The following program presents
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principles designed
to promote good health
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and is not intended
to take the place of
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personalized professional care.
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The opinions and
ideas expressed are
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those of the speaker.
Viewers are encouraged
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to draw their own conclusions
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about the information presented.
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Hello and welcome to
Health for a Lifetime
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and I'm your
host Don Mackintosh.
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And today we're
gonna talk about a
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problem that
many Americans face,
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in fact far too
many. Talking with us about
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this problem is
Dr. Philip Mills,
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he's a specialist
in physical medicine,
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and you've been
practicing that for,
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you know over 20
years, isn't that right?
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That is correct, and
so one of the things that
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you really see is
you know the problem
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we're talking about
today which is stroke.
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A lot of people in
America have strokes,
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yes it's the,
it's the most common
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rehabilitation
problem that we see.
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And what exactly is a stroke?
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Well, it all
depends when you're asking
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the question.
Anciently, in Bible
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times, the stroke
was actually leprosy,
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the Jews regarded
this as a judgment from
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God, they call it
a stroke from God or
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the finger of God.
But in the Middle Ages
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when a person suddenly became
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unable to speak or
lost the ability to move
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one side, it was
is if they were struck
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because it happens
so suddenly, they called
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that a stroke.
Now, today we understand
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that what
happened was that they lost
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blood supply
either from a bleed or
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actually from a
clot and so there was no
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oxygen to a
particular portion of the body
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and that's why they
had this sudden onset
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of symptoms which
we call a stroke or a
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cerebrovascular accident (CVA).
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So, a certain part
of the brain just loses
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blood supply
and that's a stroke.
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Yes, okay how does a
blood clot form in the
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brain, why would that happen?
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Well, a blood
clot is actually a very
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complicated
process because you don't
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want it to clot
when it shouldn't clot.
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But you need it
to clots when you
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needed to clot. So, God designed
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a cascade, a series
of events, checks and
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balances to make
sure that when it clotted
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it was an
appropriate time to clot.
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Well, in the case
of a stroke for some
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reason the blood
clots in the vessel itself
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and if that is in the
brain we called it a stroke.
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If it clots maybe
in the heart one of the
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valves and then
breaks lose and floats
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up to the brain,
we call it an embolus,
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okay. Now, the
other way you can get a
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stroke is from a bleed
and that's the opposite
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of a clot, there
it should clot but it
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doesn't clot
instead the blood just pours
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out and fills the
brain. And so you don't
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know which of these
it is until you kind a
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look at it through
testing or something.
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They can, they can
find out through CT
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scans and other
studies which it is
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and it's
important to know because
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depending on which
type of stroke that you
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have, it will
depend very dramatically on
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what type of
treatment your to give.
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The, the bleed kind
of stroke is actually the
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most dangerous as far
as death that can kill
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you very
rapidly. On the other hand
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surprisingly enough
if a person survives a
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bleed; it may leave
you with the least of
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the residuals, so its
sort of if it doesn't kill
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you it actually
maybe in some cases the
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best, the better
kind of stroke to have.
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I suppose that's
because the blood
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supply's not cut off
forever to that area,
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is that what you
mean? That's correct, and
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also since the blood
is a normal component
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the body knows how
to take care of blood,
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it can absorb the blood
and come back quite well.
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So, you've said this
is the number one thing
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that people see
your specialty for.
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How, big is it in
terms of the other problems
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that are causing
problems for people in America?
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Well, it's big, it's
the third largest killer in
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the United States and
over age 60 it's a very
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major cause of disability.
In fact seven thousand
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people will have
strokes this year
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that's one every 45
seconds, I figured that
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during of this
program 40 people in
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America will have had strokes.
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That's a huge
number so you said in your,
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your fact that you
sent to me about 157,000
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people per year.
And, that's dying, that's
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the ones that die.
What I've said to you
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is there's just a
brand new sixty seven page
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report of all the
statistics of strokes,
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it's very fascinating
to go through and look
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at these statistics
every three minutes.
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You have, a death
from that, a death
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from a stroke. And
it says here something
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about blacks versus whites,
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more prevalence
with African Americans
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then whites.
