Presence TeleCare Interviews Congressman Frank Wolf

W000672Last week we had the pleasure of interviewing Congressman Frank Wolf of Virginia, who has overcome severe stuttering problems to become one of the most respected members of the House of Representatives. We have posted our entire interview below and have also included a video of Frank discussing his experience stuttering.

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Presence TeleCare: Frank thanks for agreeing to speak with us. We would like to start out by asking about your experience with stuttering throughout your life and how you worked to overcome it.

Congressman Wolf: I took every speech therapy class I could find. I took one at George Washington University. I took one at Penn State University. I just took every speech therapy course I possibly could. I encouraged myself to get up and say something when I had something to say in class. There is a tendency of individuals who stutter to shy away from speaking. Stuttering individuals can hide or shutdown their speech as a normal response to not being able to speak fluently. So there isn’t any magic bullet or treatment that stopped the stuttering. A lot of things caused my stuttering, when you’re tired, you can stutter, when you’re on the phone, you stutter. Can you ever say you stop stuttering? I don’t think you ever stop stuttering. I don’t know. But you get to the point where it doesn’t hamper you or restrict you. I guess, the last point I would make is that stuttering was probably a good thing, for had I not stuttered I wouldn’t be where I am today.

Presence TeleCare: In dealing with your stutter, when did you first truly become comfortable speaking in public?

Congressman Wolf: Oh never.

Presence TeleCare: Never?

Congressman Wolf: Even now. That’s not necessarily a bad thing. If you feel that you’re just going to do very well in your speech or presentation than you’re almost insulting the audience. I feel that nervousness is not really a bad thing, it’s almost respect for the audience that you want to do well. But when have I fully overcome it? I would have to say never.

Presence TeleCare: A few of the people we have spoken to relate stuttering almost to an addiction in the sense that you never really fully get over. It’s something that is always there.

Congressman Wolf: I don’t know if I would relate it to an addiction but rather a handicap. For me it’s one that I am thankful at birth that I had because if not, I wouldn’t have had the drive and conviction to run for congress.  Clearly if you really stutter, like on telephones, I don’t like telephones because they cause me to stutter. I don’t know if you ever get over that. I don’t think I would relate it to an addiction though. If somebody has one physical handicap and someone has a different handicap in order to overcome it, you just have to talk and deal with it. You have to force yourself to weigh-in whereas the normal habit can be to shut off and not participate. Even when you’re not participating and simply looking at the teacher you may not want to maintain eye contact so you hope that the teacher won’t call on you. I would always force myself, not to speak when I didn’t have anything to say, but not to be afraid of speaking. Sometimes when you are afraid that’s almost always the time you’ll have to speak. If you stutter, you stutter.

Presence TeleCare: Do you have any conscious techniques to use in order to minimize the impact of your stutter in your speech?

Congressman Wolf: No, I really don’t. I think subconsciously you learn, like if I know when I am coming to a stuttering block sometimes, you wouldn’t know it but you may think I am just kind of thinking. I am just sort of saying the word twice when I am thinking about it. I did anything and everything that was appropriate and forced myself to get out and say things when I thought I should say them. In one of my classes, the professor stopped calling on me because I made him nervous as a result of my stuttering. Afterward I talked to him and said from now on just call on me and stay with me and give me the opportunity to try to finish this. Speaking in that class went a long way to improve my speech. You cannot  hide it.

Presence TeleCare: Other than this professor in college, were there any people in your life who affected you in overcoming your stutter.

Congressman Wolf: No, not really. There isn’t anyone who gave me the holy grail to solve the problem. You just have to stay with it.

Presence TeleCare: One of our co-founders, Clay Whitehead, had a severe speech disorder and phonological issues growing up. He says what worked for him was just hard-work, memorization and practice. There truly is no secret.

Congressman Wolf: I agree. There is no secret. No secret style or formula. It doesn’t work that way.

Presence TeleCare: You constantly mention that your stutter is what drove you to become the man you are today, as a successful congressman in Virginia. Do you believe your experience stuttering affected how you live your life, how you judge different people or how you approach different situations?

