Podcasts about rogalski

In dieser Special-Podcastfolge sprechen wir über die tiefen Zusammenhänge zwischen deinem Money-Mindset, deinen Geldblockaden und deiner finanziellen Realität, in der du dich befindest. Kennst du Gedanken wie: “Das kann ich mir nicht leisten.” oder “Das wäre ja schön, aber ich habe die finanziellen Mittel nicht.”? Diese Mangelgedanken, die oft kollektiv geprägt sind, halten dich klein und halten dich davon ab, wirklich groß zu träumen! In dieser Folge erfährst du: ✨ Warum deine Beziehung zu Geld dein Leben unfassbar stark beeinflusst ✨ Wie du erkennst, wie dein Money-Mindset ist ✨ Praktische Übungen, wie du dich von limitierenden Geld-Glaubenssätzen befreien kannst Diese Folge ist eine Einladung, das Thema Geld von Angst, Mangel und Begrenzung zu entkoppeln und eine neue, stärkende Beziehung zu finanzieller Fülle aufzubauen. Ich wünsche dir, dass du dieses Thema nicht nur neutralisierst, sondern in etwas Positives wandelst!

Fülle ist dein Geburtsrecht! Und ich möchte dich in dieser Special-Folge daran erinnern und auffordern, dieses einzunehmen. Denn Fülle bezieht sich nicht nur auf Geld, sondern auch auf alle anderen Lebensbereiche. Und diese Fülle darfst und solltest du sogar einnehmen. Erfahre in dieser Folge: ✨ Was Fülle mit dem Leben deiner Berufung zu tun hat. ✨ Weshalb ich dir genau sagen kann, wie dein Konto aussieht, wenn du ehrlich hinein fühlst, was das Wort “Geld” in dir auslöst. ✨ Wie du erkennst, wo in deinem Leben du bereits erfüllt und wo noch im Mangel bist. Du solltest ein Leben leben, welches deine Seele vor Freude hüpfen lässt und in welchem du jeden Tag glücklich und dankbar aufwachst. Und wenn du dich genau danach sehnst, bist du bei dieser Folge genau richtig! → Ich möchte dich zu einem kostenfreien Zoom-Event “Aktiviere deinen Fülle-Flow” einladen! Erfahre, wie du finanzielle Fülle ganz nebenbei erschaffen kannst & erlebe einen Energy-Shift, um deine Geldblockaden zu lösen. Klingt zu schön, um wahr zu sein? Ist es aber! Sei gern am 20.Juni um 10 Uhr LIVE dabei! Komme hierzu einfach kostenfrei in diesen Telegram-Raum: https://t.me/+1XkbUtEKXU1lNTJi Außerdem möchte ich dich auf den LETZTEN freien Platz bei ALIGNED hinweisen. Der intensiven 6-monatigen 1:1 Begleitung für DICH, wenn du deine Berufung bereits lebst, jedoch an einer Schwelle stehst und dich nach MEHR sehnst. Spüre gern rein, ob dieser eine Platz DEINER ist: https://sarah-jane-rogalski.com/aligned Von Herz zu Herz, deine Sarah

Sunny is shaking up the front office and Sheldon Keefe remains behind the bench. The guys discuss what these moves mean. The final 4 is set as the boys talk who they think will be playing for the Stanley Cup Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Diese Folge richtet sich vor allem an alle selbstständigen Frauen, die ihre Berufung, ihr Herzensbusiness leben möchten. Doch wenn du mit dieser Folge in Resonanz gehst, kannst du das Wissen und die Impulse genau so gut auf deine Partnerschaft, Familie oder Tiere übertragen. Wir sprechen in dieser Folge drüber: ✨ Was die Themen Geld und Moneymindset mit deiner wahren Größe zu tun haben. ✨ Weshalb du UNBEDINGT der Sehnsucht in deinem Herzen folgen solltest. ✨ Was geschieht, wenn du deine Größe wahrhaft lebst. Lasse dich in dieser Podcast-Folge dazu inspirieren, dein Verhältnis zu Geld bewusst zu reflektieren und zu erforschen, was sich dein Herz ersehnt. ➔ ALIGNED ist ein neues Programm, welches FÜR DICH ist, wenn du bereits selbstständig mit deiner Berufung bist, aber irgendwie an einer unüberwindlichen Schwelle stehst. Dieses Angebot ist für dich, wenn du dich nach MEHR sehnst. Mehr Zeit, mehr Geld, mehr Lebensqualität & zugleich mehr Input & Mehrwert. Wenn du dich hier angesprochen fühlst, schau gern auf meiner Webseite vorbei oder schreibe mir direkt eine eMail an “info@sarahrogalski.com”: https://sarah-jane-rogalski.com/aligned Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Was denn nun? Sollen wir nun unsere Schöpferkraft nutzen (und aktiv visualisieren & manifestieren) oder sollten wir in völliger Hingabe leben? Genau darüber spreche ich in dieser Podcast-Folge, in welcher es darum geht: ✨ Warum diese beiden Aspekte kein Widerspruch sind, sondern eigentlich ein wundervolles Zusammenspiel. ✨ Was geschieht, wenn du deine Schöpferkraft bewusst nutzt und im Alignment mit dem Einen Sein agierst. ✨ Weshalb du das Wort “Hingabe” wahrscheinlich bis hierhin falsch verstanden hast. Ich wünsche dir von ganzem Herzen viel Inspiration beim Anhören dieser Folge. ➔ ALIGNED ist ein neues Programm, welches FÜR DICH ist, wenn du bereits selbstständig mit deiner Berufung bist, aber irgendwie an einer unüberwindlichen Schwelle stehst. Dieses Angebot ist für dich, wenn du dich nach MEHR sehnst. Mehr Zeit, mehr Geld, mehr Lebensqualität & zugleich mehr Input & Mehrwert. Wenn du dich hier angesprochen fühlst, schau gern auf meiner Webseite vorbei oder schreibe mir direkt eine eMail an “info@sarahrogalski.com”: https://sarah-jane-rogalski.com/aligned Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

In dieser neuen Podcastfolge möchte ich mit dir über dein Licht sprechen und wie maßgeblich es ist, dieses JETZT zu leben. Denkst du, dass du dich selbst schützt, indem du dein Licht dämmst und nicht deinem wahren Ruf, deiner Intuition vertraust & folgst? Ich sage dir: Damit stehst du dir nur selbst im Weg. Weil du dich so von der göttlichen Quelle abschneidest und entgegen deiner Bestimmung lebst. Nur, wenn dein Licht vollkommen frei schwingt, wirst du für das magnetisch, was du dir in deinem Leben ersehnst. Es hat einen Grund, dass du hier bist - und genau daran möchte ich dich in dieser Folge erinnern. ➔ Bist du für MEHR hier und passt einfach nicht in dieses System? Fühlst du eine Berufung in deinem Herzen, hast aber noch keine hundertprozentige Klarheit? Oder lebst du deine Berufung bereits, kommst aber irgendwie nicht weiter? Denn du hast deine Berufung auf diese Erde, in dieses Leben mitgebracht! Fühle einmal rein, ob der EINE Platz bei RESET DEINER ist. Wenn ja, schreib mir gern eine Email an: info@sarahrogalski.com Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Today, we chat with Dr. Emily Rogalski about the Healthy Aging & Alzheimer's Research Care Center, or HAARC, at the University of Chicago. She also provides a brief update about her SuperAging research. Show notes are available at www.NavNeuro.com/189 _________________ If you'd like to support the show, here are a few easy ways: 1) Get CE credits for listening to select episodes: www.NavNeuro.com/INS (for membership discount code, login to the-ins.org then go to this page: https://the-ins.org/current-members/special-offers-discounts/) 2) Leave an Apple Podcasts rating/review: www.NavNeuro.com/itunes 3) Check out our book Becoming a Neuropsychologist, and leave it an Amazon rating   Thanks for listening, and join us next time as we continue to navigate the brain and behavior! [Note: This podcast and all linked content is intended for general educational purposes only and does not constitute the practice of psychology or any other professional healthcare advice and services. No professional relationship is formed between hosts and listeners. All content is to be used at listeners' own risk. Users should always seek appropriate medical and psychological care from their licensed healthcare provider.]

Hingabe führt dich zur Magie des Lebens. In dieser Folge spreche ich mit der wundervollen Anne Heintze darüber, was passiert, wenn du deiner Intuition vertraust und ihr folgst. Gemeinsam sprechen wir darüber, wie wir den Unterschied zwischen Intuition & Kopf wahrnehmen können, wie Manifestation und Hingabe zusammenpassen und was für eine wichtige Rolle dein Selbstwert dabei spielt. In dieser Folge lernst du ganz viel über deine Intuition und wie wundervoll sie dir Türen öffnen kann. Sei eingeladen, dir ein Leben zu erschaffen, in dem deine Intuition eine Hauptrolle spielt. Wir wünschen dir viel Freude beim Anhören dieser Folge! Mehr zu Anne: Webseite: https://hochix.com/ Ausbildung: https://hochix.com/coaching-ausbildung/ Buch "Kopf aus, Bauch an?": https://shorturl.at/o6HA7 Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

This episode is a conversation about primary progressive aphasia (PPA). We discuss the definition of PPA, the three widely used subtypes, common clinical symptoms, neuroanatomy and proteinopathies, epidemiology, overlap/differences between PPA and Alzheimer's disease, neuropsychiatric symptoms in PPA, neuropsychological assessment of PPA patients, and current available treatments. Show notes are available at www.NavNeuro.com/188 _________________ If you'd like to support the show, here are a few easy ways: 1) Get CE credits for listening to select episodes: www.NavNeuro.com/INS (for membership discount code, login to the-ins.org then go to this page: https://the-ins.org/current-members/special-offers-discounts/) 2) Subscribe (free) and leave an Apple Podcasts rating/review: www.NavNeuro.com/itunes 3) Check out our book Becoming a Neuropsychologist, and leave it an Amazon rating   Thanks for listening, and join us next time as we continue to navigate the brain and behavior! [Note: This podcast and all linked content is intended for general educational purposes only and does not constitute the practice of psychology or any other professional healthcare advice and services. No professional relationship is formed between hosts and listeners. All content is to be used at listeners' own risk. Users should always seek appropriate medical and psychological care from their licensed healthcare provider.]

Wir sind nicht gesegnet, damit Gottes Segen bei uns stehen bleibt, sondern damit er durch uns hindurch in diese Welt fließt. In dieser Predigt zum Abschluss der Serie „Gesegnet wie niemals zuvor“ geht es darum, aus welcher Position Christen wirklich leben: nicht aus Mangel, Kampf und Selbstbehauptung, sondern aus dem Segen Gottes heraus. Anhand von Abraham und Joseph wird deutlich, dass Gottes Segen nicht bedeutet, dass keine Herausforderungen kommen – sondern dass Gott mitten darin treu bleibt und Menschen gebraucht, um durch sie Hoffnung, Ermutigung und seine Kultur in die Welt zu bringen. Diese Message ruft dazu auf, nicht in Opfermentalität stehen zu bleiben, sondern im Glauben zu leben, mutig zu handeln und Gottes Güte weiterzugeben. Willy liefert uns eine leidenschaftliche und ehrliche Predigt darüber, wie Gottes Segen nicht bei uns endet, sondern durch unser Leben andere berühren soll. Bibelstellen: Galater 6,14 | 1. Mose 12,1–2 | 1. Mose 39,2 | 1. Mose 50,20 | 1. Mose 37,3–4 FÜR JESUS ENTSCHIEDEN | Wir wollen mit dir feiern SPENDEN | Vielen Dank für deine Unterstützung GEBET & HILFE | Wir sind für dich da PRAISE REPORT | Wie hat Gott in deinem leben gewirkt? 

