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I have a cousin who was born with water on the brain. He is blind, and at age 6 he can only speak at most 10 words. He has an amazing ability to somehow, however, get across his feelings by using something other than words. He cries when hes sad or in pain, he laughs when hes happy, he yawns when hes tired, and when he wants to eat he gestures towards his mouth. it may seem simple, but it works great for us and hes happy.