Podcast appearances and mentions of asha convention

Speech-language pathologist Jennifer Cripps-Ludlum says her entire life is a mask.As an adult, she discovered she is neurodivergent. The revelation arrived at the 2023 ASHA Convention, during a presentation on recognizing the signs of autism in young girls. After a subsequent panic attack, Cripps-Ludlum asked the presenter this question:“What do you do if you spend so much time masking that you don't know who you are anymore?”On this episode of the podcast, Cripps-Ludlum shares a personal history of masking. She shares the forms masking takes in her life, and the associated emotional and physical toll. Plus, she explains why she's found herself someplace she never expected to return to … high school.Learn More:ASHA Voices: What a CSD Professor Learned About Autistic Masking While Creating Neuro-Affirming SpacesA Neurodivergent View: Give Us Strategies … With ChoicesImagine True Inclusion: Defining the Social Model of DisabilityHow Do We ‘Authentically' Involve Autistic People in Research?Transcript

On this episode of The Founder's Sandbox, Brenda speaks with Jane Zhang, CEO and Founder of Remmie Health about Scalable AI in Pediatrics. Jane progressed through her professional career as Biomedical Engineer, PhD Adjunct Professor, Big Pharma and it was upon living a very personal situation that she wanted be become a “builder": entrepreneurship was calling her.  Listen to Jane's podcast, as she shares where this whole idea of building something for the people at home to be able to examine, share, and, in the future - get assistance in identifying ENT diseases- became very important to her. Jane shares how she has built a product and services for at home examinations of the ear, nose, and throat and her real experience of developing a FDA approved Class 1 device, now in clinical trials.  Remmie 3 is a FDA-registered and CE Marked next generation intelligent otoscope designed for patients of all ages. You can find out more about Jane and Remmie Health at: https://www.linkedin.com/in/janeyzhang https://medium.com/@janeyqz/my-experience-with-my-sons-recurring-ear-infections-a-3-part-story-fdbc4ea0016e https://remmiehealth.com/   https://www.linkedin.com/company/remmiehealth/ Remmie was present at MEDICA 2024, the most important international fair dedicated to medicine and hospital technology. The event will took place in Düsseldorf, Germany, from 11 to 14 November 2024. https://www.ca-mi.eu/en/germany/01/2024/medica-dusseldorf-11-14-november-2024/ and at the American Speech-Language-Hearing Association 2024 ASHA Convention from December 5-7 in Seattle, Washington. https://convention.asha.org/       Transcript:  00:04 Hi, I'm pleased to announce something very special to me, a new subscription-based service through Next Act Advisors that allows members exclusive access to personal industry insights and bespoke 00:32 corporate governance knowledge. This comes in the form of blogs, personal book recommendations, and early access to the founder's sandbox podcast episodes before they released to the public. If you want more white glove information on building your startup with information like what was in today's episode, sign up with the link in the show notes to enjoy being a special member of Next Act Advisors. 01:01 As a thank you to Founders Sandbox listeners, you can use code SANDBOX25 at checkout to enjoy 25% off your membership costs. Thank you. 01:18 Welcome back to the Founders Sandbox. I am Brenda McCabe, your host. This is a monthly podcast in which I reach entrepreneurs, business owners, and I have as my guest, entrepreneurs and business owners, professional service providers, and corporate board directors who bring their own stories about building resilient, purpose-driven, and sustainable businesses with great corporate governance. 01:47 I want to assist entrepreneurs and entrepreneurs in building those scalable, well-governed and resilient businesses. And by bringing my guests to the podcast, they too want to use the power of the enterprise, small, medium and large to create change for a better world. We're going to tell stories in this podcast today. And my guest is Jane Zhang. She's CEO of Remmie and she's joining us here from the state of Washington. 02:17 Jane and I go back almost, I don't know, four or five years now. Jane was at the UCLA MedTech competition. She had just founded Remmie in 2018 and then actually put some bones around it and financing into 2020 was actually seeking external investment dilutive type. And I couldn't help. 02:46 but remember Jane's origin story of why she started Remmie. And we're gonna start with that. So Jane, I would love for you to walk down memory lane with me and go back to when we met in the campus at the UCLA MedTech. And what was your origin story? Yeah, Brenda, I really appreciate this opportunity and thank you for the great intro. It was. 03:14 It was unforgettable why I, every day I'm reminded of why I'm on this mission because my own son, who was a preschooler back then, had recurring ear, nose and throat issues, especially ear infections. It was basically nonstop. A lot of the weekends, my colleagues would ask me, what are you doing on the weekend? I'd be like, 03:43 My son is having a fever I'm taking next week off. So it happened four times. In the first year he went to childcare. And one of the times he had a high fever, we went to the ER and it took us four hours sitting there nonstop with his crying and screaming. And the other times we were referred to an ENT specialist who was about to put in ear tubes in his ears. And other times we were 04:12 misdiagnosed because he had air nose and hands with mouse disease where we were given antibiotics. I give him 10 days and he's still spiking a fever. It keeps on coming back. And the doctor said there was a it was a moment of revelation where this physician, my pediatrician told me, come, come take a look by yourself. I was like, what? Why? And he said the throat or the back of his throat was all white blisters. So this was not an air infection. 04:43 um who gave you antibiotics that was the question he asked me he said you should be able to look by yourself and why weren't you doing that i was like what really i'm a bio medical engineer by training by the way um especially in low resource setting diagnostics or like basically home home diagnostic kits um he asked me why aren't you looking by yourself i was like what am i supposed to look uh and with what 05:11 So that's where this whole idea of building something for the people at home to be able to examine, share, and in the future getting assistance in identifying ENT diseases became very important to me. Wow. So you had at that time been working 05:36 for a large pharmaceutical company. As you said, you are a biomedical engineer by training, and you just completed your executive MBA, I think at UCLA. So what made you make the jump? One thing is going to the emergency room with your child time and time again. You talked about your aha moment and how can I in a low resource, right? At home. 06:03 be able to actually diagnose and actually treat my child. What happened that made you want to actually become an entrepreneur, Jane? One thing is working on the research side, but becoming an entrepreneur, what made you do that? It was very, so it was like everything kind of lined up in a way, and it just, my background, I was an engineer by training. 06:32 I worked as a scientist, you know, like in all the way up to postdoctoral level research. And then I took a turn into getting more into product development, business development, and commercial operations, because I thought that was really going to help me broaden my vision of the my view of how things work, you know, that I'm basically a curiosity driven person. 06:57 And at that point, while I was working in a big corporate, in a pharmaceutical company, I was sort of getting more experienced in a commercial side of things. I figured I had two choices, probably one, two, actually three choices I was considering, right? Like one is to go back to research and become a faculty member. In fact, I did, you know, that was kind of my way of rethinking my whole, reorienting my whole career path. 07:25 Um, the other one was going to become an investor. Um, the third was to fund my own company and just go on this path of building things. Um, I, I thought, uh, this issue of my child's problem just really was hitting at home that this is, because it's after I talked to many people, I was not alone. I'm not the only person who's going through this. Everyone I talked to said, Oh my gosh, that was me. Um, 07:54 I was like, this is a big deal. It not only impacts your child's health, it impacts your productivity at the prime time of your life when you just had the child. And it was just like really hitting a home. I had to do this after a couple of years of hiatus in academics, in academia, as a faculty member of engineering in University of Washington. After completing my MBA, in the meantime, I decided being a builder. 08:24 an entrepreneur is the calling for me. Is the path, is the path to shift. Amazing. Talk to me about the number of ENT cases that you are addressing with Remy today. Talk to me about that. I guess a striking number was 70 million in the US, both adults and children. A year, right? And it's really fast. A year. Yeah. 08:53 suffering from some ENT diseases. And this is not just specialty disease that I'm talking about, it's every day. Like anything that you have when you have a sore throat, a painful nose or ear infection or cold and flu, it impacts these organs. The first line organs being impacted are your ENT, but it doesn't stop there, right? For children, it is very highly occurring. Like if you look at the number of children who go see ENT issues, ear infections alone is... 09:22 about 24 million a year, that's 80% of any children before the age of eight or three, they've already had one ear infection, not to mention 30% have more than three a year. And adults, like when you're thinking about, sinusitis, sore throat, strapped throat, how all these impact the overall population quite a bit. So what is the solution at that? 09:50 Remy provides. You're going to walk us through kind of the, it's AI powered ENT, so ear, nose and throat health platform. It has many components. What's the patient experience today that you're attacking and how is it going to look in the future? Walk us through the product, please. Yeah. I love that way of thinking and thinking as a patient or a user of any anything that we are providing. 10:20 So you already kind of heard my journey of nonstop sort of rotation in like a spinning wheel among pediatrics office, urgent care, ENT's office, and ER, right? And then over again for another episode, if it's recurring or chronic. The experience that we're trying to provide is along the line of how the disease progresses and how physicians examine. 10:50 a quadrant or like a progression lifetime along that line. What I mean is when you first have a pain or some sort of discomfort, you would want to, you know, a doctor when they examine you, they would check, they would look, they would look with a, right now they look with an otoscope, which is a glorified flashlight plus magnifier, obviously very, very high fidelity. 11:20 That's the first step. They look, they examine. And then the second thing they do is, well, obviously you have to be in person first with the physician, right? So there's no sharing per se, which we're trying to build towards is you can look, you know, if a doctor is using an otoscope, why can't the patient be taught how to use it? It's very similar to a thermometer in a way, except it's a camera. So, you know, if a physician is looking with their eye. 11:48 we can make it digitized as a camera for patients to use at home. And if you have to be in person today, you should be able to transmit this, whatever you're looking at or collecting over the internet in terms of sharing. And then the third step of the whole diagnosis journey is basically analyze. The physician kind of asks you how you feel, they aggregate a lot of information about you, who you are, what you're going through and your physical presentation of the symptoms. 12:19 that should also be partly supported by AI. So that's kind of what I'm working towards is, it's like a million doctors supporting every single physician, every, you know, one doctor being supported by a million in terms of the insights that's used to go into their diagnosis. And did I mention that the misdiagnosis rate is about 40% on any day? Misdiagnosis meaning either, you know, 12:49 you're prescribed antibiotics where you're not, you should not have been, or you're referred to a specialist where you should not have been, or you went to the ER, because you did not receive the care in time. I guess that's a broader sense of misdiagnosis, which means you missed the opportunity for diagnosis in the proper setting. So, but that's very prevalent in terms of misdiagnosis. So we like to support anyone who's 13:17 first examining the condition with AI tools, being a patient or a primary care physician. Before we get into the AI question that I have for you, talk to me about some of the communities that can benefit from the use of an AI-powered ENT device. Yeah. I. 13:46 The first thing that comes to my mind is home users, any general lay person at home who may not have the resources to see a physician in person. It could be someone who's lack of access in a way that they are in a remote area, lack of resources to pay for healthcare, or even lack of time. Someone who is working, who has a job but just doesn't have the time to. 14:15 to see a doctor. So I would think under underserved communities, population who are at lack of resources such as time, money, or you know, driving. You know, driving is a hassle for a lot of families and just anywhere at home. Anyone who is, you know, even I was talking to a bunch of undergrad, you know, college students are like, we're so used to just sitting on our couch and see a doctor. 14:45 That's possible. And that was really the key moment when I was sitting as a judge. The first time I actually was exposed to you, Jane, met you and heard about Remy, it was the possibility that digital health, right? I'm not having to go into a doctor's office. And the digital health to use preventatively, right? To prevent disease. 15:13 diseases to progress. I think, and then, you know, AI is just an added layer on top, so that truly was a moment when I thought everybody, well, at least there's 70 million cases a year of ear, nose, and throat, what this platform may offer for other disease areas where we don't have necessarily to go into the doctor's office. So it was fascinating. That's what brought us into this relationship. 15:41 So talk to me about, we've talked about the platform, where you're going, how it's offered. What has been your founder experience? All right, you decided you took a head issue and went back to the academic world. You really wanted to become an entrepreneur, started the company. You won a competition out of UCLA, I think business case. That's about the time I met you, right? Talk to me about how the journey has been in terms of 16:10 resources, the resources that you have received, non-dilutive funding, where are you on that path, and how many healthcare systems are currently either testing or looking into the use of Remy? That's a loaded question. So talk to me about the journey of financing and where the product is being used today. Absolutely. The journey is long and very, 16:40 full of support, you know, like that's, that's a very upfront, you know, support from my very early days where my MBA classmates kind of joined force on this project, you know, as in its infancy, the UCLA, which, you know, venture accelerator, which was my, you know, first founder, basically, we, we came out of the incubator, equipped to talk to the world about our business case. And we got 17:09 $33,000 overnight from the business plan competition, NAP business plan competition, and the early UCLA founders who just showing overwhelming support. And we, in fact, we sold our product, first 25 units of our, you know, the digital otoscope in the early days before we graduated and gotten our first 100K of investor check before we graduated. So, 17:39 That was when we had to fund the company because we need to find a place to park the money as students part-time. So this was all full-time working, you know, professionals part-time on a weekend going to MBA. And then I, the past just went really interesting because of the pandemic. There was an overwhelming uptake of virtual care. 18:07 telehealth services, institutions who are looking at this new modality of care. And all of a sudden it was like, there were like 800 telehealth companies in the US at some point and they were all of our potential customers. We started co-calling them and we're getting quite a bit of feedback. In fact, many of them were working today. We are working with Rocket Doctor, for example. They've gotten, they've taken over half a million costs in the past couple of years. 18:35 in terms of virtual care services. They have sites at pharmacies and enabled stations of remote care for people who are not accessing an office in person. We are working with five school districts in five different states and these are school districts which leverage Remy for all of their nursing rooms and introducing it to their students and parents. And we are working 19:05 So we got very strong non-dilutive funding. Actually early days we had seed funding from Platinum Play, we have seed funding from United Healthcare Accelerator powered by Techstars. We had in-kind support from CTIP, which is consortium for technology and innovation in pediatrics, which is a large innovation, hospital innovation consortia of, I would say that's growing, you know, 19:34 at least children's hospitals in the West and Midwest. They are providing enormous support, including clinical collaborations, partnerships, granting services, regulatory guardrail, they're FDA-funded. So now we're working with them in terms of a clinical study site in Lowery Children's in Chicago, which is one of our primary sites 20:04 testing out not only REMI, Otoscopes, but REMI-AI, funded by the NIH, which is National Institute of Health under the Small Business Innovation and Research Grant at 3.5 million so far. So overall, there was overwhelming support also from my state, I'm from Washington. So the Life Science Institute of Washington also kind of invested. And last but not least, 20:32 I have to mention TIE, T-I-E, which is an angel funding investor group that has given us enormous support in terms of networking, in terms of fine tuning the business plans, mentorship sessions. It just goes on. There are a few other investors that we've been working with and overall we've raised about... 20:56 4.75 million in non-delutive funding, non-delutive, and then about another a million in the deletive. So this has gone into a clinical study phase where we're looking at success outcomes in terms of technology readiness, validation of performance of AI clearance through FDA as a class two device in a couple of years. And then commercially. 21:22 being able to facilitate telehealth services already. In addition to allowing the patients to see and examine, we're enabling physicians remotely examine and prescribe. And in the future, assisting both the physician and the patients in terms of prescription and receiving the accurate diagnosis. I'm looking at the, heading the all, I guess, 21:52 health care or the goals of health care today, the five aims, I believe, at least, you know, cutting costs, improving quality, increasing access. Yeah, all of that. Amazing. And as of today, so you've raised about 4.75 non dilutive, you're no longer raising dilutive funding until you get through the clinical trials. When will that be happening? 22:22 The study with Children's Hospital, Lurie Children's is happening now actually, so it's underway. And we are looking at in a year that we will have some tangible, really good results in terms of both the patient satisfaction, physicians demand and performance of the technology. 22:50 And what is the desired outcome? Because I got really excited too, because this will be maybe not the first, but one of the earliest FDA approved Class II devices jointly with AI, correct? 23:08 Yes, that's a very hot topic right now in terms of the use of AI, the governance of AI, who benefits from it and who pays for it. Ultimately, the AI that we are developing would be augmenting the physician's decision making. 23:33 in the meantime, directly benefiting the patients because they can potentially receive pre-screening alerts and results faster and earlier before they go or even while they're waiting for the physician's appointments. So I would say that the outcome, first and foremost, is the satisfaction of the patient and the physicians. We would like to work alongside with, you know, really 24:00 key influencer in the medical field, medically validating the performance and understanding the bias of the data. What would it be if we manipulate bias at one way or the other in terms of the algorithm development, right? Whether or not we're collecting comprehensive population-based data, have we looked at cases of 24:28 one way or the other, you know, like in general, understanding the algorithm development and the AI readout. I think there's a lot of misunderstanding about AI these days, right? People generalize it to be generative. But AI has been a concept that is, you know, it was a different name back then. It was data analysis, it was imaging analysis, it was big data. For a while, the algorithm is evolving, the capability is evolving. 24:57 Um, the, I guess before one investor was asking me, what, how do you handle data hallucination or AI hallucination, which basically means the AI is starting to give out fake results, um, based on ungrounded, um, facts or cheating or lying to you. Um, and there's also another different kind of AI, which was data driven or validated. Uh, it won't tell you anything that you don't tell it. 25:27 to, you know, it's kind of limited or confined to a set of outcomes. For us, it is the former at this point, it's less generative. We understand the ins and outs of the data that's going in and we know why it's, you know, spinning out the results while we are the other on the outcome, on the output side. I would say generative has got a lot of potential, but within health, healthcare, we just need to catch up a lot. 25:56 a lot faster for it to be widely applicable. Currently, is it fair to say that Remy does have the largest database of imaging within ENT? 26:11 We are one of the top in the world. The data size as the use case grows, as the user base grows would be growing. The data are aggregating and being applicable to algorithm training in an aggregation basis or the identified anonymized. 26:39 It's an interesting part about the platform we're building is the users can benefit and they know what their, they benefit early, you know, rather than just being, benefiting from AI telling them what to do or assisting them. They're benefiting from non-AI capabilities of the technology, facilitating their visits, shortening their distance from their pain to a prescription, for example, or diagnosis. 27:09 already, early on. So we sort of de-risk the path to AI. And AI becomes more of a later phase. But it is definitely going to augment and assist the human journey all in all. Excellent. And so while sticking with the actual platform, and one of the third elements that I was particularly interested in when 27:37 we did invest from the Thai fund was the lack of the shortage of primary care physicians, and specifically even pediatricians in the United States at this time. Talk to me a bit about how as the tech, that platform of Remy builds out, will this enable doctors will it substitute doctors? What's the what's the how will this address this? 28:06 actually, it's tsunami that is now on us of this shortage of doctors in such a common disease area. Yeah, yeah. I definitely think that it is a tsunami coming at us just from my experience of having to book out. My wild child checkup is like four months out. I was like, by the time I get my son's appointment for his 11 years old checkup, he's 12. Yeah, so just to give you. 28:36 idea and then I got a letter from my in the mail saying that I'm quitting, you know, my physician is quitting real life, right. So I basically think that the AI will be enabling the physicians to free up their time, you know, from some non acute or issues that they so in the meantime, providing the quality of care that patients need not to sacrifice the quality. 29:06 to free up their time and become more efficient in a way. Especially I can think about ER avoidance, right? As a big use case for Remy and referral pre-screening, right? Specialty referral pre-screening, both of those, you know, are gonna free up quite a bit of our, you know, healthcare resources in terms of leaving them for those acute cases and really needing, you know, attention of the physicians. Yeah. 29:35 ER avoidance, basically you go, before you go to the ER, while you're waiting in the ER, you can perform a test or some sort of a visit with Remy using the Remy technology and specialties per screening. Per screening could be like, while you're waiting for the specialist appointments, which might be three, four months out, you can get the insights that you need already. So both use cases, I think, will free up quite a bit of our time. 30:04 both from pediatricians, nurses, mid-level providers, and specialists, EV doctors and specialists. Oh, Remy. Can you, for my listeners, talk about where they can find Remy today? 30:22 Yeah, we are, we're in, on Amazon, if you search Remy, we are website, remyhouse.com. We have a very convenient e-commerce, shipping and handling protocols. So you should be able to order on Friday, receive on Monday, for example, or even faster than that. And then we are, we are at your clinic. We're maybe at your clinic, maybe at your school district, we are working with a few of these. 30:52 physicians, clinics, there are logos on our website. If you're one of the patients of the clinics, you will get these at a discount, easily accessible rate. And if you visit us at the exhibits, in terms of commercial and marketing exposures, we are gonna be at Medica in Germany. That is next week, November 11th to 14th. 31:20 in Dusseldorf in Germany, we are part of the Washington State Pavilion to exhibit there. And then we are publishing, you know, academically we are collaborating with United, sorry, University of Southern California, USC in the speech and speech hearing and language pathologist community, especially in collaboration with USC. 31:50 We are publishing a poster there that's going to be December 5 to 7 in Seattle, Washington. Excellent. Let's switch to the founder sandbox. I'm passionate about working with company owners on their purpose, their scalability and their resilience. And I have a founder here in the sandbox with me today. 32:18 You're into what your sixth year of being a CEO. Tell me, what does resilience mean to you? Jane. 32:31 Oh my gosh, there are so many places you just have to hold on to. Hold on to the idea. I think first and foremost, it's something that you believe. There is some belief that this is there. You know, like it's worth your time. It's worth the effort. It's worth. Keep going. Right. So if you give up, it's it's probably you don't believe in it enough. Right. At some point, because of, you know, all the failures and problems that comes up. 33:02 Yeah, don't get me started. And then the belief is there. I think this is the future, the calling. It's historically inevitable, right? If it's Remy or someone else, it should be done, right? So that's my belief. And it's driven me every day when I wake up. And then when I think about resilience, I also think about when I'm fundraising, talking to investors, I get... 33:31 99% knows, right? And then 1%, yes. But does that mean that I'm not a good company, a good founder? No, it just means we're not good fit, right? Like investors have their own thesis, their goals to fill, their speed, stage of company, check sizes, everything has to meet perfectly. And even personality wise, those investors are gonna be with you for a while. You trust each other. 34:00 So that's fundraising. And then just keep going at it. And product wise, people say no to my product. Oftentimes for various reasons, customers are always right. Again, does that mean that I'm not a good product or services? No, the more I talk to them, the more nos I get, the more yes I will get as well. So again, that's sort of on the market research or understanding the general 34:30 target, you know, like as you're looking for the product market fit, you know, again, the keyword here is fit. And then the third piece is, is just just interpersonal, you know, like, people, oftentimes, I mean, like or dislike each other for a reason. And there's nothing wrong with, you know, knowing 34:56 knowing more getting more so I have a very big mentor mentor community I reach out to them every time I need an answer and they're just all willing to help that really helps with the mentality the the resilience as well you know I know I'm being supported I know I know people love me like my products are being loved my services are needed and my mentors really support me so that's that's what really helps with the positivity yeah excellent thank you for those four nuggets 35:26 your own words about what resilience means to you. Thank you for talking about your product and believing in the future of telehealth with Remy or not. It's very, very humble. And I loved, so the key word is fit, right? Fit with your investor, fit with your customers, what they're wanting, fit with the belief. Take that to the next. 35:55 question, fit or purpose driven? Are you fit for purpose? What is purpose driven enterprise? All right, so this this goes beyond the resilience to enterprise. Purpose driven, what's that mean to you? 36:09 I think I started the journey caring about sort of mental house of women, you know, that's like, you know, besides children's health, health, right. So, and I spent my whole journey, whole research doing underserved community health diagnostics, right. So I've been working on, you know, the 36:36 the worst diseases you can think about HIV, tuberculosis, these pathology pathogens, right? I was kind of in a class three bio lab, working while I was pregnant, tuberculosis. So you name it, right? Like any sort of crazy things that happen to people, I have really strong sort of desire to 37:05 help them or address it. Also something that's probably rooted in my family. You know, like I don't talk about that a whole lot, but my dad came out of sort of this pure poverty, right? Like he, my grandpa was a shepherd and he sort of, I guess long story short, my dad was also kind of a, would be a beneficiary of Remy. He had a perforated eardrum because he listened to 37:34 English radios too much before he came to UK for study, you know, as a first generation college student from his family. So nowadays he still has a deaf ear, right, like perforated eardrums. So I'm still thinking, you know, is there something I can do for him? But overall, I felt as a, like, just to echo where I started in the beginning, you know, as a woman in the prime years of, you know, career. 38:04 you know, where I wanted to be, you know, I was earning good money, I was having a good corporate job, I was caring for my child, you know, which really kind of pampered my productivity at work. I think that's kind of an issue that nobody really talks about because everybody wants top performers, you know, like you need to be working when your child is sick or something like that. But, you know, overall, it's kind of 38:30 issue that's there and near to my heart as women and children's health, especially for underserved communities. Thank you. Thank you, Jane. 38:41 Wow. Scalable growth. Take that resilience plus your purposefulness and scale it. Is it truly what the platform will become scalable? What does scalable mean to you? 39:11 how, you know, help the physicians in a way. You will, I will scale really well if I can, you know, bring benefits to ease their work, ease their stress at work. There are patients coming in, they're getting text messages from the patient, hey, what's going on with me if I can see this image? I was like, that's crazy. Like, how do you respond to that, right? Like in a way that polite and shows that you're a human, you care, but if you get 300 of those a day, how do you... 39:40 How do you do that? And then they say, oh, they send them to my charts. Again, that's losing or like the patient just waiting. How do you address this mismatch of having physicians providing care at top quality and efficiency while being a human to the patients and then the patients are satisfied and getting the needs met. I'm trying to make my story. 40:10 or resonating with physicians that they can be, just to give you an example, right? A physician mentioned that 50% of my, this was a specialist who said 50% of the patients who came to me should not have been in my office because I wanted to help those who can, they need me for a procedure most of the time. If they come to me for diagnostics confirmation, I could have done that. 40:40 with their information gathered in front of me already, before they come. So that's kind of the point. And it's almost like whenever they're open or free, aggregating physicians time across all these physicians who have time, whenever they have time to care for patients aggregated across all these issues, whenever they have an issue, we're trying to build sort of a bridge 41:11 the aggregation would really help address the problem of mismatch of asynchronous visits or waiting and not getting the answers. I don't know if that's too abstract. No, I get it. And you know what? Kind of along the lines of purpose, your purpose, caring about mental health for mothers, you also by the adoption of Remy Health in settings with the patients using it from home. 41:41 or being screened early on, you're clearly affecting the mental health of our caregivers, our physicians. And we do know that tsunamis here, there's a high level of attrition. Doctors actually just quitting. And if through tech enabled or AI powered, intelligent aggregation of data informs the decisions to reduce number of visits. 42:10 or have them more productive while in the setting, the clinical setting can move the needle, so be it. So thank you, Jane. This has been absolutely an amazing interview. I have one last question. Did you have fun in the sandbox today? Yes. 42:33 Absolutely, Randa. I really, really appreciate the opportunity. It's wonderful to every time I talk to you, it's wonderful, but especially interesting when we're like in this setting and you know, podcasting to more to a greater audience and really appreciate what you do for the community. Thank you. Thank you. So to my listeners, if you'd like this episode with Jane Tseng, CEO of Remy, 43:03 resilience and scalable and purpose-driven life story, as well as the origin story, as well as the product. Remy, sign up for the monthly release where founders and business owners, corporate directors and professional service providers provide their own stories on how to build with strong governance, a resilient, scalable and purpose-driven company to make profits for good. 43:32 Sign off for this month. Thank you for joining us.    

