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Dear Joy --
I well remember Bob's beautiful and strong voice, and I'm so very moved
and thrilled that he is speaking once again. That doesn't seem like a
small miracle to me, it seems like a MAJOR miracle!

What a good idea to place the letters in the QWERTY format; and also,
laminating them so he can carry the paper around. I'll bet your SP could
write this up and publish it in one of the journals. I am absolutely
thrilled for you both.

It's also exciting to hear of the prism glasses, please let us know how
they work out.
Best,
Kathrynne


Bob & Joy Graham wrote:
> Recently we found an optometerist who really understands the problems of PD
> & PSP, and his "watery" (but dry and therefore scratched) red eyes are
> being treated (this will help the blepharospasm). He is soon to get a pair
> of prism glasses which will correct his poor downwardl gaze and therefore
> assist him with his reading, eating and keyboard work. Miracle one.
>
> We have been feeling like we have been on an "uphill" curve but nothing has
> given us so much satisfaction and happiness as yesterday, when we visited
> his speech pathologist (SP).  She has been "tracking" Bob's downhill slide
> with his speech ever since he was diagnosed and knows that he had a
> beautiful melodious voice and used it to great effect in all that he did
> (as a teacher and a leader in our state PD Association).
>
> Prompted by our Parkinson's Nurse Specialist, she called recently and said,
> "I have something new to try out with Bob."
>
> So yesterday she presented Bob with a single sheet of paper on which she
> had printed out the letters of the alphabet in a very large and bold font.
> Then she taught him the technique (and the rules).  When he wants to speak,
> he has to find and point at the first letter of the word, then say the
> word. He repeats the process.. placing his finger on the letter... then
> saying the word. The visual cue combined with the pacing which he is forced
> to do as he searches for the next letter slows him down. The trigger of
> finding the first letter works (I think) by "anticipating" the whole word.
> If he breaks the rules and tries to run on without finding, pointing THEN
> speaking, the system soon breaks down and he is unintelligbly fast again.
> If he sticks to the rules, he can say quite long sentences. Miracle two.
>
> Our friends who have heard him today, have been visibly "moved" to hear his
> own voice coming over so loud and clear.  And for the first time he left
> his treasured LiteWriter at home, instead packing a piece of paper.
>
> As suggested by the SP, we have now produced the letters on the page in the
> formation of the "qwerty" keyboard and the pace of his speech quickened or
> rather "eased" considerably since he - although only a two finger typist -
> is very familiar with the keyboard. (This has removed the stress of finding
> the letters)
>
> We have run off sets of the letters in all sizes and shapes. These we will
> laminate and he can carry them in pockets, or leave them about the house to
> use wherever he is.  One we made small enough for his wallet. We are even
> thinking of getting an engraved bracelet which can be worn like a watch, or
> a necklace which he can hold up in front of himself and point at. (His near
> vision is good).
>
> Well, obviously the motto is never give up!
>
> Bob and I are very grateful for the many dedicated health professionals who
> help us in the battle with PD. We hope this information will be useful to
> others.
>
> Joy & Bob Graham
>
> ----------------------------------------------------------------------
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--
Kathrynne Holden, MS, RD
Author: "Eat well, stay well with Parkinson's disease"
"Constipation and Parkinson's" --  audiocassette & guidebook
"Guidelines for Medical Nutrition Therapy for Parkinson's
disease" & Risk Assessment Tools
"Risk for malnutrition and bone fracture in Parkinson's
disease," J Nutr Elderly. V18:3;1999.
http://www.nutritionucanlivewith.com/

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