Hi Paul,
Thank you for reaching out to us from EnableMe. It sounds like your fatigue is really debilitating, making it hard for you to function in your day to day life. It must be hard feeling like you’re not able to help your wife. It might help to show your wife some of these resources to help her understand that fatigue is a real challenge for people after stroke. If you need further support around this please let us know.
Unfortunately fatigue is common after stroke and it can go on for months and in some cases, years after stroke. We still don’t know enough about why fatigue persists for some stroke survivors, why some people have mild fatigue and others it is severe. There is no quick fix or cure that has been found yet to treat it, despite more research being done in this area. We do know that exercise helps as well as strategies to manage it. You might have heard of the saying “use it or lose it.” Sleeping or lying down all day will lead to deconditioned muscles and weakness, so it’s finding the right balance of activity and rest to manage your fatigue.
Here are some good resources to check out:
I would suggest talking with your GP and getting them to review your sleep, nutrition, blood tests, mood and medication. This will rule out other possible causes for the fatigue besides the stroke. If there are other underlying issues, than your doctor can address these.
Whilst at your GP, you could get a referral to an Occupational Therapist (OT) and physiotherapist or exercise physiologist to help manage your fatigue and build your endurance. You could ask your GP for a Chronic Disease Management plan to subsidise the cost of 5 sessions of OT or physiotherapy a year.
The OT will be able to support you with energy conservation or fatigue management strategies. They may suggest things like breaking one large task into several smaller tasks. Although walking 30m to the shed may not sound significant, it may feel like a mountain for you to climb. Perhaps focus on getting up for regular 10m chunks with the aim to build to 30m to the shed as your goal. An OT may also get you to do tasks in a way to save energy. For example sitting down on a shower chair to shower or getting dressed seated on the edge of a bed instead of in standing.
You may also be interested in this research trial about a wakefulness drug for debilitating fatigue post stroke.
If you would like to have a chat at any stage please call StrokeLine 1800 787 653 (Mon – Friday 9am -5pm AEDST).
Warm regards,
Kath (StrokeLine)
Paul, I'm in the same situation as you. I had a haemorrhagic stroke 3 weeks after open heart surgery. The heart is now working fine, but fatigue is a constant battle and I live (and work) on a 120ha property. When I came out of hospital, walking 200m was my limit (and slowly with 2 trekking poles as well). Nearly one year on and I don't need the poles any more and my strength and endurance has improved markedly, but still nowhere near what it was when I went into hospital. It's a frustratingly slow process I admit, but I tend to try and get exercise every day and push to my limits regularly, without going overboard. It seems to be working for me, but it will take a long time to get back to what I regard as normal strength. I'm managing to do some work around the property now, but my wife and I will have to change the way we do things in the long run as my stroke caused vision problems, which will be permanent.
Hint: if you have a super fund, check if you can claim on your insurance policy with them (usually called death and disability). I was successful with mine and the funds are very useful for paying contractors to do the work I would have previously done. Not as much fun, but it takes a worry off my mind and workload off the wife and kids.
Hi Paul, (and Colin...) nearly 4 years for me, my Wife has finally convinced me, "Ant bites" a little at a time... If you overdo it (as I have many times) you suffer, you believe you can mow the other half the yard, or just do that one extra anything and it sometimes costs you 2 days... It has taken at least 3 years for me to (most times) stop while I still feel OK, there's time to do the next "Ant Bite" tomorrow. Or later in the day, but take a break before or when you need it.
Case in point,, It's taken me nearly 12 months to build a lean-to beside my shed, admittedly, I had to wait for some things to happen like removing trees .etc but I was a handyman before stroke so I would have risked life and limb and removed the trees myself... So, back to the lean-to, It's nearly done, my Wife and I put up 1 roof sheet over Christmas (2020) and then it rained for over a week, my Wife went back to work and the first sunny day I'm back out there and I put up sheet 2, Great! Next one will be easier, I shifted the trestles and plank and got the sheet up there but before I got it in place, I stepped off the edge of the plank and fell 2.1M. So now I'm here relating my story to you and will be here for the next week.