Congressman Wolf: I don’t know that it’s changed the way I lived my life. I lost the first two times I ran for office. I lost in 1976 and 1978 and very few people ever get to run three times. So I think the drive and the determination that I have from the ridicule of stuttering turned out to be very useful. That sort of toughened me up quite a bit whereby I was able to withstand the ridicule and get up and run again. It’s just taking speech therapy courses and getting up and speaking if you have something to say. You can’t be afraid to stutter, sometimes you get that stuttering block particularly on long words but you have to get through it. It’s about doing what you want to do and think you ought to do and not using stuttering as an excuse for doing something.

Presence TeleCare: That’s great advice. Like I mentioned before, our blog is read by many people struggling with their own speech disorders so I was wondering if you have any messages for them.

Congressman Wolf: I would have to say stay with it. I stuttered pretty badly so stay with it. Again, it all depends on how you look at it. When I was twelve I don’t think I would have ever picked up the telephone given my stutter but here I am at my age now and I consider it to be one of the best things that ever happened to me. It’s the hide and seek response. If you can seek out and deal with the disorder, it can be like a pole in a pole vault that gives you an extra push but if you are one that hides it can be a great burden. It all depends on how you approach it. There isn’t any solution that this will get you this with determined percentages of recovery. It’s about staying and dealing with it and not feeling like you’re a victim in allowing it to hold you back.

I believe that this disability was really an uncommon gift. Clearly had I not stuttered, I wouldn’t be in Congress and if it’s good thing that I am in congress than it’s a gift. I believe I have done a good job here working on human rights issues, religious freedom, helping the poor and so forth. The fact that I am here, is an uncommon gift from God that I have tried to take and fashion and not let myself be beaten by it but rather conquer it. That would be the message that I would give anybody, use it for a positive. Don’t let it be something that holds you back.

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Newborn Cries Reflect Parents’ Language

sad baby.previewAccording to a new study conducted at the University of Wurzburg in Wurzburg, Germany, the cries of infants as young as three days old reflect the language of their parents. The study analyzed and recorded the newborn cries of 60 infants between 3 and 5 days old, half of whom had been born into French-speaking families, and the other half into German-speaking families. According to the study, “the cry patterns of the infants were consistent with the patterns of their parents’ native languages.” Though researchers have long known that parental voices can be heard and recognized in utero, this new research suggests that the language surrounding the infant seems to affect their sound production long before they begin to babble or talk.

According to Diane Paul, PhD, a speech-language pathologist and director of clinical issues in speech-language pathology for the American Speech-Language-Hearing Association in Rockville, MD: “Even before birth, the differences between languages are being heard, the babies are hearing the different melodic patterns, and they are born with the pattern that is more closely related to the melodic pattern the have heard in the language around them.”

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Advancements in Speech Language Pathology

The advent of modern technology has led to recent breakthroughs in the research and treatment of speech disorders. 7Speech and language conditions are normally the result of an injury, head trauma, developmental delays, injury, emotional issues, and brain conditions. A recent article posted on Tgees.com, highlights a variety of recent advancements in the treatment of these conditions which have been proven to enhance and improve a patient’s rehabilitation progress.

Cutting-edge medical procedures have also resulted in an increase in the number of lives being saved after traumatic accidents and health conditions such as strokes. This is has led to a greater need for speech language pathologists given that their are more recovering patients who need speech therapy as part of their rehabilitative process. At Presence TeleCare, we believe that the combination of recent advancements in technology especially in internet video conferencing and the increased need for SLP services will make speech therapy via telepractice a key component to the future of speech pathology.

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H.R. 2068: Medicare Telehealth Enhancement Act of 2009

The debate over health care reform in Washington has been one of the most highly debated acts of legislation our joint_session_congresscountry has seen in recent memory. Many members of congress believe that the expansion and increased Medicare reimbursement of Telemedicine programs throughout the country are key parts of this reform. Only about 20% of the country’s Medicare beneficiaries have access to telemedicine because of restrictions limiting funding to rural areas, according to legislators. The Medicare Telehealth Enhancement Act originally introduced in May would expand Medicare reimbursement to the other 80% of the country and encourage in other ways the remote monitoring of patients using telecommunications technology.

