Swallow Your Pride Podcast

Swallow Your Pride Podcast

By Theresa Richard, PhD, CCC-SLP, BCS-SBusinessMedicineHealth & FitnessEducationCareers
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Swallow Your Pride Podcast episodes

  • 303- What’s Considered “Normal” in Infant Feeding: A Discussion with Katlyn McGrattan.

    Is it ever “normal” for infants to cough during feeding?

    Does it make a difference whether they’re breastfed or bottle-fed?

    What should med SLPs actually understand and implement when it comes to infant feeding?

    Infant feeding and our role as med SLPs is one of my FAVORITE topics to discuss, and my heart practically did a break dance when I got to sit down with Katlyn McGrattan, PhD, CCC-SLP, to discuss THIS very topic!

    Katlyn is an SLP and a researcher at the University of Minnesota. She lives, eats, and breathes the world of pediatric feeding and swallowing (seriously, as a hobby, she and her husband are developing a medical device to better diagnose infant feeding goals).

    Tune in to this week’s episode of the Swallow Your Pride Podcast where Katlyn discusses research on infant feeding and swallowing disorders, the importance of understanding the physics behind milk flow, and what med SLPs should understand when it comes to working in this corner of our field!

    Get the shown notes at: https://syppodcast.com/303

    Timestamps

    The Normal Cough Study (00:02:05)

    Feeding Metrics of Healthy Term Babies (00:08:08)
    Comparison of Breastfed and Bottle-fed Infants (00:04:59)
    Immature Feeding and Stress Cues in Infants (00:09:58)
    Challenges in Identifying Normal Infant Feeding Behaviors (00:13:31)
    Hydrostatic Pressure and Milk Flow (00:19:49)
    Influence of Bottle Nipples on Milk Flow (00:22:44)
    Global Accessibility of Bottle Nipples (00:25:32)
    The Bottles and Nipples Dilemma (00:26:26)
    Research on Infant Swallowing in Spinal Muscular Atrophy (00:29:09)
    Non-Invasive Method to Evaluate Swallowing Integrity (00:34:32)
    The need for speech pathologists in neuromuscular clinics (00:35:24)
    The importance of training in working with pediatric populations (00:36:03)

    The post 303- What’s Considered “Normal” in Infant Feeding: A Discussion with Katlyn McGrattan. appeared first on Swallow Your Pride Podcast.

    39 min
  • 302 – Guidelines, Gray Areas, and Gaping Holes: Navigating the Blurred Lines in Medical Speech-Language Pathology

    “I have a pretty controversial topic. I'm usually known for pushing the boundary a little bit.”

    ☝️If there were ever a sequence of words that will make heads turn and ears perk, it’s THAT!

    Join me in this week’s episode of the Swallow Your Pride Podcast where I had the absolute honor of digging into SLP challenges, gray areas, and pushing the envelope in our field with Monica Lupo, M.A., CCC-SLP, TSSLD, CDP, LSVT-C, CLTS.

    Monica is the owner of Speak Your Legacy Inc., a private practice and mobile FEES business serving adults and pediatrics in New York. During this discussion, Monica challenges SLPs to ask themselves questions like…“Why do I practice the way I do?” and “How can I change what I’m doing?”

    Monica shares which hill she will die on, mobile FEES, and holes in our scope of practice (my head almost snapped with how hard I was nodding).

    Tune in and join the discussion!

    Get the show notes: https://syppodcast.com/302

    TIMESTAMPS:

    Challenging the current practices in speech-language pathology (00:02:10)

    The need for more research and mentorship in dysphagia (00:04:26)
    The Competency of Getting FEES Passes (00:09:14)
    The Blurred Scope of Practice and Lack of Guidance (00:10:59)
    The Need for FEES in the Home and Insurance Coverage (00:15:25)
    Advocacy for patient care (00:19:56)
    Considering comfort and preferences in choosing a scope (00:32:08)
    The debate on topical anesthetic and lubricants (00:39:08)
    Challenges and adaptability in FEES procedures (00:42:37)
    Collaboration and teamwork (00:46:22)
    Building networks and partnerships (00:49:54)
    The need for more mentors in the field (00:53:46)
    Challenges of accessing mentorship in remote areas (00:54:55)

    The post 302 – Guidelines, Gray Areas, and Gaping Holes: Navigating the Blurred Lines in Medical Speech-Language Pathology appeared first on Swallow Your Pride Podcast.

