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the PDF of her book - National Aphasia Association

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36 Ruth Codier Resch Without Utterance:<br />

Frustration is unvarying in my life, but I try not to focus<br />

much on it. Along with fatigue, it chokes out my flimsy path to<br />

words like brambles concealing roses. I can’t afford <strong>the</strong> energy to<br />

struggle with everything, so I pull out just <strong>the</strong> brambles in front <strong>of</strong><br />

my face. But by January, ten months after <strong>the</strong> stroke, I am flattened<br />

by fatigue.<br />

“I must … be depressed…. I’m… exhau…sted… all <strong>of</strong>… <strong>the</strong> time,” I<br />

tell Kathy, a savvy clinician and neuropsychologist. “Maybe … I need …<br />

psycho….<strong>the</strong>rapy!”<br />

“You should see a speech <strong>the</strong>rapist and start exercising!” She brushes<br />

<strong>of</strong>f <strong>the</strong> idea <strong>of</strong> depression like dust, barely concealing <strong>her</strong> amusement.<br />

Kathy makes pronouncements, and when she does, I do what she says.<br />

I know I’m not depressed, but I can’t fathom <strong>the</strong> incessant fatigue.<br />

By late spring I’m on my way to my first appointment with Dr. Martha<br />

Sarno, <strong>the</strong> speech pathologist Kathy selected for me. My hurrying reflection in<br />

a shop window looks like a bag lady. The clo<strong>the</strong>s hang limp on <strong>her</strong>, no style. I<br />

chose <strong>the</strong>m carefully this morning. Her shape is worn and bent over; <strong>her</strong> skin<br />

damp and spongy. I can almost see <strong>the</strong> grocery cart <strong>of</strong> <strong>her</strong> life’s possessions.<br />

She’s insubstantial, out <strong>of</strong> focus; she could blow away in a gust.<br />

I walk into Rusk Institute for Rehabilitation, a very old hospital, feeling<br />

a bit haggard from <strong>the</strong> walk and from <strong>the</strong> window vision. I’m surrounded by<br />

yellow beige walls and hurrying people. I’m disoriented. I struggle to stay<br />

composed. I approach a uniformed guard and I’m slow to speak. He asks who I<br />

want to see and I stammer <strong>her</strong> name. He smiles cheerily, points to <strong>the</strong> elevators<br />

down <strong>the</strong> noisy hall, and tells me <strong>the</strong> floor number. I go up <strong>the</strong> elevator as he<br />

said and ask <strong>the</strong> only person in an empty and suddenly quiet hallway. She<br />

points, no words, down <strong>the</strong> hall, gestures left around a corner.<br />

I find a tiny <strong>of</strong>fice and a secretary. I wait standing, and <strong>the</strong>n Dr. Sarno<br />

appears to greet me, a formal but welcoming smile. I like <strong>her</strong> already, in <strong>her</strong><br />

tailored feminine ivory colored suit with a flared skirt. She is <strong>the</strong> Director <strong>of</strong>

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