Receptive Aphasia Puns

I can't find online if they are any different.

Nothing to really say here. Just pissed.

Does anyone have any advice on how to communicate with someone who has severe expressive and receptive aphasia?

Family member of mine had a stroke in March and he hasn’t gained back the ability to speak. Before, he’d nod his head yes and no, but lately he’s been trying to vocalize more, which is a good thing I think, but it makes it really hard to understand what he’s trying to say. On top of that, we are unsure if he’s understanding what is being said to him. His speech therapist says that she estimates he understands 50/50.

It’s a bit frustrating on both sides - for him and us - because the communication is so difficult.

Can anyone give any advice on how to better communicate?

Edit: he has apraxia as well, so his words are coming out as sounds, but not actual words currently.

I'm trying to wrap my head around this. In a post-stroke setting, if your client has little knowledge of aphasia, and if they have, say, Wernicke's aphasia where their auditory comprehension is severely impaired, how do you even communicate to them what it is that they're suffering from?

I work in a post acute rehab and I just picked up a patient with receptive aphasia. I'm using items in her room and pictures from magazines to try to build her vocab, but not getting much out of her. Any tricks or tips that have worked for you?

Posted here before. Dad has Parkinson’s for 4 years now but mum suspects he may have started exhibiting symptoms 6 years ago. He actually has more degradation in his cognitive parts rather than the physical signs. Is it possible that he is developing dementia?

I am so sick of non-speech pathology colleagues telling me how to do my job.... Here are a couple comments I'm tired of hearing:

1. "Oh so and so definitely has cognitive deficits!" No. Asking orientation questions and getting Ox's 3 (not oriented to time) does NOT equal cognitive deficits.
2. "So and so definitely has a dysarthria! Their speech was slurred!" Again, no. They have accent. They're prosody, resonance, rate, breath support and articulatory precision was WFL.
3. "Pt has expressive aphasia." What does that even mean? Most PWA have SOME degree of receptive and expressive components. Was it fluent aphasia? Non-fluent?
4. "They coughed with water! They have dysphagia." NO. I cough on water sometimes too... There is NO indicators in their chart to explain a dysphagia nor is the pt complaining of dysphagia.
5. "Why didn't you pick up so and so for therapy? They're impulsive and have reduced insight . They need cognitive therapy." No. They function just fine and just because a pt does not buy in to therapy/treatment does NOT mean they have reduced insight.
6. "Your job must be SO EASY. You just give water and snacks at the bedside."

Guess it's time for some EDUCATION. What are some comments you've heard in your career?

I was reading up on how to approach altered mental status and there were a few short sentences stating how one should exclude aphasia first before the diagnosis of delirium can be made. However, it did not go on to describe how one should go about doing so.

I thought this was very critical to know because they can present similarly(at least to my untrained eyes) yet have vastly different treatments. Aphasia would suggest a focal neurological deficit due to a stroke and if one were to diagnose that as delirium initially then the patient may miss the window of opportunity for thrombolysis.

Edit: Another way of phrasing my question would be: "In a patient who seems to be speaking gibberish/not making any sense, how would one distinguish whether the presentation is due to aphasia or delirium?"

Could any kind soul help give some tips as to what are some specific questions you would ask the patient? And what kind of responses would point to one diagnosis or the other?

Thank you very much!

Hello, I hope it's ok to post here. My Mum had a large stroke in her left brain 6 weeks ago. She has almost no speech. She says "d, d, d, d, d" with the intonation and inflection of normal speech. Occasionally she can say yes/no. That's about it. From body language and head nodding she clearly understands absolutely everything we say to her. She gets incredibly frustrated in herself. You can hear the immense effort she puts in to try and speak normally. Her speech therapist says she has verbal dyspraxia, however, I wonder if it could be Broca's aphasia. Are the two the same thing, or can come together? 6 weeks and Mum has made very little progress with speech. We are currently trying sining therapy as she can hum a tune as we sing it. Does anyone have any tips or ideas of what her prognosis may be? Thanks!

