Blair Threlkeld ’18 Finds Purpose in Helping Brain Injury Patients Rebuild

Hutchison Now highlights recent graduates early in their careers who embody how a Hutchison education can lead anywhere you can imagine. We spoke with Blair Threlkeld, a speech-language pathologist who works with patients who have sustained neurological injuries.
What does treating patients look like in your role?

A treatment session often starts by simulating a typical morning routine with my patients. I guide them through tasks like brushing their teeth, washing their face, and preparing breakfast—activities that require complex cognitive skills such as sequencing, attention, and problem-solving. Throughout the day, I treat patients both individually and in group settings, depending on their needs.

I also take patients into the community to practice real-world skills, such as a nearby grocery store, where they work on pushing a cart safely, recalling a shopping list, and navigating the environment. These functional activities are critical for helping patients regain independence.

What is a patient success story that has stayed with you?

One of the most meaningful moments in my career involved a man who had experienced a hemorrhagic stroke resulting in severe aphasia and apraxia (language and motor planning disorders). At the start of therapy, he had significant difficulty producing even single words.

Around that time, his daughter was preparing to sign to play a sport in college, and it was incredibly important to him to be able to express his pride in her. For weeks, we practiced the phrase, “I am proud of you,” working through the motor planning and language challenges it required.

On the day of her signing ceremony, he arrived with his cue card in hand and successfully told his daughter how proud he was. It was an incredibly powerful moment for both of them, and one I will never forget. Experiences like this remind me why I chose this profession—I cannot imagine a more rewarding career, and I feel grateful every day to do work that brings such meaning to my life.

How did you become interested in speech-language pathology? Did Hutchison provide you with any opportunities to explore this path?

I had always been interested in pursuing a career in the medical field during high school. While at Hutchison, I had the opportunity to complete an internship at Baptist Memorial Hospital, where I observed physical and occupational therapists working in the acute care setting. This experience gave me my first exposure to rehabilitation and patient care.

Initially, I explored a different path and enrolled in marketing classes at the University of Tennessee, Knoxville. However, I quickly realized that I lacked passion for the subject and wanted a career that felt more personally impactful. After speaking with my parents and learning more about speech-language pathology from practicing clinicians, I decided to change my major to Audiology and Speech Pathology during my sophomore year.

Looking back, it was one of the best decisions I’ve made. I was immediately drawn to the field, and I continue to feel that it aligns perfectly with both my personality and my desire to make a tangible difference in people’s lives.

What skills did you develop at Hutchison that you now use in your career?

Hutchison's rigorous curriculum required me to develop strong critical thinking and interpersonal skills—both of which are essential in my current profession. My interpersonal skills allow me to build trust with patients and their families during what is often one of the most challenging times in their lives. At the same time, my critical thinking skills are crucial when evaluating and treating patients with complex and varied diagnoses. Each patient presents differently, and I rely heavily on my ability to analyze information and make thoughtful clinical decisions.

I still vividly remember my AP Biology class with Mrs. Wesberry. I felt truly challenged academically, and I gained a deep sense of accomplishment from mastering difficult material through persistence and hard work. That experience shaped how I approach learning today. In my field, staying current with evidence-based practices is essential, and Hutchison instilled in me the discipline and curiosity to continually seek out new knowledge to better serve my patients. That drive directly translates into better outcomes for my patients, as I am constantly seeking new knowledge and refining my clinical skills.

How did your Hutchison experience help you get to where you are today?

I spent 15 years at Hutchison, and I credit that experience with shaping me into a well-rounded and confident individual. Being surrounded by strong, intelligent peers and dedicated teachers fostered both my confidence and my willingness to take on challenges. Hutchison taught me to hold myself to a high standard and to never settle for mediocre work. It also instilled in me a lifelong drive to continue learning and improving. Most importantly, Hutchison helped me develop the confidence to pursue a meaningful and challenging career—one where I can make a direct and lasting impact on the lives of others. 

Blair Threlkeld ’18 is a speech-language pathologist at Baylor Scott and White Neuro Transitional Center in Dallas, Texas. Threlkeld works with patients who have sustained neurological injuries, including stroke, traumatic brain injury, and spinal cord injury. She holds a Master of Science in Speech-Language Pathology from The University of Texas at Dallas and a Bachelor of Science from the University of Tennessee, Knoxville.
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