Paul, Colin- ANT BITES. I have overdone it so many times, gone to bed and literally shaking with exhaustion, and yet I thought I was feeling OK I was already tired when I stepped off that plank, I should have been pleased with 1 sheet and called it a day. ANT BITES. It's frustrating I know. I feel at times that I'm not carrying my weight and in fact I'm not but while I'm sitting here I'm carrying far less.
You've both had a stroke, IF you heal, it will take time, it will take effort, it will take patience, but take it easy on yourself, do only what you can comfortably do, I'm talking to myself here as well, pre stroke I was strong, capable, now I've just got to do what I can do and then stop, sometimes I need to lay down and at times sleep, but at other times just change what I'm doing is enough to call it "rest".
Best for the future Paul, and remember,, Ant Bites
Hi Paul, I survived my Stroke (March 2018). I too suffer from fatigue or I call it brain fog. I thought I could beat the fatigue by being busy, how wrong was I. So my life changed, 3 tasks a day and an occasional nap in the arvo. I still suffer from fatigue but I’ve learned not to get frustrated as I believe the fatigue will be my constant companion, so please only do what you feel you can achieve on a daily basis and remind yourself you survived 😁
Glenys McLaughlin
I had my third stroke in 2017. Fatigue is an ongoing issue that needs to be managed with self-compassion. I struggled until I accepted that I can no longer do what I used to, and I developed an energy budget that outlined where I’m going to spend my energy in any given day and week. (Like a financial budget, only for your energy instead of money.) The energy budget helps be to avoid continually ‘overdoing it’ - which I did for the first few months - and helps me to be mindful about my life choices. I have limited energy and I need to ‘spend‘ it wisely.
Cheryl Whitlock
Hi Paul...I had a stroke and brain haemorrhage 6 months ago...the fatigued at first was chronic but it is slightly better now. You won’t be able to do the things you once did probably for quite a while, maybe never again but on the other hand many people recover very well. It is a whole new world after a stroke and there’s nothing else to do but just ride it as best you can. Don’t overdo it...don’t push yourself....you absolutely must rest to heal your brain and it might take a long time. We are on property too with animals, farm crops and a nursery ....the work never stops but I choose my health over everything now...there’s no point making yourself get sick. I believe after a stroke you are never the same person again. Good luck with it all 🙂
Sue Buxton
Nearly 6 years since my stroke, mental fatigue still a problem, better than at the start but very frustrating. My speech and memory are affected with my fatigue. Everyone is different, you shouldn’t compare yourself with others and likewise others should not compare/judge you . You are you and no one else. Good luck with your recovery
Cassandra Watson
My Dad is called Paul too, he had a massive Stroke in 2015 & still suffers major fatigue, however he's learnt to live with it & be ok with now having naps in the day & allowing a break or rest if he knows he has something coming up. He also and us as his family, have learnt to schedule things in the morning/lunch so the arvo's are free for him to nap without feeling like he's missing out. It's a struggle but just keep yourself surrounded by support & loved ones and it'll make the journey easier
Karen Bayly
I think fatigue is as individual as other impacts of stroke, depending on area of damage and severity. For many of us fatigue is very long lasting, but for most things improve over time as we find strategies to rest more and prioritise available energy to thins that matter most to us. In time many stroke survivors can do the things we want to do the most, but we can't do everything at once, and learn to live with the knock on crash impact.
