2019-03-29

Episode 058 -- A PT Vacation


Here in the Pacific Northwest, we have some of the most amazing scenery and outdoor options in the country. So why do all your rehab in a clinic?

Today's guest is Physical Therapist, Dr. Carol-Ann Nelson, the Founder and Executive Director of Destination Rehab in Bend Oregon. For those not familiar with the geography here, Bend is in the middle of Oregon, about a 6-hour drive South East of Seattle. It's surrounded by mountains, volcanoes, forests, a river and wildlife. It's an absolutely gorgeous city and region that I'd encourage anyone to visit.

Destination Rehab combine PT with outdoor activities, taking advantage of all Central Oregon has to offer. They have year round program for folks in the area, and they offer week long Rehab Vacations for folks with neuro conditions who want to travel to the area. Participants include stroke survivors plus folks with MS, Parkinson's, TBI, Spinal Cord Injury, and other conditions.

Bio

Carol-Ann Nelson headshotCarol-Ann's love for the outdoors began during her years growing up in Oregon. She has enjoyed backpacking, kayaking, stand up paddle boarding, hiking and running in mountains and rivers across the country.

While in graduate school, she realized her passion to utilize physical therapy to help people with disabilities and chronic conditions engage in the outdoors and in their local community.

In 2016 she founded Destination Rehab, a nonprofit organization that takes physical therapy principles out of the clinic walls and into the outdoors. Their focus is to build confidence, independence and improve quality of life for individuals with physical disabilities and chronic conditions. 

Carol-Ann received her Doctor of Physical Therapy from Duke University and practiced in the Neuro Recovery Center at Brooks Rehabilitation before returning to her home state of Oregon in 2015.

She specializes in treating patients with a variety of complex neurologic conditions including Stroke, Brain Injury, Spinal Cord Injury, Parkinson's and Multiple Sclerosis.

Carol-Ann serves as Vice President of the Oregon Physical Therapy Association, and is a member of the American Physical Therapy Association's Neurologic Section.

Carol-Ann and her husband have four year old twins, a six month old baby girl, and an energetic border collie. Carol-Ann is passionate about helping others dream big and gain the confidence they need to enjoy being active and outdoors.

Hack of the Week

Make your lamps into touch lamps.

It can be tough to fiddle with switches and knobs with limited mobility. Fortunately, you can get an adapter to make them touch lamps. Here's an example: https://www.amazon.com/Westek-3-Level-Touch-Plug-Dimmer/dp/B01APRDK5O/


Now you can even use your affected hand to turn the lights on and off. Put that limb to work!

Links

Where do we go from here?

  • If you'd like to learn more about taking a rehab vacation, check out the Destination Rehab links above.
  • Help someone you know subscribe to Strokecast on their phone so they never miss an episode.
  • Don't get best…get better.

 

Strokecast is the stroke podcast where a Gen X stroke survivor explores rehab, recovery, the frontiers of neuroscience and one-handed banana peeling by helping stroke survivors, caregivers, medical providers and stroke industry affiliates connect and share their stories.


Here is the latest episode of The Strokecast

2019-03-26

Episode 106 -- A Life of Learning and Colorful Shirts with Richard Flint


2-Minute Tip: Create a Presence 

 

Live everyday to create a presence that has presence when you're not present.

 

As a speaker, in order for your message to have impact, it has to be something that sticks with your audience when you are not there. You can do that by being a powerful, memorable speaker. 

 

But that's not the only way.

 

Give clear guidance. Develop a simple, compelling message. Make sure your audience knows what you want them to do. Tell great stories. 

 

All these techniques that we regularly talk about help you maintain that presence with the audience even when you're on your way to your next meeting. 

 

Post Tip Discussion

 

As I recorded this conversation with Richard, a few things really jumped out at me.

 

Richard has an eye for the picture in life -- for prioritizing what will really make a difference for people. He also has a tremendous talent for putting structure to his thoughts. He makes a lot of points by breaking them out into simple lists that get to the core of the matter. I counted at least 5 of those lists in this episode. 

