14. The Hidden Toll of Stroke: Exploring Emotional and Behavioral Shifts

Hey, what's up everybody, this will just a couple of quick notes before we hop into this episode of the podcast. want to remind everybody that you can certainly leave a review of the podcast if you're enjoying it on your favorite podcast player app. Or you can leave one directly our website, podcast dot local survivor.com. All the ratings and reviews really do help the show grow. And we'd really appreciate it. Also, if you're interested in learning more about the community that we're building up, go sign up for updates and details at VIP dot survivor science.com. And without further ado, let's hop into this week's episode My name is Will Schmierer. Welcome back to another episode of The Lovable Survivor Podcast. Today is episode 14 of the podcast. And it's a big number because very few podcasts make it to Episode 14, believe it or not, I think it's like 70% of podcasts do not make it past episode 14. So today in our episode, we're going to be talking about social and emotional tolls as a direct result of the stroke, and a lot of the invisible side effects that can be associated with stroke. It's it's often overlooked, it's unspoken, a lot of the time, not really talked about by therapists. Yeah, it's just a big part of the equation that kind of quietly sits in the corner. And if you're lucky, you start to work on it yourself, you start to realize are things you become aware of, there's a lot of sneaky, social and emotional and behavioral changes, and it's something to be mindful of. And it's something I think we need to talk about more in the stroke survivor and brain injury survivor community. Yeah, there's a lot of why a lot of questions. A lot of social, like I said, a lot of social and emotional behavioral changes, things that don't really make a ton of sense. You know, and the probably the biggest part of this and why it goes kind of unspoken about a lot of the times is because, honestly, I don't think as survivors, I think we we might feel ashamed, we might associate it with other things, we may not really know why. And we're not really talking about it. So if we're not talking about it and sharing, with caregivers, with therapy teams with each other, it's going to be difficult, because I think we can all see the visible sort of visible tangible physical effects of the stroke, right. And those are kind of whatever is they always say whatever is more visible is more easily understood. And I think it's so different here. I mean, you know, walking, obviously a big topic, we all you know, if we, if we know, we have the ability to get back to walking, yeah, it takes time, but it's a thing, right. For example, my right side was paralyzed. You know, my hand was like, was very weak in the beginning, but there were signs that it would get better over time. And it has, and that's true. But again, going back to the invisible, sort of inward emotional, social behaviors, there are lots of things that I think for even myself, I didn't really in the beginning, associated necessarily with the stroke. And I'll go into what that means. But I think this is a big topic. Something to be mindful of thinking is something I think we need to talk about on a regular basis. I know a couple episodes ago, I did talk about the emotional roller nerve center where we talk about emotions and a lot of different things on this podcast. But um, so I want to do a little digging a little deeper this week, again, on the social and emotional stuff. Because it's not really talked about a lot and I think again, like like I said, we need to kind of bring this to the forefront and just help make others survivors who may not be aware of this. You know, and even for ourselves, I think talking about it over the long term. Again, I said it was sneaky because I think sometimes it's overlooked by all of us. Sometimes it just sneaks back up right? You know, I'm thinking of Like imposter syndrome, for anybody that's in business, maybe you're an entrepreneur, maybe you work for somebody else. But I think we all go through these phases, right? We think we beaten imposter syndrome, and then it rears its ugly head. So again, lots of things to talk about in this episode. Just before we really dive in here today, I want to remind everybody that the new website for the podcast is live, you can get show notes and details and ask questions over there, you can hit me up on social, there's a bunch of new stuff there. Now, so I just want to point out that the newsletter is available, I'm going to start sending that out here in a couple of weeks on a regular basis, I would really love to make it weekly, I don't I don't know that I can keep up with weekly. So I'm going to say every two weeks to start. I don't want to be the annoying person that sends newsletters that people hate. Because I feel like some people really abuse it. Probably why I've been like, so slow to get into it. But now I'm really trying to take what I talked about here, put it in newsletter form kind of recap, if you missed an episode or you know, you haven't yet listened to an episode, get some details, see if you want to go back and listen to the episode or, you know, see what happened that week. And again, there are other things that may not be on the podcasts that I either forget to bring up on the podcast or haven't yet fully dove into that's kind of on the horizon. Really good stuff, I think you'll enjoy it if you enjoy this podcast. So again, that's podcast, Will survivor.com newsletter is up in the top menu bar or over on the right hand side, you can sign up for