The Atlanta Journal-Constitution

Reclaiming the power of language after a stroke

Journalist struggles to relearn speaking, reading, writing.

- By Tina A. Brown

On a Sunday in November 2016, I found it difficult to read the words jumping around on my cellphone screen. I cleaned my eyeglasses and tried it again and again, but nothing came into focus.

I shrugged it off. I went back to sleep for a few hours and did chores before driving to a luncheon with friends. When I arrived, I was disoriente­d. My voice was garbled. A friend knew the signs and called 911.

Immediatel­y, the doctors diagnosed what had happened. I had a stroke. An irregular heartbeat made it hard for blood to flow smoothly, and a blood clot crashed into the left hemisphere of my brain. It normally would have destroyed my ability to walk and speak, but I was born lefthanded. My brain stores memories of motor skills and language in the right hemisphere. Though I experience­d brain damage, I could relearn to speak, write, read and a few bars of music with the help of my speech therapist, Janet Everly, and my tenacity to recover my love of language.

I didn’t fully grasp the diagnoses until Dr. Mihaela Saler, my

neurologis­t, showed me a photograph of the left side of my brain. It was blackened with the exception of two grayish images the size of quarters. “What about the gray areas?” I enthusiast­ically asked. “They’re dead,” Saler answered.

I couldn’t hear my speech disorders, aphasia and apraxia, until I asked for a “Spanish therapy” or “spinach therapy,” and my mother, Cecelia Williams, started laughing. (I call my mother “Mommy.”) She pushed me like she had done when I fumbled over the alphabet song when I was five or six years old. “Try again.”

My brother, Randy, and I were born a year apart— both in December—and when we were too young to go to school, we created our own play-school. We took out the pots and pans and created instrument­s. Then, we lined them up on the white and black linoleum tiles like a game board.

“Line them up by size,” Mommy instructed—a big and small pot for greens and snap beans; a cornbread pan and a big black skillet for frying chicken legs and fish, baloney, and thick burger patties. “Now, count them. One, two, three, four, five. Faster! One, two, three, four, five.”

One weekday, Mommy told us to get dressed in our Sunday clothes, and we got on the bus to go to the county welfare office. “I came here because I want to go to school,’’ Mommy told the social worker.

When we got home, Mommy sat us down at the kitchen table and told us that things were changing. She was going to work and to college.

Mommy placed paper plates and pencils in front of us and helped us to draw numbers and alphabets.

She introduced sounds to us by singing the alphabet song. She sped through it: abcdefghij­klmnopqrst­uvwxyz.

She charged through the letters again and again. Mommy was a tough teacher who learned her first lessons from her grandmothe­r, Eva Beatrice Colvin Maddox, Momma. My great-grandmothe­r stopped attending school in Alexander City, Ala. in the eighth grade. She migrated to Cleveland, Ohio with her husband, the Rev. Hiram Maddox, and they adopted Mommy. Momma had no patience for wandering students. If Mommy drifted off thinking about the cow in the garage, partylines telephone gossip and the hobos begging for sandwiches, Momma would hit her for not paying attention.

I couldn’t wait to get home to play school with Randy and Mommy.

Now, Mommy looked serious as she packed us up with our crayons and paper for another bus trip. We arrived at Cuyahoga Community College, and Mommy put us in a big people’s desk in the classroom. A teacher asked Mommy why we were there. “I don’t have a babysitter,” she said. “They can stay, or they can go to the library,” the teacher said.

Mommy’s new friend the Rev. DeForest Brown Jr. spent a lot of time around the apartment, and he regularly looked at the newspapers: The Call & Posts, Cleveland Press and The Plain Dealer. He showed me his name and pictures in the newspaper. He was involved in Carl Stokes’ run for mayor.

The Rev. Brown looked like a black Santa with a long bushy beard and a big round stomach. He ate with us and joked around with us, and even let us bounce around his big beach ball stomach on the floor. “What should I call you?” I asked. “What do you want to call me?” I said “fat man” and “fat daddy.” None of those words meant much to me until Mommy told us that we were packing and moving with the Rev. Brown to a big house in Cleveland’s Hough neighborho­od, one of two that burned during the 1966 riots. Before long, I was calling him “Daddy.”

Daddy told me I’d get my own room and a shelf for my books, a library. I asked for a cassette tape recorder so I record my voice and practice my stories like the reporters on TV.

When I was in the fourth grade at Rockefelle­r Elementary, my teacher Shirley Whitaker asked my class to write about an imaginary trip from Cleveland to Philadelph­ia to visit the Liberty Bell for the bicentenni­al.

I pondered what the principle of liberty meant to my family and me. I knew I had to draw some conclusion­s about what I’d heard and witnessed after the riots in my new neighborho­od.

I crafted a story about what the crack in the Liberty Bell meant to a little black girl, one of the few whose parents in Hough could afford to make the trip. That crack symbolized the need for the United States of America to live up to its promise of liberty to all of its citizens.

Mrs. Whitaker walked up from behind and whispered life-changing words into my ear: “You’re going to be a writer.”

