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Provider Focus

FowlerHeadshotJeffrey Fowler, DO

Dr. Jeffrey Fowler is an OB/GYN at MHP who specializes in the obstetrical and gynecological care for women through every stage of life.

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21 July 2016
While you were pregnant, you expected those frequent urges and trips to the bathroom. Now that the baby is in your arms instead of your belly, you thought those urges would go away, but a laugh, cough or sneeze sends you running for the bathroom. What is going on?! Bladder leakage, or urinary incontinence, affects up to 50% of women after a pregnancy. Your body did amazing things to bring your little one into the world, but it can cause some afte...
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Seltzers, flavored water, sports drinks, juice…the list goes on and on! What’s the best way to stay hydrated when you’re thirsty or exerting yourself? Family Practice and Obstetrics Physician Case Everett, MD, has a passion for health and exercise and knows the importance of hydration for your body. He also knows plain tap water may not be everyone’s preferred hydration go-to. However, this is usually the best option when you’re thirsty or have ...

MHP Explains Aphasia

Mahaska Health Partnership Speech Therapist Explains Aphasia

Speech Therapist Kim Swarts said one of the most common diagnoses she sees is aphasia; a condition that occurs after stroke or brain injury and affects a person’s ability to communicate.

“Aphasia is a language impairment resulting from damage to the brain and which can affect speaking, listening, reading, and writing skills,” says Swarts. “The type and severity of communication difficulty a person may exhibit varies with the location and extent of the brain damage.”

Aphasia impairs the ability to speak and understand others, and most people with aphasia also have difficulty reading and writing. Affecting over one million Americans, aphasia is more common than Parkinson’s disease, cerebral palsy or muscular dystrophy.  

“People who have expressive aphasia demonstrate difficulty using words effectively to communicate,” Swarts explained. “Those with receptive aphasia have difficulty understanding language. A combination of both expressive and receptive aphasia is called global aphasia.”

According to the National Aphasia Association, a person is unlikely to recover from aphasia if the symptoms last over two or three months following a stroke. However, some people continue to make progress and it’s important to recognize that each case of aphasia is unique.

“A person with aphasia may have difficulty retrieving words and names,” Swarts added. “It is their ability to access the ideas and thoughts, not the ideas and thoughts themselves that is disrupted.”

Swarts recommends the following tips for communicating with a person with aphasia:

  • Give the person time to speak and do not finish the person’s sentences unless asked.
  • Turn off competing sounds such as radios or TVs and try to reduce visual distractions.
  • Keep communication simple but adult.
  • Be open to means of communicating other than speech like drawing, writing and gesturing.
  • Confirm you are communicating successfully.

For more information on aphasia or other speech problems, contact Speech Therapist Kim Swarts at 641-672-3360.