it. And yeah, that'll start going out here and a few weeks. So yeah, let's hop into this episode without further ado. Um, so yeah, so when we talk about social emotional behaviors, there's quite a few things. And the I mean, I'll just hop into the first one, but Well, actually, let me let me kind of go over it. So what I want to talk about is like, after stroke there, you know, if you have a brain injury of any kind, there's, there's, there's obviously the immediate frustration, there's anger, there's has sadness, there's grief, is what I would consider and I think others do kind of normal emotions. They're not necessarily the desired emotions that we want to have, but they are understandable once we wrap our head around what's happened, it can be explained, we could explain it to ourselves, we could explain it to others. And I think really what this is about is that these hidden sort of emotions, these obviously pretty obvious to almost everybody involved, but you know, let's not make light of it. Not everybody is going to be paying attention. People have their own lives to live, they care very much about themselves, they, I'm sure they care about you as a loved one. But you know, they forget, they don't realize and it all makes sense when you go back and probably think about your own situation. But there's this emotion in the beginning, you're emotionally vulnerable, right? And there's sort of there's a lot to it, people will perceive you potentially as weak. You know, a couple episodes ago, we talked about going back to work, there's a lot of things here tied to emotions and social interaction that is you know, can be tied to work. So again, there's there's a lot of behavioral things and psychological things. And you know, I'm not a doctor, I'm just trying to point out these things that are really difficult initially to wrap your head around. And I think one of the big ones for me, personally, I don't know how others feel about this, but you know, with the the emotions of frustration and anger and like sadness and grief, they're all normal, but after your stroke. Again, they're not really desired. Emotions, they're perfectly normal. They're, they're going to happen. Obviously, you've had a stroke. Whether you realize or not, this is a major life event. Most people will never understand this will not have one thankfully. You know, so there's just a lot of it's almost overwhelming the amount of emotions that you are feeling and it's perfectly normal to feel overwhelmed and justifiable and rightfully so. I mean, you know, there are I think it's important to remember that this is not just, you know, this is a brain injury is not the same as a torn ACL, a broken thumb, a broken arm, even a broken leg. I mean, these are all can be dramatic, or traumatic or both, um you know, but they're, they're definitely not the same as a brain injury. You know, and with that, I think people often forget that there because there's actual damage to the brain there, there's going to be changes that you're gonna go through. You know, again, you're feeling those feelings of anger, frustration, sadness, and grief. I mean, think about the frustration you feel I can remember, I still feel it like three plus years in. I think what's unique about a stroke is that you can likely remember how everything was prior to your stroke, how your body was able to do certain things, how you, you know, took for granted, really things like walking. You know, I don't think people realize how complex walking is, until, until you're till you find yourself being a stroke survivor or a brain injury survivor, and you're wheelchair bound, and then you're relearning how to walk. It sounds funny, but it you know, it's a BFD, it's a big fucking deal. It's a lot more work than people realize to get back on your feet. And walking, you know, an hour now I'm going from the walking into the running sage, and my running is still very much awkward. And in this top of mind, because it just got off the treadmill, and I realized, Oh, well, that's good. I'm making progress. Because Because I, I have been running for over 200 days in a row. But just recently, like, last week, or so I've been testing out a treadmill just to see, really, to help me improve my running in my stride to something I'm working on that I you know, not a big fan of the treadmill, but it's not the worst thing in the world anymore. And initially, I couldn't even really do it. Because I felt very awkward and clumsy. So this is, you know, that not tied to emotions, but it's you feel different, in a lot of ways, emotionally, physically, spiritually, like, again, these are all justifiable and, and, and really, you know, we all know the reasons why we feel a certain way. But it's hard to kind of explain to others who are not going through it or haven't gone through it, how difficult that is to kind of deal with these, these these emotions and frustrations. And you know, it is fairly difficult. If you're really good at handling emotions, I think it's still a really significant change in your life. You know, when I was, again, reading that book, hope after stroke, where that kind of got some of these ideas, you realize just how fragile life is when you go through something like this when you have a major life event. You know, just how fast everything really people hear it all the time. People say all the time till you get through it. You really don't realize how life changing it truly is. You know, and I laughed because I was to give up. One of the examples in the book, it's like, yeah, I mean, a lot of people think I'm pretty well, I mean, pretty