In this episode, the Laurens share their feelings of disappointment over the results of the U.S. election and discuss the impact these outcomes may have. However, they also reflect on the joy and fulfillment brought by the 2024 ASHA Convention, celebrating its powerful energy of inclusivity and community.Music by: J. Merritt IG: @beatsbyjmerrittGraphic Art by: RH Designs IG: @RHDESIGNS_30

In this episode, Colleen Ashford, MS/SLP, joins Dr. Jeanette Benigas, SLP, to share her first-time experience at the ASHA convention. She takes us inside the ASHA leadership Q&A at this year's convention—where only a small handful of attendees showed up out of 13,000.From overhearing conversations about extravagant dinners to realizing how disconnected leadership is from the membership, Colleen takes us inside a space most clinicians never see. Her journey led her to a powerful decision: dropping the CCC.If you're rethinking your ASHA membership, the CCC, or your role in shaping this field, this episode offers hard truths and a fresh perspective. Tune in as we challenge the systems holding clinicians back and prove that change doesn't happen by waiting. It happens by fixing it.Set up a FREE account to begin using the CU tracker.Want to earn some PDHs or CEUs? Use code FIXSLP58 to get a $20 discount coupon off any subscription!Become a sustaining partner.Follow us on Instagram.Find all our information at fixslp.com and sign up for our email list to be alerted to new episodes and content.Email us at team@fixslp.com.Leave us a message on our Meltdown in the Minivan line. ★ Support this podcast ★

Guest: Shawna Ross, MS, CCC-SLPIn this episode, Michelle is joined by Shawna Ross, MS, CCC-SLP, founder of Sierra Therapy Group, a pediatric private practice in Reno, NV, and passionate SLP volunteer, who is currently serving on ASHA's Committee of Ambassadors, as the SLP Member for Nevada. As colleagues from around the globe are gearing up for “Elevate!” ASHA Convention 2024 in Seattle, WA, Michelle and Shawna thought it was the perfect time to share a little insight into the amazing gains this year for ASHA's Public Policy Agenda and how ASHA's Committee of Ambassadors played a vital role. So, if you have ever wanted to become more involved in advocating for federal policy change on anything/everything from reimbursement rates, the interstate compact, or increased access to care for those we have been called to serve, this is the hour for you!

Hello, Telepractice Today listeners! Kim and I want to extend a heartfelt thank you for joining us each week and being such a fantastic part of the Telepractice Today community. Since launching the podcast back in May of 2020…right at the beginning of the COVID pandemic…., we've been honored to bring you weekly episodes dedicated to the latest in telepractice news, tips, and, of course, our in-depth interviews with professionals across Speech-Language Pathology, education, and allied health.  Well, we have some exciting plans in the works, so we're taking a short break. We'll be on hiatus for the next two months through November and December, but don't worry—we'll be back in early January with brand-new episodes and some surprises we can't wait to share with you. This little break will allow us to recharge and bring you even more inspiring content in the new year. Thank you again for your support, your enthusiasm, and for being part of the Telepractice Today family. Kim and I hope to see you at the ASHA Convention in Seattle the first week of December.  If we don't see you there, we wish you the happiest of holidays, and we'll be back with those new episodes in early January. Thank you again for listening and being such strong supporters of the podcast! __________________ You can listen to this episode wherever you stream podcasts and at www.3cdigitalmedianetwork.com/telepractice-today-podcast  

We catch up with researchers Jeff Holt and Karen Avraham about the state of gene therapy for addressing hearing loss and deafness. Both are part of the Research Symposium on Hearing at the 2024 ASHA Convention.Our guests explain what recent breakthroughs, including successful clinical trials, mean for the future of gene therapy. They comment on audiologists' potential role in treatment and assessment related to gene therapy.You can learn more about gene therapy and hearing loss at the Research Symposium on Hearing at the 2024 ASHA Convention in Seattle this December.Learn More:Research Symposium on HearingASHA Voices: Revisiting Conversations on Gene Therapy and Hearing LossFirst Deaf Gene Therapy Recipient in U.S. Gains Hearing

Guests: Kelly Farquharson, Ph.D., CCC-SLP, BSC-CL, F-ASHA, & Jennifer M. Simpson, AuD, CCC-A - The ASHA Convention may only happen once a year, but the planning and dedication that leads up to those few days starts two years before the go-live date. In this candid episode, Kelly and Jennifer share behind-the-scenes data on everything from convention registration numbers, variety in convention topic committees, and ways our colleagues volunteer their time to propel our fields forward. So, if you have ever wondered about the process involved in a “call for papers” or how you can become more involved in convention, this is the episode for you.

