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.

Sunday, March 4, 2018

Guidelines for Adult Stroke Rehabilitation and Recovery

More LAZY SHIT, Guidelines and care NOT protocols or results.
https://jamanetwork.com/journals/jama/article-abstract/2673525?redirect=true 
 
JAMA. 2018;319(8):820-821. doi:10.1001/jama.2017.22036
Stroke affects more than 800 000 people each year in the United States. Between 2000 and 2010, stroke-related deaths declined by 35% in the United States, and 80% survive the acute event.1 There is wide diversity in stroke patients and stroke severity,2 but of those admitted to a hospital, about 65% of survivors receive rehabilitation services, and more than 30% have persistent deficits in autonomy, engagement, and fulfilling societal roles.3 Clinicians should be familiar with the levels of care of poststroke rehabilitation and services, which include the acute hospital stay and postacute continuum of care, with care delivery sites differentiated by intensity of care, location of care, and needs for skilled nursing. The AHA/ASA guideline weaves evidence and consensus to guide stroke rehabilitation management throughout the spectrum of care and promote return of patients to their communities.4

Neural Decoding of Robot-Assisted Gait during Rehabilitation after Stroke

If we don't even know what the neural correlates of walking in the real world are how the hell can we expect robotics to recover us to that state?  

Th latest here:

Neural Decoding of Robot-Assisted Gait during Rehabilitation after Stroke



Contreras-Vidal, Jose L.1,5; Bortole, Magdo1,2; Zhu, Fangshi1; Nathan, Kevin1; Venkatakrishnan, Anusha1,4; Francisco, Gerard E.3,5; Soto, Rogelio5; Pons, Jose L.2,5
American Journal of Physical Medicine & Rehabilitation: February 23, 2018 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHM.0000000000000914
Research Article: PDF Only
Objective Advancements in robot-assisted gait rehabilitation and brain-machine interfaces (BMI) may enhance stroke physiotherapy by engaging patients while providing information about robot-induced cortical adaptations. We investigate the feasibility of decoding walking from brain activity in stroke survivors during therapy using a powered exoskeleton integrated with an electroencephalography (EEG)-based BMI.
Design The H2 powered exoskeleton was designed for overground gait training with actuated hip, knee and ankle joints. It was integrated with active-electrode EEG and evaluated in hemiparetic stroke survivors over 12 sessions/4 weeks. A continuous-time Kalman decoder operating on delta-band EEG was designed to estimate gait kinematics.
Results Five chronic stroke patients completed the study with improvements in walking distance and speed training over 4 weeks, correlating with increased offline decoding accuracy. Accuracies of predicted joint angles improved with session and gait speed, suggesting an improved neural representation for gait, and the feasibility to design an EEG-based BMI to monitor brain activity or control a rehabilitative exoskeleton.
Conclusion The Kalman decoder showed increased accuracies as the longitudinal training intervention progressed in the stroke participants. These results demonstrate the feasibility of studying changes in patterns of neuroelectric cortical activity during post-stroke rehabilitation and represent the first step in developing a BMI for controlling powered exoskeletons.
Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.

It's Time to Ban 'Productivity' in Medicine

Oh God, more doctor refusal to take responsibility for the results of their treatments. But the medical gods have spoken, we patients just have to deal with the fact that they would rather be incompetent than fix the failed status quo. And you are paying them regardless of their incompetency.

It's Time to Ban 'Productivity' in Medicine

Heart attack patients prescribed antidepressants have worse one-year survival

What is it for stroke? Antidepressants improve stroke recovery.  Is your doctor giving you all the information needed to make the best choices for your recovery?

