I Love My New Boss

Survivor Pamela Obermeyer with husband Bert

As I approach the eighth anniversary of being in private practice, I think about how it all came about and how if I hadn’t had a massive hemorrhagic stroke, I might not have been so bold as to open my own business.

In January 2000, I arrived at the ER of Scottsdale Memorial Hospital with a ruptured disc bulging in my back. The pain was unbearable. My doctor admitted me and then left town for the four-day Martin Luther King Jr. holiday weekend. He arranged for his partner to monitor my treatment until his return. They treated my back with steroid shots, pain medication and bed rest. On Tuesday, the day my doctor returned, a nurse found me comatose. An artery had ruptured in my brain, likely because my blood pressure had risen to 200/100. The neurosurgeon performed a craniotomy to remove the massive blood clot that had formed after three days of bleeding in my brain.

"She may never walk or talk or function as she did before," the neurosurgeon told my husband Bert immediately after surgery.

Granted, I was in bad shape. After two weeks in intensive care I was totally paralyzed on my left side. I had left neglect, aphasia and visual field cuts in the left of both eyes. I was in the hospital and acute rehab for seven weeks with two more months of outpatient rehab. That was long enough to get a glimpse of what the rest of my life might look like. As a result I was determined not to be overwhelmed by my challenges.

In rehab I learned to walk and talk again, regained some of my vision and the ability to read. That was the painless part of my journey. The painful and challenging part lay ahead.

Five years earlier, at age 47, I had graduated with a master’s degree in social work. That accomplishment took 12 years because I was also raising three children at the time. That summer our 20-year-old daughter gave birth to our first granddaughter, Baylee.

With my social work degree, I was employed as a school counselor during the day and worked nights at a domestic violence shelter. In between I helped with the baby. It was a challenge to do that and keep up with Krista and Todd, our other two children, who were 15 and 10. Then the stress of being a single mom became so overwhelming for our daughter that she turned to drugs and left home. Bert and I took over raising the baby full time.

When I had my stroke Baylee was 4. Raising a 4-year-old at age 51 is not easy, but I assure you recovering from a stroke makes it harder.

Even though I was cognitively challenged, had shortterm memory problems and impaired vision, I was determined to return to work as a school counselor. I planned to do so at the beginning of August, just six months after my stroke. With my principal’s permission, I enrolled Baylee in the preschool program at my school so I could take her with me. Krista gladly helped out with the driving and child care. She practically raised Baylee.

I returned to work much too soon. My cognitive and processing skills were not strong enough. I knew what was needed, but I just couldn’t do it. I felt like I was climbing a mountain and each time I got a little farther up the mountain, it would cave in on top of me and I had to start over.

Then I began having seizures and was sent to the stroke center at Barrows Neurological Institute to get them under control. I went on disability. I made good progress in outpatient rehabilitation at Barrows. As long as I took medication, my seizures were controlled.

The hardest thing for me was losing my driver’s license because of the visual field cut. I hated having to depend on others to take me everywhere I went, and I couldn’t use public transportation. I worked at two counseling agencies, but the paperwork was too much. That’s when I realized I had to create my own workplace, that way I could make it fit my situation. If I couldn’t go to my clients, they would have to come to me.

With the support of Bert and Todd, I opened my own business with $500 and three clients in September 2007. I filed the paperwork, rented an office and contracted with two insurance companies. That was eight years ago, and now I have a successful private practice as a Licensed Clinical Social Worker. I work three days a week. Retired now, Bert drives me to the office and keeps the books. I hire someone to do the insurance billing. My life experience as a stroke survivor and middle-age parent has made me a better therapist. It has been almost 16 years since my stroke, and I would say I am 90 percent healed, except for my vision and my balance. I have a very supportive family that has helped me along the way.

What I have learned is that most people need education to understand that folks can recover from a stroke with the proper acute care, follow up, rehabilitation, family support and determination. I encourage stroke family members not to worry about what your survivors can’t do. Instead, encourage them to do as much as they can and celebrate that!

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Stroke Rehabilitation

Making the Best Decisions at Discharge After Stroke

The type of rehabilitation and support systems a survivor receives at discharge can strongly influence health outcomes and recovery. In this, the first part of a two-part series on stroke rehab, we offer guidance for the decision-making process required when it’s time to leave the hospital.