    1 hr 3 min
  • 301 – Navigating the Challenges of a Mobile FEES With Your Business (and Life) Partner: Athanasia and Leon’s Journey.

    While the early 2000s hailed power couples like Brangelina and Bennifer, I’m WAY more excited to shine the spotlight on the dynamic duo on today’s podcast episode 🤩

    Leon Daley M.A., CCC-SLP and Athanasia Svenning M.A., CCC-SLP are SLPs who specialize in dysphagia and operate a mobile FEES business together called Daley Dysphagia Diagnostics (while currently planning their wedding on top of it all!) 

    Together we discuss their journey in starting their mobile fees business and the challenges they face in introducing fees as an alternative to video studies in hospitals.  We get granular and discuss the challenges of navigating the business and insurance side of their practice, marketing as SLPs, and the need for continuous learning and collaboration in our field. 

    Tune in to get inspired!

    Get the show notes at: https://syppodcast.com/301

    Starting the business and the challenges [00:03:09]

    Experience with fees and becoming advocates [00:06:19]
    Educating providers about fees [00:09:18]
    Challenges in getting contracts with doctors [00:11:19]
    Exclusive contracts as a roadblock [00:17:07]
    Navigating additional speech pathology services [00:20:44]
    The need for expanding services and reaching more patients [00:21:21]
    Collaboration and referral in private practice [00:23:29]
    The importance of food and community in dysphagia treatment [00:33:17]
    Presenting on burnout at ASHA conference [00:35:40]

    The post 301 – Navigating the Challenges of a Mobile FEES With Your Business (and Life) Partner: Athanasia and Leon’s Journey. appeared first on Swallow Your Pride Podcast.

    36 min
  • 300 – Bridging the Gap Between Dysphagia Education, Research, and Practice: The Ultimate Soapbox

    Today we’re excited to bring to you the 300th episode of the Swallow Your Pride Podcast 🎉

    This week, Theresa Richard is bringing it back to the very reason this podcast came into existence 299 episodes ago: addressing the gap in dysphagia education and clinical practice.

    Timothy Stockdale is this week’s special guest to discuss these gaps, what’s being done about it, and what other med SLPs should consider when growing their knowledge and skills. Timothy is a medical SLP and the Director of Education and Business Enablement for Aspire Respiratory Products, and he provides us with excellent insights and words of wisdom for SLPs wanting to do what’s best for those with swallowing disorders.

    Tune in to dig deeper into dysphagia literature, patient autonomy, collaboration, holistic approaches to dysphagia therapy, respiratory muscle strength training, advocacy, and being vulnerable in our pursuit of knowing and doing better.

    Get the show notes: https://syppodcast.com/300

    Timestamps: 

    The importance of understanding normal, functional, and disordered swallowing [00:06:03]
    Challenges in diagnosing dysphagia accurately [00:02:23]
    Taking a holistic approach to dysphagia management [00:05:40]
    The importance of patient-centered care [00:10:07]
    Challenges with traditional feeding therapy approaches [00:11:35]
    The need for collaborative conversations with patients [00:14:38]
    The importance of patient autonomy [00:19:06]
    The role of education in empowering patients [00:19:58]
    The need for a whole-body approach in dysphagia management [00:21:19]
    The importance of continual improvement [00:29:01]
    Vulnerability and authenticity in clinical practice [00:30:24]
    Advocating for instrumentals and understanding healthcare reimbursement [00:33:40]
    The importance of understanding cost and readmission rates [00:39:23]
    Advocating for better productivity in healthcare settings [00:42:33]
    Redefining productivity in speech-language pathology [00:45:14]
    The importance of terminology [00:47:54]
    Final thoughts on leadership and authenticity [00:49:00]
    Appreciation for spreading information [00:50:03]

    The post 300 – Bridging the Gap Between Dysphagia Education, Research, and Practice: The Ultimate Soapbox appeared first on Swallow Your Pride Podcast.

