TALKING

HELLO ANOTHWER QUESTION  I HAVE NOTICED SINCE THESE SYMPTOMS HAVE BECOME WORSE IN THIS FLARE THAT I OFTEN HAVE ISSUES WITH SPEAKING SEEMS AS IF IT IS HARD TO SPEAK LOUDER VOICE BECOMES SOFT AND I THINK PEOPLE HAVE ISSUES HEARING WHAT I AM SAYING I HAVE A QUIET VOICE ANYHOW BUT IT IS MUCH WORSE WHEN I AM FATIGUED

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I'VE NOTICED THE SAME THING LATELY.  ALWAYS TENDED TO BE A LITTLE MUMBLEY.  SOMETIMES NOW IT SEEM PEOPLE ARE LOOKING AT ME LIKE MY LIPS ARE MOVING BUT NOTHING IS COMING OUT.

SINCE I ALSO GET WINDED QUICKLY I WONDER IF THERE'S JUST NOT ENOUGH AIR BEHIND THE WORDS TO GET MUCH VOLUME.

I NOTICED A PROBLEM WITH MY CPAP MACHINE TOO (I'VE GOT SLEEP APNEA IN ADDITION TO MS).  IT CONSTANTLY PUSHES AIR DOWN MY NOSTRILS.  tHAT'S GREAT ON THE INHALE BUT REQUIRES ME TO EXHALE AGAINST THE PRESSURE OF THE AIR.  IT DIDN'T USED TO BE A BIG PROBLEM BUT SOMETIMES IT IS NOW.  IF IT KEEPS UP I MAY HAVE TO SEE ABOUT GETTING A BI-PAP THAT DOESN'T GIVE RESISTANCE AGAINST EXHALATION.

Mary(notmoto)