Swallow Your Pride
By Theresa Richard
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The Swallow Your Pride Podcast was created with the purpose of diving deeper into the issues that speech-language pathologists face when working with patients with swallowing disorders. We’ll discuss many controversial topics in order to provide the LATEST evidence-based treatment strategies, and create a community of dysphagia clinicians who want to consume incredibly valuable insight and information. Our goal is to allow you to #swallowyourpride, and be open and willing to try the latest in evidence based treatment approaches by learning from experts and researchers in our field in order to create the best outcomes for our patients who need it most. The Swallow Your Pride Podcast is hosted by Theresa Richard, M.A., CCC-SLP, BCS-S, a Board Certified Specialist in Swallowing and Swallowing Disorders. Theresa owns a mobile FEES company that services all of NY, PA, and NJ. She also provides FEES training and consulting. Theresa has a unique way of spreading digestible, evidence-based information so that clinicians of all levels of experience can implement it with their patients immediately.
||Clean029 – Carmin Bartow, M.S. CCC-SLP, BCS-S – Part 1 – How to Form a “Trach Team” in Your Hospital: Utilizing a Multi-Disciplinary Team Approach to Improve Outcomes in Both Speech AND Swallowing For Patients With Tracheostomies||In this episode, we discuss how and why to form a trach team in your facility. We discuss challenges that SLPs face when dealing with trach patients, the benefits of forming a trach team, and the SLPs role in improving speech and swallowing in these patients with tracheostomies. This is part one of a two-part series. Today’s guest is Carmin Bartow, M.S., CCC-SLP, BCS-S, She is currently employed at Vanderbilt University Medical Center specializing in dysphagia management, trach vent intervention, and in head and neck cancer. She is a member of the VUMC Tracheostomy Consult Service. In addition to her clinical responsibilities, she facilitates a head and neck cancer support group, and recently taught Dysphagia as an adjunct instructor at Tennessee State University. Carmin put together a great outline of how to form a trach team, as well as several helpful references. They can be found at bit.ly/SYPpodcast029 or text SYP029 to 44222.||2/20/2018||Free||View in iTunes|
||Clean028 – Tiffany Turner, M.S., CCC-SLP, BCS-S – The Importance of Multi-Disciplinary Care with Other Professionals, Treating the Entire Person, and Why Are SLPs So Resistant to FEES?||This is Episode 028 with Tiffany Turner, Tiffany is a board certified specialist in swallowing and swallowing disorders. She owns a regional swallowing and voice clinic in Tulsa serving patients throughout Oklahoma for FEES, videostrosboscopy, and swallowing and voice treatment. She is also on Oklahoma’s Muscular Dystrophy Association team and serves at a monthly ALS clinic. Tiffany has published several clinical resource ebooks for adult medical SLPs which are available on her clinic’s website at www.tulsasnr.com . In this episode, we discuss the Importance of multi-disciplinary care with other professionals, treating the entire person, and why SLPs are so resistant to FEES? Check out the show notes for this episode at bit.ly/SYPpodcast028 or text SYP028 to 44222.||2/14/2018||Free||View in iTunes|
||Clean027 – Caroline M. Brindo, MA/CCC-SLP, BCS-S – Are We Using the MBSS To It’s Fullest Potential? A Day In The Life Of A Mobile MBSSer.||In this episode, Caroline and I discuss the underuse of the MBSS. We read reports from SLPs all the time that only mention if a person aspirated or not and with what consistency, or even more maddeningly, a progress note that the patient “failed” their MMBS. We have this wonderful tool, and so many SLPs are not using it to it’s fullest potential. We also discuss one of the more detrimental acts that SLPs commit in establishing themselves as medical professionals. Physicians order all sorts of instrumental assessments before they make decisions about patient care. PTs, RTs, dieticians, etc., all request instrumental assessments before they make recommendations. Then SLPs come in and suggest major changes to a patient’s care based on what they see at bedside? Not every patient may need an instrumental, but way more patients are appropriate than are actually getting them. We also put to bed the great MBSS/FEES debate. They are both so useful and we can get such great, and in some aspects, completely different but still complimentary information, from both. Listen to this episode to bit.l/SYPpodcast027 or text SYP027 to 44222 to download the show notes.||2/7/2018||Free||View in iTunes|
