- Pediatric Therapy
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Pediatric Feeding Therapy
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Occupational Therapy
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Access Resources for our Youngest Patients.
Gritman Therapy Solutions is proud to offer comprehensive, evidence-based, multidisciplinary treatment for children from birth to 18 years of age. Our expertly trained pediatric therapists work closely with a child’s family to build a personalized treatment plan to address each child’s individual needs. We provide occupational, physical and speech-language services that are focused on helping a child develop and succeed.
Types of Therapy
Whether you or your loved one are recovering or developing through life’s milestones, our compassionate, expert staff can assist you in a variety of ways. Our multi-disciplinary, team approach to therapy provides our pediatric patients with a full range of therapy expertise.
- Activities of daily living
- Fine motor development
- Sensory integration
- Social language
- Wheelchair fitting
- Fine and gross motor delays
- Gait and biomechanics
- Wheelchair fitting and mobility
- Infant therapy
- Coordination deficits
- Pervasive development disorder
- Sensory dysfunction in movement
- Pediatric orthotics
Speech and Language Disorders
- Dysgraphia (writing difficulties)
- Dyspraxia (oral coordination)
- Genetic disorders
- Learning and reading difficulties
- Social language/pragmatic groups
- Swallowing and feeding difficulties
- Voice disorders
- Articulation, language and stuttering
- Auditory processing
- Augmentative communication
- Autism spectrum disorders
- Cognitive and linguistic skill
- GI disorders
- Failure to Thrive
- Food allergies
- Picky eating
- General healthy eating
- Feeding children ages 0-18
Patient Health History and Intake Forms
If you are a new patient to Gritman Pediatric Therapy or if it has been more than 6 months since your last visit please print one of our patient intake packets and answer each question as completely as possible before arriving for your appointment.
- Pediatric Occupational and Physical Therapy Packet
- Pediatric Speech Therapy Intake Form
- Pediatric Feeding Therapy Intake Form
You can use your computer to edit and save the PDFs. Please email the PDFs with a copy of your insurance card(s) to [email protected] .
You can alternately fill in the forms on your computer and print them and mail them or bring them in to your initial appointment.
Speech and Language Problems in Children
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Speech-Language Pathology Services
Our speech-language pathology treatments.
The act of swallowing may seem natural, but for 15 million Americans, acute or chronic swallowing disorders – also known as “dysphagia” – can be a struggle. An additional 10 million people may have a related communications disorder – such as speaking, understanding the speech of others, reading and writing.
People of all ages may experience communication (speech, language) or swallowing disorders.
Causes may include neurological disorders, such as stroke or Parkinson Disease, or mechanical disorders, such as those related to head/neck surgery. In children, causes may be related to prematurity or developmental delays and disorders.
Maimonides Speech-Language Pathology is the first dedicated service for communications and swallowing disorders in Brooklyn, and one of only a few in New York City. It is an expansion of our Orthopedics & Rehabilitation Center services .
Our program incorporates the expertise of professionals from a variety of disciplines to provide the latest available techniques for evaluation and treatment of swallowing and communication (speech and/or language) disorders. These specialties include speech-language pathology, neurology , gastroenterology , otolaryngology , clinical nutrition, radiology, nursing, respiratory therapy, occupational therapy, and pulmonology, among others.
Our speech-language pathologists treat patients with a variety of conditions including:
- Chronic cough
- Voice disorders
- Swallowing disorders
- Respiratory/airway disorders
- Neurologenic disorders affecting speech, language, cognition and swallowing
- Head/neck cancer, including alaryngeal voice restoration
Evaluation & Assessment
The Speech-Language Pathology team at Maimonides provides evaluation and treatment services to patients in the hospital and on an outpatient basis. Specialists who work with children are also available.
Our diagnostic services include:
- Videofluoroscopy/modified barium swallow (an x-ray for swallowing)
- Fiberoptic endoscopy (FEES)
- Other exams
- Speech-language evaluation to assess language, motor speech, voice and other communication disorders.
Treatments & Therapies
- Swallowing Therapy – we provide direct neuromuscular treatment and use state-of-the-art biofeedback equipment to achieve the best outcomes.
- Speech-Language Therapy to treat a variety of disorders of communication. Specialized services include augmentative communication devices, as well as the Lee Silverman Voice Treatment (LSVT) technique.