Interviewer info Lyssa Rome is a speech-language pathologist in the San Francisco Bay Area. She is on staff at the Aphasia Center of California, where she facilitates groups for people with aphasia and their care partners. She owns an LPAA-focused private practice and specializes in working with people with neurogenic communication disorders. She has worked in acute hospital, skilled nursing, and continuum of care settings. Prior to becoming an SLP, Lyssa was a public radio journalist, editor, and podcast producer. In this episode, Lyssa Rome interviews Jessica Obermeyer about group treatment for aphasia. Guest info Jessica Obermeyer, PhD, CCC-SLP, is an Assistant Professor in the Department of Communication Sciences and Disorders at the University of North Carolina at Greensboro. Her area of specialization is acquired adult neurogenic language disorders. Dr. Obermeyer's research interests include discourse production in aphasia, treatment efficacy, and the cognitive requirements of language production. Prior to earning her doctorate, she worked in a variety of clinical settings where she specialized in assessment and treatment of adult neurogenic populations.     Listener Take-aways In today's episode you will: ● Recognize the role of written communication in clients' daily activities, including texting, email, and online tasks. ● Adapt ARCS-W treatment components to match each client's preferred writing modality (handwriting vs. typing). ● Identify candidates with aphasia who are well-suited for discourse-level writing treatment. Lyssa Rome Welcome to the Aphasia Access Aphasia Conversations Podcast. I'm Lyssa Rome. I'm a speech language pathologist on staff at the Aphasia Center of California, and I see clients with aphasia and other neurogenic communication disorders in my LPAA-focused private practice. I'm also 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 host for an episode that will feature Dr. Jessica Obermeyer, who was selected as a 2024 Tavistock Trust for Aphasia, Distinguished Scholar, USA and Canada. Dr. Obermeyer is an assistant professor in the Department of Communication Sciences and Disorders at the University of North Carolina at Greensboro. Her area of specialization is acquired adult neurogenic language disorders. Dr Obermeyer's research interests include discourse production and aphasia treatment efficacy and the cognitive requirements of language production. Prior to earning her doctorate, she worked in a variety of clinical settings, where she specialized in assessment and treatment of adult neurogenic populations. Jessica Obermeyer, welcome to the podcast, and thanks for being here. Jessica Obermeyer Thank you. It's a pleasure. Lyssa Rome So I wanted to get started with a question we often ask, which is: How did you get into this? Was there an aha moment for you and what led you to research aphasia? Jessica Obermeyer That's a great question. I think it was more of a slow awakening and journey to realizing that this is how I wanted to spend my days. When I started studying speech language pathology, I knew I wanted to work in adult rehab with people with traumatic brain injury, stroke, and aphasia. But as an undergraduate and a masters student, I worked on a lot of research related to traumatic brain injury and cognition. But then I had some exposure to aphasia research, and as a clinician, I just loved working with people that had aphasia. I loved running aphasia groups. I started aphasia groups, and when I decided to go back for my PhD, that is what I wanted to focus on. I also had the opportunity to work in adult outpatient, so I got to see a lot of people that had aphasia and were at different points in their rehabilitation journey. And those experiences just made me want to continue and especially do research that could develop and evaluate different treatment approaches for people that had aphasia. Lyssa Rome One of the sort of through lines in your research has been discourse. And I'm curious about how you landed on that as the focus of your work, why discourse? Jessica Obermeyer It's how we talk. It was always, you know, something I was interested in. I think, as a clinician, I felt really daunted by discourse, because it is laborious, you know, it takes a lot of time to think about how you're going to analyze it. But I was always so fascinated by all the linguistic components that make up discourse as a clinician. And then I think as a researcher, I really appreciate how important it is. Everything we do in our day to day lives is often at a discourse level, and that looks so different depending on the type of discourse. So your text exchange is discourse, your emails, your conversations, the interaction with a barista. You know, every kind of functional way that we communicate is often at a discourse level. But it's so different depending on what that interaction looks like, and that's just endlessly fascinating to me as a researcher… challenging but fascinating. Lyssa Rome Challenging both to evaluate and, I guess, to some extent, to treat. One of the things that I really appreciate is that it's how we communicate in our daily lives, and so if we're thinking about life participation and sort of functional approaches to treatment, to my mind, discourse is kind of where it's at. So I'm really excited to get to talk to you more about it. So speaking of discourse, I thought we could talk about your work on ARCS. Maybe we could start by telling us a little bit about the origins and how you became involved in researching. Jessica Obermeyer Yes, I'd be happy to. I started doing research with ARCS as a doctoral student. So it's been a long time, but the origin of ARCS, or Attentive Reading with Constrained Summarization, started with Yvonne Rogalski and Lisa Edmonds, and they published the first paper, I think, in 2009, but someone should go back to check that, and it was originally for someone that had primary progressive aphasia. And then there was another paper published for two people with Wernicke's aphasia. So in the original version, it's based on constrained summarization, and constrained only in that you're giving someone guidelines for how to summarize so they have to read through a segment of text. Usually it's a current event article, but clinically, you could use pretty much any written text. And I've actually done it with someone listening as well. Typically with ARCS, you would have someone read a segment of written text and then summarize it with the constraint or guideline to be specific. So avoid words like it, stuff, thing, he, she. So use that really intentional word retrieval. That's not what we typically do. We often use non-specific words, but it's that therapeutic, like try to go for the really precise and specific word exercise that retrieval and to also stay on topic, so try not to add a tangent, or, you know, additional information that's not related to what you're reading. And then in my work, I've added an additional guideline that's just based on what that person needs. So if they're repeating a lot, then that might be part of the guideline. Often, the guideline is to try to include the essential information that you've identified already. So that's the origin of ARCS. And as a doctoral student, I really wanted to do treatment research. I became really interested in cooperative learning theory, in how people can work together in their learning, collaborate to improve learning. And when I was doing that, reading and thinking about cooperative learning, writing seemed like such an excellent tool for that, because I think one of the hard things about spoken language is that it's just gone. You say it, it's gone. It's very hard to monitor, which I'm acutely aware of right now in this recording. But with written text, you have this wonderful record of what you've produced, and that can be really helpful for thinking about language and planning, especially in an approach like ARCS or ARCS-W that emphasizes this planning, process-driven component, where you're thinking about, "What do I need to include in this discourse? What's important? What's not important? And what have I actually produced? Does that meet, you know, the guidelines I've tried to meet?" So that's how writing actually got pulled into it. And I wanted to keep the spoken language because, I don't know that I've ever met someone with aphasia who told me they didn't want to continue exercising their spoken language, but the writing was just I think, an important addition, because there are so few written discourse treatment options. And it allowed for this emphasis on monitoring and planning and some of the cognitive components of discourse that can be hard to address. Lyssa Rome And maybe you could say a little bit about what you found when you've studied ARCS-W, so the Attentive Reading and Constrained Summarization-Written. Jessica Obermeyer Well, people have improved, which is great. So the one of the things about ARCS and ARCS-W that's maybe unique when we think about aphasia treatment as a whole, is that it's not a treatment with trained items, so no items are repeated. You're working on the process of discourse production, this process of monitoring and trying to be specific, be efficient, you know. In written discourse, people have made improvements in correct information units or CIUs. So at the word level in discourse, the amount of informative and correct information that they're producing, people have made improvements at the utterance level, where they're producing more relevant utterances and more utterances that have a basic sentence structure, and then this hasn't been looked at in all of the studies, but for some of the participants, where we've measured things like main concepts, the amount that the person is conveying the main ideas or concepts in the discourse has improved for some people as well. And then at this spoken discourse. So ARCS-W, it's half spoken, half written. Basically, people have also made similar improvements. So it's been encouraging so far, ARCS-W I would say, compared to ARCS is for people in the more mild aphasia end of the spectrum, especially with the writing component. Any clinician who's worked with people with aphasia will know that writing is often a stressful thing for people with aphasia. So it's for people that are writing at a phrase level already. It doesn't mean that their spelling is perfect, but if they're really struggling to get out a single word, this is probably not the ideal you know treatment for them, but for folks that are more on the mild end who want to work on spoken and written discourse, we have seen some positive results in their spoken and written discourse production. Another thing that I think is really important for this treatment is that it is so multi-modality. When we write normally, we're reading as well. You know, we're not just writing in a vacuum. A lot of the time. We're rereading our text, we are reading that text message and then responding to it. So I like that. I like multi-modality treatments. I like that this is a treatment that allows people to address multiple types of language goals, while, you know, keeping it pretty simple and low tech. Lyssa Rome I think that that really hits on one of the reasons that I like using ARCS-W in my work with people is that It can be used with so many different kinds of texts. So I've used both, you know, work emails, if their goal is to get back to work, newspaper articles that interest them, simplified newspaper articles that interest there's so many possibilities. And anyway, it's exciting to hear you talk about that. Jessica Obermeyer Yeah, I think that as a clinician, that's why I liked ARCS. It was so flexible, so easy to implement. And that's definitely one of the things I like about ARCS-W as well. Make treatment work hard for you. Lyssa Rome So that is interesting to people as well. Where are you going next with your ARCS research? Jessica Obermeyer Great question. I'm writing up results from about six people we ran over the last couple years, so that, I hope, gets submitted for publication soon. And I would really like to adapt this treatment a little further to use more assistive technology for folks that are really wanting to write, but aren't wedded to handwriting or typing in a traditional sense. So can we use speech-to-text? I always mix it up. And can we use methods to support people producing written language that are, you know, different than just typing it? Because people have really different needs in their life. So if that is a way to meet their writing needs, excellent, and I'd like to do that in the future. Lyssa Rome I think that gets back to this idea that it's so flexible, right? You could adapt it in so many different ways. I think that that's really exciting, because it sort of further underscores the flexibility of this approach. And we were talking earlier, before we started recording, about using the same ARCS framework, or ARCS-W framework for material that clients have listened to, things like podcasts or TED Talks. So it seems like it's so adaptable, which is part of what I think makes it really exciting. Jessica Obermeyer I think that's a great idea. We actually did use listening and then summarization for one of the participants in the first arc study, because that met their profile. That's how they wanted to interact with the treatment, and it worked out really well for them, and it's a great way to incorporate people's different interests. Not everyone wants to read, so being able to listen is a great option. And in the treatment for everybody, they always select their writing modality so they can either hand write or type, depending on what's relevant for them. In the population of people that have aphasia now, and I know that this will change over time, people have really different comfort levels with technology and with typing. So if someone says, "No, I never typed. I want to handwrite," then we can do that. And if, if it's the other, we can type. So I think listening is just another way to make it meet someone's needs better. Lyssa Rome I was hoping that you could talk a little bit more about the similarities and differences between different types of discourse. So spoken and written discourse, typed and versus handwritten discourse. Tell us a little bit more about that. Jessica Obermeyer Yeah, of course. Well, I should, I guess, start off by saying, working on the ARCS-W treatment research, I recognized just how little information is out there on written discourse and the majority of discourse measures that we use in aphasiology are based on spoken discourse production. But there are differences in how we speak versus how we write. So in spoken language, we've already talked a little bit about this, it's temporal, it's just gone. So writing is tangible. You have a record of your writing, and that can be really beneficial for people with aphasia. But of course, there's there's other things that can make writing more challenging as well. With spoken language, of course, we have the suprasegmental components of what we're saying. So we have our tone and our facial expression and things that allow us to impart meaning without actually saying it, and we don't have that in writing. Although things are shifting with text messaging technologies, we can add emojis and memes that help us communicate information. But I think when we're thinking about traditional writing, it doesn't have those additional components, and therefore people have to be more explicit with their word choice and a little more clear in what they're trying to say. People are often more efficient in writing. They use fewer words than they would in speaking. So those are some of the differences. We can't automatically correct our written output because we see that our partner doesn't understand. Because in writing, there's this distance between when we're writing versus when we think someone's reading it. Even in more instant platforms like text messaging, we don't know exactly when someone's reading something or how their face looks when they read it, in the way we know with speaking. So those differences do impact how we complete the task. And of course, the context of writing changes it dramatically. So you write notes to yourself really differently than you write a research paper or a work email. And that's not so different from speaking, right? The context is still going to impact how we speak or write, very much. So in my work, I've looked at how writing and typing are the same or different. And this is a pretty new area. There's a couple papers out there on it now, and I think it's gaining traction, which is great, because most people write through typing in their daily life now. What I found is that at a group level, it's pretty similar. Writing and typing look pretty similar for people that have aphasia. But individually it can be very different. So an individual person with aphasia might have a strength or weakness in handwriting versus typing for lots of different possible reasons, like their experience, or hemiparesis, their desire to do one or the other. But it's not, the patterns aren't completely clear. I think clinicians are probably really used to hearing that every individual with aphasia has the potential to be different. So I think that keeps with written and typed language output, handwritten and typed. Some of my recent work has been related to looking at different writing modalities for people with aphasia. So are there differences in their handwritten versus typed discourse production. There's a couple papers out on this now, and hopefully there'll be even more as it gains traction. And I think it's getting more attention in the research literature because of how important writing is in our daily lives now. I mean, most activities of daily living are now completed through, you know, the virtual world, so banking, shopping, lots of messaging are completed through reading and writing now. So that's kind of why I became interested in also working with ARCS-W and having people handwrite versus type, depending on their interest and comfort level. It was always interesting to me why certain people picked one or the other, and kind of what I was seeing. There is some research out there that shows that handwriting is advantageous for learning. So the specificity of how we're moving our fingers to create letters is helpful for retention and learning items, but when we're thinking at the discourse level, when we're not using the same items necessarily, things could potentially be a little different. So I was interested in just exploring some of those differences and patterns that might emerge, and if there was anything I could figure out that might be driving a pattern. So if someone's better at typing than handwriting, is there a reason that they're better? So what I have found so far, and it's it's pretty preliminary, is that at the group level, handwriting and typing look very similar for people with aphasia, so oftentimes, there's not a big difference in the total words that they produce, and that's been confirmed by a larger study as well from Jaime Lee and colleagues. But then when we look at the individual level, that's when you can start to see differences. And I don't think any clinician would be surprised to hear that people with Aphasia are variable or different. So we know that that is common, but it's been pretty interesting and striking in my own work to see how at the group level, these differences just totally even out. But then when we look at individuals, you do see that, you know, someone is more proficient with typing, someone else is more proficient with handwriting. So in a study I did, I think from 2024, we had people fill out this historical information about their typing experience and exposure, we knew about if they had a hemiparesis or not, and so were they able to use both hands or one hand for handwriting or typing? And like I said, we did find these individual differences for some people, but there wasn't a really clear pattern in what was driving those differences? Was it that they hadn't worked with a keyboard a lot? Was it that they only had the use of one hand? And we just didn't have enough data potentially to discern any specific patterns? Lyssa Rome We've talked a little bit about different types of discourse, written, spoken for written, typed versus handwritten. But I wanted to kind of come back to how we measure and analyze discourse, and wanted to ask about a more recent paper and have you describe a little bit about your work on discourse measurement and training clinicians to measure discourse? Jessica Obermeyer That paper is a perceptual rating paper. We've talked a lot about discourse in this chat, and I think probably one of the first things I might have mentioned was how daunting discourse analysis can be. So researchers are aware of that, and always kind of thinking that discourse is so rich, it provides us so much information about someone's linguistic ability, but also their success with communication in a way that other levels of language don't necessarily tell us. So how can we benefit from that rich information in a way that clinicians can do. Because with discourse analysis, you know, in the clinical session, it might not take that long. You're having someone participate in 10 minutes of conversation—that is not a lot of time in your session. The time is all backlogged. The time is after the session is over, and you're trying to transcribe what they've said and then identify discourse measures that you're interested in. And another thing that makes discourse just complex and dynamic is that there's not one measure, you know, there's not a measure of word retrieval and discourse. There are lots of measures that can give you insight into word retrieval and discourse. So this project I did with my collaborator, Marion Lehman, who also works on discourse, and especially conversation. We wanted to see if it was possible to train people to rate conversation samples from people with aphasia on linguistic measures, so measures of language ability. So there are other perceptual rating scales, but a lot of them might be looking at speech acts like initiation or presence or absence of errors. And we were really interested in if these, if perceptual ratings, could map on to the things we're doing in our labs, so you know, correct information units or the degree of informativeness, utterances that have basic structure, coherence, you know, these measures that we are spending many hours, you know, coding line by line, or even word by word, for some. So she and I developed this training and introduced—so the paper that's published, we used research assistants in our research labs, and we exposed them to the linguistic measures that we were interested in. Had them watch some practice videos, and then told them how we had coded them. So what was the value based on our lab coding? And then we did five test samples, so there were four linguistic measures. The training lasted about three hours, and I did five test samples. And we got some really good feedback from the RAs who did the training and rating samples. We had some promising results for especially two of the measures that we used in their training, and now we're really interested in extending that work with clinicians. So the people that were in the study before had very limited experience listening to people that had aphasia. They hadn't worked with people that had aphasia, they hadn't done extensive clinical training. We're hopeful that if we can use their feedback to fine tune the training and rating procedures and recruit some clinicians to participate, that hopefully we could get even better results and hopefully provide a tool to clinicians where they can be thinking about linguistic components of conversation in a way that's more feasible to their schedule and their workload, because we recognize how much time it takes. And I think it's, it's just a barrier to entry, even, because if someone is feeling like, "I can't do this, I don't have time to do this," then it's hard to even learn about or get started. Lyssa Rome Yeah, I'm so happy to hear that you're that you're focused on the feasibility for clinicians who have productivity requirements, who don't necessarily have a lot of time at the end of the day to do that kind of really in depth analysis. I think it's exciting. Jessica Obermeyer Oh, for sure, and clinicians, I think, work a lot of extra hours, but they have a whole caseload, you know, so balancing everybody's needs and being able to to provide excellent care to everybody is, is always a challenge, and hopefully, hopefully we'll, we'll be able to continue this work. We're trying to get some funding for the project because we want to be able to pay SLPs who participate in the research. Lyssa Rome As we start to wrap up, I'm wondering what you would like clinicians who are listening to this podcast to take away from what we've talked about today, from your work. Jessica Obermeyer I think one takeaway would be for clinicians to think about incorporating handwriting and typing into their existing treatment practice. So I've talked a lot about ARCS-W. ARCS-W is not for everybody. It is a very specific treatment approach for people that have mild aphasia who want to work on discourse-level writing. But there are so many ways to have people engage with handwriting and typing that will serve them in their daily life. So we've talked a lot about how literacy is just such a big—it's a bigger part of our lives than it was 20 years ago. People can achieve a lot of independence and autonomy if they're able to interact with reading and writing and complete it successfully. So I would really encourage clinicians to think about how they can incorporate reading and writing into their existing treatment. A study I was involved with— Liz Madden surveyed SLPs on their practices assessing and treating reading and writing, and one of the take-homes from that project was that clinicians evaluate writing more than treating it. And especially handwriting, versus typing. But I think that given the way society is moving, asking people like, "What's important for you, handwriting or typing?" and let's make that our practice. Lyssa Rome I appreciate how person centered and flexible that advice is right. We're trying to meet people where they're at and recognizing that our treatment can be tailored to the person who's sitting in front of us. I'm curious to hear what is coming next for you. What are you excited about in your work? Jessica Obermeyer That's actually a great segue about how we can tailor treatment, because that is one of the projects that I'm working on now, how we can think about treatment in terms of what are the things that make it work, versus things that maybe aren't essential components of the treatment? With the last study I did with ARCS-W of the things that we were really trying to understand better was: Did it matter if people hand wrote or typed? Did they have the same kind of level of generalization to the other writing modality? And in that study, it doesn't seem that they did. And I think there's really specific reasons for that, because we're working at this discourse level without repeated items. And so you might not see the same impact of that handwriting learning boost, because we're not repeating things as often. That's one of my real interests is thinking about how we work on treatment, how we deliver treatment, how clinicians can deliver treatment. Because I am very guilty of this. Working on writing takes a long time. It takes a long time for people with aphasia to produce written discourse level text. So in the ARCS W studies, it's an hour-and-a-half treatment session where we only work on ARCS-W. But I know I recognize that that's like not most clinicians' daily life, and it doesn't mirror what therapy many people with aphasia receive. So thinking about treatment in a more component-based and mechanistic way that makes it easier for clinicians to adapt to their their practice is is one of the things I would like to flesh out in the future. And then continuing to work on this training and perceptual rating protocol. One of the things my colleagues and I would like to do is create a training that can be shared freely, where clinicians can easily get access to it, and then collect more robust data. I mean, only if we get good results, of course. If we don't, we will not be sharing it. But those are the big things I'm thinking about in the next couple of years, and then beyond that, even more. Lyssa Rome Well, I look forward to reading more of your work and to seeing what comes next as well. Dr. Jessica Obermeyer, thanks so much for talking with us. I really appreciate it. Jessica Obermeyer It's been a pleasure. Thank you. Lyssa Rome And thanks also to our listeners for the references and resources mentioned in today's show. Please see our show notes. They're available on our website, www.aphasiaaccess.org. There, you can also become a member of our organization, browse our growing library of 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. Thanks again for your ongoing support of Aphasia Access. For Aphasia Access Conversations, I'm Lyssa Rome. Resources Obermeyer, J. (2024). Using and modifying standardized restorative treatments in aphasia: Clinician perspectives. American Journal of Speech‑Language Pathology. Advance online publication. https://doi.org/10.1044/2024_AJSLP-23-00349 Obermeyer, J., Leaman, M., & Oleson, J. (2025). Feasibility and preliminary data for a training protocol and perceptual rating scale of linguistic conversation measures in aphasia. American Journal of Speech‑Language Pathology. Advance online publication. https://doi.org/10.1044/2025_AJSLP-24-00420 Obermeyer, J. A., Rogalski, Y., & Edmonds, L. A. (2021). Attentive reading with constrained summarization-written, a multi-modality discourse-level treatment for mild aphasia. Aphasiology, 35(1), 100-125. Obermeyer, J. A., & Edmonds, L. A. (2018). Attentive reading with constrained summarization adapted to address written discourse in people with mild aphasia. American Journal of Speech‑Language Pathology, 27(1S), 392–405. https://doi.org/10.1044/2017_AJSLP-16-0200 Obermeyer, J. A., Leaman, M. C., & Edmonds, L. A. (2020). Evaluating change in the conversation of a person with mild aphasia after Attentive Reading with Constrained Summarization–Written treatment. American Journal of Speech‑Language Pathology, 29(3), 1618–1628. https://doi.org/10.1044/2020_AJSLP-19-00078 Obermeyer, J., Edmonds, L., & Morgan, J. (2024). Handwritten and typed discourse in people with aphasia: Reference data for sequential picture description and comparison of performance across modality. American Journal of Speech-Language Pathology, 33(6S), 3170-3185  