||Clean026 – Diane Bahr, M.S., CCC-SLP, CIMI – PEDS! Lip Ties and Tongue Ties and Buccal Ties, Oh My! Typical Mouth and Airway Development in Utero to 7 Years||Diane Bahr is a visionary with a mission. For more than 30 years, she has treated children and adults with feeding, motor speech, and mouth function problems. While she is a speech-language pathologist by training, she has also honed her skills as a feeding therapist, published author, international speaker, university instructor, and business owner. Diane co-owns Ages and Stages, LLC with her husband and business manager Joe Bahr. Diane is extremely concerned about the amount of time young babies are spending on their backs and in containers. She has hypothesized this as being one reason we are seeing late developing fine motor skills (e.g., feeding, speech, hand use, and visual function) and significant jaw and tongue retraction (which may be contributing to posterior tongue tie). She has attributed this to the apparent epidemic of mouth development problem we seem to be having and has done a significant literature review to support her work. Diane also just presented a very well received talk at the ASHA Convention with Kristie Gatto regarding normal mouth and airway development from birth - 7 years of age that she graciously shares in this episode. Show notes for this episode are available at bit.ly/SYPpodcast026 or you can text SYP026 to 44222.||1/31/2018||Free||View in iTunes|
||Clean025 – The Medical SLP Solution – The Who, What, Where, When, Why, and How||In this episode, we discuss all the behind the scenes, the who, what, where, when, why, and how of this new endeavor, how it can benefit our profession, and most importantly our patients! I am *SO* excited to announce my latest project that i’ve created just for all of you… I have joined forces with Carrie over at the wildly successful Speech Therapy Solution to bring you... The Medical SLP Solution. Do you *WISH* you had time to sit around and google and look up research paper after research paper and just frustrated as heck because ALL you want to do is *HELP* your patient that is sitting in front of you RIGHT NOW? Do you wish there was someone or someplace that would have tons of constantly evolving resources to all of the most common issues SLPs face in the medical setting? Do you wish you could just log in to a chat board and ask a question and not feel judged or humiliated and actually be directed to the answer because there is no way on earth you will even come close to your productivity standard for today? Do you wish you could have ALL aspects of medical SLP in one place? Not just limited to dysphagia or aphasia or voice or dysarthria, or how cardiac or neuro conditions play a role, but *ALL* areas of Medical SLP that you might find during my work day? Lord knows I paid super good attention in dysphagia, but now I have this dysarthria patient and waaaaah!! Introducing the Medical SLP Solution. I’ve created a 1-stop resource site for all medical SLPs complete with handouts, videos, a support forum, and ASHA CEUs! Oh but I bet you think I’m doing this all myself… hahaha nope! I’ve recruited several experts in the field to help me create all of these resources for you. I know dang well that I don’t know it all, but I do know who does! And yes, ALL OF YOU get to pick which topics and resources are created! When we are all on the same team, and we can all support one another, and support each other in evidence-based, best practice, then our profession wins, and ultimately our patients win. Isn’t that why we became SLPs in the first place?||1/24/2018||Free||View in iTunes|
||Clean024 – Brenda Arend, MA, CCC-SLP – The Dueling Banjos of Dysphagia: Why Didn’t My Patient Get a Swallow Study at the Hospital and What Can Be Done About It?||024 - Brenda Arend, MA, CCC-SLP - The Dueling Banjos of Dysphagia: Why Didn’t My Patient Get a Swallow Study at the Hospital and What Can Be Done About It? Tune in as we discuss the roadblocks that both acute care *AND* SNF SLPs face, and how we can build that bridge to boost continuity of care with special guest Brenda Arend, M.A., CCC-SLP. "Why doesn’t my patient EVERRRRR get a swallow study at the hospital before they come to me?” “Yikes that’s a pretty gnarly infection, I really hope their diet is upgraded once that infection clears and they get to their next level of care.” Have you asked yourself ANY of these questions? Do you find yourself extremely frustrated with the lack of continuity in care? Well sometimes (most times) there are many other moving parts. Brenda Arend, MA, CCC- SLP attended Washington State University. She has almost 30 years of experience working in a wide variety of settings with both pediatrics and adults. She was a member and panel chair of the Western Institutional Review Board (WIRB) for 12 years. Currently, she works in the acute care setting at Providence St. Peter Hospital in Olympia, WA and also serves on the hospital ethics board. She is the owner of Puget Sound Swallow Diagnostics, providing mobile FEES services to the greater Puget Sound region of Washington state. Brenda has particular interests in dysphagia, ethics, and end of life care.||1/17/2018||Free||View in iTunes|
