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[DYSPHAGIA] Article
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Dear Paul,=20
I think you'll find that there's an awful lot you weren't taught in =
school and Dr Marik's article hits the major points right on the button =
- except for the section on chin tuck and head turning. these are =
maneuvres that are a) contraindicated in many patients and b) should be =
used only after the nature of the impairment and its etiology has been =
clearly identified e.g. unilateral epiglottic failure would mean that if =
head turn were to be used it would be to the same side - otherwise one =
cuts off the only available passage for the bolus. naturally, this can =
only be identified on AP views which, as I understand it, are rarely =
done on MBS. Is that true?
Irene.
----- Original Message -----=20
From: Barone15@aol.com=20
To: dysphagia@medonline.com=20
Sent: Thursday, March 08, 2001 7:16 PM
Subject: [DYSPHAGIA] Article
Interested in hearing people's reactions to Paul Marik's article in =
NEJM? =20
I've been doing dysphagia evaluations and treatment for just a year, =
but=20
seems there is a lot in the article that "I was never taught in =
school."=20
Paul Barone, MS CCC-SLP=20
Horton Medical Center=20
Middletown, NY=20
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http-equiv=3DContent-Type>
<META content=3D"MSHTML 5.00.2722.2800" name=3DGENERATOR>
<STYLE></STYLE>
</HEAD>
<BODY bgColor=3D#ffffff>
<DIV><FONT face=3DArial size=3D2>Dear Paul, </FONT></DIV>
<DIV><FONT face=3DArial size=3D2>I think you'll find that there's an =
awful lot you=20
weren't taught in school and Dr Marik's article hits the major points =
right on=20
the button - except for the section on chin tuck and head turning. =
these=20
are maneuvres that are a) contraindicated in many patients and b) should =
be used=20
only after the nature of the impairment and its etiology has been =
clearly=20
identified e.g. unilateral epiglottic failure would mean that if head =
turn were=20
to be used it would be to the same side - otherwise one cuts off the =
only=20
available passage for the bolus. naturally, this can only be identified =
on AP=20
views which, as I understand it, are rarely done on MBS. Is that=20
true?</FONT></DIV>
<DIV><FONT face=3DArial size=3D2>Irene.</FONT></DIV>
<BLOCKQUOTE=20
style=3D"BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: =
0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
<DIV style=3D"FONT: 10pt arial">----- Original Message ----- </DIV>
<DIV=20
style=3D"BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: =
black"><B>From:</B>=20
<A href=3D"mailto:Barone15@aol.com"; =
title=3DBarone15@aol.com>Barone15@aol.com</A>=20
</DIV>
<DIV style=3D"FONT: 10pt arial"><B>To:</B> <A=20
href=3D"mailto:dysphagia@medonline.com"=20
title=3Ddysphagia@medonline.com>dysphagia@medonline.com</A> </DIV>
<DIV style=3D"FONT: 10pt arial"><B>Sent:</B> Thursday, March 08, 2001 =
7:16=20
PM</DIV>
<DIV style=3D"FONT: 10pt arial"><B>Subject:</B> [DYSPHAGIA] =
Article</DIV>
<DIV><BR></DIV><FONT face=3Darial,helvetica><FONT size=3D2>Interested =
in hearing=20
people's reactions to Paul Marik's article in NEJM? <BR>I've =
been doing=20
dysphagia evaluations and treatment for just a year, but <BR>seems =
there is a=20
lot in the article that "I was never taught in school." =
<BR><BR><BR>Paul=20
Barone, MS CCC-SLP <BR>Horton Medical Center <BR>Middletown, NY=20
<BR></BLOCKQUOTE></FONT></FONT></BODY></HTML>
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