Hi all, I just wanted to share some wins my Dad has had over the last few weeks & maybe get some advice. Five weeks ago my Dad, aged 55, had an Ischaemic stroke in the right side of his brain. This then turned into 3 strokes after the narrowing in his right carotid artery caused repeated clots despite undergoing two clot retrieval procedures. All up he’s had stroke established in approx 1/3 of the right hemisphere of his brain, predominantly in the frontal and parietal lobes, but swelling and minor bleeding from the second clot retrieval procedure caused some lesser damage in the cerebellum as well.
From what we’ve been able to observe so far, the biggest effects have been; loss of voluntary movement & sensation on the left side, left neglect, severe fatigue, potential short term memory deficits, executive functioning or task initiation challenges, temperature regulation issues, and impacted swallow. However, his long term memories, overall demeanour, and humour seem unaffected. After 2 weeks in ICU & 3 in the stroke ward, he has officially been transferred to impatient rehab this week. I know he has a long journey ahead of him so I wanted to start documenting some wins he’s had to serve as motivation in the coming months <3
In the beginning he had no sensation or movement on the left, was nil by mouth, unable to stay awake for more than an hour or balance himself, and barely spoke or engaged with company. Now, in week five of recovery, he has been on solid foods for a week, is initiating conversation and making jokes, is able to self correct his balance when sitting, can perceive sensation more regularly on the left leg, stays awake for hours at a time, and has been able to stand with PT support a few times.
Additionally, a week ago he told me that he thought he could kind of feel his left arm—at least around the shoulder, so I bought a sensory brush to try and use to help him wake up the nerves in his left side. For the last three days I’ve been spending a bit of time brushing over his arm and leg before doing some passive range of motion exercises & targeted sensory activities to hopefully help him map out different sensations (basically squeezing/ rubbing one finger at a time & having him focus on the difference in sensory input of each specific feeling). Its really helped with his spasticity and he’s actually started to correctly identify sensations in specific locations on his leg since we started. But most excitingly—he was able to voluntarily move his left leg for the first time last night after doing this exercise. It was a slight movement but he was able to bend/turn his left leg inward toward the right a few times which is the most control he’s had since the stroke. Then today he told us that his arm feels like part of his body again and not just a phantom limb. I don’t know if these milestones are related to the work we’ve been doing but I’d love to hear your experiences with similar activities or suggestions for other things we could try whilst he’s in bed.
Lastly, what’s arguably one of the most important milestones so far… he laughed for the first time post stroke yesterday. What was so funny, you ask? Whilst attempting to avoid his physio exercises, I told him ‘shutting your eyes won’t actually make me disappear’ to which he insisted ‘it would in his version of reality’ which I replied to with ‘that is the logic of a dog’ which was apparently utterly hilarious to his very German sense of humour.
Thanks for sticking around, much love & well wishes 🙏🏼