[Dysphagia] vital stim

[connorswa at ph.upmc.edu (Connors, William A.)]

Much empirical research is great but do we actually have much of that in field of dysphagia clinical management? 

-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On Behalf Of Dailey, Scott
Sent: Tuesday, March 08, 2005 4:56 PM
To: Behrndt Nancy R; dysphagia@b9.com
Cc: Harmon Brenda
Subject: RE: [Dysphagia] vital stim

I believe this is a can of worms that needs to be opened and examined with much empirical research.


Scott Dailey, M.A., CCC-SLP
Speech-Language Pathologist II
University of Iowa Hospitals & Clinics
200 Hawkins Dr
Iowa City, IA 52242
(319)356-7030

This e-mail (including any attachments) is covered by the Electronic Communications Privacy Act, 18 USC. 2510-2521. It is confidential and may be legally privileged. If you are not the intended recipient, you are hereby notified that any retention, dissemination, distribution, or copying of this communication is strictly prohibited. Please reply to the sender that you have received the message in error, and then delete it. Thank you.


-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Behrndt Nancy R
Sent: Tuesday, March 08, 2005 3:32 PM
To: 'dysphagia@b9.com'
Cc: Harmon Brenda
Subject: [Dysphagia] vital stim


I am about to opena can of worms I think.  We have been using Vital Stim for
several months.  I have invested time and money into training staff.
Everywhere we turn we are hearing these wonderful success stories.  What we
are not seeing is the wonderful success stories in our own department.  On
caseload right now we have a  sub cortical (Brainstem) CVA.  We initiated
vital stim therapy, two weeks into daily tx sessions MBS shows minimal
improvement, some swallow initiation only with use of electrodes during the
VFSS.  Similar stories with other patients.  Marcy Freed was kind enough to
come and inservice our department regarding vital stim and reviewed some of
our tapes.  Of course, most of her recommendations were for patients to have
dilitation.  However, with our case above, he does not even show a swallow
response spontaneously.  So long story short, are any of you getting good
response with vital stim, and if yes, what types of cases are the most
successful.  We are starting to think we are cursed and/or completely doing
it wrong.

Nancy R Behrndt MS-CCC/SLP
Director of Therapy Services
Denton Regional Medical Center
(940) 384-3975

This email and any files transmitted with it may contain PRIVILEGED or
CONFIDENTIAL information and may be read or used by the intended recipient.
If you are not the intended recipient of this email or any of its
attachments, please be advised that you have received this email in error
and that any use, dissemination, distribution, forwarding, printing, or
copying of this email or any attached files is strictly prohibited.  If you
have received this email in error, please immediately purge it and all
attachments and notify the sender by reply email or contact the sender at
the number listed



_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia

_______________________________________________
Dysphagia mailing list
Dysphagia@b9.com
http://lists.b9.com/mailman/listinfo/dysphagia