The smudge looked suspiciously penis-like. The doctor confirmed: "That's the baby's penis " which caused not celebration, but panic in soon-to-be father and "Time" magazine columnist Joel Stein. Joel pictured having to go camping and fix a car and use a hammer and throw a football and watch professionals throw footballs and figure out whether to be sad or happy about the results of said football throwing.
So begins his quest to confront his effete nature whether he likes it or not (he doesn't), by doing a 24-hour shift with LA firefighters, going hunting, rebuilding a house, driving a Lamborghini, enduring three days of boot camp with the U.S. Army, day-trading with $100,000, and going into the ring with UFC Hall of Famer Randy Couture. Seeking help from a panel of experts, including his manly father-in-law, Boy Scouts, former NFL star Warren Sapp, former MLB All-Star Shawn Green, Adam Carolla, and a pit bull named Hercules, he expects to learn that masculinity is defined not by the size of his muscles but by the size of his heart (also, technically, a muscle). This is not at all what he learns.

Guest edited by Drs. Joel Stein and Leroy R. Lindsay, this issue of Physical Medicine and Rehabilitation Clinics will cover several key areas of interest related to Technological Advances in Rehabilitation. This issue is one of four selected each year by our series Consulting Editor, Dr. Santos Martinez of the Campbell Clinic. Articles in this issue include, but are not limited to: Functional Electrical Stimulation; Non-Invasive Brain Stimulation; Spinal Cord Stimulation for Motor Rehabilitation; Robotics for Limb Rehabilitation; Virtual Reality and Gaming; New Technologies in Prosthetics and Amputee Rehabilitation; Regenerative Medicine; Smart Homes and other Technology for Adaptive Living; Big Data and Rehabilitation; and Telemedicine in Rehabilitation.

If you or someone you love has had a stroke, you understand that after a stroke, a person has many questions: "What is a stroke, and why did I have one?" "How can I best recover from my stroke?" "How can I make sure this never happens to me again?" Every 45 seconds someone in this country has a stroke; this means that about five million stroke survivors in the United States are facing these questions and a host of emotional and physical and practical challenges. As medical specialists treating and caring for stroke survivors, Drs. Stein, Silver, and Frates understand these challenges; they wrote this book to help people recover as fully as possible after having a stroke and to explain all of the different things a person can do to prevent a stroke or a recurrent stroke. They explain what a stroke is, how it occurs, and what kinds of injuries it can cause--and they explain all about stroke recovery. They carefully focus on how stroke survivors can work with their doctor to lower their risk of a future stroke, including taking medications and altering their lifestyle. They look at stroke research that will provide better treatment options in the future, and they offer a relatively simple plan for taking control in preventing stroke or recurrent stroke. This book, then, is for anyone whose genetics, physiology, or lifestyle make them susceptible to stroke--in other words, every one of us. It will be especially helpful to people who have already had a stroke and who understand the importance of taking steps to avoid another one. From the Foreword, by Robert J. Wityk MD, Department of Neurology, The Johns Hopkins Hospital: "This book may help you navigate the sometimes confusing corridors of medicine to empower you to take control of your health or that of your loved one. Read it and learn, and then discuss it with your physician. Between your involved interest, what you discover here and your doctor's expertise, your or your loved one's recovery lies in very good hands, indeed."

A young woman suffers a stroke; she rebuilds her career and personal life, but not before her marriage falls apart. An eighty-year-old man dies unexpectedly of stroke, leaving his grown sons to wonder whether they are genetically predisposed to stroke. A recently retired woman confronts her future with a husband suddenly disabled by stroke. How can she help her husband? Will he ever recover? How will she cope with her own emotional stress?

In "Stroke and the Family: A New Guide," Joel Stein shows the many faces of stroke and the people it strikes. To the family just beginning to cope with the aftermath of a stroke, the diagnostic tests, drug regimens, rehabilitation strategies, and varied prognoses can be completely bewildering. Because stroke can affect memory, speech, and movement, the impact on everyday routines and close relationships can be especially intense. Stein has produced a book that allows general readers and nonphysicians working with stroke survivors to make sense of the confusing variety of diagnoses and treatment options, and goes on to explore challenges the recovering stroke patient and the recovering family will face during a long recuperation with an uncertain outcome. "Stroke and the Family" offers up-to-date information and places the current research findings in context.

"Pinheiro will inspire you to think differently about business, design, education, and - perhaps most importantly - the way you work every day."
- Kerry Bodine, co-author of Outside In: The Power of Putting Customers at the Center of Your Business
"In this book, Tenny offers some extremely valid and hard-hitting criticism regarding the ideals surrounding the dictate of building a Minimum Viable Product. Agreed on many fronts but I found his reinvention of these principles when applied to the service industry to be extremely insightful. The concept of a Minimum Valuable Service is unique, new and sets goals intended to deliver maximum value with measurable results.This is a must read for anyone in the global innovation economy."
- Rick Rasmussen, NestGSV. International Business development.
A practical guide to integrate Design and Lean Startup.
This book is a practical guide that explores how startup entrepreneurs and business leaders, who hold no Design degrees, can integrate Service Design into their development cycles in order to create sustainable, desirable and profitable new services.
In the first part, Tenny explores the reasons why startups need to move away from the "make and sell" industrial logic we've been exploiting over the last century. To take its place he proposes a new service oriented mindset that carries the idea of "learn, use and remember" users' journeys. He also discusses the challenges our industrial society is facing and how the combination of design with a service oriented mentality can be key to help new and existent businesses make this shift.
In the second part, he will take you on a journey through the MVS - Minimum Valuable Service - model. This model can seamlessly integrate Service Design into the Lean Startup or any Agile development cycle. It adds the human values needed to foster service innovations within the Lean's scientific approach. In this part of the book you will learn tools, methods and practices that will help you get your hands dirty with design.
At some point every adventure requires a great guide, and this journey into the heart of the new is led impeccably by Tenny Pinheiro. Slyly sidestepping the pitfalls of the Lean Startup approach, he skillfully navigates us through to a deeper understanding of the forces shaping the evolving service economy. By trusting the wisdom of the many to help design the next phase of business, his approach taps into an inexhaustible source of creativity and innovation. The Service Startup is a trusty roadmap that you will long keep by your side. As Tenny might suggest: learn it, use it, and remember it.
- Jamer Hunt, Parsons The New School for Design. Director for the graduate Program in Transdisciplinary Design.
"I'll admit it: I enjoy seeing someone who knows their stuff re-assemble and improve on the work of an adjacent profession. Tenny calls out what's lacking in the Lean Startup approach, in the most thorough and insightful ways. In the spirit of iteration, he's taken an existing approach and improved on it. If only all criticism were this good. I enjoyed his delightfully nuanced views on the world of services - how they're perceived, experienced, and remembered - as well as his historical perspectives on the worlds of design, business and marketing. Opinionated but also well-informed, this is a pragmatic, human-centric take on designing and delivering services that I'd recommend to anyone whose work affects other people.
- Chad Thornton, Experience Designer, Airbnb""