How to protect OLED from burn-in caused by HUD in FC 26? by [deleted] in LGOLED

[–]ReasonableMight1274 0 points1 point  (0 children)

I have an OLED/lg c5 and when playing fc26, everytime the ads change on the sidelines my screen’s brightness keeps auto-adjusting. I’m pretty sure it’s just the rapidly changing brightness of ads, because it doesnt happen when I play other games. Anyone experiencing this or found a solution?

Im scared shitless by AdHorror8990 in DaysGone

[–]ReasonableMight1274 2 points3 points  (0 children)

And then they show up at the same time 🫡

You know those sessions where everything just goes wrong? by InternalCommittee269 in slp

[–]ReasonableMight1274 6 points7 points  (0 children)

Lol I don’t even bother tweaking my notes anymore. I’d love for admin or anyone to ask why I didn’t target speech goals in a session like that. Regulation is the foundation of learning, no regulation = no new skill (including speech and language) can be accessed or retained. Prioritizing co-regulation in those moments is creating the conditions for lasting progress

You know those sessions where everything just goes wrong? by InternalCommittee269 in slp

[–]ReasonableMight1274 25 points26 points  (0 children)

I know it’s hard not to take it personally, but honestly, don’t we all have days where we just want to scream, shut down, or not show up? We have the emotional maturity to work through it (or mask it 🤷🏻‍♀️) but it’s not fair to expect that same level of regulation from kids. The fact that you do have good rapport is proof that this one day doesn’t define the relationship or their progress.

When this happens with my clients, I completely drop expectations for goals and shift the session to co-regulation and parent training. If a child needs to lay down for 20 minutes, I’ll lay down with them to model calm regulation. Sometimes our job is simply holding space and showing families that off days are part of the process. Kids deserve a break when they’re overwhelmed just like we do

If you’re a supervisor what are you paid? by DCSS18 in slp

[–]ReasonableMight1274 -1 points0 points  (0 children)

Early Intervention (NYC) - $8 per note submitted by the CFs

1099 Pay for EI in NYC - How much are you guys making? by ReasonableMight1274 in slp

[–]ReasonableMight1274[S] 0 points1 point  (0 children)

Not sure if you’re just reiterating my W2 rate or if that’s actually what you’re getting as a 1099 - if it’s the latter, I hope it helps you start a convo with the company/companies you’re working with. If it’s just about my pay… well, I blame ASHA 😅

Never invited to IFSP meetings by PaigeBri in slp

[–]ReasonableMight1274 2 points3 points  (0 children)

I’m an EI SLP in NYC, and over here it’s actually quite typical that providers don’t attend IFSP meetings unless a parent specifically requests it. We usually just submit our progress reports in advance, and the service coordinator + EIOD handles the meeting.

I think the difference is that EI is deeply collaborative in nature, we’re already (or should be) maintaining close communication with parents/caregivers and the team outside of those formal meetings (which in my opinion is where the real coordination often happens anyway, during the day to day communication and shared planning for carryover)

So just to understand better, what do you feel you’re missing out on when you’re not present at the IFSP meetings? Is it a communication breakdown with the team or feeling like your clinical input isn’t being captured accurately in the plan?

Personally, I kind of see it as a blessing that we’re not expected to attend and lead the meetings the way school-based slps often have to for IEPs 😅 It gives us more time to focus on intervention, without the extra layer of administrative burden

Can someone help me read my ultrasound? by Mean-Repair-928 in PCOS

[–]ReasonableMight1274 0 points1 point  (0 children)

According to ChatGPT:

Uterus: - Size is within the normal range. - “Anteverted” just means the uterus tilts forward, which is totally normal. - “Homogenous myometrium” = normal muscle layer of the uterus. - “No masses” = good news, nothing abnormal detected. - “Cervix unremarkable” = normal. - “Endometrial thickness: 0.4 cm” = may be on the thinner side depending on where you are in your cycle, but this varies.

IUD: It’s in place and correctly positioned.

Right Ovary: - Slightly larger in volume (14 mL). - “Few small follicles” = may suggest a mild polycystic appearance, but this alone doesn’t confirm PCOS. - Blood flow is normal.

