Podcasts about Dysphagia

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Best podcasts about Dysphagia

Latest podcast episodes about Dysphagia

Today's RDH Dental Hygiene Podcast
Curiosity Killed the Plaque - Episode 46: Dysphagia

Today's RDH Dental Hygiene Podcast

Play Episode Listen Later Aug 13, 2026 13:09


In this episode of Curiosity Killed the Plaque, Spring Hatfield, RDH, BSPH, discusses dysphagia, what it is, who it affects, and home care recommendations for patients with dysphagia.Like this show? Leave us a review on your favorite podcasting app!Need CE? Start earning CE credits today at ⁠⁠⁠⁠⁠⁠https://rdh.tv/ce⁠⁠⁠⁠⁠⁠ Get daily dental hygiene articles at ⁠⁠⁠⁠⁠⁠https://www.todaysrdh.com⁠⁠⁠⁠⁠⁠ Follow Today's RDH on Facebook: ⁠⁠⁠⁠⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠⁠⁠⁠⁠Follow Kara RDH on Facebook: ⁠⁠⁠⁠⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠⁠⁠⁠⁠Follow Kara RDH on Instagram: ⁠⁠⁠⁠⁠⁠https://www.instagram.com/kara_rdh/⁠

Today's RDH Dental Hygiene Podcast
Audio Article: Dysphagia - Dental Hygiene Treatment and Home Care Modifications for Patient Safety

Today's RDH Dental Hygiene Podcast

Play Episode Listen Later Aug 6, 2026 10:12


Dysphagia: Dental Hygiene Treatment and Home Care Modifications for Patient SafetyBy Spring Hatfield, RDH, BSPHOriginal article published on Today's RDH: https://www.todaysrdh.com/dysphagia-dental-hygiene-treatment-and-home-care-modifications-for-patient-safety/Need CE? Start earning CE credits today at ⁠⁠⁠https://rdh.tv/ce⁠⁠⁠ Get daily dental hygiene articles at ⁠⁠⁠https://www.todaysrdh.com⁠⁠⁠ Follow Today's RDH on Facebook: ⁠⁠⁠https://www.facebook.com/TodaysRDH/⁠⁠⁠Follow Kara RDH on Facebook: ⁠⁠⁠https://www.facebook.com/DentalHygieneKaraRDH/⁠⁠⁠Follow Kara RDH on Instagram: ⁠⁠⁠https://www.instagram.com/kara_rdh/⁠

dysphagia matters
EP 55: Little Lungs, Big Transitions: Navigating Pediatric Tracheostomy Care with Louise Edwards

dysphagia matters

Play Episode Listen Later Jul 27, 2026 56:55


Tracheostomy care is a highly specialised clinical area, but when it comes to infants and children, the complexities multiply. Pediatric care requires a completely unique approach that accounts for anatomical differences, developmental milestones, and family dynamics. In this episode, Louise Edwards, Clinical Specialist Speech and Language Therapist and PhD candidate, joins us to explore the realities of pediatric tracheostomy care from an SLT perspective. Together, we examine the core clinical priorities, unpack the key differences between pediatric and adult management, and discuss the often-overlooked challenges of transitioning young people with complex needs from pediatric to adult services. Key takeaways: Pediatric vs. Adult Care: Understanding the critical physiological, anatomical, and developmental differences clinicians must recognize. SLT Clinical Priorities: Establishing communication, developmental feeding, and swallowing safety in infants and children with a tracheostomy. The “Trach” vs. The Underlying Condition: Teasing apart how much swallowing and feeding difficulties are caused by the tracheostomy tube itself versus the child’s broader medical and developmental profile. Transitions to Adulthood: Practical considerations for the multidisciplinary team to ensure young people and their families don't feel lost when moving into adult services. The Future of Care: A forward-looking discussion on hoped-for advancements in family support and clinical care over the next five years. Networks: Global Tracheostomy Collaborative: not SLT specific, but they have a great website and provide research and webinars focused on supporting people living with a tracheostomy and their families across the age, as well as healthcare professionals. Royal College of Speech & Language Therapists Tracheostomy Clinical Excellence Network: UK based network of SLTs (and other HCPs) looking at tracheostomy across the age range. Often run virtual study days/webinars. Resources: National Tracheostomy Safety Project (NTSP): paediatric guidance and training References: Miles et al. (2025). Children with a tracheostomy: Global speech-language therapists’ practice. Streppel et al. (2019). Swallowing problems in children with a tracheostomy tube. Pullens & Streppel. (2021). Swallowing problems in children with a tracheostomy. Gupta et al. (2026). Impact of Tracheostomy on Dysphagia in Children. Lee et al. (2025). Incidence of Pediatric to Adult Transition Among Tracheotomy Patients. Ongkasuwan et al. (2014). The effect of a speaking valve on laryngeal aspiration and penetration in children with tracheotomies. Brooks et al. (2020). Passy muir valve tolerance in medically complex infants and children: Are there predictors for success?

Real Talk: Eosinophilic Diseases
Research, Factors, and Protocols Associated with Dysphagia and EoE

