vietnam/Cambodia/Angkor Wat

This year will be Italy, South Africa/Zimbabwe/Victoria Falls, Japan

Bucket list is: Antarctica, Norway/Pulpit Rock, Denmark/Viking museums, Greece, River trip on the Nile.

Don't plan on settling for cruises until I'm decrepit in my nineties, just turned 70, so far 20 years since my stroke.

The biggest mistake older travelers make, according to Rick Steves

On Feb. 23, Rick Steves will be the keynote speaker at the San Francisco Chronicle's Aging and Longevity Summit.

And on May 1, he's departing for a 50-day trip. It's hardly a vacation: He starts working from the minute the plane takes off. And when he returns, he says, "I'm going to be younger than when I left."

Steves believes travel keeps you young - the real "Fountain of Youth," he calls it. And the bestselling guidebook author and TV and radio host says there are plenty of ways to keep your mind and body honed to travel the world at any age.

The Aging and Longevity Summit is sold out of in-person tickets, but you can buy a ticket here to watch the livestream on Feb. 23.

Ahead of the summit, I had the chance to talk to Steves about his travel tips for making the most of travel at any age.

"I'm excited to be coming to San Francisco for this talk," he said. "For retired travelers who are young at heart, but they've got to deal with the reality of, ‘We're not kids anymore' - there's a lot of practical ideas that I can share."

Here are a few of them.

(This interview has been lightly edited and condensed for clarity.)

JR: A lot of people save up and plan to travel in retirement. What advice do you have for seniors who are making plans to see the world?

RS: You have to have a certain attitude when you travel. People have their physical realities. If you're not nimble anymore, well, you've got to travel a little differently.

But having said that, two takeaways I've had from tour guiding and taking people well into their retirement to Europe is: 1) it's never too late to have a happy childhood, and 2) Age only matters if you're a cheese. And those are the themes of my talk when I come to town for the Chronicle.

The most grueling thing about European travel these days is the heat and the crowds of summer. You've really gotta take that seriously. It's hot and it's crowded, and frankly, it can be miserable. So if you are an older traveler, you're much better off bundling up and going off season. In Europe, there's no bad weather, just inappropriate clothing.

I'm 70 years old. I should be retired, but I like my work too much. So I just keep working, but I keep traveling. And for me, travel is my fountain of youth. I'm going on a 50-day trip starting May 1. That's almost two months. And I'm going to be go, go, going. And when I come home, I'm going to be younger than when I left.

What are your top European destinations for seniors, especially on a budget?

If I told you Portugal was the best budget place in Europe, and you're Greek and you wanted to go to Greece, that would be bad advice. Your best "budget place" is to travel smartly where your travel dreams are taking you.

If you're of Irish heritage and you want to take the kids to Ireland, that's the best budget destination. If you're a real World War II buff and you want to go to Normandy, that's your best budget destination. If you love art, Italy is your best budget destination, even though Italy is a more expensive country. But there's plenty of ways to travel cheaply in these countries if you just use your guidebook and do a little planning.

Is there a travel habit you see older Americans hang on to that makes trips harder than it needs to be?

Yeah: You worry about little things. So many people, they're experts at anxiety. And they sit in the hotel room thinking, "What can I be anxiety-stricken with," you know? Just remember, thieves target Americans, and older ones are just ideal. So you're not going to be mugged, but you're going to - if you're sloppy - you're going to lose your phone or your wallet or your purse.

So just leave it in the hotel room. I've never had anything stolen from my hotel room. The most dangerous place for your valuables is with you on the streets of Europe. And that doesn't mean you need to be paranoid. It just means you need to be on the ball.

Another tip: A taxi or an Uber can be a very good investment if you're older. It saves time, and time is a very valuable resource. You can have a taxi pick you up at your hotel and drop you at the next hotel an hour away. It can be a good investment if you've got the money.

I pretty routinely take a taxi from one city to the next. It might cost me $150, but it'll save me half a day and a lot of sweat. And the cost of the taxi is minimized by the cost of going to the train station, taking the train, and then going from the train to the hotel. I can go from hotel to hotel by taxi in an hour or less. It's an unthinkable splurge, you might think. But! It's actually a nice budget tip if you value your time, and if there's two of you to split the cost.

Have you begun to make any age-related adjustments in your travel plans, or are there any changes you foresee making in the future?

Don't do long hikes without walking sticks, hiking poles. I love hiking poles. I go on an extended one-week hike every year in the Alps and I can't imagine doing it without hiking poles. You can rent those at any mountain town in Europe.

