Hello and welcome to
Health for a Lifetime.
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I'm your host Don Mackintosh
and today we're joined with
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Dr. Phillip Mills
from Wichita, Kansas.
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Welcome, Doctor.
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Today we're going to be talking
about a very interesting subject
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that is strokes.
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You've titled our
interview today...
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This is for the golfers!
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Making Par on Strokes.
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I think that's a clever name,
but what does it mean exactly?
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What I want to talk
about here is proper treatment
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so that the people who
have had strokes get the maximum
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recovery that science
can bring today in the Lord.
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What is a stroke?
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A stroke is a problem where
there is a blood supply loss
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to a certain
portion of the brain.
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There are several areas of
the brain with many different
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blood vessels.
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Any of a number of problems
can result from a stroke
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because that part of
the brain is damaged.
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It didn't have sufficient oxygen
because it didn't get blood.
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I assume that not having oxygen
probably can be caused from
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different reasons.
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Well, if you don't
get blood to a cell
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it has no way to breathe.
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Then it can either get very sick
if it lasts only a short time
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or it can actually die.
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Unfortunately in the brain if
you have brain tissue that dies
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there is no way for your
body to regenerate brain tissue
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and we don't have any mechanism,
any surgery, any medicines to
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regenerate brain tissue.
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So what you want to do is
make sure that you have as short
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a time, with
oxygen loss, as possible.
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That's what the treatment
is designed to cut down
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on the injury to
that area of the brain
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that lost the blood supply.
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Now if you look at the types
of strokes that you can have
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we could basically
divide it into two categories.
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There is several
ways to divide it.
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But there is the category
in which there is bleeding and
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there's the category in
which there isn't any bleeding
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with the stroke.
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Immediately when a person begins
to have symptoms of a stroke
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either sudden loss of memory,
have sudden blindness, even if
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it doesn't last a long period
of time, sudden loss of speech,
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confusion perhaps, or sudden
loss of the use of one side
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of the body, left or right
side, that person should have an
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immediate evaluation
in acute care and they can
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determine whether or
not there is bleeding.
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If there is bleeding then they
will have one type of treatment.
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If there is not bleeding there's
actually some new techniques
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to try to take care of clots.
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Now once the patient has
been stabilized then there are
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several areas that need to
be looked at so that you can
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maximize the person's abilities
and minimize their disabilities.
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That's actually my area of
specialty in rehabilitation.
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I look at Jesus,
He was a rehab doctor.
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In the book of
Revelation He gives the great
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instruction to rehab.
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He says strengthen what remains.
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We take a person that
may have lost some function
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and we strengthen what remains.
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I would like to go over some of
those details with our audience.
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Before you get to those details
which I know probably most
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people that are with us today
either know someone who has
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had a stroke or perhaps they've
had one themselves because
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it's so prevalent, but is it
something that just happens with
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older people or should everyone
be interested in this subject?
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It is something that
can happen at any age.
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But as a young person we
can develop habits of life that
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decrease our risk of stroke.
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Let me give you some examples.
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Back well over 100 years
ago there were a lot of strokes.
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It wasn't because
they had the high fat diet.
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It was because they
had a high salt diet.
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They had a slightly different
kind of stroke in the 1800's
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then we have today.
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But it was their lifestyle.
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As they changed from the
high salt - your salt pork,
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your salt meat, preserved
salt foods - pickles and those,
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As society changed from that
we still had strokes but now we
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have a different
kind of cause of strokes.
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Today a common cause of
strokes is atherosclerosis.
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If we want to live so that
we can avoid strokes we will
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try to avoid the breaking
of the natural law in our youth
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so that we can decrease the
risk of stroke as we grow older.
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So we won't smoke, drink, won't
eat bad foods, make sure we
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get enough water, all
these different kind of things.
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Correct.
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Well, let's go on.
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The people that have had strokes
or know people that have had
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strokes, are going to be most
interested I think in some of
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the things you have to share.
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What are some
common problems that arise?
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Maybe we can talk about
those and then we can go through
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and what should we do about
the common problems that arise
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if someone has a stroke.
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One of the things that people
forget is that you're not just
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arm and leg when
it comes to muscles.