 

From a technical standpoint, these are not just lists. They are excellent examples of parallel structure -- using similar words and phrases almost rhythmically to land a point. 

 

I talked about this technique way back in episode 10. A few weeks ago, you heard from Joe Apfelbaum in episode 103. He also excels at using parallel structure.

 

Bio

 

Richard Flint speaking and holding a microphone wearing a colorful shirtRichard Flint, CSP is Chairman and CEO of Flint, incorporated, a company specializing in the training and development of individuals, companies and associations. He has had the opportunity to address people in talks and seminars throughout the United States, Canada, Australia, New Zealand, Great Britain and Spain. As a Keynote speaker and seminar leader, he addresses more than 200,000 people each year.

 

Richard speaks to corporate and public audiences on the subjects of Personal and Professional Development, including the executives and staff of many of America's largest corporations. His humorous and poignant talks and seminars on Leadership, Sales, Self-Esteem, Goals, Strategy, Creativity and Success bring about immediate changes and long-term results.

 

He has written 15 books and produced more than 100+ audio and video learning programs, including being a finalist for The Top Self-Help book of 2005.

 

Prior to founding his company in 1987, Richard put his four degrees to good use as a Professor of Philosophy at Ohio University and Wayne State University, where he also served as the Baptist Campus Minister. Following that, Richard was the Director of Counseling at the First Baptist Church in both Tampa and West Palm Beach in Florida.

 

These days he travels the world on his crusade to help others move past their Circle of Sameness and achieve a positive life.

 

Richard's Lists

 

Three keys to success:

  • I've got to believe in myself
  • I've got to trust in myself
  • I've got to have faith in myself

 

Three questions when preparing a seminar:

  • Why is this issue there? What's created the issue?
  • Why does this issue create so much confusion for people
  • Is there a process that will help people resolve -- not eliminate -- this issue

 

4 Keys to a successful year:

  • What do you really want to achieve this year?
    Why do you really want to achieve that?
    What price are you willing to pay to have it?
    What behaviors do you have to improve to get there?

 

Three Ds:

  • I have a desire to improve to help other people
  • I have the determination that there is more for me to write, discover, and learn
  • I have the discipline to do it

 

Six Fears:

  • Fear of the unknown
  • Fear of abandonment -- being left alone
  • Fear of failure
  • Fear of rejection
  • Fear of loss
  • Fear of success

 

 

Links

 

 

Call To Action

 

  • Check out Richard's links above to learn more about his mission and passion.
  • Who do you know that would most benefit from hearing Richard's message and story? Give them the link 2minutetalktips.com/richardflint and ask them what they thought of the conversation.
  • Don't get best…get better

 

 

2-Minute Talk Tips is the public speaking podcast that help you become a more effective speaker in as little as 2 minutes a week.


Check out this episode!

2019-03-22

Episode 057 -- Golf After Stroke


 

Some months back, on my other show, 2-Minute Talk Tips, I interviewed speaker and coach Pat Roque about speaking and her fascinating journey. I'd encourage you to check that out over at 2minutetalktips.com/rockon. After that conversation, Pat and I continued talking and she told me I needed to talk with Gianna Rojas about the work we were each doing.

Gianna Rojas swings a golf club with her right hand. She has no fingers on her left.Gianna Rojas is the One Handed Lady Golfer. Gianna was born with no fingers on her left hand, which makes golf challenging. Still, as an adult, she wanted to learn so she did.

Now, Gianna runs AdaptiveGolfers.org where she and her team help stroke survivors and other folks with disabilities get back on the course, doing the thing they love -- playing golf.

Gianna runs clinics in NJ and travels the country promoting Adaptive Golf.

