August 13, 2017

Meaningful Activities Make My Brain Ache

My presentation has been accepted for an OT conference.
I have presented at nine OT conferences and am determined to find a better way to carry the laptop I need for my Power Point presentation.  I cannot trust my hemiplegic hand to carry a tote bag.  I bought a child-size backpack which saves weight but creates problems.  I refused to go to a store to don a child's backpack with a cartoon character on it.  When a backpack arrived in the mail I realized the straps are too short.  This makes it difficult to put on and take off.  The straps are also slippery so they frequently slip off my hemiplegic shoulder.  This requires frequent stops because I have to put my cane down to push the strap back up where it belongs.  As the photo shows, this tiny backpack is barely big enough for the laptop and is too small for papers I collect at conferences.

Enter a new backpack - still child size, but the straps are longer and padded.  I rehearsed putting this backpack on and walking around to see if the strap stays on my hemiplegic shoulder.  The straps are great.  It is tall enough for me to put 8.5 by 11 inch papers inside.  My laptop slides easily to the bottom.  Yeh!

Bottom-Line: Participating in meaningful activities after a stroke requires detailed problem solving that makes my brain ache.
I was willing to do the work described above because presenting at conferences validates that what I have learned from having a stroke is valuable.  Unlike parents of young children who will eventually be able to stop packing a mountain of supplies to get out of the house, I will never be able to stop planning before I do a new activity.  Click on the "rehearsal" label below to see other examples of problem solving before participating in community activities.

August 5, 2017

Vindicated - Side Effects of Drugs Are Real

Unlike paralysis, fatigue is unpredictable.  The fatigue stroke survivors may experience means they have to break promises to do activities.  So I was not happy about the constant muscle ache I felt while taking a statin to lower my cholesterol.  Only about 20% of people experience this side effect, but when added to the fatigue associated with a stroke, it can be devastating. I finally got disgusted enough to tell my doctor that if he did not lower the dose of my statin I would stop taking it.  He cut my dose in half and the muscle ache and fatigue receded.

I was not imaging that statins affect muscles (1, 2, 3).  Researchers discovered statins interfere with a muscle's ability to store energy in small cells called mitochondria.  Statins can lower the level of enzymes that mitochondria need to perform their energy-storing function.

Good news: A lower dose of a stain maintained my lower cholesterol score while it increased the energy I need to have a life worth living.

1. Bouitbir J, et al., Opposite effects of statins on mitochondria of cardiac and skeletal muscles.
    Eur Heart J. 2012;33(11):1397-407.
2. Reynolds G. Can statins cut the benefits of exercise? NY Times. 2013;May 22.
3. Schirra T., et al. Stain-induced myopathy is associated with mitochondrial complexx III inhibition.
    Cell Metabolism. 2015;22:399-407.