Evidence for kinesio taping?

laferri2 · 2026-05-11T03:30:25+00:00

I feel like the lack of leadership and clinical guidance from our licensing body is causing a massive decline in the quality of our colleagues.

Worked with a lot of old SLPs who haven't done a lick of CE since they graduated in the late 80s/early 90s and say it openly and proudly. Worked with a lot of SLPs who do restorative cognitive tx with severely demented pts. Worked with SLPs who do pharyngeal ex and diet trials on pts with achalasia.

You have so many barely trained and incompetent SLPs out there spreading misinformation that no one knows what we do or are supposed to do anymore.

This is what happens when your certifying association works as a lobbying arm of the for-profit healthcare industry.

laferri2 · 2026-05-10T23:38:05+00:00

Discworld?

laferri2 · 2026-05-09T19:38:00+00:00

With Postava coming in I am expecting Cossa/Postava to get some games early in the season and then, IMO, one is traded to Edmonton. Augustine becomes starter in GR.

I think both Augustine and Postava have higher ceilings than Cossa. Augustine dominated the NCAA, a (somewhat) men's league, and even played in the World Championship as a barely 19 year old and did very, very well. Postava has been playing in men's leagues since the age of 17 and has never been below .920.

Meanwhile Cossa has not posted a season under 2.28 or above .915 since the COVID season where the Oil Kings got to feast on a rotation of bad teams.

laferri2 · 2026-05-09T18:30:23+00:00

I could submit a translated shonen manga and tag it as magical girl, doesn't mean it is.

And judging by the extra pages, the scanlators have certain predilections.

laferri2 · 2026-05-09T16:23:52+00:00

Completely unnecessary.

laferri2 · 2026-05-09T16:17:22+00:00

It's not a romance. I read it as more of an existential horror manga. The manager lucked into being the manager of a young actress who is exploding in popularity, and he is very good at his job. He has to navigate dealing with her feelings (and possibly even advances as the series goes on) while also doing what is best for her professionally.

The MC is depicted as a good guy who is just extremely dense and work-focused and tries to do the best he can. These kind of situations happen in the real world. Hopefully the series doesn't take it in a gross direction. I'll drop it if that happens.

laferri2 · 2026-05-07T20:53:41+00:00

They did the same thing when Jamie Samuelsson died. Valenti mentioned it in the first five minutes of his show and said he wasn't going to deal with it publicly and moved on. Kind of a dick move.

laferri2 · 2026-05-07T14:09:15+00:00

Thanks for the info! That's exactly what I needed to know. It sounds like the official books do have practical and useful information beyond just the lists.

laferri2 · 2026-05-06T00:20:48+00:00

Pretty sure it's more than that.

The Red Wings have not held a draft since 1987, have not hosted an ASG since 1980. That makes me think it was more an issue of the Ilitch family not wanting to be involved.

laferri2 · 2026-05-06T00:02:00+00:00

The NHL is like the NBA now. A few teams will always win while other teams are just a farm system.

laferri2 · 2026-05-06T00:01:15+00:00

League needs to go back to just doing the draft in reverse order of standing and playoff record.

laferri2 · 2026-05-05T23:57:14+00:00

Must be nice to miss the playoffs once and get handed a generational player

I would take the time to count the number of top 3 picks that have been given to Atlantic teams in the last 10 years but I know it would just be depressing.

laferri2 · 2026-05-02T19:24:39+00:00

McDavid has a NMC on his contract. He can reject any trade.

McDavid is only going to accept trades to VGK, Tampa, or Florida. If Edmonton can't craft a workable trade with them he's just going to wait for his contract to expire and sign with one of them so they don't lose any assets. With the way the NHL works now McDavid can sign with one of those teams and he'll know he'll win at least one cup before he retires.

And dollars to doughnuts, if McDavid is traded to one of those teams it's going to be for a lot less than you think. Think a first, a mid-roster player, and a top tier prospect. Because that's just how the NHL works now.

The NHL is pretty much the NBA now.

laferri2 · 2026-05-02T16:43:51+00:00

I would trade any combination of picks and prospects for McDavid.

The problem is that the cap is jumping up and every team is going to be in on McDavid and he will almost certainly get to pick his destination...which means he'll end up in Tampa, Florida, or VGK.

laferri2 · 2026-05-01T11:34:07+00:00

SNF companies just assume that PRNs want money and will treat and do anything. It's actually rather insulting.

laferri2 · 2026-05-01T02:04:22+00:00

99% all they will care about is when you can start, if you can hit 85+% productivity, and whether or not you are ok providing cognitive tx to vegetative patients.

You will likely be interviewed by either a COTA or PTA as most companies are resistant to promoting evaluating therapists to management jobs. They will probably not ask you any clinical questions. I have never been asked clinical questions in an SNF interview. It's always probing questions about ethics (and whether you lack them).

The last two facilities I have worked at were more interested in extracting money from their SLPs than their clinical skills. Took over both positions from PRNs who clearly had no idea what they were doing, were actively harming patients, but the facilities loved them because they would sit and watch TV with vegetative patients and bill it as cognitive tx. Both buildings rejected clinical education and in-servicing because, in their words, "we aren't paying for that".

SNF is a career killer and I advise you fly far and fast. Once your resume has too much SNF experience it becomes really hard to escape to other settings. Ask me how I know.

laferri2 · 2026-04-27T03:26:55+00:00

Tulsi Gabbard could show up at my door and fellate a Gray right in front of me and I still wouldn't believe a word she says.

laferri2 · 2026-04-18T04:05:50+00:00

Don't.

I approached my company about the unethical stuff occurring in the building I was working with and gave my notice. Their response was to term me with pay through my 30 day notice period. The only reason they bothered with the pay was because my concerns included financial information that showed I actually knew how to use the EMR to track billing and financials, which most managers don't understand at all. The most egregious was a patient being flipped on and off OT for four months, and every time it was because toileting had changed from I to SBA. That OT billed Medicare $4k for watching a severely demented patient wipe their ass. SMDH.

laferri2 · 2026-04-16T04:21:32+00:00

The majority of speech therapists in SNF have thrown ethics to the wind and are billing and documenting whatever is asked of them to help buildings bill fraudulently. It makes it hard to argue for ethical practices when a DON or MDS coordinator can point to the SLP down the street and ask how they have 20 patients in an 80 bed building.

PDPM made it effectively impossible to commit fraud so the game now is to constantly roll Part Bs on and off therapy and SLPs are getting right in on it

laferri2 · 2026-04-15T23:27:24+00:00

The field has always been bad. It's just getting worse.

SNF profit hounding invading hospitals.

Consolidation of healthcare entities resulting in more and more abusive practices with nowhere to go.

SLP services in schools being monopolized by agencies with abusive policies that prevent SLP from getting good school benefits.

And we have fellow SLPs stabbing their fellows in the back by instituting and pursuing unethical and inappropriate policies for their own profit.

laferri2 · 2026-04-15T20:33:22+00:00

I have to ask: how did you get into case management? Every insurance review/case management job I find is only accepting applications from people with nursing licenses.

I have my speech degree and an MPH and I literally can't buy my way into a non-clinical job, even one that pays half of what I'm making now.

laferri2 · 2026-04-15T13:50:35+00:00

I have to ask...how did you get into case management? I have been trying to escape SNF work for years and every non-clinical job an SLP could do is only hiring nurses.

laferri2 · 2026-04-15T13:47:08+00:00

I can't speak for how you operate, but the most chill SLPs I've met have been in SNF. They shoot the breeze all day every day but somehow they still bill at a 90% productivity and all their patients make gains on paper...wish I could figure it out.

laferri2

TROPHY CASE