Rogalski, Ingrid www.deutschlandfunk.de, Campus & Karriere

In dieser Meditation möchte ich dich innerhalb von 10 Minuten nicht nur theoretisch, sondern auch praktisch erleben lassen, wieder zu Bewusstsein zu kommen. Mache diese Meditation immer dann, wenn du ins “Menscheln” rutscht, zu stark mit dem Kollektiov verbunden bist oder dich die Schleier, die dich umgeben, die Wirklichkeit gerade nicht erkennen lassen. Wir haben so viel Wissen und es ist nun an der Zeit, dieses Wissen endlich anzuwenden! Wenn du in die Wahrnehmung gehst, findest du dort alle Antworten, die du brauchst. Bist du bereit, dich tief zu erinnern und in deinen wahren Bewusstseinszustand zu kommen? Dann wünsche ich dir viel Freude bei dieser Meditation! Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Ich möchte dich in dieser Folge daran erinnern, dass du gebraucht wirst, und zwar bei Bewusstsein und genau so, wie du bist! Wir befinden uns aktuell in der Endzeit, die schon lang prophezeit wurde, ABER wir sind NICHT hier, um zu jammern. Wir sind hier, weil wir die Seelen sind, die sich bewusst dazu entschieden haben, zu dieser Zeit zu inkarnieren. Was nun unsere Aufgabe ist, ist bei Bewusstsein zu bleiben, denn die Welt braucht DICH! Deine Intuition weist dir den Weg und wenn du dich für den Fluss des Lebens entscheidest, trägt dieser dich automatisch zu Fülle, Liebe, Leichtigkeit & Freude. Ich wünsche dir von Herzen viel Freude beim Anhören dieser Folge! ➔ Wenn einer der beiden freien “Reset”-Plätze dir gehört, schreibe mir von Herzen gern eine Mail! Denn dieses Angebot ist für dich, wenn du deine Berufung schon kennst, es aber irgendwie noch klemmt. Mail an: info@sarahrogalski.com Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

In dieser Folge und somit dem 3. Teil des neuen Formats, in welchem ich mit inspirierenden, bewussten und erwachtem Frauen spreche, die mutig ihrem Herzen folgen und dich auf deinem Seelenweg inspirieren & ermutigen möchten, spreche ich mit der wundervollen Sonja Bartels. In dieser Folge erfährst du mehr über … ✨ die Geschichte von Sonja und ihrem Tierhospiz “Weißer Phönix” ✨ wie das Leben & auch unser Körper laut werden und uns immer wieder einen Schubs geben, um uns auf unseren Seelenweg zu führen ✨ wie du mit Stimmen im Außen und eigenen Ängsten auf deinem Weg lernen kannst umzugehen ✨ und vieles mehr! Wir möchten dich in diesem Gespräch dazu einladen, jeden einzelnen Tag als Geschenk zu sehen. Wir wünschen dir viel Freude beim Anhören dieser Folge! Mehr zu Sonja: Instagram: https://www.instagram.com/weisserphoenix/ Webseite: https://weisserphoenix.de/ Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Ich freue mich, diese neue Solo-Folge mit dir zu teilen, für die du es dir so richtig gemütlich machen kannst! In dieser Folge teile ich mit dir, weshalb 2026 für mich eine neue Ära beginnt und auf welche wundervollen, neuen Angebote du dich auch im Rahmen meines Business freuen kannst. Diese Folge ist für dich, wenn du spürst, dass du so vieles weißt, aber es einfach nicht umsetzen kannst. Wenn du etwas in dein Leben ziehen möchtest, was sich einfach nicht manifestieren möchte oder eine Sehnsucht so laut anklopfst, dass du Ängste, Zweifel und Co nun endlich loslassen musst. Wenn dich eines meiner Angebote ruft, findest du hier mehr Infos zu… ➔ “Folge deinem Herzen – für den Rest ist gesorgt” (für bewusste Frauen, die sich immer wieder erinnern möchten): https://sarah-jane-rogalski.com/folge-deinem-herzen ➔ “Reset” (für Frauen, die ihre Berufung kennen, wo es aber noch irgendwo klemmt): info@sarahrogalski.com ➔ “Aligned – Im Auftrag des Lichts” (für Frauen, die in ihrem Herzens-Business MEHR möchten): https://sarah-jane-rogalski.com/aligned Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Herzlich Willkommen zum 2. Gespräch meines neuen Podcast-Formats, welches dich inspirieren, Mut machen und dir aufzeigen soll, was geschieht, wenn du deiner inneren Führung vertraust und welche Prozesse dahinterstehen. Heute freue ich mich, mit der wundervollen Rosa Koppelmann zu sprechen, die uns einen Einblick in ihr Leben mit Familie, Business & Co. schenkt. Sie teilt ihre spannende und inspirierende Sichtweise, basierend auf einer einzigen Grundfrage, die ihr ermöglicht, ein erfülltes und glückliches Leben zu führen. Wir sprechen darüber, … ✨ weshalb wir manchmal so viel Angst davor haben, unserer Intuition zu folgen. ✨ was du tun kannst, wenn du deine Intuition mit deinen Gefühlen verwechselst. ✨ wie wir es endlich schaffen, ein erfülltes Leben zu kreieren – und zwar genau JETZT! Wir wünschen dir von Herzen viel Freude & Inspiration beim Anhören dieser Folge. Mehr zu Rosa: ➔ ALLOWANCE – Die Ausbildung: https://rosa-koppelmann.de/allowance/ ➔ "Du bist das Licht, das du suchst" – Buch: https://shorturl.at/WfmG9 Webseite: https://rosa-koppelmann.de/?v=d41d8cd98f00 Instagram: https://www.instagram.com/rosa.koppelmann/ Podcast: https://open.spotify.com/show/1H2YzYIZuQcPcb1APGefbL Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Herzlich Willkommen zum Auftakt meines neuen Podcast-Formats, in welchem ich inspirierende Frauen einlade, die ein erfülltes & erfolgreiches Leben führen. Gemeinsam schauen wir hinter die Kulissen, schauen uns ihre individuellen Prozesse an und welchen Strugglen & Ängsten sie auf ihrem Weg begegnet ist. In dieser Folge möchte Bella und ich dich inspirieren, mutig deiner Intuition zu folgen. Du kannst dich darauf freuen, mehr über die prägenden Ereignisse & Wendungen in ihrem Leben zu erfahren und was ihr Geheimnis für ein erfolgreiches Business ist. Du bist hier genau richtig, wenn du schon immer gewusst hast, dass du für mehr hier bist! Mehr zu Bella: Instagram: https://www.instagram.com/bella_und_daniel/ Podcast: https://open.spotify.com/show/5OyD0aLXNwR1R6A7J3nwm6?si=a8a82906db474b60 Membership: https://beziehungsweisebusiness.coachy.net/lp/insidechannel/ Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Diese Folge lädt dich dazu ein, die intensiven Energien des aktuellen Jahresübergangs bewusst wahrzunehmen und für dich zu nutzen. Nach dem Aufarbeiten alter Themen im Dezember fühlt sich der Januar wie ein Übergangsraum an, während sich im Februar energetisch ein vollkommen neues Feld öffnet.

