This reminds me of the bipolar/schizoid personality patient on bipap who continually pushed her call light, and even without the mask, talked so fast and slurred that NOBODY could understand her. One night, one of the NACs who is Philipino (but has lived in the US for 25 years and has excellent English) went to help her and she said, "I can't understand you! Speak clearly!" Alison - ADN Grad in 128 days