Guest: Dr. Richard Noel, MD

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=The-Medical-Domain-of-Pediatric-Feeding-Disorder

In this episode, Dr. Richard Noel joins the discussion to shed light on Pediatric Feeding Disorder (PFD) and its medical domain. Dr. Noel shares his journey to becoming a pediatric GI specialist and explores the critical components of managing PFD. Key topics include the importance of growth and nutrition, management of upper GI tract issues, and the significance of airway and lung concerns. Dr. Noel also addresses common misconceptions about reflux in infants and the use of various appetite stimulants such as ciproheptadine and mirtazapine. Viewers will gain valuable insights into constipation management, the role of scheduled toileting, and the importance of multidisciplinary care in treating PFD. The conversation underscores the need for better medical understanding and care strategies for children with PFD.

Timeline:

00:00 Introduction and Guest Welcome

01:41 Journey to Becoming a Pediatric Gastroenterologist

05:32 Understanding Pediatric Feeding Disorders

06:51 Medical Domain of PFD: Key Considerations

08:24 Addressing Nutritional Concerns

14:17 Managing Constipation in PFD

21:39 Behavioral Strategies for Feeding

23:36 Family Involvement in Feeding Therapy

26:04 Family Routines and Feeding Therapy

26:47 Medications for Appetite Stimulation

27:03 Ciproheptadine: Uses and Effects

31:18 Mirtazapine: An Appetite Stimulant

34:49 Megastrol: A Powerful Appetite Stimulant

37:07 Managing GI Issues in Children

38:03 Reflux and Vomiting in Infants

43:09 Cyclical GI Disorders: Abdominal Migraines and More

47:20 The Role of Multidisciplinary Teams in Pediatric Care

48:56 Challenges in Pediatric Feeding Disorder Education

53:46 Advocacy and Access to Multidisciplinary Care

About the Guest: Dr. Richard Noel was born in Mexico City and grew up in San Antonio, TX. He has MD/PhD degrees from the University of Texas Southwestern Medical Center in Dallas and did a residency in Pediatrics at Wake Forest University in NC. He trained in Pediatric Gastroenterology at Cincinnati Children’s Hospital Medical Center, where he developed an interest in working with children with pediatric feeding disorders. He worked for 10 years at the Children’s Hospital of Wisconsin with Dr. Colin Rudolph and then transitioned to Duke University, where is currently Division Chief for Pediatric Gastroenterology, Hepatology, and Nutrition.

Watch this Interview on YouTube: https://youtu.be/NVGPdIzfobs

Guests: Jennifer Ruckner, MS CCC-SLP, and Beth Cooper, MOT, OTR/L

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Sensory-Detective-Part-2-A-Closer-Inspection

In this episode, Michelle is joined once again by Jennifer Ruckner, MS CCC-SLP, and Beth Cooper, MOT, OTR/L, for “Sensory Detective Part 2: A Closer Inspection”. In “Part 1” (#3660), Jen and Beth went into detail on the roles and responsibilities of SLPs and OTs with respect to “sensory” and how they can collaborate, and they were just getting started. In “Part 2”, they share why it is so critical to empower caregivers in their child’s sensory journey and how to teach clinicians to do so, starting with the initial evaluation. Jen and Beth then transition to a series of case studies to highlight the impact of the “medical domain” of pediatric feeding disorder on the child’s sensory systems and wrap up with recommendations on when/why taking a break from therapy can be beneficial. Remember, everyone has a role in “sensory,” and we hope that this episode continues to grow your passion for it.

About the Guest(s):

Jennifer Ruckner MS, CCC-SLP received her Bachelor's of Science Degree and a Master's Degree in Communication Disorders from Auburn University. She has been a speech-language pathologist since 1990 working in a variety of settings including Early Intervention, school districts, and private practice. Jennifer piloted a preschool expressive language program for Stafford County Schools. Jennifer specializes in Social/Pragmatic Language, Autism Spectrum Disorder, Expressive Language Disorder, and Feeding Disorders, and is Beckman Oral Motor Certified. She provides services through Telepractice and at home. In 2008, she and partner Patti Minicucci created Tots To Teens Therapy Services to provide speech and language resources in an interdisciplinary approach to the families of Northern Virginia. Jennifer is a Community Ambassador for Feeding Matters, a non-profit, parent-founded organization.

Sharibeth (Beth) Cooper MS, OTR/L received her Master’s Degree in Occupational Therapy from the University of Illinois-Chicago in 2004. She has experience working in various settings, including home-based early intervention, teletherapy, school systems, outpatient clinics, and as part of a diagnostic team for a center for autism. She is certified in the Handwriting Without Tears® program, M.O.V.E® program, and Therapeutic Listening®. She has completed advanced continuing education in MORE, Floortime/DIR, Kinesiotaping, The Ready Approach for Self Regulation®, The Alert Program®, TEACCH®, TalkTools, neurodevelopmental techniques, and assistive technology. She has been a presenter at state conferences, parent workshops, universities, daycares, and school programs. Beth also serves as the Clinical Director at Tots to Teens Therapy Services. In her spare time, Beth enjoys spending time outdoors with her husband and four children.

YouTube Episode Link: https://youtu.be/VrDBJufQpzo

Guest: Angelyn Franks, SLPD, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Burnout-and-Mindfulness-for-the-SLP-The-Conversations-we-Nee

Join Erin and Dr. Angelyn Franks in an honest conversation about a topic that most SLPs don’t dive into but have experienced at one time or another: burnout. Dr. Angelyn Franks provides an authentic perspective on what burnout actually is, how to identify it, ways to support someone (or yourself), and proactive strategies. So many SLPs have been outspoken about their stress and frustration within the field and Angelyn is here to provide insight into what we can do to support our mental health in a field we all love.

Watch the full video interview on YouTube: https://www.youtube.com/watch?v=Rl39nZGkVGA