Published: 07th March 2017
Hope is not lost for aphasia patients. They can talk again, thanks to a few specialists
Aphasia is a condition where you lose the ability to communicate. But a few specialists from the USA
Bear with me while I paint a grim picture. Imagine that you’re in desperate need of help. You start to shout out but the only word that comes out of your mouth is ‘play’. No one can understand what you’re saying. Feeling frustrated yet? Helpless, even? Well, that is exactly how a person with aphasia feels.
Aphasia is a medical condition that affects a person's communication skill — either their speech or writing. "How does it feel when you can't communicate? How do you make friends? How do you talk? You're still intelligent, but no one knows that," asks Leora Cherney, senior research scientist, Rehabilitation Institute of Chicago, at a talk on aphasia organised by Bhoomika Trust in association with Sri Ramachandra University. "You might want to say ‘chair’, but the word that comes out could be ‘layer’, ‘table’, or just about anything," she adds.
One of the attendees at the talk was Colonel Ramanathan (Retired), whose wife has been suffering from aphasia for the past six years. A few doctors were treating her for Alzheimer's. "I was lucky enough to realise that she didn't have Alzheimer's soon. She is as intelligent as she was before and remembers everything. Had I followed the doctors’ advice, she wouldn't have been with me today," he says, looking at his wife who sits beside him
A decade ago, there were 3,915,700 cases of aphasia reported in India, with stroke being the leading cause. Ready to hear something else that’s equally shocking? There are just 2,500 registered speech pathologists to treat adult aphasia patients. Even though we're developed in other sciences, we haven’t really progressed enough to treat this communication impairment. But thanks to a couple of specialists from the US, aphasia patients are now getting the help they need to speak again.
By using different techniques of communication and art therapy, these specialists are able to help the patients. This includes creating communication ramps and cortical stimulation. Ann Oehring, a consultant at the RIC urges the caregivers to ask more close-ended questions to the patients. "Never yell at them. Yelling only makes it worse. Also, never pretend to understand something unless you genuinely do," she advises.
I know that the math is right inside my head. But I just can't explain it
A patient who attended the talk
Illustration: Amit Bandre
The condition has no age bar. It can affect anyone. "We've seen aphasia affect 18-year-olds, 19-year-olds, and 22-year-olds. It affects everyone the same way. What is important is to think of what can be done to help them," says Cherney. She remembers a patient of hers who had aphasia following a stroke when he was in university. "We were able to train him, send him back to school and get him to finish his degree. But it wasn't very easy. He needed someone with him all the time to take and review notes. Aphasia has nothing to do with intelligence, but for students who have to deal with language studies every day, it can be very challenging," she explains.
When asked about the stigma associated with aphasia, Jayendra Panchapakesan, co-founder of Bhoomika Trust says, "I don't think there is much stigma associated with aphasia since people doesn't even know about it," he laughs. "But what is the point of treating these people differently? Would you treat someone differently if they were diabetic?" His wife, Sudha has been suffering from aphasia for the past two years.
Aphasia is indeed chronic and the stigma associated with it drives many to depression. Cherney says that sometimes people opt to not communicate as others respond differently to them.