Antidepressants may help people recover from stroke even if they are not depressed


https://www.alphagalileo.org/ViewItem.aspx?ItemId=184127&CultureCode=en

More research needed to identify reasons for higher mortality
Heart attack patients prescribed antidepressants have lower one-year survival rates, according to research presented today at Acute Cardiovascular Care 2018, a European Society of Cardiology congress.1
The observational study of nearly 9,000 patients found that those prescribed antidepressants at discharge from hospital after a heart attack had a 66% greater risk of mortality one year later than patients not prescribed the drugs, although they noted the cause is not necessarily related directly to the antidepressants.
Lead author Ms Nadia Fehr, a medical student at the University of Zurich, Switzerland, said: “Previous studies have suggested that cardiovascular disease may increase the likelihood of being depressed. On the other hand, depression appears to increase the probability of developing cardiovascular risk factors. However, little is known about the impact of depression on outcome after a heart attack.”
This study assessed the association of antidepressant prescription at hospital discharge with the one-year outcomes of patients with acute myocardial infarction (heart attack).
Data from AMIS Plus, the Swiss nationwide registry for acute myocardial infarction, were used to analyse 8,911 heart attack patients admitted to hospitals in Switzerland between March 2005 and August 2016. Patients were followed up by telephone 12 months after discharge.
The researchers compared patients who received antidepressant medication at discharge with those who did not with regard to baseline characteristics and one-year outcomes including mortality, a subsequent heart attack, and stroke.
A total of 565 (6.3%) patients received antidepressants at discharge from hospital. Compared to those who did not receive the drugs, patients prescribed antidepressants were predominantly female, older, and more likely to have hypertension, diabetes, dyslipidaemia, obesity and comorbidities. They were less likely to undergo percutaneous coronary intervention or receive P2Y12 blockers or statins, and stayed in hospital longer.
After adjusting for baseline characteristics the researchers found that the rates of stroke and subsequent heart attacks were similar between the two groups, but patients prescribed antidepressants had significantly worse survival. The rate of all-cause mortality at one-year after discharge was 7.4% in patients prescribed antidepressants compared to 3.4% for those not prescribed antidepressants (p<0.001).
Antidepressant prescription was an independent predictor for mortality, and increased the odds by 66% (odds ratio: 1.66; 95% confidence interval: 1.16 to 2.39).
“This was an observational study so we cannot conclude that antidepressants caused the higher death rate,” noted Ms Fehr.
She concluded: “Our study showed that many patients are treated with antidepressants after a heart attack. More research is needed to pinpoint the causes and underlying pathological mechanisms for the higher mortality we observed in this patient group.”

The Alzheimer's Association is grateful to our champions at Marshalls for their sixth consecutive year of support of our vision of a world without Alzheimer's disease

And our fucking failures of stroke associations can't see a vision where stroke is just another easily curable disease. I have that vision, what the hell is your doctor and stroke hospital doing to get there? Sitting on their fucking asses, DOING ABSOLUTELY NOTHING? Or is that vision too hard for their minds to contemplate?
Marshalls teams up with the Alzheimer's Association again. 

An Atrial Fibrillation Spiel - Three-Must Ask Questions

In case you have this, for your questions for your doctor.

BLOG: Three-Must Ask Atrial Fibrillation Questions

Saturday, March 3, 2018

Treatment with omega-3 polyunsaturated fatty acids does not improve endothelial function in patients with type 2 diabetes and very high cardiovascular risk: A randomized, double-blind, placebo-controlled study (Omega-FMD)

But do you want it for all these other benefits? I have 62 posts on Omega-3s with lots of benefits. Ask your doctor for an analysis and whether this research was trying to fix advanced atherosclerotic cardiovascular disease and that is the reason it failed. Would it help less advanced cases? 

Treatment with omega-3 polyunsaturated fatty acids does not improve endothelial function in patients with type 2 diabetes and very high cardiovascular risk: A randomized, double-blind, placebo-controlled study (Omega-FMD)


Atherosclerosis | March 02, 2018
Siniarski A, et al. - Researchers determined the effect of high-dose omega-3 polyunsaturated fatty acid (n-3 PUFA) treatment on endothelial function in patients with type 2 diabetes (T2D) and established atherosclerotic cardiovascular disease (ASCVD). No improvement was seen in the endothelial function indices after high-dose n-3 PUFA treatment for 3 months in very high-risk patients with ASCVD and T2D.
Read the full article on Atherosclerosis

Friday, March 2, 2018

These Antidepressant Side-Effects Outweigh Benefits, Study Concludes

Well, antidepressants are known to improve stroke recovery.

