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[Dysphagia] Re: The actual .....diet.
What we do in our everyday clinical practice should be based on something
solid (scientific method research), and not just on our best intentions.
----- Original Message -----
From: "Thomas Bishop" <tom@BishopClinics.com>
To: <dysphagia@b9.com>
Sent: Saturday, September 17, 2005 9:47 PM
Subject: RE: [Dysphagia] Re: The actual .....diet.
> ...totally senseless without thinking...
>
> Isn't it interesting to read impulsive and unprofessional comments by
> individuals that claim a sensitivity to professionalism as it relates to
> research, clinical interventions and the like...
>
> ----------------
> THE DESCRIPTION OF THIS MAILING LIST
> About Dysphagia English (USA)
> The Dysphagia Mail List was started in November of 1995. The mail list
> provides a forum for various medical professionals to discuss clinical or
> research issues and clinical cases, share ideas and news items, ask
> questions, or ask for resources related to swallowing and its disorders.
> Job
> postings related to the field of swallowing disorders are also allowed.
> ---------------
>
> It doesn't sound like a snobby research society publication platform --
> why
> pretend that it is. Why can't we relax and share information with
> encouragement to better our knowledge, experience and data (without the
> sad
> attacks on companies and individuals).
>
> The only thing that appears senseless is the fact that some "experts" seem
> to hover about this platform with what seems to be an underlying need to
> "flex" or "vent" frustrations as a means to position themselves as
> superior.
> These "experts" should be encouraged to stick to their own "big-boy"
> platform and stop ruling the roost with such self-gratifying submissions
> like the ones below.
>
> You "experts" only belittle the valuable contribution you DO HAVE to
> dysphagia.
>
> If you feel a need to reciprocate or defend, then your missing the
> point --
> just chill out on the opinionisms (that word is for the snobs) and be more
> encouraging for information which can be guided rather than judged.
>
> Remember -- this should be a learning environment rather than a testing
> environment.
>
>
> -----Original Message-----
> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On Behalf
> Of Barbara C. Sonies
> Sent: Saturday, September 17, 2005 5:32 PM
> To: Irene Campbell-Taylor; dysphagia@b9.com
> Subject: Re: [Dysphagia] Re: The actual .....diet.
>
> Again it is appalling that there are people out there who accept
> information
> that is totally senseless without thinking.
>
>
>> From: Irene Campbell-Taylor <eripley@yahoo.com>
>> Date: Sat, 17 Sep 2005 15:16:30 -0700 (PDT)
>> To: <dysphagia@b9.com>
>> Subject: [Dysphagia] Re: The actual .....diet.
>>
>> For once in my life I am actually speechless...although not really
> surprised,
>> given the source (VitalStim, I mean). the appalling thing, to me, is the
>> amount of incorrect, nonsensical, dangerous so-called "information" that
> is
>> out there and being accepted because the recipients have a) been fed
> incorrect
>> data during training, b) have no scientific background whatsoever and c)
> lack
>> the capacity for logical thinking.
>> Seriously, to have individuals with no basic sciences, far less medical
>> knowledge involved in an area that is purely medical still scares the
>> wits
> out
>> of me. How did this ever come about?
>>
>> dysphagia-request@b9.com wrote:
>> Send Dysphagia mailing list submissions to
>> dysphagia@b9.com
>>
>> To subscribe or unsubscribe via the World Wide Web, visit
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>>
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>>
>> When replying, please edit your Subject line so it is more specific
>> than "Re: Contents of Dysphagia digest..."