For reasons that are
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not entirely clear
black males have the
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highest incident of
stroke in this country.
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You said the cost per year
is in the billions for this.
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Billions of dollars for stroke.
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So, we've talked a
little bit already about
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what causes strokes
but we wanna revisit
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that again, I mean
we've talked about a
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bleed; we've
talked about a clot.
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What are some
other causes we don't
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normally think
about? Well, I don't know
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what we normally
think about but you
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have to consider age, genetics,
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race as we
mentioned, then the causes that
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we can do
something about include such
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things as
smoking, alcohol, certain
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dietary factors and
certain diseases, diabetes.
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So, what about men versus women,
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who have more.
Men have more strokes
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as a, as a group
but women actually have
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more strokes
because they live longer.
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I see, so other
diseases that can
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really predispose
you say like HIV, HIV,
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well or HIV
behavior. HIV can in a small,
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in small cases
contribute to stroke
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danger but really
you have many of us
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concerned about
those types of behaviors
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that cause HIV.
We should actually
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be also very concerned about
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certain types of
behaviors that cause strokes.
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What we do today
contributes to what
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disease we have
tomorrow. And everybody knows
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that's true in the
case of HIV, but some
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people sort of
think that strokes and
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cancer, diabetes,
heart attacks, never will
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happen to them, well
there is nothing they
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can do about it. They
don't realize that the,
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that the lifestyle
they choose today is going
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to determine the
problems they have tomorrow.
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So, no smoking, no
alcohol, proper diet
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all these
different things are gonna
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protect you against
it. Yes, what I choose to
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do today is going
to determine how I am
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twenty years from
now? So, someone comes in
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or calls you on the
phone or comes to the
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emergency room
or sees their family
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physician, what
are the symptoms they
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look for to say whether not
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someone's having a
stroke. Well, of course the
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number one symptom
that you think about
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in a stroke is
sudden onset of weakness in
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a side of the
body, arms, legs, on the
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right or on the
left. There can be sudden
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onset of numbness on
the side of the body,
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you think of the
side of the body.
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There can be
some difficulties in
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speeches, either
they have garbled speech
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or difficulty in, in speech and
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understanding speech, confusion.
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They can have
present with dizziness and
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these are various
types. Blindness? Blindness
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in one eye, one side of
the body can be a stroke.
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Stumbling around
does or what do you
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call that attacks
here or something, yes.
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And that's
another sign, yes, okay.
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So, these
symptoms if they come on,
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they usually come
on when suddenly or
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over hours?
They come on suddenly
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or over maximum
of maybe three days,
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if something is
coming on gradually
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over weeks to months
then you think not in
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terms of a stroke you
think more in terms of
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a, of a tumor or
some other, other process.
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A stroke by nature
is sudden; however you
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can still have an
underlying tumor that
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maybe causes a bleed
or a clot, so we have
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to check it out.
So, you still have to
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investigate just
because they have a
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stroke doesn't
mean that there can't be
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another cause
contributing to the stroke.
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So, you, do you
see strokes a lot when
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they, people first
time them, are you like one
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of the first people they call?
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No, I see them at
the end of the medical
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process in the
rehab phase but actually
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because of the
first aspect there is,
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actually three aspects
of stroke treatment, okay.
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There is the
emergency phase and that's very
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important, we
should talk about that,
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then there is the
hospital phase and
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then there is the
phase which most excites
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me which is the rehab phase.
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So, if you think
you're having a stroke
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what should you
do? The immediate 911
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call, because if it's
a certain type of stroke
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that is a clot type of stroke.
00:10:54.03\00:10:56.08
Then you have a
window of opportunity of one
00:10:58.67\00:11:02.54
hundred and eighty
minutes from the time
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you first have
your symptoms through
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some of the modern
wonderful treatments
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that they have
for strokes today.
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And so, during that
time if you're outside
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of that window of
opportunity, it can't
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work, is that
like some of those clot
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busting drugs and
stuff. Exactly, so you have
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this time, during
that time that means
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transporting to
the emergency room,
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that means the
testing time, that means the
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decision that this
is not a bleed that
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you're an
appropriate candidate and you
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may think three
hours is a long time.
