gab&go https://gabandgospeech.com Speech Language Pathologists Wed, 26 Jul 2023 01:32:16 +0000 en-US hourly 1 https://wordpress.org/?v=7.1 https://gabandgospeech.com/wp-content/uploads/2022/10/cropped-Logo-13-e1666371363316-32x32.png gab&go https://gabandgospeech.com 32 32 Emotional support and other service dogs in a hotel setting https://gabandgospeech.com/emotional-support-and-other-service-dogs-in-a-hotel-setting/ https://gabandgospeech.com/emotional-support-and-other-service-dogs-in-a-hotel-setting/#respond Tue, 22 Nov 2022 23:12:11 +0000 https://gabandgospeech.glossdev.com/?p=1573

This past weekend, I attended an 82nd birthday party that was 7 hours away for my family. It was amazing to see 50 relatives from all over the World under one roof. Yet, one relative required the assistance of an emotional support dog, who thankfully assisted her in attending this once in a lifetime event. I loved speaking to her about what she had to do in order to access this special service while staying in a hotel.

First, when reserving this room at the Hampton Inn, she explained to the customer representative that she required an emotional support dog to travel. The person on the phone was caring and made sure to document this special need under her reservation. Unfortunately, the person who checked them in didn’t see the note and gave the emotional family a little push back. So my first piece of advice when using a service dog is to make sure you not only request special accommodations when booking your room but also make a follow up call to remind the staff of your special accommodations, a day or two before the estimated time of arrival.

The families stay was pretty seamless after that with the exception of interacting with other guests. I personally observed one adult pat the dog on the head while a child simultaneously begged to pet the dog while her mom scolded her that you don’t pet service dogs. My family’s vest was not clear in explaining these parameters and I recommended a vest that clearly states how to act around this special dog. Attached is a link to such a vest. https://activedogs.com/search-rescue-style-dog-vest

I’m just thankful that in 1990, the American with Disabilities Act legally recognized service dogs and allowed my relative to attend this birthday party. If you want to volunteer to raise a service puppy, here is a link with contact information.

https://canine.org/get-involved/ways-to-volunteer/become-a-volunteer-puppy-raiser/

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Universal Studios Florida AAP Attraction Assistance Pass https://gabandgospeech.com/universal-studios-florida-aap-attraction-assistance-pass/ https://gabandgospeech.com/universal-studios-florida-aap-attraction-assistance-pass/#respond Tue, 22 Nov 2022 23:09:30 +0000 https://gabandgospeech.glossdev.com/?p=1570

I took my family to Universal Studio’s in Orlando Florida for the first time. My son is Simpson’s obsessed and we had already binge watched the first three Harry Potter movies. I was sad to learn that their Jaws ride was gone but was still excited about all the cool things the park had to offer. My only concern was a medical condition that one of my twins was experiencing which might have put a complication into enjoying the park. So, I called the park and they explained that they had an AAP, attraction assistance pass that we could get at guest relations to help us out.

So first thing in the morning, we stood in a pretty long line to get this pass and hopefully enjoy our day. It was hot and my child was already doomed with the heat. Here is my first piece of advice that a woman on line gave me, when she saw my broken down child waiting in line at guest relations. On a hot day, make sure you buy at the gift shop or bring from home a cooling towel. The towel works by wetting it with cold water, wringing out the excess water, and finally snapping the towel by holding each end in one hand and pulling the hands away from each other quickly. This towel was really amazing and kept my entire family cool on a super hot day.

Getting the pass was easy. I just explained my child’s medical condition and was given a paper pass with a table on it. After buying and using our cooling towels, we headed to Minions Mayhem to use our AAP. The line was almost 2 hours long so this was a great trial for the Attraction Assistance Pass AAP. You need to first find the Universal Express Queue or ask a Universal staff where you should go with your pass. Once you find the right spot for that ride, they will take your pass to fill out the first available line in the table with the number of guests in your party (up to 6) and a return time.