Antidepressants may help people recover from stroke even if they are not depressed 

 How is your doctor alleviating these extra risks? 

These Antidepressant Side-Effects Outweigh Benefits, Study Concludes

Millions are prescribed antidepressants each year, but what are they doing to the body?
Antidepressants may do more harm than good, according to a review looking at the drug’s impact on the whole body.
While the drugs may be effective at alleviating depression, they have considerable side-effects.
The researchers found three studies that suggest people taking antidepressants die at a higher rate.
One study has even suggested antidepressants may increase the risk of death by 33%.
Dr Paul Andrews, the study’s first author, said:
“We need to be much more cautious about the widespread use of these drugs.
It’s important because millions of people are prescribed anti-depressants each year, and the conventional wisdom about these drugs is that they’re safe and effective.”
The study found that the side-effects of antidepressants include:
  • Problems with sexual stimulation and function — they also affect sperm development.
  • Digestive problems like constipation, diarrhea, indigestion and bloating. (I had this for the few months I was taking them)
  • Developmental problems in children.
  • Strokes and abnormal bleeding in the elderly.
Many of these processes are regulated by serotonin.
Dr Andrews said:
“Serotonin is an ancient chemical. It’s intimately regulating many different processes, and when you interfere with these things you can expect, from an evolutionary perspective, that it’s going to cause some harm.
The thing that’s been missing in the debates about anti-depressants is an overall assessment of all these negative effects relative to their potential beneficial effects.
Most of this evidence has been out there for years and nobody has been looking at this basic issue.”
Previous studies by Dr Andrews and colleagues have found relatively minimal benefits of antidepressants.
They have also found people were more likely to relapse after taking the drug.
Dr Andrews said:
“It could change the way we think about such major pharmaceutical drugs.
You’ve got a minimal benefit, a laundry list of negative effects — some small, some rare and some not so rare.
The issue is: does the list of negative effects outweigh the minimal benefit?”

The study was published in the journal Frontiers in Psychology (Andrews et al., 2012).

Abstracts for the 11th World Stroke Congress, 17-20 October, 2018

I saw absolutely nothing that came out of the 10th World Stroke Congress that helped survivors. Maybe your doctor got something so ask them, I expect nothing from this one either. It is just 'happy talk' among 'stroke professionals'.  They all need to be read the riot act.

Experts meet at Hyderabad for four-day 10th World Stroke Congress


Abstracts for the 10th World Stroke Congress, 2016


Abstracts for the 10th World Stroke Congress, 2016International ...


Abstracts for the 11th World Stroke Congress, 17-20 October, 2018

Abstract Submission Topics(NOT a single one on protocols, results, hyperacute interventions or tPA replacement)



1.     Acute Neuroimaging  
2.     Acute Reperfusion Treatment  
3.     Acute Stroke Management 
4.     Acute Stroke: New Treatments Concepts  
5.     Aneurysm, Subarachnoid Haemorrhage and Vascular Malformations  
6.     Cerebrovascular Occlusive Disease 
7.     Complementary and Alternative Stroke Care
8.     Diagnosis 
9.     Epidemiology of Stroke  
10.   Experimental and Translational Neuroscience  
11.   Genetics  
12.   Heart and Brain
13.   Intracerebral Haemorrhage 
14.   Infections Diseases and Stroke 
15.   Randomized Clinical Trials  
16.   Multidisciplinary Clinical Rehabilitation
17.   Neurocritical Management
18.   Nursing
19.   On-going Clinical Trials
20.   Outcomes and Quality of Care
21.   Palliative Care/End of Life Care
22.   Paediatric Stroke
23.   Prevention of Stroke 
24.   Public Awareness/Advocacy 
25.   SSO – Stroke Support Organizations
26.   Stroke and Social Media
27.   Stroke Care Systems
28.   Stroke in the Region
29.   Stroke Registers and Audits
30.   Embolic Stroke of unknown Source
31.   Systematic Review and Meta-analysis
32.   Technology Innovations in Stroke
33.   TIA and Minor Stroke
34.   Uncommon Stroke Disorders / Difficult Cases
35.   Vascular Cognitive Impairment/ Vascular Dementia 
36.   Venous Diseases