Real Talk: Eosinophilic Diseases

Play Episode Listen Later Jul 22, 2026 40:56


Co-hosts Ryan Piansky, a patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Science Advisory Council, interview Dr. Claire Beveridge about EoE and dysphagia. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Co-host Ryan Piansky introduces this episode, brought to you thanks to the support of Education Partners AstraZeneca, GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:17] Holly introduces today's topic, research on eosinophilic esophagitis (EoE) and dysphagia.   [1:24] Holly introduces and welcomes today's guest, Dr. Claire Beveridge, a gastroenterologist at the Cleveland Clinic. Dr. Beveridge heads the EoE Adult Clinic and the Transition from Pediatric to Adult EoE Clinic.   [1:36] Holly, a speech pathologist, says she is very excited to dive into the research Dr. Beveridge did with EoE and dysphagia. Holly asks Dr. Beveridge to share some of her background.   [1:48] Dr. Beveridge was recruited to the Cleveland Clinic about five years ago to head the EoE Center. She loves the work they have done there.   [1:57] Dr. Beveridge says it's been nice to center everything on their EoE patients and have multidisciplinary care with speech-language pathologists, allergists, dietitians, pulmonologists, and more. It's been a great experience.   [2:15] Dr. Beveridge says the other thing they are really proud of is having a Transition Clinic. It can be tough for patients to transition from pediatric to adult care.   [2:23] Dr. Beveridge says this is something she was inspired to do when she was finishing her training at the University of Pennsylvania, where they had been doing some of that. It was really important to her when she joined Cleveland Clinic.   [2:34] Dr. Beveridge, with her Co-director, Dr. Sophia Patel, helps patients transition from pediatric to adult care.   [2:41] Holly speaks of the challenge of transitioning from pediatric care at a multidisciplinary clinic to adult care.   [3:08] Dr. Beveridge says you can't do any training at Northwestern without loving the esophagus. She did her residency there, got exposed to esophagology, and got to know Dr. Gonsalves and Dr. Hirano really well.   [3:33] Drs. Gonsalves and Hirano are really big names in EoE. Dr. Beveridge was fascinated by the disease. She loved the patients and wanted to help them and make them feel better. It's a burgeoning field.   [3:48] Dr. Beveridge says that it's only in the last few years that we have had FDA-approved medications for it, and that we have been jerry-rigging asthma medications to treat our patients.   [4:03] Dr. Beveridge says it's really exciting to see the treatment options we can offer.   [4:10] Ryan says it's exciting to see how EoE management has changed.   [4:16] Ryan says we see so many patients who are untreated or poorly treated for years, who have restructuring of their esophagus and present with dysphagia, or have strictures and rings leading to food impactions; the long-term effects of untreated EoE.   [4:34] Ryan says it's exciting that now we do have better treatment options for people, right off the bat.   [4:43] Dr. Beveridge conducted some research on EoE and dysphagia and presented a poster at the 2024 Digestive Diseases Week.   [4:51] The poster was titled, "Esophageal Luminal Diameter is Associated with Dysphagia and Eosinophilic Esophagitis: Implications for Endoscopic Dilation Therapy."   [5:11] Dr. Beveridge says dysphagia means issues with swallowing. It's a feeling of something getting stuck or something slowly moving down. There are also subtle symptoms that can happen.   [5:31] Dr. Beveridge says patients who have had EoE for a long time become accustomed to how they swallow. Things a patient may think are normal, like needing water and taking a sip after each bite, are learned accommodating behaviors.   [5:58] Dr. Beveridge says accommodating behaviors are that you're needing to imbibe extra water, you're modifying how you're eating, extra chewing, avoiding pills, avoiding other certain foods, and things like that that can be modifying factors.   [6:19] So, difficulty with swallowing, things getting stuck, slowly moving down, but also keeping in mind some of those modifying behaviors that we may end up using.   [7:23] Dr. Beveridge says her motivation was seeing patients in her clinic who were having persistent symptoms, and getting them into histological remission. The goal of treating your EoE is to get the eosinophils less than 15; close to zero is great.   [7:45] Dr. Beveridge says we have patients who, despite doing their endoscopies and taking biopsies, things look fine; they're still having issues with swallowing. Why is that the case?   [7:58] Dr. Beveridge says in a different research paper she had done, looking at some of the predictors for that, one of them was fibrostenosis. There are also other things that can contribute, like esophageal hypervigilance and a fear of swallowing.   [8:21] If a patient has had a food impaction, it's going to be scary to try to swallow again. Some of it is behavioral, but some of it is structural. At what luminal diameter (the size of the esophagus) is that causing a clinical problem for patients?   [8:45] A normal esophagus is 20 to 24 mm in diameter. Traditionally, around 14 to 16 mm in diameter has been when we say that patients get symptoms or they're feeling the issues with swallowing.   [9:03] Dr. Beveridge says a lot of those studies have never been done specifically for EoE patients.   [9:08] Dr. Beveridge wanted to know, if we exclude cancer, if we exclude acid reflux, and all of these other things, and just look at our EoE patients, what size of the esophagus are we looking at?   [9:20] Dr. Beveridge explained they specifically looked at patients whose histology was under control and then compared those who continued to experience symptoms with those who did not. The goal was to determine the histologic threshold at which patients begin to experience dysphagia.    [9:54] Dr. Beveridge says they saw this threshold at 16 mm (1.6 cm). That's still quite the difference from a normal esophagus of 20 to 24.   [10:08] Dr. Beveridge says our esophagus can definitely handle being smaller, but then, once you get to that 16 mm, for a lot of patients, it really does cause that feeling of things getting stuck or slowly moving down.   [10:20] Holly says what's cool about the retrospective data Dr. Beveridge looked at, and the parameters she placed in the research, is that when a patient goes in for an endoscopy, the doctor can measure and say maybe this is why dysphagia is going on.   [10:48] Holly finds that adult patients with food impactions are scared to eat the same food again. She loves having this data to share with patients and say, let's look at what your esophagus measures at. Let's do a smaller bite. Let's add a dip and liquid.   [11:12] Holly says data can push so much progress. Holly, having multiple chronic illnesses, loves when doctors can say, this is going to be safe. This is the mode that we're going to go with.   [11:30] Dr. Beveridge says in the retrospective study, they were looking at stuff that had already been done. We decided from here to assess patients more prospectively. All of this was based on chart review from when the note said symptoms or no symptoms.   [11:53] Dr. Beveridge says when she started this EoE clinic at the Cleveland Clinic, part of it was to standardize better how we were collecting data from patients to understand their symptoms.   [12:07] Dr. Beveridge has a standardized questionnaire for patients to understand if they are having heartburn and difficulty with swallowing, so she can know that at each point of their endoscopy.   [12:18] Dr. Beveridge says it will be nice, hopefully in the future, when she can give a little more detail and depth in terms of assessing this more prospectively and seeing if that same number holds up or if she needs to tweak it a little bit.   [12:34] Holly thinks it's fascinating. Numbers give us so much information, to know if my mm is this versus this, the next time, or during allergy season or not.   [12:53] Ryan says it's cool that you're able to look back at existing patient records and identify this information. Now we have that 16 mm number in mind to say maybe this is where we'll start to see increased risk of dysphagia in these patients.   [13:28] Dr. Beveridge says, how we had to do it retrospectively was based on the endoscopist estimating what the size is. Gastroenterologists recognize they're not always the best at estimating the size of the esophagus.   [13:50] Dr. Beveridge says, if your endoscope could not pass through, or it was snugly passing through, you know the diameter of the endoscope. If a dilation was done, at what size dilation do we start to see a disruption?   [14:19] Dr. Beveridge says, the goal of a dilation is to get a disruption because there's scar tissue we want to break open. A patient might think disruption means a perforation or something more scary, but that is the goal. We want to break open that scar tissue.   [14:42] Dr. Beveridge says, once we see that scar tissue break open a little bit, then we can estimate what the diameter is, based on the size dilator we used.   [15:10] Dr. Beveridge says for adults, we use a standard adult upper endoscope, and that's about 13 mm. The ones we use for kids are about 6 mm.   [15:35] Dr. Beveridge says the adult endoscope is around 13 mm, and it's around 14 to 16 mm when we start to see the symptoms.   [16:07] Dr. Beveridge says there are two main types of dilation that we do. One is the Savary dilator or wire-guided dilator, a long dilator that stretches the entire esophagus, from the mouth down to the stomach.   [17:20] Dr. Beveridge says another way of doing it is while you have the endoscope in, you thread a catheter. At the end of the endoscope, there's a balloon. You fill the balloon with saline up to different sizes. Typically, they go up by 3 mm, so 12 to 15 mm.   [18:01] Dr. Beveridge says the catheter balloon dilator is good for discrete strictures because the balloon isn't going to do the entire esophagus; it's just going to do one area of the esophagus, and you're watching it the whole time.   [18:19] For the wire dilator, you remove the scope. You're not able to see, so it's important to assess ahead of time how narrow things are, so you start at a safe dilation. You go in each time to see if there's starting to be disruption, and then you can do more.   [18:44] Holly asks if a gastroenterologist doing an upper endoscopy with sedation sees that it's tight, would the gastroenterologist automatically do a dilation? Or, can a patient with dysphagia symptoms request to have a dilation?   [19:28] Dr. Beveridge says, right before an endoscopy, she discusses it with the patient and gets consent. She asks, even if their symptoms are good, but in the endoscopy she sees a narrowing where she would recommend a dilation, if they're OK with that.   [20:05] Dr. Beveridge says, if they're having issues with swallowing, often she will ask if they're OK with her doing a dilation. If she sees a narrowing, she can focus on that area and dilate it.   [20:19] Dr. Beveridge says not everywhere in the esophagus can we see as well. The very beginning of the esophagus is challenging to see and challenging to evaluate on imaging.   [20:32] Dr. Beveridge talks about empiric dilation. You don't see a narrowing, but you want to rule it out, so you do a dilation at a safe size, like 16 or 18 mm, to make sure you're not missing something up high.   [20:58] Dr. Beveridge says she always talks about that with her patients. Most say, go ahead. Some patients definitely want dilation; other patients say no, they really don't.   [21:12] Dr. Beveridge then asks the patient if there's real narrowing that may cause a food impaction, would they want dilation then, or hold off for another day?   [21:30] Dr. Beveridge never wants to do something the patient is not comfortable with. She also doesn't want them to need another endoscopy unnecessarily, if she can avoid that for them in the moment.   [21:46] Dr. Beveridge mentions the BougieCap used in Europe. It's a cap you put at the end of the endoscope. You use your endoscope as the dilator. You watch the whole time. It is hard plastic that causes a nice dilation. We may see it come to the U.S.   [22:37] Dr. Beveridge speaks of the FLIP catheter, which is a catheter with a balloon that doesn't cause dilation but distends and helps measure the diameter.   [23:33] Holly asks if Dr. Beveridge gives tips to patients on how to prepare for dilation and the recovery process.   [23:49] Dr. Beveridge had an upper endoscopy. She says there's nothing like experience to understand it better. She didn't have a dilation, but the biopsies caused discomfort.    [24:21] Dr. Beveridge says a lot of her patients have been through upper endoscopies, so they know how it feels. She warns them that the biopsies and dilation can cause discomfort.   [24:33] What's challenging is that everyone is different. Some patients are going to be more hypersensitive to it, and other patients are going to say they felt nothing and they were fine.   [24:46] Dr. Beveridge says some patients need to modify their diet for a few days to avoid significant chest pain. You never want someone to have to go to the ER for significant chest pain when it will just heal over time, and there's no perforation.   [25:12] Dr. Beveridge says other patients will be like her, eating chips and pretzels and saying they're fine. Dr. Beveridge typically has them start with liquids, nothing too hot or too cold, and advance as tolerated.   [25:28] Dr. Beveridge says patients can always use TylenolⓇ and over-the-counter numbing agents. You'll still have patients who will get significant discomfort. For the most part, starting with liquids has worked for Dr. Beveridge's patients.   [25:44] Holly recommends over-the-counter when her patients call, after she talks to their GI. Holly says after she has an endoscopy, she starts on liquids and shakes. On day three, she's fine. Holly says individualized care is amazing. We all are different.   [26:14] In the pediatric setting, the parents get the counseling, and they have not had sedation, but on the adult side, you're talking with the patient, who had sedation. Sometimes they don't remember.   [26:40] Dr. Beveridge says when possible, she waits for family members to come back and tells them they're going to have to "be the memory" because the patient probably won't remember this conversation.   [26:55] If a patient says no, they don't want them to come back and hear about it, always respect that. But Dr. Beveridge always tells them, you may not remember what we say.   [27:30] Ryan asks about data on how many times someone may need dilations. Dr. Beveridge says it comes down to the patient, but the biggest issue can be uncontrolled inflammation.   [27:44] Dr. Beveridge says if a patient's EoE is not controlled, inflammation leads to continued scarring down. That's why we talk about dilation as being an adjunctive measure, but not a treatment for EoE. It doesn't do anything for the inflammation.   [28:03] Dr. Beveridge says she has patients who ask why she can't just do a dilation every now and then. Dr. Beveridge considers dilation to be safe when needed, but if you can avoid it, that would be nicer for everyone.   [28:21] Dr. Beveridge says there's no great data on whether you only need one, or whether you're going to need 10, but one big theme is just: have we gotten your inflammation under control? That's also true for other conditions, such as acid reflux.   [28:45] Holly wasn't diagnosed until she was in her mid-twenties, and she had several upper endoscopies as a teenager and college student to dilate her, to help the situation.   [29:17] Holly says she had to get more endoscopies to figure out her weird food triggers that are not typical for everybody, so even if she's treated, she still has inflammation. That's why she had so many upper endoscopies.   [29:30] Ryan talks about underlying issues causing inflammation. Dilation is not treating those underlying causes. It's just helping with one symptom of this dysphagia, by expanding the esophagus.   [29:50] Ryan asks, What changes in symptoms should patients expect after the dilation? Dr. Beveridge says, ideally, if there's been a stricture, you're going to start to feel like your swallowing is better. You can get pills and food down better.   [30:07] Dr. Beveridge says, immediately post-dilation, sometimes people feel a little bit worse. Everything you swallow may be uncomfortable for you. But if it's been a successful dilation, hopefully, you're going to feel that things are going down better.   [30:40] Holly says she is so grateful that Dr. Beveridge looked into this, and hopefully, there will be a new protocol in the future. Holly asks what other key takeaways from this research may interest Dr. Beveridge in researching something further.   [31:02] Dr. Beveridge says, making sure that we're not missing scar tissue is big and important. One thing that we're trying to look at with our Pediatric GI colleagues is what threshold we should be looking at for the pediatric patient population.   [31:19] Dr. Beveridge says a pediatric patient's esophagus is a different size than an adult patient's. Understandably, we are more cautious when doing a dilation in the pediatric patient population than we are with adults.   [31:34] Dr. Beveridge may recommend empiric dilation for an adult but will feel more cautious about that with pediatric patients than with adult patients. Understanding what that threshold should be for the pediatrics is going to be really interesting.   [31:57] Dr. Beveridge says the diameter threshold we discussed is going to be important to know about, but everyone is different. You may have a diameter of 14 mm, you feel fine, and you don't want a dilation; you can accommodate OK. That's reasonable.   [32:15] Dr. Beveridge says she has had patients who get up to 18 mm, and that helps them, but they need a little bit more. If someone needs more of a dilation, we do that. Yes, have a threshold to assess, but always assess for what's personal for your patient.   [33:04] Dr. Beveridge says not just to assess the luminal diameter, but a thing that is helpful for gastroenterologists to know will be if there are other factors at play. As in her study of dysphagia predictors, anxiety, depression, and hypervigilance can play roles.   [33:37] Dr. Beveridge has patients who have to have a critical narrowing for them to finally feel an issue. Other patients, if they have the slightest of narrowing, are feeling something. Some patients are just more vigilant of what's happening in their esophagus.   [34:07] Dr. Beveridge says there's definitely a role for asking if your anxiety is under control. If there's feedback in the nerves, should we ask your GI Psychologist to be involved in terms of CBT for your esophagus? Take a look at everything.   [34:27] Dr. Beveridge says another part of the study they looked at was: are there different thresholds of eosinophils that we should be looking at? Is it just less than 15, or do some patients need it to be lower? Less than six? Less than 10?   [34:43] Dr. Beveridge says look at it as a whole for your patient.   [34:53] Dr. Beveridge says next, she will be working on a very long-term project: Can we identify a non-invasive method of screening a patient, diagnosing a patient for EoE, or monitoring a response to therapy?   [35:13] Dr. Beveridge has looked at transnasal endoscopy, which is put into this category of minimally invasive. It's still invasive; you're putting a scope through someone's nose, but it doesn't require sedation, which is a nice thing for some patients.   [35:29] There's the EnteroTrack, which started in Colorado. A patient swallows a string, and it stays in their esophagus for an hour, and we look at the proteins to see if things are active or not active.   [35:45] Dr. Beveridge is also looking at the breath metabolome. If we breathe into a bag and take a look at all the volatile organic compounds that are in our breath, can we find a signature related to EoE?   [36:01] It's assessing about 100 different compounds, not looking at one in particular, but how the whole thing looks. What signature is there, based on looking at all the compounds?   [36:15] Dr. Beveridge presented some of that data at DDW and has a grant from the ACG to look at this and assess patients with and without EoE.   [36:33] Dr. Beveridge says further, doing longitudinal data of looking at patients once they've gotten into remission on treatment and seeing, do we then see a signature change?   [36:47] Dr. Beveridge says no one is under any illusion that endoscopies are going away. They will always be part of what we do in gastroenterology, but there are limitations: sedation, a full day away from work, nothing by mouth, and a driver, etc.   [37:04] If there are alternatives to help supplement that, it would be nice. One of the barriers for patients doing diet elimination is the number of endoscopies that are required. If there's a way to assess by breath if a food is a trigger, that would be good.   [37:32] Dr. Beveridge says that's the big thing she's looking at, but it will take years. It's not going to be a quick, easy one, but it's very interesting to take a look at.   [37:45] Holly speaks of how much treatment has changed since she was diagnosed. She has done all the scopes. She says this sounds amazing. She loves that people like Dr. Beveridge are thinking of how to make testing less invasive and more comfortable.   [38:12] Dr. Beveridge says another thing she is excited about is the transition of care. She recently did a survey and is analyzing the data to assess what the barrier is from the physician perspective in terms of helping our patients transition.   [38:40] Dr. Beveridge is also looking at doing a nice multi-center consensus to help this as well, led by Dr. Sophia Patel and Dr. Emily McGowan, who are fantastic in the EoE world, looking to see how we can make this better for our patients.   [38:58] Ryan says, with so much interesting work coming up, we'll have to have you back to chat about some of these additional projects. Everyone is super interested in less invasive stuff and better treatment pathways. Transition of care is an important part of that.   [39:11] Ryan appreciates Dr. Beveridge for joining the conversation and hopes to have her back on another episode so we can learn more about EoE and these different future research endeavors.   [39:20] For our listeners who would like to learn more about EoE today, you can visit apfed.org/EoE and check out the links in the show notes below. [39:27] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder, available at apfed.org/specialist.   [39:36] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [39:46] If you have personally been impacted by eosinophilic disorders and are interested in sharing your experience, please check out apfed.org/shareyourstory.   [39:55] Ryan thanks Dr. Beveridge for joining us. This was a fun conversation and really insightful. Holly thanks APFED's Education Partners AstraZeneca, GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode:   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.orgapfed.org/specialist apfed.org/connections Claire Beveridge, MD Cleveland Clinic Education Partners: This episode of APFED's podcast is brought to you thanks to the support of AstraZeneca, GSK, Sanofi, Regeneron, and Takeda.   Tweetables (Edited):   "I have loved the work that we've done [at the Cleveland Clinic]. It's been really nice to center everything on our EoE patients and have nice multidisciplinary care with speech-language pathologists, allergists, dietitians, pulmonologists, and everyone." — Claire Beveridge, MD   "It's a little crazy to think that it's only in the last few years that we have had FDA-approved medications for [EoE], and that we have been jerry-rigging asthma medications to treat our patients." — Claire Beveridge, MD   "On the whole, dysphagia means issues with swallowing. … It's a feeling of something getting stuck or something slowly moving down. There are also subtle symptoms that can happen." — Claire Beveridge, MD   "The goal of a dilation is to get a disruption because there's scar tissue we want to break open." — Claire Beveridge, MD   "I am looking at the breath metabolome. If we breathe into a bag and take a look at all the volatile organic compounds that are in our breath, can we find a signature related to EoE?" — Claire Beveridge, MD   Guest Bio: Claire Beveridge, MD, is a Staff Member in the Department of Gastroenterology and Hepatology and heads the Eosinophilic Esophagitis (EoE) adult clinic as well as the transition pediatric to adult EoE clinic. Dr. Beveridge's specialty interests include: EoE, Achalasia, Barrett's esophagus, GERD, esophageal swallowing disorders, and esophageal motility disorders.