All speech-language pathology staff are certified in LSVT and trained on the latest equipment available for assessment, treatment and management of swallowing and communication disorders, including:
- Expiratory muscle strength training (EMST)
- IOPI – used for the evaluation and treatment of tongue strength deficits
- Acoustic analysis for voice disorders in adults and children
- Specialized practice for working with children with cleft palate/craniofacial disorders
Meet Our Team
Luis F. Riquelme, Ph.D.,CCC-SLP,BCS-S
Director speech-language pathology.
Orthopedics & Rehabilitation
Alexandra Soyfer, M.S.,CCC-SLP
Assistant director, speech-language pathology.
Our clinicians are international experts in the field of Speech-Language Pathology, active in research and authors of studies in some of the country’s leading peer review journals. Each has presented at local, national and international conferences.
Outpatient services
883 65 th Street, Brooklyn, NY 11220
Tel: (718) 283-8961
Fax: (718) 635-8940
Inpatient services
4802 Tenth Avenue, Brooklyn, NY 11219
Tel: (718) 283-7453
Fax: (718) 635-6929
All services are provided within a culturally sensitive environment, and bilingual/multicultural staff are also available: English, Spanish, Russian. Because Maimonides is a teaching hospital, access to student clinicians that speak a variety of other languages are also available.
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Rehabilitation Services - Physical and Occupational Therapy
Speech and swallow service.
The Speech and Swallow Service at Brigham and Women’s Hospital is committed to providing excellent clinical care. The Service offers diagnostic and treatment services on all inpatient units, ICUs, and the Emergency Department as well as outpatient video swallow studies on the main campus. Care is provided to patients who range in age from neonates through elders.
We provide assessment and remediation of:
- Dysphagia (swallowing disorders), including instrumental assessments (e.g., Video Fluoroscopic Swallow Studies [VFSS] and Fiberoptic Endoscopic Evaluation of Swallowing [FEES])
- Aphasia (language deficits)
- Dysarthria/apraxia (motor speech disorders)
- Cognitive-communication deficits (e.g., memory deficits, executive dysfunctions)
- Alaryngeal Speech
- Infant/pediatric feeding
Our team serves Brigham and Women’s Hospital and the Harvard Medical School and Residency Program by instructing and educating medical students, residents, attending physicians and allied health professionals on the diagnoses and treatment of patients presenting with swallowing, cognitive/linguistic, and/or communication dysfunction. Our Speech-Language Pathologists participate in collaborative decision making and are an integral part of the multidisciplinary team approach at Brigham and Women’s Hospital. We actively lead and contribute to several research initiatives throughout the hospital.
See credentials and biographies of our staff .
All patient care is rendered in accordance with applicable state licensure laws and regulations, as well as the standards and regulation of all applicable state, federal and regulatory agencies, and with hospital and departmental policy and procedures. Striving for exemplary patient care is a continuous and dynamic process. All patient care is guided by the Brigham’s Mission and Code of Conduct, the Service’s Practice Standards and Philosophy and Mission , and by adherence to the American Speech, Language and Hearing Association’s (ASHA) Professional Code of Ethics and acknowledged Professional Standards of Care in Speech Language Pathology.
We provide services 7 days a week on the inpatient adult floors and 5 days/week (Monday – Friday) in the Newborn Intensive Care Unit (NICU). Inpatient service hours are 8:00AM – 4:30PM. To schedule an outpatient appointment or learn more, please call 617-525-7225.
Learn more about Brigham and Women's Hospital
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Related search results, providers ( 0 ), locations ( 0 ), classes & events ( 0 ), providers by specialty ( 0 ), suggested terms, speech therapy – not just for speaking.
Speech therapy is often used as a blanket term for speech-language pathology, which addresses a broad scope of conditions involved in communication, using your voice and swallowing. We value patient-centered care and treatment goals formed through teamwork with each patient.
Speech and voice issues may include:
Voice disorders. We work with professional voice users, singers and everyday people to help with medical conditions related to their voice or voice box (the larynx). Evaluation usually includes videostroboscopy, where we magnify the larynx and vocal cords with a small camera. Treatment includes voice therapy, vocal function exercises, training in proper vocal hygiene and acid reflux precautions. We provide therapy for conditions that include:
- Nodules, polyps or cysts (lesions or benign growths)
- Paralysis (vocal nerve damage)
- Paresis (muscle weakness)
- Hemorrhage (bleeding)
- Muscle tension dysphonia (swelling of vocal muscles)
- Atrophy (loss of muscle in vocal folds)
- Presbyphonia (vocal issues related to aging)
- Tremor or spasmodic dysphonia (neurological related vocal conditions0
Paradoxical Vocal Fold Movement (PVFM)/Vocal Cord Dysfunction (VCD). Some patients’ vocal folds don’t work as they should, making it difficult to speak or even breathe at certain times. We can help patients stop these episodes from occurring.
