{"id":5037,"date":"2018-10-19T11:35:35","date_gmt":"2018-10-19T07:35:35","guid":{"rendered":"http:\/\/www.uaebarq.ae\/en\/?p=5037"},"modified":"2018-10-19T11:35:35","modified_gmt":"2018-10-19T07:35:35","slug":"woman-wakes-up-unable-to-speak-english","status":"publish","type":"post","link":"https:\/\/www.uaebarq.ae\/en\/2018\/10\/19\/woman-wakes-up-unable-to-speak-english\/","title":{"rendered":"Woman wakes up unable to speak English"},"content":{"rendered":"<p class=\"story-body__introduction\">Hannah Jenkins speaks English in the morning and German in the afternoon. It&#8217;s not a routine she chose to adopt &#8211; but something her brain requires her to do. It all started with a cycling accident.<\/p>\n<p>Her partner Andrew Wilde was halfway up a mountain in the US state of Montana when he received a baffling text from Hannah.<\/p>\n<p>He understood only two words &#8211; &#8220;dog&#8221; and &#8220;hospital&#8221; &#8211; but knew instinctively something was wrong.<\/p>\n<p>The text was in German, a language Hannah had grown up with, but Andrew didn&#8217;t really understand. They only ever communicated in English.<\/p>\n<p>Hannah had stayed at home in the UK, running the dog-training business she&#8217;d set up in Wokingham, Berkshire, while Andrew had gone to the US to train for an international shooting competition.<\/p>\n<p>He called Hannah&#8217;s mobile number, but got no response. With growing unease, he started to phone hospitals around Berkshire but couldn&#8217;t get any information. He knew he needed to get home.<\/p>\n<p>He made his way to the airport, unsure of what would be waiting for him when he returned.<\/p>\n<p>What he didn&#8217;t expect to find, was a different Hannah to the one he&#8217;d kissed goodbye days earlier.<\/p>\n<p>Hannah had been cycling through a park near their home the day before she sent the text to Andrew.<\/p>\n<p>She&#8217;d rounded a familiar corner and collided with another cyclist.<\/p>\n<p>She remembers little, but paramedics have since filled her in &#8211; the other cyclist saw her lying motionless and bleeding on the ground and called emergency services.<\/p>\n<p>He waited for help to arrive, told them he&#8217;d been cycling no faster than 32km\/h (20mph), then left, without giving any more information.<\/p>\n<p>An air ambulance was called for Hannah, who had been identified from items in her wallet.<\/p>\n<p>It was touch and go whether she would survive.<\/p>\n<p>Hannah eventually came to on a busy ward in the Royal Berkshire Hospital with no idea where she was, what had happened or why, in her mind, no-one spoke English.<\/p>\n<p>&#8220;I couldn&#8217;t understand anything,&#8221; she says. &#8220;I felt as though I&#8217;d woken up in a foreign country and I couldn&#8217;t understand why people weren&#8217;t speaking to me in a way that I could understand.&#8221;<\/p>\n<p>Doctors tended to her in this unfamiliar language. Finally she recognised what she thought was &#8220;name&#8221; and &#8220;date of birth&#8221; &#8211; and recited that to anyone who approached. It seemed like the right thing to do.<\/p>\n<p>The doctors were puzzled as Hannah&#8217;s documents all pointed to the fact she lived and worked in the UK. They knew she was called Hannah Jenkins, and yet she didn&#8217;t understand or respond to English.<\/p>\n<p>They contacted her next of kin, her sister Margaret, who asked to speak to Hannah.<\/p>\n<p>As Hannah sat in her hospital bed she chatted away on the phone, relieved that she was finally able to communicate with someone.<\/p>\n<p>This bemused doctors, because previously she had only uttered the odd, indecipherable word.<\/p>\n<p>Hannah had so many questions for Margaret, one of them being why the doctors weren&#8217;t speaking to her in English.<\/p>\n<p>&#8220;They are, Hannah,&#8221; her sister replied.<\/p>\n<p>The crash, it seemed, had knocked Hannah&#8217;s knowledge of English clear out of her mind.<\/p>\n<p>But she was left with the German that she had learnt as a child &#8211; the language that she defaulted to when speaking to her sister.<\/p>\n<p>&#8220;The doctors didn&#8217;t know I could speak German,&#8221; Hannah explains. &#8220;It wasn&#8217;t until they spoke to my sister that they realised.&#8221;<\/p>\n<p>The sisters were brought up in the UK speaking German and English, by polyglot parents. Their Austrian mother spoke four languages and their father, a language teacher from Wales, spoke seven.<\/p>\n<p>&#8220;German was my first oral language,&#8221; says Hannah. &#8220;It was a rule we had in my house &#8211; that when we speak to my family it&#8217;s always in German, just to keep the language fresh in our heads.<\/p>\n<p>&#8220;I couldn&#8217;t get my head around the fact that in the hospital they were speaking English. My brain had lost my ability to understand that.&#8221;<\/p>\n<p>Hannah was experiencing something called secondary language loss, according to consultant neurosurgeon Colin Shieff, who is also trustee of brain injury charity Headway.<\/p>\n<p>&#8220;Our brains are very sensitive and anything that has the ability to disturb the computer in any way can potentially impact upon the words coming out,&#8221; he says.<\/p>\n<p>&#8220;There is no algorithm that would follow that a specific injury will invariably result in the loss of German nouns or English grammar, but we do lose those bits.&#8221;<\/p>\n<p>He says the skills learned in childhood are those most likely to be retained &#8211; the ability to say &#8220;yes&#8221; or &#8220;no&#8221; or even to repeat a nursery rhyme. He says &#8220;something that&#8217;s been ingrained for ever&#8221; &#8211; is more likely to remain intact and those skills learned later, are the first to go.<\/p>\n<p><strong>Why did Hannah lose her speech?