FW: [Dysphagia] thickening breast milk

[eripley at yahoo.com (Irene Campbell-Taylor)]

"Shaker, Catherine S." <CShaker@covhealth.org> wrote:
 yet the key question is not
addressed....why did the aspiration occur, what were the contributing
factors, how do they influence the plan for intervention? 

** I read many, many MBS reports and, in addition to other, common omissions, the one I find most disturbing is, if aspiration occurs, any notation as to the cause - oral problems, incoordination of otherwise intact actions, fatigue, failure of anterior hyoid movement, failure of arytenoid/epiglottic base closure - probably the most common and certainly the most important, and so on and on. "Inadequate laryngeal elevation" means nothing and " poor tongue base retraction" remains a mystery to me as to its meaning and implied importance. Are clinicians not taught to identify causes? Without a known cause, treatment is impossible and one is left "treating" the symptom, dysphagia, which it is granted, is often all that can be done, but what if it isn't? What if the problem can be completely eliminated if the cause is identified? 


Dr I Campbell-Taylor
Clinical Neuroscientist
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