00:11:37.10\00:11:39.00
But, it's not in
an emergency room,
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speed is of the
essence and doing the
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right thing at the
right time is the essences of
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good medicine.
So, after you get that
00:11:46.85\00:11:48.50
done, lets say you
have excellent team
00:11:48.51\00:11:51.16
there that gets you
right in, you're, you're
00:11:51.17\00:11:53.10
under the two hours
or, the three hours,
00:11:53.11\00:11:55.73
yeah right
you're between two and
00:11:55.97\00:11:57.83
three hours
there, you're all done.
00:11:57.84\00:11:59.02
And they know it's a
stroke, they know it's
00:11:59.36\00:12:02.14
a clot, what's the
next thing that happen,
00:12:02.15\00:12:03.95
what kind of gold
standard treatment comes next?
00:12:03.96\00:12:06.28
Well, then they
would do one of the clot
00:12:06.54\00:12:07.89
busters, that you
were talking about and
00:12:07.90\00:12:11.04
hopefully with
proper care and the blessing
00:12:11.05\00:12:15.78
of the Lord. Then
you will have very little
00:12:15.79\00:12:19.23
residual, in
many cases however you
00:12:19.24\00:12:23.69
can't get for some
reason or another that
00:12:23.70\00:12:27.41
treatment care. And so, then you
00:12:28.06\00:12:30.44
were in the hospital
because if you look at
00:12:30.45\00:12:34.41
the statistics, if
you will have a Transient
00:12:34.42\00:12:37.98
Ischemic Attack,
which is a very mild
00:12:37.99\00:12:39.70
stroke,
temporary kind of stroke.
00:12:39.71\00:12:41.56
And you have a
stroke you're at high risk
00:12:42.32\00:12:46.35
before the stroke you
either progress or you
00:12:47.21\00:12:49.85
can have a recurrent stroke.
00:12:49.86\00:12:51.41
So, you want to be in
the hospital to see if
00:12:52.55\00:12:55.68
there's other
testing, other medicine that
00:12:55.69\00:12:59.02
needs to be given to
prevent future strokes.
00:12:59.03\00:13:03.60
So, you're there to
stabilize and during
00:13:04.05\00:13:08.12
that time of
stabilization you start
00:13:08.13\00:13:10.93
early rehab
intervention. In a good hospital
00:13:10.94\00:13:15.41
what you'll have
as a stroke team.
00:13:16.52\00:13:18.44
And you go
through the evaluation in
00:13:19.09\00:13:22.16
emergency room, you
go to the hospital with
00:13:22.17\00:13:24.59
the stroke team
and they're immediately
00:13:24.60\00:13:26.73
implementing the
proper measures to
00:13:26.99\00:13:29.41
prevent future
strokes and minimize the
00:13:29.65\00:13:33.00
damage of the
stroke. Once that's all done
00:13:33.01\00:13:35.03
then they go to a rehab
specialist like yourself.
00:13:35.04\00:13:37.41
Yeah, but I want to
talk about what needs
00:13:37.42\00:13:40.14
to happen in the
acute setting and hospital
00:13:40.15\00:13:42.72
setting, because
one of the problems that
00:13:42.73\00:13:45.14
can be missed,
in strokes it's very
00:13:45.15\00:13:48.61
common if you're
weak on one side that
00:13:48.62\00:13:51.93
includes your swallow. I see.
00:13:51.94\00:13:54.76
So because you
have problems with
00:13:55.21\00:13:57.04
swallow, you
might get pneumonia.
00:13:57.05\00:14:00.05
You have a danger
of swallowing into the
00:14:00.53\00:14:03.46
lungs and that's
not designed to digest
00:14:03.47\00:14:05.74
your food and then
you get what's called
00:14:05.75\00:14:08.53
Pneumonitis. So, to
prevent that they've
00:14:08.54\00:14:12.00
develop special
diets, special studies to see
00:14:12.01\00:14:15.46
whether you're
what's called Aspirator that
00:14:15.47\00:14:17.97
is swallowing into
the lungs and then you
00:14:17.98\00:14:23.12
and put them on this diet.