Key Facts about Gianna

 

ADAPTIVE ATHLETE -

*USA Disabled Golf Team - Global Tour

*Division winner of the 2017/2018 Para Long Drive Cup – Legends, Myrtle Beach SC, Par Tee - Columbia, SC

*Division winner of the 2018 Adaptive Long Drive – Barefoot Resort and Golf, No. Myrtle Beach SC

 

ADAPTIVE AMBASSADOR

*2018/2019 LPGA Woman's Network - Charity Partner

*2019 PGA Magazine Woman's Leadership Platform

*20172018/2019 Director of Global

Brand Awareness United States Adaptive Golf Alliance

*Advisory Board and Speakers Bureau for the National Alliance of Accessible Golf

*Volunteer for the United States Disable Golf Association

 

SPEAKER/PRESENTER/EXHIBITOR

*2018/2019 PGA Merchandise Show - Initiator ADAPTIVE GOLF CENTER, Speaker, and Adaptive Player Development Educational Track

*2017/2018 World Amateur Championships Exhibitor

*2017/2018/2019 ABILITIES Expo Speaker, Presenter and Exhibitor

PUBLIC FIGURE/SEASONED MEDIA PERSONALITIY

*2018 LPGA Top 22 Women “Disruptors” in the Golf Industry https://lpgawomensnetwork.com/meet-the-disruptors-the-women-who-are-spearheading-a-revolution-in-golf/


Thoughts on Golf

As I've mentioned before, I'm not exactly athletic. Most of my golf experience involves neon balls and tiny windmills. But it is a part of many survivors lives.

A stroke doesn't have to mean our involvement with sports is over. A few months ago, I talked with US Air Force Academy Tennis Coach Dan Oosterhous about his life and he continues coaching tennis. You can find that episode at http://strokecast.com/dan. This week, we hear from Gianna. And next week in episode 058, We'll hear from Carol-Ann Nelson about Adventure Rehab Vacations. In short, there are lots of reasons and ways for stroke survivors to get out of the house and in to outdoor activities this Spring and Summer

More than the athletic aspect of golf, though, is the strong social aspect of the game of golf. It's a sport that's built around chatting with your opponents.

It also a sports that has strong cultural and business ties, at least in the US. Folks who don't golf can find themselves shut out of many business socializing and deal making opportunities.

That's why getting back out on the course can be so important for a golf-loving stroke survivor. Or even for the survivor just looking for a new hobby. It's got physical, cognitive, social, cultural, and economic advantages.

And the work Gianna is doing to get folks access to those advantages is fantastic.

Hack of the Week

Getting dressed with disabilities can take way too much time. Fortunately, Adaptive Clothing is a thing now.

Most folks are already familiar with Velcro shoes. All the shoes I use theses days feature Velcro. You can even find sneakers with faux lace closures now that are powered by Velcro.

It goes beyond that, though. A search for adaptive clothing will turn up a significant variety of clothes designed to accommodate a wide assortment of functionality.

You don't have to settle for tradition clothing.

Links

Adaptive Golfers

http://adaptivegolfers.org

Gianna's email

Gianna@AdaptiveGolfers.org

Gianna on Facebook

https://www.facebook.com/gianna.s.rojas

Gianna on Twitter

https://twitter.com/Adaptivegolfers

Gianna on Instagram

https://www.instagram.com/onehandedladygolfer/

One Handed Lady Golfer on Facebook

https://www.facebook.com/pg/onehandedladygolfer

Gianna on LinkedIn

https://www.linkedin.com/in/giannarojas/

One Handed Lady Golfer on YouTube

https://www.youtube.com/channel/UCwL4-46d8iDNaRTl_sYMA6g

Quantum Grip

http://www.quantumgrip.com/

PGA Superstore

https://www.pgatoursuperstore.com/stores/paramus-new-jersey/0901.html?gclid=CjwKCAjw7MzkBRAGEiwAkOXexBgKEX3VeUV01z4IHHdIywqxKOeUrqZQhW3Rl1xrkikg8MVqtP4B_RoC0HkQAvD_BwE

USGA

http://www.usga.org/

The R & A

https://www.randa.org/

PGA

https://www.pga.com/home/

LPGA

http://www.lpga.com/

Bill interviews Pat Roque

http://2minutetalktips.com/rockon

Bill Interviews Dan Oosterhous

http://strokecast.com/dan

USGA/R&A announce participation in world ranking for disabled golfers

https://www.golfdigest.com/story/usgaranda-announced-participation-in-global-ranking-for-disabled-golfers

 

Where do we go from here?

