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Speech after a stroke... (Read 5773 times)
Caili
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Speech after a stroke...
Feb 25th, 2005 at 1:43pm
 
Hello everyone,

Thank you Cotadad for the kind thoughts on my mom!

As many of you know, my mother had a major stroke last April.  She has regained alot of her movement in her right leg and can walk short distances.  She is starting to move her right arm and hand as well- slowly but surely!  However her speech is not improving well.  We were lucky enough to get her out to Stanford in January to have surgery on both sides by the wonderful Dr. Steinberg.  Right after her second surgery her speech improved greatly, it was almost shocking to all of us including her!!  She returned home a couple weeks later and since then her speech has gotten worse again.  We aren't sure why.  Teresa suggested we keep her blood pressure a little on the high side and we have but it's not improving.  She is now back in therapy which is good, but wondering if anyone else has experience with this and any thoughts/suggestions/comments on what other things we can do to help her improve on the speech?  I know that the speech bothers her the most, I think she would rather not walk again if she could speak so it's sad to see that, she is a big talker!

I appreciate everyone's comments as always!
Thanks!
Connie
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Seachelles
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Re: Speech after a stroke...
Reply #1 - Feb 25th, 2005 at 2:10pm
 
Connie,

I'm very sorry to hear about your mother.  I know it's hard to see something like this happen when your mom was so used to talking so much!

I can tell you what I experienced.  After my second surgery, I was not able to speak at all.  It took a couple of days for me to even be able to speak or say anything that made sense.  I used to lay in bed in ICU and stare at my identifying tag and try to mouth my name.  Nothing would come out.  They would come in and ask the famous questions they always do like your name, where you are at, your birthday and name the object they were holding in their hand.  It was so frustrating to not be able to say anything.  I would just shake my head that I did not know.  I even had pen and paper for me to write things down because I couldn't get it out of my mouth. 

When I did regain my speech, my mom and brother were still concerned when I was released from the hospital.  I would get words mixed up and seemed a little confused sometimes.  In fact, they took me back to Steinberg's office for an appointment because they were concerned.  Theresa told me the same thing....to keep my blood pressure up.  It has seemed to help, but I still have a hard time grasping for the right word that I want to use.  It's quite frustrating. 

I have also noticed that the two times that I have had a TIA, it has affected my speech. 

Hopefully, the therapy will help and she will regain it all back with a little hard work and some time.  I will keep her in my prayers for you.  Smiley

Michelle
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Michelle
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Caili
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Re: Speech after a stroke...
Reply #2 - Feb 28th, 2005 at 10:48am
 
Thank you Michelle!  I was talking on the phone last night with my mom (well I do most of the talking Smiley ) and she was making out some words.  Sometimes she can make out words and other times not a thing comes out that isn't jumbled.  And she knows right away if it's coming out correctly or not.  I was "lecturing" her on doing her speech homework.  She is so frustrated when she knows a word but can't find it when it's in front of her, I told her to go back every couple hours and look for it and it might come to her.  I also mentioned that she needs to work hard and keep her brain stimulated, nothing can "spark" if it's not stimulated.  I worry about her just sitting and watching TV all day and not working her brain.  I feel it's similar to an elderly person, if they have nothing to stimulate their brain, they'll lose it's sharpness.  She promised she will keep working hard, I keep telling her that one day something might just click and it can help.  I know she is discouraged, but we try so hard to keep her spirits up.  It hasn't even been a year from her stroke, but it's hard for her to think of it that way.  I appreciate your comments and thoughts!

Best of luck to you too!
Conni
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Seachelles
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Re: Speech after a stroke...
Reply #3 - Feb 28th, 2005 at 12:18pm
 
Connie,

Yes, that is the best advice that you can give her.  I know that if I hadn't gotten out and went to physical therapy, then I NEVER would have regained the strength in my foot and ankle.  It's not just about physical strength but stimulating my brain to fire those muscles that weren't working.  I've learned to try and stimulate my brain for those muscles that aren't working.  It's the same with speech! 

I remember just laying in bed and trying to stimulate my brain to say my name.  I believe it really helped.  And then I just kept working at it when I was released from the hospital.  One thing that I know that has helped me is that whenever I come up with a word that I know I'm trying to think of that is not the actual work I'm looking for, I grab a thesaurus.  Usually, when I do that, I come up with the word that I was looking for. 

Hope this helps!  Tell your mom that I am thinking of her!