The Dr. Raj Podcast
ESPN Radio: Beyond Sports - All About Dysphagia

The Dr. Raj Podcast

Play Episode Listen Later Jul 4, 2026 32:13


Beyond Sports is the ESPN public affairs show. Airing Sunday mornings, from 5-6am, Beyond Sports presents topical guests and stories in an entertaining and comfortable format. Each week your host, Hannah Stanley, brings a new show covering a current issue, news item, upcoming event, or local charity. About Hannah Hannah Stanley is the Public Affairs Manager for ESPN AM 1000. She is co-chair of the Chicago Chapter of the Disney VoluntEars, and involved with TEAM ESPN. She resides in the western suburbs with her husband and children. About Dr. Raj Dr Raj is a quadruple board certified physician and associate professor at the University of Southern California. He was a co-host on the TNT series Chasing the Cure with Ann Curry, a regular on the TV Show The Doctors for the past 7 seasons and has a weekly medical segment on ABC news Los Angeles. More from Dr. Raj ⁠⁠⁠⁠Dr. Raj on Twitter⁠⁠⁠⁠ ⁠⁠⁠⁠Dr. Raj on Instagram⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

dysphagia matters
EP 54: More than snoring: the connection between obstructive sleep apnea and dysphagia with Ankita Bhutada

dysphagia matters

Play Episode Listen Later Jun 29, 2026 30:07


When we think of Obstructive Sleep Apnea (OSA), we usually think of snoring, disrupted sleep, and daytime fatigue. But there is a critical link between OSA and dysphagia. In this episode, we sit down with Prof. Ankita Bhutada from Northwestern University to explore how upper airway collapse and chronic respiratory disruption can profoundly impact swallowing function. We cover: Understanding OSA: What is obstructive sleep apnea, its primary risk factors, and why it is a major public health concern. The link to dysphagia: Understanding the sensorimotor mechanisms and neuromuscular changes that connect sleep-disordered breathing to swallowing dysfunction. Clinical Presentation: How dysphagia typically manifests in individuals with OSA Diagnostics: Why clinicians should consider routinely screening people with OSA for dysphagia and how to adapt existing assessment tools for this population. High-Risk Groups: Identifying which specific patient profiles within the OSA population face the highest risk for airway compromise. Management & Treatment: A look at current and emerging treatment approaches for dysphagia in people with OSA. Literature that we discuss: Bhutada et al. (2022). Predictors of Patient-Reported Dysphagia and Reflux Symptoms in Obstructive Sleep Apnea. Bhutada et al. (2020). Obstructive sleep apnea syndrome (OSAS) and swallowing function—A systematic review. Bhutada et al. (2025). Effects of Expiratory Muscle Strength Training on Oropharyngeal Swallow Physiology in Persons with Obstructive Sleep Apnea (OSA): A Preliminary Study.

dysphagia matters
EP 53: Mind meets body: exploring functional dysphagia with Anna Miles

dysphagia matters

Play Episode Listen Later May 31, 2026 35:00


What do you do when patients report severe swallowing difficulties, but all structural and neurological exams come back normal? In this episode, we talk to Prof. Anna Miles about her paper “Functional dysphagia: Developing a framework for assessment and treatment”. We explore why terms like “psychogenic dysphagia” or “phagophobia” are outdated, look into the neurobiological underpinnings of the condition, and discuss practical, biopsychosocial strategies for speech and language therapists. Key Takeaways: Language Matters: Why shifting from psychogenic to functional dysphagia reduces stigma and improves patient care. The Biopsychosocial Framework: Moving away from a diagnosis of exclusion toward a positive, holistic assessment. Neurobiology & Agency: How functional dysphagia relates to a real disruption in the voluntary control of swallowing (loss of agency). Hypervigilance: How past negative events (e.g., a choking incident) lock patients into a restrictive cycle. Clinical Crossovers: Applying techniques from voice therapy (e.g., laryngeal massage) and laryngeal hypersensitivity management (cough/gag reflex) to functional cases. Psychoeducation: Why explaining the underlying mechanisms to the patient is a highly effective therapeutic tool in itself.

