[Music] hello and welcome back to the Vlog if you're new here my name is Kelly I am a speech pathologist I specialize in working in the hospital with adults but today I'm also going to be working or today I am going to be working as an outpatient therapist I work outpatient about a day and a half each week now with my new job and I figured it'd be a great day to bring you along I know I just did an outpatient therapist like Day in the Life Vlog but today I'm by myself I'm officially done training with my new position so I thought I'm gonna bring you along because it's gonna be an interesting day I have some interesting patience I'm gonna see a new eval and also this facility that I'm working with this outpatient clinic is so nice so come along with me hang out with me let's get this wedns Tuesday started so if you watched one of my recent Vlogs I talked about how my new job has limitation on the color scrubs you're supposed to wear like nurses wear Navy um therapies allowed to wear black or teal Aqua um but today I'm kind of pushing the limits since I'm doing Outpatient Therapy I'm gonna wear these navy blue scrubs with these orange ties that I absolutely love um so hopefully I don't get in trouble and I've just got my on clouds on so we're ready to go good morning hi listening Kelly strong today yes that'd be awesome all right guys so happy fast delicious um I got a large and I got a goodness what did I get I got a shaken espresso with um a cinnamon stick honey two percent and this whole thing they were doing like a promo so this whole thing cost me two dollars but on the app it's a seven dollar drink so my thoughts it's good it's very sugary for me I am a black coffee girly um but it tastes pretty similar to the shaken espresso at Starbucks um I mean it's good I definitely would not pay Seven dollars for this drink but for 2 14 after tax this is gonna be a perfect Midday pick me up I already had my morning coffee so I do not need to drink five shots of espresso right now we're at work the motivation to get out of my car and go inside I highly recommend never doing this when you get to work is pulling into the parking lot and sitting on your phone for five minutes or just like sitting in the car because then once you're sitting in the car and you're staring at the building in front of you all of the motivation drains from my body so don't do what I'm doing today I try my hardest to never do this but today I just did it because I got here a little bit early this is a farther Drive than typical drive to work so I had an extra couple minutes to spare and now I'm regretting it but I need to go into the building I'm going to show you a little sneak peek of the building and my office space so let it go all right guys so I just did my first patient um it was a 45 minute treatment session he's come for an evaluation and then one previous treatment and then has been on vacation so we haven't seen him in a while um what we're focusing on with him is he's having some cognitive linguistic deficits with his dementia and history of Strokes um so something that I was working on with him today is going through this um the assessment of language related functional activities a really great assessment when we're talking that we're trying to Target things that are functional for our patients um some of the subtests that I found that this is like super useful is that it goes through like counting money telling time addressing an envelope solving daily math problems writing a check balancing a checkbook using a calendar doing medication um reading using the telephone writing down a voicemail important information from a voicemail so it takes a look and does functional tasks and evaluates functional tests you can see how your patient is going to participate in those tax tasks at home and then also which I thought was interesting at times it has timing involved so how long does it take for your patient to write on a check or what is you know how many times do they need a voicemail repeated to them in order to hear and process the information um but yeah that was just a little bit and then we all we did together um and then we did some reading and recall and memory strategies with an article about bees you know these are pretty cool I feel like it's hard sometimes to pick out articles to read with your patients when you're working on memory and applying details and fluency reading um but I try to pick articles that are like harmless and that aren't going to bore patients but also aren't gonna be like I don't know completely outside their interests so in my opinion bees are pretty harmless and how can you be offended by bees so we write about bees today interesting things and I've got like an hour and half I have to write this note and then I gotta prep for my next lesson um and treatment session typically at outpatient they try to like have the patients come like back to back to back to back so you're not chilling and you don't have a ton of free time but we called our patients and they weren't able to come in any earlier so today I have some pretty big blocks in between each patient which is beneficial because then I can catch up on notes and actually have time to like plan for the next lesson but typically how this runs is that like I'll see a patient from 8 45 to 9 30 and then my next patient's at 9 30. so you kind of need to do all your planning in advance or um just roll on the spot but today I'm thankful enough that I have some planning to do planning time also this place their ice is fantastic and that's not something I said earlier but I instantly rate any place that has good ice way better so I'll give them some more Kudos because of the ice situation and that it's fantastic but I think that this fast fast happy delicious like there's none in Florida except for the one in Lake Lynch so um