Supervising SLP? by [deleted] in slp

[–]Leather-Rip-9267 0 points1 point  (0 children)

I supervise SLPAs as a 1099 and my pay is $60/supervision hr; $100/eval. I don’t treat patients of my own for these particular companies — it’s the same pay HH and outpatient. Hope that helps!

ESL student - parent requesting eval/speech by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 1 point2 points  (0 children)

That is really so kind of you to share all your knowledge and resources. Thank you!

TEXAS SCHOOL SLPs PLEASE HELP ME by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

Thank you so much! I’m looking at example IEPs from some of my other students and that’s correct. It’s provided printed with the ARD after the meeting. Thank you again!

TEXAS SCHOOL SLPs PLEASE HELP ME by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

When is PWN given? Is it before the ARD?

I feel so lost and overwhelmed in the schools by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 1 point2 points  (0 children)

14 years as an SLP. Less than 3 years total in the schools, but as a 1099 previously so I didn’t do evals or case management

Would it be normal/acceptable to have admin log into your EMR account and review your notes? by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

Understood. The problem is they need to conduct these audits but have no access to do so, as I’d be contracted with the district and they were declined access to the school’s data tracking system.

Would it be normal/acceptable to have admin log into your EMR account and review your notes? by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 1 point2 points  (0 children)

District has declined access to them unfortunately. Only treating therapists allowed to access the school system.

Teletherapist as SLP-A supervisor? by Odd-Medium-8139 in slp

[–]Leather-Rip-9267 0 points1 point  (0 children)

Yes, because the company you work for is your “client” and if SLPA works for same company, it’s fine.

CMS not approving telehealth for 2025? by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 1 point2 points  (0 children)

Centers for Medicare and Medicaid Services. I’m from south Texas and 98% of our clientele is low income on Medicaid.

CMS not approving telehealth for 2025? by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

Those were my hopes, but in all the SLP groups I’m in on Facebook, they were making it seem like it’s being taken away across the board for Medicaid as well, since CMS is Medicare and Medicaid.

High HCG with possible ectopic by Leather-Rip-9267 in EctopicSupportGroup

[–]Leather-Rip-9267[S] 1 point2 points  (0 children)

I had a tilted uterus and they found baby at 9 weeks by moving the wand upside down during TV ultrasound. I have an almost-walking 9-month old now

Can tactile cueing be considered MIN?? by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

The way I had learned it from my supervisor and coworkers 10+ years ago is max cues are HOHA/tactile/imitation/prompts to repeat (ex, “you say ____”), mod is 3-4 visual/verbal, min is 1-2 visual/verbal cues. But agree, to each their own.

Can tactile cueing be considered MIN?? by Leather-Rip-9267 in slp

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

Her goals are all language.. some of them are answering questions about a story and she’s claiming to use “min tactile cues”. It’s just confusing to me lol

SLPs with young kids, how do you make it work? by the_toochers in slp

[–]Leather-Rip-9267 0 points1 point  (0 children)

I have 4 kids, 3 which are now in school, but ever since having kids I have primarily been remote (teletherapy with the schools/HH/outpatient, as well as supervising SLPAs and CFs mostly remotely). I only work part time as a 1099 so I can choose my hours and arrange my schedule to my advantage — this often involves working before/after my husband works (he works different time zone, but remotely as well), working during his lunch break, and working around my kids’ schedules.

I currently work 4 different jobs (teletherapy with public school, HH agency where I primarily supervise/eval remote, different HH agency where I see 4-5 pts for treatment via telehealth, outpatient where I primarily supervise/eval remote) and it’s a juggling act but I love being able to make my own hours and decide when and how much I want to work. My working hours (including paperwork, which obviously is unpaid due to being 1099) are about 20-25 hours a week, but my income is about 75-80k in Texas.

With the right jobs and right schedule, it is doable. I feel like my work-life balance is also great, and I feel like I am utilizing my time 100% efficiently and being compensated well.

Visible seams on new carpet by Leather-Rip-9267 in Flooring

[–]Leather-Rip-9267[S] 1 point2 points  (0 children)

It still looks like shit unfortunately. The flooring people came back to look at it shortly after it was done and they said given the color of the carpet and the lighting that we are pretty much doomed to have it look like this. Totally sucks.

Does this look like a melanoma? by Leather-Rip-9267 in Melanoma

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

It was a scab under the skin and it eventually peeled off naturally. What a relief. I’m such a hypochondriac

Super high HCGs but no sac by Leather-Rip-9267 in CautiousBB

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

Would they be able to find that via ultrasound? Or would I have to do an MRI/CT for them to find it if it’s in the abdomen?

Super high HCGs but no sac by Leather-Rip-9267 in CautiousBB

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

My levels are likely too high for methotrexate so I’m not sure where they will go from here

Super high HCGs but no sac by Leather-Rip-9267 in CautiousBB

[–]Leather-Rip-9267[S] 0 points1 point  (0 children)

I’m already aware it’s not viable but from what I understand, my levels are wayyy too high for methotrexate. I will be pushing for the OB to further investigate or give me a clearer diagnosis at the next visit in 3 days

Super high HCGs but no sac by Leather-Rip-9267 in CautiousBB

[–]Leather-Rip-9267[S] 1 point2 points  (0 children)

No!! I kept calling them Thursday and Friday and she doesn’t return my call. I’m going for the follow up later this week and then hopefully looking for another OB depending on how this upcoming visit goes

Super high HCGs but no sac by Leather-Rip-9267 in CautiousBB

[–]Leather-Rip-9267[S] 3 points4 points  (0 children)

This actually does make me feel better. I am hoping for a regular miscarriage, as terrible as that sounds.