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Episode Info: People with stroke, Parkinson Disease and its “cousins”, Huntington Disease, traumatic brain injury and even disorders like Alzheimer Disease can cause trouble with using tools well; with mobility in the arms and legs for dressing, standing, walking, and other basic tasks; and with functional vision for navigating in the home, neighborhood or in new environments. More challenging than these limitations is the fact that most people with these problems are not fully aware of their own errors. Some sufferers will completely deny that they are weak or have problems with movements or vision, which can dismay and embarrass family members. Evidence seems to indicate that their inability to see mistakes is more than a protective psychological reaction, but is part of the brain disorder itself. In this segment, we will talk about why the brain “fools us” into thinking our functional vision and movement is normal in the presence of neurological disease, and what this means for professional caregivers, families, and our medical culture and society, since patient self-reporting is now a major source of information about public health needs and treatment efficacy.
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