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2021; off to a fantastic start! Now Open

A very Happy New Year to everyone!  2020 was challenging for many people in many different ways, and it seems the majority of people were anxious for 2021 to begin.

Honestly, 2020 was the best year I’ve had in almost a decade!  My husband & I were able to sell our house, buy a bigger, newer home; we paid off our debt; we purchased a camper & went on some camping trips; we bought new furniture and donated our hand-me-downs; most excitingly I started Resurgence Neuro Rehab!  I was extremely thrilled when I received Medicare approval on 12/30/2020, weeks ahead of schedule.  This week I will be moving into my office space and checking in on my approval from other insurance companies.

 

2021 started off with a bang!

 

I AM READY & ABLE TO TAKE PATIENTS! 

Let me write about my services!

I provide online and/or in-office speech therapy services

to adults 18+

with specialization in neuro rehab.

 

What is neuro rehab, you ask? 

According to www.hopkinsmedicine.org, “Neurological rehabilitation (rehab) is a doctor-supervised program designed for people with diseases, injury, or disorders of the nervous system. Neurological rehab can often improve function, reduce symptoms, and improve the well-being of the patient.”

The website goes on to list conditions that may benefit from neurological rehab, including: “Vascular disorders, such as ischemic strokes (caused by blood clots), hemorrhagic strokes (caused by bleeding in the brain), subdural hematoma, and transient ischemic attacks (TIAs); Infections, such as meningitis, encephalitis, polio, and brain abscesses; Trauma, such as brain and spinal cord injury; Structural or neuromuscular disorders, such as Bell palsy, cervical spondylosis, carpal tunnel syndrome, brain or spinal cord tumors, peripheral neuropathy, muscular dystrophy, myasthenia gravis, and Guillain-Barré syndrome; Functional disorders, such as headache, seizure disorder, dizziness, and neuralgia; Degenerative disorders, such as Parkinson disease, multiple sclerosis, amyotrophic lateral sclerosis (ALS), Alzheimer disease, and Huntington chorea” 

That’s a LOT of information!  Long explanation, short; I have extensive experience providing therapy after  stroke, trauma, structural disorders (brain tumors), and degenerative disorders.

Why did I choose to specialize in neuro rehab?

For one, I just love adults, and that is the primary population of neuro rehab clients!  I spent a lot of time with my grandparents and my great Aunts & Uncles as a child.  I didn’t have any siblings, and most of my family was scattered across the country, so I didn’t have a ton of out-of-school exposure to younger people.  I also had a very protective father, so if I wasn’t with my grandparents, I was with my parents’ friends; many of whom I consider my own friends, today.  I grew up around older people, so I guess I find it easier to relate to them.  Helping them just makes my heart happy.

Secondly, the incidence and prevalence of neurogenic disease is increasing at an alarming rate!

Here are some statistics:

  • Traumatic Brain Injury is the leading cause of disability in people under 40 (WHO, 2006)
  • In 4 years, about 2 billion people will be over 60, (Widerhold et.al, 2013) who are at increased risk for developing neurological diseases.
  • Additionally, neurological disorders were the second leading cause of deaths in 2016 and the primary cause of disability-adjusted life-years. (GBD 2016 Neurology Collaborators)
  • 35.8% of people over 85 have a moderate or severe brain disorder. (Pal, 2018)
  • And, out of the 1.2 million people, diagnosed with a brain disorder each year, 51.3% is due to a stroke. (Pal, 2018) *side note*  Stroke is the leading cause of serious long-term disability!  (https://www.cdc.gov/stroke/facts.htm)

The need for healthcare workers who specialize in neurological rehabilitation is becoming urgent, and I want to be part of the solution.  Life is too short to not be living your best life.  I know I can help people who are unhappy with their quality of life as a result of a neurological disease.

People who suffer from neurologic disease typically have more than 1 symptom; it can be slurred speech (dysarthria), language deficits (aphasia), trouble swallowing (dysphagia), changes in attention, memory, thinking/problem solving (cognitive linguistics), and/or changes in their voice.

