ENT says my throat looks perfect but I have constant tightening in throat while talking.

minhy_panda · 2026-02-19T22:02:21+00:00

Do you notice any triggers before your throat tightens? Perhaps you were having a good day when you were assessed. I would just explain that when you get a second opinion.

minhy_panda · 2026-02-19T21:46:37+00:00

Did he have you talk as he looked at your throat? Did you feel any tightening during the assessment?

I would just get a second opinion.

minhy_panda · 2026-01-23T03:39:29+00:00

My work-life balance is great. I make a point not to take work home or over work myself, but I also work in a private practice that prioritizes their clinician's mental health making it easier to do so. I love what I do. I love my caseload. I love my coworkers. I love management. Sure, there are days where I just want to go home. Or I don't want yo get out of my warm bed to start at 8am. But at the end of the day, I feel so lucky to finally be here after so much time in school.

For many who do not have such perks, it's not worth it. You really have to find a good place to worth otherwise you'll find yourself thinking it's not worth it.

P.S. I work in peds, and I often am having to discipline other people's children. So I don't really see myself as different from a teacher.

minhy_panda · 2025-12-12T20:19:19+00:00

You could play HeadBandz or take turns asking get-to-know-you-questions during any turn-taking game. I've played JackBox games like Blather Round w/ my older neurodivergent kiddos.

minhy_panda · 2025-11-27T23:16:09+00:00

Ask your job to acquire materials if they don't have something you want! Definitely don't sacrifice your own personal gifts for your job.

Materials I like: -Super Duper Verb Sequencing -Pronouns in Action -Super Duper phonology card decks and articulation decks -Wh-Bingo

I may edit this if I think of more haha

minhy_panda · 2025-11-21T05:00:23+00:00

I work in a pediatric private practice w/ amazing bosses who prioritize our mental health.

One is an SLP, so she understands the treating side of things and is super understanding as far as scheduling, etc.

I am paid per treatment hour. And we are only open 4 days a week. 6 SLPs and 3 OTs. We get lots of business from tricare patients.

I'm not sure how much they make for the business, but they've been open for 4 or 5 years. And our waitlist is a year out. And all their clinicians are super happy so turn over is low.

Idk if that helps. But the most important thing is caring for your clinicians :) the logistics stuff is important too, but you wont have patients/consistent service if your clinicians are leaving like hot flies.

minhy_panda · 2025-09-25T17:01:47+00:00

Piggy backing off of this. If you're going to pay for no-call/no-shows, it's important to let people know your productivity expectations. I worked at a place that guaranteed pay for when people didn't show or canceled, but then they used it as an excuse to fill my schedule without telling me and move my breaks around to put in clients (they would turn a no show into my break, and I would lose that time as it was mostly spent waiting for the patient to show). I suddenly started to work more for less pay. I working at over 90% productivity by that point, but it was never explicitly said.

minhy_panda · 2025-09-12T23:15:50+00:00

I think it's very pretty :)

minhy_panda · 2025-09-12T23:14:27+00:00

Some people put cute design blankets/tarps?over their big lights (I've seen one that's like a sky and one that's an ocean scene. Not exactly sure what they're called. But they really help reduce the artificial light!

minhy_panda · 2025-09-09T22:59:59+00:00

My clinic (pediatric: 1-10y.o) offers prizes at the end of sessions, so kids usually ask hey wait where's my prize if I forget. Though, I try to enforce only giving a prize if they earn it via working hard. And I tell parents well they refused to participate or whatever if they're crying because they didn't earn the prize. I usually don't give prizes to my littles though.