The Incubator
#445 - [Journal Club] -

The Incubator

Play Episode Listen Later May 28, 2026 19:25 Transcription Available


Send us Fan MailHow often are we missing dysphagia in our most vulnerable NICU patients? In this episode of Journal Club, Daphna reviews a retrospective cohort study from the Journal of Perinatology examining the incidence and risk factors of dysphagia confirmed by flexible endoscopic evaluation of swallowing (FEES) in very preterm and very low birth weight infants. Among infants showing persistent feeding difficulties at 38 weeks post-menstrual age, laryngeal penetration was detected in all infants who underwent FEES, and tracheal aspiration in nearly 60%. Ben and Daphna discuss whether we are naming dysphagia for what it is, whether earlier instrumental assessment could change outcomes, and what it means for families to finally understand why their baby is struggling to feed.----Incidence and factors associated with dysphagia in infants born very preterm or very low birth weight. Reynolds J, Suterwala M, Desai S, Chiruvolu A.J Perinatol. 2026 Apr 29. doi: 10.1038/s41372-026-02701-1. Online ahead of print.PMID: 42056238Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.Enjoy!

High Yield Family Medicine

https://www.patreon.com/highyieldfamilymedicineIntro (0:35),Acute pharyngitis (1:44),Infectious mononucleosis (3:52),Gonococcal pharyngitis (5:59),Diphtheria (7:31),Peritonsillar abscess (8:53),Retropharyngeal abscess (10:05),Epiglottits (11:23),Croup (12:49),Ludwig's angina (13:51),Anaphylaxis (14:44),Foreign body aspiration (15:41),Laryngitis (16:28),Vocal cord nodules (17:19),Laryngeal cancer (18:23),Dysphagia (19:30),Thyroglossal duct cyst (23:38),Branchial cleft cyst (24:28),Subacute thyroiditis (25:20),Cervical lymphadenopathy (26:37),Practice questions (28:20)

dysphagia matters
EP 52: Developing biomarkers for dysphagia assessment with Ervin Sejdić

dysphagia matters

Play Episode Listen Later Apr 27, 2026 33:41


What if a microphone and a few sensors placed on the neck could detect dysphagia; without access to FEES or videofluoroscopy, maybe even without a dysphagia specialist in the room? In this episode, we sit down with Prof. Ervin Sejdic, a biomedical engineer at the university of Toronto, whose research is changing the way we think about dysphagia assessment. Ervin leads work on High-Resolution Cervical Auscultation (HRCA) – a method that captures the sounds and vibrations of swallowing using sensors on the throat, then analyses that data with signal processing algorithms and artificial intelligence to identify aspiration risk and characterise swallowing function. We talk about how to develop biomarkers for dysphagia, and how they could one day fill the gap of reliable swallowing assessment where FEES or videofluoroscopy may not be accessible; in hospitals, nursing homes, and community settings alike. We discuss: What a computational biomarker is and why it matters clinically What HRCA looks like in practice: setup, sensors, and data What the algorithms can detect today, and what’s still on the horizon The path from research lab to clinical routine

Bowel Sounds: The Pediatric GI Podcast
Pete Duncan - Oropharyngeal Dysphagia and Aspiration

Bowel Sounds: The Pediatric GI Podcast

Play Episode Listen Later Apr 6, 2026 53:43


In this episode, Dr. Jordan Whatley and Dr. Amber Hildreth talk to Dr. Pete Duncan, Pediatric Gastroenterologist at Boston Children's Hospital who specializes in Aerodigestive Medicine and leads the NASPGHAN Aerodigestive Special Interest Group. We talk about the evaluation and management of oropharyngeal dysphagia and aspiration in children and how the approach to these issues has changed over time. Learning objectives1.     Understand normal swallowing function and the phases involved2.     Describe the causes of dysphagia in each phase of swallowing3.     Understand the evaluation and management of children with oropharyngeal dysphagiaLinkshttps://www.iddsi.org/standards/frameworkhttps://www.childrenshospital.org/services/aerodigestive-centerSupport the showThis episode may be eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.Check out our merch website!Follow us on Bluesky, Twitter, Facebook and Instagram for all the latest news and upcoming episodes.Click here to support the show.

dysphagia matters
EP 51: Dysphagia post cardiac surgery with Cara Donohue

dysphagia matters

Play Episode Listen Later Mar 31, 2026 36:26


Dysphagia is an under-recognised but clinically important complication following cardiac surgery. In this episode, Prof. Cara Donohue discusses why dysphagia can occur despite surgery being anatomically distant from the swallowing mechanism. We explore the complexities of dysphagia in patients post cardiac surgery, highlighting risk factors, prevalence, assessment methods, and potential interventions. Cara shares her research findings and clinical perspectives, emphasising the importance of early detection and proactive management to reduce complications and improve patient outcomes. Topics covered Why dysphagia occurs after cardiac surgery Mechanisms contributing to postoperative swallowing impairment Prevalence and potential under-recognition of dysphagia in this population Typical clinical and instrumental findings Surgical and perioperative risk factors Consequences for recovery and patient outcomes The role of prehabilitation and respiratory strength training Identifying patients who may benefit from preoperative interventions Key clinical messages for SLTs in cardiothoracic settings

IASLT in Conversation
Zelda Greene, Clinical Specialist Speech and Language Therapist in Neonatology

IASLT in Conversation

Play Episode Listen Later Mar 31, 2026 26:04


In this episode were talk to Zelda Greene, Clinical Specialist Speech and Language Therapist in neonatology. Zelda was the first SLT to be appointed to the Dublin maternity hospitals and has been working in the National Maternity Hospital in Holles Street since 2021. Zelda has a long history of working in hospitals including Tallaght and Crumlin hospital and teaches in Trinity College Dublin on the PG in Dysphagia.

dysphagia matters
EP 50: Beyond the blender – dysphagia made easier with Simone Howells

dysphagia matters

Play Episode Listen Later Feb 23, 2026 25:39


Preparing safe, enjoyable meals for people with dysphagia can be challenging but it does not have to mean sacrificing enjoyment of food, variety, and social connection. How can clinicians and caregivers help ensure meals remain safe and enjoyable? In this episode, we speak with Dr. Simone Howells from Griffith University, Australia, about the second edition of Beyond the Blender: Dysphagia Made Easier; a freely available cookbook featuring 30 recipes organised according to IDDSI Levels 2–6. We discuss: the inspiration behind creating the cookbook how recipes were developed, selected and adapted across IDDSI levels the challenges of modifying everyday meals while maintaining taste, texture, and visual appeal the broader responsibilities of SLTs beyond recommending modified diets practical strategies and resources to better support patients and families

Swallow Your Pride
388 – Parkinson's, Swallowing, and Deep Brain Stimulation: What Clinicians Need to Know

Swallow Your Pride

Play Episode Listen Later Jan 26, 2026 43:59 Transcription Available


Dysphagia in Parkinson's disease is not one-size-fits-all, and treatment decisions shouldn't be either.In this episode of Swallow Your Pride, Theresa is joined by PD Dr. Bendix Labeit, MBA, neurologist and clinician-scientist, and Jule Hofacker, MSc, speech-language pathologist and PhD student in neurogenic dysphagia, to explore how Parkinson's treatments impact swallowing. They discuss how dopaminergic medication […] The post 388 – Parkinson's, Swallowing, and Deep Brain Stimulation: What Clinicians Need to Know appeared first on Swallow Your Pride Podcast.

dysphagia matters
EP 49: How to use meta-analyses as a dysphagia clinician with Kendrea Garand

dysphagia matters

Play Episode Listen Later Jan 23, 2026 34:59


Meta-analyses are powerful tools, but they can be challenging to interpret. In this episode, we explore how dysphagia clinicians can better understand and critically evaluate meta-analyses to support evidence-informed practice. We are joined by Prof. Kendrea Garand to talk about the article “How to Interpret and Evaluate a Meta-Analysis in the Field of Speech and Language Therapy: A Tutorial for Clinicians.” We discuss: What meta-analyses are and why they matter for dysphagia clinicians How to conduct a meta-analysis How to critically interpret and evaluate a meta-analysis Red flags in pooling studies in meta-analyses Rapid appraisal tips for clinical decision-making Integrating evidence with clinical expertise and patient values

Intelligent Medicine
ENCORE: Q&A with Leyla, Part 2: Thiamine for Parkinson's?

Intelligent Medicine

Play Episode Listen Later Dec 31, 2025 31:10


dysphagia matters
EP 48: Health (in)equity in dysphagia care with Raele Loy

dysphagia matters

Play Episode Listen Later Dec 22, 2025 34:44


In this episode, we talk to Dr. Raele Loy, a Speech and Language Therapist and research scientist at the Center for Health Disparities Research at the University of Wisconsin-Madison. We discuss a critical but often overlooked aspect of dysphagia care: health equity, or the lack thereof. Raele discusses what sparked her interest in health equity, and explains what ‘health disparities’ mean in clinical practice and research today. She discusses what is currently known about disparities in dysphagia assessment and management, and presents her conceptual framework which illustrates how disparities emerge and persist throughout the entire eating and swallowing care pathway in people with dementia.