||Clean023 – Eric Blicker CCC-SLP.D BCS-S – When A Cough Can Mean 1,000 Things: Discovering The Link Between COPD, Laryngopharyngeal Reflux Disease, And Dysphagia.||023 - Eric Blicker CCC-SLP.D BCS-S - When A Cough Can Mean 1,000 Things: Discovering The Link Between COPD, Laryngopharyngeal Reflux Disease, And Dysphagia. Do you know the impact that COPD can have on swallowing? Do you know the impact that laryngopharyngeal reflux disease (LPRD) can have on swallowing? Do you know the impact that COPD can have on LPRD? Do you even know what LPRD is? In episode 023 of the Swallow Your Pride podcast, Dr. Eric Blicker discusses some really interesting research on the SLPs role in assessing and treating LPRD and its link to the COPD population. Eric Blicker CCC-SLP.D BCS-S has been a Board Certified Specialist in Swallowing and Swallowing Disorders since 2008. That same year, Dr. Blicker received his Clinical Doctoral degree from Nova Southeastern University. In 2000-2001, he was trained at Columbia University in Flexible Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST) by Dr. Jonathan Aviv, the otolaryngologist who developed FEESST. Eric has started multiple Flexible Endoscopic Evaluation of Swallowing (FEES) programs in the United States while training speech-language pathologists and physicians in the process. For the past five years, his company, Community Care Partners Inc, has been an ASHA Approved CE Provider. Dr. Blicker has lectured at several universities and has provided FEES training courses in several states. His clinical FEES experience includes working in a variety of settings. Dr. Blicker is the FEES Committee Chairperson and Project Coordinator in the Mercy Health East Market in Cincinnati Ohio. Dr. Blicker can be found on Facebook (Eric Blicker), on Twitter (@ericblicker), his website is http://ceualliedhealth.com or you can email him at firstname.lastname@example.org to inquire about any FEES training courses or online CEU courses.||1/8/2018||Free||View in iTunes|
||Clean022 – Walt Fritz, PT – The Inter- and Intra-rater Reliability of Palpation, Myofascial Release, and Manual Therapy using a Patient Directed Approach.||022 - Walt Fritz, PT - The Inter- and Intra-rater Reliability of Palpation, Myofascial Release, and Manual Therapy using a Patient Directed Approach. Are you palpating your patients? Do you know what you're feeling for? What is the inter- and intra-rater reliability of palpation? What if it has alternate uses? Manual therapy has been a longstanding practice in the PT world, and benefits are just now being discovered as it relates to globus sensation and dysphagia. Today's guest is Walt Fritz, a physical therapist who breaks down the history of manual therapy, the use of myofascial release, and using a patient directed approach in treating dysphagia. Walt Fritz has been a physical therapist since 1985 and has been using manual therapy as his chosen intervention since 1992. After training and working with some of the well-known pioneers of the MFR field, he began to move the traditional myofascial release narrative from its historical past into more modern and accepted narratives of neurological explanation. He teaches his workshops to PTs, OTs, and MTs. Since 2013 he has added a class directed toward speech-language pathologists, The Foundations in Myofascial Release Seminar for Neck, Voice, and Swallowing Disorders, which focuses evaluation of voice, swallowing and other disorders seen by the SLP and Voice Professional. He takes a decidedly different approach to myofascial release and manual therapy, working toward an explanatory narrative that represents current thinking and pain science, as well as adding a feedback-based, patient-directed model of explanation. Walt sees patients at his physical therapy practice in Rochester, NY and can be found at http://www.waltfritzseminars.com||1/2/2018||Free||View in iTunes|