In dieser Podcast-Folge möchte ich mit dir einen kleinen Sneakpeak in die exklusive Telegram-Gruppe “Folge deinem Herzen – für den Rest ist gesorgt” geben! Freue dich auf kleine Einblicke aus meinem Leben in der kurzen Winterpause. Ich möchte dich außerdem zur Masterclass “All you need is…” einladen! Diese findet im Rahmen von “Folge deinem Herzen – für den Rest ist gesorgt” statt und gibt es nirgendwo anders zu erwerben. Wenn du dich also danach sehnst, innere Freiheit, inneren Frieden und Vollkommenheit JETZT zu leben – unabhängig deiner aktuellen äußeren Lebensumstände, ist diese Masterclass genau für dich! Wenn es dich ruft, findest du hier mehr Infos zur Telegram-Gruppe: https://sarah-jane-rogalski.com/folge-deinem-herzen Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Ich lade dich von Herzen dazu ein, diesem inspirierenden Gespräch zwischen Kurt Tepperwein und mir zu lauschen, welches wir 2021 führen durften. Es dient dir als Erinnerung, damit du deinen Himmel auf Erden JETZT leben kannst! Ich wünsche dir von Herzen ganz viel Inspiration mit diesem Gespräch! Dich ruft das Format "Folge deinem Herzen – für den Rest ist gesorgt"? Dann findest du hier weitere Infos & die Möglichkeit dich anzumelden: https://sarah-jane-rogalski.com/folge-deinem-herzen Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski Website: https://sarah-jane-rogalski.com/

Diese Podcast-Folge ist die Aufzeichnung der Masterclass “Folge deinem Herzen - für den Rest ist gesorgt”, die am 11.11 stattgefunden hat. In dieser Folge möchte ich mit dir ganz authentisch darüber sprechen, was es wahrhaftig bedeutet, ein Leben in Hingabe zu leben, wenn du bedingungslos deinem Herzen folgst. Oft klingt es so romantisch und vollkommen leicht – doch es ist gar nicht so einfach, wenn man es versucht, im Alltag zu leben. Ich möchte dich dazu ermutigen und daran erinnern, deiner Intuition zu folgen und dich den göttlichen Impulsen deines Lebens hinzugeben, um deinen Himmel auf Erden JETZT zu leben. Ich wünsche dir von Herzen viel Inspiration beim Anhören dieser Folge! Wenn dich der Bewusstseinsraum "Folge deinem Herzen - für den Rest ist gesorgt" ruft, findest du hier mehr Infos & die Möglichkeit, dich anzumelden: https://sarah-jane-rogalski.com/folge-deinem-herzen Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Diese Folge ist für alle hochsensible Mamas, die sich Unterstützung in ihrem Leben wünschen. Denn wie schaffen wir es, unser “Frau-sein” im “Mama-sein” nicht zu verlieren? Von vielen Seiten bekommen wir gesagt, wie wir sein müssen und wie wir nicht sein dürfen. Doch wir möchten dich in diesem Gespräch daran erinnern, wo DU als Frau in diesen Prozessen bleibst und wie du deinem Herzen treu bleiben kannst. Erfahre, wie du Herz und Verstand unterscheidest und wie du deinen Herzensweg trotz Ängsten mutig gehen kannst. Wir wünschen dir viel Freude & Inspiration bei diesem wundervollen Gespräch. Wenn dich das Angebot von Katinka ruft, schaue dich gern auf ihrer Webseite um! ➔ Zur 1:1 Begleitung: https://stella-therapie.de/herzensmuetter/ ➔ Zum Instagram-Kanal: https://www.instagram.com/katinkabartkowski ➔ Zur Webseite: https://stella-therapie.de/ Sei gern bei der kostenfreien Masterclass "Folge deinem Herzen – für den Rest ist gesorgt" am 11.11 um 11:11 Uhr dabei! ➔ Speichere dir hierfür den Zoom-Link direkt ab: https://us02web.zoom.us/j/87977814954 ➔ Oder trage dich kostenfrei in den Newsletter ein, um den Termin nicht zu verpassen: https://sarah-jane-rogalski.com/ Lass dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

In dieser Folge möchte ich dir vom Secret Sale erzählen, der nur bis zum 11.11 um 11:11 Uhr läuft! Bis dahin kannst du das geheime Produkt noch für 33€ im Monat erwerben – danach steigt der Preis ganz automatisch. Bei dem Format “Folge deinem Herzen – für den Rest ist gesorgt” geht es darum, dass du lernst, deiner Intuition zu folgen, dich selbst zu befreien & zu heilen und dich an deine wahre Essenz zu erinnern! Lass dies dein Intuitions-Check-in sein! Spüre in dich hinein: Wird dein Herzraum eng oder weit? Ruft es dich, deinen Himmel auf Erden zu kreieren und all deine Entscheidungen aus dem Herzen zu treffen? In deinem Licht, deiner Balance angebunden zu sein und das anzuziehen, was dich wahrhaftig erfüllt? Dann lass dir den Secret Sale nicht entgehen! Zum Secret Sale: https://www.digistore24.com/product/643071 Hier kommst du zur GRATIS-Masterclass am 11.11 um 11:11 Uhr, in der ich das Geheimnis um den Secret Launch lüfte! Live-Masterclass: https://us02web.zoom.us/j/87977814954 In dieser Folge möchte ich dich außerdem daran erinnern, dass du voller Hingabe den göttlichen Umwegen vertrauen kannst, die das Leben manchmal nimmt, um dich an dein höheres Ziel zu führen. Ich möchte dich daran erinnern, die Kontrolle loszulassen. Ich wünsche dir von Herzen viel Inspiration mit dieser Folge! Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

In dieser Folge sprechen wir darüber, wie du voller Klarheit stimmige Entscheidungen triffst, die dich wirklich in Einklang mit dir selbst und deinen Lebensweg bringen. Es geht um den Mut, deiner Intuition zu vertrauen, auch wenn der Verstand noch zweifelt. Darum, wie du lernst, auf dein inneres Gefühl zu hören – selbst dann, wenn es dich aus der Komfortzone führt. Du erfährst: ✨ Warum dein Leben das Ergebnis deiner Entscheidungen ist ✨ Wie du den Unterschied zwischen Kopf- und Herzensentscheidungen erkennst ✨ Welche einfachen Übungen dir helfen, Klarheit zu gewinnen ✨ Warum Mut immer belohnt wird und wie jede Entscheidung dich wachsen lässt Ich wünsche dir von Herzen viele wertvolle Erkenntnisse beim Anhören dieser Folge! Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

In diesem inspirierenden Gespräch mit Heinz Krug sprechen wir über den Übergang hin zu unserem Himmel auf Erden, den wir nicht nur ganz persönlich sondern auch kollektiv kreieren. Gemeinsam sprechen wir darüber: ✨ Was der Himmel auf Erden ist & wie er genau aussieht ✨ Weshalb der Übergang zu einem höheren Bewusstseinszustand oftmals Turbulenzen mit sich bringt ✨ Was du tun kannst, um deinen Himmel auf Erden wahrhaft zu leben Wir wünschen dir von Herzen viel Freude beim diesem Gespräch! Mehr von Heinz Krug: YouTube: https://www.youtube.com/@Gehirnsoftware/videos Website: https://www.gehirnsoftware.com/ Lass dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

In dieser Folge spreche ich mit Kim Freund über die Magie, die entsteht, wenn du beginnst, ganz du selbst zu sein und sowohl in deinem Herzensbusiness, als auch in deiner Familie und in deinem Alltag, deiner eigenen Stimmigkeit zu folgen. Du erfährst, wie dieser Weg dich zurück in dein Urvertrauen führen kann und warum es sich so sehr lohnt, den Mut aufzubringen, für deine Träume und Visionen loszugehen! Wir wünschen dir von Herzen viel Freude & Inspiration beim Anhören! ➔ Im Wild Flower Village Podcast von Kim kannst du dich auf den 2. Teil unseres Gespräches freuen! "Spirituell geführt im Business – Empfangen ohne Hustle" https://open.spotify.com/episode/0MDLyUDh2khHeesL5CufAk?si=55a79cb0c6924400 Mehr von Kim Freund: Webseite: https://www.kimfreund.de/ Instagram: https://www.instagram.com/kim.freund_/ Podcast: https://open.spotify.com/show/6cRwPJaJy1EbWpse4hDzm2?si=7107e68efbd4450c Lass dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Vielleicht spürst auch du, dass das Leben dich aktuell stark triggert. Ich möchte dich in dieser Folge daran erinnern, dass all das FÜR dich geschieht. In dieser Podcastfolge sprechen wir darüber: ✨ Weshalb es so wichtig ist, hinzuschauen und deinen Triggern in Annahme zu begegnen ✨ Wie ich in meinem Leben mit solchen Trigger-Situationen umgehe ✨ Wie dich deine Trigger zu deinem Himmel auf Erden führen können Mit jedem Stück, dass du heilst, mit jeder Schicht, die du löst, kommst du deiner Ganzwerdung und der Verbindung zum Einen Sein näher. Ich wünsche dir viel Inspiration beim Anhören dieser Folge! Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Ein neues Kapitel öffnet sich, auf welches ich selbst ganz gespannt bin. Die vergangene Zeit hat mich wieder einmal durch meine Urwunde geführt und letztlich schließen sich die Kreise. Nachdem sich lange Zeit auf geistiger Ebene ein Pferd gemeldet hat und die Sehnsucht nach ihm immer stärker wurde, hat nun mein Seelenpferd Angus in mein Leben gefunden & ist diese Woche eingezogen. Darüber möchte ich dir gern erzählen. Außerdem möchte ich dich dazu einladen, mutig zu sein und das Leben durch dich geschehen zu lassen. Trete den inneren und äußeren Blockaden, die sich auf dem Weg hin zur Erfüllung deiner Sehnsucht zeigen, mutig entgegen und nutze diese Heilungschance für deine Entfaltung. Ich wünsche dir viel Freude beim Anhören dieser Folge! Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

Was löst das Wort „Geld“ in dir aus? Fühlt es sich leicht und freudvoll an, ganz neutral oder eher schwer und belastend? In dieser Folge lade ich dich ein, deine Glaubenssätze rund um Geld ehrlich zu reflektieren und zu hinterfragen. Denn Geld ist nichts anderes als Energie. Und wenn du es mit negativen Gefühlen verknüpfst, stößt du es unbewusst von dir weg. Ich möchte dich dabei unterstützen, Geld als etwas Positives zu erkennen. Denn so viele Menschen machen ihre Entscheidungen und sogar ihre Lebensträume von ihrem Kontostand abhängig. Doch heute möchte ich dich dazu einladen groß zu träumen. Erlaube deinem Herzen, den Raum einzunehmen, den es verdient. Ich wünsche dir viele wertvolle Erkenntnisse bei dieser Folge! Lass Dich inspirieren: Instagram: https://www.instagram.com/sarahrogalski_/ Telegram: https://t.me/sarahrogalski YouTube: https://www.youtube.com/@SarahRogalski/ Website: https://sarah-jane-rogalski.com/

In dieser Folge nehme ich dich mit in die scheinbar widersprüchliche Welt zwischen Intuition und Struktur: Wie kann ein intuitives Leben, geführt von deiner inneren Stimme, mit klaren Strukturen zusammengehen? Und warum entsteht genau daraus Freiheit, Leichtigkeit und Flow? Ich erzähle dir, wie ich meine Intuition als inneren Kompass nutze und mir Strukturen erschaffe, die mich stärken, anstatt mich zu begrenzen. Du wirst entdecken, dass es nicht die starren Pläne sind, die uns weiterbringen, sondern flexible, liebevoll gestaltete Rahmen, die einem Halt geben und gleichzeitig den Raum für echten Flow öffnen. Ich lade dich von Herzen ein, beim Divine Serving Circle dabei zu sein, wenn es dich ruft! Um noch mehr Klarheit zu deiner Berufung zu bekommen, schenke ich dir meinen Kurs "Unlock your Soulmission" noch dazu! Hier findest du mehr Infos zum Gruppen-Mentoring: https://sarah-jane-rogalski.com/divine-serving-circle Ich wünsche dir viel Freude mit dieser Folge!