00:14:24.09\00:14:25.60
So, you wanna
minimize complications, other
00:14:25.86\00:14:28.38
things that you do
in the acute setting
00:14:28.39\00:14:30.77
is make sure
you're protecting range of
00:14:31.55\00:14:34.52
motion, you're
protecting the skin
00:14:34.53\00:14:36.94
so that you're not
getting precious sores
00:14:37.52\00:14:39.09
and moving them
around enough, yes
00:14:39.10\00:14:40.47
and putting things on
them. And these are kind of
00:14:40.48\00:14:42.63
things that
relatives can do as they,
00:14:42.64\00:14:44.51
if their relative goes
in, they can be saying,
00:14:44.52\00:14:46.55
hey make sure, then
check the swallowing,
00:14:46.56\00:14:49.18
make sure this, make
sure that, a great list
00:14:49.19\00:14:51.71
to have around just in
case that would happen.
00:14:51.72\00:14:53.56
Yes, and in a good
rehab, with a rehab
00:14:53.57\00:14:57.14
team they're
going to do all this,
00:14:57.15\00:14:59.56
they're gonna know
what needs to be done.
00:14:59.97\00:15:01.69
We're talking
with Dr. Philip Mills,
00:15:02.51\00:15:03.96
he's a rehab
specialist, he deals
00:15:04.28\00:15:05.87
with strokes
everyday. When we come back,
00:15:05.88\00:15:07.41
we're gonna talk about
what he does specifically
00:15:07.42\00:15:09.63
in a rehab setting,
join us when we come back.
00:15:09.64\00:15:11.89
Are you confused
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00:15:20.94\00:15:23.44
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00:16:08.83\00:16:11.16
Welcome back we're
talking with Dr. Philip
00:16:13.91\00:16:15.66
Mills, we've been
talking about strokes
00:16:15.67\00:16:17.69
and this is a very
serious problem in America.
00:16:17.70\00:16:20.16
Third living cause
of death, many people
00:16:20.38\00:16:23.01
during, even the course of this
00:16:23.02\00:16:24.34
program they've had
strokes and it's best to
00:16:24.35\00:16:27.79
get to the
hospital within three hours
00:16:27.80\00:16:29.81
we've learned and
we've learned of those
00:16:29.82\00:16:31.39
things to watch
for when we're in the
00:16:31.40\00:16:32.75
hospital setting
and we're gonna take the
00:16:32.76\00:16:34.33
next step now as
we talk to Dr. Mills.
00:16:34.34\00:16:36.31
So, the next thing
we do once they've been
00:16:36.69\00:16:38.73
in the hospital,
once they've walked,
00:16:38.74\00:16:40.01
watched out so they
don't get Pneumonitis
00:16:40.20\00:16:41.96
because of that
swallow reflex they
00:16:41.97\00:16:43.89
have watched out that they have,
00:16:43.90\00:16:45.54
proper range of
motions so they don't
00:16:45.81\00:16:47.23
gets sores
developing and once they've
00:16:47.24\00:16:49.43
watched out for,
what was the other thing
00:16:49.44\00:16:50.82
we talked about.
There was several
00:16:50.83\00:16:52.05
other different
things we watch out.
00:16:52.06\00:16:53.42
How do we know
when they're ready to
00:16:54.17\00:16:56.03
go to a rehab
hospital? Well, you're actually
00:16:56.04\00:16:58.66
looking for two key components;
00:16:58.67\00:17:00.86
rehab is very
intensive training,
00:17:00.87\00:17:03.37
so you need to be
able to tolerate two hours,
00:17:04.00\00:17:06.92
have the endurance
to tolerate two hours of
00:17:06.93\00:17:10.45
therapies a day.
And then the other
00:17:10.46\00:17:13.41
key component,
they have to be able
00:17:14.01\00:17:16.19
to learn from day
to day and you can
00:17:16.20\00:17:18.49
measure that if
there is no carry over then
00:17:18.50\00:17:21.88
it's difficult for
person to be benefited by the
00:17:21.89\00:17:26.01
intensive rehab.
In another words,
00:17:26.02\00:17:26.99
they had to be able
to remember what they
00:17:27.00\00:17:27.98
did the day before. Yes. Okay.
