[DYSPHAGIA] RE: MBS Coverage under Med A

[elmwoodie@icnt.net (Jan Corwin)]

Thanks Stu,

I appreciate the update.  I am a great advocate of FEES and am glad to hear
there is published data to support its' use as a valid substitute to the
MBS.  As I said, we are grateful to our local ENT for providing this
service.  Although there are 4 people in our dept. trained to pass the
scope, our fiscal intermediary prohibits speech therapists doing this
without direct line of sight supervision from the MD.  We are hoping this
could be our Medical Director vs. our friendly ENT because as I said, he has
the schedule from @!&#.  I'd love to share that paper with our dept.  Anyone
have the site?

Thanks again.

Jan

-----Original Message-----
From: Slsraleigh@aol.com [mailto:Slsraleigh@aol.com]
Sent: Tuesday, October 03, 2000 9:10 PM
To: elmwoodie@icnt.net
Subject: Re: [DYSPHAGIA] RE: MBS Coverage under Med A


great response.... but beg to differ with you on a technical clinical point:
With FEES, you CAN see aspiration during the swallow in all but a few cases.
I perform over 500 FEES per year and haven't had a problem seeing aspiration
during the swallow.  Besides you can see the aspiration in the trachea
following the swallow.  There's even a piece of research (don't have it
handy
now but it was in Dysphagia last year, that had 100% correlation between
FEES
and MBS when interpreted by radiologists and ENT's - this was done with a
couple hundred studies).  I didn't post this to the entire listserve on
purpose.  If you'd like to forward it to the listserve, please do!  Thanks!!

Any questions or comments?  I enjoy talking this stuff (I know, time to get
a
life!!!).  919 468-8979.

Stu Bradley, MS, CCC

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