Down the Hatch - The Swallowing Podcast

By Down the Hatch - The Swallowing Podcast

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Description

Deglutition talk with Ianessa A. Humbert and Alicia K. Vose

Episode Date
The Swallowing Physiology Series: Swallow Trigger
00:51:18
Recently, an overwhelming 92% of clinicians responded “NO” to the question: Did you feel prepared to assess and treat swallowing disorders upon graduation (Plowman & Humbert 2018). 45% of SLP survey respondents think that more dysphagia courses would improve competency (McCoy & Desai 2018). To help address this need, Down the Hatch (The Swallowing Podcast) has launched The Swallowing Physiology Series, where several oropharyngeal events that are important for swallowing will be spontaneously discussed by hosts Drs. Ianessa Humbert and Alicia Vose. Further, we will indicate whether each event can be assessed in clinical evaluations versus instrumental evaluations. Since podcasts are audio only, consider subscribing to the Swallowing Training and Education Portal for detailed visuals of these events (stepcommunity.com). Also, watch a video here on differentiating swallow delay from pre-mature spillage: https://www.youtube.com/watch?v=DXUHPiRVITc
Jun 05, 2019
ASHA What Have You Done For Me Lately?
00:48:28
ASHA... What are you doing for your membership? For quality improvement of dysphagia management? This is a common question among ASHA members. In this installment of Down the Hatch (The Swallowing Podcast)Host Ianessa Humbert is joined by ASHA President hopeful Luis Riquelme PhD and colleague Ed Bice to discuss ASHA's role in maintaining clinical competence among speech language pathologists, especially those engaged in dysphagia management.
May 20, 2019
The Swallowing Physiology Series: Base of Tongue Retraction
00:57:05
Recently, an overwhelming 92% of clinicians responded “NO” to the question: Did you feel prepared to assess and treat swallowing disorders upon graduation (Plowman & Humbert 2018). 45% of SLP survey respondents think that more dysphagia courses would improve competency (McCoy & Desai 2018). To help address this need, Down the Hatch (The Swallowing Podcast) has launched The Swallowing Physiology Series, where several oropharyngeal events that are important for swallowing will be spontaneously discussed by hosts Ianessa Humbert and Alicia Vose. Further, we will indicate whether each event can be assessed in clinical evaluations versus instrumental evaluations. Since podcasts are audio only, consider subscribing to the Swallowing Training and Education Portal for detailed visuals of these events (stepcommunity.com). See more swallows here, including the squirt swallow, that is discussed in this episode: https://www.youtube.com/channel/UCq8_kb-4JkisYLtrHMQ8bnw/videos
Mar 20, 2019
The Swallowing Physiology Series: Oral Preparation
00:54:46
Recently, an overwhelming 92% of clinicians responded “NO” to the question: Did you feel prepared to assess and treat swallowing disorders upon graduation (Plowman & Humbert 2018). 45% of SLP survey respondents think that more dysphagia courses would improve competency (McCoy & Desai 2018). To help address this need, Down the Hatch (The Swallowing Podcast) has launched The Swallowing Physiology Series, where several oropharyngeal events that are important for swallowing will be spontaneously discussed by hosts Ianessa Humbert and Alicia Vose. Further, we will indicate whether each event can be assessed in clinical evaluations versus instrumental evaluations. Since podcasts are audio only, consider subscribing to the Swallowing Training and Education Portal for detailed visuals of these events (stepcommunity.com).
Feb 01, 2019
Tell Me What To Do!
00:47:30
Do you think we need more swallowing therapies? Do you hand out a standard list of therapy worksheets for many of your patients with swallowing problems? Have you ever thought "Tell me what to do!" when faced with making decisions about treating patients? In this installment of Down the Hatch (The Swallowing Podcast), Alicia and Ianessa discuss the dilemma facing many SLPs who treat dysphagia. Alicia and I suggest focusing on the process of deciding whether therapy is needed and/or which therapy should be recommended, and we suspect that very little time is spent on clinical decision-making (rather just the execution of therapy). This is a skill that SLPs should possess and is required to actually provide the correct individualized treatment, rather than simply providing the same list of swallowing therapies for all of individuals with dysphagia.
