[Dysphagia] Re: Food and Barium

[scott-dailey at uiowa.edu (Dailey, Scott)]

I can not answer the why and the where of the start of this practice.  I know that sometimes (not all the time) I do use food mixed with barium when the swallow study is with child. Depending on the age/cognitive level  -you need something that looks like food and taste (a little like food) if you are going to get more than one taste in the child's mouth.  Some children are wonderfully cooperative and others not so.


Scott Dailey, M.A., CCC-SLP
Speech-Language Pathologist II
University of Iowa Hospitals & Clinics
200 Hawkins Dr
Iowa City, IA 52242
(319)356-7030

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-----Original Message-----
From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
Behalf Of Irene Campbell-Taylor
Sent: Saturday, March 12, 2005 10:45 AM
To: Andrea Tobochnik; Dysphagia@b9.com
Subject: Re: [Dysphagia] Re: Food and Barium




Andrea Tobochnik <andreamoll@sbcglobal.net> wrote:
Almost always, our VFSS patients are eating PO diets, so if we weren't 
giving them food during the study, they'd be in their hospital room or 
at home eating food anyway. To me, the small amount of food presented 
during the VFSS seems negligible in the greater scheme of things.

*** Given the near hysteria about aspiration that I find wherever I go, I find the above surprising. One cannot know what bacteria are introduced into a patient who may have poor resistance either in or on food. The more important point is that the food mixed with barium bears no resemblance to the food without barium in viscosity, rheology, shear, mouthfeel or any other measure. Swallowing or not swallowing food impregnated with barium shows only that the patient can or cannot swallow food impregnated with barium under the artificial conditions of the VFSS.

 And again, I seem to be getting no answer to my basic question - Where and why did the practice start - especially since it has no foundation whatsoever in physiology or research?



Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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