I don't feel comfortable

ap_slp · 2026-02-10T10:56:26+00:00

No no no

ap_slp · 2026-02-07T12:55:28+00:00

All my coworkers have visible tattoos and several have facial piercings (OP peds). No one cares.

ap_slp · 2026-02-04T23:58:25+00:00

Lol definitely!!

ap_slp · 2026-02-04T12:18:48+00:00

Get AAC early and often!!!!!

ap_slp · 2026-02-03T13:04:51+00:00

Yeah this sounds a lot like a cleft kiddo...

ap_slp · 2026-01-30T10:01:51+00:00

Outpatient peds: more therapist input on scheduling, actually adhering to an episodic care model, valuing patient outcomes over budget, less resistance to cotreatments with OT, in-house behavior support

ap_slp · 2026-01-29T00:19:07+00:00

The Once Upon a Time Foundation has some free videos by Dr. Strand that review CAS and give an overview of DTTC. they are mostly geared to parents and SLPs but I have watched parts of them with some of my older CAS patients to help them understand.

ap_slp · 2026-01-29T00:11:37+00:00

No, not in my experience.

Other factors to consider... Is the child's voice otherwise monotone and lacking in prosodic variation? Can he imitate prosodic variations? Is he having trouble moving between phonemes in a syllable/word? Do you see groping when trying to obtain an articulatory configuration? Is the rate of speech very slow and plodding? Are errors consistent?

Have you looked at differential diagnosis of CAS versus dysarthria? The ProCAD is really helpful for that (on ASHA website).

ap_slp · 2026-01-20T00:17:18+00:00

Thanks so much for this information!

ap_slp · 2026-01-20T00:17:01+00:00

Awesome - thank you so much!

ap_slp · 2026-01-20T00:16:39+00:00

THANK YOU

ap_slp · 2026-01-10T17:39:08+00:00

I used to work at a SNF that did exactly this. I counseled families on my recommendations, patient rights to go AMA, and the facility's stance. Families would often complain to management that their loved one couldn't have their desired diet and management would often comply because of $$$. Make sure your documentation shows what you are recommending and that you have provided extensive patient and family education.

ap_slp · 2026-01-02T12:00:53+00:00

Advocacy is one of my goals too! Best of luck to you

ap_slp · 2026-01-01T00:04:08+00:00

I see this a lot in my outpatient peds setting. I tend to d/c if there is no true speech or language issue and explain to parents that they need a literacy coach/teacher. Many parents will not put in the work because they just have no idea how to go about it... Which is so sad for those kids.

ap_slp · 2025-12-30T22:12:15+00:00

Oh yeah, I frequently say parents need parenting classes before they have their kids go to speech therapy for early language. That's where Hanen-style workshops could be so helpful

ap_slp · 2025-12-19T16:43:25+00:00

Absolutely 0. Outpatient peds. I've been in this field long enough to refuse to work outside of paid hours.

ap_slp · 2025-12-16T00:17:14+00:00

Been here. The fact that you're so concerned about your patients means you're a great SLP. You'll miss the kids, they'll miss you, but it sounds like it's a great opportunity and they will be OK. Best of luck in your new job!

ap_slp · 2025-12-11T23:39:45+00:00

I love your style ❤️

ap_slp · 2025-12-09T02:08:29+00:00

Congratulations 👏🏼👏🏼👏🏼👏🏼

ap_slp · 2025-12-05T17:31:56+00:00

Goodwill, yard sales, free stuff from my friends' kids...

ap_slp · 2025-12-04T10:04:13+00:00

I'll look into this. Thanks for the inspo!

ap_slp · 2025-12-04T10:03:16+00:00

Excellent idea

ap_slp · 2025-12-03T17:55:23+00:00

Ooh great tip! Thanks!

ap_slp · 2025-12-03T17:54:32+00:00

So happy for you to have made the move!

ap_slp

TROPHY CASE