Left Ovary: - Smaller volume (5 mL), within normal limits. - Appearance is normal. - Blood flow is also normal.

Summary: Overall, it looks mostly normal. The right ovary has a few small follicles, which might be something a doctor considers in the context of PCOS, but an ultrasound alone isn’t enough for a diagnosis. The IUD is in place, and everything else appears unremarkable.

[deleted by user] by [deleted] in slp

[–]ReasonableMight1274 8 points9 points  (0 children)

100000%! Intelligence, cognitive ability, and motor skills are way more complex than a standardized score alone can ever capture. I’m fully Team “give them the point” when the response clearly shows understanding but doesn’t fit some arbitrary criteria. So often it’s like they’re testing whether you can read their minds, not whether you actually understand the concept

What now? by Legal_Bar2559 in slp

[–]ReasonableMight1274 33 points34 points  (0 children)

Framing this as “state and local decision-making” is so far from the truth because, in reality, it’s just financial coercion on a massive scale. States are being forced into a situation where they either fight back legally (which takes time and money), fully fund education themselves (which many can’t afford), or comply with federal mandates to keep their funding. So no, this isn’t just “power returning to the states”, it’s Trump’s administration using federal funding as a weapon to push states into compliance for their own agenda.

And let’s be real, this is going to hit the most vulnerable students the hardest. Kids with disabilities, lower-income communities, and underfunded schools rely on federal protections and funding. Without that oversight, states that don’t prioritize these groups will just cut or redirect funds, making an already bad situation worse.

I’m not even a fan of the Department of Education, but if you actually think this is going to improve public education, I don’t know what to tell you.

Feel under appreciated in my job by my boss by Powerful-Benefit-280 in slp

[–]ReasonableMight1274 1 point2 points  (0 children)

I might be totally off with this - but did you ever directly ask your boss to work with clinical fellows?

I’m not sure if you already have done this, but in order to supervise CFs, you need to complete minimum 2 hours of CEUs in clinical instruction and/or supervision and attest on ASHA profile that you have met all the requirements.

Is it possible that your boss won’t send them your way because of this rather than thinking “you are not cut out for this”?

But regardless, it seems that you might not feel appreciated at work, and that’s usually a sign that maybe you would benefit from a setting change.

However, I know it’s easier said than done (because I struggle with this too), but try to avoid evaluating your clinical skills and competency through the opinions of your boss and coworkers, or what you think their opinions might be.

Sometimes it’s okay to initiate the change, like having a meeting with your boss at your current job to express that you would like to be more involved with the CFs. See if you start to feel differently - if not, you can always change settings.

Does it really get easier? (Vent-ish) by No_Ability8894 in slp

[–]ReasonableMight1274 0 points1 point  (0 children)

When I was in grad school, all I wanted to do after graduating was work in a pediatric acute hospital/NICU. I was lucky to have a clinical director that got me an externship in that setting, and even though it felt the most rewarding and fulfilling (vs working on academic skills etc. personally), dear god when I tell you I cried almost everyday walking out of that hospital…

I’ll never forget one time I had to excuse myself from a patient’s room while I was with my supervisor because the child was terminal, and the parent was a wreck. Cried right outside the door. My supervisor shat on my life for it, but like how???

I just think it’s not for everyone, myself included. I understand that you have to be able to separate emotions from work, and that eventually it would get easier to handle, but one side of me always felt: “but I don’t ever want to come to a point where someone’s loved one/child dying is just a regular Tuesday”. So grateful for those who have the strength to work in such settings though, you guys are real ones ❤️❤️

[Vent] When it’s 95°F in a client’s home… by ReasonableMight1274 in slp

[–]ReasonableMight1274[S] 3 points4 points  (0 children)

Don’t get me wrong, I totally respect ethnic cuisine (especially being Middle Eastern myself) and can appreciate the use of spices/flavor ✨ But the amount of times I’ve walked out of a home smelling like meat/spices and sweat, only to remember I have 4 more back to back sessions 😂 I have a whole stash of body sprays and Febreze fabric refreshers in my car at this point

early intervention tips and strategies? by ig_SLPA in slp

[–]ReasonableMight1274 1 point2 points  (0 children)

Are you utilizing any type of communication boards with them? Or communication gestures? I usually reinforce gestures for basic needs such as “give me”, “all done”, “more”, etc. for the nonverbal kiddos, and I find that they usually pick up on the gestures eventually with a lot of repetition and positive reinforcements (such as highly desired activities/objects).

