recoveryafterstroke.com\/coaching<\/a>. And now it’s on with the show. Antonio, welcome to the program Man.<\/p>\n\n\n\nAntonio Iannella 2:50
Hey, Bill. Thanks for having me, mate.<\/p>\n\n\n\n
Bill 2:52
It’s good to have you here. You know that we’ve known each other since 2013<\/p>\n\n\n\n
Antonio Iannella 2:56
That long. I remember meeting you on that day at training. And I thought who’s this character he’s very likable.<\/p>\n\n\n\n
Bill 3:06
At the Stroke Foundation Training when we were training to become stroke-safe ambassadors.<\/p>\n\n\n\n
Antonio Iannella 3:12
Are you still doing it?<\/p>\n\n\n\n
Bill 3:14
I am still doing it. I took a bit of a risk just recently because I was getting to the point where I had committed to a lot of other people for a lot of other things. And what I was finding was that all that stuff was taking up my time and tiring me out.<\/p>\n\n\n\n
Bill 3:28
And it didn’t leave me with a lot of time to do the things that I wanted to do. Because, you know, I’d be exhausted, I really enjoyed doing the stroke foundation talks. But at the same time, I realized it was sort of taking up my own energy, and giving that to other people is fine, but not at my expense.<\/p>\n\n\n\n
Antonio Iannella 3:50
Okay, that’s fair enough. I know a lot of some of the other volunteers do the same. They just take breaks when they need to and come back if they can.<\/p>\n\n\n\n
Bill 3:56
Yeah. So are you still speaking for the stroke foundation yeah?<\/p>\n\n\n\n
Antonio Iannella 4:00
Yeah, I’m still doing it. I have found that in the last couple of years, it’s the amount of talks I do are far and between. And I think that’s got something to do with when they lost their funding. Yeah. That is to generate some sort of funding through private resources. And that’s just been a bit taking a bit of time.<\/p>\n\n\n\n
Bill 4:21
Yeah, it’s really difficult because they’re a completely funded organization. Usually, they’re funded by the government and other private parties, but the, program that we were on the stroke safe talks and presentations were purely funded for a short amount of time they want to, I think it was two or three years’ worth of funding and then when it ended, it ended.<\/p>\n\n\n\n
Antonio Iannella 4:42
Okay. But I like it I get a lot out of it, I have a lot of fun. I really enjoy it. It’s a good experience, it’s very exhausting, in many ways. But you know, I walk away feeling good about myself.<\/p>\n\n\n\n
Bill 4:55
Yeah, tell me what happened to you, man. Why did you end up at the stroke foundation what was your path to sort of meeting me there?<\/p>\n\n\n\n
Antonio Iannella 5:06
Like every other stroke survivor and volunteer, they’re involved with the Stroke Foundation, it generally comes through having our own strokes. And I had a stroke in 2009. It was in my brainstem location and therefore caused quite a lot of damage. I was paralyzed neck down, and I’ve had some vision problems and some hearing problems with speech. And I’ve you know, I’ve spent a lot of years working hard to regain that.<\/p>\n\n\n\n
Bill 5:32
So that was in 2009. So like, what happened on that day? What did you notice what was happening to you on the day? Was that a normal day?<\/p>\n\n\n\n
Antonio Iannella 5:39
Yeah, I was traveling with my family in Vietnam at the time. And we were moments from entering underground war tunnels. And we’re just sitting in this shelter watching footage about the Vietnam War. And the guide was just discussing this and that about it, and I began to feel weak and I excused myself and stepped outside to get some well fresh air if you like and drink some water and within you know a few minutes I began to collapse and become weak and wobbly and vision blurred and I couldn’t even stand up.<\/p>\n\n\n\n
Antonio Iannella 6:15
A couple of people come to my rescue and brought me over to the first day by and that was it it just took hold from there just wiped me right out and I was I went from being a healthy man to just completely paralyzed and lost all function of my body and had to be carried or dragged I was such a dead weight that I couldn’t even you know, I couldn’t even assist them in carrying me to the bus they just literally had to drag me, and then sort of pulled on to the bus and to a local hospital.<\/p>\n\n\n\n
Signs of Stroke<\/strong><\/p>\n\n\n\nBill 6:48
Do you reckon there was there any signs or anything that you would have thought was leading to something serious?<\/p>\n\n\n\n
Antonio Iannella 6:52
No, the only previous sign there was which was probably about 15 minutes before I was just about to step off the bus and I felt a tingle in my palm in my left palm and a rumble in my ears and I didn’t think anything of it I thought I was just, you know, I was probably hot and just, you know, I looked at my hands and just, you know, it’s just hot and, who knows what it is, but that was the first sign and that rumbling ended up causing turning to, you know, hearing damage, the tingling in my left hand become, you know, losing function of that left hand and wiping out my whole left side.<\/p>\n\n\n\n
Bill 7:34
Yeah, so was it what happens in a brainstem stroke because my stroke was inside my brain? Okay, so yours was in the brainstem, which is below is a sort of, like load base of the brain.<\/p>\n\n\n\n
Antonio Iannella 7:47
