He also has muscle issues with his tongue and mouth area which affect his speech and ability to swallow and talk. The swallowing issues can make him choke when he is trying to eat and drink, so he has to take his time and have meals which are wetter and easy to swallow, this also causes him to cough heaps as if he has a bad cold and is trying to cough up mucus.
The speech problems are more noticeable again when he is tired, yo have to be in the same room as him, and sometimes he has to repeat him self for you to understand him, this is compounded with the fact he has two hearing aids due to hearing loss from jobs so himself has difficulty hearing you
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