stoic, but also like, not, which I know sounds weird, but it can be kind of both. But sometimes in the face of something difficult. I can seem almost like I don't care. But really inside, I'm thinking a ton of things that just don't outward, they project it as much. You know, I think that you see that change in a lot of people. It's not just me, but I think the important. The important thing here is that like, when you again, go through an event, like a stroke or a brain injury of any kind. You know, those events have a way of turning up the volume on emotions. So there's going to be changes, you're going to feel them your loved ones, you're gonna feel it your caregiver caretaker family. And I think what's important here too, is that and we'll talk about some other kind of things along on the same wavelength here, but I think it's important for family to understand this, so you as as a survivor, you know, I hate to put the burden on us, because I feel like we have enough to deal with. But I feel like it's also important to be communicating this with family and loved ones, because again, these are brain injuries. These are really complicated the brain is, you know, we're getting there, but it's still, I hate to say it, but everybody's brain is different, right? It works differently. The human body, people process things differently. They have different emotions, they react to things differently. All these different things, it's, it's really you know, every day I think after, again, after a stroke or brain injury, everything is heightened. But I think it's also like, because this is a brain injury. Because your brain is literally affected by what's happened. There are going to be little weird things that are going to creep in that you're gonna just you may not even you may recognize the beginning. You may be like, Oh, that's weird. You know, that's doesn't. I'll give you an example. I love my wife, right? Use love holding hands have no problem holding hands up six foot eight through 12 I bounce. Holding hands is something that it was like an easy win with my wife. She likes holding hands. It's something that I'm trying to work on. It sounds really dumb, right? Like, what's the big deal that holding hands? Well, I don't know. It's just like a thing. I don't. I used to love holding my wife's hand. It's just a thing. I you know, I'm getting better at it. I'm trying to work on it. It's a very sort of a thing of the spectrum of things. It's minor. But there's something changed because of the stroke. In my mind, I'm like, well, holding hands is no big deal. And it's not really but I had these moments where I'm just like, I love my wife. Holding hands would be an easy activity for me to get get those, you know, sort of freebie husband points, right. And Rotella it's just like a thing that again, I'm working on a I'm sort of and this is this has this thing with a lot of things with emotions, when you're kind of where you're going back to all this when you're going when you're sort of reintegrating with work when you're hanging out with family. You know, some of this was also confusing to me, because after I got out of the big Brooks down here in Jacksonville, Florida, where I went to rehab the two separate times before coming out. So I went there, January 2020, after my stroke and December 2019. Came out, went back to the hospital got diagnosed with an MS in February of 2020. My back to big books, and then I came out right as the lockdown hit as the world changed for forever from COVID. So some of these things, you know, when it comes to socialization, it was like, Oh, I don't know what it is because of COVID is because, you know, I'm having I had a stroke is it because of the MS. Like I didn't know you know, I think back to it, it's like well, I I don't know what to make of it. Because everything was so weird messed up, worldwide like on the one hand, I'm kind of grateful. Not grateful that's kind of a weird word. But you know, being a young stroke survivor, I think COVID helped in a way because I didn't feel like I was missing out on the world when I was going back initially to do the work and kind of recover early on. So that first year after my stroke really everybody was dealing with a lot of things so they were every was on lockdown even here in Florida you know so not only was I missing sort of that socialization part but also was so as everybody else so it was a weird time to have stroke I think is where I'm getting at it but it is also hard to tell again what what thing was related stroke what was related to MS was related to the state of the world at the time. We were all having all sorts of feelings like I had worked from home for a decade already. So that was new to me. You know, like my kids were home from school. Oops, this is really bizarre. You know, so that played a role in things as well. But I think it is important to acknowledge that you know, the there's a lot going on after the stroke. So I think another thing, and I've realized this a lot, too, not just those emotions, but also one of the things I want to talk about is like, when you're when you're going back into the world after stroke, and you're kind of meeting with family. I was I think I was getting their way. You know, everybody's different. But I think it's important to also slowly do that. You know, because I think overstimulation is something that is a big thing that I didn't realize. But after thinking about it, it makes a ton of sense. Because sometimes, for me, and I'm sure others you know, crowds are difficult for me to deal with sometimes now. And I, I, and this is where the