Yes. What you and I have in common Bill, which we’ve discussed is we both had something called an AVM, which is Arteriovenous Malformation. And what that is, is just, we’re born with like I guess a defect where a particular vein in our brain hasn’t formed properly and likely to bleed in at some point in our lives is fairly high and unfortunately happens to us when we were in our guess the prime of their lives.<\/p>\n\n\n\n
Antonio Iannella 8:15
And yes, my AVM, which has occurred, the bleed occurred in my brainstem and because our brainstem is about only this wide, all the communication that goes from the brain to the body was just suffocated by blood.<\/p>\n\n\n\n
Bill 8:32
Wow, okay, so you’re in Vietnam, and you’ve had a struggle. What happened, man? What did they do for you? Because I know that that’s a bit of a challenge, right? Getting some serious medical help in Vietnam is an issue.<\/p>\n\n\n\n
Antonio Iannella 8:45
It’s just a nightmare. And we weren’t in a city. We’re in a little rural village that was about two hours from Ho Chi Minh City, which is previously known as Saigon. And so they just rushed me to a local clinic and it was just chaos you know that no one spoke English our families listening they were trying to ask for documentation and the doctor to try to look over me and I was just at this point I was beginning to slur my speech and losing a bit of consciousness.<\/p>\n\n\n\n
Antonio Iannella 9:18
And they didn’t know what was happening they couldn’t work it out they just couldn’t work it out testing you know, they’ll turn all my vitals and checking my eyes for opening and closing and you know, checking my Pulse and everything seemed fine on that behalf.<\/p>\n\n\n\n
Antonio Iannella 9:37
My Blood pressure was good. All those things were okay, so they couldn’t work it out at that point. Then they rushed me in like a little sort of van type of, I guess what they called an ambulance.<\/p>\n\n\n\n
Antonio Iannella 9:48
They rushed me back to Saigon and that was just a chaotic ride where I was in the back of this ambulance just getting thrown around and you know there was a nurse there with my family, my kids, my wife, my older kids in the front and it was just yeah, I couldn’t imagine it was just absolute chaos, frightening.<\/p>\n\n\n\n
Antonio Iannella 10:09
And then we got to the Saigon hospital. And, I went straight in for an MRI, and within, you know, half hours, I was in intensive care, the doctors telling me I’ve had a stroke. By that stage, I was just completely paralyzed. And, you know, my vision had gone, it blurred, my hearing is damaged I could just mumble a few words. And that’s where it began.<\/p>\n\n\n\n
Bill 10:34
Yeah, it’s not what we’re used to with the medical model here. It’s completely different.<\/p>\n\n\n\n
Antonio Iannella 10:39
say different what I did notice, though, either look, I mean, once I was in the hospital, and in the care of the doctors, the doctors were all French. And they just happened to be working in Vietnam.<\/p>\n\n\n\n
Antonio Iannella 10:51
And what I did notice, I mean, the care the duty of care was quite good. And there were things that kind of scared me, I guess, but I must admit the kindness and the affection from the staff was just completely different than here in Australia. Like they really looked after me in that respect, you know, they weren’t afraid to maneuver me and you know, take my clothes off and do what they had to do to look after me.<\/p>\n\n\n\n
Antonio Iannella 11:18
And I noticed that difference when I got to Australia 11 days later, I had a rescue flight back to Australia and I just noticed the difference in how I was handled by the nurses here in Australia.<\/p>\n\n\n\n
Bill 11:31
Right. So it was the bedside manner over there better do you feel?<\/p>\n\n\n\n
Antonio Iannella 11:36
It was better, although the standard of medical treatment definitely wasn’t. Yeah, but the bedside manner was, I must admit I become quite fond of the people that looked after me.<\/p>\n\n\n\n
Antonio Iannella 11:49
So when I come to Australia, I just noticed there was a certain procedure that the nurses followed, you know, just, like just the way it works in Western countries.<\/p>\n\n\n\n
Bedside manner<\/strong><\/h2>\n\n\n\nBill 12:03
You know, I had a bit of a problem with bedside manner as well, especially at the beginning the first time I had the first bleed was in Feb 2012. And what happened then was, I went to the Austin Hospital here in Melbourne, Australia. And at the Austin hospital, the care is amazing, right? Firstly, they’ve got the facilities everything’s right, but the doctors would turn up and they would talk at the end of my bed about me, not with me, and they wouldn’t include me.<\/p>\n\n\n\n
Antonio Iannella 12:33
That’s crazy saying that because I have actually written a story about exactly that. And I referred to the doctors as mechanics like they are looking at me from under the bonnet without actually touching me. So that bothered you didn’t it?<\/p>\n\n\n\n
Bill 12:49
It bothered me, man, that was crazy. So I’ve tried to make a point of it a couple of times. But as you can imagine, you know, when you’re, you know, not in the right sort of state of mind to you know, make that an issue. And fair enough you want him to sort of care for you just let it go for a little while and I’ll let it go and I’ll let it go.<\/p>\n\n\n\n
Bill 13:08
But then six weeks later, when I had the second bleed, I went back in there. I was in the hospital for three days that second time, and it was the same kind of thing. And I got really frustrated. And a friend of mine works at the Royal Melbourne Hospital, here in Victoria.<\/p>\n\n\n\n