My teacher birthed a dream within me. I graduated from Southern University in Louisiana and worked as a newspaper writer and an author for nearly 30 years when I was accepted in a graduate writing program at the University of Georgia.

Now I faced the consequenc­es of a stroke. My neurologis­t, Dr. Saler, proclaimed after my first three months that I’d improved “remarkably.” Yet, she encouraged me to get disability insurance and to continue with my therapists and my journalism professors. She told me to focus on my speech by going back to work part time. That way, I’d speak face to face with others; otherwise, I might lose my ability to converse.

I went back to work full time because I couldn’t afford a pay cut.

I can’t have a conversati­on when I get angry and uncomforta­ble. I forget how to articulate words.

I cheat sometimes by pointing to things, spell words aloud and use synonyms to communicat­e my points.

Some friends correct me when I select an incorrect word. Others share a ha-ha moment when I use slang like “home cooking” instead of “home training.” Patient friends wait until I find the right words.

I initially thought I only had to worry about my speech. I picked up a copy of Maya Angelou’s poetry from my personal library for inspiratio­n.

Only, I couldn’t keep the words together.

They jumped off the page and fell apart. I couldn’t concentrat­e on words silently, so I read aloud.

Not every stroke survivor is so lucky. I began visiting Savannah’s RiteCare Center for Communicat­ion Disorders, a teaching center where graduate students work with patients with long-term communicat­ion disabiliti­es.

On one Thursday morning, I was reading aloud when a man sat down in the lobby at the Rite Center. “I hope I’m not disturbing you,” I said.

“I can’t read,” he said, explaining that he’d lost his ability to read when he had a stroke nine years ago.

“Betty, she can read!” said the man, Matthew, to another patient. “I can’t read since I had a stroke five years ago,” she said. They looked at me in amazement. “Why aren’t you coming to the stroke meeting?” Betty said.

I decided to try to squeeze in another hour a week for a stroke support meeting. Two graduate students encouraged eight patients to play board games and speak out the answers for “Who Wants to Be a Millionair­e,” music from the 1970s, and synonyms or antonyms. Everyone spoke with new cadence, and I heard myself sound like I was speaking in a tunnel. I learned immediatel­y that I had audio deficiency.

“Why you speak like you do?” one woman challenged. “I work every day to improve my speech,” I said.

I don’t think they believed me until I announced that I’d need a heart procedure to stop my heart from beating too fast. Everyone there had experience­d similar heart problems before their strokes.

I worked to nurture my brain by coloring and sleeping when I’m not working or studying. Now almost a year later, I’m still trying to be a voracious reader and writer albeit with new limitation­s.

I used audio and print editions of books for schoolwork. I listened to the sound of the voice while I’m reading simultaneo­usly. It speeds up my reading. I graduated from UGA this month with a Master of Fine Arts in narrative media writing.

For the first six months after the stroke, every morning before I spoke to anyone, I called up pairs of words to pronounce.

Sometimes, I have trouble: “book-took, bash-sash and bell-tell.”

Others feel like twisters: “thin-shin, pal-path and millmyth.” I thought I’d beat it, but recently I realized that this might be a lifetime exercise.

My doctors say I qualify for full disability, but my applicatio­n was denied twice. That’s a sign to keep pushing forward.

I’ve been an achiever since I was 18 years old when I first paid my rent. Now, I’m 56. I like living independen­tly. I think I have more to say as a journalist.

My new cardiologi­st gave me the news last fall that my heart was beating too fast. I needed a procedure to slow it down before I had another stroke. I decided to have the surgery on the anniversar­y of my stroke, Nov. 20, 2017.

I was under anesthesia for three hours. I awoke, and I immediatel­y knew I had to go back to speech therapy. I’d say July when I say wanted to January. I might say “three pounds away” rather than three miles.

I laugh because I choose not to cry.

I must reclaim my love of language. These words won’t be my last.

 ?? TERRY MANNING ?? A tearful Tina Brown speaks during the fifth anniversar­y of SSU Media High, a two-week residentia­l multimedia camp for high school students at Savannah State University. Brown is the executive editor/director of the program.
TERRY MANNING A tearful Tina Brown speaks during the fifth anniversar­y of SSU Media High, a two-week residentia­l multimedia camp for high school students at Savannah State University. Brown is the executive editor/director of the program.
 ??  ?? Journalist Tina A. Brown, 56, learns to read and speak again after a stroke.
Journalist Tina A. Brown, 56, learns to read and speak again after a stroke.
 ?? CONTRIBUTE­D BY TERRY MANNING ?? Brown’s doctors and therapists told her to speak to as many people as possible every day to retain her speech. She used this opportunit­y to recruit students at the SSU Open Campus event in 2017.
CONTRIBUTE­D BY TERRY MANNING Brown’s doctors and therapists told her to speak to as many people as possible every day to retain her speech. She used this opportunit­y to recruit students at the SSU Open Campus event in 2017.
 ?? CONTRIBUTE­D ?? Brown maintained two jobs while she was in graduate school.
CONTRIBUTE­D Brown maintained two jobs while she was in graduate school.

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