Hi XXXXXXX,

Thank you for writing to us.
Already from your description I can see that you are doing well and even able to take care of yourself to a greater extend.
Usually the outlook (prognosis) depends on:

- The type of stroke
- How much brain tissue is damaged
- What body functions have been affected
- How quickly you get treated
- You may recover completely, or have some permanent loss of function.

Over half of people who have a stroke are able to function and live at home. Other people are not able to care for themselves.
I'll suggest you XXXXXXX a stroke rehabilitation expert who will be able to give you specific sit down exercises after doing a physical exam and determine to which you are paralyzed and will adapt your sit down exercising according to your situation.

Sit down exercises for you will require someone to assist ( if possible a trained professional) like physiotherapist etc.

Traditional methods for rehabilitation of motor deficits after stroke, including:

- Conventional range of motion and muscle strengthening exercises (can be done while sitting at least twice daily)
•     Here we have leg straightener, foot alphabet (use your big toes to write the alphabet on the floor), cheek scrunches (Sit up straight in your chair with your feet flat on the ground. Tighten your glutes (butt muscles) for five to 10 seconds. Relax, and repeat five to 10 times twice a day).
•     Chair pushes (If you have a chair with wheels and are on a surface that allows your chair to easily scoot, try this one, carefully. Sit in the middle of your chair with your back away from the backrest. Lean slightly forward until your chest is 2 inches from your desk. Grab the desktop with both hands at about shoulder width. Your elbows should be bent along your sides. Push out until your arms are almost fully extended, leaving a slight bend in your elbows. Then, pull yourself back to the starting position. Repeat 10 to 15 times once a day.)
•     Arm circles ( you'll need someone to assist you with the paralyzed right hand).
There are other techniques which are available and I would suggest you see a stroke rehabilitation expert to get started.

Hope this helps and write back if you have any questions

Dr Nsah

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Hi XXXXXXX,

It is nice reading from you again. Rather unfortunate that you can not get to a rehab on a daily or weekly basis. A trained nurse or physician rehab might also be found around your area. Some sports trainers may have an idea on how to help stroke rehab. Try to run some inquiries around you for a start.
They are a good number of food to avoid in order to lower your cholesterol. Don’t make a list of foods you “shouldn’t” eat -- the focus of most diets. Instead, increase your motivation by choosing a positive perspective. Each time you eat one of these healthier foods, remind yourself – with each bite, you’re lowering your chance of having a heart attack or stroke.
- Eat more vegetables, fruits, and whole grains. The dietary fiber in these foods helps lower “bad” LDL cholesterol -- one of the main contributors to heart attack and stroke. Put these on your plate with every meal to reach these daily amounts: At least 5 cups of fruits and vegetables and three 1-ounce servings of whole grains a day.
- Eat more legumes (beans), seeds, and nuts. Your weekly target: 4 servings of either nuts, seeds, or legumes such as black beans, garbanzos or lentils.

- Put healthier fats to work for you.
*Cook with oils high in healthy, unsaturated fats, such as canola, olive, and peanut oils. These oils are less likely than butter or lard to clog your arteries.
*Use plant stanols or sterols found in fortified margarines, salad dressings, and yogurt. (Check the labels.) These plant compounds help lower “bad” LDL cholesterol.
*Eat fish that are high in omega-3 fatty acids, including albacore tuna, salmon, or sardines. This fat is a powerful defender against heart attack and stroke. Omega-3s seem to lower triglycerides, fight plaque in your arteries, lower blood pressure, and reduce your risk of abnormal heart rhythms.
- Eat lean, unprocessed protein. Make fish and chicken your mainstays. They help lower your chance of a heart attack and stroke, while red meats (beef, pork, and lamb) increase your risk. The American Heart Association suggests you eat at least two 3.5-ounce servings of fish a week. Tofu and soy protein are also lean sources of protein – and not just for vegetarians anymore.

They other meals to be avoided or considered. Just use the above guidelines.
Then most importantly exercise ( good medicine activity), helps to burn out the fat in your naturally (especially the bad cholesterol). Then if you are a smoker or alcohol consumer, just quit completely. Weight loss is also paramount.

Hope this helps and wish you a better recovery.
Dr Nsah

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