Sunday, March 31, 2019

How to Optimize Your Recovery After a Stroke

Written by Dr. Joseph MercolaFact Checked


  • Ischemic strokes can be effectively treated within a three-hour window; thrombolytic drugs can be administered that dissolve the blockage, preventing further damage to your brain
  • Following a stroke, it’s important to engage your neuroplasticity to regain lost function. “Stroke of Luck: Master Neuroplasticity for Recovery and Growth After Stroke” is an important reference guide for doctors and patients
  • Brain training and physical exercises allow your brain to develop alternate pathways to bypass the damaged area; the sooner you do it after the damage has been incurred, the more effective it will be
  • An estimated 795,000 strokes occur each year in the U.S. It’s the fifth leading cause of death, killing an estimated 142,000 annually
  • Strokes are becoming more prevalent in younger people. An estimated 10 percent of all strokes occur in people under the age of 50
Bob Dennis, Ph.D., a biomedical engineer by profession, is also the author of "Stroke of Luck: Master Neuroplasticity for Recovery and Growth After Stroke," and its much-shortened version, "Stroke of Luck: NOW! Fast and Free Exercises to Immediately Begin Mastering Neuroplasticity Following a Stroke," an excellent reference book that everyone should have in their medical library.
Why do I recommend you get a copy of Bob's book now? Because it is highly likely you or someone you know or love will have a stroke, and you simply don't want to wait for this book to ship to you as you will need access to it immediately if you are to minimize the damage done from the stroke.
Stroke is a massively pervasive problem in the U.S., with an estimated 795,000 strokes occurring each year.1 It's the fifth leading cause of death, killing an estimated 142,000 annually. It's also a leading cause of long-term disability in the U.S.2 Strokes are also becoming more prevalent in younger people.3 An estimated 10 percent of all strokes occur in people under the age of 50.4
The impetus behind the book was Dennis' personal experience. He's suffered two strokes so far, the last one in July 2018, at the age of 54, and made a magnificent recovery using the techniques he lays out in his book.
A recent example that has ignited renewed interest in prevention is the sudden death of 52-year-old actor, Luke Perry, from a massive stroke. Unfortunately, if it doesn't kill you, you may suffer with severe disabilities for the remainder of your life, which is why Dennis' book is so important.
He compiled this book as a resource to help stroke victims improve their chances of making as full a recovery as possible, and his own story is evidence that it's possible. He recounts his experience:
"I woke up one morning in early July of 2018 and realized I'd had a stroke while I was in bed. I could barely talk, but I was able to get myself to a doctor. Of course, they loaded me immediately onto an ambulance and took me to a hospital. I was really aware of what was going on and what was happening. I paid very close attention to what they were asking me to do and what they were telling me.
The standard of care now … is that when you have a stroke, within three hours, they can give you thrombolytics — chemicals … to break up a thrombus or a clot … It … saves and preserves brain tissue without permanent death of the neurons. I was outside the three-hour thrombolytic window, so that was not an option."