00:17:27.99\00:17:29.74
The way you test
for that is do they know
00:17:29.75\00:17:32.44
the year, if
they have difficulty
00:17:32.45\00:17:35.43
remembering what
year it is then their
00:17:35.44\00:17:38.08
carry over is a general rule.
00:17:38.09\00:17:39.52
This is a rule of
thumb there might be
00:17:39.53\00:17:40.84
some exceptions.
But it's rule of thumb
00:17:40.85\00:17:42.71
if they can't
tolerate two hours of therapy a
00:17:43.04\00:17:45.63
day and if they
can't tolerate, remember
00:17:45.64\00:17:49.54
what year it is, they
really aren't ready for rehab.
00:17:51.31\00:17:54.80
So, what is
rehab exactly, what is
00:17:55.11\00:17:57.41
rehabilitation
hospital? What do they do there?
00:17:57.42\00:18:00.16
Well, rehab
hospital or a rehab wing in a
00:18:00.52\00:18:06.22
hospital is where
you have very intense
00:18:06.23\00:18:09.97
physical,
occupational and speech therapy
00:18:11.57\00:18:15.82
when we're
talking about strokes.
00:18:16.16\00:18:18.51
So this is like re-educating how
00:18:18.58\00:18:20.05
to walk, how to talk,
how to eat, how to all
00:18:20.06\00:18:22.45
those different
things. Yes, there are
00:18:22.46\00:18:23.73
activities that
are necessary in life.
00:18:23.74\00:18:26.99
Now I've actually
visited the hospital
00:18:27.86\00:18:29.84
that you've served
in and they have all
00:18:29.85\00:18:31.34
these, they have
stairs, they have a
00:18:31.35\00:18:33.17
little kitchen, they have,
00:18:33.18\00:18:35.65
they throw balls back
and forth for hand eye
00:18:37.60\00:18:39.69
coordination,
they have a whole bunch
00:18:39.70\00:18:41.51
of therapists that
work with their peoples
00:18:41.52\00:18:43.76
hands and all
these, that's what you're
00:18:43.77\00:18:45.09
talking about. Yes,
and with that it's very
00:18:45.10\00:18:48.43
individualized,
it's very directed
00:18:48.44\00:18:51.70
and what your aim
is, is to make sure that
00:18:53.20\00:18:56.44
they can dress themselves if
00:18:56.45\00:18:58.80
possible, you
want them independent,
00:18:58.81\00:19:01.27
you want them to
be independent in
00:19:01.95\00:19:03.97
tolerating
themselves, you want them to be
00:19:03.98\00:19:06.78
independent in
eating, so they can feed
00:19:06.79\00:19:09.78
themselves. You
want them as independent
00:19:09.79\00:19:13.25
as possible in walking,
or transforming themselves,
00:19:13.26\00:19:17.06
transfer or assisting in this.
00:19:17.07\00:19:20.33
If it's not
walking then you want them
00:19:20.79\00:19:22.46
as independent as
possible in a wheelchair.
00:19:22.47\00:19:24.83
And this is probably
quite discouraging not
00:19:26.64\00:19:29.09
only the person that
has a stroke but also
00:19:29.10\00:19:30.78
to their
relatives. Well, they can be,
00:19:30.79\00:19:33.44
because it
changes a person almost
00:19:34.01\00:19:36.47
overnight, if you
have a severe stroke from
00:19:36.48\00:19:40.72
one with complete
activity in their hands
00:19:40.73\00:19:43.61
and their legs to
one, to one that has
00:19:43.62\00:19:45.76
difficulty in
coordination of hands and legs.
00:19:45.77\00:19:49.13
Particularly
early on and maybe some
00:19:49.14\00:19:52.30
difficulty in communication.
00:19:52.31\00:19:54.36
So, I mean I think
they're probably just
00:19:55.06\00:19:56.69
reaching out for
any kind of hope and
00:19:56.70\00:19:58.51
encouragement they
can find in that setting.
