Clinical Resources
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Ask the Experts
Choosing ICD-9 Codes
December 3, 2007
Which ICD-9 code should be used for the primary diagnosis? For example, if an individual who has Down Syndrome comes in for speech therapy, do we code the Down Syndrome (or medical diagnosis) as the p... Read More
Initiating Swallowing Therapy after Prolonged Tube Feeding
November 19, 2007
I am working with a 15-month-old boy who has been on a feeding tube since he was born. His doctors have said that he is ready to start trying to take foods/drinks orally. I work for an education agenc... Read More
Dysphagia (Adult)
Normal Tongue Placements in Infants
November 12, 2007
My daughter, aged 3 months, has a submucosal tongue tie. It does not affect her nursing - she latches on very well. But her tongue seems to be long and usually sticks out between her lips, especially... Read More
Language Disorder(s) Early Intervention Articulation, Phonology, and Speech Sound Disorders
Early Phonological Intervention
November 5, 2007
Is there a typical age to begin phonology treatment in young children? I just started working with a birth-to-three program and have been seeing a 30 month old child for phonology treatment of frontin... Read More
Articulation, Phonology, and Speech Sound Disorders
What the SLP Needs to Know Regarding Intervention with Chorea
October 29, 2007
I have just been notified that a student in our school will require speech services because of a sudden onset of chorea. This student is 14 years old, and up until a month ago, was in good health. I h... Read More
'Scripting' in Children with Autism Spectrum Disorder
October 22, 2007
My 7 year old son has PDD. He had echolalia when he was first diagnosed around age 3. He would repeat the last word we said-especially when we asked him a question. This is not so much a concern anymo... Read More
Autism Spectrum Disorders (ASD) Language Disorder(s)
Unusual Speech Pattern: Language or Fluency Problem
October 15, 2007
I am an SLP who recently observed a 5 year old whose speech pattern is highly unusual. He speaks at a loud and high level of excitation most of the time, often accompanied by hand flapping, and a "pre... Read More
Stuttering Language Disorder(s)
Speech Therapy for Patients with Myasthenia Gravis
October 8, 2007
What should be the main focus of speech and language therapy for patients with myasthenia gravis? Read More
AAC - Technology
Oral Feeding Problems in a Premature Infant
October 1, 2007
My granddaughter was born October 5th, 2006. She was not due until Jan 1st, 2007. She was released from the hospital in January, but still will take almost no bottles. She has a gastric tube, but we a... Read More
Early Intervention Dysphagia (Adult)
Medicare Paying for Cochlear Implants?
September 24, 2007
Will Medicare pay for bilateral CIs? For replacing an existing CI with a newer internal device? For a new BTE? Read More
Hearing and Hearing Loss
Team Approach to Assessing APD
September 17, 2007
I am a speech language pathologist who is currently not practicing. I strongly suspect that my four year old has an auditory processing problem. He was evaluated. The speech therapist looked at his re... Read More
Central Auditory Processing Disorder (CAPD)
Reporting Raw Test Scores
September 10, 2007
Is there any reason to report raw scores on comprehensive evaluation reports? I typically report the standard score and percentile rank, as well as a ratings equivalence (i.e., average, below average,... Read More
Language Disorder(s)
Tips for Working with Velar Fronting
September 3, 2007
My question concerns a six year old girl who has velar fronting for /k/ and /g/ and a frontal lisp on /s/ and /z/. I am a student beginning to work on my own cases and am having some trouble with this... Read More
Articulation, Phonology, and Speech Sound Disorders
Voice Therapy Post Surgical Removal of Polyps
August 20, 2007
I have a patient who is going to have surgery to remove a polyp from the vocal cords. How soon after the surgery can she receive voice treatment? And do you have any suggestions about exercises? I am... Read More
Voice and Resonance Disorders
The Relationship Between Aphasia Therapy and Cognitive Strengths
August 13, 2007
Do you know of any updated research on aphasia therapy within the realm of neuroanatomy and memory tracing? It's intriguing to me and I'm incredibly interested in this field! Any info provided would b... Read More
Aphasia
Nasal Speech: Phoneme Specific Errors
August 6, 2007
I have a six year old little girl with very nasal speech. She has seen an ENT and he has said that her oral mechanism looks OK with no areas of concern. The ENT stated that tonsils were normal, he cou... Read More
Voice and Resonance Disorders Articulation, Phonology, and Speech Sound Disorders
Anoxic Incident in a 10-month Old
July 30, 2007
I'm working with a 10-month old infant who suffered an anoxic incident due to near drowning. She has little cause and effect awareness, no volitional vocalizations, and delayed latch to nipples. Her s... Read More
Language Disorder(s) School Intervention and Collaboration in Schools
Listening Age for Implanted Children
July 23, 2007
I am looking for research that focuses on implants and listening age. For example if a child was implanted at the age of 3 1/2 and has been in school, and intelligence appears age appropriate, should... Read More
Hearing and Hearing Loss
Interrupted Oral and Silent Reading
July 16, 2007
I am working with a student whose oral reading is constantly interrupted by an unusual amount of breaths taken in the middle of words. Thus his comprehension of the subject matter is compromised. Does... Read More
School Intervention and Collaboration in Schools
Facilitating A Home Program for Nutrition and Speech
July 9, 2007
I am an RN and I do some home care for a 3 year old boy. This young child was born at 23 weeks gestation due to abruption of the placenta. He had some rough months in the NICU and then went home on a... Read More
Early Intervention Dysphagia (Adult)