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Recovery After Stroke

Recovery After Stroke
Recovery After Stroke
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  • Recovery After Stroke

    Long-Term Effects of Brainstem Stroke: The Hidden Deficits No One Talks About

    30/03/2026 | 1h 10 mins.
    Long-Term Effects of Brainstem Stroke: The Hidden Deficits No One Talks About

    Ty Hawkins was taking engagement photos with his wife the same day he was admitted to the ICU.

    That sentence alone captures something essential about brainstem stroke, and about the particular cruelty of its long-term effects. On the outside, Ty looked like a young man in love, celebrating a milestone. On the inside, his vision was blurring, his balance was failing, and one side of his face had begun to droop. By nightfall, he was in the hospital being told they had found a mass on his brain.

    That was June 2019. Ty was in his mid-twenties, working in sales at Verizon, playing competitive basketball, and building a life with the woman he was about to marry. The stroke caused by a bleed from a cavernous malformation in his brainstem carried a 25% survival rate. Of those who survived, only 10% made a significant recovery.

    Ty is now approaching year seven. He returned to work. He speaks publicly. He shares his story with a global audience that finds him through social media and reaches out to tell him he helped them keep going.

    And every single day, he still wakes up managing deficits that most people around him cannot see.

    What the Brainstem Controls — And Why Its Damage Lingers

    The brainstem is not a dramatic structure in the way the cortex is. It doesn’t govern language, memory, or personality in ways that are immediately visible to an observer. What it governs is more fundamental: breathing, heart rate, digestion, balance, coordination, and the relay of sensory signals between the brain and the body.

    When a bleed occurs in the brainstem, as it did for Ty through a cavernous malformation, a cluster of abnormally formed blood vessels, the damage disrupts those foundational systems. The effects can be wide-ranging, deeply personal, and stubbornly persistent. They can also be almost entirely invisible to anyone who isn’t living inside that body.

    For Ty, the long-term effects of his brainstem stroke include ataxia, double vision, gastroparesis, CRPS, and left-sided numbness and weakness. None of these are visible when he walks into a room. All of them shape his daily experience in ways that most people, including many in the medical system, never fully appreciate.

    Gastroparesis After Stroke: The Deficit Nobody Mentions

    Of all the long-term effects Ty lives with, gastroparesis is perhaps the least discussed in stroke recovery conversations and one of the most disruptive to daily life.

    Gastroparesis is a condition in which the stomach empties too slowly or incompletely, caused by disrupted communication between the brain and the vagus nerve. For Ty, this means the digestive signals that most people take for granted, hunger, fullness, and discomfort, are unreliable. He can eat three bites and feel as though he has finished a six-course meal. He can go hours without a hunger signal and needs to eat by clock rather than by sensation. When his nervous system is overwhelmed, his digestive system slows or stalls entirely.

    Gastroparesis after stroke is not a fringe experience. The brainstem governs the vagus nerve, which in turn governs gut motility. A brainstem stroke can interrupt that pathway in ways that create persistent digestive dysfunction, yet it rarely features in the standard conversations about stroke recovery. Survivors can spend years not understanding why their digestion is erratic, not connecting it back to the stroke, and not receiving targeted support.

    Ty found that movement and routine helped regulate his system. A morning sauna, regular exercise, and starting the day with warm tea and light fruit rather than a heavy meal gave his digestive system conditions in which it could function more predictably. These are not medical solutions, they are adaptive strategies built through seven years of learning his own body.

    CRPS and Ataxia: When the Nervous System Won’t Stand Down

    “My daily pain level is a four or five. Someone not used to chronic pain would call it an eight or a nine.” — Ty Hawkins

    Complex Regional Pain Syndrome (CRPS) was misdiagnosed in Ty for several years as neuropathy. It presents as the brain becoming stuck in a fight-or-flight pain loop, sending persistent, amplified pain signals in response to stimuli that should not be painful at all. For Ty, this means clothing fabric can register as pain. Cold bed sheets can spike his discomfort through the roof. Water on his skin can hurt.

    Ataxia compounds this by disrupting muscle coordination when his nervous system becomes overwhelmed. His gait changes. His shoulder shakes when lifting overhead. Coordination that was once automatic, honed through years of competitive basketball, becomes unreliable when fatigue, overstimulation, or stress tips his nervous system past a threshold.

    Both conditions are neurological in origin. Both are invisible to the outside observer. Both require constant, conscious management.

    The Athletic Mindset as Recovery Infrastructure

    What gave Ty the internal architecture to manage all of this? He credits his coaches.

    Years of athletic training being pushed past comfort, being held to a standard of effort regardless of natural talent, learning that showing up and doing the work was non-negotiable, built in Ty a psychological framework that translated directly into rehabilitation. In the inpatient facility, he was wheeling himself to therapy sessions before the nurses came to collect him. After the first week, they stopped coming. They knew he would already be there.

    As the doctors noted during his rehabilitation: he was recovering faster than expected, and they attributed it directly to his athletic background. Not his talent. His work ethic.

    The Emotional Cost of Looking Fine

    Perhaps the most underappreciated long-term effect of Ty’s brainstem stroke is the one least visible of all: the emotional toll of presenting as healthy while carrying a daily invisible burden.

    For years, Ty’s type-A, athletic identity kept him moving forward, but it also kept him from fully acknowledging what he was carrying. It took until years three or four before he genuinely engaged with psychotherapy. Once he did, the progress he experienced was significant. He now starts every Monday with a therapy session.

    The shift that mattered most was learning to honour how he actually felt rather than how he wanted to feel. For male survivors in particular, the cultural conditioning to tough it out is deeply ingrained and actively harmful in the context of long-term stroke recovery. Emotional suppression does not make the load lighter. It makes it invisible to everyone, including the person carrying it.

    Recovery Has No Expiry Date

    Ty’s most direct message to survivors is straightforward: don’t limit your recovery to the first year. The brain does not set a deadline on neuroplasticity. He is approaching year seven and still noticing improvements.

    The triumph of this story is not that Ty is symptom-free. The triumph is that he has built a life of genuine meaning and contribution around an ongoing physical reality without pretending that reality doesn’t exist. He’s reached people on every continent with a message that is simple, honest, and badly needed:

    You can survive the statistics. You can carry the hidden weight. And you can keep getting better years after everyone else assumes the story is over.

    If you are navigating your own stroke recovery early or years in, Bill’s book is a practical and honest companion for the journey: recoveryafterstroke.com/book

    And if the Recovery After Stroke community has been part of your path, consider supporting the show on Patreon: patreon.com/recoveryafterstroke

    This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan.

    Ty Hawkins: Six Years After a Brainstem Stroke, Still Fighting the Battles You Can’t See

    He survived a 25% chance brainstem stroke. Nearly 7 years on, Ty Hawkins reveals the hidden deficits that never made the headlines until now.

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    Highlights:

    00:00 Introduction: Long-Term Effects of Brainstem Stroke

    05:54 The Day of the Stroke

    11:35 Hospital Experience and Diagnosis

    15:44 Mindset and Recovery

    21:46 Therapy and Rehabilitation

    24:25 Long-Term Effects of Brainstem Stroke

    32:58 The Importance of Exercise in Recovery

    38:21 Living with CRPS: A Daily Challenge

    50:29 Emotional Resilience and Mental Health

    01:01:28 Lessons Learned: Recovery Insights for Stroke Survivors

    Transcript:

    Introduction: Long-Term Effects of Brainstem Stroke

    Ty Hawkins (00:00)

    as I’m sleep. have a dream and It’s just I’m in a dark place and I just hear a voice and it says do you trust me and? I said well Absolutely, it said okay. Well, we have to go and I immediately wake up and I tap my wife and I say hey we should go to the hospital now and Then I go to the hospital so by day I’m taking engagement photos and by night. I’m in ICU

    immediately taken to the

    for a CAT scan and chest x-rays.

    Bill Gasiamis (00:30)

    Before we get into today’s conversation, I wanna take a moment to acknowledge something that I think a lot of people in this community quietly live with. The feeling that your

    looks finished to everyone else, but you know the real story. You’re still managing things every single day that nobody around you can see. If that’s you, this episode is going to hit home. My guest today is Ty Hawkins. Ty had a brainstem stroke in June, 2019.

    caused by a cavernous malformation, a bleed that carries a 25 % survival rate. He made it, he went back to work, he plays basketball, he looks great, and he is still nearly seven years later managing gastroparesis, CRPS, ataxia, and daily chronic pain that he rates at four or five, which he says most people would call an eight or nine. This is a triumphant story, not because every deficit is gone,

    but because Ty built a life of purpose and meaning around the ones that stayed. We’ll get into all of that in just a moment. Now turn2.ai is your AI health sidekick that keeps you up to date with personalized stroke recovery information each week. There are literally over 800 new things published every week on stroke. Turn2 searches everything new from the past week and sends you what’s most relevant, research, patient discussions.

    expert comments, trials and events.

    You can try for free and get 10 % off by scanning the QR code on the screen or clicking the link in the description below. And if you haven’t picked up a copy of my book yet, it’s available now at recoveryafterstroke.com/book.

    And now let’s get into the conversation Ty.

    Bill Gasiamis (02:13)

    Ty Hawkins, welcome to the podcast.

    Ty Hawkins (02:15)

    Thank you for having me.

    Bill Gasiamis (02:17)

    Thank you for being here. This is the second time we’ve tried to connect and have you on the show. Last time, if I recall correctly, you won an award or you graduated from somewhere.

    Ty Hawkins (02:30)

    I believe I had one either had a speaking engagement or I won an award where I wasn’t able to attend our our interview

    Bill Gasiamis (02:42)

    Yeah, what was the award? Do you recall?

    Ty Hawkins (02:47)

    That was a few years back. I don’t really recall offhand. I know there was a lot going on with me mentally at that time too. So I don’t really recall what it was. drawing a blank right now on that one.

    Bill Gasiamis (03:01)

    Yeah, fair enough. I do remember it was at least 12, maybe 18 months ago that we tried to connect. But that’s cool that you’re here now, man. Thanks for reaching out again. I was just going to ask like, what was your life like before the stroke? What were you up to? What was your regular day like?

    Ty Hawkins (03:21)

    So for me what I was up to both prior to my stroke I was really locked in and focused on my career. So I graduated college or university in 2015 and I was well into my career with Verizon here in the States and So my my day-to-day look pretty much like work and I was spending a lot of time just

    playing basketball because I played in college. So I was trying to, you know, ⁓ still keep up with the athletic side of me while getting my career off the ground.

    Bill Gasiamis (04:01)

    What kind of work did you do for Verizon?

    Ty Hawkins (04:05)

    So his Verizon, was at that time while I’m still in sales currently, but at that time I had just started my sales role and immediate like right prior to I was a sales manager, prior immediately prior to my stroke.

    Bill Gasiamis (04:21)

    huh. What was it like the day of the stroke? Or actually just before you answer that question, was there any signs that you were unwell, that there was potentially something looming, you know, anything give it away before the stroke that now you think that was probably a sign?

    Ty Hawkins (04:40)

    Absolutely. So looking back and now having the education and the awareness of stroke, know I remember just having numbness in my left foot ⁓ that started and felt like a little pebble in my left shoe. And I would take my shoe off and shake it out and nothing came out. And I had no idea that it was actually like the feeling in my foot.

    and it started to move up my leg and eventually ⁓ from my foot up to my shin, actually I felt pins and needles ⁓ and my foot was actually numb and I experienced a lot of headaches ⁓ immediately prior to the stroke. So for weeks I was having, I would have little headaches that I just thought was stress related from work.

    Bill Gasiamis (05:38)

    to the, what you just explained about your foot. That’s exactly what happened to me. My left, my big left toe went numb and then my entire left leg went numb, but it took me a week to get to the hospital. By then my entire left side had gone numb. So how long was it before you decided to do something about your numb foot and shin?

    The Day of the Stroke



    Ty Hawkins (05:54)

    Mm-hmm.

    So ⁓ it may have been a few weeks, honestly. So I just pushed through and thought it was because of work and just stress related to work. it took about a week or so till it actually moved, till actually my leg went numb. And I remember one day vividly my wife tickled my foot, my feet, I was ticklish. And she went to tickle my, she tickled,

    tickle my feet and I jumped when she tickled the right foot but I didn’t budge at all when she tickled the left foot and so that was a sign I still pushed through and I went to play basketball and I took a shot that it was routine for me and I missed very bad and there were guys at the gym I thought I had vertigo maybe some something in her ear and the guys at the gym like hey man

    Something seems off with you. I want you to get checked out before we play again in a few weeks. And so I decided to make an appointment to see my neurologist or not neurologist, my primary care physician. And I went through a routine checkup and everything kind of cleared. And so I had a decision to make that I want to tell her what was going on with my body though my vitals were good.

    And so I told her and she ran some tests like poked poked my foot and just was touching my leg with different ⁓ textures and eyes open eyes closed and I can only I only knew that she was touching me if I could see her. So when I closed my eyes and she touched me, I didn’t I had no idea. And so she sent me to for MRI and before or not for MRI, she sent me to a neurologist.

    And the neurologist scheduled me for MRI for the next week and I was in the hospital the very next day.

    Bill Gasiamis (08:04)

    Wow, man. You had a brainstem stroke from a cavernous malformation. I had a stroke caused by a arteriovenous malformation, which is very similar kind of issue with the way that the blood vessels have formed. My one popped and then started to bleed like really, really slowly. It sounds like yours did something similar. So

    Ty Hawkins (08:17)

    AVM, correct?

    Bill Gasiamis (08:33)

    you’re going through this for a couple of weeks, you go and see the neurologist and the next day you’re in hospital, how dramatically did it escalate between the neurologist appointment and the next day?

    Ty Hawkins (08:44)

    ⁓ So it escalated very very fast so the next day I woke up and it was that my engagement photo shoot so what a day right and

    Bill Gasiamis (08:57)

    Wow.

    Ty Hawkins (08:58)

    I’ll go to the bank I take a five-minute drive from my house to the bank and what happened on my way back is just off I couldn’t explain what was going on I just had an all feeling so I told my wife I wasn’t able to drive to any of the other appointments that I had that day prior to our shoot and on the way to our photo shoot so things progress

    by minute by minute hour by hour So I started the day she noticed a facial droop and we had no ideas of the sign She looked at me. She said are you okay? Cuz your face and I looked in the mirror and it was it was slight but So didn’t really think much of it and I was excited for our shoot So I just pushed through and on our way the photo shoot location was at our University where we met and that’s about

    40 minute drive from our house so as we’re progressing through the drive my vision starts to get blurry and I can’t I can barely make out the vehicles that are around us I can only make out the color and the color of the license plate so I know that something’s there but it’s so blurry that I can’t even couldn’t tell you what kind of what kind of vehicle it was we actually get to the location for the shoot

    I get out the car and I can barely stand upright so ⁓ I Remembered trying to move and I was just so all balance and and dizzy and We did the shoot somehow some some way I made it through the shoot and I remember changing my clothes and ⁓ As I look back now I went into the bathroom to change my clothes and I was alone and I could I kept

    Tilted to the right while was trying to put my clothes on and my shoes and as I think back I’m so lucky I’ll say I’m so blessed to have made it out of that bathroom you know I’m back to the group and We finished the shoot and I go we drop home So my wife says do you want to go to the hospital or I said no, I won’t go home and I just want to rest ⁓ so

    She goes and picks us up some food. I’m at home. I remember taking maybe two, three bites of the food and just feeling so nauseous. Like, man, I can’t even, I’m not even hungry anymore. And so I say, I’m gonna go and take a nap. If I wake up and I feel the same as I do now, we can go to the hospital. And this is where the story really gets.

    Hospital Experience and Diagnosis

    It’s going because in my dream or

    as I’m sleep. have a dream and It’s just I’m in a dark place and I just hear a voice and it says do you trust me and? I said well Absolutely, it said okay. Well, we have to go and I immediately wake up and I tap my wife and I say hey we should go to the hospital now and Then I go to the hospital so by day I’m taking engagement photos and by night. I’m in ICU

    immediately taken to the back with them saying whatever the stroke they felt that the stroke code was or what they call it in the hospital. And I was immediately taken back for a CAT scan and chest x-rays.

    Bill Gasiamis (12:31)

    Wow, man, that is a crazy story. ⁓ Firstly, how did the photos turn out?

    Ty Hawkins (12:39)

    photos they turned out good I would say in spite of the circumstances but if you look at the photos in as you know as well as we understand stroke you can look at my face and see the the facial droop in my top lip so as I’m trying to smile you my smile wasn’t wasn’t aligned it was it droops slightly so the right side of my face was impacted so I had a juke going to the right

    But I would say they turned out well despite the circumstances for what the circumstances were

    Bill Gasiamis (13:17)

    All things considered. Yeah. That is unbelievable. This dream like who now this is going to get trippy. I know like who was that in your dream that gave you that information.

    Ty Hawkins (13:30)

    So for me, at that time, I mean even now, I say it was God for me, speaking to me and letting me know that I needed to get to the hospital. And then at the hospital, when the doctor came in to give the news that they found what they thought was a mass on my brain, I remember

    hearing seeing a figure in the corner of my room and hearing that same voice say remember that I’m going to protect you and so from there you know I just tied it that that was God with me through through the stroke

    Bill Gasiamis (14:12)

    I love it that that was God with you, man. Why not? That is amazing. And that the person or that spirit or the being was in the room with you as well. Reassuring you. Wow.

    Ty Hawkins (14:22)

    Yes.

    Yeah, it was was crazy. remember so it’s time almost simultaneous the the doctor was coming in to give the news and he was The door was off-center to my left. So I see he he came in and The figure was in the corner to the right So as he comes in my wife is looking like he has bad he looks like he has a face of bad news so he mentions that there’s

    They found a mess and Simultaneously, heard me remember I’m going to protect you so as the doctor leaves I look at my wife and I say I don’t know how to explain this but I’m going to be okay and You know as destroyed as she was You know, that’s what I could say to her I couldn’t really explain it in that moment But I told her and ⁓ I knew that I was going to be fine

    Bill Gasiamis (15:25)

    Wow, man. So I had some moments when they gave me the news. I was at the hospital alone. It was probably 11 p.m. at night. It was a Saturday night. No, it was a Friday night. I’d sent my wife and the kids home because I didn’t want them to wait for hours and hours to find out the news, go home and rest and look after the kids. They were young teenagers, both of them at the time. And I was…

    Mindset and Recovery

    I got the news it was there’s a mass on your brain or a shadow on your brain that appeared in the scan. It could be a brain bleed. It could be a tumor and that tumor could be benign. It could be cancerous. That’s the way they broke the news. And I remember being kind of like, ⁓ okay, whatever. And I was so.

    I was so nonchalant about it. He says to me, do you have any questions? And I said, no, not at this stage. And I left it at that. And I basically just took the news, went to bed, had a bit of a sleep because the next morning I was going to wake my wife, her to come to hospital. I had to tell her the news and I did that. She came. And after I told her the look on her face was the first time that I kind of got a little bit scared. And then I had to ring.

    my client and tell my client I’m not coming into work today ⁓ because I’m in hospital and there’s something wrong with my brain I don’t know what it is and I start crying.

    But even through all of the drama, the three brain bleeds over two and a half years, brain surgery, walking, even through all of that and all the problems that it caused us, me, my family, my work, it never crossed my mind that I wouldn’t get through this or wouldn’t get over it or beyond it. Now I am still dealing with it. I still have a podcast that I have to do.

    because if I don’t do, I don’t get my therapy every week. But do you know, I’m moving through it, beyond it, overcoming it. I never believed for one moment that it would be the thing that stops me, defines me, even though I’ve had dark days, dark weeks, dark months, I always expected that it would shift and something would come out from the other side. I don’t know whether…

    ⁓ I would ⁓ allocate that to God or something else, but I truly deeply believe that like it was within me and maybe it was kind of God like type of experience, but I love how you’re in technically like the worst day of your life health wise, it could go one way or another and you’re just thinking I’m going to tell my wife everything is going to be fine and ⁓

    We’ll just get through this. I think that is something that sort of set the foundation for how you were going to approach the whole entire recovery after that, this experience that you had.

    Ty Hawkins (18:40)

    Yes, I think that definitely set the tone. Having that experience and not… I never felt in danger. I knew that the journey, this process, wasn’t going to be easy. But I never felt that I was in danger. That my life was in jeopardy.

    the diagnosis and the statistics that show if you have a bleed in your brain stem that the percentage of survival is 25. So that’s one in four people that based on statistics that experience what I do one in four people survive. And then of those that do survive, they say that 10 % just make a significant recovery. And I never felt.

    that I was battling against those statistics each day that from the moment I got the news it was a cool calm collected call my mom, my brother and that’s what my wife did and you know I just tried to stay as composed as possible ⁓ because I never felt in danger and I didn’t want them to worry too much ⁓ you know I knew it was going to be be difficult because I went from

    One day running up and down the basketball court to being bedridden and barely could function. I couldn’t write. I lost the perception on size of writing. I couldn’t walk. ⁓ I forgot how to walk, though my body forgot how to walk. I could mentally think, hey, I want to take these steps and get up out of bed, but I needed help. So I spent a week in the hospital.

    I spent three weeks in an inpatient rehab facility. So as I mentioned It was the day of our engagement shoot so our wedding was set for three months later And that’s all I could really think about was I have to get ready for this wedding I have to get ready for our wedding. I have to get ready for our wedding. So every day I woke up ⁓ You know my athletic mind is up for the challenge ⁓

    You know, God told me that I was going to be okay. And I knew that I had to show up and do the work when I was taught on the basketball court and just in life, you just have you show up and you, you, you battle back against adversity. And I decided that yes, like you, didn’t want this to define me. I didn’t feel that this was going to be the end of, of my life. ⁓ I knew that it was going to be a chapter that I would never forget, but

    I knew that I was up for the challenge.

    Therapy and Rehabilitation

    Bill Gasiamis (21:40)

    I love that athletic mindset, right? Your coach probably drilled you for years, know, like get up, get going, keep going, keep moving, push through, overcome, ⁓ try harder, you know, be more strategic, whatever, like the whole athletic mindset applied to stroke recovery. I reckon it’s such a massive, ⁓ like it’s such a massive benefit to have that going into a diversity, like recovering from a significant health.

    ⁓ situation because I know that there are players on the field who are not the best players but they are the most impactful because they do the most work and they get given labels like he’s a natural or ⁓ he’s gifted or stuff like that and it’s like dude I couldn’t

    I couldn’t walk straight when I was a young kid. The only reason why I appear gifted or natural is because I work all day every day. You classic Michael Jordan ⁓ kind of approach where Jordan talks about being ⁓ always training, always shooting hoops, always ⁓ on the basketball court more than anybody, even though he was

    Ty Hawkins (22:52)

    you

    Bill Gasiamis (23:00)

    Appearing to be kind of naturally gifted because of his body shape because of his athleticism because of his height But it meant nothing if he didn’t do the work every single day

    Ty Hawkins (23:12)

    Yes, yes, and even you know from a spiritual perspective There’s the saying that faith without works is is dead And so for me I had the faith and I knew that I needed that there was work work required of me I think even after ⁓ my experience of so as I mentioned I spent three weeks in the inpatient facility once I understood the magnitude and how much my

    Long-Term Effects of Brainstem Stroke

    mindset really helped me through. I reached out to a lot of my coaches and you don’t understand when you’re young how they’re, man they’re pushing me so hard, they’re pushing me so hard and I’m like well I’m glad that they pushed me this hard because because of that I felt prepared for the adversity that I faced in June of 2019 so you know I remember reaching out and just saying thank you for being

    as hard on me as you were because it helped me through this. Who would have known that years later that discipline that you were, that I thought as a young adult would, you know, thinking that you’re just being tough on me and it’s really building characters, building a mindset. And I grew to appreciate that as I started to reflect back on, you know, on my journey because a lot of the doctors said,

    You’re I feel that you’re recovering so fast because you were an athlete in I wasn’t just an athlete I worked hard my I took pride in like you said that Michael being in the gym and Just really working hard. It was one thing I said hey You might be better than me, but it’s one thing that you’re not gonna you might have more talent than me But you’re not going to outwork me and you know, that was my mindset

    Bill Gasiamis (25:03)

    Hmm.

    Ty Hawkins (25:06)

    with recovery, it’s every day. Once I understood what therapies that I would have to do. ⁓ So I remember in the inpatient facility, my first week there, the nurses would come clip my schedule to my wheelchair and they would come get me for therapy. After the first week, they would come clip my schedule to the wheelchair and they’d never, they wouldn’t come to get me because they knew that

    I was going to be wheeling myself down the hallway to get to whatever session, OT, occupational therapy, physical therapy, or speech therapy that I knew what time I needed to be there and I was going to be there because I was determined to get better.

    Bill Gasiamis (25:52)

    I to ask for permission to walk back to the therapy room ⁓ on my own because they were afraid I was going to fall and it was fair enough because my left side wasn’t really working well after about two and a half, three weeks I was on my feet but I still was quite unstable and they said, look, we’re not gonna let you walk alone. We’ll come, but we won’t help you like we have been helping you. We’ll just watch you walk. I was like, yes, do that.

    I felt safe, but also I had the ability to just get myself there. They had handrails down the hallway and everything that I could hold onto. But of course I went near them, tried not to hold on, held on when I needed to. I did everything I could to be on my feet on my own so I can get the brain getting used to being on this weird left side of my body, which is numb, tingly.

    and not receiving information that the foot was on the ground. Like the brain wasn’t being told your foot’s on the ground, man, you know, like step or tension muscle or do the stride or whatever. So I remember going through that and I remember complaining because I was spending too much time in my bed. And I was like, guys, like, what am I doing here? This is boring. And I need to get into a session. I need to do something. And they were, well,

    You know, we have to have lunch and we have to have other things that we attend to after I write reports on you and all that kind of stuff. You can’t be eight hours a day just in the gym or in the therapy room or whatever. And I’m like, ⁓ okay. I didn’t realize there was other technical things that happened in the background that wasn’t that was related to me, but not the as part of the physical stuff. So in, so instead what I did is I

    Ty Hawkins (27:38)

    Thanks, Ted.

    physical, yes.

    Bill Gasiamis (27:49)

    imagined myself exercising, I imagined myself walking, I imagined what it would look like when I was on my feet, etc. Because it rewires the same part of your brain as if you’re actually doing it. So I thought, right, if you’re not going to be with me, ⁓ taking me for the actual therapy, I’m going to imagine myself doing the therapy.

    Ty Hawkins (28:11)

    No, I was the same so For me, I didn’t so I couldn’t really Walk in the big the first the first week I spent a lot of a lot of the duration of my three weeks I spent in the in a wheelchair there, but I was able to in The first week I needed a lot of help moving from the bed to the wheelchair But after a while I could get myself out of bed

    into the wheelchair, will to therapy. That’s why they didn’t come because I wasn’t necessarily walking. But when I did walk, I would have a walker and they would use, somebody would be with me. And I was the same way. I’m like, man, I’m in bed a lot. I’m only in therapy for an hour and a half each session. neural fatigue really,

    could appreciate my breaks because I was so, that hour took a lot out of me. But as my body reacclimated to the workload that it was receiving, ⁓ I was able to stay awake a lot better and my mom would then take me outside to do extra things. We would play toss for my hand. ⁓ She would toss the tennis ball. It would help me walk outside a little bit.

    Bill Gasiamis (29:11)

    Yeah, same.

    Ty Hawkins (29:37)

    But just, you would help, RMOF would help as much as they could for me to get extra, ⁓ some extra time and extra movement in outside of just the hour and a half that I was in the therapy session.

    Bill Gasiamis (29:52)

    Yeah, I love that. My parents came along as well. said to my wife and everyone came past and I spent time outside with them, you know, having some time in the sun, a meal, a coffee, something like that. That was really helpful. I think you and I also both benefited from the fact that the bleeds, although really serious, were not catastrophic bleeds and we had a lot of time to react.

    to our situation that we found ourselves in. I took seven days, you took weeks. And I think that was just pure, utter luck that the bleed was a little small enough to start impacting us in a very small way that we thought was not significant and not at risk of our health. And also we both benefit from looking like we haven’t had a stroke. No one can tell that you would have or I’ve had a stroke, but you are.

    Ty Hawkins (30:23)

    Please hit.

    Yes.

    Bill Gasiamis (30:47)

    also still though like me living with deficits right and you’ve got a few of them let me just read out the list you’ve got left-sided numbness and tingling which i have and weakness which i have but you’ve also got ⁓ a taxia which you’ll tell me about in a minute double vision ⁓ you’re going to also tell me about gastroparesis and crps so for someone that is so upbeat

    Ty Hawkins (30:51)

    Yes.

    Bill Gasiamis (31:16)

    looks like you do ⁓ like you haven’t had a strike, etc. You are experiencing some ongoing deficits years out. So first, tell me a little bit about a taxia. What’s that?

    Ty Hawkins (31:24)

    Yes.

    So ataxia is, impacts the muscle coordination. So when my nervous system gets overwhelmed, it almost scrambles my coordination. So sometimes it’ll impact my gait specifically. It really like impacts.

    Again my left side so I was impacted in the brain stem right side of face left side of body So it impacts a lot of and I’m left side dominant. So as I’m trying to lift weights or play basketball ⁓ I’ll have a I’ll feel what someone miscoordinated and so my coordination isn’t ⁓ Isn’t smooth once I get overwhelmed or

    My nervous system isn’t sending the signals properly then it impacts my running so then ⁓ doesn’t send the signals for all the muscles to fire in the proper chain and then it impacts Yeah, like my shoulder so we’re trying to like lift things overhead ⁓ then it’ll get shaky ⁓ But yeah, it’s pretty much just a lack of coordination for like to simplify things

    The Importance of Exercise in Recovery

    Bill Gasiamis (32:52)

    Okay, cool. Interesting. So I have a very minor version of that. My left side, probably not as coordinated as my right side anyway, because I’m right side dominant. But now my left side is just a little bit out, you know, and when I get tired, my balance goes off. And ⁓ I find myself leaning in one direction. I lean into the doorway, you know, when I’m really tired, getting out of bed in the morning, I need to make sure that my foot is on the ground so I don’t lose my balance.

    that kind of stuff. So tell me about gastroparesis. That’s one I haven’t come across a lot.

    Ty Hawkins (33:27)

    So, ⁓ just from having the brain stem is in control ⁓ of a lot of your, not basic functions, but your essential functions. So breathing, heart rate, digestion. So what gastroparesis is, is there’s ⁓ a lack of communication between my brain and the vagus nerve.

    which will then lead to my digestive system either pausing or moving slow, moving a lot more slowly. And so what that can lead to is a lot of stomach discomfort where I can have three bites of food and feel like I had a six or six course meal. ⁓ you know, and then when that system isn’t functioning properly, it leads to issues with like my skin and things like that. But

    Gastroparesis from my understanding is just either like a slowdown or paralysis of your digestive system.

    Bill Gasiamis (34:33)

    I hear you. Unexpected, ⁓ unexpected side effect of a stroke, right? People hear stroke, they, they know it’s associated to the head, but gastrointestinal issues become a massive problem for some people after stroke because the two are linked. And, you know, you can heal your brain by healing your gut. And when I say heal your brain, you can improve how it functions by healing your gut. ⁓

    And like if you stop eating the standard American diet, standard Australian diet, same thing. If you stop eating that, you improve the gut conditions and that improves your brain, but also your other organs. But here you’ve got like a neurological disconnect sometimes when you’re overwhelmed by the vagus nerve that stops the standard basic functioning of your gut digestion. Like I imagine

    Ty Hawkins (35:29)

    Yes.

    Bill Gasiamis (35:31)

    you have a meal and it takes longer to digest or and therefore it causes discomfort therefore you are you avoiding food because of that?

    Ty Hawkins (35:41)

    Some days some days ⁓ You know and that it this one really my wife it’s you need to have you need to eat you need to have your meals and Like I’m not really hungry. It’s ⁓ is a lot of times I’m confused because I have such a discomfort in my stomach that I don’t know if I’m full or if is discomfort from you know, just just everything neurologically

    So I’ll have to try and guess like hey ⁓ Am I am I fool what did I eat yesterday? What did I have today already? So some days I found myself avoiding food Just because I think that if I do I’ll give my system time to either catch up or slow down ⁓ So simply put I do as I’m thinking about it. I do avoid foods at times

    Bill Gasiamis (36:35)

    Hmm. Yeah, it makes sense that you would. And I met a guy many years ago, we’re talking about maybe 10 years ago, who had a similar thing to you, but a little more dramatic in that he didn’t get hunger messages at all.

    So he had to eat only when other people were eating as a reminder that it’s time to eat. if he didn’t do that, he wouldn’t ever get the message that you have to eat. You haven’t eaten for four days or five days.

    Ty Hawkins (37:15)

    I’ll get you know I think that sometimes that that may happen where I’m just not getting the signal and but I’m aware that hey I know I need to eat I’m aware that maybe it’s been a day or I have a workout coming up that I know I need to eat for and sometimes it can just be I can have a banana and It feels like I had a full a steak

    dinner with potatoes and a vegetable and like wow just from a banana and a glass of water and then some days my appetite is normal where I think once I find you know my routine I found a routine of sitting in a sauna and working out and ⁓ eating regimen so in the morning I would have I’ll have a cup of warm tea

    Living with CRPS: A Daily Challenge

    And if I’m not overly hungry or have a gym session, I’ll just have some fruit like a fruit salad and I’ll feel light and my digestive system appreciates that. And then ⁓ my body responds well to the heat. So I’ll try to sit in the sauna or exercise to get myself to sweat. And that seems to help my systems kind of stay in syncing and rhythm.

    So when I do that, my appetite is pretty normal, but when I find myself either overwhelmed, just neurologically or from the stresses of the day, then systems just start to go out of whack.

    Bill Gasiamis (38:55)

    I hear you. Exercise is so important. Like doesn’t matter what condition you’re in after stroke, you got to find a way to move your body as much as possible. And it causes so many positive cascades in your body that you, the bang for buck by exercising that your brain and body gets, it’s just unmeasurable. You cannot measure it. It’s so, so important. ⁓ And I love that you experienced direct benefits that you’re aware of.

    when you exercise.

    Ty Hawkins (39:27)

    Yes, and that’s that’s the physical benefits and it’s also been very Beneficial mentally to mentally emotionally because a lot of people don’t Really when you hear a stroke and you think a recovery is just hey the physical recovery and hey you look great tie and like I Do look great, but internally some days I don’t and mentally some days I don’t but I know that

    When I get, when I go to the gym and I work out, my mood is, it’s night and day when I don’t and when I do. And so I committed to, ⁓ working out as much, even if it’s just going outside for a in the neighborhood, getting outside, fresh air, it’s, have to move my body because if I don’t, that’s when things, you know, physically, mentally, and emotionally just start to break down.

    Bill Gasiamis (40:23)

    Yeah, we are meant to be moving. We’re moving creatures, you we’re meant to be moving, not sitting down too much, you know, driving desk work, all that kind of stuff is not normal. And we’re to be doing the, the physical version of getting somewhere like walking somewhere or, you know, running or, riding a bike. And if you can’t get on a bike, get a

    one of those sit down three wheeler bikes. If you need a walker, walk with a walker. you know, whatever the situation is, find a way around it because exercising is hard, not exercising is hard, but like far harder.

    Ty Hawkins (41:11)

    Yes, yes, I just I made a video about that and I posted it Maybe two days ago about the gym and I woke up I was a little tired and I still got up and I went to the gym and after I said that same thing that Though I got the hard work done. The work was hard, but not moving is hard too. It may not

    be immediately hard but it’s hard on your body not moving it adds up over time and ⁓ it’s what kept me I think not I think I know it’s what kept me the movement that I did early on paid off you know the doctors every session it was a lot of movement ⁓ and even now I’m just conscious of I may reach in the cabinet to get a cup but I’m

    You know extending my arm more more than the one time to get the cup because that’s that’s therapy You know a lot of people have this ⁓ Miss conception that therapy is just that one hour in the therapy environment I try to find everything to be therapy Reaching for a cup reaching for a plate eating ⁓ You know the steps that I take around the house ⁓ even just dancing you know I’m not

    I don’t have the, I have a little rhythm, but I’m not the best dancer, but music and moving my body just as I feel was something that was very, you know, beneficial for me. And it took me back to think when we were children and we’re kids, we just have these, what we think as adults is random movements. We’re folding ourselves like pretzels and spinning in circles. And it’s like, hey, this is what,

    body is meant to be freely moving and we kind of lose track of that once we get to work or school sit at a desk for eight hours sit in a vehicle for long long drives and you know so on and so forth then we forget that we take for granted you know moving the ability to move our bodies until you know our bodies show us like hey you know this is the repercussions sometimes of you not moving your body.

    Bill Gasiamis (43:34)

    I love that. That’s a beautiful way to wrap that up is by saying the repercussions of not moving your body. It’s exactly what it is. They occur. Your hips get tight, your joints change in their ability to handle stress. Your bones get ⁓ thinner. You know, like so many things change in a negative way. You got to move even if you’re doing a real, you know, if you have a real challenging stroke experience and stroke.

    ⁓ deficits, you just got to move as much as you can. I love I love that ⁓ that approach. So you also are now dealing with CRPS. Now I’ve heard of that before, but describe that and what it’s like for you.

    Ty Hawkins (44:18)

    ⁓ So it was misdiagnosed for some years as just neuropathy Which is the numbness and tingling on my left side? So if I if you were to look at me and draw a straight line down My right side feels What do you know the ⁓ normal person would feel you know? ⁓ It’s just freely flowing it feels normal right and my left side is just

    You know, constant daily pain. You know, I feel something, ⁓ whether it’s in, you know, my leg, my arm, ⁓ you know, ⁓ it can be even having clothes on like this jacket right now is sending signals to my brain that ⁓ my arm is in pain and I’m not in pain clearly, but my brain is sending signals that me having this jacket on this material brushing up against my arm.

