Hi Sandra, I’m working at a SNF. I just screened a new resident post CVA with noted aphasia in her record and some dysarthria. On exam, her tongue had a fairly significant fissure at midline. Any recommendations for healing? I’m pushing water but nursing said she is resistant. I’m sending a second email with a picture to show what I tried to describe. Hope all is well 🙂 Hi, I would be curious if your patient had the fissuring prior to the stroke. Many times, it is within the normal range to have a fissure or fissures. I also noticed that her tongue deviates to her right. I wasn’t sure if you were asking for some ideas about the fissure, about lingual training, or about the dysphagia. Let me know and I will respond more specifically.