Kelly Goble, MS, CCC-SLP

I have worked in most of the places an adult with a communication or swallowing problem ends up. Hospitals, where you learn to move quickly, read a chart properly, and recognise when something needs escalating today rather than next visit. Skilled nursing and assisted living, where you learn how much of a person’s day is shaped by staff who have four minutes. And homes, where you learn what someone actually needs on a Tuesday afternoon.

Those settings teach different lessons, and the home is where they come together. A goal that looks reasonable on a treatment plan can be useless in a kitchen. A strategy that works in a quiet therapy room can fall apart at a family dinner. Working in the home means the plan gets tested against real life every single week.

The goal was never to make someone sound the way they used to. It was to get them back into their own conversations. Kelly Goble, MS, CCC-SLP

How the practice works

Healthcare Straight Up is a solo practice, and that is deliberate. The person who evaluates you is the person who treats you every week. Nothing is handed to a rotating therapist, nothing is lost between visits, and I carry the whole picture of what we are working on.

Most referrals come from physicians I have worked alongside for years in this area. Families reach out directly too, and neither route is better — the first conversation looks the same.

Credentials

Beyond the caseload

I write and sell clinical materials for other therapists — goal banks, printable activities, and a dementia reference guide used by speech, occupational, and physical therapists working in skilled nursing. Good clinical tools should not stay locked inside one clinic.