Not In The Visit Note
Health, Fitness & Longevity
About
Not in the Visit Note is an anonymous podcast hosted by two speech-language pathologists, sharing the conversations that happen after the visit ends—the ones that never make it into the chart. Each week, we break down the good, the bad, and the ugly of speech therapy life: clinical wins, awkward moments, cancelled visits, productivity pressure, family dynamics, and the emotional weight of the work we do. With honesty, humor, and professionalism, we unpack the realities of being clinicians—where boundaries blur and the work doesn’t end when the session does. All stories are told through generalized, anonymized, and composite experiences, offering validation, insight, and solidarity for SLPs and rehab professionals who have ever thought, “I can’t put that in the visit note.” Full Episode / Show Notes Disclaimer: The views and opinions expressed on Not in the Visit Note are those of the hosts alone and do not represent any employer, agency, or professional organization. All examples discussed are composite, fictionalized, anonymized, and time-shifted to protect privacy and comply with HIPAA and professional ethical standards. Any resemblance to actual persons or events is coincidental. This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.
Episodes
- Ep. 17 Speech-Language Parent
This episode of Not In The Visit Note discusses the humorous and challenging interactions speech-language pathologists face with parents who believe they understand speech therapy better than the professionals. It explores navigating these…
- Ep. 16 Discharge Isn't Always A Win
This episode of 'Not In The Visit Note' discusses the emotional and clinical complexities of discharging therapy clients, especially when progress is lacking despite consistent effort. It covers feelings of guilt and second-guessing, as we…
- Ep. 15 Self Care???
This episode of Not in the Visit Note explores the reality of self-care, contrasting the ideal with the practical limitations faced due to busy schedules and responsibilities. It delves into the associated guilt and excuses, offering valid…
- Ep. 14 Interviews Gone Off the Rails
In this episode of "Not in the Visit Note," hosts recount job interviews that went awry, featuring inappropriate questions and awkward moments. They share personal experiences and lessons learned from uncomfortable hiring processes, offeri…
- Ep. 13 Emotional Support...Rug?
This episode of Not In The Visit Note explores the surprising attachments children form with objects like pacifiers, sippy cups, and even rugs, as shared by speech therapists. The hosts discuss relatable stories and confessions from parent…
- Ep. 12 Law and Disorder
Speech therapists recount amusing and awkward real-life encounters with law enforcement on the 'Not In The Visit Note' podcast. They discuss navigating unpredictable situations, the utility of communication skills, and maintaining professi…
- Ep. 11 “But My Doctor Said…”: When One Opinion Becomes the Only Plan
This episode of 'Not In The Visit Note' discusses the potential pitfalls of relying solely on a single medical opinion for a child's developmental needs. It aims to provide perspective for parents, encouraging them to seek further informat…
- Ep. 10 Social Media vs Reality
This episode of Not In The Visit Note contrasts the curated, seemingly effortless speech therapy often shown on social media with the real-life challenges of meltdowns, off-script sessions, and the slower pace of progress.
- Ep. 9 Wh-Questions
This episode of Not In the Visit tackles common parental questions about child speech and language development, such as "Why can’t my child talk yet?" and "When will they be normal?". The hosts analyze the origins of these questions, the u…
- Ep. 8 Keeping it in The Family
This episode of 'Not In The Visit Note' explores how unexpected family dynamics and undisclosed medical or genetic details, often revealed late in therapy, can significantly impact case history and clinical reasoning. The hosts discuss the…
- Ep. 7 If It Fits, It Sits… in Their Mouth
This episode of 'Not In The Visit Note' discusses the alarming habit of children putting non-food items in their mouths, sharing experiences from the job that never make it into official records. The podcast is for educational and entertai…
- Ep. 6 Ask About Compliance Device
This episode of 'Not In The Visit Note' discusses the challenges of consistent AAC device use, exploring reasons for resistance in both children and adults. It shares real-life experiences and offers validation with dark humor.
- Ep. 5 Free Food
In 'Ep. 5 Free Food,' hosts discuss the common experience of receiving unsolicited food during therapy visits, touching on social expectations, potential risks, and the humor found in these situations. The podcast is presented for educatio…
- Ep. 4 Zootopia
This episode of Not In The Visit Note discusses sessions with undisclosed or unexpected animals, and how pets can become accidental co-therapists in a therapy environment.
- Ep. 3 Naked Truths and Birthday Suits
This episode of 'Not In The Visit Note' humorously and honestly discusses patient fashion choices, from pajamas to lingerie, and what these visible elements can signify about comfort, culture, mental health, and the clinician's experience.…
- Ep. 2 #cancelled
This episode of 'Not In The Visit Note' discusses the impact of patient cancellations, no-shows, and reschedules on therapists' schedules, mental health, and financial stability. It explores the effects on patient care and the creative way…
- Ep. 1 Never Have I Ever Needed A Podcast This Bad
This introductory episode of "Not in the Visit Note" establishes the podcast's premise, where clinicians share anonymized, candid experiences and offer validation with dark humor. It serves as a baseline for future episodes exploring the r…