I'm extremely grateful to the team at George's without them, I would have no voice and would have to give up the job I've loved for almost 50 years. They have been amazing, and all the care I've had every step of the way has been second to none. I can't stop singing their praises.
But some clinicians noticed something peculiar: certain patients could remember words quite well but couldn't string them together properly while speaking. In the 1870s, German physician Adolf Kussmaul was among the first to systematically study these sentence-level problems. He identified patients who spoke in halting, telegraphic fragments lacking many connecting words, termed "agrammatism," and others who produced flashes of complex syntax but with a tangled organization, so-called "confused sentence monsters," today's "paragrammatism."