On episode 015 of the Swallow Your Pride Podcast we have Rebecca Levy back for a Part 2! Rebecca is an SLP currently in the role of Clinical Program Consultant for ACP’s Synchrony dysphagia program.  Rebecca has worked in healthcare for over 11 years.  Although she spent the first 2 years of her career in special education, she quickly realized that she had a passion for the geriatric setting and specifically working with patients with dysphagia.  She spent about 8 years in a SNF setting and 5 of those years she was a Director of Rehabilitation for her therapy program but never stepped away from treating.  She also spent some time doing private home health and worked on a mobile van completing videofluoroscopy.  Rebecca’s current role of clinical consultant is probably her most fulfilling, helping to educate other SLPs and helping them to get superior outcomes with their patients!

In this episode, we discuss ALL things thickened liquids - the good, the bad, and the ugly! We discuss why we should be treating our patients and getting them away from just "tolerating" diets, and what thickened liquids can actually do our patient's physiology and psychology! 

 The show notes for this episode can be found at www.swallowyourpridepodcast.com.

On episode 013 of the Swallow Your Pride Podcast we have Rebecca Levy. Rebecca is an SLP currently in the role of Clinical Program Consultant for ACP’s Synchrony dysphagia program.  Rebecca has worked in healthcare for over 11 years.  Although she spent the first 2 years of her career in special education, she quickly realized that she had a passion for the geriatric setting and specifically working with patients with dysphagia.  She spent about 8 years in a SNF setting and 5 of those years she was a Director of Rehabilitation for her therapy program but never stepped away from treating.  She also spent some time doing private home health and worked on a mobile van completing videofluoroscopy.  Rebecca’s current role of clinical consultant is probably her most fulfilling, helping to educate other SLPs and helping them to get superior outcomes with their patients!

In this episode, we discuss ALL things exercise! Exercises, exercises, and more exercises! Rebecca goes through all 17 components of the MBSimp and provides evidence-based exercises for each swallowing impairment. The show notes for this episode can be found at www.swallowyourpridepodcast.com and there is a cheat sheet chart of all of the impairments, muscles and cranial nerves involved, as well as exercises for each component!

Hillary Cooper is the owner of Speech Therapy Services of North Louisiana and currently contracts with two locations of Fyzical Balance Centers to provide outpatient pediatric and adult speech therapy services as well as adult home health services. Hillary is also in the process of establishing a mobile FEES company called North Louisiana Swallow Solutions. Hillary is extremely passionate about pushing for the use of evidence-based practice in dysphagia treatment in these rural areas.

 

In this episode, we discuss how we can advocate for our patients AND our field. She tells us how she has been successful with educating other professions and getting them on board and collaborating with us on our dysphagia treatment plans. 

 

Hillary also discusses having Dr. Stephanie Daniels as her graduate school professor, and how that has shaped the way she views continuing education.

 

Check out the show notes for this episode at www.swallowyourpridepodcast.com.

The International Dysphagia Diet Standardization Initiative (IDDSI.org) Framework, The IDDSI Flow Test, and Skill-Based Training For Rehabilitating the Swallow.

 

Dr. Catriona Steele is an incredible, internationally known, ASHA Fellow who is currently a researcher at the Toronto Rehab Institute. She had 10 years of experience as a medical SLP before pursuing her PhD, and she is still very much involved at the clinical level in our field. Dr. Steele has over 80 peer-reviewed publications, and has presented as an invited lecturer in Europe, Japan, China, Austrialia, and she actually just returned from the World Dysphagia Summit and European Society for Swallowing Disorders, so she does give us some scoop from that! 

 

Dr, Steele is one of the main key players in the International Dysphagia Diet Standardized Initiative also known as IDDSI. She also has received international recognition for her work on tongue functioning in the swallow. Dr. Steele has a 2-part series on Medbridge right now about tongue pressure resistance training, so feel free to check that out, and also one of my most favorite series on MedBridge is her 5-part series about best practices in VFSS, so if you're a Medbridge member check that out, if not, you can purchase that annual membership for unlimited CEUs for only 95$ with promo code SYP, so head over to medbridgeeducation.com and purchase that SLP education plan with promo code SYP to watch Dr.Steele’s awesome CEU videos on lingual resistance and videofluoroscopy.  

 

In this episode, we discuss the importance of IDDSI and standardizations amongst thickened liquids and texture modifications, we discuss skill based training, and the importance of rehabbing the swallow, as well as we get to hear about some of Dr. Steele’s mentors and who's work has really inspired her. 

 

As always, you can download the show notes at www.swallowyourpridepodcast.com 

Today’s guest is one of my most favorite people in this world, Vince Clark (AKA Edgar Vincent Clark.) Vince and I share the same wavelength on so many different dysphagia related topics. One thing we are both so passionate about is access to instrumentation, and not just access, but encouraging all SLPs to understand the financials behind what we do, so that they can appropriately advocate for services for their patients. 

