Navigating healthcare billing is about to undergo a massive structural shift. For speech-language pathologists, feeding therapists, and private practice owners, the sunsetting of long-standing core CPT codes requires proactive preparation, documentation a ...
Oral Motor and Airway Red Flags in the First Two Years with Mackenzie Shiba
When a baby struggles with infant feeding, weight gain, or subtle airway restrictions, parents are frequently told to "wait and see." Yet, waiting often turns minor early red flags into complex speech, feeding, and oral-motor challenges down the road. In ...
Kids Are Not Small Adults: Why Pediatric Feeding Isn’t Adult Dysphagia Scaled Down
One of the biggest hurdles clinicians face when transitioning into pediatric feeding therapy is realizing that traditional graduate coursework and isolated weekend seminars often leave massive gaps in clinical application. Too many training programs treat ...
Beyond Tonsils & Adenoids: Digging Deeper Into the Pediatric Airway
When a child presents with sleep-disordered breathing, chronic mouth breathing, or persistent feeding challenges, evaluating the upper airway becomes a top priority. However, determining when conservative management is sufficient versus when surgical inte ...
Myo 101 for Feeding Therapists: Why You’re Already Doing It (And How to Do It Better)
When a child struggles with swallowing, chewing, or food transitions, our first instinct is often to look directly at traditional feeding strategies. But what if the missing piece of the puzzle isn't the food itself, but the foundational resting posture a ...
Why Two Therapists Get Different Feeding Outcomes (And How to Fix It)
In this episode of The Untethered Podcast, Hallie Bulkin tackles a question many feeding specialists quietly wrestle with: Why can two therapists treat the same child — and achieve completely different outcomes? The answer isn’t more techniques. It’s cli ...
Building a Medically Complex Feeding Practice
In this episode of The Untethered Podcast, Hallie Bulkin sits down with Beth R Poe, MA, CCC-SLP , a certified pediatric feeding therapist and the founder of Way to Grow Therapy. Beth shares her inspiring transition from clinical certification to the laun ...
Mouth Breathing in Toddlers Why It Matters
In this episode of The Untethered Podcast, Hallie Bulkin exposes the "hidden" red flag that most people dismiss as just a bad habit: mouth breathing. Far from being just a look, it’s a functional crisis that can silently derail a toddler’s feeding develop ...
Elevating Your Clinical Impact in Pediatric Feeding Therapy
In this episode of The Untethered Podcast, Hallie Bulkin is joined by Melanie Peacock Shell to explore the deep shift from being a “therapist” to becoming a Certified Pediatric Feeding Therapist (CPFT). Melanie pulls back the curtain on the "hidden gem" o ...
Chewing Patterns Matter More Than Picky Eating
In this episode of The Untethered Podcast, Hallie Bulkin dives into the intricate world of pediatric eating behaviors, pulling back the curtain on why "picky eating" is often a symptom of a much deeper developmental gap.Many caregivers and clinicians feel ...