Treatment includes breathing exercises to relax upper body muscle tension and restore normal vocal fold movement during moments when it is hard to breathe or speak. Our team also works closely with specialists in allergy and immunology and gastroenterology to diagnose the condition and create a treatment plan.
Dysphagia (swallowing difficulty) has various causes:
- Head and neck cancers
- Lung and pulmonary conditions (COPD)
- Vocal fold paralysis (following surgery or tumor growth)
- Nervous system or neurodegenerative disorders (such as Parkinson’s disease, cerebral palsy, or ALS)
- Head or spinal cord injury
- Gastrointestinal issues
Evaluation includes swallowing testing, a modified barium Swallow Study and endoscopy. Treatment can include muscle-strengthening exercises, “workarounds” and compensatory strategies, and diet recommendations or modifications.
Swallowing Therapy
Speaking & swallowing can be easy again, parkinson's voice therapy, speech therapy , we accept medicare.
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Voice Clinic
Trust the friendly speech and language specialist at AnMed Voice Clinic to help with communication problems and swallowing disorders. We offer voice therapies for all ages and a wide range of conditions—all with the goal of helping you enjoy a higher quality of life.
Speech Conditions We Treat
AnMed speech and voice therapy can help you or a loved one who experiences:
- Chronic cough and/or throat clearing
- Difficulty communicating (aphasia)
- Difficulty swallowing (dysphagia)
- Laryngectomy (surgical removal of the voice box) care
- Larynx (voice box) growths and disorders
- Shortness of breath
- Voice abnormalities (dysphonia)
We understand how your symptoms affect your everyday life. We’ll help you understand the reason for them, so we can work together on a custom treatment plan to provide relief.
Certified Care for the Voice & Throat
No matter your condition, we want to help you succeed. That’s why our therapist chose to receive certification in:
- Lee Silverman Voice Treatment (LSVT) LOUD – A speech therapy method to help people with Parkinson's and similar neurologic conditions better express themselves
- McNeill Dysphagia Therapy Program (MDTP) – An exercise-based therapy program used to treat swallowing disorders
- Clinical Competence in Speech Language Pathology – A nationally recognized credential from the American Speech-Language-Hearing Association
These credentials mean you can expect the best possible care from us for your specific needs.
Start Your Recovery
Ask your doctor for a referral to AnMed Voice Clinic. After we receive the referral, we’ll call you to schedule an appointment.
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Anmed ent - anderson.
1655 East Greenville Street Anderson , SC 29621-2062 United States
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WELCOME TO IDAHO SPEECH AND SWALLOW SERVICES, LLC
Specializing in individualized and comprehensive speech, voice, and swallowing therapy with compassionate and quality service.
VOICE THERAPY
Individualized evidence-based voice treatment options to address various etiologies including muscle tension in order to optimize efficient voicing. Offering SPEAKOUT!, a world-renowned voice treatment program designed for Parkinson's disease. Offering LOUD Crowd group therapy as a follow up for the SPEAKOUT! individual program.
SPEECH, LANGUAGE, AND COGNITIVE REHABILITATION & WELLNESS SERVICES
Individualized speech, language, cognitive-linguistic rehabilitation for patients with brain injury, stroke, or dementia. Concussion management, return to work/school programs. Dementia staging, cognitive-linguistic therapy using evidence-based techniques, and caregiver training to support your loved ones with cognitive changes.
SWALLOWING REHABILITATION
Offering Neuromuscular Electrical Stimulation (NMES), The McNeill Dysphagia Therapy Program for severe chronic dysphagia, respiratory muscle strength training, oropharyngeal strength training programs, GERD and Laryngopharyngeal reflux management, chronic cough, and other specialized treatments.
OPENING HOURS
Offering flexible appointment times to meet your needs.
Teletherapy online visits available.
Please contact us to make an appointment or click the button below.
