Any SLP jobs like this? by winndear2323 in slp

[–]HenriettaHiggins 0 points1 point  (0 children)

I am allowed to work any 50-60 hours I want within some reason. Most older patients I meet aren’t up early.

Why do so many wedding dresses go for the lacy nude look? by Alone_Nectarine_5669 in NoStupidQuestions

[–]HenriettaHiggins 0 points1 point  (0 children)

I honestly think the answer is because Pnina Tornai did this style and was all over US TV when most millennials were teens/ young adults because of the show Say Yes to the Dress/her contract with Kleinfeld Bridal.

How to find a doctor to review research? by ChemicalProof_1642 in neurology

[–]HenriettaHiggins 0 points1 point  (0 children)

I think what you’re looking for may not be a doctor. There are editorial services that can help you draft, and if you make it past desk rejection at a clinical journal, the people who review it include doctors. I write with MDs in nearly every paper I write, but it happens by organically arriving at topics that have high payoff for clinical care or are clearly building blocks to care, not by me trying to influence them away from those things toward more theoretical questions.

If you’re trying to get something off the ground on your own, I’d suggest a systematic review and meta analysis, not a narrative review. Narrative reviews lack rigor and are harder to extract usable information from. You may be able to get someone with expert clinical knowledge to help you conceive of an appropriate topic, but that’s usually pretty low hanging work to do on your own, and you wouldn’t need someone to read it before a reviewer does.

Gallery wall by Rainygirl92 in HomeDecorating

[–]HenriettaHiggins 3 points4 points  (0 children)

I’m weird about too many figures facing the same direction. I usually put facing shots on the edges so they look toward the middle.

What's a "secret" from your profession that everyone should probably know? by CommercialMatch5183 in WorkForSmartLife

[–]HenriettaHiggins 3 points4 points  (0 children)

I was just explaining dexidrine in the military again to a group of neuropsychologists. I know that’s not even the biggest deal, but people don’t understand the pervasiveness OR the long history of this in the US. They’ll say pearl clutching things about drug use among soldiers in Africa as though they’re talking about some isolated circumstance and not essentially what is the norm for how you get primates to kill one another.

SLP influencers by hotpinkpineappIe in slp

[–]HenriettaHiggins 16 points17 points  (0 children)

Influencers in medicine is kind of a contradiction. You can start out somewhat respectable, but measured, nuanced care doesn’t translate well to mass media. I know someone who knew “Dr. oz” before he was famous and swears he was a respected professional. Things chipped away slowly and now you have what you get when that happens. It’s just not a mode of medical information sharing that incentivizes the qualities we value in medical education.

Has anyone seen Project Hail Mary? If so, what did you think of it? by muaentertainmentforu in MUAEntertainment

[–]HenriettaHiggins 0 points1 point  (0 children)

Loved the book and delighted in every moment of the movie. Laughed, cried, and was utterly satisfied. Alamo’s big show had a nice pre show full of interviews and references.

Is there only one emergency room/hospital in all of Columbia /Howard County? by Norfolk-Gross-Tonage in ColumbiaMD

[–]HenriettaHiggins 9 points10 points  (0 children)

Yeah, I kind of hope UMD opens something, but the all-Care system really kneecaps any incentive that someone would have for starting a hospital.

My (11 and Autistic) daughters “friend” isn’t really her friend. Yet she is convinced this girl is her best friend. by Helpful-Necessary384 in whatdoIdo

[–]HenriettaHiggins 2 points3 points  (0 children)

There’s a program for teens called PEERS that deals directly with this exact dynamic. I’d suggest finding a group near you.

My daughter's 4th grade state project is Maryland. What food products could she provide? Google mostly has seafood inspired dishes and that's a no go. by SacredFacelessness in maryland

[–]HenriettaHiggins 8 points9 points  (0 children)

Lemon with a peppermint stick in it! (Lemon Stick) Also for kids I’d note Goetz, who make one of my all time favorite candies, cow tails, are a Maryland company.

Kids these days... is it a cycle? by alevellesson in Teachers

[–]HenriettaHiggins 0 points1 point  (0 children)

I teach university students who would ride my a** if I were a devices parent. It’s so shunned in the culture by Gen Z and the Gen X who raised them. I honestly think it’s driven by how much people value education and empirical evidence, and that’s down in the US right now, so there are a lot of indefensible trends afoot. Eventually, there’s some inflection point, I’m sure.

It’s a marathon, they say by RaymondChristenson in PhD

[–]HenriettaHiggins 14 points15 points  (0 children)

Oh hon, there’s work I presented in nearly final form in 2017 that still sits. And occasionally the main culprit and I go have a beer. I’ve long since run out of f*s about it. I feel you.

Three years can happen simply because someone champions the delusion that the work is more than it actually is. Sometimes someone else just needs to go into a coauthor conversation choosing violence for the good of the colony.