Bill 13:24
And I said to him, you know, because he is a radiographer, right? I said to him look if you know, somebody that will see me that’s going to talk to me and include me in the conversations can you please organize a meeting? Because I don’t want to be involved with doctors who talk about me and don’t involve me in the decisions, you know, that is going to be needed to be made about my well-being, you know, whether it’s surgery or whatever.<\/p>\n\n\n\n
Bill 13:49
So he hooked me up with this amazing surgeon, Professor Kate Drummond here in the Royal Melbourne and she was just absolutely amazing. She’s just given me the lowdown she’s allowed me to make my own decisions, she’s informed me, you know, and she just became somebody that I could confide in, speak to about things and, then I felt really comfortable with at least I knew where I was at and I was getting the version of bedside manner that I preferred.<\/p>\n\n\n\n
Bill 14:21
The medical help was the same that amazing, you know, medical facilities were all the same, but it’s just that the personalized touch is really important when you’re going through a really serious health condition. Do you know?<\/p>\n\n\n\n
Antonio Iannella 14:35
Absolutely. Yeah. I understand that completely. Yeah. I found that the duty doctors were the same their manner was very distant and they spoke at me rather than with me, but there was an overseeing doctor who come to the hospital once a week or so and he just had this lovely energy about him he’d come and put his arm on me and hold my hand and ask me questions.<\/p>\n\n\n\n
Antonio Iannella 15:00
And when he left, I just felt so much better. So there’s much to be said about that kind of treatment. When a doctor shows some kind of, I guess affection if you’d like to call it shows that they actually care about how you feel.<\/p>\n\n\n\n
Bill 15:14
Yeah, a little bit of empathy.<\/p>\n\n\n\n
Antonio Iannella 15:16
Yeah, absolutely. I was just gonna say that for people like you and I guess myself. Having that kind of information where we can make decisions is helpful for our recovery, whereas many others, I guess, they’re just happy to just listen to what the doctors say and just take it.<\/p>\n\n\n\n
Antonio Iannella 15:40
Whereas I found I needed to know, I had questions. I wanted to know why and stuff like that. I wasn’t just happy with it’s because of it’s it may be this give me some details.<\/p>\n\n\n\n
Bill 15:50
Yeah, I was kind of, I want to know the lot good, bad, or indifferent. I want to know the details. That way. I felt like you know, maybe I could play some kind of a role in supporting my own recovery, you know, whether it was I know, through any method that I could possibly bring to the table, you know, at least now I know that there was something I could do.<\/p>\n\n\n\n
Bill 16:15
And it was just a wasn’t just a matter of, you know, being in the care of somebody and handing over and being completely over the top, you know, sort of faith, everything on the table for somebody else to take over.<\/p>\n\n\n\n
Bill 16:31
You know, what if that doctor is having a bad day, and I don’t want to think my doctors are having a bad day, but what if they are, and I don’t want them to make a decision? When they’re having a bad day? I think I’d rather be informed now that’s just me, you know, so I know that other people will go to the doctors and they go to the hospitals and as you said, they’ll just allow the doctors to take over take control.<\/p>\n\n\n\n
Bill 16:53
And blind faith is good in our kind of does help in our model. In our medical model here in Australia, because they are extremely good doctors, we are one of the luckiest countries on the planet with regards to the kind of medical support but at the same time, you know, I don’t know, like, I don’t distrust people, but I like to test you. in a nice way. Ask your questions and see if you can give me answers if you can’t give me answers. I think you should be doing a little bit more research.<\/p>\n\n\n\n
Antonio Iannella 17:22
Yeah. I think also, you know, in that state of mind when you feel like you’ve almost lost everything having some kind of, I guess control and input to the outcome of your recovery is important, not for everyone for some, and it was for me, and I’m going to tell you something.<\/p>\n\n\n\n
Antonio Iannella 17:43
Every time I’ve spoken to you or every so often and I’ve heard you’ve gone through an episode and you’ve had maybe another bleed and man I get really pissed off because I’ve never had my AVM treated. And it makes me worry because I know you’ve been through so many ups and downs and makes me worry I start thinking the worse.<\/p>\n\n\n\n
Bill 18:03
Oh, okay, interesting. So you’ve never had it treated but I imagine that you’re getting multiple sorts of checkups regularly about it. Yeah?<\/p>\n\n\n\n
Antonio Iannella 18:14
I used to at the beginning but I’ve stopped doing that I just found the whole process can be quite cause a bit of anxiety so I’ve kind of veered away from doing that through my neurologist<\/p>\n\n\n\n
Antonio Iannella 18:28
I’m constantly looking after myself and seeing my doctor and stuff but I you know, I must have been like, it’s been a while since I last had a checkup with the neurologist you know, I did try to have it treated but the location of it being in the brainstem was incredibly dangerous.<\/p>\n\n\n\n
