WEBVTT
00:00:00.239 --> 00:00:07.919
Welcome to Brain Friends, where two neuroneerds talk all things aphasia, language recovery, culture, and community.
00:00:08.080 --> 00:00:08.640
I am Dr.
00:00:08.880 --> 00:00:13.679
Dacrina Celeste Gatson, a clinical speech language pathologist and neuroscientist.
00:00:13.839 --> 00:00:19.199
And I am Angie Clawthorn, stroke survivor and aphasia advocate.
00:00:19.440 --> 00:00:20.879
Welcome to our show.
00:00:21.120 --> 00:00:23.600
Welcome, Debrain Friend.
00:00:24.160 --> 00:00:27.839
We want to thank all of our listeners for downloading the podcast.
00:00:28.000 --> 00:00:29.920
We appreciate everyone listening.
00:00:30.000 --> 00:00:33.600
So please tell a friend to tell a friend that we are here.
00:00:33.840 --> 00:00:34.799
And we are.
00:01:29.519 --> 00:01:29.760
Yeah.
00:01:29.920 --> 00:01:36.239
So I have one coming up in Charleston, which I'm really excited about, Charles, Charleston, South Carolina.
00:01:36.640 --> 00:01:44.959
And then there's one that I that I'm submitting to one of my favorite conferences that is in Jersey this year.
00:01:45.120 --> 00:01:50.159
So fingers crossed, because I would love to come out to Atlantic City, New Jersey.
00:01:50.480 --> 00:01:51.680
Oh, for the CAC.
00:01:51.840 --> 00:01:52.079
CA.
00:01:52.560 --> 00:01:53.439
Okay, come on.
00:01:53.760 --> 00:01:54.239
Yes.
00:01:54.560 --> 00:01:58.159
The Clinical Ephysiology Conference, the CAC.
00:01:58.560 --> 00:02:02.640
Well, fun fact your girl is the keynote responder.
00:02:03.599 --> 00:02:05.599
Alrighty! Yes.
00:02:06.079 --> 00:02:16.000
See, so now I've got to definitely push to get this abstract submitted and hopefully accept it so we can be in those CAC streets together.
00:02:16.560 --> 00:02:19.120
Street on these broadwalks, doing it.
00:02:19.199 --> 00:02:22.400
Yeah, they asked me to be the uh keynote responder.
00:02:22.719 --> 00:02:30.000
And um, I actually have a meeting coming up in a few days to uh discuss uh how something like that might work or what that looks like.
00:02:30.159 --> 00:02:32.879
So I'm excited, but yeah, I guess I would see you there.
00:02:33.120 --> 00:02:38.159
Oh my god, you're I mean, this is one of my favorite conferences.
00:02:38.240 --> 00:02:41.199
Uh really oh, out of all of them, yeah.
00:02:41.360 --> 00:02:43.199
I've always enjoyed this conference.
00:02:43.439 --> 00:02:52.319
What is that that makes this one different versus like um, you know, like the one that was just in New Orleans or aphasia access?
00:02:52.560 --> 00:02:53.120
What's the difference?
00:02:53.199 --> 00:02:55.680
Because I've never been to a CAC.
00:02:56.159 --> 00:03:06.719
Yeah, so the thing that I like about like CAC is that it's a smaller conference, and so it's not gonna going to be as large as the one that was in New Orleans.
00:03:06.800 --> 00:03:15.439
And so it gives you an opportunity to really meet other scholars, meet other students, connect, talk about research.
00:03:15.680 --> 00:03:25.520
I find that uh this conference really aligns a lot with my viewpoint in aphasia, which is asking the patient quality of life.
00:03:25.680 --> 00:03:28.960
Um, and I feel like they're really open to diversity.
00:03:29.199 --> 00:03:34.159
Hence, you're the you've already been invited to be the keynote respondent.
00:03:34.400 --> 00:03:37.680
Um, and I was the keynote respondent last year.
00:03:37.840 --> 00:03:41.439
And so just the point that they're continuing.
00:03:42.319 --> 00:03:42.719
Yeah.
00:03:44.960 --> 00:03:46.639
Yeah, myself and um Dr.
00:03:46.719 --> 00:03:47.599
Charles Ellis.
00:03:47.680 --> 00:03:48.479
I know you know him.
00:03:48.719 --> 00:03:49.520
Shout out, Dr.
00:03:49.599 --> 00:03:50.000
Ellis.
00:03:50.240 --> 00:03:51.120
What's up, Chuck?
00:03:51.280 --> 00:03:54.400
Let me stop he's like, I'll leave like that.
00:03:55.120 --> 00:03:56.319
No, Dr.
00:03:56.479 --> 00:03:57.280
Ellis.
00:03:57.919 --> 00:04:00.240
Yeah, so I I really like that part.
00:04:00.319 --> 00:04:11.840
And then the other part that I like about um this conference that can sometimes be a good thing or a bad thing, but in order to go to the conference, you have to submit something.
00:04:12.000 --> 00:04:20.639
And so it's not one of those conferences that you can kind of go to and um, I don't want to say warm the pew, as we would say.
00:04:22.720 --> 00:04:22.959
Right.
00:04:23.120 --> 00:04:24.240
Everybody's doing something.
00:04:24.480 --> 00:04:34.480
You've got, yeah, you've you're bringing your idea, you know, even if your presentation doesn't get accepted, but you know, you're you're bringing, you're contributing something to the science and scholarship.
00:04:34.639 --> 00:04:35.759
And the people are nice.
00:04:35.920 --> 00:04:39.439
You know, sometimes look, honey, everybody ain't nice.
00:04:39.680 --> 00:04:40.319
Right.
00:04:40.639 --> 00:04:43.040
So that's one thing that I do enjoy about this.
00:04:43.120 --> 00:04:46.959
I think that there's a level of genuine just uh interest.
00:04:47.439 --> 00:04:50.079
I found that I went, uh spoke at a conference.
00:04:50.240 --> 00:04:51.839
The first time I actually met Dr.
00:04:51.920 --> 00:04:57.439
Charles Ellis, I spoke with him on a panel, and I it was for aphasia access, actually.
00:04:57.519 --> 00:05:02.319
Uh shout out to Todd Van Diek and um his team, that's my boy.
00:05:02.639 --> 00:05:06.959
But everybody was so nice and kind.
00:05:07.279 --> 00:05:15.519
And that was what, from a person that worked in the finance auto industry, I found that to be so refreshing.
00:05:15.839 --> 00:05:26.560
Like everyone was, nobody was talking about their billable hours, nobody was talking about uh, you know, that trouble that they're having with um, you know, a certain type of per.
00:05:26.959 --> 00:05:40.240
You know, it was just everyone was just LLP, which is what is L Lpa, I'm sorry, uh, you know, life participation type of how can we better these people's lives?
00:05:40.399 --> 00:05:47.600
And that was what I the big takeaway I heard from them was uh such, so it was just genuine.
00:05:47.759 --> 00:05:55.920
And um, I really uh I was really taken aback by their level of kindness that I heard.
00:05:56.240 --> 00:06:06.480
Yeah, because the other thing is that sometimes as a minority, when you're going to these conferences and no one looks like you, very much it could be an isolating experience.
00:06:06.639 --> 00:06:36.560
And so anytime you go to a conference or anytime that I've been to a conference and I I felt like I didn't always have to be the one to initiate inclusion, that's those are the types of spaces that I feel like I want to be part of, and that also also really not only just talk the talk about wanting diversity, but they're walking it because they're gonna come up to you and you know engage you versus you sitting alone or just going back to your room after stuff.