Adrienne Wallace, MBA, MS, CCC-SLP is the owner of Online Speech Services LLC, which provides online communication coaching, speech therapy, and resources for parents and SLPs through direct services and websites, www.TheInteractionCoach.com and www.TelepracticeTools.com. She provides consulting, webinars, online courses, and materials to help others add telepractice to their service delivery offerings. She has done several presentations at the ASHA Convention on effective telepractice service delivery and has served on the ASHA Convention Telepractice Topic Committee. Adrienne has a Master's in Communication Sciences and Disorders from Penn State University and a Master's in Business Administration from Fairleigh Dickinson University. In addition to providing regular training seminars and consultation with other SLPs, she is an Adjunct Instructor at Montclair State University where she teaches courses in management and entrepreneurship. She is also the co-author of The SLPEntrepreneur: The Speech-Language Pathologist's Guide to Private Practice and Other Business Ventures, and is co-founder of TheSLPEntrepreneur.com and The Communication Collective.   Sonia Sethi Kohli, MS, CCC-SLP is a multilingual Speech-Language Pathologist, Communication Success Coach, and Cultural-Linguistic Diversity Consultant, who has served in a variety of settings/roles with extensive clinical and corporate experience. She currently owns and operates her private practice in the greater Chicago area which has two distinct divisions—a clinical division, Global Speech and Swallow, LLC, which provides speech-language/cognitive-communicative/feeding-swallowing/voice-airway diagnostic and therapeutic interventions to culturally and linguistically diverse patient populations ranging from infancy through geriatric, and a corporate SLP/professional communication training division, The Global Speech Suite, which offers individuals and organizations customized training programs focusing on presentation skills/public speaking, accent modification, leadership communication/executive presence, cross-cultural communication, interview skills, and more. She is also the co-author of The SLP Entrepreneur: The Speech-Language Pathologist's Guide to Private Practice and Other Business Ventures, and is co-founder of TheSLPEntrepreneur.com and The Communication Collective. Beyond presenting on SLP/communication-related topics through speaking engagements at local, national, and international arenas, she is a past President and continues to serve on the Executive Board of The Corporate Speech Pathology Network (CORSPAN), and serves as a business advisor for individuals and organizations. Sonia holds a Bachelor of Science degree in Speech-Language Pathology with a Minor in Spanish from Illinois State University and a Master of Science degree in Communication Disorders and Sciences (Speech-Language Pathology) from Rush University.   Adrienne & Sonia can be reached by email at hello@TheSLPEntrepreneur.com or on FB and IG @TheSLPEntrepreneur.    The SLP Entrepreneur website: www.TheSLPEntrepreneur.com and the direct link to the book: https://www.pluralpublishing.com/publications/the-slp-entrepreneur-the-speech-language-pathologists-guide-to-private-practice-and-other-business-ventures or on Amazon: https://www.amazon.com/SLP-Entrepreneur-Speech-Language-Pathologists-Practice/dp/163550385X/.  _______________________________________ This episode is brought to you by Presence. Presence provides solutions to empower all who serve children with diverse needs. Professionals can expand access to services and engage students in new ways with our award-winning technology and network of expert clinicians. With 6 million+ sessions delivered, more than 2000 clinicians in the Presence network, and nearly 10,000 schools supported – Presence continues to set a new standard in teletherapy services. With Presence, you can work on your own terms and reach the students who need you most. We are here to empower you. As the leading provider of live, online therapy and evaluation services in PreK-12 schools, Presence offers more income opportunities, a large community of support, and flexible scheduling options. To learn more, please visit:  www.presence.com _______________________________________ You can listen to this episode wherever you stream podcasts and at: www.3cdigitalmedianetwork.com/telepractice-today-podcast If you are a content creator and would like to develop new webinars, courses, blogs, or podcasts, we want to work with you at the 3C Digital Media Network. To get started, contact K. Todd Houston, Founding Partner & CEO, at todd@3cdigitalmedianetwork.com