||Clean021 – Martin B. Brodsky Ph.D., Sc.M., CCC-SLP, F-ASHA – Crash ‘n’ Burn: Ending The 24 Hour Wait Time For Post-Extubation Assessment||021 - Martin B. Brodsky Ph.D., Sc.M., CCC-SLP, F-ASHA - Crash 'n' Burn: Ending The 24 Hour Wait Time For Post-Extubation Assessment In this episode, Dr. Brodsky discusses when to assess or screen for swallowing function post extubation - what has been done in the past, what is going on today, and what should you do tomorrow? Dr. Brodsky describes a life altering incident that has shaped his career, and we also discuss the importance of clinical research, evidence-based medicine, and why it’s called clinical “practice.” Dr. Brodsky is an Associate Professor of Physical Medicine and Rehabilitation at Johns Hopkins University. His peer-reviewed research publications, book chapters, and invited presentations focus on swallowing and swallowing disorders. Dr. Brodsky’s clinical research is funded by the National Institutes of Health, studying the effects of critical illness and critical care medicine on swallowing and the airway and their long-term outcomes. His clinical practice specializes in adult swallowing and communication disorders. Dr. Brodsky is a Fellow of the American Speech-Language-Hearing Association, a member of the ASHA Advisory Council for Speech-Language Pathology, and a member of the Editorial Board for Dysphagia. He is a frequent reviewer for scientific journals and a member of the Dysphagia Research Society and the American Psychological Association.||12/26/2017||Free||View in iTunes|
||Clean020 – Dan Weinstein, M.S. CCC-SLP, BCS-S – Case Presentation on Social Media, Decision Making, Documentation, and Making Appropriate Referrals||020 - Dan Weinstein, M.S. CCC-SLP, BCS-S - Case Presentation on Social Media, Decision Making, Documentation, and Making Appropriate Referrals Dan and I team up for a quick off the cuff "holiday edition" episode to present to *YOU* how to present a case on social media in order to get the best and most appropriate responses from your peers. Dan also tackles decision making, documentation, and the importance of making solid referrals.||12/21/2017||Free||View in iTunes|
||Clean019 – Russ Campbell, PT, CEO of Ampcare – IIb or not IIb – The Role of Neuromuscular Electrical Stimulation (NMES) Applied to Patients with Dysphagia||019 - Russ Campbell, PT, CEO of Ampcare - IIb or not IIb – The Role of Neuromuscular Electrical Stimulation (NMES) Applied to Patients with Dysphagia Questions about e-stim? NMES? What the heck is it? What does it even do? In this episode we learn all about parameters, placement, and plasticity! Russ Campbell received his degree in Physical Therapy from Northwestern University, Chicago, Illinois in 1989. He is a co-developer of the Effective Swallowing Protocol (ESP™) and CEO of Ampcare, a FDA registered medical device and services company that develops innovative technologies designed to improve the quality of life in people with swallowing disorders. He has 28 years of experience in electrotherapy and has presented Ampcare’s products in the US, Europe, Japan and Hong Kong. Russ is responsible for the research and development of the company’s products and methodology as well as guiding the company’s growth through partnerships with other healthcare providers. Russ also made an extremely thorough handout of charts and diagrams that you may want to print out BEFORE you listen by visiting http://swallowyourpridepodcast.com.||12/18/2017||Free||View in iTunes|
||Clean018 – Selena Reece, M.S., CCC-SLP, BCS-S – Does Starting a FEES Program Sound Like Too Daunting Of a Task? Here Are All Things To Consider.||018 - Selena Reece, M.S., CCC-SLP, BCS-S - Does Starting a FEES Program Sound Like Too Daunting Of a Task? Here Are All Things To Consider. Episode 018 of the Swallow Your Pride Podcast features Selena Reece. Selena Reece received her Master’s degree from University of North Carolina at Chapel Hill in 2003 and obtained Board Certification in Swallowing in 2015. She has worked in acute care, outpatient, and inpatient rehabilitation settings. She currently serves as the Director of Educational Resources for Carolina Speech Pathology, while carrying an active caseload providing mobile FEES services. She has been deemed competent for supervision and training in FEES by Dr. Gregory Postma, a board certified Otolaryngologist. In this episode we discuss why we need instrumentals, how FEES can be a wonderful addition to your facility, and where to even begin with creating a FEES program.||12/13/2017||Free||View in iTunes|