  • Encourage the PGA and LPGA to make Adaptive Golf part of their continuing education requirements.
  • Check out Gianna's links and resources by visiting the section above.
  • Share this episode with the golf fan in your life by giving them the link Strokecast.com/golf
  • Don't get best…get better

 

Strokecast is the stroke podcast where a Gen X stroke survivor explores rehab, recovery, the frontiers of neuroscience and one-handed banana peeling by helping stroke survivors, caregivers, medical providers and stroke industry affiliates connect and share their stories.


Here is the latest episode of The Strokecast

2019-03-19

Episode 105 -- How Tantric Dating can make YOU a Better Speaker! (Not Really)


 

 

2-Minute Tip: Use Click Bait-ey Titles

 

When you need a title for your talk, take a lesson from all those click-bait titles you see on Facebook and other social platforms. Make it short, compelling, and maybe a little edgy.

 

When you promise a talk with the "5 Secrets to Successful Penguin Petting," you also have a built-in structure for your talk that will keep you on the right path.

 

If you take this approach, though, make sure you deliver. You'll only get one shot.

 

Post Tip Discussion: Meet Catherine Auman

 

Catherine AumanSome of us become speakers because we just love it. We love the stage, the crowd, the power of sharing a message -- It's intoxicating.

 

Other folks build a speaking career as a tool to share their message and drive other parts of their business. That's what Catherine Auman has done -- used speaking to drive interests in her books and other resources around tantric dating.

 

What I really like about this conversation, besides the fact that tantric dating is now part of my vocabulary, is how Catherine lives the idea of "build your own stage." This is something I've talked a lot about over the previous few months. She has done it in both the virtual and the real world.

 

Catherine Auman LMFT (Licensed Marriage and Family Therapist) is a psychotherapist in private practice in Los Angeles. She is the author of three books with two more being released in 2019. Ms. Auman speaks twice monthly to live audiences and was previously a frequent guest on the national TV show "Extra." Visit her online at http://www.catherineauman.com, or on her YouTube Channel at http://www.youtube.com/c/CatherineAuman

 

Links

 

Website

https://catherineauman.com

Catherine's book: Shortcuts to Mindfulness

https://www.amazon.com/Shortcuts-Mindfulness-Personal-Spiritual-Growth/dp/0989830535/

Catherine's other book: Tantric Dating

https://www.amazon.com/dp/B072SVB6ZF/ref=sr_1_1?

Catherine on Facebook

https://www.facebook.com/catherineaumanlmft

Catherine on LinkedIn

https://www.linkedin.com/in/catherineauman/

Catherine on Twitter

https://twitter.com/CatherineAuman

Catherine on YouTube

https://www.youtube.com/user/catherineauman

 

Call To Action

 

  • Learn more about Catherine Auman at the links above.
  • Share your thoughts on this episode in the comments below.
  • Share this episode with a friend, colleague, or relative by telling them to visit http://2minutetalktips.com/catherine
  • Don't get best…get better.

 

2-Minute Talk Tips is the public speaking podcast that help you become a more effective speaker in as little as 2 minutes a week.


Check out this episode!

2019-03-12

Episode 104 -- Speaking, Sales, and Improv with Stuart Rice


2-Minute Tip: Don't Squander Water Cooler Talk

 

After winning or losing a big sale in a store there's tendency to brag or vent to colleagues around a literal or metaphorical water cooler. It happens after a big talk, too. We celebrate the brilliance or decry the stupidity of an audience.

 

Don't.