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The musculoskeletal system
involves muscles everywhere.
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One of the most important
muscles that we just don't even
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give a second thought
to is our swallow muscles.
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If I am paralyzed on the right
side of my arm and I'm paralyzed
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on the right side of my leg
guess where else I'm probably
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paralyzed or maybe paralyzed?
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I may have some paralysis,
possibly could include
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the tongue, it may
also include the throat.
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Now we would think of
that because a person has
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with a right sided paralysis
may have difficulty with speech.
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But the truth of the matter
is a person that is paralyzed on
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the left side may also
have problems with swallowing
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and a high percentage do.
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Not only do they have problems
swallowing but they may not
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be aware of it.
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They go to the
hospital and they're eating.
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And when you eat food it
was designed a very meticulous
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structure with a lot of
complication in it to make
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the food you eat go into your
stomach and not into your lungs.
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There's a common pathway
here in my mouth when I open my
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mouth and I breath in, why
is it not going into my stomach?
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Whereas if I took and drank a
glass of water, it would go into
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that mouth, but without any
thinking on my part, it goes
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into my stomach
not into my lungs.
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How does that take place?
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It takes place in the throat.
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These muscles may be paralyzed
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and they may be sensorial loss.
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So a person is eating
and swallowing the food into
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their lungs and they don't
even know it - not coughing,
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no problems.
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So they could get pneumonia
and all these different things.
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They get pneumonia and one of
the first things that needs to
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be evaluated, once a patient
is stable, is to determine
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how safe their throat is
for swallowing food to make sure
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it's going into the
stomach and not the lungs.
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So swallowing
food is one big thing.
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What is another thing?
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Well, let me
state more about that.
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We often times will think
a speech therapist should see
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somebody if they've had
a stroke and can't talk.
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But a speech therapist should
also see a patient if they've
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had a stroke - period -
just to evaluate the swallow.
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They will put some food
and then they will watch.
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Depending on the results of
that evaluation we may need to
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get special x-rays to
work with the swallowing
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Another problem that you have
to consider is the problem with
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the bowel bladder.
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If I am paralyzed on one side
of the body the bladder muscles
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and the bowel muscles
may also have a paralysis
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on a portion on one side.
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So they're just
weak on that one side?
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Yes, the
sphincters that control that.
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And so a person
may have incontinence.
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Now those two areas - eating and
incontinence - if we can't get
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a person independent and safe
in eating and if we cannot get a
00:10:10.40\00:10:14.25
person independent and safe
in their bowel bladder control,
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then those people
seldom will be able to go home.
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They will have to go to a
nursing home where they can have
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more attended care.
00:10:24.95\00:10:27.52
Some people might not understand
the word - incontinence.
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I remember taking care of
some people in the hospital and
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I told them that their
relative was incontinent.
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And they said, "Do you
have a map so we can find out
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where continents is?"
00:10:39.58\00:10:40.62
What does incontinence mean?
00:10:40.65\00:10:43.43
That means a person has lost
control voluntarily of their
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bladder or of their bowel.
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So, swallowing,
bowel, and bladder problems.
00:10:52.36\00:10:56.20
Are there any other problems?
00:10:56.23\00:10:57.20
Yes.
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We want to make sure
that the skin is protected
00:10:58.39\00:11:03.06
during this time.
00:11:03.09\00:11:04.90
If, for example, they have
problems with bowel bladder
00:11:04.93\00:11:08.57
continence that may
mean, or control, there is some
00:11:08.60\00:11:15.52
fluid around their skin in the
hip area and they may develop
00:11:15.55\00:11:21.64
skin breakdown.
00:11:21.67\00:11:22.74
So we want to look at that
and it will need meticulous
00:11:22.77\00:11:26.20
nursing care to make
sure that those problems
00:11:26.23\00:11:29.55
are being addressed.
00:11:29.58\00:11:31.07
Ok, so we've got swallowing,
bowel and bladder, the hazards
00:11:31.10\00:11:37.34
of being
immobilized, anything else?
00:11:37.37\00:11:39.52
Yes.
