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  1. Mark,

    Thank you for being such an incredible mentor. You have changed the lives of many patients and their families through your direct work with them, and also through me, as I use the method you developed “The teaching of Talking” exclusively with many of my patients with aphasia. I just want to recognize you for your incredible generosity to our friends in the “aphasia world!”

    Thank you for inspiring me to listen, communicate and most importantly, be PRESENT!

    Regards,

    Liz

    • Hi Mark,

      Here is some of my comments for your book “The Teaching of Talking” and as well I will talk about SSTattler site publishing your book September 8th to 14th.

      I had a stroke / aphasia nearly 15 years ago. Aphasia will continue be my problem for the rest of my life but at least it will get better and better. My writing is very concise (well, short relatively because of aphasia) but I hope I get the point on various topic below.

      Firstly, technically, on Sept 8th SSTattler will present:
      Easily Learn The Teaching of Talking (I presented about a month in SSattler). I picture of your book linked directly http://teachingoftalking.com/pre-order-the-teaching/ and the nice YouTube. SSTattler is not involved in sales of your book but directly link to your site is perfect legit (and, beside, I like your book).
      Blogtalk-Radio: Establishing a Relationship With a Speech Language Pathologist.
      YouTube: Tips From Mark Ittleman. Six YouTube – 5 are excellent but “Wear What You Want: Stimulate Speech & Language at Home” doesn’t work. I tried with iMac, Linux, and Microsoft — all failed on your “What You Want:…”; if you can fix it before I’ll include it otherwise I’ll strip out in SSTattler.
      Article: About Mark Ittleman. Nice biography.

      I read your book twice (modulo the Olympics) – I read the book word by word from the beginning, including the personal signature (thank you by the way), to the biography at the end. Second time a skimmed your book to find other points I missed and I talked to my wife, Sharon.
      Sharon needed your book about 15 years ago but in that time it was not availability. 15 years ago, my sentences was one to max three words (I thought it was only one word but Sharon’s memory it is better than me 15 years ago). My grammar was only in the present tense, I just omitted “-ed”, “-s”, “-ing” …, and the word is one syllable – too long I just could not pronounce at that time.
      Sharon did do the similar SM/PCD up to p.114; mostly she bought the newspaper(s) and tell me what happening right now word by word and I would repeated it to her back again. At first I would only quote one word e.g. “crash” meaning the title about an accident involved cars and the story about night-time, liquor, … Eventually, I could quote a title (but short and I did not include the tense) and then later I could generate a short synopsis of the body.
      Your book “Embedded Question”, “The Shadowing Method”, … Sharon did the same technique but only intuitively. For example, you could quote directly or you could ask question about the article. It is unclear, but I think she did it.
      My favorite book is “Zen and the Art of Motorcycle Maintenance” by Robert M. Pirsig – I read “Zen…” before my stroke so it was a task to read it again. It was THE book in my hospital stay. I got the text from “greek” to normal English about 2 or 3 months. Then 3 months and beyond it was very clearly and I can partly decipher text – I can read the book again and it is on my bookshelf – maybe I’ll read it next January? The book is not in your book but it is very nice task to decipher more deeply!
      Your chapter “The Tools of the Trade:…”. I was in the university in Computer Science 1969 – 1973 so it was very familiar topic and it was easy to come back to use the tools (Sharon does not understand the technical details and she does not want to understand the theory – she just want to work – weird!). Anyway, good writing this chapter.
      Chapter p.130 “The Concept of Massed Practice” to p.146 “Conclusion” was most important for me – I had many times “dog ears” and underline the points to me. I will have to read again — maybe you can write another volume “The Teaching of Talking Vol.2″ sort of “Disability Aphasia for ToastMaster” — odd question but now I want to expand it to even more.

      Regards / John C. Anderson
      —–
      John C. Anderson
      SSTattler11@gmail.com

    • Rick Grossman posted on your Wall
      “I bought the book to help with my wife who has aphasia and showed it to her sister and she wanted it. Then I bought a second copy and showed it to my wife’s outpatient therapist and she wanted it. Now I’m buying a third book but it looks like the aphasia group therapist wants it also. Maybe eventually I’ll get a chance to read the book.”