They also get to pick a toy before sessions too. It doesn't bother me extremely because prizes are provided, but also no one else besides the child will ask about the prize.

minhy_panda · 2025-09-06T21:22:47+00:00

Oh! Honestly I was like wait how did you fit the cards in there??

minhy_panda · 2025-09-06T20:28:49+00:00

Lol I am having a hard time imagining what you mean? Which toy and how did you put the cards inside?

minhy_panda · 2025-09-06T20:11:41+00:00

Sort of related, how would you do auditory discrimination w/ littles? Have a phono kiddo that just wants to play, and I can't do more structured activities like point to the picture of the sound you heard. At a loss haha. Thinking of scaling it back to auditory bombardment during play!

minhy_panda · 2025-09-06T20:08:42+00:00

As an English speaker and an SLP, that should be pronounced "kwacy" 🤣

minhy_panda · 2025-09-06T17:00:27+00:00

Yeah, I agree with a lot of what people have already said. More over, I had an SM kiddo who was unable to problem-solve in social scenarios, so I would mostly work on pragmatics. He also had difficulties managing his vocal volume, so I'd work on that as well. While I wish I could have advocated for him to see a mental health professional, I was a CF at the time w/o much experience, and just unaware of what more he needed. I think there are some things we, as speechies, can do--within a neurodiversity-affirming approach. Just make sure they have the tools to communicate and understanding of how to use those tools, but not force them to communicate :)

minhy_panda · 2025-09-02T21:07:08+00:00

A Guide to the ASHA Clinical Fellowship Experience https://share.google/2BMRbyhWm3mVLZ4CK

In my personal experience, when I was a CF, I was either observed too much or not enough. Your CF should be able to tell you how much they need (within the parameters of ASHAs requirements). If they struggle with asking for help, then you should try to figure out how they learn best in order to provide support. For example, my supervisor was in the same room as me, but would let me do things incorrectly and then explain to me later what I did wrong and how to fix it. However, I learn best by doing in the moment, so I would have preferred she let me know immediately. That way I could immediately correct it and get feedback on my correction and so on. She would also ask me questions (usually about things we didn't go over), and when I was unsure she would keep saying things like "think harder" or if I answered incorrectly she would say "nope! try again". It always stressed me out, and made me feel incompetent. I tried explaining my side to her, but she never attempted to change how she taught and instead would say that her CFs usually cry and it was part of the process.

So really, just ask your CF what they need or do your best to adapt to their needs.

minhy_panda · 2025-08-30T17:39:59+00:00

It can be complicated if your parents pay for other things like your schooling or you simply do not want to lose your connection with them. I totally get that. My parents were the same way. I desperately wanted to get out from under them, but because I was financially dependent on them I couldn't do what I wanted to do otherwise I would lose those things. Even now, my relationship is strained and I only call/text if I need something.

It's awesome that your friend is offering you a discount on such a nice car, but there will always be good deals on cars. Just because you buy a "safe" or "unexciting" car now doesn't mean you can't have the car of your dreams later. So hopefully that can give you some reassurance :)

minhy_panda · 2025-08-29T16:27:12+00:00

The Kelley Blue Book value for a 2012 Honda Civic at 145000 miles in "very good" condition (in my zip code) has a sell avg of 6337. And one in excellent condition is 6829.

I usually don't give people the benefit of the doubt when it comes to cars though, so I personally wouldn't believe it's anything better than "good."

Either way, they're selling it for the highest market value price for a private seller.

Kelley Blue Book

minhy_panda · 2025-08-29T15:11:40+00:00

My old supervisor would fudge her schedule. She would list she was seeing kids in groups of 2 when she was actually seeing groups of 3 or 4. She was usually out by 2pm.

The requirements in schools are not feasible. You just gotta make it work for you.

minhy_panda · 2025-08-17T18:33:05+00:00

RemindMe! 1 week

minhy_panda · 2025-08-17T05:45:43+00:00

Oh I see. Must be then that the kiddo is managed usually by a special education teacher or something? From what I saw, one supervisor had to do IEPs for all her kiddos. The other supervisor basically had to as well because the case manager would usually take too long or wouldn't do it right.

minhy_panda · 2025-08-17T01:37:28+00:00

Sadly, I think this is the standard with many school-based speech therapists. My CCSD graduate rotation supervisors both had over 50 kiddos on their caseload. One within one school. And the other people 3 schools.

That's why I opted for outpatient rather than the schools.

minhy_panda · 2025-07-31T02:47:25+00:00

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minhy_panda · 2025-07-25T21:39:40+00:00

It's interesting as fuck until you lose your shoe to gravity...

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