Rishana Smith
Mate, fatigue will be ongoing issue, my hubby post stroke nearly 13yrs still suffers with it. Do as much physio n ot you can do, even do exercises at home, i had hubby at the hydro pool twice a day n all the exercises i could get him to do. He went back to work in the mines as a diesel fitter n the boys really looked after him, until Aug 1 2017 when he started having stroke related seizures and still continues to have them, he has now been forced out of work n is now unable to do so anymore. Just listen to your body, if you are tired, go rest, do not overdo it as it will hurt you later on. Always listen to what your body needs, everyone is different, so take the advice given, but ultimately make your own decision that works for you. Goid luck mate, always here for a chat x💚
Rachael Louise Davis
Firstly, the entire stroke community is with you Paul! Your brain and body has gone through a traumatic time and will heal at its own pace. I am just over 3 years post stroke and fatigue is still my number 1 challenge. Some days I have endless energy, then other days I can barely stay awake past 9am and wonder how ill get through the day - I notice these days my memory/cognitive processing is worse when I’m battling fatigue. Just take your time, take small steps and try to rest as often as you need and go at your own pace! We are all with you Paul! 😉
Jayne Lewis
Hi Paul, my husband had a massive stroke in 2015. The first 12months were the worst, he slept more than he was awake. Each year has gotten better. Now he never sleeps during the day and can be out and about all day going places and doing things. It is hard to feel reassured at the start but people told us time does help and it really has been true in our case. Be kind to yourself xx
Gordon Albrecht
With me I had my 1st CVA at 3 years old, and severall major CVA's and many minor CVA's since my short term memory is practically gone, and it is what I call " goldfish syndrome ", I become distracted easily, what my brother/carer calls my "Oh look, bright shiny things". But in all seriousness, do as much as you can, do not overdo it, and if you do not finish the jobs you have set out to do today, their is always tomorrow.
Joanna Rose
Hi Paul, I'm five years post stroke and still battle fatigue daily. I have learnt over time to rest as I need too and also to try and spread appointments or activities out as best you can. I find sometimes I need a complete days rest if it's been a busy period. I'm still trying not to feel guilty when I just can't do anything but you know you have to listen to your body. Take good care and be kind to yourself. All the best
Alison Hurding
One year in ...fatigue ( and light headedness) lessening but still an issue - find that if time allows make yourself have a 'power nap' a minimum of once a day even if you don't feel tired .. learnt from experience this helps....try and break down things into much smaller goals and take achievable small steps -lot less stressful 🙂
Lastly I personally find if something is new and complex ( movement or mentally) dont have distracting music etc etc initially ( found this out in early rehab - brain far less stressed/ tired with less input to cope with )
Hi Paul
I totally understand, we live on 300 acres and have four other farms. I can do probably only 30% of what I used to do, that may be generous. We had to change a lot of what we did as I was no longer able to do it not to mention the risks now, I am slow, I am not strong, I can't think/react quickly, I can't work physical for very long. You know like sorting cattle in the yards is now scary for me and I can't lift a bale of hay, I can't enter big equipment on the right side, lucky the tractors are left, which took me a year to get back in. I am lucky my husband and kids are really understanding and supportive, when I struggle they step in and help or send me back to the house as soon as my speech goes (I sound like I am rotten drunk). I am not able to return to my off farm work either for same reasons plus no-one would employ me, I wouldn't employ me either !! haha We pay a lady to look after the cleaning/maintenance of the house as I could do some of it but I wouldn't be able to do anything else at all. I do all the office work for the farm which I seem to do okay with and things outside as well, physical stuff really fatigues me personally, like last night a cleaned out the cab of the tractor properly took me a couple of hours, then couldn't cook dinner, couldn't stop yawing, sounded like I was rotten drunk, showered went to bed and this morning my I still sound like I am drunk, feel okay doing office work, will not go outside this arvo in order to cook dinner tonight, might come good by Sunday. Yes this is the daily treadmill. My accident and stroke was December 2017. I have come a long way though with the fatigue everyone tells me how much better I am. Hard to see it yourself sometimes but I can. I can relate to everyone's experience on here, it is like reading