With One Hand Tied behind My Brain

Most would not expect a book about a stroke to be entertaining, but this memoir will force you to laugh through a tragedy, then cry, then laugh again. Avrel Seale was fifty, did not smoke or drink, had low blood pressure, and had hiked more than two hundred miles the year a stroke nearly ended his life. In an instant, he was teleported into the body of an old man—unbalanced, shaky, spastic, and half-paralyzed. Overnight, he was plunged into a world of brain surgeons, nurses, insurance case managers, and an abundance of therapists. Seale leads us through the harrowing day of his stroke and emergency brain surgery with minute-by-minute intensity. We then follow him through ICU, a rehab hospital, and a neuro-recovery group-living center, where we meet a memorable cast of other stroke survivors and also those recovering from auto accidents and gunshots. Finally home, Seale leads us through a new life of firsts, including returning to work, to driving, to playing guitar, to camping, and even to writing a book—all with one hand. What emerges from his humor (“elegant but devastating”) is a revealing critique of the hospital experience, the insurance industry, and rehab culture. And his nothing-off-the-table quest for recovery shows both the sobering struggles and inspiring possibilities of life after a stroke in twenty-first century America.

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