I don't want to step on anybody's toes here, but the amount of non-dad jokes here in this subreddit really annoys me. First of all, dad jokes CAN be NSFW, it clearly says so in the sub rules. Secondly, it doesn't automatically make it a dad joke if it's from a conversation between you and your child. Most importantly, the jokes that your CHILDREN tell YOU are not dad jokes. The point of a dad joke is that it's so cheesy only a dad who's trying to be funny would make such a joke. That's it. They are stupid plays on words, lame puns and so on. There has to be a clever pun or wordplay for it to be considered a dad joke.

Again, to all the fellow dads, I apologise if I'm sounding too harsh. But I just needed to get it off my chest.

Do your worst!

I'm surprised it hasn't decade.

For context I'm a Refuse Driver (Garbage man) & today I was on food waste. After I'd tipped I was checking the wagon for any defects when I spotted a lone pea balanced on the lifts.

I said "hey look, an escaPEA"

No one near me but it didn't half make me laugh for a good hour or so!

Edit: I can't believe how much this has blown up. Thank you everyone I've had a blast reading through the replies 😂

It really does, I swear!

Buenosdillas

They’re on standbi

Pilot on me!!

Dad jokes are supposed to be jokes you can tell a kid and they will understand it and find it funny.

This sub is mostly just NSFW puns now.

If it needs a NSFW tag it's not a dad joke. There should just be a NSFW puns subreddit for that.

Edit* I'm not replying any longer and turning off notifications but to all those that say "no one cares", there sure are a lot of you arguing about it. Maybe I'm wrong but you people don't need to be rude about it. If you really don't care, don't comment.

When I got home, they were still there.

What did 0 say to 8 ?

" Nice Belt "

So What did 3 say to 8 ?

" Hey, you two stop making out "

Hello everyone,

I am new to commenting on this subreddit, but have been reading posts made here for the past two years or so. Before I post, I want to say thank you to all of the regular contributors to r/Epilepsy. During a time of my life when I was really struggling to come to terms with the possibility that I might be epileptic, I found comments made by community members here to be incredibly validating.

I am curious if anyone else experiences momentary vision loss. There are moments where I will be sitting, doing work on my laptop, when it seems as if my vision cuts out for a split second - maybe even less. It feels as if I am blinking, but my eyes are not closing. I am not sure how long this has been going on for, but have come to notice it over the past year or so, since I started to have problems with E. Previously I believed it was a function of lighting issues specific to one room of my house, but have since experienced it in a completely new environment. I would say that these episodes are rather infrequent, maybe happening once a week if not once every two weeks.

For context, I have suffered 6 major seizures since January 2020; the first was a grand mal that happened while I was at work, and the other 5 were nocturnal seizures. In addition to this, I often have muscle fasciculations throughout my body (initially on my eyelid, sometimes my legs, caves, arm, etc. It seems random). On a few occasions I have experienced receptive aphasia, where I have a difficult time processing spoken or written language (it lasts for maybe 45 seconds, and is very infrequent). I have also noticed occasionally I experience slight "ice pick" headaches that feel like little pinches in the back of my head, or my temples.

I have only JUST started taking Aptiom 400 mg. This is the first anticonvulsant medication I have been prescribed, and will be increasing the dosage to 800 mg next week. For context, these episodes of momentary vision loss began prior to taking my current medications, and have persisted approximately 1/2 a week into taking my medications.

Has anyone been in a similar position before?

I won't be doing that today!

[Removed]

You take away their little brooms

This morning, my 4 year old daughter.

Daughter: I'm hungry

Me: nerves building, smile widening

Me: Hi hungry, I'm dad.

She had no idea what was going on but I finally did it.

Thank you all for listening.

There hasn't been a post all year!

Why

It’s pronounced “Noel.”

After all his first name is No-vac

What, then, is Chinese rap?

Edit:

Notable mentions from the comments:

• Spanish/Swedish/Swiss/Serbian hits

• French/Finnish art

• Country/Canadian rap

• Chinese/Country/Canadian rock

• Turkish/Tunisian/Taiwanese rap

There hasn't been a single post this year!

(Happy 2022 from New Zealand)

Nothing, it just waved