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Stroke Community

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Richard C Senelick, MD

Joined: 02/07/2011

Expert Profile:

Richard C. Senelick M.D. is a physician specializing in both neurology and the subspecialty of neurorehabilitation. He did his undergraduate and medical school training at the University of Illinois in Chicago and his residency in neurology at the University of Utah. He has lived in San Antonio, Texas for over 35 years where he has served as the Medical Director of HealthSouth RIOSA, The Rehabilitation Institute of San Antonio, since its inception in 1988. He is also the Editor in Chief of Health South Press, the publishing arm of one the nation's largest rehabilitation hospital systems. He is an associate clinical professor in the Department of Neurology at the University of Texas Health Science Center in San Antonio.

Dr. Senelick writes a blog on health care related issues and neurorehabilitation for the Huffington Post as well as a blog for his own website.

Dr. Senelick recently received the 2011 Lifetime Achievement Award at the Healthcare Heroes Awards ceremony.

He is a frequently sought after speaker both nationally and internationally. Amongst his many books and publications, he has authored Living With Stroke: A Guide for Families, Living With Brain Injury: A Guide for Families, The Spinal Cord Injury Handbook, and Beyond Please and Thank You: The Disability Awareness Handbook. Dr. Senelick has also produced a number of educational DVDs on both Stroke and Traumatic Brain Injury.

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Reply: Stroke answers/fear

I agree that it is a confusing situation. CT Scans are very sensitive at...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

4 Replies | Reply | Watch This DiscussionReport This| Share this:Stroke answers/fear I agree that it is a confusing situation. CT Scans are very sensitive at...

Reply: stroke

I addressed the issue of taste a bit ago. Here is the answer and links I...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

10 Replies | Reply | Watch This DiscussionReport This| Share this:stroke I addressed the issue of taste a bit ago. Here is the answer and links I...

Reply: stroke after attack.

I wish I had an easy answer for you, but sometimes things just seem to get...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

3 Replies | Reply | Watch This DiscussionReport This| Share this:stroke after attack. I wish I had an easy answer for you, but sometimes things just seem to get...

Most people feel only a mild discomfort or nothing at all. Occasionally the...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

1 Reply | Reply | Watch This DiscussionReport This| Share this:MRA Most people feel only a mild discomfort or nothing at all. Occasionally the...

Reply: Strokes

The rupture of a blood vessel in the brain causes an intracerebral...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

3 Replies | Reply | Watch This DiscussionReport This| Share this:Strokes The rupture of a blood vessel in the brain causes an intracerebral...

Reply: Strokes

In brief, they are the same. CVA or Cerebrovascular Accident is a term that...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

3 Replies | Reply | Watch This DiscussionReport This| Share this:Strokes In brief, they are the same. CVA or Cerebrovascular Accident is a term that...

Reply: Stroke recovery

I am sorry to hear that you are having more problems following your stroke....

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

1 Reply | Reply | Watch This DiscussionReport This| Share this:Stroke recovery I am sorry to hear that you are having more problems following your stroke....

Reply: Hyperbaric Oxygen Therapy

Hyperbaric oxygen therapy has been studied in depth for the treatment of...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

1 Reply | Reply | Watch This DiscussionReport This| Share this:Hyperbaric Oxygen Therapy Hyperbaric oxygen therapy has been studied in depth for the treatment of...

Reply: aceteminophen & plavix

As always, I must start with the admonition to check with your doctor, since...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

1 Reply | Reply | Watch This DiscussionReport This| Share this:aceteminophen & plavix As always, I must start with the admonition to check with your doctor, since...

How to Make Your Home Accessible

An accessible environment is one that is structurally sound, safe, and...

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted by Richard C Senelick, MD

An accessible environment is one that is structurally sound, safe, and barrier free for a stroke survivor who might have trouble walking, who is confined to a wheelchair, or who is weak or paralyzed on one side of his body.

A therapist from the rehabilitation facility may make a house call to determine what needs to be done; she can also offer suggestions based on your description of your home. But, here are some things that you can check and do yourself. These include the following:

Doorways should be at least thirty-two inches wide to allow wheelchair access. If this a problem in your home, molding, hinges, and even the door itself can be removed.
Keep electrical cords and telephone wires tucked away in corners so that they can't be tripped over.
Remove all throw rugs. They are the number-one cause of falls among the elderly.
Keep night-lights on in all rooms so that you and your loved one can move around more easily in the dark.
Before buying any equipment check with your therapists. Make sure that the devices that you want to purchase are necessary. Shop around for the best price. The Internet is a great way to comparison shop.
A ramp might be necessary if you have steps leading up to your front and back doors. The ramp should be one foot in length for every one inch in vertical rise.
Telephones should be easily reached; emergency telephone numbers should be written in large print and placed at each extension. Speed dialing on cell phones have made a huge difference in the last few years.
Counter heights in the kitchen might need to be adjusted or additional space built. Kitchen appliances, the washer and dryer, microwave ovens these, too, will need to be placed at an accessible level. Sometimes it is easiest to lower just one section that you will use.
Keep kitchen utensils, plates, silverware, and glasses in easy reach. Condiments and canned foods should be on the lowest shelf of cabinets that should be at arm height.
The bathroom might need modification to ease movement between toilet, bath, and wheelchair. Some of the equipment might include a shower chair, grab bars, a hand-held shower, and safety rails. Soap on a rope is convenient for showers.
If possible, use a downstairs room for the stroke survivor's bedroom. Keep a bell or buzzer nearby on the night table. Lifeline call systems that are worn around the neck for contacting 911 can usually be obtained through your local hospital.
Bed height and width will need to be checked. Transferring to and from the bed to the wheelchair must be comfortably and easily performed.
Rearrange furniture so that a wheelchair can easily maneuver around chairs, sofas, and tables. Remove deep pile carpeting.

WebMD also has some excellent references about home modification: http://www.webmd.com/a-to-z-guides/home-modification-repair

Good Luck.View Thread

After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.

Posted byRichard C Senelick, MD

0 Replies | Reply | Watch This DiscussionReport This| Share this:How to Make Your Home Accessible An accessible environment is one that is structurally sound, safe, and...

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