First Bite

• Never Fear! Dr. Kay Toomey and SOS Feeding is Here!

  Free PFD in Schools Seminar (.6 ASHA CEU): www.speechtherapypd.com/pfdThis interview with Dr. Kay Toomey originally aired January 19, 2019, an all new season of First Bite will return on May 27, 2025. Earn .1 ASHA CEU for this episode: https://www.speechtherapypd.com/course?name=Never-Fear-Dr-Kay-Toomey-and-SOS-Feeding-are-Here-243In this engaging episode of the 'First Bite' podcast, host Michelle Dawson is joined by Dr. Kay Toomey, a leading psychologist and founder of the SOS Approach to Feeding, dives deep into the nuances of pediatric feeding therapy. Dr. Toomey explores the roots and principles of the SOS Approach, highlighting the importance of a bottom-up methodology, play, and systematic desensitization in aiding children with feeding disorders. The conversation also touches on the difference between picky eaters and problem feeders, the interdisciplinary nature of effective feeding therapy, and the challenges faced by families with medically fragile children. Dr. Toomey provides insights on how to balance different therapeutic approaches and the significance of postural stability in feeding. Throughout, the discussion emphasizes compassion, patience, and the need for a holistic, family-inclusive approach to pediatric feeding therapy.00:00 Morning Chaos and Exciting Announcements00:21 Celebrating Milestones and Upcoming Event02:34 Introduction to Today's Episode03:19 Re-releasing a Special Episode04:02 Welcome to First Bite Podcast04:28 Diving into the SOS Approach to Feeding06:04 The Journey of Dr. K Tomi13:32 Understanding Picky Eaters vs. Problem Feeders41:38 Importance of Proper Postural Stability for Children43:18 Teaching Children to Eat Through Play44:25 SOS Approach to Feeding Program45:55 Classical vs. Operant Conditioning in Feeding46:45 Addressing Feeding Difficulties in Children47:50 Bottom-Up Approach to Teaching Eating Skills49:41 Systematic Desensitization vs. Top-Down Approach51:14 Managing Vomiting During Feeding Sessions53:31 Creating a Positive Feeding Environment56:49 Becoming an SOS Certified Provider01:02:27 Navigating Different Feeding Philosophies01:12:01 Supporting Medically Fragile Children in Feeding01:17:20 Conclusion and Final ThoughtsMentioned in this episode:Free PFD Conference Sign UpSignup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

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• Dr. Patrick Reeves, MD | Bowels-Brain-Belly Interaction

  Guest: Patrick "Pat" Reeves MD, FAAP, DABOM, MAJ, MC, USAEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=BowelsBellyBrain-InteractionIn this insightful podcast episode, join host Michelle as she engages in a detailed conversation with Dr. Patrick Reeves, a pediatric gastroenterologist working with the military. They discuss a range of significant topics including the management and transition of feeding tubes, the challenges of cyclic vomiting syndrome, and functional constipation in children. Dr. Reeves also elaborates on his development of clinical action plans to improve coordination of care for patients with complex nutritional needs. Gain valuable insights into pediatric gastroenterology, practical tips for advocating for appropriate care, and the importance of teamwork among healthcare providers.Episode Timeline:00:00 Introduction and Guest Welcome01:15 Dr. Reeves' Professional Journey03:52 Developing Clinical Tools During the Pandemic05:54 The Role of Dr. Reeves' Wife in Tool Development07:44 Clinical Action Plans Overview09:46 Understanding Constipation in Pediatric Patients25:03 Challenges with Nissen Fundoplication31:11 Feeding Tubes: A Necessary Tool35:16 Introduction to Claire Riley's Research35:38 Complications of NG and J Tubes37:18 The Aggressive Bridle Device40:01 Case Study: Managing G-Tube Transitions53:23 Understanding Functional GI Disorders56:00 Cyclic Vomiting Syndrome Explained01:02:07 Advocating for Pediatric GI Care01:09:46 Conclusion and Final ThoughtsAbout the Guest: Patrick “Pat” Reeves, MD, FAAP, DABOM, MAJ, MC, USA, is a triple-board-certified physician in the areas of General Pediatrician, Obesity Medicine Specialist, and Pediatric Gastroenterologist Hepatologist, with advanced research skills focusing on enhancing patient education and clinical outcomes. He serves as an associate professor of pediatrics and associate professor of military medicine through the Uniformed Services University, University of Texas, and Texas A&M. His specific research focuses are first describing the negative impacts of consumer product injuries- like button batteries, high powered magnets [Buckyballs] and water beads [Orbeez]- on child health, and secondly, the development of point-of-care tools to be used at home by families managing children with medical complexity. He has nearly 40 peer-reviewed, published articles.Watch this episode on YouTube: https://youtu.be/g5iqlS5GEGkMentioned in this episode:Free PFD Conference Sign UpSignup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