00:11:39.55\00:11:40.76
As we move on from some
of the acute problems then we
00:11:40.79\00:11:48.60
have to move into the
chronic kinds of problems that a
00:11:48.63\00:11:55.00
patient has.
00:11:55.03\00:11:56.82
Here we are going to need
a full, comprehensive rehab
00:11:56.85\00:12:04.09
program because if a
person has some visual deficits
00:12:04.12\00:12:09.89
they may not be able to
see how they're putting their
00:12:09.92\00:12:13.95
clothes on.
00:12:13.98\00:12:15.01
They will put their clothes
on backward or they'll put one
00:12:15.04\00:12:19.21
side of their shirt on and
not another side of the shirt.
00:12:19.24\00:12:22.91
And yet they will
think they are dressed.
00:12:22.94\00:12:24.82
One of the very interesting
aspects of stroke is if a person
00:12:24.85\00:12:33.32
has lost the realization they
have, let's say a left side,
00:12:33.35\00:12:38.68
we call that left sided neglect,
now that doesn't mean they're
00:12:38.71\00:12:42.32
being neglectful of their
left side, but what it does mean
00:12:42.35\00:12:46.38
is that they are not
aware of their left side.
00:12:46.41\00:12:49.61
You'll ask them,
"Does your left side work?"
00:12:49.64\00:12:54.12
and they will say, "Yes," but
they can't move their left side.
00:12:54.15\00:12:56.11
If you have them draw a picture
of themselves they'll draw half
00:12:56.14\00:13:00.00
a picture and they will
think it's the whole picture.
00:13:00.03\00:13:01.54
Because it may not only involve
the left side in sensation
00:13:01.57\00:13:06.93
on the left side and
motor control on the left side
00:13:06.96\00:13:09.39
but it may involve
visual on the left side.
00:13:09.42\00:13:13.48
Here it's very fascinating
because it's not the left
00:13:13.51\00:13:17.99
eye that doesn't see, it's not
the right eye that doesn't see,
00:13:18.02\00:13:22.59
but it's both eyes - just
the way it's wired - may not see
00:13:22.62\00:13:27.99
to the left and yet they are
not aware that they don't see.
00:13:28.02\00:13:33.04
So we've got swallowing
disorders, bowel and bladder
00:13:33.07\00:13:38.36
problems, problems with the
extremities, visual problems,
00:13:38.39\00:13:41.68
and there are
probably some more problems.
00:13:41.71\00:13:43.94
We've been talking with
Dr. Mills from Wichita, Kansas
00:13:43.97\00:13:47.27
about strokes.
00:13:47.30\00:13:48.27
He's been talking about what
happens when we have a stroke.
00:13:48.28\00:13:51.05
When we come back we're going
to talk a little bit more about
00:13:51.08\00:13:54.77
some of the problems,
but then we're going to talk
00:13:54.80\00:13:56.68
about the solutions.
00:13:56.71\00:13:58.12
We hope that you will join us.
00:13:58.15\00:13:59.45
Have you found
yourself wishing that you could
00:14:12.06\00:14:13.98
shed a few pounds?
00:14:14.01\00:14:14.98
Have you been on a
diet for most of your life,
00:14:14.99\00:14:17.55
but not found anything that
will really keep the weight off?
00:14:17.58\00:14:20.41
If you've answered yes to
any of these questions, then we
00:14:20.44\00:14:24.06
have a solution
for you that works.
00:14:24.09\00:14:26.18
Dr. Hans Diehl and
Dr. Aileen Ludington
00:14:26.21\00:14:29.09
have written a
marvelous booklet called,
00:14:29.12\00:14:31.32
Reversing Obesity Naturally,
and we'd like to send it to you
00:14:31.35\00:14:34.78
free of charge.
00:14:34.81\00:14:36.14
Here's a medically sound
approach successfully used
00:14:36.17\00:14:38.96
by thousands who
are able to eat more
00:14:38.99\00:14:41.34
and loose weight permanently
00:14:41.37\00:14:42.97
without feeling guilty or hungry
through lifestyle medicine.