Conventional Medicine Falls Short on Stroke Recovery

For clarification, within that three-hour window, they have to determine which type of stroke you had, as giving thrombolytics to someone who has suffered a hemorrhagic stroke would be lethal (since a vein has ruptured and it's already bleeding inside the brain).
Hence, one of the first things that must be done is magnetic resonance imaging (MRI) to determine whether your stroke is due to a blood clot (ischemic stroke) or a rupture (hemorrhagic stroke). According to the American Stroke Association, 87 percent of strokes are ischemic; the remainder are hemorrhagic.5
"Fortunately for me, most of my colleagues are neurophysiologists. On the very first day, my wife was able to ask them what I should be doing to get the best possible recovery. I got a lot of real expert opinions on it from my colleagues … I kept asking the mainstream physicians, 'What should I be doing to improve my recovery?'
They kept saying, 'Well, take your meds, which are statins … and baby aspirin. Consider trying a Mediterranean diet.' The last thing they said was, 'Well, you should go to physical therapy (PT) too.' Now, I spoke to everybody who was at the hospital — a Level 1 neurotrauma stroke center — and that was the sum total of all of their advice.
I was thinking to myself, 'Seriously, come on. This happens to 800,000 Americans a year? I know there are things you can do after stroke, where's the good advice?' It wasn't forthcoming … Of course, I knew a lot more because I'm a biomedical engineer. I knew a lot more than they were telling me. I got kind of a little angry about the fact that they don't give good advice.
They basically give you the advice, 'Just lie there and wait,' which, in my opinion, is the worst thing you can do. Once you know it's not hemorrhagic, you should be doing things to promote your neuroplasticity. That's what I did. I just started doing what I knew was right …
If I couldn't do something, I did it over and over and over again until I could do it. I recovered from the point where I couldn't stand, I couldn't walk, I couldn't talk. By the end of the first day, I was pretty much ambulatory. I could communicate with people … [in] … one day.
I'm no genius. I'm just a regular guy, but that is neuroplasticity right there happening. You can make the most of it … Right after your brain is injured, you have this brief window of immense neuroplasticity and you need to take advantage of it. I got kind of ticked off by this whole system.
I was like, 'You know what? Somebody needs to start telling people [that] as soon as you have a stroke, make sure you start doing things, especially the things they've asked you to do when they're assessing you. Because those things are safe. They're effective. They zero in on your problem, and you can do them without any special equipment.
One of the ones they asked me to do was talk like a baby — 'Da, da, da, da, da. Ma, ma, ma, ma, ma' — which I couldn't do. But you can sit on a gurney and you can go, 'Da, da, da, da, da,' until you can do it, right? I list all of [these strategies] in the book, because I think that they're a really good place to start."
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Stroke Preparedness

Dennis wanted to make sure this information is available to anyone who needs it, and at a moment's notice, so the book is primarily designed to be an e-book, and is available for free on Kindle Unlimited on Amazon. "Also, as an e-book, you can have it the day you need it, which is the day you have a stroke," he says. "You don't have to wait for it to be delivered."
You don't even need to buy the book to get the most important advice and recommendations from it. You can simply click on the preview and read the summary, placed before the table of contents. My recommendation would be to get the book and review it now, before you or someone you love has a stroke, so you're already familiar with the material.
Dennis' experience is a powerful demonstration of how you can rapidly regain functionality by taking full advantage of your brain's capacity to rewire itself, a process called neuroplasticity. Basically, the brain training Dennis describes allows your brain to develop alternate pathways to bypass the damaged neurons, and the sooner you do it after the damage has been incurred, the more effective it will be.
"In the full-length version of the book, which is about 600 pages in hard copy, I talk about the mechanism of neuroplasticity at great length … It turns out neuroplasticity is something that happens every time you learn something.
You can take different kinds of supplements, drugs and just food substances, which are thought of as nootropics. Sometimes they explicitly say, 'This promotes neuroplasticity.' If you put in the term, neuroplasticity, just as a Google search term, there are all kinds of blogs on it.
I downloaded and I show a few of these blogs. They're all very similar. They all amount to the following: Do novel things. Keep moving. Keep learning. Keep trying things. Keep challenging yourself. You don't have to have a stroke to have neuroplasticity, right? It just naturally happens when your brain is working and learning new things."

Helpful Lifestyle Interventions to Aid With Stroke

In addition to brain training exercises, Dennis also implemented a number of powerful lifestyle interventions that aided his healing. Among them, intermittent fasting, which he says radically changed his life and played an important role in his recovery. Since he started intermittent fasting after his stroke last year, he's lost 52 pounds.
"The book is mostly about attitude and exercises for your mind and body, because your musculoskeletal system does interact with your body. But I do spend some time talking about how different things, like supplements and different technologies … can be helpful. But I'm not an expert in those, and I don't think I'm really plowing new ground there. I just mention them …
Now, I don't think anybody should wait to have a stroke before doing intermittent fasting … In fact, if I could wind the clock back to when I was a kid, there would be one change that I would make in my life — I would stop eating all the time. I would intermittently fast … Once you start eating once a day and you eat well, you're just not hungry the rest of the time."

