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September 11, 2019
Hillary saw a problem. Some of her patients in rural Louisiana just couldn’t afford their thickener, and had to choose between paying the electric bills, putting food on the table, or thickener. So Hillary Cooper started a nonprofit organization called the Dysphagia Outreach Project, which is going to offer services like a dysphagia food pantry, support group setup program, and patient/caregiver/SLP educational materials, and more! Volunteer or donate to the cause at www.dysphagiaoutreach.org.
September 7, 2019
Sensation just as important as motor function, but often overlooked. Now there's no need to clutch your pearls or your cold laryngeal mirror, because Zach Smith is here to explain what you need to know about sensation. Have you found yourself writing that your patient "silently penetrated"? The recurrent laryngeal nerve triggers a cough, but not the superior laryngeal nerve. When we know more about how sensation works, it's easier to see that silent penetration isn't a thing. Get the show notes at bit.ly/SYPpodcast102
August 31, 2019
I know you’ve been wanting more information on the role of speech pathologists in the NICU. As both a speech pathologist and a mom, this topic is close to my heart. That’s why I am so excited for episode 102 with the wonderful Casey Lewis. In this episode, Casey helps us navigate the NICU world. She discusses everything from how to begin working in the NICU, the impact of experiences on the development of the brain, how to promote the relationship between babies and their parents, and more! Check it out and get the show notes at: bit.ly/SYPpodcast101
August 21, 2019
All hail Dr. Susan Langmore, First of Her Name, Queen of Dysphagia Research Society, Predictor of Aspiration Pneumonia, and Mother of FEES! It's episode 100 so we pulled out the big guns. Dr. Langmore takes us back to the origin of FEES. And you know how every guest says their favorite paper is Dr. Langmore's predictors of aspiration pneumonia (but really, who blames them, it's a great paper)? We're getting the story from the source. Get the show notes at bit.ly/SYPpodcast100
August 14, 2019
Have you had a rough time supervising a student? You aren't alone! Students may struggle for a myriad of reasons, but there are resources out there to help you support them, and guidance for what to do if even that isn't getting them up to snuff. Katlyn Gollin struggled with her first student, but is here to share everything she learned from that experience and the successes of her second student! Get the show notes at bit.ly/SYPpodcast099
August 6, 2019
Wondering what the real difference is between palliative care an hospice? Or when a PEG is worth all the trouble we know they cause? Caitlyn Saxtein shares research and information on these topics and more. One study found that 78% of SLPs thought that PEGs were OK in advanced dementia (they're not), but only 11% of those same SLPs said they would want one for themself. We've got a ways to go on educating ourselves and our colleagues, but Caitlyn will give you a head start. Get the show notes at bit.ly/SYPpodcast098
July 17, 2019
Russ Campbell is back for another episode on Ampcare's ESP and how it stacks up against other NMES systems on the market. Russ tackles swallowing kinematics and the nitty-gritty of NMES parameters to help you get the most from each swallow therapy session. There is a way to make higher intensity current more comfortable, and Russ explains how Ampcare made that the basis of their system. For more on Ampcare, check out episode 19 with Russ and episode 60 with Rick McAdoo. Get the show notes at: bit.ly/SYPpodcast097
July 9, 2019
What if your family member was the one with dysphagia? Would it change your management plan? Would you want them drinking thickened liquids? Would you want their SLP to talk over every detail with you? Kristie Knickerbocker unfortunately found herself in this situation when her grandfather broke his back. She joins us today to share her family's story, and what she would want her grandfather's SLP (and any other SLP, really) to know. Get the show notes at: bit.ly/SYPpodcast096
July 5, 2019
If you're feeling overworked & under-appreciated, this one's for you. Kate Williams is getting a doctorate all about compassion fatigue and burnout, especially as they apply to SLPs. If you're feeling stressed, you're not alone. 70% of SLPs across settings are feeling some kind of burnout. But Kate is here with answers, not just doom and gloom, so please join us to hear what you can do about burnout today. Get the show notes at bit.ly/SYPpodcast095
June 26, 2019
Dr. Nicole Rogus-Pulia joined us this episode for a deep dive on saliva research. She summarizes tons of research not only about xerostomia in typical aging and Alzheimer's but also about practical clinical information you can use tomorrow. Dr. Rogus-Pulia also shares details about some of her exciting research in progress on dysphagia in Alzheimer's disease. Don't forget to check the show notes this week, they are chock-full of references! Get them at bit.ly/SYPpodcast094
June 18, 2019
Have you been hearing scary campfire stories about PDPM? You are not alone! Friend of the podcast Edgar Vincent Clark is back to share some calming & inspiring words about this much-feared transition. As he tells us, "adversity breeds opportunity." This is going to be a whole new world, but dysphagia will still exist there too. Get the show notes at: bit.ly/SYPpodcast093
June 13, 2019
Feel like you get pushed around in your facility because nobody knows what you do, why you want what you say you need, or why you can't just do things like the last SLP? It's tough out there for a young SLP. Respect can be a difficult thing to earn, but Erika McLean shares insights on how you can make it a realistic goal for you. Erika herself moved into a leadership role in her inpatient rehab facility DURING HER CFY! Miracles do happen! Listen at bit.ly/SYPpodcast091
June 5, 2019
If you're working with patients with Parkinson's disease, or anyone else with cough dysfunction, (and really, who doesn't?) Dr. Karen Wheeler Hegland's got info for you. Cough assessment isn't scary or only for specialized research clinics. Dr. Hegland is here with research and normative values to help you make educated decisions about dysphagia management in patients with cough dysfunction. (If you enjoy this episode, also see episodes 63 & 64 with Dr. Michelle Troche, a frequent collaborator of Dr. Hegland's.) Get the show notes at bit.ly/SYPpodcast091
May 28, 2019
The day has come for us to discuss the famous and beloved MDTP! Dr. Crary walks us through its research history, what MDTP can really do, and common misconceptions. He also shares some exciting new upcoming changes planned for this year (including hope for expanded course offerings)! Get the show notes here: bit.ly/SYPpodcast090
May 22, 2019
Dr. Lori Burkhead Morgan is here to talk about her famous articles on exercise science as it applies to dysphagia (specificity is the name of the game, and it turns out strength may not be the belle of the ball). Dr. Morgan also spells out the what, how, and why of sEMG biofeedback. Worried you could never get such fancy equipment where you work? She's got you covered with motivation and references. Get the show notes at: bit.ly/SYPpodcast089
May 14, 2019
Remember WAAYYYY back in episode 16 when Dr. Jamie Fisher talked all about how to transition to becoming a medical SLP the right (ethical) way? Kellie Green does! And she's here to talk about what it looks like when you follow the yellow brick road (hint: it's great!). Kellie shares about what to look for in a workplace and what work you'll need to put in on your own time to make the dream a reality.