>>
>>
>> Today's Topics:
>>
>> 1. the actual cricopharyngeal diet (sorriso@adelphia.net)
>> 2. RE: cricopharyngeal diet (pressmah@sjhmc.org)
>> 3. RE: the actual cricopharyngeal diet (Copeland, Karen)
>> 4. Re: Cricopharyngeal Diet (NeuroSP@aol.com)
>>
>>
>> ----------------------------------------------------------------------
>>
>> Message: 1
>> Date: Thu, 15 Sep 2005 16:14:34 -0400
>> From:
>> Subject: [Dysphagia] the actual cricopharyngeal diet
>> To: dysphagia@b9.com
>> Message-ID:
>> <24658682.1126815274834.JavaMail.root@web10.mail.adelphia.net>
>> Content-Type: text/plain; charset=utf-8
>>
>> Here's the "diet" as requested by a member of the ASHA list from the
> VitalStim
>> people:
>>
>> Initial Diet for Patients with Cricopharyngeal Dysfunction
>>
>> The following diet has been shown to be effective to the author (Marcy
> Freed)
>> for the patients who have a degree of cricopharyngeal dysfunction:
>>
>> 1. Crunchy consistency
>> a. Fritos
>> b. Potato chips
>> c. All crackers
>> d. Pepperidge Farms Bordeaux cookies
>> e. Toast with butter
>>
>>
>> 2. Thinned puree consistency
>> a. Thinned Oatmeal or Cream of Wheat
>> b. Yogurt without fruit
>> c. Strained creamed soups
>> d. Mousse
>> e. Soft drinks
>> f. Tomato soup or pea soup
>>
>> 3. Soft/Slippery consistency
>> a. Angel hair pasta and olive oil
>> b. Sweet potatoes with butter or margarine
>> c. Soft boiled eggs
>> d. Poached eggs
>> e. Squash ??" butternut or acorn
>> f. Waffles that are cut into tiny pieces
>> g. Meat loaf
>> h. Whipped potatoes
>>
>> The patient may progress as the cricopharyngeal problem improves. Don??Tt
> mix
>> food and liquid! First swallow food and then have a drink.
>>
>> 4. Foods NEVER tolerated
>> a. Pudding
>> b. Applesauce
>> c. Pureed foods
>> d. Mashed potatoes
>> e. Red meats such as steak
>>
>> The viscosity of food a,b,c and d contribute to increased vallecular and
>> pyriform sinus retention. Lower viscosity foods clear more easily.
>>
>>
>>
>> ------------------------------
>>
>> Message: 2
>> Date: Fri, 16 Sep 2005 07:53:37 -0400
>> From: pressmah@sjhmc.org
>> Subject: RE: [Dysphagia] cricopharyngeal diet
>> To: OdonneK@doh.health.nsw.gov.au, sorriso@adelphia.net,
>> dysphagia@b9.com, m.sanscartier@videotron.ca
>> Message-ID: <9FE5266F7C76D31197A20050DA1355570C2153D2@itr-mail>
>> Content-Type: text/plain; charset="iso-8859-1"
>>
>> Goldfish crackers are crackers in the shape of goldfish. Crunchy and
> small.
>> Very popular with the kids RD is Registered Dietician
>>
>> -----Original Message-----
>> From: Kimberley ODonnell [mailto:OdonneK@doh.health.nsw.gov.au]
>> Sent: Tuesday, September 13, 2005 7:56 PM
>> To: sorriso@adelphia.net; dysphagia@b9.com; m.sanscartier@videotron.ca
>> Subject: Re: [Dysphagia] cricopharyngeal diet
>>
>>
>>
>> Hi all
>> Please excuse my ignorance, hopefully just due to the fact that I am from
>> Australia, but what is a goldfish cracker and what does RD stand for?
>> Thanks in advance.
>> Kim
>>
>> Kimberley O'Donnell
>> Speech Pathologist - BAppSc MSPAA CPSP
>> Royal Rehab. Centre Sydney
>> ph:(02) 9808 9210 or (02) 9807 1144 - pager 48
>> 59 Charles Street RYDE NSW 2112
>>
>>>>> Michel Sanscartier 14/09/2005 9:04:48 am
>>>>>
>> That is something else!
>>
>> Cricopharyngeal diet!!!
