From One Step to 10K: How Small Choices Built a Resilient New Me After a Stroke

People can be characterized by the sum of their habits.

Everybody has habits, but not everybody chooses their habits. Every choice you make is a step toward forming a life-long habit. As such, making choices that lead you toward your desired destination is critical. So, the first step toward developing good habits is deciding where to end up.

 

After my stroke, I wanted to regain my lost mobility and lessen the burden on my wife I had become. The first step along this journey was to be able to take more than one step between resting. My wife helped immensely with this, and we went on daily walks around our Portland neighborhood.

At first, it was challenging as I had to concentrate on moving my legs. One of the things I lost from the stroke was unconscious control of movements. Walking required concentrating on activating the right leg muscles in the proper order, and doing this for more than a couple of steps resulted in neuro-fatigue, a term I learned during physical therapy.

Neuro-fatigue might be something you’ve experienced if you’ve ever spent a long late night studying for an exam the next day and felt exhausted despite being largely sedentary. This used to happen to me just from walking due to the concentration and mental effort this once simple act demanded. Counting my steps helped me maintain my focus on walking, and it also gave me a way to track improvement.

Initially, I would need to sit down and rest every 50 steps. Still, eventually, I was able to last the hour-long walk until we got home again. Now, I can run 10 kilometers without having to sit down midway. In my next posting, I’ll provide a more detailed description of how I built up to a 10k run.

 

If you want to achieve something, you’ve already taken the first step toward accomplishing it, but you need to take the next step. As I see it, the next step is to subdivide your path into small portions. In my walking, this was easy to determine; I just needed to try and put one more effort than I did on the previous walk. If I failed, I had to try that number repeatedly if necessary. Eventually, I would succeed, and I could increase my goal again.

Eventually, I discovered that what was once all I could manage was now merely halfway to my current goal. If you’re stumbling and trying to take your next step, try making your step smaller.

 

Remember the fable about the tortoise and the hare: slow and steady will win many races.

Unbroken Spirit: Conquering Life Post-Stroke

Welcome, dear reader, to the birth of my blog. I am Brian Lempke, a 44-year-old American who, after discussing with my wife, has decided to share some of the techniques I’ve had to develop to improve myself. 2015, I suffered a right cerebral hemorrhagic brain stroke, nearly killing me. Luckily for my survival, my wife found me and called for an ambulance before I expired. Also, luckily, we happened to be living in Portland, Oregon, at the time, home to a very fine neurological hospital department at OHSU.

After my initial recovery, whereby I regained consciousness and formed some foggy memories of existence, I was transferred to the first of two stints in a rehabilitation unit where I was constantly assessed and underwent physical, occupational, and speech rehabilitation. Eventually, I recovered enough that I was transferred to another rehabilitation institute. This one had a more beneficial patient ratio, and I have much fonder memories of it. My days I was blurred through my daily life being coordinated by medical professionals who constantly assessed my cognitive and physical capabilities. At this time, I could barely stand, let alone walk. I was taught how to use a walker and given strength-rebuilding training.

Eventually, I was released to the care of my wife at home and began my true recovery process, which will be the focus of my blog. I used what I learned from the rehabilitation facilities, other doctors, nurses, and my errors. While there will likely always be after-effects of my stroke and some things that I cannot completely heal, in some ways, with my wife’s support, I’ve surpassed my pre-stroke self.

In this blog, I will detail the goals I set, the obstacles I encountered, and how I have worked to overcome them. If I could achieve the recovery I’ve enjoyed, others can do it and perhaps even better than I managed in my stumbling. Immediately after my stroke, my wife searched online for hints about what she could expect and how to help me. She couldn’t find much, so this blog may help others search as my wife did. I hope that some of my techniques can be used by those who haven’t suffered a stroke and won’t have as far to climb. I hope that my blog can provide you with some tricks and tips to help you along your self-improvement journey and provide some entertainment.