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6001 W State Street, Suite C, Boise, ID 83703
208-996-0828
(208) 908-0031 Fax
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Insight Speech and Swallowing
Therapy, llc, phone: (856) 200-8392 , personalized speech therapy services.
Dedicated to providing exceptional therapy and support for individuals with speech, language, cognitive, and swallowing disorders.
Services provided in office, at home, or virtually.
Cherry Hill NJ Speech Therapy
Aphasia therapy, dementia
Our Specializations
Evaluation and treatment for swallowing disorders involving the oral and/or pharyngeal phase.
Treatment for changes in voice, cognitive, and swallowing function.
Evaluation and treatment for use of low-tech to high-tech Augmentative and Alternative Communication (AAC) options.
Comprehensive evaluation and treatment of expressive and receptive communication skills.
Improving memory and independence for those with mild cognitive impairment, dementia, and traumatic brain injury.
Focused on creating a positive stuttering experience through stuttering-affirming therapy.
Evaluation and treatment to improve attention, memory, processing speed, and language to return to daily life.
Evaluation and treatment of vocal changes to allow return to work and hobbies.
We provide one-on-one and group consultation and training to families and caregivers in order to effectively navigate daily interactions and communication, while decreasing carer burden.
My Approach
Insight Speech and Swallowing Therapy LLC specializes in providing evidence-based and person-centered evaluation and treatment of speech, language, cognitive, and swallowing disorders. We proudly provide services in office, at your home within 30 minutes of Cherry Hill, NJ, or virtually in NJ and PA.
Sophia Apgar, M.A. CCC-SLP
Experienced in the treatment of speech, language, cognition, and dysphagia across the lifespan. Dedicated to improving patient outcomes through collaboration and evidence-based practice involving client, family, and allied health professionals.
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SPEECH AND LANGUAGE THERAPY
(509) 332-5106
Speech and language therapy focuses on receptive and expressive language, articulation, voice, cognition, memory, auditory processing and fluency. Speech therapists also perform swallow evaluations for children and adults, often with special radiographic studies, to diagnose and treat swallow dysfunction.
Our Areas of Expertise:
- Language Disorders are characterized as a difficulty understanding others or sharing thoughts and feelings. Found in both children and adults, these disorders can result from a medical problem or have no known cause.
- Dyslexia is a language-based neurological condition that affects roughly 15-20% of our total population. While the symptoms and severity present differently from person to person, most individuals with Dyslexia have difficulties reading, spelling, writing, pronouncing words, and mastering other language-based skills.
- Motor Speech Disorders include structures used to articulate words, such as motor and neurologic function of the tongue, lips, jaw, soft and hard palate.
- Voice Disorders fall into one of three categories: hyperfunctional, hypofunctional, and dysfunctional. Your care plan will help to restore function to an impaired voice through techniques and education.
- Dysphagia (swallowing) Disorders impact a wide variety of patient populations. Your Speech Language Pathologist will determine degree and severity of the swallowing impairment, and strategies, exercises, and behaviors to improve the condition.
- Pediatric Feeding & Swallowing Disorders occur when children experience difficulty swallowing, chewing or eating a variety of foods. Oral motor plans, feeding evaluations, home programs, collaboration with caregivers, and parent education are provided along with Pediatric Modified Barium Swallow studies.
- Fluency Disorders are characterized by disruptions in the production of speech sounds, also called dysfluencies.
- Cognitive Disorders are impairments with memory, attention, concentration, organization, and problem solving.
- Assistive and Alternative Communication helps individuals whose oral or written communication abilities do not meet their functional needs.
Meet our Speech Language Pathologists
Jessie Armstrong, SLP
Speech language pathologist.
Special Interests: Early intervention, Pre-Literacy, School Age Children, Speech Sounds Disorders, Autism spectrum disorders, AAC, and developmental learning disabilities.
Tami Dial, MA-CCC-SLP
Special Interests: Early Intervention, Pre-Literacy, School Age Children, Speech Sounds Disorders and General Language Delays.
Jennifer Griffin, SLP
Special Interests: Pediatrics, Pre-Literacy/Literacy (i.e. dyslexia) and Autism Spectrum Disorder.
Keri Jones, MA, CCC-SLP
Special Interests: Voice Disorders, Cognitive Impairment Therapy, Aphasia & Apraxia Therapy, and General Speech & Language Delay.