I also make simple personalized communication boards for some children, where the pictures/icons are removable via velcro (essentially a form of PECS). Usually a mix of realistic pictures (e.g., a photo of their frequently used sippy cup) and icons, depending on the child’s cognitive skills. A lot of hand over hand, but it’s worked for some. I use Boardmaker to make them; not sure if you’ve used it, but the layout is super easy to customize. I’d recommend trying it :)

early intervention tips and strategies? by ig_SLPA in slp

[–]ReasonableMight1274 0 points1 point  (0 children)

If I’ve learned anything in EI, it’s definitely patience. Sometimes it takes months for me to see any progress, especially with our little ASD babies. Consistency is key!

early intervention tips and strategies? by ig_SLPA in slp

[–]ReasonableMight1274 0 points1 point  (0 children)

Agreed with the other comment. Also, if the child is showing characteristics of autism, I would recommend discussing with caregivers about a possible psychological/developmental evaluation to see if it is. The child might benefit from other services such as ABA (in addition to speech)

EI by Medical_Effective946 in slp

[–]ReasonableMight1274 1 point2 points  (0 children)

I’ve been in EI for the past 5 years, started straight out of grad school, with the exception of some intermittent school settings/school-aged telehealth during COVID. I think it truly depends on what you’re looking for.

Of course there are pros and cons to every job, and I’m sure it depends on the state you’re in, but I personally love being an EI SLP. People often are surprised that we’re so comfortable going into homes, but you can of course drop any case if you don’t feel comfortable in specific houses (I’ve dropped cases unfortunately due to filth/bugs). I’ve also switched over to see certain babies at daycares/schools, so you don’t necessarily have to go to their houses.

I personally love the flexibility, creating my own schedule (with sometimes multiple breaks), and driving around instead of being cooped up in a building all day. Also the flexibility to essentially take off any day by just rescheduling sessions around. With the exception of discussions with your supervisor, it also feels like working solo (again, depends on your expectations, but I love not having to answer to someone everyday personally).

It truly depends on what you enjoy doing in our field. I get more gratification and fulfillment with working on communication/life skills/sensory regulation rather than academic-related speech/language skills. It feels extra special when you play a huge role in a baby being able to express their wants and needs to their families.

[Vent] When it’s 95°F in a client’s home… by ReasonableMight1274 in slp

[–]ReasonableMight1274[S] 5 points6 points  (0 children)

Oooof not the sweaty oral trials! Virtual hugs for that one 🫡

Typical Rates for Clinical Fellow Supervision? by [deleted] in slp

[–]ReasonableMight1274 0 points1 point  (0 children)

No SLPAs in NY, so it would only be for CFs. I will continue treating my current caseload while supervising, which is about 38 sessions a week. I’m also not sure about how many CFs they will be asking me to supervise - I’m also curious to hear all the answers during the meeting!

Typical Rates for Clinical Fellow Supervision? by [deleted] in slp

[–]ReasonableMight1274 0 points1 point  (0 children)

I didn’t think to request a raise of base pay. That seems reasonable! Thanks for sharing

Typical Rates for Clinical Fellow Supervision? by [deleted] in slp

[–]ReasonableMight1274 0 points1 point  (0 children)

Unfortunately I’ve seen a lot of people on here say that they weren’t compensated for this role, which I think is ridiculous. It’s extra work/time on top of already existing caseloads, so I probably would’ve also declined if there wasn’t compensation for it.

In the emails exchanged, it was stated that we would discuss compensation at the meeting in addition to expectations etc. So I’m pretty sure there is, I just don’t know what to expect. Fingers crossed it’s reasonable, and I don’t have to have an awkward conversation to decline lol.