Stroke of Luck

The title of the book, "Stroke of Luck," refers to the concept of being an inverse paranoid, or pronoia, where you presume that when bad things happen, something good can come out of it. In Dennis' case, that's exactly what happened. By taking advantage of neuroplasticity, and training extra hard due to his stroke, he ended up not only recovering back to his prestroke state but actually improved beyond that.
His sense of balance improved, and he became ambidextrous. He was also able to eliminate his chronic back pain. As a biomedical engineer, Dennis invented one of the best pulsed electromagnetic field (PEMF) devices on the market (which I personally use every day) called ICES model M1.
One of the reasons behind its development was his desire to create something to help with his own back pain issues. Remarkably, the stroke ended up being part of the answer. He tells the story:
"They had me on opioids, so I developed the PEMF device. It actually worked really well for my lower back pain, general aches and pains, injuries and stuff like that. But then about four or five years ago, I started developing complex regional pain syndrome (CRPS) in my pelvis and legs, which means I was just in pain all the time.
It was probably centrally mediated, which means it was probably something in my brain, because the PEMF was not helping. CRPS is a terrible condition. It's got, on average, the highest pain scale rating of any condition. There's virtually no treatment for it ...
I threw every scrap of knowledge that I had at it and wasn't getting better. And then when I had the stroke and came out of it the next morning, the pain was gone ... It's known that certain types of pain are because your brain is mis-wired …
If one [brain] region is damaged, you can vicariate, which means that a different area of the brain can take over that function and adopt it. A lot of people do not know this … There's a lot about the brain that we just don't understand. But we do understand that under the right conditions, it can rewire itself ...
If you're exercising enough areas in your brain, you get a total brain response of neuroplasticity. It is known, for example, that one area with one lesion of a stroke in your brain will actually cause neuroplasticity throughout the brain.
If you are actively encouraging neuroplasticity enough in different places in your brain, the rising tide lifts all boats. A lot of things just get better, because your brain is in the zone. It's in the mode to rewire itself, and it does …
As far as the pain is concerned, it just vanished [after the stroke]. I woke up and it was gone … I wanted a full recovery of my brain, but I did not want the pain back. I didn't want all of the circuits to vicariate. I only wanted the good ones to vicariate.
I think I've been about 90 percent successful because I had a little tiny bit of the pain return, but now I'm able to exercise and make that go away … In the book, I tried to make it a resource, but I boiled it down to, 'What does the brain really do? What do we really know? If you want to exercise this kind of sensory input … motor activity or mental activity, you can do these kinds of exercises.'"

Time Is of the Essence

It's well worth reiterating that when you're dealing with a stroke, first, you need very rapid medical treatment. You only have a three-hour window within which medication can be administered to dissolve the clot and prevent further damage. But you also need to start your recovery program as quickly as possible — that same day, or as soon as you're coherent enough to begin. The same applies to PT.
Dennis was told he'd have to wait three weeks for a PT appointment, which he realized was far too long. So, he developed his own PT program. "If I had just done what was prescribed and advised, I don't think my recovery would have been very good. I certainly could not have given this interview," he says.
As a result, by the time he saw his physical therapist, he was already able to perform 80 or 90 percent of the exercises prescribed. Dennis also emphasizes the need to get the most out of your prescribed PT. Many simply drop out and stop going after a couple of sessions, thinking that once they know the exercises, they can just do them at home.
"PT is only as good as what you bring to it," he says. "When I went to PT, I had a huge list of questions. I said, 'Can you measure this? Can you measure that?' They put me on every machine they had. I started getting numbers, so I knew I was doing something right. I was getting better at the sensory organization testing.
Then a few weeks later, I did it again. They said, 'Whoa. You're improving way better than anybody in the history of doing this.' In fact, one of the physical therapists said, 'Your scores are higher than mine' … Because I was exercising …
[PT is] the best part of the medical system you definitely want to engage if you have a stroke. Get the best physical therapist that you can and the best occupational therapist and the best speech therapist. I had all three …
[My] fast recovery was because of what I brought to the treatment. If you just do what they're asking you to do, I think most people will have a pretty poor recovery. I'm going to make a statement now. I will stand by this. Most people can and should expect a much, much better recovery than the medical system would expect or report if they simply do as much as they can, but also do [what] they cannot do and keep exercising it, and keep doing new things."