May 7, 2019
That fact that tube feeding is contraindicated in advanced dementia can sometimes feel like the biggest open secret in the medical world. Now that Emily Tricarico has introduced the SEGUE model of how to dialogue with our medical colleagues, we have to be sure to say something worthwhile. Educating physicians about the risks associated with tube feeding and dispelling the (numerous) misconceptions is an admirable goal, and Emily is here to arm us with the facts and position papers to do it! See the show notes at bit.ly/SYPpodcast087
April 30, 2019
Public speaking may top many “greatest fear” lists, but there’s more than one way to inservice your colleagues. Whether it be doctors, nurses, or administrators, these are people you may already be seeing on a daily basis—so why not strike up a conversation and open a dialogue about what you and more importantly your patients need? Emily Tricarico introduces the SEGUE framework for successful advocacy conversations, so you have somewhere to start when you aren’t sure where to begin. Get the show notes at bit.ly/SYPpodcast086
April 23, 2019
Luis Riquelme joins us this week to talk about a wide variety of issues facing MedSLPs, and to outline a vision of what our profession and education might look like in the future. (Is medSLP even a specialty, or more the summation of the stuff we ALL--even school SLPs-- need to know?) Dr. Riquelme also talks about representation and how it can trigger change in the ASHA system as we know it. Listen in at bit.ly/SYPpodcast085
April 15, 2019
This episode our guest is Craig Coleman, who is running for ASHA VP of Planning. Craig breaks down how we can use get ASHA on our side and best advocate for the tools we need. (Hint: Talk to the SIGs, and when you contact ASHA, do it as a horde of individuals rather than signing your name as the 500th person on a preformatted letter.) Craig also explains exactly what the VP of Planning does for us all! We all want to be heard by our governing body, and by voting we can shape what ASHA really looks like. Check out Craig's candidate profile here: https://www.asha.org/About/governance/election/Craig-Coleman/
April 9, 2019
We continue our talk this week on the intricacies of FEES competence with Jennifer Kizner. Jennifer also shares how to toe the line of describing without diagnosing when things look funky in the pharynx. Can you define exophytic? Pedunculated? Time to learn! Listen and download show notes at bit.ly/SYPpodcast083
April 2, 2019
What’s that? We haven’t talked enough about FEES for you? Fear not. Here to grant all your wishes, Jennifer Kizner delves deep into what it takes to start scoping. In this two part episode, Jennifer talks about not only what’s needed for individual competency, but also how to get your facility’s FEES program up and running. Nothing we love better than a scope in a nose (aka instrumentation aka EBP)! Get the show notes at bit.ly/SYPpodcast082
March 26, 2019
How many times per day do most dysphagia therapists hear, “I don’t have a swallowing problem, there’s just some phlegm in my throat” or, “Food just gets stuck in my throat”? These complaints might usually lead us to think about GERD, but what if there is more going on?We have all heard of muscle tension dysphonia, and today Christina Kang leads us into the world of muscle tension dysphagia. Christina shares how we can impact quality of life in a population where swallow function might appear totally normal until you take a closer look. Get the shownotes at bit.ly/SYPpodcast081
March 19, 2019
Inpatient rehab has its own quirks, just like SNFland, home health, and acute care. Taylor Evans is here to show us the lay of the land.Just what does a typical IRF stay look like? And how does the new push for group therapy fit in to the picture? Taylor Evans is back for part two of our discussion on inpatient rehab. We dig in further to what life looks like on the patient side of a rehab stay. Download show notes at http://bit.ly/SYPpodcast080
March 12, 2019
Inpatient rehab has it’s own quirks, just like SNFland, home health, and acute care. Taylor Evans is here to show us the lay of the land. Just what does a typical IRF stay look like? And how does the new push for group therapy fit in to the picture? Taylor guides us through the ins and outs particular to inpatient rehab, outlining the specific hurdles of this setting and how to jump them.
March 5, 2019
We all know we have to do right by our patients, but we don’t usually think about how billing comes into it. We are clinical staff, not accountants, and there isn’t usually a business incentive for our employers to keep us informed on these points. BUT…can you really say that each minute you spent with (and billed the patient for) was worth their money? Or is it possible that this chunk of change could have been better used in another way? Jessica Lasky is back to talk about how to get ethical, and some great resources to support your best ethical practice. Get the show notes at bit.ly/SYPpodcast078
February 27, 2019
All you have to do is ask! You know how they ask you why you want to be an SLP on your grad school applications and we all write about how we just want to help people? But you really mean it? SLPs are nice, helpful people. You probably have more resources at your fingertips than you realize. And beyond that, you might be able to shift your focus to the areas that you really need work on when you have someone to tell you what the road ahead looks like. So get out there and mingle! Listen at bit.ly/SYPpodcast077
February 22, 2019
But I thought they couldn’t aspirate? Right….but there is still dysphagia. See all that residue? This affects quality of life. If you have to swallow 10 times per bite, you might start to wonder if you energy could be better used on other pursuits. When pressure gets so built up in the pharynx that patient’s TEPs have leaks after 1 week, we have to get creative. There is limited research on this population, but what we are starting to hear is very interesting! Laurie Wennerholm shares the latest research and current best practices for assessment and treatment of dysphagia in a population we never used to treat for dysphagia. Get the show notes at bit.ly/SYPpodcast076
February 15, 2019
Kelsey Day picks up where we left off last time. Now you have your assessment done, where do we go in treatment with trach patients in the ICU? Biofeedback, pitch glides, ice chips, and expiratory training may all be a part of the answer. We also talk about how to start getting the right kind of attention from MDs, and about what a model for acute care mentorship can and should look like. Ever wished you got invited to rounds because there’s just a group of amazing professionals talking about your patients? Kelsey has an idea for how you can get there! Show notes can be downloaded at bit.ly/SYPpodcast075.
February 6, 2019
When is it too soon to see trach patients? In the OR. After that, they’re fair game. Kelsey Day explains how the PT ICU model of early mobility is a path we can follow as SLPs to get in early to work with vent-dependent patients to stop (and hopefully reverse) disuse atrophy. Kelsey took us on a deep dive into vent settings & terminology (don’t worry, we took notes for you), to help you have a clearer idea of how sick or stable your vent-dependent ICU patients are on any given day. She also outlines how to plan for and complete swallow assessments in this population. This is a two-part episode, so keep an eye out for the second half of our interview with Kelsey where she guides us through treatment choices for trach & vent-dependent ICU patients. Show notes can be downloaded at bit.ly/SYPpodcast074
January 30, 2019
If you’re into grainy sludge, feel free to skip this episode. For the rest of us, John Holahan, founder of Simply Thick, is here to talk about xanthan gum, rheology, and IDDSI. Even though xanthan gum sounds like a substance mined on a distant planet, it’s been around forever and is a widely used food thickener (for people without dysphagia). John realized there were myths to be dispelled and got to work making a better thickener for patients with dysphagia. And when he found an Australian company with an easier to mix product, he partnered with them. No surprise then, that when Simply Thick learned about IDDSI, they were all in. IDDSI is coming for us all, so lets get excited! My puree won’t be your nectar-thick anymore!
January 23, 2019
For patients with mod-severe to severe dysphagia who are unable to eat, tube feeding might not be the answer…but where does that leave you? Palliative care discussions are a delicate balance of learning about the patient’s goals, beliefs, and plans, while staying within our scope of practice. These can be challenging conversations, but Meredith Oakey Ashford has come to share suggestions for conversation starters, mindset, and to explain the SPIKES framework for delivering bad news. Listen to our discussion and learn how to get comfortable with uncomfortable conversations.
January 15, 2019
This was a really random, solo, vulnerable episode that I decided to record at noon today. Not your average interview nor what I had planned, but something that's been bugging me. I've had so many conversations lately with MedSLPs that are just so burnt out and wanting to leave the field, and it really is easy to blame the system, but what if we viewed things from a different lens? Check out the episode at bit.ly/SYPpodcast071 and if you're interested in joining this awesome group of highly motivated clinicians and researchers please check out medslpcollective.com. Enrollment ends Friday.