    • This note is from Kaycece

      When therapy is getting to be so limited-this book tells how to keep on getting better and better at communicating. It takes practice. What this book does is give you routines to incorporate into your daily life. Once you have them down it just becomes natural to always BE working on speech without even thinking about it anymore. Lots of examples. I found it best to read in short spells and then go practice. Not a long spell of reading because who has the time?? I use these strategies in my work as a social worker. Invaluable.

    • This note was from Patrician Wesolek, and I thought to post it for those who are considering learning The Teaching of Talking methods.

      Mark Ittleman’s book, The Teaching of Talking, has become a “helpful friend” to me, the caregiver, as I deal with my husband’s aphasia which is the result of an ischemic stroke he experienced three years ago. My husband was fortunate enough to have one on one therapy with Mark and his enthusiasm for teaching and his ability to inspire pop off the pages much like we experienced in person. No matter the level of aphasia, there are help, support and many creative while productive ideas within the pages of this book…a remarkable “go to” volume that is always there for us. THANK YOU MARK!!

    • This is a note from a gentleman who inquired regarding his concern with speaking clearly and wanting to get back to his old way of speaking fast with clarity.

      Dear Mark,

      Hope you are fine. I was seriously injured in Brain with bike accident. My accident took place in november 2011. It was very serious. But thanks to God and my family members and Doctor also that i was saved. I was discharged from the hospital in December 2011. I am physically fit but having some problems like Laughing, Sneezing, etc. The main problem is I can not speak clearly, Fastly, and Properly. Pleas help me so that i get fully recovered. Please suggest me some thing good.

      Thanking you,
      Aatir.

      • MARK’S REPLY TO Aatir

        Dear Aatir,

        Thanks for your inquiry. As a speech language pathologist it is often difficult to make any suggestions or recommendations to anyone without the opportunity to personally listen and interact with you. It is during informal and formal assessments that a proper diagnosis is made regarding what is actually happening when you speak. Therefore I can not suggest a course of action without having the experience of personally assessing your speaking.
        However speaking clarity is often compromised after a brain injury. Might I just say that getting “fully recovered,” has many definitions. Often with a brain injury the speed at which you do things may be affected. For those who are anxious for a rapid and complete recovery, you must realize that SPEED is often one of the things that may be permanently altered. I would not be as concerned about “speed” as speaking clearly. Know that during training we frequently have to alter the speed to a slower level to get clarity especially in cases of dysarthria. Once an optimum speed is found for clarity in speaking, the person adjusts their speaking to that level. With time there is often an automatic stabilization of the new speed where there is clarity, even if it is slower. With further use of a slower rate, speaking speed often may start to return (get faster) towards pre-injury levels, and it often does that on its own.
        Please do not be as concerned with speaking speed (“fastly and properly”). What you must put steadfastly in your mind is the desire for speaking clarity. That would be the first initial objective for many.

        Thanks for you note. I appreciated it.

        Mark Ittleman

  2. Because the government has been making national budget cuts, education programs and Medicare funds for rehabilitation in local communities are often left under-funded. Many patients with aphasia and other severe speaking difficulties no longer have access to the speech therapists that they may require for mild to profound speaking difficulties. A person who has aphasia and wants to overcome loss in the ability to talk and communicate may no longer be able to work with a therapist in an outpatient setting due to more stringent restrictions on the number of visits or therapy caps. That is why a new book has been written and released. The author of “The Teaching of Talking, Learn to Do Expert Speech Therapy At Home With Children and Adults” believes that loved ones, and care givers will have to become the people to help people speak at home. “That’s the trend, whether we like it or not.” “It is doable, and we can train these folks! The information to do this is there for many.” Mark A. Ittleman, M.S. an expert speech language pathologist with 40 years experience has said.

  3. Dear Friends,
    We are having numerous requests for the Teaching of Talking and it was finally released. Morgan James Publishing, New York, New York, shipped the book and we are now in possession of plenty of copies!! We will autograph each copy and send it along to you with a cheat sheet which you can download online so that you can learn them expediently. You will be so glad you purchased this book, as it will make a profound difference in your approach to speech and language stimulation. Feel free to contact me any time by cliking on the Contact Us tab.

    Mark

  4. “The Teaching of Talking,” Expert Speech Therapy Methods for Children and Adults.” This book is designed for mothers, caregivers, and speech language pathologists who want up to learn ways to help someone learn to speak or recover the ability to talk. Our book is designed to help children who are not talking due to developmental delays, or adults who may have once had normal speech, but lost it due to head injury or stroke.

