The Dysphagia Expert

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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Dysphagia: What We Know, What We Don't Know, and What We Do From Here
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Dysphagia: What We Know, What We Don't Know, and What We Do From Here

Dysphagia research has gaps, but for SLPs, this is an opportunity, not a dead end. Explore the knowns—from essential oral care and swallowing exercises to the necessity of instrumental assessments (MBSS/FEES)—and the many unknowns in dysphagia management. Learn how to stay curious, collaborate, and creatively push the boundaries of evidence-based practice when the research is lacking.

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Videofluoroscopy: How to ensure your study is more than just a snapshot
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Videofluoroscopy: How to ensure your study is more than just a snapshot

Transform your dysphagia practice. Learn why videofluoroscopy (VFSS/MBSS), demands standardized scoring (PAS, DIGEST, MBSImP) and advanced kinematic tools to overcome diagnostic gaps. This article details how moving beyond the 'practiced eye' and advocating for clinical standards elevates VFSS from an experienced guess to a truly objective, indispensable diagnostic tool for SLPs.

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Treat the Patient, Not the Illness: An SLP's Stance on Temporary Dysphagia
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Treat the Patient, Not the Illness: An SLP's Stance on Temporary Dysphagia

When a 70-year-old patient has acute dysphagia, is a feeding tube the only choice? Read more to discover the high-stakes clinical dilemma of differentiating reversible, acute dysphagia (caused by sepsis/delirium) from long-term deficits. Learn the "Chicken or the Egg" principle and why resisting fear-based decisions saved this patient's independence.

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A Case Study of Aspiration: What would you do?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

A Case Study of Aspiration: What would you do?

Aspiration doesn't always mean NPO. Learn to distinguish harmless micro-aspiration from true pathological risk by analyzing patient factors like COPD, mobility, and cognition. Stop the fear. Read more!

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From Sustaining Life to Honoring It: Redefining the SLP’s Role in End-of-Life Care 
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

From Sustaining Life to Honoring It: Redefining the SLP’s Role in End-of-Life Care 

As an SLP, what do you do when traditional rehab goals (restore, recover) no longer apply? This article tackles the most difficult ethical dilemma in end of life care. Learn the crucial difference between Hospice, Palliative Care, and Rehabilitation. Discover how to shift your focus from sustaining life to honoring it by using an evidence-based, palliative approach to swallowing and nutrition. Master the communication tools needed to guide families toward comfort, dignity, and making choices that truly align with the patient’s final wishes.

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Over-treatment in Dysphagia: Why Less is More
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Over-treatment in Dysphagia: Why Less is More

Essentialist SLP: Stop Over-Treating Dysphagia. Learn to cut through the clinical chaos and complex protocols to focus on the 'vital few' interventions that truly improve patient outcomes and quality of life. This deep dive challenges the efficacy of thickened liquids and examines the ethical use of feeding tubes in complex cases like late-stage Alzheimer's.

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Transitional Solids: The key to getting your patient off puree?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

Transitional Solids: The key to getting your patient off puree?

Transitional Foods (TFs): Safely bridge patients off puree diets. Learn how SLPs can use high-dissolving solids (like crackers and crisps) to improve compliance, quality of life, and re-teach chewing skills for adults with dysphagia, without increasing aspiration risk. Discover the evidence and the IDDSI test to safely transition your patients.

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When Everyone is Responsible, No One Is: Is your team making your job harder?
George Barnes MS, CCC-SLP, BCS-S George Barnes MS, CCC-SLP, BCS-S

When Everyone is Responsible, No One Is: Is your team making your job harder?

When 'everyone is responsible' for patient care tasks like oral hygiene, no one is. Learn how the powerful Bystander Effect creates dangerous gaps in healthcare accountability, leading to missed vital care. Discover practical strategies for healthcare professionals, including SLPs, to overcome the diffusion of responsibility and improve patient safety.

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