I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's hosts for an episode that will feature Jocelen Hamilton and Theresa Yao from Stanford Healthcare. We will discuss how adapting the A-FROM to swallowing disorders can offer a person-centered approach to assessing and treating a person with dysphagia.   Guest Bios     Theresa Yao is a licensed speech language pathologist at Stanford healthcare and a lecturer at San Jose State University. Her clinical and research interests include head and neck cancer rehabilitation, voice disorders, dysphagia, and aphasia. She is passionate about serving people from diverse backgrounds with communication and swallowing disorders. She was a fellow for life of the Albert Schweitzer Fellowship program, and co-founded the Bay Area's Swallowing Support group. She has been actively volunteering in community groups for stroke survivors who need communication support. She has always been a strong advocate for her patients and profession. Jocelen Hamilton has practiced as a licensed speech language pathologist for 19 years. She specializes in management of communication and swallowing disorders in adults with head and neck cancer. She began her career at the University of Iowa Hospitals and Clinics, and then joined the Stanford Outpatient Head and Neck Clinic in 2020. She also previously served as a clinical assistant professor for the University of Iowa's Communication Sciences and Disorders department with a focus on supervising graduate students and helping individuals with strokes and brain injuries. Her current clinical interests center around the development of frameworks to facilitate whole person care for individuals with swallowing disorders.   Listener Take-aways Think creatively about how to apply the A-FROM to other communication disorders, like swallowing Learn how dysphagia can impact the participation, environment and personal domains Consider some PROs that help to capture the impact of dysphagia on quality of life of both the patient and the caregiver Explore some ways to adapt EMRs to incorporate A-FROM or Swal-FROM into your daily notes Show notes edited for conciseness and clarity Ellen Bernstein-Ellis So I'm excited to have both of you here today. Thank you and welcome, Theresa.   Theresa Yao  00:55 Thank you, Ellen. I'm glad to be here.   Ellen Bernstein-Ellis  00:57 And Jocelen you too.   Jocelen Hamilton  00:59 Yes. Thank you so much for having us.   Ellen Bernstein-Ellis (Interviewer)    Welcome both of you, again, to this podcast. And as our listeners get to know you, we like to open with a fun icebreaker question. I'm going to pose two different questions that you've selected for today. So, Theresa, let's start with you.   I guess for full disclosure, I want to admit that, I will share--I don't have to admit, I am sharing that I had the honor and pleasure of being your supervisor at Cal State East Bay in the Aphasia Treatment Program (ATP). So I know that may come up today. I just want to let our listeners know that we've known each other for a while. I have been really fortunate in that relationship and seeing you emerge and thrive as such a wonderful contributor to our field.   So Theresa, could you please share one experience or role that has been meaningful to you as an aphasia ambassador?   Theresa Yao  03:22 Thank you, Ellen. It was great experience when I was in the Aphasia Treatment Program at Cal State East Bay. So that's actually one of the experiences I wanted to share as an opening, because I was at the Aphasia Treatment Program as a co-director for the choir, Aphasia Tones. And that was one of the best memory in my life. And I remember one time, one of our members who had more of a severe expressive aphasia, and usually has minimum verbal output, and we all know him. But whenever he starts singing, Can't Help Falling in Love, this particular song, you can hear that those beautiful words just came out right out from his mouth, fluently, beautifully. He was always so happy every time that he heard the music, and he just enjoy singing along.   That was just a really amazing moment for me to realize that people with aphasia with minimum verbal output, they can still enjoy and participate in choir, and can still communicate that way. It's just showed me how powerful it was to use the Life Participation Approach to Aphasia. And in our choir at that time, we have all different levels of severity. All members join together, and then they all enjoy and engage in this choir experience. So that's really meaningful. Whenever I think of LPA, I think of him, I think of this song, and I think of Aphasia Tones.   Ellen Bernstein-Ellis  04:54 Thank you for sharing that. And Theresa, it was wonderful to have you as a co-director. And see you step up to the challenge of leading the choir. And you're right, we really have a strong motto of participation at every level. And you really worked hard to make sure that happened. So thank you for sharing that. And yes, that's one of my favorite topics, so I loved hearing about that.   And Jocelen, I'm also excited to ask you to share with the listeners something about one of your experiences. So would you like to share an Aphasia Access, favorite resource or moment? What comes to mind for you?   Jocelen Hamilton  05:28 Yes, well, this is really neat for me to be on this podcast, because it is this podcast that is a favorite of mine, and a major “aha” for me.   Ellen Bernstein-Ellis Well, thank you, just thank you.   Jocelen Hamilton I worked with patients with head neck cancer for about nine years. I then did a major shift and then worked in a graduate training clinic at the University of Iowa. And during that time, previously, when I was at the hospital with a very heavy caseload and working with individuals with dysphagia. And so then switching over and working with individuals with strokes and brain injuries, that was much more communication focused.   And I had this caseload I was taking over with the graduate students and learning about all the current treatment principles and treatment options and all the research that had been developed. It had been probably close to 10 years since I had worked regularly with individuals with neurogenic communication disorders.   I had knew nothing about LPAA. I knew nothing about Aphasia Access, the organization. And I was thinking about this recently, of how I even came across it. But I think probably I was searching one of these treatment modalities, and a podcast came up. So I listened to some of the other podcasts and I was like, oh my goodness, this totally resonated, LPAA. And the podcasts and other resources through the website, totally resonated with me, and helped me better understand what my frustration was within an impairment only based approach, which was in my training and my background, and things like that, to like see a whole different way. So I learned as much as I could. And I tried to share all of that with my students, we were all learning together of how to implement this. So it's really neat to now be a part of this podcast and participate.   Ellen Bernstein-Ellis  07:32 We're so glad you agreed. And I just want to thank you. If there was ever a wonderful plug for membership to Aphasia Access, I think you just gave it. Thank you so much. for that.   Well, let's dive in a little bit more to our topic of the day. We're going to be talking about how and why you both decided to adopt the A-FROM or the Framework for Outcome Measurement of Aphasia by Kagan and Simmons-Mackie to your work with head and neck cancer patients. So I know we usually focus on aphasia, but we're taking this really important tool and talking about how you adapt it. So many listeners are, of course already familiar with the A-FROM. But can you briefly describe the social model framework for our listeners?   Theresa Yao  08:16 I can start with just a brief introduction. I think everyone, if you're listening to this podcast, you are already very familiar with A-FROM, which is based on the World Health Organization's ICF model. They address a few health and social domains such as body structure, function, activities, participation and contextual factors like personal and environmental factors. And like Ellen mentioned before, Dr. Kagan and colleagues, adapted this ICF model to create a very user-friendly framework for the outcome measurement in aphasia. And this becomes the Living with Aphasia Framework Outcome Measures the A-FROM and it has the domain of aphasia severity, which is the body function or impairment level, and then also participation, environment, personal factor. So these are the core concepts of the LPA approach. Thats what we are based on using this A-FROM to adapt it to this Swallow-SWAL-FROM, we call it. The Living with Swallowing Difficulties framework of measures.   Ellen Bernstein-Ellis  09:22 So let's talk a little bit more about this. Jocelen, do you want to share your story as an SLP and how you came to introduce the A-FROM into your work at Stanford in the head and neck cancer clinic?   Jocelen Hamilton  09:37 Sure. So after about a year and a half of working with individuals with aphasia and applying LPAA and using the A-FROM with clients, I then changed gears back to working with people who had neck cancer and we moved to California and I joined the Stanford team and I was back into primarily working with individuals with dysphagia. I just kept thinking about how can I take this model the A-FROM and apply that to working with individuals with dysphagia.   How I would previously use the A-FROM is that Venn diagram. I would just draw it on a piece of paper and start writing my notes on that as I was maybe doing an intake or working with a client. I started doing some of that model just in my note taking and looking at these different domains that might be impacted. And this was just kind of over a series of months, and even a year, where I was thinking about how to apply this and shared it with my patients. Here are some of the things that I'm seeing and what you're sharing with me that shows your participation is being impacted.   Then I ended up talking with our director, Heather Starmer, about an idea of a project—like how can I move this ahead. Theresa had recently joined our team and Heather said, you might want to talk to Theresa about that. She might be interested in doing a presentation on this. And so it was great, because Theresa and I had not yet talked about our aphasia backgrounds together. It was really neat to then work together and begin to apply this with more of our patients. Initially, we kind of struggled with what the environmental domain look like for somebody with dysphagia. And it was neat to talk through different cases with each other to see how it could apply. And then that's where the Swal-FROM came from.   Ellen Bernstein-Ellis  11:39 Wow, that's wonderful that the two of you were at the right place at the right time. And I always feel that the expression “stronger together” seems really fitting in this situation. But Theresa, do you want to share how you brought a life participation perspective into your work at Stanford?   Theresa Yao  11:57 Yes, sure. Because I've always been a big fan of the ICF model. When I was a student clinician in Aphasia Treatment Program, I learned so much from this model, from LPAA, and from Ellen, you. And also, of course, our members in our Aphasia Treatment Program. And I just could see the huge benefit from the LPA approach in the client's life.   So that's why once I started working in real clinics, I always think about this model. And when I started in at Stanford, I started working with the head neck cancer patients. I just feel like so many patients, they live with long term dysphagia, or a sore throat because of the neck cancer treatment they had. And they sometimes just can't get rid of it. They have to live with it. It's just like aphasia. They live with aphasia. And then it just clicked.  I just think that it's pretty similar to the situation that you're living with aphasia, and it's that same impact on patients quality of life, on their participation.   Then I just started thinking, maybe we can do something with this model to help our patients. And then, of course, Jocelen was there, and then we were just talking about her experience with aphasia treatment and LPAA. And we just clicked. That's why we came up with this (ASHA) presentation, and this idea of how to adapt this A-FROM to our Swal-FROM. And then also, we're talking about this because I also started a support group because I feel like people wanted to get connected. They wanted to engage like aphasia group.  They wanted that community to be able to participate, to be able to share. So that's why I think this also helped me to try to initiate this project, this group, so that we can help more people so that they can, they can help each other.   Ellen Bernstein-Ellis  13:56 I really love that you saw the power of group therapy, and you then were able to bring it into a different treatment arena. I really don't remember hearing too much about separate support groups for people with swallowing disorders. I don't know how common they are. But it sounds wonderful that you started one, Theresa. So very exciting. What do we know about the incidence of dysphagia in stroke survivors, and then people in skilled nursing, and from there, head and neck cancer? The reason I ask because I think there's overlap. I mean, you're seeing the dysphagia in head and neck cancer, but we know that it occurs frequently. Do you have any numbers to share about the incidence in stroke survivors?   Jocelen Hamilton  14:39 Yes, so it's about 45% of individuals with strokes experience, some degree of dysphagia and there's been research that's shown 40 to 60% of older individuals in nursing homes have dysphagia. There's even some research out there that one in 25 adults will experience dysphagia. Then when we look at individuals with head and neck cancer, and this could be on the lower range, but one of the particular statistics is 45 to 50% of individuals with head and neck cancer experience dysphagia.   Ellen Bernstein-Ellis  15:11 The importance of considering the whole person (for dysphagia tx) is really going to affect a lot of people that we might be seeing as therapists. And the two of you saw that there was a strong impairment focus in dysphagia management.  Can you give an example?   Theresa Yao  15:27 I can talk a little bit about this. When I was in grad school, I know that most of the things we learned was how to identify the impairment of dysphagia. We learned all kinds of treatments and exercises for dysphagia. We learned like how to modify diet, how to look for aspiration, penetration. Almost everything we learned, and also what we've been practicing in our clinical practice are heavily focused on the deficit and impairments. That's basically how we trained to assess and treat the physiological changes or the deficit. It just, to me, sounds like it's really technical.   I recently just look up the ASHA NOMS, the National Outcomes Measurement System-- that's what we usually use as judgment of whether the patient is making progress or not. They use this particular functional communication measures to see there's like different levels. If you're really looking at this national measurement system, you can see that the wording and the definition of each level is pretty much impairment focus. They mention diet level, safety, efficiency of swallowing, compensatory strategies, or cues, etc. So these are really heavily focused on impairment, but you don't really see like things that relate to participation, quality of life, environment, and those factors. So the consequences that if all the clinicians are just looking at the impairments and not looking at other factors, then you are missing a lot, you're not treating the whole person.   Ellen Bernstein-Ellis  17:11 Well, that's perfect, because that leads me to my next question. Why is it important to go beyond the impairment level measurement with dysphagia?       Jocelen Hamilton  17:24 I would say, because dysphagia is more than a physical difficulty. That's our name for that physical impairment. But it influences more, just like we know, with aphasia, that it's not just how much they can say, what they understand in the different modalities, but how a change in this function in the body influences everything.   So one of the analogies that I can relate to, that I've heard before in terms of looking at accessibility, has to do with like, physical impairments. So if somebody is paralyzed, they can't move their legs, well, the physical therapists are going to look at their legs and see the range of motion, their strength and all of that. But they're also going to think about how are they going to get into their house? And how are they going to move around?   Well, sometimes what can happen with dysphagia, as Theresa already talked about, we're looking just at how does that epiglottis move? What is the airway invasion like? But then are we going to talk about well, what's going to happen? We just had the holiday with Thanksgiving and the holidays now. What are family meals going to look like? I think one of the things that sticks out to me is what would my day to day life and social life be like if I couldn't drink with ease and comfort, I couldn't eat with ease and comfort, if I needed to have special food and special liquids and special strategies? So this impacts so many things within a social realm, and personal realm as well. We'll get into that in more detail as we go. But it's not just about the change in a physical function. How does that influence the rest of our lives? And it really does. There's been research that shows about burden and quality of life and psychological health.   Ellen Bernstein-Ellis  19:08 Well, this really hits close to home for me. I'm going to share with our listeners a personal story, because I've always been very passionate about our field and an advocate for speech language pathologists, but being on the other side of the table, when my husband was diagnosed with terminal cancer, did nothing but increase my own respect and appreciation for the role we play in supporting our clients and their loved ones.   Through this process, specifically with dysphagia, and I want to give a shout out to my husband's speech pathologist at Stanford, Heather Starmer, (and another congratulations to her because she just was made a 2023 ASHA fellow), but I'll just always remember the day that we came in. I know that Heather was set with her treatment plan-- I could already guess what we needed to do for the day. And that plan went out the window because we both signaled, Steve and I, that he was just feeling an increasing burden of trying to manage all of the home tasks we were supposed to do for both PT and speech, and it was just really impacting how he was feeling. And so instead, Heather focused on the personal impact and the quality of life issues that we were bringing up. Steve wanted to be compliant. He wanted to be the best patient there was. But she really listened to him carefully. She brought her best counseling skills to the table that day, and helped us come up with a plan that we could manage in a way that would help us sustain his quality of life as best as possible.   So I really saw, personally, I mean, I saw day in and day out how his dysphagia from his head neck cancer really impacted, hugely impacted, his participation with our family, and his quality of life. I am grateful for this work that you're doing and the passion you feel for looking at the whole person as you assess and treat dysphagia. And thanks to you, I've been reading, since dysphagia is not usually in my wheelhouse as much these days, but thanks to preparing for this particular episode, I was able to read some articles by Rebecca Smith and her colleagues that showed me that there's some amazing work being done looking at this whole topic, so thank you for that. Okay, and taking a deep breath, because that's a story I've been thinking about for quite a bit.   Back into our next question. What is the speech pathologist's role in assessing and addressing health related quality of life and the associated mealtime quality of life? That seems to be talked about a lot in the literature right now. Jocelen, is that you again?   Jocelen Hamilton  21:57 I'm glad you mentioned Rebecca Smith's work. There are actually three papers, I think, that that group, she and colleagues, put out in 2022. And specifically, I'll share a few quotes from their paper The True Cost of Dysphagia and Quality of Life:  The Views of Adults with Swallowing Disability, but in a way, there's a call to action, and she's not the first to mention it. But for us to include social participation, and their overall well-being, as part of our dysphagia intervention. To make that routine, and then to also ask questions: How are you doing? How are the holidays? How are these social settings with eating? I like to ask patients and their family members, and ask them separately, not meaning like individually, within the same session: Are you participating in doing this, the same things that you did before your diagnosis? Or how is that looking? Are you going out to eat as much? What do you miss now that is different and you're experiencing changes in your swallowing.   And it's interesting, because sometimes the partner will say that they miss going out to eat, and they need to navigate feelings like, “Well, I don't feel comfortable eating this in front of my loved one who has difficulty swallowing. I feel conflicted about I get to eat ribs, and they don't.” Those kinds of things. The importance of eliciting these stories, so we can really see what are their challenges, because then we can, like LPAA teaches us, we can engage in this creative problem solving and how we can help navigate through some of these challenges. I think those are a couple of important things that we can look at to support people.   Ellen Bernstein-Ellis  23:45 Thank you. And I just wanted to let our listeners know that we're putting all these references into our show notes. I took some from your ASHA presentations that I attended. So those will all be cited in the show notes.   Well, to expand to the participation, environment, and personal domains, you started to think about using patient reported outcomes or PROs for assessment. Why don't we go through the domains and discuss potential tools and interventions to fill out this framework a little bit more. So what might it look like if you consider participation?   Jocelen Hamilton  24:24 When we're looking at participation, we're looking at these meaningful activities may or may not involve oral intake, but looking at their current levels of participation compared to their pre cancer status. So how often, and in what ways, is someone with swallowing challenges participating? I kind of already talked about that a little bit. And how are the family members doing?   Here's one of the interesting things that I've had patients share here. Sometimes, one of the swallowing strategies that a patient needs to complete is a purposeful throat clear, and a re-swallow, or some patients do naturally their throat clearing, or maybe they're coughing when they're eating and drinking. This is an area where it calls attention to them when they're doing this. And then during the pandemic, we were all super hyper aware is somebody clearing their throat? Is somebody coughing? I've had some patients where they really don't feel comfortable because it calls attention. And people ask, how are they doing?   And also, another challenge being that when swallowing is hard, talking and swallowing is extra hard. When swallowing is challenging, most people need to just do that, where we take for granted that meals are a very social time. So some of those issues can be really challenging. There's also some individuals where their difficulty with swallowing has to do with loss of the bolus coming out and so there's almost changes in appearance, where they may not feel it. Their lip, their chin might be numb, and they don't know that liquids are dripping out, or they have a piece of food sitting there. So, they might be hesitant to go out and participate in different social settings. Even sometimes we have patients where they don't feel comfortable eating with their own family members, where they will eat completely separate from their spouse.   Ellen Bernstein-Ellis  26:28 I am just really struck again about the overlap of some of the things in your head neck cancer patients with clients I see with aphasia. It's really striking. So should we take a moment and discuss how this might look if you consider the environment?   Jocelen Hamilton  26:44 I really didn't address a PRO at all.   Ellen Bernstein-Ellis  26:46 Oh, it's not too late. We can still do that.   Ellen Bernstein-Ellis  26:52 Why don't you go ahead?   Jocelen Hamilton  26:55 Sure. Okay. So we're looking in this interview, right, like gathering information, learning how these things are challenging for them. For patient reported outcomes, PROs, Theresa, and I both looked into different ones. And oh, this one has these questions. And this would fall within this domain. So I'll touch base on a few of them here. And then some of them, they have questions that actually apply to  all of the domains.   So for these, there's one the Swal-QOL, this is probably the most broad in terms of looking at all of the domains that are within this Swal-FROM. It has 10 different quality of life concepts that it has specific questions for. So for this one, there's one subset that's all about social functioning. Some of the questions, they're rating from either strongly agree five point scale to strongly disagree, One of the questions, for example, is “I do not go out to eat because of my swallowing problem.” That really tells you where they're at with that participation, or “Social gatherings like holidays or get togethers are not enjoyable because of my swallowing problem.” So that really hones in on that challenge.   Within our specific area of practice with individuals with head neck cancer, there's a scale called the Performance Status Scale Head Neck Cancer, PSS-HN. Now you might think, how might I use this? I encourage people to be open minded, even though this wasn't validated. And some of these are not validated on individuals who have dysphagia from a different cause other than head neck cancer. It doesn't mean that you can't use it as a way to gather information, engage, and perhaps re administer.   I'm also a big fan of, as people fill this out, having a conversation about their responses as they go to gather information. But with this, the Performance Status Scale, there's a specific rating scale about public eating. So zero means always eats alone. And 100 is no restriction of eating for any place food or company. So they would eat out at any opportunity. Where in-between might be one point on the scale, “eats only in the presence of selected persons and selected places”, or they would eat out but there would be another option,  “eat out, but be more selective about the diet textures and things they would consume in a social setting”, which is common. Some individuals will specifically choose different foods when they're when they're in a social setting.   There's also another PRO, the Dysphagia Handicap Index. So with this one, it's a 25 item questionnaire and it does specifically look at physical, functional and emotional aspects of dysphagia. And so a couple of questions from there that would fit with the participation domain include, “I'm embarrassed to eat in public” and “I don't socialize this much due to my swallowing problem”. Those could give some insight into these areas by selecting some of those questions.   Ellen Bernstein-Ellis  30:08 Well, I'm really glad you caught me. I think I was so struck about the overlap that, thank you for coming back and talking about those PRO's. Are we good? Can we transition to the environment next? What would this look like? What does the Swal-QOL look like if you consider the environment.   Theresa Yao  30:29 When you talk about the environment, it can be factors such as the availability of the appropriate food textures, and oral liquid consistencies across different social settings. For example, if you go out to the restaurant, are there any easier food texture that's available for people with dysphagia? And that's one of the environmental factors.   And then there's a new article from ASHA leader that just came out about dining with dysphagia. So that's actually a pilot program from University of Cincinnati that try to help restaurants to expand their menu options so that they have more choices for people with swallowing disorders.   Ellen Bernstein-Ellis That's amazing.   Theresa Yao Also, another factor that related to the environment is the attitude and level of acceptance or support the people with dysphagia can get from their family, their friends, or even just strangers in their eating situation. So just like Jocelen mentioned, if you're coughing or clearing the throat, what the reaction from other people will be like, -- if they're supportive, or if they're not so. Sometimes these factors can make a patient uncomfortable eating out because of those environmental factors. And then also, the attitude from people around usually can be impacted by culture. Which type of textures they prefer to consume, and how they consume. If you go to a different type of restaurant, they may have different types of food textures, that are specifically for that culture, so that's also another factor.   And then also, on the broader spectrum, is the attitude from the healthcare professionals or the public, because the attitude from healthcare professionals is basically, because dysphagia is invisible, and when you are in the hospital, not everyone can see it. If you have leg injury or arm injury, people can see it. But if you have dysphagia, you can't see it. And then when the health care provider is, prescribing your pills, and if you can't swallow, how can they take the pill? They probably are not aware of this, this type of disability, so they may not prescribe you the right pills.   These are the things that we can consider as environmental factors. And of course, even larger scale, there's health care policies, the service systems, that may impact the people with a dysphagia too, because insurance may not pay all the dysphagia services, or how often can people get dysphagia support or service? So those are all the environmental factors that we may consider.   Ellen Bernstein-Ellis  33:21 I think the importance of this framework is helping us as clinicians to continue to think just broader and more widely about what's impacting the person in front of us. I mean, wow, you are giving us a lot of factors, from the very personal to the broader social policy. And I want us to take a moment and also talk about personal factors, that whole domain.   Theresa Yao  33:41 Personal factors can also be very, very important. And  a lot of things can be involved. So we know that the person was dysphagia may not be the same person, have the same hobbies or same traits, as before their treatment. So that may cause anxiety, or they may feel embarrassed because of their eating habits, or the change of their eating habits. Because we know that eating and drinking is very individualized. Some people, if they're born as a slow eater, they probably are okay with their dysphagia diet or if we ask them to eat slowly and take smaller bites, that's totally fine. But if some people are born as a fast eater, they will have a huge challenge with, if you give them the strategy to eat slow, taking small bites, because that's just not them anymore. They just feel like they're a different person and then they feel disappointed or frustrated if they can't eat as fast as they used to.   And I always share this in my clinic. I  see two patients with similar procedures. One person can feel really happy with their diet. They feel okay because they're always eating soft foods or soups. And then another person just with a little bit of impairment of mouth opening, they feel like it's just really frustrating because they can't bite their sandwiches and burgers. And that just makes a huge difference. But if you're only looking at their swallow study, it's the same, they probably don't have any major impairment, but the impact on the quality of life on their participation, environment, and also personal factor. It's so different. So that's why I think considering a personal factor is really important.     Ellen Bernstein-Ellis  35:38 So you're giving us examples of the things we should be thinking about, you're giving us examples of some of the PROs that might help us measure. But if many of the EMRs, the electronic medical records are set up for impairment focused measures, how can you adapt the documentation to include these other domains? That's always a barrier, or can be maybe, not always, can be.   Jocelen Hamilton  36:00 I think sometimes it can be a barrier. If sometimes the entry is just you have to click certain things, there's not a lot of room for free text. With the EMR that we have, we can have a set template, but we can copy and paste anything in there. So what I did is I took the A-FROM--actually, in the same paper that put out the A-FROM, they put the FROM, Framework for Outcome Measurement, and actually suggest that you could use it for individuals with TBI and called it TBI-FROM.    I took that and put it into a template and have the citation for it there and then added a title. It gives a visual for other individuals reading the note of what I'm talking about. ‘Survivorship beyond body function domain: Dysphagia's impact on personal, participation, environmental domains', so I have that as a title. I have it as this set, we use epic, so I can do dot phrases (Smart Phrases). I can drop that into a note. And then as I go through and document, I have the subtitles of body function, participation, environment, personal factors in as I'm collecting this information. That's how I can organize my note.   I don't do it every single time with every single patient. Sometimes some of our sessions are more impairment focused, like we need to for safety reasons focus on this. Sometimes it's more a whole session all about how are they doing with their personal domain? I had a patient in the clinic today, and he is depressed, and we just had this quick talk of, “Okay, what do we need to do? Can you talk to your primary care doctor? This is common, many individuals with head neck cancer have depression.” But I'll organize my note, getting back to the notes, with those subtitles and putting the information in there. It also is a cue for me, because I keep needing cues and reminders to come back and broaden that focus, instead of always being in on the impairment and you monitor, document, and then monitor, as I'm reviewing back on their notes to see how they're doing across these different domains.   Ellen Bernstein-Ellis  38:19 That is a beautiful example of how you can adapt something. I'm sure a lot of our listeners really appreciate you describing it so carefully, and hopefully will inspire some of them to see what they can do to adapt their EMRs.   A little bit earlier, you mentioned the importance of getting perspective from both the client and the care partner. How does the caregiver or care partner experience fit into the Swal-FROM?   Theresa Yao  38:47 Caregiver or care partners, they play a really important role in this whole journey with individuals with dysphagia. And I'm sure Ellen, you probably were in that role before. Most of the time, it's the caregiver making the meals for the spouse. Making the meals for the patients with dysphagia can be very challenging. Because just the texture, you have to take care, and the taste. I have caregivers talking to me. They told me that they tried their best to make all the foods but the patient didn't eat at all or didn't like it at all. Then they feel super frustrated. These are all the challenges that the caregivers may face.   Dr. Samantha Shune and colleagues, they did a lot of work on this caregiver burden topic. Their study said increased caregiver burden has been associated with the degree of impact that dysphagia is having on mealtime logistics. Family members also report increased anxiety and fear and frustration, stress, embarrassment and social isolation. So these are very two critical things to consider when we're thinking about whole person care, because we can't just care for one person, the patient. But if the caregiver is also experiencing all the stress, all the anxieties, we also need to consider that factor.   Researchers in Australia, Professor Nund and colleagues, they also pointed out that this specific caregiver burden is third party disability. And it's the consequence of that person's impairment, which impacts the functioning and ability of their family members or significant others. That's why we want us to fit this caregiver experience into this Swal-FROM framework. Just adding the family caregiver in all the different domains to support patients with dysphagia. And caregiver can influence four domains. But at the same time, also, we need to take care of, examine, the four domains of the family member or the caregiver--going to check their participation, their environment, and their personal factors. Those are really important, because their health and well-being can be affected by being in the journey of taking care of people with dysphagia. So they're super tied closely. That's why we wanted to fit this framework as well.   Ellen Bernstein-Ellis  41:21 One of the clinical tools I've learned is available is a PRO measure called the CARES, developed by Shune and colleagues, and we'll again put the citation in our show notes. Theresa, could you describe that a little bit more?.   Theresa Yao  41:37 So this is a wonderful screening tool that developed by Dr. Shune and colleagues. It's full name is called Caregiver Analysis of Reported Experiences with Swallowing Disorders. It has 26 items in the questionnaire. And then there's two parts that explore a different aspect of dysphagia's impact on the caregiver. One is a checklist on the behavior and functional changes, and one is a checklist of the subjective caregiver stress. Basically, it's a simple yes/no questionnaire. You can give it to the caregiver and they can just circle yes or no. Then from that, you can figure out what area you may address as an SLP. Or you may want to refer them to a specific team or professionals to address that, because we have limited scope of practice, we can't do everything. But if we can help them to identify the issue and then point them in the right direction, to the right team. That may help a lot.   Ellen Bernstein-Ellis  42:43 In your ASHA presentation you also mentioned the Rome Foundation is a resource and another website that offers skill building around managing serious illness conversations. We're going to put both of those resources into the show notes for people, but we don't have time right now to go into them fully.   But Jocelen, can you address or share what benefits you've seen by adopting this framework? Does it help with goal setting? Does it help with acceptability of recommendations? What have you seen?   Jocelen Hamilton  43:12 I think it's helped me and I feel like it's helped patients and our families have a little more clarity about, okay, these are the areas that are challenging. And again, I'm a visual person, so if I write it out with them, and they're telling me things, and I'm explaining, I get excited about the diagram, and I'm like, you know, see, this seems like an area of challenge. Is there something that you're interested in doing in this area? Are you willing to talk with another person who's gone through this?   So I feel like it really can give clarity, I think, for myself, what you know that A-FROM does, and Swal-FROM now is to not, I professionally can get really hung up on the impairment. And I can't always change that, right? We can't always change it to the degree that we would like. Of course, we would like everybody to have complete resolution, right? And so there can be this frustration and powerlessness with that. And obviously the patients and our family members can be experiencing that also.   And with this broader view, we can say but here's what we can focus on what can we do to have you participate that would make you feel better? What can we do that would help you with your personal feelings? So I feel like it addresses things that matter and we can have more conversations about how is their day to day life being impacted? What are some small steps we can take in a direction that might help them and their families.   Ellen Bernstein-Ellis  44:43 That's beautiful. Thank you so much, Theresa and Jocelen. It has been a pleasure  and I've learned so much from both of you, listening to you apply this framework and look deeply and carefully at quality of life for people with dysphagia. I really appreciate it. Is there anything else you want to add?   Theresa Yao  45:03 I just wanted to add a little bit. So I think it's really important as clinicians to listen to our patients and caregivers, because we need to learn from their experiences, their perspective. And, like we mentioned dysphagia is invisible. I wanted to share one of the quotes from one of the dysphagia support members. He says,  “dysphagia is a label you carry with you inside.” And that's really just so true, because it's hidden. If you go outside, people see like you what you can walk, you can talk, but they don't know that this disability is hidden inside. And I think it's so important to address not just the impairment, but also listen to the patient's perspective. And then help them to address all the domains. I always think that you become a better clinician because what you learn from your patient. So that's all we need to do.   Ellen Bernstein-Ellis  46:08 I can't think of a better way to close this interview. Even though I could ask you several more questions, we could be here for another hour, I just want to thank you for bringing that patient's voice, a client's voice, into the discussion today, so beautifully. And let's end on that note of really learning from our patients' perspectives. So I want to thank you both. And I want to thank our listeners for listening today. And for the references and resources mentioned in today's show, please see our show notes. They're available on our website at www.aphasiaaccess.org. And there you can also become a member of our organization.   Jocelen Hamilton Yes, yes, Do it!   Ellen Bernstein-Ellis Thank you! Browse our growing library materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@AphasiaAccess.org For Aphasia Access Conversations, I'm Ellen Bernstein-Ellis. And thanks again for your ongoing support Aphasia Access   Resources and References Ariadne Labs: Serious Illness Care Program https://www.ariadnelabs.org/serious-illness-care/serious-illness-care-program/ The Rome Foundation https://theromefoundation.org/   Chen, A. Y., Frankowski, R., Bishop-Leone, J., Hebert, T., Leyk, S., Lewin, J., & Goepfert, H. (2001). The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the MD Anderson dysphagia inventory. Archives of Otolaryngology–Head & Neck Surgery, 127(7), 870-876. Hamilton, J., Yao, T. J. (2023). Framework to Guide Whole-Person Care for Individuals with Dysphagia. 2023 ASHA Convention, Boston, MA. Hamilton, J., Yao, T. J. (2022). Shifting to Whole-Person Care for Head Neck Cancer Survivors Living with Dysphagia. 2022 ASHA Convention, New Orleans, LA. Hickey, E. and Douglas, N. (2021) Person-Centered Memory and Communication Interventions for Dementia: A Case Study Approach. Plural Publishing, Inc. Howells, S. R., Cornwell, P. L., Ward, E. C., & Kuipers, P. (2021). Client perspectives on living with dysphagia in the community. International Journal of Speech-Language Pathology, 23(2), 201-212. Kagan, A., Simmons‐Mackie, N., Rowland, A., Huijbregts, M., Shumway, E., McEwen, S., ... & Sharp, S. (2008). Counting what counts: A framework for capturing real‐life outcomes of aphasia intervention. Aphasiology, 22(3), 258-280. List, M. A., D'Antonio, L. L., Cella, D. F., Siston, A., Mumby, P., Haraf, D., & Vokes, E. (1996). The performance status scale for head and neck cancer patients and the functional assessment of cancer therapy‐head and neck scale: a study of utility and validity. Cancer: Interdisciplinary International Journal of the American Cancer Society, 77(11), 2294-2301. McGinnis, C. M., Homan, K., Solomon, M., Taylor, J., Staebell, K., Erger, D., & Raut, N. (2019). Dysphagia: interprofessional management, impact, and patient‐centered care. Nutrition in Clinical Practice, 34(1), 80-95. McHorney, C. A., Bricker, D. E., Kramer, A. E., Rosenbek, J. C., Robbins, J., Chignell, K. A., ... & Clarke, C. (2000). The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia, 15, 115-121. Nund, R. L., Scarinci, N. A., Cartmill, B., Ward, E. C., Kuipers, P., & Porceddu, S. V. (2016). Third-party disability in carers of people with dysphagia following non-surgical management for head and neck cancer. Disability and rehabilitation, 38(5), 462–471. https://doi.org/10.3109/09638288.2015.1046563 Shune, S. Moving beyond the isolated swallow: Dysphagia in the context of the shared mealtime. https://dysphagiacafe.com/2015/03/19/moving-beyond-the-isolated-swallow-dysphagia-in-the-context-of-the-shared-mealtime/ Shune, S., Davis, C., & Namasivayam-MacDonald, A. (2021). Contributors to Dysphagia-Related Burden Among Spousal Caregivers of Stroke Survivors. Archives of Physical Medicine and Rehabilitation, 102(10), e65. Shune, S. E., & Namasivayam-MacDonald, A. (2020). Dysphagia-related caregiver burden: Moving beyond the physiological impairment. Perspectives of the ASHA Special Interest Groups, 5(5), 1282-1289. Silbergleit, A. K., Schultz, L., Jacobson, B. H., Beardsley, T., & Johnson, A. F. (2012). The dysphagia handicap index: development and validation. Dysphagia, 27, 46-52. Smith, R., Bryant, L., & Hemsley, B. (2023). The true cost of dysphagia on quality of life: The views of adults with swallowing disability. International Journal of Language & Communication Disorders, 58(2), 451-466. Smith, R., Bryant, L., & Hemsley, B. (2022). Dysphagia and quality of life, participation, and inclusion experiences and outcomes for adults and children with dysphagia: A scoping review. Perspectives of the ASHA Special Interest Groups, 7(1), 181-196.