confusion comes in. Because like, I was blaming a lot of things for being an introvert, which I am, you know, but generally crowds in the past haven't bothered me, I'm a big guy, I'm usually a foot taller than most of the crowd. So it wasn't that big a deal. But, you know, crowds are still annoying, right? In general, whether you are a stroke or brain you're yours or not, it's just there. Yeah, it can be a little overwhelming at times. I think. Again, I I attributed that to other things like being an introvert, just not really loving crowds. But also I think that is very much related to stroke. You know, there are things where, again, another one where I wasn't sure if it was my house and my kids or if it was related to stroke, but vault volume of things can be overstimulating overwhelming lights, especially. But I also struggled with like, like I said, was this introversion? Was this me just being neurodiverse? Am I neurodiverse? Now that I'm a stroke survivor, probably yes. Also, could be ADHD, like, you could be, you know, and I think that's still TBD. But like, you see where these things kind of cross over and can be really confusing. And it's hard for you but doctors to diagnose and really get into it. You know, but I think if you have these concerns, it's important to talk about it is important to bring up because I will tell you, as time has gone on, I did ask my nurse neurologists about ADHD because I really thought that might be the case. You know, and I just happen to fall into an area like I couldn't get a call to get an appointment. So for months, I couldn't get an appointment to see anybody. And it wound up being that over time, with some work on my end, like breathing, like I've talked about a million times, breathing really helps in a lot of these situations. It also helps a ton with anxiety, which is probably something many stroke survivors. I mean, they say like a third. Again, I don't know who's doing this research, or where do these numbers come from half the time. But let's take it for what it is because the number is not really important it is that you may experience anxiety after surviving a stroke. If again, this is drastically different in most cases. Obviously, everybody's going to have different different starting points after their stroke. He may have elaborated deficits may have not a lot, hopefully, but you know, some may be physical, some might be more emotional. It just depends where you know, where in the brain your stroke happened. There's a lot of factors there are people that are perfectly healthy. Actually, somebody I just realized that, I guess I just became aware of it. Michael Johnson from the 1996 us track and field team and realize he had a stroke about five years ago. So yeah, I mean, talk about the very definition of health and peak and fitness like you know, it sounds corny as hell, but anybody, at any point could have a stroke. You know, that's why it's so important to talk about these things. And I think it's even more important. Again, like I said, I mean, it's hard to determine what's what's the most important thing all the time. But I think as you get better, you know, physically, you know, I think ideally, you try and do work to better yourself, in all areas, post stroke, right, you want to get healthy, you want to do the best you can to avoid having another stroke. You know, there's there, there's no shortage of work to do, you could make being a stroke survivor, your full time job, I feel like at this point is my full time job. I mean, obviously, I do this podcast, I do a few other things. And I'm working on building out the community because I feel like it is so important, because now that I've really, you know, gone down the path to decide to this podcast, on a weekly basis, I'm doing a lot of research, I'm doing a lot of work on myself, still. I'm realizing just how involved it is, and how much collaboration is really a significant could be a significant, helpful piece to this puzzle. I mean, again, family and loved ones are amazing. They are usually there every step of the way. But what if you don't have that support system? What have I mean, I'm thinking about when I left inpatient rehab the first time I still couldn't walk when I left the hospital. After that was after a month after my stroke, I mean, most some, you know, it does take a lot of time, it takes a lot of time and effort. And I was in a situation where I could get family to help but like, it's a big toll, right. And I would say I'm pretty independent. At this point, I could certainly handle myself for a week or so. Um, you know, I could definitely handle the kids. But when my wife goes away for more than a week, I'm like, stretched very thin. You know, but it takes a lot. And it's not easy. And I think it actually sometimes I was thinking about this the other day, sometimes I'm concerned that when people who I know speak, when I speak to people, whether it's on Zoom or in person, I sometimes worry that people think I would be normal when it comes to stroke survivors. And I don't think most people, even the people that know me very well and know me from the day I had my stroke till now. You know, this is not to sound like an ass, but like, I can't tell you how much work I mean, the amount of hours I have put into getting to where I am and I am not nearly what I would consider 100% I think I would still say I'm probably at 85 ish. And you know, we're nitpicking probably at that point, but all right, 85 But there's still a good 15% I'm not fully at or where I want to be. And so, I am now 40 How am I stroke a 37? Yes, I'm younger than