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What can I do to help him?

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We need more details about the situation. If this is new it is a medical emergency! Ambulance now!
I once cared for a person with a brain tumour who's speech was hard to understand. I could understand him. I acted as a translator for him. People would ignore him and address me. I would say I'm the translator, please address Mr X directly.
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Reply to Toadhall
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Agree. If this is a change in his normal state, get medical attention straight away.
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Reply to Countrymouse
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Is this new and sudden? He may have had a stroke. Call 911 immediately.
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Reply to gladimhere
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