In this episode, we chat with Andrew Ross about life with ALS, navigating communication through AAC, and the moments that are real, frustrating, and deeply human along the way. Andrew shares what it is actually like to communicate using eye gaze, from slow typing and group conversations to the importance of strong communication partners. This episode is a reminder that communication is more than speech, and that he is still the same person, just communicating differently.

Time to talk Augmentative and Alternative Communication (AAC)! Which is all the ways people communicate besides talking. We'll break down the broad spectrum of AAC options, from no-tech solutions to high-tech devices, and share practical insights from our work in speech therapy.

Key Topics:

• What AAC really means (spoiler: it's not just devices!)
• The AAC spectrum: no-tech, low-tech, and high-tech options
• Four principles learned from working with rehabilitation engineer, Kevin Caves
• Real-world examples: from Bojangles ordering cards to eye gaze technology
• Physical access considerations and when to involve PT/OT colleagues
• Insurance funding for dedicated vs. non-dedicated devices
• Why the device itself isn't the goal, but communication is

Favorite Tools Mentioned:

• Boogie boards (LCD writing tablets)
• Eye Link boards for eye gaze spelling
• Speech Assistant AAC app ($23.99 iOS, free Android)
• Voice amplifiers for energy conservation
• Wireless doorbells for attention-getting

Special Guest Preview: Stay tuned for an upcoming interview with Andrew, an incredible AAC user who creates documentaries and podcasts using eye gaze technology. Follow him @andrewwithals on Instagram.

Connect with The Lowkey SLPs on Instagram & TikTok: @thelowkeyslps Email: thelowkeyslps@gmail.com

Join us for the first of our interview series, Lowkey Chats. This episode's guest is the one and only Dr. Rick Bedlack—neurologist and founder of the Duke ALS Clinic, researcher, and the most stylish doctor you’ll ever meet. He’s on a mission to bring hope, innovation, and maybe even a little bit of flair to the fight against ALS. We talk about why teamwork and resilience are game-changers and how getting to know the people you care for makes all the difference. Tune in for an inspiring conversation with a doctor who’s redefining what it means to support those living with ALS.