Swallow Your Pride
386 – Empowering Caregivers: Practical Solutions for Managing Dysphagia at Home

Swallow Your Pride

Play Episode Listen Later Dec 2, 2025 35:41 Transcription Available


In this powerful episode of Swallow Your Pride, caregiver and author Diane Wolff shares the real-life journey that transformed her mother's dysphagia diagnosis into a mission to empower millions of families. Diane reveals the practical, step-by-step systems she created to help caregivers feel confident feeding their loved ones safely, from setting up a dysphagia-friendly kitchen, to batch cooking with dignity in mind, to bringing joy and variety back to mealtimes. Get the show notes: https://syppodcast.com/386 Buy the book: https://amzn.to/3KC6q8O Visit the website: https://www.cookingfordysphagia.com The post 386 – Empowering Caregivers: Practical Solutions for Managing Dysphagia at Home appeared first on Swallow Your Pride Podcast.

dysphagia matters
EP 46: When Every Second Counts – Button Battery Ingestion and Dysphagia with Kris Jatana

dysphagia matters

Play Episode Listen Later Oct 31, 2025 32:30


Button batteries may be small, but their impact can be devastating. In this episode, we speak with Prof. Kris Jatana about the serious and often hidden dangers of button battery ingestion in children. Found in everyday household items, these small batteries can cause severe injuries to the esophagus and surrounding structures within hours of ingestion. […]

PN podcast
Unihemispheric atrophy, and a culinary culprit - Case Reports Oct 2025

PN podcast

Play Episode Listen Later Oct 23, 2025 43:11


Two new cases from the latest issue of the journal present the podcast team with some rare explanations, and a chance to test yourself on food trivia.   In the first case (1:18), from Malaysia, a 49-yo left-handed woman develops 10 days of recurrent left-sided focal facial seizures. These seizures progressed to epilepsia partialis continua, which is controlled with some difficulty by employing a broad range of six different anti-seizure medications. Further symptoms arose during monitoring, including emotional lability as well as dystonia, left arm dysfunction, dysphasia and dysarthria. EEG imaging showed focal slowing in the right hemisphere. https://pn.bmj.com/content/25/5/475 The second case (22:20) features a Northamptonshire chef in her 60s, who presents to the emergency department with a week-long history of nausea, vomiting, and abdominal pain. This progressed to dysphagia and dypsnoea, as well as a downshift in the pitch of her voice. Her conditioned worsened, with respiratory arrest requiring CPR to re-establish circulation. Neurological examination was initially done while sedated, showed fixed and dilated pupils.  https://pn.bmj.com/content/25/5/493 Overloaded with Greek terms today? Here are some definitions from BMJ Best Practice and NHS UK: Dystonia is a movement disorder characterised by sustained involuntary muscle contractions and abnormal postures of the trunk, neck, face, or extremities. Dysphasia, also known as aphasia, is an acquired impairment of language that affects comprehension and production of words, sentences, and/or discourse. Dysarthria is difficulty with speaking, caused by damage or weakness of the muscles needed for speech. Dysphagia is difficulty with the act of swallowing solids or liquids. Dyspnoea, also known as shortness of breath or breathlessness, is a subjective sensation of breathing discomfort. The case reports discussion is hosted by Prof. Martin Turner¹, who is joined by Dr. Ruth Wood² and Dr. Babak Soleimani³ for a group examination of the features of each presentation, followed by a step-by-step walkthrough of how the diagnosis was made. These case reports and many others can be found in the October 2025 issue of the journal. (1) Professor of Clinical Neurology and Neuroscience at the Nuffield Department of Clinical Neurosciences, University of Oxford, and Consultant Neurologist at John Radcliffe Hospital. (2) Neurology Registrar, University Hospitals Sussex. (3) Clinical Research Fellow, Oxford Laboratory for Neuroimmunology and Immunopsychiatry, Nuffield Department of Medicine, University of Oxford Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. Production and editing by Brian O'Toole. Thank you for listening.

52317
127: Say it Forward

52317

Play Episode Listen Later Oct 10, 2025 16:42


Some kids just need a little extra support to unlock big potential. At Enrichment Therapy & Learning Center, families are finding a team ready to help their children thrive. Founder, director and speech-language pathologist Sonia Strueby, has helped create a space where small steps in speech and learning add up to big leaps in confidence. North Liberty is the headquarters of local media, regional financial and national transportation companies and home to solar energy and tech startups, and entrepreneurs getting their big ideas off the ground. Get to know your new business community.

dysphagia matters
EP 45: Living with dysphagia & ineffective esophageal motility with Adrienne

dysphagia matters

Play Episode Listen Later Sep 29, 2025 29:33


​​What is it like to live with dysphagia due to ineffective esophageal motility (IEM)? In this episode, Adrienne shares her personal journey: from first noticing symptoms, through the path to diagnosis, and how the condition has evolved over time. We explore the deep impact of IEM on eating, drinking, social life, and quality of life. […]

Swallow Your Pride
377 – From Blended to Beautiful: Elevating Texture-Modified Meals with Andy Cullum

Swallow Your Pride

Play Episode Listen Later Sep 21, 2025 25:07 Transcription Available


Dysphagia—difficulty swallowing—affects millions worldwide, especially older adults and those in care settings. For these individuals, mealtime can become a source of anxiety, frustration, and even malnutrition. But what if texture-modified diets could be transformed from a clinical necessity into a source of dignity, comfort, and joy?  In a this week's episode, Andy Cullum—renowned chef, IDDSI trainer, and advocate for person-centered dysphagia care—shared his journey, philosophy, and actionable strategies for revolutionizing the dining experience for people with swallowing difficulties. This in-depth podcast distills Andy's expert advice, offering practical guidance for chefs, caregivers, clinicians, and anyone passionate about improving mealtimes for those on modified textured diets. Episode Show Notes: https://syppodcast.com/377 The IDDSI Guy Website - https://www.theiddsiguy.com/ The post 377 – From Blended to Beautiful: Elevating Texture-Modified Meals with Andy Cullum appeared first on Swallow Your Pride Podcast.

ASHA Voices
Changes and Trends in Dysphagia Treatment

ASHA Voices

Play Episode Listen Later Sep 11, 2025 35:49


From patient decision-making to diet modification to interdisciplinary collaboration, guests share their experience and the trends they're seeing shape and change dysphagia treatment.Featuring three SLPs from ASHA's Online Conference, “Dysphagia Management: Strengthening Skills, Overcoming Obstacles,” this panel discussion addresses shifting practices related to SLPs' role in making dietary recommendations.What do these changes mean for your service delivery? And most importantly, how do you communicate these changes to your patients and interdisciplinary collaborators?Learn More:ASHA Online Conference: Dysphagia Management: Strengthening Skills, Overcoming ObstaclesASHA Voices: Avoiding Confusion in Pediatric Feeding and SwallowingASHA Voices: SLPs Make the Case for a Fearless Approach to Dysphagia TreatmentASHA Voices: The Critical but Unseen Social Determinants of Health

SBS Vietnamese - SBS Việt ngữ
Sức khỏe là Vàng: Chứng khó nuốt - Dysphagia

SBS Vietnamese - SBS Việt ngữ

Play Episode Listen Later Sep 10, 2025 15:57


Bất cứ ai cũng có thể từng bị nghẹn khi ăn quá nhanh hoặc chưa nhai kỹ. Nhưng nếu khó nuốt diễn ra thường xuyên, đó có thể là dấu hiệu của nhiều bệnh lý nguy hiểm, thậm chí liên quan đến ung thư.

Speak Up
Functional Dysphagia S7E31

Speak Up

Play Episode Listen Later Sep 3, 2025 68:32


In this week's episode, we speak with Associate Professor Anna Miles and Adjunct Associate Professor Jan Baker about functional dysphagia. Jan and Anna talk about the research from FND that they have drawn on to create a biopsychosocial framework for supporting people with functional dysphagia. Resources:  Read Anna and Jan's article here: Miles, A., Baker, J., Barker-Collo, S., & Leadley, S. (2025). Functional dysphagia: Developing a framework for assessment and treatment. International journal of speech-language pathology, 1–16. Advance online publication. https://doi.org/10.1080/17549507.2025.2473071 For a full list of the references please go to the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create a free account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au SPA resources: SPA Dysphagia practice guideline: https://www.speechpathologyaustralia.org.au/resource?resource=125 SPA Mental health and trauma resources: https://www.speechpathologyaustralia.org.au/Public/Public/services/About-speech-pathologists/Mental-health-trauma.aspx Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded.  Free access to transcripts for podcast episodes are available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create an account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2025) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