00:19:58.52\00:20:00.46
And, and rehab
therapists by enlarge
00:20:01.14\00:20:05.37
are wonderful, causing people,
00:20:05.38\00:20:07.86
yes and because
stroke isn't into the
00:20:08.26\00:20:10.33
world, stroke is
just new challenges and
00:20:10.34\00:20:14.62
new ways to do
old things, which is
00:20:14.63\00:20:18.18
dressing and
eating and all the things
00:20:18.74\00:20:21.25
there are necessary
for life, it maybe a
00:20:21.26\00:20:22.81
little slower, it
maybe a little different.
00:20:22.82\00:20:24.88
But, our aim is
to bring you back to
00:20:25.39\00:20:28.30
those goals of
caring for yourself.
00:20:28.74\00:20:30.83
Strengthening
that which remains and
00:20:31.61\00:20:34.19
being able to do the
first works, yes so just be.
00:20:34.20\00:20:37.04
Now, of course the
best thing to do is to
00:20:37.83\00:20:41.68
avoid strokes, to
begin with or prevent
00:20:41.69\00:20:44.35
them, what can we
do to prevent strokes
00:20:44.36\00:20:47.40
Dr. Mills? Well, I like
to say that life is like
00:20:47.41\00:20:51.00
golf, we want to
have as few strokes as
00:20:51.01\00:20:53.98
possible. Okay,
all the Tiger Woods
00:20:53.99\00:20:57.23
fans would like
that, yeah, that's true so
00:20:57.24\00:20:59.91
you wanna decrease
even having one, yes.
00:20:59.92\00:21:03.32
And so the question
is how do we decrease
00:21:04.74\00:21:09.13
the blood clotting or
the bleed in the brain,
00:21:09.58\00:21:13.06
what we need to
look at what makes the
00:21:13.60\00:21:15.37
blood clot
abnormally or what makes the
00:21:15.38\00:21:18.44
brain bleed, when
it's not suppose to.
00:21:18.45\00:21:21.89
And let's look at the
bleeding problem first,
00:21:22.43\00:21:24.65
okay with bleeding
you can think of high
00:21:25.01\00:21:29.40
blood pressure,
which puts pressure on the
00:21:29.41\00:21:33.01
blood vessels
and they can burst.
00:21:33.36\00:21:37.60
So, you watch
our blood pressure,
00:21:38.94\00:21:40.17
make sure we
don't have high salt,
00:21:40.18\00:21:41.60
make sure we
don't have overweight,
00:21:41.82\00:21:43.64
make sure we
don't have all those
00:21:43.65\00:21:44.71
different things.
Exactly, so that blood
00:21:44.72\00:21:48.51
pressure is not something that
00:21:48.52\00:21:50.04
typically kills you instantly,
00:21:50.57\00:21:52.47
it's something that's
slow, kills you overtime.
00:21:52.88\00:21:56.43
And so it's
important to check and measure
00:21:56.98\00:21:59.69
your blood
pressure and make sure that
00:21:59.70\00:22:02.80
isn't a problem.
My patients typically
00:22:02.81\00:22:05.89
would have a triad
of problems, they would
00:22:05.90\00:22:08.72
have diabetes,
they would have high
00:22:08.73\00:22:11.77
blood pressure and
then they'd have other
00:22:12.36\00:22:17.62
high cholesterol.
Other problems such
00:22:17.93\00:22:20.38
as cholesterol,
these triad and associated
00:22:20.39\00:22:27.71
diseases don't
just add to your risk.
00:22:27.72\00:22:32.30
They multiply your
risk. I think probably for
00:22:33.00\00:22:36.69
everyone you would
say stop smoking but
00:22:36.70\00:22:39.11
would you say that for
someone who had a stroke?
00:22:39.12\00:22:40.65
Well, you want to
stop smoking before
00:22:41.31\00:22:44.11
you have the
stroke, does it really
00:22:44.12\00:22:45.91
predispose you to
stroke. It's a , it's a major
00:22:46.22\00:22:49.26
component to, to
strokes. Now you have to
00:22:49.27\00:22:52.41
think of stroke as
a heart attack of the
00:22:52.42\00:22:55.35
brain or you might think of the
00:22:55.36\00:22:57.88
heart attack as
a stroke of heart.
