Kristen Mauk

Consider these facts about stroke from the American Stroke Association (2013): Be informed about stroke.

• Nearly 800,000 Americans annually suffer a new or recurrent stroke.
• A stroke occurs about once every 40 seconds. About every 4 minutes, someone dies of a stroke.
• Stroke is the 4th leading cause of death in the United States, killing more than 137,000 people a year.
• Risk of stroke death is higher for African American males and females than for whites. Females have a higher rate of death from stroke than males.
• In 2010, Americans paid about $73.7 billion for stroke-related medical costs and disability.

Stroke is simply defined as an interruption of the blood supply to the brain. It is most often caused by a clot that either originated in the brain or traveled from another part of the body. Warning signs of stroke include (National Stroke Association, 2013):
• Sudden weakness or paralysis, usually on one side of the body
• Sudden confusion, speaking or understanding
• Sudden changes in vision
• Sudden dizziness, incoordination, or trouble walking
• Sudden severe headache with no known cause

If you or someone you love experiences any of these symptoms, call 911 immediately. Do not delay. New medical treatments may be able to reverse the effects of stroke, but time is critical. Note the time that the symptoms started so that you can inform the medical professionals who are providing treatment.
The effects of stroke depend on the area of the brain that is damaged. Some common results of stroke are weakness or paralysis on one side of the body, difficulty walking or dressing oneself, aphasia, trouble eating or swallowing, bowel and bladder changes, cognitive changes such as memory problems, and emotional issues such as depression and mood swings. Stroke affects the entire family, so be sure to seek out resources and support in your community if a stroke has touched your family.

For stroke survivors, treatment in an acute rehabilitation facility with an interdisciplinary team approach is highly recommended and results in more positive outcomes. The rehabilitation team works together with the survivor and family to accomplish personal goals and achieve the highest level of function possible. Although some of the effects of stroke may be long-lasting or permanent, there is hope of continued progress and good quality of life after stroke.

Most of us have New Year’s resolutions. One of my new goals for 2020 is to age better. Andrew Weil, MD, in his bestseller Healthy Aging: A Lifelong Guide to Your Well-Being (2005) said, “to age gracefully requires that we stop denying the fact of aging and learn and practice what we have to do to keep our bodies and minds in good working order through all the phases of life” (p. 7). You may well ask, “how does one do that”? For me, it means actually practicing what I preach. We are fortunate today to have so much research and information on aging that we can pinpoint some specific areas that are common to successful aging. I have taught these to numerous students and groups of older adults, but it wasn’t until I joined the over 50 age group that this knowledge seemed more personally applicable. So, let me share with you five keys that both scientists and the oldest old persons in our society have found contribute to healthy aging.

Have a positive attitude towards life. This includes having good coping skills and being able to deal with grief and loss appropriately.  Most centenarians will say that you should always having something to look forward to. Make a list of places you want to travel this year, vacations to take, people you need to visit, or things that need to be fixed around the house. Then start to cross them out as you do them, and bask in your accomplishments.

Maintain key relationships. These include having a stable marriage and/or being involved in a religious or social community. In George Vaillant’s book Aging Well (2002), he reported the results of the Harvard Study of Adult Development. Generativity, or selfless investment in others (including the next generation), was found to be the best predictor of a long and happy marriage. Likewise, studies show that older persons who affiliate with a religious organization, such as attending church regularly, report better health and better social support systems, and tend to remain independent longer.

Maintain a healthy weight through proper nutrition. Eat a diet with plenty of fiber, fruits, vegetables and water. Limit saturated fats, salt, processed foods, and less useful calories from alcohol or sugary drinks.

Stay active. Physically, do some moderate exercise on most days of the week. For persons who are older and unable to do strenuous activity, remember that regular daily chores that include continuous motion such as doing laundry, gardening, or cleaning house can count as exercise and can also be spread throughout the day to accumulate the recommended 30 minutes of activity. If able, brisk walking is highly recommended. Keep your mind active as well. Resolve to take up a new hobby such as a craft, learning to play an instrument, or studying a foreign language. Working puzzles, playing cards, and reading are also good ways to stimulate your brain function and keep your memory sharp.

Avoid negative behaviors such as overeating or drinking too much alcohol.  Adopt an attitude of “everything in moderation”. Don’t smoke, and if you do smoke, stop. Sadie Delany (1994) at over 100 years of age wrote in her book Having Our Say, “so you want to live to be 100. Well, start with this: No smoking, no drinking, no chewing” (p. 11).

Resolve with me to age more gracefully during 2020 and let’s see how we do. Do you have any secrets of healthy aging that have worked for you or your parents/grandparents? Please share them with us.