    52 min
  • 299 – Airway Induced Obstructions: What are they, and why should Med SLPs know?

    Have you ever worked with an athlete or a young patient who fears exercise because it can trigger what feels like an asthma attack? Or maybe you’ve helped someone who feels like they can’t breathe when they smell a strong perfume or have acid reflux.

    Only none of this is asthma…it’s a form of airway-induced obstructions. 

    In this podcast episode, Sara Davis, an SLP and the founder of Vox Fit discusses exercise-induced laryngeal obstruction (formerly known as vocal fold dysfunction/paradoxical vocal fold movement disorder) and inducible airway obstruction due to other triggers. She opens up about the impact of high stress and pressure on individuals with upper airway disorders and the importance of behavioral therapy in managing symptoms. 

    Learn about the use of scopes for biofeedback, techniques for managing airway conditions, and the role of education and empowerment in helping patients understand and manage their symptoms. Understand the importance of tailoring breathing techniques to specific sports and activities and the need for individualized treatment.

    You’ll walk away from this episode with a greater understanding of airway-induced obstructions, desensitization training, and techniques for addressing exercise-induced laryngeal obstruction. 

    Get the show notes and references: https://syppodcast.com/299

    Timestamps:

    The conference on upper airway disorders and conditions [00:01:09]

    Establishment of the Global Initiative for Inducible Laryngeal Obstruction (GLO) [00:02:22]
    Inducible laryngeal obstruction (ILO) and exercise-induced laryngeal obstruction (EILO) [00:05:01]
    The fear cycle and high stress [00:06:55]
    Importance of the first visit and education [00:08:07]
    Differentiating upper airway disorders from asthma [00:11:26]
    The role of scope for biofeedback teaching [00:13:31]
    Understanding the larynx as a gatekeeper [00:14:50]
    Teaching breathing techniques and gaining control over the airway [00:18:08]
    Establishing Triggers and Sensory Awareness [00:20:31]
    Managing Cough and Throat Clearing [00:21:36]
    Breathing Techniques for Vocal Fold Opening [00:22:43]
    Modifying breathing techniques for sports [00:27:53]
    Assessing exercise-induced condition [00:30:55]
    Desensitization training for triggers [00:33:32]
    Reducing sensory receptors in the larynx [00:35:35]
    Ellerby techniques for exercise-induced laryngeal obstruction [00:36:58]
    The importance of fullness and depth of breath [00:40:09]
    Breathing techniques during high-intensity exercise [00:41:17]
    The benefits of respiratory muscle trainers and nasal breathing [00:42:09]

    The post 299 – Airway Induced Obstructions: What are they, and why should Med SLPs know? appeared first on Swallow Your Pride Podcast.

    54 min
  • 298 – What Should SLPs Know About Business and Leadership? A Discussion with Laura McWilliams

    On a scale of 1-10, how confident are you in your business skills as an SLP?

    What about your leadership skills?

    Whether it’s public speaking or knowing how to use an Excel spreadsheet, we should have a deeper understanding of business skills and healthcare leadership as SLPs. That’s exactly what Theresa Richard and Laura McWilliams dive into in today’s episode of the Swallow Your Pride Podcast!

    It’s easy for Med SLPs to have “clinical tunnel vision” when pursuing continuing education and professional development opportunities. But we shouldn't JUST focus on the clinical side of our career! Tune in to see what Laura’s unique experience with leadership as a med SLP has taught her and what you can do as a clinician tomorrow to begin building your own business leadership skills.