00:22:59.57\00:23:01.52
In fact if you
look at the 67 pages of
00:23:02.71\00:23:05.77
documentation of causes and the
00:23:05.78\00:23:09.34
statistics of
strokes, it's actually strokes
00:23:09.35\00:23:12.27
and heart
attacks, because these are
00:23:12.28\00:23:14.35
blood vessel
disorders and what's bad for the
00:23:14.63\00:23:19.23
heart, is also
bad for the health;
00:23:19.24\00:23:21.04
Is bad for health.
So, you, you talk also
00:23:21.27\00:23:23.58
about the
electrolyte to get calcium,
00:23:23.59\00:23:25.58
potassium,
magnesium, all those for just
00:23:25.59\00:23:29.08
optimal functioning of the body,
00:23:29.09\00:23:30.67
how are those related to stroke?
00:23:30.68\00:23:32.09
Well, what you
want is to have healthy
00:23:32.85\00:23:35.35
nutrition to the
brain. Okay, and so that
00:23:35.36\00:23:39.73
your blood
vessels are in the maximum
00:23:39.74\00:23:43.29
health possible.
Now, you're not a
00:23:44.82\00:23:46.73
prophet or the summer prophet.
00:23:46.74\00:23:48.11
But what do you
think the direction is in
00:23:48.99\00:23:51.73
terms of future medical
breakthroughs concerning
00:23:51.74\00:23:55.91
stroke treatment or therapy,
00:23:55.92\00:23:57.93
all these different things?
00:23:57.94\00:23:59.03
Well, predicting
tomorrow's surprise is
00:24:00.49\00:24:07.19
really difficult,
right and what technology
00:24:07.20\00:24:09.83
we will do we don't know,
but they are breakthroughs
00:24:09.84\00:24:15.70
that the Bible
predicted in the area of stroke.
00:24:15.71\00:24:19.33
Isaiah said there
was going to come a time
00:24:19.34\00:24:22.14
where the lame man
would leap as a hart,
00:24:22.83\00:24:26.64
and the tongue of
the dumb would sing.
00:24:27.34\00:24:31.20
So, that's,
that's definitely talking
00:24:31.45\00:24:33.03
about someone that had a stroke.
00:24:33.04\00:24:34.46
Well, those are
the two key components
00:24:34.47\00:24:36.00
of strokes, you're
weak, you're lame and
00:24:36.01\00:24:39.38
you have communication
difficulties and this
00:24:39.39\00:24:41.90
said that this
breakthrough would
00:24:41.91\00:24:43.31
occur when
Christ broke through the
00:24:43.32\00:24:46.42
clouds and came in
the clouds of the heaven.
00:24:46.43\00:24:49.13
So, that's the breakthrough that
00:24:49.14\00:24:50.45
I see in the future
that's going to really
00:24:50.48\00:24:52.59
solve the problem with stroke.
00:24:52.60\00:24:53.59
It wasn't that also
the healing that was done
00:24:53.60\00:24:55.69
in Acts 3 or you
had, that was the quote,
00:24:55.70\00:24:58.21
quotation from
that, I mean the man was
00:24:58.22\00:25:00.56
unable to walk,
unable to enter the
00:25:00.57\00:25:02.79
temple and rejoice,
he probably had a stroke
00:25:02.80\00:25:05.30
didn't he? Well,
I don't know what
00:25:05.31\00:25:06.62
he had, but it certainly
could have been a stroke.
00:25:06.63\00:25:09.42
Interesting, so
of course we also may
00:25:10.68\00:25:13.02
look to Christ as
the ultimate healer for
00:25:13.03\00:25:16.71
these, these types
of things talk to me a
00:25:16.72\00:25:18.42
little bit as we
close, we've got about two
00:25:18.43\00:25:20.21
minutes left.
You know, the family
00:25:20.22\00:25:22.42
people, the
family members that are
00:25:22.43\00:25:23.72
supporting someone
what can they do to
00:25:23.73\00:25:25.56
support someone
that's had a stroke.
00:25:25.57\00:25:27.15
I mean the person who is being
00:25:27.83\00:25:28.92
supported in the
hospital, in the acute
00:25:28.93\00:25:31.21
phase and also in
rehabilitation hospital.