January 8, 2019
How do you solve a problem like edema? Even in ideal ACDF recovery, patients will have edema. Watching, waiting, and working on adjunctive dysphagia therapies are all a part of the answer. Despite often being an elective surgery, ACDF can result in terrible complications (including dysphagia and respiratory failure). Michelle Deghan discusses how to approach complex cases post-ACDF—from evaluation and treatment techniques to the current research. Show notes can be downloaded at bit.ly/SYPpodcast070 To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 20, 2018
Dr. Sonja Molfenter took an ASHA convention break to discuss her new study titled Volumetric Changes to the Pharynx in Healthy Aging: Consequence for Pharyngeal Swallow Mechanics and Function. She used MBS in combination with a pharyngometry (special throat sonar) to learn about what’s normal when it comes to pharynx size and swallow function. Plus, Dr. Molfenter discusses some of her prior work on normal variability, and what it means for you, the clinician. (Hint: Don’t stop your MBS after one trial, or one instance of aspiration. Protocols are power.) Show notes can be downloaded at bit.ly/SYPpodcast069 To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 12, 2018
Dr. Paula Leslie and Dr. Marty Brodsky are back for part 2 of our jam session “At the Table...” In this episode we tackle if *MORE* content really is the magic sauce to get all dysphagia clinicians up to speed or if we need to back the bus up and focus on critical thinking first. Show notes can be downloaded at bit.ly/SYPpodcast068 To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 7, 2018
We’ve all been there. You’ve read the sentence 10 times, it’s in English (you think?) but you just don’t know what this researcher is telling you. It turns out that you aren’t beyond dumb, it’s a communication breakdown. Dr. Paula Leslie and Dr. Marty Brodsky are back to discuss what we can do to bridge the researcher-clinician divide. For starters, let’s not dig it deeper. Blogs, social media, and podcasts are here to speak your language and point you lovingly in the right direction, just like Wikipedia. Yes, you need to be savvy about what sources and information you trust, but in the end we all want to help our patients, and it’s much easier when you don’t need a decoder ring. Show notes can be downloaded at bit.ly/SYPpodcast067 To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 28, 2018
Have you philosophized and fantasized about getting your Ph.D.? But *maybe* the idea of retaking the GRE makes you want to run and hide? This episode, Megan Nosol discusses the barriers to getting started on a PhD, how to work around them. You’ll need to having clear priorities, and a little savvy before you dive into the deep end of research. Megan shares tips and hard-won tricks so you won’t have to go the long way round to applying. Time to stop feeling like a philistine and get that PhD! Show notes can be downloaded at bit.ly/SYPpodcast066 To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 21, 2018
Your patient may swear by the old gods and the new that they are thickening their liquids and doing their exercises, but are they really? Tiffani Wallace has found your beloved home programs covered in dust under the couch and is here to tell us where to go next. Home health is about meeting patients where they’re at (literally) and seeing what really happens when people leave the clinic and head into the wild.  What traits will make a great home health SLP, what tools will you need for treatment, and what tricks will you need to get a copy of that instrumental from the hospital? Tiffani also gives the final word on where our scope of practice begins and ends in the home health setting, and the upsides of home health, like effortful Starbucks swallows! Show notes can be downloaded bit.ly/SYPpodcast065 To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 13, 2018
Do you have your doubts that coughing into that funny blue plastic tube could really fix a swallow? Well Dr. Troche is back to lay out the (rock solid) research on respiratory muscle strength training and put those doubts to bed. Spoiler alert: It’s crazy how many different kinds of patients can benefit. Dr. Troche also talks about the future of cough research ongoing in her own lab. She is using biofeedback to work on improving accuracy of urge to cough (remember how we said this was important last episode?), and even talks about how you might start to move in that direction out in your clinic. Last, we zoom out for a look at the big picture of cough, dysphagia, and the SLP’s role to let you know you can hack it. Show notes can be downloaded at bit.ly/SYPpodcast064. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Instagram and tag @TheresaRichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out medslpcollective.com
November 6, 2018
Hypotussic and Hurting: The Link between Cough and Swallow Now before you tell me you already know that cough is associated dysphagia, listen Linda, listen. This is no mere time to sit back and wait for your patient to cough. We are here for quantifiable information with high sensitivity and specificity! We’re talking peak flow, Borg scales, and more. Dr. Michelle Troche is here to remind us why we all fell in love with our frenemy cough in the first place, and to tell us how we can amp up our clinical practice if we pay attention to cough the right way. Did you know that cough, like swallow, isn’t a true reflex? We’ve been sold a bill of goods and it’s time to learn what’s really going on, with Dr. Troche as our guide. Show notes can be downloaded at bit.ly/SYPpodcast063. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Instagram @TheresaRichardSLP or to join our 500K giveaway To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Solution, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out www.MedSLPSolution.com.
October 30, 2018
“I’ve been swallowing for 87 years, I think I’d know if I had a problem.” Well Gerald, you may have a point. An old swallow is not always a bad swallow, and Yvette McCoy is here to tell us more. If we know what is expected as a part of the normal elderly swallow, then it will help us see clearly when our patients have crossed over into the land of dysphagia. Yvette delves into functional reserve and sarcopenia, as well as specific characteristics of presbyphagia, so we don’t thicken poor Gerald into oblivion. Yvette also talks about the forthcoming resource she co-authored with Tiffani Wallace, The Adult Dysphagia Pocket Guide, Neuroanatomy to Clinical Practice, which you can pre-order from Plural Publishing and use promo code AP2013 for a 15% discount. Show notes can be downloaded at bit.ly/SYPpodcast062 To share your thoughts: – Join the MedSLP Newbies Facebook group – Follow me on Instagram @TheresaRichardSLP to learn about our awesome new 1/2 million giveaway! To help out the show: – Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! – Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out medslpcollective.com
October 24, 2018
If you know there are patients at out there in your hospital who need you, but aren’t on your caseload, here’s what to do. Zach Smith describes actions you can take to get doctors and nurses to sit up, take notice of your speech department, and get those referrals flowing in. In-services are great, but are they the be-all, end-all? No! We need to reach out in all kinds of ways to help other departments buy in to our services. Zach talks through ideas for how to reach out and get everyone else as excited about swallowing and speech pathology as we all are. The bonus of all this leg work? The more other departments see you and respect you, the more resources will move in your direction (HELLO, new FEES program)! Show notes can be downloaded at bit.ly/SYPpodcast061 To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out medslpcollective.com
October 16, 2018
E-Stim, NMES, ESP, oh my! Rick McAdoo of Ampcare guides us out of the electric alphabet soup, and towards clarity for this complex modality. Through trial, error, experimentation on Rick, and tons of research, Ampcare developed their ESP. Wondering if you have to crank up the electricity if you hope to make any change to your patient’s swallow? Rick explains how parameters are the most important thing about your NMES program. Targeting muscles in a sensitive part of the body buried layers under the skin is no smooth sailing, but Rick is here to guide us through the muddy waters of NMES, and to prove that pain isn’t the best thing for your patient, but movement is. Want to hear more about muscle fibers, e-stim, and exercise-based dysphagia rehab? Check out SYP 019 with Russ Campbell, CEO of Ampcare. Show notes can be downloaded at bit.ly/SYPpodcast060 To share your thoughts: – Join the MedSLP Newbies Facebook group – Share this episode on Instagram and tag me @TheresaRichardSLP To help out the show: – Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! – Contribute at patreon.com/swallowyourpride ***Enrollment opening soon for the Medical SLP Collective*** To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out medslpcollective.com
October 9, 2018
“Theresa, when are you going to talk about the real world?” No time better than the present. This episode, we look at challenges faced by rural SLPs. Maybe you’ve been thinking to yourself that all this talk of imaging is fine and dandy at a fancy urban university hospital, but that’s just not how it goes in your neck of the woods. Jess Conn is here to tell us about what being an SLP in a rural area is really like. Can it be hard to get the mobile MBS van to make the 4 hour trip out to your facility? ABSOLUTELY! Is that a reason to stop trying? Of course not! Plus, how can you navigate competence in areas across our whole scope of practice, across the whole lifespan without CEU courses or mentors nearby? Jess breaks down how to use your resources creatively to get what you need for your patients—even in a tiny town in the middle of nowhere. Show notes can be downloaded at bit.ly/SYPpodcast059 To share your thoughts: – Join the MedSLP Newbies Facebook group – Share this episode on Instagram and tag me @TheresaRichardSLP To help out the show: – Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! – Contribute at patreon.com/swallowyourpride ***Enrollment opening soon for the Medical SLP Collective*** To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out medslpcollective.com
October 2, 2018
How many times do you get patients with a voice or swallowing disorder and no obvious neuro diagnosis? What the heck might have possibly happened to them? Did you know that according to this paper, 49% of patients with laryngeal injury post extubation present with dysphagia? Are you aware of the significant association between laryngeal injury and penetration/aspiration scores? What about the costs associated with readmission due to a repair of tracheal injury? Apparently, Dr. Brodsky was on to something when he decided to write this systematic review... and he's here to spill the beans on what this paper CAN and can NOT tell us! Show notes can be downloaded at bit.ly/SYPpodcast058. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Instagram and tag me @TheresaRichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride ***Enrollment opening soon for the Medical SLP Solution*** To learn more about the Medical SLP Solution, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out www.MedSLPSolution.com.
September 27, 2018
Do you cringe when people start talking all about neuro in our field like that wasnt quite what you signed up for? Or maybe it super interests you, but still seems way over your head? Do you know that EVERYTHING we do in swallowing therapy revolves around neuroplasticity principles? Yup, we're like little exercise scientists for the swallow (Don't stone me if you disagree, just play along with my analogy.) Ed Bice is back to talk about the importance of keeping the neuroplasticity principles front and center when developing and carry out our treatment plans. (There's also plenty of references in the show notes if you're a neuro nerd!) Listen now or download the episode at bit.ly/SYPpodcast057 To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
September 20, 2018
SLPs have an ever growing presence in the NICU and for the longest time we were limited with using videofluoroscopy for these little babies. Now with the advancement of FEES and awesome SLPs leading the charge to improve access to instrumentation in their facilities, we have another option to provide these babies and their families. In this episode, Jenny Reynolds dives in to ALL the issues and roadblocks they had to overcome to get FEES going in their NICU. It took a lot of teamwork and patience, but sets an incredible model of perseverance for others in our field. Show notes can be downloaded at bit.ly/SYPpodcast056. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Instagram and tag @TheresaRichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Solution, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out www.MedSLPSolution.com.
