Esophageal Sweep, AP View, and More | When Radiologists and SLPs Disagree
Theresa Richard M.A. CCC-SLP, BCS-S
Board Certified in Swallowing, Founder/CEO of the MedSLP Collective and MedSLP Education, Host of the Swallow Your Pride Podcaster, Best-Selling Author of “So You’re Having Trouble Swallowing,” PhD student
Are you a med SLP who does modified barium swallow studies and a radiologist has disagreed with you on any of the following: Esophageal Sweep, AP View, Frame rate or Pulse Rate, NOT ending the study as soon as a patient aspirates, or Going beyond 5 minutes of fluoroscopy time…
You’re not alone! I’m here to talk about 3 of the most common barriers between radiologists and SLPs and what YOU can do about it. You’ll want to stick around for number 3- it’s the most challenging barrier of them all.
Video Resource:
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You can check out the free MedSLP Collective clipboard kit for access to editorial reviewed resources on other various conditions that we treat.
medslpcollective.com/clipboard
Cited Articles:
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Allen, J. E., White, C., Leonard, R., & Belafsky, P. C. (2012). Comparison of esophageal screen findings on videofluoroscopy with full esophagram results. Head & neck, 34(2), 264–269. doi.org/10.1002/hed.21727
Hermann, L., Donaker, M., Salmon, K., & Mervak, B. (2022). Understanding differences in practices and preferences during videofluoroscopic swallow studies: A survey of radiologists and speech language pathologists in the United States. Clinical imaging, 83, 144–151. doi.org/10.1016/j.clinimag.2021.12.016
Reedy, E. L., Herbert, T. L., & Bonilha, H. S. (2021). Visualizing the Esophagus During Modified Barium Swallow Studies: A Systematic Review. American journal of speech-language pathology, 30(2), 761–771. doi.org/10.1044/2020_AJSLP-20-00255
Carucci, L. R., & Turner, M. A. (2015). Dysphagia revisited: common and unusual causes. Radiographics : a review publication of the Radiological Society of North America, Inc, 35(1), 105–122. doi.org/10.1148/rg.351130150
Recommended by LinkedIn
Gates, J., Hartnell, G. G., & Gramigna, G. D. (2006). Videofluoroscopy and swallowing studies for neurologic disease: a primer. Radiographics : a review publication of the Radiological Society of North America, Inc, 26(1), e22. doi.org/10.1148/rg.e22
ACR MBS Guidelines:
acr.org/-/media/ACR/Files/Practice-Parameters/modified-ba-swallow.pdf
About Theresa Richard
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Theresa Richard, a medical speech pathologist for 15+ years, is a board certified specialist in swallowing and swallowing disorders, and the founder and CEO of the MedSLP Collective and MedSLP Education. Theresa is also the mother of a son with severe disabilities who humbles her daily and is the inspiration behind all of the work she does in the world.
Theresa, host of Swallow Your Pride Podcast, has over 3 million unique downloads, and her book “So You’re Having Trouble Swallowing'' is an Amazon and Barnes and Noble best seller.
Theresa Richard, MA, CCC, SLP - Medical Speech Language Pathologist
TheresaRichard.com/
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#SLP
#MedicalSLP
#Dysphagia
Medical Speech Language Pathologist Owner of Your Voice Speech Therapy, PLLC
2yYes! Going beyond 5 minutes is like a sin, and it’s always frustrated me. If it’s necessary then we need more time!
Medical Bilingual Speech Language Pathologist at North Valley Hospital District
2yExcellent!!! I have asked the radiologists I work with to think about the “why’” of aspiration and it has made a difference. The patient in many if not most instances know they are experiencing aspiration. The come to us for answers to their question “Why” and how can they prevent further occurring episodes. They want answers. SLP “…we discovered that you aspirated furing the study.“ Patient “Really? This is why I came to you. I already knew this. I want to know why and how can I treat this so I don’t aspirate any further!” SLP “We had to stop the study because you in fact aspirated.” Patient “…yes I know this but what’s the cause of the aspiration? This is what I want to know!”