These symptoms, or disorders, require highly specialized therapists, who have received intensive education on the central nervous system, how to set patient specific goals, design a client-centered therapy plan, and initiate targeted therapeutic techniques to provide the maximum benefit for the patient.

So, what makes neuro rehab different from non-neuro rehab?

I think the World Health Organization (WHO) sums it up the best:

“The philosophy of rehabilitation emphasizes patient education and self-management and is well suited for a number of neurological conditions. The basis for successful neurorehabilitation is the in-depth understanding and sound measurement of functioning and the application of effective interventions, intervention programs, and services. A wide range of rehabilitation interventions, intervention programs and services has been shown to contribute effectively to the optimal functioning of people with neurological conditions. Effective neurorehabilitation is based on the involvement of expert and multidisciplinary assessment, realistic and goal-oriented programs, and evaluation of the impact on the patient’s rehabilitation achievements; evaluation using scientifically sound and clinically appropriate outcome measures should also incorporate the patient’s and the family’s perspectives. There are a number of complexities in the process of neurorehabilitation, as patients can present with diverse sequelae…”  (WHO, 2006)

It is because of the number of complexities, & their degree of severity that accompany neurologic disease, that you truly NEED a person with vast knowledge and experience.

When you have trouble swallowing, food/drinks go to your lungs and you get pneumonia = longer hospital stay/possibility of death = more cost + altered diet/PEG tube = more cost, and a poor quality of life.

When you can’t say what you want to say, you can’t advocate for your own needs = people trying to guess what you need = increased cost OR increased frustration + depression + social isolation = cognitive decline + increased cost = poor quality of life.

When you can’t be understood = increased frustration + social isolation + depression = cognitive decline & poor quality of life

When you can’t think, you stop participating in activities… and conversations… = social isolation, depression, cognitive decline & poor quality of life.

Who wants that?!

Not a single person I’ve ever known or worked with.

We take for granted the things we do automatically, like walk, eat, and talk.  It isn’t until something stops working that we recognize the impact of it.  Because some actions are so automatic, they repeat the same pathway; we don’t ever really “think” about putting one foot in front of the other to walk, or holding our breath when we swallow, or closing our vocal folds so we can make a voice- it just happens.

The impact of the secondary disorders from neurologic disease hit harder than most people realize. People do not understand the devastating repercussions that come from these; until they experience it themselves.

There are people that can help you.  There are people who can take the time to help your family/friends/co-workers understand.  You do not have to suck it up and deal with it.

So, why do people with neurological impairment need Michelle Hill SLP?

I have 10 years of experience in treating neurological disorders and their secondary disabilities related to speech, language, swallowing, voice, and cognition.  I am fascinated by the central nervous system.  I am passionate about sharing my knowledge with people who want to hear it.  I have high standards for providing the most current, research supported evaluations and treatment techniques.  And, again, I love helping adults.

I have been given a special gift; I have been put in this universe to be a helper, who happens to love the brain.  I am here to decrease disability in order to improve the quality of life.  I am here to decrease caregiver burden.  I am here to decrease medical cost that goes with having a neurological disease.  I am here to promote health & well-being for the adult population.  I am here to help you!

To receive therapy from Michelle Hill at Resurgence Neuro Rehab, call 704-264-0528, email: Michelle@resurgenceneurorehab.com, have your doctor fax a referral to: 980-326-3385.

I can’t wait to meet you!

Cheers!

Michelle

 

 

References:

GBD 2016 Neurology Collaborators (2019). Global, regional, and national burden of neurological disorders, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet. Neurology18(5), 459–480. https://doi.org/10.1016/S1474-4422(18)30499-X

Pal, Somnath. (2018)  Incidence and Prevalence of Major Neurologic Disorders.  US Pharm; 43(1):24.  https://www.uspharmacist.com/article/incidence-and-prevalence-of-major-neurologic-disorders

https://www.cdc.gov/stroke/facts.htm

World Health Organization (2016) Neurological disorders: public health challenges.  https://www.who.int/mental_health/neurology/neurological_disorders_report_web.pdf?ua=1

https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/neurological-rehabilitation