More Information

In my view, "Stroke of Luck" should be required reading for all primary care clinicians, because they really need to understand this information — and provide it as a resource to their stroke patients, as it contains such a valuable variety of recommendations consolidated all in one place.
"What I wanted to do was collect every resource related to exercise, lifestyle, attitude and choices," Dennis says. "There's nothing in there that I didn't try. I didn't just list a bunch of junk. Even the really strange things, I've tried them. If it seemed to me to be stupid and hokey, it's not in the book."
The full-length hard copy version of the book, "Stroke of Luck: Master Neuroplasticity for Recovery and Growth After Stroke," is just over 600 pages and retails for $84.59 (the minimum price allowed by the publisher for that book in hard copy). It's also available as an e-book for less than $8.
The shortened version, "Stroke of Luck: NOW! Fast and Free Exercises to Immediately Begin Mastering Neuroplasticity Following a Stroke — Right Now!" is only 100 pages long. It's available in paperback for less than $20, and as an e-book for less than $6 (or free with Kindle Unlimited).
Also, remember you can get the key points in the summary completely free without download simply by opening up the Amazon preview. The shorter version contains the information Dennis believes is imperative to know on the day of your stroke. "I boiled all these things down to the essential points of which exercises you should be thinking about, safety points you should be keeping in mind," he says. "That's it."

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Thursday, March 28, 2019

Fukushima: “An Ongoing Global Radiological Catastrophe”. “A Huge Coverup”. Dr. Helen Caldicott