Diese Podcastfolge ist für dich, wenn du deine Berufung leben möchtest, aber du das Gefühl hat, irgendetwas blockiert dich noch. Du bist hier genau richtig, wenn du eine Seelenmission in dir trägst, die du in diese Welt bringen möchtest und nur auf den richtigen Moment wartest, um endlich loszugehen. Wir schauen uns gemeinsam 5 große Blockaden an, die dich davon abhalten, deine Berufung zu leben. Denn wir sind hier, um uns zu befreien, zu entwickeln und unser wahres Selbst zum Ausdruck zu bringen. Ich möchte dich von Herzen zum Devine Serving Circle einladen – dem 7-monatigen Mentoring-Programm für Frauen, die dem Ruf in ihrem Herzen folgen wollen, endlcih für ihre Berufung loszugehen. Freue dich auf ein Netzwerk gegenseitiger Unterstützung und des wertvollen Austauschs unter Gleichgesinnten. Wenn es dich ruft, dabei zu sein, melde dich jetzt an – am 13.09 geht es los: https://sarah-jane-rogalski.com/divine-serving-circle Folge mir gern auf Instagram und bleibe immer auf dem neusten Stand: https://www.instagram.com/sarahrogalski_/

Good morning good afternoon good evening wherever you maybe and welcome to an Extra interview of the Directed by Dean podcast Today I'm joined by a man who is kinda like the Undertaker. everyone respects him but if you try him. it's the equivalent of taking a big crap in his yard. Ladies and gentlemen, Craig Rogalski

W piątek w #OnetRano przywita się Mikołaj Kunica, którego gośćmi będą: Michał Rogalski - analityk i dziennikarz danowy Onetu; Michał Fedorowicz - analityk internetu i mediów społecznościowych, Res Futura; Sylwia Gregorczyk-Abram - adwokatka; Iwona Prószyńska - ekspertka NASK z zespołu CERT Polska; Katarzyna Grochola - pisarka; Ewa Raczyńska - zastępczyni Redaktor Naczelnej Onet Lifestyle. W części "Onet Rano. WIEM" gościem Agnieszki Homy będzie: prof. Katarzyna Koziak - kierowniczka wydziału nauk o zdrowiu WUM, zakład immunologii, biochemii i żywienia.

We all want to age well, so let's learn from those who already have. Emily Rogalski, Rosalind Franklin professor and Director of the Healthy Aging & Alzheimer's Research Care Center at the University of Chicago, delves into the secrets. Dr. Rogalski is the Rosalind Franklin Professor of Neurology and the Director of the Healthy Aging […]

Rogalski, Ingrid www.deutschlandfunk.de, Campus & Karriere

https://haarc.center.uchicago.edu/We used to think aging inevitably led to memory loss, but a small group of people—known as SuperAgers—are defying the odds. These individuals, all over 80, have the memory performance of someone in the 50s. The question is: how?One of the leading experts studying SuperAgers is University of Chicago neurologist Emily Rogalski. She explores the fascinating science behind SuperAgers—uncovering what makes their physical brains different and how their lifestyle choices could be the key to a having a sharper, healthier brain well into old age.

Ron Rogalski joins Cliff to tell the stories of Sunrise between 1981 and 1997. You don't want to miss this one.Watch on YouTube: youtube.com/sunrisecommunitychurchWatch live on Mondays at 10am: www.facebook.com/sunrisecommunityonline/liveSong: Fredji - Happy Life (Vlog No Copyright Music)Music provided by Vlog No Copyright Music.Video Link: https://youtu.be/KzQiRABVARk

Episode 269 of the InGoal Radio Podcast, presented by The Hockey Shop Source for Sports, features an interview with New Jersey Devils goalie coaches Dave Rogalski and Brian Eklund.In the feature interview presented by NHL Sense Arena, we sat down with Rogalski and Eklund at the USA Hockey National Goaltending Symposium in Minnesota to discuss the state and evolution of the position from youth levels right up to the NHL. Rogalski, who works as the Devils goalie coach, and Eklund, who works with him as their AHL and development goalie coach, discuss everything from how to get more kids playing the position and when they should specialize, to helping them learn to read the game, how to build practices and their work with goalies at the highest level.In our Parents Segment, presented by the Stop It Goaltending U app, we answer a question about whether to wax a goalie stick -- and more important, who should be the one doing it.And in our weekly gear segment, we go to The Hockey Shop Source for Sports for a look at the CCM AXIS XF line, diving a little deeper into what features goalies love after using it all summer.

Chef Paul Rogalski is the Culinary Director & Co-Owner of Rouge Restaurant in Calgary - one of San Pellegrino's "World's 50 Best Restaurants". He can be seen starring in Les Stroud's Wild Harvest on PBS, where he explores natural landscapes across North America with Survivorman Les Stroud. In each location, Les forages native ingredients that Paul then turns into culinary delights. See omnystudio.com/listener for privacy information.

Welcome to "Expected by Whom?" A new hockey podcast hosted by Prashanth Iyer & Sean Shapiro, and presented by the Winged Wheel Podcast! Expected by Whom? is a show that will set out to prove that humans & numbers can co-exist, covering the world of advanced analytics in hockey, the "eye-test", and the unique human stories from across the NHL. In this incredibly exciting episode, Prashanth and Sean are joined by Jeremy Rogalski, Boston Bruins Director of Hockey Analytics! Tune into this episode for: - Mike Babcock story - BioSteel Bankruptcy - Jeremy Rogalski interview - Boston Bruins analytics - Hockey tactics and video coaches - Cossa/goalie development - & more!  Tune in and enjoy this episode, and many more EBW episodes to come! Follow EBW? on Twitter: https://twitter.com/ExpectedByWhom Follow the Winged Wheel Podcast on Twitter: https://twitter.com/wingedwheelpod Go to https://www.wingedwheelpodcast.com/ for more great content! Subscribe to ShapShots: https://seanshapiro.substack.com/

Chase Rogalski is the CEO of Shoeware CO and Co-Host of his podcast ShoeCast. We discuss the start of his business, Social Media/ starting a podcast/ and the struggles of time management with being busy! : Please Subscribe and Write a Review for the Podcast! : Follow me on all Social Media's @Babs_Lyfe

Do you need help financing or receiving funding for your small business? I'm thrilled to bring back today's guest, Scott Rogalski, the Director Of Strategic Initiatives at Northern California Small Business Development Center. Scott is a finance guru and someone who calls it straight when it comes to small business financing. He'll cover everything from virtual fintech lenders to gaining the access to the right banks and platforms. As a well versed business coach and finance expert, Scott will dive into his tips and tricks surrounding commercial banking and business lending, so you can make the best decisions possible. Discover what strategic programs are out there that can help provide support to you and your business. Most importantly, learn how to plan for the upcoming year, make sense of the past, and understand what to look out for.  More from Scott Rogalski:  Visit www.norcalsbdc.org    Get Fundica Government Funding Sign up for Advising   Finding Scott Rogalski: Email: Scott@norcalsbdc.org  LinkedIn: @Scott Rogalski  Instagram: @asksbdc Facebook: @Asksbdc  Twitter: @CaliforniaSBDC   More From Jesse & Small Business Front:  Visit: https://www.smallbusinessfront.com/ LinkedIn: Small Business Front LinkedIn: Jesse Torres, Founder-SBF Instagram: @smallbizfront Twitter & Facebook: @SmallBizFront    Join our community of Frontliners! and get the most up-to-date resources and information for YOUR small business. *Thank you for listening and please share the show or an episode you love with your favorite small business! We believe that when you succeed we all succeed, so let's share the knowledge and resources!

Welcome to Ask Stago, The Podcast dedicated to provide expert answers to your expert questions in coagulation.   In today's episode, our guest Dr Bryan G Fry, aka Venom Doc, will make us enter his world and understand how venom interact with coagulation and how they can prove useful for assay or drug design & development     Literature sources: Fry BG, Roelants K, Champagne DE, Scheib H, Tyndall JD, King GF, Nevalainen TJ, Norman JA, Lewis RJ, Norton RS, Renjifo C, de la Vega RC. The toxinogenomic multiverse: convergent recruitment of proteins into animal venoms. Annu Rev Genomics Hum Genet. 2009, 10: 483-511. Bittenbinder, M. A., C. N. Zdenek, B. Op den Brouw, N. J. Youngman, J. S. Dobson, A. Naude, F. J. Vonk and B. G. Fry (2018). "Coagulotoxic Cobras: Clinical Implications of Strong Anticoagulant Actions of African Spitting Naja Venoms That Are Not Neutralised by Antivenom but Are by LY315920 (Varespladib)." Toxins (Basel) 10(12): 516. Chowdhury, A., M. R. Lewin, C. N. Zdenek, R. Carter and B. G. Fry (2021a). "The Relative Efficacy of Chemically Diverse Small-Molecule Enzyme-Inhibitors Against Anticoagulant Activities of African Spitting Cobra (Naja Species) Venoms." Front Immunol 12: 752442. Seneci, L., C. N. Zdenek, A. Chowdhury, C. F. B. Rodrigues, E. Neri-Castro, M. Benard-Valle, A. Alagon and B. G. Fry (2021). "A Clot Twist: Extreme Variation in Coagulotoxicity Mechanisms in Mexican Neotropical Rattlesnake Venoms." Front Immunol 12: 612846. Chowdhury, A., C. N. Zdenek, J. S. Dobson, L. A. Bourke, R. Soria and B. G. Fry (2021b). "Clinical implications of differential procoagulant toxicity of the palearctic viperid genus Macrovipera, and the relative neutralization efficacy of antivenoms and enzyme inhibitors." Toxicol Lett 340: 77-88. Chowdhury, A., C. N. Zdenek, M. R. Lewin, R. Carter, T. Jagar, E. Ostanek, H. Harjen, M. Aldridge, R. Soria, G. Haw and B. G. Fry (2021). "Venom-Induced Blood Disturbances by Palearctic Viperid Snakes, and Their Relative Neutralization by Antivenoms and Enzyme-Inhibitors." Frontiers in Immunology 12: 2251. Zdenek, C. N., B. O. den Brouw, D. Dashevsky, A. Gloria, N. Youngman, E. Watson, P. Green, C. Hay, N. Dunstan, L. Allen and B. G. Fry (2019a). "Clinical implications of convergent procoagulant toxicity and differential antivenom efficacy in Australian elapid snake venoms." Toxicol Lett 316: 171-182. Zdenek, C. N., C. Hay, K. Arbuckle, T. N. W. Jackson, M. H. A. Bos, B. Op den Brouw, J. Debono, L. Allen, N. Dunstan, T. Morley, M. Herrera, J. M. Gutierrez, D. J. Williams and B. G. Fry (2019b). "Coagulotoxic effects by brown snake (Pseudonaja) and taipan (Oxyuranus) venoms, and the efficacy of a new antivenom." Toxicol In Vitro 58: 97-109. Sousa, L. F., C. A. Nicolau, P. S. Peixoto, J. L. Bernardoni, S. S. Oliveira, J. A. Portes-Junior, R. H. Mourao, I. Lima-dos-Santos, I. S. Sano-Martins, H. M. Chalkidis, R. H. Valente and A. M. Moura-da-Silva (2013). "Comparison of phylogeny, venom composition and neutralization by antivenom in diverse species of bothrops complex." PLoS Negl Trop Dis 7(9): e2442. Rogalski, A., C. Soerensen, B. Op den Brouw, C. Lister, D. Dashevsky, K. Arbuckle, A. Gloria, C. N. Zdenek, N. R. Casewell, J. M. Gutierrez, W. Wuster, S. A. Ali, P. Masci, P. Rowley, N. Frank and B. G. Fry (2017). "Differential procoagulant effects of saw-scaled viper (Serpentes: Viperidae: Echis) snake venoms on human plasma and the narrow taxonomic ranges of antivenom efficacies." Toxicol Lett 280: 159-170. Youngman, N. J., J. Llinas and B. G. Fry (2021). "Evidence for Resistance to Coagulotoxic Effects of Australian Elapid Snake Venoms by Sympatric Prey (Blue Tongue Skinks) but Not by Predators (Monitor Lizards)." Toxins (Basel) 13(9).   Content is scientific and technical in nature. It is intended as an educational tool for laboratory professionals and topics discussed are not intended as recommendations or as commentary on appropriate clinical practice.