    ⁓ It’s painful water hitting my skin painful and my paint but That you know depending on the temperature you know if they’re cool at the bed sheets are cold of Pain level rises through the roof. ⁓ Yeah, it hurts But you know a lot of you know my mindset

    Bill Gasiamis (45:23)

    What about the big shades? What about big shades?

    Yeah.

    Ty Hawkins (45:44)

    I don’t know. just I don’t complain about it and it’s like hey, you know, this is what I have to deal with So it’s constant like times. I feel it deep within my abdomen. I’ll feel it in my shoulder ⁓ You know, but CRPS it attacks ⁓ It’s essentially your brain just signaling that it is your brain stuck in a fight-or-flight cycle and it’s constantly Signaling that there’s some it’s a threat or some kind of pain is happening. So

    From putting the sneaker on, it’s really been attacking, as of lately, my left ankle and my left foot. certain shoes, I can feel the pain deep in the bones in my foot. And then sometimes I’ll just feel like ⁓ a very deep ache in my shoulder. Or if the temperature gets cold enough, it’ll feel like somebody’s just grabbing, know, just has a hold on my rib cage.

    and ⁓ you know so that’s Lightly to put CRPS what I think for me because I’m so used to the pain now is that my I always say daily I have a pain level of ⁓ four four to five where somebody that’s not used to chronic pain would say it’s eight or a nine and ⁓ Some days it’s frustrating

    Some days it’s tiring, know, the sensation varies. It’s a numbness and tingling to a deep bone-jarring ache to almost a burning sensation at times, like depending on how much I’m moving. Like, so if I were to move with this jacket right now, as I move my arm, then there’s a deep pain in my tricep and then a very deep pain from the wrist to my fingertips.

    And sometimes it’ll make me, like people, I’ll stand and I’ll just be squeezing my hands and people may think that I’m just, you know, just holding my hands, but I’m trying to let my body know that it’s okay. So I’m, you know, massaging or rubbing and ⁓ sometimes that helps or sometimes I just have to, you know, take a nap or close off other sensors to calm the brain down.

    Bill Gasiamis (48:11)

    my wife gets in trouble when she touches my left hand and she’s being gentle. If she’s being gentle, it’s like, dude, do not do that. She’s like, what do you mean? I’m being gentle. being rough. Don’t just be gentle with it. It hurts too much. It’s hurting now. And I’m in an enclosed room with no wind, no anything, but my left arm feels like it’s cold.

    Ty Hawkins (48:16)

    Mm-hmm.

    Yeah.

    Yeah.

    Bill Gasiamis (48:38)

    freezing while my right side is perfectly fine. You know, it’s a very mild, beautiful day outside. ⁓ the wind, when I go outside, if I’m wearing shorts and a t-shirt, the wind makes it hurt. And if I go to the beach, I have to wear, ⁓ what we call runners, trainers, joggers in the water because the little pebbles of sand, they feel like they’re, I just stepped on like a thousand pins.

    Ty Hawkins (49:01)

    Mm-hmm.

    Bill Gasiamis (49:07)

    or something, it’s just ridiculous. And then I sleep on my left side so that I can, like you do with your hand, you just squeeze it to just let it know like it’s okay. I sleep on my left side so the sheets don’t rub on my left side and I don’t get woken up by my sheets in the middle of the night. That’s how I kind of get around it. And I would say that my pain is around a three to a four, mostly.

    Ty Hawkins (49:08)

    you

    Go.

    Emotional Resilience and Mental Health

    Bill Gasiamis (49:37)

    kind of closer to a three. And when we go for a long walk, sometimes I’ll go for a long walk with my wife. If we’re visiting a city that we’ve never been to before, we love to see the city on foot the whole time. And we might be walking for four, five, six hours through the whole day after, you know, stopping for a coffee or something to eat or whatever. And my left side will be going, we are not doing this anymore. We’re completely done.

    And I will have to have a conversation in my head with my left side and say, you’re coming along for the ride because you are overreacting. The right side is perfectly fine, which means that I haven’t done anything to hurt my body. haven’t over exerted ourselves. So you’re just overreacting. Be quiet and let’s get on with it. And believe it or not, man, that works. That quietens things down.

    and then we just get on with the job of walking and seeing what we need to see.

    Ty Hawkins (50:38)

    Yes, yes, so the two things my wife, ⁓ so she likes to pick at my skin sometimes whether she sees a little pimple or something and I’m like, please not today. It’s days that I can tolerate it, but it’s days where, and in the beginning she didn’t understand. I didn’t either and I’m like, am I just overreacting? I’m like, no, this really hurts. And so as I started to understand my diagnosis, I explained it to her and she’s been.

    Bill Gasiamis (50:49)

    you

    Ty Hawkins (51:07)

    you know more aware and I’ll let her know if it’s like hey I’m fine today it’s good so you’re good to go and two I remember ⁓ she loves Disney so we went to Disney World for her birthday and that’s a lot of walking a lot of people so ⁓ and when I get overstimulated then sometimes I get a little irritable

    So we’re walking and then, you know, I’m like, have to control my emotions. And then like you have a conversation with myself, like, Hey, my right side is not tired at all. My right side, we can go, we can go. And I’m like, Hey, we are, ⁓ we are okay. We’re, we are totally fine. This is a walk in the park. It’s a lot of people. Yes, but we are okay. We are safe and I wouldn’t do, I let my body know it’s nothing that I’m not putting you in any harm’s way. We’re just walking.

    And we may have to slow the pace down a little bit. But then as I get back in rhythm, then I found myself, okay, we’re back. We’re back to speed. And I really think that, like you say, it’s you having that mindset and then telling yourself. So day two in Disney, day one, I didn’t know what to expect. But day two is like, hey, we’re having this pep talk before we even go outside. We’re not, we’re cooperating today. We’re going for a walk and it’s going to be a long day. So.

    let’s go and as long as I have comfortable shoes and I think you know and I walk take breaks and able to sit down at times and you know my body then it’s like starts to trust in a lot that he’s going to take care of me so you know I have those conversations too in those same experiences.

    Bill Gasiamis (52:58)

    I relate to that so much, man. I get stuck. You know that feeling that you get in your hand? I get it in the ball of my left foot. It just becomes really, really tight. Like it feels, it doesn’t close up or anything, but it becomes really, really tight. And I can’t do anything to…

    undo it, you know, so I’ve got to like sit there, massage it, massage it, just try and get the tendons and all of that stuff to move into work. That’s kind of like the only way that I can, that I can get through it, but I have to get regular massages. get a massage every once every about 10 days on my left side to loosen everything up. Otherwise it just puts my right side out as well, because then it starts impacting the other side of my body.

    Ty Hawkins (53:35)

    Mm-hmm.

    Yeah,

    because you start to overcompensate. Yeah, I do the same while I start going for those kind of weird here’s movement, movement recovery. So I do a lot of things to move my body stretch recovery and things like that. I actually have an appointment tomorrow afternoon to do that.

    Bill Gasiamis (53:45)

    Hmm.

    Yeah, it’s so important. ⁓ Little, little things that kind of help you get through the next 10 days or two weeks or whatever it is, make such a difference if you can make it to a massage or if you can get your body look at that. It really helps. I find it helps me mentally more than anything because it eases all of those ⁓ discomforts and then my brain can just feel a little bit relaxed, you know, for a few days.

    Ty Hawkins (54:20)

    Yes.

    Bill Gasiamis (54:28)

    four days, 10 days, whatever it is, you whatever I get out of it. ⁓ And some days I feel like, man, need to see that. I need to see somebody right now. And I can’t get an appointment, but then by the time I get to the next day, it’s settled.

    Ty Hawkins (54:38)

    Mm-hmm.

    Yes.

    Bill Gasiamis (54:45)

    So sometimes the cycle

    requires me to just sort of stop, rest and not push through and just allow it to settle down.

    Ty Hawkins (54:54)

    No, yeah, I definitely think that allowing some days for the body to just rest and you know kind of catch up and recover does does the brain and body very well? ⁓ You know, I think I know for myself I was so Engulfed in I have to do something every day every day and keep my body moving that I wasn’t allowing it to rest in

    I remember even on the basketball court, had a day off from practice. it’s, I have to allow my body time to rest and also my brain. you know, when we’re constantly thinking how can I improve, that’s actually putting, you know, some stress on our brain. ⁓ You know, that I started to learn to try to limit and just say, hey, I’m taking a day off. I don’t even want to.

    think about what I may have to do. I just want to be here in the moment. I just want to enjoy a movie today or just spend time with the family and not think about anything recovery related.

    Bill Gasiamis (56:00)

    Yeah, it’s so important to you. You need time out, man. I hear you. ⁓ So you’re you’re being a few through a few tests and you’ve had some challenges to overcome. You’ve made it through your generally very positive, upbeat, glass half full kind of guy. But there probably was some dark times and difficult moments. How did you?

    Like how did you deal with them? How do you kind of navigate when it gets really tough and challenging emotionally and mentally?

    Ty Hawkins (56:34)

    Before I used to just try to keep myself busy at first not realizing that that was almost making it worse in a sense because I was never dealing with the emotion of What I experienced I never allowed myself allowed myself to fully understand and feel it until recently and so recently I started Started talk therapy psychotherapy. ⁓ that’s been tremendous. And then also just really

    taking time to reflect, I’ll do yoga, I’ll meditate, and you know, I’ll just get more vulnerable about my story I share with people, and I think that allows me to make it through just being honest with myself. I think that the type A athletic mind that I have, it was like, hey, you’re fine, you’re fine, you’re fine, you’re okay, and I never allowed myself to say, you’re not okay.

    Once I did I think that was when I started to see more progress because I was honoring how I truly felt versus how I wanted to feel And it was hey some days I told my just recently maybe maybe two days ago. So my mom, know was it was a rough day and I was like hey this sucks mom and She was like, know, yes you you have to honor and it’s okay to say that that it

    It does suck, but

    know it’s you show gratitude that you’re still alive to experience have the experience of life But understand you know you have to honor how you feel in the moment, and it’s for me. I’m able to Shift quicker out of those moments now because it’s like hey I honor it this sucks may have a little cry then immediately after it better then have a little laugh and like hey, okay, you know so I just

    Understand that there’s the range of emotions in its waves. So instead of going against the tide I just roll with the waves these days and you know is if I’m sad I just sit with it in the moment I talk to whoever I need to talk to and you know, let them know hey today is a bit harder of a day rather than you’re okay. You’re okay. You’re strong and I eliminated that ego and just honored how I feel because I think

    especially as men, we’re we’re taught to, you know, just tough it out, get up and dust it off. And it’s like, hey, we’re human at the end of the day and we all have

    So I think it’s better to honor your emotions. You know, we all have them for a reason, ⁓ you know, so it’s okay to cry. It’s okay to feel sad, you know, and work through that and you’ll eventually, hopefully we’ll see happiness, enjoy on the other side.

    Bill Gasiamis (59:30)

    Yeah, there is always a, what’s it like a reward on the other side of the hard time. Like you might not know when you’re going through the hard time, but it always leads to a positive outcome on the other side. You just got to give a time to get there. You know, got to just go through the ride and I’m similar to you talk therapy, man. Well, what a difference that’s made in my life. It just is so tremendous that you find somebody by the way, who you like to go and talk to.

    ⁓ So you might have to try a couple of different therapists, but like it is next level. You go there, you could talk about anything you want. Nobody’s judging you. You know, don’t have to share that with your loved ones. You can just be yourself and a different version of yourself in that room. that again, it just takes more weight off your shoulders. It creates more lightness. So I’m fully behind that.

    Ty Hawkins (1:00:26)

    Yes, yes, it’s been, it’s made a tremendous difference for me and I see, you know, this is, moving into year seven and early on I refused to go to therapy and, ⁓ you know, I think it wasn’t, it wasn’t until year three or four that I really decided to see, really dig in and understand therapy and realize that, it’s not just, I talk about the stroke less and less now.

    and just about life. It helps me every Monday. It’s a great start to my week.

    Bill Gasiamis (1:01:03)

    Man amazing start to your week. Well done. I love it that it’s every Monday Your where are you doing this recording from now, where are you?

    Lessons Learned: Recovery Insights for Stroke Survivors

    Ty Hawkins (1:01:14)

    Actually, I’m actually at work. ⁓ so I was able to return to work. ⁓ Fortunately, so I’m back with with Verizon ⁓ You know Emma in my sales role, so I was able to return to my career and In addition to my career being able to speak and do things like that. But currently I’m at work We’re getting ready to close up shop soon But they gave me the time because they they are very accommodating and understanding how important this is to me

    and they support me here on my journey.

    Bill Gasiamis (1:01:48)

    Wow. This episode is not sponsored by Verizon, but thank you Verizon for allowing this to happen, man. Yeah. We love it. All right. I really appreciate that. ⁓ sounds like the stroke incident has shaped your life in a meaningful way.

    Ty Hawkins (1:02:08)

    Yes, yes it has. would say I was a very selfish person before and I don’t mean that like ⁓ in a bad context. was I just thought about myself and my goals and not how my life could impact others. And after the stroke, just being, you know, given this story and seeing how I had no idea that me sharing that I had a stroke and

    My recovery would lead to a social media following and people looking to me for, you know, hope and inspiration that it was like, wow, you know, I’m actually am somebody that can impact. now it’s, you know, I live to help others. That’s why I continue to share almost seven years later and stay in touch with, with people and help try to provide resources that, you know,

    You know, just be a resource for people that go through this or loved ones, you know, to anybody who goes through this or any adversity, just to show, my story is a testament that, you know, adversity does hit, but you can make it through. You know, it starts with a mindset and a great community. And, you know, I’m very proud of my story and, know, where I am now and the person that I have become despite, you know, that unfortunate circumstance and event.

    Bill Gasiamis (1:03:37)

    Yeah, I’m with you, man. I love what you said about like, how you you’re impacting, you know, you’re aware of how you can impact people, we impact people all the time, negative, positive, whatever it is all the time, you may as well focus the needle towards positive. If you become aware of it, you know, it’s way better. You get much more reward than just being about yourself. I mean, what a

    Ty Hawkins (1:03:54)

    Yes.

    Bill Gasiamis (1:04:03)

    And I was the same, like we all kind of start there. You know, it’s about how do I succeed? How do I make the next dollar? How do I do this? How do I do that? And then at some point you shift. And for me, the catalyst was the strokes for you. It seems like it was the same thing. And the reward that I never thought I would get from shifting the needle towards helping other people has been way, way greater than anything I ever ⁓ focused on before.

    because it’s more of a global reward. It’s less of a focused, narrow reward, which is, know, money, car, house, you know, vacation. It’s now.

    a feedback loop from other people and I get messages on the podcast every single day on YouTube, emails, people going this episode really has made a difference to my life or I loved hearing that story from that person, know, the comments make it so worth doing. It is amazing.

    Ty Hawkins (1:05:03)

    Yes,

    yes, yeah, for me the message is hey, you know, your story helped me make it through or it helps me you serve as the inspiration and I don’t do it for that but it just helps. You know, it’s just good, a good feeling knowing that, you know, this isn’t in vain and that I’m able to impact people, especially in places that I’ve never been. I’ve received messages from places in the world that I haven’t traveled to yet and hope to one day.

    And it’s like, know, my ⁓ story is helping people across the world. And I never imagined that I could have that impact, you know, before it was basketball and I need to, you know, attain this and career that. you know, now it’s, I hope to open, you know, an app or get an email like, hey, this has been so helpful.

    You know, or hey, what advice can you offer? And it’s like, man, you know, I don’t, can offer you this advice. ⁓ you know, this is what helped me. ⁓ and it’s just a good feeling knowing that, you know, what the fight that I put up is, you know, then helping somebody, you know, pay it forward. ⁓ you know, whether it’s a stroke survivor directly, or it’s a caregiver, ⁓ or just someone who’s having, you know, a tough time, a tough goal at life in the moment to know that.

    They draw some sort of inspiration to keep going. And that’s what it’s really about for me.

    Bill Gasiamis (1:06:35)

    I love it. Cross culture, ⁓ cross country, cross religion. Like it’s just human, right? Like it’s got nothing to do with any of that other stuff. It’s literally just got to do with human. ⁓ I know that you need to get back because I’ve seen you looking at your watch right now. So.

    Ty Hawkins (1:06:48)

    Right.

    I

    was just saying what time it is 8 15 here

    Bill Gasiamis (1:06:57)

    Yeah, we’ve been going for about an hour and a bit. we’ll wrap up. I’m near the end anyway, but I do want you to get back to work. I love the Verizon have done this by the way. So I really appreciate that. So I suppose the last question is about like, there are people listening right now, some of them will have just gone through stroke, literally the last week, weeks, months might be into their first year. What would be one lesson from your journey ⁓ that

    you’d like to just share with the people who are listening who are a little bit earlier on in their recovery.

    Ty Hawkins (1:07:31)

    Early on, ⁓ I think that it’s really, it might be cliche, but it’s don’t compare your recovery to anyone else’s recovery. Your journey is your journey, especially in the stroke community. No one stroke, no two strokes are the same. So no two recoveries are the same. So, you know, and the biggest thing, the biggest misconception that I hear is that

    only happens in the first year and I want to say that I’m approaching year seven and I still see improvements and strides in year seven so those are you know two of the biggest things focus on your journey and your mindset and don’t believe or limit yourself to think that recovery happens in just one year it’s the brain I think the healing just starts in the first year

    Bill Gasiamis (1:08:28)

    Mm hmm. I completely agree with that. I like to describe it using this analogy. In the first 12 months, you’ve just walked past the table and banged your knee on the coffee table. That’s how early the first year is you just banged it like, my God, you got so much time to heal and recover after that. And if you hear about plateaus, it’s all rubbish. If you hear about ⁓ recovery doesn’t happen.

    ⁓ later on, or that’s the best you can expect to get. That’s all not true. Just put it behind you. These people don’t know what they’re talking about. Keep going after that recovery.

    Ty Hawkins (1:09:03)

    Exactly.

    Yep, I agree.

    Bill Gasiamis (1:09:07)

    Ty, on that note, thank you so much for joining me on the podcast, reaching out a second time to join me. I really appreciate connecting with you and learning about your story and all the best with the rest of your recovery.

    Ty Hawkins (1:09:20)

    Thank you for having me. ⁓ Thank you for ⁓ allowing me to reschedule and to be here. And I look forward to staying in communication and helping out in any way that I can for our community.

    Bill Gasiamis (1:09:35)

    Well, a big thank you to Ty for sharing his story. just love his mindset and a huge thank you to you for tuning in every week, supporting the podcast via Patreon, leaving comments on the YouTube channel and sharing this episodes with the people who need them the most. My book is at recoveryafterstroke.com/book. I will see you in the next episode.

    The post Long-Term Effects of Brainstem Stroke: The Hidden Deficits No One Talks About appeared first on Recovery After Stroke.
  • Recovery After Stroke

    Emotional Anger After Stroke: Trisha Winski’s Story of a Carotid Web, Aphasia, and Learning to Slow Down

    16/03/2026 | 1h 30 mins.
    Emotional Anger After Stroke: Trisha Winski’s Story of a Carotid Web, Aphasia, and Learning to Slow Down

    Trisha Winski was 46 years old, working as a corporate finance director, with no high blood pressure, no diabetes, and no smoking history. By every conventional measure, she was not a stroke candidate. Then one morning, she stood up from the bathroom, collapsed, and couldn’t speak. Her ex-husband, sleeping on her couch by chance the night before, found her and called 911.

    The cause was a carotid web, a rare congenital condition she never knew she had. Three years and three months later, she’s living with aphasia, rebuilding her sense of self, and navigating something that doesn’t get nearly enough airtime in stroke conversations: emotional anger after stroke.

    What Is a Carotid Web — and Why Does It Matter?

    A carotid web is a rare shelf-like membrane in the internal carotid artery that disrupts blood flow, causing stagnation and clot formation. It is a form of intimal fibromuscular dysplasia and affects approximately 1.2% of the population. Most people never know they have it.

    Unlike the more commonly cited stroke risk factors, such as hypertension, diabetes, smoking, and obesity, a carotid web is congenital. You are born with it. There is no lifestyle adjustment that would have prevented Trisha’s stroke. That distinction matters enormously when you are trying to make sense of what happened to you.

    “I have nothing that could cause it,” Trisha says. “No blood pressure, no diabetes. It’s hard.”

    The treating hospital, MGH in Boston, caught the carotid web, something Trisha was later told many hospitals would have missed. It is a reminder of how much diagnosis still depends on the right clinician, the right technology, and a degree of luck.

     

    Why Am I So Angry After My Stroke?

    One of the most underexplored dimensions of stroke recovery is emotional anger, not just grief, not just fear, but a specific kind of rage that has no clean target.

    “Why me? Why did I have to have it? It’s frustrating. It’s so frustrating,” Trisha says. “I’m just mad. I don’t know who I’m mad at.”

    This is a clinically recognized phenomenon. Emotional dysregulation after stroke can have both neurological and psychological origins. The brain regions that govern emotional control may be directly affected by the injury. At the same time, the psychological weight of sudden, unearned loss of function, of identity, of a future you thought you understood is enough to generate profound anger in anyone.

    For people like Trisha, who had no risk factors and no warning, the anger is compounded. There is no behaviour to regret, no choice to unwind. The stroke simply happened. That can make the anger feel even more directionless and, paradoxically, even more consuming.

    “Why me? Why did I have to have it? It’s frustrating. It’s so frustrating.”

    Bill’s gentle reframe in the conversation is worth noting here: “Why not me? Who are you to go through life completely unscathed?” It’s not a dismissal, it’s an invitation to move from the question that has no answer to the one that might.

     

    Aphasia: The Deficit That Hurts the Most

    Trisha’s stroke affected her left hemisphere, producing aphasia, a language processing difficulty that affects word retrieval, word substitution, and speaking speed. Her numbers remained largely intact, which helped her return to her finance role. But the aphasia has been, in her own words, the hardest part.

    “If I didn’t have that, I wouldn’t be normal, but I could be normal,” she says. “The aphasia kills me.”

    One of the quieter consequences of aphasia that Trisha describes is self-censoring, stopping herself from communicating in public because she fears taking too long, disrupting the flow of conversation, or being misunderstood. She has developed a workaround: telling people upfront she has had a stroke, so they give her the time she needs to get her words out.

    The frustration-aphasia loop is well documented: the more stressed or frustrated a person becomes, the worse the aphasia tends to get. The therapeutic implication is significant. Managing emotional anger after a stroke is not just a well-being issue for someone with aphasia; it is directly tied to their ability to communicate.

    “Whenever I’m not stressed, I can get it out. When I get nervous, I can’t,” Trisha explains.

     

    The Trauma Ripple: It’s Not Just About You

    One of the most striking moments in this episode is when Trisha reflects on her son Zach and ex-husband Jason, both of whom were visibly distraught in the days after her stroke.

    “I had a stroke. Why are they traumatized?” she says and then catches herself. “I forgot to look at it from their perspective. They watched me have a stroke.”

    This is something stroke survivors frequently underestimate. The people around them, partners, children, friends, even ex-partners like Jason, carry their own version of the trauma. They watched helplessly. They made decisions under panic. They grieved a version of the person they knew, even as that person survived.

    Acknowledging this doesn’t diminish the stroke survivor’s experience. It widens the frame of recovery to include the whole system and opens the door to conversations about collective healing.

     

    Neuroplasticity Is Real — Give It Time

    Three years and three months after her stroke, Trisha’s message to people in the early stages of recovery is grounded and honest.

    “Neuroplasticity really does exist. My brain finds places to find the words I never had before. It takes longer, but it gets there. Just give yourself time.”

    She also reflects candidly on going back to work too early, returning before she was medically cleared, crying every day, and unable to follow her own cognitive processes. “I should have waited,” she says. “But I did it. It taught me that if I ever had it again, I won’t do that.”

    Recovery after stroke is non-linear, unglamorous, and deeply personal. But the brain is adapting, always. Trisha’s story is evidence of that and a reminder that emotional anger after a stroke, however consuming it feels, is not the end of the story.

      Read Bill’s book on stroke recovery: recoveryafterstroke.com/book | Support the show: patreon.com/recoveryafterstroke 

    DisclaimerThis blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan.

    Why Me? Navigating Emotional Anger After Stroke When You Did Nothing Wrong

    No risk factors. No warning. Just a carotid web she never knew about — and three years of emotional anger, aphasia, and finding her way back.

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    Highlights:

    00:00 Introduction – Emotional anger after stroke

    01:36 The Day of the Stroke

    07:05 Post-Stroke Challenges and Rehabilitation

    13:06 Ongoing Health Concerns and Medical Appointments

    22:40 Navigating Health Challenges and Medical Support

    30:20 Acceptance and Coping with Mortality

    38:36 Communication Challenges and Aphasia

    42:09 The Journey of Recovery and Self-Discovery

    51:51 Facing the Aftermath of Stroke

    59:22 Emotional Impact on Loved Ones

    01:04:57 Navigating Life Changes

    01:13:25 Finding Joy in New Passions

    01:25:12 Trisha’s Journey: Emotional Anger After Stroke

    Transcript:

    Introduction – Emotional anger after stroke

    Trisha Lyn Winski (00:00)

    I don’t have anything that could cause it. I have nothing that, no blood pressure, no diabetes, It’s hard. It’s hard. don’t… It makes me mad. Really mad. Really, really mad that I to stroke. And like, everyone that has it…

    Bill Gasiamis (00:07)

    Yeah.

    Trisha Lyn Winski (00:21)

    or every dozen. I’m like, why me? Why did I have to have it? It’s frustrating. It’s so frustrating.

    Bill Gasiamis (00:28)

    Yeah, mad at who?

    Trisha Lyn Winski (00:30)

    I don’t know. I’m just mad. Like, I don’t know who I’m mad at.

    Bill Gasiamis (00:35)

    Before we get into Trisha’s story, and this is a raw, honest, and really important one, I wanna share a tool I’ve been using that I think can genuinely help stroke survivors get better answers faster. It’s called Turn2.ai. It’s an AI health sidekick that helps you deep dive into any burning question you have about your recovery. It searches across over 500,000 sources related to stroke, new research, expert discussions,

    patient stories and resources, and then keeps you updated on what matters each week. I use it myself and it’s my favorite tool of 2026 for staying current with what’s happening in stroke recovery. It’s low cost and completely patient first. Try it free and when you’re ready to subscribe, use my code, Bill10 at

    slash sidekick slash stroke to get a discount. I earn a small commission if you use that link at no extra cost to you. And that helps keep this podcast going. Also my book, The Unexpected Way That a Stroke Became the Best Thing That Happened is available at recoveryafterstroke.com/book.

    And if you’d like to support the show on Patreon and my goal of reaching a thousand episodes, you can do that by going to patreon.com/recoveryafterstroke. Links are in the show notes.

    Right, Trisha Winsky was 46 years old, healthy, had no risk factors and then a carotid web. She never knew she had changed everything. Let’s get into it.

    Bill Gasiamis (02:06)

    Trisha Winski, welcome to the podcast.

    Trisha Lyn Winski (02:09)

    Thank you.

    Bill Gasiamis (02:10)

    Also thank you for joining me so late. I really appreciate people hanging around till the late hours of the evening to join me on the podcast. I know it’s difficult for us to make the hours that suit us both. I’m in the daytime here in Australia and you’re in the nighttime there.

    Trisha Lyn Winski (02:27)

    Yeah. Yeah. It’s okay. I can come to you later. Yeah, it’s late.

    Bill Gasiamis (02:34)

    As a stroke survivor, is it too late?

    Trisha Lyn Winski (02:36)

    No, no, not at all.

    Bill Gasiamis (02:38)

    Okay, cool. Tell me a little bit about what you used to get up to. What was life like before the stroke?

    Trisha Lyn Winski (02:45)

    I just get up and get to work.

    deal with it all day, come home, I’d go to the restaurant, the bars, my friends, and then like I had a stroke and everything changed. Everything changed in an instant.

    Bill Gasiamis (03:00)

    How old were you in the district?

    Trisha Lyn Winski (03:02)

    I was 46.

    Bill Gasiamis (03:04)

    And before that, were you in a family, married, do you have kids, any of that stuff?

    Trisha Lyn Winski (03:08)

    I

    have a kid. Now he’s 28. He was 25 when I had it. I was married before, but like a long time ago. Actually, my ex found me when I had a serve. So he’s the one who found me. But so yeah, that’s all I have here. My mom passed away in November. So it’s been challenging. Yeah.

    Bill Gasiamis (03:30)

    Dramatic,

    ⁓ Sorry to hear that. how many years ago was a stroke?

    Trisha Lyn Winski (03:37)

    ⁓ It’s three years and three months.

    Bill Gasiamis (03:41)

    Yeah. What were you focused on back then? What were the main goals in your life? Was it just working hard? Was it getting to a certain time in your career? What was the main goal?

    Trisha Lyn Winski (03:50)

    I think

    I working hard, but I just wanted to get to a good place in my career. And I think I was in a good place. Now I second guess at all time because I’ve had strokes now, it doesn’t matter what happens. I’m always second guessing it. But I was in a good place. I just felt like I needed to make them better. And the stroke happened and I so didn’t.

    Bill Gasiamis (04:17)

    What kind of work did you do?

    Trisha Lyn Winski (04:18)

    I was the corporate finance director for an auto group.

    Bill Gasiamis (04:22)

    A lot of hours was it like crazy hours or was just regular hours.

    Trisha Lyn Winski (04:26)

    No, I worked a lot of hours, but in the end he wanted me work like 40, 50 hours a week. I couldn’t do that. 50 hours a week was killing me, but 40 was enough. Yeah.

    Bill Gasiamis (04:37)

    Yeah.

    Were, did you consider yourself healthy? Was there any signs that you were unwell, that there was a stroke kind of on the horizon?

    Trisha Lyn Winski (04:46)

    No, nothing, The day before this, had, my eye was like, I want to say it’s twitching, but it wasn’t twitching. It was doing something like odd. And I didn’t realize that until I had a TIA recently, but I realized it then. It’s, how can I explain it? It’s like a clear, a blonde shape in my eye. it, when I move, it goes with me. And I try to see around it, I can’t see around it. And I said to Gary, I worked with him, was like,

    I’m gonna have to go to hospital. This continues. can’t see.” And then it went away. And that’s the only symptom I had. Only symptom. And he said, no, I should told you that you might be having a stroke. like, even if you told me that, I never believed him. Never.

    Bill Gasiamis (05:23)

    Hello?

    Yeah. When you’re, and it went away and you didn’t have a chance to go see anyone about it.

    Trisha Lyn Winski (05:37)

    Yeah, it went away in like, honestly, like five minutes. So I didn’t see anybody, but I thought it was okay. I mean, I guess now that I’m looking back at it, it’s kind of odd. It’s one eye, but I felt like it was gone. I don’t know. yeah. No, you don’t.

    Bill Gasiamis (05:55)

    Yeah. How could you know? mean, no one knows these things. And,

    and then on the day of the stroke, what happened? Was there any kind of lead up? Did you notice not feeling well during that day? And then the stroke, what was it like?

    Trisha Lyn Winski (06:09)

    No, so I get up like every other day to go to work. I went in the bathroom and the night before that Jason said Jason’s ex-ad he stayed at my house because he needed need a place to stay because he couldn’t go out Zach again. I was like okay we’ll sleep in my couch I’m gonna go to work tomorrow but you can sleep here. So he was there and I think if he wasn’t there I would have died.

    Post-Stroke Challenges and Rehabilitation

    Makes me sad. Um, anyway, so when I woke up I went to bathroom and I stood up from the toilet and I like I fell over and I I didn’t even realize it. So I fresh my face in like five places when I fell and I didn’t even I didn’t even know it my whole side was numb. So I didn’t feel it. And Jason, you know, helped me to bed. I thought he helped me to bed. He didn’t he like drug me to bed.

    He got in the bed and then I… He came back in like five minutes later, are you okay? Like he knew something was wrong. And I couldn’t articulate to him. So I said, I’m fine, I’m fine. I’m gonna go to work. So he put the phone in my hand to call my boss. And he came back in like five minutes later and I… He put it in my right hand so I didn’t call anybody. And he said, my God, I’ll never forget this. He said, my God, you’re having a stroke.

    And I couldn’t talk. I couldn’t talk. I just… Yeah, I could hear him say that, but I couldn’t talk to him. It’s… It’s really scary. Like, even talking right now, like… It upsets me.

    Bill Gasiamis (07:37)

    but you can hear him say that.

    This is really raw for you, isn’t it?

    Yeah, understand. went through very similar things like trying to speak about it and getting it out of my self and trying to, you know, bring it into the world and get it off my shoulders. Like often brought me to tears and made it really difficult for me to have a meaningful conversation with anyone about it.

    Trisha Lyn Winski (08:07)

    It does.

    Bill Gasiamis (08:09)

    There’s small blessings there with you, okay? All happened when for whatever reason your ex was in the house and was able to attend you. It’s an amazing thing that that is even possible ⁓ considering how some breakups go and how possible. Yeah. Yeah. And so he called 911 and got you to hospital. Is that how you ended up in hospital?

    Trisha Lyn Winski (08:15)

    I know.

    We’re good friends, it was a challenge.

    Yes.

    So they ended up taking me to MGH, it’s a hospital right down the street from me. ⁓ But he’s not from here, he’s from Pennsylvania. he didn’t know where to me, like, just has to go to the hospital. So they knew when they came up. So MGH is like known for their strokes, they’re like really good at strokes. ⁓ And so that’s where they plan on taking me.

    Bill Gasiamis (09:01)

    Yeah. And do you get a sense of what happened when you were in the hospital? Do you have any kind of recollection of what was going on?

    Trisha Lyn Winski (09:11)

    I honestly, in the first week, no. I remember seeing, in the first day, I saw Zach, my son, and Zach, his brother Connor was in there too, and Jason, they all were there with me when I woke up. But I saw them, and I saw my friend Matt, and then that’s all I remember seeing. I remember seeing my mom on the third day.

    I’m in jail on this third day, but that’s about it.

    Bill Gasiamis (09:41)

    Yeah. And then did you have deficits? couldn’t feel one of your sides? Did that come back, whole problem, that whole challenge?

    Trisha Lyn Winski (09:50)

    So the right side, it came back, but it came back like sporadically. So I just kind of want to come back. So the first day I saw Matt and I put up my arm to talk to him and I couldn’t like put my arm out. So I just like tap my arm. ⁓ Now I can move my arm fully, but I can’t, I don’t have the dexterity in my arm. So I can’t like.

    I can’t flip an egg with this hand. it’s like this and then this is like that. I can’t do this. ⁓ And my right foot has spasticity in it. then the three toes on the side, I could curl them up all the time.

    Bill Gasiamis (10:36)

    Okay, next.

    Trisha Lyn Winski (10:37)

    and I did botox

    for it, nothing helps.

    Bill Gasiamis (10:40)

    huh. Okay. Have you heard of cryo-neuralysis?

    Trisha Lyn Winski (10:42)

    yeah, yeah, I got that back.

    Bill Gasiamis (10:45)

    You got cryo-neuralysis?

    Trisha Lyn Winski (10:47)

    No, what are you saying?

    Bill Gasiamis (10:49)

    That’s spasticity treatment. Cryo-neurolosis, it’s a real weird long word. There’s a dude in Canada that ⁓ started a procedure to help freeze a nerve and it expands the ⁓ tendons or something around that and it decreases spasticity and it lasts longer than Botox.

    Trisha Lyn Winski (10:50)

    ⁓ no.

    Okay.

    ⁓ yeah, you need to give me his name. We’re gonna talk. That’s I went twice to have it done. ⁓ it didn’t help at all. And I met, I met the guy, ⁓ the diarist, diarist ⁓ at the hospital. And he said, I didn’t think it was, it was going to work. I’m like, it’s the first I saw you. And he was like, I saw you and you had the shirt. I’m like, okay. I saw a million people that we can’t, I don’t remember who they are.

    Bill Gasiamis (11:20)

    Okay.

    Yeah.

    All right. So I’m going to put a link to the details for cryo-neuralysis in the show notes. ⁓ you and I will communicate after the podcast episode is done. And I’ll send you the details because there’s this amazing new procedure that people are raving about that seems to provide more relief than Botox in a lot of cases, and it lasts longer. And it’s basically done by freezing the nerve or doing something like that to the nerve.

    in an injection kind of format and then it releases the spasticity makes it improve. ⁓ well worth you looking into it, especially if you’re in the United States and it’s in Canada. ⁓ I know that doctor is training people in the United States and around the world. So there might be some people closer to you than Canada that you can go and chat about. Yeah. And how long did you spend in hospital in the end?

    Trisha Lyn Winski (12:28)

    Yeah. Yeah. Awesome. I love it.

    four weeks. Yeah. So the first, the first week I was at MGH, ⁓ they kept me for longer in the ICU because I had hemorrhagic conversion, transformation, whatever it’s called. I, you know what that is? Well, that went from the, I can’t think of what I was trying to say.

    Bill Gasiamis (12:40)

    for weeks.

    Ongoing Health Concerns and Medical Appointments

    Trisha Lyn Winski (13:05)

    It went from the aneurysm to the, not the aneurysm, the.

    Bill Gasiamis (13:09)

    The carotid artery. The clot, ⁓

    Trisha Lyn Winski (13:11)

    ⁓ yes. Yeah,

    carotid artery and went to my brain. So I my brain bleed for a couple of days, but not like bleed, bleed, but it showed blood. So they kept me in it for longer.

    Bill Gasiamis (13:23)

    Okay. And then did you go straight home? Did you go to rehab? What was that like?