00:14:43.00\00:14:46.45
Dr. Diehl and Dr. Ludington
have been featured on 3ABN
00:14:46.48\00:14:50.18
and in this booklet they present
a sensible approach to eating,
00:14:50.21\00:14:53.74
nutrition, and lifestyle changes
that can help you prevent
00:14:53.77\00:14:56.94
heart disease,
diabetes, and even cancer.
00:14:56.97\00:14:59.58
Call or write
today for your free copy:
00:14:59.61\00:15:02.35
Welcome back.
00:15:23.17\00:15:25.24
We've been talking
with Dr. Phillip Mills from
00:15:25.27\00:15:28.05
Wichita, Kansas.
00:15:28.08\00:15:29.77
He's a specialist
in physical medicine.
00:15:29.80\00:15:32.19
That's taking care of
people who have had strokes.
00:15:32.22\00:15:34.12
Perhaps you've had a
stroke or know someone that has.
00:15:34.15\00:15:36.77
We're happy you're with
us if you're just joining us.
00:15:36.80\00:15:39.31
Is there hope for
those that have had strokes?
00:15:39.34\00:15:41.70
Yes, as a matter of fact
the person who has had a stroke
00:15:41.73\00:15:46.21
has very good odds
for doing certain things.
00:15:46.24\00:15:49.77
Virtually all of the stroke
patients, somewhere between
00:15:49.80\00:15:54.93
80-95 percent of people
with appropriate rehabilitation
00:15:54.96\00:15:58.65
will be able to walk.
00:15:58.68\00:16:00.50
Many of them, the majority, will
be completely independent again.
00:16:00.53\00:16:08.33
Now some of those that
walk will be assisted with
00:16:08.36\00:16:13.83
physical therapy learning
how to have appropriate canes or
00:16:13.86\00:16:21.20
perhaps even a walker in some
cases, but the vast majority
00:16:21.23\00:16:28.96
will be able to walk again.
00:16:28.99\00:16:31.01
The stroke generally will
not leave a person dependent
00:16:31.04\00:16:39.53
but with appropriate vigorous
rehabilitation typically they
00:16:39.56\00:16:44.83
can become independent.
00:16:44.86\00:16:46.51
Can they see again?
00:16:46.54\00:16:47.51
We've talked about visual
problems before, those blind
00:16:47.52\00:16:51.12
spots ever go away?
00:16:51.15\00:16:53.77
Not all stroke patients,
obviously, have problems with
00:16:53.80\00:16:57.34
blindness in a
portion of the eye.
00:16:57.37\00:17:00.85
Those that do that is a problem
if it doesn't come back because
00:17:00.88\00:17:05.10
if a person doesn't see, let's
say they don't see in the left
00:17:05.13\00:17:09.05
part of their visual field and
that's on both sides the left
00:17:09.08\00:17:14.36
part is absent, if that
doesn't come back obviously they
00:17:14.39\00:17:20.41
couldn't drive safely.
00:17:20.44\00:17:22.25
And in fact they
may not be able to read
00:17:22.28\00:17:28.26
without some retraining.
00:17:28.29\00:17:29.61
From a rehab standpoint
you begin to try to teach them
00:17:29.64\00:17:33.30
that they have lost the vision
in that portion of their body.
00:17:33.33\00:17:38.68
There are various
techniques that we use.
00:17:38.71\00:17:40.84
It does remind me how
often we think we see and we
00:17:40.87\00:17:45.85
ourselves may have some blind
spots and they might be big
00:17:45.88\00:17:49.02
blind spots.
00:17:49.05\00:17:50.02
In the case of a patient,
he has to learn to depend on
00:17:50.03\00:17:53.87
someone else to tell him
that he has this blind area.
00:17:53.90\00:17:59.58
Then they learn to compensate
for it by moving their neck
00:17:59.61\00:18:05.02
and if possible moving
their eyes and scanning into
00:18:05.05\00:18:08.20
that area of blindness.
00:18:08.23\00:18:09.58
You're a pastor, you would
appreciate this, when I see
00:18:09.61\00:18:12.99
patients like that it reminds
me of my spiritual blind spots
00:18:13.02\00:18:16.89
and the importance of I have to
rely on God to keep me looking
00:18:16.92\00:18:23.23
in those areas that
I would miss otherwise.
