Recommendations from a 93-year-old doctor for older adults


Stro.ke is one of the leading causes of death and disability worldwide. According to the World Health Organization, more than 15 million people are affected each year, with a significant number of cases occurring in the early hours of the morning.

This heightened risk is not random. Physiological changes that take place when we wake up—such as thicker blood, a spike in cortisol (the stress hormone), and an accelerated heart rate—create the perfect environment for a stro.ke to occur.

The good news: stro.ke is not entirely unpredictable. What you do when you wake up can either increase your risk or serve as protection.

Why Morning Is a High-Risk Time

  • Nighttime dehydration: After 6–8 hours without water, blood becomes thicker and blood vessels less flexible.
  • Sudden rise in blood pressure: Standing up too quickly places stress on the circulatory system.
  • Coffee on an empty stomach: Increases blood pressure and worsens dehydration.
  • Excessive straining in the bathroom: Can trigger a dangerous blood pressure spike.
  • Cold showers right after waking: May cause vascular spasms that restrict blood flow.

A Doctor’s “Anti-Stro.ke” Morning Routine

A 93-year-old physician—himself a survivor of two stro.kes—recommends this simple routine to protect the brain and heart without heavy reliance on medication:

  1. Wake up gradually
    While still lying in bed, gently move your hands, feet, and neck. This boosts circulation without overloading your heart.
  2. Practice deep breathing
    Sit up and take five slow breaths: inhale for 4 counts, exhale for 6 counts. This helps stabilize your heart rate.
  3. Drink a glass of warm water with lemon
    Hydrates the body, improves blood flow, and provides a dose of vitamin C.
  4. Do light exercises (3 minutes)
    Gentle rotations of the head, shoulders, and ankles keep blood moving without straining muscles.
  5. Give yourself 30 minutes of calm
    Avoid news, social media, and stress triggers. Allow your body and mind to fully adjust before tackling the day.

Practical Tips to Protect Your Brain

  • Rise slowly: take at least one minute before standing up fully.
  • Keep a glass of water by your bedside for hydration as soon as you wake.
  • Delay coffee until 20–30 minutes after breakfast.
  • Include a short stretching routine (about 5 minutes is enough).
  • Monitor blood pressure regularly if you have a history of hypertension.

Additional Recommendations

  • If you are over 50, ask your doctor about cardiovascular risk screening.
  • Maintain an active lifestyle—daily walking improves circulation.
  • Avoid smoking and limit alcohol, both of which raise stro.ke risk.
  • Prioritize good sleep, as lack of rest disrupts blood pressure and heart rhythms.

Conclusion

Stroke is not an entirely random event. The first few minutes of your morning can either raise your risk or protect your brain. By adopting simple, mindful habits—hydration, gentle movement, and stress reduction—you can turn your morning routine into one of your strongest defenses against this silent disease.