 

It's not effective. It won't help you win or save more sales in the future. And it has the tendency to hurt morale and reinforce negative -- and counterproductive -- attitudes.

 

Instead, take that time to dissect the talk or sale. What went well? How can you do more of that in the future?

 

What didn't go well? How can you avoid doing that again?

 

And learn how can you share those lessons with others.

 

That speech you just did is in the past. It's gone. It now time to learn lessons from it and get ready for the next talk.

 

Post Tip Discussion

 

Stuart Rice and I have similar paths, separated by a few years. We both started out selling consumer electronics before transitioning over to the vendor side of retail, and then joining or creating other educational initiatives to help others.

 

Key skill that are helpful in retail are also helpful in public speaking. You have to learn about your audience. You have to connect with your audience. You have to bring your audience on a metaphorical journey with you.

 

You have to focus on what's in it for them and why they should care.

 

And storytelling is a key part of it all.

 

Bio

 

Stuart Rice HeadshotStuart Rice has 24 years of experience in sales, purchasing and management focusing on strategic growth. In his career, Stuart has helped companies multiply sales by revamping their current strategies and introducing new concepts that increased customer traffic and created new experiences for customers and salespeople alike.

 

Training is his passion and Stuart looks to use his experience and ability to communicate to share his knowledge, ability to critically think through problems, and use real-world scenarios to develop processes and strategies that can promote growth with individuals and institutions alike.

 

In addition to professional training, Stuart’s other pursuit is comedy, specifically sketch comedy, on the very accurately named “Sketch Comedy Podcast Show” a one-of-a-kind show where interesting people have intriguing conversations and then improvise a comedy sketch based on what was talked about.

 

Links

 

Stuart Rice on LinkedIn

https://www.linkedin.com/in/stuart-rice-26691213/

Sketch Comedy Podcast Show

http://sketchcomedypodcastshow.com

Impactful Sales Solutions

http://impactfulsalessolutions.com

Stuart on Twitter

http://twitter.com/Stoopca

 

Call To Action

 

 


Check out this episode!

2019-03-08

Episode 056 -- Thoughts on Luke Perry and Stroke


This week, we learned about the tragic death of Luke Perry. He suffered a stroke at age 52 and did not survive. This sparked comments across social media that many of us have had to address only in personal conversations before. Namely:

"I thought you had to be old to have a stroke!"

Those of us who spend a lot of time dealing with and thinking about stroke know that is completely untrue. But most folks are not part of our community, and it takes a major celebrity death to really get people to think about it.

My hope is that some good can come from this. If Luke Perry's death inspires more folks to check and know their risk factors, that's a good thing. If it encourages more folks to know the BEFAST warning signs of stroke, that is also a good thing.

Stroke symptom graphic

There's the potential for Luke Perry's death to save the lives of hundreds or thousands of other people by driving increased awareness and response to stroke and its causes.

How Can You Help?

Media attention can be fleeting so now is the time to take action.

Are you involved with a school, community, civic, or religious organization that brings in speakers? Ask them to invite a stroke survivor or medical professional to talk to the group about their story and share more info on stroke recognition and prevention. 

If you don't know anyone personally who can speak, reach out. If your group meets in the Puget Sound area of Western Washington, let me know and I'll be happy to talk to your group or connect you with someone else who can.

In other areas, reach out to your local chapter of the American Heart Association. They can help. Or search through Facebook forums or Twitter hashtags (like #stroke or #stroke survivor). Or contact your local hospital and ask them if they know of someone

Do you want to share your story? Reach out to groups or schools who may want a speaker. Contact the American Heart Association or your country's equivalent, and let them know. Start a podcast, YouTube channel, Instagram account or build your own stage another way. Reach out to other stroke survivor podcasters who may be looking for guests, like Cam at the Hand in Hand Show or Joe at NeuroNerds. Or me here.

Distribute and promote the BEFAST warning signs.

The point is, now is the time to talk about it.