September 11, 2018
What do you do if you just can't get an instrumental assessment on your patient? Is there anything that you CAN do? Dr. Pam Smith is back for part 2 to explain what may or may not not be done to help your patient, and how to have those risk/benefit conversations with your patient and the family. In this episode, Dr. Smith also discusses how not to become old school, and how its ok to learn from our past mistakes to continue to evolve into the best clinician we can be. To share your thoughts: - Join the MedSLP Newbies Facebook group - Tag me on Instagram @TheresaRichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Solution, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out www.MedSLPSolution.com.
September 4, 2018
*WE* all understand the importance of instrumental assessments, but some of our colleagues, supervisors, administrators, and even patients don't! So how can we change that? How can we change the narrative to a language that they understand, so that everyone can get on the same page and allow the patient to make the most informed decision. Dr. Pam Smith is here to give us some tips to meet them halfway. Show notes can be downloaded at bit.ly/SYPpodcast054. To share your thoughts: - Join the MedSLP Newbies Facebook group - Tag me on Instagram @TheresaRichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Solution, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out www.MedSLPSolution.com.
August 22, 2018
Are you still hesitant to order instrumental assessments? Do you watch your patient aspirate 1 sip of honey thick and shut down the study? Do you know all of the REAL reasons that we have to be sure we are ordering instrumentals assessments for our patients even the insanely expensive ones? News flash: The benefits still outweigh the cost! In this episode, Joan Kelly Arsenault dives in to everything the SLP should be aware of when we deny or don't give our patients a full and complete study. Show notes can be downloaded at bit.ly/SYPpodcast053. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Instagram and tag @TheresaRichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
August 15, 2018
Have you ever thought about taking a grad student but you weren't sure how? Have you ever complained about the poor preparation that some grad students receive? How about being part of the solution instead of perpetuating the problem! Pam Holland from Marshall University is here to explain all of the ins and outs about supervising grad students and how it can be mutually beneficial for all involved! Pam also included some very thorough show notes for this episode to help you weed through the alphabet soup of supervision acronyms, listen now and download the notes at bit.ly/SYPpodcast052. To share your thoughts: - Join the MedSLP Newbies Facebook group - Tag me on Instagram @TheresaRichardSLP To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
August 7, 2018
Did you know that some healthy normal adults... aspirate?!? As many as 30%?!? Yup they do! Dr. Susan Butler is here to explain the research, why it might happen, and why some of our patients do not experience any respiratory concerns and others develop pneumonia. Dr. Butler also discussed why patients may aspirate more on milk than water, how some healthy older adults who aspirate have lower pharyngeal pressures and lower tongue pressures, and why we need to let our patients chug! Show notes can be downloaded at bit.ly/SYPpodcast051. To share your thoughts: - Join the MedSLP Newbies Facebook group - Comment on Instagram @theresarichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
July 31, 2018
Thank you thank you for supporting this podcast to 50 episodes! Many of you have been requesting more episodes about me, so I somehow let my friends twist my arm and ask ME anything! No you will not learn a darn thing about dysphagia in this episode, but you might learn about my love of wine and other random facts. Thank you from the bottom of my heart for supporting the Swallow Your Pride podcast! To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
July 24, 2018
If you've ever worked with a patient with aspiration pneumonia then you should probably listen to this episode. Did you know that aspiration pneumonia does NOT always mean a diagnosis of dysphagia? Do you have any clue what you should know about a chest xray? Do you still believe that all aspiration pneumonia occurs in the right lower lobe? What about feeding your patients on a high flow nasal canula? In this episode, Dr. Jim Coyle discusses ALL of this! Just do your patients a favor and listen to this episode. Find the show notes at http://bit.ly/SYPpodcast049 To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
July 5, 2018
How much do you collaborate with colleagues in other professions? Do you work side by side or not at all?!? Pam Holland from Marshall University and her group of graduate students are here to tell us all about their advocacy projects that they did this past semester. This episode includes interviews that these students did with other professionals about OUR field and everything they want to know about US! This is part 2 of a two part episode.  Show notes can be downloaded at bit.ly/SYPpodcast048. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
June 28, 2018
How much do you collaborate with colleagues in other professions? Do you work side by side or not at all?!? Pam Holland from Marshall University and her group of graduate students are here to tell us all about their advocacy projects that they did this past semester. This episode includes interviews that these students did with other professionals about OUR field and everything they want to know about US! Don't miss it! Show notes can be downloaded at bit.ly/SYPpodcast047. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
June 22, 2018
Welcome to the latest segment of the Swallow Your Pride podcast. I am delighted to have Dr. Paula Leslie and Dr. Martin Brodsky join me for what we hope to be a monthly roundtable discussion, weighing in on audience-directed topics related to swallowing and dysphagia. Are you of the belief that instrumentals should be considered for every patient?  Perhaps they aren’t ideal in specific circumstances?  Who do you believe should be primarily responsible for writing the recommendations, the clinician who completed the instrumental assessment or the clinician who knows the patient best?  These discussions and other perceivably ethical dilemmas (that really aren’t dilemmas at all—they’re the law) are passionately discussed. The transcript for this episode is available at http://bit.ly/SYPpodcast046 Please take a moment to offer your feedback on this SYP episode and the format by completing this brief survey. Your feedback is extremely valuable to us! To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
June 14, 2018
"If you're not ordering FEES because you're afraid of missing something, then you're not ordering FEES for the wrong reasons." In this episode, Vince Clark dives in to some other myths about FEES and the benefits it provides to his patients and colleagues. We discuss the increasing prevalence of laryngopharyngeal reflux disease and it's impact on swallowing, how to subjectively rate it, and how to advocate for a further work up. We also discuss the interdisciplinary education that can take place when several professionals and the family gather around to watch the live study. Show notes and a full transcription an be downloaded at bit.ly/SYPpodcast045. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Instagram and hashtag #swallowyourpridepodcast and tag me @theresarichardSLP To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Solution, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out www.MedSLPSolution.com.
June 7, 2018
Do you use FEES? Do you have access to FEES? Do you think FEES is the new kid on the block? Do you think FEES is super painful, dangerous, and unsafe? Do you know how to clean that scope or will it eventually turn into a coat rack? In Part 1 of this 2-part series, Edgar Vincent Clark and I dive in to something we are both overly passionate about... FEES! We discuss the history and dispel some myths about safety and pain. We also get into the nitty gritty of how to clean your scope. (Pssst: It starts with knowing the kind of scope you have and getting your paws on the User Manual!) Show notes can be downloaded at bit.ly/SYPpodcast044. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share a screenshot of the episode on Instagram and tag me @TheresaRichardSLP and hashtag #swallowyourpridepodcast! To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
May 29, 2018
How do you assess dysphagia in our patients with dementia? Just the normal oral mech exam? A FEES? A VFSS? Do you have to get creative? Maybe? We really just need to know a few key points about our patient and their progression in order to know the best way to assess their swallowing. In this episode, Leslie Roerk dives in to everything the SLP should be aware of when assessing dysphagia in the dementia population, and the importance of utilizing the Global Deterioration Scale to guide us. She provides us with some great tips so that we are able to evaluate our patient's feeding, swallowing, behavioral, and/or communication needs to provide patient centered care. Show notes can be downloaded at bit.ly/SYPpodcast042. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
May 23, 2018
How do you assess dysphagia in our patients with dementia? Just the normal oral mech exam? A FEES? A VFSS? Do you have to get creative? Maybe? We really just need to know a few key points about our patient and their progression in order to know the best way to assess their swallowing. In this episode, Leslie Roerk dives in to everything the SLP should be aware of when assessing dysphagia in the dementia population, and the importance of utilizing the Global Deterioration Scale to guide us. She provides us with some great tips so that we are able to evaluate our patient's feeding, swallowing, behavioral, and/or communication needs to provide patient centered care. Show notes can be downloaded at bit.ly/SYPpodcast042. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
May 16, 2018