Sara Osgood, M.S., CF-SLP
Special Interests: Voice Disorders, Aphasia Therapy, Early Intervention and General Speech & Language Delay.
Kelly Steele, MA, CCC-SLP
Special Interests: Infant and Child Feeding and Swallowing Disorders, Pediatric Modified Barium Swallow Studies, General Speech and Language Delay, Autism, Early Intervention, Apraxia of Speech, Head and Neck Issues, Pet Partners/Prescription Pets program, care coordination and multidisciplinary collaboration.
To make an appointment:
Contact Summit Therapy & Health Services by calling (509) 332-5106 or visiting us at 1620 SE Summit Court, Pullman, WA 99163
Sara's Story
Sara Osgood, M.S.,CF-SLP knew she wanted to be a Speech Language Pathologist since she was a little girl.
Summit Dyslexia Clinic
The Summit Dyslexia Clinic uses a structured and progressive research-based treatment program to help students with Dyslexia succeed.
Speech Sounds Visualized App
To help children and English-language learners, a revolutionary digital app has been developed where users actually “see” the sounds of speech.
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Private Practice serving North of Boston area in the comfort of client's home
Specializing in functional swallowing, speech, language and cogniti ve impairments in adult and geriatric population
now offering telehealth visits
Bilingual evaluations in english and russian.
our SERVICES
PARKINSON's voice therapy
end of life swallowing
About US
Irina Shulman Veytser is the Founder and Senior Speech Language Pathologist of A&A Speech and Swallow Therapy LLC. She is licensed in the State of Massachusetts and holds national certification from American Speech-Language and Hearing Association (ASHA). She is certified in Basic Life Support from the American Heart Association. Irina is a bilingual Speech Language Pathologist who is fluent in both English and Russian with more than 15 years of experience as a Speech-Language Pathologist in a variety of adult settings, including but not limited to subacute and acute rehab and long term care skilled nursing facilities, outpatient services and home health.
She received her Bachelor’s Degree in Communication Disorders from University of Connecticut and her Master’s Degree in Speech Language Pathology from Northeastern University.
With your safety in mind during the Covid-19 crisis we are completing all evaluations and treatments via teletherapy .
Covid 19:Message
Start your journey to recovery with Ascend
Difficulty with memory, attention/focus, or multitasking
Difficulty understanding language or communicating with others
Slurred, mumbled, or quick speech that is difficult for others to understand
Difficulty eating or drinking, Shortness of breath with meals
Hoarseness, Vocal weakness, Shortness of breath
Patricia Gauthier, CCC-SLP
I am a licensed and nationally certified speech pathologist currently located in the Atlanta area. I completed my bachelor’s and master’s degrees at The Ohio State University in Columbus Ohio. I have years experience working with adults in a variety of settings including hospitals, inpatient rehabilitation, outpatient clinics, home health and tele-health. I understand where you have been and am excited to guide you on your journey to recovery. I have completed advanced training in voice (LSVT LOUD and eLOUD certified, SPEAKOUT!) and swallowing (MBSIMP certified). I am dedicated to a team approach to your recovery and am happy to coordinate your treatment with other clinicians/physicians at your request. Because I am a small private practice, I am able to offer flexible scheduling, direct access to your therapist throughout treatment as needed, and quick turn around of paperwork.
Ready to schedule? Fill out our contact form, Call, or email Us We offer a free 20 minute phone consultation to all potential patients to ensure a good fit. Early morning and late evening hours are available upon request.
email: [email protected]
Phone:678-489-1082, fax: (470) 440-2509.
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© Ascend Speech and Swallowing LLC All Rights Reserved
Bell's Speech and Swallowing Therapy
- At Bell’s We Believe You Have A Lot To Say … And Eat!
Quality therapy tailored to fit you and your family's needs
Client first is our only approach, conveniently serving the jacksonville area, we offer exceptional service with complimentary hugs., speech & language therapy.
Are you, a loved one, or a child having difficulty speaking, reading, understanding, or communicating? Let us help you get back on track or develop the necessary communication tools!
Let us help you eat the things you love! We provide extensive swallowing and feeding therapy from birth across the age span in order to meet nutrition and hydration needs.
Are you or a loved one experiencing difficulty with memory? Let us help you and your loved one keep the memories that are closest to your heart!