Antonio Iannella 18:48
And when I did try to treat it, I was set up to have 11 radiation treatments and after the first two I just felt like you know, death and I put a pin on the whole procedure. I just lost complete faith in it.<\/p>\n\n\n\n
Bill 19:04
Wow. So they were going to treat it by trying to zap it and get rid of it with radiation therapy?<\/p>\n\n\n\n
Antonio Iannella 19:10
Well, yes, so I first saw all the surgeons here at Royal Melbourne Hospital and they spoke about, you know, going in and treating it, clamping it, injecting a substance into that vein that will, I guess, block it and heal it.<\/p>\n\n\n\n
Antonio Iannella 19:27
But they all refused to touch it because of its location. I just had no faith in it. So they passed me on to an oncologist who tried to treat it with radiation but again, it was better that if he filled me with a lot more confidence and perhaps a little bit more human contact, I probably would have seen it through to the end, but there was that distance.<\/p>\n\n\n\n
Antonio Iannella 19:51
And when I was feeling really bad I tried to contact him and I just didn’t finish didn’t fill me with faith and support. So I end up on the pin and my decision. was made, I said to him, Look, you know, I’d rather live a short life with some kind of substance than a long life with complicated disabilities.<\/p>\n\n\n\n
Antonio Iannella 20:10
And there was no guarantee that I wasn’t going to walk away from that treatment and radiation in a worse state than I was already in, I could potentially lose my vision, there was just no guarantee.<\/p>\n\n\n\n
Bill 20:23
I’ll give you a bit of insight so that you understand the difference between you and me with regard to the fact that I had mine treated. So the first bleed was in Feb 2012. the last bleed was in November 2014. So we’re coming up to the three-year anniversary off from surgery, so 2014 we in 2017, so we’re coming up to the three-year anniversary from surgery.<\/p>\n\n\n\n
Bill 20:49
So, in that time, I was seeing the doctors every six months every three months depending on how I was feeling and what was going on. And what they discovered was that it was micro bleeding every single time all day, always bleeding and continuing to cause microbleeds, the microbleeds got to the point where I was having a bad day, and then it would go away.<\/p>\n\n\n\n
Bill 21:14
But then every so often, and the third time it had a really big bleed. And that’s when I went into hospital having really bad nausea, the whole works, you know how all the stuff, got to the hospital and the surgeon said, right, enough’s enough.<\/p>\n\n\n\n
Bill 21:30
We’re not letting this bleed any further. We’re going to take it out now. Because the risk moved from being in my favor to now not being in my favor and now surgery was becoming the less risky option as opposed to not doing surgery.<\/p>\n\n\n\n
Bill 21:49
So when I went to the hospital, and she said that I was kind of like, well, okay, you know, I’m up for that. Let’s get this sorted and let’s at least stop the bleeding and whatever comes of it comes because the bleeding could end in death or could end in an episode while driving, could end in so many different ways, you know?<\/p>\n\n\n\n
Bill 22:13
So we had surgery in November 2014. And when I woke up from surgery, that’s when I had the left side, weakness. So my arm, I couldn’t feel my arm. I couldn’t feel my leg. I had to learn how to walk again. Use my arm again and all that stuff.<\/p>\n\n\n\n
Antonio Iannella 22:28
Yeah, That sounds very scary.<\/p>\n\n\n\n
Bill 22:32
Yeah, so very different from you because you had one bleed. And what I was told at the beginning was, you probably going to have one bleed. These things hardly ever leak again. And you’ll be right.<\/p>\n\n\n\n
Antonio Iannella 22:43
Okay, well, I mean, not yet. It was sad to hear that you went through that but it’s also good to hear the news that it’s just completely different because I had that one bleed and I did have many MRIs following my initial stroke, so it was never any change. It’s just over the last three or four years I’ve kind of slowed down but you know, maybe it’s worth going into have another MRI just to make sure it’s okay.<\/p>\n\n\n\n
Bill 23:12
Yeah. Tell me about the MRIs. How did you enjoy going into the tunnel?<\/p>\n\n\n\n
Antonio Iannella 23:16
I don’t mind it. The noise gets a little bit overbearing, but I’ve had it in a few different places and some have had music to listen to others, it just had headphones to block out the sound. And to be honest, man, I just breathe through it and, you know, meditate and it’s overdone within a half-hour.<\/p>\n\n\n\n
Bill 23:38
Yeah, awesome. That’s why I asked you because I couldn’t go in for a long time and I had to get sedated. Right. I used to get anxious I used to start to hyperventilate and all that kind of stuff and it was a big issue, right?<\/p>\n\n\n\n
Bill 23:52
So you can go into one of those machines and waste half an hour and then waste another half an hour because there are a lot of people waiting to get an MRI, right? So I used to tell them to sedate me.<\/p>\n\n\n\n
MRI’s<\/strong><\/h2>\n\n\n\nBill 24:04
But then that causes other problems because sedation is not good for the brain. So you don’t want to really be sedated regularly after a stroke. And then somebody has to pick you up and take you home. And you know, you lose a whole day and then you lose the next day.<\/p>\n\n\n\n
