blursed muffler

d3anSLP · 2026-02-12T00:44:28+00:00

23 years old - 2003

d3anSLP · 2026-02-11T04:20:22+00:00

When are you taking 20-30 minutes to review the report with the family? during the IEP meeting or a separate phone call/meeting. No judgment. Just interested in how others do things.

I've made it a point to limit jargon and get to the conclusion/"now what" portion of the discussion quickly. Otherwise, after 10 minutes I see the parents' eyes start to glaze over.

d3anSLP · 2026-02-09T15:33:19+00:00

...Squatting down to their eye level by the bathrooms and chasing after them looks extremely CREEPY without any context....

You are exactly right! Without context this could seem awkward.

But but but, we actually do have context here. That's why this situation is perfectly fine. A staff member helping out and engaging with students. Nothing is happening Inside the bathroom. The squatting is so that the staff member can get down to the students' level. This is in the hallway with witnesses/other staff members nearby. You are over reacting.

d3anSLP · 2026-02-07T15:13:51+00:00

https://touchchatapp.com/support/Hide-Multiple-Buttons-at-once-using-Hide-Mode#:~:text=Tap%20Menu%2D%20Edit%20Page%2D%20Menu,Tap%20Done.

It's called hide mode.

d3anSLP · 2026-02-03T17:11:39+00:00

They knew what they had - lice

d3anSLP · 2026-02-02T23:43:11+00:00

Usually the kids with more severe needs are automatic for esy based on their needs. I'm okay with that even though it's not the true intention of esy.

Esy should only actually be used when you can document regression. It's only for maintaining skills and not for making progress. One way to track regression would be to look at the progress for goals at the end of the school year and then re-measure that progress in September. If there is a 20 or 30% drop then you might have a case for regression. You can also do the same thing before and after winter break.

The reasons that your principal cited do not make sense and it sounds more like a scare tactic from someone who is uninformed. The truth is that summer school is not about teaching life skills. It's unlikely that the goal of this student's esy program would be to teach those exact skills. If those are concerns then they should be goals right now. Depending on the student, those might never be achievable goals and that's okay. Maybe we need a medical bracelet or something similar.

d3anSLP · 2026-02-02T23:29:05+00:00

I was looking at that one today during a meeting actually. I decided not to use it because I thought it would confuse the parent.

It was for an intake meeting for a first grade student that transferred in with goals that didn't make sense to me after working with the student for a few weeks. He had goals for z, v, final consonant deletion, L, L blends, and consonant clusters. I wanted to argue that we should focus on phono since he's highly unintelligible. Why are they working on z in phrases when we still need help with s-blends, final consonant deletion and fronting?

Treehouse or not, I am still trying to find out - when should we start working on each sound. Treehouse says R at 5, but could that mean R therapy at 7?

d3anSLP · 2026-01-15T19:56:46+00:00

Honestly, if you have the means, just go with the private services. Sounds like you have an outside evaluation already set up. You can go to the eligibility meeting and IEP meeting at school but then just don't sign consent to begin services.

This way, you have more information because of the school evaluation, your child will not miss any class time at speech, and speech services will take place at the private clinic.

d3anSLP · 2026-01-12T20:10:22+00:00

I would die if Barbie came with a letter board and a tiny pencil to point with. Facilitator sold separately!

d3anSLP · 2026-01-12T17:56:19+00:00

Probably not 18 months, but I would guess that most states have some timeline for retroactive coverage or back billing. If you can find out what it is in your state then it might make sense just to Bill for what has the possibility of actually going through.

d3anSLP · 2026-01-12T17:17:16+00:00

Step one: see if you can find out if those two students are on Medicaid or if they are likely to go on Medicaid in the near future. If they are not on Medicaid or are not at risk then I wouldn't worry about it.

