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| Peter G. Levine Stronger After Stroke Blog |
I'm not a big fan of WebMD. I'm not even sure why people read it. I guess if you just "Google it" -- whatever "it" is, WebMD is one of the first things to show up. But imagine if you had to rely on this site for serious information about anything medical? It seems that everything I read on it is a sort of a whitewashed, dated, vanilla attempt.For example: I read an article on WebMD recently entitled, "Stroke Recovery and Arm Rehab: Important Questions." Poststroke arm rehab is one of my areas of interest, so I at least wanted to see what it said. Here's what the article says: Nothing about: arm rehab. Which you think it would've said something about arm rehab. Because it's in the title.
What I found instead was a bunch of, you guessed it, whitewashed, dated vanilla. The article is in a question and answer format. Below, I paraphrase them, and then add my 2¢.
1. What caused my stroke?
What WebMD says, paraphrased: Types of stroke, relative incidence, etc.
What I say: This is the same information that can be found everywhere on the web. By the time most stroke survivors leave the hospital they are going to know most of this stuff.
2. Am I at risk for a second stroke?
What WebMD says, paraphrased: Yes, you are, talk to your doctor.
What I say: Yawn
3. What is the stroke recovery process?
What WebMD says, paraphrased: Your rehab program will be tailored to you. You'll do "assisted exercises" in the hospital. Then you may go to a rehab hospital, and then home. Rehabilitation takes place for 3-6 months. But "patients" can continue to make gains after this if you "... practice the skills (you) learned in rehabilitation."
What I say: "Assisted exercises" is meaningless. In the hospital survivors will generally be called upon to do whatever it is that they can do, assisted or otherwise. The article does say that you "may go to an inpatient rehab facility" but it does not add "if you are lucky." It also has says that you'll go home. Nursing homes are full of people that didn't make it that far.
The idea that you will continue to make progress if you practice the skills that you learned in rehabilitation is nonsense. The reason that people plateau is because they continue to practice the same thing in the same way.
4. How long will my recovery from stroke take?
What WebMD says, paraphrased: Recovery is different for everyone, but for most it's a lifelong process.
What I say: If it's a lifelong process you're doing it wrong. Recovery ends at the point in which you have recovered enough to spend too much time living to spend more time recovering. Maybe they mean that exercise should continue through the end of life.
5. Am I at risk for depression after a stroke?
What WebMD says, paraphrased: Becoming depressed after stroke is common because of the changes in the brain and because of the lamenting of losses caused by the stroke. Depression can be treated with medication and/or counseling.
What I say: You know what else is a great treatment for mild to moderate depression? Exercise. I would think that's pretty germane to this article. Just sayin'.
6. What medications will I be taking and do they have any side effects?
What WebMD says, paraphrased: You'll probably be put on a blood thinner. Talk to your doctor.
What I say: Hopefully you are not reading an article to find out about post stroke medications.
What WebMD says, paraphrased: If you have symptoms of a stroke. They then list the symptoms.
What I say: No quarrel with this one.
So there it is. Now you know how to use your arm again. Off you go!
See the original article:
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