You may have seen our first guests present on cultural awareness, bias, and microaggressions in the supervisory relationship at the 2023 ASHA Convention.SLPs Kyomi Gregory-Martin and Nancy Gauvin join the podcast for a conversation on creating inclusive workplace cultures and what to do if you unintentionally commit a microaggression.Later in the episode, hear a personal story from Iván Campos, a bilingual SLP working in California. He also shares how he feels microaggressions have changed since 2020.

Welcome to Jouli and Brittany's ASHA Convention 2023 debrief episode! Topics discussed include zebras, tongue strength, tote bags - and oh yeah, they learned some stuff, too. Lots of giggles in this one.

In this episode, I am joined by Rachel Zukose at the ASHA Convention. Rachel Zukose, MA, CCC-SLP, TSSLD,  is an ASHA certified and New York State licensed Speech Language Pathologist in the Hudson Valley who assesses and treats a diverse range of communication disorders.  Rachel has experience with assessment and treatment with both pediatric and adult patients within a variety of areas including: articulation, language, feeding, voice, fluency, cognitive communication, social communication, alternative and augmentative communication, as well as Childhood Apraxia of Speech. Rachel is PROMPT trained and LSVT certified and has a special interest in working with children with Childhood Apraxia of Speech and cognitive communication patients including: patients with Traumatic Brain Injury, Dementia, and Parkinson's Disease.  Rachel believes it is important to advocate for her patients and provides education and collaboration with parents, spouses, clients, and other professionals to best suit her patients' needs.  Rachel is passionate about the field of speech-language pathology and takes a personal interest in the success of each and every one of her patients.  Visit Speechie Side Up to learn more about this episode.

Dr. Michelle Boisvert, CCC-SLP, combines her expertise as a Speech-Language Pathologist with a passion for integrating technology in both clinical and school-based therapy settings. Her background in education has been vital in redefining the delivery of speech therapy services. Michelle's insight into the challenges clinicians face, particularly in managing workloads and advancing student outcomes, reflects her dedication to practical innovations. Co-founding easyReportPRO.com marks a significant milestone in Michelle's career. Her role in shaping this platform has been essential in modernizing the report-writing process for clinicians. The software, known for its customizable and dynamic templates and extensive library, ensures both accuracy and efficiency in clinical report writing. Michelle's involvement with easyReportPRO.com highlights her commitment to improving clinical practices through smart, practical technology solutions. Interested in learning more about Michelle's work?  Contact her at michelleb@easyReportPRO.com. ________________________________________ This episode is brought to you by Presence. Presence provides solutions to empower all who serve children with diverse needs. Professionals can expand access to services and engage students in new ways with our award-winning technology and network of expert clinicians. With 6 million+ sessions delivered, more than 2000 clinicians in the Presence network, and nearly 10,000 schools supported – Presence continues to set a new standard in teletherapy services. With Presence, you can work on your own terms and reach the students who need you most. We are here to empower you. As the leading provider of live, online therapy and evaluation services in PreK-12 schools, Presence offers more income opportunities, a large community of support, and flexible scheduling options. To learn more, please visit:  www.presence.com _______________________________________ You can listen to this episode wherever you stream podcasts and at: www.3cdigitalmedianetwork.com/telepractice-today-podcast If you are a content creator and would like to develop new webinars, courses, blogs, or podcasts, we want to work with you at the 3C Digital Media Network. To get started, contact K. Todd Houston, Founding Partner & CEO, at todd@3cdigitalmedianetwork.com

In this episode, I am joined by Angelyn Franks in the Tassel booth at the latest ASHA Convention. Angelyn is an ASHA-certified Speech-Language Pathologist for over 13 years and is dedicated to helping others find their voice and communicate with confidence. Her goal is to have big conversations to help reframe our beliefs about stress, explore practical strategies, & support one another on a journey towards greater well-being, resilience, and balance.

The 2023 ASHA Convention wrapped on Saturday and we are here to tell you all about our experience! This episode features Hayley Ratzan-Wank and Mattie Kennedy, and it was their first time at the convention. It was only my second time, my first time was as a leveler, and the experience was completely different!! Follow along to hear about our favorite sessions and booths, advice for future first timers, and our key take aways! You can follow Hayley on Instagram ⁠⁠@hayleywank⁠⁠ or on LinkedIn You can follow Mattie on Instagram @mkennedy9 Follow us on instagram ⁠⁠@speechingitreal⁠⁠ Email anytime with questions or guest suggestions at speechingitreal@gmail.com

The 2023 ASHA Convention is upon us!! This episode features Hayley Ratzan-Wank, a graduate student at The University of Colorado, Boulder. Today we are future casting our ASHA plans as this is Hayley's first time and my second! We talk about session we are looking forward to, set some goals for ourselves, and shared some tips we've come across for anyone else who might be a first timer! You can follow Hayley ⁠@hayleywank⁠ Follow us on instagram ⁠@speechingitreal⁠ Follow your host, Christy Ubieta ⁠@christymarieu⁠ Email anytime with questions or guest suggestions at speechingitreal@gmail.com

From hearing aids to cochlear implants, from tinnitus to speech-in-noise, AI is everywhere. On this episode, professor Fan-Gang Zeng (UC Irvine) discusses where audiologists may see AI show up next, and the promise this technology holds for assessment and treatment. Zeng's research focuses on the ways hearing and the brain are linked, like through tinnitus or with cochlear implants. At the 2023 Research Symposium on Hearing at the upcoming ASHA Convention, he will present on the implications of AI for audiological research and care.

From the moment a patient approaches their primary care provider about balance problems, the road to recovery can be long and expensive. But audiologist Devin McCaslin (University of Michigan) is working to simplify that path and reduce costs--using artificial intelligence.This technology can help patients receive needed care, and McCaslin discusses how an AI system, which he helped to develop, coordinates care for patients with dizziness and puts them in front of the appropriate providers.McCaslin will be presenting as a part of the 2023 Research Symposium on Hearing at the upcoming ASHA Convention.

