dysphagia

In this episode, we learn about Flexible endoscopic evaluation of swallowing (FEES) in Dysphagia Management. Allie Mataras, MA, CCC-SLP, CBIS, and George Barnes MS, CCC-SLP, BCS-S of Feesible Swallow Solutions tell us all about what FEES is, how procedures work, the training process, and more!

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EPISODE SPONSOR – AMN PASSPORT

Easily Find, Book, and Manage Your Travel SLP Assignments at https://www.amnpassport.com

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TIMESTAMPS:

• (0:00) Introduction
• (2:30) George & Allie’s Professional Background
• (6:24) Had George & Allie Worked With FEES in the Past
• (8:40) What is FEES in Dysphagia Management
• (14:06) Patient participation in a FEES Procedure
• (16:50) Where is FEES performed
• (19:08) Training Process to Become Competent in FEES
• (25:00) What Does a Typical FEES Procedure Look Like
• (34:04) Getting Established With Facilities

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ABOUT THE GUESTS

George Barnes MS, CCC-SLP, BCS-S is a Board Certified Specialist in swallowing and swallowing disorders who has developed expertise in dysphagia management focusing on diagnostics and clinical decision-making in the medically complex population. George yearns to make education useful and quality care accessible. With a passion for food and a deep appreciation for the joy and connection it brings to our lives, he has dedicated his life to helping others enjoy this simple, but deep-rooted pleasure.

• Mobile FEES in NJ and NY: https://www.feesibleswallowsolutions.com/fees
• Blog: https://www.feesibleswallowsolutions.com/blog
• Med SLP Coaching: https://www.feesibleswallowsolutions.com/medslpcoaching
• Instagram: https://www.instagram.com/dysphagiadude/

Allie Mataras, MA, CCC-SLP, CBIS has treated patients with dysphagia in a variety of settings. Allie has served as a featured presenter at the New Jersey Speech-Language-Hearing Association Convention and is a 3-time ASHA ACE Award recipient for her dedication towards continuing education. She has successfully implemented and managed FEES programs at the corporate level and is a founding member of the Dysphagia Outreach Project. Allie believes wholeheartedly that all persons with dysphagia should have direct access to the tools that are vital in both the management of dysphagia, as well as in the overall improvement of quality of life.

Instagram: https://www.instagram.com/alliemataras/

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FIND US ON

YouTube – https://www.youtube.com/slpfulldisclosure/

Instagram – https://www.instagram.com/slpfulldisclosure/

Apple Podcasts – https://podcasts.apple.com/us/podcast/slp-full-disclosure/id1469238409/

Spotify – https://open.spotify.com/show/5aox6rAXyJkSEwrbgFuTEX/

Website – https://www.medtravelers.com/podcast/slp-full-disclosure/

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SHOW CREDITS

Host – Jennifer Martin

Producer – Jonathan Cary

Assistant Producer – Katie Schrauben

Assistant Producer – Sam MacKay

Music – Aidan Dykes

In this episode, hosts Drs. Peter Lu and Temara Hajjat talk to Dr. Ajay Kaul about the evaluation and management of children with esophageal achalasia and esophageal motility disorders.  We review the diagnostic tools available to evaluate esophageal motility including functional luminal impedance planimetry (FLIP), compare the treatment options available to children with esophageal achalasia, and discuss the importance of multicenter pediatric research.  Dr. Kaul is the Director of the Neurogastroenterology and Motility Disorders Center at Cincinnati Children's and Professor in the University of Cincinnati Department of Pediatrics.

Register and submit abstracts for the 2nd World Congress on Pediatric Neurogastroenterology and Motility (PNM2023) here at the congress website!

Article with video showing peroral endoscopic myotomy (POEM) from VideoGIE.

This episode is eligible for CME credit!  Once you have listened to the episode, click this link to claim your credit.  Credit is available to NASPGHAN members (if you are not a member, you should probably sign up).  And thank you to the NASPGHAN Professional Education Committee for their review!

Learning Objectives:

1. Understand the role of endoscopy, contrast imaging, high resolution esophageal manometry, and functional luminal impedance planimetry (FLIP) in the evaluation of a child with esophageal dysphagia.
2. Recognize the specific abnormalities in esophageal motility present in the various subtypes of esophageal achalasia.
3. Understand the treatments available for children with esophageal achalasia, including pneumatic balloon dilation, laparoscopic Heller myotomy, and peroral endoscopy myotomy (POEM).