>>
>>
>>
>> First, as I always answer to that group, why don't you ask the
>>
>> RD you work with?
>>
>> Linda, did you ask him or her?
>>
>> Did you ask her also to discuss with you if the patient had an esophageal
>> dysphagia.
>>
>> I know that in the US, RDs don't dare to do much in upper dysphagia
>> problems.
>>
>> BUT, they know a lot in esophageal dysphagia and they work everyday with
>> that.
>>
>> GERD and all the esophageal problems is clinical nutrition 101 for us.
>>
>>
>>
>> Second, viscosity is for liquid PLEASE.
>>
>>
>>
>> A FOOD properties analysis is a class that all RD take (at least in
> Canada).
>>
>> There are many levels of organoleptic properties of food but only 3 are
>> relevant for dysphagia:
>>
>>
>>
>> - Texture for all food (machines, utensils and mouth can measure it).
>>
>> Texture is usually used in the industry for solid food. The qualifying
> would
>> be : hard, soft, puree, * (there are at least 25 others).
>>
>>
>>
>> - Consistency is an empirical measure that can be defined by a
> consistometer
>> (there's honey, nectar and clear consistencies). It's like asking: what
>> is
>> your height: the answer would tall or short or medium. The liquid is
>> submitted to the gravity. The little metal container cost over $500 us
> last
>> time I called.
>>
>>
>>
>> - Viscosity is measure by a viscosimeter. That little machine cost over
> $10
>> 000 us.
>>
>> It's precise but as you will probably read soon, there's no link between
>> viscosity of liquids and consistency (except maybe for honey). The
> measures
>> are in Kpascal / sec or in centipoise. It's like asking someone the same
>> question: what is your height: in that case, the answer would be 152 cm
>> or
> 5
>> feet.
>>
>>
>>
>> I'm sure that the RD you work with could have told you the same things.
>>
>>
>>
>> Third, if your patient has a Wallenberg syndrome or a stroke that wasted
> his
>> CN IX, X and/or XI there are many things that you could try. You probably
>> know it for rehab (Mendelson) but the diet? Please, work with the RD from
>> your hospital. I sincerely hope that RDs will become more involved in
>> dysphagia. We can make a great team, I know it.
>>
>>
>>
>> In case someone corrects my mistakes like that last time, please know
>> that
>> I'm a French Canadian speaking and that I'm far from being perfect
>> bilingual. I'm doing my best here.
>>
>>
>>
>>
>> Michel Sanscartier RD, MSc
>> 1900 rue Beaudry
>> Montr?al, Qc
>> H2L 3E9
>> 514-522-3847
>> m.sanscartier@videotron.ca
>> ----- Original Message -----
>> From:
>> To: "dysphagia listserv"
>> Sent: Tuesday, September 13, 2005 5:23 PM
>> Subject: [Dysphagia] cricopharyngeal diet
>>
>>
>>> There has been a discussion going on on the ASHA Division 13 list
>>> regarding what the heck a cricopharyngeal diet is. In response to a post
>>> requesting assistance with a patient, one therapist suggested a
>>> cricopharyngeal diet, prompting the question, "what is it?"
>>>
>>> We've come to learn that it stems from vitalstim education and the
>>> identification of and significance of cricopharyngeal dysfunction in
>>> dysphagia. The diet evidently refers to a solid food's viscosity and fat
>>> content in that a goldfish cracker is "better" than applesauce for the
>>> identified patient. No research evidence has been cited in the
>>> discussion.
>>>
>>> There, you know as much as I do (for those of you who didn't already
>>> know).
>>>
>>> My question to this list is, what do you know about the cricopharyngeal
>>> diet? Can you add more to the discussion? Is this a valid premise? Is
>>> there research?