We then headed off to see the Secret Life of Pets parade and the shortest nearby ride called “Race through New York starting Jimmy Fallon”. That line actually went too fast because there is so many neat things to do there while you wait. They have a barbershop quartet singing your favorite songs in a new way, videos of late night talk show clips, and memorabilia everywhere you look.

After that awesome ride, we headed back to Minion Mayhem and waited on a 20 -30 minute line to experience that attraction. It’s a super cute computer-animated simulator ride. The length of this AAP wait was typical for most of the Universal Studio’s lines, with the exception of a few rides including Popeye’s Raging Rapids and Men in Black (MIB) where the wait time was less than 30 Minutes. When a line at Universal is less than 30 minutes, you don’t have to have the Attraction Accessibility Pass filled out and you can instead immediately enter the ride. Here are 2 off topic but great facts about those 2 rides. First the rapids ride gets you very wet but they have a special section in the middle of the raft to keep your belongings dry. Second, the MIB ride requires you to put your belongings in a locker before entering the ride. One small lockers is free for each guest and you can use either your park ticket or a locker card from a staff member to open and lock the locker.

When you use the AAP, you must of course have the person with the disability with you but I must be honest, on this day, no one checked up on this. The lines were definitely much shorter using the Attraction Assistance Pass but be prepared for a wait up to 30 minutes in length. We found that if the kids were comfortable with the ride, the single riders lane went faster for us. But for all intents and purposes the AAP allowed my child to get his required breaks in while still enjoying the park.

One last piece of advice about Universal Studios Orlando and Islands of Adventure, make sure you buy the free refill cups that they sell. I was able to keep my child well hydrated easily as well as treat them to Icees for about $10 a day. It was an amazing value.

Check this pamphlet out for more specific accessibility information on each ride.
https://www.universalstudioshollywood.com/tridiondata/ush/en/us/files/documents/universal_riders_guide.pdf

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Disney Accessibility Pass (DAS) https://gabandgospeech.com/disney-accessibility-pass-das/ https://gabandgospeech.com/disney-accessibility-pass-das/#respond Tue, 22 Nov 2022 22:55:20 +0000 https://gabandgospeech.glossdev.com/?p=1560

I love Disney vacations. So, this past May, I got to finally return to that magical place after Covid kept my clan away for so long. Unfortunately, one of my twins had a medical condition that made it difficult for us to return to Disney. I contacted Disney and I was able to not only have an amazing trip but also get lots of useful Information to help other families who have trouble accessing what makes Disney so magical.

So here goes….As early as thirty days before your trip and no later than 2 days before your trip, you can register with this phone number (407) 560-2547 or the web address listed below. Make sure to scroll down the webpage to locate the button labeled “Request Live Video Chat”. https://disneyworld.disney.go.com/guest-services/disability-access-service/register/#important-things-to-note
I called on Memorial Day and only had to wait 20 minutes to talk to a representative, but I have also heard of people waiting over 5 hours on the phone. Trust me though, it was worth it.

Before making that call or selecting the “Request Live Chat” button you’ll need to complete a few tasks .
Make sure you have not only bought your tickets but also have loaded them onto your Disney app before making that call. If this step sounds difficult, check out this webpage for help. https://plandisney.disney.go.com/question/link-ticket-disney-experience-app-483224/
It is also important to know that you can only have 6 people in your party, when using the DAS, and make sure those six people are all registered together as a group on the Disney app.

Don’t forget to research what two rides you’d like to choose for the 2 one-hour return windows you are given by the DAS for each day you are at the Disney parks . A return window gives you an hour slot to go on a ride, kind of like Disney’s old fast pass and similar to their current Lightning lanes.

Just a heads up, you don’t have to tell the first representative your confidential medical information. During the live chat you will be asked for this medical information and how the disorder will Impede your ability to stand on lines. No documentation is required except for your truth. Make sure the person with the disability is on the video chat with you. As a matter of fact, the person whose medical issue requires the disability Access Pass must be with you every time you use the DAS pass. I thought I had that covered but it was a little more complicated than I thought.

