The Dysphagia Expert
Be The Change: Increasing Medical SLP value and enhancing our field
Learn how medical speech-language pathologists can increase their clinical value, implement evidence-based practice, and earn respect from the medical team.
Xerostomia: A Guide to Dry Mouth Treatments
Over 500 medications cause dry mouth. Learn how artificial lubricants, natural stimulants, and oral tools can safely restore salivary flow and comfort.
All I Want Is Chocolate Cake: Balancing autonomy and safety in dysphagia
When a dysphagia patient demands a food that puts them at risk, clinicians face a difficult crossroads. This article explores the delicate tension between ensuring medical safety and honoring patient autonomy. By examining informed consent, risk management, and the right to choose, it offers a balanced framework for those navigating complex care decisions.
Dysphagia Case Study: Navigating silent aspiration and NPO status
Explore this high-stakes medical SLP case study examining acute, reversible dysphagia versus long-term deficits. Learn why managing aspiration risk with critical clinical reasoning—rather than fear-based NPO decisions—can safely preserve patient independence and avoid unnecessary feeding tubes.
Avoiding False Positives: Why Comprehensive Dysphagia Evaluation Matters
Explore the critical differences between dysphagia screenings and comprehensive clinical assessments to improve patient care outcomes. This article examines the balance of sensitivity and specificity, explaining why identifying who does not have a swallowing disorder is just as vital as identifying those at risk. Learn how to prevent false positives, unnecessary diet modifications, and long-term quality-of-life impacts.
What Does Dysphagia Feel Like? Learn through the real stories of real people with dysphagia
Wondering what dysphagia feels like? Read real stories from people living with swallowing disorders to understand the physical and emotional impact of the diagnosis.
Standardization: Why the future of medical speech pathology depends on it.
Subjective guessing leaves dysphagia patients vulnerable. Discover why the future of medical speech pathology depends on standardizing your practice with objective data. Includes a free downloadable guide.
The Modified Barium Swallow Study: So much more than a pass/fail test
The MBSS is a physiological evaluation, not a simple pass or fail. Learn why standardizing IDDSI, Varibar, and protocols like MBSImP is vital for accurate dysphagia diagnosis, patient safety, and meeting CMS expectations.
Breathing and Swallowing: What you need to know
Learn how respiratory status, tachypnea, and high-flow oxygen impact swallowing safety. Explore clinical strategies for managing dysphagia in medically complex patients.
Treating the Person, Not the Swallow: A case study on impulsivity and quality of life
Explore a clinical case study on dysphagia, impulsivity, and the Hawthorne Effect. Learn why treating the person is more important than the swallow study results.
Palliative Care: What can the SLP do when “fixing” the swallow is no longer possible?
Discover how Speech-Language Pathologists transition from rehabilitation to comfort-based care. Learn about palliative vs. hospice care, spaced retrieval for dementia, and person-centered goals for swallowing and dignity.
The Magic Mirror: And a potential code to swallowing success
Discover how biofeedback tools like sEMG and tongue manometry act as a "magic mirror" for dysphagia rehabilitation, helping SLPs and patients visualize progress and improve swallowing outcomes.
Parkinson’s and Dysphagia: What you need to know
Understand the critical link between Parkinson’s and swallowing difficulties. Learn the warning signs of dysphagia and what interventions work best.
4 Ways Medications Impact Swallowing
While we often link dysphagia to neurological injury, "harmless" pills can be the hidden culprit. Discover 4 ways medications—from antihistamines to CNS depressants—impact saliva, motor function, and GI motility, and why SLPs must look beyond the swallow in a vacuum.
Don’t Get Pinched: How to Spot "Crabby" Research
Protect your clinical practice from misinformation. Learn how to use the CRABS mnemonic to evaluate dysphagia research, spot "snake oil" on social media, and ensure your patient care is strictly evidence-based.
Curing the Chronic Cough
Is your patient struggling with a cough that won't stop despite clear lung scans? Learn how Behavioral Cough-Suppression Therapy retrains your nervous system to stop the cycle of refractory chronic cough without medication.
“Is This Safe?” Navigating the emotions behind dysphagia management
Learn why pursuing "zero risk" in dysphagia management can actually increase patient harm. This guide helps SLPs navigate family guilt, reframe aspiration risk, and align clinical recommendations with quality-of-life goals.
Wet Vocal Quality? Or is your ear playing tricks on you?
Is a wet vocal quality a reliable indicator of aspiration? Explore why relying on "gurgly" phonation during a clinical swallow evaluation can lead to unnecessary diet restrictions and why instrumental studies like VFSS are essential for dysphagia accuracy.
Strict NPO: Is It Doing More Harm Than Good?
Is Strict NPO doing more harm than good? Explore the ethical and clinical dilemma of dysphagia management. Learn about muscle atrophy, dry mouth, oral care, and alternatives to NPO status.