Do you work with babies or kids with cleft lips, cleft palates, or other craniofacial anomalies? Do you desire to work in a NICU or outpatient at a Children's Hospital, and wish you knew more about how to treat these kiddos? In this episode, Rokki Garcia dives in to everything the SLP should be aware of when treating babies/kids with craniofacial anomalies or clefts. From some hallmark signs and symptoms, to the various brands of bottles on the market that allow Mom and baby to have the best feeding outcomes. Raquel provides a wealth of research to help us to create a reputable craniofacial team in your area. Show notes can be downloaded at bit.ly/SYPpodcast041. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
May 10, 2018
Are you and the MD in your critical care unit like peanut butter and jelly? Well you should be, right? Most often times when our patients come off of sedation, the first thing they ask the doc is when they can eat or drink again, so naturally they should know to call us! In this episode, Dr. Macht, a critical care pulmonologist encourages SLPs to work together with MDs or physician extenders to allow for patient centered care. He also discusses the fallacy that PEG tubes do NOT decrease aspiration pneumonia and the importance of family meetings to have these risk/benefit discussions. Show notes can be downloaded at bit.ly/SYPpodcast040. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
May 3, 2018
How much do you rely on your colleagues at work for dysphagia advice? Do you consider listening to their advice if they are less experienced than you? It's time to break down the walls of "more experienced" vs. "less experienced" and start listening to each other. None of us are experts in any 1 area so we might as well put our brains together for the sake of our profession and our patients! In this episode, Taylor Evans dives in to all of the controversial topics that some SLPs do not believe to be within our scope of practice. He provides some great advice on how to come together to have these open discussions and learn from each other instead of just passive aggressively emailing a research paper. Show notes can be downloaded at bit.ly/SYPpodcast039. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
April 24, 2018
How important is the recommendation section of our VFSS or FEES reports? Sure we can train a monkey to identify penetration or aspiration, but it takes a solid foundation in understanding dysphagia, aspiration, pneumonia, and the impact of diet modifications before one should even consider thinking they are prepared to perform instrumental assessments. In this episode, Matt Ward is back for part 3 of his interview to discuss how our recommendations can help our patients or hold them back from reaching their full potential, and it's vital that we are well educated on the impact that all of our recommendations can have. Show notes can be downloaded at bit.ly/SYPpodcast038. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride Interested in learning more about report writing and documentation? Check out our webinar on 4/24/18 at 8pm EST that is FREE to all members of the MedSLPCollective. Go to www.MedSLPCollective.com to sign up! (And yes it will be recorded in case you can't catch it live!) To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
April 17, 2018
Do you use a protocol when you perform your instrumental assessments? Should you? Are you aware of the benefits for other parties involved in our studies? How thorough are your reports? Do you write down everything? Or just a tiny bit? These reports follow our patients to their next level of care so it’s critical that we provide all of the information necessary for our colleagues to provide the best treatment possible. In the second of this 3 PART episode, Matt Ward dives in to the importance of a protocol and how our reports can follow these patients for forever. Show notes can be downloaded at bit.ly/SYPpodcast037. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
April 10, 2018
How prepared are you to really do instrumental assessments and write SUPER thorough reports? I bet there's always more for you to learn! There is so much that SLPs don't know about anatomy, physiology, neurology, aspiration, and pneumonia that are critical before we can begin to write thorough reports and make appropriate recommendations for our patients. In the first of this 3 PART episode, Matt Ward dives in to everything the SLP really, truly should understand before attempting to do instrumentals. Show notes can be downloaded at bit.ly/SYPpodcast036. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
April 3, 2018
Are you just *DYING* to work in the NICU? With the teeniest tiniest cutest things ever? But feel like it's trying to crack a secret code to work there? Have no fear, Ramya is here to help you get started. In this episode, Ramya Kumar discusses tips and resources to help you get your foot in the door. She describes the main differences between a neonatal therapist and a pediatric therapist (because it's not just about feeding littler people! Eek!) She also explains Infant feeding strategies that are used in the NICU that outpatient/EI therapists should know as they see the NICU grads. Show notes can be downloaded at bit.ly/SYPpodcast035. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
March 27, 2018
How much do you REALLY know about esophageal dysphagia? I'm sure it's not enough. Can we really rule in primary oropharyngeal dysphagia without ruling OUT esophageal dysphagia? Yeah news flash to me too! Holy cow I felt dumber than a box of rocks after talking to Julie! In Part 2 of this episode, Julie Huffman dives in to everything the SLP should be aware of when treating dysphagia and how we MUST include the esophagus. She provides some awesome research papers to get us on the same page with our radiologists and GIs, and she tells us exactly what tests we should be ordering when we make referrals to other specialties.  You can listen to Part 1 here! Show notes can be downloaded below. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
March 21, 2018
How much do you REALLY know about esophageal dysphagia? I'm sure it's not enough. Can we really rule in primary oropharyngeal dysphagia without ruling OUT esophageal dysphagia? Yeah news flash to me too! Holy cow I felt dumber than a box of rocks after talking to Julie! In this episode, Julie Huffman dives in to everything the SLP should be aware of when treating dysphagia and how we MUST include the esophagus. She provides some awesome research papers to get us on the same page with our radiologists and GIs, and she tells us exactly what tests we should be ordering when we make referrals to other specialties. Show notes can be downloaded at bit.ly/SYPpodcast033. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
March 13, 2018
Have you heard about the Yale Swallow Protocol? Do you use it? Are you reluctant to use it? Do you feel it’s just too good to be true, and not right for your patients or facilities? In this episode, Dr. Suiter is here to set the record straight. We dive into the research that was the impetus for this protocol, who is it for, who is it NOT for, and Dr. Suiter answers questions about the YSP submitted by our Patreon supporters. Show notes can be downloaded at bit.ly/SYPpodcast032. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
March 7, 2018
A recent article in the Washington Post on February 25, 2018, titled "Swallowing problems are a big killer, but the treatment can be horrible," had many, MANY inaccuracies about our profession, and in fact did not even name our profession! In this episode, we discuss Karen Sheffler's excellent rebuttal blog post on swallowstudy.com and also discuss an SLP Action Plan, and how we can grow from this article to advocate and educate our colleagues. Show notes can be downloaded at bit.ly/SYPpodcast031. To share your thoughts: - Join the MedSLP Newbies Facebook group - Share this episode on Facebook or Twitter To help out the show: - Leave a review on iTunes. Your comments help me immensely and I just might read it on the show! - Contribute at patreon.com/swallowyourpride To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
February 26, 2018
In part 2 of this episode, we continue to discuss how and why to form a trach team in your facility. We discuss challenges that SLPs face when dealing with trach patients, the benefits of forming a trach team, and the SLPs role in improving speech and swallowing in these patients with tracheostomies.  (listen to part 1 here) Today’s guest is Carmin Bartow, M.S., CCC-SLP, BCS-S, She is currently employed at Vanderbilt University Medical Center specializing in dysphagia management, trach vent intervention, and in head and neck cancer. She is a member of the VUMC Tracheostomy Consult Service. In addition to her clinical responsibilities, she facilitates a head and neck cancer support group, and recently taught Dysphagia as an adjunct instructor at Tennessee State University. Carmin put together a great outline of how to form a trach team, as well as several helpful references available at http://bit.ly/SYPpodcast030. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
February 20, 2018
In this episode, we discuss how and why to form a trach team in your facility. We discuss challenges that SLPs face when dealing with trach patients, the benefits of forming a trach team, and the SLPs role in improving speech and swallowing in these patients with tracheostomies. This is part one of a two-part series. Today’s guest is Carmin Bartow, M.S., CCC-SLP, BCS-S, She is currently employed at Vanderbilt University Medical Center specializing in dysphagia management, trach vent intervention, and in head and neck cancer. She is a member of the VUMC Tracheostomy Consult Service. In addition to her clinical responsibilities, she facilitates a head and neck cancer support group, and recently taught Dysphagia as an adjunct instructor at Tennessee State University. Carmin put together a great outline of how to form a trach team, as well as several helpful references. They can be found at bit.ly/SYPpodcast029 or text SYP029 to 44222. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
February 15, 2018
This is Episode 028 with Tiffany Turner, Tiffany is a board certified specialist in swallowing and swallowing disorders. She owns a regional swallowing and voice clinic in Tulsa serving patients throughout Oklahoma for FEES, videostrosboscopy, and swallowing and voice treatment. She is also on Oklahoma’s Muscular Dystrophy Association team and serves at a monthly ALS clinic. Tiffany has published several clinical resource ebooks for adult medical SLPs which are available on her clinic’s website at www.tulsasnr.com . In this episode, we discuss the Importance of multi-disciplinary care with other professionals, treating the entire person, and why SLPs are so resistant to FEES? Check out the show notes for this episode at bit.ly/SYPpodcast028 or text SYP028 to 44222. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