00:18:23.26\00:18:25.87
You mentioned some other
things that trouble people
00:18:25.90\00:18:31.86
that had strokes.
00:18:31.89\00:18:32.86
You mentioned the bowel and the
bladder and different things.
00:18:32.87\00:18:35.51
You've told us that
they can start walking again.
00:18:35.54\00:18:38.54
But what about those
things that are very troubling.
00:18:38.57\00:18:42.06
You normally can control
your bowels and bladder but then
00:18:42.09\00:18:45.49
you loose that control.
00:18:45.52\00:18:46.49
Is there hope there?
00:18:46.50\00:18:47.65
Yes.
00:18:47.68\00:18:48.65
There are special exercises and
some retraining that's done in
00:18:48.66\00:18:52.47
rehab centers.
00:18:52.50\00:18:53.47
And again, we are not always
successful but often can be
00:18:53.50\00:18:56.64
successful and those are
some major areas of emphasis
00:18:56.67\00:19:00.79
in rehabilitation.
00:19:00.82\00:19:02.16
Now in the area of the weakness
of an arm or a leg, it's very
00:19:02.19\00:19:08.48
interesting if you look at
how the brain is anatomically
00:19:08.51\00:19:14.34
made so that the leg has
less area in the brain then the
00:19:14.37\00:19:22.52
arm.
00:19:22.55\00:19:23.52
I used to wonder how
come elephants aren't
00:19:23.54\00:19:27.05
smarter than humans because
their brain is so much bigger.
00:19:27.08\00:19:30.53
Good question.
00:19:30.56\00:19:31.53
Their brain isn't big
in the area of thinking.
00:19:31.54\00:19:37.21
It's big in the area of
controlling their trunk.
00:19:37.24\00:19:39.75
The nose.
00:19:39.78\00:19:41.94
So all of that goes into
the thousands of muscles and
00:19:41.97\00:19:46.37
movements of the
trunk of the elephant.
00:19:46.41\00:19:49.17
Well, the area that makes
us humans, this forepart of our
00:19:49.20\00:19:54.71
brain, the front of
our brain, that is larger
00:19:54.74\00:19:58.70
in humans than any other animal.
00:19:58.73\00:20:00.65
Now the representation in
the brain for the leg is much
00:20:00.68\00:20:03.99
smaller than the
arm or the thumb.
00:20:04.02\00:20:08.68
I like to tell the women that
in the brain the women have a
00:20:08.71\00:20:15.67
great big area for the
tongue - it's also true
00:20:15.70\00:20:18.56
for the men as
well! - laughter -
00:20:18.59\00:20:21.57
But, of course, the bigger the
area of the brain the more apt
00:20:21.60\00:20:28.09
it is to be affected
if you have a stroke.
00:20:28.12\00:20:32.20
For example if you have a
big target you're more apt to
00:20:32.23\00:20:36.35
hit it than if
it's a small target.
00:20:36.38\00:20:38.56
That means that the arms
which have relatively large area
00:20:38.59\00:20:43.47
in the brain are more apt
to be affected by a stroke
00:20:43.50\00:20:46.53
and more apt to have long
term effects from a stroke
00:20:46.56\00:20:50.67
then the leg.
00:20:50.70\00:20:51.90
So the patients that have had
a significant stroke are very
00:20:51.93\00:20:56.02
seldom happy with the residual
of the arm but they may be
00:20:56.06\00:21:00.11
satisfied with the
way their legs work.
00:21:00.15\00:21:04.05
So the 85% that will walk again
they're happy with the fact
00:21:04.09\00:21:07.91
that they're walking and like
that but in using their arms
00:21:07.95\00:21:11.59
they don't have that fine
ability that they used to have
00:21:11.63\00:21:15.24
or they don't
sense that they do.
00:21:15.28\00:21:16.32
Yes.
00:21:16.36\00:21:17.33
Now when you look at how
a stroke begins to recover
00:21:17.34\00:21:19.75
it's very interesting because
early on a stroke may have a
00:21:19.79\00:21:24.75
problem with what
we call flaccidity.
00:21:24.79\00:21:31.68
Flaccidity is the
hand and arm or leg
00:21:31.71\00:21:38.57
just are completely relaxed.
