Kinnari and Rabab are in conversation with Dr. Ashwini Namasivayam-MacDonald, an Assistant Professor at McMaster University, Canada. She helps us understand the distinction between presbyphagia and dysphagia, learn more in detail about the International Dysphagia Diet Standardization Initiative, and how the framework can be translated to our Indian cuisine. We try to modify “aloo sabzi” (Potato curry) and place it into one of the levels. She discusses the burden of dysphagia on the family caregivers of the elderly and how SLP clinicians can support these caregivers.