and if any of you guys are living California I believe that this is a california-based company um but I think it's very similar my friend's brother works at Cali coffee in South Florida so um I would say that this is kind of like similar to Cali coffee from my experience of Cali coffee but I really good but again I'm not I would never spend seven dollars on this not worth it in my mind well what I was going to say before the spell is that it's lunch time today's lunch is the same as the same lunch for the last two weeks yum ground turkey um with rice and frozen vegetables mm-hmm [Music] it's nuclear hot right now so I'm stirring it up to cool it down but I just saw I only have three patients today it's a pretty light case load typically we have a lot more um but I just saw my second patient she is coming she just has kind of advanced aging memory loss going on and she's relatively young for this to be happening I mean she's still elderly but like Young and the elderly Spectrum so something I'm working with her is all her names on this but I started to do a memory book about her family and her life so what we started today was just a personal memory booklet is what they call so we talked about um her birth when she was born where was she born what hospital any childhood nicknames her thoughts on the child's names her parents what they did for a living where they worked um when they got married any information how they met her siblings anything she remembers from childhood about her siblings their birthdays just things like that her values her beliefs her childhood where she grew up thank you what is wrong with me okay I keep I was trying to balance my camera on my stand on these gloves because then it was going to give me a higher angle but we're just gonna have to Vibe like this oh gosh okay anyways so that's what we did together um we just started her booklet today the PDF that I have saved on my computer is like 30 something pages and then it also gives them an option to like when we're done with this like or they could bring the photos in but put photos photos in so that she has pictures of her parents pictures of herself pictures of her dogs um things like that so that's what I did with my patient we're also doing a lot of like calendar and memory cues and just remembering the date and orientation and keeping track of like daily planning um so I kind of love those patients it's just like a feel-good building up their history talking about how they grew up talking about memories talking about their you know family tree and their grandchildren their great grandchildren so that was a great session super fun um just to feel good session so I have to eat lunch and then I need a prep for this next session I have because I'm kind of stressed about it you may be thinking Kelly why are you stressed you're doing great as an outpatient clinician and I'm like yeah I am but however I just created it I just got um done with a new training called speak out which is a Parkinson's training and it's a it was an online course um I feel great about what I learned from the course and I feel confident that like I can do it but I haven't yet done a new eval for um speak out so today we're doing it we're doing a new eval for speak out um and I'm stressed because I've never done it by myself before with the patient um speak out is a voice program with the Parkinson's voice Foundation um it's all about speaking with intent for Parkinson's um and I'm very excited I'll talk more about it once I'm done with the patient and recap how the session went but it's a great program for people with Parkinson's to get their communication stronger and just start living with intent and speaking with intent um so I'm stressed I gotta recap and review my speak out stuff before I do the session so let's see let's review then it's big out time just hanging out with my mouth in my throat test sop things [Music] okay guys it went well that whole anxious Kelly about who knows what um it was fine I just had to do a voice assessment basically to get a voice and motor speech assessment to get like an idea of their loudness and how she's speaking at Baseline and so that we have some um Baseline measurements to then start the speak out therapy so the anxiety was for nothing and that I have to have some anxiety once we start therapy with her but that's a problem for another week been really really well and we just talked and uh yeah so now I have to write her evaluation um I use the ndat motor speech platform I also used the voice handicap index and then throughout the whole session I was monitoring her loudness their ability using a decibel meter so she was speaking more at like a 60 decibel versus like normal speech we want it cranked up so we are definitely a good candidate for speak out she has done it before and our biggest hesitation with starting to speak out with her is that she was kind of iffy with complying to the previous protocols so hopefully this time she'll be compliant for the Intensive protocol of the training process and then she also hasn't been doing any of the um exercises outside of therapy since her last treatment session so we really need to stress the importance of adhering to the intense therapy and and also the post therapy and outside work that she has to do in attending loud crowd so speak out is a great um program like I said previously with the voice Parkinson's project um it just targets the problem with Parkinson's that they're at a huge risk for not only swallowing difficulties with their degenerate disease but also um speech issues it's kind of the difference of that they have all the ability to still speak clearly and with intent but instead for someone with Parkinson's they have to think about it and they daily have to make the choice and the thoughtful process to speak with intent versus