 

Vince is someone that I think all SLPs who are treating dysphagia should aspire to be. First and foremost, patient care, and doing right by the patient is paramount in his practice. Second, he understands the financials behind everything we do in diagnostics, treatment, as well as end of life care and knows where the research and policies are all located so that he is able to educate any DOR or administrator that may attempt to deny access to equipment or therapy materials. 

 

Vince is currently the Director of Dysphagia Diagnostics for Integra Rehab which is part of a much larger non-profit organization called Community Health Services that provides services to thousands of patients throughout the state of Georgia. Vince currently is in charge of their mobile FEES program, so if there is anyone in the state of Georgia that is interested in having mobile FEES service their facility, get in contact with him, as they do contract with outside facilities. 

 

In this episode, we discuss the cost of instrumental assessments, and how they are not only a cost savings, but can be revenue generating, and also the financials associated with therapy materials, as well as where to locate al

Today’s guest is Megan Nosol. Megan is extremely knowledgeable in the world of head and neck cancer. She is super intelligent, and has not only skimmed the literature, but she really dives in and thinks critically, and relays it so well in to her clinical practice. 

 

Megan is a graduate of the the University of North Carolina at Chapel Hill. Since graduating, Megan has been a clinician in the skilled nursing, outpatient rehabilitation, and non-profit organization settings. She has also taken 36 credit hours of additional pre-medicine coursework and has a strong research background.

 

Currently, Megan is a SLP at STEPS for Recovery, an outpatient clinic, where she treats adults who have trismus, an array of communication disorders, and dysphagia. She is also a Board Member of the non-profit organization, Lary's Speakeasy, which provides laryngectomy supplies, support, and educational resources to laryngectomees and their caregivers. Megan is the founder and co-trainer of the ARK-J Program: Trismus Intervention Certification Course for SLPs. Additionally, Megan is the creator of the website, www.SpeechTherapyToolbox.com, which is a resource for patients and caregivers of communication and swallowing disorders.

 

In this episode, we discuss the ABCs of HNC, and Megan gives you a great general knowledge base about treating HNC. Don’t forget to head over to www.swallowyourpridepodcast.com to download the show notes for this episode, and thank Megan for giving you tons of great info and references to check out.

Today’s Swallow Your Pride guest is Dan Weinstein! Dan is a board certified specialist in swallowing and is an incredibly intelligent and very well spoken SLP from the Philadelphia area. And Actually at the time of this recording he was the Speech Pathology Supervisor at the Dept of Rehabilitative Services at UCSF Medical Center in San Francisco, but he’s since moved back to the east coast, because he wanted to live closer to me, and will be starting his new position soon as the Chief of Speech and Audiology Services at the Philly VA Medical Center. 

 

Dan has served as a clinical supervisor for several years and in his experience he has developed a way of explaining very difficult topics for both SLPs and our patients in a very simple, and eloquent manner. If I could go back and do my externships or CF again I would pick Dan in a heartbeat since he cares so much about educating SLPs and helping them to learn the medical reasoning and research behind everything we do. 

 

In this episode, we discuss palliative care in both the acute care and SNF settings. We dispel some myths about feedings tubes, thickened liquids, and how best to treat our end of life patients with dysphagia. Dan also touches on esophageal dysphagia and some things we should and shouldn't do with treating that. 

 

Check out the show notes for this episode at www.swallowyourpridepodcast.com.

Matt is an SLP in the Nashville, TN area where he completes mobile FEES for SA Swallowing Services, and works PRN in a hospital completing MBSS and treating acute care patients. Matt is very knowledgeable and passionate about using the most valid and reliable methods of assessment that we have available for swallowing disorders. He gives a great overview of screens and clinical swallow exams, and how the Yale Swallow Protocol has simplified his practice while improving the accuracy of identifying dysphagia. 

 

In this episode, we discuss why your “comfort level” doesn't matter, and we can’t be emotional with our recommendations, and instead use evidence based practice in these decisions. We also discuss how being conservative in our recommendations can have negative implications for our patients. 

 

Matt also discusses a “game-changing” paper for him written by Dr. Maggie Lee Huckabee about “Rethinking Rehab,” and how our treatment need to be specific, challenging, and monitored with feedback. 

 

Check out the show notes for this episode at www.swallowyourpridepodcast.com.

