Stroke Recovery, City Recovery

Two years ago, Steve Patterson suffered a stroke. As he goes through the process of recovery, he sees some lessons for struggling cities.

1 minute read

February 3, 2010, 9:00 AM PST

By Nate Berg


St. Louis and other cities have suffered similar "hemorrhaging" of people in recent decades. As a result, the jobs economy has dried up and limited the city's ability to develop -- not unlike a stroke-paralyzed body that is struggling to regain its motion and ability.

"Cities have been in the same situation, a stroke of massive population job losses. This lost left cities unable to function as they had before. But our therapy for cities has been hoping they'd regain lost function. As I know function does return. I can walk again but I can't run, skip or ride a bike - yet.

Cities need to start with the basics, one step at a time. Cities need to examine what no longer works and what can come back first. In stroke therapy they leg returns before the arm. Fingers come back very late. I can barely move my left ankle and I still can't move my toes on my left foot. Cities, I think, have been trying to move their big toe rather than get their leg back first."

Monday, February 1, 2010 in Urban Review STL

portrait of professional woman

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching. Mary G., Urban Planner

I love the variety of courses, many practical, and all richly illustrated. They have inspired many ideas that I've applied in practice, and in my own teaching.

Mary G., Urban Planner

Cover CM Credits, Earn Certificates, Push Your Career Forward

Logo for Planetizen Federal Action Tracker with black and white image of U.S. Capitol with water ripple overlay.

Planetizen Federal Action Tracker

A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

July 16, 2025 - Diana Ionescu

Green vintage Chicago streetcar from the 1940s parked at the Illinois Railroad Museum in 1988.

Chicago’s Ghost Rails

Just beneath the surface of the modern city lie the remnants of its expansive early 20th-century streetcar system.

July 13, 2025 - WTTV

Blue and silver Amtrak train with vibrant green and yellow foliage in background.

Amtrak Cutting Jobs, Funding to High-Speed Rail

The agency plans to cut 10 percent of its workforce and has confirmed it will not fund new high-speed rail projects.

July 14, 2025 - Smart Cities Dive

Worker in yellow safety vest and hard hat looks up at servers in data center.

Ohio Forces Data Centers to Prepay for Power

Utilities are calling on states to hold data center operators responsible for new energy demands to prevent leaving consumers on the hook for their bills.

July 18 - Inside Climate News

Former MARTA CEO Collie Greenwood standing in front of MARTA HQ with blurred MARTA sign visible in background.

MARTA CEO Steps Down Amid Citizenship Concerns

MARTA’s board announced Thursday that its chief, who is from Canada, is resigning due to questions about his immigration status.

July 18 - WABE

Rendering of proposed protected bikeway in Santa Clara, California.

Silicon Valley ‘Bike Superhighway’ Awarded $14M State Grant

A Caltrans grant brings the 10-mile Central Bikeway project connecting Santa Clara and East San Jose closer to fruition.

July 17 - San José Spotlight