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[Dysphagia] Logemann results and MBS
" Whether or not the VFSS shows aspiration of thickened fluids or not, the
end result is the same. One cannot extrapolate from a VFSS as to what will
happen during a meal with real food and liquid."
One cannot help but extrapolate from the evidence provided during an
MBS....that is what we get paid to do. What actions should we take,
otherwise? We know we get plenty of false negatives, however if a patient
silently aspirates thin barium during the MBS, you can safely extrapolate
that they aspirate thin fluids. If patients are aspirating thin liquids
during the exam, and thick liquids at home, then they are obviously unsafe
for PO. If a patient keeps getting aspiration pneumonias despite our
interventions, then we try more interventions, put in a PEG tube, or let the
patient eat as they wish and die.
What are the practical implications of these discussions...no one has talked
about how this should actually change how we view, diagnose, treat, and make
recommendations for dysphagic patients.
In the end this is all evidence that despite our best attempts at prolonging
some of these people's unfortunate existences, nature still takes its
course!
Shadd LaGrandeur, MA, CCC-SLP
LRGHealthcare Speech Pathology
Program Coordinator
603-527-2888
-----Original Message-----
From: dysphagia-bounces at dysphagia.com
[mailto:dysphagia-bounces at dysphagia.com] On Behalf Of Irene Campbell-Taylor
Sent: Wednesday, May 09, 2007 08:27 PM
To: Jai.Gupta at SESIAHS.HEALTH.NSW.GOV.AU; dysphagia at b9.com
Subject: [Dysphagia] Logemann results and MBS
"I really cannot understand why some people are so obsessed about not
giving
thickened fluid when there is clinical evidence on MBS's that it has some
advantages in some cases"
The Logemann study showed clearly that what happened on VFSS was not
replicated in real life. That is the point. Whether or not the VFSS shows
aspiration of thickened fluids or not, the end result is the same. One
cannot extrapolate from a VFSS as to what will happen during a meal with
real food and liquid.
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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