most, that does sort of put me in a good spot by the I didn't start in a good spot. You know, I was thinking I was talking to my team last week, he like, I was such a mess after my stroke and I was like a mess right up till you know, that last quarter of 2018 I knew something was gonna happen. I didn't know what I was certainly expecting a stroke. But like, I can think back to it now. And I was just like hat. I mean, it's easy to laugh about now, but I look at those pictures back then. I'm lucky to be alive honestly, like the prior bad habits that I had. You know, I feel very fortunate and very lucky. And I think a lot of its survivors do. But again, if you don't do the physical and emotional work, and I think these are both I'm going to say both. It's not just the physical obviously that helps you in some areas because you know sometimes that mental work is difficult for people they have to really examine themselves and their actions that led up to that, you know, maybe they're struggling with after. I do think sometimes that I got lucky in the sense that like okay, I had my stroke and I immediately stopped. I no longer since my stroke I've not had a puff of a cigarette a sip of alcohol, like nothing like I just dropped everything that was insanely bad for my health went away. I mean, I think the only thing I haven't dropped his cheese if I'm being honest. You know, but I gotta go earn that cheese every damn day when I go running. So, um, you know, same thing with coffee, I haven't given up coffee, I'm still a parent. I'm just a stroke survivor, who is a parent with a wife. Um, you know, coffee is still a thing, they were offering it to me, I always felt okay about coffee, because they always said, if you take all your medicine, if you're doing all the work, you can still have coffee. I'm sure we could debate on on on on another show how good is called for your ad, I don't care. I'm doing enough work to earn the coffee, I'm going to have coffee. And that's why how I feel about just same as cheese. But again, these this is kind of like, I know we're going a little bit deep. Again, I know this podcast is called wobble survivor. I want to make it fun and enjoyable. But I do feel like this is kind of again, the you know, this is a topic that I think we need to talk about more. And I sort of just reminded about it this week. And I just, it's such an important part. It is complex are many layers to you know, handling your emotions, feelings, and it's not as easy. I feel like sometimes again, I make it too easy, like people, not everybody likes to talk about this stuff. Not everybody does talk about this stuff. People have different backgrounds, they have different families, they they some people feel fine talking about it, some people just don't like dealing with it. Not sure that I was one of those people that like dealing with it prior. Honestly, I think a lot has changed as a result of my stroke. I I've sort of did it. You know, I decided early on that I was going to come clean about the things that I had done wrong. Lee like things I wasn't doing right? The alcohol, the cigarettes, I mean, I you know, people knew I smoked cigarettes, but people knew I drank it just they didn't realize how how much I'm you know, but I feel like owning it is part of my process, you might have a different feeling. That's okay, everybody is, you know, I'm just advocating to do what you feel is best for you. And at least if even if you're not ready to be honest and come clean with your family and loved ones, at least come clean to yourself. Because you have been given the second chance as survivor. Of course, it's not going to happen overnight. It takes time, but I feel like starting to talk about things again, especially with these cognitive challenges that you might be having these emotional and psychological issues like I feel like it can be confusing for you, it can be confusing for a family, it can be confusing for a wife or husband, a loved one partner. You just you know. And what I like about this, again, going back to the book, hope after stroke, what I like about it is that it is important for now my wife puts in a ton of work helping me still you know, it's I'm pretty good now pretty self sufficient. But there are still things you know, and she's very important to me. And I think anybody that's important to you, whether it's a child, husband, wife, partner, whatever. They may not know some of this, you may not know some of this. So I think it is something to be aware of, it's something to you know, you don't have to spend tons of time on it. But I think it is important to talk about it. It is important to realize these these things, because again, I'm thinking back to one more thing, which kind of isn't really tied to emotions and psychological issues, but it is tied to some some cognitive challenges. You know, and we can dive into this more next time but a cognitive challenges falls in that into that visible thing. And one of the things I'll talk about is I think, again early on. You're so wrapped up in what's happened trying to get back to some sort of normalcy, obviously. Now looking back, I would rush properly myself, I'm sure we all rushed. You know, but over time you realize this isn't quite right. And you know, you might be asking yourself, or you might be thinking to yourself, but nobody's talking about this, you don't really, you're very unsure. I've talked to doctors, I'm not afraid to talk doctors. I ask questions. And I think sometimes, we're not even hiding it for ourselves. We're just, it's invisible to us. Because like, I've noticed at times, I'll