Hack of the Week

I keep an umbrella stand near the door, but I don't fill it with umbrellas. We're not big umbrella people here in Seattle. Plus, the hand I would use to hold an umbrella is busy holding my cane. And my girlfriend won't let me be seen in public wearing a head-mounted umbrella. Which is probably a good call.

That's why my umbrella stand is filled with canes. It's a great way to store them. I can grab a different one as I head out the door, depending on my mood, goals, and wardrobe that day. And when I'm not using one, I keep it safely out of the way.

Program Note

There will not be a new episode next week (2019-03-15) because I'll be out of town on my 7th JoCo Cruise. I'd rather not rush the post production on that episode so I'm taking next week off. 

The next episode of Strokecast will go live on Friday, March 22. lt will feature Gianna Rojas -- the One Handed Lady Golfer talking about how she helps stroke survivors get back on the golf course and reconnect with their passion for the game.

Links

Where do we go from here?

  • What are your thoughts on celebrity deaths and stroke? Let us know in the comments below.
  • Share the warning signs and risk factors for stroke far and wide.
  • Encourage folks to learn more about stroke by visiting Strokecast.com or the American Heart Association.
  • Don't get best...get better

 

Strokecast is the stroke podcast where a Gen X stroke survivor explores rehab, recovery, the frontiers of neuroscience and one-handed banana peeling by helping stroke survivors, caregivers, medical providers and stroke industry affiliates connect and share their stories.


Here is the latest episode of The Strokecast

2019-03-05

Episode 103 -- Brandin' buildin' and Boomin' with Joe Apfelbaum


2-Minute Tip: Practice

 

To be successful, there is no substitution for preparation. Practice. Rehearse. Prepare. And then practice some more.

 

When you see speakers who make it look easy -- who effortlessly string together words and phrases and jokes and more -- it's usually not off the cuff. It's because they've practiced. Put in the time and know your stuff cold so that you can come up with it seamlessly when it's time to speak.

 

That's one of the beautiful things about speaking. It's not magic. It's just work.

 

On a related note, check out the documentary Comedian on Netflix. It's about the work and process that Jerry Seinfeld went through to develop a new set. It looks effortless when you see the final set, but it can take a year to get there -- even when you've been doing your trade for decades.

 

Post Tip Discussion: Brandin' buildin' and Boomin' with Joe Apfelbaum

 

Joe Apelbaum is a high-energy force of nature, and that really comes through in this episode.

 

Joe's professional focus is on B2B or Business to Business marketing, which is something many folks don't think about. He has built a large following and expertise on LinkedIn that you should definitely check out there.

 

Joe also just launched a new course dedicated to Social Selling. You can find it here.

 

Bio

 

Joe Apfelbaum headshotJoe Apfelbaum is the CEO of Ajax Union, a B2B digital marketing agency based in Brooklyn, NY. Joe is a business strategist, marketing expert and certified Google trainer. Joe enjoys speaking and writing about marketing, business networking and personal development in his seminars, webinars and articles.

 

Joe is the host of the popular podcasts The Breakthrough Maze. Joe is the Author of 3 books including High Energy Secrets his most recent book about how he lost 95 pounds and does flying selfies.  He is the producer of GrowTime.tv and has published over 500 Mojovational Street Talk videos on YouTube.

 

Joe is a contributing member of Entrepreneurs Organization in Brooklyn, a group with over 12,000 CEO’s and an active member of Executives Association, a premiere business networking organization in NYC.

 

Joe is a selfie master, he takes 1000 selfies a year with entrepreneurs and makes hundreds of introductions to business professionals in his network.

 

Joe is proud of all his accomplishments, but most of all he is proud of his purpose, his beautiful amazing kids.

 

Lessons

 

In this episode, one of the things I'd like you to listen for is Joe's pattern of speech. He uses a lot of repetition and parallel structure to make his points and it just sounds natural and powerful. I talked about these techniques back in Episode 10 and 35

 

It takes practice to do this effectively, and the best way to get better at that is to do it.

