The SLP as Counselor for the Transgender Client

BY: RICHARD K. ADLER, PhD-SLP I never thought I’d read an article that combines both philosophy and speech pathology, specifically existentialism, but I’m so glad that Dr. Adler made the connection.  In a talk with one of my supervisors today, we discussed the soft-skills associated with this profession (in this case counseling) and how, oftentimes,Continue reading “The SLP as Counselor for the Transgender Client”

Wrapping up

I believe this is a very strong quartet of articles and am glad to have followed the recommendation following the  Dysphagia Cafe webinar; these articles, when read together, create a great mental framework from which dysphagia and aspiration pneumonia can be considered.  Starting with the article by Drs. Coyle and Matthews, the pair challenge cliniciansContinue reading “Wrapping up”

Aspiration Pneumonia: A Review of Modern Trends written DiBardino & Wunderink.

I won’t lie..it took me two reads of this article to get a handle on the information. During my first pass, I got stuck on the section re: antibiotics and bacteria subtypes. My idea with this summary is to not get caught in the weeds about those topics which I am unfamiliar with and summarizeContinue reading “Aspiration Pneumonia: A Review of Modern Trends written DiBardino & Wunderink.”

Predictors for Aspiration Pneumonia: How important is Dysphagia?

The simple answer is that…. it’s not (!) when you also consider other health/medical factors. I’m almost embarrassed that it has taken me so long to finally read this article. A week doesn’t go by that I’m not reminded of it from either a facebook group or one of the various CEU sites I follow.Continue reading “Predictors for Aspiration Pneumonia: How important is Dysphagia?”

The more we learn the less we know

Quick facts from “Aspiration Pneumonia: The More We Learning The Less We Know” As it stands, aspiration pneumonia is a vague diagnosis and can occur from any substance entering the lungs (not just via prandial aspiration) In terms of diagnostic testing confirming aspiration pneumonia, microbiology testing is the most effective. Chest x-rays are only 69%Continue reading “The more we learn the less we know”

A Dilemma in Dysphagia Management: Is Aspiration caused by the Chicken or the Egg?

Written by: Dr. Coyle & Dr. Matthews The purpose of this article, written by Dr. Coyle and Dr. Matthews, is to provide an introduction to a mental schema for determining whether dysphagia is causing adverse medical outcomes or if the adverse medical outcomes are causing transient dysphagia.  An interesting statistic is posed: in the 1990’sContinue reading “A Dilemma in Dysphagia Management: Is Aspiration caused by the Chicken or the Egg?”

Random Fact(s) Friday – Vol. 1

*Each week I hope to post a few quick pieces of information that I learned throughout the week. The topics are related to clinic, discussions with my supervisors or residents, and/or from articles/texts I read throughout the week.  *This week:  A CP bar, which occurs when the cricopharyngeus muscle fails to fully relax during theContinue reading “Random Fact(s) Friday – Vol. 1”

Prognostic model of swallowing recovery following ischemic stroke

Galovic, M. et al. (2019). Development and validation of a prognostic model of swallowing recovery and enteral feeding after ischemic stroke. JAMA Neurology, 76(5), 561-570. doi:10.1001/jamaneurol.2018.4858 *In a study completed by University College London, researchers sought to develop a tool that could be used to predict recovery of swallowing abilities following an ischemic stroke andContinue reading “Prognostic model of swallowing recovery following ischemic stroke”

Effect of recurrent aspiration on the lungs of rats

Nativ-Zeltzer, N. et al. (2020). Inflammatory effects of thickened water on the lungs in a murine model of recurrent aspiration. Layngoscope. DOI: 10.1002/lary.28948 *The research team sought to determine what effect aspiration of thickened liquids may have on the lungs in an animal model. *Of the 19 rats initially included in the study, 15 survivedContinue reading “Effect of recurrent aspiration on the lungs of rats”