The bipartisan bill co-authored by two Democratic representatives (Mike Thompson of California and Bart Supak of Michigan) and two Republican representatives (Sam Johnson of Texas and Lee Terry of Nebraska), H.R. 2068, could usher in a new era of telemedicine in the U.S. According to the four lawmakers, the bill would:

  • Eliminate geographic restrictions on reimbursement for telemedicine;
  • Authorize $30 million in telehealth grant and resource funding by creating a new grant program worth $10 million, and reauthorizing two existing programs — the Telehealth Network Program and the Telehealth Resource Centers Program — each with $10 million in funding;
  • Expand coverage of telehealth services to home health services and remote patient monitoring; and
  • Expand eligible health care providers to include all Medicare providers.

Several provisions of HR 2068 have been included in Congress‘s health reform bill and after conferencing with the Senate, these members of congress are hoping to introduce an updated version of stand-alone telehealth legislation. To view HR 3962, Congress’s health care reform legislation, click here. Section 1191 is currently being reviewed.

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Pilot Program Helps Rural Schools Deliver Speech-Language Therapy

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The University of North Carolina Greensboro have been running a federally funded TeleSpeech Therapy pilot program for the past two years. Due to the extreme shortage of speech-language pathologists especially in the state’s rural areas, videoconferencing over the internet allows school districts with limited personnel to access trained SLPs to treat their students.

The therapy delivered through the TeleSpeech program has varied very little from traditional face-to-face therapy. With the help of a paraprofessional on-hand to manage student behavior, equipment and on-site materials, the speech pathologist is able to effectively provide therapy for the student in need. For more on UNCG‘s TeleSpeech pilot program click here.

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Telemedicine Gains Funding for Treating Children with Autism Spectrum Disorder

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The Center for Disease Control is estimating that the rates of autism in young children are on the rise and that 1 in every 150 children are diagnosed with Autism. With the help of government funding from the American Recovery and Reinvestment Act, more parents are gaining access to online tutorials and general information related to treatment of this disorder.

As a part of the government’s program, the University of Kansas is developing a Research-to-Practice Outreach Training model to teach parents of children with ASD how to implement research-based interventions with their children. These parents are also assigned a telemedicine clinic as a resource for therapy and instructional needs. Registries such as the National Database for Autism Research are playing an important role in locating resources and providing information in the field. For more information on this and other federal telemedicine programs please visit the Federal Telemedicine News site.

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Childhood Apraxia of Speech

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Apraxia of speech is a disorder that is often misunderstood and can be sometimes confused with aphasia. We recently came across a great article at IHealthDirectory.com that provides basic information on childhood apraxia. The article is quick to point out that childhood apraxia of speech is a neurological disorder that affects a child’s speech but does not hinder their ability to comprehend language.

Individuals with childhood apraxia often suffer from inconsistent speech errors and may have to grope more than usual to shape their mouths into the correct position for speech. Long words or phrases especially cause individuals with apraxia difficulty. Check out the article to find out more about apraxia diagnosis, symptoms and treatment.

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Role of Environment in Communication Disorder

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The learning environment for a child with a speech or language disorder is extremely important for the growth and development of that individual. The ability to create an atmosphere for the child that allows them to focus on speech therapy or learning will only prove to facilitate the child’s growth. In dealing with speech therapy via telepractice, the environment in which the child and para practitioner must be set up in a way as to maximize the effectiveness of the time spent with the speech therapist via video conference.

This recent article at speechtherapy.ygoy.com does an excellent job of outlining the ways to set up an area for your child’s therapy that will make it easier for your child to learn. As in any learning or working environment, distractions and clutter can be disruptive and take away from the importance of the task at hand, which is the child’s speech and language development.
Do you have any tips on how to set up an appropriate environment for a child’s therapy? Please send an email to General@PresenceTelecare.com.

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