Dr. Megan Gross is a speech-language pathologist, an assistant professor at the University of Massachusetts Amherst, and the director of the Bilingual Language Development Lab. She explains why the “difference versus disorder” framework is a helpful start but may oversimplify a child's language experience, instead encouraging a move towards a “disorder within diversity” lens. Megan describes how a language disorder looks in Spanish and how shifts in language dominance over time can impact the presentation of a language disorder. She encourages us to not view bilinguals as a separate group, but as individuals on a huge spectrum of language experience. Megan also talks to us about her community-based partnerships. You'll want to take notes when listening to this one! Resources: -Megan's lab website: ⁠https://blogs.umass.edu/bld/⁠ and Instagram: @umass_bldlab -Disorder within Diversity framework: https://pubs.asha.org/doi/10.1044/2018_LSHSS-CLSLD-17-0156 -Bedore, Peña et al. production of English grammatical forms across levels of English experience among Spanish-English dual-language learners https://pubs.asha.org/doi/10.1044/2017_LSHSS-17-0027 -Castilla-Earls et al. re: effects of shifting dominance on grammaticality https://pubmed.ncbi.nlm.nih.gov/31112666/ -LITMUS tools for evaluations in different languages: https://www.bi-sli.org/litmus-tools -Portland State resource: https://sites.google.com/pdx.edu/multicsd/home -Charles Sturt in Australia also has a great resource: http://www.csu.edu.au/research/multilingual-speech/languages -MSHA Diversity Advisory Group draft recommendations for multilingual evaluations document: https://docs.google.com/document/d/1tZzKngoh95c5qk7JhOxsAdhVo0IAwo3inTAtCGocp2s/edit?usp=sharing -CBPR example, shared by Dr. Christina Nicolaidis at the last ASHA Convention during the Researcher-Academic Town Meeting: AASPIRE (academic autism spectrum partnership in research and education) https://aaspire.org/inclusion-toolkit/participatory-research/ -Community partners that Megan works with: Nayroby Rosa Soriano, Director of Community Engagement at OneHolyoke CDC https://www.oneholyoke.org/community-engagement/ and Enlace de Familias https://www.facebook.com/profile.php?id=100064582222801, where Megan's lab hosts the Supporting Families Raising Bilingual Children group ✨ Check out our merch at ⁠coffeetea3slps.com⁠! ✨

Speech-Language Pathologists often express that opportunities available to other therapy disciplines or other medical professionals appear to be closed off to them. Their reasoning is that the perception of what speech-language pathologists do and the nature of our training impedes our ability to advance. In this week's podcast, my guest Vince Clark and I will continue to explore this perception. We designed a survey in 2021 that was accepted as an ASHA Convention presentation. Unfortunately, due to complications from Covid, we were unable to present it at that time. The survey was designed to determine why SLPs feel that leadership and career advancement eludes them. We will use this tool to determine patterns that may enlighten the profession as we seek to train our future leaders. This is preliminary raw data, but eventually, we hope to shape this into a useful tool in the future. Our goal is to begin work that will empower SLPs. Haven't left a review yet? All you have to do is go to your podcast platform of choice and let us know what you think! Thanks for your support of this show! Your support is what keeps Swallow Your Pride coming back with new episodes each week. In this episode, you'll hear discussion about responses to the survey including: “I don't feel that SLPs get a chance at leadership.” “How could I possibly manage a multidisciplinary team?” “How do I get a raise or a promotion in my job as an SLP?” “What skills should I focus on education-wise in order to become a leader?” Listen to the full episode here: https://syppodcast.com/278 As always, thanks for listening! The post 278 – Taking Charge: Discussing SLPs and Leadership Roles in the Med SLP World: Part 2 – Edgar Vince Clark, M. Ed., CCC/SLP appeared first on Swallow Your Pride Podcast.

Speech-Language Pathologists often express that opportunities available to other therapy disciplines or other medical professionals appear to be closed off to them.  Their reasoning is that the perception of what speech-language pathologists do and the nature of our training impedes our ability to advance. In this week's podcast, my guest Vince Clark and I will explore this perception.  We designed a survey back in 2021 that was accepted as an ASHA Convention presentation. Unfortunately, due to complications from Covid we were unable to present it at that time.  The survey was designed to determine why SLPs feel that leadership and career advancement eludes them. We will use this tool to determine patterns that may enlighten the profession as we seek to train our future leaders. This is preliminary raw data, but eventually we hope to shape this into a useful tool in the future. Our goal is to begin work that will empower SLPs.  What are your thoughts on being a leader as an SLP? Does your facility hire SLPs for leadership positions? Do you desire to move into a leadership roles? Join us as we discuss SLPs opinions on this topic. Some of the responses we got in return were very surprising! The post 276 – Taking Charge – Discussing SLPs and Leadership Roles in the Med SLP World – Vince Clark M. Ed., CCC/SLP appeared first on Swallow Your Pride Podcast.

In this episode, Michelle and Erin are bringing the highlights of the ASHA Convention 2022 to you. So, if you couldn't make your way to the “Big Easy” this past November, the ladies of “First Bite” have you covered with some of their favorite eye-opening, evidenced-based practice expanding, and joyful tips for growing as a pediatric clinician. So, if you want to learn more about aspects of motor learning for treating pediatric feeding disorder, what the evidence says regarding tethered oral tissues, or catch the latest information on school-based service delivery for all things pediatric feeding and swallowing, then this is the episode for you.

Today Alexa is joined by a singer-songwriter, speech pathologist and voice rehabilitation specialist. She's also the author of Everyday Voice Care: The Lifestyle Guide for Singers and Talkers, with other publication credits including the Journal of Voice and Voice and Speech Review. Joanna Cazden is on Singing Teachers Talk to tell you how you can help your singers maintain a vocally healthy lifestyle.   KEY TAKEAWAYS The Singing Teachers Talk podcast will be airing its 100th episode on the 1st of March, 2023. And so to celebrate this milestone and to thank all of our amazing listeners, we are giving away an incredible prize to one lucky winner. Keep an eye out for more details.  In the late eighties and early nineties the only vocal health advice you would get was that you need to drink a lot of water and avoid reflux. That's what the vocal health experts were saying and even doctors were too. Joanna did a little research and decided to make the information that was only in textbooks available in a more accessible form.  In her book Joanna advises the reader to understand and tolerate that contradiction is part of the health journey, referring to how sensations we feel can be contradictory to what is actually happening. A fundamental bit of information is that it feels like the mouth and the throat are all one thing, but they're not. We think: 'If I drink something, it should help my voice'. We have all this folklore about what to put in your tea and so many other recipes that are recommended. But we're not realising that the vocal cords are further away than we think. One of the functions of having a daily warmup routine is that it becomes self-diagnostic, and everybody should know their typical range at each time of day. If that starts to change consistently, then there's a problem. If it takes a little more effort to get sound going, you make a note of that. So it's really about getting to know your own instrument. There are many different ways singing teachers can encourage a student to do a particular task or exercise. Use simple, sensory language when instructing students and pay attention to how the student responds. Figure out what works for that particular student and reinforce that.  BEST MOMENTS ‘I was afraid to tell anyone about it. I had no clue what was going on. I had no idea of going to a doctor' ‘Contradiction is part of the health journey' ‘That system is designed by survival to be out of mind and unconscious' ‘We're balancing this seesaw of considering vocal health, but also not becoming neurotic' EPISODE RESOURCES  Guest Website: https://joannacazden.com/ Social Media:  Youtube: https://www.youtube.com/channel/UC8UDIaxfQ5I5_WxOnFFqrag Book Link - Everyday Voice Care: The Lifestyle Guide for Singers and Talkers by Joanna Cazden: Hal Leonard: https://www.halleonard.com/product/333734/everyday-voice-care  Amazon: https://www.amazon.com/Everyday-Voice-Care-Lifestyle-Singers/dp/1458443183 Relevant Links & Mentions:  Vocal Health Education: vocalhealtlh.co.uk Homunculus: https://www.google.com/search?q=homunculus&rlz=1C5CHFA_enGB916GB917&sxsrf=AJOqlzXXbPTA0L7otbvtAn-FEHP4a8GolA:1674575611845&source=lnms&tbm=isch&sa=X&ved=2ahUKEwj3jPmjyOD8AhVPhlwKHQqmC9oQ_AUoAXoECAEQAw&biw=1166&bih=726&dpr=2 American Speech-Language Hearing Association: asha.org Brain, Mind and Voice Therapy by Joanna Cazden at the ASHA Convention (2017): https://youtu.be/dnvNjoows90 Mirroring People: The New Science of How We Connect with Others by Marco Lacoboni  Joanna Cazden's talk on Empathy and Self-Care for The Voice Foundation: https://www.facebook.com/events/1354751692019414 Musicophilia by Oliver Sacks Kate Devore: https://www.colum.edu/academics/faculty/detail/kate-devore.html The Vocal Pitstop: Keeping Your Voice on Track by Adam D Rubin MD ABOUT THE GUEST Joanna Cazden is a voice rehabilitation specialist, singer-songwriter, and educator in Santa Cruz CA, recently retired from the Voice Clinic at Cedars-Sinai Medical Center, Los Angeles, where she was senior speech pathologist for 18 years. Her book Everyday Voice Care: The Lifestyle Guide for Singers and Talkers (Hal Leonard, 2012) is widely used in vocal performance and pedagogy programs, and her lectures to national and international groups are regularly praised for her ability to bridge medical, artistic, and humanistic points of view. Other publication credits include the Journal of Voice, Voice and Speech Review, and numerous music magazines and guest blogs.  Joanna toured widely in the feminist-folk circuits of the 1970s-80s, released six solo albums, and continues to perform with local folk, jazz, and chamber ensembles. In addition to her musical and clinical credits she has also trained deeply in theatre arts, counselling, and energy healing. Consistent themes throughout her work include preventive wellness education and advocacy for performing artists; the interdisciplinary nature of voice training and care; and the need for improved communication and understanding among all voice care professions. She is Certified in HealthCare by the Performing Arts Medicine Association. ABOUT THE PODCAST BAST Training is here to help singers gain the knowledge, skills and understanding required to be a great singing teacher. We can help you whether you are getting started or just have some knowledge gaps to fill through our courses and educational events. Website: basttraining.com Get updates to your inbox: Click here for updates from BAST Training Link to presenter's bios: basttraining.com/singing-teachers-talk-podcast-biosSee omnystudio.com/listener for privacy information.

Welcome back to week 3 of the Live from the ASHA Convention episodes! If you didn't get a chance to check out the last two episodes yet, make sure to check those out because they are packed with some amazing tips from other SLPs on things like books, games, and resources for speech, as well as their best tips for new SLPs. In this episode of SLP Coffee Talk, I once again interviewed ASHA attendees to find out why they believe you should consider coming to an ASHA Convention in the future and what they would say to anyone considering it. I interviewed veteran SLPs, grad students, undergrad students, and new SLPs to find out what they thought about the convention and what made them decide to come. I love the convention because I love being surrounded by like-minded SLPs. I also like to see what's new and up and coming in the field, so this convention is a great way to stay in the know about speech therapy. So if you're ready to be inspired, tune in to hear what the attendees have to say about why this convention is a can't-miss. Full show notes available at www.speechtimefun.com/151Resources Mentioned: Check out SLP Elevate: https://www.speechtimefunpd.com/slp-elevate-augWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/slp-coffee-talk/id1497341007Follow Hallie on Instagram: https://www.instagram.com/speechtimefunFollow Hallie on Facebook: https://www.facebook.com/SpeechTimeFun/Follow Hallie on Pinterest: https://www.pinterest.com/missspeechie/Take advantage of this podcast exclusive deal for SLP Elevate - speechtimefun.com/podcastelevate

Welcome back to week two of ASHA 2022 attendees taking over the podcast! If you missed it last week, I passed the mic to the people I met at ASHA and they shared some amazing tips, books, games, and activities for speech therapy. I had a blast meeting all of these attendees in New Orleans and I'm ecstatic to be able to interview them and ask them my burning questions so that you can get the perspective of other SLPs that are doing amazing things in the classroom. In this episode of SLP Coffee Talk, I'm sharing my interview with these attendees where they told me what they wish they knew as a beginner SLP or what they would tell a new SLP today. As a new SLP, I know it can be daunting. Imposter syndrome creeps in but it's so important to remember that you've got this! You are the trained specialist so don't be afraid to get creative and work your speech magic. Tune in to hear some amazing pieces of advice and wisdom for new SLPs from these amazing experienced SLPs! Full show notes available at www.speechtimefun.com/150Resources Mentioned: Check out SLP Elevate: https://www.speechtimefunpd.com/slp-elevate-augWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/slp-coffee-talk/id1497341007Follow Hallie on Instagram: https://www.instagram.com/speechtimefunFollow Hallie on Facebook: https://www.facebook.com/SpeechTimeFun/Follow Hallie on Pinterest: https://www.pinterest.com/missspeechie/Take advantage of this podcast exclusive deal for SLP Elevate - speechtimefun.com/podcastelevate

For the next couple of weeks, I'm doing something a little bit different on the show. I just got back from New Orleans for ASHA 2022. It was my very first time having an exhibit booth and I wanted to have some fun with the people there. I wanted to give them the chance to be on the podcast and hear themselves speak! So in this episode of SLP Coffee Talk, I'm letting the attendees take the mic to tell us their favorite book, their favorite game, or their favorite hack to use in speech therapy. You hear from me all the time, so I thought this would be a great way to give you perspectives, tips, and ideas from other SLPs. Join us as these speech therapists from hospital settings, school settings, private practice settings, and even grad school share some amazing tips, games, books, and ideas for bringing fun into your speech therapy classroom. These activities and books will help you work on things like vocabulary, sequencing, inference, and so much more. If you're ready to add tons of ideas, books, and games to your speech rotation, make sure to tune in! Full show notes available at www.speechtimefun.com/149Resources Mentioned: Check out SLP Elevate: https://www.speechtimefunpd.com/slp-elevate-augWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/slp-coffee-talk/id1497341007Follow Hallie on Instagram: https://www.instagram.com/speechtimefunFollow Hallie on Facebook: https://www.facebook.com/SpeechTimeFun/Follow Hallie on Pinterest: https://www.pinterest.com/missspeechie/Take advantage of this podcast exclusive deal for SLP Elevate - speechtimefun.com/podcastelevate

The 2022 ASHA Convention was held November 16-19 in New Orleans, LA. More than 8,500 participants attended one-hour sessions, two-hour masterclasses, and poster sessions focused a range of communication disorders. Telepractice was a hot topic with several presentations aimed at using telepractice to provide diagnostic and treatment services to children and adults with speech, language, and hearing disorders. Fortunately, hosts Kim Allen and Todd Houston were able to attend the convention, and in this episode, they share insights and lessons learned from the presentations they attended.   You can listen to this episode wherever you listen to podcasts as well as at:  www.3cdigitalmedianetwork.com/telepractice-today-podcast  

SLP Emily Kornman discusses her work as a part of Team Gleason, a nonprofit supporting people with ALS. When ALS erodes someone's ability to speak, many turn to augmentative and alternative communication, or AAC, to find their voice. Kornman discusses her work with AAC devices and voice and message banking.Plus, we'll hear a first-hand account from a family Kornman assisted with message banking in her work for Team Gleason.This episode was produced in anticipation of the 2022 ASHA Convention, where Team Gleason founders Steve Gleason and his wife, Michel, will be honored with the Annie Glenn Award.

Audiologist Laura Coco and otologist Carrie Nieman join the podcast to preview their talks at the Research Symposium on Hearing, part of the 2022 ASHA Convention in November.The two focus on health care disparities and access issues, sharing innovative ways to meet hearing care needs—including the use of community health workers. Both researchers look at how these trusted community members can help clinicians close the hearing health gap.