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• DIR and Selective Mutism with Dr. Joleen Fernald, PhD

  Guest: Joleen Fernald, PhD, CCC-SLP, BCS-CLEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=DIR-and-Selective-MutismIn this episode, host Erin welcomes Jolene Fernald, an expert in selective mutism and DIR floor time, to discuss the complexities of selective mutism, neurodiversity, and how to support children who struggle with communication in anxiety-provoking situations. Jolene shares personal experiences, diagnostic criteria, and effective strategies based on a holistic DIR approach. Viewers will learn about the role of sensory processing, how to build a supportive classroom environment, and the importance of understanding the 'why' behind behaviors. This episode also covers the overlap between selective mutism and autism, providing insights into the situational challenges faced by neurodivergent individuals. Jolene introduces useful resources, including a new card deck to guide therapists and educators. This enriching conversation aims to equip you with knowledge and tools to better support children with selective mutism.Episode Timeline:00:00 Introduction and Excitement for the Episode00:30 Upcoming Events and Conferences01:09 Guest Introduction: Jolene Fernald03:29 Jolene's Journey and Expertise in Selective Mutism09:49 Understanding Selective Mutism and DIR Approach13:29 Diagnosing and Addressing Selective Mutism20:55 Building Communication Capacities in Children28:15 The Role of Sensory Activities and AAC31:24 Understanding Communication Challenges in Children32:28 Addressing Classroom Anxiety and AAC Systems35:12 Supporting Teachers and Creating Safe Environments38:23 Effective Classroom Strategies for Anxious Students47:09 Selective Mutism and Autism: Overlapping Conditions57:32 Resources and Tools for Supporting Children with SM01:01:48 Conclusion and Final ThoughtsAbout the Guest: Joleen R. Fernald, PhD, CCC-SLP was awarded Board Specialty Recognition in Child Language from the American Speech-Language Hearing Association. Dr. Fernald follows Greenspan and Wieder’s model, DIRFloortime® , when working with children and families.She has a special interest in the social-emotional development of young children and its impact on their speech and language skills. As a speech-language pathologist, Dr. Fernald works with children who have a variety of communication disorders. She specializes in the assessment and treatment of Selective Mutism and is the developer of the DIR-SM model.Mentioned in this episode:Free PFD Conference Sign UpSignup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

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• Bridging NICU to Home: Best Practices with Tiffany Elliott

