Cooley Dickinson Community Pulse none
  Late Spring 2012
In This Issue
Stroke Survivor: One Gain at a Time
Telemedicine Brings MGH Experts
Childbirth Center: Best, Again
CDH: Top 5 Percent in Patient Safety Fourth Consecutive Year
Teen with Mysterious Ailment Raves about Care
Bears Support Cooley
Cares for Kids
Get Well Stay Well

Stroke Survivor: One Gain at a Time


John and Heidi Allen, seated, with some members of Heidi’s rehab team, from left, Marilyn Brooks, team leader, Patient Access Services; Laurie Korza, speech-language pathologist; Lynn Kurowski, occupational therapy assistant; and Tammie Foster, occupational therapist.

To hear Heidi Allen tell her story, she was cooking dinner one minute and walking into Cooley Dickinson Hospital’s Emergency Department the next.

John Allen, her husband of 45 years, gently reminds Heidi that she didn’t “walk” into the Emergency Department; she was taken to the hospital by ambulance. Heidi pauses and agrees, remembering the ambulance personnel. “They were funny,” she said with a laugh.

It’s been two years since a blood clot cut off the blood supply to the right side of Heidi’s brain, causing impairment on the left side of her body. While it’s been a lengthy recovery from what her doctors call a moderate-to-severe stroke, Heidi is not too concerned with the details of that March 2010 evening. Instead, Heidi focuses on what she calls the “little breakthroughs” that have come from months of physical, occupational, and speech-language rehabilitation.

Moving On From the Stroke
A stroke, or a brain attack, is the rapid loss of brain function, caused by a disturbance in the supply of blood to the brain. Strokes can occur on either side – or hemisphere – of the brain. The specific abilities that will be lost or affected by stroke depend on the extent of the brain damage and, most importantly, where in the brain the stroke occurred, according to the National Stroke Association.

“In Heidi’s case, the stroke happened in her right hemisphere, thus her left side was impaired physically,” said Laurie Korza, a speech-language pathologist who treated Heidi and coordinated Heidi’s care among Cooley Dickinson’s rehab team. “In addition to physical impairments, many of her thinking/cognitive and perceptual abilities were affected.”

Some of Heidi’s physical impairments resulted from a combination of both cognitive and physical weaknesses. “Imagine not knowing how to put your arm into the sleeve of your jacket. You know your arm goes in the sleeve, but you don’t know how to make it happen,” said Korza. “Or you are sitting in a chair. You need to get up, but you don’t know how. We typically don’t think about getting up from a seated position. For Heidi, these are tasks she had to relearn, practice, and continues to refine.”  In addition, Korza encouraged Heidi to keep a journal, recording the days of the week and keeping lists. “This organizational activity helps Heidi remember where she is in time.”

“Every Gain is a Gain”
While John said his wife’s progress has been slow and steady, he emphasizes the “steady.” Heidi, too, remembers the advice she got from a fellow stroke survivor, who said that “every gain is a gain,” no matter how big or small.

John attributed these improvements to when all of Heidi’s therapists worked together, “looking at the whole person and overseeing Heidi’s care” as one collaborative team.

He also appreciated that the therapists encouraged other family members, including the Allens’ three grown children, to participate in Heidi’s recovery. “So Heidi doesn’t get confused, we all work with her the same way. Repetition increases the likelihood that the neurons will work again.”

Heidi is “immensely grateful” to the therapists who have helped her in so many ways. “It’s quite a team,” remarked John. “We feel these folks and CDH deserve a real pat on the back. Even the volunteers and support staff we met in the halls helped make the recovery process just a little bit easier.”

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