be slow to a thin. And I'm aware that stroke is probably why it's slower. But it wasn't always that way. So it's confusing, is all I'm saying. I think it's really hard to especially if you're somebody that's going back to work or you know, your social person you're driving, you're, you're you're doing these things. It does take practice. And it does take time. And it takes a lot of self awareness. And I think it takes a lot of being kind to yourself. Because I think there's there's no reason that you can't get back to where you used to be. But I do think it takes time, and I think you need to be aware of it. Because of something I'll give you, I'll give you another good example, I used to have like three screens. After my stroke and went back to one screen, I only worked on a laptop and I looked at right at that laptop. Over time, I've added more screens, but I still realize now I can't have like 17 screens, I can only have up to two, I did try three last year was a little much so. But also that was just an example. Like it's it's it's really hard with these saints, just like the physical but like the physicals pretty obvious you can either walk or you can't, you can't get run or you can't. And then it's more obvious what the steps are to continue to work to that. Whereas emotional, psychological and cognitively it's even more confusing. But it very much the same is like you know, you used to go this speed. Everything else seems pretty okay. Like I would say, making decisions I'm as decisive as I've ever been. I'm okay with the decisions I made I problem solving generally seems as good if not better. But then like, sometimes I have a little bit of trouble paying attention. And again, where it gets confusing is, is it because I'm not interested in the thing? Is it because the stroke just like affected a little section of my brain that says like, well, I keep you back making decisions and problem solving. But paying attention is now now, you know, and it's that fine line is like is it a cognitive issue related to the stroke? Or is it potentially ADHD or something else? And I think that that is is really why I was bringing this up today. I mean, not the main reason, I just feel like that's a good example of why you need to be so aware of these, these changes within yourself. And, you know, talk to talk to your doctors, talk to your partner, talk to your wife, husband, spouse, whatever, friends and family like I think the goal here is to be aware of these invisible issues. And like everything else, make a list. And you try your best to go through it. And again, I will say one more time before we wrap this one up. But you know, be just be mindful and aware because a lot of these things, these invisible things, and we'll talk more about it because I think there's a few other things we could talk about with invisible issues like sensory changes, communication difficulties, spatial issues, executive dysfunction. The list goes on there's no shortage of visible so I think yeah, just just keep these in mind and realize you know, ask questions, ask yourself, ask others. Talk to the medical professionals see what they say You know, even if they can't diagnose it, they might be able to point you in the right direction. You know, I think there are things you can do to work on those kinds of things. So anyways, we'll wrap this one up. Before we go, though I do, I don't have a whole segment. But I did want to mention two things this this week. You know, so if you've made it this far, thanks for sticking with me. I think this is really again, I said, super important topic emotions, perceived weaknesses, overstimulation, all these things anxiety, like, and, you know, knowing the why, and the what and the reasoning behind. And just being aware that like, these may be temporary, and they might be long term. And, you know, you have to sort of assess that in the same way you assess physical deficits, post stroke, so something to be mindful of, but I do want to recommend if you are a fan of Netflix, and I think pretty much everybody has Netflix this point. Season Seven of working moms just came out. Phenomenal. haven't finished it yet. So one show I don't binge because I really enjoy it. So I try to I sort of savor the episodes, I think it's great. I think it's a really fun show. Definitely, not for everybody. But I think if you are, you know, a stroke survivor, you probably have lived this life already, or you might be in the middle of it. Great show seven seasons going into season seven. I don't know if there'll be more but I'm really looking forward to wrapping that up this week. And then again, another, you know, mindless thing to watch. While you know if working moms isn't your jam, but you love sports. We just had the NFL draft that was pretty decent this year. Lots of interesting picks as always. But the NBA Playoffs have been fantastic. Thus far, really excited about the Knicks. They lost game one to the heat. But I'm excited to see them. I'm excited to see this series. We're on the Western Conference. LeBron James, James and the Lakers against Steph Curry and the Warriors should be really a great series. Anyways, those are just kind of two random recommendations this week. I do have some books I'll recommend next time. But yeah, like I said, I think we'll leave it there. We'll talk more about kind of motions, maybe a little bit about you know, going into some of those other lesser talked about, I think invisible deficits post stroke, but I do you know if you have any questions, thoughts, hit me up on social definitely let me know. Hope you found this episode valuable.