Behind The Knife: The Surgery Podcast
I've Got 99 Problems, and a G Tube is One

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Aug 28, 2025 25:47


In this episode of Behind the Knife, Dr. Patrick Georgoff sits down with Dr. Keri Seymour and Dr. Joey Lew to tackle the complex world of gastrostomy tubes. What may seem like a routine and straightforward procedure is anything but—full of nuanced patient considerations, timing dilemmas, technical challenges, and potential complications that can turn a “simple” consult into a 2 a.m. call you won't forget. From who truly needs a G tube and when to managing difficult post-op issues like dislodgement and buried bumper syndrome, this episode breaks down the practical, evidence-based approach every surgeon should know. Whether you're managing stroke patients, trauma cases, or navigating the tricky administrative obstacles around enteral access, this episode will equip you with the insights and strategies to confidently dominate your G tube consults. Hosts:  ·      Dr. Patrick Georgoff (Acute Care Surgeon, Duke University) ·      Dr. Keri Seymour (Minimally Invasive & Acute Care Surgeon, Duke Regional) ·      Dr. Joey Lew (Surgical Resident, BTK MIS Team) Learning Goals: By the end of this episode, listeners will be able to:  ·      Understand the nuanced indications for gastrostomy tube (G tube) placement. ·      Learn which patients truly benefit from G tubes, and when enteral access is not appropriate or indicated. ·      Appreciate the importance of goals of care discussions, assessment of comorbidities, and decision-makers—especially in neurocritical and elderly populations. ·      Know evidence-based timing for gastrostomy tube placement in stroke, TBI, and other complex scenarios. ·      Understand guideline recommendations and the clinical reasoning behind trial periods of nasogastric feeding versus early G tube placement. ·      Describe technical approaches to G tube placement and how to tailor the method to patient anatomy and clinical context. ·      Solidify knowledge of when to choose endoscopic, laparoscopic, open, or interventional radiology-guided placement. ·      Recognize, manage, and strive to prevent common and serious complications of G tubes, including early and late dislodgement, buried bumper syndrome, infection, bleeding, and gastrocutaneous fistula. ·      Discuss perioperative considerations, including anticoagulation, patient stability, and post-procedural care. ·      Understand why routine suturing of the G tube or bumper is not recommended, and how administrative and facility factors can drive clinical decisions. ·      Gain practical pearls and quick decision trees to dominate G tube consults and troubleshooting, day or night. References: ·      Braun R, Han K, Arata J, Gourab K, Hearn J, Gonzalez-Fernandez M. Establishing a clinical care pathway to expedite rehabilitation transitions for stroke patients with dysphagia and enteral feeding needs. Am J Phys Med Rehabil. 2024;103(5):390-394. doi:10.1097/PHM.0000000000002387 https://pubmed.ncbi.nlm.nih.gov/36867953/ ·      Burgermaster M, Slattery E, Islam N, Ippolito PR, Seres DS. Regional comparison of enteral nutrition-related admission policies in skilled nursing facilities. Nutr Clin Pract. 2016;31(3):342-348. doi:10.1177/0884533616629636 https://pubmed.ncbi.nlm.nih.gov/26993318/ ·      Chaudhry R, Kukreja N, Tse A, Pednekar G, Mouchli A, Young L, Didyuk O, Wegner RC, Grewal N, Williams GW. Trends and outcomes of early versus late percutaneous endoscopic gastrostomy placement in patients with traumatic brain injury: Nationwide population-based study. J Neurosurg Anesthesiol. 2018;30(3):251-257. doi:10.1097/ANA.0000000000000434 https://pubmed.ncbi.nlm.nih.gov/28459729/ ·      Cleverdon SA, Costantini TW, McGrew TM, Santorelli JE, Berndtson AE, Haines LN. Dysphagia in patients with traumatic brain injury, how often do they really need feeding access? Presented at: Academic Surgical Congress; February 2025; Washington, DC. Abstract 92.33. ·      Cmorej P, Mayuiers M, Sugawa C. Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement. BMJ Case Rep. 2019;12(9):e230728. doi:10.1136/bcr-2019-230728 https://pubmed.ncbi.nlm.nih.gov/31488448/ ·      Galovic M, Stauber AJ, Leisi N, et al. Development and validation of a prognostic model of swallowing recovery and enteral tube feeding after ischemic stroke. JAMA Neurol. 2019;76(5):561-570. doi:10.1001/jamaneurol.2018.4858 https://pubmed.ncbi.nlm.nih.gov/30742198/ ·      Gallo RJ, Wang JE, Madill ES. Things we do for no reason™. J Hosp Med. 2024;19(8):728-730. doi:10.1002/jhm.13263 https://pubmed.ncbi.nlm.nih.gov/38180160/ ·      George BP, Hwang DY, Albert GP, Kelly AG, Holloway RG. Timing of percutaneous endoscopic gastrostomy for acute ischemic stroke. Stroke. 2017;48(2):420-427. doi:10.1161/STROKEAHA.116.015119 https://pubmed.ncbi.nlm.nih.gov/27965430/ ·      Goldberg LS, Altman KW. The role of gastrostomy tube placement in advanced dementia with dysphagia: a critical review. Clin Interv Aging. 2014;9:1733-1739. doi:10.2147/CIA.S53153 https://pubmed.ncbi.nlm.nih.gov/25342891/ ·      Hartford A, Li W, Qureshi D, et al. Use of feeding tubes among hospitalized older adults with dementia. JAMA Netw Open. 2025;8(2):e2460780. doi:10.1001/jamanetworkopen.2024.60780 https://pubmed.ncbi.nlm.nih.gov/39976967/ ·      Hochu G, Soule S, Lenart E, Howley IW, Filiberto D, Byerly S. Synchronous tracheostomy and gastrostomy placement results in shorter length of stay in traumatic brain injury patients. Am J Surg. 2024;227:153-156. doi:10.1016/j.amjsurg.2023.10.012 https://pubmed.ncbi.nlm.nih.gov/37852846/ ·      Kobzeva-Herzog AJ, Nofal MR, Bodde J, et al. Implementation of a quality improvement initiative reduced adult inpatient gastrostomy tube dislodgements. Am J Surg. 2025;(article 116522). doi:10.1016/j.amjsurg.2025.116522 https://pubmed.ncbi.nlm.nih.gov/40782502/ ·      Kurt Boeykens, Ivo Duysburgh. Prevention and management of major complications in percutaneous endoscopic gastrostomy. BMJ Open Gastroenterol. 2021;8:e000628. https://pubmed.ncbi.nlm.nih.gov/33947711/ ·      Murphy LM, Lipman TO. Percutaneous endoscopic gastrostomy does not prolong survival in patients with dementia. Arch Intern Med. 2003;163(11):1351-1353. doi:10.1001/archinte.163.11.1351 https://pubmed.ncbi.nlm.nih.gov/12796072/ ·      Papavramidis TS, Mantzoukis K, Michalopoulos N. Confronting gastrocutaneous fistulas. Ann Gastroenterol. 2011;24(1):16-19. https://pubmed.ncbi.nlm.nih.gov/24714282/ ·      Rajan A, Wangrattanapranee P, Kessler J, Kidambi TD, Tabibian JH. Gastrostomy tubes: fundamentals, periprocedural considerations, and best practices. World J Gastrointest Surg. 2022;14(4):286-303. doi:10.4240/wjgs.v14.i4.286 https://pubmed.ncbi.nlm.nih.gov/35664365/ ·      Reddy KM, Lee P, Gor PJ, Cheesman A, Al-Hammadi N, Westrich DJ, Taylor J. Timing of percutaneous endoscopic gastrostomy tube placement in post-stroke patients does not impact mortality, complications, or outcomes. World J Gastrointest Pharmacol Ther. 2022;13(5):77-87. doi:10.4292/wjgpt.v13.i5.77 https://pubmed.ncbi.nlm.nih.gov/36157266/ ·      Singh D, Laya AS, Vaidya OU, Ahmed SA, Bonham AJ, Clarkston WK. Risk of bleeding after percutaneous endoscopic gastrostomy (PEG). Dig Dis Sci. 2012;57(4):973-980. doi:10.1007/s10620-011-1965-7 https://pubmed.ncbi.nlm.nih.gov/22138961/ ·      Thosani N, Rashtak S, Kannadath BS, et al. Bleeding risk and mortality associated with uninterrupted antithrombotic therapy during percutaneous endoscopic gastrostomy tube placement. Am J Gastroenterol. 2021;116(9):1868-1875. doi:10.14309/ajg.0000000000001348 https://pubmed.ncbi.nlm.nih.gov/34158462/ ·      Ward EC, Green K, Morton AL. Patterns and predictors of swallowing resolution following adult traumatic brain injury. J Head Trauma Rehabil. 2007;22(3):184-191. doi:10.1097/01.HTR.0000271119.96780.f5 https://pubmed.ncbi.nlm.nih.gov/17510594/ ·      Wick B. Timing of PEG tube placement in stroke patients with dysphagia: a multi-center retrospective cohort analysis using the TriNetX database. Am J Gastroenterol. 2024;119(10 Suppl):S1146-S1147. doi:10.14309/01.ajg.0001035684.98119.d5 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen BTK Fan Favorites:  General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Speak Up
Impact through communication about dysphagia S7E30

Speak Up

Play Episode Listen Later Aug 27, 2025 23:44


In this Speech Pathology Week episode, Dr Debbie Pu from Monash University discusses how we can have “Impact through communication” about dysphagia awareness. She discusses what different stakeholders understand about swallowing difficulties, how public awareness can support people living with dysphagia to enjoy safe meals, and how speech pathologists can communicate with impact about this issue. Resources: Pu et al., (2025). Awareness of dysphagia: An integrative review: https://pubs.asha.org/doi/full/10.1044/2025_PERSP-24-00293 Molfener et al., (2025). Assessing public awareness and understanding of dysphagia: A representative survey of US adults: https://link.springer.com/article/10.1007/s00455-025-10826-2 Packer et al., (2025). “I like to accommodate as much as possible”: A survey of food service professionals' awareness of dysphagia and experiences in dietary modifications: https://www.tandfonline.com/doi/full/10.1080/17549507.2025.2544738 SPA resources: Speech Pathology Week 2025; Impact through communication: https://speechpathologyaustralia.org.au/Public/Public/About-Us/News-media-campaigns/Campaigns/Speech-Pathology-Week.aspx Swallowing Awareness Day resources: https://speechpathologyaustralia.org.au/Public/Public/About-Us/News-media-campaigns/Campaigns/Swallowing-Awareness-Day.aspx Swallowing difficulty: https://speechpathologyaustralia.org.au/Public/Public/Comm-swallow/Swallowing.aspx Modified foods and fluids terminology: https://speechpathologyaustralia.org.au/Public/Public/About-Us/Ethics-and-standards/Modified-foods-and-fluids-terminology.aspx Speak Up podcast S6E25 A behind the scenes look at Maggie Beer's Big Mission: https://on.soundcloud.com/LGBBFOJQrlWvl5ECTn Speak Up podcast S7E6 Rethinking thickened liquids: https://on.soundcloud.com/KAOCtNrx4yM575DDFF Speech Pathology Australia acknowledge the Traditional Custodians of lands, seas and waters throughout Australia, and pay respect to Elders past and present. We recognise that the health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples are grounded in continued connection to culture, country, language and community and acknowledge that sovereignty was never ceded. Free access to transcripts for podcast episodes are available via the SPA Learning Hub (https://learninghub.speechpathologyaustralia.org.au/), you will need to sign in or create an account. For more information, please see our Bio or for further enquiries, email speakuppodcast@speechpathologyaustralia.org.au Disclaimer: © (2025) The Speech Pathology Association of Australia Limited. All rights reserved. Important Notice, Please read: The views expressed in this presentation and reproduced in these materials are not necessarily the views of, or endorsed by, The Speech Pathology Association of Australia Limited (“the Association”). The Association makes no warranty or representation in relation to the content, currency or accuracy of any of the materials comprised in this recording. The Association expressly disclaims any and all liability (including liability for negligence) in respect of use of these materials and the information contained within them. The Association recommends you seek independent professional advice prior to making any decision involving matters outlined in this recording including in any of the materials referred to or otherwise incorporated into this recording. Except as otherwise stated, copyright and all other intellectual property rights comprised in the presentation and these materials, remain the exclusive property of the Association. Except with the Association's prior written approval you must not, in whole or part, reproduce, modify, adapt, distribute, publish or electronically communicate (including by online means) this recording or any of these materials.

