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[Dysphagia] emperors new clothes
another point, an MBS is limited on time and exposure to radiation while
FEES can take all day if you want. during FEES you can see what happens to
residue in the valleculae or pyriforms that you may not see during an MBS
b/c the fluero is off.
>From: "Buckie,Marcia" <mbuckie@dmc.org>
>To: <CFR42@aol.com>, <dysphagia@b9.com>
>Subject: RE: [Dysphagia] emperors new clothes
>Date: Thu, 30 Mar 2006 10:12:12 -0500
>
>We don't have acceest to FEES at our facility but I can definitely see some
>advantages for it from a clinical standpoint...better visualization of the
>airway, mucosa..I do APs on MBSS but I find them harder to interpre that
>way, pesonally, so you see bilateral movement on the MBSS. I think you
>would identify laryngeal/TVC/FVC issues to refer to ENT more often, ie.
>reflux changes.
>
>I'm sure someone who does FEES will give a more indepth answer, but I would
>LOVE to access to it.
>
>Marcia
>
> -----Original Message-----
> From: dysphagia-bounces@b9.com on behalf of CFR42@aol.com
> Sent: Wed 3/29/2006 6:10 PM
> To: dysphagia@b9.com
> Cc:
> Subject: [Dysphagia] emperors new clothes
>
>
>
> Hi folks,
> I have not written in a while, but I have always supported the peoplesâ??
>right
> to know. I am an SLP with specialties in dysphagia and augmentative comm.
> I have been known to ask some fundamental questions. So therefore, I ask
> this. An MBS will give a moving snapshot of a person's swallowing ability.
>I still
> want to know what a FEES will do better. If I am correct (and please
>correct
> me if i am wrong!!!!), a FEES cannot visualize much lower than the upper
> esophagus.
> I would like to know why I should put a person through FEES after they
>have
> already gone through the trial of swallowing a paste-like substance
>(barium in
> any form). What will it show me?
> Please excuse me if I offend anyone, but I want to know what I recommend
>and
> WHY I recommend it.
> OK, colleagues?
> Any feedback is great.
> Thank you,
> Craig, SLP in RI, USA
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>
>
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