Michelle
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Re: Speech after a stroke...
Reply #4 - Feb 28th, 2005 at 3:10pm
 
Connie -

That is great advice.  When I first met with the speech therapist after my stroke (when I was still in the hospital) he said that if I cant think of a word to start describing it.  His terms - think around the word.  For example, if you cant think of the word "wheel" think around it, or describe it:  Its round, it helps things move, they're on a car...etc.  Eventually it will come to you.  My speech therapist also had me doing crossword puzzles too - to keep my brain stimulated.  Just some thoughts....

-Shari
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Caili
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Re: Speech after a stroke...
Reply #5 - Feb 28th, 2005 at 4:45pm
 
Thanks Michelle and Shari, that is good advice!  I'll tell her about this and tell her it's very important to try these things.  I also like the crossword puzzles, though she can't read much, I think a child's crossword could really help.  My dad could help her read it, she is getting better with her reading which is very good.  I'll have her try these, thanks again!!

-Connie
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Re: Speech after a stroke...
Reply #6 - Feb 28th, 2005 at 7:09pm
 
Such wonderful advice on this site. Tyler has always had speech problem so we taught him at a young age to "tell us in a different way". This helped him with the aphasia (sp?) post stroke too. I also will use this method when I am just tired and can't think of words myself, but I never thought of the thesaurus, this is another tool to teach Tyler as he gets older, so he can help himself learn more words too.

Now I can say I learned my new thing for the day! Thanks,
Rena
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Re: Speech after a stroke...
Reply #7 - Feb 28th, 2005 at 7:50pm
 
Does anyone have any experience with inabililities to speak for longer periods of time after post surgery stroke with Moyamoya? Our daughter Kelsey suffered a terrible stroke after the surgery, and has not been able to talk for two years now.....  We are still hoping though and work with her daily
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Re: Speech after a stroke...
Reply #8 - Feb 28th, 2005 at 8:55pm
 
Hi Connie,
  Seems like forever that we met you at Stanford.  Tell your mom we said hi and are thinking of her daily.  She is in our conversation everytime we speak of the experience we had there.  I have to think that things will come with time.  We're trying to keep Mark pinned down for awhile.  He has made great strides, but he's not his old self yet.  His body reminds him now and then to slow down.  Although he doesn't agree, and the medical staff probably wouln't either.  I have no problem with his slow recovery.  It's like having a new born in the house.  Only this one can walk and talk and has one hell of a big bad attitude.  I'll suck it up.  After all this has to be the easy part.
  Tell your mom we said hi and to take little strides forward each day.  She seems to be a very positive person and we wish her all the best.
                       Talk soon.
                          Ron
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Re: Speech after a stroke...
Reply #9 - Mar 1st, 2005 at 3:45pm
 
Hi Everyone,

We're going on 2 1/2 months of no talking.  It started wtih no talking at all, just head shakes, but we are slowly, (emphasize on the slow part) getting little bit better.  Some of the words my husband is able to say are still really garbled, but some he can say come out really good.  He is starting to get fluent with some choice curse words, which is ok because he is trying to talk.  He doesn't seem to have any problem understanding us or saying sentenced, he's just unable to get a lot of things out or clearly.  He had a small machine similar to a TTY device for the deaf, so when he wanted to ask a question, if he couldn't get it out or clear enought, he would just type it in, but that was a loaner and had to be sent back.  So...now he is back to pointing to letters to spell out a question.  I can't imagine how frustrating it must be not to be able to speak.  Good luck everyone.
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Rena
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Re: Speech after a stroke...
Reply #10 - Mar 1st, 2005 at 11:46pm
 
Canadian_Girl,

Have you tried making a book of the phrases and words your husband uses the most so, he can point at words instead of having to spell things out everytime? It seems his trouble is directly related to verbalizing (sp?) the words and not Aphasia which is recalling the words. If he can read things ok, but having difficulty with writing and speech, maybe some form of flashcards with wors on them would be helpful. Just slide them into a small pocket photo album to keep them organized and then you can change words as needed.

Just an idea hope it helps.

Rena
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Re: Speech after a stroke...
Reply #11 - Mar 3rd, 2005 at 12:21pm
 
Canadian_Girl,

Everyone here gives wonderful advice!  We are always thinking of you and your husband and praying for the best!  I know, it's so frustrating for them and for the family when their speech just isn't coming out correctly.  It's so difficult to wait, but keep working with him and tell him to continue working hard and something will happen! 