    Trisha Lyn Winski (13:29)

    I went to rehab for three weeks. And I sobbed my eyes out. So at that point I was like, I was good, but I wasn’t at all good, but I thought I was good. I said, I wanna go home, I wanna go home. My son can, he teach me all, do all this stuff, I gotta go home. Now that I’m past it, there’s no way he could tell me, no way. I couldn’t tie my shoes.

    Bill Gasiamis (13:34)

    three weeks.

    And when you came home, were people living with you?

    Trisha Lyn Winski (13:56)

    So he’s.

    No, nobody was living with but he had to come move in with me for three months.

    Bill Gasiamis (14:06)

    Yeah, your son, yeah. What was that like?

    Trisha Lyn Winski (14:07)

    Yeah. Here’s my proxid.

    I mean, honestly, at the time it was fine because I slept all the time. I slept like, God, I would go to bed like seven, 730 at night. And I was sleeping until like, at least, some sort of next day. I’d get up for a few hours, do what I had to do, and then fall back asleep. But just, I slept for a lot. So it was okay then. But come to the end of it, I’m like, okay, it’s time for you at your place.

    I need my space again, but yeah, he’s yeah, I need to have my own space. But at the time I know I need to rest. Yeah, I do. Yeah. ⁓

    Bill Gasiamis (14:36)

    Yeah.

    and you need somebody around anyway. It’s important to have

    something near you if you’re unwell. Do they know what caused the stroke?

    Trisha Lyn Winski (14:53)

    ⁓ So I had a karate web. means that… ⁓

    It’s really, it’s really rare. Only like 1.2 % of the whole population has it and I had it. It’s co-indentinob… co-ind… it’s… so I got it I was born.

    Bill Gasiamis (15:11)

    Yep, congenital.

    Trisha Lyn Winski (15:13)

    congenital, but they don’t know. I said that that would make it so much sense that they did a scan of your whole body at some point. I would have known that I had that years ago, but I didn’t know it.

    Bill Gasiamis (15:26)

    I don’t know

    what to look like, what to look for. The thing about scans, the whole body, my good friend of mine, the guy who helped me out when I was in hospital, he’s a radiographer and he does MRIs and all that kind of stuff. And he used to do my MRIs happened to be my friend happened to be working at the hospital that I was at. And he used to come and see me all the time. And I said to him, can we do a scan, you know, a preventative scan and check out, you know, my whole body? And he said, well, we can, but

    Trisha Lyn Winski (15:28)

    I know.

    Yeah.

    Bill Gasiamis (15:53)

    What are we looking for? I said, I don’t know anything. He said, well, we could, we could find a heap of things or we could find nothing. And if we don’t know what we’re looking for, we can’t set our scanners to the particular, settings to find the thing that you’re looking for. Because one scanner looks for hundreds of different things and the settings for to look for that thing has to be set into the scanner. And that’s only when people have a suspicion that you might have X thing.

    Trisha Lyn Winski (16:09)

    Yeah.

    Bill Gasiamis (16:23)

    then they set the scanner to find X thing and then they’ll look for it then they find it. He said, well, if we go in and do whole body scan, but we don’t even know what resolution to set it, how long to do the scan for. We don’t know what we’re looking for. So we don’t know what to do. And you have to be able to guide me and say, I want you to look for, in my case, a congenital arteriovenous malformation. In your case, carotid web. And in anyone else’s case is an aneurysm or whatever, but a general scan.

    Trisha Lyn Winski (16:38)

    Yeah.

    Bill Gasiamis (16:53)

    Like it’s such a hard thing to do for people. then, and then sometimes you said you find things that people do have unexpectedly because they go in for a different scan and then you discover something else. But now they’ve got more information about something that’s quite unquote wrong with them. And it’s like, what do you do with that information? Do I do a procedure to get rid of it? Do I, do I leave it there? Do I monitor it? Like, do I worry about it? Do I not worry about it?

    Trisha Lyn Winski (16:56)

    Yeah.

    Bill Gasiamis (17:21)

    is that it throws a big kind of curve ball out there and then no one knows how to react to it, how to respond. So it’s a big deal for somebody to say, can we have a whole body scan so we can work out what are all the things wrong with me?

    Trisha Lyn Winski (17:38)

    I it’s true, but I think that for me, most people have a carotid web. It’s obvious. know how old you are, it’s obvious. So then in that regard, like a carotid web, it looks a little indentured in the bloodstream. looks a little indentured in your artery. So I think that they would have seen it, but… ⁓

    Bill Gasiamis (18:02)

    I love her.

    Trisha Lyn Winski (18:06)

    But then again, I don’t know. The hospital I went to, he said, you’re lucky you came here because most hospitals would have missed us.

    and I’m like,

    Bill Gasiamis (18:15)

    because they

    probably didn’t have the technology to find it.

    Trisha Lyn Winski (18:17)

    I don’t know.

    when I came to, it wasn’t months later, but I saw it on the scan. like, ⁓ it’s right there. ⁓ He said, yeah, but I thought it would be obvious, but it’s not so obvious.

    Bill Gasiamis (18:33)

    I just did a Google search for it and it says a carotid web is a rare shelf like membrane type narrowing in the internal carotid artery, specifically arising from the posterior wall of the carotid bulb. It is a form of intimal fibromuscular dysplasia that causes blood to stagnate forming clots that can lead to recurrent often severe ischemic strokes. Okay. So

    it causes blood to stay stagnant in that particular location causing clots. And you in the time we’ve been communicating, which is only in the last three or four weeks, you even sent me a message saying you just had an S you just had a TIA. ⁓ how come you’re still having clots? they not treating you or

    Trisha Lyn Winski (19:20)

    Yeah.

    No,

    I think they so they gave me um a scent in my re to kind of write that I don’t know why I had it cuz um, but my eye was like acting crazy again Just one eye and I I didn’t want to go to the hospital. I I don’t want the hospital at all for anything if I have if I don’t have to go I’m not going to hospital I Text Jason and Zach and they’re like no you have to go like I’ll wait a little while so

    Meanwhile, I was waiting a little while because I didn’t want to go and then I listened to ⁓ a red chat chat GBT He said no you have to go right now. Here’s why I’m like Now it’s like five hours later. I’m Sorry, so I went but and they said that I have ⁓ It’s likely I had a clot They don’t know where it came from though. So that’s that’s the thing is it’s confusing and by the way I think there’s something to be said about ⁓ I think if you have a stroke

    You can have one again easier than somebody who didn’t. I didn’t know that, but I learned it quickly. ⁓ So they said I had it, maybe went up in my eye, but it broke apart before it became an actual stroke. But I don’t know.

    Bill Gasiamis (20:41)

    thing.

    I love that you didn’t want to go and you ignored the male influences in your life, but you listen to chat.

    Trisha Lyn Winski (20:50)

    Thank you.

    I did, I did.

    They’re so smart. they say, I find on Google anyway. So that I listened to ChatGVT, it was like, I don’t know. And I know that like…

    Bill Gasiamis (21:05)

    You know

    that that’s kind of mental.

    Trisha Lyn Winski (21:08)

    It is actually, but I know that like my son is actually really smart and I think that they, but I didn’t listen him. I just listened to Chad Judy.

    Bill Gasiamis (21:18)

    Yeah. Anyhow, I love that you went in the end because, ⁓ and why don’t you want to go like, you just hate doctors and hospitals and that kind of thing? They saved you, didn’t they? Didn’t they save you? Didn’t they help you?

    Trisha Lyn Winski (21:29)

    There was? Yeah,

    but I don’t know. I think I spent so much time in there. ⁓ I don’t know. It’s in my head. I don’t like to sit in hospitals because of that. So after having the stroke, I stayed in hospital for month. I got out. I went back in like two weeks. I fell over twice. They thought that’s why. So when I was in hospital,

    something like they go Vegas something is pretty common. And I was like, okay, I did want to go then. I did want to go and then Zach made me. And then two months later, I went in to get the stint. And at that time I got a period. So it’s a long story. But I said to the doctor, I’m like, well, I’ll be okay. Does it do anything else because of this? He’s like, no, you should be fine. But if it gets bad, you have to go the hospital.

    he got bad. I almost died. I almost died from that. And that made me traumatized because I was awake and alive for all of it. I saw it all and passed out like six times in like three, I don’t know how many days, like five days. Yeah, but.

    Navigating Health Challenges and Medical Support

    Bill Gasiamis (22:46)

    Yeah.

    The challenge with something going wrong in hospital is that it’s less likely to be as dramatic as something going wrong at home. And that’s the thing, right? If you haven’t got help, then the chances that your stroke cause you way more deficits. That’s like so much worse. The best place for you to be is somewhere other than at home because you don’t want to risk being at home alone when something goes wrong and then you’re home alone.

    Trisha Lyn Winski (23:04)

    Yeah.

    Bill Gasiamis (23:15)

    when the blood flow has stopped to your head for a lot of hours. Like it could kill you, it make you more disabled and it could do all sorts of things. it’s like, but I get the whole, what is it like? It’s kind of like an anxiety about medical people and hospitals and stuff like that.

    Trisha Lyn Winski (23:20)

    Yeah.

    Yeah. I

    think that it’s mostly like I don’t like to stay there. I got a weird thing about this. I don’t like to stay there. I can stay anywhere I go, but the hospital really bothered me. I think that they were actually pretty good to me. So I’m not mad at them for that. ⁓ But I don’t want to see them now if I can possibly help it.

    Bill Gasiamis (23:54)

    Yeah, you’re done with them.

    Trisha Lyn Winski (23:56)

    I’m totally done.

    Bill Gasiamis (23:58)

    Yeah, I get it. I got, I got to that stage. My dramas were like three or four years worth of, you know, medical appointments, scans, surgery, rehab.

    Trisha Lyn Winski (24:07)

    Oh my god. Medical appointments.

    Medical appointments, forget it. They’re like, oh my god. I have so many of them, I can’t even say it.

    Bill Gasiamis (24:11)

    Yeah.

    I hear you. hear you. went through the same thing and then I got over it. now lately I’ve been going back to the hospital and seeing medical doctors for, um, not how I haven’t got heart issues, my, I’ve got high blood pressure and they don’t know what’s causing it. And, know, I’ve had my heart checked. I’ve had my arteries checked. I’ve had all these tests, blood tests, MRIs, the whole lot, and it’s getting a little bit old, you know, like I’m over it. But the truth is without them, I don’t.

    I don’t have a hope. Like if my blood pressure goes through the roof, you know, which had been, had been sitting at 170 over 120, 130. And I have a brain hemorrhage because of uh, high blood pressure. know what a brain hemorrhage is like, you know, I don’t want to have another one. So I’m like, I am going to, uh, I’m going to shut up, go through it and be grateful that I have medical support. Um, which, which

    Trisha Lyn Winski (24:55)

    Yeah.

    I know.

    Yeah.

    Bill Gasiamis (25:14)

    You know, a lot of people don’t get to have, it’s like, whatever, you know, I’ll cop it. I’ll cop it. I’ll go. And hopefully they can get ahead of it. So now they’re just changing my medication. I want to get to the bottom of it. Why have I got high blood pressure? The challenge with the medical system that I have is, is they just tell you, you have it and here’s something to stop it from being high. But I, they never say to you, we’re going to investigate why, like we’re going to try to get to the bottom of it.

    Trisha Lyn Winski (25:16)

    Yeah.

    Yeah.

    Bill Gasiamis (25:40)

    and I’ve been pushing them to investigate why do I have high blood pressure.

    Trisha Lyn Winski (25:44)

    sure. So I

    don’t have, I never had high blood pressure but speaking of I’ve, I don’t have a problem with my heart but they, so that when I had this for the first time they made me get out and have to, I had to wear a heart monitor for a month and I said like why am I wearing a heart monitor? There was something, they, I don’t know what it is.

    Bill Gasiamis (25:51)

    Yeah.

    Trisha Lyn Winski (26:13)

    Afib or something like that in there. And this time was the same thing. had heart bars over there right now. I had to send it back and they’re gonna send me new one. every time I’ve taken my heart test, and by the went for EKG just the other day. It was fine. But they found like something near my heart rate, it’s not like I need to be concerned about these. It’s nothing I need to be concerned about. So I was like, okay.

    They’re making you wear that for a month. Anyway.

    Bill Gasiamis (26:46)

    Yeah, just to go through things, just to check things, just to work some stuff out.

    Trisha Lyn Winski (26:47)

    Yeah.

    Yeah, yeah, this month I have ton, I have like seven appointments.

    Bill Gasiamis (26:56)

    Yeah, I used to forget my appointments all the time, even though I had him in my calendar, even though I had reminders, I just, even though I got reminded on the day, an hour before, two hours before, he meant nothing to me. I would just completely forget about him.

    Trisha Lyn Winski (26:59)

    me too.

    Me too.

    Same thing. I forgot all of it. And I had to share it with Zach and he could tell me, have an appointment. Like, okay. I forgot. He’s like, have an appointment. I’m like, fuck, I have to go.

    Bill Gasiamis (27:13)

    Yeah.

    How long did it take you to get back to work?

    Trisha Lyn Winski (27:28)

    I at least I went back to work. I went back to work before I was told I could go back to work. And I wrote them an email like, listen, I can’t sit at home and run one fucking freeze. I need to do something. So I went back to work. ⁓ And at first I went back to work part time. And honestly, like I cried. I left there crying every day. And not because I think that I.

    Not because of people. don’t think it was the people. I couldn’t understand. My head was like… I couldn’t focus and put all that work into my… I couldn’t put it into me. So I couldn’t understand what I was doing. And then you give them a month. Eventually I got it, but it was a struggle. I should have waited until October. And they said I should go back in October. Maybe I could go back in October. I should have waited until then.

    Bill Gasiamis (28:22)

    Yeah. Do you kind of like a nervous energy type of person? Do you can’t sit still or is it like, can’t spend a lot of time on your own with yourself? Like, is it?

    Trisha Lyn Winski (28:34)

    I can spend a lot of time by myself. don’t like to ⁓ here by myself. I can be by myself. I don’t like to be… I can’t think of… What did you say before?

    Bill Gasiamis (28:48)

    Is it just

    downtime? Is it the downtime? it too much? Did you have too much downtime?

    Trisha Lyn Winski (28:52)

    Yes, definitely too much downtime. But I couldn’t see I was sitting at home and Zach was there, whatever he was doing. was like, I can’t, I need to do something. So I went to work and in all reality, I should have walked around. should have, I didn’t do that.

    Bill Gasiamis (29:04)

    Yeah.

    Yeah. How did your colleagues find you when you went back? Did they kind of appreciate what you had been through? Was that easy to have those conversations? What was it like?

    Trisha Lyn Winski (29:21)

    Yeah, so I oversaw all the finances department. ⁓ They were actually like, honestly like rock stars. They were like really, really good to me. ⁓ That was helpful. because I love them anyway. it made me feel good to say that that’s what I’m doing. ⁓ But I still left there and cried. Not because like I think that I just couldn’t understand it.

    They were good to me. Everyone was good to me in theory, I couldn’t understand.

    Bill Gasiamis (29:56)

    you had trouble with the work, with doing your job because of your cognitive function.

    Trisha Lyn Winski (29:59)

    Yeah, yeah,

    yeah, there’s a other little things with that, it’s more or less the cognitive function is a problem to do the work.

    Bill Gasiamis (30:12)

    Yeah. Tiring. Like I mentioned, it’s really mentally draining and tiring. remember sitting in front of a computer trying to work out what was going on on the screen and it being completely just blank.

    Acceptance and Coping with Mortality

    Trisha Lyn Winski (30:22)

    And so that’s actually what probably got me the most was that what you’re saying. I’d be sitting there and look at my screen. I couldn’t remember what I was doing, but I remember like weird things. I remember how to do like Excel. I don’t know how I remember Excel, but I did. I was really good with numbers. And they said that I was going to have a problem with numbers and everything. So I have aphasia too. I don’t have a choice with that, but

    Bill Gasiamis (30:31)

    Yeah.

    Trisha Lyn Winski (30:49)

    That’s why I talk so weird.

    Bill Gasiamis (30:52)

    Okay, I didn’t notice.

    Trisha Lyn Winski (30:54)

    Oh, oh, I feel good. But

    yeah, I have aphasia. But I can do certain things. And the numbers was going to be, they said it going to, I couldn’t, that’s going to be a problem. And the numbers, I can do all day. But I can’t do other little things.

    Bill Gasiamis (31:11)

    I understand. So you went back to work. It was kind of helpful, probably too early to go back, but good to be out of the house. Good to be connecting with people again. And has that improved? Did you find that you’ve been able to kind of get better in front of a screen, better with the things that you struggled with, or is it still still a bit of a challenge?

    Trisha Lyn Winski (31:19)

    Yeah.

    Yeah.

    So two things, ⁓ I got fired eventually, and that’s another whole issue.

    Yeah, yeah, we’ll talk about that another time. but ⁓ so, but now that I’m here, I could look my computer and it’s fine. I can do it all day. But I really, it’s a long story. think that Warren, my boss, ⁓ Deb, but they definitely like hinder me. ⁓

    Bill Gasiamis (31:39)

    Understand.

    another time.

    Yeah.

    Okay. I understand. Well, maybe we won’t talk about it, like, because of the complications with that, but that’s all good. I understand. So, ⁓ do you know, a lot of the times you hear about acceptance and you hear about, ⁓ like,

    Trisha Lyn Winski (32:07)

    Yeah. Yeah.

    Yeah.

    Bill Gasiamis (32:23)

    When some, well, something goes through something serious, something difficult, you know, there has to be kind of this acceptance of where they’re at. And that’s kind of the first stage of healing recovery, overcoming. Where are you with all of this? you like, totally get that at 46. It’s a shock to have a stroke. You look perfectly fine, perfectly healthy. This thing that you didn’t know about that you’ve had for 46 years suddenly causes an issue. How do you deal with your mortality and knowing that

    things can go wrong, even though you’re not aware of, you you’re not doing anything to really make your situation worse. You look fit and healthy. Were you drinking, smoking, doing any of that kind of stuff?

    Trisha Lyn Winski (33:06)

    I drank occasionally, I wasn’t a drunk, I don’t smoke.

    Bill Gasiamis (33:11)

    yeah

    social smoke social drinker but not smoker

    Trisha Lyn Winski (33:15)

    Yeah, I don’t smoke.

    I don’t have anything that could cause it. I have nothing that, no blood pressure, no diabetes, It’s hard. Jason talks about it all the time. It’s hard. don’t… It makes me mad. Really mad. Really, really mad that I to stroke. And like, everyone that has it…

    Bill Gasiamis (33:24)

    Yeah.

    Trisha Lyn Winski (33:41)

    or every dozen. I’m like, why me? Why did I have to have it? It’s frustrating. It’s so frustrating.

    Bill Gasiamis (33:48)

    Yeah, mad at who?

    Trisha Lyn Winski (33:50)

    I don’t know. I’m just mad. Like, I don’t know who I’m mad at.

    Bill Gasiamis (33:56)

    Yeah. The thing about the why me question, it’s a fair question. asked it too. I even ask it now sometimes, especially when, um, I’ve got to go back for more tests, more, uh, now I’ve got high blood pressure. Like, like I needed another thing to have, you know, like, and it’s like, the only thing that I come back with after why me is why not me? Like, who are you to go through life completely unscathed and get to 99 and then die from natural

    Bill Gasiamis (34:25)

    wanted to stop there for a second because that question, why me, is something I wrote about in my book. It’s one of the most common and most painful places stroke survivors get stuck. If you want to read about it and how I worked through it and what I found on the other side, the book is called The Unexpected Way That a Stroke Became the Best Thing That Happened and it’s available at

    You’ll find the link in the show notes. And now let’s get back to Tricia.

    Bill Gasiamis (34:54)

    like

    Trisha Lyn Winski (34:54)

    Yeah.

    Bill Gasiamis (34:55)

    You’re normal. being normal, ⁓ normal things happen to people. Some of those things that are shit are strokes and heart attacks and stuff that you didn’t know that you were born with. ⁓ what’s really interesting though, is to live the life after stroke and to kind of wrap my head around what that looks like. My left side feels numb all the time. ⁓ tighter, ⁓ has spasticity, but nothing is curled. Like my fingers on my toes are not curled, but it’s tighter. ⁓ it hurts.

    ⁓ It’s colder, it’s ⁓ sensitive, I’ve got a, and I always have a comparison of the quote unquote normal side, the other side, it’s always. And the comparison I think is worse because it makes me notice my affected side and that noticing it.

    Trisha Lyn Winski (35:31)

    Yeah.

    or yeah.

    Bill Gasiamis (35:46)

    makes the reality happen again every day. Like it’s a new, I wake up in the morning, I get out of bed, my left side still sleepy. I have to be careful. If I’m not careful, I’ll lose my balance. I don’t want to fall over. And it’s like, I get to experience a different version of myself. And sometimes I want to be grateful for that. want to say, wow, what a cool, different thing to experience in a body. But then I’m trying to work out like, what’s the benefit of it? don’t know if there’s a benefit. ⁓

    Trisha Lyn Winski (36:14)

    I don’t know either.

    Bill Gasiamis (36:15)

    to me, but,

    Trisha Lyn Winski (36:15)

    I don’t either.

    Bill Gasiamis (36:18)

    but here I am talking to you and, and, and 390 people before you, ⁓ about strike all over the world and we’re putting something out and it’s making a difference. And maybe that’s the benefit. I don’t know, but do know what I mean? Like, why not us? I hate asking that question too.

    Trisha Lyn Winski (36:34)

    I don’t know.

    You had ⁓ the podcast on YouTube and I stumbled upon it on the wise. I watched YouTube and then you came out there and I’m like, so before that I was looking at different, I watched every video, every video on strokes, every video I could possibly type but I watched. I did. ⁓ And then I stumbled upon your stuff and I watched that stuff too.

    And that’s why I wouldn’t have thought to call you or reach out to you.

    Bill Gasiamis (37:11)

    Was it helpful? Was it helpful?

    Trisha Lyn Winski (37:13)

    Yeah, it is helpful. But it doesn’t change the fact that I had a stroke. All the people that had it, I feel bad for them. Honestly, like, so when I was at the hospital, they had me join a bunch of groups on Facebook and Instagram that are like, they’re people who’ve gone through a stroke. most, I don’t comment on them. I don’t say, because most of the time it’s people bitching.

    Bill Gasiamis (37:19)

    Yeah.

    Yeah.

    Trisha Lyn Winski (37:43)

    But I really like, times I, trust me, I’m like ready to kill somebody. But I don’t like say it there. I only ask them questions that are really serious. But sometimes I read what they say. And there was a guy the other day, I don’t know what he wrote, but he had like all kinds of words that they were way jumbled. was like, his message just didn’t make sense. I thought to myself, God, if I was like that, I’d be so sad.

    Somebody, I do think that he’s worse than I could be, but you don’t know.

    Bill Gasiamis (38:19)

    Yeah.

    Communication Challenges and Aphasia

    Yeah. He, his words are more jumbled than yours. And you, if you, you, you’re thinking, if you were like that, you would be probably feeling more sad than you currently are. And you’re assuming that maybe that person is feeling sad, but maybe they’re not, maybe they just got the challenge and they’re taking on the challenge and they’re trying to heal and recover. don’t know. And maybe, maybe they’re getting help and support through that therapy and also maybe psychological help and all that kind of stuff.

    Have you ever had any counseling or anything like that to sort of try and wrap your head around what the hell’s going on in your life?

    Trisha Lyn Winski (38:54)

    So I did it once and actually like I think she was okay. I felt like I was always having to talk. I know that I’m so stocked but she wasn’t asking me a lot of questions and I felt like she needs to me more questions. I’ll have more answers but like but she didn’t. She just wanted me to talk so I just talked. But I stopped seeing her because I… So two reasons. I stopped seeing her because they when they fire me I…

    I didn’t know what I had to do. I knew I insured that I didn’t know how long it was going to be for me to have that. So I talked to her for a little bit and then I stopped talking to her because I just couldn’t deal with it. I think now I’m getting to the point where I’m going to do it.

    Bill Gasiamis (39:37)

    It was a bit early.

    I like that. I like what you said there. Cause sometimes it’s early. It’s too early to go through that and unwrap it. Right. And now a little bit of times past, you probably have more conscious awareness of, do need to talk about this and I need to go through and see a certain person. And now I’m going to take that action. It’s been three years and now I can take that action. like it. ⁓ and I like what you said about, you have to feel like you’re connected to that person or you have rapport or

    Trisha Lyn Winski (39:46)

    It is. Yeah.

    Yeah.

    Yeah. Yeah.

    Bill Gasiamis (40:11)

    they get you and you’re not just, it’s not a one way conversation. That’s really important in choosing a counselor. I know my counselor, we, I didn’t do all the talking. was like you and me chatting now about stuff. had a conversation about things regularly. And therefore, ⁓ one of the good things that she was able to do was just ease my mind when I would go off on real negative tangents, you know, she would try to bring me back down just to calm and.

    Trisha Lyn Winski (40:35)

    Yeah.

    Bill Gasiamis (40:39)

    settle me down and offer me hope.

    Trisha Lyn Winski (40:42)

    I think my, honestly my biggest problem with this whole stroke and having it at all, I have aphasia and that 100 % kills me. Because I can’t like, I can talk like normal but I can’t talk like…

    I forget what I’m saying. So it’s in my brain, but I can’t spit it out. I get really frustrated at that point. people, I had a stroke, my left hemisphere and my right side went numb. My left hemisphere is all kinds of different, different things that I can’t do. The good news is my left means I can’t like, I can talk to people like this. But the other person and that guy I was talking about, he probably had the right side, his aphasia was.

    really bad, really bad. But I was a person who talked like really fast all the time, all the time. And now like, I think part of my brain goes so fast and I can’t spit it out. I get really, I get, it’s, yeah.

    Bill Gasiamis (41:38)

    Okay.

    as quickly as you can.

    Okay, so you know, I’ve spoken to a ton of people who have aphasia. And one of the things they say to me is when they have frustration, their aphasia is worse. So the skill is to learn to be less frustrated with oneself, which means that’s like a personal love thing. That’s self love, that’s supporting yourself, you know, and going.

    Trisha Lyn Winski (42:00)

    It is.

    The Journey of Recovery and Self-Discovery

    Yeah, that’s a point. That’s a good point.

    Bill Gasiamis (42:13)

    And it’s going like, well, you know, you’re trying your best. It’s all good. You know, don’t get frustrated with yourself. Don’t hate yourself. Don’t give yourself a hard time about it. ⁓ and try and decrease the frustration. Then the aphasia gets less impactful, but, ⁓ and then maybe, you know, this part of learning the new you is bring the old Trisha with you, but maybe the nutrition needs to be a little bit more slow, a little more measured, a little more calm. And it’s a skill because for 46 years, you were the regular.

    Trisha Lyn Winski (42:36)

    Yeah.

    Bill Gasiamis (42:42)

    Tricia, the one that you always knew, but now you’ve got to adjust things a little bit. It’s like people going into midlife, right? Like us, you know, in our fifties and then, um, or, know, sort of approaching 50 on and beyond and then go, I’m going to keep eating, uh, fast food that I ate when I was 21 and 20, know, McDonald’s or sodas or whatever. You can’t do it anymore. You have to make adjustments, even though that’s been your habit for the longest time, your body’s going, I can’t deal with this stuff anymore.

    Trisha Lyn Winski (43:03)

    Yeah.

    Bill Gasiamis (43:12)

    Take it out, you know, let’s simplify things. And it’s kind of like how to approach. I stroke recoveries things need to kind of get paid back and simplified. And it has to start with self love. And you have to acknowledge how much effort you’ve already put in for the last three years to get you to the position that you are now, which is far better than you were three years ago when the stroke happened. And you have to celebrate.

    how much your body is trying to support you heal your brain. Your body’s trying to get you over the line and your mindset is getting frustrated with itself, which is making things worse. Tweak that and things will get a bit better maybe. I don’t know.

    Trisha Lyn Winski (43:55)

    It does.

    You’re 100 % right. ⁓ So whenever I’m not stressed, so two things. I think when I talk to people I don’t know, I always get like nervous about that. ⁓

    Bill Gasiamis (44:10)

    You think they’re thinking about things that you’re not they’re not really

    Trisha Lyn Winski (44:13)

    Yeah, but then who knows what they’re thinking of. that’s just how I get, whenever I get like, I went to a concert like a couple of years ago and I was like, I believe I couldn’t, I could hear that the music is so loud in my brain. Like I gotta get out of here. So I left. I’ve gotten better since then, but there’s something about, I have to do things slower.

    I have to do things over. I’ve realized that like recently, like in the last like maybe month, I have to do things very slow. I have to. And maybe this is God’s way of like, tell me like slow the f down, you’re going too fast. But that’s how I live my whole life. And then all of a sudden, now you’re not going to get up. Yeah, it’s a huge testament. So I can do it right. Not always right.

    Bill Gasiamis (45:01)

    Yeah, there’s an adjustment. Yeah, adjustment. Yeah.

    Trisha Lyn Winski (45:09)

    because again, it’s isophagia, it’s gonna be hair mess, if I go slower, much slower, I can get it all out. But, ugh.

    Bill Gasiamis (45:22)

    It’s a lot of work, man. It doesn’t end here. You know, the work just as just beginning, you know, this getting to understand yourself, to know yourself, to support yourself, to be your biggest advocate. ⁓ and then to fail and then to try and be the person that, ⁓ picks themselves up and goes again and tries again without getting frustrated. I know exactly what you mean. Like so many people listening will know what you mean.

    Trisha Lyn Winski (45:22)

    It’s a pain. It’s a pain!

    Bill Gasiamis (45:51)

    And with time, you’ll get better and better because I know that three years seems like a long time, but it’s early in the recovery phase. The recovery is still going to continue. Year four, five, six, seven will be better and better and better. I’m, I’m 12 years post brain surgery and 14 years post first incident. So it’s like, things are still improving and getting better for me.

    Trisha Lyn Winski (46:17)

    Yeah.

    Bill Gasiamis (46:18)

    And one of the things is the way that my body responds to physical exercise. went for a bike ride a little while ago, a couple of weeks ago. And when I used to go for a bike ride at the beginning, um, man, I would be wiped out for the entire day. Uh, and I used to do a morning bike ride about like 10, 30, 11 o’clock and I’d be wiped out for the rest of the day.

    Trisha Lyn Winski (46:32)

    Yeah.

    Bill Gasiamis (46:39)

    Whereas now I can go for a bike ride and just be wiped out like a regular person, you know, about an hour or two, and then I’m back on board with doing other tasks. So it takes so much time for the brain to heal. Nobody can give you a timeline and you’ve got heaps more healing to go.

    Trisha Lyn Winski (46:57)

    So I looked at my stuff on YouTube, how long it takes to recover from a stroke. I’ve looked at that everywhere. Everywhere I can find. I’ve looked at that. It’s so funny. Like everybody says that it’s, everybody’s story is different. Everybody. It doesn’t matter how long you were in hospital for, doesn’t how long. But that like, it’s crazy. have no like timetable of when I’m going to get better. None. I have to deal with it.

    Bill Gasiamis (47:27)

    Yeah. It’s such a hard thing. It’s not a broken bone, know, like six weeks, stay off it, do a little bit of rehab and then you’re back to normal.

    Trisha Lyn Winski (47:28)

    It sucks, but.

    I had two years before this or maybe a year before that, had a rotator cuff surgery.

    I look back at that and I’m like, that was so bad. And that was like night and day. The stroke definitely like, the stroke killed me. Not the stroke. I don’t want to say the stroke. I think having aphasia killed me. I do, the stroke is, get me wrong. I don’t like it either, but ⁓ the aphasia kills me. If I didn’t have that, I wouldn’t be normal, but I can be normal. But the aphasia.

    Bill Gasiamis (48:00)

    Okay.

    Yeah.

    But,

    but what, but that word killed me is a real heavy word, right? maybe you should consider changing that word, but also like, didn’t pick that you had aphasia and I, and I speak to stroke survivors all the time. Like I didn’t pick it. I, I just assumed that was the way you process your words and that’s how you get things out. Like it didn’t, I didn’t notice it at all.

    Trisha Lyn Winski (48:26)

    I know, I know, it’s funny that said

    Yeah, that’s actually good. That’s really good. But I know it’s it. I definitely know it’s it. I could talk like a mile a minute and now like.

    Bill Gasiamis (48:47)

    Yeah.

    Trisha Lyn Winski (48:52)

    I mean…

    Bill Gasiamis (48:52)

    Maybe it was maybe maybe now it’s more about ⁓ quality rather than quantity, Trisha.

    Trisha Lyn Winski (49:00)

    Apparently it is.

    Bill Gasiamis (49:01)

    I’m not saying that you didn’t have quality in that I didn’t know you so I’m not kind of yeah but you know what I mean like

    Trisha Lyn Winski (49:03)

    Yeah.

    No, it’s okay.

    Trust me, it’s okay. But yeah, it just frustrates me. I can’t get out what I want to get out. And so at that time, just give me a little time, I’ll get it out. But I can’t say that to people when I’m out. I can’t say this to So I just, I don’t say it at all.

    Bill Gasiamis (49:22)

    Yeah.

    so you stop yourself from communicating because you think you’re taking too long and it’s interrupting the flow of the conversation. Yeah. I think you’re doing that to yourself. I don’t think that’s true. We’ve had a fantastic conversation here and I’ve never picked it.

    Trisha Lyn Winski (49:34)

    Yeah.

    all day.

    But so

    you’re somebody who’s had a stroke before. It’s kind of different for me because you had. But if you didn’t have a stroke, will be… Well, I don’t know. Maybe not. Maybe one-on-one I’m okay. No, think I… No, it’s because you had a stroke. I think of all the people I’ve talked to and they’re one-on-one. I don’t do well with them. But I think that you’ve had a stroke so I just… I know how to communicate with you.

    Bill Gasiamis (49:54)

    I understand.

    And maybe you’re more at ease about it. Less feeling, judged. I understand. Yeah.

    Trisha Lyn Winski (50:20)

    Yes, all day.

    Even

    that guy I told you about that that said that on Facebook God like I Really like my heart goes out to him But then that there’s the people that are fishing a plane I’m like

    I want to say my heart goes out to them, it really, it goes to certain people. I think that.

    He’s like going through it.

    Bill Gasiamis (50:45)

    Yeah. One of the problems with going to Facebook to bitch and moan about it, especially when you’re going through it is that you get an abundance of people who also are there to bitch and moan about it. And, and that makes it worse. think you should do bitching and moaning on your own. Like when there’s no one watching or listening. Cause then that way there’s not a loop of bitching and moaning that happens. That makes it dramatically worse for everybody.

    Trisha Lyn Winski (51:01)

    Yeah, I do it myself.

    Bill Gasiamis (51:09)

    ⁓ and that’s why I don’t hang around on Facebook, Instagram, social media, or anything like that for those types of conversations. If I’m not sharing a little bit of wisdom or somebody’s story or, ⁓ asking a question, like a genuine question, one of the questions might be, did you struggle driving and did you have to pull over and go to sleep in the middle of the road? If you had a big trip ahead of you in the car, I’ve done that. Like if, if I’m not asking a question like that, I don’t want to be, ⁓ on social media saying.

    life sucks, this sucks, that sucks. Like forget about it. What’s the point of that? That’s why I started the podcast so I can have my own conversations about it that were positive based on what we’re overcoming rather than all the shit we’re dealing with. And that way ⁓ we take off that spiral, the negative downward spiral. trying to make it an upward spiral. You know, where things are.

    Trisha Lyn Winski (51:41)

    Yeah.

    Facing the Aftermath of Stroke

    Bill Gasiamis (52:05)

    I don’t know, we’re seeing the glass half full perhaps, or we’re seeing the positive that came out of it. If something like, I know there’s some positive stuff that came out of stroke for you. Day one, you definitely didn’t think that maybe three years down the track. Maybe if it wasn’t for this, well, then that wouldn’t have happened for me. Like I’ve been on TV. I’ve been at the stroke foundation. I’ve been on radio. I’ve been, I’ve presented. I’ve got a podcast. wrote a book.

    Like it’s taken years and years for all those good things to come, but they never would have happened if I didn’t have a stroke. So I wanted to have those types of conversations, you know, what are the positive things we can turn this into? Because dude, then there’s just enough shit to deal with that. We don’t have to deal with every other version of it, you know? ⁓ and I think it’s better to have your me personally, my negative moments alone, cause I don’t want to get into a competition with somebody.

    Trisha Lyn Winski (52:42)

    That’s good. Yeah.

    Bill Gasiamis (53:05)

    who I say, I didn’t sleep well, my left side hurts, it feels like pins and needles. And then they say to me, ⁓ you think that’s bad? Well, you know, forget about it. I don’t want to be that that guy on the other end of a conversation like that, you know.

    Trisha Lyn Winski (53:13)

    Yeah.

    ⁓ So you said your left side, ⁓ you see you have pin the needles, is always like that? So I’m sorry, had hemorrhagic stroke? Okay. I know the difference between two, ⁓ why did you have hemorrhagic stroke?

    Bill Gasiamis (53:27)

    Always, yeah, never goes away.

    Yeah, Brain blade.

    I was born with a blood vessel that was malformed. So it was like really weak one. I was really like, uh, was kind of like, uh, uh, it wasn’t created properly in my brain when I was born and it’s called an arteriovenous malformation. then they sit idle, they sit idle and they do nothing for a lot of people. And then sometimes they burst.

    Trisha Lyn Winski (53:58)

    Mm-hmm.

    ⁓ I heard it.