Bill 24:20
So it was a big drama. So I figured that what I’ll do is I’ll work my way out of it, which was to meditate through it. And I know that you meditate. So I wanted to have a bit of a chat about how beneficial you’ve found meditation. And what you’re sort of process for meditation.<\/p>\n\n\n\n
Intro 24:38
If you’ve had a stroke, and you’re in recovery, you’ll know what a scary and confusing time it can be, you’re likely to have a lot of questions going through your mind. How long will it take to recover? Will I actually recover? What things should I avoid In case I’ll make matters worse?<\/p>\n\n\n\n
Intro 24:55
Doctors will explain things but obviously, you’ve never had a stroke before. Up Probably don’t know what questions to ask. If this is you, you may be missing out on doing things that could help speed up your recovery. If you’re finding yourself in that situation, stop worrying, and head to recoveryafterstroke.com where you can download a guide that will help you.<\/p>\n\n\n\n
Meditation<\/strong><\/h2>\n\n\n\nIntro 25:18
It’s called the seven questions to ask your doctor about your stroke. These seven questions are the ones Bill wished he’d asked when he was recovering from a stroke. They’ll not only help you better understand your condition. They’ll help you take a more active role in your recovery. Head to the website now recoveryafterstroke.com and download the guide. It’s free.<\/p>\n\n\n\n
Antonio Iannella 25:41
Meditation helps me a lot, since my stroke I’ve always been interested in that side of, I guess well being pretty much my whole life and after having a stroke I’ve kind of reinforced that and begun to follow I guess spirituality and meditation and positive believing and meditation helps me, the stroke has caused a bit of anxiety so it helps me just to you know, settle those anxious thoughts and yeah, any situation.<\/p>\n\n\n\n
Antonio Iannella 26:06
You know, sometimes it might be a few minutes when I’ve pulled over the side of the road, pick up one of my kids at school and I’ll just practice breathing. So yes, it’s very helpful.<\/p>\n\n\n\n
Anxiety and Depression after Stroke<\/strong><\/h2>\n\n\n\nBill 26:22
Anxiety. Were you somebody that was anxious before your stroke?<\/p>\n\n\n\n
Antonio Iannella 26:26
No, not really. No. I mean, you know, I guess we all had some kind of anxiety. Maybe we didn’t recognize it as anxiety, but since the stroke it’s been, yeah, I’ve had some terrible anxiety attacks and panic attacks and depression and all those experiences that, you know, are all parcel of having a stroke.<\/p>\n\n\n\n
Bill 26:46
Yeah, that’s one of the things a really important point that you just made, was that the not pleasant anxiety, depression, of course, right. All those things, but they kind of are part of the process of what happens to people after a stroke so as a carer, so if somebody is listening or watching this on YouTube.<\/p>\n\n\n\n
Bill 27:04
And they’re a carer, they might kind of anticipate these things occurring. And one of the things that I did just by fluke or I didn’t anticipate depression, I didn’t know that 33% of people that experienced a stroke will have an episode of depression at some point.<\/p>\n\n\n\n
Bill 27:22
I just went to a psychologist, and after the first time, my brain bled. And I kept seeing her over the period between the blade and surgery. So for two or three years, I found that I overcame those thoughts of depression, especially after the second bleed and then the third bleed, and then rehab.<\/p>\n\n\n\n
Bill 27:44
So that’s kind of why I’m sharing it as far as I didn’t experience very bad depressive moments, but how bad did it get for you? When I got bad?<\/p>\n\n\n\n
Antonio Iannella 27:57
It got pretty bad. I think I heard things you know they don’t really prepare you for this stuff when you’re in the hospital because I guess you know it’s that I don’t want to start to put those negative thoughts into your mind, focus on getting better trying to achieve you know a strong recovery, learn how to walk so any doubt they clearly try to avoid.<\/p>\n\n\n\n
Antonio Iannella 28:24
But once you become an outpatient and you leave the hospital as an inpatient, you start to learn things and you know, there’s some conversation about potentially experienced depression and you have access to psychologists at that point. And it didn’t really hit me with depression.<\/p>\n\n\n\n
Antonio Iannella 28:43
I mean, I was going through, I wouldn’t call it this depression but more fear and, and dealing with the emotions attached to having a stroke, so hadn’t really formed into depression at that point, but then it hit me probably about a year and a half.<\/p>\n\n\n\n
Antonio Iannella 29:00
Lighter with the reality of what my life was, or is setting when I had when I was little things when I was faced with little things like, you know, crazy but having a button your shirt, tie your shoelaces, walking out the front door holding something and realize that you can now lock the door because you’re one good hand is occupied.<\/p>\n\n\n\n
Antonio Iannella 29:22
So you need to put stuff down. It was just, it’s crazy. But it was those little things, those little realities that you started to chip away your hope and your spirit. And then it just sort of evolved into depression.<\/p>\n\n\n\n
Bill 29:38