Produced by: Peter Lu

This episode is eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

Check out our merch website!

Follow us on Twitter, Facebook and Instagram for all the latest news and upcoming episodes.

Click here to support the show.

In this episode, Julian Smith co-hosts the conversation with 3 speech and language pathologists who specialize in working with cardiac babies. The guests are Kimberly Morris SLP Rady Children's, Hallie Clason SLP Texas Children's, and Jeanan Sfeir SLP Dell Children's. Topics discussed include standardized protocols for SLP involvement with cardiac children, chart and bedside assessments, FEES vs MBS. How they approach feeding and swallowing advancement in fragile cardiac patients, as well as how they frame their thought process around children with vagal nerve damage. 

Jennifer was living a normal life until 2 months ago when she started having feelings of uncomfortable swallowing.

Over just a few weeks, her small symptoms developed into increasingly painful and difficult swallowing, near-constant acid reflux, and quick feelings of fullness that was leading to unhealthy weight loss.

After rounds of testing and medication by doctors, no one knows what is going on with Jennifer, and nothing has helped her feel better.

On today’s podcast episode, I am doing a free, on-air coaching call with Jennifer where our goal was to get to the bottom of her mysterious acid reflux. What caused it? And even more important - what can she do to reverse it?

EPISODES MENTIONED:

• Ep. 46// The Gut-Breath Connection: How asthma, heart palpitations, constipation, IBS, and acid reflux are ALL connected
• Ep. 42// 6 Secrets Your Sleep Can Tell You About Your Gut
• Ep. 90// Fascia 101: The Hidden Force Behind Bloating and Constipation

LINKS FROM THE SHOW:

• Buy Matula Tea - an Herbal Antidote to H. Pylori
• Apply for a Free, On-Air Coaching Call with Allison, on the Better Belly Podcast
• Find a Craniosacral Therapy or Visceral Manipulation therapist near you using my easy, step-by-step guide!

WORK WITH ME:

• Virtual clients: Apply for the Foundations Program Waitlist
• Local to metro-Detroit? Book a New Client Evaluation at our in-person office
  • If our office scheduler is full, join the waitlist to be notified as soon as a New Client appointment opens!
• Leave a Rating and Review  - because you love us!
• Buy my book, Stop Stomach Pain: How to Heal Your Gut and End Food Restrictions. Available in digital and print!

CONNECT:

• Facebook → @betterbellytherapies
• Instagram → @betterbellytherapies
• Website → betterbellytherapies.com

*This episode was first published at 

BetterBellyTherapies.com/114

• Do you dread taking pills - knowing that they are ALWAYS uncomfortable to swallow?
• Do you have to take pills with yogurt, in food, applesauce, or with excessive water or juice to get it to go down?
• Or - Do you avoid eating certain foods such as carrots or chips, knowing they always - or often - get stuck in your throat or chest?

If so, you are like one in 25 people who will report symptoms of difficulty swallowing - or dysphagia - in their lifetime.

Or, you’re one of the 1 in 3 people who report difficulty swallowing pills. 

But - why are pills and food so difficult to swallow?

Were we humans really not built to swallow pills - and certain other foods - or is there something else going on?

If you know me - you know that I don’t take any gut health symptom lying down. On today’s episode, I’m going to share with you all that I’ve learned in my 6 years of working with gut health problems. Because guess what? You don’t have to be stuck with painful or difficult swallowing. And likely, if you have these symptoms, this one easy solution with solve not only your swallowing but a myriad of other connected problems.

Curious? Jump in to find out!

EPISODES MENTIONED:

• Ep. 90// Fascia 101: The Hidden Force Behind Bloating and Constipation
• Ep. 91// The Fascia Solution to Acid Reflux
• Ep. 1// My Story and How I Healed Myself From IBS

LINKS FROM THE SHOW:

• Book a New Client Evaluation at our in-person office
• If our scheduler is full, join the waitlist to be notified as soon as a New Client appointment opens!
• Leave a Rating and Review  - because you love us!
• Buy my book, Stop Stomach Pain: How to Heal Your Gut and End Food Restrictions. Available in digital and print!