Retinal signs and 20-year cognitive decline in the Atherosclerosis Risk in Communities Study

Now that you know this and your doctor doesn't, How are you going to make sure you get tested for this and receive protocols to prevent such cognitive decline? Using the excuse that there are no clinically proven ways to do that is incompetence at its finest. They should have been partnering with researchers years ago to find solutions.  They have left this problem fester for years.
A more readable article here:

These health problems can be predicted with a look into your eyes

The research here:

Retinal signs and 20-year cognitive decline in the Atherosclerosis Risk in Communities Study


Jennifer A. Deal, A. Richey Sharrett, Andreea M. Rawlings, Rebecca F. Gottesman, Karen Bandeen-Roche, Marilyn Albert, David Knopman, Elizabeth Selvin, Bruce A. Wasserman, Barbara Klein and Ronald Klein


Abstract

Objective To test the hypothesis that retinal vascular signs are associated with greater cognitive decline over 20 years in 12,317 men and women 50 to 73 years of age at baseline.
Methods A composite cognitive score was created with 3 neuropsychological tests measured at 3 time points (1990–1992 to 2011–2013). Retinal signs were measured with fundus photography (1993–1995). Differences in cognitive change by retinal signs status were estimated with linear mixed models. Cognitive scores were imputed for living participants with incomplete cognitive testing.
Results In multivariable-adjusted analyses that controlled for attrition, loss of vascular integrity (retinopathy and its components) was associated with greater 20-year decline (difference in 20-year cognitive change for moderate/severe vs no retinopathy −0.53 SD, 95% confidence interval −0.74 to −0.33). Estimated differences were similar in participants with and without diabetes mellitus and in white and black participants.
Conclusions Retinopathy was associated with accelerated rates of 20-year cognitive decline. These findings support the exploration of more sensitive measures in the eye such as optical coherence tomography angiography, which may provide surrogate indexes of microvascular lesions relevant to cognitive decline in older adults.
  • Received May 3, 2017.
  • Accepted in final form December 19, 2017.
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Thursday, March 1, 2018

Kaiser Vallejo among those recognized for stroke care

Notice the word 'care' NOT results. Why do you allow such blatant misdirection? Call that president and demand to know why they are so fucking lazy and incompetent.  If we don't call them out they will keep the failed status quo.
http://www.timesheraldonline.com/general-news/20180129/kaiser-vallejo-among-those-recognized-for-stroke-care
Posted: |
All Northern California Kaiser Permanente hospitals — including the Vallejo and Vacaville medical centers — received the American Heart Association/American Stroke Association’s Get With The Guidelines-Stroke Quality Achievement Awards, health plan officials said.
Also, 20 hospitals earned a place on the Target: StrokeSM Honor Roll-Elite Plus, the organization’s award for excellence in rapid stroke care.
Vallejo received both, a spokeswoman said.
The American Heart Association distinction recognizes each of the Kaiser Permanente Northern California hospitals for reaching an aggressive goal of achieving 85 percent or higher of all program indicators for two or more consecutive years, she said.