Tracheostomy Education
Trach, Vent, and Swallow – Part 2: Innovations and Assessments in Dysphagia Management

Tracheostomy Education

Play Episode Listen Later Jul 22, 2025 33:30


Send us a textIn this episode of the Tracheostomy Education Podcast, Nicole and Jerry discuss swallowing management for patients with tracheostomy and mechanical ventilation. They explore the increased risk of aspiration, the importance of thorough assessments by speech pathologists, and the use of instrumental assessments like FEES and modified barium swallow studies. The conversation also touches on innovations in swallowing assessment, including subglottic suctioning, and emphasizes the need for individualized care in managing swallowing disorders.Support the showhttps://tracheostomyeducation.cominstagram.com/tracheostomyeducationlinkedin.com/in/nicole-de-palma-708b16blinkedin.com/in/dr-jerry-gentile

dysphagia matters
EP 43: Medication intake for people with dysphagia with Kathryn Steadman

dysphagia matters

Play Episode Listen Later Jun 30, 2025 33:36


In this episode, we're joined by Prof. Kathryn Steadman, who gave an excellent presentation at last year's European Society for Swallowing Disorders conference in Münster, Germany. Her talk explored the question: Does swallowing tablets with an IDDSI Level 4 gel impact drug absorption? Because this topic isn't discussed much – and Kathryn brings a lot […]

Alexander Garrett
Highlighting Danny Voyes's One Leg Up On Advocacy At the NFSD Dysphagia Meeting From 6-10-25 (Aired 6-13-25)

Alexander Garrett

Play Episode Listen Later Jun 13, 2025 10:55


The Academic Minute
Sonja Molfenter, New York University – Public Awareness of Dysphagia

The Academic Minute

Play Episode Listen Later Jun 11, 2025 2:30


Not all common medical conditions are well studied. Sonja Molfenter, associate professor in communicate sciences and disorders at New York University, examines one that needs more attention. Dr. Sonja Molfenter is a clinically-trained Speech Language Pathologist whose research specializes in understanding the physiological features of both normal swallowing and disordered swallowing (known as dysphagia). Swallowing […]

dysphagia matters
EP 42: Dysphagia in myositis with Bendix Labeit

dysphagia matters

Play Episode Listen Later May 26, 2025 38:25


There are many rare diseases, where dysphagia can manifest. In this episode, we are joined by Dr. Bendix Labeit, neurology physician and clinical scientist at University Hospital Düsseldorf in Germany to talk about dysphagia in one of these rare diseases: myositis. Together, we discuss: Literature that we discuss:

Swallow Your Pride
365 – The Diez Technique: Revolutionizing Dysphagia Care Through Breathing Coordination

Swallow Your Pride

Play Episode Listen Later Apr 13, 2025 50:35


In this episode of the “Swallow Your Pride” podcast, host Theresa Richard speaks with Roxann Diez Gross, PhD, CCC-SLP, ASHA Fellow, an expert in dysphagia with over 38 years of experience. Dr. Gross discusses her innovative Diez technique, which focuses on the interplay between breathing and swallowing to treat dysphagia. She shares insights from her […] The post 365 – The Diez Technique: Revolutionizing Dysphagia Care Through Breathing Coordination appeared first on Swallow Your Pride Podcast.

Swallow Your Pride
364 – Navigating the Complexities of ALS: A Deep Dive into Dysphagia and Airway Management with Dr. Lauren Tabor Gray

Swallow Your Pride

Play Episode Listen Later Apr 6, 2025 34:03


In this episode of the “Swallow Your Pride” podcast, host Theresa Richard speaks with Dr. Lauren Tabor Gray, a clinician scientist and assistant professor at Nova Southeastern University. Dr. Gray, who directs the Gray Research Lab, discusses her work on respiratory exercise interventions for ALS patients. The conversation covers the complexities of managing swallowing disorders […] The post 364 – Navigating the Complexities of ALS: A Deep Dive into Dysphagia and Airway Management with Dr. Lauren Tabor Gray appeared first on Swallow Your Pride Podcast.

The Clinical Problem Solvers
Episode 387 – RLR – Delayed Dysphagia

The Clinical Problem Solvers

Play Episode Listen Later Apr 1, 2025 33:18


Episode description RR discusses a case of dysphagia   Student discount https://www.rlrcpsolvers.com/student-discounts/   IMG discount Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

ASHA Voices
Dysphagia, Communication, and the Challenges of Life in the ICU

ASHA Voices

Play Episode Listen Later Mar 27, 2025 39:04


Life in the intensive care unit can be overwhelming. Patients may be intubated, disoriented, and scared. Families may be looking for answers from any provider who enters the room. For SLPs, the environment is noisy and ever-changing, and the stakes couldn't be higher.On the podcast, SLPs take us behind the scenes to share stories from the ICU. In a wide-ranging discussion, they tackle the significant role SLPs play in managing dysphagia and communication there.From the recent history that led SLPs to begin working in the ICU, to the SLP's biggest ally in that environment, to what can happen to patients when they're discharged, guests Marty Brodsky (Cleveland Clinic; Johns Hopkins) and Marta Kazandjian (Stony Brook Southampton Hospital; Stony Brook School of Health Professions) share their insights and expertise.Learn More:ASHA Health Care Summit 2025: Grand Rounds in the ICUASHA Voices: The Difference Patient Counseling MakesWheeling AAC Support for Aphasia Into the ICUASHA Practice Portal: Tracheostomy and Ventilator DependenceTranscriptSupport for this episode of ASHA Voices comes from Medbridge.

Swallow Your Pride
361 – Beyond the Clinic: How animal models are changing dysphagia research with Dr. Michelle Ciucci

Swallow Your Pride

Play Episode Listen Later Mar 3, 2025 33:40


What do rats have to do with swallowing disorders? More than you think! In this episode, we talk with Michelle Ciucci, PhD, CCC-SLP, a professor at the University of Wisconsin-Madison, to explore the important role of animal research in understanding swallowing disorders in neurogenic diseases like Parkinson's and Alzheimer's. Michelle explains how her lab uses […] The post 361 – Beyond the Clinic: How animal models are changing dysphagia research with Dr. Michelle Ciucci appeared first on Swallow Your Pride Podcast.

JAMA Network
JAMA Otolaryngology–Head & Neck Surgery : Manual Therapy for Fibrosis-Related Late Effect Dysphagia in HNC Survivors

JAMA Network

Play Episode Listen Later Feb 6, 2025 19:35


Interview with Katherine A. Hutcheson, PhD, author of Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors: The MANTLE Nonrandomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Manual Therapy for Fibrosis-Related Late Effect Dysphagia in Head and Neck Cancer Survivors

First Bite: A Speech Therapy Podcast
Establishing PFD and Dysphagia Services in the Schools with Carolyn Dolby

First Bite: A Speech Therapy Podcast

Play Episode Listen Later Jan 14, 2025 69:27


Guest: Carolyn Dolby MS, CCC-SLPEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Establishing-PFD-and-Dysphagia-Services-in-the-SchoolsIn this episode, Michelle and Erin are joined by none other than Carolyn Dolby, MS, CCC-SLP, host of the “School of Speech” podcast, and sought-after speaker for how to implement pediatric feeding disorder and dysphagia care in the Schools Carolyn spends this hour sharing her first-hand experience on successfully establishing this PFD/dysphagia management in the Houston, TX school district and how she is doing it again in Portland, OR. If you have wanted insider knowledge on the screening, evaluating, and treating process, how to obtain district-level support, or simply where to start the process, then this is the hour for you.Watch the full video interview on YouTube: https://youtu.be/wh-8Lif_DVQ?si=PUPaqqddRWCOdc5z

Pharmacy Podcast Network
Dysphagia: The Silent Enemy | Pediatric Pharmacist Review

Pharmacy Podcast Network

Play Episode Listen Later Sep 9, 2024 51:42


Brooke Richardson, MS, CCC-SLP/L is a hospital-based speech-language pathologist caring for adults with complex medical needs. She deeply values teamwork and collaboration to get the best outcomes for patients, across the continuum of care. Brooke is also the founder of The Modern MedSLP, a continuing education platform that helps medical speech-language pathologists grow and thrive. She's spoken internationally on topics like acute care, complex medical decision-making, and respiratory muscle training. When she's not doing all things SLP, you can find Brooke spending time with her family, enjoying a good cup of coffee, or planning her next travel adventure.   Brianna (Bri) Miluk, CCC-SLP, CLC is an outpatient and home-based speech language pathologist  whose professional focus is with infants and medically-complex children with feeding and swallowing disorders. Bri is also working on her PhD in Communication and Information Sciences through the University of Alabama with a research focus on pediatric feeding misinformation on social media. Bri is the owner of Pediatric Feeding Therapy which strives to provide evidence-based, high quality continuing education to professionals. She has spoken internationally on pediatric feeding disorders, manages the instagram @pediatricfeedingslp and is the host of the podcast The Feeding Pod. When she isn't working or studying, she enjoys playing kickball and making reels like a true millennial!

