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.