00:06:36.879 --> 00:06:38.319
Exactly, exactly.
00:06:38.480 --> 00:06:41.199
And um, yeah, it's uh good stuff.
00:06:41.439 --> 00:06:46.160
So we done talked the whole, we done just you'd like, how you doing?
00:06:46.240 --> 00:06:47.120
I'm like, I'm great.
00:06:47.199 --> 00:06:48.800
We're gonna talk about this conference.
00:06:48.959 --> 00:06:53.199
That is so cool, but I am gonna uh pick your brain on how to be a good responder.
00:06:53.439 --> 00:06:58.319
I didn't know that you uh that you had that, so that'd be good.
00:06:58.639 --> 00:07:00.240
So what is going on?
00:07:00.399 --> 00:07:01.920
What are we talking about today?
00:07:02.160 --> 00:07:05.519
So today we're gonna talk about celebrity aphasia.
00:07:05.759 --> 00:07:15.360
Uh, we have a couple of people on the docket, and we want to definitely give the disclaimer that this is a brain friends conversation.
00:07:15.439 --> 00:07:22.240
We have not been consulted out, we have not spoken with the family, all of that.
00:07:22.800 --> 00:07:24.000
We are available.
00:07:24.160 --> 00:07:27.920
There is a skill set available that my girl has.
00:07:28.240 --> 00:07:33.439
If you want to holler at my girl, you give her a call.
00:07:33.600 --> 00:07:34.240
She's available.
00:07:34.480 --> 00:07:36.000
Definitely available.
00:07:36.240 --> 00:07:58.240
So, yeah, so we're gonna do the real celebrity aphasia, and I have a couple of aphasia people or not not knowing if they all have aphasia, but uh these are individuals that have been in this in the media and have some type of brain injury, whether it is aphasia or stroke.
00:07:58.480 --> 00:07:59.360
So, yeah.
00:07:59.680 --> 00:08:01.519
That is definitely what's up.
00:08:01.759 --> 00:08:16.079
Um, I had written um well, read something, and I'm just gonna share it, um, and hopefully it'll help us uh kind of get into it a little bit.
00:08:16.399 --> 00:08:22.800
It says there's different types of aphasia depending upon the severity of the cognitive impairment.
00:08:23.199 --> 00:08:34.320
Bruce Willis has aphasia in the most severe type, um, which uh involves the complete loss of speech and comprehensive abilities.
00:08:34.399 --> 00:08:42.639
Uh Gabby Giffords has a different type of aphasia, which is a partial loss of speech and comprehension due to brain damage.
00:08:43.279 --> 00:08:55.039
And uh Fetterman uh has uh difficulty producing words more like me, like he's more in line with me.
00:08:56.480 --> 00:09:11.120
So I just find that to be the fact that there's so um would Gabby Gifford's be like uh Warnikes or Burkus?
00:09:11.600 --> 00:09:12.080
Right.
00:09:12.320 --> 00:09:39.600
So I'm not I'm not familiar with Gabby Gifford's classification, um, but recently I know the National Aphasia Association had a night with Gabby to where it was her and her speech language pathologist um kind of doing a QA and just engaging um members that the aphasia community.
00:09:39.759 --> 00:10:04.000
And based off of what I saw there, I wouldn't classify her as a Wernicke's, meaning uh someone that has difficulty understanding uh conversation and communication because it seemed as if she was doing very well in that space, um, or even broke us because she was able to have fluency in speech.
00:10:04.240 --> 00:10:09.360
So I wouldn't necessarily classify her as that either.
00:10:09.679 --> 00:10:20.639
I think I think sometimes when it comes to the classifications, they're very helpful, but it can be challenging to classify someone based off of a snippet.
00:10:20.799 --> 00:10:42.639
So I would probably need to have heard a little bit more and then also just not sure how much script training and preparation was given for that communication um um communication performance that she gave.
00:10:45.679 --> 00:10:54.399
Not performance, you know what I'm trying to say, experience, so but I do want to say one thing about Bruce Willis.
00:10:54.480 --> 00:11:23.039
So the thing with Bruce Willis is I'm not sure how much from a speaking or cognitive piece he is um experiencing difficulty, but I will say one thing about Bruce Willis that's different from the other individuals you mentioned, um, Fetterman, Gabby Giffords, um, and even Simbad, who I heard recently, um, or not recently, but is also recovering from a stroke.
00:11:23.200 --> 00:11:59.039
So one thing that's different about Bruce Willis is that his seemed to be more in line with what we would consider a primary progressive aphasia, uh, which is it seemed as if his challenges were a gradual onset that may be getting uh worse in nature as it progresses or as he, you know, okay gets older versus the others, you're gonna have more of an acute onset of challenge based off of an injury that's presented.
00:11:59.679 --> 00:12:08.559
Okay, so Bruce probably didn't have um a head injury like a stroke or anything.
00:12:09.039 --> 00:12:38.720
Um but so I'm more in line with Fetterman in our journey, um, where we with therapy and things like that, we are because of our onset, we are able to kind of get better, versus Bruce is in a progressive decline, like almost like a dementia or Alzheimer's would be, like it's a um a shrinkage that's happening there.
00:12:38.879 --> 00:12:40.000
Is that correct?
00:12:40.399 --> 00:12:40.879
Right.
00:12:41.039 --> 00:13:07.279
And so with with the with the challenge of the progressive piece is from a therapy perspective, even that therapy may look a little different because, you know, for you, the goal is to try to find ways, or for you, veteran, the the goal is to try to find ways for you to be able to communicate and strengthen those neurons and plasticity connections.
00:13:07.600 --> 00:13:23.440
Where when something is in that progressive state, oftentimes therapy may shift to the caregivers or to the individuals around them and helping to support based off of the person's performance right there.
00:13:24.159 --> 00:13:38.720
Meaning that it'll be more challenging to keep training, like keep practice, keep practice, keep practice because of the type of disorder that's causing it, that deterioration and atrophy might still be present.
00:13:39.039 --> 00:13:39.279
Right.
00:13:39.440 --> 00:13:44.080
So we need to find maybe different uh modalities for him.
00:13:44.559 --> 00:13:45.919
Come on, modalities.
00:13:46.240 --> 00:13:48.320
Modalities and medicine, you know.
00:13:48.399 --> 00:14:06.879
I I high-level saw, meaning I didn't read it all the way through, but I did see that there's some research out showing how a certain type of pharmaceutical drug is supporting in that slowing of the cognitive decline.
00:14:07.039 --> 00:14:17.440
So it's like even that verbiage, slowing of the cognitive decline versus eliminating or cognitive decline getting better.
00:14:18.320 --> 00:14:20.080
Kind of like that cellulite cream.
00:14:20.159 --> 00:14:25.759
You know, when they say with the cellulite cream, they say it reduces the appearance.
00:14:26.000 --> 00:14:27.840
Right, because it's still gonna be there.
00:14:28.000 --> 00:14:30.480
But it's still there, it's still there, right?
00:14:30.559 --> 00:14:32.320
It's like good foundation.
00:14:36.159 --> 00:14:37.840
I don't know about good foundation.
00:14:37.919 --> 00:14:39.679
I want it to smooth out, but yeah.
00:14:40.000 --> 00:14:42.399
Right, you wanna you wanna you want it gone.