Dec 13, 2018
12 Step Plan for Competence in Dysphagia Management: Acceptance
01:08:18
The data are abysmal! In a recent publication, partly authored by Down the Hatch Hosts Alicia Vose and Ianessa Humbert, we reveal that SLP identification of swallowing impairments is poor to moderate. Why? Many could not differentiate disordered swallowing events from normal ones. In this installment with Special Guests Justine Allen and Michela Mir (both Doctoral Students and SLPs with clinical experience), we discuss this proverbial Ground Zero. Acceptance: This is the first STEP toward SLP competence in Dysphagia Management.
Nov 12, 2018
INTO the Mouth of Babes: A Pediatric Dysphagia Primer
00:43:54
To address feeding and swallowing impairments in the pediatric population, one requires highly specialized knowledge. Still, pediatric dysphagia is extremely understudied and underfunded and SLP clinicians often learn on the job. In this episode, Dr. Emily Zimmerman, an expert in pediatric dysphagia, primes the Down the Hatch (Swallowing Podcast)listening audience as well as hosts Ianessa Humbert and Alicia Vose on how to approach pediatric dysphagia.
Oct 02, 2018
Gender Bias in Communication Sciences & Disorders
00:57:19
The field of Communication Sciences and Disorders (CSD) faces a critical shortage of the faculty essential to train the future workforce of Speech-Language Pathologists and Audiologists. Despite a predominance of women in the field, men receive doctoral degrees, academic leadership positions, and ASHA awards at disproportionately higher rates than women. In this episode of Down the Hatch, Drs. Ianessa Humbert and Nicole Rogus-Pulia, authors of a recently accepted paper on this topic, explore how implicit gender bias may impact female advancement in CSD. The paper is accepted for publication in the American Journal of Speech-Language Pathology (AJSLP).
Aug 09, 2018
Diet & Exercise
00:57:12
Diet modifications and swallowing exercises are a mainstay in dysphagia rehabilitation, but do they truly prevent aspiration pneumonia or rehabilitate impaired swallowing? Do researchers have a responsibility to conduct studies that justify or refute frequent SLP use of thickened liquids, swallowing compensatory strategies and/or maneuvers? In this Down the Hatch episode, Dr. Ianessa Humbert and Alicia Vose (doctoral candidate) discuss the clinical decision to not prescribe thickened liquids as well as literature that addresses whether there is evidence to support swallowing exercises to rehabilitate dysphagia.
Jun 07, 2018
The Big Squeeze
00:55:50
Does more pharyngeal residue mean that there is reduced pharyngeal pressure? Do greater pharyngeal pressures occur when swallowing thicker boluses? Does the Mendelsohn Maneuver reduce UES pressures? Dr. Corinne Jones of the University of Wisconsin (Madison) joins Down the Hatch (The Swallowing Podcast) as our special guest. We discuss Dr. Jones' area of expertise in High Resolution Manometry (HRM) research, including pharyngeal and UES pressures during swallowing.
May 09, 2018
Wreak Havoc: Are you sure your dysphagic patients need strengthening?
01:01:34
This installment is focused on the topic of weakness and fatigue. Have you ever decided that one of your dysphagic patients needs strength training? If so, can you define weakness or fatigue? In this episode, we discuss weakness and fatigue with Dr. Leo Ferreira, an associate professor in the department of Applied Physiology & Kinesiology at the University of Florida. He is a clinically trained physical therapist and scientist who studies muscle biology and aims to develop new therapies for skeletal muscle weakness in chronic diseases. Our aim in this podcast is to encourage clinicians who treat dysphagia to re-think whether their patients are truly weak, versus whether they have timing, range of motion, or even sensory abnormalities. Listen, consider, and enjoy!
Mar 31, 2018
Expert Rant#2: Be the expert ... SLPs can win the confidence of physicians
00:52:01
"If we've got an area of our field where somebody dies because we made a mistake, then we have got to have standards the same way every other medical profession does." Julie Barkmeier Kraemer, Ph.D., CCC-SLP, a voice, swallowing, and airway disorder expert, roused up your Down the Hatch (Swallowing Podcast)hosts Ianessa and Alicia and in our Expert Rant #2 (AKA "Passion Piss-off"). Dr. Kraemer recommends SLP behaviors that win the confidence of physicians and, especially, for SLPs to avoid "lolly-gagging" into a medical institution (<- this will be funny later… promise). Be the change SLPEEPS!