my own. You just have to learn the pace yourself thing they teach you at rehab, it really is true. It is about forward planning and listening to the sometimes subtle queues our bodies give us. It is also sometimes about just choosing whatever it is activity you want to do and copping the consequences, I do both all the time ! But I understand about feeling like a burden to your family, I have battled with these feelings a lot, especially in the first 2 years post stroke, this past year I must say I am being kinder on myself or maybe I feel like I am being more helpful or pulling my weight, not sure, but it is better, plus my family always say to me that I am not a burden and that I do heaps and they are just glad I am alive, which is lovely and I am sure your wife feels exactly the same. It may be that you may have to change the way you have run your farm in the past to make it more manageable for you both, as we have had to do also. Keep smiling, keep trying and don't be too hard on yourself Paul, life is too short. I spent 3 weeks not being able to wake up (coma) and now every morning when my husband and I wakeup I look at him and smile and he says, "there you go, you woke up again" and I say "yeah, I did it" and we smile and get on with the day, but it is the simple things isn't sometimes that you just start appreciating. Your fatigue may improve as will your stamina but if it doesn't then I guess you just have to make further adjustments. I have tried every supplement out there for long periods, honestly didn't really notice a difference at all as every well meaning person and alternate medicine professional say oh I know something that may help, so you try it to no avail, but you can only try, for me I have had no luck and given my complex health I am probably outside the scope of the product being honest. Hope it improves for you Paul, but remember you are no orphan on this front so don't stop reaching out to have a chat.
https://arthritiscare.com.au/sjogrens-syndrome/
I am not how many people have Sjogren, but so many women are already having Sjogren.And yes so many people have alreday got fatigued, because of it.
Here is a copy, "Sjögren’s syndrome is an autoimmune condition. The normal role of your body’s immune system is to fight off infections and diseases to keep you healthy. In an autoimmune disease like Sjögren’s syndrome, your immune system starts attacking your own healthy tissues. This results in abnormal dryness of the mouth, eyes and/or other tissues. Around half the people who have Sjogren’s syndrome also have some form of arthritis (conditions affecting the joints, such as lupus and rheumatoid arthritis). This is known as secondary Sjögren’s syndrome. Primary Sjögren’s syndrome occurs in people who do not have one of these forms of arthritis."
MY first time commenting on any forum.....
My husband of 30 years had a stroke 18months ago caused by surgery to fix his heart (Afib).... His heart now beats beautifully - and is bitter sweet as our life has now been turned upside down. His language was 'bombed' and now suffers from Aphasia, Dysphasia, and so many others - language was his life.... and so this is a constant struggle for us.
He can barely read anything more than a headline and this is a man who spent his days talking and researching/reading on the internet... Problem solving is basically non existent... and sometimes I will ask him to help me with a task... but it usually ends up in tears from him or me or both.....
He tells me daily that he hates his life and would rather be dead.... he has been on and off different antidepressants but living in a country town we have limited specialists (especially with all this Covid lockdowns in Victoria didn't help)
We have sold things (cars, bikes) to pay for all the speech therapy - (thank the goddess I had things to sell otherwise he would not have had any chance of speech)
I have tried to empower him to help with tasks (and problem solve - small things) ) but as this is so stressful, I now just pay people to come and help to save the drama...this is also stressful as he feels so useless...
His fatigue is relentless.... and he has really spent the better part of the past 18 months in bed or on the couch. The couch has body prints in it from all the relentless hours he has spent lying there... He says to me that he just wants to wake up feeling good again.... I read recently about accepting that you have a disability so you can find a way to work with that - but to him this is not an option... He wants to be like he was before.
I am SO tired..... SO tired of researching and trying to find the answers.... SO tired of trying to make sense of all of this.... SO tired of doing this on my own. SO tired of talking about our situation.. SO tired of making all the decisions on my own.... SO tired of feeling like I should be doing more....SO tired.....
Andrea, sounds like you are in a tough place. Have you considered getting counselling for yourself as well as your husband?