00:14:42.559 --> 00:14:48.799
I need this surgically is this cream gonna handle this, or do I need to pay copay?
00:14:49.120 --> 00:14:50.320
I need to know.
00:14:50.559 --> 00:14:51.519
Okay, copay.
00:14:51.759 --> 00:14:53.759
Come on, copay, come on, copay.
00:14:56.159 --> 00:15:13.120
So other than onset, what makes what makes it what are the hallmark differences other than acute sudden stroke?
00:15:13.600 --> 00:15:21.440
Are there any other hallmark differences in the way it's treated or presented that you haven't already spoken on?
00:15:22.320 --> 00:15:44.879
Yeah, so I think one of the biggest things, like just overall looking at when someone has um a communication disorder related to stroke or related to a progressive type of um disorder or progressive type of disease in nature, is understanding what that individual's strengths and weaknesses are.
00:15:45.120 --> 00:15:50.799
And so are they able to fluently communicate and um and get their words out?
00:15:50.960 --> 00:15:54.960
And so we would classify that as either non-fluent or fluent.
00:15:55.200 --> 00:15:58.240
Are they able to understand spoken language?
00:15:58.399 --> 00:16:05.519
Uh so we would classify that as auditory comprehension or their ability to understand receptive language.
00:16:05.600 --> 00:16:09.039
And so that goes back to that Gabby Gifford's piece.
00:16:09.279 --> 00:16:21.039
Um, one of the reasons why I wouldn't necessarily think Wernicke's is because a hallmark feature of Wernicke's aphasia is the difficulty in auditory comprehension.
00:16:21.440 --> 00:16:24.399
And with her, I didn't I didn't see that.
00:16:24.720 --> 00:16:34.559
The other hallmark um or classification uh tool would be uh an individual's ability to repeat, so repetition.
00:16:34.720 --> 00:16:43.039
Uh so with brokas, that might be a challenge is the the individual's ability to repeat whatever word.
00:16:43.200 --> 00:16:52.879
And so if you can't say the word on your own, but then I say it, your ability to repeat that word can also indicate a level of damage.
00:16:53.279 --> 00:16:56.639
Oh, okay, okay, that makes sense.
00:16:56.799 --> 00:16:57.759
I get that.
00:16:59.759 --> 00:17:00.399
Hmm.
00:17:00.960 --> 00:17:03.120
We need to do icebreaker though.
00:17:04.400 --> 00:17:05.680
We done broke the ice.
00:17:07.599 --> 00:17:09.599
Okay, what you got for an icebreaker?
00:17:09.839 --> 00:17:17.759
Um, I'm gonna ask you, uh, what is your uh movie that you could watch at any time of day?
00:17:18.000 --> 00:17:25.200
If it if you're not feeling well, it's just on in the background, you see it's on, you're like, oh word, I'm watching that.
00:17:25.599 --> 00:17:26.400
It's good.
00:17:26.720 --> 00:17:28.160
What's your movie?
00:17:32.240 --> 00:17:43.920
I would say I'm gonna go cliche, and I say cliche because I'm sure this is a favorite for many, but when you say anytime, I could watch it anytime.
00:17:44.079 --> 00:17:44.960
Okay, I have two.
00:17:45.119 --> 00:17:45.759
Anytime.
00:17:46.079 --> 00:17:46.240
Go.
00:17:46.480 --> 00:17:52.799
Um, I'm gonna go with Lean on Me and Love and Basketball.
00:17:54.160 --> 00:17:54.960
Oh shit!
00:17:56.160 --> 00:17:57.279
Yeah, man.
00:17:58.240 --> 00:18:00.480
Love and basketball, I could watch right now.
00:18:00.720 --> 00:18:00.880
Right.
00:18:01.440 --> 00:18:02.319
And the best man.
00:18:02.400 --> 00:18:06.240
I mean, well, this is a you know, I don't know if you've seen the best man series.
00:18:06.319 --> 00:18:07.920
Have you seen Oh my god, it's so good.
00:18:08.079 --> 00:18:08.319
Right?
00:18:08.400 --> 00:18:09.440
Okay, it's so good.
00:18:09.599 --> 00:18:10.880
Oh my god, it's so good.
00:18:11.039 --> 00:18:12.079
It's so good.
00:18:12.400 --> 00:18:13.839
What are your movies?
00:18:14.079 --> 00:18:21.440
Um, well, first of all, I might I might get a card revoked, but my first movie, and I'll give two.
00:18:21.920 --> 00:18:26.160
Um Back to the Future.
00:18:27.920 --> 00:18:29.119
Don't judge me, y'all.
00:18:29.200 --> 00:18:30.160
Don't come for me.
00:18:30.880 --> 00:18:40.000
Back to the Future is like and um I'm gonna go with Hitch.
00:18:42.000 --> 00:18:43.039
Hitch is one of my favorites.
00:18:43.119 --> 00:18:43.680
I love it.
00:18:43.839 --> 00:18:44.559
Oh, you know what?
00:18:44.720 --> 00:18:46.000
I'm gonna go watch Hitch.
00:18:46.079 --> 00:18:48.079
I haven't watched that one in a while.
00:18:48.400 --> 00:19:07.440
And I liked love and basketball, but I didn't take because I saw myself in Saleah Latham's um uh in her uh her character, I saw myself, but I didn't like the way she got played.
00:19:07.519 --> 00:19:14.559
Like I didn't like I didn't I didn't so I didn't like the movie because I was like, no, well first of all, that's your man.
00:19:16.960 --> 00:19:23.839
Lady I was like, listen, I don't like the way you're handling any of it.
00:19:26.799 --> 00:19:30.240
Her nemesis, I didn't like the way she handled any of it.
00:19:30.559 --> 00:19:35.519
So but my uh but my uh for the culture movie is Love Jones.
00:19:36.000 --> 00:19:39.279
Oh Love Jones, yes, I love Love Jones.
00:19:39.599 --> 00:19:42.079
How about a breath mint and a visa?
00:19:44.079 --> 00:19:45.680
I loved it a lot.
00:19:47.599 --> 00:19:51.279
I don't need I don't need poetry to get women.
00:19:51.359 --> 00:19:54.400
No, you need a visa and a breath mint.
00:19:54.880 --> 00:19:57.279
That was that was a great movie.
00:19:57.519 --> 00:19:58.880
That was a great movie.
00:19:59.119 --> 00:20:02.960
But um, all right, so listen, what's her time looking like?
00:20:03.599 --> 00:20:10.000
Oh now listen, normally I'm the one that's saying time to go, I'm I'm giving you all the signals.
00:20:10.079 --> 00:20:11.519
We have we still have some more time.
00:20:11.599 --> 00:20:24.480
So I wanted to, since um I wanted to talk about another person that's had a stroke that would possibly be different than any of the other individuals that we spoke about, which is Sinbad.
00:20:24.880 --> 00:20:25.519
Yes.
00:20:25.920 --> 00:20:32.720
And from what I've seen, it appears that Sinbad might have had a right hemisphere stroke.
00:20:32.960 --> 00:20:41.759
And the reason why I say that is because I saw some um uh some pictures and it seemed as if his left side had the hemiparesis.
00:20:41.920 --> 00:20:48.960
And since our our brain is contralateral, um, the right innervates the left, left innervates the right.
00:20:49.039 --> 00:20:56.480
And so again, not being consulted on this case, but I think that he had a right hemisphere stroke.