Disney now uses the Apple Wallet on your phone to store your Disney tickets, which you will need each time you use the Disability Access Pass. We we’re lucky to have an amazing Disney Cast Member teach us how to do this but here’s a link outlining how to do this in advance. https://support.apple.com/en-us/HT212870 Each time our family entered the lightning lane, I had to be reminded, by a Disney Cast member, to scan my child with the disability’s pass first. In actuality, I had turned the passes to the right one each time but the wallet app always goes back to the first entered pass even if you choose the correct pass for the person with the medical issue / disability. So, when you enter your Disney tickets into the Apple Wallet, make sure the person with the disability or medical issue’s pass is inputted first. Even better don’t forget your Disney magic bands like I did, because it makes this process a lot easier. The person with the disability just scans their magic band first.

Just a side note, you can also register for a Disability Access Pass at the park’s Main Entrance guest relations office but who really wants to put off their first glance of the Castle on Main Street. You can also use a less technology dependent DAS pass that guest relations should be able to explain to you.

Once you are registered either in person or over the “LIVE CHAT” option. That’s all you have to do.

So, now your wondering how does this pass work. It’s actually really great and really easy. At the start of each day, you already have the two one hour return windows you scheduled via phone or at guest relations. You can only use these return windows during that hour slot. You can’t show up early or late. You get an additional benefit which involves one lightening lane pass at a time. When you are in the park and have scanned that day’s tickets, you will see a new folder on the Disney Apps main screen by scrolling all the way to the bottom, it’s called the DAS experience. Just click on it and viola, you will see a list of available DAS rides /attractions in the park you are in, along with the times you’ll be able to enter the lightning lanes if you choose that ride / attraction . Choose your favorite ride/attraction and wait for time to pass by as you soak in all the other things to do without lines in Disney.

Let’s say you chose to ride the Seven Dwarves mine train using the DAS, you now wait until the time posted for that ride, go to the Lightning Lane for that ride and show the Disney cast member all the people in your parties’ tickets via the Apple Wallet or your Magic Bands (which you’ve already linked to your Disney Experience App.”). A client of mine just loaded each person’s ticket on their respective phones but that wasn’t an option for my 11 year old twins, maybe that method will work for your family though. Now, that you’ve scanned your passes at the Lightening Lane’s entrance, you may have to additionally scan the passes at some checkpoints on the line. It’s exactly the same thing you did at the entrance and your family will now quickly get to experience the Disney excitement on the ride / attraction you’ve chosen. It was amazing how fast you get on the ride after waiting for your lightning lane arrival time.

Just a little trick I figured out after a few times going through the steps above….once you have gone through all the check points, try to book your next DAS experience. By doing this, your next arrival window is sooner. Remember, you can’t get a new DAS pass until you use or cancel your currently scheduled ride / experience. So the sooner you rebook the better.

Now let’s say you booked the wrong ride or attraction on the Disney experience App., don’t worry you can always cancel the wrong choice by clicking on it and finding the cancel button. But don’t forget to quickly replace it with the proper ride or attraction, so you can experience your next DAS lightening pass sooner rather than later.

This DAS pass was invaluable for my family and allowed all the water and bathroom breaks we needed to keep our child safe minus one close call.

Don’t ever forget that Disney is one of the most customer friendly places in the world, so always ask guest relations or a cast member for help. They are usually more than happy to help.

