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[DYSPHAGIA] Article


  • Subject: [DYSPHAGIA] Article
  • From: connorswa@ph.upmc.edu (Connors, William A)
  • Date: Fri, 9 Mar 2001 14:25:42 -0500

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Amen Irene.  I certainly hope that whenever possible we are incorporating an
AP view during an MBS

-----Original Message-----
From: I Campbell-Taylor [mailto:icampbelltaylor@sympatico.ca]
Sent: Thursday, March 08, 2001 8:08 PM
To: Barone15@aol.com; dysphagia@medonline.com
Subject: Re: [DYSPHAGIA] Article


Dear Paul, 
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 ----- 
From: Barone15@aol.com <mailto:Barone15@aol.com>  
To: dysphagia@medonline.com <mailto:dysphagia@medonline.com>  
Sent: Thursday, March 08, 2001 7:16 PM
Subject: [DYSPHAGIA] Article

Interested in hearing people's reactions to Paul Marik's article in NEJM?   
I've been doing dysphagia evaluations and treatment for just a year, but 
seems there is a lot in the article that "I was never taught in school." 


Paul Barone, MS CCC-SLP 
Horton Medical Center 
Middletown, NY 



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<DIV><FONT color=#0000ff face=Arial size=2><SPAN class=795392419-09032001>Amen 
Irene.&nbsp; I certainly hope that whenever possible we are incorporating an AP 
view during an MBS</SPAN></FONT></DIV>
<BLOCKQUOTE style="MARGIN-RIGHT: 0px">
  <DIV align=left class=OutlookMessageHeader dir=ltr><FONT face=Tahoma 
  size=2>-----Original Message-----<BR><B>From:</B> I Campbell-Taylor 
  [mailto:icampbelltaylor@sympatico.ca]<BR><B>Sent:</B> Thursday, March 08, 2001 
  8:08 PM<BR><B>To:</B> Barone15@aol.com; 
  dysphagia@medonline.com<BR><B>Subject:</B> Re: [DYSPHAGIA] 
  Article<BR><BR></DIV></FONT>
  <DIV><FONT face=Arial size=2>Dear Paul, </FONT></DIV>
  <DIV><FONT face=Arial size=2>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.&nbsp; 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?</FONT></DIV>
  <DIV><FONT face=Arial size=2>Irene.</FONT></DIV>
  <BLOCKQUOTE 
  style="BORDER-LEFT: #000000 2px solid; MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px; PADDING-RIGHT: 0px">
    <DIV style="FONT: 10pt arial">----- Original Message ----- </DIV>
    <DIV 
    style="BACKGROUND: #e4e4e4; FONT: 10pt arial; font-color: black"><B>From:</B> 
    <A href="mailto:Barone15@aol.com"; 
    title=Barone15@aol.com>Barone15@aol.com</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>To:</B> <A 
    href="mailto:dysphagia@medonline.com"; 
    title=dysphagia@medonline.com>dysphagia@medonline.com</A> </DIV>
    <DIV style="FONT: 10pt arial"><B>Sent:</B> Thursday, March 08, 2001 7:16 
    PM</DIV>
    <DIV style="FONT: 10pt arial"><B>Subject:</B> [DYSPHAGIA] Article</DIV>
    <DIV><BR></DIV><FONT face=arial,helvetica><FONT size=2>Interested in hearing 
    people's reactions to Paul Marik's article in NEJM? &nbsp; <BR>I've been 
    doing dysphagia evaluations and treatment for just a year, but <BR>seems 
    there is a lot in the article that "I was never taught in school." 
    <BR><BR><BR>Paul Barone, MS CCC-SLP <BR>Horton Medical Center 
    <BR>Middletown, NY <BR></BLOCKQUOTE></BLOCKQUOTE></FONT></FONT></BODY></HTML>

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