The award recognizes Kaiser Permanente’s commitment to providing the most appropriate stroke treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence, officials said.
“It’s proven that getting treatment for stroke quickly is critical to survival and recovery,” Kaiser Permanente Northern California president Janet Liang said in a statement. “In our Northern California hospitals, we are more than twice as fast as the national average in delivering the clot-dissolving medication for new stroke patients. That’s why this recognition is so meaningful to us — it represents better outcomes and lives saved.”

American Heart Association and American Stroke Association guidelines recommend “door-to-needle” times of 60 minutes or less for intravenous r-tPA, the medication that dissolves the stroke-causing clot and restores blood flow to the brain.(So fucking what? We still don't know how fast tPA needs to be delivered to get 100% recovery, 22 years later.) However, studies show that fewer than 30 percent of acute ischemic stroke patients in the United States are currently being treated within this window.
A recently published Kaiser Permanente study in the journal Stroke, looked at the adoption of a telemedicine program and standardized treatment protocol for stroke care across Kaiser Permanente’s 21 Northern California hospitals and found that the average treatment time for intravenous r-tPA was 34 minutes — more than twice as fast as the national average.

“What differentiates our program is our integrated approach to care delivery — as we leveraged with this nation-leading stroke care. Our model allows for the quick spread of cutting-edge innovations across all our hospitals,” The Permanente Medical Group executive director and CEO Richard S. Isaacs said. “We have also widely adopted new technology, like telemedicine. This means our patients have access to highly-trained specialists regardless of their physical location.”
All Kaiser Permanente emergency departments in Northern California are equipped with telestroke carts, which include a video camera and access to scans and test results. This technology enables access to a dedicated, specially-trained neurologist who conducts a patient’s neurologic physical exam remotely via video, officials said.

The awards were presented to representatives of each of the Kaiser Permanente medical centers during the International Stroke Conference in Los Angeles on Jan. 25.
For more information about recognizing the signs of stroke, visit kp.org/stroke.
Contact Rachel Raskin-Zrihen at (707) 553-6824.

Physical and mental multitasking may boost memory, study suggests

Maybe your doctor could learn something from this and apply it to your stroke protocols.
Physical and mental multitasking may boost memory, study suggests
(UCLA research alert):
Performing memory training exercises at the same time as pedaling a stationary bike led to better gains in memory than doing the training exercises after working up a sweat, according to a 55-person study led by UCLA researchers. The findings suggest that exercise may temporarily make it easier for the brain to create new memories
The researchers used standard tests of memory, learning, concentration and attention to gauge the cognitive performance of 55 adults ages 60 through 75… Of the participants, 29 were assigned to a “simultaneous” group that attended twice-weekly classes where they received an hour of in-person memory training at the same time as they rode stationary bikes. A “sequential” group of 26 participants also attended twice-weekly classes but, unlike the first group, rode a bike for one hour before receiving the same memory training as the other group. In both groups, the memory training involved an instructor teaching common techniques to remember information.
After a four-week study period, the researchers repeated the cognitive tests on all participants, and found that while everyone had improved in certain abilities, people in the “simultaneous” group had greater improvements in a number of memory, reasoning and attention skills. In particular, they scored better on tests measuring how well they could recognize, remember and retrieve words and geometric figures.”

The Study:

Simultaneous Aerobic Exercise and Memory Training Program in Older Adults with Subjective Memory Impairments (Journal of Alzheimer’s Disease). From the abstract:
  • Background: Several modifiable lifestyle factors have been shown to have potential beneficial effects in slowing cognitive decline. Two such factors that may affect cognitive performance and slow the progression of memory loss into dementia in older adults are cognitive training and physical activity. There are currently no effective treatments for dementia; therefore, preventative strategies to delay or prevent the onset of dementia are of critical importance.
  • Objective: The aim of this study was to determine the relative effectiveness of simultaneous performance of memory training and aerobic exercise to a sequential performance intervention on memory functioning in older adults.
  • Conclusion: These findings indicate that a 4-week simultaneous memory training and aerobic exercise program is sufficient to improve memory, attention, and reasoning abilities in older adults.