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Why a Speech Pathologist Recommends Stopping Your Child From Drinking From A Sippy Cup https://gabandgospeech.com/why-a-speech-pathologist-recommends-stopping-your-child-from-drinking-from-a-sippy-cup/ https://gabandgospeech.com/why-a-speech-pathologist-recommends-stopping-your-child-from-drinking-from-a-sippy-cup/#respond Wed, 11 Aug 2021 16:30:00 +0000 https://gabandgospeech.glossdev.com/?p=1168

In the article Step Away from the Sippy Cup, I discussed how the sippy cup was invented for parents, not for kids. An engineer got fed up with his toddler spilling juice on the carpet and the rest is history. Today, sippy cups are marketed to parents as a vital piece of feeding equipment, causing parents to consider sippy cups an essential part of a baby’s development. As a speech-language pathologist and feeding specialist, I beg to differ on this point. Here’s why:

  • As a baby matures, so does their swallow pattern, and over-use of hard sippy spouts may get in the way of development. During the first year of life, a baby primarily uses an anterior-posterior tongue movement to propel soft solids and liquids to the back of the mouth for swallowing. This is referred to as the infant suckle-swallow pattern. At around a year old, babies should develop a mature swallow pattern, where the tongue tip rises to the alveolar ridge (the bumpy gum-line ridges where we produce the /d/ sound) to start a wave-like motion in the tongue for swallowing more advanced textures. Drinking exclusively from a bottle or hard-spouted sippy cup might delay this feeding development. A bottle nipple or hard spout rests over the front third of the tongue, preventing that essential elevation so necessary for being an effective and efficient eater. When toddlers continue to use the infant swallow pattern, chewing and swallowing new foods can be challenging or messy at best.
  • When a tongue can’t elevate, it tends to rest forward in the mouth, which can impede speech and language development. Often referred to as “paci-mouth,” the forward resting posture is seen in children who continue to use a pacifier for a prolonged period. The occasional use of a sippy cup may not interfere with age-appropriate mouth development. In today’s society, however, kids seem to have sippy cups with them most of the day. Strollers, car seats and backpacks usually contain special holders for a beverage container and parents often choose spill-proof, hard-spout sippy cups. When a child uses a “suckle-swallow” pattern past the developmental timeframe of 6 to 12 months, his speech-language skills can’t migrate to more advanced skills until a more appropriate swallowing pattern is established.
  • When a tongue rests forward, the mouth tends to stay open, which can alter appropriate facial development. Kristie Gatto, certified SLP and orofacial myologist, states that the overuse of the suckle-swallow uses genioglossus muscle movement and promotes a tongue that rests low and forward in the oral cavity. This posturing exacerbates the lowering of the jaw musculature and typically leads to mouth breathing. Current research helps facilitate a better understanding of the detriments associated with mouth breathing and a lack of appropriate facial development.

Terrific alternatives can still protect from spills:

  • Pop-up straw cups, like the Playtex Sipster, guaranteed by Playtex to be leak-free. Once the child masters straw drinking, suggest to parents cutting down the straw so the tip of the straw just reaches the tip of the tongue when the mouth is closed around the straw. This ensures the tongue can still elevate.
  • Aluminum options with built-in straws, like the Kid Basix Safe Sippy Cup (actually a straw cup) with a straw specifically designed to be short and angled for little mouths.
  • Some children with special medical needs may require a valved sippy cup to maintain a safe swallow. For your clients in speech, language or feeding treatment, you can determine the best cup for their needs. Ideally, children learn to drink from a straw cup by 9 months of age and an open cup, held by a parent, in the first year of life. Independent open-cup drinking, albeit somewhat messy at times, should be learned by 18 months of age.

Melanie Potock, MA, CCC-SLP, treats children birth to teens who experience difficulty eating. She wrote the upcoming book, “Adventures in Veggieland: Help Your Kids Learn to Love Vegetables with 101 Easy Activities and Recipes.” Potock also co-authored “Raising a Healthy Happy Eater: A Stage-by-Stage Guide to Setting Your Child on the Path to Adventurous Eating (2015), “Baby Self-Feeding: Solid Food Solutions to Create Lifelong Healthy Eating Habits” and “Happy Mealtimes with Happy Kids,and produced the kids’ CD “Dancing in the Kitchen: Songs that Celebrate the Joy of Food!” Potock’s two-day course on pediatric feeding is offered for ASHA CEUs. She is an affiliate of ASHA Special Interest Group 13, Swallowing and Swallowing Disorders (Dysphagia). mymunchbug.com/contact-us/

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