  Guest: Tiffany Elliott, MS CCC-SLP, CNT, IBCLCEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Bridging-NICU-to-Home In this special birthday episode of First Byte, Michelle Dawson, a devoted therapist and mother, explores the intricate journey from NICU to home with expert Tiffany Elliott. They discuss practical strategies for caregivers in maintaining emotional wellbeing, the importance of neuroprotective care, and the Hospital to Home Systems Change project aimed at improving continuity of care for infants and their families. Elliott shares her insights from working in various NICUs, setting up essential support systems, and the critical role that emotional support plays in successful infant feeding. This episode is packed with valuable information for anyone interested in pediatric feeding, NICU professionals, and caregivers navigating early intervention services. Episode Timeline: 00:00 Welcome to First Bite00:29 A Day in the Life of a Pediatric Feeding Specialist01:31 University of Tennessee Lecture Experience04:11 Encouragement for Clinical Supervisors05:59 Introducing Tiffany Elliott06:41 Tiffany's Journey and NICU Experience19:09 Hospital to Home Systems Change23:39 Challenges in Early Intervention26:53 Barriers and Solutions in Washington State36:21 Personal and Professional Reflections40:12 Navigating Academia and Authenticity41:39 Balancing Productivity and Care in the NICU44:21 Challenges in Early Intervention Systems45:29 Continuity of Care and Billing Codes49:21 Training and Support for Caregivers51:59 Emotional Wellbeing and Feeding01:00:16 Practical Strategies for Caregiver Support01:11:38 Final Thoughts and Resources About the Guest(s): Tiffany Elliott, MS CCC-SLP, CNT, IBCLC, is a Speech-Language Pathologist (SLP) who specializes in pediatric feeding and swallowing disorders with a strong focus on preterm and medically complex infants and strengthening the caregiver-infant dyad. She is also an International Board Certified Lactation Consultant (IBCLC) and holds certifications in neonatal therapy (CNT) as well as neonatal touch and massage (NTMTC). She is currently a LEND trainee at the University of Washington. Tiffany is passionate about improving systems of care. She is a hospital-to-home systems change specialist with Northwest Center, where she partners with professionals across Washington state to enhance the hospital-to-home transition for infants and build community therapists' capacity. She also works on the infant feeding team at Seattle Children’s Hospital, providing direct care for infants and their families. Before these positions, she co-founded the UW Medical Center’s NICU SLP program and worked at Mary Bridge Children’s Hospital.Watch this episode on YouTube: https://youtu.be/n7hXTJG_FJMMentioned in this episode:Free PFD Conference Sign UpSignup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

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  1:17:59
• Neurodiversity Affirming Feeding Therapy: Where do I Start? with Amy Zembriski

  Guest: Amy Zembriski, MBA, MS, CCC-SLPEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Neurodiversity-Affirming-Feeding-Therapy-Where-do-I-StartIn this episode of First Bite, host Michelle Dawson introduces a valuable conversation between Erin Forward and Amy Zimbrisky, a seasoned speech therapist specializing in neurodiversity affirming feeding therapy. After highlighting insights from the Feeding Matters Conference, Erin and Amy delve into practical strategies for beginning feeding therapy with neurodiverse children. They discuss creating a safe and welcoming environment, the importance of caregiver education, and the significance of understanding each child's unique relationship with food. Amy shares her personal journey in overcoming challenges and learning to support her clients in a more holistic and relationship-based manner, emphasizing the significance of autonomy and trust. Tune in to learn how to build therapeutic strategies personalized for each child, utilize AAC effectively, and foster a positive mealtime experience. Episode Timeline: 00:00 Introduction and Episode Overview00:41 Feeding Matters Conference Highlights01:31 Creating a Safe Space for Feeding Therapy03:33 Personal Reflections and Announcements05:25 Introduction to Amy Zembrisky07:16 Amy's Journey in Feeding Therapy11:44 Building Trust and Autonomy in Feeding Therapy15:29 Caregiver Education and Support17:44 The Importance of Routine and Flexibility35:28 Validating Caregiver Concerns36:44 Navigating Social Media Judgments on Parenting37:51 Understanding Children's Food Preferences38:54 The Importance of Flexibility in Feeding Therapy40:24 Building Trust and Safety in Therapy42:10 Case Study: Engaging a Child in Mealtime43:42 Personalizing Therapy Approaches47:45 The Role of Caregivers in Feeding Therapy58:12 Advice for New Therapists01:00:55 Resources and Mentorship01:05:19 Conclusion and Contact InformationAbout the Guest: Amy Zembriski, MBA, MS, CCC-SLP is a certified speech language pathologist with an extensive background working in a variety of settings, including acute care, skilled nursing facilities, schools, early intervention, and private practice. Additionally, she has had past experience working as an adjunct professor supervising graduate students during their diagnostic clinical practicum. She is the owner of Speech Therapy Connections in Fair Lawn, NJ, where she specializes in augmentative and alternative communication (AAC) and gestalt language processing; Amy offers expert support for families with autistic children. Her passion lies in educating and empowering both professionals and families through neurodiversity-affirming practices.Mentioned in this episode:Free PFD Conference Sign UpSignup for PFD in Schools: Learning from the Trailblazers: https://www.speechtherapypd.com/upcoming/pfd-in-schools

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