Transcript of 8th anniversary interview with Dr. Helen Caldicott

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The eight year anniversary of the triple meltdowns at the Fukushima Daiichi nuclear facility passed mostly without comment in mainstream media circles. In spite of ongoing radiological contamination that will continue to spread and threaten human health for lifetimes to come, other stories dominate the international news cycle. The climate change conundrum, serious though it may be, seemingly crowds out all other clear and present environmental hazards.
As part of efforts to normalize this historic event and cover it up in its magnitude, the Japanese government has invested considerable financial, public relations and other resources into what they are billing the ‘Recovery Olympics‘ set to take place in a year’s time in Tokyo. 
But Helen Caldicott warns that the dangers associated with Fukushima have not gone away and remain a cause for concern. 
Dr. Helen Caldicott has been an author, physician and one of the world’s leading anti-nuclear campaigners. She helped to reinvigorate the group of Physicians for Social Responsibility, acting as president from 1978 to 1983. Since its founding in 2001 she served as president of the US based Nuclear Policy Research Institute later called Beyond Nuclear which initiates symposia and educational projects aimed at informing the public about the dangers of nuclear power, nuclear weapons, and nuclear war. And she is the editor of the 2014 book, Crisis Without End: The Medical and Ecological Consequences of the Fukushima Nuclear Catastrophe.
On the week marking the eighth anniversary of the Fukushima meltdowns, the Global Research News Hour radio program, hosted by Michael Welch, reached out to Dr. Caldicott to get her expert opinion on the health dangers posed by the most serious nuclear disaster since, at least, the 1986 Chernobyl event.
Global Research: Now the Japanese government is preparing to welcome visitors to Japan for the 2020 Olympic Games, and coverage of the 8th anniversary of the Fukushima disaster is hardly, it seems to me, registered given the significant radiological and other dangers that you cited and your authors cited in your 2014 book, Crisis Without End. Now it’s been more than four years since that book came out. I was hoping you could update our listenership on what is currently being recognized as the main health threats in 2019, perhaps not registered in the book, that you’re currently looking at in relation to the Fukushima meltdown.
Helen Caldicott: Well it’s difficult because the Japanese government has authorized really only examination of thyroid cancer. Now thyroid cancer is caused by radioactive iodine and there were many, many cases of that after Chernobyl. And already, they’ve looked at children under the age of 18 in the Fukushima prefecture at the time of the accident, and … how many children… 100…no 201 by June 18 last year… 201 had developed thyroid cancer. Some cancers had metastasized. The incidence of thyroid cancer in that population normally is 1 per million. So obviously it’s an epidemic of thyroid cancer and it’s just starting now.
What people need to understand is the latent period of carcinogenesis, ie the time after exposure to radiation when cancers develop is any time from 3 years to 80 years. And so it’s a very, very long period. Thyroid cancers appear early. Leukemia appears about 5 to 10 years later. They’re not looking for leukemia. Solid cancers of every organ, or any organ as such appear about 15 years later and continue and in fact the Hibakusha from the Hiroshima and Nagasaki who are still alive are still developing cancers in higher than normal numbers.
The Japanese government has told doctors that they are not to talk to their patients about radiation and illnesses derived thereof, and in fact if the doctors do do that, they might lose their funding from the government. The IAEA, the International Atomic Energy Agency interestingly set up a hospital – a cancer hospital – in Fukushima along with the Fukushima University for people with cancer, which tells you everything.
So there’s a huge, huge cover up. I have been to Japan twice and particularly to Fukushima and spoken to people there and the parents are desperate to hear the truth even if it’s not good truth. And they thanked me for telling them the truth. So it’s an absolute medical catastrophe I would say, and a total cover up to protect the nuclear industry and all its ramifications.
GR: Now, are we talking about some of the, the contamination that happened 8 years ago or are we talking about ongoing emissions from, for example–
HC: Well there are ongoing emissions into the air consistently, number one. Number two, a huge amount of water is being stored –over a million gallons in tanks at the site. That water is being siphoned off from the reactor cores, the damaged melted cores. Water is pumped consistently every day, every hour, to keep the cores cool in case they have another melt. And that water, of course, is extremely contaminated.
Now they say they’ve filtered out the contaminants except for the tritium which is part of the water molecule, but they haven’t. There’s strontium, cesium, and many other elements in that water – it’s highly radioactive – and because there isn’t enough room to build more tanks, they’re talking about emptying all that water into the Pacific Ocean and the fishermen are very, very upset. The fish already being caught off Fukushima, some are obviously contaminated. But this will be a disaster.
Water comes down from the mountains behind the reactors, flows underneath the reactors into the sea and always has. And when the reactors were in good shape, the water was fine, didn’t get contaminated. But now the three molten cores in contact with that water flowing under the reactors and so the water flowing into the Pacific is very radioactive and that’s a separate thing from the million gallons or more in those tanks.
They put up a refrigerated wall of frozen dirt around the reactors to prevent that water from the mountains flowing underneath the reactors, which has cut down the amount of water flowing per day from 500 tons to about a hundred and fifty. But of course, if they lose electricity, that refrigeration system is going to fail, and it’s a transient thing anyway so it’s ridiculous. In terms… So over time the Pacific is going to become more and more radioactive.
They talk about decommissioning and removing those molten cores. When robots go in and try and have a look at them, their wiring just melts and disappears. They’re extraordinarily radioactive. No human can go near them because they would die within 48 hours from the radiation exposure. They will never, and I quote never, decommission those reactors. They will never be able to stop the water coming down from the mountains. And so, the truth be known, it’s an ongoing global radiological catastrophe which no one really is addressing in full.
GR: Do we have a better reading on, for example the thyroids, but also leukemia incubation—
