sailing after stroke

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Carry on cruising Sailing after a stroke

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Page 1: Sailing after stroke

Carry on cruising

Sailing after a stroke

Page 2: Sailing after stroke

Carry on Cruising, 1962

“Now then. I am going to be very blunt and make some cutting remarks.”

Page 3: Sailing after stroke

“Now then. I am going to be very blunt and make some cutting remarks.”

• Our experience– Before Sam’s stroke– After Sam’s stroke– What we can do

• Keep on cruising– Do you need to give up?

• Stay healthy– Stroke is more likely than you think

Page 4: Sailing after stroke

OUR EXPERIENCE

Page 5: Sailing after stroke

Sailing as a family

• When Sam & I moved in together in 1986, the first thing we bought was a cafetiere…

• ...and the second thing we bought was a Miracle dinghy

Page 6: Sailing after stroke

• Several flotilla holidays & charters

• A Peanut• A Topper• A Winkle Brig• A Sadler 29, Magewind• And in 2005 our current

boat, a Westerly Storm – Kalessin of Orwell

Over the years we’ve added…

Page 7: Sailing after stroke

And we have sailed…

River Medway

The Broads

BelgiumNetherlands

France

Spain

PortugalBalearics

Baltic Germany

Denmark

Holidays in Greece & Turkey

French canals

East Coast

Page 8: Sailing after stroke

In May 2012…

• Kalessin was in a shed in Augustenborg, Denmark

• Camilla was working in London

• Sam was due to go out for the start of the season but was diagnosed with atrial fibrillation…

• ...and three days later he suffered a massive stroke

Page 9: Sailing after stroke

Here he is a few days after the stroke

Page 10: Sailing after stroke

When Sam came home

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Getting back to sailing

• October 2012 – we managed one sail at the very end of the season, with thanks to the Nancy Oldfield trust

Page 12: Sailing after stroke

But what about Kalessin?

• Sell her and take up Broads boating

• Keep her but leave Sam at home

• Carry on cruising… even when it’s hard work– We decided to give it a

try

Page 13: Sailing after stroke

Looking for help

Page 14: Sailing after stroke

Thank you Rob

Page 15: Sailing after stroke

This is the method we evolved

• Sam wears a lifejacket and a climbing harness. The main halyard is attached to the harness

Page 16: Sailing after stroke

How we do it

• Step 1. Sam uses his wheelchair to get down the jetty (dependent on tides). The halyard is attached to the climbing harness and he walks down the finger pontoon

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How we do it

• Step 2. We drop the guardrails and Sam sits on the side-deck. I swing his legs aft so that he is half-lying down and start winching

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How we do it

• Step 3. Once he is lifted enough to clear the gunwale I swing him inboard. The cockpit tent was designed to zip back so we can do this

Page 19: Sailing after stroke

How we do it

• Step 4. I manoeuvre him over the cockpit seat, and lower him gently on to a cushion.

• Time for a G&T

Page 20: Sailing after stroke

Getting over the bow is trickier

• We use the main halyard to get Sam as far as the mast, then change to the spinnaker halyard

Page 21: Sailing after stroke

Getting over the bow is trickier

• There is a loop in the spinnaker halyard with a rope attached to it. We need at least one additional crew member to haul this rope which is attached either to a cleat…

• …or to a passer-by

Page 22: Sailing after stroke

What Sam can do on board

• Get around in the cockpit• Get around below (unless it’s very rough)• Get in and out of the heads• Wash up • Sleep in the forepeak – with a bit of help• Relax & enjoy sailing• Tell us when we’re doing

something wrong

Page 23: Sailing after stroke

What Sam can’t do on board

• Helm for extended periods• Navigation• Engine or other repairs• Foredeck work• Jump off to attach mooring lines• Get on or off a dinghy… as far as we know• Feel independent

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And that means….

• Frustration• 44% of stroke

survivors break up with their partner or consider doing so

Page 25: Sailing after stroke

What this means for me• I’m ok with navigation, sailing,

helming, mooring & domestics• YM Offshore to boost confidence• I have learned more about the

engine and other systems (especially the loo) – RYA marine diesel, plumbing & electrics courses

• Frustrating lack of physical strength

• Making life easier & outsourcing work

Page 26: Sailing after stroke

Where can we get to?

Denmark & Germany, 2013

Up the Thames, 2014Belgium & Dutch

Delta, 2015

Southern Brittany, 2016

Page 27: Sailing after stroke

Also…

Canaries to Madeira, 2016

Page 28: Sailing after stroke

KEEP ON CRUISING

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Keeping on cruising

• Any degree of disability may be enough for people to give up sailing – often with regret

• CA membership drops off sharply after the age of 75

• Sometimes one partner is ready to give up and the other one is not

• Many people sail into their 80s and beyond

Joan Heywood was 98 when this picture was taken

Page 30: Sailing after stroke

Keeping on cruising: some options

• Take on extra crew• Cruises in company• Adapt your boat & home berth• Moderate your sailing ambitions• Ask for help• Charter more accessible boats• Change to a boat that’s easier to manage• Sail with a charity

Page 31: Sailing after stroke

• Take on extra crew– Ask family and friends– Use the CA crewing

service– Use fitter friends or a

yacht delivery service to get the boat to a cruising ground

– Make sure you will get on, and agree the ground rules

Keeping on cruising: some options

Page 32: Sailing after stroke

Keeping on cruising: some options

• Cruises in company– Someone else

does a lot of the planning and booking

– There are always others around to help

Page 33: Sailing after stroke

Keeping on cruising: some options

• Moderate your sailing ambitions– Is now the right time to tackle the Northwest

Passage?• Stay closer to home

– Coastal rather than open sea– Inland rather than coastal

• Stay in Europe

• Ask for help– Phone ahead to book a berth

Page 34: Sailing after stroke

• Consider an area with modest tides, or none

• Plan ahead!

• Ask for help– Phone ahead to

book a berth

Keeping on cruising: some options

Page 35: Sailing after stroke

Keeping on cruising: a better boat?

• Charter before buying if you can• Act now, not when you can no longer

manage your existing boat• Sadly, almost no boats are designed to be

accessible • Motor may be better than sail

Page 36: Sailing after stroke

Keeping on cruising: a better boat?

Page 37: Sailing after stroke

STAY HEALTHY

Page 38: Sailing after stroke

Stroke: the facts• In the UK, on average, someone suffers a stroke every

three and a half minutes. Worldwide, it’s every two seconds

• There are 1.2 million stroke survivors in the UK• Stroke is one of the largest causes of complex disability

in the world – half of all stroke survivors have a disability• More than a third of stroke survivors in the UK are

dependent on others• By the age of 75, 1 in 5 women and 1 in 6 men will have

had a stroke

• 80% of strokes are preventable

Page 39: Sailing after stroke

Risk Factors

Obesity

Family history orethnicity

Previous stroke & TIA

Age

Binge drinking & substance misuse

Inactivity Heart

disease & AF

High blood pressureHormonal contraception & HRT

Smoking

High cholesterol

Diabetes

Page 40: Sailing after stroke

Act FAST

Other symptoms include:•Sudden weakness or numbness on one side of the body•Sudden confusion•Sudden dizziness or unsteadiness •Sudden visual problem•Severe headache

Page 41: Sailing after stroke