Welcome to the Aphasia Access Conversations Podcast. I'm Jerry Hoepner, a faculty member in the department of Communication Sciences and Disorders at the University of Wisconsin – Eau Claire. Today, I'm joined by Becky Khayum.  Biosketch: Becky is a speech-language pathologist and specializes in providing person-centered care for people living with different dementia syndromes. Over the past 15 years, she has held leadership positions in rehabilitation centers, assisted living communities, memory care communities and home health environments. In 2009, Becky co-founded MemoryCare Corporation, a therapy company specializing in providing care for families coping with dementia. Becky currently serves as the President of MemoryCare. In 2020, she co-founded Cognitive Concierge, which provides digital services and programs for people living with cognitive challenges. She has been involved in research initiatives in Primary Progressive Aphasia at the Northwestern Mesulam Center for Cognitive Neurology & Alzheimer's Disease. Becky speaks nationally to train healthcare providers and families on how to creatively apply the life participation approach for people living with dementia. Take aways: Learn about applications of the LPAA framework to individuals with dementias, including primary progressive aphasia (PPA).  Learn about tools you can use to implement LPAA interventions with individuals with Alzheimer's disease and PPA.  Learn about several key authors/researchers/clinicians in the areas of dementia interventions that should serve as starting points for learning about person-centered care in dementias.  Learn how to frame person-centered, LPAA goals for persons with dementias, including PPA.  Learn how to document so that LPAA interventions are reimbursable for Medicare and other insurance providers.  Interview Transcript:  Jerry Hoepner: Hi Becky so glad to have you with me today and really looking forward to this conversation. Becky Khayum: Well, thanks for having me Jerry I'm looking forward as well to our discussion. Jerry Hoepner: You know, I was mentioning to our listeners that if they weren't familiar with your work, they really need to explore your work, because there's just so many important connections about the life participation approach applied to individuals with progressive diseases like dementias and so forth. We know that, at least in the Aphasia Access circles you're well known for your person-centered life participation approach for individuals with dementia, including the individuals with primary progressive aphasia. Can you share just a little bit about how you got connected with Aphasia Access and the life participation approach? Becky Khayum: So, so I'm sure others have the same story, but I was going about my ordinary day and I get a call from Audrey Holland and she's so excited and says there is this summit, and you have to go and begins to tell me all about it, and you know, of course, said Aphasia Access you know this is new and I had you know, the summit is new and I had actually hadn't heard of Aphasia Access at that point, which was surprising considering I tried to you know base my clinical work on person centered care and I was so sad because I actually couldn't make of the first [Aphasia Access Leadership] Summit but of course, I went to the Aphasia Access website at that point and signed up, and it was startling and I was so delighted because, “Oh, my goodness, everything that I am trying to think about as the clinician and train other you know speech language pathologist on is completely captured and this one group with so many leaders in our field,” so that is how I first got connected. Jerry Hoepner: Oh that's fantastic I didn't know that story but I kind of figured that was one of the connections, I know that I had spoken to Audrey I don't know if it was that the first or the second Aphasia Access Leadership Summit and she just spoke so she raved about you and the great work that you were doing and was just so excited that you were a part of the organization so that's fantastic and like you said a lot of people have that connection. So it was fabulous that a few weeks back to have a conversation with her again on a podcast and recognize her lifetime of just brilliant work so she's been a mentor and an encourager for so many of us so fantastic. Becky Khayum: Absolutely 100% yep. Jerry Hoepner: Well, you found a perfect fit and a perfect home in Aphasia Access and I, as someone who loves working with individuals with aphasia my passion is really with people with cognitive disorders, with traumatic brain injuries and so forth, as well, and I just think the life participation approach has so many applications that are much broader than aphasia and certainly we're excited to talk with you today about those applications as they're made to individuals with dementia and including your work on primary progressive aphasia as well. Becky Khayum: sure. Jerry Hoepner: Absolutely you you've done some great interdisciplinary work with a team of professionals about dementias I'm really interested, I have been reading your work on the care D model and just want to get your thoughts on the relevance of that model to dementia care and maybe talk us through some of the different types of dementia syndromes and their typical symptoms and the way that they present themselves I guess. Becky Khayum: Sorry, Sir absolutely so I'm during my you know collaboration in research at the Northwest Western Mesulaum Center for Cognitive Neurology and Alzheimer's disease, I had some amazing mentors there who developed this care pathway model: Darby Morhardt, you know Sandy Weintraub, Dr. Mesulaum, and Emily Rogalski. Really learned everything there that from them that I now know about the different types of dementia syndromes you know, and so they developed the care pathway model, you know for people living with dementia and really the model highlights that there are different types of dementia syndromes with very specific symptoms depending on where that neurodegenerative disease starts in the brain and it was really trying to promote awareness that you know Alzheimer's dementia, with the memory loss isn't the only type of dementia syndrome and therefore there really needs to be tailored care and interventions for the different types of dementia syndromes and really, how do you adapt those interventions over time. How, you know just that huge need for psychosocial you know, support and so anyways that's the basis for the care pathway model so they you know in that paper they describe. Some of the different dimension syndromes that have very distinct symptoms, so of course we know you know Alzheimer's dementia, with the hallmark you know deficit of that short term episodic memory loss that you first see but then, you know you may have language reading and writing symptoms that first appear and get worse over time and, as in primary progressive aphasia. Another example would be for those neurodegenerative diseases that more cause deficits in behavior and personality changes, as in the behavioral variant of frontal temporal dementia and then also another syndrome, that I don't think is as well known, is where the neurodegenerative disease starts in the occipital lobes so you have you know vision difficulties that's caused by you know cortical deficit and so that is posterior cortical atrophy so you know this, the care pathway model then describes and I know we'll talk about more of this podcast. Okay, how do you can tailor the interventions given those different types of symptoms right? Jerry Hoepner: Right and that's a big part of that that care model right that tailoring not only to the type of dementia, but to the individual that you're working with, and as I read the article I think the word tailor comes up about 100 times. Becky Khayum: Absolutely right and that's such a good point it's not just to the symptoms. It is to that actual individual and the way their symptoms impact their daily life so completely corresponding with the LIFE participation approach yeah. Jerry Hoepner: Absolutely, well that's actually a really good lead into my next question. We have a lot of information out there about the LIFE participation approach for aphasia but are there differences in the way that an LP might apply the LIFE participation approach for people living with a progressive condition. Becky Khayum: Sure, absolutely you know, so I think in terms of how you might evaluate and write goals for someone with a progressive condition. The overall philosophy, with the LIFE participation approach you know, in my experience that doesn't change too much you know you're really doing that motivational interview you're learning. How their whether it's aphasia or memory loss or behavior you know behavioral changes. How was that preventing them from participating in the activities and conversations, they want to participate in, so I feel like that that part isn't you know. Really distinctly different. What is different? One thing is in terms of how people develop these symptoms, over time, so it's obviously for many people very gradual. That their first noticing the symptoms and then they're getting worse over time, so they do have the ability to already developed some different compensatory strategies that they find or helpful too. Their care partners also find that are helpful to manage some of these symptoms so compared to having a stroke, where it's just suddenly everything it has changed so that's important to consider as you're forming your goals, but what goes along with, that is, the risk of social withdrawal, so you know it's kind of the opposite usually have someone with a stroke, you know, we have all this social withdrawal and in the beginning, but then as they're going. Through the rehabilitation process and then long term the goal is to reintegrate them, you know into the Community with those social interactions with different dimensions syndromes it's quite the opposite, you know at first there perhaps staying pretty connected and then, as things get worse. Then we're starting to see that withdrawal So how do we help to prevent that? Um I think another difference in terms of therapy is that you really need to anticipate that they are going to progress in their symptoms. And how do we anticipate those future needs, so we may or you know actually need to introduce strategies, especially compensatory strategies? Before they're actually needed and then also knowing over time that we have to be realistic in the goals that we're setting and knowing. That you know, increasing care partners support, increasing the use of visual aids and whatnot those will likely be needed for them to meet that life participation goal. The goal should not be getting them more independent, it should be understanding that they're going to need some more support so Those are some of the key differences, I think, with a progressive condition. Jerry Hoepner: And I think that makes sense, and I know you talk a lot in your work, about the importance of counseling and education, as you know, to let people know not just the individual with dementia, or whatever the progressive condition is, but their partners that are care partners as well. Becky Khayum: Right absolutely. Jerry Hoepner: You know, as you as you think about those differences and I, like the way that you said from your standpoint it's not a whole lot different, right? I know that you've written a little bit about the focus on debilitation versus rehabilitation and I'm thinking about how that might apply more broadly to even stroke-based aphasia right. So, I know Michelle Bourgeois writes about the flip the rehab model, and it seems like a lot of those principles of you know, focusing on the positives and keeping people engaged are really pretty shared I don't know if you have thoughts about that. Becky Khayum: I know, and certainly with the flip the rehab model, you know, Dr. Bourgeois has been my mentor you know I remember first attending one of her talks at ASA and of course Audrey had already told me, you know you need to connect with Michelle and I was just so energized you know and it completely changed the way that I thought about assessment in terms of really yes flipping that around and how that goes right along with the from you know live participation model because we're having more of a client directed assessment and goal formation, rather than yeah the clinician doing that yeah absolutely. Jerry Hoepner: Well you're really natural with transitions between questions because I was just gonna talk to a little bit about goal setting, I know that you've written about this in a couple of really nice papers and one of the things I value about them is that they are so practical and so easy to digest for everyday clinicians and all of us, to be honest and you wrote a paper in 2015 with me Emily Rogalski and then he wrote another in 2015 with Rachel Wynn and talked a lot about goals for individuals with dementia or primary progressive aphasia from an LPAA standpoint and just really interested in your suggestions and thoughts about that goal writing process. Becky Khayum: Oh, absolutely and I, we certainly already touched upon this and the last question where you know I tell us if you aren't using a person-centered kind of the flip the rehab model assessment. Overly for anyone with any type of cognitive deficit, but particularly for those living with dementia syndrome. If you're not doing the right type of assessment then you're not going to be able to formulate the right types of life participation goals. So, certainly, I think, in some graduate training and externship you know, say, a fly training I think some clinicians are very used to having to give a standardized test and a score and certainly that's where Dr. Bourgeois really says well that should come last you know really develop. You know, what are their needs? What are their goals? and then investigate what specific impairments. Auditory comprehension memory loss might be impacting their ability to meet those goals. So, the first you know suggestion is it's that purpose product mismatch if you're diagnosing someone that's great you know use your impairment, a standardized test, but you will not be able to form a life participation goal.  If you're using an impairment based standardized tests and then the other barrier, I think that we've talked about recently on an Aphasia Access panel on documentation. Was the electronic health record systems are designed for it and impairment based goal writing? I mean you just click, click, click. Okay, they have aphasia well great here's generative naming you know and whatnot if they have memory loss will are they oriented, and so it leads clinicians to automatically form and pyramid vehicles so that's where we'll talk, maybe. Later in the podcast about how can you secure reimbursement, you know for people living with a progressive condition, but as far as goal writing you know. Certainly, again very similar to anyone with TBI or stroke and just aphasia what are their goals, how did they want to increase participation in life activities? Writing out those goals with them, and a lot of times I use, who are the people you want to talk with you know, following a from where are the environments that you want to talk with people. Or that you can't participate in because of your memory loss, because your behavioral or visual deficits. And then, what are you know what specific topics or activities, you know, do you want to talk about our participate in so.  Really, I use those prompts to help write the goals and then the only real difference than is making sure that the level of care partners support and the accuracy and the use of aids and supports that it's realistic that we're not trying to say 90% accurate in Japan it so that would be the biggest tip about goal writing you gotta be realistic, especially over time. Jerry Hoepner: Absolutely, and I appreciate carrying that through that idea of the flip the rehab model into the goal writing in I know you're a big proponent of motivational interviewing as am I, and one of the things that William Miller always says is don't ever do an impairment based assessment on your first interaction with someone and that's what we in so many times that's what people do right they begin with that and it's like. The biggest killer of relationship build building that you could you know, and when you're trying to find out what does this person want and need to do and what kinds of things will help support that yeah so beginning with those questions as a better place, then. Becky Khayum: Yes, for sure Jerry Hoepner: yeah absolutely. So, how would you apply the life participation approach for someone living in long term care with behavioral challenges things like that? Becky Khayum: Certainly, yeah and I think that's a tough one, you know, and certainly one where you absolutely need collaboration with occupational therapists, social workers, counselors you know that are also involved in the individuals care and certainly also you, it is sometimes difficult to directly in you know intervene with the person, you know, in terms of this is an intro you know intervention that directly changes the person in their behaviors. It's really more we're changing the environment around them and we're educating staff members in more you know memory care communities or Assisted Living and family members to provide the environmental supports and communication strategies visual supports and certainly that's difficult, you know. Dr. Natalie Douglas, as you know, done a lot of research on caregiver support in long term care. And so that's certainly another topic, but yeah for someone with behavioral challenges in terms of utilizing the life participation approach I think Jennifer Brush. You know just another lady, you know expert in long term care, using the Montessori approach um she always says, you know a lot of times whether it's Alzheimer's dementia or behavioral difficulties. People have a lack of a role, you know, and in some you know you have to get to the root of what's causing the behavioral challenges but oftentimes they don't feel like they have a role anymore, and a purpose in life, so I always like to start there and then also certainly do the environmental assessments, working with OT. Really training family members and staff members keep a behavior log you know let's actually see what the triggers might be so we can better think about interventions. But then again holistically will what sorts of activities and passions did they have prior to coming to the long term care community, and how can we figure out a way to modify that activity and if we allow them to participate in that? And you know, certainly, we often will see a reduction and those behaviors we don't need pharmacological management, which is so often what you know places do and just a quick example of that you know one. I met a professor, who had just been moved to a memory care community separated from his wife and was just so confused about why he was there, and you know incredibly respected expert in in so many different areas, people and so he was hitting you know people at the front desk asking to call his wife, you know every five minutes. And so, when I came in, you know they said always an artist we've been trying to get them involved in art activities and whatnot but he doesn't want to. Um so talking with the family, you know, I was able to quickly learn know people address them is Dr., you know, a professor, first of all, second of all he realizes how his art isn't the same and the quality of what he used to do so, he doesn't want to participate in that he loves to teach. That's what he wants to do. And so we were able to create a PowerPoint with him on topics art and travel that he loved to talk about, and you know he had memory loss. Actually, Alzheimer's dementia with behavioral you know challenges related to this lack of a role and we had signs, you know that Professor so and so is our guest lecturer today, we had a letter inviting him to be the guest lecturer at the community and then he gave his lecture I think three days a week, and so it didn't completely solve all of the challenges that came up but it drastically reduced you know his behavioral challenges, because we use that light participation approach for him. Jerry Hoepner: I love that story for a few reasons, one that you know they identified that he was an artist, but that he went beyond that recognizing that. That was even a challenge for him, because it was not the same art that he was able to produce before and just reengaging him in a meaningful way giving him purpose and that, like you said that role. That's the LIFE participation approach in terms of engaging in something meaningful and scaffolding, the environment and the people around him so that could be accomplished yeah that's fantastic. Becky Khayum: Yes, absolutely. Jerry Hoepner: Terrific, I'm so glad you mentioned Jennifer Brushes name, too, because she and Natalie Douglas because they've contributed so much to that context. Becky Khayum: I learned so much from them. Jerry Hoepner: Absolutely yeah, yeah. Okay um so I know that one of the common things that comes up in discussions and Aphasia Access panels and when we're talking about return to group kinds of context is how a person with primary progressive aphasia might best participate in and aphasia Center and or a group over time, as we know that you know symptoms are going to continue to worsen and more cognitive challenges arise, and what are your thoughts on that and how to make that work. Becky Khayum: Yes, that that is certainly a tricky, tricky topic, you know, and again I think one that probably doesn't have one answer. Becky Khayum: In every person may be different, you know just talking about tailored approaches it's likely going to be the case in this situation. On the first question, you know will, should they should they participate in groups or centers that are predominantly made up of people living with stroke and aphasia. Knowing that they're going to get worse over time for some people, the psychological impact of that watching themselves get worse, you know, during the groups, you know people with PPA. Most tend to be very cognizant you know of their deficits of their predicament and so psychologically, how are they doing? And I've worked with some people who they don't they don't, mind you know they they're just so happy to be talking with other people who have aphasia and that social interaction is so meaningful to them that they don't really think too much about the fact that maybe they're getting a little you know worse over time, but that's different you know, certainly for everyone, others, you know, certainly will get very anxious. I think, from the beginning it's good to have a good relationship with their family members as well, and just having that talk, you know from the get go, you know we just want to be open with you, this is a group that's predominantly people living, you know with stroke and just aphasia. Just knowing with PPA you know conversation can get a little more challenging over time, it might be, you know emotionally difficult for them. If we ever find that we think that they're not enjoying the group or it's challenging for them, they don't seem to be getting. The social interaction out of it that they need, and maybe documenting that you know and kind of a systematic way over time being open with the family and saying we just don't think they're getting out of this, the meaning that they did before, but the critical thing is to have other programs or groups to refer them to so it's because that's the meaning that's behind the groups who want to continue that role for them, and so that's where, if you have a local aphasia center, day programs, or whatnot that may hopefully have activities and whatnot that are stimulating and then certainly with coven I think the number of virtual groups for just people living with PPA has really grown, I found and so it's allowed people to participate in an efficient group and I certainly in the ones that I lead, I found a broad range of people with different abilities and those who have more difficulties you know their care partners help jump in so you know those certainly there's no one answer to that, but those are just some. And lastly, I guess, I forgot to mention we're so great at thinking of different types of compensatory strategies and so certainly before. Making that decision, you know that Okay, they just can't participate in the group anymore trialing a lot of different interventions, you know that we might use with someone who has memory loss or whatnot I'm trying those first before we decide that maybe they're not the best fit. Jerry Hoepner: Right so as long as it's working keep going with it is what I'm hearing you say, but when that no longer becomes a viable option looking for other options, where they can participate, and where they have the scaffolding and support to do that. Becky Khayum: Yes, that's usually what I would typically recommend for this situation yeah. Jerry Hoepner: And one thing I'm thinking about the people with primary progressive aphasia that are tend to our groups here and also our aphasia camp that connection that's established for the care partners becomes really a close bond to so thinking about what the next step is for them, maybe. Becky Khayum: that's you know that's such a good point. In the other in the PPA chats that I run a lot of them, we have a whole separate breakout room just for care partners and yeah, there doesn't even need to be a facilitator in that room, I mean they I've been told, over and over again, the benefit that they get from just having a chance to connect with other care partners and I'm so glad you brought that up because I do think for them meeting with care partners of people who had stroke induced aphasia would probably not, and this is just me again my personal opinion, I don't think it would be very helpful because a lot of the discussion is about the fear as things get worse, not knowing what's down the road and then for those who are further down the road what they've learned what they've tried and sharing information about that so I'm so glad you brought that point up about care partner support yeah. Jerry Hoepner: yeah equally as important as those connections for the person with primary progressive aphasia for sure. I mean, what are the common threads that we've been talking about in this conversation, you know, are the things that you're engaging people with our real-life meaningful engagement figuring out creatively how to accomplish that, like the exam the example you gave of the teacher and so forth. I'm wondering if you can walk us through an example of applying life participation to someone with living with Alzheimer's dementia and how that might be a little bit different for someone who, at least initially starts with more of a language focus and PPA. Becky Khayum: Sorry sure yeah so again, you know with Alzheimer's dementia now we're thinking about with that memory loss the short-term memory loss. How, you know again we're going to identify an activity that's important to them so just give me one example of a woman who really love birdwatching and that was something that she said over and over again, you know I am would repetitively asked her spouse, you know. I want to go look at the birds because it's been something that they've done for a long time, but just forgetting that they've already just earlier in the day, maybe gone and seen the birds, you know and not knowing whether they're going to go do that next and then having difficulty telling others about the experience, because she didn't remember what they saw what verse she saw and whatnot. So, thinking about you know really documenting from her perspective, what she wants to do and it's mainly you know would love to see the birds would love to share that with others. And then from the communication partner standpoint, just as important, was interviewing them about what is their experience what are their frustrations, you know, and for them, it was these repetitive questions all the time figuring out how to talk about you know, allowing her to talk about birdwatching with other people, so they aren't dominating that whole conversation, you know that she can remember with you know with supports and do that herself. So, really, in that case it's again, you see a lot of Dr bourgeoise work, you know it versus thinking about Okay, how do we use visual aids to help her come up with more of a routine and schedule and the answers to her repetitive questions in a memory station and a memory wallet you know so in the hall, and we created a little memory station, you know with the dry eraser, it clearly has the dates and when they're you know going birdwatching that day, where if they're going in the backyard if they're going somewhere, but then, also in that memory station really having collecting pictures and experiences to put in a memory book also I love the bird watching walks where you can just stated, and put Okay, these are the birds, I saw today, this is where they were. And then being able to use those visual aids to communicate with others. Certainly, care partner, helping to take videos and pictures, you know so they can scroll through the phone and show others and then Lastly, you know for people who are more impaired, you know and would benefit from simple bird Montessori activities, you know, and so it might be bird matching and they have so many on Amazon, like so many neat bird large picture books and Bingo and matching cards and whatnot so really kind of maybe sorting feathers or whatnot you know there's so many different activities, you could do with birds and showing them videos online pretending like you're going bird watching online they have all these virtual bird feeders now, so I think again it's thinking about here's the memory loss here is what they and their care partner once for the school and then, using the appropriate supports and carrot partner training to get there. Jerry Hoepner: yeah, that's fantastic I, you know as you were talking through that I was just kind of anticipating thinking. You know, in some of the papers that you've written you talk about the use of photo stream and how easy, that is to flip through post photos, but that is just the kind of the antidote to you know the behavioral challenges that come about when someone isn't engaged in something meaningful. And in these are ways and you have such creative and practical ways to accomplish that like you said as a person is progressing, to be able to use the video resources that are out there to keep that person engaged. The same videos that I have my cat watch right? that's right same kind of thing like a rare bird at my birth feeder today, so that one occasionally, yeah I mean I just think that's so powerful and such a such a stark contrast to an approach, where you do decontextualize things that you know I  said I would get this in there at some point, you know the “throw out the memory books” paper that you wrote for the ASHA Leader and I just think as a mantra that's a pretty good mantra right throughout that. Becky Khayum: Throw out the workbooks. Jerry Hoepner: Excuse me that's what I meant, “throw out the workbooks” because right meaningful engagement is what's going to change that. So, I really just you know appreciate your perspective on that and I do encourage our readers to go to those resources that will have linked to the show notes. There are a couple of articles that really have some good, practical suggestions for exactly that kind of stuff so I'm excited for people to check that out. So, you said you wanted to return to this topic, a little bit earlier and I think I got off track, but is LPAA treatment for people with dementia reimbursed by Medicare and other insurances and, if so, how do you document that so that, how do you document status for someone who has a progressive disorder. Becky Khayum: Sure, sure, and I think this is one of the biggest barriers, you know in across the rehab settings you know whether it's outpatient or home health or in a sub-acute you know rehabilitation facility is the way the productivity, you know expectations, you know some places, you don't get paid for an evaluation, you know some in sub-acute care whatnot and so or it's you know, compared to the treatment portion they you know want you to do a very, very quick evaluation and then more focus on the treatment. And so, really, you have to think about how to get around some of these restrictions, you have to do a standardized tests, you only have this long to do the evaluation okay well how do we get around this you know so I think the first thought is that dispelling some myths, you know Medicare doesn't require a standardized test that's a myth most companies require that but they really don't they're looking for more what's in all the electronic health record systems and narrative so there's a whole section for a narrative where you can write that motivational interview what you discovered what their goals are where they're at right now and then. There, instead of using this standard, you know goals that they have that you just click you can create your own kind of gold bank with more LPAA  goals just done a template and just copy and paste those. So, if you had a bird watching you know goal, you could easily then insert okay gardening you know instead or cooking into that and so there is a way to cut and paste goals meaningful goals into the electronic health, you know evaluation. And if you then make those realistic goals and can show progress because you're not going to be able to show progress for that long you know for someone with PPA. Okay generative naming, you know I always say you know you're working on generative naming with animals well unless they're a veterinarian or a zookeeper. You know that that may, they may not make the most progress on that goal and that may not generalize to other contexts. Rather, if you're working on words related to birdwatching and they love that you know you can then document improvement, you know with script training and whatnot. So, I getting off topic, but you know so that's how you would write the goals you can show the progress on a standardized impairment based test, if you think about it, if someone with a progressive dementia just got the same score over time, that would actually indicate improvement because they should be getting worse over time. So, and certainly using more functional tests, like the CADL (Communication Activities of Daily Living), you know, like the ALA (Assessment for Living with Aphasia) also go a long way, you have to use a test, you have to use self-test go to those you know more functionally based test um so that the answer is absolutely Medicare other insurances. Certainly, some you know united signal, or some of those you do have to get preapproval or whatnot that that can be more challenging but Medicare, BlueCross, and many of those it's all about your documentation and knowing how to write that narrative and use that goal bank of functional goals, so, in short, yes. Absolutely, you can get reimbursement. Jerry Hoepner: So that I mean it all comes back to those goals and like I said before, you've got a couple of really good resources on goals and, as you were talking It made me think of the addition that you have on your goals in order to do whatever right that is having that in mind, is connecting the LPAA to the goal right that in order to do what I do whatever happens. Becky Khayum: yeah, yeah exactly what, if you have a goal and it doesn't have that at the end you know, in order to participate in conversations about what birdwatching you know leisure activities, exactly is that helps it to directly target that life participation activity yeah. Jerry Hoepner: It comes down to just documenting that right and knowing that you're not bound to any of those other specific impairment-based measures yeah agreed. Well Becky, this has been a fabulous conversation, and I hope we get to have more conversations, but just to close things out today you've talked about some really strong influences and mentors like Michelle Bourgeois and influences of Jennifer Brush and obviously Audrey and Natalie Douglas but are there any kind of go to resources that you want to let our listeners know would be a good place to start if they're thinking about LPAA with progressive conditions. Becky Khayum: yeah, no. That's such a good question and you know off the top of my head certainly any articles, you know that any of the people that you just mentioned. Their articles just contain a wealth of information, you know about everything that we've talked about today, but much more you know and examples of therapy. You know Ellen Hickey as well, has published a lot I also forgot to mention earlier, I think the counseling component, you know to Audrey's counseling book. Counseling for people with a progressive diagnosis is also very different than someone who may be getting better over time so having that training and counseling is also critical so any resources on counseling. Certainly, just knowing for people who come to you, and they may be, or just diagnosed with a dementia syndrome. Being aware of where accurate information is because, when they get onto the web they're doing a Google search they're joining a Facebook group for PPA, they're getting all their information from other care partners, perhaps are people living with PPA and so um yeah we recently, I've done, you know surveys and one of the top ones is Oh, you know is we want one place where we can go or at least a list of accurate places, so you know going to giving them the links to Alzheimer's disease centers like Northwestern where you know, on their website that's accurate information I think those are also go to resources in terms of disease education for families and at the same time providing counseling and helping to explain their diagnosis and in an aphasia friendly way that's also a problem you know that I see come up quite a bit yeah. Jerry Hoepner: yeah, that's a really fantastic point in a in a great way to round things out anything else that we missed or you want to add just before we close things out today. Becky Khayum: Right. No Jerry, I think you've been very comprehensive, you know in in the range of topics we talked about today and yeah I mean my last thoughts would be, you know any speech language pathologist or other health professional you know, listening to this podcast today now hopefully learned a little bit about taking this beautiful model, you know LPAA and how it is so transferable to different types of dementia syndromes and it's certainly with knowing that especially with Alzheimer's dementia, the prevalence is only getting higher every year of people living with these progressive conditions it's critical that our field really steps up and says we can treat help work with these individuals we're trying and then provide that the interventions that are based upon LPAA philosophy. So yes, thank you for having me. Jerry Hoepner: Wonderful, it's been really my pleasure just a fun conversation, again, I look forward to catching up with you at other conferences and so forth, so thank you again Becky and we'll close things out for today. Becky Khayum: sounds great Jerry thanks so much. Jerry Hoepner: On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access and to access our growing library of materials go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access. Articles & Resources: Rogalski, E. J., & Khayum, B. (2018, July). A life participation approach to primary progressive aphasia intervention. In Seminars in speech and language (Vol. 39, No. 03, pp. 284-296). Thieme Medical Publishers. Morhardt, D., Weintraub, S., Khayum, B., Robinson, J., Medina, J., O'Hara, M., ... & Rogalski, E. J. (2015). The CARE pathway model for dementia: psychosocial and rehabilitative strategies for care in young-onset dementias. Psychiatric Clinics, 38(2), 333-352. Rogalski, E. J., Saxon, M., McKenna, H., Wieneke, C., Rademaker, A., Corden, M. E., ... & Khayum, B. (2016). Communication Bridge: A pilot feasibility study of Internet-based speech–language therapy for individuals with progressive aphasia. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 2(4), 213-221. Rogalski, E., Roberts, A., Salley, E., Saxon, M., Fought, A., Esparza, M., ... & Rademaker, A. (2022). Communication Partner Engagement: A Relevant Factor for Functional Outcomes in Speech–Language Therapy for Aphasic Dementia. The Journals of Gerontology: Series B, 77(6), 1017-1025. Wynn, R., & Khayum, B. (2015, August). Developing personally relevant goals for people with moderate to severe dementia. In Seminars in Speech and Language (Vol. 36, No. 03, pp. 199-208). Thieme Medical Publishers. Khayum, B., & Rogalski, E. (2018). Toss the Workbooks! Choose treatment strategies for clients with dementia that address their specific life-participation goals. The ASHA Leader, 23(4), 40-42.