February 8, 2018
In this episode, Caroline and I discuss the underuse of the MBSS. We read reports from SLPs all the time that only mention if a person aspirated or not and with what consistency, or even more maddeningly, a progress note that the patient “failed” their MMBS. We have this wonderful tool, and so many SLPs are not using it to it’s fullest potential. We also discuss one of the more detrimental acts that SLPs commit in establishing themselves as medical professionals. Physicians order all sorts of instrumental assessments before they make decisions about patient care. PTs, RTs, dieticians, etc., all request instrumental assessments before they make recommendations. Then SLPs come in and suggest major changes to a patient’s care based on what they see at bedside? Not every patient may need an instrumental, but way more patients are appropriate than are actually getting them. We also put to bed the great MBSS/FEES debate. They are both so useful and we can get such great, and in some aspects, completely different but still complimentary information, from both. Listen to this episode to bit.l/SYPpodcast027 or text SYP027 to 44222 to download the show notes. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
January 31, 2018
Diane Bahr is a visionary with a mission. For more than 30 years, she has treated children and adults with feeding, motor speech, and mouth function problems. While she is a speech-language pathologist by training, she has also honed her skills as a feeding therapist, published author, international speaker, university instructor, and business owner. Diane co-owns Ages and Stages, LLC with her husband and business manager Joe Bahr. Diane is extremely concerned about the amount of time young babies are spending on their backs and in containers. She has hypothesized this as being one reason we are seeing late developing fine motor skills (e.g., feeding, speech, hand use, and visual function) and significant jaw and tongue retraction (which may be contributing to posterior tongue tie). She has attributed this to the apparent epidemic of mouth development problem we seem to be having and has done a significant literature review to support her work. Diane also just presented a very well received talk at the ASHA Convention with Kristie Gatto regarding normal mouth and airway development from birth - 7 years of age that she graciously shares in this episode. Show notes for this episode are available at bit.ly/SYPpodcast026 or you can text SYP026 to 44222. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
January 17, 2018
024 - Brenda Arend, MA, CCC-SLP - The Dueling Banjos of Dysphagia: Why Didn’t My Patient Get a Swallow Study at the Hospital and What Can Be Done About It? Tune in as we discuss the roadblocks that both acute care *AND* SNF SLPs face, and how we can build that bridge to boost continuity of care with special guest Brenda Arend, M.A., CCC-SLP. "Why doesn’t my patient EVERRRRR get a swallow study at the hospital before they come to me?” “Yikes that’s a pretty gnarly infection, I really hope their diet is upgraded once that infection clears and they get to their next level of care.” Have you asked yourself ANY of these questions? Do you find yourself extremely frustrated with the lack of continuity in care? Well sometimes (most times) there are many other moving parts. Brenda Arend, MA, CCC- SLP attended Washington State University. She has almost 30 years of experience working in a wide variety of settings with both pediatrics and adults. She was a member and panel chair of the Western Institutional Review Board (WIRB) for 12 years. Currently, she works in the acute care setting at Providence St. Peter Hospital in Olympia, WA and also serves on the hospital ethics board. She is the owner of Puget Sound Swallow Diagnostics, providing mobile FEES services to the greater Puget Sound region of Washington state. Brenda has particular interests in dysphagia, ethics, and end of life care. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
January 8, 2018
023 - Eric Blicker CCC-SLP.D BCS-S - When A Cough Can Mean 1,000 Things: Discovering The Link Between COPD, Laryngopharyngeal Reflux Disease, And Dysphagia. Do you know the impact that COPD can have on swallowing? Do you know the impact that laryngopharyngeal reflux disease (LPRD) can have on swallowing? Do you know the impact that COPD can have on LPRD? Do you even know what LPRD is? In episode 023 of the Swallow Your Pride podcast, Dr. Eric Blicker discusses some really interesting research on the SLPs role in assessing and treating LPRD and its link to the COPD population. Eric Blicker CCC-SLP.D BCS-S has been a Board Certified Specialist in Swallowing and Swallowing Disorders since 2008. That same year, Dr. Blicker received his Clinical Doctoral degree from Nova Southeastern University. In 2000-2001, he was trained at Columbia University in Flexible Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST) by Dr. Jonathan Aviv, the otolaryngologist who developed FEESST. Eric has started multiple Flexible Endoscopic Evaluation of Swallowing (FEES) programs in the United States while training speech-language pathologists and physicians in the process. For the past five years, his company, Community Care Partners Inc, has been an ASHA Approved CE Provider. Dr. Blicker has lectured at several universities and has provided FEES training courses in several states. His clinical FEES experience includes working in a variety of settings. Dr. Blicker is the FEES Committee Chairperson and Project Coordinator in the Mercy Health East Market in Cincinnati Ohio. Dr. Blicker can be found on Facebook (Eric Blicker), on Twitter (@ericblicker), his website is http://ceualliedhealth.com or you can email him at ceucustomercare@gmail.com to inquire about any FEES training courses or online CEU courses. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
January 2, 2018
022 - Walt Fritz, PT - The Inter- and Intra-rater Reliability of Palpation, Myofascial Release, and Manual Therapy using a Patient Directed Approach. Are you palpating your patients? Do you know what you're feeling for? What is the inter- and intra-rater reliability of palpation? What if it has alternate uses? Manual therapy has been a longstanding practice in the PT world, and benefits are just now being discovered as it relates to globus sensation and dysphagia. Today's guest is Walt Fritz, a physical therapist who breaks down the history of manual therapy, the use of myofascial release, and using a patient directed approach in treating dysphagia. Walt Fritz has been a physical therapist since 1985 and has been using manual therapy as his chosen intervention since 1992. After training and working with some of the well-known pioneers of the MFR field, he began to move the traditional myofascial release narrative from its historical past into more modern and accepted narratives of neurological explanation. He teaches his workshops to PTs, OTs, and MTs. Since 2013 he has added a class directed toward speech-language pathologists, The Foundations in Myofascial Release Seminar for Neck, Voice, and Swallowing Disorders, which focuses evaluation of voice, swallowing and other disorders seen by the SLP and Voice Professional. He takes a decidedly different approach to myofascial release and manual therapy, working toward an explanatory narrative that represents current thinking and pain science, as well as adding a feedback-based, patient-directed model of explanation. Walt sees patients at his physical therapy practice in Rochester, NY and can be found at http://www.waltfritzseminars.com To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 26, 2017
021 - Martin B. Brodsky Ph.D., Sc.M., CCC-SLP, F-ASHA - Crash 'n' Burn: Ending The 24 Hour Wait Time For Post-Extubation Assessment In this episode, Dr. Brodsky discusses when to assess or screen for swallowing function post extubation - what has been done in the past, what is going on today, and what should you do tomorrow? Dr. Brodsky describes a life altering incident that has shaped his career, and we also discuss the importance of clinical research, evidence-based medicine, and why it’s called clinical “practice.” Dr. Brodsky is an Associate Professor of Physical Medicine and Rehabilitation at Johns Hopkins University.  His peer-reviewed research publications, book chapters, and invited presentations focus on swallowing and swallowing disorders.  Dr. Brodsky’s clinical research is funded by the National Institutes of Health, studying the effects of critical illness and critical care medicine on swallowing and the airway and their long-term outcomes.  His clinical practice specializes in adult swallowing and communication disorders.  Dr. Brodsky is a Fellow of the American Speech-Language-Hearing Association, a member of the ASHA Advisory Council for Speech-Language Pathology, and a member of the Editorial Board for Dysphagia.  He is a frequent reviewer for scientific journals and a member of the Dysphagia Research Society and the American Psychological Association. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 22, 2017
020 - Dan Weinstein, M.S. CCC-SLP, BCS-S - Case Presentation on Social Media, Decision Making, Documentation, and Making Appropriate Referrals Dan and I team up for a quick off the cuff "holiday edition" episode to present to *YOU* how to present a case on social media in order to get the best and most appropriate responses from your peers. Dan also tackles decision making, documentation, and the importance of making solid referrals. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 18, 2017
019 - Russ Campbell, PT, CEO of Ampcare - IIb or not IIb – The Role of Neuromuscular Electrical Stimulation (NMES) Applied to Patients with Dysphagia Questions about e-stim? NMES? What the heck is it? What does it even do? In this episode we learn all about parameters, placement, and plasticity! Russ Campbell received his degree in Physical Therapy from Northwestern University, Chicago, Illinois in 1989.  He is a co-developer of the Effective Swallowing Protocol (ESP™) and CEO of Ampcare, a FDA registered medical device and services company that develops innovative technologies designed to improve the quality of life in people with swallowing disorders. He has 28 years of experience in electrotherapy and has presented Ampcare’s products in the US, Europe, Japan and Hong Kong. Russ is responsible for the research and development of the company’s products and methodology as well as guiding the company’s growth through partnerships with other healthcare providers. Russ also made an extremely thorough handout of charts and diagrams that you may want to print out BEFORE you listen by visiting http://swallowyourpridepodcast.com. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 14, 2017