    Get the show notes with citations list at syppodcast.com/298

    The importance of expanding skills [00:02:05]

    The relevance of basic business tools [00:04:15]
    The value of business understanding [00:05:35]
    The importance of effective communication and collaboration [00:07:01]
    Understanding workplace culture and leveraging it for evidence-based practice [00:09:13]
    Creating a culture of collaboration and knowledge sharing [00:13:39]
    Establishing norms and culture [00:19:09]
    Working groups for standardized practice [00:21:19]
    Collaborative decision-making [00:22:02]
    The importance of time logistics [00:24:57]
    The role of project management and gap analysis [00:27:29]
    Broadening professional growth and encouraging innovation [00:29:07]
    The importance of partnerships in driving change [00:32:47]
    Assessing and improving team culture [00:34:02]
    Being the solution and changing the conversation [00:37:45]
    The importance of self-assessment and quarterly reflection [00:41:41]
    The value of culture and self-awareness in the workplace [00:42:26]
    Leaning into what feels right and supporting others [00:44:12]

    The post 298 – What Should SLPs Know About Business and Leadership? A Discussion with Laura McWilliams appeared first on Swallow Your Pride Podcast.

    47 min
  • 297 – The Tongueometer: We’ve got updates!

    Why rely on tongue depressors when you can give your patients a portable workout device that comes with an app to track their tongue strength, endurance, and exercise results? 

    That device exists! And it’s improved…

    Elizabeth Daly and Ed Steger are back on the Swallow Your Pride Podcast with exciting updates on the Tongueometer - a handheld lingual manometer that measures tongue and lip strength and endurance. From Android and iOS compatibility to bluetooth connections to two new research studies using the Tongueometer, this is a dysphagia therapy device all med SLPs should be aware of.

    Get the show notes with references here: https://syppodcast.com/297

    Timestamps:

    Updates on the Tongueometer device [00:01:18]

    Recent publications on the Tongueometer [00:09:33]
    Comparing Validity of Tongueometer and EOP [00:10:04]
    Concurrent Validity Study by James Curtis [00:12:12]
    Patient Populations Using Tongueometer [00:17:11]
    The reimbursement codes for remote therapeutic monitoring [00:20:33]
    Gamification of the app [00:21:21]
    Insurance reimbursement process [00:26:32]

    The post 297 – The Tongueometer: We’ve got updates! appeared first on Swallow Your Pride Podcast.

    33 min
  • 296 – A Caregiver and Her Cookbook: How one woman’s caregiving journey inspired a cookbook for dysphagia care

    “It flipped the whole household upside down. None of our meal times are quote-unquote normal...it's totally dysfunctional chaos.”

    ☝️This is the real and raw experience of Diane Wolff, dysphagia cookbook author and caregiver for her mother with dementia and impaired swallowing. This experience led Diane to write Essential Puree - The A to Z Guidebook: 67 Delicious Recipes for the Dysphagia Diet & Soft Food Diet, a cookbook addressing this overlooked aspect of care, including tips on simplifying recipes, cleanup, and food storage for families dealing with time constraints or challenges. 

    In this episode of the Swallow Your Pride Podcast, Theresa and Diane discuss the caregiver’s journey and the need for more resources and solutions for loved ones living with dysphagia. From ditching food molds to piping puree onto colorful plates, Diane shares several of her recommendations to promote better dining experiences for everyone impacted by dementia and swallowing disorders.

    If Med SLPs can agree on anything, it’s that food is more than sustenance. It’s a way to connect, share love, and find joy in life. This episode dives into all of that and more with vulnerability and forward-thinking.

    Get the show notes: https://syppodcast.com/296

    Timestamps:

    The importance of nutrition for seniors with swallowing disorders [00:03:08]

    Challenges of feeding a child with a feeding disorder [00:04:30]
    Creating easy and nutritious pureed meals [00:05:25]
    The importance of atmosphere and using pretty plates [00:10:07]
    Using a xanthan gum thickener for food consistency [00:11:18]
    Cooking the same recipe for the patient and the family [00:13:33]
    The nutritional status of the speaker's mother [00:21:30]
    Developing a line of pureed foods for hospitals and home healthcare [00:22:50]
    Patient and caregiver education on pureed foods and tools for the kitchen [00:27:07]
    Boosting the immune system during COVID [00:31:34]
    Collaboration between speech pathologists and other professionals [00:32:17]
    The caregiver's perspective [00:33:35]

    The post 296 – A Caregiver and Her Cookbook: How one woman’s caregiving journey inspired a cookbook for dysphagia care appeared first on Swallow Your Pride Podcast.

