[Dysphagia] Re: Terms of reference - some thoughts

[GuptaJ at SESAHS.NSW.GOV.AU (Jai Gupta)]

When I said " I would not agree less with you" I was just polite and trying to highlight the point it is not only with Asp Pneu but every diagnosis in medicine we can have debate ... name anyone diagnosis one is confident and I will give differential diagnosis that needs to be made...I was not trying to be nasty but trying to put things in perspective.

In this forum I think we should avoid...this type of free mentorship advocated....I think we should have mutual respect for our work.....nature of work .....and stress we work under, limited resources we work with ....we should  value each others opinion as long as there is evidence to support and not quackery...and it is democracy ..everyone is entitled for a free opinion...and exchange ideas....and reader have choice to ..not to read it ...or read and respond ..or just read and reflect.......if someone is keen to have only scientific discussion ..that is giving others opinion and with a reference, they can start another group...as far as this forum goes ...

My impression is it is primarily for Speech Pathologists and they are the centre of the world here and other are auxiliary  .....SLP is still a very young profession as compared to Medicine and we are very hard on ourself  as compared to what medicine was at the same age.....I remember in 1998 when I was sharing a panel seat  at the 2nd Australasian Dysphagia Conference. Melbourne with Dr J Logemman ..I raised this issue with her and she agreed "yes we are" and she added, this will only make us have a strong base and measure our outcomes better.......we value others "specialists" opinion but make our own decisions .....and I don't like others forcing there ideas as the only idea in the world that will save the world from dehydration ..or ...pneumonias.....we should value what happens in the real world.....

I did not ask for what I should read and not ...and what makes people think we don't read....I have done enough reading and still do lot of reading that is besides my job.....I am a Speech Pathologist, a senior clinician, a Manager, I work full time...and I have a life outside too...I do not deal with dysphagia only ...if give examples of Dyslexias, Dysphasias, Dysgraphias, Dyspraxias, Dysphonias etc. ...that I have been in the profession for 25 yrs now and alway in acute medical setting ..most of the people out side the SLP profession will go bongkers "crazy" what all we do.......I pretty well know how medical diagnosis is made by consultants .....You can read any medical book if you have with you and see the section on differential diagnosis...if you don't have let me know I will send you some interesting papers and discussions, and opinion based on clinical facts are scientific fact.. ..I don't think I should show-off my resources and knowledge by always quoting refs .. I don't have time ..when there is request I do dig up the ref in time....at this point I would request the list owner to circulate the terms of reference or aim of his listserve...


Jai Gupta. M.Sc.(S.H.) CPSP MSPA
Manager, Speech Pathology Services.
The Sutherland Hospital
* Locked Bag 21, Taren Point  NSW  2229
* 9540 7111 page 594 or Direct 9540 7558 
* 9540 7717 *0401 373 324
email: guptaJ@sesahs.nsw.gov.au
Weblink: ozspeech
Webmaster: Evidence Based Practice in Speech Pathology 




-----Original Message-----
From: Irene Campbell-Taylor [mailto:eripley@yahoo.com]
Sent: Wednesday, 16 March 2005 1:29 PM
To: Jai Gupta; Dysphagia@b9.com
Subject: RE: [Dysphagia] Re: how much water?




Jai Gupta <GuptaJ@SESAHS.NSW.GOV.AU> wrote:

I would not agree less with you.

*** It would be more persuasive if you could quote evidence on your side. without that, there is no scientific argument. This is not an exchange of opinions - I hope - but a scientific discussion. Please read Franquet et al as well as Cassiere.

.



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



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