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[Dysphagia] A funny thing happened on the way to the esophagus....
And in support of SLP's doing MBS studies without benefit of the
esophageal sweep, I must say at times
like in our hospital, we are not allowed to do so. The radiologists do
not allow it and so far there's no way
around it. On the other hand, we do have the benefit of very thorough H
& P's and good GI specialists
to which the MDs do refer. There is usually a good review of a
patient's medical history of GERD and other
GI diseases.
Sue
LJBove@aol.com wrote:
>In a message dated 06-09-14 13:20:35 EDT, TBAGGS@astate.edu writes:
>
><< Not all SLPs believed that 10 years ago. There are numerous SLPs who
> were and continue to be "on top of things." >>
>
>In support of Irene, it has been my experience that while there are many us
>who are "on top of things", a great many of us are not. I once had to defend my
>position to my boss that the assessment of esophageal function was necessary
>to the complete evaluation of the swallow and that I intended to continue it's
>inclusion in my evaluations. Many MBS reports that I receive from other
>facilities don't mention esophageal function at all, even in the medical history. I
>have also sent more than one patient to GI for assessment and treatment of
>esophageal dysfunction, resulting in resolution of their dysphagia, after taking
>a careful history and scanning a liquid and a solid bolus through the
>esophagus. Some of these patients had been evaluated previously by other speech
>pathologists who did not consider esophageal function in their original
>assessments.
>Lydia-Jean Bove, MS, CCC-SP
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>Dysphagia@b9.com
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