Yeah. And it makes sense how, how when people compare how their life was before a stroke, and now they’re comparing it after how that could be depressing. That just makes sense. But if you focus on it a lot, well then it becomes more and more depressing. And sometimes it’s hard not to focus on it a lot because it’s happening to you every single day. When you want to tie your shoelaces, when you want to brush your teeth when you want to get in the shower when you want to drive a car.<\/p>\n\n\n\n
Antonio Iannella 30:06
Absolutely. It’s highlighted but you need to go through the process you need to do you know, I know it’s really hard, it takes time, but it’s really hard to see, I guess through see through the woods when you when you’re in the middle of it, but you can’t get through the process and get out to the other side.<\/p>\n\n\n\n
Antonio Iannella 30:29
And then you’re able to look back and realize it’s a long process. I think being a stroke survivor and recovering from a stroke or any kind of serious illness. It’s not only about, you know, getting over what has happened to you, like, you know, losing a limb or the function of a limb or, you know, relearning how to walk.<\/p>\n\n\n\n
Emotional Impact Of Stroke<\/strong><\/h2>\n\n\n\nAntonio Iannella 30:53
It’s not only those things, but it’s the emotional impact that takes probably twice, three times as long Long to recover. And they’re the kind of things you don’t really learn about or not really educate you, but you just learned it by going through it, and realizing that you know, the effects it has on you emotionally how you, you know, you’re watching TV and you want to cry over something really silly or, you know, just affection is overwhelming all kindnesses is just, you know, it’s all those little things where emotions are, I guess, exaggerated that you start to realize that how it’s affected you emotionally.<\/p>\n\n\n\n
Bill 31:30
Yeah, I think that’s one of the big things for me. I became really emotional cry at the drop of a hat, watching TV, all that kind of stuff. And didn’t understand that didn’t know why it was happening. But I don’t know for me, maybe you can explain your version of that.<\/p>\n\n\n\n
Bill 31:45
But for me, it just seemed like I was tapping more into my heart than I had in the past. And I don’t know why I was but I just was maybe because my brain was sort of offline for a while. Yeah. I had nowhere else to go. So I was just reflecting on all things that were important to me or mattered to me. Maybe because I thought I might die and all that type of thing, I’m not sure.<\/p>\n\n\n\n
Bill 32:09
But it was a really emotional time for me. And every once in a while, the emotions do still creep in, they still do catch up, and they still do, you know, say, we’re still normal. We’re human over here, you know, you can have a bad day and all that kind of stuff. So I cry in public, I cry when I’m doing public speeches. I cry in front of family and friends. Just happens now. And now I don’t apologize for it. You know, it just is what it is. Is that similar to how you sort of experience it?<\/p>\n\n\n\n
Antonio Iannella 32:39
Absolutely. Me too many I you know, it happens every now and it’s been eight years for me. So, you know, I’ve overcome a lot of those emotions, but I still get caught out. You know, I knew recently I was with a friend and kind of a new friend that I’ve made and I was discussing some of the, I guess some of the hardship I went through and, you know, I felt like crying.<\/p>\n\n\n\n
Antonio Iannella 33:00
So it’s there. And then two minutes later I was laughing uncontrollably like I could just it was nothing to laugh about, but I was just laughing. And I just know that it’s part of this brain damage. It’s just part of it so yeah, it’s it takes a long time to adjust to.<\/p>\n\n\n\n
Bill 33:19
Yeah, I’m talking about things that you laugh at right now. I know that a lot of people, I was really lucky. So when people look at me, they can tell that I’ve had a stroke. Now that’s a good thing and it’s a bad thing. It’s a good thing because I don’t look like I’ve had a stroke but it’s a bad thing because I experienced internally, the same challenges that people who look like they’ve had a stroke are experiencing.<\/p>\n\n\n\n
Symptoms Of Stroke<\/strong><\/h2>\n\n\n\nBill 33:41
So fatigue, weakness in my left side in my arm, constant tingling or burning sensation on my skin, you know, balance problems, all that kind of stuff. So because I don’t look like I’ve had a stroke trying to explain something to somebody is a real challenge, right? Because the eyes are getting you’re trying to deceive me, you know, like, my eyes are looking at you look fine.<\/p>\n\n\n\n
Laxatives After Surgery<\/strong><\/h2>\n\n\n\nBill 34:06
So one of the interesting things that I did laugh at while I was in the hospital was that when I couldn’t walk yet before I went to rehab and did a month in rehab, I needed to go to the toilet. After surgery, it had been two days and I hadn’t done a poo. And the nurses said you haven’t done a poo, right?<\/p>\n\n\n\n
Bill 34:27
Well, we’re gonna give you a laxative and the laxative will help get things going, you know, so you can go because it’s really important that you go, alright, I understand no problem. So they got the ball rolling on the game of the first laxative day one. Or by day two and it didn’t work. nothing had happened by the next day. They gave me another laxative.<\/p>\n\n\n\n
Bill 34:48
