“Audrey has aphasia. Audrey can’t get the words out”, said the Speech Therapist.
We will keep working with a resident as long as the therapist sees progress. Because Audrey is educated and intelligent, she has a better chance of improving because of the benefit of her well developed, inquisitive mind. Singing songs, reciting poems is “an automatic thing” and is easier to do then to see and/or hear and then have the brain receive and register the reaction and response and then have the related speech finish the thought, speaking process. It is easier to recall, then to start from scratch and begin a sentence or answer a question said Doreen Tierney, Speech Therapist at Kent Regency.
[At this time Audrey was in her nineties and the medical profession could not be sure whether Audrey had had a stroke, a TIA or whether it was the early beginnings of dementia. Rather than the descriptive term dementia, I prefer to use the modern terminology of “imaginary thinking”. Imaginary thinking does not have the negative connotation that the word dementia brings to mind.]
[Audrey’s mind had always been very keen, except for the one phone call I had with her at Alpine on 6-19-2004 that concerned me greatly. My heart sank as I listened to this one sided conversation].
On June 19, 2004 Audrey’s imaginary thinking was as follows: “Edith, my sister, she’s living you know (Edith had died on 12-8-1991) and she’s getting married to Bill Capprell. I told Edith he can’t dance. He has a sore leg. (My aunt Edith was a great dancer as a coed.) The Campbells they hate the MacDonalds (Folklore in Scottish history but our next door neighbor, Jennie Campbell was Audrey’s wonderful older friend who was like a second mother to Audrey and helped Audrey with the babies.) (There was a) holiday special (here). Four older lady singers and waltz dance. There are five or six groups come and they are so cute. Oh, Heather being here (with the) two green scrapbooks and one red one. That’s so good to look at them. I stayed up until 2 o’clock looking at the scrapbook. Oh, I got some news to tell you at Alpine. I don’t think I’m coo-coo, but I go like a flash…Heather, I can walk out of this house and get in your car. I can walk ever since. My feet still seem a little heavy (but) I go in the bathroom (without assistance). I always dream everything with the eyes open. I dreamed something and hurried out of bed. I’m walking. I’m walking. When you look through books it takes forever. On the fourth of July, Mother made clam cakes and chowder. Uncle Ed helped. We all went to Connecticut on July 4th. June 2nd (is my wedding) anniversary. Mr. Buecker (pastor at Knotty Oak Baptist Church) married us in (family home at 742 Washington Street in Coventry) the living room. We walked out of Grandpa’s room into the parlor, in front of the couch and in front of shelf with clock. This was (one of the) last home wedding made. Next (tradition changed to have) had wedding at Churches. Everybody was there. Seven Mile Road house (Audrey and Milton’s first home which was built by Audrey’s father, a professional carpenter). We bought land from Aunt Jeannie [Jeannie Campbell] on East Greenwich Avenue. Oh yes, I’m full of life now and walking a bit. I remember Prince (the family horse when Audrey was a child on the farm). I was scared of him. Wouldn’t go near him. I’m still scared of everything. I wouldn’t go out to the mailbox in the dark if you paid me.”
(Heather: How did you learn to read?)
“She (Audrey’s mother, Mary Jane) was always reading. I didn’t do much reading before I went to school. The Sunday paper would come and then I would draw from the paper. (I have a) new roommate. She’s a tiny little thing, walks along and also reads all the newspaper.
[End of conversation with Audrey on 6-19-2004. This conversation on 6-19-2004 concerned me greatly. The prevailing thought was that this was just a temporary lapse of Audrey’s reality as Audrey was fine after this conversation on 6-19-2004 and did not appear confused after this one episode of confusion. After the initial conversation of her talking about walking and talking about her sister as if her sister were still alive, Audrey’s mind came back to reality as it was for her before her 6-19-2004 one-sided- conversation.]