Moments That Take My Breath Away

The cable installer never knew the current was coming.  He was electrocuted and fell from a pole to certain death.  But he didn’t die.  I was one of the health practitioners who cared for him and helped him regain the ability to speak and think. He recovered well enough to marry his girlfriend, go on to the university and earn a degree with a double major.

That’s one of the moments that has taken my breath away during my 30 years as a speech- language pathologist.  January 4, 1982 marks the first day I was on the job.  I am so thankful for a wonderful career, one I would highly recommend to others who want to change people’s lives. 

There are so many patient stories that are dear to me.  Here are just a few:

* The little girl who didn’t move up with her peers to the next group at daycare because of her apraxia, a brain disorder.  At age 4, she was already falling behind.  Three months later, with speech therapy, she made a significant turnaround.  Apraxia is a motor speech disorder where the brain does not consistently send signals to the tongue and mouth telling them how to put sounds together into words.  I heard the joy her parents expressed at this outside affirmation of their daughter’s progress. 

* Another little girl could barely focus on an activity for 3 minutes, her attention was so fleeting.  Six months after we began work together, she could concentrate on a task for 15 or 20 minutes and only needed to do three different tasks in an hour.  

* The young women who heard for the first time after a cochlear implant.  She practiced listening by identifying sounds in her environment and told me about hearing the birds outside her window.  One day, she turned on the facet just for the wonder of hearing the sound of water.  Another amazing moment.

* The toddler who grew up in a pediatric ICU where I worked earlier in my career.  He had a tracheotomy and communicated with the nursing staff through sign language, creating signs for book, ball, drink and other words.  We helped him learn how to communicate with his voice with a device on his trach tube to allow for sound production including the sound of laughter.

Being a speech-language pathologist is intellectually stimulating because every case is different.  Each day I solve new puzzles and create new tasks and strategies to help each patient meet his or her goals. 

So what exactly does a speech-language pathologist or a speech therapist do?  And why the two names? I can’t tell you why there are two interchangeable terms for the same profession but I can explain what we do – and it’s much more than helping people pronounce their S’s and R’s.

Our three primary areas of practice includes: 

* Improving cognition.  That includes attention, memory, logic and reasoning, auditory processing, visual processing, and processing speed. 

* Improving communication skills.   Skills involved include listening and auditory comprehension, expressive language, social language, voice skills, and fluency of speech.  

* Improving the ability to eat and swallow. 

We see individuals from birth to old age with a wide variety of diagnoses, from autism to ADHD, cleft palate to strokes, brain injury to challenges with foreign accents.  If communication or how the brain is working is part of the problem, chances are a speech-language pathologist can help patients with the solution or recovery.

Speech-language pathology is an optimistic field because we have positive outcomes with our patients.  Our services result in people becoming more independent, being more involved in their community, achieving more at school, and returning to work.  We get to know our clients and their families.

There is nothing better than to see patients achieve at a higher level than before they started working with me.  Thank you to all my patients for the most satisfying of careers.

And if I’ve inspired you to consider speech therapy as a career, visit www.asha.org to find out more.

Processing, Processing, Processing

This word is peppered in conversations I have with parents every day.  Three types of processing affect our daily activities:  language processing, auditory processing, and processing speed.  People can have difficulties in just one area or a combination.  Someone may have both auditory-processing and language-processing difficulties, for example, or auditory-processing and processing-speed issues

Language processing is how we understand the meaning of words and sentences.  Individuals with language-processing difficulties may have trouble understanding concepts such as “around,” “inside,” “over,” “before,” and “after.” They may also have difficulty following conversations with “he”, “she”, “they,” or other pronouns.  Certain kinds of sentence structure may pose a challenge, too.  “The girl on the bike stopped at the traffic light” may be easier to process than, “She carefully stopped at the traffic signal when she rode her bike.”

People with a language-processing disorder show these symptoms:

  • They often use short sentences when talking.
  • They may seem like the quieter kid in class.
  • They become confused following directions.
  • They have difficulty learning prepositions and pronouns.
  • They don’t understand subtle language such as inferences, idioms, and humor.
  • The variety in the type of sentences they use is limited.
  • When they are young, they may be able to learn to read without much trouble yet they have difficulty learning new vocabulary.

Auditory Processing is how our brain discriminates, identifies, analysis and manipulates sound.  In people with this disorder, the ears hear but the brain does not interpret the sounds accurately.  Individuals with auditory processing difficulties often mispronounce words while speaking and reading.  They may struggle to learn to read, spell and write. For example they may struggle to blend (put sounds together) or segment (take apart) words they have not heard before or non-sense words Cloister – k – l-oi –st-er . 

Signs and symptoms of an auditory processing difficulty:

  • The individual may be overwhelmed by too much sound or loud sounds such as vacuums, toilets flushing and environments such as kids’ arcades and sporting events.
  • They mispronounce words when speaking and reading, although they clearly know what the word means for example specific becomes pacific or there are many trials of a difficult word like cinnamon – minomen, minimum, cinn – o –mon, cinnamon.
  • They often say,”Huh? What?” to allow for more time for processing.
  • They have difficulty learning to read and spell.
  • Though they try to follow directions, they frequently misunderstand them. 
  • They may seem to have attention or memory problems. 
  • They have difficulty learning a second language and have difficulty with code games at home like pig Latin. 
  • They have difficulty doing two tasks at the same time.
  • The length of their sentences maybe average, and they may like to talk.
  • They may have difficulty understanding pitch changes and may not be on key when singing.

Processing speed is about how fast you take information in and are able to execute tasks.  If information is processed slowly, we typically miss some of the information that is coming in.  Your child may be listening to instruction A.  However the teacher is now on instructions B and C.  Your child misses B and C because he was still focused on A. 

Signs and symptoms of processing speed difficulties:

  • Homework takes longer than expected.
  • In the classroom your child is repeatedly the last one done on tests and in-class assignments.
  • Getting dressed in the morning, or getting ready to go anywhere, takes a very long time.
  • People with processing speed difficulties don’t like competitive sports or activities where racing is involved.

Speech language pathology services at The Brain Trainer can help you determine your or your child’s weaknesses in processing and strengthen the areas that need it.  School and work become more fun and productive when it’s easier to think and communicate quickly and clearly.