In January 2023, Nicko McBrain, who has been the drummer for the heavy metal band IRON MAIDEN since 
1982, was at his home in Boca Raton when he suffered a stroke with partial paralysis. That was the beginning of a challenging journey of physical rehabilitation that followed rapid and precise treatment by stroke specialists at Marcus Neuroscience Institute at Boca Raton, Florida’s Boca Raton Regional Hospital, part of Baptist Health.
McBrain addressed his health issues during the July 19 concert by his side project TITANIUM TART at Piper’s Pub in Pompano Beach, Florida. He told the crowd (as transcribed by BLABBERMOUTH.NET): “I’ve gotta be honest with you, it was a touch and go last year for me, because, as you probably know… If you don’t, TIA [transient ischemic attack] strokes aren’t fun. Some people get really bad reactions to ’em, like [they become] paralyzed, they can’t speak, they can’t walk and do whatnot. I couldn’t play — I was paralyzed on the right side. Fortunately, the Boca Raton Regional Hospital had this incredible OT [occupational therapy] section, and there’s a girl called Julie Blum that looked after me, and in three months, she had me playing again. And it ain’t the old Nicko, it’s not the old one by a long shot, but at least it’s part of me. And my band, bless their hearts, [IRON MAIDEN bassist] Steve Harris and the rest of the guys turn around and say, ‘If you can’t do something in a song, we just won’t do that song.'”
Elaborating on the physical limitations caused by his stroke, Nicko said: “When we were rehearsing last year for ‘The Future Past Tour’, we were doing ‘Caught Somewhere In Time’ to open. Now there’s a middle section, it’s all snare drum on the record. I can’t play it. As you probably noticed, those of you nerds that are in the audience that go, ‘He didn’t do the drum fill.’ Well, that’s why, ’cause I fucking can’t do it. So anyway, Steve turned around to me and I said, ‘Okay, I’ve got an idea. if I do the double on the snare,’ and I played it for him and he went, ‘No. Have you got anything else?’ I went, ‘Yeah I’ll play it on the cymbal.’ ‘No. You got anything else?’ ‘That’s me spent, mate.’ So he turned around and he thought about for about half a minute. He’s standing in front of my drum set and he’s going, ‘Why don’t you play it straight?’ I went, ‘What?’ ‘Play a straight fill through it. Go ahead.’ I went, ‘You’re a fucking genius, Harry.’ And there’s me, the drummer, supposedly, [I’m] supposed to come up with all these ideas, and there’s Harry: ‘Play it straight, Nick.’ I didn’t even think of that. And so we rehearsed it from thereon in, and we play it straight, which I’m sure 90 percent of you don’t give a fuck about that bit anyway.”
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