On this episode, we reflect on the conversations that we've had since releasing the podcast, the importance of mentorship, discuss plans for attending the 2022 ASHA Convention in New Orleans, and upcoming content and interviews we hope to have on the podcast. We're looking forward to recording season 2 over the summer!

Michelle and her favorite co-host Erin Forward, MSP CCC-SLP, CLC, relive the best parts of the 2021 ASHA Convention: Rising United related to all things pediatric feeding disorder. To celebrate the inaugural pediatric feeding and swallowing disorder track, Michelle and Erin attended several courses and are bringing their favorite new facts directly to you! So, whether your current clinical setting is working in the NICU, Early Intervention, or even a local public school, the ladies of First Bite have you covered. To start, they'll share the highlights of ethically implementing the newish PFD ICD-10 codes, then discuss how the differences between our settings can be overcome through open dialogue, and round out with ethical considerations for implementing a treatment plan PFD in the LEA. Let Michelle and Erin share the inspiration they received from the great minds and hearts at ASHA 2021 with you.

Recorded at the 2021 ASHA Convention, the NCAA men's basketball champion and NBA vet joins the podcast to share his personal story and experiences, including his decision to self-disclose his stutter during the NCAA Tournament.Kidd-Gilchrist also discusses his advocacy work for people who stutter through his initiative Change and Impact. The nonprofit focuses on helping those who stutter access services from SLPs and, as a part of that, Michael creates greater awareness of stuttering and the lived experiences of those who stutter.

This week, Rachel and Chris discuss their recent trip to ASHA 2021 and some of their favorite takeaways that they will be using in their own practice, including why its better to present on a fewer number of tools with more information on how to use them, why you have to be both interesting and informative when presenting, how to make sessions more engaging so people will show up, and more!   Sessions Discussed this Week:   Shaun Sweeney - Play on Words: Thoughtful Uses of “Game-Based” Apps and Resources in Language-Based Interventions. Sean discussed excellent tools and strategies related to technology and shared engaging stories about his clinical practice. Often, it's better to present on fewer tools but do a deeper dive into how to use the tools you presented on than to have a list of tools you touch on for a few minutes.   Chris Wenger, AKA The Speech Dude. Accelerate Progress for Students on IEPs with Cutting-Edge Tech Tools to Support Social Learning Challenges. Lean into things that are difficult. When there is a difficult IEP, don't shy away from that. Take a growth mindset. How are we delivering content in an engaging way?   Rachel Dorsey, Hillary Crow, and Carolyn Gadd - Neurodiversity as a Cultural Competency: Three Autistic SLPs Walk into an ASHA Convention. Super powerful session that really got Rachel thinking about what she is doing her own practice to embrace neurodiversity, including the language she uses when writing goals and when talking about Autism.    Jesse Ginsburg and Jake Greenspan - Effective Floortime Strategies for Increasing Attention & Engagement in ASD. One question to ask yourself when giving a task to a student -  Who is doing the thinking - are they doing the thinking or are you? When you are directing the experience, it's probably you.   Christina Royster, Jill D'Braunstein, Alma Partida - Integrating Diverse and Inclusive AAC .w that they have added more diverse options for AAC systems, companies need to be making it easier for us to change symbols and dialects for the whole system at once.   Meredith Gohsman and Rachel Johnson - AAC Camp for Linguistic & Social Competencies: Child, Caregiver, and Student Outcomes. Research showed that after 9 sessions of AAC Camp, there was no change in the students receiving language instruction or the parents participating in sessions. The only change they saw was int he growth of the students who put the camp together. They thought they needed more time - either do the activities all year round, or hold multiple camps year after year.    Links:   Rachel and Chris have an upcoming pre-conference session at ATIA 2022 on Jan 26th from 8 am to 4 pm! Designing and Delivering Empowering Experiences to Teach language Using AAC! ATIA Pre Conference - Jan 26 from 8 to 4. Learn more at https://www.atia.org/atia-2022-pre-conference-seminars/#AAC2   Help us develop new content and keep the podcast going strong! Support our podcast at patreon.com/talkingwithtech!   Visit talkingwithtech.org to access previous episodes, resources, and CEU credits that you can earn for listening to TWT episodes!

Catch this positively vibrating bonus episode of the Fishbowl series as Janet, Katie, and Mattie talk about their favorite memories of ASHA and who they’ve met this year and years past. You never know who you may be sitting beside!! Visit FreshSLP.com/podcast for this episode's show notes, a full audio transcript and more great resources at the intersection of grad school and a successful SLP career. Not a substitute for a formal SLP education or medical advice for patients/caregivers. Fresh SLP is in no way affiliated with or representing any university.

Guest: Memorie Gosa, Ph.D., CCC-SLP, BCS-S - Seven weeks after we obtained access to the new PFD ICD-10 codes, the annual ASHA Convention will host its very first PFDs Feeding and Swallowing track. To honor this monumental event, today we are joined by Memorie Gosa who served as the chair of the inaugural 2021 Pediatric Normal and Disordered Feeding and Swallowing Topic Committee. Memorie Gosa is a world-renowned Pediatric Speech-Language Pathologist, Board Certified Specialist in Swallowing and Swallowing Disorders, and Associate Professor and Chair of the Communicative Disorders Department at the University of Alabama. In this episode, she joins us to walk us through the history of PFDs and dysphagia. She explains how the PFD world came to be, the progress of clinical training programs on dysphagia at a university level in recent years, and the evolving trends in evidence-based treatment. Tuning in you'll hear why treating pediatric dysphagia has to be multidisciplinary, expert advice for anyone wanting to engage in IPP, and insight into where you can find helpful resources for evidence-based treatments. With the ASHA 2021 Convention upon us, find out what you can expect and what master classes you should not miss. Tune in for all this and more!

Co-Host: Erin Forward, MSP, CCC-SLP - In this episode, Michelle and Erin take a fresh look at Leadership opportunities available in our field. One aspect about the ASHA Convention that both Michelle and Erin miss the most, aside from hugging colleagues from across the nation, is the missed opportunities for learning how to engage in leadership activities to drive a positive change both a local and national level for our profession and our patients. Since the convention is cancelled this year, they decided to bring some ideas to you. So, regardless of what stage of your career you are in, #slp2be, #earlycareerslp, or #seasonedslp, this episode is designed to bring the tools and opportunities to you to help be the source of a positive change.

“It's really important to recognize that things are called microaggressions, but it doesn't mean the impact of them is small.” - author Ijeoma Oluo Oluo is the author of the best-selling book "So You Want to Talk About Race." In it, she addresses complex issues—from history to intersectionality to hair—to start a conversation about race and racism in America. At the ASHA Convention, she joined ASHA Voices host J.D. Gray and 2018 ASHA President Elise Davis-McFarland for a discussion after Oluo gave the ASHA Office of Multicultural Affairs’ 50th Anniversary Address.

What happens when the hosts of every XPN show get together to try Holiday Trivia?  An interesting twist on the holiday season.     The Discord is up and ready for people to interact with the crew 24/7. On this week's episode, the crew dissect the ASHA convention and come up with a wish list of what they want at a future ASHA Convention and what they did not like at this years ASHA Convention, too many ribbons, male restrooms, and no more pseudo-science top the list.        Email: speechsciencepodcast@gmail.com Voicemail: (614) 681-1798   Discord: https://discord.gg/3Tm5jrS   New Episode and Interact here: www.speechsciencepodcast.com podcast.speechsciencepodcast.com   Patreon – A Chance for Dinner at ASHA https://www.patreon.com/speechsciencepodcast   Rate and Review: https://podcasts.apple.com/us/podcast/speechscience-org-podcast/id1224862476?fbclid=IwAR3QRzd5K4J-eS2SUGBK1CyIUvoDrhu8Gr4SqskNkCDVUJyk5It3sa26k3Y&ign-mpt=uo%3D8&mt=2

In this episode Michelle and Erin have fully recovered from the intensity that is the annual ASHA Convention from November 2019. Why is that great news? Easy! They are going to share their “Top 10 Takeaways” for adding functional evidence to your practice! They will take you on an EBP hunt in the exhibit hall, hit up Erin’s Top 3 Lectures, and wrap with Michelle’s Top 3 Lectures, and spread some joy that can be found by being surrounded by almost 14,000 colleagues. If you weren’t able to make to Orlando this past year, no worries, they are all set to bring the magic to you!

Today’s guests help us rethink what’s possible in hearing treatment. We talk with Jeff Holt and Tina Stankovic, scientists on the forefront of hearing research. Jeff discusses an unexpected discovery that tied a specific gene to a genetic form of hearing loss. And Tina describes her investigations into ways to reverse sensorineural hearing loss—the most common type. What are the obstacles and possible solutions? Both talked with me at the 2019 ASHA Convention, where they presented at the Research Symposium on Hearing.   Then, we hear from Bob Hillman, recipient of the 2019 Alfred K. Kawana Award for Lifetime Achievement in Publications. We talk about the twist in his path that changed everything in his work with the voice and voice disorders.

Episode 99:  ASHA Round Up Part 2: The Informed SLP, Hope Speaks Part 2, and the finish of the Live Event from ASHA   The Discord is up and ready for people to interact with the crew 24/7. On this week's episode, the crew dissect the ASHA convention and come up with a wish list of what they want at a future ASHA Convention and what they did not like at this years ASHA Convention, too many ribbons, male restrooms, and no more pseudo-science top the list.           Email: speechsciencepodcast@gmail.com Voicemail: (614) 681-1798   Discord: https://discord.gg/3Tm5jrS   New Episode and Interact here: www.speechsciencepodcast.com podcast.speechsciencepodcast.com   Patreon – A Chance for Dinner at ASHA https://www.patreon.com/speechsciencepodcast   Rate and Review: https://podcasts.apple.com/us/podcast/speechscience-org-podcast/id1224862476?fbclid=IwAR3QRzd5K4J-eS2SUGBK1CyIUvoDrhu8Gr4SqskNkCDVUJyk5It3sa26k3Y&ign-mpt=uo%3D8&mt=2   Show Links   The Informed SLP https://www.theinformedslp.com/   Hope Speaks https://joinhopespeaks.org/       Intro Music: Please Listen Carefully by Jahzzar is licensed under a Attribution-ShareAlike License. Bump Music: County Fair Rock, copyright of John Deku, at soundcloud.com/dirtdogmusic Closing Music: Slow Burn by Kevin MacLeod is licensed under a Creative Commons Attribution License.     Speech Science Powered by: You!

Deb and Maria drank Wolfer Estate Rose Wine and paired it with mozzarella cheese. Deb and Maria really enjoyed this wine and voted "drink it".They announced that this year they will be at the ASHA Convention in Orlando, FL. Deb and Maria will be selling business casual T-shirts, have a wine raffle and hopefully conduct recorded interviews.Deb went on to discuss how she likes to incorporate her client's strength and how it can help with their weaknesses. It's also important to play into your own personal strengths. Maria recommended 3 questions to identify your strengths that she found at: https://www.success.com/answer-3-questions-to-identify-your-strengths/Erik Raj has created a website www.slpawards.us to give SLPs and SLPA fancy awards. Enter coupon code "WINEANDCHEESE" at checkout for free shipping!!This episode is also brought to you by SLP ToolKit use the coupon code "wineandcheese" for $24 your annual subscription or your first month See acast.com/privacy for privacy and opt-out information.

On this episode of ASHA Voices, we talk with Taro Alexander about the loneliness that can come with growing up with a stutter. Now, his nonprofit, the Stuttering Association for the Young, or SAY, provides a community to a new generation of young people who stutter. Alexander will receive the 2019 Annie Glenn Award for his work with SAY at the next month's ASHA Convention in Orlando. Also presenting at convention is a researcher we'll hear from later in the episode. Joined by a former colleague, they'll tell us what MRIs of beatboxers could teach us about speech. This episode brings you guests you can see in person when you attend the ASHA Convention, held November 21 to 23. Registration is open.

Deborah Hersh, Ph.D., is an Associate Professor in Speech Pathology at Edith Cowan University in Perth, Western Australia. She is a Fellow of Speech Pathology Australia and Deputy Chair of the Australian Aphasia Association. Deborah is interested in how people with aphasia experience rehabilitation and how SLPs can make their recovery journey more person-centered, inclusive and successful. During this episode, Dr. Katie Strong, Assistant Professor in the Department of Communication Sciences and Disorders at Central Michigan University talks with Dr. Hersh about Meeting in the Middle: Augmenting Person-Centeredness in Acute and Sub-Acute Post-stroke Aphasia. Material from today’s episode was first presented at the 2018 ASHA Convention in Boston, MA. In today’s episode you will: Hear the analogy of ‘therapy in transit’ as applied to acute and subacute aphasia care and how LPAA applies to participation in hospital settings Learn how therapeutic assessment differs from traditional assessment Expand your collaborative skills through the SMARTER goal setting framework Learn how to approach discharge in a collaborative manner   Download the Full Show Notes

Matt left another job this week and is making plans for a trip through Star Wars' Galaxy Edge after the ASHA Convention this year.  Michael's private practice continues to grow as he brings in new clients and makes connections with other SLPs and professionals.  Michelle builds up her caseload at the new job, which means more evaluations between pool days.         Matt sat down with Kim Marino, CCC-SLP, the author of Sloths are Slow.  A great interactive and learning book written by a fellow SLP.  The book teaches some great facts about the sloth and asks the child to interact through a series of physical and language based activities.  Also, a portion of the books proceeds each month goes to Gigi‘s Playhouse a local organization that helps people with down syndrome. The Long Island location is opening in the spring of 2020.   The US House of Representatives has approved a bill for $1,000,000,000 in funding for Autism.  The Doyle Bill, also known as the Autism Cares Act, would reauthorize a similar bill from 2014.  Now it goes to the Senate to be voted on before the dollars are released.   A young boy was born without a larynx.  Through a tragic accident, his family identified this difficulty during pregnancy and when he was born, the doctors were prepared.  However, they didn't stop there.  They made plans to rebuild his larynx using his ribs and completed it just after his 2nd birthday.  Linked Story courtesy of WREG News.   A newer area for school based SLPs is reading comprehension.  A new study in the Journal of Speech, Language, and Hearing Association looks at the effects of a language focused curriculum.  The group looks at how this helps in your speech room.   Delta Airlines will let passengers know which languages their flight attendants speak, starting soon Delta will include ASL as one of these languages.  What does this simple gesture mean in the world of inclusion?     Email: speechsciencepodcast@gmail.com Voicemail: (614) 681-1798   New Episode and Interact here: www.speechsciencepodcast.com podcast.speechsciencepodcast.com   Patreon – A Chance for Dinner at ASHA https://www.patreon.com/speechsciencepodcast   Rate and Review: https://itunes.apple.com/…/speechscience-org-…/id1224862476…  ----more---- Show Links Sloths Are Slow https://gigisplayhouse.org/ https://www.amazon.com/Sloths-Are-Slow-Interactive-Childrens/dp/173307600X https://thomasscullyfoundation.org/events/?fbclid=IwAR2zI_GmlxuOKpABL72scQteOfE7sQJQcmHQR24CcXphv2UiJ793jGOXNic     Autism Cares Act https://www.timesonline.com/news/20190725/house-passes-doyle-bill-authorizing-1b-in-autism-funding?fbclid=IwAR0zq4nT5pkwTnQwafzweaK8bi_h1iI_KXSqah-BXOWSuCLZG8MlZFstAro   Rebuild the Larynx? https://fox8.com/2019/08/05/doctor-rebuilds-childs-voice-box-in-historic-surgery/ https://wreg.com/2019/08/02/le-bonheur-doctor-builds-child-a-voice-box-in-groundbreaking-surgery/ https://www.cnn.com/2019/08/06/us/first-voice-box-reconstruction-trnd/index.html?no-st=1565567721   Reading Comprehension https://pubs.asha.org/doi/10.1044/2019_JSLHR-L-19-0015?fbclid=IwAR2xDVEwe93Al-fodzkTHbW3pYWS9w0lqwEEASSceeMxEPWJe2Iet5cFplk   ASL is a Language https://www.today.com/news/delta-announces-uniform-change-identifying-which-members-speak-sign-language-t159871?fbclid=IwAR2zI_GmlxuOKpABL72scQteOfE7sQJQcmHQR24CcXphv2UiJ793jGOXNic       Intro Music: Please Listen Carefully by Jahzzar is licensed under a Attribution-ShareAlike License. Bump Music: County Fair Rock, copyright of John Deku, at soundcloud.com/dirtdogmusic Closing Music: Slow Burn by Kevin MacLeod is licensed under a Creative Commons Attribution License.     Speech Science Powered by: You!    