Accent Reduction
The Hispanic/Latino community is rapidly growing in Jacksonville! Accents is a representation of heritage and culture. We provide accent reduction speech therapy to develop a more effective communication system in order to facilitate listener ease.
Tiffany is a God Send, in the sense that, before she had offered to see my son, Anthony - who is 3 years old and has sensory processing disorder and possibly high functioning autism -- I didn't know what to do, where to go - NOTHING. But after she saw him for 1 hour, she brought to light so many different things that I could do at home - to help him on a daily basis. She showed me different techniques to help strengthen his oral motor skills, and taught me how to help him to be able to focus better on the activities at hand. She was extremely great with him, as he is not very good with people he does not know, but Tiffany helped to make him feel comfortable and at ease, which made me feel the same. I have personally worked with her also, and know first-hand, that her work ethic is admirable and she is very personable with each and every patient. She is very diligent in how she handles her patients, and is quick to help guide you and educate you. I have HIGHLY recommended her services to people already, and will continue to do so-- she has helped my son move mountains, and I know she can do the same for anyone else!
Savannah E.
Call us today..
SoCal Speech Therapy & Swallowing Diagnostics Inc.
Southern California's Premier Speech Therapy Practice Serving Adults.
At SoCal Speech Therapy & Swallowing Diagnostics Inc. our mission is to assist our patients in living the fullest life they can.
We focus on treating and educating our patients in English & Spanish with high-quality, comprehensive and individualized speech therapy services. We design custom treatment programs to meet each patient’s specific needs.
Our therapists are committed to ongoing education to deliver evidence-based treatment and ensure professional growth. It is this combination of clinical expertise, genuine caring and great community reputation that sets us apart.
Our certifications & associations.
Our Services
We treat adults who have been in accidents, had strokes or brain surgeries, and have neurological disorders that result in a loss of speech & language.
We specialize in post-hospitalization dysphagia and helping adults regain or improve their swallowing abilities. Our goal is to always try strategies before modifying diets. Patient specific goals are created to maximize function
Speech Therapy
Our SLPs are certified and trained in the latest gender-affirming voice and communication therapies in addition to programs such as SPEAK OUT! ® designed to treat patients with
Parkinson's.
We provide instrumental swallowing assessments via Fiberoptic Endoscopic Evaluation of Swallowing (FEES) for the adult population in various settings.
Insurance
We accept the following insurance:
Testimonials
This practice is led by some of the most talented, experienced and most dedicated Medical Professionals that I have encountered during my over 45 years of medical practice.
-Tamara Modilevsky, MD
We really are very grateful for Patricia's help, expertise and time. She explained things so well and made a scary situation not so scary. She pushed my Dad in the most positive way.
Contact information
11239 Ventura Blvd. STE 103-#218
Studio City, Calif. 91604-3163
Office: 310-754-0329
Fax: 310-496-0774
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Illness took away her voice. AI created a replica she carries in her phone
A team of Rhode Island doctors show that artificial intelligence voice-cloning technology that has triggered widespread fears of misuse, can be tremendously helpful to some people. (AP Video: Rodrique Ngowi) The Associated Press and OpenAI have a licensing and technology agreement that allows OpenAI access to part of AP’s text archives. AP is solely responsible for all content.
Alexis Bogan, whose speech was impaired by a brain tumor, uses an AI powered smartphone app to create a audible drink order at a Starbucks drive-thru on Monday, April 29, 2024, in Lincoln, R.I. The app converts her typed entries into a verbal message created using her original voice. (AP Photo/Steven Senne)
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Alexis Bogan types a response to a reporter’s question with an app which approximates her lost voice, Thursday, March 11, 2024, at Rhode Island Hospital in Providence, R.I. Doctors treating Bogan, whose speech was impaired by a brain tumor, used a voice-cloning tool from OpenAI to recreate her previous voice. (AP Photo/Josh Reynolds)
Alexis Bogan, whose speech was impaired by a brain tumor, uses mobile phone with an app that features a voice-cloning tool to order a drink at a Starbucks drive-thru Monday, April 29, 2024, in Lincoln, R.I. Doctors treating Bogan are recreating her original voice using a voice-cloning tool from OpenAI. (AP Photo/Steven Senne)
Dr. Rohaid Ali plays a video from a high school project made by his patient Alexis Bogan on Thursday, March 11, 2024, at Rhode Island Hospital in Providence, R.I. Doctors treating Bogan, whose speech was impaired by a brain tumor, used the recorded sample of her speech and a voice-cloning tool from OpenAI to recreate her previous voice. Neurosurgeon Dr. Konstantina Svokos, right, looks on. (AP Photo/Josh Reynolds)
Alexis Bogan, center, and her mother Pamela Bogan, right, react to hearing a recreation of her lost voice from a prompt typed by Dr. Fatima Mirza, left, on Thursday, March 11, 2024, at Rhode Island Hospital in Providence, R.I. Doctors treating Bogan, who’s speech was impaired by a brain tumor, used a voice-cloning tool from OpenAI to recreate her previous voice. (AP Photo/Josh Reynolds)
PROVIDENCE, R.I. (AP) — The voice Alexis “Lexi” Bogan had before last summer was exuberant.