Are there any other devices, gadgets or other things that you always pack with you that you think travelers might not think of, especially older travelers?

I like my noise reduction headphones, so people don't talk to me on the flight. Because I've got work to do. I don't want to be impolite, but I'm not there to be social.

Are there any non-monetary ‘investments' that you recommend people make if they want to keep traveling as they age? Fitness, learning, health, relationships?

You don't need to be a weightlifter, but you need to be in good walking shape. So walking and yoga would be really important.

And I think the more understanding you bring to your sightseeing, the more rewarding it will be. So I can't get you up the Leaning Tower of Pisa for anything less than everybody else pays. You'll pay 15 bucks or whatever to go visit the Leaning Tower. But I can triple your joy if you can learn what I know about the place, just to understand what was going on years ago when that was built.

On the topic of learning, how do you stay so up-to-date on what to do and see and know about in so many different places?

I go to Europe for 90 days a year, and the idea is to update my guidebook. I work with 100 people in Edmonds, and I'm doing the same thing I was doing back when I was a college kid: I go Europe, I make mistakes, I learn from mistakes, I take notes in hopes that people can learn from my mistakes rather than their own.

I celebrate when I get ripped off. They don't know who they just ripped off. I'm going to learn that scam, and take it home, and teach people what to look out for.

The big part of what I do is I hit and I miss and I hit, I miss, I hit and I bring home the hits and I write them up in hopes that people who like to travel like I do can learn from my experience and have a better batting average and hit and hit every time.

Because we Americans have the shortest vacations in the rich world. And we all want to see more than what we should. We always want to pack in too much. So it's my job to help people design their itineraries so that they enjoy maximum travel thrills for every mile, minute, and dollar on their precious vacation.

What is your advice on travel planning for multi-generational groups? What kinds of trips or destinations are the best if you've got seniors and active young people and also kids, where everyone can be together? A cruise?

I think a cruise is a great idea. I love cruising for a lot of reasons. I made a TV show about cruising. You can watch it for free at my website, along with a two-hour lecture about cruising.

On a cruise ship, let's say there are 3,000 tourists. One thousand of them would just be looking for a floating alternative to Vegas. One third of them would be bucket-list kind of travelers, and they just want to see famous things and get back on the boat.

And then one third of them are real travelers, that like the idea of sailing at night while you sleep and every day having eight hours in a totally different place. That's who I write my cruise guidebooks for, is for the travelers who are enjoying the cruise as an opportunity to toggle from floating American-style resort to European adventure.

The cool thing about a cruise ship is you can take Grandma and Grandpa, you can take the kids. Everybody can have a lot of fun. You've got that independence, and then you get together for dinner. It's beautiful, it's utopian, I think it's great.

You are my dad's personal travel guru. He said when they did a cruise last year, their ship did not offer any excursions to Rosenborg Castle in Denmark, but he knew that was a Rick Steves ‘three star' destination. And so my parents went off privately and did it. He said it was fantastic, it was so, so good.

Good for him. He knows the value of good information, that really empowers you. And he also understands probably now that there's no incentive with a cruise company or the typical tour company to get to free you with information. They would rather keep you on the bus and so you're eating off of their menu, which makes sense. But if you're an independent-minded person, it's nice to have the power that information gives you.

Are there any other ideas or tips you're looking forward to sharing at the summit?

It's really important to stay right downtown in the action so you can get to your hotel and out of there whenever you like.

And the more you understand what you're looking at, the more you enjoy it. Take advantage of local tours that give you experience.

The measure of a good traveler is how many people do you meet, and how many experiences do you have. It's kind of fundamental. Not ‘how many things do you check off your bucket list.' And how you travel determines how you carbonate the experience by meeting locals and by having real hands-on experiences.

Here's one of mine: I was just in the Italian Riviera a couple months ago with my girlfriend and we were crushing the basil leaves, and crushing the garlic into it, and then crushing the olive oil into that, and making beautiful pesto sauce to put on the pasta. And then we made the pasta, and then we ate it. That was a beautiful experience.

Virgin olive oil protects cognitive health through the gut microbiota, suggests research

 Will this affect your doctors' diet protocol? OH, YOUR DOCTOR INCOMPETENTLY DOESN'T HAVE ONE, RIGHT?

Virgin olive oil protects cognitive health through the gut microbiota, suggests research

Association of statin therapy on acute ischemic stroke patients with atrial fibrillation: insights from a nationwide cohort study

 Is your competent? doctor ready to embed this in your recovery protocols?