So now the laxative took hold and it started to work and I really, really needed to go to the toilet and I press the buzzer on my bed to get somebody to help me go to the toilet and they weren’t coming. So they weren’t coming because they were busy with somebody else somewhere else in the hospital right?<\/p>\n\n\n\n
Bill 35:06
And I needed to go I couldn’t wait for them to come so I kind of dragged myself to my wheelchair, hopped to it, and jumped in, and tried to get to the toilet. And while I was getting to the toilet and opening the door as I was about to sort of turned around into the, into the toilet the nurses came in they said to me, what are you doing?<\/p>\n\n\n\n
Bill 35:24
And I said well I’m trying to get to the toilet etc. You guys didn’t come. I don’t want to soil my pants. I don’t know what’s worse, you know, going to the toilet and falling over or soiling my pants, having you guys clean it up. So I mean, I’m heading into the toilet, they sat me on the toilet and now they’re standing there.<\/p>\n\n\n\n
Bill 35:42
I’m like, Alright, go. And they go, No, we can’t leave. I said no you have to leave and I and they’re like, No, we can leave. We can leave you on your own because if you fall over and hurt yourself, we’re responsible. I think I argued with him for five minutes while I was desperately trying to hold on. So I didn’t have to go to the toilet in front of them while they were in there. Why do you talk to somebody about (inaudible) doing a poo?<\/p>\n\n\n\n
Antonio Iannella 36:11
It’s funny, funny now, but not when you were going through it.<\/p>\n\n\n\n
Bill 36:15
No, it was a disaster when I was going through it. But thinking back now it’s kind of like, what we’re going to talk about the weather? Like the flowers, like what?<\/p>\n\n\n\n
Antonio Iannella 36:24
Yeah, I know. I’m hearing you mate I had quite a few of those experiences. Yeah. But you know, you have to have your dignity in at reception when you get to hospitals. When you go through something like a stroke. Yeah, I had that experience. One of the first I wore a diaper.<\/p>\n\n\n\n
Antonio Iannella 36:42
Because it was exactly for the same reasons, I was, you know, showered and manhandled by this massive, large black African man who sponge me down and gave me this beautiful shave and dress me in these nice fresh pajamas. Do you know? What do you talk about when you’re naked and there’s a giant black man dressing you?<\/p>\n\n\n\n
Bill 37:06
How are the kids?<\/p>\n\n\n\n
Antonio Iannella 37:10
I know it’s, it’s good to laugh at it now though.<\/p>\n\n\n\n
Bill 37:13
Yeah, absolutely. And I share that because I know there’s gonna be people watching who have gone through or going through it now, whose carers are probably going through it right now. And let me tell you, when you look back later you can laugh about it, you might as well laugh about it. Now, if you can find a way to laugh about it now just laugh about it now, man who cares? Why wait?<\/p>\n\n\n\n
Antonio Iannella 37:34
Yeah, absolutely. Laughter was really handy for me. I found that you know, even when I was in rehab and just starting to learn a tour guide, you know, be making jokes and winding the doctors up and the nurses and just you know, bringing a little bit of light-heartedness to the whole ward.<\/p>\n\n\n\n
Antonio Iannella 37:49
I found it was always so serious and I, you know, no matter no one part of the therapy we would meet in, I guess what I call the gym, kitchen, and The patients would have to make their own breakfast and get their own coffee was just part of the therapy process. And when we sit around the whole table is just doom and gloom.<\/p>\n\n\n\n
Antonio Iannella 38:10
Everyone is talking about how miserable they are. And I went right guys, no talking about stroke. Let’s talk about life living. Let’s talk about what we did before. We love all that kind of stuff. Just you know. And just that’s that was the rule. And I found that helped.<\/p>\n\n\n\n
Bill 38:24
Yeah, and they would have found that help. And that would have been an amazing thing to experience. Somebody just says, let’s talk about something that’s good. Because the rehab hospitals can be a tough place to be in man, even if you’re somebody who knows you’re going to get out of there.<\/p>\n\n\n\n
Bill 38:39
There’s a lot of people that don’t get out of there as quickly as you might have, as I might have, you know, so bringing laughter into those situations I think is an awesome thing. Why don’t you tell me you mentioned a little bit about what you did in the past, right? So what were you doing before? You’re a family, man. You’ve got kids yeah?<\/p>\n\n\n\n
Antonio Iannella 39:03
Yes, I’ve got three kids. I was married, no longer married. I’ve had a few different ones. I’ve done a couple of different things in my life. And I’ve been a musician most of my life. But leading up to the five years prior to my stroke, I worked in construction as a project manager, sort of slash building supervisor.<\/p>\n\n\n\n
Antonio Iannella 39:25
I did that for quite a number of years, and I’ve done then the stroke just brought that to an absolute end. So I had a busy life. I was, you know, an active dad, working a lot of hours. You know, like most people live in that lifestyle.<\/p>\n\n\n\n
Bill 39:41
How old were you when you had the stroke?<\/p>\n\n\n\n
Antonio Iannella 39:43
I was 38.<\/p>\n\n\n\n
Bill 39:45
Yeah wow, I was 37.<\/p>\n\n\n\n
Antonio Iannella 39:47