 

Another lesson besides preparing and rehearsing is that when it comes to speaking you just have to get out and do it. And do it again. And do it some more.

 

Links

 

Joe Apfelbaum on LinkedIn

https://www.linkedin.com/in/joeapfelbaum/

Social Sellin' System (Joe's LinkedIn Course)

https://learn.socialsellin.com/

Ajax Union

https://www.ajaxunion.com/

Joe's Website

http://www.joeapfelbaum.com/

Joe on Twitter

https://twitter.com/joeapfelbaum

Joe on Facebook

https://www.facebook.com/joeapfelbaum

Joe on Instagram

https://www.instagram.com/joeapfelbaum/

Grow Time TV on YouTube

https://www.youtube.com/channel/UC8_nEearUG2JyW-lZbyjAuA

Joe's Street Talk Videos

https://www.youtube.com/watch?v=t1nXhsbrHRc&list=PL_GUx-xCvZptR2MJKV-O8XCfIBPZFrBUl

Joe's Book: High Energy Secrets

https://www.amazon.com/High-Energy-Secrets-pounds-higher/dp/1948363003/ref=sr_1_1?keywords=high+energy+secrets&qid=1551570163&s=gateway&sr=8-1

CEO Mojo Podcast

http://www.joeapfelbaum.com/category/podcast/

The Breakthrough Maze Podcast

http://www.joeapfelbaum.com/category/the-breakthrough-maze/

On Writing by Stephen King

https://www.amazon.com/Writing-10th-Anniversary-Memoir-Craft/dp/1439156816/ref=sr_1_1

Comedian with Jerry Seinfeld

https://en.wikipedia.org/wiki/Comedian_(film)

2MTT: Episode 010 — Parallel Structure and Tim Garber (Part 1)

http://2minutetalktips.com/2017/02/28/episode-010-parallel-structure-and-tim-garber-part-1/

2MTT: Episode 039 — Skip the Gimmicks and Repeat Yourself

http://2minutetalktips.com/2017/12/05/episode-039-skip-the-gimmicks-and-repeat-yourself/

2MTT: Episode 035 — Let the Audience React and Ancient Rhetoric Today

http://2minutetalktips.com/2017/11/07/episode-035-let-the-audience-react-and-ancient-rhetoric-today/

Preview

http://2minutetalktips.com/JoePreview

 

Call to Action

 

  • So connect with Joe via LinkedIn. 
  • Are you looking for stuff to share on your social media channels? I created a preview of this episode. If you found today's chat interesting or valuable, you can post the preview in your LinkedIn or Facebook channel by sharing the link: http://2minutetalktips.com/JoePreview
  • Don't get best…get better.

Check out this episode!

2019-03-01

Episode 055 -- Remote Ischemic Conditioning


Strokecast regular, neurologist Dr. Nirav Shah joins us again this week to talk about Remote Ischemic Conditioning. Essentially it makes the body more resistant to oxygen deprivation by depriving it of oxygen. It's a fascinating area.

In some respects, it does the opposite of hyperbaric oxygen therapy. As we learned in episode 48, the theory is that Hyperbarics, which floods the body with extra oxygen at high pressure can bring back the stroke damaged brain tissue and help with recovery. And while hyperbaric oxygen therapy does help for a lot of conditions, the science doesn't back it up for stroke.

Remote Ischemic conditioning does appear to have positive results in the early studies and may be helpful in the future.

Does this mean you should go ahead and tie a tourniquet around your limbs to give it a shot? Absolutely not. That would be a terrible idea. At least for now.

I like the potential in Remote Ischemic Conditioning. I also like that it is potentially simple, inexpensive, and something I can do at home. Sure, it might be physically uncomfortably, but if it works, I think Io can get past that. For many of us, that discomfort may be minor compared to the other things we deal with on a regular basis.

Of course this is all still preliminary. There's research to be done.