    I am very involved with the website and will answer your comments and questions. If your loved one is stimulable he or she should make speaking progress with methods contained within the Teaching of Talking. Purchase your copy today and I will personally autograph it and send to you right away. Teaching of Talking has been published and we will ship your copy upon receipt of your order.

    Mark A. Ittleman, M.S., CCC/SLP
    The Speech Pathologist who can make a rock talk!

    • This is my friend Diane who has been reading pre published copy of The Teaching of Talking and receiving personal coaching. Our method uses conversation as the vehicle while using revolutionary language stimulation methods.
      I am overjoyed at the progress Diane and Bob are making with The Teaching of Talking method.

      A Conversation With Bob

      Me: Today, we go to Pain Management. The transport will be here at 12:30.Bob (looks at his watch): OKMe: Last time, Stephanie said she would ask the doctor if he would increase your medication. Or if not, if there was a different medication you could try.
      Bob: Right.

      Me: But I need to know, would you want to change your medication?

      Bob (touches his shoulder): The problem is here. (Touches his forearm) Not here.

      Me: The doctor said the Botox shots in your arm were supposed to help your shoulder. I know it isn’t working. We’ll talk about that, too.

      Bob: OK

      Me: But I need to know, do you want to change your medication or just stay with the one you got?

      Bob: I don’t know.

      Me: I don’t know either. I’d hate to switch to something less effective. Though, maybe something else would work better.

      Bob: You decide.

      Me: OK. I guess I’ll just see what she says. Play it by ear.

      Bob: Exactly.

      Me: Do you need to shave before we go?

      Bob (feels his chin): Yes, shave.

      Me: OK… Do you know what?

      Bob: What?

      Me: We just had a conversation. A real conversation!

      Bob: I know.

      Me: Wow. That was nice. And I understood everything you said!

      Bob: Yes, that was nice.

      Me: You know what? I sure do like talking to you!

      Bob: I like talking to you, too!

      I know, this rather dull conversation might not seem a big deal to some people, but that was the first real conversation we have had since the stroke. By that, I mean, that Bob responded to everything I said and I could understand him perfectly. He did not hesitate nor did he fumble for words and every response was appropriate. I tell you, I am just thrilled! He’s come a long way, baby!

      • This was a copy of the next letter in a series from Diane. She is a remarkable woman and I am sharing the exchange of information between us so that you can get a “flavor” (Norman Vincent Peale used to say that) for how I practice speech and language pathology and my sincere interest in the speaking performance of caregivers and their loved ones.

        Written by Diane July 11, 2012

        Hi Mark,

        Yes, got the book!!! finally!

        Bob’s speech continues to improve. Still he is often hard to understand and I often have to ask him to repeat things. We have been so busy with the new added neck exercises, I am glad to have a way of slipping speech therapy in sideways, so to speak, all through the day.

        He still has the tendency to fall back on single words and gestures, like “up” along with pointing a finger upwards, when he wants to be boosted up in the bed. So I still have to push him to say “I want a boost, please.” But he can say it very well and clear. This morning, he said “up” and when I asked for a sentence, he said “boost”. When I asked him to “tell me, I want a boost” he replied, “God! You always make me say that!” ha ha!!! For that was very good sentence!!!!

        Anyway, gotta run, I am being “paged”!

        Thanks again, for everything!
        Diane

        • And this was my reply to her this morning, July 12, 2012

          Diane,

          Yes, Bob has slurred speech, that can be improved upon when he is given the model.
          Please remember that you must speak to him in the way you wish him to speak to you.
          There fore if you want him to speak clearly you must model very very slow deliberate speech in EVERYTHING YOU SAY TO HIM. ALLOW FOR ABOUT ONE SECOND BETWEEN EACH SPOKEN WORD AS YOU SAY WHAT YOU SAY TO HIM.

          The other thing that will make a profound difference is speaking to him in only 2-4 word utterances with the one second separation between words. You will have to do that consistently to get the result of improved language expression and clarity. Constantly show him the model you want in all your speaking and he will come around automatically to that with time and repetition. You know how we start to talk like those we are around!

          Would it be possible to also post my book icon on your website with a description that it “trains caregivers in expert speech therapy methods that can be used at home with children and adults; The book The Teaching of Talking is especially beneficial for those who have been discharged from therapy or for those who do not have professional services available. Can also be helpful for those as a supplement to the speech therapy they are receiving.

