New iPad app gives brain-injured Holyoke woman a voice for first time in over 30 years

Accident victim Janis Godere uses iPad app to communicate

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(Gallery by John Suchocki, The Republican)

HOLYOKE - Janis Godere cannot remember what her voice sounds like.

The last time she heard it was more than 30 years ago, before a car accident on the treacherous section of Route 116 in Amherst known as the Notch. She was traveling home from a wedding in 1977.

The crash left her brain damaged and paralyzed on one side of her body - and unable to speak.

For years, living at the Geriatric Authority of Holyoke, she used what could best be compared to a Ouija board to communicate.

Godere would point to letters and phrases or emotive symbols on a laminated sheet with her one good hand. The sheet was clipped to a tray on her wheelchair. It was, to say the least, an imperfect system.

Family members say Godere's maturity was stunted by her injuries from the accident, but she still has enough on the ball to retain a wicked sense of humor and a yearning for something beyond a mute existence.

It came in the form of "Verbally," an iPad app that her sister and brother-in-law, speech therapist and other clinicians recently affixed to her wheelchair. It allows Godere once again to have a "voice."

She chose hers: rejecting a number of Betty Boop-like sopranos and opting for a female voice she believes sounds like folksinger Joan Baez. Godere immediately greets people and asks preferences about nicknames and such.

Hers?

"You can call me anything, but leave out Janet," she responds mischievously, a nod to the inevitable, lifetime garbling of her own name.

A number of iPhone and iPad apps that help people communicate -- known as Augmentative and Alternative Communication apps -- are available through Apple's iTunes store. Above, a screen shot of the app 'Verbally,' used by Janis Godere. Below, a list of several popular apps, with excerpts of customer reviews posted to the iTunes store. VerballyPrice: Free / $99 for 'premium' versionFeatures: Male or female voice; 'core word' and 'core phrase' grid makes typing more efficient; ‘steady hands’ feature assists users with limited fine motor skillsReview excerpt: From a customer with a 19-year-old, non-verbal autistic son: "I am sure that we will get many great joyful moments with the new GOD SENT advances in this type of programming." Proloquo2Go Price: $189 Features: Matches vocabulary to user’s communication skill level; vocabulary sets can be programmed to show between 9 and 64 buttons per page; picture icons help users find the right word Review excerpt: “Such a huge deal to have a real voice when that is how people define you. I love how customizable it is.” TapToTalk Price: Free Features: Geared toward children but can be used by adults; user taps a picture to make the device talk; each picture leads to another screen of pictures Review excerpt: “It is great giving a child a voice to answer questions in the classroom. Easy to navigate through.” Talk Rocket Go Price: $99.99 Features: Users can customize phrases and pictures; touch screen can be converted into a single button, allowing users with limited dexterity to make selections with their whole arm or just a pinky finger Review excerpt: “This app looks as though it will really meet the needs of the students in my school...easy to use, so easy to navigate through, AND it can use the iPad's camera.”

"Verbally" falls under the burgeoning movement of "augmentative and alternative communication" for stroke victims and the brain injured who have lost their powers of speech.

Godere's speech-language pathologist is 27-year-old Sarah Fittis, and it could be her youth and allegiance to the techie nation which led to the brainstorm behind introducing "Verbally" to Godere's previously silent world.

"Augmentative and alternative communications can be extremely liberating, but it's so much more than handing someone an iPad," Fittis said. "You really have to work with the person. It depends a lot on their cognitive abilities, motor skills and fine motor skills. Janis has showed a lot of tenacity."

Godere, now 65, has been using the new technology since July.

During Fittis' overview of new speech therapy technology, Godere interrupted with an unsolicited: "She is my pal. She is my friend and will never let me lose courage," bringing Fittis to tears.

It is the beauty of the voice, Godere says. Second best written but best spoken, she adds.

Godere's sister, Judy Raymond, and brother-in-law, Dr. Howard Raymond, also saw a segment on television on how the app helped autistic children speak and were inspired. They purchased the iPad and applied for a $500 grant from the Will Power Foundation to get special hardware to have the iPad permanently welded on to Godere's wheelchair.

While the iPad and the hardware cost around $1,000, the app is free.

When Godere felt confident enough to begin using the technology herself, she began attending bingo games at the facility and playing for those who could not speak themselves, gaining even more popularity among the residents.

Once a secretary and office manager, Godere cannot recall how long she has been at the authority.

"Too long. But I can't tell you in days, weeks or hours," she says, insisting that she will one day be discharged and wants to become a veterinarian. She has a particular affinity for rabbits, she says through her Joan Baez voice.

"It's unlocked things in her brain," Dr. Raymond notes quietly, sitting in a chair in a corner of the room while his sister-in-law has the floor.

Indeed it does. Godere says she has named the device Angel Marie.

"I love it. It's what I would have named my first daughter," she said.

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