00:20:56.799 --> 00:21:08.160
So he would be able to so he wouldn't have aphasia because aphasia is the speech part of your brain is on the left.
00:21:08.480 --> 00:21:09.279
Right, right.
00:21:09.359 --> 00:21:21.119
And so with him, we wouldn't necessarily classify any language challenges that he may be having as aphasia, but maybe uh challenges with cognitive communication.
00:21:21.279 --> 00:21:48.319
So his ability to think through and process thought that supports communication, um, his ability to stay aroused and have attention and memory, uh, oftentimes we see some of those things classified on the right on the right hand side, uh, with with right hemisphere strokes, challenges with facial expression, um prosody, speech.
00:21:51.039 --> 00:21:59.839
So the hallmark differences between a right hemisphere right side versus the left side.
00:22:00.400 --> 00:22:02.160
What are the hallmark differences?
00:22:02.400 --> 00:22:05.440
So a lot of the hallmark differences with right versus left.
00:22:05.519 --> 00:22:08.480
So with left side, you're going to see that language piece.
00:22:08.559 --> 00:22:23.200
So difficulty understanding words, using words, whether it's verbal, written, difficulty, even possibly with some of those cognitive processes related to thinking and reasoning.
00:22:23.359 --> 00:22:39.920
Where with that right hemisphere, even though you might still have some of those communication elements, you might have more challenges with facial expression, under seeing someone's face and understanding what who that is, emotion.
00:22:40.079 --> 00:22:44.319
You might have some challenges with physiospatial skills.
00:22:44.640 --> 00:23:03.359
So understanding the perception of the perception and depth of things, the distance, shapes, localizing targets in space, understanding relationships between between uh pictures and and vision.
00:23:03.519 --> 00:23:13.839
And so oftentimes you see more of those things classified with you see more of those challenges in individuals with right hemisphere stroke.
00:23:14.160 --> 00:23:20.880
Well, with emotional liability, not like emotional challenges.
00:23:20.960 --> 00:23:21.680
It's a word for it.
00:23:21.759 --> 00:23:27.519
It's like live, not liability, and it's not but it's one can be emotional libile.
00:23:28.000 --> 00:23:28.880
LIBOR right.
00:23:29.279 --> 00:23:36.799
It's um I feel like it was uh that was definitely a challenge for me.
00:23:37.440 --> 00:23:43.119
Um and uh, you know, shout out to Pfizer for this medication.
00:23:43.599 --> 00:23:43.920
Yeah.
00:23:44.319 --> 00:23:45.680
Stuff attracts.
00:23:46.160 --> 00:23:46.559
Right.
00:23:46.880 --> 00:23:50.880
Your brain, you know, when you have a brain attack, it it changes everything.
00:23:51.039 --> 00:23:52.319
It changed my personality.
00:23:52.480 --> 00:23:54.160
I wasn't nearly as funny.
00:23:54.400 --> 00:23:56.079
Um, you know, I'm a good time.
00:23:56.240 --> 00:23:56.880
I was a good time.
00:23:57.119 --> 00:23:58.720
Oh, you're still a good time now, honey.
00:23:58.960 --> 00:24:01.279
Yeah, well, I mean, you know, I I am.
00:24:01.440 --> 00:24:01.839
Thank you.
00:24:02.000 --> 00:24:04.319
I wouldn't be on here if I wasn't, but still.
00:24:04.640 --> 00:24:05.039
Yeah.
00:24:06.000 --> 00:24:23.359
And that could be, and that's some of the the differences that you'll see, um, or one of the differences that you can see between individuals that have right hemisphere stroke versus left hemisphere, is both of you can be have those moments of um being emotionally labile.
00:24:23.920 --> 00:24:48.240
But oftentimes the difference is that left hemisphere stroke, uh, because their problem solving and cognitive abilities um may be stronger, they're able to apply reasoning skills to some of that versus that right hemisphere stroke, you might see more challenges in cognition.
00:24:48.400 --> 00:24:58.799
And so the reasoning skills to help pull themselves out of that could be um also high uh more significantly impaired.
00:25:00.000 --> 00:25:04.880
Or the ability to recognize emotion, um, the ability to show emotion.
00:25:05.039 --> 00:25:25.599
And so, you know, someone could be upset, angry, and that right hemisphere stroke might not be able to differentiate between an angry sounding voice and a happy sounding voice, or you know, see you crying and understand, like, oh wow, I've said something to upset you.
00:25:25.920 --> 00:25:26.240
Right.
00:25:26.400 --> 00:25:28.720
It doesn't right, right.
00:25:28.960 --> 00:25:35.440
Um, so they're not being mean, they really just can't process exactly what's going on.
00:25:36.160 --> 00:25:46.799
So if you've had a uh left side and a right side, and you're the caregiver, that's gotta be insanely challenging.
00:25:47.039 --> 00:25:54.319
On how do I get through to my loved one to have them understand what I'm going through?
00:25:54.559 --> 00:25:55.200
Right.
00:25:55.519 --> 00:25:57.039
Right, right.
00:25:57.519 --> 00:26:01.200
That's um that's terrible.
00:26:01.359 --> 00:26:18.960
I mean, you think about the caregiver and um what they have to go through if, like I said, if you have left and right, and your loved one is emotionally unavailable, um, and they have their own brain damages, so they're the ones that get all the care.
00:26:19.200 --> 00:26:19.519
Right.
00:26:19.839 --> 00:26:33.519
But you are like, listen, I'm over here trying to be the facilitator and the caregiver, and I gotta understand everything they're going through, but who has to understand what I'm going through?
00:26:33.759 --> 00:26:34.400
Exactly.
00:26:35.200 --> 00:27:01.279
And I think that that's why it's so important to have the support groups, but also really, really important for caregivers, whether it's a right hemisphere stroke or a left hemisphere stroke, to make sure that they're communicating with the practitioner, their speech language pathologist, to give them insight into what's going on at home because, you know, they're only with that practitioner for 30 to 50 minutes.
00:27:01.440 --> 00:27:07.920
And the caregiver is with that individual in their most comfortable space, which is in the home.
00:27:08.160 --> 00:27:14.559
And so um, I just encourage all caregivers to to seek out support.
00:27:14.640 --> 00:27:18.559
And if you need more better support from your practitioner, tell them.
00:27:23.759 --> 00:27:24.480
Tell them.
00:27:25.200 --> 00:27:27.599
They're gonna they're gonna have they're gonna have to find out.
00:27:27.839 --> 00:27:28.640
And listen.
00:27:28.880 --> 00:27:29.920
You're gonna learn today.
00:27:30.240 --> 00:27:31.200
You're gonna learn today.
00:27:31.440 --> 00:27:32.480
That's what you're gonna do.
00:27:32.640 --> 00:27:39.519
Well, listen, this has been a phenomenal, phenomenal learning experience as it always is, Dr.
00:27:39.680 --> 00:27:40.160
Silas.
00:27:40.640 --> 00:27:42.400
But I think we're gonna have to leave it right there.
00:27:42.559 --> 00:27:43.359
Oh yeah.
00:27:43.599 --> 00:27:44.799
Thanks so much.
00:27:45.119 --> 00:27:48.079
Thank you for listening, downloading, and rocking with us.
00:27:48.160 --> 00:27:49.359
We are the brain friends.
00:27:49.839 --> 00:27:50.720
Brain friends.
00:27:51.119 --> 00:27:51.440
Bye.
