In this episode Michelle is joined once again by the gifted Mrs. Melissa Montiel, MS CCC-SLP, (see Episode 14 “Banishing Confusion for Clefts”), from the Medical University of South Carolina and the Evelyn Tramell Institute for Voice and Swallowing. In Melissa’s second lecture, we address both the speech component of VPI (velopharyngeal insufficiency), but also the more elusive and often misunderstood swallowing aspect of VPI. Sit back in awe as Melissa educates colleagues about signs and symptoms that would warrant a VPI evaluation and the steps involved during the VPI eval. If you have a patient with nasal regurgitation, then this might be perfect for you!