Change can happen only when "millions of people look around them and say loudly and clearly, 'the status quo is not good enough, we demand change,'" Sanders said.

Apply this to stroke. There are 10 million stroke survivors a year. Each person and their relatives should be screaming at their doctors and therapists why stroke recovery is a fucking failure.  Only 10% fully recover, a 90% failure rate is not defensible under ANY circumstance. NO EXCUSES are allowed.

Skip the guilt: Red wine could protect your oral health

Not to be done on your own and since your doctor will never suggest that alcohol might be good for anything you can totally ignore this. Since your doctor told you about this study from October, 2000 she already has given you protocols to prevent this problem.


Skip the guilt: Red wine could protect your oral health


Healthline/Medical News Today
Lovers of red wine, rejoice! Researchers have now identified yet another reason why you should keep on enjoying this beverage.
Some of us love to savor a glass of red wine—or two—with dinner every once in a while.
The catch is that this velvety drink often leaves the teeth stained, so maybe it's not such a good idea to order it on your first date or while out on a business dinner.
That being the case, it's certainly not intuitive to infer that red wine could do anything for your oral health—the contrary, rather.
Still, this is precisely what a study conducted by researchers from Spain suggests.
The research was led by M. Victoria Moreno-Arribas and colleagues from Instituto de Investigación en Ciencias de la Alimentación in Madrid, and the Department of Health and Genomics at the Center for Advanced Research in Public Health in Valencia.
Moreno-Arribas and team have now published their findings in the Journal of Agricultural and Food Chemistry.
Polyphenols to the rescue
We already had plenty of reasons to be partial to a glass of Merlot or Cabernet, even beyond their deep flavors and the way they make even a frugal meal seem richer and more sophisticated.
This drink has actually been found to bring a lot of health benefits. A recent study said that it could help to keep the brain young, and previous research has tied it to hormonal health as well as heart disease prevention.
With so many good qualities, we hardly needed more persuasion to slash any emerging sense of guilt and let the red wine flow.
Yet Moreno-Arribas and her colleagues have revealed another merit that speaks in favor of red wine: some of its components may protect against the formation of cavities and against gum disease.
Many of the health benefits of red wine come from its content of polyphenols, which are a series of micronutrients with antioxidant properties. As antioxidants, they can protect against action of free radicals, which are unstable atoms that play a key role in the cellular aging process.
But polyphenols are nutritional superheroes with many secret weapons, and one of these is their impact on our gut bacteria. Some polyphenols can be absorbed into the small intestine, there to interact with the gut microbiota and fend off some of the bacterial "bad guys" that might threaten our health.
Picking up on this thread, Moreno-Arribas and colleagues hypothesized that polyphenols found in red wine and grapes could have a similar, protective effect in the mouth, fending off harmful oral bacteria that cause cavities and gum disease.
What happens in the mouth
In the new study, the scientists first compared the effect of two types of polyphenol typically found in red wine (caffeic acid and p-coumaric acid) as well as that of red wine and grape seed extracts (Provinols and Vitaflavan) on three harmful oral bacteria: Fusobacterium nucleatum, Streptococcus mutans, and Porphyromonas gingivalis.
What they found—experimenting with a laboratory model of gum tissue—was that the two red wine polyphenols caffeic acid and p-coumaric acid were most effective at repelling the harmful oral bacteria and preventing them from attaching to healthy tissue.
Next, they tested a mix of caffeic acid, p-coumaric acid, and S. dentisani, which is an oral probiotic that, as recent research has suggested, may help to prevent tooth decay.
This experiment was even more successful, as the protective effect of the two polyphenols was enhanced by the presence of the probiotic.
Finally, the analysis of phenolic metabolites, which are substances formed as the polyphenols start transforming in the mouth, suggested that these small products may in fact be the "active ingredient" associated with the polyphenols' protective effect.
So go ahead—pour yourself a glass of red wine tonight, safe in the thought that this drink, at least, won't cause you any oral suffering. Of course, don't overdo it; red wine is an alcoholic beverage, after all, and too much alcohol isn't anyone's friend.
Using a small wine glass, though, could help you curb your appetite a little, so you can delight your palate—and teeth and gums—with some polyphenols, while still keeping your gray matter quite safe.
To read more, click here.