Mar 06, 2018
50 Shades of GRAY: Addressing the SLP relationship with Radiology
01:21:03
Do you feel that SLPs are at the mercy of Radiology? Is there any chance that SLPs could run videofluoroscopy studies by themselves? In this installment of Down the Hatch (The Swallowing Podcast) our special guest is Jen Sirera R.T. (R), BHSc, CIIP, the Technical Director (and former Radiology Technologist) of Radiology at Shands Hospital at the University of Florida. We discuss access to fluoroscopy, increasing to 30 pulses per second, and recording MBS studies. Bottom line: SLPs should build a relationship with their Department of Radiology AND consider reaching out to mobile MBS and FEES companies to fulfill their patients' needs!
Feb 06, 2018
2017 Year In Review
01:17:08
2017 was a year with several hot topics in dysphagia management. Join Alicia Vose and Ianessa Humbert with special guest Ed Bice as they discuss electrical stimulation, thermal tactile stimulation, ASHA, cookbook therapy, cyber bullying and many more exciting topics.
Jan 10, 2018
Evidence Based Practice or Theory Based Practice?
01:06:49
Are you a research-thumping, Evidence Based Practice evangelical? Or, perhaps you are tired of hearing that your go-to therapies are “not evidence based”? This installment of Down the Hatch (The Swallowing Podcast), entitled “Evidence Based Practice or Theory Based Practice” explores whether Evidence Based Practice is scientifically sound and practically relevant for busy clinicians. Special guest Andrew Lotto Ph.D., introduces Theory Based Practice and explains why it is a different and potentially useful alternative for clinicians to consider when interpreting research literature to guide clinical practice.
Nov 30, 2017
EXPERT RANT #1 with Dr. Catriona Steele
01:09:33
Down the Hatch (Swallowing Podcast) lucky number 13! Dr. Catriona Steele, a prolific scientist and swallowing expert, launches the first episode in our series called EXPERT RANT on the following 3 topics: 1. Revisiting the Clinical Swallowing Evaluation from Down the Hatch 12: Screen versus Evaluation? 2. Do Penetration-Aspiration Scale scores of 4 and 6 actually exist? 3. Get more aggressive with your rehab! Solutions: Clinicians and Researchers …. JOIN FORCES! Enjoy (-:
Oct 02, 2017
Piecing together the Clinical Swallowing Evaluation (CSE)
01:02:56
The Clinical Swallowing Evaluation (CSE) is a critical part of dysphagia management. However, it is often misused and over interpreted. In this high-energy installment of Down the Hatch (The Swallowing Podcast) SLPs Rinki Varindani Desai and Beth Shah, along with Hosts Ianessa Humbert and Alicia Vose, discuss whether the CSE should really be considered a screening and if swallowing is actually being evaluated at all.
Aug 30, 2017
SLP Solidarity
01:16:14
On a scale of 1 to 10, how much SLP solidarity exists at your work place? Take a listen to the newest Down the Hatch swallowing podcast where Alicia Vose and I explore the challenges and benefits of SLP Solidarity with our friends and fellow Speech-Language Pathologists (SLPs) Dan Weinstein and Ed M Bice.
Aug 04, 2017
The State of Dysphagia Education And Training
01:03:33
In this 10th installment of Down the Hatch, the podcast about swallowing, hosts Ianessa Humbert and Alicia Vose talk with guest Andre Gaboriau, M.A., CFY-SLP and returning guest Rinki Varindani Desai, M.S., CCC-SLP about the state of dysphagia education and training at the university/college level, clinical externships, and at the CFY level.
Jun 12, 2017
DtH 9 Dysphagia Documentation Dilemma
00:56:34
It happens every time. A particular question is posed by one member of an audience of speech language pathologists who treat dysphagia. The question is cautious with a hint of frustration: How do I deal with inadequate modified barium swallow study reports from other speech language pathologists? In this Down the Hatch #9 (Swallowing Podcast), Alicia Vose and I discuss dysphagia documentation dilemmas for the evaluating clinicians who conduct modified barium swallow studies and write reports and for the treating clinicians who rely on the reports from evaluating clinicians to guide the treatment plan for patients in their care. SLP clinician experts Michele Singer and Nicole Roth weigh in to add immediate clinical relevance to this critical, and somewhat controversial, clinical topic.