Swallow Your Pride
340 – The Power of Qualitative Research in Speech and Language Pathology – Beatrice Manduchi PhD, MSc, BSc (SLP)

Swallow Your Pride

Play Episode Listen Later Sep 3, 2024


While we often like to talk about research findings that shows us statistical significance in data and solid numbers we can lean on for treatment approaches… What about the kind of data that ISN'T objectively measured? The kind that shows us what patients or other clinicians experience think, or believe. I'm talking about qualitative research! Is qualitative research viewed as “less reputable” than quantitative research? What kind of valuable information can we pull from patient experiences, opinions, and views? Beatrice Manduchi PhD, MSc, BSc (SLP) is here to talk all about it in today's episode of the Swallow Your Pride podcast! Beatrice is a speech-language pathologist who went from clinician to researcher and is currently working as a postdoc fellow at MD Anderson Cancer Center. Beatrice specializes in dysphagia, particularly in head and neck cancer. Tune into this episode to take a break from numerical data and explore the world of qualitative research and its impact on dysphagia! Link to show notes: https://syppodcast.com/340 TIMESTAMPS: Qualitative Research Interest (00:03:20) Importance of Qualitative Methods (00:05:17) Qualitative Research vs. Quantitative Research (00:06:07) Impact of Qualitative Research on Dysphagia (00:09:37) Patient Perspectives in Research (00:10:51) Integrating Qualitative Research with Clinical Practice (00:12:14) Conducting Qualitative Research (00:15:02) Data Saturation in Qualitative Research (00:17:22) The Role of Frameworks in Qualitative Research (00:20:18) Passion for Patient-Centered Research (00:22:18) Understanding Bias in Interviews (00:23:16) Nuances of Interview Guides (00:24:18) Proactive vs. Reactive Therapies (00:26:11) Patient Comfort with Therapies (00:29:00) Streamlined Processes in Therapy (00:30:22) Patient Education Importance (00:32:52) Setting Diet Goals (00:33:56) Shared Decision-Making Challenges (00:38:01) Surprising Findings from the Study (00:39:17) Next Steps in Research (00:41:22) The post 340 – The Power of Qualitative Research in Speech and Language Pathology – Beatrice Manduchi PhD, MSc, BSc (SLP) appeared first on Swallow Your Pride Podcast.

Swallow Your Pride
337 – That's Not What Dysphagia Means: The Search for a Standardized Definition of One of the Most Important Words in Our Field.

Swallow Your Pride

Play Episode Listen Later Aug 15, 2024 35:24


Okay, this might sound like a trick question, but…What is dysphagia? This single question might be the most “swallow your pride” kind of question for medical SLPs yet… Because, believe it or not, we have yet to establish a standardized definition of dysphagia! Which is exactly why Martin B. Brodsky Ph.D., Sc.M., CCC-SLP, F-ASHA, and Debra Suiter PhD, CCC-SLP, BCS-S are putting together a conference called “Defining Dysphagia: In Search of a Unified Definition for the Aging Population” and are joining me on this week's episode of the Swallow Your Pride Podcast to talk about it! Dr. Brodksy and Dr. Suiter lay out the facts, questions, and barriers surrounding dysphagia definitions and how they impact clinical practice, research, and patient care. From the discrepancies between patient complaints and clinical definitions to the impacts that dysphagia has on coding and reimbursement, this single word has yet to reach a universal interpretation. The Defining Dysphagia conference is happening September 13th - 15th, and you can register now at https://syppodcast.com/definingdysphagia Timestamps:   Importance of Consensus Definition (00:28:32) Speaker Lineup for Saturday (00:30:58) Telehealth in Dysphagia Treatment (00:31:09) Neurodegenerative Diseases Focus (00:32:12) Clinical Relevance of Speakers (00:33:30) Speakers' Role in Delphi Process (00:34:12) Conference Structure and CEUs (00:36:35) Multidisciplinary Nature of Conference (00:39:14) Invitation to Attend (00:40:36) Conference Website Information (00:41:16) The post 337 – That's Not What Dysphagia Means: The Search for a Standardized Definition of One of the Most Important Words in Our Field. appeared first on Swallow Your Pride Podcast.

Swallow Your Pride
333 – Can Intraoral Cameras Improve Dysphagia Management? Let's Zoom In…

Swallow Your Pride

Play Episode Listen Later Jun 19, 2024 48:13


You know how dentists have those intraoral cameras that let patients see what's going on in their mouth? What if SLPs could use those as part of their dysphagia assessment?  Or as part of their biofeedback during therapy to check for residue and to see if certain compensatory strategies work? Just imagine quickly peeking into a patient's mouth with an angled intraoral camera and finding bread in the valleculae from the patient's last meal (which was two hours ago)! Turns out we can! James Curtis, PhD, CCC-SLP, and Ann Miles, PhD, are two SLPs and researchers who are exploring this idea and spill all the beans with us in this week's episode of The Swallow Your Pride Podcast! Join James and Anna as they discuss the intraoral camera and… The benefits of adding it to our dysphagia assessments Potential applications in therapy and patient education The pioneering work of Jose Vergara's team in Brazil Technical challenges Patient tolerance Current and future research Access to this instrument Tune in and give a shout-out to your local dentist for inspiring this idea! TIMESTAMPS: Initial exploration of intraoral cameras (00:05:42) Clinical application of intraoral cameras (00:10:44) Advantages and limitations of intraoral cameras (00:12:51) Procedure for using intraoral cameras (00:15:05) Challenges with intraoral cameras (00:19:01) Patient Positioning and Maneuvering (00:20:05) Challenges and Skills of Rigid Exam vs. Flexible Scope (00:20:56) Advantages of Intraoral Cameras (00:21:10) Importance of Post-Swallow Images and Video Clips (00:22:28) Sensitivity and Reliability of Intraoral Cameras (00:24:30) Comparative Research and Reproducibility (00:26:02) Limitations and Need for More Research (00:28:25) Cost and Infection Control Considerations (00:32:15) Integration into Clinical Protocols (00:33:42) Future Research and Implementation Studies (00:37:44) Intraoral Camera Use in New Zealand (00:40:09) Availability and Cost of Intraoral Cameras (00:40:56) Patient Populations for Intraoral Camera Use (00:41:38) Challenges and Benefits of Rigid Endoscopy (00:44:23) The post 333 – Can Intraoral Cameras Improve Dysphagia Management? Let's Zoom In… appeared first on Swallow Your Pride Podcast.

Straight A Nursing
#342: Dysphagia NCLEX Review

Straight A Nursing

Play Episode Listen Later Apr 18, 2024 25:59


Dysphagia is a condition in which the individual has difficulty swallowing. Proper swallowing relies on a complex coordination involving more than 30 nerves and muscles. When even one of these elements fails to work properly, dysphagia can result.  In this episode, you'll learn:  The four stages of swallowing…more complex than we realize! Causes of dysphagia Signs and symptoms of dysphagia (AKA: important things to watch for!) Complications of dysphagia Bedside swallow evaluations Diagnostic tests for dysphagia Modified diet textures Safety around feeding and aspiration prevention ___________________ Full Transcript - Read the article and view references. FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh!  Med Surg Solution - Are you looking for a more effective way to learn Med Surg? Enroll in Med Surg Solution and get lessons on 57 key topics and out-of-this-world study guides.

Swallow Your Pride
317 – The ABCs of ACDF Surgery and Dysphagia

Swallow Your Pride

Play Episode Listen Later Feb 26, 2024 52:05


Have you ever worked with a patient with swallowing difficulties post anterior cervical discectomy and fusion (ACDF) surgery? Or maybe you've noticed surgeons don't even acknowledge the implications ACDF surgery can have on swallowing….. Medical SLP and NYU doctoral student in the Swallow Research Lab, Brynn Jones-Restelli, opens up the conversation to this tricky population on this week's episode of the Swallow Your Pride Podcast!Brynn walks us through a general overview of ACDF surgery, its nutritional implications, what we can expect to see as "normal abnormalities" post-ACDF surgery, and how to optimize post-surgical outcomes. You'll also get to hear about her current research and how she aims to characterize changes in swallowing associated with spinal disease and following spinal surgery.Ready to learn the ABCs of ACDF surgery and dysphagia? Tune in to this week's discussion and see what Brynn has to share about it! Get the show notes for this episode here : https://syppodcast.com/317 The post 317 – The ABCs of ACDF Surgery and Dysphagia appeared first on Swallow Your Pride Podcast.

Swallow Your Pride
313 – The Human Behind the Dysphagia: A Holistic Approach for Head and Neck Cancer Patients

Swallow Your Pride

Play Episode Listen Later Feb 1, 2024 39:53


From educating restaurant staff to bringing recipes to support groups, it's important to humanize dysphagia care.  And when it comes to fostering that approach with the head and neck cancer population, Theresa Yao, SLPD, MEd, MS, CCC-SLP will be the first to speak up! Tune into this week's episode of the Swallow Your Pride Podcast podcast to explore a holistic approach to managing dysphagia. Going beyond the bedside, Theresa shares the importance of considering personal factors, environment, and social participation alongside the swallowing impairment itself.  What does it mean to create a dysphagia-friendly community? How can you advocate for it? What extra steps can you take to help your patients with head and neck cancer - or dysphagia in general - feel more empowered?  Grab your notepad and prepare to get inspired. You won't want to miss this! Get the show notes for this episode here: https://syppodcast.com/313 Timestamps: Theresa Yao's background (00:01:21) The journey to voice and swallowing disorders (00:02:05) The importance of a whole-person approach (00:05:51) The whole person approach to dysphagia (00:06:51) Viewing patients as whole persons (00:08:51) The impact of dysphagia on social interactions (00:10:13) Involving patients in treatment planning (00:12:14) Creating dysphagia-friendly environments (00:15:58) The role of support groups in dysphagia management (00:17:55) The support group and patient empowerment (00:18:44) Support group advocacy and volunteer efforts (00:20:50) Community outreach and resources (00:21:57) Benefits of support groups for clinicians (00:25:14) Community engagement and awareness (00:27:06) Multidisciplinary team approach (00:28:28) Patient-reported outcome measures and quality of life assessment (00:30:44) Whole person approach and qualitative research (00:33:29) The post 313 – The Human Behind the Dysphagia: A Holistic Approach for Head and Neck Cancer Patients appeared first on Swallow Your Pride Podcast.