||Clean017 – Jamie D. Fisher PhD, CCC-SLP Part 2! Trach/Vent FAQs: Do Trachs Cause Dysphagia? Is The Blue Dye Test Accurate? Why FEES In This Population?||017 - Jamie D. Fisher PhD, CCC-SLP Part 2! Trach/Vent FAQs: Do Trachs Cause Dysphagia? Is The Blue Dye Test Accurate? Why FEES In This Population? Dr. Fisher is back for part 2 to discuss her main passion -- trach and vent! In this episode, we discuss some tracheostomy and mechanical ventilation FAQs as they relate to dysphagia. Do trachs themselves directly cause dysphagia? Is the blue dye test accurate? Why is FEES beneficial for this population? Dr. Fisher received her PhD in Speech Language Pathology from Vanderbilt University. She is a speech-language pathologist (SLP) and clinical instructor with SA Swallowing Services and works at various hospitals, sub-acute care facilities, and rehab facilities. Dr. Fisher holds ASHA Certificate of Clinical Competence, endorsement for endoscopy practice, and is a certified FEES trainer. Dr. Fisher is an adjunct professor at University of Maryland - College Park and Tennessee State University. She has over ten years of experience as an SLP and her clinical interests include speech, language, dysphagia, Fiberoptic Endoscopic Evaluation of Swallowing (FEES), and working patients requiring tracheostomy/mechnical ventilation. Dr. Fisher is the creator and director of Preparing SLPs for Tracheostomy and Ventilator Patient Care Training Course.||12/6/2017||Free||View in iTunes|
||Clean016 – Jamie D. Fisher, PhD, CCC-SLP Keeping it Real: Transitioning to being a Medical SLP the Right (Ethical) Way||Dr. Fisher received her PhD in Speech Language Pathology from Vanderbilt University. She is a speech-language pathologist (SLP) and clinical instructor with SA Swallowing Services and works at various hospitals, sub-acute care facilities, and rehab facilities. Dr. Fisher holds ASHA Certificate of Clinical Competence, endorsement for endoscopy practice, and is a certified FEES trainer. Dr. Fisher is an adjunct professor at University of Maryland - College Park and Tennessee State University. She has over ten years of experience as an SLP and her clinical interests include speech, language, dysphagia, Fiberoptic Endoscopic Evaluation of Swallowing (FEES), and working patients requiring tracheostomy/mechnical ventilation. Dr. Fisher is the creator and director of Preparing SLPs for Tracheostomy and Ventilator Patient Care Training Course. In this episode, we discuss how to transition to being a medical SLP the right and ethical way because there is a right and a WRONG way! We also discuss the ethics at both the state licensure level and with ASHA if caught practicing incompetently.||11/28/2017||Free||View in iTunes|
||Clean015 – Rebecca Levy M.S. CCC-SLP Thickened Liquids: The Good, The Bad, and The Ugly||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!||11/21/2017||Free||View in iTunes|
||Explicit014 – Dysphagia Cafe meets The Swallow Your Pride Podcast Live from the ASHA Convention!||014 - Dysphagia Cafe meets The Swallow Your Pride Podcast Live from the ASHA Convention!||11/15/2017||Free||View in iTunes|
||Clean013 – Rebecca Levy M.S. CCC-SLP – Exercises, Exercises & More Exercises! Evidence-Based Treatment for Every Swallowing Impairment||013 - Rebecca Levy M.S. CCC-SLP - Exercises, Exercises & More Exercises! Evidence-Based Treatment for Every Swallowing Impairment 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!||11/7/2017||Free||View in iTunes|
||Clean012 – Dr. Jonathan Aviv: What SLPs Should Know about the Relationship Between Reflux and Dysphagia, the Safety of FEES, and the Acid Watcher Diet.||012 - Dr. Jonathan Aviv: What SLPs Should Know about the Relationship Between Reflux and Dysphagia, the Safety of FEES, and the Acid Watcher Diet. Dr. Jonathan Aviv, ENT joins us for Episode 012 of The Swallow Your Pride Podcast. Dr. Aviv is currently the Clinical Director of the Voice and Swallowing Center in Manhattan, New York, which is a private practice that is affiliated with several institutions. He is also a Clinical Professor of Otolaryngology Head and Neck surgery at Icahn School of Medicine at Mount Sinai. Dr. Aviv also ran an endoscopy training program for SLPs for several years. In this episode, we discuss the editorial - “When endoscopy is an option, what would you choose?” the safety of FEES, what SLPs should know about LPR/GERD, and a food- not medicine -solution. Dr. Aviv also provided us with some food myths relating to LPR/GERD and dysphagia. You can scoop a copy of his book here, the Acid Watcher Diet, and as always the show notes below.||11/1/2017||Free||View in iTunes|
||Clean011 – Hillary Cooper, MA – CCC-SLP – Dysphagia Island Can Be a Lonely Place – Why It’s So Important to Build Bridges With Your Interdisciplinary Team to Overcome Barriers||011 - Hillary Cooper, MA - CCC-SLP - Dysphagia Island Can Be a Lonely Place - Why It’s So Important to Build Bridges With Your Interdisciplinary Team to Overcome Barriers 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.||10/24/2017||Free||View in iTunes|