-Connie
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Re: Speech after a stroke...
Reply #12 - Mar 3rd, 2005 at 1:37pm
 
My husband is doing great.  He has gone from only shaking his head yes and no, to yeah and no.  He is able to say somethings, but they are somewhat garbled.  He lost his ability to swallow and that has mostly come back over 2 1/2 months.  He is now on moist diced food and he is now drinking coffee, and other thin liquids.  He is mostly spelling things out when we can't understand exactly what he is saying or when he has questions.  I am greatly encouraged by the progress he has made in teh 2 1/2 months and the fact that he is trying to say things.  Two weeks ago, he wouldn't even try to respond unless it was a yes or no answer. I think a lot of it has to do with confidence.
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Re: Speech after a stroke...
Reply #13 - Mar 3rd, 2005 at 3:27pm
 
Dear Canadian Girl,

What a great update on your husband!  I'm happy to hear he's making such good progress.  The road to recovery is often slower than we would like, so it's definitely a lesson in patience and perseverance for all of us! 

I think your comment regarding confidence is absolutely right.  In my daughter's case, the beating her confidence took has affected some big decisions -  she's staying home for her first year of college, instead of going away somewhere.  We're hoping that after her first year (with some smooth sailing), she's feeling confident and secure enough to go away, if she wants to.  (Of course, as far as I'm concerned, she's welcome to stay home with us forever!!!!!)

Anyway, keep smiling, keep up the good work, and please keep us posted, o.k.?

Hugs from California,

Jill
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Re: Speech after a stroke...
Reply #14 - Mar 4th, 2005 at 10:43pm
 
Dear Connie,

I had my major stroke when I was 46 & now I'm 53 yo.  I still  have problems with finding words even after 8 years, but PATIENCE is the operating word!!!  I was in speech therapy for over  1 year after my stroke and (along with what's been said before with crossword puzzles (the books with the answers in them so it's not too frustrating & keep a dictionary handy to look up clues),  these are a few other things that helped me:  music:  listening to oldies and classics like Mozart or other favorites (I like Bach)  it's supposed to help with connections in the brain; reading easy books (even old favorite children's books or poetry to read out loud~~ even by herself) & mags, jokes in Reader's Digest (short, sometimes I had to read them several times before I figured out the joke), word search books, ask a teacher or reading specialist for flashcards with pictures, words on them.  I wouldn't overdo it; just take things slowly, IN HER OWN TIME.  I still try to do one c.w. puzzle every day, the answers come in the next day newspaper if I don't figure it all out.

I say my words are like Prego spaghetti:  "it's IN THERE" (like the old commercial).  Sometimes I'll remember it later, sometimes days later, & sometimes it is locked away, with the connections too "disconnected".  It takes a long time for our brains to rewire &, even tho it's very frustrating, it will get better!!

My local hospital had a "young"adult (30-60 average age) stroke club which met 1X a month & every time I went (around every 3-4 months) the people there would comment on how much I had improved.  When I was around myself ( & family members) all the time, we couldn't see or hear the improvements but they could!  It was a wonderful place to go to build up self esteem... positive feedback helped me tremendously!

Good luck to your mom!! deb
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Re: Speech after a stroke...
Reply #15 - Mar 5th, 2005 at 9:11am
 
Kahtleen lost just about all of her speech after her strokes,it's been very slow getting it back but steady.She also has down syndroem so her speech will probably alwasy be comprimised but a lot of ehr problems now I think are from the stroke.Although word retrieval can be a common problem in down syndrome this is what I wrote on another thead about the subjectI don't know if it's the same for others or if it will help any, but it did help us to understand a little..I read something that explained how this feels...Your brain is full of "baskets" with words and thoughts and memories.Typically a person will have the same word in many baskets(because they have an old memory or experience with it that's how it got there),like pumpkin, may be in a basket with holidays,halloween,pie,orange etc. but with Down Syndrome( and I'm thinking it may be similar with someone who has a problem with word retrieval) it may only be in one basket, say... halloween, this makes it harder to "find" BUT if you can talk about it till you help them find the right basket it's in it may  help, ie.also offering many different experiences and conversations around it it will help store it in other "baskets" for future recolection.I hope this makes a little sense.... It helped me understand what she may be going through and help me to find the patience to help her through it. This also may be why reading helps her,it gives her a lot of"experiences" in language that she may otherwise not get.We too do a lot of flashcards with pictures,there's even flashcards for verbs which I found was harder to learn that nouns(this made sense because it's easier to talk about something tangible).Singing helpd too, she LOVES music!!!.In general anything that can give someone more than one way to remember the language seems to help.We also did some signing when she was little it helped her soooo much and was pretty easy to learn some basics.She loved it too. She actually used some right after the strokes.
Mary Grace





 






   


 


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