Two possible hints to help the financial side. Does your husband have a superannuation fund with associated insurance? If so. contact the fund and ask about making a claim. Also, your husband may be eligible for the NDIS. There are numerous advocacy groups around which can help with the application. There's one in the Grampians region (https://grampiansadvocacy.org.au/) which covers most of Western Vic and I'm sure there are others. Let me or the Strokeline know if you want any research done on your behalf as I have time and ability to do that now, but physically limited for much else.
Hi Andrea,
I am so thankful that you have posted here, it is an important first step.
Can you please call the StrokeLine team to discuss? The number is 1800 787 653.
Or message me your best contact details by clicking on my profile pic.
Diana
Hi Andrea,
Well done on posting here, it can be really difficult taking that first step. The EnableMe community is here for you and your husband. It sounds like you’re both doing it really tough.
Please give us a call on StrokeLine 1800 787 653 (Mon-Fri 9am-5pm AEST) or message us your best phone number and we can call you at a convenient time. We have a team of health professionals who can help. We can chat to you about fatigue, aphasia, low cost or funded therapy options. If your husband is under 65 he may be eligible for the National Disability Insurance Scheme (NDIS) and other insurance through his superannuation, as Colin has mentioned.
We can chat to you about online or in person communication/aphasia groups, as well as carer support options and research options that your husband might be suitable to participate in like this study on sleep and fatigue.
There are some great suggestions in this thread that I hope will help and bring you comfort knowing that you’re not alone.
Please do reach out when you're ready, you're doing a great job trying to manage it all.
Best wishes,
Simone – StrokeLine
Hi Andrea
Hearing your husband’s troubles makes me feel that I am whinging too much. I know exactly what you mean about leaving an impression on the couch, our couch in the cosy carport looks the same. Many hours have been spent on it, each day, I think (and look for) an improvement, Can I do a few jobs around the garden instead of watching my wife do it all, I feel guilty yelling at her (stop doing that I will try later! But later does not give me the energy). Our garden is now 40 years in the making from rough bush to a leading garden in the district. Yes I pay a young fit able guy to help with jobs around the place maybe only one day a week but it is very frustrating knowing that not long ago “I could do all those things each and every day. Be careful, when you say you are so tired, you are now the backbone of the family (if you are like us) so try and keep your strength up, it’s vital. Selling of the farm is not a good idea, make sure you are getting all the financial assistance that you are entitled too. My wife only just found out from a friend that she was entitled to an extra payment every pension day, sure helps. Talk about it there are lots of people here that understand what you and your husband are going through.
Hi there,(a license update. I have reached to stage of getting a new OT driving assessor. They are very hard to find but I have appointment for an off road assessment next week, if I pass then I line up for an on road test. I sure hope I pass as this whole exercise is costing BIG dollars. I am up in the thousands now, I was taking the Governments licencing board to court but my Solicitor managed to get the appearance cancelled due to mistakes on their part. So now I have another chance, hope I pass this time or I will go nuts. Still my poor wife is doing all the “heavy lifting” around the house it is totally unfair on her as she has an OBE (Over bloody Eighty) and deserves her help from me.
I bought her a brand new Toyota Corolla Hybrid when I got out of hospital, and a Kia Sportage for me (stupid anticipation) and to date I have not driven either of them. I lie…. I drove down to my letterbox at the gate the other week
I am still trying to get my firearms license and gun back but they keep telling me to “get a full faculty report from a different doctor. I have had two reports from leading doctors but they keep asking for more. They are never happy. But I won’t let them grind me down..
So life goes on… Bored (I have been locked up in home Detention for a year) even covid doesn’t do that to you, I don’t know about you but everything seems to be against me. Even the Toyota had to go to the body shop a few weeks ago after the wife rubbed it up against a tree in Woollies car park. It is amazing how little damage $12000 can be. No blame held to her poor woman…Poo happens!!!