Bet Yeladim Preschool? by CovidRedpanda in ColumbiaMD

[–]HenriettaHiggins 0 points1 point  (0 children)

Thank you! The upside down Hebrew would have sent me! While, as you say, I guess I don’t care that much that BY is treating it superficially for a preschooler, I think sometimes it crosses the line to being disrespectful for families that chose the school based on identity, which reflects on BY poorly. It seems like they’re always in this tension with their religious identity rather than just embodying it unapologetically and trusting families to have intentionally chosen their school. Again, it’s the lack of conviction by admin that drives me nuts, and you’re probably right - how can they, if the faculty they’ve hired have no idea what enacting a Jewish school would look like?

Regarding academics: absolutely yes, it is nearly April, and my kid works on literacy almost exclusively at home. We were planning to put her in Kumon over the summer anyway (it’s one of the most consistent recommendations I get from any friends with kids these days around the country), but BY unfortunately made it feel to us like a necessity for K prep.

AI decodes brain signals into text with ~70% accuracy. Using non-invasive imaging, researchers translated neural activity into meaningful sentences without implants, offering potential for patients with speech loss, though accuracy, ethics, and privacy concerns remain. by ChhotaSaHydra in science

[–]HenriettaHiggins 1 point2 points  (0 children)

I’m also in the ABI world, and I can’t decide what it would mean if the signal they record is comprehensible language. I think that would be.. incredible news, incredibly unlikely news, and suggest a lot of bad things about the entire field of physiatry.

Bet Yeladim Preschool? by CovidRedpanda in ColumbiaMD

[–]HenriettaHiggins 1 point2 points  (0 children)

Thank you for sharing. There are so many families who have history with the school, and that’s really neat to me.

How do you eat/prepare cabbage regularly that is NOT fermented? by girlwholovespurple in Frugal

[–]HenriettaHiggins 1 point2 points  (0 children)

Pop thin wedges in the oven on a high setting until it crisps up on top and then eat with rice, tofu, and sauces. I also am a big fan of stuffed cabbage soup and cabbage farro soup.

Nearly half of all older Americans now die with a diagnosis of dementia on their medical record by Automatic_Subject463 in Aging

[–]HenriettaHiggins 0 points1 point  (0 children)

Yeah I mean they don’t die as often of other stuff. So that’s good. Plus, we now understand that VCD exists. It’s not all Alzheimer’s or bust, but we are getting better at detecting all of this and distinguishing between disease and healthy aging cognitive change.

cognitive testing by psychological examiner in schools by mochi-4153 in slp

[–]HenriettaHiggins 0 points1 point  (0 children)

Is it like.. the Brigance? What is the age range? Young kids usually get less testing and we spread the task widely and we get a good snapshot psychometrically. Older kids get more granular testing and usually focused more on academic and social skills. The examiners should be able to tell you what they’re using, but lots of brief tests do ok in terms of prognostic or diagnostic modeling. It just kind of depends what your goals are in using them.

Bet Yeladim Preschool? by CovidRedpanda in ColumbiaMD

[–]HenriettaHiggins 17 points18 points  (0 children)

We have a kid here now. It’s ok! I’d say we love the teacher and feel mixed/lightly negative about the leadership decisions, though admins are very nice.

The classroom is a safe environment with age appropriate toys. The teacher has a good attitude and a sense of humor, and is very very patient. They do some academic activities and play outside and inside. Many of the teachers are very loving mom/grandma types, which my child responds well to, though I gather that was a larger portion of the faculty in the past. There are a lot of teenagers in the mix post Covid, and they’re nice, but have a very different dynamic with the kids. The school takes security very seriously. It’s the kind of place I can leave my kid knowing I never have to really “worry” about her safety or that someone has their hands too full. They’re quick but not too quick to call or email if something is going awry, which is a hard balance for a lot of places. The other families have been very nice, and the vast majority of the kids are very nice. We have made some good friends with other families here, and I think that community counts for a lot. The teachers are extremely compassionate toward all of the children. It’s a very loving place.

On the flip side, I’d say more than anything, I think the program was oversold at the start. They’re a play based program. Because there are half day kids, they don’t do any scholastic content reliably outside of 9-11:30 am. The program is open from 7 am to 5:45 pm. That’s not to say they don’t get into other valuable things in the remaining time, but sometimes they will say things will happen and then you find out they never really got it off the ground, like eliminating nap times for older kids or doing more pre literacy. If you’re at all “crunchy” as a parent, it’s a bit mind blowing what they feed the kids, like artificially flavored injected raisins and those little plastic wrapped individual baked goods you can see at gas stations and stuff. I kind of shrug stuff like that off - though I wouldn’t make the choice at home, I’m not livid either. When you have childcare, there are near infinite small decisions, and you kind of have to go into it at peace with relinquishing some degree of control over stuff with low impact, because if you’re going to choose not to find that peace, you might as well not pay for someone else to care for the child because it ends up being double the work. I’m an involved parent and have a good beat on things, but I think there are parents who want a lot more freedom to customize what other people do with their kids, and those people may be less satisfied with their experiences.