018 - Selena Reece, M.S., CCC-SLP, BCS-S - Does Starting a FEES Program Sound Like Too Daunting Of a Task? Here Are All Things To Consider. Episode 018 of the Swallow Your Pride Podcast features Selena Reece. Selena Reece received her Master’s degree from University of North Carolina at Chapel Hill in 2003 and obtained Board Certification in Swallowing in 2015. She has worked in acute care, outpatient, and inpatient rehabilitation settings. She currently serves as the Director of Educational Resources for Carolina Speech Pathology, while carrying an active caseload providing mobile FEES services. She has been deemed competent for supervision and training in FEES by Dr. Gregory Postma, a board certified Otolaryngologist. In this episode we discuss why we need instrumentals, how FEES can be a wonderful addition to your facility, and where to even begin with creating a FEES program. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
December 7, 2017
017 - Jamie D. Fisher PhD, CCC-SLP Part 2! Trach/Vent FAQs: Do Trachs Cause Dysphagia? Is The Blue Dye Test Accurate? Why FEES In This Population? Dr. Fisher is back for part 2 to discuss her main passion -- trach and vent! In this episode, we discuss some tracheostomy and mechanical ventilation FAQs as they relate to dysphagia. Do trachs themselves directly cause dysphagia? Is the blue dye test accurate? Why is FEES beneficial for this population? Dr. Fisher received her PhD in Speech Language Pathology from Vanderbilt University. She is a speech-language pathologist (SLP) and clinical instructor with SA Swallowing Services and works at various hospitals, sub-acute care facilities, and rehab facilities. Dr. Fisher holds ASHA Certificate of Clinical Competence, endorsement for endoscopy practice, and is a certified FEES trainer. Dr. Fisher is an adjunct professor at University of Maryland - College Park and Tennessee State University. She has over ten years of experience as an SLP and her clinical interests include speech, language, dysphagia, Fiberoptic Endoscopic Evaluation of Swallowing (FEES), and working patients requiring tracheostomy/mechnical ventilation. Dr. Fisher is the creator and director of Preparing SLPs for Tracheostomy and Ventilator Patient Care Training Course. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 28, 2017
Dr. Fisher received her PhD in Speech Language Pathology from Vanderbilt University. She is a speech-language pathologist (SLP) and clinical instructor with SA Swallowing Services and works at various hospitals, sub-acute care facilities, and rehab facilities. Dr. Fisher holds ASHA Certificate of Clinical Competence, endorsement for endoscopy practice, and is a certified FEES trainer. Dr. Fisher is an adjunct professor at University of Maryland - College Park and Tennessee State University. She has over ten years of experience as an SLP and her clinical interests include speech, language, dysphagia, Fiberoptic Endoscopic Evaluation of Swallowing (FEES), and working patients requiring tracheostomy/mechnical ventilation. Dr. Fisher is the creator and director of Preparing SLPs for Tracheostomy and Ventilator Patient Care Training Course. In this episode, we discuss how to transition to being a medical SLP the right and ethical way because there is a right and a WRONG way! We also discuss the ethics at both the state licensure level and with ASHA if caught practicing incompetently. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 22, 2017
On episode 015 of the Swallow Your Pride Podcast we have Rebecca Levy back for a Part 2! Rebecca is an SLP currently in the role of Clinical Program Consultant for ACP’s Synchrony dysphagia program.  Rebecca has worked in healthcare for over 11 years.  Although she spent the first 2 years of her career in special education, she quickly realized that she had a passion for the geriatric setting and specifically working with patients with dysphagia.  She spent about 8 years in a SNF setting and 5 of those years she was a Director of Rehabilitation for her therapy program but never stepped away from treating.  She also spent some time doing private home health and worked on a mobile van completing videofluoroscopy.  Rebecca’s current role of clinical consultant is probably her most fulfilling, helping to educate other SLPs and helping them to get superior outcomes with their patients! In this episode, we discuss ALL things thickened liquids - the good, the bad, and the ugly! We discuss why we should be treating our patients and getting them away from just "tolerating" diets, and what thickened liquids can actually do our patient's physiology and psychology! To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 15, 2017
In this episode, we sit down with Jonathan Waller of Dysphagia Cafe to discuss all of the happenings in LA at the 2017 ASHA Convention! We also discuss some of the "Best Of" Dysphagia Cafe! To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 8, 2017
013 - Rebecca Levy M.S. CCC-SLP - Exercises, Exercises & More Exercises! Evidence-Based Treatment for Every Swallowing Impairment On episode 013 of the Swallow Your Pride Podcast we have Rebecca Levy. Rebecca is an SLP currently in the role of Clinical Program Consultant for ACP’s Synchrony dysphagia program.  Rebecca has worked in healthcare for over 11 years.  Although she spent the first 2 years of her career in special education, she quickly realized that she had a passion for the geriatric setting and specifically working with patients with dysphagia.  She spent about 8 years in a SNF setting and 5 of those years she was a Director of Rehabilitation for her therapy program but never stepped away from treating.  She also spent some time doing private home health and worked on a mobile van completing videofluoroscopy.  Rebecca’s current role of clinical consultant is probably her most fulfilling, helping to educate other SLPs and helping them to get superior outcomes with their patients! In this episode, we discuss ALL things exercise! Exercises, exercises, and more exercises! Rebecca goes through all 17 components of the MBSimp and provides evidence-based exercises for each swallowing impairment. The show notes for this episode can be found at www.swallowyourpridepodcast.com and there is a cheat sheet chart of all of the impairments, muscles and cranial nerves involved, as well as exercises for each component! To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
November 1, 2017
012 - Dr. Jonathan Aviv: What SLPs Should Know about the Relationship Between Reflux and Dysphagia, the Safety of FEES, and the Acid Watcher Diet. Dr. Jonathan Aviv, ENT joins us for Episode 012 of The Swallow Your Pride Podcast. Dr. Aviv is currently the Clinical Director of the Voice and Swallowing Center in Manhattan, New York, which is a private practice that is affiliated with several institutions. He is also a Clinical Professor of Otolaryngology Head and Neck surgery at Icahn School of Medicine at Mount Sinai. Dr. Aviv also ran an endoscopy training program for SLPs for several years. In this episode, we discuss the editorial - “When endoscopy is an option, what would you choose?” the safety of FEES, what SLPs should know about LPR/GERD, and a food- not medicine -solution. Dr. Aviv also provided us with some food myths relating to LPR/GERD and dysphagia. You can scoop a copy of his book here, the Acid Watcher Diet, and as always the show notes below. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
October 24, 2017
011 - Hillary Cooper, MA - CCC-SLP - Dysphagia Island Can Be a Lonely Place - Why It’s So Important to Build Bridges With Your Interdisciplinary Team to Overcome Barriers Hillary Cooper is the owner of Speech Therapy Services of North Louisiana and currently contracts with two locations of Fyzical Balance Centers to provide outpatient pediatric and adult speech therapy services as well as adult home health services. Hillary is also in the process of establishing a mobile FEES company called North Louisiana Swallow Solutions. Hillary is extremely passionate about pushing for the use of evidence-based practice in dysphagia treatment in these rural areas. In this episode, we discuss how we can advocate for our patients AND our field. She tells us how she has been successful with educating other professions and getting them on board and collaborating with us on our dysphagia treatment plans. Hillary also discusses having Dr. Stephanie Daniels as her graduate school professor, and how that has shaped the way she views continuing education. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
October 18, 2017
010 - Catriona Steele Ph.D., CCC-SLP, F-ASHA - The International Dysphagia Diet Standardization Initiative Framework, IDDSI Flow Test, & Skill-Based Training For Rehabilitating the Swallow. The International Dysphagia Diet Standardization Initiative (IDDSI.org) Framework, The IDDSI Flow Test, and Skill-Based Training For Rehabilitating the Swallow. Dr. Catriona Steele is an incredible, internationally known, ASHA Fellow who is currently a researcher at the Toronto Rehab Institute. She had 10 years of experience as a medical SLP before pursuing her PhD, and she is still very much involved at the clinical level in our field. Dr. Steele has over 80 peer-reviewed publications, and has presented as an invited lecturer in Europe, Japan, China, Austrialia, and she actually just returned from the World Dysphagia Summit and European Society for Swallowing Disorders, so she does give us some scoop from that! Dr, Steele is one of the main key players in the International Dysphagia Diet Standardized Initiative also known as IDDSI. She also has received international recognition for her work on tongue functioning in the swallow. Dr. Steele has a 2-part series on Medbridge right now about tongue pressure resistance training, so feel free to check that out, and also one of my most favorite series on MedBridge is her 5-part series about best practices in VFSS, so if you're a Medbridge member check that out, if not, you can purchase that annual membership for unlimited CEUs for only 95$ with promo code SYP, so head over to medbridgeeducation.com and purchase that SLP education plan with promo code SYP to watch Dr.Steele’s awesome CEU videos on lingual resistance and videofluoroscopy. In this episode, we discuss the importance of IDDSI and standardizations amongst thickened liquids and texture modifications, we discuss skill based training, and the importance of rehabbing the swallow, as well as we get to hear about some of Dr. Steele’s mentors and who's work has really inspired her. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
