When can you start? <a href=" https://www.tca.nl/imipramine-neuropathic-pain.pdf#straw ">imipramine lung cancer</a> Stroke can impair the ability to express yourself or understand speech. One test: Repeat the phrase “You can’t teach an old dog new tricks.” Are you slurring words, using the wrong words, or are unable to speak? If any one of these occurs, there’s a 72 percent chance you have had a stroke.