00:25:31.22\00:25:34.10
And then that,
that comes to an end and
00:25:34.60\00:25:37.27
they go home what
kind of things can that
00:25:37.28\00:25:39.62
family member be
doing to just kind of
00:25:39.63\00:25:41.66
get themselves
ready to be helping others
00:25:41.67\00:25:44.57
and I know, you know
it's a big change for
00:25:44.58\00:25:46.78
people but what
do you tell people,
00:25:46.79\00:25:48.39
how do you help
them? Well, there is, two
00:25:48.40\00:25:52.28
factors here the
first one is sometimes they
00:25:52.29\00:25:55.10
feel guilty if
they're not able to provide
00:25:55.11\00:25:58.95
assistance and the
loved one if they've
00:25:58.96\00:26:01.08
had severe stroke
may need extended care
00:26:01.09\00:26:04.39
facilities, really
can't do it in a home setting.
00:26:04.40\00:26:07.20
Now, if a parent or
a loved one is not able
00:26:07.70\00:26:13.34
to feed themselves,
if they're not able to
00:26:13.35\00:26:16.04
tolerate themselves,
if they're not able to
00:26:16.05\00:26:18.56
provide some
assistance in transfers.
00:26:18.57\00:26:22.52
It really, you
can't take care of them at
00:26:23.51\00:26:25.92
home, they need
some external help.
00:26:25.93\00:26:28.44
And they shouldn't
feel guilty about that?
00:26:28.79\00:26:30.30
No, because it's
actually gonna hurt
00:26:30.31\00:26:32.42
them to try and do
that. Yeah, and they won't,
00:26:32.43\00:26:33.93
you really can't
care for the person
00:26:34.62\00:26:36.85
efficiently as is
needed, so they can
00:26:36.86\00:26:40.38
need an extended
care. But, if they have
00:26:40.39\00:26:42.04
those things and they go home?
00:26:42.05\00:26:43.63
Then you can assist
them, now we have to
00:26:44.45\00:26:47.06
remember stroke is a continuum.
00:26:47.07\00:26:48.39
And many people
have strokes and they
00:26:48.40\00:26:50.09
have very little in terms of the
00:26:50.10\00:26:52.52
impairment. Can
you over help someone
00:26:52.53\00:26:54.04
who has had
stroke? Yes, you want them
00:26:54.05\00:26:55.61
to be as
independent as possible.
00:26:55.62\00:26:58.14
You may need to
provide a ramp so that
00:26:58.48\00:27:02.01
they have ease
and safety of entry,
00:27:02.02\00:27:04.54
you want to provide
a, a way for them to be
00:27:05.53\00:27:10.19
able to get into and
out of their bathroom,
00:27:10.20\00:27:13.26
so grab bars maybe necessary.
00:27:13.27\00:27:15.52
These are the sorts
of things that you wanna
00:27:15.91\00:27:17.58
do in the home to
make a stroke ready.
00:27:17.59\00:27:20.37
You know, I watch
my grandfather take
00:27:21.04\00:27:22.98
care of my
grandmother who had six strokes.
00:27:22.99\00:27:25.04
And as he was taking
care of her, he would
00:27:25.77\00:27:28.16
sing wonderful words of life.
00:27:28.17\00:27:30.46
And he learned to
how to in that setting
00:27:30.82\00:27:33.21
still show love
and help his wife.
00:27:33.61\00:27:36.16
It was a great testimony to me
00:27:36.17\00:27:37.31
and the family. And
you know we can see,
00:27:37.32\00:27:40.00
we can grow
through these times and I'm
00:27:40.01\00:27:43.11
sure you've
seen that many times.
00:27:43.12\00:27:44.46
Yes, these stresses
can with, the Lord has
00:27:45.06\00:27:50.15
a way to over rule
problems so that even
00:27:50.16\00:27:53.90
in the middle of it
he provides us support
00:27:53.91\00:27:56.12
and we actually improve.
00:27:56.62\00:27:57.82
Thanks for
watching, God bless you.
00:27:58.52\00:28:00.42