October 12, 2017
Today’s guest is one of my most favorite people in this world, Vince Clark (AKA Edgar Vincent Clark.) Vince and I share the same wavelength on so many different dysphagia related topics. One thing we are both so passionate about is access to instrumentation, and not just access, but encouraging all SLPs to understand the financials behind what we do, so that they can appropriately advocate for services for their patients. Vince is someone that I think all SLPs who are treating dysphagia should aspire to be. First and foremost, patient care, and doing right by the patient is paramount in his practice. Second, he understands the financials behind everything we do in diagnostics, treatment, as well as end of life care and knows where the research and policies are all located so that he is able to educate any DOR or administrator that may attempt to deny access to equipment or therapy materials. Vince is currently the Director of Dysphagia Diagnostics for Integra Rehab which is part of a much larger non-profit organization called Community Health Services that provides services to thousands of patients throughout the state of Georgia. Vince currently is in charge of their mobile FEES program, so if there is anyone in the state of Georgia that is interested in having mobile FEES service their facility, get in contact with him, as they do contract with outside facilities. In this episode, we discuss the cost of instrumental assessments, and how they are not only a cost savings, but can be revenue generating, and also the financials associated with therapy materials, as well as where to locate all of the regulations. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
October 4, 2017
Today’s guest is Megan Nosol. Megan is extremely knowledgeable in the world of head and neck cancer. She is super intelligent, and has not only skimmed the literature, but she really dives in and thinks critically, and relays it so well in to her clinical practice. Megan is a graduate of the the University of North Carolina at Chapel Hill. Since graduating, Megan has been a clinician in the skilled nursing, outpatient rehabilitation, and non-profit organization settings. She has also taken 36 credit hours of additional pre-medicine coursework and has a strong research background. Currently, Megan is a SLP at STEPS for Recovery, an outpatient clinic, where she treats adults who have trismus, an array of communication disorders, and dysphagia. She is also a Board Member of the non-profit organization, Lary's Speakeasy, which provides laryngectomy supplies, support, and educational resources to laryngectomees and their caregivers. Megan is the founder and co-trainer of the ARK-J Program: Trismus Intervention Certification Course for SLPs. Additionally, Megan is the creator of the website, www.SpeechTherapyToolbox.com, which is a resource for patients and caregivers of communication and swallowing disorders. In this episode, we discuss the ABCs of HNC, and Megan gives you a great general knowledge base about treating HNC. Don’t forget to download the show notes for this episode, and thank Megan for giving you tons of great info and references to check out. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
September 27, 2017
This is episode 007 of the Swallow Your Pride podcast, and on today’s episode we have Yvette McCoy. She is Board Certified Specialist in Swallowing and Swallowing Disorders, and owns a private practice clinic in Maryland called Speak Well Solutions. Yvette is also an adjunct instructor at the University of Maryland in College Park. Yvette has over 25 years of experience in the field, and specializes in treating dysphagia in our aging population. Yvette is so stinking down to earth, very real, and one of the kindest people you will meet. She loves to help younger clinicians (and I’m secretly very jealous of her grad students), and she is passionate about teaching EBP in dysphagia. Yvette has training in the area of FEES (Fiberoptic Endoscopic Examination of Swallowing) and MBSImP (Modified Barium Swallow Impairment Profile), she is co-creator of the Dysphagia Therapy app through Tactus therapy, and she also has 2 CEU courses through Northern Speech Services called The Cranial Nerve Examination: Integrating Assessment And Treatment In Dysphagia Management and also Gauging The Aging Swallow: 3-Part Course For The Medical SLP. In this episode we discuss how to advocate to your boss for the tools you need to do your job, we discuss Dr. Langmore Predictors of Aspiration paper, and we discuss the importance of the evidence-based triad. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
September 21, 2017
Today’s Swallow Your Pride guest is Dan Weinstein! Dan is a board certified specialist in swallowing and is an incredibly intelligent and very well spoken SLP from the Philadelphia area. And Actually at the time of this recording he was the Speech Pathology Supervisor at the Dept of Rehabilitative Services at UCSF Medical Center in San Francisco, but he’s since moved back to the east coast, because he wanted to live closer to me, and will be starting his new position soon as the Chief of Speech and Audiology Services at the Philly VA Medical Center. Dan has served as a clinical supervisor for several years and in his experience he has developed a way of explaining very difficult topics for both SLPs and our patients in a very simple, and eloquent manner. If I could go back and do my externships or CF again I would pick Dan in a heartbeat since he cares so much about educating SLPs and helping them to learn the medical reasoning and research behind everything we do. In this episode, we discuss palliative care in both the acute care and SNF settings. We dispel some myths about feedings tubes, thickened liquids, and how best to treat our end of life patients with dysphagia. Dan also touches on esophageal dysphagia and some things we should and shouldn't do with treating that. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
September 13, 2017
Matt is an SLP in the Nashville, TN area where he completes mobile FEES for SA Swallowing Services, and works PRN in a hospital completing MBSS and treating acute care patients. Matt is very knowledgeable and passionate about using the most valid and reliable methods of assessment that we have available for swallowing disorders. He gives a great overview of screens and clinical swallow exams, and how the Yale Swallow Protocol has simplified his practice while improving the accuracy of identifying dysphagia. In this episode, we discuss why your “comfort level” doesn't matter, and we can’t be emotional with our recommendations, and instead use evidence based practice in these decisions. We also discuss how being conservative in our recommendations can have negative implications for our patients. Matt also discusses a “game-changing” paper for him written by Dr. Maggie Lee Huckabee about “Rethinking Rehab,” and how our treatment need to be specific, challenging, and monitored with feedback. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
September 7, 2017
Nannette is an SLP with over 45 years of experience who wears many, many hats, and wears all of them very, very well. Her specialty is cognition, brain injury, and post concussive symptoms, but she works in an outpatient clinic where she also treats patients with dysphagia. Knowing that she did not have a solid background in dysphagia, Nannette took it upon herself to enroll in Dr. Jim Coyle’s dysphagia class at the Univ. of Pittsburgh a few years back.  Nannette is extremely passionate about patients rights and ethics, and has also been educated by Dr. Paula Leslie who has written extensively about this topic. She brings an entire human element to treating our patients with dysphagia, and I could only hope that if myself or a family member was struggling with dysphagia, that they would be treated by an SLP that believes in and supports patient’s rights as much as Nannette does. In this episode, we’ll cover the ever popular topic of waivers and why they should or should not be used, how to present treatment options to our patients, and how to advocate for our patients as part of interdisciplinary team. Nannette also discusses the importance of having mentors and support from others in the field, and you’re never too old to learn new tricks. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
September 1, 2017
Today’s Swallow Your Pride guest is Dr. John Ashford! Dr. A is an incredibly knowledgeable educator and clinician. Dr. A co-owns S.A. Swallowing Services with his better half, and together they have a team of excellent clinicians that provide mobile FEES around Tennessee. SASS also has a reputation for putting on some remarkable continuing education courses. Dr. A is very passionate about instrumental assessments and oral care, and has presented on his well researched topic of “The 3 Pillars of Pneumonia.” In this episode we discuss how a poor immune system, poor oral, and the events of aspirating all must create the perfect storm in order to cause pneumonia. We also get into the importance of instrumental assessments, and exactly how to perform oral care (Newsflash: It involves a toothbrush, and a toothbrush, and a toothbrush ;) Dr. A also discusses his favorite researcher that has helped to shape his thinking of swallowing disorders. Check out the show notes for this episode at www.swallowyourpridepodcast.com. To learn more about the Medical SLP Collective, an exclusive community for Medical SLPs with new peer-reviewed resources, handouts, and videos distributed weekly, monthly ASHA CEU webinars, and a private forum on Facebook, or on the website to get answers to all of your burning clinical questions, check out MedSLPCollective.com
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