          You know, that we both have a number of things in common. We are both doing whatever we can to teach and educate those with stroke and aphasia, and also to encourage them when the whole process is so daunting and challenging.

          My very best wishes to you and Bob. Please know that I am willing to do whatever I can for you and Bob, as well as others in the Stroke and Aphasia communities.

          All my best,

          Mark

  5. Thanks, Mark!

    Things have been tough here, but we are keeping our chins up! at least I am trying, Bob is, as always, in a good attitude. For that, I am blessed.

    The best I’ve been doing so far is embedded questions and tell me phrases, Bob is getting soooo good at that! I don’t even have to say “tell me” anymore. An example: He says “up”, meaning he wants to be boosted up in the bed, and I say, “You want a boost?” he says, “Yes, boost.” I say, “give me a sentence” and he says, “I want a boost, please.” Ha! So it is working. That’s just an example. He is giving me sentences with other things too.

    And today, we went to yet another doctor, and Bob was very conversational! Dr. came in and said “how are you, Robert?” Bob said, “I am very fine! How are you?” Very much surprised me. He also answered all the doctors questions—at least with a word or two…. And he CORRECTED THE DOCTOR when the doctor pronounced his last name wrong! ha!

    Thank you again and we will keep in touch.

    Diane

  6. Dear Mark,
    Yes yes yes you are most welcome to have any of my letters to inspire others on your web site.
    I am just starting my journey with Steve and he is home for the weekend, then back to the stroke rehab for a few days. Hopefully home for good. I will love and nurture him to bits!
    Steve is progressing really wonderfully with lots of new words i can understand by listening very intently.
    These are his new words he has said during the weekend:
    egg on toast, no , thank you, i love you ,go now .tomorrow, coffee, makes a sign for tea.

    Mark i am so excited with his progress. I would love to get your book.

    I have listened to most of your videos and audio talks. Just awesome!
    Well Mark I thank you for your encouragement and looking forward to talking with you again!

    Many Thanks,

    Rhonda

  7. Good Morning All!

    It’s raining here in Houston, and has been doing so for most of the night. It’s a brand new day! Today I will be going to the Stroke Warriors of Houston and will be instructing methods of Teaching of Talking to two couples and will also be working with an individual who has dysarthria. Dysarthria is slurred speech, and her speaking clarity greatly improves with a modification in the speech rate (speed of speaking) and making sure there is a slight pause between words. She also has a very hoarse voice that improves greatly when the pitch is adjusted upward.
    It’s a wonderful experience to watch as I teach the caregivers how to stimulate language. I give them some examples and then have THEM do the work. It’s great to see caregivers become stimulators of speech and language, or “Teachers of Talking.”
    It’s great to share what I know at this point in my career, and watch my little “soldiers” take what they have learned and apply it at home with their loved one. It’s great to overhear a wife in the parking lot say to her husband who has a Broca’s aphasia: Now tell me….”Open the Door,” and he says “Open the door, please.”
    Anyone can learn to stimulate language if they have a desire and a passion to help their loved one or client speak. Remember that if your loved one or client can repeat simple sounds or words, it is a good sign that his/her speech and language can be stimulated.
    Before I go, the stimulation of speech and language can be defined as the process that a speech pathologist or caregiver uses to encourage the person with the communication difficulty to speak. It is indirect, and really not invasive. It can be conversational and relatively simple. It involves asking simple questions in a very specific way. Visit our Media Page and clik on Teaching of Talking Live if you want to see examples of this method.

    Have a great weekend and I hope you will share your thoughts, feelings and questions with us on this home page. Please feel free to share the link to our website http://www.teachingoftalking.com/ with any of your friends, family members or others who may need information about the stimulation of speech and language with children or adults who are having difficulty talking. Thank you for helping us spread the message there is help, especially for care givers. The true progress of speech and language recovery, I believe may most definitely rest with them.

    Fondly,

    Mark A. Ittleman, M.S.