    Bill Gasiamis (54:08)

    And people sometimes have them all over their body. They don’t have to have them in their head. They can have them on the skin, ⁓ in, in an arm on a leg, wherever. And on an arm and a leg, they, they decrease the blood flow and they create real big lesions of skin damage on the surface in a brain. They leak into the brain and they cause a stroke. ⁓ so the challenge with it is like you, there was no signs and symptoms.

    for any of my life until it started bleeding. And when I took action, eventually, I was like, yo, I didn’t want to go to the doctor. I didn’t want to go to the hospital. I want to do any of that. It took seven days for me to go to the hospital. When I finally got there, they found the scan, found the blood in my head. And then they thought it would stop bleeding and it didn’t. And then it bled again and they wanted to monitor it to see if it stops bleeding. They wanted to try to avoid surgery.

    And then a bled a third time. And then after they bled the third time, they said, we have to have surgery. We’ve got to take it out because it’s too dangerous. And when it bled the second time, I didn’t know who my wife was. I blanked out. ⁓ I couldn’t speak afterwards. I couldn’t type an email. ⁓ I couldn’t work. I couldn’t drive. ⁓ I couldn’t remember who came to visit me. I couldn’t start and finish sentences. Yeah. So much drama. And then.

    Trisha Lyn Winski (55:30)

    And yeah, same thing.

    Bill Gasiamis (55:36)

    The numbness wasn’t there until after the brain surgery. So when they removed the blood vessel, I solved the problem in my head, but then the complication from the surgery was when I woke up, I couldn’t walk. So I had to learn how to walk again. And, ⁓ the numbness has never gone away. It’s there all the time.

    Trisha Lyn Winski (55:41)



    My numbness has gone away. But even when I first had it, I remember I was at the spawning, the rehab center here. And I had to to the bathroom. I had pee really bad. So I called the nurse. She didn’t answer. like, the bathroom’s right there. I’ll go. I got out of the bed. All the alarms sounded off. I’m like, look around. And she comes running. And she’s like, you can’t get out of bed.

    I just have to go to the bathroom. She’s like, you can’t get out that way. Why? Right at that moment I almost fell. I’m like, mmm. So I was like, okay, can you take me to the restroom? But I didn’t know I couldn’t walk there. I didn’t know.

    Bill Gasiamis (56:38)

    Yeah.

    I woke up from brain surgery and they said, have you gone to the toilet? And I said, no. Okay. Well, let me help you go to the toilet. That’s one thing they want you to do as soon as you can. I went out, I got out of the bed on my left side, went to put my leg on the ground. There was this little nurse, Asian lady, really ⁓ small framed. I’m probably about two foot taller than her. And she goes, just put your arm around me and I’ll hold you and you’ll be fine. Well.

    I put my arm around her, I held her and I just fell to the ground. We’re talking hours after brain surgery. And that’s the first time I realized that I couldn’t walk. And then I needed to go to the toilet a couple of days later and I pressed the buzzer and the nurses wouldn’t come because they were busy. And I tried to get myself out of bed into the wheelchair and they caught me while I was in the wheelchair, dragging myself to the toilet.

    Trisha Lyn Winski (57:10)

    Ugh.

    my God.

    Bill Gasiamis (57:36)

    And they said, you can’t do that. I said, ⁓ well, if, if I, if I don’t do this, I’m going to shit myself. I need, I need to do this. And then they said, ⁓ and then they said, well, we have to help you. And I said, cool. Help me. They put me on the toilet and then they wouldn’t leave the room. And I was like, you have to leave the room. I’m not doing this with you in here. You’ve got to leave the room. And I said, we’re not allowed to leave the room. And I know how I made them stand outside the toilet door.

    Trisha Lyn Winski (57:42)

    Yeah.

    me too.

    ⁓ that’s so funny.

    Peace out.

    Bill Gasiamis (58:06)

    And I swear to God, I’m not going to move and do anything else other than what I have to do in privacy. When I’m done, I’ll let you know. But right now you’ve got to be outside. And they stayed outside. It was chaos.

    Trisha Lyn Winski (58:17)

    Yeah, the same

    thing. So I had a wheelchair. At first it was right beside my bed so I could put my hand on it and climb down there. But they were smart. They put it on the other of the room. I’m like, I can get over there to get that wheelchair. So I’m like, I can walk. I can walk there. Yeah, so I didn’t walk after that. Yeah. But they were smart.

    Bill Gasiamis (58:45)

    And I wasn’t blaming them. didn’t want to blame them. I just said to them, sorry guys, like, I know you’re busy. couldn’t wait though. I had just had to go, you know, so that’s what I did. I went and you know, it wasn’t the smartest move, but my self preservation from the embarrassment of, know, swelling my pants was going to be the, my biggest issue apparently, you that was going to be the biggest problem in my life. So you’ve,

    Trisha Lyn Winski (58:47)

    Yeah.

    Yeah.

    Bill Gasiamis (59:11)

    Have you had some friends that have rallied around you and kind of helped you get through this? Or have you trying to be, have you been independent and done it all yourself? It seems like you’re a little kind of independent.

    Emotional Impact on Loved Ones

    Trisha Lyn Winski (59:22)

    Yeah, I’m definitely independent, I I have. So when I had the stroke, um, I had like 12 people at the hospital before I was even in for surgery. Um, so I had some really good friends. Um, but even still, like, I just, I’m so used to doing things by myself. I am so used to it. I just, I, I got, I got mad when I, when I can’t do it myself and they help me. like, don’t.

    don’t push my sentences, let me talk myself. Eventually I got past it. ⁓ But sometimes it gets frustrating. My friends were like, big support system. Yeah, they were.

    Bill Gasiamis (1:00:07)

    Yeah, did that help you get?

    Trisha Lyn Winski (1:00:07)

    My

    son and Jason are like, I think they’re kind of traumatized by it.

    Bill Gasiamis (1:00:17)

    Yeah, 100%.

    Trisha Lyn Winski (1:00:18)

    And

    that’s why I’m like, I had the stroke. Why are you traumatized? I forget that. I just don’t look at from their perspective. ⁓

    They watched me have a stroke.

    Bill Gasiamis (1:00:31)

    Yeah. That’s tough for a son to watch ⁓ anyone they love have a stroke, right? But also your ex, even coming across a stranger that’s having a bad health situation, like even that’s tough, right? And

    Trisha Lyn Winski (1:00:50)

    It’s tough.

    Bill Gasiamis (1:00:51)

    And you guys were married at one point, you guys have a son together, like you’re, you know, your friends, you’re close. And it’s like, what does that mean for this person that even though you guys aren’t in a relationship like you were, like there’s a level of respect and love there still. It’s like, what does this mean for that person? What does it mean for my son? Who’s mom’s unwell? Like there’s a whole bunch of things that, you know,

    Trisha Lyn Winski (1:01:18)

    Yeah.

    Bill Gasiamis (1:01:19)

    come into it, they do get traumatized.

    Trisha Lyn Winski (1:01:21)

    And

    the first day, I remember I told you, I remember seeing like a few people, but Jason and Zach and his brother Connor, who I love too, but they can, I couldn’t really talk to them, but.

    They were all crying and Zach was really crying. Actually Zach and Jason both were. It makes me feel bad because I couldn’t like… I put my arm out to… I was trying to tap him. I was saying, it’s okay, it’s okay. But I couldn’t say that. So I just like put my arm out. It makes me feel bad now that I think about that. I know that they were traumatized. I know they were.

    I just didn’t realize until right now.

    Bill Gasiamis (1:02:10)

    Yeah, you didn’t do it to them. It just happens. That’s what happens when somebody says someone who they love be unwell. You know, if you think about what you went through with your parents, you know, when things go wrong with your parents, you know, it’s, it hurts you too. It’s not just the person who you love that’s going through it. You go through it together. ⁓ it’s such a

    Trisha Lyn Winski (1:02:13)

    I know.

    No.

    Yeah.

    Bill Gasiamis (1:02:33)

    It’s such a difficult thing. And I’m like you. I was trying to make everyone else around me feel calm and okay. And yeah, not freak out. Yeah, that’s what I was doing most of the time.

    Trisha Lyn Winski (1:02:40)

    All day here.

    all day.

    Yeah, that’s actually what I was doing too. Most times that I was at Spodding, I honestly like, I had a million people coming in there to see me. It was really humbling now. But at the time I was like, I just want to be alone. And I was, was, I’ve met myself the first day. I never forget it. I cried and cried and didn’t want to go there when I told you I wanted Zach to take me home.

    Um, and she gave me this like this iPad and she said, this is an English assignment. See how much you can do this. I’m like, I can do it. I couldn’t do it all. I couldn’t. It was, it was, I know I can do it, but it was like such easy English. I, I threw the iPad. I’m like, just get out, get out. And that was the first day I was there. Like, she wants to kill me. But in the end, like she came back in the next day. She’s like, it’s you’re fine.

    just so you know you’re fine like I just threw your iPad by the way I broke the iPad but yeah but but she said I was I was fine but in all reality that was like that was the worst for me I couldn’t like tie my shoes I couldn’t like I couldn’t do anything I I thought I could do

    Bill Gasiamis (1:04:05)

    You know what’s weird is most, a lot of stroke survivors, right? Not just you, don’t know how you tie your shoes, but you know how to be upset and frustrated at yourself. how, how is that a thing man? Like if we can, if a stroke causes something, you know, why can’t it just stop you from knowing how to be frustrated with yourself? Like.

    Trisha Lyn Winski (1:04:13)

    All day. All day! That’s so true. ⁓

    That’s so true. the first week, I had room with a view, but I would count how many cars it took to get to the place on the ridge. like, this is fucking crazy. This is what I’m doing. This is what my life has become. I’m just counting how long it takes to to the bridge. like, now every time I go past it on the highway, I look at it and I’m like, I don’t even want to see it.

    It’s funny, it’s not funny, but…

    Navigating Life Changes

    Bill Gasiamis (1:04:57)

    I know what you mean, like little things become ways to occupy your mind and ways to through whatever you’re going through to distract you from all the stuff that’s going on, all the drama. Yeah.

    Trisha Lyn Winski (1:05:02)

    Yeah.

    Yeah, all that

    the stuff you do there was like crazy, but in the in reality, that’s what I had to do. So I know that they were I know they’re doing our thing. ⁓ But the time like, you do physical therapy, you have to do occupational and really like, can I just go sleep? I want to sleep all day. So that at times people come to see me with busy hours from I think from four to eight. And

    I was in one of the therapies always until like five or six. So when they came in room, I was ready for bed. One day I said, I yawned. I said, night night. This is I could say. said, night night, night night, night night. I said like that, my mom was like, are you tired? I’m like, yes. I was so tired. And she laughed. like, it’s funny now I laugh, like.

    I said, night night, night night. Yeah, I was totally wiped out. I think that was the first week.

    Bill Gasiamis (1:06:09)

    You’re on your wiped out. Yeah. Yeah.

    Yeah. I understand what that’s like. I remember being wiped out, just doing a few steps in rehab. ⁓ when I was doing occupational therapy in that, and then being wiped out for the whole day. it’s like, guys, I don’t want to do anything else, but, ⁓ yeah, rehab is hard, but not rehabbing is potentially making life harder anyway. So you have to do.

    Trisha Lyn Winski (1:06:27)

    yeah.

    Bill Gasiamis (1:06:39)

    the rehab and it took me a month to sort of start getting comfortable with the three, four sessions of rehab. ⁓ Yeah. Every day. Whereas at the beginning it was one was enough like guys half an hour I’m ⁓ and thinking about walking and thinking about where your leg is going to go and thinking about your arm and everything too much thinking.

    Trisha Lyn Winski (1:06:46)

    Every day. Every day.

    Yep.

    Yeah, so it, I think the first week I was at the hospital, I don’t know why, but I did find out later. I sang like two different songs. Mind you, I didn’t sing them. I said it out loud. And the one song that I hate this song, I hate this song now. I hate this song back then. In general, I hate song. And I said, my milkshake brings all the boys to yard. That’s it. And my friend, Roderick, was like, what?

    I was like, my milkshake word is all boys yard. I was like, it didn’t dawn on me that that was a song. And I was saying a part of it. And it turned out that the spot my brain is, is well, then it was, it was dead to the, I think the verse of the songs, but it knew the words. So it said out loud, did that song. did, um, no diggity, no doubt. I say no diggity, no doubt.

    over and over and over again. They got me started, so no digging it out.

    Bill Gasiamis (1:08:02)

    That’s crazy. Of all the things to remember, my milkshake brings all the boys to the yard.

    Trisha Lyn Winski (1:08:03)

    I know. Yeah,

    that’s all I said.

    That’s embarrassing,

    Bill Gasiamis (1:08:09)

    That’s so embarrassing and funny at the same time. It’s a really good story. love it. ⁓ Looking back, right? You’ve definitely changed in many different ways. Like how have you changed? Not just physically, not just, ⁓ you know.

    Trisha Lyn Winski (1:08:13)

    Yeah.

    order.

    Bill Gasiamis (1:08:28)

    Not just sort of noticing what you can and can’t do anymore, but also emotionally and mentally. Where are you at with the, I know you get emotional, but I still get emotional when I talk about my stroke in the right place. So what’s the emotional and mental kind of recovery like for you?

    Trisha Lyn Winski (1:08:43)

    The emotion like, so the part of my brain that has a problem dealing with emotions. So I get emotional whenever I’m not upset. I’ll be crying. I don’t even really I’m crying. And somebody says that you’re crying like, huh? ⁓ I feel that’s when I know I’m crying. But it totally like, it changed my life. Like some good, some bad, but it changed my life. I just have to

    goes a lot slower. I told you that earlier. I do have to go a lot lot slower. But it changed my leg. I don’t know. I don’t know. It just changed. It changed it. don’t know how. Yeah, I can’t like put that down. But I know this weird thing. But now I can cook. I couldn’t cook to save my life. And mind you, my mom died in November and she was a really good cook.

    Bill Gasiamis (1:09:23)

    It just changed.

    Trisha Lyn Winski (1:09:40)

    So I think after she died, just picked it up. I made stuffed lasagna and bread with it. I don’t even know how I made that, but I did it. It was really good. I don’t know. I know.

    Bill Gasiamis (1:09:56)

    All right.

    That’s a win. Why not? We’ll just take it. I love it. ⁓

    Trisha Lyn Winski (1:10:02)

    Yeah. Yeah, I do love those

    moments, but yeah, I just don’t like, I don’t want to. So sometimes I go out, I get tired or, or about, yeah, I go out have like, most I have is two drinks ever. This is, I don’t know why this happened to me, but like, before I could drink a lot, not a lot, but a lot for me. Um, but now like I have like two drinks. like, I’m done. Like,

    I don’t think I’m drunk, but I just think that I just can’t have anymore.

    Bill Gasiamis (1:10:34)

    Yeah. You know, I’ve stopped drinking. I haven’t had more than about 20 drinks in 10 years. It makes me feel like I’m having another stroke. That’s why I don’t do it.

    Trisha Lyn Winski (1:10:39)

    Wow, that’s good. I need to do that, but I don’t do that yet.

    I wouldn’t do it in that case either. Yeah. I think that’s a way I cope with it actually. I go all by myself all the time.

    Bill Gasiamis (1:11:03)

    Okay, so you reckon the drinking kind of helps take the edge off every so often if you’re feeling down on something.

    Trisha Lyn Winski (1:11:06)

    Yeah.

    Yeah. And I think that somebody, if I can talk to somebody and they want to hear my stroke, ⁓ I’d gladly tell them that. But Zach and Jason and every I know, I can’t like talk to them about it because like, yeah, it’s frustrating.

    Bill Gasiamis (1:11:25)

    Great.

    Yeah. Because also you have a conversation with them. That’s different. Like it’s not a you and me talking about stroke. I don’t have to come in and step in and go, worry about you. I don’t have to say, you know, but mom, this or Patricia, that like, I don’t have to do any of that stuff. You know, we just have a talk. We share our conversation. You get it off your chest. I’ll get mine off my chest. But then you’re talking to the family and the family then they’re not as

    disconnected from it. And therefore it goes the way family conversations go when somebody has been unwell. And I’m the same like with my wife. think that’s why the podcast exists because I’m here. I am 14 years later, still talking about the stroke every week on the podcast. My wife doesn’t need to have that many conversations about what happened to me. It’s just.

    Trisha Lyn Winski (1:12:14)

    was crazy.

    Yeah. Yeah. ⁓

    Bill Gasiamis (1:12:22)

    She doesn’t need it. She physically,

    emotionally, mentally does it every so often. I say to her, no, I’m screwed. And she’ll say, you know, what’s wrong with you again today? And I’ll say, you remember I had a stroke 14 years ago, every so often I say it just because I need to say it. And then she goes, Oh yeah. Okay. I get it. Um, and then, and then they can get off my case when they’re being, um, when they’re giving me a hard time for being, um, moody or

    Trisha Lyn Winski (1:12:51)

    Yeah.

    Bill Gasiamis (1:12:51)

    nasty

    or whatever and then and then we’re okay but we don’t have deep and meaningful conversations about it anymore there’s no point because she can’t change anything she’s not the right person for that a therapist is for me if I need to if I need to and if I and if I can’t see a therapist another podcast guest is my therapy like it’s

    Finding Joy in New Passions

    Trisha Lyn Winski (1:13:12)

    It totally is. when I first had a stroke, whenever I go out with whoever I out with, I told them I had a stroke. Mind you, I didn’t want to tell them I had a stroke, but I couldn’t tell them I had aphasia. I think they’re not going to understand, what that is. So I have a stroke that way I can say I have aphasia, blah, I tell them that because they give me time to let it out, get what I’m trying say out.

    That’s a big deal for me. And so I think that when I did that at first, it kind of bothered some people. like, listen, I’m going to do it whether you’re with or not. I do it because I need to do it. I have to do it. It’s not because I give two shits what anybody thinks about me having a stroke, but it’s about aphasia. I can talk if they let me get it out. So I think that now everyone’s OK with it. But at first, they’re like, what the fuck? I’m like, yeah.

    Bill Gasiamis (1:14:08)

    The learning how to interact with somebody who’s had a stroke and has aphasia is a big task as well. My wife, even a few times said, spit it out. I’m like, dude, spit it out. Be careful what you’re saying. You know, like, and I know she wasn’t being nasty or mean. She just thought I was, ⁓ delaying the conversation or whatever, you know, I’m all being distracted or whatever. And I’m like,

    Trisha Lyn Winski (1:14:15)

    Yes.

    Yeah.

    Yeah.

    Bill Gasiamis (1:14:37)

    just bloody wait, shut up, be patient and wait, know, like, you know, and we, we, we’re there now and we understand each other. But early on, was her learning that like you, my brain, my brain doesn’t work. ⁓ and my mouth unconnected like they were before.

    Trisha Lyn Winski (1:14:59)

    Yeah.

    Bill Gasiamis (1:15:01)

    I don’t know if it’ll come better or not, but right now it’s not. So just wait, just don’t say anything for three seconds. It’s your problem. If you can’t handle, ⁓ three seconds of, ⁓ dead air time, it’s not my problem. Just stop.

    Trisha Lyn Winski (1:15:17)

    So when I first had it and I got out, I went to this Chinese restaurant with a bunch of my girlfriends. And I didn’t know I said to my friend Jill, I said, when you come back up here, can you give me the shirt that you wore mind to homecoming?

    Two things I’ve been home kind since I was in high school. So is it 23 up in some years and I looked at my I said that and she’s like, yeah, It it it just like makes me laugh and that’s I was then now like like I said it but I said it I Did

    Bill Gasiamis (1:15:54)

    Yeah.

    The brain, the brain is anyhow, people after stroke, ⁓ the same, but different, you know, things work differently. Things are rewiring things. Things are all over the place. You know, it takes a lot of time and a lot of healing. think I kind of hit my

    Trisha Lyn Winski (1:16:05)

    Yep.

    Bill Gasiamis (1:16:12)

    my best sort of recovery phase after the first seven or eight years, six, seven or eight years is kind of what I felt best about myself. It took a long time for me to get there. And I went back to work. know, 2012 was the first incident. didn’t go back to work until after 2019 in my own business, which is what I was doing before. And so it took seven years for me to get back into the swing of the routine and all that.

    Trisha Lyn Winski (1:16:31)

    Yeah.

    Yeah.

    Bill Gasiamis (1:16:38)

    harder than it was then because I was dealing with the physical challenges, but it took a long time. So, ⁓ I think you’ll get there and I want to offer hope to people that, ⁓ early on in the recovery that things will continue to change and improve. ⁓ what, what do you like doing now? Like what’s your little, you know, what’s the, what are the things about your life that you kind of love to do that are making you feel good?

    Trisha Lyn Winski (1:17:08)

    So I’m really big into football. I’ve always, but it’s funny. Like, so when I was in spawning, so I’m a big stealer, Pittsburgh, Seattle, Fran. Yeah. So, they had to, do you go to the play, the, the play house? Well, to go to the play house, they had to be, they had to win and we had other, three other teams like win and lose. So.

    Bill Gasiamis (1:17:18)

    Deal with it. Okay.

    Super Bowl.

    Trisha Lyn Winski (1:17:34)

    In Spoding, I was watching on my phone, she had the TV on, she had an iPad that she had it on, and I was watching all three of them and she looked at me and she’s like, you have not changed at all. I’m like, what do mean? It’s because I was doing that and she kind of laughed at me, but it’s kind of true. I still like the same thing. I still like, I love the way they play pool. I was really good at pool. I was really good. I can’t.

    shoot as good as I used to shoot before, but I can still shoot. I went out with Zap one time and I beat him and he’s like, how the hell did you beat me? like, I don’t know. I like a game, but it’s not that I was so good at a pool. don’t, again, I don’t shoot as good I did, but yeah.

    Bill Gasiamis (1:18:24)

    You like doing activities like that?

    Trisha Lyn Winski (1:18:27)

    Yeah, I do.

    Bill Gasiamis (1:18:28)

    That’s cool. Why not? love it. you know, with the way that the, the grid iron works in the United States, if your team doesn’t get to the super bowl, like, it really depressing? Because I know you guys have separate, like there’s a, there’s a, there’s two different divisions and then.

    Trisha Lyn Winski (1:18:44)

    Yes.

    There’s two divisions. Yep. And there’s four divisions.

    There’s two divisions and there’s four, I can’t remember the call, but in each division.

    Bill Gasiamis (1:19:04)

    Okay, so each division is split up into four. Okay, so to get to the top of your division, do you have to have playoffs against the other four?

    Trisha Lyn Winski (1:19:14)

    Yeah, you have to play have playoff against only so my my conference conference that was insane. There’s two conferences, AFC and NFC. So AFC the Steelers are in. So they have to be not all a team. They have a playoff that they have to go through. But then once they get through that, then they play the NFC in the Super Bowl.

    Bill Gasiamis (1:19:34)

    Wow. Okay. So they’ve got to get through their own division. They’ve got to then be the top of the NFC and then they’ve got to play off in the Superbowl to potentially win the Superbowl. So it is a massive big deal to make it and win a Superbowl. Massive.

    Trisha Lyn Winski (1:19:51)

    Yeah,

    so Pittsburgh has, we’re tied right now with the paths and it makes me effing mad because I live in Boston and like, so we’re tied with them now, but ⁓ I like to say we have more than they do, but it doesn’t matter. So we’re tied.

    Bill Gasiamis (1:20:10)

    Yeah, okay. I hear more Super Bowls. So you, I just Googled it the last time the Steelers won the Super Bowl was in 2009.

    Trisha Lyn Winski (1:20:19)

    And I was at that game. It was so much fun. ⁓ God, it was so much fun. San Antonio Homes caught the ball in the end zone. It’s the most amazing catch. Watch it. Watch it. He’s amazing.

    Bill Gasiamis (1:20:32)

    Yeah. Okay.

    I’ll check it out. I love ⁓ big games, you know, where two really good teams go against each other and your team just gets over the line. Like, I love that you never ever forget it for the positive, but then the other team never forget it because of the negative.

    Trisha Lyn Winski (1:20:43)

    Yeah.

    We played

    against, that’s not the last time we were in a secret role. played in a secret role. 2009, we won. think we played in 2011 or 12 and we lost to Green Bay. I went to that game too and I was, yeah, I was mad. But we lost.

    Bill Gasiamis (1:21:06)

    My team

    in Australia in Australian football has been equaled 16 championships since they’ve been around, which is like for 110 years or something. And they’ve lost the most championships though. Yeah. So they’ve been in the most they’ve won almost the most, but they’ve lost more than any other team.

    Trisha Lyn Winski (1:21:21)

    Really?

    I don’t

    know how many we lost. bet we’re up there. No, no, I don’t think we’re up there, but…

    Bill Gasiamis (1:21:34)

    Yeah. So we’ve seen a lot of heartache in those years where so many losses I’ve probably seen about, I reckon I’ve seen maybe seven or eight losses in a, yeah. And, in the gridiron when I was a kid, probably my twenties and my teens, I used to follow, you’re going to know exactly what, what, what I’m getting at now.

    Trisha Lyn Winski (1:21:37)

    Yeah.

    Bill Gasiamis (1:21:59)

    I used to follow Buffalo Bills because my name’s Bill. I used to follow the Buffalo Bills. But how many did they lose in a row in the nineties?

    Trisha Lyn Winski (1:22:04)

    I do like buffalo meals.

    They’ve never been to the sea,

    Bill Gasiamis (1:22:12)

    Yeah, they’ve been to the super bowl. They’ve lost. Yeah. I’ll Google now. I’ll tell you how many, how many they lost. How many, Oh man. In a row to super bowls did Buffalo lose.

    Trisha Lyn Winski (1:22:20)

    It could be that many.

    I don’t

    think they did it to their super elf. Maybe I’m wrong.

    Bill Gasiamis (1:22:32)

    Okay.

    In 1991, they lost to the Giants 20 to 19. In 1992, they lost to Washington 37 to 24. In 1993, they lost to the Dallas Cowboys 52 to 17. And in 1992, they lost to Dallas Cowboys 30 to 13.

    Trisha Lyn Winski (1:22:38)

    So.

    Okay.

    So they haven’t been there since then, right?

    Bill Gasiamis (1:23:00)

    Uh, I believe so. And they’ve lost four in a row, 91, 92, 93, 94. I still have a hat and everything.

    Trisha Lyn Winski (1:23:06)

    my god.

    So I think that’s what I’m thinking of. I don’t think they’ve ever won a Super Bowl. But they haven’t been there in last couple of years, and it really should have been. And I was rooting for them to win. I root for a seal all day. I don’t care, all day. But when they were out, I was hoping that they won, but they didn’t.

    Bill Gasiamis (1:23:30)

    Yeah.

    The zero from zero from four attempts and it was all in zero wins from four attempts at the super bowl and they’ve lost the four in a row. Yeah. It was devastating to be a Buffalo Bills fan then, but it is what it is. So as we wrap up, I’d love to ask you one last question, especially about somebody who might be listening to this interview. Who’s just going through it really early on. Like what would you say to them about

    Trisha Lyn Winski (1:23:35)

    What?



    Yeah.

    Bill Gasiamis (1:24:00)

    the journey about what you’ve learned about stroke in general or life. Like do you have some words of wisdom?

    Trisha Lyn Winski (1:24:08)

    I think that like you just have to be patient with yourself and be patient in general because in the end like so I went neuroplasticity it really does exist. I’m telling you like my brain like I find places to find the words I never had before. It takes longer for them to get there but it gets there. So I was speaking really bad when I first had it. I speak a lot better now. Just give yourself time.

    I know my back to work, I shouldn’t have, but I really like to work. All these little things I did, I shouldn’t have, but I did. It taught me that if I ever had again, I won’t do that. I have to just take my time and do it myself. I feel like, well, I get young too, so it’s hard to say what I would do, but yeah, I just gotta take my time. I have to.

    Bill Gasiamis (1:25:04)

    I love it, Trisha. Thank you so much for reaching out, staying up so late to be with me on the podcast. really appreciate it. was great to chat to you.

    Trisha’s Journey: Emotional Anger After Stroke

    Bill Gasiamis (1:25:12)

    Well, what a wonderful conversation. Trisha was 46 years old, no risk factors, a carotid web she never knew she had and a stroke that changed everything in an instant. What stayed with me most was her honesty about the anger, not knowing who she’s mad at, just being mad. The aphasia that frustrates her more than any physical deficit. The moment she realized her son and ex-husband were traumatized.

    and that she’d forgotten to look at it from their perspective. And her reminder that at the end, the neural plasticity is real. The brain is still finding new pathways. Give it time. If this episode resonated with you, please share it with someone who needs to hear it and subscribe so you never miss a story like Trisha’s. A huge thank you to my Patreon supporters. You are the reason that helps this podcast keep going.

    and stays free for every stroke survivor who needs it. A special welcome to those who have joined us recently. Thank you so much. It genuinely means the world to me

    you’re in recovery and feeling that anger, that confusion and that sense of why me, I wrote about all of it. It’s called The Unexpected Way That a Stroke Became the Best Thing That Happened. It is available at recoveryafterstroke.com/book. I’m Bill Gassiamas. Thank you for listening to the Recovery After Stroke podcast. I will see you in the next episode.

    The post Emotional Anger After Stroke: Trisha Winski’s Story of a Carotid Web, Aphasia, and Learning to Slow Down appeared first on Recovery After Stroke.
  • Recovery After Stroke

    Return to Work After Stroke – Marco Calabi’s Honest Recovery Story

    09/03/2026 | 1h 2 mins.
    Return to Work After Stroke: How Marco Calabi Rebuilt His Career, His Purpose, and His Life

    At 47 years old, Marco Calabi was a DevOps engineer living in Italy – someone who spent his days automating systems, solving complex problems, and helping companies stop wasting time on repetitive tasks. He was healthy, working, paying bills, and spending time with friends. Life was normal.

    Then, without warning, everything changed.

    A small hole between the two chambers of Marco’s heart, a condition known as Patent Foramen Ovale, or PFO, had allowed blood flows to mix. A clot formed. It travelled to his brain. By the time his partner and sister realised something was terribly wrong, Marco was moving his arm involuntarily, unaware of what was happening to his own body.

    The emergency services were called twice. The second time, they came.

    Marco underwent eight hours of brain surgery. He was placed in a medically induced coma to allow his brain to rest. When he finally opened his eyes, he was on a hospital bed, and the road back had only just begun.

    The Reality of Stroke at 47

    Marco woke from surgery to find the right side of his body had been affected. His arm, hand, and leg were weak. His speech was impaired. He left the hospital in a wheelchair.

    For many stroke survivors, this is the moment that defines everything that follows, not the stroke itself, but the first honest look at what recovery is actually going to require.

    “In the beginning, I was helped in everything,” Marco recalls. “They prepared my lunch. They helped me go to the bathroom. My family never left me alone.”

    His mother, his partner, his sister, and a close friend in the Netherlands all rallied around him. At home, physiotherapists and local health professionals visited him directly, a level of care he describes as incredible. Step by step, he began to reclaim his independence. First, the bathroom. Then the kitchen. Then the stairs. Each small act of autonomy arrived with a feeling he hadn’t expected: power.

    “You feel good because you think you have power again,” he says. “It is a very important moment.”

    Return to Work After Stroke: Why It Matters

    For working-age stroke survivors, the question of whether they can return to work after stroke is one of the most pressing they face. Identity, purpose, financial security, and routine work carry all of these things, and a stroke threatens all of them at once.

    For Marco, returning to work wasn’t just a financial necessity. It was evidence that his life still had forward momentum.

    He went back to his role as a DevOps and Site Reliability Engineer, initially working six hours a day instead of eight. The work itself, automating processes and improving systems, remained the same. Only the pace had changed.

    “I do the same things, but with different speeds,” he says simply.

    That shift in pace is something many stroke survivors recognise. Recovery doesn’t demand perfection. It demands persistence.



    “The right moment is now. Not after, not tomorrow, not next week. Now.”

    — Marco Calabi



    Recovery Happens in Steps

    One of the most grounded things Marco shares is this: recovery cannot be rushed.

    “The experience is made of steps,” he says. “You must live every step. The first steps are physical. And then your mind changes. But you must let yourself be.”

    This is the part that rarely gets talked about openly. The pressure to recover quickly — to prove to yourself, your family, and your employer that you are still capable — can work against the very process you are trying to complete. Marco’s advice is to resist the urge to skip ahead. Physical recovery comes first. Mental and emotional transformation follows naturally from there.

    Trying to rush past the physical phase doesn’t speed up recovery. It disrupts it.

    The Book, the Purpose, and the Shift

    Deep into his recovery, Marco did something unexpected. He wrote a book.

    Cambio di Vita, translated into English as Life Change: To Hell and Back, is his account of what happened, what he felt, and what he learned. Available on Amazon in digital and paperback.

    Writing started as a personal exercise. Somewhere in the process, its purpose shifted.

    “I said, my story is useless in this moment. I can make something,” Marco explains. “And so the book has another meaning to share.”

    For a man who had always found purpose through his career, the stroke opened an unexpected door. Helping others became a new calling. Speaking engagements, podcasts, and community conversations, Marco has built a new layer of meaning onto the life he already had.

    His best friend told him he had become wiser. His own reflection on what changed is striking: “Heartlessness is useless. You reach the hearts of people with softness.”

    What Stroke Taught Him About Life

    Perhaps the most powerful thing about Marco’s story is not what he lost, but what he found.

    He found that the right moment is always now, not when conditions are perfect, not when recovery is complete, but right now, with whatever capacity you currently have.

    He found that family and friends matter more than most of us acknowledge until we truly need them.

    He found that purpose doesn’t require a perfect body or a full working week. It requires a decision.

    If you are navigating life after stroke, wondering whether you can return to work, rebuild your identity, or find meaning in what remains, Marco’s story is proof that it is possible. Not easy. Not fast. But absolutely possible.



    If you are rebuilding your life after stroke and want a guide for the journey ahead, Bill’s book The Unexpected Way That a Brain Injury Can Change Your Life is waiting for you at recoveryafterstroke.com/book.

    If this podcast has supported you, consider supporting it back at Patreon. Your contribution keeps this community growing.

    FAQ: Return to Work After Stroke

    Can you return to work after a stroke?

    Yes, many stroke survivors do return to work, though the timeline and capacity vary depending on the severity of the stroke, the type of work, and individual recovery. Marco Calabi returned to his role as a DevOps engineer, initially working six hours a day instead of eight. The key is a gradual, supported transition.

    How long does it take to return to work after a stroke?

    Recovery timelines vary widely. Some survivors return within weeks; others need months or years. Factors include the type and severity of stroke, the physical and cognitive demands of the job, and the quality of rehabilitation support. There is no universal timeline. Patience and persistence matter more than speed.

    What can I expect when returning to work after a stroke?

    Many survivors return at reduced hours or modified duties. Adjustments to pace, task complexity, or physical demands are common. Open communication with employers and occupational therapists can help structure a gradual, sustainable return. Marco worked six-hour days and describes it simply: “I do the same things, but with different speeds.”

    Does returning to work help stroke recovery?

    For many survivors, returning to work contributes positively to recovery, providing routine, purpose, social connection, and a sense of forward momentum. Marco Calabi describes his return to work as evidence that life still had forward momentum. However, the timing must be right, and the transition should be gradual.

    What if I can’t return to my previous job after a stroke?

    Some survivors find that stroke opens doors to new kinds of purpose volunteering, writing, advocacy, or a different career direction. Marco Calabi used his recovery to write a book and speak to others about life after stroke. The key is finding what gives you meaning, even if it looks different from before. For more guidance on rebuilding life after stroke, visit recoveryafterstroke.com/book.

    This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan.

    Marco Calabi — From Induced Coma to Back at Work: A Stroke Survivor’s Honest Recovery Story

    At 47, Marco Calabi had a stroke caused by a hole in his heart. Today he’s back at work, has written a book, and is helping others go on.

    Marco’s Facebook

    Marco’s Instagram

    Marco’s Book: Life Change

    Highlights:

    00:00 Introduction: Return to Work After Stroke

    02:27 Life Before and After the Stroke

    05:23 Health Awareness and Stroke Causes

    09:22 The Day of the Stroke

    15:02 Writing the book “Life Change: To Hell and Back”

    27:51 The Importance of Support During Recovery

    33:15 Gaining Autonomy and Finding Purpose

    39:14 The Power of Mindset in Recovery

    43:24 Life Lessons Learned Post-Stroke

    47:24 Inspiring Others Through Personal Experience

    Transcript:

    Introduction: Return to Work After Stroke

    Bill Gasiamis (00:00)

    what kind of things is okay to complain about? Like in Italy, if the pasta is not cooked al dente, you must complain.

    Marco Calabi (00:07)

    Okay, yeah. Okay, yes, yes.

    Bill Gasiamis (00:08)

    you

    Marco Calabi (00:13)

    Okay, but you complain, you learn to complain about very important things.

    Bill Gasiamis (00:24)

    Hello everyone and welcome to the recovery after stroke podcast. Before we get into today’s episode, I want to tell you about a tool I’ve been using and genuinely love turn to.ai. If you’ve ever tried to keep up with the latest stroke research, you’ll know how overwhelming it can be. There are literally 800 new things published every single week about stroke research papers, patient discussions, expert comments, clinical trials, events. Nobody has time to read all of that.

    Turn2.ai is an AI health sidekick that does it for you. It searches everything published in the past week and sends you what’s most relevant to your situation personalized every week straight to you. It’s my favorite new tool for 2026. It’s just $2 a week, patient first, low cost.

    And here’s what I love about this. When you sign up through my link, you’re supporting this podcast at absolutely no extra cost to you. Use code Bill10 for 10 % off and try it free at the link below or scan the QR code on your screen.

    Speaking of resources, if you’re rebuilding your life after stroke and want a roadmap for what comes next, my book, The Unexpected Way That a Stroke Became the Best Thing to Happen is available at recoveryafterstroke.com/book. It’s written from experience, my own and other stroke survivors. And I hope it helps you the way writing it helped me. And to everyone supporting the show Patreon, thank you genuinely.