00:00:00.239 --> 00:00:07.919
Welcome to Brain Friends, where two neuroneerds talk all things aphasia, language recovery, culture, and community.
00:00:08.080 --> 00:00:08.640
I am Dr.
00:00:08.880 --> 00:00:13.679
Dacrina Celeste Gatson, a clinical speech language pathologist and neuroscientist.
00:00:13.839 --> 00:00:19.199
And I am Angie Clawthorn, stroke survivor and aphasia advocate.
00:00:19.440 --> 00:00:20.879
Welcome to our show.
00:00:21.120 --> 00:00:23.600
Welcome, Debrain Friend.
00:00:24.160 --> 00:00:27.839
We want to thank all of our listeners for downloading the podcast.
00:00:28.000 --> 00:00:29.920
We appreciate everyone listening.
00:00:30.000 --> 00:00:33.600
So please tell a friend to tell a friend that we are here.
00:00:33.840 --> 00:00:34.799
And we are.
00:01:29.519 --> 00:01:29.760
Yeah.
00:01:29.920 --> 00:01:36.239
So I have one coming up in Charleston, which I'm really excited about, Charles, Charleston, South Carolina.
00:01:36.640 --> 00:01:44.959
And then there's one that I that I'm submitting to one of my favorite conferences that is in Jersey this year.
00:01:45.120 --> 00:01:50.159
So fingers crossed, because I would love to come out to Atlantic City, New Jersey.
00:01:50.480 --> 00:01:51.680
Oh, for the CAC.
00:01:51.840 --> 00:01:52.079
CA.
00:01:52.560 --> 00:01:53.439
Okay, come on.
00:01:53.760 --> 00:01:54.239
Yes.
00:01:54.560 --> 00:01:58.159
The Clinical Ephysiology Conference, the CAC.
00:01:58.560 --> 00:02:02.640
Well, fun fact your girl is the keynote responder.
00:02:03.599 --> 00:02:05.599
Alrighty! Yes.
00:02:06.079 --> 00:02:16.000
See, so now I've got to definitely push to get this abstract submitted and hopefully accept it so we can be in those CAC streets together.
00:02:16.560 --> 00:02:19.120
Street on these broadwalks, doing it.
00:02:19.199 --> 00:02:22.400
Yeah, they asked me to be the uh keynote responder.
00:02:22.719 --> 00:02:30.000
And um, I actually have a meeting coming up in a few days to uh discuss uh how something like that might work or what that looks like.
00:02:30.159 --> 00:02:32.879
So I'm excited, but yeah, I guess I would see you there.
00:02:33.120 --> 00:02:38.159
Oh my god, you're I mean, this is one of my favorite conferences.
00:02:38.240 --> 00:02:41.199
Uh really oh, out of all of them, yeah.
00:02:41.360 --> 00:02:43.199
I've always enjoyed this conference.
00:02:43.439 --> 00:02:52.319
What is that that makes this one different versus like um, you know, like the one that was just in New Orleans or aphasia access?
00:02:52.560 --> 00:02:53.120
What's the difference?
00:02:53.199 --> 00:02:55.680
Because I've never been to a CAC.
00:02:56.159 --> 00:03:06.719
Yeah, so the thing that I like about like CAC is that it's a smaller conference, and so it's not gonna going to be as large as the one that was in New Orleans.
00:03:06.800 --> 00:03:15.439
And so it gives you an opportunity to really meet other scholars, meet other students, connect, talk about research.
00:03:15.680 --> 00:03:25.520
I find that uh this conference really aligns a lot with my viewpoint in aphasia, which is asking the patient quality of life.
00:03:25.680 --> 00:03:28.960
Um, and I feel like they're really open to diversity.
00:03:29.199 --> 00:03:34.159
Hence, you're the you've already been invited to be the keynote respondent.
00:03:34.400 --> 00:03:37.680
Um, and I was the keynote respondent last year.
00:03:37.840 --> 00:03:41.439
And so just the point that they're continuing.
00:03:42.319 --> 00:03:42.719
Yeah.
00:03:44.960 --> 00:03:46.639
Yeah, myself and um Dr.
00:03:46.719 --> 00:03:47.599
Charles Ellis.
00:03:47.680 --> 00:03:48.479
I know you know him.
00:03:48.719 --> 00:03:49.520
Shout out, Dr.
00:03:49.599 --> 00:03:50.000
Ellis.
00:03:50.240 --> 00:03:51.120
What's up, Chuck?
00:03:51.280 --> 00:03:54.400
Let me stop he's like, I'll leave like that.
00:03:55.120 --> 00:03:56.319
No, Dr.
00:03:56.479 --> 00:03:57.280
Ellis.
00:03:57.919 --> 00:04:00.240
Yeah, so I I really like that part.
00:04:00.319 --> 00:04:11.840
And then the other part that I like about um this conference that can sometimes be a good thing or a bad thing, but in order to go to the conference, you have to submit something.
00:04:12.000 --> 00:04:20.639
And so it's not one of those conferences that you can kind of go to and um, I don't want to say warm the pew, as we would say.
00:04:22.720 --> 00:04:22.959
Right.
00:04:23.120 --> 00:04:24.240
Everybody's doing something.
00:04:24.480 --> 00:04:34.480
You've got, yeah, you've you're bringing your idea, you know, even if your presentation doesn't get accepted, but you know, you're you're bringing, you're contributing something to the science and scholarship.
00:04:34.639 --> 00:04:35.759
And the people are nice.
00:04:35.920 --> 00:04:39.439
You know, sometimes look, honey, everybody ain't nice.
00:04:39.680 --> 00:04:40.319
Right.
00:04:40.639 --> 00:04:43.040
So that's one thing that I do enjoy about this.
00:04:43.120 --> 00:04:46.959
I think that there's a level of genuine just uh interest.
00:04:47.439 --> 00:04:50.079
I found that I went, uh spoke at a conference.
00:04:50.240 --> 00:04:51.839
The first time I actually met Dr.
00:04:51.920 --> 00:04:57.439
Charles Ellis, I spoke with him on a panel, and I it was for aphasia access, actually.
00:04:57.519 --> 00:05:02.319
Uh shout out to Todd Van Diek and um his team, that's my boy.
00:05:02.639 --> 00:05:06.959
But everybody was so nice and kind.
00:05:07.279 --> 00:05:15.519
And that was what, from a person that worked in the finance auto industry, I found that to be so refreshing.
00:05:15.839 --> 00:05:26.560
Like everyone was, nobody was talking about their billable hours, nobody was talking about uh, you know, that trouble that they're having with um, you know, a certain type of per.
00:05:26.959 --> 00:05:40.240
You know, it was just everyone was just LLP, which is what is L Lpa, I'm sorry, uh, you know, life participation type of how can we better these people's lives?
00:05:40.399 --> 00:05:47.600
And that was what I the big takeaway I heard from them was uh such, so it was just genuine.
00:05:47.759 --> 00:05:55.920
And um, I really uh I was really taken aback by their level of kindness that I heard.
00:05:56.240 --> 00:06:06.480
Yeah, because the other thing is that sometimes as a minority, when you're going to these conferences and no one looks like you, very much it could be an isolating experience.
00:06:06.639 --> 00:06:36.560
And so anytime you go to a conference or anytime that I've been to a conference and I I felt like I didn't always have to be the one to initiate inclusion, that's those are the types of spaces that I feel like I want to be part of, and that also also really not only just talk the talk about wanting diversity, but they're walking it because they're gonna come up to you and you know engage you versus you sitting alone or just going back to your room after stuff.
