Client X Case Summary

Helen Stonewall is a married 32-year-old African American female. Helen was brought into see me because she had to be removed from the middle of the street by the police where she was dancing in the middle of the city street half naked at 2am without having any sense of danger. Just before that she removed from a bar where she was dancing on the table and ignoring the bartenders request to get down. Helen had consumed only two drinks before these acts were committed her medical evaluation concludes that there was no excessive use of drugs. She said, “that she was high on life”.

As a group, team A collectively provided input and decisions on our MSRP in order to increase sales and attempt to gain market shares. Thus we wanted to understand the price sensitivity of the different target markets to set the appropriate price (Winer & Dhar, 2016, p. 248). We carefully reviewed the MSRP performance summary provided, starting with the first period, comparing it to the average retail price by way of the channel report (ARPCR). The original price for Allround was $5.29. At that time we were $.40 higher in price than our competition however the team felt that with the $.50 coupon discount we were offering, we would fall in line with other over-the-counter Besthelp who was our immediate

The opportunity to observe the work overview of a Speech Pathologist, has tremendously solidified my interest in this field. At the Diana Rogovin Speech Center at Brooklyn College, I observed clients of various ages with different speech language disorders including articulation, language, voice, fluency and accent modification. Observing clinicians at the speech center gave me the opportunity to learn how important client-clinician interaction is for the session and how essential it is to build a good relationship with the client. Although I learned the

No history of skin disease. Skin is pink, dry, and void of bruising, rashes, or lesions. No recent hair loss; head is normocephalic. Pupils equally reactive to light; no history of glaucoma or cataracts. Ears are in normal alignment; no history of chronic infections, hearing loss, tinnitus, or discharge. Nose and sinus history includes clear nasal discharge “since last October”, and occasional nose bleeds; states she use to get nose bleeds often as a child. Mouth and throat are absent of lesions; no bleeding gums, sore throat, dysphagia, hoarseness, or altered taste. Neck is void of pain, swelling,

Sitting in the audiology suite that had with two other audiologist and the patient’s wife I felt that this is place that I should be. When questions were exchanged between the patient and the audiologist, I realized that I needed to be able to clearly pronounce words and founded it enjoying task - I didn’t get frustrated. I am in currently shadowing a 3 months cochlear implant patient check-in. The patient was man that was more than happy to allow me to shadow his appointment. During all numerous hearing test, the patient had complained about how certain sounds were high pitched. After modifying certain frequency, the patient was retested and felt much better. This experience is what attracted me to a career in audiology was the positive impact an audiologist can have on people’s lives. Audiologist can help older people reconnect with family and friends when they have been slipping into a silent world and began giving up on participating in conversations. It is quite special the role an audiologist has in keeping people connected with one another.

It is common for people with vocal fold nodules to improve without the need for surgery (Simpson B al., et 2008). Speech-Language Pathologists have to be mindful of using evidence-based practices

An interview was conducted in which the client’s mother stated that she feels that Tommy’s voice quality is becoming progressively worse. Tommy has also begun to perceive the difference compared to his peers. He stated, “I sound different from all of my friends at school. They say ‘Tommy, what’s wrong with you? Why do you sound like that?’” In response to his friends’ inquisitiveness about his voice, Mrs. Callahan stated that Tommy is becoming less talkative. During the interview, a connected speech sample was taken whereby Tommy was asked to read the Limpy standard reading passage aloud. Low pitch and hoarseness were evident during the

After giving birth to her daughter, she suffered from many complications and lost her beautiful voice, finding herself in a situation she was unable to cope up for some time.

Complainant, who is African-American, alleges that Respondent’s employee had a scowl on her face, talked down and attempted to belittle him, but was extremely helpful to a Caucasian customer. Respondent asserts that denies that its employee subjected Complainant to differential terms and conditions based on his race. Respondent asserts that Complainant requested and received the services, in-person hearing regarding his parking tickets, that he requested.

CAPE-V is an auditory method of evaluating voice quality. The CAPE-V was created to provide a consistent scale and consistent parameters for professionals evaluating the voice while also allowing clinicians to identity differences among a client’s voice (Nagle, 2016, 47). Clinicians determine if a person has a voice disorder or if a person has a normal voice. Six voice qualities are specifically examined when a CAPE-V is used; however, the evaluation includes blank lines to allow a clinician to write additional voice features he or she perceives that are not originally listed on the CAPE-V form. Qualities examined by a professional utilizing a CAPE-V are overall severity, roughness, breathiness, pitch, and loudness. A tick mark is placed on a visual analog scale to denote the severity of each vocal quality; the left portion of the scale signifies a normal vocal quality, while the right portion of the scale represents an extreme deviance in voice parameters. The assessment requires the client sustain vowels /a/ and /i/, read six sentences, and speak in a conversational manner to the statement, “Tell me about your voice.” Prolonged vowels enable a clinical to hear a client’s voice with no articulatory influences, speaking the sentences permits a professional to evaluate specific voice qualities, and conversational speech allows a clinician to further assess a client’s voice for abnormalities (Kempster et al., 2009, pp. 126-127). Clinicians agree that

normal. Listened to the voice. Taste- posterior one third of tongue- normal. Secretion of saliva glands, carotid reflex is normal

inability to co-ordinate exhalation and initiation of phonation, inability to adduct vocal folds to efficiently valve exhaled air stream, and hyperadduction of vocal folds requiring excessive levels of subglottal air pressure to initiate and maintain phonation; therefore run out of air quicker. Ms. Pepper’s s/z ratio is 1.67. An s/z ratio higher than 1.4 may indicate a deficit in adducting the vocal folds. This is consistent with Ms. Pepper’s symptoms. Ms. Pepper’s phonation quotient was 580 ml/sec. The average PQ for females is 137 ml/sec. Ms. Pepper’s PQ is extremely elevated. High PQ can be associated with incomplete vocal closure and/or laryngeal inflammation. Ms. Pepper’s mean speaking F0 was 186.35. According to Stoicheff (1981), the average speaking F0 was 224.3 with a range of 192.2-275.4. Ms. Pepper’s pitch sigma was 2.12 semitones. According to Stoicheff (1981), the mean pitch sigma was 3.78 ST. Ms. Pepper’s pitch sigma was below the mean. Ms. Pepper’s maximum

An ENT, Stroboscopy, Fiberoptic laryngoscopy report performed on 05/31/2017 was completed by Jagdeep Hundal, MD, an Ears, Nose, and Throat specialist. The claimant complained of laryngitis and sinus pain. During this visit, she presented with a mild change in voice quality, characterized by hoarseness. The exacerbating factors include allergen exposure, overuse of voice and smoking. The symptoms were relieved with medications. Of note, the claimant is a chronic smoker. She has had antibiotics and steroids in the past with some improvement, however, the symptoms recurred. She complained of nasal congestion and post nasal drainage. The claimant has not been able to report for work due to hoarseness in her voice. The physical examination revealed

Despite him trying out various vocal exercises with different therapists, it is made obvious to us that the

The last option is surgical voice restoration which was introduced by Singer & Blom in 1980(Blom,1995) Not all patients are suitable for this however, It involves a tracheoesophageal speaking valve, a small fistula is surgically created through the tracheal wall into the oesophagus. A small, one way valve is inserted into the fistula and it allows air to be shunted from the trachea to the oesophagus and up through the pharyngo-oesophageal segment creating an acoustic wave form and voice. A longer flow of voice can be achieved as pulmonary air is used as the initiator for voice.