What to Expect from Outpatient Rehab

After stroke, about two-thirds of survivors receive some type of rehabilitation. Outpatient therapy may consist of Several types of therapy. Whether a patient is referred to inpatient or outpatient therapy depends on the level of medical care required.

What to Expect in Stroke Rehab

Following a stroke, about two-thirds of survivors receive some type rehabilitation. In this second of our two-part series, we want to alleviate some of the mystery, fear and anxiety around the inpatient rehab part of the stroke recovery journey.
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AHA-ASA Resources

The Support Network

When faced with challenges recovering from heart disease or stroke, it’s important to have emotional support. That is why we created a network to connect patients and loved ones with others during their journey.

Caregiver Guide to Stroke

The Caregiver Guide to Stroke is meant to help caregivers better navigate the recovery process and the financial and social implications of a stroke.

Stroke Support Group Finder

To find a group near you, simply enter your ZIP code and a mile radius. If your initial search does not pull up any groups, try

Tips for Daily Living Library

This volunteer-powered library gathers tips and ideas from stroke survivors, caregivers and healthcare professionals all over the country who’ve created or discovered adaptive and often innovative ways to get things done!

Stroke Family Warmline

The Warmline connects stroke survivors and their families with an ASA team member who can provide support, helpful information or just a listening ear.

Let's Talk About Stroke Patient Information Sheets

Let's Talk About Stroke is a series of downloadable patient information sheets, created by the American Stroke Association, that presents information in a question-and-answer format that's brief, easy to follow and easy to read.

Request Free Stroke Information Packets

Fill out this online form to request free information about a variety of post-stroke topics.
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Stroke & Parts of the Brain

When Stroke Affects the Occipital Lobe

Our occipital lobe, the smallest of the four lobes of the cerebral cortex, controls how we visually interpret our world.

When Stroke Affects the Cerebellum

The cerebellum contains 80 percent of our neurons. Its job seems to be to make things better. We talked with neuroscientist Jeremy Schmahmann about how stroke affects the “little brain.”

When Stroke Affects the Parietal Lobe

The parietal lobe helps us make sense of sensory information, like where our bodies and body parts are in space, our sense of touch, and the part of our vision that deals with the location of objects.

When Stroke Affects the Frontal Lobe

Of the four lobes that make up the cerebral cortex, the frontal lobe is the largest. It plays a huge role in many of the functions that make us human — memory, language, movement, judgment, abstract thinking.

When Stroke Affects the Temporal Lobe

The temporal lobe has several functions, mainly involved with memory, perception and language.

When Stroke Affects the Brain Stem

The brain stem serves as a bridge in the nervous system. It sits at the top of the spinal column in the center of the brain. When a stroke happens there, it can cause a few different deficits and, in the most severe cases, can lead to locked-in syndrome.

When Stroke Affects the Thalamus

The thalamus can be thought of as a "relay station," receiving signals from the brain’s outer regions (cerebral cortex), interpreting them, then sending them to other areas of the brain to complete their job.
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Stroke Notes

Stroke-related news you can use about new scientific findings, public policy, programs and resources.

Readers Room

Articles, poems and art submitted by stroke survivors and their loved ones.

Life Is Why

Everyone has a reason to live a longer, healthier life. These stroke survivors, caregivers and others share their 'whys'. We'd love for you to share yours, too!

Everyday Survival

Practical tips and advice for day-to day living after stroke.

Life At The Curb

A unique perspective on survival by comedian and stroke survivor John Kawie.

Simple Cooking

Cooking at home can be a daunting task, but a rewarding one for your diet and lifestyle (and your wallet). Making small changes in your diet is important to your heart health. Here are simple, healthy and affordable recipes and cooking tips.

Helping Others Understand

Stroke affects people differently and many of the effects of stroke can be complicated. Helping friends and family understand how a stroke is affecting a survivor can help everyone involved.

Support Showcase

Our new department highlighting the good work being done by stroke support groups from around the nation. If you are part of a successful support group we should consider featuring, let us know!