me for an example is I don't have to think twice about my speech so the idea is for them to speak with intent within purpose to speak over my head to with all of these verbal cues then as a side effect that their speech will be more intelligible the speech will be clear um kind of how the process works is that they go through like a 12 period 12 session intensive therapy and then after that once they can graduate from therapy they then attend weekly speak out speak loud crowd loud crowd sessions in the community and then they also do their daily activities so they'll get a book that they have at home that has warm-ups that has daily activities for them to do and then after a six-month period they'll come back to make sure that they are continuing using their speak with intent oh that's all I really got trying to see if this pamphlet that I have here has other information um so you know from the Parkinson's voice Foundation it says this program emphasizes speaking with intent and converts speech from an automatic function to an intentional Act upon completion of speak out patients transition to the loud crowd which is basically just a group of people who have Parkinson's who are using their speak out training to continue having it monitored by an SLP who leads the group and then they also make friends in the group and they talk and they go through their exercises and then have discussion on different topics so that was my day that was my day I'm gonna go write these notes and then I need to get out of here and go get a pedicure and that's a wrap from the office today we did it we did it we did the outpatients okay I am headed over to my boyfriend's parents house um me his sister and possibly his mom are gonna go get pedicures today I have a bachelorette party this weekend at the beach and so my feet after Iron Man need some TLC the dead skin have to go away no one wants to see that at the beach they just totally got beat up on the race so I am excited to pamper myself and spend some quality time with them um but yeah that's how happy work is done guys I just had like seven oh my gosh ouch my life right now I just legitimately had like seven like near-death experiences I need to get this camera you're on my couch right now okay I had dinner with Jonathan's parents and his sister and then I was like okay time to go home I had like 45 minute drive home and oh my gosh it was literally the worst 45 minutes that I've had in the longest time it was storming and I don't mean like raining hard I mean like I couldn't see unless I had my brights on and my window wipers going full speed and then I'm out it's like basically back roads to get to my house from their house and I'm out in this patch of like farmland and all I see is lightning strike lightning strike lightning strike lightning strike lightning was striking so close to my car that my vision would go bright white because it was so close and the lightning was like and I'm in this back road in my little sedan and then if you look in the street when you can see the street you know that the sides of the street are just like waterlogged and if you notice you like are gonna hydroplane if you're going too fast so I'm just death gripping like a grandma to my steering wheel for 45 to 50 minutes as I'm going through a literal lightning storm and then I finally get to like 10 minutes outside my house I hit the town my town and I'm sitting at a red light and all I'm seeing is lightning lightning lightning lightning lightning and I'm just like I need to get home so badly and I'm just death gripping White Knuckles and I just praying to God and begging God to get me home safely and I finally got home but I had a great day and this was the most chaotic stressful I literally don't want to be exaggerating but near-death experience you don't mess around with lightning it was everywhere I mean like I don't know how many lightning strikes I saw but the I saw four lightning strikes that was so bright that my vision went white so if that has to say anything about the storm I just drove through oh my gosh I was gonna stop off at the gym and go on a treadmill walk for like an hour before I like wound down but like I am I'm not leaving my house I'm gonna go take a shower and just take a warm shower and relax because that was just that was just absolutely insane oh my Lord alrighty I showered I'm gonna eat this cupcake as a reward of surviving that car ride my boyfriend's mom makes these cupcakes and she made me a couple of this past weekend when we were over there and so this is the last one it's peanut butter frosting and a chocolate cake and then I'm gonna drink a Lacroix I've got oh that lighting makes it look wild a candle lit oh I always drink my Lacroix out of a wine glass so I'm gonna pour that into that and I'm gonna watch some Netflix I am actually watching well the man named Otto is a good movie but I'm watching not queer eye Queen Charlotte for anyone who oh goodness who needs something new to watch Queen Charlotte is very very good if you're a fan of um what's it called richardton check out my snake plant guys this room needed some life to it so I got this little snake plant and I think it just looks so cute there um hopefully it'll grow a little bit bigger but you know it definitely brings in some Vibes I need to get a little plant stand but that's what we're working with right now on that note I'm gonna call it a night I'm gonna turn on this show and just relax and calm down I feel so much better after hot shower and just washing my face washing my skin relaxing and just soaking up the goodness of a hot shower and just being very thankful that I got home safe tonight and that's all I really got so I hope you guys enjoyed today's Vlog follow subscribe you know all the good things like comment full down below and I'll catch you guys next time