At birth diagnosis of Downs Syndrome

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We had an at birth diagnosis of Downs Syndrome, she is now 4.5 months, no real health issues , feeding/sleeping all on target and she has strong muscle tone.
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Thumb sucking and vacation  

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Hi Sandra, I’m seeing a wonderful 9 year old child for thumb sucking, working on the Unplugging the Thumb program. We have been meeting with success!  He is on day 9, and tomorrow he’s coming in to see me to celebrate and wrap up! I believe he may benefit from an orofacial myology evaluation, etc.,
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Low tone – Can myo help

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Q: I have an 8 year old kiddo with low tone and very low awareness of sensory states. His mom reported he occasionally wets his pants because he doesn’t recognize he has to go, or forgets to eat or drink. Am I wrong in thinking myo could be a good approach at least for his
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5 year fingers sucker ready or not…

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Q: I am about to begin Unplugging the Thumb sucking elimination program with a 5-year-old boy who very much wants to quit. He actually sucks two fingers, the index and middle one. When I first started working with him on articulation last year, I offered to help with the sucking habit (I work with him
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Two year old mouth open retrognathic mandible

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Q: I came into virtual contact with a two-year-old patient not too long ago. Some questions arose due to his breathing. This patient has no tongue tie or lip tie. He uses a sippy cup to drink. His mouth remains open for extended periods of time when relaxed. The mother had some concerns regarding starting
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Scary appliances vs orthodontic systems

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Q: Can you elaborate a bit more on the dental appliances? I know nothing about them but you’ve talked first about devices dentists use such as VIVOS, ALF etc and then showed us some really scary ones. How do we sort out which are good to use and which are not? Also how do we
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ADHD and tongue connections

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Q: If a patient has a tongue tie but no speech disorders, no swallowing disorders, no facial asymmetry, the palate is nice and wide etc but has ADHD. What is the likelihood a tongue tie revision will do anything to help the ADHD? (I took classes in ADHD coaching and I’m wondering about the parents
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TMJ-D referral and how to proceed

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Q: If a patient comes with TMJ-D and you find something abnormal on a myo evaluation but the only symptom is TMJ-D can you treat even though TMJ-D isn’t in the scope of SLP? A: This would depend upon how they came to you in the first place. Why would someone send you a TMD
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Mouth prop vs bite block

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Q:   In the past, I have used bite blocks to address jaw sliding in speech.  Where does that fit in with your program? Are they unnecessary or would I still use them? A:   That brings up a few questions before I can answer you.    Are you referring to our 2- and 3-way Mouth Props
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OK to do lips and mentalis earlier

Q:    The Myo Manual has been very helpful!  I have a question.  I know every patient is different, but do you typically work towards passing proficiency exam #1 before you move on to any of the lip and mentalis exercises in phase 1?   A:  Hi, you probably forgot but we mentioned in class that
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