Now I’m 47.<\/p>\n\n\n\n
Bill 39:49
Yeah, unreal.<\/p>\n\n\n\n
Antonio Iannella 39:51
And you?<\/p>\n\n\n\n
Bill 39:51
I was 37 man.<\/p>\n\n\n\n
Antonio Iannella 39:54
I heard that AVMs. Statistically are more prone to bleed between the ages of 30 and 40.<\/p>\n\n\n\n
Bill 40:05
Oh my Lord, I didn’t know that.<\/p>\n\n\n\n
Antonio Iannella 40:08
Yeah, that’s what I heard. Yeah, but statistics, what do they mean? You know, really? I know, you know, before I had an AVM, I didn’t know, the illness existed. And since I now know about four people, you’re one of them and a couple of others who are stroke survivors that are a part of a Facebook group. Who also had AVMs. And those two were in their late 20s when it happened to them.<\/p>\n\n\n\n
Bill 40:33
Doesn’t discriminate any age, man. So you’re a musician. What, did you play or were you a guitarist?<\/p>\n\n\n\n
Reinventing Yourself After Stroke<\/strong><\/p>\n\n\n\nAntonio Iannella 40:47
Yeah, I was a guitar player. It’s a bit of a long story, but the stroke affected the function of my left hand so I have limited use and guitar playing. It’s just not possible. So, what I did was a few years into my recovery, I bought myself an old piano and just began sort of playing and Tinkering about one-handed and I guess once you learn music, the notes and the hearing and understanding are all the same thing.<\/p>\n\n\n\n
Antonio Iannella 41:18
So transferring that information from one instrument to another isn’t so hard to do. For someone that’s been playing for a number of years. That’s why you hear those stories where you know, this musician plays, you know, 10 different instruments is because all the notes are the same.<\/p>\n\n\n\n
Antonio Iannella 41:32
So I just began playing one-handed piano and composing and writing and using my stroke experience to create music and then sort of just, you know, it’s crazy because I did my stroke gave me an opportunity to dive back into being a musician and composing and I didn’t, I wasn’t bogged down with, you know, the day to day life of having you know, a day job and all the stresses that come with it.<\/p>\n\n\n\n
Bill 41:58
So you’ve got more time to do stuff around music and you’ve turned that into actually a bit of a way to make some money, right?<\/p>\n\n\n\n
Antonio Iannella 42:07
Yeah, that’s right. I’ve so where I’m sitting right now is a small recording studio. So I’ve, I’ve turned that, you know, that simple idea of, you know, being a guitar player having a stroke and then transferring that musical understanding to a piano and then, you know, and it slowly began to evolve. I was writing songs and you know, I had a laptop and we recorded and then I bought more equipment and it just grew.<\/p>\n\n\n\n
Antonio Iannella 42:33
It took about two or three years and then I started and then I developed this small recording studio and I began advertising and producing music for other artists. Now I have a small portfolio of artists that I work with and they come in and record music and I produce for them and you know, and I do projects and poetry, record poetry, and whatever comes my way and that’s what I do myself these days.<\/p>\n\n\n\n
Bill 42:59
That sounds like It could be a lot of fun. So in the back, you’ve got some stuff stuck on the wall. That’s for making a good sound.<\/p>\n\n\n\n
Antonio Iannella 43:09
That’s just acoustic treatment, it’s just to manage the sound because where I’m sitting in the control room, not the recording room. And when I’m listening to what I’ve recorded, I need to be able to hear it and even balance, and having that material on the wall, minimizes world reflection.<\/p>\n\n\n\n
Antonio Iannella 43:31
So, therefore, what you hear is the true sound, and you’re able to manage it. Therefore, the end product is added right at the right balance because you’re not competing with reflecting sounds during the process. That makes sense. makes sense to me.<\/p>\n\n\n\n
Antonio Iannella 43:47
Now I actually understand what that means. So what I should have in the background here is a few egg cartons on the back of my wall as well. Yeah, yeah. I started with a Carlin’s in the laundry. That was my first vocal booth in the laundry with egg cartons on the wall. In that work, the idea is to diffuse the sound with softer edges. That makes sense.<\/p>\n\n\n\n
Antonio Iannella 44:12
So what could work is as well as like, you know, maybe placing the microphone in, in front of a wardrobe where there are clothes that are suspended. Yeah, I mean, so that when you’re speaking into the microphone, it diffuses the sound in the back of the microphone.<\/p>\n\n\n\n
Bill 44:29
That makes a lot of sense. It does to me now, because I’ve started to become interested in this. It makes sense, but I wouldn’t know what to do. And you know what? This is not about being the best kind of recording studio in my garage at my home. It’s just actually about having a reasonable quality for people listening.<\/p>\n\n\n\n
Bill 44:48
So it’s really interesting. Maybe we need to get together and I need to get some get you to advise me and help me set up my home studio mate.<\/p>\n\n\n\n
Antonio Iannella 44:57
Happy to help mate. As you said, it’s only to create podcasts. But just by doing some inexpensive little tweaks, you might get a little bit of clarity in the sound. Which is more pleasant for the listener to listen to.<\/p>\n\n\n\n
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