Joshua contacted me early on in my YouTube career and I've seen him go through several months of transitioning and changes, not least of which with artificial sweetener addiction, which has proven harder to kick than even sugar for him and many others. This is a first hand account of the real life changes one can expect by going on a Carnivore diet, and some of the pitfalls and tricks for success along the way. Enjoy! Joshua Rogalski IG:  @Joshua Rogalski    FOLLOW AND CONTACT ME AT: Sign up for our 30-day carnivore challenge and group here! https://www.howtocarnivore.com/ Shop Amazon https://www.amazon.com/shop/anthonychaffeemd?ref=ac_inf_hm_vp The Carnivore Bar, Discount Code "Anthony" for 10% off all orders! https://the-carnivore-bar.myshopify.com/?sca_ref=1743809.v3IrTuyDIi For Consults or collaborations, please email me at: AnthonyChaffee@gmail.com INSTAGRAM: @anthonychaffeemd www.instagram.com/anthonychaffeemd/ TWITTER: @Anthony_Chaffee TIKTOK: @AnthonyChaffeeMD For more of my interviews and discussions, as well as other resources, go to my Linktree at: https://linktr.ee/DrChaffeeMD OR my website at: www.TheCarnivoreLife.com   And please like and subscribe to my podcast here and Apple/Google podcasts, as well as my YouTube Channel to get updates on all new content! Music track: Acoustic Breeze from Bensound.com   #carnivore #carnivorediet #thecarnivorelife #weightsandsteaks #teamcarnivore #meatheals #yestomeat #nutrition #diet #autoimmune #rugby #rugbyunion #rugbyplayer #weightloss #weightlossjourney #weightlifting #steak #bodybuilding #strength #strengthtraining #weighttraining #zerocarb #keto #ketovore #ribeye #liondiet #ketodiet #carnivoreketo #ketotransformation #carnivore75hard #vegan #sowell #thomassowell #dairy #milk #cheese #nsng #lchf #lcif