She loved to belt out Taylor Swift and Zach Bryan ballads in the car. She laughed all the time — even while corralling misbehaving preschoolers or debating politics with friends over a backyard fire pit. In high school, she was a soprano in the chorus.
Then that voice was gone.
Doctors in August removed a life-threatening tumor lodged near the back of her brain. When the breathing tube came out a month later, Bogan had trouble swallowing and strained to say “hi” to her parents. Months of rehabilitation aided her recovery, but her speech is still impaired. Friends, strangers and her own family members struggle to understand what she is trying to tell them.
In April, the 21-year-old got her old voice back. Not the real one, but a voice clone generated by artificial intelligence that she can summon from a phone app. Trained on a 15-second time capsule of her teenage voice — sourced from a cooking demonstration video she recorded for a high school project — her synthetic but remarkably real-sounding AI voice can now say almost anything she wants.
She types a few words or sentences into her phone and the app instantly reads it aloud.
“Hi, can I please get a grande iced brown sugar oat milk shaken espresso,” said Bogan’s AI voice as she held the phone out her car’s window at a Starbucks drive-thru.
Experts have warned that rapidly improving AI voice-cloning technology can amplify phone scams, disrupt democratic elections and violate the dignity of people — living or dead — who never consented to having their voice recreated to say things they never spoke.
It’s been used to produce deepfake robocalls to New Hampshire voters mimicking President Joe Biden. In Maryland, authorities recently charged a high school athletic director with using AI to generate a fake audio clip of the school’s principal making racist remarks.
But Bogan and a team of doctors at Rhode Island’s Lifespan hospital group believe they’ve found a use that justifies the risks. Bogan is one of the first people — the only one with her condition — who have been able to recreate a lost voice with OpenAI’s new Voice Engine. Some other AI providers, such as the startup ElevenLabs, have tested similar technology for people with speech impediments and loss — including a lawyer who now uses her voice clone in the courtroom.
“We’re hoping Lexi’s a trailblazer as the technology develops,” said Dr. Rohaid Ali, a neurosurgery resident at Brown University’s medical school and Rhode Island Hospital. Millions of people with debilitating strokes, throat cancer or neurogenerative diseases could benefit, he said.
“We should be conscious of the risks, but we can’t forget about the patient and the social good,” said Dr. Fatima Mirza, another resident working on the pilot. “We’re able to help give Lexi back her true voice and she’s able to speak in terms that are the most true to herself.”
Mirza and Ali, who are married, caught the attention of ChatGPT-maker OpenAI because of their previous research project at Lifespan using the AI chatbot to simplify medical consent forms for patients. The San Francisco company reached out while on the hunt earlier this year for promising medical applications for its new AI voice generator.
Bogan was still slowly recovering from surgery. The illness started last summer with headaches, blurry vision and a droopy face, alarming doctors at Hasbro Children’s Hospital in Providence. They discovered a vascular tumor the size of a golf ball pressing on her brain stem and entangled in blood vessels and cranial nerves.
“It was a battle to get control of the bleeding and get the tumor out,” said pediatric neurosurgeon Dr. Konstantina Svokos.
The tumor’s location and severity coupled with the complexity of the 10-hour surgery damaged Bogan’s control of her tongue muscles and vocal cords, impeding her ability to eat and talk, Svokos said.
“It’s almost like a part of my identity was taken when I lost my voice,” Bogan said.
The feeding tube came out this year. Speech therapy continues, enabling her to speak intelligibly in a quiet room but with no sign she will recover the full lucidity of her natural voice.