Apr 27, 2017
Expiratory Muscle Strength Training in Dysphagia Management
00:39:13
Expiratory muscle strength training (EMST) is a device driven-therapy based in exercise physiology principles and used in dysphagia management. Although it is a non-swallowing treatment, it is known to have important utility in increasing the effectiveness of cough. Hosts Ianessa Humbert and Alicia Vose discuss the ins and outs of EMST with SLP and doctoral student Lauren Tabor.
Mar 12, 2017
What's the deal with e-stim?
00:35:28
So, what's the deal with e-stim? A question that is often asked. In this episode of Down the Hatch (the podcast about swallowing), doctoral student and SLP Alicia Vose and Assoc. Prof and mentor Ianessa Humbert re-unite after a brief hiatus to take up a controversial topic in dysphagia management - electrical stimulation. I think this topic is in keeping with the climate of 2017 in the United States of America, don't you?
Jan 31, 2017
Addressing the researcher-clinician divide and intro to Dysphagia Grand Rounds
01:05:24
The researcher-clinician divide in dysphagia management is real. In this installment of DOWN THE HATCH (the swallowing podcast), clinician SLP Rinki Varindani Desai M.A., CCC-SLP and researcher Ianessa Humbert, Ph.D.,CCC-SLP (host of Down the Hatch) candidly discuss the problems and possible causes of the researcher-clinician divide among professionals involved in dysphagia management. As a solution to this divide, and in response to overwhelming clinician demand for a relatable and clinically relevant way to learn to read the research literature, Rinki and I introduce DYSPHAGIA GRAND ROUNDS (DGR)at the end of the podcast. DGR is an online journal club that focuses on swallowing and swallowing disorders. In DGR, Dr. Humbert will conduct monthly webinars discussing ways to critically appraise a research study on a specific topic related to dysphagia. Join the Dysphagia Grand Rounds mailing list at dysphagiagrandrounds.com
Dec 24, 2016
Swallowing Disorders In Parkinson's Disease (DTH 5)
00:57:00
Parkinson's Disease (PD) can lead to swallowing disorders (dysphagia). Swallowing disorders in PD can be serious because it can lead to aspiration pneumonia, which is one of the most common causes of death in PD. In response to a special request by the National Parkinson Foundation (www.parkinson.org), this installment of Down the Hatch (The Swallowing Podcast) focuses on swallowing impairments in PD. Special guest experts Karen Wheeler-Hegland, Ph.D., CCC-SLP and Emily Plowman, Ph.D., CCC-SLP discuss issues related to swallowing disorders in PD for patients, care-givers, speech-language pathologists, physicians, and the general public.
Nov 26, 2016
Advocacy in dysphagia management: A Neurologist's perspective (Guest: Dr. Michael Okun)
00:41:51
Physicians play a critical role in dysphagia management, even though swallowing may not have been included in their medical training. This installment of Down the Hatch features a conversation with Dr. Michael Okun, Department Chair of Neurology and Co-Director of the Movement Disorders Center of the University of Florida. We discuss the lack of training across medical disciplines in dysphagia as well as suggestions for how swallowing clinicians and researchers can advocate for improvements in dysphagia management. Get up! Stand up!
Jul 04, 2016
What Is Normal?
00:50:32
Swallowing clinicians made it clear that they want more CEUs on normal swallowing at the March 2016 Critical Thinking in Dysphagia Management meeting. In this podcast, Alicia and Ianessa bust a few myths regarding normal characteristics of swallowing and unnecessary dysphagia diagnoses. They also discuss how a clear understanding of normal swallowing can improve dysphagia management.
Apr 06, 2016
Everybody's Doing It (Down the Hatch)
00:39:34
Not all swallowing clinicians have access to instrumental examinations, such as videofluoroscopy or fiberoptic endoscopic evaluation of swallowing, but almost all swallowing clinicians can do clinical examinations. In this episode of Down the Hatch, Ianessa and Alicia weigh in on the merits of leaning too heavily on either clinical examinations or instrumental examinations to diagnose swallowing impairments.
Feb 16, 2016