00:06:36.879 --> 00:06:38.319
Exactly, exactly.
00:06:38.480 --> 00:06:41.199
And um, yeah, it's uh good stuff.
00:06:41.439 --> 00:06:46.160
So we done talked the whole, we done just you'd like, how you doing?
00:06:46.240 --> 00:06:47.120
I'm like, I'm great.
00:06:47.199 --> 00:06:48.800
We're gonna talk about this conference.
00:06:48.959 --> 00:06:53.199
That is so cool, but I am gonna uh pick your brain on how to be a good responder.
00:06:53.439 --> 00:06:58.319
I didn't know that you uh that you had that, so that'd be good.
00:06:58.639 --> 00:07:00.240
So what is going on?
00:07:00.399 --> 00:07:01.920
What are we talking about today?
00:07:02.160 --> 00:07:05.519
So today we're gonna talk about celebrity aphasia.
00:07:05.759 --> 00:07:15.360
Uh, we have a couple of people on the docket, and we want to definitely give the disclaimer that this is a brain friends conversation.
00:07:15.439 --> 00:07:22.240
We have not been consulted out, we have not spoken with the family, all of that.
00:07:22.800 --> 00:07:24.000
We are available.
00:07:24.160 --> 00:07:27.920
There is a skill set available that my girl has.
00:07:28.240 --> 00:07:33.439
If you want to holler at my girl, you give her a call.
00:07:33.600 --> 00:07:34.240
She's available.
00:07:34.480 --> 00:07:36.000
Definitely available.
00:07:36.240 --> 00:07:58.240
So, yeah, so we're gonna do the real celebrity aphasia, and I have a couple of aphasia people or not not knowing if they all have aphasia, but uh these are individuals that have been in this in the media and have some type of brain injury, whether it is aphasia or stroke.
00:07:58.480 --> 00:07:59.360
So, yeah.
00:07:59.680 --> 00:08:01.519
That is definitely what's up.
00:08:01.759 --> 00:08:16.079
Um, I had written um well, read something, and I'm just gonna share it, um, and hopefully it'll help us uh kind of get into it a little bit.
00:08:16.399 --> 00:08:22.800
It says there's different types of aphasia depending upon the severity of the cognitive impairment.
00:08:23.199 --> 00:08:34.320
Bruce Willis has aphasia in the most severe type, um, which uh involves the complete loss of speech and comprehensive abilities.
00:08:34.399 --> 00:08:42.639
Uh Gabby Giffords has a different type of aphasia, which is a partial loss of speech and comprehension due to brain damage.
00:08:43.279 --> 00:08:55.039
And uh Fetterman uh has uh difficulty producing words more like me, like he's more in line with me.
00:08:56.480 --> 00:09:11.120
So I just find that to be the fact that there's so um would Gabby Gifford's be like uh Warnikes or Burkus?
00:09:11.600 --> 00:09:12.080
Right.
00:09:12.320 --> 00:09:39.600
So I'm not I'm not familiar with Gabby Gifford's classification, um, but recently I know the National Aphasia Association had a night with Gabby to where it was her and her speech language pathologist um kind of doing a QA and just engaging um members that the aphasia community.
00:09:39.759 --> 00:10:04.000
And based off of what I saw there, I wouldn't classify her as a Wernicke's, meaning uh someone that has difficulty understanding uh conversation and communication because it seemed as if she was doing very well in that space, um, or even broke us because she was able to have fluency in speech.
00:10:04.240 --> 00:10:09.360
So I wouldn't necessarily classify her as that either.
00:10:09.679 --> 00:10:20.639
I think I think sometimes when it comes to the classifications, they're very helpful, but it can be challenging to classify someone based off of a snippet.
00:10:20.799 --> 00:10:42.639
So I would probably need to have heard a little bit more and then also just not sure how much script training and preparation was given for that communication um um communication performance that she gave.
00:10:45.679 --> 00:10:54.399
Not performance, you know what I'm trying to say, experience, so but I do want to say one thing about Bruce Willis.
00:10:54.480 --> 00:11:23.039
So the thing with Bruce Willis is I'm not sure how much from a speaking or cognitive piece he is um experiencing difficulty, but I will say one thing about Bruce Willis that's different from the other individuals you mentioned, um, Fetterman, Gabby Giffords, um, and even Simbad, who I heard recently, um, or not recently, but is also recovering from a stroke.
00:11:23.200 --> 00:11:59.039
So one thing that's different about Bruce Willis is that his seemed to be more in line with what we would consider a primary progressive aphasia, uh, which is it seemed as if his challenges were a gradual onset that may be getting uh worse in nature as it progresses or as he, you know, okay gets older versus the others, you're gonna have more of an acute onset of challenge based off of an injury that's presented.
00:11:59.679 --> 00:12:08.559
Okay, so Bruce probably didn't have um a head injury like a stroke or anything.
00:12:09.039 --> 00:12:38.720
Um but so I'm more in line with Fetterman in our journey, um, where we with therapy and things like that, we are because of our onset, we are able to kind of get better, versus Bruce is in a progressive decline, like almost like a dementia or Alzheimer's would be, like it's a um a shrinkage that's happening there.
00:12:38.879 --> 00:12:40.000
Is that correct?
00:12:40.399 --> 00:12:40.879
Right.
00:12:41.039 --> 00:13:07.279
And so with with the with the challenge of the progressive piece is from a therapy perspective, even that therapy may look a little different because, you know, for you, the goal is to try to find ways, or for you, veteran, the the goal is to try to find ways for you to be able to communicate and strengthen those neurons and plasticity connections.
00:13:07.600 --> 00:13:23.440
Where when something is in that progressive state, oftentimes therapy may shift to the caregivers or to the individuals around them and helping to support based off of the person's performance right there.
00:13:24.159 --> 00:13:38.720
Meaning that it'll be more challenging to keep training, like keep practice, keep practice, keep practice because of the type of disorder that's causing it, that deterioration and atrophy might still be present.
00:13:39.039 --> 00:13:39.279
Right.
00:13:39.440 --> 00:13:44.080
So we need to find maybe different uh modalities for him.
00:13:44.559 --> 00:13:45.919
Come on, modalities.
00:13:46.240 --> 00:13:48.320
Modalities and medicine, you know.
00:13:48.399 --> 00:14:06.879
I I high-level saw, meaning I didn't read it all the way through, but I did see that there's some research out showing how a certain type of pharmaceutical drug is supporting in that slowing of the cognitive decline.
00:14:07.039 --> 00:14:17.440
So it's like even that verbiage, slowing of the cognitive decline versus eliminating or cognitive decline getting better.
00:14:18.320 --> 00:14:20.080
Kind of like that cellulite cream.
00:14:20.159 --> 00:14:25.759
You know, when they say with the cellulite cream, they say it reduces the appearance.
00:14:26.000 --> 00:14:27.840
Right, because it's still gonna be there.
00:14:28.000 --> 00:14:30.480
But it's still there, it's still there, right?
00:14:30.559 --> 00:14:32.320
It's like good foundation.
00:14:36.159 --> 00:14:37.840
I don't know about good foundation.
00:14:37.919 --> 00:14:39.679
I want it to smooth out, but yeah.
00:14:40.000 --> 00:14:42.399
Right, you wanna you wanna you want it gone.
