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.