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So, while Mom could not make words come out right (assemble the right sounds in the right order) when she would sing..those words were fine. Different part of the brain pulling the words together. Tapping out the beat of the syllables also worked.
So, sleeping might just be the same sort of thing. Different part of the brain doing the processing.
Not everyone accepts alternative medicine as treatment, and I don't know where you stand with that, but you may wish to consider the benefits of Lion's Mane mushroom. The younger a person is, most likely the better results one would see.
However, even at 93 year of age, my mother-in-law with severe Dementia demonstrated improvements with finding the right words. She has since passed on, but we were very pleased with how she improved with putting words together after she had been on Lion's Mane. The formula we purchased is Paul Staments' brand. You can do a Google search to find it and purchase it from your local health food store, or from online.
Lions Mane helps brain synapses - (copied from Google search): "Lion's Mane Enhances Learning & Memory. Our brain is like a mesh of neurons… To summarize, Lion's Mane improves the growth rate of new nerve cells, the development of axon and dendrite connections (synapses) between neurons, and survival of neurons."
This is how it helped my mother-in-law. Before we gave her Lion's Mane: When she was at a loss for the right descriptive word she would point and say, "That thing!" which made it difficult to know what she was talking about. After she had been on Lion's Mane for about a month or so her description of 'that thing' began to be replaced with the proper word such as, 'fence', 'shrub' or whatever it was that she was pointing to and speaking about. So it really did help.
She also demonstrated an improvement on some short term memory issues. For example, she couldn't figure out how to put on a new roll of toilet paper, so when she ran out she often took the roller off and then would set it somewhere. Lol - we often had to search for the darn thing to put a new roll of toilet paper on for her. One morning I noticed it wasn't anywhere in the bathroom. I checked inside all of the bathroom cabinet drawers etc., and it was nowhere. I then asked her, "Do you remember what you may have done with the toilet paper roller?" To my total amazement, she walked around the corner into her bedroom and immediately returned with the roller! She actually remembered what she had done with it!
Good luck on your journey! I hope your husband improves.
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I was also encouraged to use some of the childrens video type games that teach reading skills to children. I haven't dome that yet. I need to check with the library to see if there are any available there.
It is the same with reading a sign. She can read it just fine but cannot tell me what it means.
I have been told that this and other forms of oral communications is pretty normal.
Speech therapy may, in some cases, help a little.