    This is not possible without you.

    Now today’s guest is Marco Calabi, a DevOps engineer from Italy who had a stroke at 47 caused by a hole in his heart. He went through eight hours of brain surgery, wake up from a medically induced coma, left hospital in a wheelchair

    and went on to return to work, write a book, and find a new sense of purpose.

    This is a remarkable conversation. Let’s get into it.

    Bill Gasiamis (02:18)

    Marco Calabi welcome to the podcast

    Marco Calabi (02:21)

    Yes, I’m ready and thank you for your invitation.

    Life Before and After the Stroke

    Bill Gasiamis (02:27)

    Tell me a little bit about what your life was like before you had the stroke.

    Marco Calabi (02:33)

    Yes, before my stroke, my life was normal, I say. Working, paying bills, going outside with friends and so on. After the stroke, everything changed because…

    Bill Gasiamis (02:53)

    Yeah. Did you have a,

    what kind of work did you do before the stroke?

    Marco Calabi (02:58)

    Before the stroke, even after the stroke, I work ⁓ in computer science field. I’m a DevOps engineer. And after the stroke, I work a little less. Six hours, I can do eight hours before the stroke. But I do the same things.

    I do normal things. project something about I’m very, very, very vertical in this moment. I work in a site, the reliability engineer field. my aim is to help this system to service.

    to automate things. And I’m like a robot. I like a robot.

    Bill Gasiamis (04:05)

    to automate.

    To automate things. So, okay, to automate manual processes or something like that.

    Marco Calabi (04:10)

    ⁓ so pretty.

    Yes, yes, I try

    to automate everything because the people, the company now try to avoid to make the people to repeating things. because you want people…

    make more important things and the repeating things are not very important. in my opinion, diminishing view of the work. And I try to make the things better in some way.

    before the soak and even after the soak. I do the same things but with different speeds.

    Health Awareness and Stroke Causes

    Bill Gasiamis (05:23)

    Yeah. With you regards to your health, how did you view your health before the stroke? Did you think you were healthy? Did you think you were well, or was there some things that you were dealing with that were related to the stroke that occurred?

    Marco Calabi (05:38)

    Yes, before the stroke I was healthy, but I was very worried about my health because I found a lot of health problems in my body, but the problems were not there.

    because after the stroke, I did understand I was healthy in that moment. And the stroke teached me to understand my health better. yes, yes, yes.

    Bill Gasiamis (06:30)

    You were heavy?

    Marco Calabi (06:37)

    because I went out from the hospital with wheelchair. And now I’m able to walk.

    Bill Gasiamis (06:51)

    Aha. So

    were you overweight?

    Marco Calabi (06:56)

    No, no, I’m not. I had a stroke maybe because the doctors doesn’t know the motive. Perhaps, perhaps it was a genetic problem in my heart because of FOP, because a small

    all between the two chambers in my heart. And the mixing of the two flow bloods makes problems to the brain. And after the stroke, ⁓ the stroke happened. But I…

    Bill Gasiamis (07:51)

    Yeah, did they?

    Did they find a hole in your heart?

    Marco Calabi (07:55)

    Yes, yes, and I was operated in my heart. Closing, yes, closing the hole because people suffer this common problem. But sometimes the problem is huge. A lot of people…

    Bill Gasiamis (08:01)

    to fix the hull.

    ⁓ huh.

    Hmm.

    Marco Calabi (08:25)

    don’t suffer major problems. But sometimes it is very, very important. In my case, was very, very important because it created the mixing of the blood flows, created ⁓ a blood costrain.

    to the brain and the platypus brain ⁓ created a stroke. It is the opinion of the doctors.

    Bill Gasiamis (09:04)

    on the

    How old were

    you at the time?

    Marco Calabi (09:10)

    I softened the stroke at 47 and now I’m 51 years old. Yes.

    The Day of the Stroke

    Bill Gasiamis (09:22)

    41, 47 when the stroke happened. On the day of

    the stroke, did you notice there was some, something wrong? Did you feel strange, feel different?

    Marco Calabi (09:31)

    Yes, during the stroke it was terrible because I did a lot. My mate called the emergency number and they thought it was a problem of annotation.

    the neck. And my sister, because my brother called my sister, and my sister came into my house and she understood something was wrong, because I moved my arm in the air.

    Bill Gasiamis (10:02)

    Mm-hmm.

    Marco Calabi (10:30)

    And I had, sorry, because remembering these things makes me a little uncomfortable. yes, but okay. And my sister, together with my mate, decided to call again the Belgics.

    and then they went to buy house and my story began.

    Bill Gasiamis (11:14)

    Hmm. So I’m going to go back for a moment and ask you about what just happened. You got uncomfortable. it emotional to talk about what happened to you sometimes?

    Marco Calabi (11:23)

    Yes, yes, yes,

    because I know I never accepted this thing I’m living together with it but yes, because yes, yes, because I think

    Bill Gasiamis (11:42)

    Uh-huh. You haven’t accepted it yet.

    Marco Calabi (11:52)

    I will never accept this thing. But I try to go on. I try.

    Bill Gasiamis (12:01)

    Why?

    Why do you think you won’t accept it? And is that helpful to not accept it?

    Marco Calabi (12:08)

    Because it is very hard to accept. Because it is not normal, in my opinion, to accept the bad things in life. ⁓ We must live together with them. Because…

    because we must live and stop. But living gains understanding is very different. Yes.

    Bill Gasiamis (12:48)

    If you’ve chosen to live with it and

    overcome the challenges that it gives, isn’t that a form of acceptance?

    Marco Calabi (12:58)

    Maybe. is, in my opinion, it is a form of acceptance. Because sooner or later I make something, I do something. And my father said it is useless to look through the ceiling.

    And it is a big truth. It is useless. Your life is in your hands. And you in that moment, your life is a lot in your hands. And you must decide your future because

    No people are able to help you. No other people, friends, family, relatives, and so on. You must do only with your strength and soul.

    Bill Gasiamis (14:18)

    Yeah. And to me, that sounds like acceptance. You have taken responsibility for the ⁓ recovery that you have to do. You’ve taken responsibility for your life. You’ve made steps to rehabilitate yourself, your emotions, your mental health. You wrote a book about what happened to you. And that sounds like you

    have accepted a lot of what happened to you, even though perhaps what it sounds like you’re saying maybe, and you can correct me if I’m wrong, it sounds like you’re saying, ⁓ I’m not going to give up.

    Writing the book “Life Change: To Hell and Back”

    Marco Calabi (15:02)

    Yes, yes, because I wrote a book because I followed a possible path because it was a path of recovering not only physical recovering but mainly mental recovery and writing the book

    was very helpful for me. And I hope it is helpful for others. Because in the beginning, I wrote the book because I tried to tell my story. And then I said, my story is useless.

    in this moment. I can make something. And so the book has another meaning. And because I want in this way to help, to share, to share. It is the right word.

    to share my experience. Not to… to share. To share.

    Bill Gasiamis (16:36)

    Yeah. Life change to hell and back is the English title, but you wrote the book in Italian and then had it translated to English. Correct.

    Marco Calabi (16:45)

    Yes,

    yes. In Italian, it is called Cambio di Vita. And in English, is ⁓ called Life Change. And to hell and back is the subtitle, because I went to tell.

    it was an help for me and perhaps I come back to tell to share to the others what I saw and what I did feel and I hope this experience will help in some way other people.

    Bill Gasiamis (17:17)

    Mm-hmm.

    Understand.

    Your journey started after the second time the emergency services were called to your house. What happened after that? Did they come to your house and then they took you to hospital? Did they treat you at your house? What happened?

    Marco Calabi (17:59)

    No, no, the physiotherapist and the therapist went to my house because I was not able to go to the hospital again. And then Italian hospitals decided to come directly.

    to my house and help me in my house. And so physiotherapists and local beauties, they were incredible. They were very, very professional and very, very helpful for me. Helped me to recover a little my body.

    in my speech.

    Bill Gasiamis (18:59)

    Before the recovery, I just wanted to understand what happened when you were having the stroke, the day of the stroke. your sister called the emergency services a second time. Did they take you to hospital to understand what was wrong?

    Marco Calabi (19:14)

    Yes.

    Yes,

    and I was operated immediately because my brain started to grow. And then I was operated because they didn’t want to…

    Bill Gasiamis (19:23)

    huh.

    Expand.

    Marco Calabi (19:47)

    to have to experience later problems. And they operated to me for eight hours. And then I was inducted with a comma.

    because my brain needed to rest. And then I woke up on a bed looking around and seeing people. And I remember

    I remembered a woman said, it is time to walk. And with a lot of difficulty, I started to walk. And then I was transferred to another hospital.

    to specialize ⁓ in stroke recovering. And there I was there for two months.

    Bill Gasiamis (21:10)

    Mm-hmm.

    And what were the deficits you needed to get rehabilitated from? Did you have problems with your body, with your limbs, with your, what was the problem?

    Marco Calabi (21:27)

    Problems

    with the walk, problems with the speaker.

    a problem to it because I was, I don’t know, it is visible. Yes, yes, because during the search they opened a hole. ⁓

    Bill Gasiamis (21:47)

    ⁓ trick you trick you asked me

    Marco Calabi (22:05)

    And then the wall remains open for all of that time. And then I was eliminated from this wall. And one month later, the wall was…

    All was closed.

    Bill Gasiamis (22:36)

    Okay, so you had the chocostomy in for a long time and ⁓ they removed the chocostomy, then the hole is there, takes a month to close.

    Marco Calabi (22:39)

    Yes. Yes.

    Yes, yes,

    yes. And my mate says it seems a cross. I don’t know, I don’t. Okay, Why not?

    Bill Gasiamis (22:56)

    It seems across. ⁓ Why not? Yeah. So,

    so you had to also learn to walk again, which side of your body was impacted by the stroke, which one was it your left side or your right side that didn’t work.

    Marco Calabi (23:14)

    my

    right side my right side my leg my arms my arms my hands and okay all the right side and ⁓ i am weaker to the right side and okay

    Bill Gasiamis (23:16)

    Mm-hmm.

    Waker.

    Marco Calabi (23:38)

    In the beginning, I was not able to write. And then after a long, very long training, I am able to write again. Very, very slowly, but I am able.

    Bill Gasiamis (24:00)

    Mm hmm.

    And when you were in hospital, what was the hardest part of the recovery for you? Did you, when you started walking again, what was that like?

    Marco Calabi (24:14)

    In the hospital, never stop, always on the wheelchair. And I stop when I come back home. But yes. No, no, no, no.

    Bill Gasiamis (24:38)

    You stood up when you came back home, but in rehabilitation, you didn’t stand up.

    Marco Calabi (24:44)

    very very sad. very very sad. ⁓ Above all in the transportation for example from the wheelchair to the bed or do an exercise bicycle maybe but stop stop stop.

    ⁓ I remembered sometimes they tried to make me walk on the stairs, very, very, very few stairs, and tried to make ⁓

    me walk in corridors and stuff.

    Bill Gasiamis (25:48)

    Okay and your arm, your right arm, you couldn’t use it at the shoulder and the hand, is that what the problem was?

    Marco Calabi (25:58)

    Yeah, I can use it. I can use it. It is weaker. A little weaker. But I can use it in this moment. When I was in the hospital, my right arm had problems. Because ⁓

    the mobility was limited. And after two months, I was able to move it freely. And now I’m able to move it again in every direction.

    Bill Gasiamis (26:49)

    Hmm. ⁓

    Very good.

    When you came home from hospital, who was at home with you? Were you living alone or did you have some family with you?

    Marco Calabi (26:58)

    No, no, no, with my family, with my sister and with my mate because my sister and my mate never leave me alone. Leave me alone. they encouraged me. Thanks God because… ⁓

    I think in this moment, family, friends, relatives, mates are very, very important. Above all, in this moment.

    Bill Gasiamis (27:44)

    Was there somebody that helped guide you through the recovery? Someone that stepped up and you had a lot of support from?

    The Importance of Support During Recovery

    Marco Calabi (27:51)

    My

    Yes, my friends. Above all, one of my friends who lives in the Netherlands because he was very worried about my health. And my bait talked to him to synchronize

    him about my condition and after and when I went back home he was very very very present and he was very very he was a very good friend.

    Bill Gasiamis (28:52)

    understand. So he came, supported you, was very present when you came back home. Yeah.

    Marco Calabi (29:00)

    Yes, yes, yes.

    Above all, my mom, my sister, my baby, obviously, my friends. Because in this moment, it is a moment you understand very well the friends.

    more close in the friends

    maybe, ⁓ maybe are fearful of your situation.

    Bill Gasiamis (29:44)

    Yes, yes, very much. Lots of people get fearful ⁓ when somebody they know how to stroke, they don’t know how to help and what to do.

    Marco Calabi (29:53)

    Yes, because I think it is natural. I understand it is natural because the first thing a friend, a person who knows you in things is what I can do.

    And she is very fearful because the situation is huge. And I understand in this moment, in that moment, you understand very well the people. And you understand very well the quality.

    Bill Gasiamis (30:39)

    Yes.

    Marco Calabi (30:46)

    Yes, you are the same. You are the same.

    Bill Gasiamis (30:47)

    your friends.

    Yeah, very common,

    very common. Doesn’t matter if you live in Italy, America, Australia, experience is very similar. People have very similar ⁓ reporting about friendships.

    Marco Calabi (30:59)

    Yes, I don’t think

    it is different from country to country because we are human being and stop and and stop. ⁓

    Bill Gasiamis (31:08)

    you

    People are people.

    What kind of things did you need help with at home? Could you go to the bathroom on your own? Could you eat on your own? What help was your family providing you?

    Marco Calabi (31:28)

    Yes, in the beginning I was helped in everything because they prepared my lunch, ⁓ they helped me to go to the bathroom, they

    face outside the door, checking the situation. Okay, okay, okay. I understand, okay. And then, with time, I conquered my autonomy. Because, for example, going to the bathroom, cooking something.

    Bill Gasiamis (31:58)

    Thank God.

    Thanks a lot.

    Marco Calabi (32:22)

    and doing my pet and so on. It is very important because in these moments you say to yourself, I’m able again.

    My life is not useless. It is silly to say. I know. It is very, very silly to say. But…

    Bill Gasiamis (32:54)

    in the moment,

    it’s probably okay in the moment, but now on reflection, it’s silly to say that, but at the moment it’s difficult and it’s a emotional experience and it’s a relief that you have and you have some autonomy now again, and you feel good about it. So yeah.

    Gaining Autonomy and Finding Purpose

    Marco Calabi (33:01)

    Yes. Yes. Yes.

    Yes,

    yes, you feel good because you think you have a power again. I don’t know. And it is a moment. It is a very important moment for you. I understand. I understand the luckiness.

    able to know because other people ⁓ has no luck ⁓ like me. Like me. And I understand. And this thing makes me run because, OK, I’m lucky and so I want

    Bill Gasiamis (33:55)

    Mm-hmm.

    Marco Calabi (34:11)

    I want to help others because I’m black. And so.

    Bill Gasiamis (34:16)

    Yes,

    have luck. You have a bit of luck on your side. You are improving. You’re getting better. You have autonomy. Again, you want to help other people because it’s important.

    Marco Calabi (34:25)

    Yes, very. In my opinion, it is very, very important because life otherwise is meaningless.

    you have to give some meaning to your life. And the stroke in some way helped me to discover my possible goal in my life.

    Bill Gasiamis (34:44)

    Yeah.

    calling in life, understand. So you didn’t get married, you didn’t have a family.

    Marco Calabi (35:09)

    No, I never married, but I have made a girlfriend for, I don’t know, 11, 12 years. We are like married. No, no, no, no.

    Bill Gasiamis (35:28)

    Okay, but you didn’t have children. Okay.

    So for you made a good point about purpose and meaning in life and helping other people. If you’re, if you don’t have family to, ⁓ fuss over to ⁓

    to help out, to support, et cetera, when they’re young, like children, it could be a little bit of a gap in your life about purpose and meaning. And now that you had the stroke, you found that supporting other people provides you with some additional purpose and meaning above your relationship as well with your partner.

    Marco Calabi (35:50)

    Yes.

    Yes.

    Yes, because not ⁓ having keys makes me available, let me see, help others who have keys and maybe ⁓ they are busy, too busy.

    Bill Gasiamis (36:22)

    Yeah.

    Marco Calabi (36:35)

    for other things and I try to make ⁓ my life helpful for those ones.

    Bill Gasiamis (36:46)

    Yeah, you have

    more spare time and you can allocate that to helping other people. Yeah. So, you know, the

    Marco Calabi (36:50)

    Yes, yes, yes, yes.

    Bill Gasiamis (36:59)

    You talk very positively about your recovery. You’re focusing on all the positive things. You wrote a book. You want to help other people. But was there some times that you really struggled, that you had a really hard time and you needed more support emotionally or mentally?

    Marco Calabi (37:18)

    both of things. I had ⁓ moments with a lot of climate.

    Bill Gasiamis (37:21)

    Both.

    crying, yeah, very common.

    Marco Calabi (37:32)

    because

    ⁓ in those moments I was ⁓

    I saw my life had problems. And for example, my mother’s teach me again ⁓ to wake on the shoes. And so in that moment, I…

    was I was ⁓

    I… ⁓

    I understood my situation very deeply. And why I wanted to prove it? Because every day I wanted to go on and every day I wanted to progress because I don’t want to live

    was moments again. I would like to make my life better.

    Bill Gasiamis (39:06)

    Uh-huh. Understand. Yeah. But it was difficult to make your life better because you’re just in the recovery phase. You’re very restricted. Things are difficult.

    The Power of Mindset in Recovery

    Marco Calabi (39:14)

    Yes.

    It is very, very, important the presence of your family, of your friends, because otherwise I would not be here. ⁓

    Bill Gasiamis (39:40)

    Yeah, that helped to bring you back.

    Marco Calabi (39:41)

    Yes, yes.

    And then after their help, you must help yourself. Because I understand, I understand you have everything to complain, but complaining is useless. It’s useless.

    Bill Gasiamis (39:54)

    as well.

    Marco Calabi (40:09)

    Complaining is natural, but it must be very short. A moment of self-reflection, a moment and stop. And then you must do something for yourself and stop. Stop to look to the ceiling.

    This useless. I wanted to say this useless.

    Bill Gasiamis (40:45)

    Yeah, I agree. But it’s something we all do. We all find ourselves complaining about our situation, but as long as you don’t stay there for a long amount of time, you can do the complaint and then move on and continue looking at things that you…

    Marco Calabi (40:57)

    Hmm. Hmm.

    Yes, Complaining is not

    a part, it’s a mainly part of my spirit. I complain ⁓ very, very few times. I understand people are different and the complaining is different, but…

    You must very, very, very aware of your situation and this stroke maybe makes you aware, more aware about yourself, about your problems, about your weakness and starting, starting, I interline, starting.

    from that you can go on.

    Bill Gasiamis (42:04)

    You can go on. Yeah, I agree.

    When you complain about things, like what kind of things is okay to complain about? Like in Italy, if the pasta is not cooked al dente, you must complain.

    Marco Calabi (42:23)

    Okay, yeah. Okay, yes, yes.

    Bill Gasiamis (42:24)

    you

    It’s important. You have to tell the chef, I’m sorry, the pasta is

    not al dente. You have to take it back.

    Marco Calabi (42:35)

    Okay, but you complain, you learn to complain about very important things. Yes.

    Bill Gasiamis (42:46)

    Yes,

    it’s feedback. It’s not complaining. It’s feedback. My food is not al dente and I need you to make it again so I can eat it because I can’t eat like this. It’s too cooked.

    Marco Calabi (42:51)

    What?

    I

    never was, I never liked a very, very precious food and I ate everything. I tasted everything, I ate everything. Even in the hospital, I ate everything.

    Life Lessons Learned Post-Stroke

    Bill Gasiamis (43:24)

    Is Italian hospital food good or is it terrible?

    Marco Calabi (43:31)

    It is a hospital book. And so it is very light. It is very, very, very simple. And it is very teachable. it is not a good book.

    Bill Gasiamis (43:43)

    Yeah.

    Yeah. You spoke a little bit earlier about how you have to go on with your life. So looking back now, how have you changed the way that you go about your life? How do you do things differently now?

    Marco Calabi (44:15)

    everything, everything, everything. I looked at the life in different way because I put the things in different priorities, working, having good time with friends and so on. Because before stroke you…

    to think about the things you do every day, but you don’t do that. Those ones. Then after the stroke, you start to do immediately the things. You don’t want to wait for

    things, the right moment and stop. Because the right moment, you understand, is now, not after, not tomorrow, not the next week. Now, it is a new way of singing life. You stop to wake because

    you understand time is very very precious.

    Bill Gasiamis (45:50)

    Yeah, and we may not have tomorrow. Understand.

    Marco Calabi (45:53)

    Yes, yes,

    you must do the things now and stop. As you can. You must not be a Superman. You must not do ⁓ things, a lot of things. You must do what you can and stop. But you must do.

    Bill Gasiamis (46:24)

    Yeah.

    Marco Calabi (46:25)

    and

    stop. Not tomorrow, not in one week, and not in one month. Now. You must do now. And stop. Never you understand, never stop you.

    Bill Gasiamis (46:47)

    Yeah, I agree. Once you have a stroke, you realize that you are mortal and that maybe you don’t have…

    Marco Calabi (46:53)

    It’s just…

    Bill Gasiamis (46:58)

    another 50 years or 40 years ahead of you. maybe you need to do, take more action, do more things, have the experiences you want to experience, whatever you can, I agree. ⁓ It’s something I think that is a good way to inspire people who have had a stroke, who have injuries, that you can find a way to do something that you want to do that you haven’t done.

    Inspiring Others Through Personal Experience

    Marco Calabi (47:24)

    Yes.

    Bill Gasiamis (47:24)

    that

    you love. very important to try and get it done, find a way to make it happen. Even if you’re in a wheelchair, even if it’s difficult, even if you need a lot of planning, you know, has to be something that you tick, you tick off your list of things to do.

    Marco Calabi (47:42)

    And it is not important what type of disease you suffer, cancer, stroke, leukemia, so on. It is, in my opinion, very important your mind, the way your mind, the way…

    Bill Gasiamis (48:10)

    your minds.

    Marco Calabi (48:10)

    want you, your mindset, the way you want to go on and stop. But I want, I want, I want to tell my story. Maybe, tell. If I am able to go on, everyone is able to go on.

    Bill Gasiamis (48:19)

    Yeah.

    Marco Calabi (48:41)

    It is not something special. Everyone can go to work and so

    Bill Gasiamis (48:51)

    Yeah, I agree. Everyone should go on with their life in some capacity as much as they can. ⁓

    Yeah, that’s excellent. What about strengths? What have you discovered in yourself that you didn’t know was there? Did you uncover some new powers, some new strength, some better understanding of what you’re capable of? Has it been a learning experience for you to

    Marco Calabi (49:05)

    Okay.

    Yes.

    Yes, after the writing of my books was a moment of reflection because in that moment I asked to myself, I’m able to write a book, so what can block me?

    And in this moment, in that moment, I was able to do other things. Maybe here write another book, like choosing a social media manager for my Facebook and Instagram and asking.

    to hospitals and associations to tell my stories, creating podcasts and so on because writing the book created a moment, a precise moment of going forward. And in that moment, I aware.

    of my powers and my skills to go on. It was…

    Bill Gasiamis (51:02)

    Yeah. Yeah. You wrote a book,

    you did podcasts, you helped your community by speaking. You did all these things that you haven’t done before the stroke.

    Marco Calabi (51:10)

    Yes.

    Yes, and for example, now I’m discussing with a company for a possible speech of myself to inspire other people. And I’m telling the truth. I’m very, very happy because I hope this…

    Bill Gasiamis (51:30)

    Yeah.

    Marco Calabi (51:41)

    will ⁓ create something beautiful because I’m available to tell my story, to sell, perhaps something helpful. My best friend.

    Bill Gasiamis (52:01)

    Yeah, you know what I like about what I like about strokes and bio-codes?

    Sorry, go ahead.

    Marco Calabi (52:08)

    My

    best friend said, you are wiser. I don’t know. don’t know. I don’t know. Yes, yes. Before, was very hard. I was very, because my father was very hard. And I learned.

    Bill Gasiamis (52:19)

    Wiser. Wiser than before. Maybe.

    Marco Calabi (52:37)

    to be very hard. after the stroke, understood that heartless is useless because you reach the hearts of people with softness, not with heartlessness. Heartlessness makes ⁓ you more hateful.

    and not more lovable.

    Bill Gasiamis (53:10)

    Yeah, understand. Yes, I agree. Very wise. That’s very wise. Very wise. ⁓ You know what I like about your telling your story in for another organization or to inspire people is a lot of the people in the audience will not have had a stroke or another health issue or anything like that.

    Marco Calabi (53:11)

    Go on, go on, sorry.

    Yes.

    Bill Gasiamis (53:37)

    And what I like about it is that now there’s several years have passed since your stroke. So you’re standing on a stage telling your story. And one day, if those people happen to have a stroke or a negative medical experience, they have a picture in their mind of once upon a time, I was sitting in a room and there was this gentleman who…

    told his story and he was telling us about how he overcame his challenges, how he ⁓ improved, how he got better. And maybe those people who are unwell now because something happened to them, like everybody in life, things go wrong. Maybe they could say, I remember that man and the story that he told me, and maybe I can take some action and do similar things and get better.

    Marco Calabi (54:27)

    Mm-hmm.

    Bill Gasiamis (54:32)

    like he did.

    Marco Calabi (54:32)

    Yes. I tell the truth. It is not easy. It’s not easy. The experience is made of steps. In steps, steps. In the beginning, I…

    Bill Gasiamis (54:50)

    steps.

    Marco Calabi (54:58)

    You want to prove yourself, you are able to do things. And these are very important to you. And then you change. Steps, you change. Because the situation is changing. And you cannot, cannot,

    get things before you experience all the steps. It is, in my opinion, impossible. You must live every step. The first steps are physical. And then your mind changes.

    But the first steps are physical and soft.

    and you can you must you must us us us let that eat you must us let you be because you are not a superman you are not a special man and every every person experience these steps little by little and so

    you must aware of this situation. Otherwise, try to go forward faster. And in my opinion, it is a very wrong way to go on.

    Bill Gasiamis (56:55)

    Very wise, my friend.

    Marco Calabi (56:56)

    Thank

    you, thank you! Thank you, thank you!

    Bill Gasiamis (57:03)

    Your friend was correct when he said that you are much more wise now. I agree with him.

    Marco Calabi (57:07)

    Okay,

    okay, okay. I will report you.

    Bill Gasiamis (57:15)

    Report back to him, let him know that I agree with him. Now, your book is available online, correct? We can get it on Amazon, everywhere.

    Marco Calabi (57:21)

    Yes.

    Okay. Because in Italy, ⁓ I found a publisher. In the world, I decided to publish myself the book because I wanted to spread my story.

    as full as possible, I would say. And so I think what is the best platform, in my opinion, it is in this moment, Amazon. Because it can provide a digital version, paper version. ⁓

    Bill Gasiamis (58:07)

    Yeah.

    Marco Calabi (58:18)

    is only for US countries and so on. Instead, digital fashion is worldwide. And so, it is very powerful because I can reach every person in the world.

    Bill Gasiamis (58:44)

    Yes, hopefully.

    Marco Calabi (58:45)

    It was

    my idea. And I started and I make my book translated. I published it in Amazon. I created a digital paperback version and so on because I wanted to make it available.

    Very, very much.

    Bill Gasiamis (59:19)

    Yes, indeed. you have well done. I’m going to have a link to the Amazon ⁓ book. And also you will send me some links to ⁓ any other areas you would like us to send people if they’re interested to find out more information about it. I thank you for reaching out and joining me on the podcast. I very much appreciate it. It’s nice to meet you and to hear your story and all the best with your ongoing recovery.

    Marco Calabi (59:24)

    Okay.

    Okay.

    Thanks.

    Yes.

    Okay, and I say thank you, thank you, Bayard for your time, people, and thank you very much to tell my story and to give me the possibility to tell my story.

    Bill Gasiamis (1:00:08)

    Well, what a lovely conversation and what a journey and what wisdom to our listeners. If today’s episode resonated with you, please share it with someone who needs to hear it. Leave a comment and leave a review. Subscribe if you haven’t already. Marco’s book, Life Change to Hell and Back is available on Amazon. The link is in the description below. And remember, if you want to stay on top of the latest stroke research without the overwhelm, turnto.ai has you covered.

    just $2 a week use code bill for 10 % off. Link is in the description

    And until next time, keep going.

    The post Return to Work After Stroke – Marco Calabi’s Honest Recovery Story appeared first on Recovery After Stroke.
  • Recovery After Stroke

    Life 3 Years After Stroke: Pete Rumple’s Remarkable Road from Wheelchair to CrossFit

    02/03/2026 | 1h 23 mins.
    Life 3 Years After Stroke: Three years ago, Pete Rumple was in a hospital bed, weighing 337 pounds, unable to walk, unable to talk, and completely paralysed down his right side following a massive hemorrhagic stroke. He was on 17 medications and had just spent his first night as a wheelchair user. By his own admission, the first year was so dark that he didn’t want to live.

    Today, Pete does CrossFit every day, has lost 150 pounds, is off 15 of his 17 medications, and is about to launch a new business at 61 years old.

    This is what life 3 years after a stroke can look like and, more importantly, how Pete got there.

    The First Decision: Control What You Can

    Within days of his stroke, while still in the hospital, Pete made a choice. He couldn’t walk. He couldn’t use his right arm. Doctors were managing everything around him. But he could control one thing: what he ate.

    “I got to change everything,” he says. “And as I lay there, this was one thing I could control with all the things I couldn’t.”

    Pete reduced his intake to two or three bites of food per day. By the time he left the hospital 30 days later, he had lost 40 pounds. That single decision became the foundation of everything that followed.

    For anyone newly out of the hospital and feeling overwhelmed, this is perhaps the most important message: you don’t have to fix everything at once. Find one controllable. Start there.

    Books like Grain Brain by Dr David Perlmutter and Why We Get Sick by Benjamin Bikman are excellent starting points for understanding the role of nutrition in brain recovery; both are recommended in this episode.

     

    Movement: From Water to CrossFit

    Pete’s physical recovery moved in deliberate stages. With right-side proprioception severely affected, his body couldn’t properly sense where it was in space land-based exercise felt impossible at first. The solution was water.

    “The water surrounds you,” Pete explains. “It’s easier to move with what we both have.”

    He spent nearly a year in the pool doing aquatic therapy, then transitioned to a gym with a personal trainer for four months, then, in April 2024, ditched his cane and started CrossFit. He now attends every day, with about 30% modification.

    The journey from wheelchair to CrossFit wasn’t fast, and it wasn’t linear. But it was intentional.

     

    The Brain Science Behind Doing Hard Things

    One of the most fascinating parts of Pete’s recovery is how he used neuroscience to drive his progress. After watching a Huberman Lab episode featuring David Goggins, he learned about the anterior mid-cingulate cortex (AMCC), a region of the brain that grows and strengthens specifically when you do things that are difficult and unpleasant.

    “Everything I did not enjoy or created pain, I’m doing it.”

    This wasn’t masochism. It was a strategy. Pete began deliberately choosing the exercises, behaviours, and tasks he least wanted to do and watched his recovery accelerate as a result. His speech improved. His movement improved. His cognitive function came back faster.

    Bill adds important context here: when you visualise movement, your brain fires the same neural pathways as when you physically perform it. Pete used this daily, studying his CrossFit workout the night before, visualising each exercise, then arriving 30 minutes early to breathe and mentally rehearse before training.

    This is neuroplasticity working for you, not against you. The choice is yours: choose the hard that rewards you, or endure the hard that doesn’t.

     

    Identity: Three Words That Changed Everything

    Beyond the physical, Pete’s recovery demanded a complete rebuild of who he was. An executive career was gone. Independence had been stripped away. The personality and habits that contributed to the stroke, such as overworking, overeating, and using alcohol to manage stress, needed to be replaced, not just removed.

    He approached this the way he’d approached business: with a framework.

    At any given time, Pete identifies three words that define who he is. Right now: resilient, consistent, and unafraid.

    “I try to be honest with myself and say, where am I now?” he explains. “And it may change, but it gives me something to triangulate toward.”

    This kind of identity-based self-management, knowing who you are deciding to be, not just what you are trying to do, is one of the most transferable lessons from Pete’s story.

    What Life 3 Years After Stroke Really Looks Like

    Pete’s neurologist, who once saw him quarterly, recently told him she doesn’t need to see him annually anymore. “We have not seen this kind of recovery before from what you had,” she said.

    He’s about to start a fractional leadership business with a former CFO. He does CrossFit every day. He sleeps well. He volunteers. He uses AI tools to stay sharp and curious. He is, as he puts it, “on the other side of it.”

    But he’s also clear-eyed about what’s ahead: returning to high-stakes work, managing the stressors that contributed to his stroke in the first place, and monitoring the potholes that come with re-entering a demanding professional world.

    “I realise that is a very real risk,” he says. “I’m going to test and learn.”

     

    The Lily Pad Principle

    When asked how to frame the journey for people still in the early stages, Pete offers one of the most useful images in this entire conversation:

    “It’s like lily pads across the lake. Get to a lily pad, then get to the next one. Don’t worry about boiling the ocean. Don’t worry about what it’s going to be in months or a year. Step by step. Keep pushing.”

    That is life 3 years after stroke, not a finish line, but a direction. And for Pete Rumple, the direction is forward.

     

    Want more stories like this? Read Bill’s book recoveryafterstroke.com/book | Support the show: patreon.com/recoveryafterstroke

     

    Disclaimer

    This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan.

    From Wheelchair to CrossFit: Life 3 Years After a Massive Hemorrhagic Stroke

    Pete Rumple lost 150 lbs, ditched the wheelchair, and now does CrossFit at 61. Here’s what life 3 years after a stroke really looks like.

    Turnto.ai Interview
    Peter Rumple Interview EP 332
    Turnto.ai discount code: Bill10

    Highlights:

    00:00 Introduction to Life 3 Years After Stroke Recovery Journey
    05:31 Physical Recovery and Rehabilitation
    11:05 Dietary Changes and Weight Loss
    15:42 Medication Management and Health Improvements
    21:29 The Role of Visualisation in Recovery
    26:03 Embracing Discomfort for Growth
    33:31 The Power of Hard Work and Persistence
    40:53 The Journey Back to Work
    50:48 Navigating Health Challenges
    56:25 Resilience and Consistency in Recovery
    01:04:38 Proactive Health Management
    01:15:11 Defining Identity Through Resilience

    Transcript:

    Introduction to Life 3 Years After Stroke Recovery Journey

    Pete Rumple (00:00)
    And Bill, I want to take a second and plug your book back in the first ⁓ the first session I did with you, I referenced a number of things you taught me through the podcast that I did to make to start building momentum like the cooking dinner every day was the to do. That was your mission. Yeah.

    so much of what I’ve learned from you, the podcast and what’s inevitably in the book was a great starting point for me. And I built my, my stuff on top of it, but it was really great to stand on your shoulders and get, and get that lift.

    Bill Gasiamis (00:44)
    Hi everyone, before we get into Pete’s story and you are definitely going to want to hear this one. I want to share something I’ve been using myself that I genuinely think could help a lot of you. It’s called turn2.ai and it’s an AI health sidekick that keeps you up to date with personalized updates every single week. Did you know there were over 800 new things published every week related to stroke? Research, expert discussions.

    patient stories, clinical trials, events. It’s an enormous amount of information. Turn2 finds what’s most relevant to you and delivers it straight to your inbox. I use it myself and it’s genuinely my favorite tool for 2026 for staying across what’s new in stroke recovery.

    It’s low cost and completely patient first. You can try it for free. And when you’re ready to subscribe, you can use my code, BILL10, at turn2.ai slash sidekick slash stroke to get a discount. I earn a small commission if you use that link at no extra cost to you. And that helps keep this podcast going. Also, if you haven’t yet, pick up a copy of my book, head to recoveryafterstroke.com/book. Real stories, real tools.

    The same stuff Pete and I talk about today and a huge thank you to everyone supporting us on Patreon and in the other ways that you support the show and myself. You’re the reason this content stays free for the people who need it You can support the show at patreon.com/recoveryafterstroke. Right. Let’s get into Pete Rumple’s story. Massive hemorrhagic stroke.

    Wheelchair couldn’t walk or talk 337 pounds three years later. He does CrossFit every day So you’re gonna want to hear this one. Let’s get into it

    Bill Gasiamis (02:35)
    Pete Rumpel, hello, welcome back.

    Pete Rumple (02:38)
    Hey Bill, it’s great to see you again.

    Bill Gasiamis (02:41)
    Great to see you too, my friend. ⁓ Last time we met was about a year ago. And this is gonna be a slightly different episode because we’re gonna talk about what things were like then and then what they’re like now, just so that we can paint a picture for people about how recovery has gone, what happened in the last 12 or so months. And in the previous episode, by the way, that was episode…

    338 or something. And now we’re nearing episode 394, 395. will be. So I’ve been pretty consistent. So it means that it’s been over a year because I try and release one episode a week, et cetera. So it’d be a really good thing to do for people is to give them a bit of a guide of.

    some of the setbacks, some of the challenges, some of the things that have changed, improved. And now everyone’s different, okay? So this is Pete’s version. And what we’re hoping to do is kind of inspire hope, Pete, right? We wanna give people hope that things can change and improve. And even if it’s slower for you than other people, there can be a reward for putting in a lot of effort, hard work, re-educating yourself about what it means to live healthily.

    and all that kind of thing.