00:14:42.559 --> 00:14:48.799
I need this surgically is this cream gonna handle this, or do I need to pay copay?
00:14:49.120 --> 00:14:50.320
I need to know.
00:14:50.559 --> 00:14:51.519
Okay, copay.
00:14:51.759 --> 00:14:53.759
Come on, copay, come on, copay.
00:14:56.159 --> 00:15:13.120
So other than onset, what makes what makes it what are the hallmark differences other than acute sudden stroke?
00:15:13.600 --> 00:15:21.440
Are there any other hallmark differences in the way it's treated or presented that you haven't already spoken on?
00:15:22.320 --> 00:15:44.879
Yeah, so I think one of the biggest things, like just overall looking at when someone has um a communication disorder related to stroke or related to a progressive type of um disorder or progressive type of disease in nature, is understanding what that individual's strengths and weaknesses are.
00:15:45.120 --> 00:15:50.799
And so are they able to fluently communicate and um and get their words out?
00:15:50.960 --> 00:15:54.960
And so we would classify that as either non-fluent or fluent.
00:15:55.200 --> 00:15:58.240
Are they able to understand spoken language?
00:15:58.399 --> 00:16:05.519
Uh so we would classify that as auditory comprehension or their ability to understand receptive language.
00:16:05.600 --> 00:16:09.039
And so that goes back to that Gabby Gifford's piece.
00:16:09.279 --> 00:16:21.039
Um, one of the reasons why I wouldn't necessarily think Wernicke's is because a hallmark feature of Wernicke's aphasia is the difficulty in auditory comprehension.
00:16:21.440 --> 00:16:24.399
And with her, I didn't I didn't see that.
00:16:24.720 --> 00:16:34.559
The other hallmark um or classification uh tool would be uh an individual's ability to repeat, so repetition.
00:16:34.720 --> 00:16:43.039
Uh so with brokas, that might be a challenge is the the individual's ability to repeat whatever word.
00:16:43.200 --> 00:16:52.879
And so if you can't say the word on your own, but then I say it, your ability to repeat that word can also indicate a level of damage.
00:16:53.279 --> 00:16:56.639
Oh, okay, okay, that makes sense.
00:16:56.799 --> 00:16:57.759
I get that.
00:16:59.759 --> 00:17:00.399
Hmm.
00:17:00.960 --> 00:17:03.120
We need to do icebreaker though.
00:17:04.400 --> 00:17:05.680
We done broke the ice.
00:17:07.599 --> 00:17:09.599
Okay, what you got for an icebreaker?
00:17:09.839 --> 00:17:17.759
Um, I'm gonna ask you, uh, what is your uh movie that you could watch at any time of day?
00:17:18.000 --> 00:17:25.200
If it if you're not feeling well, it's just on in the background, you see it's on, you're like, oh word, I'm watching that.
00:17:25.599 --> 00:17:26.400
It's good.
00:17:26.720 --> 00:17:28.160
What's your movie?
00:17:32.240 --> 00:17:43.920
I would say I'm gonna go cliche, and I say cliche because I'm sure this is a favorite for many, but when you say anytime, I could watch it anytime.
00:17:44.079 --> 00:17:44.960
Okay, I have two.
00:17:45.119 --> 00:17:45.759
Anytime.
00:17:46.079 --> 00:17:46.240
Go.
00:17:46.480 --> 00:17:52.799
Um, I'm gonna go with Lean on Me and Love and Basketball.
00:17:54.160 --> 00:17:54.960
Oh shit!
00:17:56.160 --> 00:17:57.279
Yeah, man.
00:17:58.240 --> 00:18:00.480
Love and basketball, I could watch right now.
00:18:00.720 --> 00:18:00.880
Right.
00:18:01.440 --> 00:18:02.319
And the best man.
00:18:02.400 --> 00:18:06.240
I mean, well, this is a you know, I don't know if you've seen the best man series.
00:18:06.319 --> 00:18:07.920
Have you seen Oh my god, it's so good.
00:18:08.079 --> 00:18:08.319
Right?
00:18:08.400 --> 00:18:09.440
Okay, it's so good.
00:18:09.599 --> 00:18:10.880
Oh my god, it's so good.
00:18:11.039 --> 00:18:12.079
It's so good.
00:18:12.400 --> 00:18:13.839
What are your movies?
00:18:14.079 --> 00:18:21.440
Um, well, first of all, I might I might get a card revoked, but my first movie, and I'll give two.
00:18:21.920 --> 00:18:26.160
Um Back to the Future.
00:18:27.920 --> 00:18:29.119
Don't judge me, y'all.
00:18:29.200 --> 00:18:30.160
Don't come for me.
00:18:30.880 --> 00:18:40.000
Back to the Future is like and um I'm gonna go with Hitch.
00:18:42.000 --> 00:18:43.039
Hitch is one of my favorites.
00:18:43.119 --> 00:18:43.680
I love it.
00:18:43.839 --> 00:18:44.559
Oh, you know what?
00:18:44.720 --> 00:18:46.000
I'm gonna go watch Hitch.
00:18:46.079 --> 00:18:48.079
I haven't watched that one in a while.
00:18:48.400 --> 00:19:07.440
And I liked love and basketball, but I didn't take because I saw myself in Saleah Latham's um uh in her uh her character, I saw myself, but I didn't like the way she got played.
00:19:07.519 --> 00:19:14.559
Like I didn't like I didn't I didn't so I didn't like the movie because I was like, no, well first of all, that's your man.
00:19:16.960 --> 00:19:23.839
Lady I was like, listen, I don't like the way you're handling any of it.
00:19:26.799 --> 00:19:30.240
Her nemesis, I didn't like the way she handled any of it.
00:19:30.559 --> 00:19:35.519
So but my uh but my uh for the culture movie is Love Jones.
00:19:36.000 --> 00:19:39.279
Oh Love Jones, yes, I love Love Jones.
00:19:39.599 --> 00:19:42.079
How about a breath mint and a visa?
00:19:44.079 --> 00:19:45.680
I loved it a lot.
00:19:47.599 --> 00:19:51.279
I don't need I don't need poetry to get women.
00:19:51.359 --> 00:19:54.400
No, you need a visa and a breath mint.
00:19:54.880 --> 00:19:57.279
That was that was a great movie.
00:19:57.519 --> 00:19:58.880
That was a great movie.
00:19:59.119 --> 00:20:02.960
But um, all right, so listen, what's her time looking like?
00:20:03.599 --> 00:20:10.000
Oh now listen, normally I'm the one that's saying time to go, I'm I'm giving you all the signals.
00:20:10.079 --> 00:20:11.519
We have we still have some more time.
00:20:11.599 --> 00:20:24.480
So I wanted to, since um I wanted to talk about another person that's had a stroke that would possibly be different than any of the other individuals that we spoke about, which is Sinbad.
00:20:24.880 --> 00:20:25.519
Yes.
00:20:25.920 --> 00:20:32.720
And from what I've seen, it appears that Sinbad might have had a right hemisphere stroke.
00:20:32.960 --> 00:20:41.759
And the reason why I say that is because I saw some um uh some pictures and it seemed as if his left side had the hemiparesis.
00:20:41.920 --> 00:20:48.960
And since our our brain is contralateral, um, the right innervates the left, left innervates the right.
00:20:49.039 --> 00:20:56.480
And so again, not being consulted on this case, but I think that he had a right hemisphere stroke.