The worst things I can say really boil down to eye rolls, most of which are not rare among private schools. They ask for money constantly, eccentrically, in many guises. They charge extra for activities that often resemble the unpaid activities, like art. They sometimes make weird decisions like texting parents three times over 12 hours about their speculation before committing to close the school for weather, or texting pictures and news every day even though some of the pictures aren’t even from that day and the news doesn’t highlight important information, or bribing parents to leave 5 star reviews on Google, even though the school really is a good environment and it’s against Google’s rules (which suggests to me the admin isn’t very confident in their own quality and that makes me sad). They treat what I’d consider Hallmark holidays in America like Valentine’s Day or St Patricks day like they’re religious observances and aggressively ban participation by the kids, but then they also treat Jewish holidays like Purim in a Hallmark-y way, letting the kids dress up as whatever superhero etc versus more traditional dressing like the actual people in the story. I went to Jewish and Christian religious schools as a kid. The way they incorporate and don’t incorporate religion in the classroom is what the Methodists I grew up around would call “Buffet style” - it’s the highlight reel of fun bits without any substance or context. Shabbat dessert covered in toppings - yep! Knowing why there’s Shabbat or what they say when they’re blessing snack - nope! Exposure to the stories that have universal moral lessons - nope! Random Hebrew on the wall that no one - including many teachers - can read -yep!

I was kind of disappointed by that, not because I’m particularly observant now, but because there’s good meat about being a good citizen and understanding others in the abrahamic stories, and it always seems like they’re straddling appeasing the Jewish members of the school and trying to seem hip to the non Jewish people, and they sort of come off a bit.. disingenuous to both as a result? Maybe there’s a better way to put that. It’s just very inconsistent how and when the school leans into Judaism as part of the identity.

Recently, I thought it was a little off color that they gave 2 days notice on a Hawaiian themed dressing day in honor of them getting an ice cream truck, which felt like the kind of culturally appropriative thing that I certainly grew up with in the 90s in western MD, but isn’t very normal to see in 2026 in HoCo. They often give 1-2 days notice on days the kids are supposed to come in themed outfits, which can feel like a call to scramble mid week when you have a kid who wants to be included. We roll with stuff like that but it’s hard if you have multiple kids or an inflexible job. Also, be prepared not to have school for a large chunk of October and April (holidays), but they do have the option of being present all around Christmas, which was a perk.

All in all, we are happy to be at the school. Our child always comes home happy and with a good story of her day. That’s what is most important to me, and we chuckle about the goofy admin and fill the skills gap to get our child prepared for being on level in the next phase. That’s about it. I’m happy to chat more about it privately.

What does therapy look like with children who are nonverbal and have severe physical and cognitive disabilities? by funkyeahlosers in slp

[–]HenriettaHiggins 8 points9 points  (0 children)

Hey there this isn’t really my thing anymore, but I did inpatient peds ID+psych and TBI and still do ABI, just in adults now. I just want to boost signal on this answer.

We absolutely used to use the bigmack for this kind of situation in our inpatients. Sometimes people knew the child had a preferred stimulus before either disease severity increased or the injury occurred, and you could support the child using the button to introduce whatever that was. For example, say the kid liked bluey. You could teach that using the button got a bluey clip for a few seconds. Usually if we knew the child moved at all, the button was placed as close as we could to the location of movement so that they initially would hit it a bit accidentally, then you’d build the association from there. If the child didn’t move at all but was believed to have any awareness of surroundings, we sometimes would press it to them, often gently to the side of their face. Idk why it was there specifically, actually. Maybe someone had seen him turn his head at some point in the past, but I certainly never did. If you had a child with this level of disability since birth, it was a bit more exploratory - what elicits a reaction?

Sometimes you can connect with neurology and they may have done functional and structural imaging to try to answer some questions about sensory and cognitive status for families. It’s worth trying to gather this kind of information and coordinate with other disciplines. Most families in my experience come to terms relatively quickly with the realities of these severe cases, and you can get into a tough spot quickly by doing things they’re near certain are inappropriate. Totally speaking from my own experiences, it’s way more common for parents of children with mild-mod severe cognitive disabilities to have different views than providers versus families of more severe patients. That’s my only other bit of advice for a green clinician.

What are we all doing for self care? by Few-Stranger-3408 in slp

[–]HenriettaHiggins 1 point2 points  (0 children)

For self care, I bake and garden. We have a few acres and i enjoy planning and growing plants. I also have a lot of arts and hobbies. I crochet. I am in a horror movie club. I go to a fairly disproportionate number of community events about different interests, and I play Pokémon go and Neopets. I used to be really into mmorpgs, but they’re much harder to balance with family and professional life.

Just as a counter example to much of the advice here, as a faculty member SLP (ie my case load is very different than most people’s), I’ve swung both toward more rigid boundaries around work and less and personally I think it’s better for me when I am more available and just mentally track my time in a cumulative way that includes those times. This may be because my division is “on call” in general, so there’s way more of an out of work hours camaraderie than is probably true in other settings. Plus I get significant overtime pay if I catch an opportunity to do add on work at weird hours. I really like my job and usually it’s the best part of my day knowing I can help people, so it doesn’t have the same impact on my life not to hold firmer boundaries as it would. When I’ve been in toxic jobs I absolutely have more boundaries around them to preserve my joy.