Matt recounts his weekend camping with his son in the cub scouts.  Michelle continues to improve her ability as a therapist and living on a military base. 
 
Tina Babajanians, aka the Voice Stylist, is an SLP who left the typical therapy routes and works with the transgendered voice.  Tina talks to Michelle about her road to speech and language therapy and its impact on her life.  Tina discusses the strategies in working with a transgender voice patient and ways to ensure generalization through Gender Affirming Voice Training. 
    
Patient Driven Payment Model has officially taken its toll and people’s paychecks have been affected.  Pay cuts, layoffs, and 15 minute group therapy is affecting SLPs across the country, what have you seen from PDPM?   On November 1st, a new rule goes into affect for over the counter hearing aides.  Is this a good thing to help those that need it or will this become a bigger problem that wouldn’t have happened if a person went and saw an audiologist to start with?
 
How do you target real world simulations in therapy?  Would virtual reality help?  A new study is looking at virtual reality and concussion rehab.  Lastly, a study looks at the relationship between voice output and a person with Down Syndrome.  What does the results mean for your therapy?    
 
 
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Show Links
 
The Voice Stylist
https://thevoicestylist.com/
 
Black Daggers- Army
https://www.army.mil/article/29318/the_black_daggers_global_warriors#targetText=For%20the%20Black%20Daggers%2C%20the,shoulders%20to%20control%20their%20flight.
 
International Pronoun Day
https://en.wikipedia.org/wiki/International_Pronouns_Day#targetText=International%20Pronouns%20Day%20is%20an,the%20third%20Wednesday%20of%20October.
 
PDPM
https://blog.asha.org/2019/10/07/slps-in-snfs-share-stories-of-pdpm-related-layoffs-treatment-and-pay-cuts/
 
Down Syndrome and the Voice
https://library.down-syndrome.org/en-us/research-practice/02/3/voice-people-down-syndrome-emg-biofeedback/?fbclid=IwAR3JQnpEyrDyDZCwsLg24YInLO7qnMbDkZ9rxhoKBaENA6YxrfyekLFEiIo
 
Virtual Reality and Rehab Therapy
https://www.seacoastonline.com/news/20191010/virtual-reality-used-to-help-heal-concussions?fbclid=IwAR3uz68S4Os4t99oqlTtquNwry6TG-aMDacS_Xm8BZj_tXpPw7a8n1lJKYg
 
Over the Counter Hearing Aides
https://leader.pubs.asha.org/doi/10.1044/leader.FTR1.24102019.46?fbclid=IwAR1HHld-G1dK2s_XnIjjMqrEzFSSm31ntyCTfJjT-KSH-kwRrPl8Yz_Hn44&
 
 
Intro Music: Please Listen Carefully by Jahzzar is licensed under a Attribution-ShareAlike License.
Bump Music: County Fair Rock, copyright of John Deku, at soundcloud.com/dirtdogmusic
Closing Music: Slow Burn by Kevin MacLeod is licensed under a Creative Commons Attribution License.
 
 
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