HC: No they’re not looking–well, leukemia they’re not looking for leukemia…
GR: Just thyroid
HC: They’re not charting it. So the only cancer they’re looking at is thyroid cancer and that’s really high, and you know it’s at 201 have already been diagnosed and some have metastasized. And a very tight lid is being kept on any other sort of radiation related illnesses and leukemia and the like. All the other cancers and the like, and leukemia is so… It’s not just a catastrophe it’s a…
GR: …a cover up
HC: Yeah. I can’t really explain how I feel medically about it. It’s just hideous.
GR: Well I have a brother who’s a physician, who was pointing to well we should maybe, the World Health Organization is a fairly authoritative body of research for all of the indicators and epidemiological aspects of this, but you seem to suggest the World Health Organization may not be that reliable in light of the fact that they are partnered with the IAEA. Is that my understanding…?
HC: Correct. They signed a document, I think in ‘59, with the IAEA that they would not report any medical effects of radiological disasters and they’ve stuck to that. So they are in effect in this area part of the International Atomic Energy Agency whose mission is to promote nuclear power. So don’t even think about the WHO. it’s really obscene.
GR: So what would… the incentive would be simply that they got funding?
HC: I don’t know. I really don’t know but they sold themselves to the devil.
GR: That’s pretty incredible. So there’s also the issue of biomagnification in the oceans, where you have radioactive debris, hundreds of tons of this radioactive water getting into the oceans and biomagnifying up through the food chain, so these radioactive particles can get inside our bodies. Could you speak to what you anticipate to see, what you would anticipate, whether it’s recorded by World Health authorities or not, what we could expect to see in the years ahead in terms of the illnesses that manifest themselves?
HC: Well number one, Fukushima is a very agricultural prefecture. Beautiful, beautiful peaches, beautiful food, and lots of rice. And the radiation spread far and wide through the Fukushima prefecture, and indeed they have been plowing up millions and millions of tons of radioactive dirt and storing it in plastic bags all over the prefecture. The mountains are highly radioactive and every time it rains, down comes radiation with the water. So the radiation – the elements. And there are over 200 radioactive elements made in a nuclear reactor. Some have lives of seconds and some have lives of millions of years or lasts for millions of years will I say. So there are many many isotopes, long-lasting isotopes – cesium, strontium, tritium is another one – but many, many on the soil in Fukushima.
And what happens is – you talked about biomagnification – when the plants take up the water from the soil, they take up the cesium which is a potassium analog – it resembles potassium. Strontium 90 resembles calcium and the like. And these elements get magnified by orders of magnitude in the rice and in the plants. And so when you eat food that is grown in Fukushima, the chances are it’s going to be relatively radioactive.
They’ve been diluting radioactive rice with non-radioactive rice to make it seem a bit better. Now, into the ocean go these isotopes as well, and the algae bio-magnify them by – you know -ten to a hundred times or more. And then the crustaceans eat the algae, bio-magnify it more. The little fish eat the crustaceans, the big fish eat the little fish and the like. And tuna found in – off the coast of California some years ago contained isotopes from Fukushima. Also fish, being caught on the west coast of California contained some of these isotopes. So, it’s an ongoing bio-magnification catastrophe.
And the thing is that you can’t even taste, smell or see radioactive elements in your food. They’re invisible. And it takes a long time for cancers to occur. And you can’t identify a particular cancer caused by a particular substance or isotope. You can only identify that problem by doing epidemiological studies comparing irradiated people with non-irradiated people to see what the cancer levels are and that data comes from Hiroshima and Nagasaki and many, many, many other studies.
GR: Chernobyl as well, no?
HC: Oh, Chernobyl! Well, a wonderful book was produced by the, uh, Russians, and published by the New York Academy of Sciences, called Chernobyl with over 5000 on the ground studies of children and diseases in Belarus and the Ukraine, and all over Europe. And by now over a million people have already died from the Chernobyl disaster. And many diseases have been caused by that, including premature aging in children, microcephaly in babies, very small heads, diabetes, leukemia, I mean, I could go on and on.
Um, and those diseases which have been very well described in that wonderful book, um, which everyone should read, are not being addressed or identified or looked for in the Fukushima or Japanese population.
May I say that parts of Tokyo are extremely radioactive. People have been measuring the dirt from rooves of apartments, from the roadway, from vacuum cleaner dust. And some of these samples, they’re so radioactive that they would classify to be buried in radioactive waste facilities in America. So, that’s number one.
Number two, to have the Olympics in Fukushima just defies imagination. And uh, some of the areas where the athletes are going to be running, the dust and dirt there has been measured, and it’s highly radioactive. So, this is Abe, the Prime Minister of Japan, who set this up to – as a sort of way to obscure what Fukushima really means. And those young athletes, you know, who are – and young people are much more sensitive to radiation, developing cancers later than older people – it’s just a catastrophe waiting to happen.
GR: Dr. Caldicott…
HC:They’re calling it the radioactive Olympics!
GR: (Chuckle). Is there anything that people can do, you know, whether they live in Japan or, say, the west coast of North America to mitigate the effects that this disaster has had, and may still be having eight years later?
HC: Yes. Do not eat any Japanese food because you don’t know where it’s sourced. Do not eat fish from Japan, miso, rice, you name it. Do not eat Japanese food. Period. Um, fish caught off the west coast of Canada and America, well, they’re not testing the fish so I don’t know what you’d do. Um, I mean, most of it’s probably not radioactive but you don’t know because you can’t taste it.
Um they’ve closed down the air-borne radioactive measuring instruments off the west coast of America, uh, but that’s pretty bad, because there still could be another huge accident at those reactors.
For instance, if there’s another large earthquake, number one, all those tanks would be destroyed and the water would pour into the Pacific. Number two, there could be another meltdown, a release – huge release of radiation, um, from the damaged reactors. So, things are very tenuous, but they’re not just tenuous now. They’re going to be tenuous forever.