Do you prefer your doctor, hospital and board of director's incompetence NOT KNOWING? OR NOT DOING? Your choice; let them be incompetent or demand action!

Association of statin therapy on acute ischemic stroke patients with atrial fibrillation: insights from a nationwide cohort study

 Hyunsoo Kim 
Seung Hyun Min 
Jae-Myung Kim, 
Kang-Ho Choi, 
Jungkuk Lee, 
Joon-Tae Kim  
Scientific Reports , Article number: ;(2026) We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply. 

Abstract

 Although statins are well-established in improving outcomes after ischemic stroke, their effectiveness in patients with acute ischemic stroke (AIS) and atrial fibrillation (AF) without conventional indications remains uncertain. This study investigates the association between statin therapy and vascular outcomes in patients with AIS and AF without previously diagnosed atherosclerotic cardiovascular disease (ASCVD). This retrospective, nationwide cohort study utilized the Korean National Health Insurance Service database (2011–2023). Patients aged ≥ 20 years with AIS or transient ischemic attack and concurrent AF were included if they underwent neuroimaging, had no prior statin use at admission, and no documented history of ASCVD. Propensity score matching and inverse probability of treatment weighting (IPTW) were used to adjust for potential confounders. The primary outcome was a composite of all-cause death, ischemic stroke or systemic embolism, intracranial hemorrhage (ICH), and myocardial infarction within 1 year. Hazard ratios (HR) were estimated using Cox regression. Subgroup analyses assessed the association of statin dose (high vs. standard), ezetimibe combination therapy, and statin type. A total of 64,190 patients (mean age; 73.76, male 55.3%) were finally analyzed and categorized into statin users (n = 37,033) and non-users (n = 27,157). In the IPTW analysis, statin-user was associated with lower risk for primary vascular outcomes (HR 0.821 [95% CI 0.808–0.835]), mortality (HR 0.746 [0.729–0.763]), ischemic stroke and systemic embolism (HR 0.904 [0.884–0.925]), and ICH (HR 0.725 [0.660–0.796]) compared to non-users. Neither statin dose, statin type, nor ezetimibe combination was significantly associated with differences in the primary outcome. In patients with AIS and AF without previously diagnosed ASCVD, statin therapy was associated with a lower risk of major vascular events. These findings suggest a potential benefit of statins in this population and highlight the need for confirmation through prospective randomized trials.

Data availability

Data used in this study are available upon reasonable request to corresponding author.


Returning to work after stroke: Matthew’s story of recovery, resilience and rehabilitation

 This should be common and not unusual! But it is because our stroke medical 'professionals' HAVE COMPLETELY FUCKING FAILED AT 100% RECOVERY PROTOCOLS!  Hope their comeuppance is extremely debilitating when they are the 1 in 4 per WHO that has a stroke! I should be a better person and not revel in schadefreude, but incompetence deserves its' own reward.

Returning to work after stroke: Matthew’s story of recovery, resilience and rehabilitation

By Circle Rehabilitation

When Matthew suffered a sudden stroke on 22 October 2025, his life changed overnight.

One day he was active—working full-time, walking his dog twice daily, and playing golf—and the next he was in a hospital bed, unable to use his leg or arm and struggling to speak.

His stroke came without warning while he was in Stockport, and he was admitted to Stepping Hill Hospital for urgent treatment.

Matthew describes the experience as the most serious illness he had ever faced.

He had never previously needed medical care, so the loss of independence hit him hard—physically and mentally.

After a week, he was discharged into community care through the National Health Service, but therapy sessions were brief and infrequent.

He found progress slow and began to worry about his future, particularly his ability to return to work and support his family.

Determined to recover, Matthew pursued specialist treatment and was assessed at Circle Rehabilitation.

Although funding approval took time, he began an intensive six-week programme in January.

His first days were overwhelming. He struggled with stroke-related fatigue, physical weakness, and frustration.

At times he feared the programme would be too demanding. But the clinical team reassured him that each therapy had a purpose: building strength, retraining neural pathways, and restoring function step by step.

Matthew’s rehabilitation plan combined multiple disciplines:

  • Physiotherapy and Occupational therapy to rebuild strength and mobility in his leg and arm
  • Speech and language therapy to improve communication and mental processing
  • Psychological support to help him adjust emotionally and regain confidence

Initially, even short sessions were exhausting. But by weeks four and five, he began to see dramatic changes. He progressed from needing a wheelchair to walking around the park.

Gym endurance improved from under five minutes to fifteen. Tasks that once seemed impossible—climbing stairs, moving independently, speaking clearly—became achievable again.