00:21:38.60\00:21:41.24
Now that's a problem with
the shoulder because the arm
00:21:41.27\00:21:45.34
is attached to the body by
muscles and if I have no muscle
00:21:45.37\00:21:53.56
the arm just falls down.
00:21:53.59\00:21:55.85
Gravity pulls it down.
00:21:55.88\00:21:56.92
If you examine a patient you
can stick your fingers in their
00:21:56.95\00:22:02.16
shoulder joint and you can
feel a finger-breadth of space
00:22:02.19\00:22:06.18
there.
00:22:06.21\00:22:07.18
If that isn't properly treated
over time, over maybe a year,
00:22:07.19\00:22:11.38
I've seen it drop down an inch
and it just keeps getting longer
00:22:11.41\00:22:14.36
and longer.
00:22:14.39\00:22:15.36
The arm pulls farther and
farther away from the body.
00:22:15.37\00:22:19.68
So it's very important that
they have the proper treatment
00:22:19.71\00:22:24.59
to keep that arm up or
you can develop some long-term
00:22:24.62\00:22:28.12
problems with what we
call the supluxation there.
00:22:28.15\00:22:34.49
The shoulder is moving
away out of the socket.
00:22:34.52\00:22:38.39
Now as the stroke begins to
change, to heal, generally this
00:22:38.42\00:22:47.41
flaccid portion becomes
spasticity and so it begins
00:22:47.44\00:22:51.65
to get tight.
00:22:51.68\00:22:52.65
And in the spastic portion
we begin to have problems with
00:22:52.66\00:22:56.46
the muscles being
tight and the joints then
00:22:56.49\00:23:00.33
getting contractured.
00:23:00.36\00:23:01.97
If that is improperly treated
you may have difficulty in
00:23:02.00\00:23:07.75
hygiene - washing between the
fingers, washing in the elbows,
00:23:07.78\00:23:11.98
washing underneath the arms,
washing in the knees, the toes,
00:23:12.01\00:23:17.71
those sorts of problems.
00:23:17.74\00:23:20.50
So we want to make sure in a
rehab setting that we get proper
00:23:20.53\00:23:26.58
range of motion techniques
and ways to relax, if possible,
00:23:26.61\00:23:31.84
or at least keep the
joints from freezing up.
00:23:31.87\00:23:37.54
Let me ask this question and
see if I'm on to anything here.
00:23:37.57\00:23:43.40
If the problem is that some part
of the brain has been damaged
00:23:43.43\00:23:47.84
through not having enough oxygen
and you're just moving the arm
00:23:47.87\00:23:51.54
and different things,
does that really help?
00:23:51.57\00:23:52.90
Well, we have patients that
will come to me and they've had
00:23:52.93\00:23:56.30
a severe stroke and the family
is very concerned about it.
00:23:56.33\00:23:59.48
It might be 2 or 3 years
before and they still can't move
00:23:59.51\00:24:03.72
their arm.
00:24:03.75\00:24:04.90
So they'll want to have
some sort of exercise program so
00:24:04.93\00:24:09.02
that the arm will move again.
00:24:09.05\00:24:10.51
But the problem
is not in the arm.
00:24:10.54\00:24:13.22
The problem is in the
brain that controls the arm.
00:24:13.25\00:24:18.42
If a person is moving the arm
all day it will help the joints
00:24:18.45\00:24:24.99
but it's not going
to bring back the brain.
00:24:25.02\00:24:28.40
It reminds me of people who
are trying to work their way
00:24:28.43\00:24:31.96
into heaven.
00:24:31.99\00:24:32.96
The problem is
not the works they do.
00:24:32.97\00:24:35.88
The problem is the heart
that motivates the works.
00:24:35.91\00:24:39.91
Until we have the healing in
the heart we'll never have the
00:24:39.94\00:24:45.15
proper works.
00:24:45.18\00:24:47.17
So likewise, unless the nerves
in the brain is healed, all
00:24:47.20\00:24:51.85
of the movement down here
at the arm is not going to
00:24:51.88\00:24:55.73
change the arm.
00:24:55.76\00:24:56.95
Now there are some
things that can be helpful.