Episode 81: ASHA President, ASHA Convention Talk, Reading Aloud to Middle Schoolers, and Special Education Teacher Shortages   On this week's show: Michelle talks orientation, Michael returns from Tahoe, and Matt talks parenting.  Who is to blame for teacher shortages?  How do we keep teachers in the building?  Is it caused by burnout?  A recent NPR article discusses the rise of special education teacher shortages.  Do you spend time in your therapy setting reading aloud?  Would you read aloud to your middle school students?  Research points out that reading aloud helps not just young students but the older students as well. ASHA President Dr. Shari Robertson stops by to talk what is happening at ASHA.  She speaks on when she found out she was elected, what her current roles and goals for ASHA are, and what she would like to see in the future.  Dr. Robertson speaks on her initiative to add more imagination to therapy, what we can expect at the ASHA Connect 2019 and the ASHA National Convention 2019, ASHA international outreach, and how to carry over the good will from Better Speech and Hearing month into the rest of the year.        Email: speechsciencepodcast@gmail.com Voicemail: (614) 681-1798   New Episode and Interact here: www.speechsciencepodcast.com podcast.speechsciencepodcast.com     Patreon – A Chance for Dinner at ASHA https://www.patreon.com/speechsciencepodcast  ----more---- Rate and Review: https://itunes.apple.com/us/podcast/speechscience-org-podcast/id1224862476?mt=2&ign-mpt=uo%3D8   Show Links   Election Results: https://www.asha.org/News/2019/2019-Board-of-Directors-Election-Results/?fbclid=IwAR1ePX0Ge2wT6IZrrLLF0Cuwm949uwaGYbehDk0PJi2Ee9suKhZ1NXYbeeE   Special Education Teacher Shortages: https://www.npr.org/sections/ed/2015/11/09/436588372/behind-the-shortage-of-special-ed-teachers-long-hours-crushing-paperwork?utm_campaign=meetedgar&utm_medium=social&utm_source=meetedgar.com&fbclid=IwAR3_aduGYwR92byYS8Z79wNzsoM4Hoa9t2rL1mGnUXFpX54DhS2zG4iozhc   file:///D:/Downloads/1517-OConnor-Johnny.pdf   http://wvmetronews.com/2019/06/05/house-minority-leader-sees-issues-with-student-success-act-passed-in-senate/   People or Identity First Language https://www.stairwaytostem.org/editorial-policy/   Benefits of Reading Aloud https://www.edutopia.org/article/reading-aloud-middle-school-students https://files.eric.ed.gov/fulltext/EJ1073207.pdf   Club 1111 https://www.baltimoresun.com/health/bs-md-club-for-people-with-disabilties-20190523-story.html?fbclid=IwAR0tc1_xxEXfXZbD2WEtw5gic2Ie_ikrp0JVUGdZilgrF74whHsIK0ka6Ns     Dr. Shari Robertson https://www.asha.org/About/governance/BOD/members/Shari-Robertson-25769776065/ https://www.asha.org/Events/Connect/Schools-Connect/ https://www.asha.org/connect2019/ https://ashacertified.org/ https://identifythesigns.org/     Intro Music: Please Listen Carefully by Jahzzar is licensed under a Attribution-ShareAlike License.   Bump Music: County Fair Rock, copyright of John Deku, at soundcloud.com/dirtdogmusic   Closing Music: Slow Burn by Kevin MacLeod is licensed under a Creative Commons Attribution License.       Speech Science Powered by: You!

Welcome to episode 55 the ASHA Episode.  Rachel Madel of Talking with Tech and Mai Ling Chan of Xceptional Leaders Podcast had the opportunity to interview and talk to over 60 people at ASHA.  On this week's episode Rachel and Matt talk about ASHA, Carol Flemming the ASHA Dorothy Dryer Award Winner, and Tracy Sippl the first Xceptional Leader who created a course and now has 3 up there took time from their ASHA Convention to talk to the show. 

Back from her first ASHA Convention, FOX SLP Laura Conte, MS, CCC-SLP, spoke with us. We got to see if the plan she prepared before the event was helpful and what surprises she encountered while in Boston. Listen: Apple Podcasts | Google Podcasts | Google Play | Stitcher  | TuneIn | More Android Apps

Deb and Maria drank a 2017 Dove Hunt Dog Pinot Noir and paired it with Swiss cheese. The Pinot Noir is from Scout & Cellar which is made from grapes without pesticides, no added chemicals or added sugar. There is a 10% discount for SLPs if they email mjewing@vernizon.net and write "SLP Wine Discount" in the subject title. That's 10% off already on top of 5% off for 6 bottles and 10% off 12 bottles. Deb and Maria both voted "drink it" for this delicious and healthy vegan wine, naturally.They continued their segment called "This week in life/ This week in speech" where Maria talked about how she caught up on paperwork and ate a sushi burrito today. Deb went over how she's introduced new poems for the month of November. She also noticed that Mike is much more productive when he has a clear space. They went on to define behaviors and different schools of thought such as operant conditioning vs. Pavlonian conditioning. Next, Maria categorized behaviors under: sensory, avoidance or attention. She discussed behavioral supports aka visuals: visual schedule, token chart, timer and a First/Then board.At their halfway point they reminded listeners to follow them on Instagram @slps_wine_and_cheese_pod and check out their Patreon page! www.patreon.com/slpswineandcheese Also, make sure to visit us at Table 872 at ASHA Convention.They then went on to to various case studies where Maria and Deb went over how to implement behavioral strategies and supports to reduce negative behaviors. The behaviors ranged form calling out in class, kicking, etc. etc. etc. Maria and Deb bounced various ideas off each other, what can work, what they have tried, and what does not work.At the end of the show they talked about Robert Firestone who is a clinical psychologist about the 6 aspects of being an authentic adult. This included: rationality, formulating and implementing goals, equality in relationships, active vs. passive, non-defensiveness and openness and personal power. They ended their episode with two quotes, number one "being openhearted to absolutely everything leads to a beautiful sense of joy" and "the best apology is changed behavior". See acast.com/privacy for privacy and opt-out information.

Welcome to their Halloween Special! Deb and Maria drank a 2017 Dove Hunt Dog Riesling and paired it with Cheddar cheese. The Riesling is fruity and dry, it contains hints of green apple, lemon and ginger. The wine is from Scout & Cellar which is made from grapes without pesticides, no added chemicals or added sugar. There is a 10% discount for SLPs if they email mjewing@vernizon.net and write "SLP Wine Discount" in the subject title. That's 10% off already on top of 5% off for 6 bottles and 10% off 12 bottles. Deb and Maria both voted "drink it" for this delicious and healthy vegan wine.They introduced a new segment called "This week in life/ This week in speech" where both Maria's and Deb's friends got engaged, yay! In speech, Maria has been working with the classroom teachers and sequencing stories and activities. Deb has been writing stories about Halloween characters to target literacy and inferencing/predicting. Next, they then played Halloween movie trivia, where Maria failed miserably with a 60% out of 100%.At their halfway point they reminded listeners to follow them on Instagram @slps_wine_and_cheese_pod and check out their Patreon page! www.patreon.com/slpswineandcheese Also, make sure to visit us at Table 872 at ASHA Convention.They then went on to review how to incorporate Halloween in speech therapy sessions to work on: receptive language, expressive language, articulation, social skills and literacy activities. Maria suggested working on initiating questions with topics related to Halloween such as "what's your favorite type of candy?". She also talked about a sequencing activity such as "how to get a lot of candy on Halloween". Deb shared her idea of using a Pun-kin and having the students say, listen to and interpret jokes. This week for Freebie Friday they will share their favorite Halloween printables to use.Together they shared their Tips and Tricks, where Deb recommended using a microphone in speech therapy. Maria recommended having the clients use role-playing scenarios in preparation for Halloween. They ended their episode with a quote from the witches of William Shakespeare's MacBeth "double, double toil and trouble; Fire burn and cauldron bubble." They interpreted this to me that eventually your mistakes will catch up to you. Essentially they stated it's okay to make up mistakes and own up to them. Happy Halloween! See acast.com/privacy for privacy and opt-out information.

Deb and Maria welcomed their guest Amy to the show. They drank a 2015 Pebble Lane Pinot Noir. They paired it with a stinky yet delicious Truffle Noire Gouda cheese from Holland. Deb also made mac and cheese cups, they were delicious! Deb and Amy did not taste the vanilla highlights or cherry flavor that Maria pointed out. Nonetheless they all drank the wine and ate the stinky cheese with Deb's cheese cups. Deb and Amy have been friends for an arbitrary number of years. They have a lot in common: they are both dating comedians and welcome all the wine despite its taste.Listeners got to know Amy during a game of This or That where Amy selected trends from either 1980s vs. 1990s. Amy talked about how she grew up in Connecticut and went to different fashion schools all over the country. Amy started in the fashion industry and took a temporary placement that eventually led to a change in her career. They discussed how their lives at age 30 are not what they had planned nor envisioned. Amy then went on to discuss the 5 fashion essentials SLPs should own: a blazer, a belt, comfortable flats, a crisp white button down shirt and black (comfortable) slacks. Amy also said that if you wouldn't currently buy what you own now, then toss it!At their halfway point they reminded listeners to follow them on Instagram @slps_wine_and_cheese_pod and check out their Patreon page! www.patreon.com/slpswineandcheese They forgot to mention to come visit us at Table 872 at ASHA Convention.Amy will be designing the T-shirts Deb and Maria will have for sale at the ASHA 2018 Convention in Boston!Together they shared their Tips and Tricks, where Deb recommended wearing lipstick and nail polish to enhance your therapy sessions. Deb recommended taking data to see if this tip is effective. Maria recommended putting insoles in shoes since SLPs are on their feet all day. Amy suggested using Rent the Runway to have preplanned outfits for the week. They ended their episode with a quote from the infamous Coco Chanel "If you want to be original be ready to be copied". See acast.com/privacy for privacy and opt-out information.

Deb and Maria switched gears and instead of their typical wine and cheese they drank Yogi Bedtime tea and ate Junior's cheesecake. So SLPs more tea please and SLPs more cheesecake please. They both voted "sip it" for the wonderful and soothing Chamomile and Passionflower tea.Together they discussed how Psychology Today stated that art therapy is a create method of expression used as a therapeutic technique. It originated in the fields of art and psychotherapy. The goal of art therapy is to increase expression creatively to increase mental, physical and emotional well being. Art therapy can be used with children, adolescents and adults to explore their emotions, increase self-esteem, decrease frustration and anxiety without artistic talent.Deb and Maria discussed the benefits of using art since it helps with problem solving, cognitive flexibility, etc. Deb and Maria talked about the efficacy of using art in combination with speech therapy. They specifically talked about how to incorporate art with clients with: Autism, fluency disorder and Aphasia. There were commonalities across these populations of how art decreases frustration, uses the right hemisphere and increases initiation and spontaneity. Autism research conducted by Andrea Gilroy "Art therapy, research and EBP". Fluency article by R. Krutulience & V. Makauskiene (2012). Aphasia article was published by Kim, Kim, Lee & Chun (2008).At their halfway point they reminded listeners to follow them on Instagram @slps_wine_and_cheese_pod and check out their Patreon page! www.patreon.com/slpswineandcheese They also reminded listeners to visit Table 872 at ASHA Convention,Together they shared their Tips and Tricks, where Deb recommended using art in combination with poems and linguistic concepts. Maria recommended using sabotage strategy and having clients use the phrase "I need a---" or "May I have--". They ended their episode with their tea quotes, Maria's tea quote was " Create the sequence of goodness, consequences will be always good." and Deb's was " You don't need love, you are the love". See acast.com/privacy for privacy and opt-out information.

Deb and Maria drank a white sparkling wine by Andre Cellars Brut California. They paired the fizzy wine with a smooth Brie cheese. They came to the realization that wine and cheese pairings should be perfect opposites and bring out the best in each other. Maria and Deb assessed and created #goals for their podcast, themselves and each other. Maria has a #goal for more wine and cheese and Deb enthusiastically told listeners their coming plans for T-shirts, a booth and a banner for the ASHA Convention 2018.Maria and Deb agreed that goal writing should be individualized and encompass the whole client. The overall goal of goal writing is to promote independence, improve quality of life and give clients skills to problem-solve and self-advocate. Goals should also be written as SMART goals and derived from an assessment. Deb and Maria then played "I have a goal for that" game where one provided a brief case study and the other gave a sample goal. Unfortunately, they didn't always remember to use the bell provided.Deb and Maria described case studies based on a given disorder. They went into detail about different ways of writing and implementing the goals, taking data and breaking down the goals into short term objectives. Maria and Deb discussed goals for: phonology, AAC, articulation, hearing impairment, dysfluency and more.As per the usual, Deb and Maria stated their quote and then unconventionally ended with their Tip and Trick segment. Since Deb changed the outline of the podcast, they ran out of time which is perfectly fine because...stay tuned for part 2 of our #goals episode series! See acast.com/privacy for privacy and opt-out information.

Diane Bahr is a visionary with a mission. For more than 30 years, she has treated children and adults with feeding, motor speech, and mouth function problems. While she is a speech-language pathologist by training, she has also honed her skills as a feeding therapist, published author, international speaker, university instructor, and business owner. Diane co-owns Ages and Stages, LLC with her husband and business manager Joe Bahr.Diane is extremely concerned about the amount of time young babies are spending on their backs and in containers. She has hypothesized this as being one reason we are seeing late developing fine motor skills (e.g., feeding, speech, hand use, and visual function) and significant jaw and tongue retraction (which may be contributing to posterior tongue tie). She has attributed this to the apparent epidemic of mouth development problem we seem to be having and has done a significant literature review to support her work.Diane also just presented a very well received talk at the ASHA Convention with Kristie Gatto regarding normal mouth and airway development from birth - 7 years of age that she graciously shares in this episode.To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com Download Ep. 026 Show Notes! Download Ep. 026 Transcript! This Month’s Featured Affiliates: If you like our work, support us on Patreon for as little as a dollar a month! Previous Next Previous Next

In this episode, we sit down with Jonathan Waller of Dysphagia Cafe to discuss all of the happenings in LA at the 2017 ASHA Convention! We also discuss some of the "Best Of" Dysphagia Cafe!To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com Download Ep. 019 Show Notes! This Month’s Featured Affiliates: If you like our work, support us on Patreon for as little as a dollar a month! Previous Next Previous Next

Welcome to the very first episode of SLP Trivia Fun, the only game show podcast where every contestant is a speech-language pathologist! Today, speech-language pathologist Katie Millican joins us from Wasilla, Alaska for an American Speech-Language-Hearing Association (ASHA) Convention-themed episode. You’ll learn some facts and history about the ASHA Convention, plus other fun speech tidbits that will make your speechie heart sing with happiness! Can Katie answer all 5 questions correctly? Will she win an SLP Trivia Fun tote bag? You'll have to listen to find out!