00:20:56.799 --> 00:21:08.160
So he would be able to so he wouldn't have aphasia because aphasia is the speech part of your brain is on the left.
00:21:08.480 --> 00:21:09.279
Right, right.
00:21:09.359 --> 00:21:21.119
And so with him, we wouldn't necessarily classify any language challenges that he may be having as aphasia, but maybe uh challenges with cognitive communication.
00:21:21.279 --> 00:21:48.319
So his ability to think through and process thought that supports communication, um, his ability to stay aroused and have attention and memory, uh, oftentimes we see some of those things classified on the right on the right hand side, uh, with with right hemisphere strokes, challenges with facial expression, um prosody, speech.
00:21:51.039 --> 00:21:59.839
So the hallmark differences between a right hemisphere right side versus the left side.
00:22:00.400 --> 00:22:02.160
What are the hallmark differences?
00:22:02.400 --> 00:22:05.440
So a lot of the hallmark differences with right versus left.
00:22:05.519 --> 00:22:08.480
So with left side, you're going to see that language piece.
00:22:08.559 --> 00:22:23.200
So difficulty understanding words, using words, whether it's verbal, written, difficulty, even possibly with some of those cognitive processes related to thinking and reasoning.
00:22:23.359 --> 00:22:39.920
Where with that right hemisphere, even though you might still have some of those communication elements, you might have more challenges with facial expression, under seeing someone's face and understanding what who that is, emotion.
00:22:40.079 --> 00:22:44.319
You might have some challenges with physiospatial skills.
00:22:44.640 --> 00:23:03.359
So understanding the perception of the perception and depth of things, the distance, shapes, localizing targets in space, understanding relationships between between uh pictures and and vision.
00:23:03.519 --> 00:23:13.839
And so oftentimes you see more of those things classified with you see more of those challenges in individuals with right hemisphere stroke.
00:23:14.160 --> 00:23:20.880
Well, with emotional liability, not like emotional challenges.
00:23:20.960 --> 00:23:21.680
It's a word for it.
00:23:21.759 --> 00:23:27.519
It's like live, not liability, and it's not but it's one can be emotional libile.
00:23:28.000 --> 00:23:28.880
LIBOR right.
00:23:29.279 --> 00:23:36.799
It's um I feel like it was uh that was definitely a challenge for me.
00:23:37.440 --> 00:23:43.119
Um and uh, you know, shout out to Pfizer for this medication.
00:23:43.599 --> 00:23:43.920
Yeah.
00:23:44.319 --> 00:23:45.680
Stuff attracts.
00:23:46.160 --> 00:23:46.559
Right.
00:23:46.880 --> 00:23:50.880
Your brain, you know, when you have a brain attack, it it changes everything.
00:23:51.039 --> 00:23:52.319
It changed my personality.
00:23:52.480 --> 00:23:54.160
I wasn't nearly as funny.
00:23:54.400 --> 00:23:56.079
Um, you know, I'm a good time.
00:23:56.240 --> 00:23:56.880
I was a good time.
00:23:57.119 --> 00:23:58.720
Oh, you're still a good time now, honey.
00:23:58.960 --> 00:24:01.279
Yeah, well, I mean, you know, I I am.
00:24:01.440 --> 00:24:01.839
Thank you.
00:24:02.000 --> 00:24:04.319
I wouldn't be on here if I wasn't, but still.
00:24:04.640 --> 00:24:05.039
Yeah.
00:24:06.000 --> 00:24:23.359
And that could be, and that's some of the the differences that you'll see, um, or one of the differences that you can see between individuals that have right hemisphere stroke versus left hemisphere, is both of you can be have those moments of um being emotionally labile.
00:24:23.920 --> 00:24:48.240
But oftentimes the difference is that left hemisphere stroke, uh, because their problem solving and cognitive abilities um may be stronger, they're able to apply reasoning skills to some of that versus that right hemisphere stroke, you might see more challenges in cognition.
00:24:48.400 --> 00:24:58.799
And so the reasoning skills to help pull themselves out of that could be um also high uh more significantly impaired.
00:25:00.000 --> 00:25:04.880
Or the ability to recognize emotion, um, the ability to show emotion.
00:25:05.039 --> 00:25:25.599
And so, you know, someone could be upset, angry, and that right hemisphere stroke might not be able to differentiate between an angry sounding voice and a happy sounding voice, or you know, see you crying and understand, like, oh wow, I've said something to upset you.
00:25:25.920 --> 00:25:26.240
Right.
00:25:26.400 --> 00:25:28.720
It doesn't right, right.
00:25:28.960 --> 00:25:35.440
Um, so they're not being mean, they really just can't process exactly what's going on.
00:25:36.160 --> 00:25:46.799
So if you've had a uh left side and a right side, and you're the caregiver, that's gotta be insanely challenging.
00:25:47.039 --> 00:25:54.319
On how do I get through to my loved one to have them understand what I'm going through?
00:25:54.559 --> 00:25:55.200
Right.
00:25:55.519 --> 00:25:57.039
Right, right.
00:25:57.519 --> 00:26:01.200
That's um that's terrible.
00:26:01.359 --> 00:26:18.960
I mean, you think about the caregiver and um what they have to go through if, like I said, if you have left and right, and your loved one is emotionally unavailable, um, and they have their own brain damages, so they're the ones that get all the care.
00:26:19.200 --> 00:26:19.519
Right.
00:26:19.839 --> 00:26:33.519
But you are like, listen, I'm over here trying to be the facilitator and the caregiver, and I gotta understand everything they're going through, but who has to understand what I'm going through?
00:26:33.759 --> 00:26:34.400
Exactly.
00:26:35.200 --> 00:27:01.279
And I think that that's why it's so important to have the support groups, but also really, really important for caregivers, whether it's a right hemisphere stroke or a left hemisphere stroke, to make sure that they're communicating with the practitioner, their speech language pathologist, to give them insight into what's going on at home because, you know, they're only with that practitioner for 30 to 50 minutes.
00:27:01.440 --> 00:27:07.920
And the caregiver is with that individual in their most comfortable space, which is in the home.
00:27:08.160 --> 00:27:14.559
And so um, I just encourage all caregivers to to seek out support.
00:27:14.640 --> 00:27:18.559
And if you need more better support from your practitioner, tell them.
00:27:23.759 --> 00:27:24.480
Tell them.
00:27:25.200 --> 00:27:27.599
They're gonna they're gonna have they're gonna have to find out.
00:27:27.839 --> 00:27:28.640
And listen.
00:27:28.880 --> 00:27:29.920
You're gonna learn today.
00:27:30.240 --> 00:27:31.200
You're gonna learn today.
00:27:31.440 --> 00:27:32.480
That's what you're gonna do.
00:27:32.640 --> 00:27:39.519
Well, listen, this has been a phenomenal, phenomenal learning experience as it always is, Dr.
00:27:39.680 --> 00:27:40.160
Silas.
00:27:40.640 --> 00:27:42.400
But I think we're gonna have to leave it right there.
00:27:42.559 --> 00:27:43.359
Oh yeah.
00:27:43.599 --> 00:27:44.799
Thanks so much.
00:27:45.119 --> 00:27:48.079
Thank you for listening, downloading, and rocking with us.
00:27:48.160 --> 00:27:49.359
We are the brain friends.
00:27:49.839 --> 00:27:50.720
Brain friends.
00:27:51.119 --> 00:27:51.440
Bye.