00:24:56.98\00:24:59.13
Some studies have shown some
bio feedback techniques can be
00:24:59.16\00:25:03.57
useful in the hand in developing
different pathways of movement.
00:25:03.60\00:25:09.88
But that is some
limited types of treatments.
00:25:09.91\00:25:14.05
So there is hope.
00:25:14.08\00:25:15.86
I want to ask a question.
00:25:15.89\00:25:17.08
We've got about 2.5 minutes
left here and I want to touch
00:25:17.11\00:25:20.18
on two things.
00:25:20.21\00:25:21.18
One is, can we really
damage someone by helping
00:25:21.19\00:25:25.65
them too much if
they've had a stroke?
00:25:25.68\00:25:27.45
Number two, what about all the
psychological pain and anxiety
00:25:27.48\00:25:32.41
that comes with a stroke,
what would you say about that?
00:25:32.44\00:25:35.63
But first of all, can
we help someone too much?
00:25:35.66\00:25:37.46
Yes, well you can't help
them too much but you can help
00:25:37.49\00:25:41.32
them and not help them.
00:25:41.35\00:25:43.80
You can help them best
by allowing them to do for
00:25:43.83\00:25:48.37
themselves what they're
capable of doing for themselves.
00:25:48.40\00:25:51.68
We can damage people by
doing too much for them.
00:25:51.71\00:25:54.58
One of the problems that
sometimes we'll have in a rehab
00:25:54.61\00:25:58.40
setting, is the family wants
to feed the patient, the family
00:25:58.44\00:26:01.77
wants to dress the patient,
the family want to do everything
00:26:01.80\00:26:05.09
for the patient.
00:26:05.13\00:26:06.10
In fact, part of the process
of recovery from a stroke is
00:26:06.11\00:26:12.56
learning to do for yourself
feeding, dressing, and moving
00:26:12.60\00:26:19.19
around.
00:26:19.22\00:26:20.19
God does a rehab program
for us and He is very careful
00:26:20.20\00:26:25.59
in giving us opportunities
to do what we can do
00:26:25.63\00:26:33.13
as part of the recovery process
from our spiritual stroke
00:26:33.16\00:26:38.73
shall we say.
00:26:38.77\00:26:39.74
So I suppose if someone
has had a relative they should
00:26:39.75\00:26:41.74
they should really counsel
with a specialist like yourself
00:26:41.77\00:26:44.09
and ask, "Is
this helpful or not?"
00:26:44.12\00:26:46.02
Let's go to
that second question.
00:26:46.05\00:26:47.87
You've seen probably
thousands of strokes.
00:26:47.91\00:26:50.88
Is there ever any good
news that comes from a stroke?
00:26:50.92\00:26:54.22
Along with that how can
people deal with the real
00:26:54.26\00:26:57.50
anxiety which is a big
life change, what would you say
00:26:57.53\00:26:59.89
about that?
00:26:59.92\00:27:00.89
One of the problems that
strokes cause is depression.
00:27:00.90\00:27:05.14
Whenever we have a loss of
function, we become depressed
00:27:05.17\00:27:09.26
typically and I wouldn't say
that a stroke is a good thing,
00:27:09.30\00:27:15.11
but even a stroke can be part
of a process that can result in
00:27:15.14\00:27:20.92
good to us.
00:27:20.96\00:27:22.67
All things work together
for good to those that love God.
00:27:22.70\00:27:26.24
The patients that I
have, that have had strokes,
00:27:26.27\00:27:31.99
that know the Lord are happy
00:27:32.02\00:27:35.78
even in the midst of this loss.
00:27:35.82\00:27:39.54
It's amazing.
00:27:39.58\00:27:40.59
They'll come in and tell
the blessings that God has given
00:27:40.62\00:27:43.65
them in sustaining
them through their problems.
00:27:43.69\00:27:47.35
Thank you so much for
being with us, Dr. Mills.
00:27:47.38\00:27:50.97
We hope that you have found
blessing to the program today
00:27:51.01\00:27:54.57
and that as a result you
or someone you love will have
00:27:54.61\00:27:58.14
health that
lasts for a lifetime.
00:27:58.18\00:28:00.21