“At some point, I was starting to forget what I sounded like,” Bogan said. “I’ve been getting so used to how I sound now.”
Whenever the phone rang at the family’s home in the Providence suburb of North Smithfield, she would push it over to her mother to take her calls. She felt she was burdening her friends whenever they went to a noisy restaurant. Her dad, who has hearing loss, struggled to understand her.
Back at the hospital, doctors were looking for a pilot patient to experiment with OpenAI’s technology.
“The first person that came to Dr. Svokos’ mind was Lexi,” Ali said. “We reached out to Lexi to see if she would be interested, not knowing what her response would be. She was game to try it out and see how it would work.”
Bogan had to go back a few years to find a suitable recording of her voice to “train” the AI system on how she spoke. It was a video in which she explained how to make a pasta salad.
Her doctors intentionally fed the AI system just a 15-second clip. Cooking sounds make other parts of the video imperfect. It was also all that OpenAI needed — an improvement over previous technology requiring much lengthier samples.
They also knew that getting something useful out of 15 seconds could be vital for any future patients who have no trace of their voice on the internet. A brief voicemail left for a relative might have to suffice.
When they tested it for the first time, everyone was stunned by the quality of the voice clone. Occasional glitches — a mispronounced word, a missing intonation — were mostly imperceptible. In April, doctors equipped Bogan with a custom-built phone app that only she can use.
“I get so emotional every time I hear her voice,” said her mother, Pamela Bogan, tears in her eyes.
“I think it’s awesome that I can have that sound again,” added Lexi Bogan, saying it helped “boost my confidence to somewhat where it was before all this happened.”
She now uses the app about 40 times a day and sends feedback she hopes will help future patients. One of her first experiments was to speak to the kids at the preschool where she works as a teaching assistant. She typed in “ha ha ha ha” expecting a robotic response. To her surprise, it sounded like her old laugh.
She’s used it at Target and Marshall’s to ask where to find items. It’s helped her reconnect with her dad. And it’s made it easier for her to order fast food.
Bogan’s doctors have started cloning the voices of other willing Rhode Island patients and hope to bring the technology to hospitals around the world. OpenAI said it is treading cautiously in expanding the use of Voice Engine, which is not yet publicly available.
A number of smaller AI startups already sell voice-cloning services to entertainment studios or make them more widely available. Most voice-generation vendors say they prohibit impersonation or abuse, but they vary in how they enforce their terms of use.
“We want to make sure that everyone whose voice is used in the service is consenting on an ongoing basis,” said Jeff Harris, OpenAI’s lead on the product. “We want to make sure that it’s not used in political contexts. So we’ve taken an approach of being very limited in who we’re giving the technology to.”
Harris said OpenAI’s next step involves developing a secure “voice authentication” tool so that users can replicate only their own voice. That might be “limiting for a patient like Lexi, who had sudden loss of her speech capabilities,” he said. “So we do think that we’ll need to have high-trust relationships, especially with medical providers, to give a little bit more unfettered access to the technology.”
Bogan has impressed her doctors with her focus on thinking about how the technology could help others with similar or more severe speech impediments.
“Part of what she has done throughout this entire process is think about ways to tweak and change this,” Mirza said. “She’s been a great inspiration for us.”
While for now she must fiddle with her phone to get the voice engine to talk, Bogan imagines an AI voice engine that improves upon older remedies for speech recovery — such as the robotic-sounding electrolarynx or a voice prosthesis — in melding with the human body or translating words in real time.
She’s less sure about what will happen as she grows older and her AI voice continues to sound like she did as a teenager. Maybe the technology could “age” her AI voice, she said.
For now, “even though I don’t have my voice fully back, I have something that helps me find my voice again,” she said.
The Associated Press and OpenAI have a licensing and technology agreement that allows OpenAI access to part of AP’s text archives.
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Jody Clough, CCC-SLP. Speech-Language Pathology. Leave A Review. View Profile. 700 S Main St Moscow, ID 83843. 0.3 mi.
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Alexis Bogan, center, and her mother Pamela Bogan, right, react to hearing a recreation of her lost voice from a prompt typed by Dr. Fatima Mirza, left, on Thursday, March 11, 2024, at Rhode Island Hospital in Providence, R.I. Doctors treating Bogan, who's speech was impaired by a brain tumor, used a voice-cloning tool from OpenAI to recreate ...