[Dysphagia] gag reflex

[dysphagia at sbcglobal.net (christabel daley)]

To revisit an old subject........ I am familiar with the literature re the lack of relationship between gag & swallowing efficacy.  I had a doctor recently comment on a pt who presented with functional/unremarkable clinical evaluation, "pt does not have a gag, therefore would not cough during clinical evaluation".  Am I missing something?  Pt did consequently go for videoswallow per MD request to find results consistent with clinical evaluation.
Thanks.