    And give us just a little bit of an insight because there’ll be a link to the original video where you can find out Pete’s complete story, but give us a little bit of an insight into the stroke, the day that it happened, what it was like.

    Pete Rumple (04:24)
    Okay, you bet Bill it was about 38 months ago. The stroke, was, it was a massive hemorrhagic stroke.

    ⁓ eight months in a wheelchair had to learn to talk again, walk again, all that. And, ⁓ so we had, ⁓ had the call about a little over a year and a half through it. And then, ⁓ now I’m further through it and, it’s gone amazing. I’m so lucky. So whatever we want to dig into that’ll be great.

    Bill Gasiamis (05:04)
    So your deficits were your right arm wasn’t working properly. Initially you weren’t able to walk. You were wheelchair bound for nearly six months. ⁓ So what are the physical deficits like now? What has changed? What has improved? And how did that go? what were the things that you did that helped you improve in that way?

    Physical Recovery and Rehabilitation

    Pete Rumple (05:31)
    Yeah. So Bill, I, um, it was my right side that I lost, which I forget what the term is, but, uh, it was my whole right side. So, um, when I, what, what I did that was important is first of all, totally overhauled my diet. And I, um, I had lost about 150 pounds.

    Um, I then, when I started about a year into it, I started, um, doing aquatics, the water aerobics to start dealing with their proprioception and the, um, and just movement. couldn’t, I couldn’t do that in, the ether. I couldn’t do it in the air. had to do it with the water.

    Bill Gasiamis (06:27)
    Okay, why is that? Because that’s interesting, because I have a similar problem with proprioception. My left side kind of doesn’t know where it is. There’s not enough information telling it where it is. And sometimes it overcompensates and I get off balance, etc. It feels strange. In the water, I also calmly, I felt calmly different, like I felt ⁓ more supported, even though the water wasn’t really supporting me. How was it for you?

    Pete Rumple (06:56)
    You’re absolutely right, Bill, because the water surrounds you, right? So it’s easy to move in the water with what we both have. So I spent almost a year in the water. then I started to, then what I did is I moved to a gym with someone helping me work out for about four months.

    And then in April, so almost a year ago, in April, I got rid of my cane and I went to CrossFit. And so now I do CrossFit every day. And that was really ugly at first, Bill, and I had to do a lot of modification. But now I modify probably 30%. But

    Bill Gasiamis (07:42)
    Uh-huh.

    Pete Rumple (07:54)
    row bike. can’t run yet. I’m still walking, but I’m getting ready to go to the beach and practice running for about a month.

    Bill Gasiamis (08:05)
    Okay, where in the head was the hemorrhagic stroke? Where did it happen? Do you know?

    Pete Rumple (08:14)
    The where, ⁓ I forget.

    Bill Gasiamis (08:18)
    That’s all right. It’s not important to remember. So also then, ⁓ when you had the hemorrhagic stroke, how was it rectified or resolved? Did they operate? What did they do?

    Pete Rumple (08:30)
    They didn’t have to operate.

    Bill Gasiamis (08:32)
    Uh-huh.

    Pete Rumple (08:33)
    They just, I got in there, they did things to make sure the bleeding stopped, ⁓ but it was no operation.

    Bill Gasiamis (08:45)
    what caused the bleed? Was it ⁓ high blood pressure as a result of your weight?

    Pete Rumple (08:50)
    It was a number of things, was high blood pressure, it was a lot of stress. They have a scale bill called the Holmes Raw Scale, Holmes with an L and Raw, R-A-H-E, where you can, it has like 42 major stress events. If you score under 150, you’re fine, 150, 300s.

    pretty bad and then over 300 is devastating like it’s predicts a major stroke or heart attack within a year. And I was 360 on that scale. I’d gone through the divorce, I had the kids, I had a job change, you name it, I had it. ⁓ Weight was not good, drank too much. So that was my wake up call.

    if you will, which was severe. And it’s been, it’s great now.

    Bill Gasiamis (09:53)
    Yeah, so your arm was completely flaccid, I think, when we spoke last. So where is it now?

    Pete Rumple (10:03)
    I can do everything with it. This is the, so I can lift and I’m lifting more weight, not where I was, but about probably 50%. I’m doing pull-ups with the arm and my legs are, I’ve worked them a lot. I’m very strong there. So it’s getting there.

    Bill Gasiamis (10:25)
    Okay, cool. When we spoke, you mentioned that in hospital alone, you’d lost 40 pounds. That kind of makes sense. A lot of people say that things change in hospital food relation. When you’re unwell, ⁓ how you consume food completely changes, as well as how hospitals ⁓ treat people with regards to the food, how it’s terrible, how often you get to eat.

    and how accessible it is. So, but earlier, a little earlier, you said that you lost 150 pounds all up.

    Dietary Changes and Weight Loss

    Pete Rumple (11:05)
    Yeah, Bill. So when I was in the hospital, which was obvious, I was there 30 days from the stroke. And that was where I had to make a choice. And it was like, if am I going to try and get better or not. And so what I did is I ate two to three bites of food a day. That was it because I was in a wheelchair, Bill, I couldn’t move.

    So coming out 40 pounds lighter was ⁓ a lot of work and a lot of fasting, if you will.

    Bill Gasiamis (11:42)
    Why did you decide that that was what you needed to do? How did you conclude that? I know I’m gonna be in hospital. I’ve had a hemorrhagic stroke. There’s nothing else I can do. What I’m gonna do is fast and stop eating food. How does that?

    Pete Rumple (12:01)
    was a first step, Bill. Absolutely. was like, I got to change everything. And so as I lay here, this is one thing I can control with all the things I can’t.

    Bill Gasiamis (12:14)
    In hospital though, most people in hospital don’t have that realization. I mean, that would have been days out from a hemorrhagic stroke. They’re telling you all these things. Like how did you get to that conclusion? Were you cognizant of needing to do that earlier before you got sick and then you thought, well, now I have to do it or was it an aha moment of some other kind?

    Pete Rumple (12:40)
    No, you’re absolutely right. And it was something I knew was getting out of control, Bill. And I couldn’t, I couldn’t resolve it. It was just, it was really tough. And I’m like, this is it. I mean, this is the ultimate wake up call. The other one, Bill, was I had, when I came into the hospital, I was on 17 meds. I now have two.

    and I’m at 20 milligrams and I’m probably off those in the next four to five months. So it’s been a long programmatic diet, nutrition, health, and it’s been three years. I mean, it’s not insignificant for sure.

    Bill Gasiamis (13:27)
    ⁓ What was the 17 medications treating or or or managing?

    Pete Rumple (13:37)
    I think Bill, it’s almost like, like, what do you do with this guy? You got to throw everything at him to keep on going. I don’t think it would have been 17 for very long. It was probably stop gap measures. Some were pain, but even the pain bill second day. I said, I want no more pain meds, take them away. And it was brutal, right? Cause you know, the way you feel and the, my scapula, my legs, was, it was

    awful, but I was like, I found my way here, I got to find my way out and let me get off as much as I can and start the pilgrimage back.

    Bill Gasiamis (14:20)
    Before the stroke, would you have been somebody who would have taken a device to change your diet?

    Pete Rumple (14:28)
    I would have taken every hack I could have, Bill, before the stroke.

    Bill Gasiamis (14:34)
    Anything to avoid doing the hard work? that what you mean? Yes.

    Pete Rumple (14:38)
    Yes, sir. And look, I was always a hard worker. And I would work out and do stuff. But this is a whole other level. This became life or death. I mean, because you know, the stats bill, like, when I looked at the stats that about 75 % of people are gone in year one, there’s 25%, especially hemorrhagic, 25 % at the time.

    25 % a month later, 25 % at the end of the year, another 20 at the end of year two. I’m like, I’m gonna go through all this and then I still have so little chance. So I just went for it and I went really hardcore.

    Bill Gasiamis (15:25)
    Did you eat, drink too much to manage emotional ⁓ stress, challenges? What do you think was behind it? Or was it just bad habits? Or did you think you were bulletproof? What was the reason behind it?

    Medication Management and Health Improvements

    Pete Rumple (15:42)
    Everything you just said, Bill, everything you just said. Yeah. I mean, it’s everything, right? You start justifying bad behavior. You have a reason for why things happen. And I just like, even when I try to lose weight, though, I might lose a couple pounds, but then I eat again and what I was eating, how I was eating. So in that first year, I went super deep on nutrition.

    and how your body works. And I went from, at the stroke I was 337 pounds. And then when I did my podcast with you, I was 180.

    Bill Gasiamis (16:25)
    Yeah, well, ⁓ one of the books that I’ll mention to people, you might have read different ones, and that’s cool. But the one that always comes to mind that I always recommend is Grain Brain by Dr. David Pelmutter. So if you’re in the very early stages of recovery and you want to make some changes like Pete did, read or listen to the book Grain Brain by Dr. David Pelmutter, and then ⁓ read a book called ⁓ Why We Get Sick.

    ⁓ I’m going to quickly do a search on ⁓ online because I keep forgetting the person’s name. ⁓

    And what it’s going to do is going to why we get sick by Benjamin Bickman. And what it’s going to do is going to give people an insight into the. ⁓ I one of the things is the first book is the food that you can avoid and stop eating and the reasons why and how they benefit the brain and then ⁓ why we get sick is an insight into, in fact, exactly that why we get sick.

    so that you have an understanding of what might have got you into that real bad state. And then also before that, ⁓ the food component of it, because those two things, if you know why you got somewhere and then you know what the trigger was, what the thing was that made you get there, so the food, for example, then you’ve got a great foundation for taking the next step forward ⁓ and reversing it.

    Pete Rumple (18:02)
    Absolutely.

    Bill Gasiamis (18:04)
    and improving your health and improving your diet, losing weight and decreasing your risks of heart attack, stroke, cancer, all that kind of stuff. ⁓ So I love that you got curious. That’s what I did. I was in hospital reading and watching YouTube videos about how I’m going to recover, how I’m going to overcome things, all sorts of stuff like that. And it was…

    Pete Rumple (18:19)
    I remember.

    Bill Gasiamis (18:31)
    in a situation where control is given over to medics, doctors, surgeons, all that kind of stuff, you feel like you’re a little bit of a, you’re just floating in the wind and you’re not really stable and you don’t have an anchor point, right? So when you, if you want to feel like you’re a little more anchored, what you could do is you could take control of the controllables and

    Nutrition is one of those controllables and it doesn’t cost you any extra. You don’t have to spend money.

    Pete Rumple (19:04)
    You’re absolutely right, Bill. It’s a huge point. By the way, there’s a great app, and I know there are many, but there’s a great app called Yuka, Y-U-K-A. You can scan any barcode in the store and it will tell you the score and what’s wrong with it and the amount of food I was eating that was, especially in the U.S., Bill, heavily processed, additives, dyes. It’s like toxic.

    And so you can scan it and know what’s really in it. And it tells you what’s good, what’s bad. And it was a huge help.

    Bill Gasiamis (19:44)
    Yeah. So we’re going to have some of these links in the show notes for anyone who wants to find them. I’ll put a link to the books. I’ll put a link to Pete’s previous episode. We’ll put a link to that Yuka app. Pete, that’s your homework. You have to send me that link when we’re chatting. ⁓ When you say you’ve lost 150 pounds, like that is 50 kilograms. That is almost

    two-thirds of my weight. Well, it’s actually, yeah, it’s about two-thirds of my weight. That means that if I lost 50 pounds, I would just be a bag of bones.

    Pete Rumple (20:30)
    Well, and Bill, I was a bigger guy to begin with. have a big frame and I played a lot of US football, American football. So I had a lot of weight to lose, Bill, and it’s gone now. And I’m back up to about 205 and it’s all muscle life, about a 32 inch waist now.

    really, really fit and I go for it. And by the way, by the way, I want to make one point to all listeners that took a long time, Bill, like between being the wheelchair for eight months and then getting the pool. It took a long time. I used to go and sit and watch people work out to just reacquaint myself.

    Bill Gasiamis (21:03)
    How old are you?

    The Role of Visualisation in Recovery

    Pete Rumple (21:29)
    what it looked like and inspire myself. It has been a long road, but my goodness, is absolutely I’m on the other side of it now. Cause as I had said in the first podcast, the first 18 months, I did not want to live, especially year one, ⁓ immense amount of pain. had been a successful executive that was gone. Like it was really

    really rough. And so now it’s beautiful. And I want people to know that because it it’s so worth it. Delay gratification, you learn a lot about it. And it’s ⁓ Yeah.

    Bill Gasiamis (22:14)
    I love that delayed gratification, but also you went into a gym watching other people train when you couldn’t train, just so you can be around it and familiarize yourself with it again. That’s really interesting. That’s probably one thing I’ve never done is go to a gymnasium and watch other people train. It’s a bit creepy Pete.

    Pete Rumple (22:32)
    Yeah, it is. It’s weird. And people would look at me like, what’s he doing? And by and by the way, Bill, I did a lot of work on how to breathe, which was really helpful, how to how to manifest and to really sit and get mentally so I go even today, Bill, I go in a half hour before my workout to work on breathing and visualizing my exercises, because I get the

    the list of what my workout is before I get there the night before. So I study and I prepare and then go.

    Bill Gasiamis (23:10)
    What I love about visualizing is that if you visualize the brain actually fires off the exact same neuron and pathways that it does if you actually physically do that thing. And there’s been studies in the past that have showed that you can take an average guy like me and you can make them watch a video of somebody doing archery, for example, and you can ⁓ take them through a number of

    repetitions of this person, this champion doing archery. And just with that information and the visualization techniques later, you can take somebody who has basically never shot ⁓ an arrow through a bow and you can get them to a certain level of competence far more rapidly than you would have if you just got that person out of a crowd and sent to him.

    Have you ever shot an arrow? If they said no and they took the shot, they probably wouldn’t be able to do it as well as the person who was trained by just watching what the other person, the champion was doing. And when I was in hospital wanting to walk again, I’m sitting in my bed between sessions because I had a wheelchair as well. And I was visualizing myself doing the perfect walk, what the perfect walk would look like.

    And then I would take myself later to ⁓ therapy where I would be walking and I would be trying to replicate what I was seeing in my head so that we could get a similar result. And of course at the beginning, your leg is now doing it physically and it needs to catch up to the brain. The brain has ⁓ the pathway, but the leg needs to catch up.

    So then what the leg does is it goes, this feels a bit weird or this is a bit strange or this is not how I expected it. But it has a reference point for where to get to and how to do the perfect step, right? And then you’re closer to the perfect step than you were if you were just relying on therapists to ⁓ train you through that.

    Pete Rumple (25:22)
    You’re absolutely right, Bill. And the brain is amazing. Look, it can work for you or against you depending on what you’re thinking and how you’re doing things. And it was really amazing, Bill, because as I built my capability through CrossFit, it was amazing how my brain would start to take over. Like I wasn’t sure, but my brain was already, I got it, and so grew.

    It started carrying me and just getting it done. It’s amazing.

    Bill Gasiamis (25:58)
    Yeah, yeah.

    Embracing Discomfort for Growth

    But how did you know to do that? That’s the thing that I’m interested in understanding because I didn’t know the guy before stroke didn’t know about doing like magic like this. know, how do you, I don’t know, like, can you explain how you found yourself in that situation? Cause I can’t, people go to me like, well, how did you know to do that? Or how did you do that? And I’m like, I don’t know what happened, but something clicked.

    that made me stumble onto, discover, find all the necessary tools that I needed to get me to the next stage. I’ve never been able to do that before and I can do that now.

    Pete Rumple (26:46)
    Yep, me too, Bill, me too. And you know what? I think it’s how desperate we are for answers. And especially you can read all these blogs about what doesn’t work and what’s a waste of time, but you find the nuggets and you go for it. Here’s a great one, Bill. And I’ll send this in the link. Andrew Huberman, he runs a podcast called Huberman Lab.

    He had David Goggins on and he purposely waited for Goggins to share with him the research around the AMCC, which is the anterior mid-cruciate cortex, which is a part of the brain. And when you do things that are hard and you don’t enjoy it, that part of your brain grows and gets stronger.

    So I sat there, Bill, and I’m like, well, damn, if I can start to make my brain stronger, I’m going to do it. So I did all the stuff I hate to do. And I started doing it. And I started even faster, talking better, walking better, and really doing everything I did not like to do. And he even brings up the point when he describes it. He brings up that if you like running every day,

    It doesn’t work. But if you hate running and you have to go run, it works and it makes sure and make, they’ve learned so much that was, that was about three to four years ago. They found it, but this is a massive find in the brain. And I started using it, Bill. And what I started to do was everything I did not enjoy or created pain. I’m like, I’m doing it.

    And it took me from averting it to leaning into it. And it was amazing. it’s, you’d think it’s BS, it’s not. And Huberman, you know, he works at Stanford. He knows his stuff. It was really, really impactful.

    Bill Gasiamis (29:03)
    Yeah, it’s about being comfortable being uncomfortable, isn’t it? Like it’s realizing that you’re probably not killing yourself by paying in a little bit of pain exercising. also, yeah.

    Pete Rumple (29:16)
    And

    Bill, I will just say, I did a very good job for the first time in my life of listening to my body. So I go hard, I push, but when I wasn’t feeling it or didn’t feel right, I take the day, relax, and then come back stronger next.

    Bill Gasiamis (29:38)
    I want to pause there for a second because what Pete just described is exactly the kind of thing I wrote about in my book. The idea that the obstacle is the path, the doing the hard stuff in recovery. If you haven’t grabbed the copy yet, it’s called the unexpected way that a stroke became the best thing that happened. You can find it at recoveryafterstroke.com/book. The link is in the show notes and in the YouTube description. So let’s get packed.

    to Pete.

    Bill Gasiamis (30:08)
    Yeah, yeah, agreed. And it’s important to listen to your body after a stroke, because you don’t want to make things worse, especially when you’re still healing and still recovering and you’re still fragile, you know, there’s a lot of things that you need to take into consideration. However, being uncomfortable and being comfortable with that is really a good skill to master. ⁓ It is, ⁓ it reminds me of the saying that we hear that’s often attributed to

    the old great Roman Emperor Marcus Aurelius, which is the obstacle is the way, you know, when you get to something that’s really hard, you go for it, because that’s what you’re to be. That’s the purpose of the obstacle. It’s to overcome it, to find the way around it, under it, over it, through it, whatever it is. And Goggins is a scary guy. He’s a scary guy, because he runs without, without cartilage in his knees or something. I don’t know what he’s missing.

    but he shouldn’t be able to run, he shouldn’t be running and somehow he still runs. I think his version of running is a little toxic. I think he’s just a slight too far, ⁓ but nonetheless, it’s still proof of ⁓ what you’re capable of and how much people can push and go beyond their comfort zone. And if you’ve never pushed beyond your comfort zone, there’s no better time to do it. You really have to do it now because you want to activate the right neuroplasticity.

    You don’t want to activate negative neuroplasticity, which rewires your brain to be more comfortable, less willing to do hard things. ⁓ And therefore, you get the results of that. You get the decrease in your recovery or the ⁓ overcoming of your deficits. So I appreciate that whole ⁓ mentality of finding what’s hard and

    you’re probably in the right place. That’s probably what you need to do.

    Pete Rumple (32:07)
    Absolutely right, Bill. And I agree with everything you said. And look, I love Goggins, but it’s not to be like a warrior like him. The point is, like with Huberman, it was cool because Goggins thinks that way so much. He wanted to launch the foundational research with Goggins there with him. He purposely waited. So it was pretty cool.

    Bill Gasiamis (32:35)
    Yeah. And that that’s the thing, right? It’s like you get rewarded for doing hard things. ⁓ Stroke is hard. And if you ⁓ take the easy route, the comfortable route, the hard part of your stroke remains hard. Like it doesn’t get better. If you choose the other hard, the recovery

    Pete Rumple (32:59)
    right.

    Bill Gasiamis (33:04)
    benefits that you get from choosing hard of exercise, the hard of changing your diet, the hard of changing your mindset, et cetera. Like then that version of hard gets you a reward that is beneficial. The other hard just gets you more suffering. And that’s the hard you wanna avoid. Suffering without purpose. Well, suffering for a purpose gets you a payoff.

    The Power of Hard Work and Persistence

    Pete Rumple (33:31)
    That’s right. That’s exactly right, Bill. And look, with the, when you put it all together between the diet, though, increasingly working out, going after the deficits, all that, day by day, painful, hard, depressing, but you start looking three months, six months, a year later, you’re like, you start building your will and your ability.

    to do things you did not think you could do, and then it starts feeding on itself, and it becomes so powerful.

    Bill Gasiamis (34:09)
    Yeah, that’s my experience too. ⁓ Somebody put it in my head that I should start a podcast 10 years ago. It’s been 14 years since my first stroke this month, February, 14 years. It’s just gone like that. And then about three years in, a friend of mine said, should start a podcast type of thing. So I did. And it has been more than 10 years that I’ve been doing this podcast. ⁓

    And I never thought that I’d be doing a podcast, let alone for 10 years. We’re talking about at the beginning, not a lot of episodes because I was too unwell to put a lot of episodes out. it’s ramped up now in the last four or five years, doing an episode a week, most weeks. And then the other thing I never ended up, I never thought I’d end up doing is writing a book here. Here’s the plug for the book.

    Pete Rumple (35:01)
    love it. I love it.

    Bill Gasiamis (35:03)
    The title is mental, like it’s the unexpected way that a stroke became the best thing that happened. ⁓ But the book is exactly the things that you’ve said. And I thought initially when I discovered those things about my book that I needed to put in my book, I thought that I was rediscovering these for the first time. Like at the very beginning, diets, ⁓ mindset, ⁓ exercise, sleep. ⁓

    ⁓ meditation, hanging around other people who are positive, all that kind of stuff, doing stuff for other people, ⁓ like volunteering, that kind of thing. I thought I was discovering these things ⁓ for the first time ever, but turns out these are things that humans have always done. That’s what they default to. They default to all of these things when it’s necessary, and that’s where they get lost from. They kind of move away from there because they get diverted from there, from say,

    marketing or advertising or what somebody else is doing or through a lack of ⁓ focus from being distracted from work, from relationship issues, whatever the situation is. I didn’t write anything different in my book than has been written in the hundreds and thousands of books on this topic that have come before it. I just reorganized that and set it in my own words. But the reality is, is this is what

    people do when they’re trying to recover. They default back to the bare basics and they’re things that you can implement without ⁓ spending any extra money buying a course or anything like that. Of course, you might need to read it in a book for the first time to remind you or you might need to hear it on a YouTube video, but the reality is, is that nothing new in this book.

    Pete Rumple (36:51)
    And Bill, I want to take a second and plug your book because I have not read it yet. But back in the first ⁓ the first session I did with you, I referenced a number of things you taught me through the podcast that I did to make to start building momentum like the cooking dinner every day was the to do. That was your mission. Yeah.

    so much of what I’ve learned from you, the podcast and what’s inevitably in the book was a great starting point for me. And I built my, my stuff on top of it, but it was really great to stand on your shoulders and get, and get that lift.

    Bill Gasiamis (37:38)
    Yeah, isn’t it weird? Like it was just one thing, but it was the most important one thing. My whole world revolved around that. If I could put dinner on the table for the family in any capacity, it didn’t have to be like a five star meal or three courses or anything like that. It just had to be dinner. If I could do that, then that was kind of how I rehabilitated myself. I needed to be healthy enough, good enough, fit enough, have enough energy to just put a meal on the table for everyone when they came home from.

    work. was such a it’s such a it was it was important for many reasons. But it was also what I didn’t realize the underlying benefits that it was creating, which were the ones that ⁓ I noticed later after

    Pete Rumple (38:25)
    Yep. And you were re-engaging and you were pushing yourself. And I remember you go to the store to buy the stuff you needed sometimes. like all that stuff, Bill, when I look at the beginning, I couldn’t watch a TV for over a year. I couldn’t listen and did not listen to music for two years. It was, and now I’m like back in the fold, but it’s the

    push, the push, the push and just, you know, listening to the body, but going for it all the time.

    Bill Gasiamis (39:03)
    Yeah, exposure, like exposure, exposure, exposure, small, then larger, then more and more. I remember going to the stores to the local mall here, and we call it a shopping center, and parking the car, and then not being able to remember where I parked the car, walking around the entire car park, and talking to my brother, and going to him, he rang me just out of

    blue and I said to him, he goes, what are you doing? I said, I’m walking around the car park. He what are you doing that for? That’s because I don’t know where my car is. I’ve been looking for it for half an hour and I’ve got no idea where it is. I parked it and I just got no idea where. I don’t know which car park. I don’t know where I came in from. I don’t know what level it was on. And I was just walking around the car park talking to my brother, just telling him, I came and got a few things, but now I can’t get back to my car.

    Pete Rumple (39:55)
    Yeah, and there’s definitely you know bill once I got out of the darkness There’s definitely some really funny stories That that happened especially like the way The way I would walk people would see me I might be in a restaurant and i’m going to the bathroom and they think i’m drunk Yeah, and they’re like making fun of him like hey i’m not drunk, but ⁓ I get

    you know, I’m all right, I got it. And they’d be like horrified and I’d just start laughing. It was funny, but you gotta have some fun with it too, you know?

    Bill Gasiamis (40:34)
    Absolutely, you have to, you gotta laugh. you don’t laugh, well, it’s gonna be difficult time. You, ⁓ I remember when we spoke last time, you mentioned about trying to get back to work. ⁓ How did that go? Was it successful? Did you have some challenges? What was going back to work like?

    The Journey Back to Work Life 3 Years After Stroke

    Pete Rumple (40:53)
    So Bill, I’m gonna start back in June. I’ve done some projects, work projects, but I have not officially started working, but I’m going to. I’m starting a business with a close friend of mine, my former CFO, and we’re gonna start a new business.

    Bill Gasiamis (41:18)
    Tell me about the new business. What is it about? Can you share anything about it?

    Pete Rumple (41:22)
    Yeah, it’s called fractional leadership bill will probably go to companies that are ⁓ getting funded, trying to grow. They got a good idea. They can’t afford the people they need. So you basically it’s less consulting. It’s more you’re operating it for them and you work with multiple customers and it’s called fractional leadership is becoming a

    really pretty popular model. And, ⁓ and also for companies that have that have their revenue is stalled or shrinking, get them turned around. That was my background. My background was ⁓ running chief revenue officer. So everything that drives revenue in a company and I was a CEO twice.

    Bill Gasiamis (42:06)
    Uh-huh. Soon.

    Did you have a specific industry that you worked in?

    Pete Rumple (42:23)
    Yet a lot of times I call it TMT for telecom media and tech so tech companies and media and That kind of stuff Rosetta Stone was his language learning company. I was I ran all our institutional business education government and and ⁓ Corporate

    Bill Gasiamis (42:49)
    Wow, what a challenge. mean, technology is changing so rapidly. ⁓ I

    Pete Rumple (42:55)
    love

    it, Bill. And look, I’m sorry, I just had to make this point and not forget it. That was another thing I’ve done, Bill is I’ve gone heavy into AI. And I did it, not just because it’s the buzzword. But I’m like, Hey, if I’m going through this process, if I’m retraining my brain, why not try to get good at stuff that I either didn’t do or need to know. And it’s been so rewarding, Bill.

    Bill Gasiamis (43:24)
    out.

    Pete Rumple (43:25)
    It’s just crazy. Like AI, use chat chat, GBT, and it’s like my, my best friend. now work with chat daily and it’s amazing how the tech technology works. Not only can it be really helpful for figuring things out and having a partner, but it also remembers things about you in how it builds the profile.

    So it’ll basically say, Pete, don’t forget this, this, and this. And it’s awesome. It’s really killer.

    Bill Gasiamis (44:02)
    So here comes another plug, Pete. Okay, so this is not a sponsor, but it’s something that I truly believe in, okay? Because the person who contacted me, A, is an Australian, B, is a mother, ⁓ C, is a mother of two children with cerebral palsy. And she was looking for solutions to all the challenges that they faced as a family, especially to help her children, right?

    parent would do. So then ⁓ she used to do research like you and me jump on the computer, do some research, find out about all the things that ⁓ she needed to know with regards to what was most current in cerebral palsy right now. And she’s the struggle because ⁓ imagine like the time that it takes when you have a stroke brain to research, read, comprehend, determine whether

    Pete Rumple (45:01)
    We know. Yeah. Yeah. Yeah.

    Bill Gasiamis (45:04)
    whether or not that is applicable. Okay, that’s not applicable. Put that to the side, do another search. And then also going to doctors and researchers and all these other people and saying to them, what about this? What about that? And then them not being aware of anything that was new because they’re too swamped. They’ve got a massive workload. They don’t have time to be up to date with all the research, right? And this is a hundred percent a full on plug.

    I’m not apologizing for that. However, what this lady did, Jess from turn2.ai, I have a link to her interview as well, because I interviewed her, is she created an ⁓ AI that goes and does the research, the searching for you, and then sends you an email every week with everything new in your particular topic, for example, stroke. And then it tells you, I found

    seven, nine, 10 things for you this week that are new on stroke. It could be a podcast. It could be a research document. could be ⁓ whatever it is. It could be a book. It could be anything. It just finds it and sends you that information. And as your recovery continues, right, ⁓ what happens is ⁓ you might say, okay, now is there any information about food related to stroke recovery and healing the brain?

    And then it adds that to the search list. And then it comes back at the end of the next week with all the new information from food and brain. And then also whatever it was that you previously prompted it to find you. And it just keeps finding information and you build it and you build it and you build it. And then next week you get interested in meditation and you type, what can you tell me about meditation and healing the brain? And then it’s going to bring you all that information to your inbox. I spent

    hours and hours and days and days trying to find information about what I needed to know about stroke recovery. And when I found that little piece of paper, I had to go through the rabbit hole. I had to go down the rabbit hole and try and find ⁓ where ⁓ where it kind of where the exit point was where it led to so that I can discover whether I need to implement this, do this. So this just saves

    so much time and the guys are selling it for two bucks a week. Like you can get a month free and two, and then after that it’s two bucks a week just to find and do all the searching for you and bring you specific and relevant stuff. And we’re talking about scientifically relevant and specific like PubMed articles, like scientifically proven stuff, not what Bill ⁓ concocted up in his bedroom.

    you know, in suburban Melbourne, like proper things. So I love that you said that you’ve turned to AI. I’ve been using chat as well. Chat helps me with so many things, but what’s important is to learn how to interact with it. And that’s another, that’s another thing, another skill to discover. And it’s important that we jump on the bandwagon. AI is not going away.

    You need to learn about it, how to interact with it, and how to use it to benefit you and decrease the amount of time it takes to do something and get to recovery.

    Pete Rumple (48:37)
    You’re absolutely, absolutely right, Bill. I mean, it is, and even if you just use it for basic stuff to begin with, and you start learning how to create the right prompts to get the kind of answers you’re looking for, it’s a great skill. And the biggest thing is not being afraid and leaning into it.

    Bill Gasiamis (49:00)
    Yeah, not bad. Well, there’s nothing to be afraid of. They can get them all for free. At the beginning, you can get a free subscription. It doesn’t cost anything. And it’s just as useful. Perfect for that early training kind of phase in your chat, in your chat, JBT kind of discovery. There’s also Claude, there’s also the Elon Musk one. There’s hundreds of them now. Yeah, there’s heaps of them now, right? So I really encourage people to do that because

    If you ask it one question like, you know, what is one of the most ⁓ best books that I can read for, we’ll call it nutrition for nutrition and stroke recovery. That’s just going to decrease the amount of time it takes to find those books and bring that to you. Jump on Amazon, find it, get it sent to your house. ⁓ So I think it’s a great time for people.

    and it’s never been a better time to recover from a stroke. I mean, it’s a shit ⁓ group to become a part of at the beginning and it’s difficult and it’s painful. But if somebody has a stroke today compared to a stroke 30 years ago.

    Pete Rumple (50:17)
    ⁓ my goodness.

    Bill Gasiamis (50:19)
    Like it’s a completely different experience. ⁓ I think we’re kind of lucky to be living in the time that we’re living. ⁓ Even though I know that people hear about AI and what it could potentially do in some other situations. ⁓ Let’s use it for good. Like let’s break the work.

    Pete Rumple (50:21)
    That’s all we’ll

    That’s

    right. That’s exactly right, Bill. It can be used for evil, but it can be used for good. So use it. That’s right.

    Navigating Health Challenges

    Bill Gasiamis (50:48)
    Yeah, just like any technology, right? Like you hear all these things, but any technology can be used for good or evil. So let’s just use it for good. Let’s just make the most of it. So before your stroke, you were going through a divorce or had you already been divorced?

    Pete Rumple (51:08)
    I was already divorced. Yeah, it had been it had been a couple of years earlier. I had a bad car accident a bunch of but you know the kids live with me. It was just a stress sandwich and I did not go out the right way.

    Bill Gasiamis (51:27)
    Yeah. You didn’t go out at the right way because what do you think was behind that? Like, it’s hard to make really good decisions in very stressful times anyway. You have to have an opportunity or the insight to pause, step out of that situation for a little bit, reflect and then try and make decisions. how did you get into that stage where you found yourself not being ⁓

    not going about things appropriately, for example, perhaps.

    Pete Rumple (52:02)
    For me, Bill, it was like I didn’t have a choice. I was now in a wheelchair. I was in pain and I had nothing I could do but think. And at first that was very negative. It was, I didn’t handle it well. I didn’t accept it. And once I went through that process and I got like, okay, I’m going to get holistic about this.

    And by the way, I don’t want to, I don’t want to just fix the physical and then I get done and everything else is a wreck. So went after all of it and just started carving up my day, spiritual, cognitive, physical, mental, every day, a block of each practicing writing, all that stuff. So I just started doing it and rebuilt my life.

    probably like I should have in the first place, but stuff happens. I had to, you sometimes, you know, we, you and I laughed about this before. Sometimes we’re a little thick. takes a little longer. So it took me a while, but I’m there now.

    Bill Gasiamis (53:18)
    Yeah. And reflecting on that version of yourself from the past, does that does that person ever come up again, every so often, because we’re talking about all these positive things, all these amazing changes. And I don’t want to paint a picture that it’s only ever fantastic you and I like what we go through after our initial stroke has been all just roses. Is there moments of

    that things rearing their ugly head and you reverting back, how do you catch yourself when you’re there?

    Pete Rumple (53:57)
    Yeah, I mean bill that’s why what’s really good about this is my first podcast with you because we went really deep in the in the darkness of that now bill is beautiful man. It is beautiful. I am almost I almost don’t talk to people about it because

    My life is so much better because I had a stroke. It’s crazy. It sounds nuts, but it’s so true. Everything’s sweeter. I just, it’s hard to describe. It’s a blessing.

    Bill Gasiamis (54:38)
    Yeah, that’s crazy. It is probably crazy.

    Pete Rumple (54:42)
    It is?

    Bill Gasiamis (54:45)
    I find myself, ⁓ I find myself obviously having bad days. My bad days are related to stress, ⁓ you know, work, if they’re related to ⁓ interactions with people that don’t go the way that I preferred. They’re related to ⁓ what the stroke still does to me after 14 years. ⁓ It still causes neurological imbalances. still causes

    tightness on my left side, know, that tightness causes dysfunction on my right side, you know, the body goes out of whack. And if I catch it, if I have a bad night’s sleep, things get thrown out and it’s hard to, ⁓ it’s hard to always navigate it and be effective at catching it and then doing something about it, you know, cause you’re human, you get distracted, et cetera.

    Pete Rumple (55:38)
    Well, and Bill, you’re bringing up great points because as I transition back to work, I’ll have some potential potholes that I don’t have right now. So I’m very, I’m very conscious of what I’m going to go back into. Now. I love, I love work. It’s my sport and I love it. But, ⁓ and today I have now.

    bad moments, not bad days. Maybe those occurred, but I’m going to try to stave that off. But that’s just how it is now. as of as of now, that’s that’s the update, if you will. Yeah.

    Resilience and Consistency in Recovery

    Bill Gasiamis (56:25)
    Yeah. Okay. I like that you said that about work, like there’s gonna be some potholes with if you’re doing the type of work that you’re doing. ⁓ That’s pretty high level and high stress and intense for ⁓ at some stages, it could be right, you’re talking at organizations that are going through a hard time that are looking to you to solve their problems, so to speak, or to support them solve their own problems. So ⁓

    You know, the ramping that up is gonna need a little bit of thought so that you don’t go too far into that type of work without realizing how far in you’ve gotten.

    Pete Rumple (57:10)
    Absolutely right, Bill. You’re absolutely right. And look, I’m going to try to be as bulletproof as I can. The good news is I’ve been doing this work my whole career. So it’s been 40 years. So I don’t think I have to micromanage or get to like, I think I can find the right balance if I can’t.

    I’ll go to a lesser job and do something else. But so I realize, especially because I can get pretty intense. So ⁓ I realized that is a risk, a very real risk. I’m not shying away from it. I’m not saying, don’t worry. yes, there is stuff to worry about, but I’m gonna, I’m gonna test and learn.

    Test and learn is what I always do. Test it and learn, can I do it, not do it, do I have to do different, do I have to do something else?

    Bill Gasiamis (58:14)
    Yeah, brilliant. How old are you now?

    Pete Rumple (58:17)
    61.

    Bill Gasiamis (58:18)
    Okay, so at 61, most people are thinking about retiring. What are you thinking starting a new business at 61?

    Pete Rumple (58:25)
    Well, mean, Bill, look, let’s be honest, I think the last three years off. So I have some ⁓ room left in the battery. But I mean, part of the reason for this type of job, Bill, is because if we do this, we run it. And we’ll decide how we take care of clients, how we work and all that.