||Clean010 – Catriona Steele Ph.D., CCC-SLP, F-ASHA – The International Dysphagia Diet Standardization Initiative Framework, IDDSI Flow Test, & Skill-Based Training For Rehabilitating the Swallow.||010 - Catriona Steele Ph.D., CCC-SLP, F-ASHA - The International Dysphagia Diet Standardization Initiative Framework, IDDSI Flow Test, & Skill-Based Training For Rehabilitating the Swallow. 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.||10/17/2017||Free||View in iTunes|
||Clean009 – Edgar Vincent Clark, M. Ed. CCC-SLP – The Financials Involved in Managing Dysphagia, and How instrumental Assessments Can Not Only Be a Cost Savings, But Revenue Generating For Your Facility||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 all of the regulations.||10/12/2017||Free||View in iTunes|
||Clean008 – Megan Nosol, M.S., CCC-SLP – The ABCs of HNC – Important Considerations for your Patient with Head & Neck Cancer||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 download the show notes for this episode, and thank Megan for giving you tons of great info and references to check out.||10/4/2017||Free||View in iTunes|
||Clean007 – Yvette McCoy, M.S. CCC-SLP, BCS-S – Advocating for the Tools You Need to Do Your Job, The Predictors of Aspiration, and the Evidence-Based Triad||This is episode 007 of the Swallow Your Pride podcast, and on today’s episode we have Yvette McCoy. She is Board Certified Specialist in Swallowing and Swallowing Disorders, and owns a private practice clinic in Maryland called Speak Well Solutions. Yvette is also an adjunct instructor at the University of Maryland in College Park. Yvette has over 25 years of experience in the field, and specializes in treating dysphagia in our aging population. Yvette is so stinking down to earth, very real, and one of the kindest people you will meet. She loves to help younger clinicians (and I’m secretly very jealous of her grad students), and she is passionate about teaching EBP in dysphagia. Yvette has training in the area of FEES (Fiberoptic Endoscopic Examination of Swallowing) and MBSImP (Modified Barium Swallow Impairment Profile), she is co-creator of the Dysphagia Therapy app through Tactus therapy, and she also has 2 CEU courses through Northern Speech Services called The Cranial Nerve Examination: Integrating Assessment And Treatment In Dysphagia Management and also Gauging The Aging Swallow: 3-Part Course For The Medical SLP. In this episode we discuss how to advocate to your boss for the tools you need to do your job, we discuss Dr. Langmore Predictors of Aspiration paper, and we discuss the importance of the evidence-based triad.||9/27/2017||Free||View in iTunes|
||Clean006 – Dan Weinstein, M.S., CCC-SLP, BCS-S – Palliative Care in the Acute and SNF Settings, Feeding Tubes, Thickened Liquids, and Esophageal Dysphagia||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.||9/21/2017||Free||View in iTunes|
||Clean005 – Matt Ward, M.S., CCC-SLP – How the Yale Swallow Protocol Can Simplify and Improve the Accuracy of your CSEs and Re-thinking Rehab||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.||9/12/2017||Free||View in iTunes|
||Clean004 – Nannette Crawford M.A., CCC-SLP – Is this waiver worth the paper it’s written on? Ethical decision making, the importance of having a mentor, and to never stop learning.||Nannette is an SLP with over 45 years of experience who wears many, many hats, and wears all of them very, very well. Her specialty 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.||9/7/2017||Free||View in iTunes|
||Clean003 – John Ashford, Ph.D. CCC-SLP – The 3 Pillars of Pneumonia and Why Oral Care Should Be Considered an Oral Infection Control Program Instead||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.||9/1/2017||Free||View in iTunes|
||Clean002 – Tiffani Wallace, M.A. CCC-SLP, BCS-S, Dysphagia Ramblings, Cranial Nerves, and Making Your Patient Aspirate||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.||9/1/2017||Free||View in iTunes|
||Clean001 – Ed Bice, M.Ed., CCC-SLP – Dispelling the Fatigue Myth and How We Should NOT Sit and Watch Our Patients Eat||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.||9/1/2017||Free||View in iTunes|
||ExplicitIntro to the Swallow Your Pride Podcast – Theresa Richard, M.A., CCC-SLP, BCS-S||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.||9/1/2017||Free||View in iTunes|
||CleanSwallow Your Pride Promo||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/ .||7/10/2017||Free||View in iTunes|
Thank you Theresa for bringing this fun and informative podcast to the SLP community!
As a new clinician, I find this very informative and helpful! I'm excited to listen to more episodes and continue to gain knowledge regarding our fascinating field of work.
One of my new faves
I am definitely looking forward to more episodes!