    39 min
  • 295 – The First Multidisciplinary Dysphagia Clinic in New York City: A discussion with the MD who started it all

    Did you know there’s a team of clinicians who come together each day in New York City to conquer dysphagia?

    In this episode of the Swallow Your Pride Podcast, Theresa Richard interviews Dr. Anaïs Rameau, laryngologist and trailblazer of New York City’s first multidisciplinary dysphagia clinic!

    Together they discuss the concept, logistics, and benefits of an integrated swallowing disorder center that calls together a powerhouse team of dysphagia-serving healthcare professionals. This type of comprehensive care should be more accessible, and it’s up to us to get the ball rolling.

    So, sit back, hydrate, and enjoy this inspirational episode.

    Get the show notes at https://syppodcast.com/295

    The history of multidisciplinary dysphagia clinics [00:02:27]

    The Japanese transdisciplinary approach [00:06:39]

    Patient selection for multidisciplinary clinics [00:08:54]

    The assessment and intervention process [00:11:22]

    Logistics of the clinic and future considerations [00:12:36]

    Collaboration and teamwork in the clinic [00:13:43]

    The Dream Team of Multidisciplinary Specialists [00:21:44]

    The Role of Laryngeal ENTs and Manometry [00:25:27]

    Benefits and Challenges of Multidisciplinary Teams [00:28:55]

    The post 295 – The First Multidisciplinary Dysphagia Clinic in New York City: A discussion with the MD who started it all appeared first on Swallow Your Pride Podcast.

    34 min
  • 294 – SLPs and Cancer: What’s our role?

    The word “cancer” is often cloaked in feelings of uncertainty and fear - understandably so. But what can a medical SLP do to help? What’s our role in the world of oncology?

    In this podcast episode, host Theresa Richard interviews Heather George about her experience as an SLP working with oncology patients and the role of palliative care in dysphagia management. They discuss the challenges of navigating treatment for patients with complex medical conditions, the importance of taking a holistic approach to patient care, and the need to address patient concerns and fears. They also touch on the difficulties of managing differing opinions among healthcare providers.

    If you serve this population or hope to one day, this episode is for you.

    Get the show notes with references at syppodcast.com/294

    [00:03:29] The role of palliative care in dysphagia management

    [00:04:27] Understanding the differences between rehabilitation and palliative care

    [00:06:53] Considering the medical status and prognosis in dysphagia management

    [00:10:31] The multifactorial components of swallowing difficulties

    [00:10:40] Highlighting the need to consider the patient's specific diagnosis and how it impacts their swallowing difficulties.

    [00:13:09] Managing the dynamic between providers and dysphagia treatment

    [00:20:32] Importance of reflecting on personal biases as clinicians and how it can influence communication with patients and physicians.

    [00:21:37] The impact of presenting information in a fear-inducing manner and the importance of discussing risks and benefits in a balanced way.

    [00:22:25] The speaker's personal experience of realizing the need to present both professional and personal perspectives when discussing treatment options with patients and their families.

    [00:29:05] Understanding the Patient's Medical Condition

    [00:30:06] Collaborating with the Medical Team

    [00:32:16] Navigating Difficult Conversations

    [00:38:20]Palliative Team Consultation

    [00:39:42] Exploration of consulting the ethics department for added insight and evaluation in complex situations.

    [00:40:43] Supporting Patients Transitioning to Hospice

    [00:48:26] Being cognizant of language and writing in a more respectful and patient-centered way.

    The post 294 – SLPs and Cancer: What’s our role? appeared first on Swallow Your Pride Podcast.

    51 min

About Swallow Your Pride Podcast

From the publisher's feed

The Swallow Your Pride Podcast was created with the purpose of diving deeper into the issues that speech-language pathologists face when working with patients with swallowing disorders. We’ll discuss…

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