Neuroscientists Strongly Recommend That You Visit The Beach Regularly. Here’s Why:

You'll have to ask your doctor to find the research backing up these points. They are being paid, I'm not.  But is it better than forest bathing?  You do expect your doctor to know about this stuff? Don't you? Or are you giving them a pass on their incompetency?
http://www.corespirit.com/neuroscientists-strongly-recommend-visit-beach-regularly/
We all know that spending time outdoors is good for you on both a physical and mental level, but the benefits of spending time specifically at the beach have just been revealed.
That incredible feeling of peace and calmness that you experience at the beach is now being referred to as “blue space.” That’s what scientists have dubbed the effect that the combination of soothing smells and sounds of water have on your brain. The blue space is enough to make you feel at ease in a hypnotic sort of way.
When you notice how relaxed you feel at the beach, it’s not just all in your head. Science says that it’s a change in the way your brain reacts to its environment leaving you feeling happy, relaxed and reenergized.
Overall, this blue space effects you in four different ways.

1. Going to the beach reduces stress

Water is nature’s cure to life’s stressors. It’s full of naturally occurring positive ions that are known for having the ability to make you feel at ease. So whether you jump in for a swim or simply dip your toes in the water, you’re sure to experience a feeling of relaxation. That’s one instant mood booster we could all use from time to time!

2. The beach boosts your creativity

Feeling like you’re in a creative rut? Well, scientists now believe that the solution to this is the beach. Being in blue space allows you to clear your head and approach problems or projects in a more creative way. Much like meditation, the beach triggers a feeling of calmness that allows you to tune everything else out and reflect on what it is you’ve been needing to focus on.

3. Going to the beach can help reduce feelings of depression

Much like the effects that the beach has on feelings of stress and creative ruts, the beach also provides some relief to feelings of depression. The hypnotic sound of the waves in combination with the sight and smells of the beach can put you into a meditative space. In turn, you can clear your mind and reflect on life in a safe space away from the chaos of your daily life.

4. Overall, spending time at the beach will change your perspective on life

And that perspective is going to change for the better! Nature in general has always been a factor in healthy happy lives, but the beach in particular is so good for the soul.
So grab the SPF and pack a picnic, because it’s time to head to the beach!

Retirement - It happened

My last contract in Boston had a very toxic environment. My project lead was into making sure that none of the problems in the project would point back to him. As a result he was trying his best to set me up for blame with misleading emails.  Because I wasn't playing nice with such crap I was released early from the contract. That precipitated the whole, why not retire now? My financial planner says I have enough to live on for 30+ years.  Will take full SS when I reach 66 years and 4 months assuming it still exists.
Lots to do;
Sleep
Write books
Travel a lot
Swim
Bicycle, will get a 3 wheel folding recumbent.
Have fun
Drink to excess.
Learn Spanish, 4 books and 2 DVDs in possession
Do a TED talk
Run a stroke research foundation.

"Twenty years from now you will be more disappointed by the things that you didn't do than by the ones you did do, so throw off the bowlines, sail away from safe harbor, catch the trade winds in your sails. Explore, Dream, Discover."
- Mark Twain

I'm doing the Hunter S. Thompson thing;
“Life should not be a journey to the grave with the intention of arriving safely in a pretty and well preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming "Wow! What a Ride!”

If dementia rears its ugly head I've consulted with several friends to tell me it is occurring in myself so I can  use that wingsuit to jump off a cliff and slam right back into the cliff.  My Dad has dementia, I don't want to go there. It is like Charlie in Flowers for Algernon.