  8. My husband Steve has just had a stroke at work two weeks ago and this has left him with out any speech , he also has weakness down his right side., now he is walking unassisted with a walker, so that is a great progress.
    In the emergency room he could understand everything i was saying to him and he was getting frustrated , so i gave him a pen and paper, to write on and since then he has been communicating extremely well, with me and others even though he doesn’t like writing , reading and says he is a bad speller.( Just about has written a book )
    I work at our local rest home, as a Diversional therapist (Joy junkie) and I live in NewZealand . i am working very closely with lots of different disabilities, i need heaps encouragement and help for steve now as it is so different when you are looking after your loved one.
    I i would like to help him get his talking back by doing the right thing as i know love is a great healer.
    There is a season unto heaven a time to talk and a time to listen Ecc

    Shalom Rhonda nz

    • Dear Rhonda,

      Thanks for responding within my home page. Maybe others will also benefit from our comments to one another. The first thing I can surmise from your letter is that your husband is having some spontaneous recovery since he is now walking and you note that progress. Expressive language for us involves writing and speaking. The fact that your husband is writing extremely well and
      enjoying it shows that his expressive language is still intact. That is wonderful and a good prognostic sign.
      Therefore the fact that he is walking and expressing himself in the written form is terrific.
      Is your husband able to count, or say the days of the week? Is he able to say the vowel sounds after you? (ay, ee, i, oh, oo). Can he say a simple single syllable word after you, if you say if first, such as: no, go, me, mom, bye, Hi!, eat, etc.
      Let me know, ok? The ability to imitate is one of the things we want to know when a person has speech disruption following stroke.

      Thanks for you note, and please respond. We can all learn here, and I would be happy to help you.

      Best regards to you and Steve, Rhonda.

      Mark A. Ittleman, M.S.

  9. http://zeenews.india.com/ayurveda/why-eat-three-bananas-a-day_1119.html

    I saw this article while reviewing interesting blogs which deal with aphasia and stroke and thought I would share with you.
    Why eat three bananas a day

    London: British and Italian researchers have found that eating three bananas cuts the risk of a stroke.

    They said that having one banana for breakfast, one for lunch and one in the evening would provide enough potassium to reduce the chances of suffering a blood clot on the brain by around 21 per cent.

    The findings suggest that thousands of strokes could be prevented by the consumption of other potassium-rich foods such as spinach, nuts, milk, fish and lentils, reports the Daily Mail.

    Although some previous studies have suggested bananas could be important for controlling blood pressure and preventing strokes, results have not always been consistent.

    In the latest research, scientists analysed data from eleven different studies – dating back to the mid-Sixties – and pooled the results to get an overall outcome.

    They found a daily potassium intake of around 1,600 mg, less than half the UK recommended daily amount for an adult of 3,500mg, were enough to lower stroke risk by more than a fifth.

    The average banana contains around 500 milligrams of potassium, which helps to lower blood pressure and controls the balance of fluids in the body.

    Too little potassium can lead to an irregular heartbeat, irritability, nausea and diarrhoea.

    Researchers from the University of Warwick and the University of Naples said, “Potassium intake in most countries is well below the recommended daily amount.”

    But if consumers ate more potassium-rich foods and also reduced their salt intake, the annual global death toll from strokes could be cut by more than a million a year.

    The study has been published in the Journal of the American College of Cardiology.

  10. My husband had a severe stoke after complications from cancer treatment. His left carotid artery is totally occluded. So he has hemiparesis on righ side. He also has a laryngectomy, so speaking is not an option right now due to that and the apraxia and global aphasia. If he could write or point to words to make sentences this would help communicate his needs and wants. Because he is able to read some words. Would your book be of benefit for this? I made him a book of real photos with functional objects he uses daily, but he rarely uses. Any suggestions would be appreciated.

    • Dear Dianne,

      I guess my first question would be, how well does he communicate his needs to you now?
      What sometimes happens is that non-verbal communication occurs. You anticipate what he needs and he may be communicating non-verbally and you may be getting
      alot of what he intends to communicate because you have been together for years and just learn to anticipate
      what he needs.
      Many people do not like alternative methods of communication like picture books, ipads etc. (dignity issues)….In the
      book there is a test you can give him Dianne, that will give us a good idea of what he can and cannot do.
      I would purchase the book and give him the tests in the initial chapters. That would give us an idea of what to do next.
      It is a small price to pay to get clear on what should be done next Dianne. I am sure you want to do everything
      possible for your husband.
      Go ahead and order the book from the teachingoftalking.com website, and I will send you an immediate PDF copyof the book so that you can move right into action.
      I would be happy to help you Dianne.

      Love and G-d Bless,

      Mark

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