>>>
>>> Linda A. Zanchi, MA CCC-SLP
>>> _______________________________________________
>>> Dysphagia mailing list
>>> Dysphagia@b9.com
>>> http://lists.b9.com/mailman/listinfo/dysphagia
>>>
>>
>>
>>
>>
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>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
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>>
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>>
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>>
>>
>>
>> ------------------------------
>>
>> Message: 3
>> Date: Fri, 16 Sep 2005 08:49:23 -0500
>> From: "Copeland, Karen"
>> Subject: RE: [Dysphagia] the actual cricopharyngeal diet
>> To: ,
>> Message-ID:
>>
>> Content-Type: text/plain; charset="US-ASCII"
>>
>> BBBWWWWWAAAAAHHHHHHHAAAAAAAHHHHHAAAAAAA!!!!!!
>>
>> Karen :)
>> p.s. when you read the diet while drinking coffee, you are at risk for
>> having an episode of nasal regurgitation during laughter. Does she get
>> any kickback for naming specific products?
>>
>>
>> -----Original Message-----
>> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
>> Behalf Of sorriso@adelphia.net
>> Sent: Thursday, September 15, 2005 3:15 PM
>> To: dysphagia@b9.com
>> Subject: [Dysphagia] the actual cricopharyngeal diet
>>
>> Here's the "diet" as requested by a member of the ASHA list from the
>> VitalStim people:
>>
>> Initial Diet for Patients with Cricopharyngeal Dysfunction
>>
>> The following diet has been shown to be effective to the author (Marcy
>> Freed) for the patients who have a degree of cricopharyngeal
>> dysfunction:
>>
>> 1. Crunchy consistency
>> a. Fritos
>> b. Potato chips
>> c. All crackers
>> d. Pepperidge Farms Bordeaux cookies
>> e. Toast with butter
>>
>>
>> 2. Thinned puree consistency
>> a. Thinned Oatmeal or Cream of Wheat
>> b. Yogurt without fruit
>> c. Strained creamed soups
>> d. Mousse
>> e. Soft drinks
>> f. Tomato soup or pea soup
>>
>> 3. Soft/Slippery consistency
>> a. Angel hair pasta and olive oil
>> b. Sweet potatoes with butter or margarine
>> c. Soft boiled eggs
>> d. Poached eggs
>> e. Squash - butternut or acorn
>> f. Waffles that are cut into tiny pieces
>> g. Meat loaf
>> h. Whipped potatoes
>>
>> The patient may progress as the cricopharyngeal problem improves. Don't
>> mix food and liquid! First swallow food and then have a drink.
>>
>> 4. Foods NEVER tolerated
>> a. Pudding
>> b. Applesauce
>> c. Pureed foods
>> d. Mashed potatoes
>> e. Red meats such as steak
>>
>> The viscosity of food a,b,c and d contribute to increased vallecular and
>> pyriform sinus retention. Lower viscosity foods clear more easily.
>>
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
>>
>>
>> ------------------------------
>>
>> Message: 4
>> Date: Fri, 16 Sep 2005 10:08:48 EDT
>> From: NeuroSP@aol.com
>> Subject: Re: [Dysphagia] Cricopharyngeal Diet
>> To: ldcrabtr@pmt.org, dysphagia@b9.com
>> Message-ID: <208.9789efb.305c2bf0@aol.com>
>> Content-Type: text/plain; charset="US-ASCII"
>>
>> Just so you know.....I have not taken the Vital Stim course, and a number
> of
>> patients who I have seen in my practice, have presented with swallowing
>> difficulties which have been attributed to cricopharyngeal dysfunction.
>>
>> John
>>
>>
>> ------------------------------
>>
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>>
>>
>> End of Dysphagia Digest, Vol 22, Issue 19
>> *****************************************
>>
>>
>> Dr I Campbell-Taylor
>> Clinical Neuroscientist
>> Exclusive Distributor:
>> www.interactivetherapy.com
>> _______________________________________________
>> Dysphagia mailing list
>> Dysphagia@b9.com
>> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
>
>
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
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