The Dysphagia Expert

Xerostomia: A Guide to Dry Mouth Treatments 
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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All I Want Is Chocolate Cake: Balancing autonomy and safety in dysphagia
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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Dysphagia Case Study: Navigating silent aspiration and NPO status
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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Avoiding False Positives: Why Comprehensive Dysphagia Evaluation Matters
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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Breathing and Swallowing: What you need to know
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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4 Ways Medications Impact Swallowing 
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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Don’t Get Pinched: How to Spot "Crabby" Research
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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Curing the Chronic Cough
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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Wet Vocal Quality? Or is your ear playing tricks on you? 
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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Strict NPO: Is It Doing More Harm Than Good?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

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.

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