Just as important as the physical gains was understanding why each exercise mattered. Therapists explained how stroke affects brain pathways and how targeted repetition can rebuild them.

This knowledge motivated Matthew to push himself further.

For Matthew, one of the hardest challenges wasn’t physical—it was psychological. He struggled with the sudden shift from being active and independent to relying on others.

He admits he briefly saw himself as “disabled” and feared he might never return to his previous life.

Support from staff played a vital role in changing that outlook.

He describes genuine daily interactions—from clinicians to catering staff—that made him feel valued rather than like just another patient.

Regular medical reviews and open communication reassured him that concerns were being addressed promptly.

His family’s support also strengthened his recovery.

Even though they couldn’t visit often due to being far from home, they joined therapy meetings remotely, helping them understand his progress and support him at home.

Matthew’s main goal throughout rehabilitation was clear: get back to work. Financial pressures made time critical, and he worried that a long recovery might affect his job role or income.

The programme was therefore tailored not only to improve his health, but to restore the specific physical and cognitive abilities needed for employment.

By the end of week six, he felt ready. He describes himself as having been “rebuilt,” regaining independence, confidence, and hope for the future.

He now returns home with a structured plan, ongoing therapy, and professional support available whenever needed.

Matthew’s journey shows that recovery after stroke is not only possible—it can be transformative with the right support, determination, and specialist care.

He reflects that without intensive rehabilitation; he might still be facing severe limitations and uncertainty about his future.

Instead, he is preparing to go back to work, reconnect with his daily life, and continue improving.

His story is a powerful reminder: stroke recovery is rarely quick or easy, but with the right guidance and perseverance, returning to work—and reclaiming independence—is an achievable goal.

Find out more about Circle Rehabilitation at circlehealthgroup.co.uk 

Exercise and protein drinks improve function in people with dementia

The real question for your competent? doctor is: 'Will this prevent cognitive decline?' Will your doctor and hospital get such research going? And get EXACT PROTOCOLS from such research?

Do you prefer your doctor, hospital and board of director's incompetence NOT KNOWING? OR NOT DOING? Your choice; let them be incompetent or demand action!

 Exercise and protein drinks improve function in people with dementia

A simple combination of daily physical exercise and protein-rich nutritional drinks appears to offer significant health benefits for people with dementia. In a new study from Karolinska Institutet, not only did the participants' physical ability improve, but after three months the researchers also saw signs that they were able to manage more everyday tasks themselves. The study is published in the journal Alzheimer's and Dementia.

Older people living in special housing often have an increased risk of malnutrition, muscle weakness, and frailty, which are factors that affect both health and quality of life. The OPEN study has previously shown that the program improves physical function and has positive effects on muscle mass and nutritional status. The new article analyzes retrospectively how the program can be linked to the participants' need for support in everyday life.

A total of 102 people from eight nursing homes in the Stockholm area participated. For twelve weeks, the intervention group was asked to do standing exercises several times a day and drink one to two nutritional drinks with extra protein. Among other things, the researchers monitored how much support the participants needed with tasks such as hygiene, dressing, and moving around.

When the researchers analyzed all the residents together, no clear differences were apparent. However, when the results were broken down by ward type, a different pattern emerged. In the dementia wards, participants who had followed the program had improved their abilities to such an extent that they required less care time compared to the control group.


One possible explanation is that people in dementia units had better physical conditions for improving their functional ability and were therefore able to do more things themselves after the intervention."

Anders Wimo, researcher at the Department of Neurobiology, Care Sciences and Society, Karolinska Institutet

The researchers also point out that interviews from previous sub-studies indicate that improved function can affect how much support a person needs in different situations. At the same time, they emphasize that the results should be interpreted with some caution, as the analyses are secondary.

"More studies are needed where care time is a primary outcome and where organizational factors, such as staffing levels and work routines, are closely monitored," says Anders Wimo.

The study was conducted by an interprofessional research group affiliated with Karolinska Institutet and Stockholms Sjukhem. It was funded by the Gamla Tjänarinnor Foundation and Danone Nutricia Research, which provided the nutritional drinks but did not participate in the data collection or final analyses. The researchers report no competing interests other than that one of the authors is the copyright holder of the measuring instrument used.

Source:
Journal reference:

Wimo, A., et al. (2026). Impact of an exercise and nutrition program on caregiver time with residents in institutional care—A secondary analysis. Alzheimer’s & Dementia. DOI: 10.1002/alz.71198. https://alz-journals.onlinelibrary.wiley.com/doi/10.1002/alz.71198