<\/strong><\/p>\n<ul class=\"story-body__unordered-list\">\n<li class=\"story-body__list-item\">Many parts of the brain are involved in speech and language, in particular the frontal and temporal lobes<\/li>\n<li class=\"story-body__list-item\">An injury in these areas will affect speech in some way &#8211; from remembering vocabulary, to the construction of fluent speech, and for some people, communication will be permanently affected<\/li>\n<li class=\"story-body__list-item\">Occasionally, someone who was fluent in two languages before an injury may lose one language entirely, but retain the other<\/li>\n<\/ul>\n<figure class=\"media-landscape no-caption body-width\"><span class=\"image-and-copyright-container\"><img loading=\"lazy\" decoding=\"async\" class=\"responsive-image__img js-image-replace\" src=\"https:\/\/ichef.bbci.co.uk\/news\/624\/cpsprodpb\/2D83\/production\/_101815611_line976.jpg\" alt=\"presentational grey line\" width=\"464\" height=\"2\" data-highest-encountered-width=\"624\" \/><\/span><\/figure>\n<p>The physical impact of the crash was minimal &#8211; a bruised leg and a sore shoulder &#8211; so Hannah was discharged within days.<\/p>\n<p>But via her sister, who acted as her translator, she learnt that her brain injury was significant and would take years, rather than months, to improve.<\/p>\n<p>She went home and waited for Andrew.<\/p>\n<p>&#8220;I was listening to the radio a lot,&#8221; she says. &#8220;I don&#8217;t know how much I understood, but when my partner came that&#8217;s when I learned how badly the language was affected.&#8221;<\/p>\n<p>The couple had been together for eight years, but now Hannah couldn&#8217;t understand Andrew &#8211; and his school German only got him so far.<\/p>\n<p>They devised hand signals and their own version of sign language. As time went on, Hannah&#8217;s written English improved quicker than the speaking.<\/p>\n<p>&#8220;When the communication really broke, we did resort to writing stuff down and texting or emailing each other, even though we were in the same room,&#8221; she says.<\/p>\n<p>&#8220;My relationship with Andrew has been affected because you can&#8217;t not talk to each other just because you&#8217;re tired or under pressure.<\/p>\n<p>&#8220;Having that patience for the situation is always a little bit of a struggle. But I certainly couldn&#8217;t have done it without him.&#8221;<\/p>\n<p>Andrew took an 18-month sabbatical from his job to support Hannah. Slowly she regained much of her English language, but it&#8217;s something that even now, three years on, has not returned completely.<\/p>\n<p>It has now become her second language.<\/p>\n<p>&#8220;I&#8217;m fine in the mornings, but by the afternoon the fatigue really kicks in and I switch in my mind to thinking in German.<\/p>\n<p>&#8220;I&#8217;ll write little notes to myself in German, and I just sort of almost power down that part of my brain that deals with communication, so that in the evening when my partner&#8217;s back I can communicate again.&#8221;<\/p>\n<p>The couple also had to come to terms with the fact that Hannah&#8217;s personality would be likely to change as a result of the crash. She was told she &#8220;might not be the same person post-accident&#8221;.<\/p>\n<p>&#8220;I think that&#8217;s the hardest part to get your head around,&#8221; she says. &#8220;It&#8217;s almost like you have to go through a bereavement process to say goodbye to the old you, before you can get to know the new you.<\/p>\n<p>&#8220;But there is that level of resentment there to start with. I was fighting that quite a lot and saying, &#8216;No, I&#8217;m still me, don&#8217;t be silly, this is who I always am&#8217;.&#8221;<\/p>\n<p>Hannah has recognised a few &#8220;subtle changes&#8221; in her personality &#8211; she&#8217;s not as patient as she once was &#8211; something that led her to close her business.<\/p>\n<p>&#8220;I forgot so much of the theory behind it, my reactions are a lot slower and I don&#8217;t have the subtlety of language that you need when you have to tell people that this isn&#8217;t the right dog for them.&#8221;<\/p>\n<p>She has taken up photography and art, something she studied at university, and has thrown herself into a new sport to improve her focus &#8211; shooting.<\/p>\n<p>&#8220;Shooting has been described as skilled meditation, and I think that is very true because you have to focus completely on what you&#8217;re doing. If your brain goes off and ruminates or meanders then your shots do the same.<\/p>\n<p>&#8220;To start with I could only do it for about 20 minutes, and now I&#8217;m up to about an hour-and-a-half.&#8221;<\/p>\n<p>The crash on an October afternoon in 2015 altered Hannah&#8217;s life, language and personality, but it is something to which she has learned to adapt.<\/p>\n<p>&#8220;Mentally I have to see that this is me now,&#8221; she says. &#8220;I&#8217;m happy in my own skin again. So there&#8217;s no reason why I can&#8217;t just run with life as I am now.&#8221;<\/p>\n<p>&#8211;<\/p>\n<p>BBC<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hannah Jenkins speaks English in the morning and German in the afternoon. It&#8217;s not a routine she chose to adopt &#8211; but something her brain requires her to do. It all started with a cycling accident. Her partner Andrew Wilde was halfway up a mountain in the US state of Montana when he received a &hellip;<\/p>\n","protected":false},"author":2,"featured_media":5041,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-5037","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-news"],"_links":{"self":[{"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/posts\/5037","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/comments?post=5037"}],"version-history":[{"count":1,"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/posts\/5037\/revisions"}],"predecessor-version":[{"id":5042,"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/posts\/5037\/revisions\/5042"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/media\/5041"}],"wp:attachment":[{"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/media?parent=5037"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/categories?post=5037"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.uaebarq.ae\/en\/wp-json\/wp\/v2\/tags?post=5037"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}