FREE RESOURCES:

• Download my Free Constipation Relief Guide 
• Use my easy, step-by-step guide to find a Craniosacral Therapy or Visceral Manipulation therapist near you! → betterbellytherapies.com/find
• Have a question you want answered on the show? Send me your question to betterbellytherapies.com/askallison, and it may get featured on the show!

CONNECT:

• Facebook → @betterbellytherapies
• Instagram → @betterbellytherapies
• Website → betterbellytherapies.com

*This episode was first published at  BetterBellyTherapies.com/92

You’re eating dinner with your parents and notice that your dad seems to be having trouble swallowing. When you ask him about it, he says it hurts to swallow, and it feels like the food is getting stuck in his throat. You take him to the doctor the next day, and he says that your dad has dysphagia. What is this? How did it happen? Is it fixable? 

All speech and language Pathology are not the same especially in a Neurological setting. Host Polly Swingle talks with Andrea Bettis, Speech and Language Pathologist about the Broad scope of Speech Therapy in Parkinson's and Brain injury patients. 

Host:
Polly A. Swingle,  PT, GCS, CEEAA

Polly joined the Recovery Project in 2003, after graduating from Ohio University in 1986 with a BS in Physical Therapy. Her accreditations and certifications include: Neuro development treatment – adult (NDT), Geriatric clinical specialist, Burdenko, Registered yoga instructor and certified exercise expert in the aging adult. Before coming to The Recovery Project, Polly was the Director of Outpatient Services at The Rehab Institute of Michigan and the Director of Rehab Services at Good Samaritan Medical Center. She was recognized as Crain’s Healthcare hero in 2016, MDA Clinician of the Year in 2015 and Clinical Instructor of the year in 2007. She loves to do yoga in her free time.


Guest:
Andrea, Bettis, Speech Pathologist

Andrea graduated from Indiana University with a degree in Speech and Hearing Sciences. She received her Master’s in Speech-Language Pathology at Eastern Michigan University. Andrea became interested in specializing in neuro following an internship at Special Tree Rehab Services. She was later hired there and became a certified brain injury specialist (CBIS). Wanting to expand her experience in neurological disorders, Andrea began working at The Recovery Project in 2018. She is specialized in the treatment of voice and speech disorders in individual’s with Parkinson's Disease through certifications such as LSVT LOUD and SPEAK OUT!

Other certifications: Vital Stim (FDA approved treatment of swallowing).

therecoveryproject.net
Instagram @RecoveryProject
Facebook @TheRecoveryProjectLLC

Learn more about The Recovery Project!

• View our website at www.therecoveryproject.net
• Call us 855-877-1944 to become a patient
• Follow us on Instagram
• Like us on Facebook

Thanks for listening!

We Discuss

Introduction to Leigh Ann and her background as an SLP (00:59);

An overview of dysphagia treatment in outpatient rehab (09:19);

Recommendations for new grads interested in dysphagia and outpatient rehab (13:51);

Interdisciplinary communication in the medical setting (19:59);

Getting buy-in from each patient’s family (28:44); 32:12

Finding success in dysphagia outpatient rehab therapy (33:09);

Hindsight on dysphagia outpatient rehab therapy (36:01);

Self-care and stress management while working in outpatient rehab (40:38);

About Leigh Ann Porter MA, CCC-SLP

Leigh Ann Porter is a practicing medical SLP in Kansas City, working across outpatient, acute, and inpatient rehab units. Building on a passion for education and implementing best-practice approaches, Leigh Ann created the Speech Uncensored Podcast to connect medical SLPs with meaningful resources, emerging research, and practical tools. 

Leigh Ann’s diverse educational background in international studies and public health provides a foundation to approach speech pathology through the lens of cultural attentiveness and advocacy. She has presented for ASHA CEUs to regional SLPs on topics such as the influence of the respiratory system and cough on dysphagia, a review of the literature on dysphagia exercises, and generating measurable dysphagia goals.

About the Show

Contact Us: slpfulldisclosure@gowithadvanced.com

Website:https://www.advancedtraveltherapy.com/slpfulldisclosure/

Facebook: https://www.facebook.com/gowithadvanced

Instagram: https://www.instagram.com/gowithadvanced/

Produced by Jonathan Cary


Music and Editing by Aidan Dykes


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