Another thing that's interesting to think about is how something that's bad can still have positive outcomes. And yet that doesn't make up for the problem itself. It's sort of a Mussolini made the trains run on time kind of thing.

Specifically, the issue of smoking. Smoking causes some remote ischemic conditioning. As we talked about that means smokers may have less severe stroke. Good, right?

Except smoking causes many of those strokes in the first place!

The best way to minimize the effect of stroke is not to have one in the first place.

Finally, the other thing about this episode that makes me smile is that it added the phrase "vascular milieu' to my vocabulary. And that's just delightful.

To hear more from Nirav, head on over to Strokecast.com/nirav to find all his Strokecast interviews.

Bio

Dr. Nirav H Shah HeadshotDr. Nirav H. Shah is a fellowship trained neurologist and sub-specialist in cerebrovascular and stroke medicine with board certifications in: neurology, stroke medicine, carotid neurosonology, transcranial doppler ultrasound, and neuroimaging.

He is a practicing neurohospitalist and served as the stroke medical director at Swedish Medical Center in Seattle. Academically, he is interested in emergent and critical care neurology research and is an associate editor for The Neurohospitalist, a peer-reviewed journal. He enjoys mentoring trainees and collaborating on publications and conference presentations.

Outside of clinical care Dr Shah is collaborating with experts to develop scalable technologies capable of ameliorating healthcare’s challenges. He consults with startups and investors to develop technologies and devices so that one day they are available to his patients. He has worked with companies to meet FDA regulations for approval as well as to help them understand the provider perspective of product-market fit.

Dr. Shah is also the CEO and Founder of Sentinel Healthcare. He is also a passionate traveler and photographer.

Hack of the Week

If you struggle with communicating and meeting new people, prepare a preprinted bio and bring it with you.

An attendee with aphasia came to our support group recently and brought such a Bio. When it was her turn to introduce herself, she was able to hand me that sheet to read for the group. 

This can be a great way to meet other people and can relieve a lot of anxiety. If you want to get fancy, you could even laminate it.

This can also be helpful even if you can usually speak well. Sometimes stressful situations (like traffic stops) can make the words tougher to grab. A preprinted bio or introduction can help quite a bit.

Links

 

Nirav's other Appearances

http://strokecast.com/nirav

Hyperbaric Oxygen Therapy

http://strokecast.com/hyperbaric

Kristen Talks about Sleep Apnea

http://strokecast.com/kristen

Nirav  on LinkedIn

https://www.linkedin.com/in/nirav-h-shah/

Nirav at Swedish

https://www.swedish.org/swedish-physicians/profile.aspx?name=nirav+h+shah&id=271893

Nirav on Twitter

http://twitter.com/NeuroNirav

The Neurohospitalist

http://journals.sagepub.com/home/nho

Nirav’s Photography

www.thoughtpotential.com

Sentinel Healthcare

https://www.sentinel.healthcare/

Remote Ischemic Conditioning: From Bench to Bedside

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282534/

RECAST (Remote Ischemic Conditioning After Stroke Trial)

https://www.ahajournals.org/doi/full/10.1161/STROKEAHA.116.016429

Remote ischemic conditioning for stroke: clinical data, challenges, and future directions

https://onlinelibrary.wiley.com/doi/full/10.1002/acn3.691

Immediate remote ischemic postconditioning reduces cerebral damage in ischemic stroke mice by enhancing leptomeningeal collateral circulation

https://onlinelibrary.wiley.com/doi/full/10.1002/jcp.27858

Remote limb ischemic postconditioning promotes motor function recovery in a rat model of ischemic stroke via the up‐regulation of endogenous tissue kallikrein

https://onlinelibrary.wiley.com/doi/full/10.1111/cns.12813

 

Where do we go from here?

  • To hear more from Nirav, head on over to Strokecast.com/nirav to find all his Strokecast interviews.
  • Tell a friend, colleague, relative or patient about Strokecast.
  • Don't get best…get better.

 


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