Welcome back to the New Mom Boss Podcast! In this episode, we are discussing the unfortunate reality of birth trauma with Holly Rogalski. She is the owner of kickassbirth.com and has been a labor doula, postpartum doula, Childbirth Educator, and Birth Story Listener since 2006.    The focus of Holly's work is on minimizing trauma and enhancing satisfaction through this transformation in new parents' lives. We discuss the current healthcare system, the benefits of Birth Story Processing, and the impact that newborn delivery can have on not just the mom and baby, but on the partner and the healthcare team as well.    Some big takeaways are: Birth can be traumatic, even without interventions.  It's possible to reframe how birth stories are remembered. Partners experience their own version of the birth story, one they might also need to process out loud.    Take a listen and learn more by reading the show notes! https://www.newmomboss.com/blog/103    Follow me on social media! Instagram: https://www.instagram.com/newmomboss/ Facebook: https://www.facebook.com/newmomboss Guest Resources:  Holly's Website: https://kickassbirth.com/ Holly' Instagram: https://www.instagram.com/paintingcavewalls/ Holly's Facebook: https://www.facebook.com/kickassbirth

Get .1 ASHA CEU hereThis course is a podcast episodeYou can listen to this course for free on most podcast players (Apple Podcasts, Stitcher, Google Podcasts, etc.). Once you have listened to the episode / course you can access the post-test and earn your certificate / ASHA CEUs using the links above.Learning Outcomes and Course DescriptionThis course reviews elements of implementation practice as it relates to care partners of people with dementia. Techniques to support quality of life are reviewed, as are case studies highlighting evidence-based practice in life participation for persons with dementia.Describe elements of implementation practice that support training formal and informal care partners of people with dementia in techniques to support quality of life and communicationDiscuss case studies highlighting evidence-based practice approaches to manage communication and life participation for a person with dementiaSummarize strategies to position SLPs as key members of the healthcare team within the SNFCourse AccommodationsThe transcript for this course is provided below. You can also email us at ceu@slpnerdcast.comSpeaker DisclosuresDr. Natalie Douglas financial disclosures: Dr. Douglas receives a salary from Central Michigan University and The Informed SLP; She also receives book royalties from Plural Publishing and has research funding from The American Speech-Language-Hearing Foundation. Dr. Natalie Douglas non-financial disclosures: Dr. Douglas is a member of ASHA SIG 2 and SIG 15, the Gerentilogical society for America, and the aphasia access group. Kate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast. Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. Amy Wonkka financial disclosures: Amy is an employee of a public school system and co-founder for SLP Nerdcast. Amy Wonkka non-financial disclosures: Amy is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children.Course DisclosuresFinancial and In-KindFunding for this course was provided by one of our Corporate Sponsors, Med Travelers.Time Ordered Agenda10 minutes: Introduction, Disclaimers and Disclosures20 minutes: descriptions of elements of implementation practice that support training formal and informal care partners of people with dementia15 minutes: descriptions of case studies highlighting evidence-based practice approaches to manage communication and life participation for a person with dementia10 minutes: descriptions of strategies to position SLPs as key members of the healthcare team within the SNF5 minutes: Summary and ClosingReferences and ResourcesMetz, A., Louison, L., Burke, K., Albers, B., & Ward, C. (2020). Implementation support practitioner profile: Guiding principles and core competencies for implementation practice. Chapel Hill, NC: National Implementation Research Network, University of North Carolina at Chapel Hill.Rogalski, E., Roberts, A., Salley, E., Saxon, M., Fought, A., Esparza, M., . . . Rademaker, A. (2021). Communication partner engagement: A relevant factor for functional outcomes inMontesorri for Dementia and AgeingSpaced Retrieval from the Brush Development CompanyDisclaimerThe contents of this episode are not meant to replace clinical advice. SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated. We are NOT PhDs, but we do research our material. We do our best to provide a thorough review and fair representation of each topic that we tackle. That being said, it is always likely that there is an article we've missed, or another perspective that isn't shared. If you have something to add to the conversation, please email us! Wed love to hear from you!A big THANK YOU to our Corporate Sponsor, Medtravelers for the financial support to make this course possible__SLP Nerdcast is a podcast for busy SLPs and teachers who need ASHA continuing education credits, CMHs, or professional development. We do the reading so you don't have to! Leave us a review if you feel so inclined!We love hearing from our listeners. Email us at info@slpnerdcast.com anytime! You can find our complaint policy here. You can also:Follow us on instagramFollow us on facebookWe are thrilled to be listed in the Top 25 SLP Podcasts!Thank you FeedSpot!

Get .1 ASHA CEU hereEpisode Summary:Hey cog-com SLP's, looking for an episode that's just right? This one's for you! This week, the talented, outpatient adult SLP and host of the Speech Uncensored podcast - Leigh Ann Porter-joins Kate to talk about modifying CARTs and spot on ARCS in the creation of home programs for patients with mild aphasia. I promise, it will all make sense when you listen-Leigh Ann does an awesome job explaining so that even Kate (and I) can understand (haha, a little peds SLP humor, this stuff starts out as Greek to us!). You'll learn some tangible, holistic strategies to tackle patient needs across reading, writing, and speaking and get a good sense of how to stay within that magic “Goldilocks Zone” - not too hard, not too easy, just right for each individual client. Leigh Ann lays out a few down-to-earth home program ideas that build on a patient's strengths and foster the autonomy, independence, and the intrinsic motivation required for the hard work of rehab. And of course, there are great resources to explore as you implement these ideas, because Leigh Ann's got your back! Find a chair that's not too soft, some coffee that's not too hot, and cozy up for some nerdy aphasia learning!Learn more about Leah Ann here.Learning Outcomes1. Identify two evidence-based practices to use with patients with mild aphasia. 2. Describe how to modify treatment protocols to increase complexity level for mild aphasia. 3. Identify at least three resources for implementing treatment approaches with mild aphasiaOnline Resources:The Speech Uncensored Podcast: Episode 107: Discourse Treatment in Aphasia Therapy: Attentive Reading Constrained Summarization (ARCS) with Yvonne Rogalski PhD, CCC-SLPEpisode 14: Meaningful Aphasia Therapy with Sarah Baar MA, CCC-SLP.Aditional aphasia episodes on Speech Uncensored Podcast:References:Beeson, P.M. (1999). Treating acquired writing impairment: Strengthening graphemic representations. Aphasiology, 13, 367-386. Beeson, P.M., Hirsch, F., & Rewega, M. (2002). Successful single-word writing treatment: Experimental analysis of four cases. Aphasiology, 16, 456-473-491.Beeson, P. M., Rising, K., & Volk, J. (2003). Writing treatment for severe aphasia. Journal of Speech, Language, Hearing Research, 46, 1038-1060.Beeson, P.M. & Egnor, H. (2006). Combining treatment for written and spoken naming. Journal of the International Neuropsychological Society, 12, 816-827.Obermeyer, J. A., & Edmonds, L. A. (2018). Attentive Reading With Constrained Summarization Adapted to Address Written Discourse in People With Mild Aphasia. American Journal of Speech-Language Pathology, 27(1S), 392.Obermeyer, J. A., Rogalski, Y., & Edmonds, L. A. (2019). Attentive Reading with Constrained Summarization-Written, a multi-modality discourse-level treatment for mild aphasia. Aphasiology, 1-26.Rogalski, Y., Altmann, L., & Rosenbek, J. (2014). Retrieval practice and testing improve memory in older adults. Aphasiology, 28:4, 381-400.Rogalski, Y. & Edmonds, L. (2008). Attentive Reading and Constrained Summarisation (ARCS) treatment in primary progressive aphasia: A case study. Aphasiology. 22. 763-775.Rogalski, Y., Edmonds, L., Daly, V., & Gardner, M. (2013). Attentive Reading and Constrained Summarisation (ARCS) discourse treatment for chronic Wernicke's aphasia. Aphasiology, 27:10, 1232-125Disclosures:Leigh Ann Financial Disclosures: Leigh Ann is employed by The University of Kansas Health System and receive honorariums from SpeechTherapyPD.com. Non-financial Disclosures: Leah Ann is the host of the Speech Uncensored Podcast.Kate Grandbois financial disclosures: Kate is the owner / founder of Grandbois Therapy + Consulting, LLC and co-founder of SLP Nerdcast. Kate Grandbois non-financial disclosures: Kate is a member of ASHA, SIG 12, and serves on the AAC Advisory Group for Massachusetts Advocates for Children. She is also a member of the Berkshire Association for Behavior Analysis and Therapy (BABAT), MassABA, the Association for Behavior Analysis International (ABAI) and the corresponding Speech Pathology and Applied Behavior Analysis SIG. Time Ordered Agenda:10 minutes: Introduction, Disclaimers and Disclosures20 minutes: Descriptions of the role evidence-based practices to use with patients with mild aphasia. 15 minutes: Descriptions of modified treatment protocols to increase complexity level for mild aphasia.10 minutes: Descriptions of resources for implementing treatment approaches with mild aphasia5 minutes: Summary and ClosingDisclaimerThe contents of this episode are not meant to replace clinical advice. SLP Nerdcast, its hosts and guests do not represent or endorse specific products or procedures mentioned during our episodes unless otherwise stated. We are NOT PhDs, but we do research our material. We do our best to provide a thorough review and fair representation of each topic that we tackle. That being said, it is always likely that there is an article we've missed, or another perspective that isn't shared. If you have something to add to the conversation, please email us! Wed love to hear from you!__SLP Nerdcast is a podcast for busy SLPs and teachers who need ASHA continuing education credits, CMHs, or professional development. We do the reading so you don't have to! Leave us a review if you feel so inclined!We love hearing from our listeners. Email us at info@slpnerdcast.com anytime! You can find our complaint policy here. You can also:Follow us on instagramFollow us on facebookWe are thrilled to be listed in the Top 25 SLP Podcasts!Thank you FeedSpot!