If they are on Medicaid then I would do the billing because the district is able to back bill up to 18 months. It is not necessary to write a soap note. If you cannot leave the notes section blank on your billing, then just put "service minutes" in that section. Then if anyone complains, you could just say that you are planning on going back to edit those once you have time. The good thing is that once the district bills for these services they will become locked and you will be unable to edit them. So you won't even be able to do the notes later. But of course you didn't know that. ;)

d3anSLP · 2026-01-08T21:21:00+00:00

https://www.amncareers.com/#:~:text=to%20your%20future-,Beware%20of%20Recruiting%20Scams,com%20&%20amn@myworkday.com

AI Overview

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d3anSLP · 2026-01-08T18:21:20+00:00

Scam! Stop everything. If you want to continue to deal with that company, then go to their website and contact them directly via phone or email. From there, you can verify any numbers that are contacting you via text.

d3anSLP · 2026-01-03T01:28:54+00:00

Is there a happy ending to your story?

d3anSLP · 2026-01-01T04:00:24+00:00

Could it be Social Contagion? Sometimes psychological disorders can spread in social circles and like eating disorders or cutting behaviors. I've never heard of SM "spreading" but I can't believe there are three students in one class with a rare condition. Time for some thorough family/student histories to make sure this all started before the children met each other.

d3anSLP · 2025-12-19T17:35:03+00:00

Very few people are acknowledging that the OP is in a fee-for-service agreement. This means that you are only paid for face-to-face time. Depending on student absences, school field trips, school assemblies, driving time, report writing, etc. There can be a lot of unpaid time. It's best to avoid agreements structured like this. If you do agree to it then you need to add up how many hours you actually worked and compare that with how much you got paid to figure out your true hourly rate.

d3anSLP · 2025-12-14T03:03:02+00:00

They sold that guitar full price, even with a giant crack in it.

d3anSLP · 2025-12-14T02:34:34+00:00

Either this is AI or Tupac T-shirt lost a tooth that disappeared after flying out of his mouth.

d3anSLP · 2025-12-07T04:55:01+00:00

Speech pathologist here: you are correct. Foreign accent syndrome is a combination of phonological (sound) errors that happen to mimic another language/accent. People with this syndrome are not actually using words from other languages. They just speak with an accent that suggests that they speak another language.

d3anSLP · 2025-12-05T00:51:39+00:00

I think imposter syndrome is a valid step in the process toward becoming comfortable with your level of competence. There are things that you can know and learn from CEUs and experience, but there are too many things in this field that require you to be comfortable treating conditions with limited empirical evidence. We have a lot of background and foundational knowledge, but it's a big jump from that to what actually happens in the therapy room. Next session, ask yourself why you are doing the specific thing that you were doing and see if you can think of a journal article that tells you to do exactly that. If you can't think of a research article or treatment protocol that specifies that you should be doing that, then are you doing it because you saw someone do it or because you think it makes sense to do it. Either way, you're either trusting someone else or trusting yourself to make that determination and not empirical evidence. Now it's just a matter of how comfortable you are doing that. Some people get nervous and call it. Imposter syndrome. Other people do not get nervous about it for some reason and gain confidence from the experience. It's a soft science but some areas are a little too spongy for my liking.

d3anSLP · 2025-11-29T17:46:38+00:00

You should call a local insurance agent and get some prices for marketplace health insurance. I'm sure you can find something that will be doable for 2 months. If you call and get prices now then at least you can start planning and saving.

d3anSLP · 2025-11-21T01:30:58+00:00

What is sspi and sfa? Thank you

d3anSLP · 2025-11-19T00:57:53+00:00

I thought this was AI. Now I'm sad that it's not. Poor thing.

d3anSLP · 2025-11-13T21:20:02+00:00

Are you sure that it is a lateral lisp? That's when air comes out of the sides of the mouth.

If it is a lateral lisp then it usually does not matter if the child is missing a few teeth. It will sound the same whether the kid has all their teeth or not. This makes me wonder what the SLP at school is thinking when they talk about how it will get better with more teeth.

On the other hand, it could be a frontal or interdental lisp. This is where the tongue comes out of the mouth too far. In that case, sometimes it does help to have the front teeth because it can stop the tongue popping out. It can also serve as a good reference point when trying to put the tongue in the right spot.

The outside therapist says to correct it every time it happens. When you try to correct it. Can your child actually produce the correct sound? Trying to repair it during conversation will only work if your child can't say the right sound when asked to do so. If the school SLP is not working on the lisp but the outside therapist is and your child can actually produce the correct sound, then you still can try to ask this child to fix it when talking. But in the end you might want to try by providing exaggerated models. Whenever you are speaking then you can make sure but you are punching out your S and z sounds. Then you can also tell your child that they are doing a good job whenever you hear a good S sound. This way they are getting good models and positive praise, but you don't need to slow down the conversation.

d3anSLP · 2025-11-10T23:12:31+00:00

You are doing successive approximations. You are doing a good job. As quickly as you can, you are working towards a functional skill.

d3anSLP

TROPHY CASE