And the Oscar Goes to…
Watching the Oscars can be quite entertaining. Imagine the vision, creativity, and artistry that it takes for scores of people to come together to make a film that captivates the country by bringing a story to life! The coveted gold statue represents the pinnacle of one’s profession, a universally recognizable prize that causes a seasoned actor to forget his acceptance speech or lose her gracefulness while tripping over a ridiculously expensive gown. It made me wonder: What if there were Oscars awarded to the people who influenced healthcare? Here are some suggestions for the most deserving:

Best Picture: an award for radiologists viewing the film of a cancer-free survivor

Actor/Actress in a Leading Role: the oncologists who don’t let their patients see them cry after having to give a terminal diagnosis

Actor/Actress in a Supporting Role: the nurse who provides comfort to the parents of a dying child

Best Adapted Screenplay: the rehabilitation team members who help survivors find new life again after stroke

Cinematography: for persons who capture the inspiring moments of the Special Olympics
Costume design: the prosthetists, orthotists, and biomechanical engineers who create both function and beauty to clothe persons needing artificial limbs

Directing: the heads of national organizations that lead the way in research and education in a specialty area

Best Makeup: the funeral home directors who help make our loved ones look their best for the final goodbye

Best Visual Effects: the burn specialists and plastic surgeons who reconstruct the facial features of a firefighter or war veteran after severe burns

Best Sound Mixing: the audiologists and manufacturers of hearing devices that help us to listen and attend to the sounds around us

Best Film Editing: the skilled surgeons who remove the bad parts and recreate our inward parts so that our life picture is the best it can be
Best Original Song: the one sung by the double lung transplant survivors, like Charity Tillman-Dick, and made possible by the lung transplant team

I wish that we gave such awards to the people who make a real difference in the lives of so many. There are hundreds of unsung heroes of healthcare who influence our world but go unnoticed. When you come across one, won’t you tell them how much they are valued and appreciated? They may never win an Oscar, but without them we couldn’t shine.

My daughter is expecting a baby, my second biological grandchild, on Christmas Day this year (She came early). I say second because the first one is in heaven, lost to a miscarriage in the early weeks, so we never got to see him or her. But this new little one on the way is a girl, and she should make her big debut in December.

With the wonders of modern ultrasound, I have already seen pictures of my 4 ½ month gestational granddaughter. She has all her fingers and toes, has been screened for a variety of genetic disorders in utero, and seems to be perfectly healthy and active. My, how far we have come since I had my own children when we waited to be surprised at even the gender of the baby.

So many friends have told me that I will love being a Grandmother. I know they are right because my heart is already longing to see her. I’ve talked to her through Rachel’s tummy so she might recognize my voice once she’s “on the outside”, and have already tried to persuade her that I will be her favorite Nana, of course. Before we knew she was Amelia and not Luke, I bought color-neutral baby clothes and toys with an animal theme like ducks or monkeys. Now I can indulge myself in every store, browsing the pink and frilly, the cute and cuddly, the prim and prissy, choosing kittens and crowns instead of puppies and trains.

Rachel asked how I felt about being a Grandma, and I’m not quite sure. I am excited (for me), scared (about the pregnancy and delivery for mom, Rachel), and nervous (hoping everything will go smoothly) all at the same time. One of the first notions that came to mind was when I told my Dad (was it really 30 years ago?) that I was expecting Rachel and asked him how he felt about being a Grandpa. He replied, “Well, I feel great about being a Grandpa, but I don’t know how I feel about sleeping with a Grandma!” I often wonder how long he had been waiting to use that line!

Amelia will be born into an interesting family. She will have two older half-siblings and six aunts and uncles. Her Mom is a fine veterinarian and her Dad is a professional cowboy, and she will be raised on the Western Slopes of beautiful Colorado in the San Juan Mountains. Surely she will be a terrific horse rider and probably be the Rodeo Queen one day like her older sister. Maybe she will be a singer and dancer like her mother or learn to team rope steer with her father. Amelia will be a lovely looking child with such striking parents as she has. Her in-utero personality is feisty and active. Yes, I love her already.

Amelia, maybe someday you will read this and know that I thought of you constantly before you were born. You make me remember what it was like when I was pregnant with your Mom and how I cherished her through all her life and sent so many prayers up to heaven for her that you couldn’t possibly count them all. Your Mom’s life is an amazing story and yours will be too. I can’t wait to meet you, Amelia. You are the promise that life will continue beyond your Grandma’s old age and that something precious will remain on this earth even when I am gone. Grow big and strong until it’s time to meet the world. You will be the best Christmas present ever.