    And if I have to take on less, take on less. If I can take on more, take on more. And I’m gonna, like everything else, I’m gonna figure it out one step at a time, Bill. And I, you know, I don’t have the answers, but I’m gonna find them.

    Bill Gasiamis (59:11)
    And retirement’s not really in the frame for you. Like it’s not something that you’re thinking about, like to ⁓ officially retire, know, step away from the day to day and just, you know, go and sail off into the sunset type of thing.

    Pete Rumple (59:24)
    Yeah, I think to your point, Bill, like if I can make this work, I’ll probably work through my 60s. If I can’t, then I’ll have to probably hang it up earlier or do something lighter. And if that’s the way to be healthy, so be it. I’ll do that.

    Bill Gasiamis (59:43)
    What else does work bring you though? Because it doesn’t just bring work income. Like it brings more than that. Like for you, I feel like it’s more than just I’m making a wage or bringing in some money or whatever. What else does it bring?

    Pete Rumple (1:00:02)
    Yeah, it’s it’s competitive, Bill. It’s it’s my sport. You know, so hitting the numbers in a month and a quarter and a year. That is the scoreboard for what I do. And if you if you do it well, you can do really well and be very happy and influence a lot of people’s lives in a positive way. And if you don’t, it can be really awful. So

    Fortunately, I’ve been on the right side of that for a long time and I want to get back to it and no ego stuff I just I want to I want to

    I want to have an impact and I want to enjoy my sport.

    Bill Gasiamis (1:00:48)
    Fair enough. Even in your unhealthiest and heaviest before the stroke, were you this energetic? Did you have this same amount of energy?

    Pete Rumple (1:01:00)
    I’ve always been energetic, Bill, but I couldn’t operate like I do now. Like my sleep is wonderful. I go hard at the gym. I do projects. I volunteer. Like I’ve been readying myself for coming back in. And look, if I can, great. If I can’t, I’ll adapt.

    Bill Gasiamis (1:01:27)
    Yeah. I know when I went back to work, uh, well, I had to, I had to pause my business. have a painting and maintenance. Yeah. I had to pause it. I had to go back into an office, very basic admin role, like low level, but it was so hard being at work, sitting in front of a computer for eight hours a day. We started, I started that job in 2016 and finished in 2019. By the time I got to 2019.

    Pete Rumple (1:01:36)
    I remember.

    Bill Gasiamis (1:01:57)
    I was way more capable of going in focusing on the task at hand and doing the work that needed to be done and then being able to be okay to do the drive home because at some point at the beginning I wasn’t really able or up to the task. But I kind of built ⁓ the muscle again and then got to that stage where by 2019 it was fine. So some people might find going back to work like

    You know, retraining that muscle of being at work and working and focusing and all that kind of stuff. They might find that it’s gonna take a little bit of time to get there and you might have to step back. You might have to decrease the days, decrease the hours and then go again and then try and find where the threshold is, see if you can exceed it and then see how far you can push it and reflect a year, 18 months, two years.

    Pete Rumple (1:02:38)
    That’s right.

    Bill Gasiamis (1:02:56)
    down the track back to notice how far you’ve come.

    Pete Rumple (1:03:00)
    Yeah, right on Bill. I mean, I’m gonna have been out of it for 42 months, probably when I go back. So I hear you loud and clear, and it would have been really tough to do it.

    before now.

    Bill Gasiamis (1:03:20)
    Yeah. Yeah. And you did have a you had a goal to get back to work a lot earlier.

    Pete Rumple (1:03:29)
    Yes, that’s right. And ⁓ that’s another thing, Bill, like I’ll set an intention to do something. I’ll go for it. I’m not ready. I’m not gonna, I’m not gonna do it wrong. I’m not gonna hurt myself. So I set a goal. I try to manifest it, but if I have to push it, I push it.

    Bill Gasiamis (1:03:51)
    Yeah. Just before we spoke and started this episode, you’re you apologize for wearing a hat, which is was unnecessary ⁓ because you have a scar on your head because there was a skin cancer found. And before it became a thing, the you got you had it removed. That’s right. So now when

    So I wanna understand like your mindset now compared to before when you come across ⁓ an issue like that, a health, potentially health issue for people. How do you navigate that now compared to how you might have done things before? ⁓

    Proactive Health Management

    Pete Rumple (1:04:38)
    Beautiful question. Yeah, I used to avoid all that stuff. I avoided the doctor. I don’t want to do this. I want to there’s always a reason to do something else. Now I lean in, I pay attention, I learn I go in, I may agree or not agree with the doctor on certain things. But especially now because I can think again, took me a couple years. But yeah, I lean in.

    I want to I want to get in there. I want to know what’s wrong. What’s right. What have you just had my annual exam two days ago ago. It went great. Labs came back great. I I my neurologist that I used to have to ⁓ visit quarterly said Pete I don’t even need to see you annually now. Just if you need me call me. Other than that you’re good to go.

    And she said, we have not seen this kind of recovery before from what you had.

    Bill Gasiamis (1:05:43)
    Yeah, I have a similar experience when I was in hospital. They booked me in for two months. I was out in a month ⁓ in rehab and I feel like they should have asked me what I was doing because

    It’s really important for people to know the difference between being passive and waiting for somebody to rehabilitate you or being the person who’s driving your own rehabilitation. Like there’s a massive difference and

    Pete Rumple (1:06:13)
    Huge difference, Bill. You’re right. Huge difference. mean, last last call, I talked to you from my sister’s house in December, just a couple months, few months after it, I made the decision to move out on my own, which I did, which really stunk, Bill. That was hard. Like, I there were some nights I couldn’t eat. I was like, I can’t I’m either gonna make the

    the bed or the kitchen, which am I doing? Bed. And I just do it. And but it was important. It was important to start knowing where I could push and not being too reliant.

    Bill Gasiamis (1:06:59)
    Yeah, yeah, the less reliant you can be the better, but still also good to be able to rely on people when you need a little bit of support.

    Pete Rumple (1:07:05)
    Right

    on. Absolutely. don’t, you know, it was, there’s not a right or wrong. It’s like, what do you think? What’s your gut?

    Bill Gasiamis (1:07:14)
    Yeah. Now let’s do a little bit of a community service announcement about this skin cancer. A, how did you notice it? ⁓ What were the steps that you took after you noticed it? How long did you take? Why did they remove it? And so on. Give us a little bit of information. There’ll be people listening here who ⁓ may have noticed a little bump or a lesion or something on their face, their head, their arm, whatever. Give us a little bit of an understanding of how that came to be.

    Pete Rumple (1:07:43)
    absolutely the one thing I’ve done Bill through my life as I’ve stayed disciplined on the dermatologist and I don’t know why I think it’s how I was raised everything else I skipped but the dermatologist I stayed on top of and to your point if I notice something and it seems pervasive like it’s not going away

    I have it looked at and they’ll cut a piece away and see if it’s ⁓ emerging as a basal cell or a potential skin cancer. And that’s what I had with this. was on my head and it was not going away. They took a little piece of it and they’re like, yep, that’s a basal cell. So definitely do not let that grow. At least get it looked at and get

    an opinion on what it is then decide from there.

    Bill Gasiamis (1:08:45)
    What’s a basal cell? Is that something that’s benign?

    Pete Rumple (1:08:49)
    It’s like pre-cancerous it it can I’m not sure exactly but it’s like my fourth one but because I was in the sun a lot bill and ⁓ growing up and I have red hair and I have a fair complexion so my mother had done a great job with the sunscreen I don’t think God is as good a job as she did when I was younger but

    Yeah, it was very important because that can get lethal fast.

    Bill Gasiamis (1:09:23)
    And do you think because of your skin tone or the lack of melanin and your ⁓ red hair, your heritage basically, right, that you made a point of being married?

    Pete Rumple (1:09:37)
    Yep, I’m more prone to it. Absolutely. Yes.

    Bill Gasiamis (1:09:41)
    Yep. ⁓ I wear a hat all the time, especially if I’m out and about. And my favorite hats are like, you know, round brim cowboy style or outback style type of hats.

    Pete Rumple (1:09:54)
    Greg

    Norman hats, Greg Norman hats.

    Bill Gasiamis (1:09:57)
    Yeah, not so, not so Greg, but yes, I’m like, think, think handsome, good looking ⁓ stockman herding cattle on the back of a horse. Think that kind of hat. That’s what I wear. ⁓

    Pete Rumple (1:10:14)
    Gotcha. I love it.

    Bill Gasiamis (1:10:17)
    Yeah, but, if it’s if I’m out and about in a all day type of scenario event, wherever, and there’s a lot of sun, I’ll wear one of those, otherwise, I just wear a cap. And it makes a huge difference, especially when you have short hair, or you have thinning hair or bald hair. It just protects the skin more. And it makes a difference. But the good thing about technology now is it’s so advanced as you can

    spot these things early and you can get them treated and yeah, and you can be okay. And if you are prone, it’s good to be take preventative steps. I like that you previously ignored things and you didn’t go to the hospital and you didn’t think of it as an important thing. Whereas now you tackle it, you’d rather know, you’d rather do something about it, you take preventative action than wait for it to escalate and turn into something

    more sinister, which surprises me that humans would do that with their health and well-being. While they wouldn’t do that at work as a CEO, you wouldn’t avoid an issue, you would tackle it head on and you would make sure that you, that that issue didn’t escalate into something unnecessary.

    Pete Rumple (1:11:40)
    right and Bill that’s part of the problem right because you start saying well I do this at work all the time but you don’t do it for you and it’s got to be consistent in every part of your life.

    Bill Gasiamis (1:11:56)
    Yeah. Consistency, that’s great thing. And it needs to go through all aspects of your life, all avenues of your life. For example, if you’re going to ⁓ look after your health and wellbeing at home, or when you go out with somebody who has a different idea about nutrition, ⁓ the hardest part that I find is being around other people who drink, for example.

    Pete Rumple (1:12:24)
    Right.

    I remember you talking about that. Yes.

    Bill Gasiamis (1:12:27)
    and those conversations that you have to have with people, you have to build the skill of saying, I don’t do that, I don’t smoke, I don’t drink. I’m not saying you shouldn’t when I’m with you, or you don’t, or better if you didn’t, but you do you and I’ll do me. Like I’ll just be consistent with how I behave at home. I’m gonna behave like that when I’m with a group of people who prefer to smoke or drink or not eat the way that I am. You know, that’s the…

    key message there. If you can just be if you’re your what’s the word I’m looking for if you can have ⁓ it be part of your identity that I don’t behave a certain way or I do behave a certain way or then it’s easier to be able to implement it across all facets of your life and not ⁓

    be influenced in a negative way. Because I find personally, if I get influenced in a negative way for the smallest thing and I take the bait, for example, it could lead to a behavior that I don’t want to be doing that I start redoing and I start redoing it for a longer period of time than I would have preferred. Like I wouldn’t smoke, but if I picked up a cigarette and had one, I used to enjoy them so much that I feel like

    I might find myself in a situation where I’ve bought a packet of cigarettes at the end of the first week and now I’m into that crazy habit and trying to work out how I got there again. And it was because I remember trying to give up a lot of times. was because I made, always it was because I made excuses when I was with other people.

    Pete Rumple (1:14:18)
    That’s what I said earlier. Yeah, that’s what I was doing, Bill. And you know, what I do now is I, at any given time, I think deeply about what are the three words I use to describe myself now? And my now is resilient, consistent, and unafraid. Those are my three words. And I constantly kind of

    triangulate and tune on that and say, okay, what, where am I now? And I look at what, are my three words? And those are the three that define me now, because the consistency, the bouncing back and the resilience and the unafraid is like, to your point, if everyone’s doing one thing, I’m going to do my thing. And I’m okay with that.

    Defining Identity Through Resilience

    Bill Gasiamis (1:15:11)
    Yeah, I love that. That you have three words to define yourself now that you’ve given yourself a title.

    Pete Rumple (1:15:18)
    Yes, and it may change, but it has changed over time. But I just I really try to be honest with myself and say, where am I now?

    Bill Gasiamis (1:15:30)
    Yeah. And I like it as well. That fact that it’s changed, it’s flexible, like it’s not necessarily to be rigid and concrete in that it’s like a mindset, like it can shift and alter. And you can work towards something. And you can perhaps master being resilient, perhaps master it, I don’t know, you could probably get real better at it. Maybe mastery is not always possible. But then you could allocate those resources to a new

    Bye!

    Pete Rumple (1:16:00)
    And to your point, Bill, you can get competent and then maybe build to mastery if it’s important enough.

    Bill Gasiamis (1:16:06)
    Yeah. Yeah, I love it. You know, what’s really good about this ⁓ interview is that people are going to be able to go back to the original interview. Have a listen. Yeah.

    Pete Rumple (1:16:18)
    Yeah, I was thinking about that. You’re right. Yes.

    Bill Gasiamis (1:16:21)
    just so that they can see the difference so that, like I said at the beginning of the interview, we could offer people hope and every journey is different and every stroke recovery is different and every stroke injury is different. But ⁓ every person has the possibility and the opportunity to improve their situation. And usually that won’t come from

    the medical team. The medical team will improve the medical side of it and they’ll make you able to go home. But then the other work that needs to be done is up to you. And if you have some examples of people who have done that before, which is what I hope I am, and what I hope a lot of my guests are, Pete, you’re obviously one of those people, then what we could do is hopefully create that

    trigger in people’s minds to go, Bill and Pete said that, you know what, I’m going to look into that. I’m going to read that book. I’m going to ⁓ check out that AI. I’m going to discover what I can do that doesn’t cost me any more to improve one thing in my life. You know, whether it’s just meditating on what the proper walk according to you looks like at home, in your bed.

    the morning that you wake up and then the evening before you go to bed while you’re still recovering your walking. Right? Why not?

    Pete Rumple (1:17:53)
    Yeah, and Bill, you’re absolutely right. And the imagery I try to have people understand is almost like lily pads across the lake or the water.

    Get to a lily pad, then get to the next one. Don’t worry about boiling the ocean. Don’t worry about what it’s going to be in months or year, step by step. And just keep pushing. When your body says don’t push, don’t push. But when you can, and before you know it, you’re kicking ass and you’re

    getting momentum.

    Bill Gasiamis (1:18:42)
    I love it. What a beautiful way to end the podcast. Thank you so much for reaching out to be on the podcast again. I really appreciate you sharing your story and then giving people an insight into what it was like for you, ⁓ nearly what, three years down the track.

    Pete Rumple (1:18:58)
    Yep, absolutely Bill. My pleasure and thank you again for all the work you’ve done.

    Bill Gasiamis (1:19:03)
    What an amazing episode. Pete Rumpel 38 months out from a massive hemorrhagic stroke wheelchair to crossfit, 337 pounds down to 205, 17 medications down to two and a new business launching at 61. The things that stood out to me the most, Pete’s decision in hospital to fast and take back the one thing he could control. The AMCC research, doing the things you hate most on purpose to grow the brain.

    Visualization as a daily recovery tool and the lily pad image. Don’t try to cross the whole lake at once. Just get to the next lily pad. If today’s episode connected with you, please subscribe, leave a review and a comment and share it with someone who needs to hear it. That’s genuinely the best way to help this show reach more stroke survivors. Before I go, heartfelt thank you to my Patreon community. You are the reason this podcast stays free and independent for every

    stroke survivor who needs it. I want to give a special welcome to the supporters who have joined us so far this year. Keith, Nina and Charmaine, thank you so much for believing in this work. It means everything to me and to every one of our Patreons.

    Brian, David, David, Cecilia, Sean, Kim, Jeff, Jordan, Hoyt, William, Mark, Alessandro, JK, Heather, Keith, Nina, and Charmaine, thank you.

    thank you as well. I really appreciate your support. I am truly humbled that you feel it is a worthy cause to support. And if you’d like to support the show, you can go to patreon.com/recoveryafterstroke. Every contribution, no matter the size makes a real difference to the people who find this podcast when they need it most. And finally, my book.

    If you’re in recovery right now and you want a roadmap built from real lived experience, not clinical theory, it’s called the unexpected way that a stroke became the best thing that happened. Everything Pete and I talked about today is in there. Grab it at recoveryafterstroke.com/book. The link is in the show notes. I’m Bill recoveryafterstroke.com/book. The link is in the show notes. I’m Bill Gasiamis. Thanks for being here. I’ll see you in the next episode.

    The post Life 3 Years After Stroke: Pete Rumple’s Remarkable Road from Wheelchair to CrossFit appeared first on Recovery After Stroke.
  • Recovery After Stroke

    Stroke Effects: The Hidden Deficits Jake Faced After a Hemorrhagic Stroke

    09/02/2026 | 1h 21 mins.
    Stroke Effects: What a Hemorrhagic Stroke Did to Jake

    Stroke effects aren’t always obvious. Some show up immediately. Others arrive quietly, long after the hospital discharge papers are signed. For Jake, the stroke effects didn’t end when his life was saved; they began there.

    Four months after a hemorrhagic stroke, Jake can walk, talk, think clearly, and hold a conversation that’s thoughtful, articulate, and reflective. To someone passing him in the street, he might look “lucky.” But stroke effects don’t ask for permission to be visible. They live beneath the surface, shaping movement, sensation, pain, identity, and recovery in ways few people prepare you for.

    This is what stroke did to Jake.

    The Stroke Effects That Came Without Warning

    Before his stroke, Jake’s life was full and demanding. A husband. A father of four. An administrator coordinating drivers and operations. Active. Fit. Always moving toward the next opportunity.

    But in hindsight, the stroke effects were quietly signaling their arrival.

    Jake experienced severe headaches with a rapid onset. Nausea. Vomiting. Visual disturbances. At the time, they were dismissed as migraines. His blood pressure had been flagged as “pre-high” years earlier while living overseas, but after returning to Canada, he found himself without a regular doctor in an overloaded medical system.

    These were early stroke effects masquerading as manageable inconveniences.

    When the hemorrhagic stroke finally hit, it did so decisively, affecting the right side of his body, disrupting speech, movement, sensation, and cognition all at once.

    What Stroke Did to His Body

    One of the most misunderstood stroke effects is how specific and strange the deficits can be.

    Jake didn’t just “lose strength.” He lost motor planning.

    When he tried to write the letter T, his brain sent the wrong instruction. Instead of a straight downward line, his hand looped as if writing an L. The muscles worked. The intention was there. The signal was wrong.

    To retrain that connection, he didn’t practice ten times.

    He practiced thousands.

    This is one of the realities of stroke effects: recovery isn’t about effort alone, it’s about repetition at a scale most rehab programs don’t explain clearly enough.

    Post-Stroke Pain: The Stroke Effect No One Warns You About

    If there’s one stroke effect that dominates Jake’s day-to-day experience, it’s pain.

    Not soreness.

    Not discomfort.

    Neuropathic pain.

    Jake describes it as:

    Burning sensations

    Tingling

    Tightness, like plastic strapping wrapped around his limbs

    At its worst, a “12 out of 10” pain, like being tased while his hand is on fire

    This kind of post-stroke pain often resets overnight. One morning, he wakes up and feels almost normal. The next, the pain returns without warning, severe enough to stop him in his tracks.

    This is a stroke effect that confuses survivors and clinicians alike because it doesn’t follow logic, effort, or consistency. It simply exists.

    And for many survivors, it’s one of the hardest stroke effects to live with.

    The Non-Linear Reality of Stroke Effects

    Stroke recovery doesn’t move forward in a straight line. Jake learned this quickly.

    One week brings noticeable gains.

    The next feels like a regression.

    Then progress returns quietly, unexpectedly.

    This non-linear pattern is itself a stroke effect.

    Early on, these fluctuations feel frightening. Survivors worry they’re “going backwards.” But over time, patterns emerge. Rest days aren’t failures. They’re part of recovery. Silent healing days matter just as much as active ones.

    Understanding this changed how Jake viewed his recovery and how he measured progress.

    Identity Loss: An Overlooked Stroke Effect

    Some stroke effects don’t show up on scans.

    Jake wasn’t defined by his job, but work still mattered. Structure mattered. Contribution mattered. After the stroke, uncertainty crept in.

    Would he return to the same role?

    Could he handle the same responsibility?

    Should he?

    Stroke effects often force people to renegotiate identity, not because they want to, but because they must. The question shifts from “What do I do?” to “Who am I now?”

    For many survivors, this is one of the most emotionally demanding stroke effects of all.

    Recovery Begins With Action, Not Permission

    While hospitalized, Jake made a decision.

    He wouldn’t wait passively.

    He brought in notebooks. Pencils. Hand grippers. Hair clippers. He practiced shaving, writing, and gripping, no matter how long it took. If writing the alphabet took all day, that was the day’s work.

    By discharge, his writing had moved from scribbles to cursive.

    This wasn’t luck.

    It was intentional engagement with stroke effects, meeting them head-on instead of avoiding them.

    What Stroke Effects Teach Us

    Jake’s experience reveals something important:

    Stroke effects are not just medical outcomes.

    They are lived realities.

    They affect:

    How your body moves

    How pain shows up

    How progress feels

    How identity shifts

    How hope is tested

    And yet, understanding stroke effects, naming them, and normalizing them can reduce fear and isolation.

    That’s why conversations like this matter.

    You’re Not Alone With These Stroke Effects

    If you’re early in recovery, you might recognize yourself in Jake’s story.

    If you’re years in, you might recognize where you’ve been.

    Either way, stroke effects don’t mean the end of progress. They mean the beginning of a different kind of journey, one that rewards patience, repetition, and perspective.

    If you want to go deeper into recovery insights, lived experience, and hope-driven guidance:

    Learn more about the book here: The Unexpected Way That a Stroke Became the Best Thing That Happened

    Support the podcast and community here: Recovery After Stroke Patreon

    Final Thought

    Stroke effects don’t define who you are, but they do shape how you recover. Jake’s story reminds us that recovery isn’t about returning to who you were. It’s about learning how to live fully with what remains and discovering what’s still possible.

    Disclaimer:

    This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan.

    Living With Stroke Effects You Can’t Always See

    Jake reveals the stroke effects that remained after the hospital—pain, motor issues, fatigue, and how he’s navigating recovery four months on.

    Highlights:

    00:00 Introduction and Background

    05:10 Health Awareness and Signs

    16:56 Personal Health Journey and Challenges

    23:11 Recovery Process and Emotional Impact

    38:28 Attitude Towards Recovery

    46:30 Long-Term Recovery and Reflection

    55:06 Work and Identity Post-Stroke

    01:07:40 Pain Management and Coping Strategies

    01:16:16 Community and Shared Experiences

    Transcript:

    Introduction and Background

    Bill Gasiamis (00:00)

    Today’s episode is one that really stayed with me long after we finished recording. You’re going to meet Jake, a stroke survivor who is very early in recovery and navigating the reality of what stroke actually does to a person long after the emergency has

    What makes this conversation so powerful isn’t just the hemorrhagic stroke Jake experienced. It’s how openly he talks about the stroke effects that followed. The pain, the confusion.

    the nonlinear recovery and the parts of stroke that are hard to explain unless you’ve lived them.

    I won’t give away Jake’s story that’s his to tell, but I will say this. If you’re early in recovery or you’re trying to make sense of symptoms that don’t quite fit the brochures or discharge notes, there’s a good chance you’ll hear something in Jake’s experience that feels confronting and reassuring at the same time.

    Now, before we get into the conversation, want to pause for a moment and say this, everything you hear, the interviews, the hosting, the editing exists because listeners like you help keep this podcast going.

    When you visit patreon.com slash recovery after stroke, you’re supporting my goal of recording a thousand episodes. So no stroke survivor has to ever feel like they’re navigating this

    if you’re looking for something you can lean on throughout your recovery or while supporting someone you love my book, the unexpected way that a stroke became the best thing that happened is available at recovery after stroke.com slash book.

    It’s the resource I wished I’d had when I was confused, overwhelmed and trying to understand what stroke had done to my life.

    all right. Now let’s get into the conversation with Jake.

    Bill (01:40)

    Jake Bordeaux, welcome to the podcast.

    Jake (01:42)

    Hi Bill, how are you this evening?

    Bill (01:44)

    I’m very well my friend. It is morning here. Just gone past 9am. We had a late night last night. We went to the opera and we saw Carmen.

    Jake (01:57)

    Hmm. How’s that?

    Bill (01:59)

    And for those who haven’t seen it, it’s in French and you have to read the subtitles because it has subtitles. I couldn’t read them because I was just a little too far. So I was squinting the whole night. But it’s a great opera, it was a great show, but we got home late so I’m quite tired.

    Jake (02:20)

    I couldn’t imagine that. Luckily I do speak French. So I wouldn’t need the subtitles, but that’s something I was afraid of actually, you know, coming out of the stroke is I was afraid almost that I had forgotten how to speak French or that I’d forgotten how to speak both languages. But luckily I speak ⁓ English and French.

    Bill (02:40)

    With a name like Bordeaux, I would definitely expect you to at least have some idea of French.

    Jake (02:45)

    Yes, indeed, sir. Half English and half French. I’ve been using that largely to my advantage. I’d been working up here in Northern Ontario with Federal Express. So I was working in administration here and sort of coordinating the management and the drivers being the liaison during the two during the day. so, you know, anytime the drivers might have equipment that needs any kind of repair or any kind of issues they might

    come up with on road as well as when they leave the station and when they come back into the station, I’m the guy that they would deal with.

    Bill (03:22)

    Wow, that’s cool. So tell me what was life like before stroke for you? What were you up to? What kind of things did you do? How did you spend your time?

    Jake (03:33)

    Well, life has had a lot of ups and downs for me in the last year’s bill. So, ⁓ I had been living for many years in, in Hong Kong and I’m originally from Canada and, I was born in the seventies, born in Ontario here. And by 2009, I had had various, you know, done grit, various career, choices or opportunities, job opportunities here. And I decided to.

    try my hand at a little something overseas. ⁓ I had an opportunity with a fellow Canadian named Noah Fuller who brought me over wanting to show me how to get into the watch business. And being two ⁓ enthusiasts, you know, being, ⁓ you know, I’d say we were into watch modification, watch restoration, and we were wanting to get a little bit more into building custom parts and building out custom watches.

    ⁓ working with various ⁓ people, military groups, et cetera, at working on their watch project. So he asked me to come to Hong Kong, learn everything that he knew about the business, and hopefully show me what I was gonna get into over there. That worked out, and while I was over there, I met my wife, I love my wife, I’m still with her.

    Stroke Effects: Health Awareness and Signs

    I got together with my wife in 2009 when I had first arrived in Hong Kong and I got married to her in 2010. During that time, Noah unfortunately passed away, so I lost my business partner, but the business continued to grow. So over the years, the business grew with my wife and I running that on our own. ⁓

    Unfortunately, maybe it got some of the attention on the world stage. There’s been a lot of political, we’ll say issues in Hong Kong and leading into the pandemic, business was already suffering. ⁓ Once the pandemic hit and Hong Kong was locked down for a ⁓ big chunk of time.

    that really affected our business and took it down. By the time the pandemic had played its way out, our life over there was looking like it wasn’t panning out the way we’d wanted it to. And a lot of the opportunities that had been unfolding for us all of a sudden came to a close. ⁓ So we moved back to Canada.

    about two years ago and I started working up here and thinking about our next business opportunity. I’m a lot like you and I’m never really satisfied with what I’m doing and I kind of want to reach for the next thing and I kind of want to reach for more. So I like to work a lot. So while I was working on getting the next thing started, I was working with Federal Express.

    My days would be really, really busy. I would get up quite early in the morning and I’d chop wood here. I have a dog that I like to walk. I have a golden retriever. I have four children. So I have three girls and a boy and they’re ranging from four years old to 14 years old. They’re all in school.

    And of course, I was working full time at Federal Express and ⁓ working towards the next thing. So I guess life was pretty active.

    Bill (07:27)

    Pretty helpful. Did you have any sense that, you know, with regards to your health, things might take a turn? Was there any information coming to you that you might see now kind of in hindsight and go, well, that was probably a sign.

    Jake (07:45)

    Yeah, Bill. So I’ve watched a lot of your podcasts and I found them particularly helpful, especially a lot of the ones relating to hemorrhagic stroke. ⁓ Reason being that’s what happened to me. So ⁓ I had a hemorrhagic stroke ⁓ and it took out a large part of ⁓ my capabilities, I guess, mobility on my right side.

    So a lot of my body that’s affected is my right side. ⁓ Now, when I got back here from Hong Kong to Canada, unfortunately, I came here to a little bit of an overloaded medical system, to say the least. So I’m hoping that maybe some of what we’re talking today might help people who are in Canada if they suffer the ⁓ same thing as I did to try and get them on track for us, get them back into recovery. ⁓

    When I arrived here, the system was overloaded. I didn’t have a doctor. So unfortunately, while I had been warned for several years that I had pre high blood pressure and ⁓ the doctors in Hong Kong had been, you know, monitoring my blood pressure and keeping a pretty close eye on things after arriving here in Canada, that wasn’t a case. And so

    you know, it would look now that I think about it, that I was having some warning signs. I was having headaches and I’d say that some of those headaches were pretty severe. ⁓ The headaches would come on like a, like a very fast, ⁓ fast onset headache. I would get very nauseated very quickly. ⁓ And then sort of, would, I’d vomit the headache.

    would pass. At first, I thought I was getting migraine headaches. I’d had one when I was a lot younger. But ⁓ these were coming with some visual disturbance. I was having this horrible headache. was having nausea. So all the things you might expect from a migraine, except that it was going away within minutes and all of a sudden I was back at work. you know, in hindsight,

    that definitely was ⁓ a warning flashes. And ⁓ had I had a proper physician, if I had somebody watching out for me, they may have caught that. I don’t know, there’s no way for us to know that. So what I would say is, if anybody’s having pretty high blood pressure, keep an eye on that. I would say my blood pressure when I had the stroke was quite high.

    And if I had been monitoring that, I might’ve been on top of it. So would you like to hear about the day that it happened or?

    Bill (10:45)

    Yeah, I would in a moment. So with the blood pressure in Hong Kong, were you being monitored and also medicated or was it just you were being monitored?

    Bill Gasiamis (10:56)

    We’ll get back to Jake’s story in just a moment.

    I want to pause for a second and ask you something important. Why do you listen to this podcast?

    For many people, it’s because they finally hear someone who understands what they’re going through or because they learn something that helps them make sense of their own stroke effects without feeling overwhelmed or alone.

    And here’s the part most listeners never really think

    podcast only exists because people like you help keep it

    There’s no big company behind it. No medical organization funding the work.

    It’s just me, a fellow stroke survivor doing everything I can to make sure these conversations are available for the next person who wakes up after a stroke and doesn’t know what comes

    One of the biggest challenges after stroke is finding reliable information without spending years searching, reading and second guessing yourself.

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    All right, let’s get back to Jake.

    Jake (12:46)

    No, so I wasn’t being medicated for high blood pressure at all. was kind of these, well, it’s not quite severe enough to really do anything about it, so we’ll just keep an eye on it. ⁓ I did have pre-existing ⁓ medical issues. When I was quite a lot younger, I had suffered from ⁓ what some people might call Crohn’s disease or an inflammatory bowel issue.

    and I had some back pain. But other than that, I wasn’t really on any other types of medications. I wasn’t on any kinds of blood pressure medications, any kind of heart medications. ⁓ I wasn’t on any kind of antidepressants or anything like that. ⁓ I would say that I was pretty much feeling like I was in fairly good shape.

    haven’t gained or lost a heck of a lot of weight since the stroke. So what you see is what you get. wasn’t overweight. I wasn’t eating a lot of junk. I don’t smoke cigarettes. So.

    Bill (13:56)

    Yeah. One of those things. I know what you mean. Like I’ve been diagnosed with high blood pressure in the last six months and headaches. Jake, I’ve had headaches for years. I’m talking maybe four or five years. And at the beginning, they were intermittent. They would come and go similar to what you mentioned. And I would be able to get through the day. And I thought they were migraines, although nobody really convinced me that they were migraines. I couldn’t really say.

    That sounds familiar if I look up what migraine is and all the people who I’ve ever asked about a migraine, it never sounded like, I was never convinced by it. And then a little while ago, was at home, excuse me, I was at home with my wife, feeling really unwell. Did my, checked my blood pressure and it was about 170 over 110, 120, somewhere there. And that was, I knew that’s way too high, know, previously.

    I’ve checked my blood pressure maybe on the on perfect day and it was 120 over 80. So for me that was pretty serious. We went to the hospital because of all my history and they said your blood pressure is high. It’s probably a migraine causing you to have a migraine which is then causing your blood pressure to go high rather than the other way around. They didn’t say it’s high blood pressure is causing the migraine and or the headache.

    And then they put me on some migraine medication and they said, if we give you this migraine medication, it’s going to knock you out. You’re going to sleep, but you should wake up without a headache. Well, I woke up with a headache. The migraine medication didn’t do anything. So within a couple of weeks of that particular hospitalization and then going to my general practitioner, he prescribed me a blood pressure medication, came to start on it’s called to help keep the blood pressure down.

    Now I’m trying to get to the bottom of why do I have high blood pressure? That’s the part that’s frustrating me, because no one can tell you why you have high blood pressure unless they check your arteries and they’re half clogged or you’ve got some other issues with your heart or something like that. And I don’t have any of those issues. So now ⁓ it’s one of those things. It’s kind of like, well,

    you have high blood pressure. It might be something that runs in your family. When I check with my dad, my dad says that he has high blood pressure. My dad’s 84. So it’s like, you know, and he says, I started taking blood pressure medication at around 50, which is my age. But that’s still, that’s not good enough for me. Like I’m still not comfortable with, well, your dad did. So you are, and then therefore,

    just move on with life, take this tablet and then move on. Now I’m happy to take the tablet because I do not want to have another hemorrhagic stroke. I’m very comfortable taking a tablet to prevent that, right? No trauma, no traumas.

    Personal Health Journey, Stroke Effects, and Challenges

    But ⁓ it’s a very interesting place to find myself in after going through all the three brain hemorrhages that I’ve already had since 2012, brain surgery, learning how to walk again. Now I’ve had enough. I don’t want…

    I don’t want to be doing this anymore, even though I am finding myself here and I’m tackling it. Part of me is going, man, this is too much. Why do we need to go through this now?

    Jake (17:29)

    Yeah, I wanted to ask you something actually, maybe if you’ve had the same, you brought something back to mind here, is that one thing I did have, again, in hindsight, I had visual disturbance. in 2018, my grandmother, bless her shit, my grandmother passed away and I was abroad and I took it pretty hard. was largely raised by my grandfather, my grandmother.

    And I took it, it was very emotional. And ⁓ when I was grieving, I had an episode where I had a rather bad headache. And again, I had one of these feelings, like I thought I had a migraine headache. Maybe I did, or maybe we’re reading something into it. But coming out of that, I had a visual problem.

    And it was one of my eyes. in my right eye, you know, again, I have my issues now with my right hand side. My right eye had gotten quite blurry. I was having ⁓ issues with my vision in my right eye. And ⁓ a doctor had decided that, well, maybe it’s a form of macular degeneration. And he decided to do a laser surgery.

    at the time in Hong Kong. However, it didn’t have any effect. It didn’t help me out at all. And the only thing that helped that was time. And I wonder again now if the reason why treating the eye didn’t take any effect is because he should have been treating or looking at the brain. I think that maybe the issue might have been a small stroke to begin with.

    and I didn’t realize it at the time.

    Bill (19:25)

    That sounds very plausible, right? That’s I think probably a very logical conclusion to get to. Sometimes, you you hear people lose their vision and the way they discovered they’ve had a stroke is they’ll go to the ophthalmologist and they’ll say, I can’t see. And the guy will go, well, your eye looks perfect. I there’s nothing wrong with your lens. There’s nothing wrong with the macula. The eye pressure is fine. Everything’s fine. And that definitely suggests

    that there is a ⁓ neurological issue of some kind, right? So it’s like, next step is go to the hospital, get it checked out. But ⁓ yeah, well, there’ll be no way of knowing, but I science, I had similar kind of things happen about a year and a half before my first bleed. was at our local football here, which ⁓ my team made the

    what we call the grand final. There’s usually a playoff series and then the last two teams get to the final game of the year and then the one that wins wins the championship. And my team made it and I was there cheering them on, screaming my head off, you know, just being a really passionate supporter and went home that weekend with a massive headache that lasted about five days and ended up in hospital. They did a lumbar puncture. They checked for

    a brain hemorrhage or anything along those lines and they didn’t find anything and they also didn’t find the faulty blood vessel that later would cause the first brain hemorrhage. But when I speak to people about it, everyone will say, well, we’ll never know, Bill. There’s no way of knowing whether they were linked. But in my mind, it’s pretty logical to conclude that that first massive five day headache was

    a sign that something wasn’t right in my brain. And although they had that suspicion of that, they didn’t know what they were looking for. So they couldn’t find the faulty blood vessel. just did a scan, a CT, sorry. Yeah, they just did a CT to actually see if there was any visible signs of a tumor or a bleed or something like that. And since there wasn’t, they weren’t able to diagnose the faulty blood vessel that would later.

    ⁓ bleed three times.

    Jake (21:55)

    That’s incredible, by the way, the three times thing, and that’s got to take a lot of strength to get through. ⁓ I don’t know if I had mentioned to you, how recent this has been. So ⁓ one thing that I’ve noticed with your podcast is that most of the guests who are on have had a considerable amount of time elapse in between when the event has taken place and when they’ve been able to get

    back lot of their capabilities, a lot of their abilities. So how long exactly did it take you to get back to the stage or the state that you’re in now?

    Bill (22:36)

    I would say that I had, ⁓ well, the first three years were tumultuous because every time I was on the road to recovery after the first bleed, then the second bleed happened, that was six weeks apart. And then after the second bleed, I was really unwell. ⁓ Memory issues, couldn’t type an email, couldn’t read, couldn’t drive, couldn’t work.

