Fetterman’s use of captions is common in stroke recovery, experts say.

In his first on-camera interview after a stroke, Democratic Senator candidate John Fetterman stumbled upon the word and used subtitles to read interview questions, causing Republicans to raise new questions about his health. In an interview with NBC News on Friday, Fetterman told NBC News on Tuesday that he understands the adjustments that often take place after a major health event like a stroke. “So I use subtitles so I can see what you’re saying in the subtitles.” Neurology experts said they could not provide a specific diagnosis of Fetterman’s health, but closed captioning is a condition that has nothing to do with auditory processing or hearing problems, or overall intelligence. said Brooke Hatfield, deputy director of the American Speech-Language-Hearing Association. Fetterman’s health has become a major issue in Pennsylvania’s close competition for GOP candidate Mehmet. oz. Republicans tried to undermine Fetterman’s cognitive abilities in interviews. The Senate Republican’s account tweeted that NBC reported it was difficult to talk to Fetterman without a caption. Sound processing problems can occur for a number of reasons. Hearing is a particularly unique sense because, unlike sight or smell, sound is processed before it even reaches the brain. Borna Bonakdarpour, associate professor of neurology at Northwestern University Feinberg School of Medicine, said there are many areas where comprehension can be impaired, even for people without hearing loss or intellectual disability. Deaf media critic Jenna Beacom, 51, from Columbus, Ohio, said she was surprised at how well Fetterman could follow an interview, although it seemed like she relied on automatic or real-time captions. She says she sometimes uses these types of captions, but it’s often full of mistakes or has serious delays. “The purely mechanical problem of delayed captioning has been played out in a way that makes Fetterman seem slow to understand,” she said. It’s unfair and inaccurate,” she said. Beacom receives similar criticism when she reacts slowly when others speak, she said. “I know this, so I have all kinds of mechanisms to calm people’s hearing,” she said. Fetterman suffered a stroke in May, and neuroaudiologists say they believe he is showing certain types of acquired signs. A communication disorder called aphasia that results from damage to the area of ​​the brain responsible for language. Aphasia affects about 2 million Americans, according to the National Aphasia Association, and is common after a stroke, but can also be the result of a head trauma, brain tumor, or infection that damages the brain. Importantly, aphasia doesn’t affect intelligence, decision-making—the brain has generative, planning, or other cognitive functions, experts said. And it can be cured and improved over time with treatment. Darlene Williamson, president of the National Aphasia Association, believes Fetterman displayed behavior consistent with aphasia in an interview with NBC News. She applauded the use of closed captions and said his use of strategies to aid communication “shows his ability”. It is a form of expressive aphasia when people have problems choosing the right words to speak or write . Fetterman stumbled on using the word “empethic” to mean “empathize” in an interview. (He corrected himself.) Tripping over words may be a sign of mild expressive aphasia, Beeson said. This is called receptive aphasia. This is why people need subtitles.” “When I said to someone with severe aphasia, ‘Can you give me a pencil?’ they said, “Pencil … pencil … you need to know what it is.” “They hear it and put it together, but they don’t connect meaning. It is a serious disability. He didn’t have that level of disability.” Beeson said Fetterman could have mild cases of both types of aphasia, but he didn’t see any behavior that made Fetterman believe he was struggling with the meaning of the words. People with mild auditory processing problems usually need more time to process sounds and may have difficulty keeping up with long sentences, fast speakers, or lectures. Speech pathologist at Magee Rehabilitation Hospital, part of Jefferson Health in Philadelphia. People with more severe auditory processing problems may have trouble understanding one word at a time, Hatfield said. Problems caused by a stroke, the normal pathway that language information takes has been interrupted and the signal may need to be detoured. But luckily, there is a lot of overlap in the brain, so a healthy part of the brain can support a damaged brain, and while it heals, “It still gets where you want it to be, but it may take more time. You can get there,” Hatfield said. The problem with speech is that people can speak really quickly, so the brain has to process a lot of things at once.” She can begin to connect with people who have auditory processing problems and other people speaking to them as they repeat, adding additional context, slowing down when they speak, removing background noise, or providing visual contextual cues such as: In stroke recovery, people can expect the greatest improvement, along with symptoms like auditory processing, within the first year after stroke, said Swathi Kiran, founding director of Boston University’s Center for Brain Recovery, said Swathi Kiran. After that, people can continue to improve, but recovery can be slower. For Fetterman, who only had a stroke about five months, she said, she would continue to improve her ability to understand speech every day. help me live well
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