Nannette is an SLP with over 45 years of experience who wears many, many hats, and wears
all of them very, very well. Her speciality is cognition, brain injury, and post concussive
symptoms, but she works in an outpatient clinic where she also treats patients with dysphagia.
Knowing that she did not have a solid background in dysphagia, Nannette took it upon herself to
enroll in Dr. Jim Coyle’s dysphagia class at the Univ. of Pittsburgh a few years back.
Nannette is extremely passionate about patients rights and ethics, and has also been educated
by Dr. Paula Leslie who has written extensively about this topic. She brings an entire human
element to treating our patients with dysphagia, and I could only hope that if myself or a family
member was struggling with dysphagia, that they would be treated by an SLP that believes in
and supports patient’s rights as much as Nannette does.
In this episode, we’ll cover the ever popular topic of waivers and why they should or should not
be used, how to present treatment options to our patients, and how to advocate for our patients
as part of interdisciplinary team.
Nannette also discusses the importance of having mentors and support from others in the field,
and you’re never too old to learn new tricks.
Check out the show notes for this episode at www.swallowyourpridepodcast.com.

Today’s Swallow Your Pride guest is Dr. John Ashford!

 

Dr. A is an incredibly knowledgeable educator and clinician. Dr. A co-owns S.A. Swallowing Services with his better half, and together they have a team of excellent clinicians that provide mobile FEES around Tennessee. SASS also has a reputation for putting on some remarkable continuing education courses. 

 

Dr. A is very passionate about instrumental assessments and oral care, and has presented on his well researched topic of “The 3 Pillars of Pneumonia.”

 

In this episode we discuss how a poor immune system, poor oral, and the events of aspirating all must create the perfect storm in order to cause pneumonia. We also get into the importance of instrumental assessments, and exactly how to perform oral care (Newsflash: It involves a toothbrush, and a toothbrush, and a toothbrush ;)

 

Dr. A also discusses his favorite researcher that has helped to shape his thinking of swallowing disorders.

 

Check out the show notes for this episode at www.swallowyourpridepodcast.com.

 

Today’s Swallow Your Pride guest is Tiffani Wallace!

 

Tiffani is one of my most favorite people in this world, she's board certified in swallowing, a blogger, author, presenter, and speaker. She created the Dysphagia Ramblings blog, DysphagiaTherapy Group - Professional Edition on Facebook, and has authored the Dysphagia 2Go app for the assessment of swallowing disorders, and has co-authored the Dysphagia Therapy app for evidence-based treatment strategies. 

 

She is just super knowledgeable in the field of dysphagia, and is so passionate about getting patient’s with dysphagia the best interventions possible. 

 

In this episode we discuss how cranial nerve exams should actually drive your therapy plans, and how watching your patient aspirate can be a good thing!

 

Tiffani also discussed some of her most favorite treatment strategies and research papers that have helped to shape her dysphagia practice.

 

Check out the show notes for this episode at www.swallowyourpridepodcast.com.

Today’s Swallow Your Pride guest is Ed Bice! Ed is one of the most intelligent and knowledgeable swallowologists out there. Somehow he is not a researcher, but he is so well-versed in the literature and is incredibly passionate about sharing the research with his colleagues. If I had to choose anyone to treat me or a family member with dysphagia, Ed would be at the top of my list.

 

Ed is currently a clinical consultant with ACP Synchrony who provides sEMG biofeedback devices to clinicians to use with their patients during dysphagia therapy. The Synchrony program uses an electrical stimulation waveform to enhance muscle strength and coordination required for normal swallowing.

 

In this episode, we dispel the myth that the swallow is subject to fatigue. Ed presents us with an incredible review of the muscle physiology, what exactly we can tell at the bedside, and why there is no value in sitting and watching your patient eat.

 

Ed also discusses several of his favorite research articles that have helped to shape his practice today.

 

Check out the show notes for this episode at www.swallowyourpridepodcast.com.

Welcome to the Swallow Your Pride Podcast. Here, you will find interviews with some incredible clinicians and researchers with some evidence based research and treatment strategies. These people have made a name for themselves within their space, and are making a significant impact on their colleagues and patients. One of the most encouraging things is hearing other clinician’s stories and how they are able to apply the research to provide the best possible treatment for their patients with dysphagia. This is a place where we can be open and honest, admit what we don't know, and start to implement what works. I hope you all enjoy this show. 

Introducing the newest podcast to join the Speech Science Network, Swallow Your Pride by Theresa Richard.  Theresa Richard is a Board Certified Specialist in Swallowing and Swallowing Disorders, and owner and founder of Mobile Dysphagia Diagnostics. She completed her Bachelors and Masters degrees in Speech-Language Pathology from the University at Buffalo. She has completed Advanced FEES training under Dr. Susan Langmore as well as SASS Swallowing Services.  She is a visiting guest lecturer at the University at Buffalo, Buffalo State College, Edinboro University, and Buffalo Hearing and Speech Center on the topic of FEES as well as a clinical instructor on the hands-on application and interpretation of the FEES as part of an ASHA approved CEU course with Dr. Eric Blicker. She is a member of ASHA Special Interest Group 13 (Swallowing and Swallowing Disorders), the Dysphagia Research Society, former President of the Nevada Speech-Language Hearing Association, and 3-time ASHA ACE Award recipient for continuing education.  Her website is https://www.mobiledysphagiadiagnostics.com/about-us/ .