    Recovery Process and Emotional Impact

    angry, really angry. I was probably in that state for the best part of about six to nine months. And then it started to ease and settle down as the blood vessel stopped bleeding. And then the, and then the blood in my head started to dissipate and kind of dissolved, I suppose. And I think I thought everything was going fine. So between February, 2012 and November, 2014, that’s when I had the next bleed November, 2014.

    the third one. And then when I woke up from that, I had to learn how to walk again. So by the time I got to February 2015, I had been three years in you know, in the dungeon, you know, getting just smashed around by stroke again and again and again, and then brain surgery, then learning how to walk again. And I think personally, I turned the tide maybe

    at around 2018, 2019. So it took another three to four years for me to feel like even though I’m living with all these deficits, I have got enough of my cognitive function back, my physical function back to be able to go back to my painting company, which had been on pause for a number of years. yeah, so all up, you know, from first bleed,

    Jake (24:25)

    incredible.

    Bill (24:30)

    to back to the painting company, you know, it seven years. It was quite a long time. And I hear people have similar kind of stories about five, six, seven years. They’re still dealing with everything that the stroke caused, but they have some kind of a turn, like for the better, some kind of like a shift in whether it’s mindset, whether it’s emotionally or whether it’s physically, they have kind of some.

    Like a fork in the road moment where things change for the better.

    Jake (25:03)

    That’s incredibly inspiring for me. So yeah, you give me a lot of hope because I’ve been going through a lot and I’ve only been at this for four months now. so I had this stroke in late July and upon getting into the hospital, again, I wasn’t able to talk.

    I wasn’t able to use my, couldn’t move my right hand side at all. ⁓ I wasn’t able to go to the washroom, any of the things. I was basically left with kind of like ⁓ a blank slate and everything that I’ve gotten back has been pretty rapid. So I’m really extremely thankful for that, especially that, given that hemorrhagic strokes are rare, ⁓

    consequences seem to be more severe and more often fatal. So, yeah, I’ve only been at this for a few months,

    Bill (26:10)

    Yeah, I was gonna ask what was it what happened on the day of the strike? What was it like?

    Jake (26:16)

    Yeah, so on the day of the stroke, let me get back there for just a second. Right, so on the day of, it was a pretty regular day and I had got up, it was a beautiful day, it was July. ⁓ My family had been on a trip recently, they’d gone to the nation’s capital and visited my family and I was happy to have them back.

    I just bought my wife a new bike and ⁓ I tuned it up. The dog had been out and I was starting work at 2 p.m. So I was about to go in for 2 p.m. and see the drivers for the whole second part of their day until the closing. ⁓ And I ⁓ was biking into work. again, I was incredibly active. ⁓ So I was biking to work and it would be

    generally about a 15 minute bike ride and it’s a lot of uphill, et cetera. And some of the route is through some residential areas and even some pathways that go through the woods. Again, I live in Canada and in particular in Northern Ontario in quite a small town named Kirkland called Kirkland Lake, which is a gold mining town. we’re in a gold mining boom right now.

    And so yeah, I was biking to work, feeling pretty good. ⁓ When I got to work, or when I was just getting to work, I was pretty close to being late ⁓ after messing around with the kids a little bit. And so I pushed myself a little bit harder than I usually do. ⁓ I got to work right on time. I got in a little bit winded.

    And I started getting my equipment together, got all of my equipment and headed to my office and headed to the window where I’d be greeting all of the drivers as they come into the station. And I started to feel a little bit dizzy. So my thinking was though, I probably just pushed it a little too hard and I probably should have had a drink of water. So I grabbed a drink of water.

    And ⁓ I sat back down at my desk and the first drivers started to come in. And as they started to come in, I started to feel like it was hard ⁓ to keep track of what they were saying. I was having a hard time concentrating and that’s really not like me. Usually I’m able to concentrate on four children, a wife, a pet, myself. And when I’m at work, I’m able to deal with the whole station full of

    FedEx workers, drivers, et cetera. So I started asking the drivers, can you just leave your things with me? I’m going to put them aside for a few minutes until I’m back in the game here. I think I’ve winded myself a bit. I’m just going to chill. And the equipment started to pile up, because it was one driver, two drivers.

    three drivers. And as this was starting to go on, I was looking over at a lady who was working next to me in the office. ⁓ And ⁓ I’m very lucky that she was there. And ⁓ I’ll let you know why in a second. But ⁓ I started to look at her and I started to look at the drivers. And I think at that point, she looked at me and ⁓ it struck her there’s something really not right with Jake.

    So she came over and started to ask me some questions and she started to try and direct the drivers away from me so that maybe they’d stop asking questions. And it became pretty apparent to her real quick ⁓ that I was having a stroke. Now, thankfully, this lady’s not usually sitting in the office next to me. It was one of those things where she just happened to be there this day and she happens to work with the fire brigade here.

    and she works with first responders and she’s incredibly well educated as far as first aid and strokes and heart attacks, et cetera. So she was able to recognize what was going on with me right away. ⁓ She had management and she had everybody ⁓ take a look at me and they had the first responders coming right away. The emergency crew showed up within minutes.

    and they started asking me all the appropriate questions and they started lifting me out of there and driving me away. So I got to work, I guess, at about 2 p.m. That was when my shift started. And ⁓ by 2.25, ⁓ my wife was walking home from the neighborhood park with our kids and heard an ambulance.

    go by here, not realizing it was me. I’d been taken off in the ambulance. They brought me to a nearby town and then they airlifted me to Sudbury, Ontario. I guess in our nearby town, they determined that yes, I was having a stroke. They did a very quick preliminary scan. They sent me to Sudbury, Ontario, where they started doing more scans and figured out exactly what was going on.

    Although the medical system had failed me and I didn’t have a doctor going into it, when the rubber hit the road there, they had it together and they got me the appropriate help as fast as possible. That’s probably what helped me to get my recovery online so quick.

    Bill (32:18)

    definitely does the time that you take to get to hospital makes a massive difference. That was a good outcome considering everything that was going wrong at the time. So then how does the hospital stay go? How long are you in the hospital and how does it play out?

    Jake (32:37)

    Yeah, so I arrived in in the hospital in in Sudbury and I was there for for a few days so ⁓ yeah, I was there for a few days and in that time my My ⁓ my wife and ⁓ one of my good friends one of our children there They managed to come and see me and from what they say I was incoherent at the time So I guess I was still able to talk ⁓

    but what was coming out of me was a lot of garbled nonsense. I’ve seen some of your guests say, I thought I was saying, can you please hand me my bag and I need you to bring, and all that was coming out was sort of, blah, blah, blah, blah, like it wasn’t making any sense at all. ⁓ So I was in there for days.

    And once they had me stabilized in ⁓ Sudbury, Ontario, they decided to transfer me and I had my choice between a couple of different towns. So I would say that by the 25th, 24th, 25th, I was stabilized and I was heading to Sudbury on the 25th. ⁓ Once I arrived in Sudbury, I think I was visited, ⁓

    by my folks and my wife and kids. And then I was sent to Timmins, Ontario for my actual recovery. So it was pretty fast. I had the stroke on the 21st and by the 26th, I was in Timmins where I’d spend the rest of my ⁓ recovery time.

    Bill (34:27)

    How did they deal with leaking blood vessel?

    Jake (34:30)

    ⁓ They didn’t. So they had determined that they were going to probably do a surgery. When they were taking me into the hospital, they had told me that there was a ⁓ brain hemorrhage, ⁓ that it was leaking, that they were going to be monitoring it, that it would be likely there would be a surgery, and that I should probably be

    be prepared not to make it through. ⁓ So I guess, you know, they gave me some hope. I mean, they told me that we can hope for the best, but they were quite honest with me at the time in saying you might be going for the rest of your life ⁓ wearing diapers or unable to talk. ⁓ And it’s quite probable that you might not make it out of this.

    Uh, so they monitored it and they continued to bring me while I was in the Sudbury for scans and they continued to monitor the situation. Um, but they didn’t do any surgery. So, uh, I was put on medications to bring the blood pressure down, to keep the blood pressure down. And, uh, and I was placed on those while I was in, in hospital. And I continued to.

    recover all the way through August. And by the end of August, I had come back home. ⁓ while I was in hospital, I was only visited twice because it was far away from, from my home. And, ⁓ I’m honestly, Bill, I’m glad. ⁓ I was really happy. I was able to see my, my, my wife and kids by phone, obviously, you know, the wonders of modern technology. ⁓

    but I was left with a lot of time on my own to reflect and I was left with a lot of time on my own to get better. you know, one of the things I decided once I got to the hospital was I’m not going to spend any time in the lounge. I’m not going to spend any of the time with the other patients who are ⁓ in here, nothing against them or anything like that. But the very first thing I did,

    was I started to try and find more information about what exactly happened to me and ⁓ what are my chances of getting better and what gives me the best chances. And what I came up with was I had better start working on my recovery immediately. yeah, so one of the very first things that I did is I got my notebook into me.

    notebook, got pencils, I got a pencil sharpener, I got one of those, ⁓ you know, hand gripper ⁓ exercise, you know, for your hands. ⁓ And I got a razor blade, and I got my wife and kids to bring in a hair trimmer. And I decided that no matter how long it was going to take me to shave, I was going to do that on my own.

    no matter how long I thought I’m in here, I don’t have anything else to do today. If it’s going to take me all day to cut my hair and shave my face, I’m going to do that. ⁓ If it takes me all day to do the, write the alphabet down, I’m going to get through that. And I went from again, ⁓ scribbles from just scribbles and barely being able to hold onto the pencil to, ⁓ by the time I left the hospital,

    I was writing in perfect cursive.

    Attitude Towards Recovery

    Bill (38:22)

    Yeah, that’s brilliant. I love that attitude. That attitude is probably ⁓ something that holds people in very, like creates a great outcomes for people, regardless of how much the stroke has affected them, regardless of how bad their deficits are, you know, regardless of what version of stroke they caught, they, they had to experience. And this is what I was doing when I was in rehab as well. So I did the same thing when I came back from hospital. So

    My first stay, I came back and we were on the internet checking, you know, is a blade in the brain? What is all this stuff? What does it all mean? Trying to get some answers. The second time, ⁓ six weeks later, I was searching for what kind of food should I be eating? If I’ve had a stroke, what should I be avoiding, et cetera? That was pretty cool to find out and learn, wow, there is actually a protocol that you can ⁓ take that supports your brain health instead of one.

    that doesn’t support your brain health. So that was pretty awesome. And then ⁓ in rehab, I was searching YouTube for videos about neuroplasticity. was searching videos for ⁓ anything that had to do with recovery of a neurological challenge, et cetera. And it was just way better than being ⁓ sort of worrying about my own situation and focusing on me like.

    internalizing it, you know, I was externalizing it and becoming proactive and I found, ⁓ and I found some great meditations. So I’m lying there. I can’t walk. I’m very sleepy. I need to sleep most of the time because I’m exhausted from all of the rehab. I’ll put on a meditation and just let it do its thing in the background while I was healing, resting, you know, recuperating. ⁓ so I think that approach

    just changes the way that your body responds as well because your body wants to step up to the plate. If you set an intention, we’re going through the healing process, this is the path that we’re gonna take, the body follows. If you go through the other part, if you take the different path and go, well, things are not going good for us, we’re doing it really tough, we’re feeling sorry for ourselves, we’re not gonna put any extra effort in.

    the body’s going to go, no, I’m listening. I’ll do exactly what you want. And you get the results that, that your intention has set. Right. So I think that’s brilliant. The way that you went about that and not interacting with other people. kind of get that too, because it can bring you down. Like seeing other people doing it hard can bring you down. And also ⁓ sometimes other people’s attitudes can rub off as well. And they can bring you down if

    They’re feeling bad about this situation and you don’t want to be around people who are going to ruin your vibe. Doesn’t matter who they are or where they are.

    Jake (41:27)

    Right. And one thing that where I think the hospitals and doctors and therapy where I think they really let us down is something that I believe it was on one of your podcasts and someone talking about neuroplasticity is that when we do something for therapy, we should be doing it thousands of times. We shouldn’t be doing it a few times.

    I think where we’re let down is like, ⁓ for instance, I went for my physiotherapy today and I find it helpful and I definitely do go, I would recommend it to anybody. But we will do each of these exercises 10 times. Do this 10 times, do this 10 times, do this 10 times. But what we’re failing to see is that, you know,

    To really make those connections, need to do things hundreds or thousands of times. ⁓ I have a, know, a, for instance, for you, you know, I mentioned the writing. So a place where I have an incredible block is, ⁓ I will go to try and begin something, particularly where I’m going to write something down and I’ll have the intention of writing one thing and something different will come. So,

    I would try and begin a word with the letter T and instead of beginning by going up and then straight down and crossing my T, instead I’m doing a loop like it’s an L. So in order to, you know, retrain, sort of get that, get that connection made, to go and start doing words that begin with the letter T.

    Bill (43:17)

    I have

    Jake (43:24)

    and a lot of times, mean like thousands of times before I could sit down and write a letter T. if people are feeling like they’re not getting anywhere or it’s not coming along for them and they are doing the exercises, I would say don’t give up and do them more. Don’t give up and do them less, do them more.

    Bill (43:33)

    Wow.

    Jake (43:53)

    ⁓ If you’re going to be doing something like walking, if you’re finding that difficult, then I think maybe if you walked around the block on Tuesday, go another 10 steps further and do that for the following week and always just keep adding to it because it does get better. And I don’t know about you, do you find Bill like

    I know one of your recent guests mentioned that it was a challenge for him to deal with how non-linear the recovery is. And I think that only hearing that from other people allowed me to accept that. Because a lot of the time I’ll feel like I’m doing great and things are incredibly better. And then maybe I have a week where I’m doing in respects, I’m doing worse than I was when I was in hospital.

    And I think that that’s really hard to deal with. you have that too, or did you find that? The non-linear kind of feeling? Yeah.

    Bill (44:55)

    Indeed, and then what happens four months, five months, six months, 10 months, is you start seeing the pattern and the pattern is, okay, I’ve made some inroads, okay, here’s the quiet time or the downtime coming and then you feel better about it because it’s not a big deal. You see the pattern and you notice it and it’s less frustrating because that’s actually, it appears as though you’re doing nothing to your head. Your head might be going, oh, I’m not doing anything.

    Long-Term Recovery and Reflection

    sitting on my butt, I’m not able to get through a day of physical exertion or anything like that. I must be going backwards. Well, in fact, your body’s just doing a different version of recovery and it looks different. It looks still and it looks silent and it looks fatigued, but it isn’t going backwards. It’s just a different phase and it needs all of it. You need to do that silent, still, quiet, fatigued resting one. And then you need to do the one which is

    to whatever extent you can, full on, full out, doing too much, going too far, ⁓ over-exerting yourself. And they kind of, you can’t have one without the other. You have to have them both. And ⁓ if you understand that, then you don’t get anxious or upset about it or bothered about it. And you start playing the long game. You stop focusing on today, I didn’t have a lot of effort, but…

    If I reflect on my last six months or nine months, there was maybe only seven days that I was really low or didn’t feel great. The rest were better days or I felt okay or whatever it was. if you start playing when you’re only four months out, it’s hard to play the long game. But when you get to a year or 12 months out, you look back and reflect, you can see that majority of what you were doing was getting.

    outcomes that were favorable and therefore, you know, and therefore you can sort of be okay with the quiet days, rest, the rest of all those. I used to go to loud events, whether they were a concert, a family event, a party, wedding, whatever. If they were long drawn out days, I would have to plan for the next day to be completely a write off, nothing on the calendar.

    No going anywhere, seeing anybody, doing anything so that I could rest properly and get my brain back online so that I could have a good day, the third day, you know? And that’s how we did it for many, many years. And I remember one time when the shift came, when I said to my wife, I am not doing anything tomorrow. You make sure that whatever you do, you do without me. You’re going to go and do your thing, but I’m not going to be involved.

    And then waking up in the morning and going, hey, I feel fantastic. What are we doing today? And she’s like, I didn’t plan for you, but okay. ⁓ let’s get the ball rolling on something. So we did something minor, but it was more than nothing. And that was my, okay. My moment of things are shifting and I’m able to recover overnight with a good night’s sleep quicker than I was.

    doing previously.

    Jake (48:19)

    That’s great. That’s great. Yeah. A lot of this, I really appreciate talking to you and I appreciate hearing your guests who have been at this a lot longer than I have. ⁓ I’m incredibly encouraged by how well I’ve done so far, but it’s also, there’s a lot of questions. ⁓ For instance, I’m in this stage where I don’t know, Bill, if I’m going to make it back to the same job

    as I was doing before, don’t know whether it’s reasonable to think that. Right now I’m doing, you know, going through all the steps that I need to go through and doing all the evaluations that I need to do. ⁓ But I’m not sure what the outcome is going to be. And that’s a little bit hard because I’m, you know, like most people who are entrepreneurs or, you know, have large families, we like to have an element of control, you know, with things.

    So it’s been hard to just sort of sit back here and not know what’s coming along. As far as work goes, I don’t know. Luckily, you know, I have a building here where I do own the building and I do have commercial space downstairs. So maybe I have the option to now use that space for myself. And ⁓ maybe I’ll have to be, maybe I’ll be forced to go back into.

    entrepreneurship and open my own business. Maybe going back to work ⁓ is not the path for me. We’ll have to wait and see.

    Bill (49:56)

    It will emerge. You’ll get a sense of it. I had ⁓ three years where I worked for another organization and it was a completely different field and they were, the role was a very entry level administrative role. Very, we’re talking a role that would probably be replaced by AI now. ⁓ So we, I was doing that for three years and what was good about planning and trying to get back to that level of

    effort and work was that it served a purpose. And part of the purpose was talking to people, traveling, ⁓ doing work on the computer. It was retraining me as I was getting comfortable with the role, getting used to traveling, getting back to being in loud environments, et cetera. So it was difficult, was tiresome, it was challenging, but it was…

    kind of like its own therapy. And when it served its purpose after three years, I was done. I just said, okay, I’m out of here. going back to running my own business again. And I’ll be, I’ll do that as slowly or at my own pace in any other way that I can so that ⁓ I create the whole, all the rules around the amount of hours that I attend, the type of work that I take on.

    You know, so if I was too tired to work the following week, I would just tell my clients I’m busy for a week and I can book you in two weeks down the road, you know. So that was what was good about going back to my business. And also what was good about going back to a job for somebody else because their expectations, you know, working for a corporation, the expectations are far lower than the ones that we put on ourselves when we’re working.

    for ourselves. So I know some people think working for a corporation is really stressful and all that kind of stuff. And it probably is. No. But I mean, I was barely working six hours a day. Whereas working for myself six hours a day that the day’s just starting, you six hours. You haven’t even hit lunchtime yet. So it’s interesting to think about work and how ⁓

    and how you can use it as a therapy.

    Jake (52:23)

    It is well, I mean the difference for me is that I was actually in that role that you’re explaining right now when I had the stroke so I I’d gone through a whole bunch of very difficult things in Hong Kong and upon coming back here to Canada, I was almost feeling like I I had a lot of stress going on and I had a lot of things that I needed to sort out and ⁓

    there was a lot of things that we need to settle with the kids. There was all sorts of stuff that needed to be done. So the job that I was working was actually, it was already fulfilling that role that you explained. I was having that less responsibility. was going in for a specific amount of hours that they were letting me know. So that was exactly it. was an administration job, but

    it was really not close to the amount of responsibility that I was used to having. ironically, now that this has happened to me, it might be the amount of control that I have over the amount of worked that might be an advantage after going to stroke. I’d be interested to see

    or to hear more about ⁓ how people deal with the change that comes with the different type of work they might be forced into, forced out of, and how they deal with that. Because I think that a lot of people deal with, ⁓ they think of their employment or they deal with their life in this sort of way, like people often ask, especially in Asia.

    What do you do? The first thing that people do if you’re in Hong Kong is they hand you a business card. They call it a name card there. And the very first thing that you do when you meet somebody before you even speak is you hand them the card and you each examine each other’s cards. So this idea of like, what I do is who I am. And I, and I think that when you have something like this happen to you often

    what you do must change. when you’re identifying with what you do, you’re sort of declaring that as your title, who you are, I would imagine that’s pretty tough. Luckily, I wasn’t tied to Federal Express, thankfully.

    Work and Identity Post-Stroke

    Bill (55:00)

    Yeah, I hear you. is, people will work as a lawyer for 20 years or 30 years, have a stroke, and then it’s like, well, who am I now? What am I now? And that’s the challenge with working and identifying as the work that you do. know, those days are gone in theory. You know, you don’t get named John lawyer anymore. You don’t get named John banker.

    anymore, you you don’t get the your surname from the occupation that you do back in the day, you know, Baker, carpenter, plumber, you know, all those people, they were their entire job, they did it for 3040 5060 years, that was what they did. And then when they couldn’t work anymore, well, they still identified as john plumber, because they had the name, the name was

    given to them or John Carpenter or whomever. The thing about it is now with jobs being so ⁓ not long term anymore, you get a job or you go to a particular employer and then two, three years you’re in another role or another title, et cetera, ⁓ or you’ve moved up the corporate ladder, et cetera. Well, if you’ve never even done that, if you’ve only ever worked and you haven’t explored your interests,

    ⁓ hiking, walking, running, playing ball, ⁓ becoming a poker player, ⁓ whatever, whatever it is other than my job, you’re very, it’s understandable that it’s very narrow how you can explain to somebody how you occupy your time. Like what do you do? Well, I do plumbing, but I also do poker.

    ⁓ I do this, but I also do that. I’m that guy. Like when you ask me, sometimes I will literally be in a painting outfit, not so often now, but my painting clothes, and then I’ll take them off and I’ll sit in front of the computer and I’ll record a podcast episode. And then at the end of the day, I’ll be doing a presentation somewhere, speaking publicly on a particular topic at the moment. My favorite topic is post-traumatic growth.

    When somebody asks me, what do you do? If they know me, they know I do podcasting. They know I do painting. They know I do speaking. They know I’ve written a book. ⁓ they know all these things about me. If they don’t know me, depending on which room I’m in, I’m a podcaster. If I’m in one room, I’m an author. If I’m in another room, if I’m in another room, I’m a painter and so on. And what that allows me to do is.

    not be tied down to my entire existence being about only one thing, because I think that would be boring as, and I would hate to be the guy that only knows something about painting, how to paint the wall fantastically. mean, great, maybe, but not really rewarding, and not a lot of ⁓ spiritual and existential growth in painting a wall. I solve a problem for you, but I haven’t gained anything.

    other than money for me. It’s not really, you know, it’s not my cup of tea anymore. Now I get to have a podcast, I get to make way less money out of a podcast episode and yet reach hundreds and thousands of people and feel really amazing about that. And what that does is that fills up my cup. That allows me to fill up my cup on the down days where I’m not earning a living. And then it allows me to go earn a living.

    and then not feel like all I’m doing is working and going through the maze all day every day and just being on the constant cycle of the boredom and the sameness and all that kind of stuff. So I sprinkle a little bit of this and that into my life so that I don’t have ⁓ the same day twice because I can’t cope with the same day three times. Twice is a real bad sign for me. If there’s a third day coming, that’s gonna be the same as yesterday.

    I’m not up for that, I don’t want to know about it.

    Jake (59:21)

    Right. Well, that also helps with your recovery. I think like, as you say, you do a lot of different things and that helps a lot. Right. So, you know, one, for instance, is, know, the, of the first things I started to think of when I was in the hospital in Sudbury and thinking of getting home is my gosh, it’s going to start getting cold soon. Winter’s going to hit. And I really have to start getting that wood all stacked. Right. So

    So, you know, here I am, I’m benefiting from it now. I burn wood all winter, but, ⁓ you know, I spent a lot of my rehab ⁓ stacking wood. And I mean, that’s incredibly great physiotherapy, right? Whether you’re stacking wood or like you said, you made me think when you’re talking about painting, I’m thinking about like the karate kid, right? Like with wax on wax on paint on, this is the kind of stuff that gets you out of one particular mold.

    And with your brain sort of like focused on recovering in one single area, you can recover in all these different areas. And I think they contribute to like a big picture of your recovery.

    Bill (1:00:34)

    I agree with that. It’s exactly right. It’s you know standing on the ladder which I do less of these days because I Felt off about a year and a half ago. So standing on the ladder and Getting down the ladder holding a paint can and applying paint ⁓ Putting drop shades down and picking up tubs of paint, you know ⁓ That whole every part of that physical activity is

    using a different part of the brain. Writing a book, even if it’s only 10 minutes a day, writing half a page or 10 paragraphs or whatever it is, that uses a different part of the brain. ⁓ Public speaking, that trains and uses a different part of the brain. Everything that I do definitely kind of helps to rewire the brain in many, different ways and supports my ongoing recovery and… ⁓

    is and the idea behind it amongst other things, the idea behind it from a neurological kind of perspective is that it activates more of the brain. The more of the brain that’s activated, the more chance you are of creating new neuronal pathways and having ⁓ more options for healing or recovery. And then it works emotionally for me, it works mentally for me. Do you know, so I get…

    the emotional fitness and the mental fitness out of it. Speaking on the podcast, meeting people gives back. you know, that serves my, I need to serve other people purpose. Do you know, like, it’s just so much, everyone ⁓ who knows me kind of knows that I wear a lot of hats. I kind of.

    I kind of like, I do it. I show people like when they’re saying, what are you up to today? I’ve been wearing a lot of hats today. And if I’m not wearing a hat, like I pretend that I put another one off or just took one off when I’m sitting with them or talking with them. It’s crazy how many things I do. And about the only hat I would prefer not to wear right now is I prefer to put the painting hat down.

    and just hand that over to somebody else and just go, I think that part of my life’s done and I’ll move on to other things.

    Jake (1:02:57)

    If you don’t mind, have one, there’s one more thing that right now that I’d like to mention just before I forget. Is that all right? All right. All right. So the only other thing, the thing that I’ve been dealing with myself and I don’t know how many people deal with it or don’t deal with it. I know that not everybody does. don’t, I deal with a lot of post, uh, post stroke pain. So while I don’t have

    Bill (1:03:04)

    Yeah, of course.

    Jake (1:03:25)

    ⁓ the misfortune of losing use of my feet or losing use of my hand. I mean, it’s limited. do therapy, but I’m able to use my hands. I’m able to write and all this. But coming along with that is an incredible amount of ⁓ burning, tingling ⁓ sort of ⁓ feelings like there is ⁓

    almost like the, know, if you can think of newspapers when they’re delivered in a bundle and they’ve got this kind of plastic strapping around it. ⁓ It’s usually it’s yellow, you know, this sort of plastic strapping. I feel often like that is wrapped around my arms, like it’s wrapped around my leg. I deal with a lot of this kind of stuff, unfortunately. So again, I mean, I’m not going to sit here

    and whine about it because again, ⁓ I can walk, I can do all the things that I need to do and I’d rather have that than what I do. But I’m wondering if it’s really common for a lot of people to have this, you know, post stroke pain.

    Bill (1:04:44)

    If

    10 was the worst pain you’ve ever experienced in your life, that’s like we’re talking about 10 is somebody’s cut your limb off ⁓ and one is no pain at all. Like where would the pain be for you?

    Jake (1:05:00)

    Well, thankfully, again, thankfully ⁓ I’ve had some progress in this. So when I first came to, when I was first starting to get all the feeling back, ⁓ I started to notice that some feeling wasn’t coming back. But while I was in the hospital, I was on quite a lot of medication. So I was on some pretty heavy painkillers. ⁓

    I think hydro-morphone, things like this. And I came off of those when I was coming home and a lot of the feelings started coming back. I would say that some days and at some times that pain can be what I would say maybe it’s a 12 out of 10. Like it’s bad. at some points I’ve been left

    doing nothing but be able to just really just sit there and cry. I’m going to be honest with you. And the pain could be quite severe. Now luckily those days are few and far between. It’s not all the time. ⁓ And here’s the deal. The thing that’s very strange with the post stroke pain or the intensity of it is that it’s like

    going to sleep or it’s like the start of a new day, the beginning of a new day is like a reset button’s been hit. So for instance, I could wake up on a Monday and I could be hit with the worst pain that I’ve ever had in my life. It feels literally like I’m being hit with a taser gun on the right side of my body and that while somebody’s hitting it with the taser gun, they’ve lit my hand on fire. And, ⁓

    And then the very next day after I’ve gone to sleep, I woke up and I’ve had the rest. I wake up almost scared to move because for me, sort of when I wake up and I haven’t moved yet, it’s almost like nothing’s happened to me. It’s like I wake up and I don’t know that I’m numb. don’t know that I’m in pain. don’t know that all this is going on. And then I start to move and sometimes I can sit there and feel a relief. Think, wow.

    There’s nothing severe going on. This is pretty good and it’s going to be a great day. Or sometimes I can be struck with a type of debilitating pain that I can’t even describe. Yeah.

    Pain Management and Coping Strategies

    Bill (1:07:34)

    Well, what you’re describing is very common. I know a lot of people going through post stroke pain. ⁓ It is a thing. I have a very minor version of exactly the thing that you described about how the tightness and things wrapped around ⁓ your hand, like the newspaper.

    that’s kind of what I feel on my left side, the whole left side all the time and the burning and tingling sensation all the time. And okay, on my worst days, these days, like it’s probably, you know, I know, it’s probably a four and a terrible one would be a five, but it doesn’t get there much. And what I’ve noticed is that the, either I’ve become more tolerant of it or my

    my pain has decreased in my awareness. Like I’m aware of the fact that my limb is in the state that it’s in. And sometimes I’ll go to get a massage to get the muscles loosened up because they kind of cramp up and they don’t release. And my muscle will go well. You’re really tight today. Everything is real tight. know, have you been in pain? And I’m like,

    No, I haven’t been noticing the pain, ⁓ I thought it was time for a massage, but I didn’t realize how tight everything was and how everything was working. So when I have a morning, when I have a, in the beginning, I beg your pardon, I used to wake up Monday morning was the best day. And then by Friday evening, if I’d done five days worth of work, Friday evening was the worst day.

    because my resilience for recovery had decreased, waned over those last two days of the week. And then I needed Saturday and Sunday to get back to it. So post stroke pain is very, very common. A lot of people are experiencing it. ⁓ I would encourage people who are listening here on this episode, if you’ve got all the way through it, ⁓ just leave some comments in YouTube. Just let us know.

    If you’re someone who’s experienced any of the things that Jake has inquired about, maybe we can start a conversation, give some more insights to Jake. And then you’ll find that ⁓ there’ll be specific kind of post stroke pain communities, I would say on places like Facebook or somewhere there. There might even be clinics specifically in Ottawa or in the areas that deal with

    ⁓ neurological kind of pain. There are clinics that deal with that. I don’t know if anyone has found other ways to get around it other than pain medication and to what extent, but I know that I feel my deficits more when I eat really badly. So maybe something that you might pay attention to is if you have a particular food, if you diarize what you eat and then

    notice how you feel the next day or a day later or half an hour later or half a day later, that might give you bit of an insight. I used to notice some of my deficits get worse after high carb meals. And then that would enable me to go, okay, I’m gonna try that again, see if it happens again, and then avoid that particular type of meal or that percentage of carbs on my plate as opposed to protein or vegetables. So just one of those.

    little things that might help, but it’s not going to turn a 12 out of 10 into a five out of 10. Do you know it’s, there’s just little strategies that just kind of support, ⁓ your, the way you experience your body all the time and not all the time, like the way that you influence how you experience your body, it supports that.

    because I used to find that I used to make my deficits worse by doing the wrong things. And my whole aim in my life was if I’m doing that and that’s making my deficits worse, then I don’t want to be the guy that’s making my deficits worse. Alcohol is a classic example of one of those things. I drink, I feel like I’m having another stroke. It’s like, forget that, I’m not going down that path. And people who have had a stroke less than 12 months.

    ago should not be drinking at all. In fact, if you’ve had a stroke, my recommendation is to never drink alcohol ever again. I didn’t drink for the first five years after my stroke. And then I’ve had maybe three or four beers a year since then ⁓ at the most, you know, so.

    Jake (1:12:32)

    thought of it terrifies me, be honest, just anything like that terrifies me. Like, don’t like the thought of it. Like, had I been a smoker, I probably would have quit. don’t like the thought of like, I feel like even like if I even if I drank that one beer, and then I did have a stroke, then I won’t know whether that’s what did it or not. You know what I mean? Like, I don’t want to be the person who precipitates the next event.

    Bill (1:13:00)

    Imagine having high blood pressure without smoking and then smoking and making it even worse. It’s pretty terrible. I used to smoke and I stopped as well after the first brain hemorrhage.

    You know, what a waste of time and effort putting money into cigarettes and filling my lungs with chemicals that shouldn’t be there. It’s just crazy that I was doing that, but nonetheless, same with alcohol. It’s just part of the culture. So we do what the culture suggested we did. We did it. And then I never really enjoyed it or I never really got anything out of it other than being.

    inebriated and then again, it was like what for it’s not serving a benefit. There is no benefit. Now I people smoke and drink to ⁓ intervene in their emotional state, you know, to, dull some emotional pain and all that kind of stuff. All right. Short term, maybe that’s a good strategy for maybe one week or two weeks. But then after that, there is no strategy that I think.

    is worth putting that much time and effort into and money into substances to quell your emotions. You might as well put that time, money and effort into the psychological, emotional rehabilitation so that you become free of those emotions and experiences. And then that way, you know, gain wisdom rather than…

    avoided pain and that’s the way I see it. So I know that alcohol serves a lot of purposes, but maybe this is some just food for thought, give people a different way of contemplating how they’ve gone about their life before, you know.

    Jake (1:14:56)

    Yep. Yeah. Well, I would say that, you know, as far as things go, like smoking, like smoking, did when I was quite, quite a bit younger, I did quit, you know, when my first daughter was born. So I did have that as a, probably as an ongoing risk factor, you know, that, that, that may have been lingering behind. Other than that, ⁓ yeah, I don’t see the, the, I don’t see the purpose. I, I’ve watched some of the guys who were in hospital,

    four stroke, that’s part of the reason why I chose not to hang around with the other folks who were there at the lounge and in the hospital, is they were there in hospital four stroke and they were already outside smoking. And ⁓ it blew, to be honest, it blew my mind. it was amazing to me. They were smoking, they were having a whole lot of fast food.

    Bill (1:15:38)

    Yeah.

    Jake (1:15:51)

    brought into the hospital by their buddies and they were doing all these things and I couldn’t fathom it. I guess maybe it’s, I think there’s just two different kinds of people, right? And I think that the ones who want to get better, they always end up watching your podcast.

    Community and Shared Experiences

    Bill (1:16:10)

    at some stage, I so. I hope so, you know. I don’t profess to know anything or, you know, but I can say that the people that I speak to do know a lot and together, ⁓ even if you just get one little gold nugget out of an episode, that’s job done, you know. We’ve done the job, just different way of thinking, experiencing, knowing that you’re not alone. You know, your questions are really cool.

    in that what you’re trying to do is work out whether there’s other people in your situation. Now that will maybe do a couple of things that might make you feel better that you’re not alone, but it also might make you feel like, if I’ve been here, if I’m here and they’ve been there, maybe somebody is working on this situation, know, this issue, because there’s a lot of people there, right? So then that helps you find resources. ⁓ People might have hacks on how to improve or…

    I’ve become something that you can catch up on really quickly, know, four months into your recovery instead of wait 10 years to find it out. That’s the whole purpose of this. It’s like, how do we decrease the time that it takes for people to come across that next gold nugget, you know, that’s going to take them in the right direction. ⁓ I really appreciate you reaching out and joining me on the podcast, Jake. think, ⁓ it’s been a great conversation. I look forward to actually hearing about you.

    say a year from now, just to see how far things have come, because I feel like you’re gonna have made massive strides. And even though you might be still dealing with some challenges related to the deficits, I think you’ll have a lot of solutions and it’ll be worth hearing about.

    Jake (1:17:52)

    Thank very much, Bill. It’s been really great talking to you and I’ve really, really benefited from your podcast. Like I’m sure a lot of other people have, but I just really felt like ⁓ I wanted to at least give back to some people who might be coming across this in an early stages stroke like I was. ⁓ hopefully some people can benefit from our conversation. Bill, thank you so much.

    Bill (1:18:19)

    Thank you, mate.

    Bill Gasiamis (1:18:20)

    Thanks so much for listening to this episode of the Recovery After Stroke podcast. And thank you to Jake for sharing a story that really takes courage to tell, especially so early in recovery.

    One thing I hope you’ll take from this conversation is that stroke effects aren’t always obvious

    and they don’t always follow a neat, predictable path. Recovery isn’t just physical, it’s emotional, it’s frustrating, it’s confusing, and sometimes it’s painful in ways no one prepared you for.

    Jake’s story reminds us that healing doesn’t mean returning to who you were. It means learning how to live with what’s changed while we’re still moving

    this episode helped you feel understood or gave you language for something you’ve been struggling to explain, remember that you can support this work

    at patreon.com/recoveryafterstroke. Every contribution helps keep these conversations online and moves us closer to my goal of recording a thousand episodes. So no stroke survivor ever feels like they’re doing this alone. And if you haven’t already, you can order my book, The Unexpected Way That a Stroke Became the Best Thing That Happened.

    by going to recoveryafterstroke.com/book.

    Many people expect it to be just my personal story, but it’s actually a practical companion for stroke survivors and caregivers filled with insights I wished I’d had

    when I was lost trying to rebuild my life. Thank you for being here. Thank you for listening. And remember, you’re not alone in this.

    See you on the next episode.

    The post Stroke Effects: The Hidden Deficits Jake Faced After a Hemorrhagic Stroke appeared first on Recovery After Stroke.

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