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[Dysphagia] Trach tube covers
Linda -
Wow! I can't even believe this woman got out of the ENT's office without
some instruction on this. The kids I see wear "HME" (heat-moisture
exchange) caps - they are a one time use cap that pops on right over the
trach tube which they breath through exactly like the trach tube except that
it has foam like material in it that will dampen the cold air, keep foreign
bodies out, keep the tube moister, etc. It comes off easy if suctioning is
needed or if it gets plugged with secretions. I would expect that she could
just go to her ENT and ask what they use.
Also, just an FYI - the Passy-Muir valve is usually contraindicated in
individuals with subglottic stenosis, unless it is very minimal and they
have been cleared medically. Are you checking her O2 sats while she's using
it? Maybe there is a respiratory therapist who can help with it?
Good luck, Kathy
----- Original Message -----
From: "Walsh, Linda (R1SE)" <LiWalsh@serha.ca>
To: <dysphagia@b9.com>
Sent: Thursday, February 02, 2006 5:51 PM
Subject: [Dysphagia] Trach tube covers
> Hello fellow list members,
> A woman who lives in a rural area asked me what she should use to avoid
> inhaling small insects into her trach tube this summer. She has a
> Passy-Muir valve that she uses for conversation but cannot tolerate it
> for long due to a degree of subglottic stenosis. Do your trach pts use
> the stoma covers developed for laryngectomees?
> Thanks for any info.
> Linda
>
> -----Original Message-----
> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com] On
> Behalf Of dysphagia-request@b9.com
> Sent: February 1, 2006 4:09 PM
> To: dysphagia@b9.com
> Subject: Dysphagia Digest, Vol 27, Issue 1
>
> Send Dysphagia mailing list submissions to
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>
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> or, via email, send a message with subject or body 'help' to
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> When replying, please edit your Subject line so it is more specific
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>
>
> Today's Topics:
>
> 1. Re: Outpatient MBS questionaire (CHAZMAN143@aol.com)
> 2. Re: Pernicious anaemia (Drirenect@aol.com)
> 3. Please Remove (The Millers)
> 4. Pediatric Position! (Staci Otto)
> 5. 'absent' swallows (diane sellstrom)
> 6. FEES courses (Staci Otto)
> 7. RE: 'absent' swallows
> (Morgan Jennie (RXP) Speech & Language Therapy)
> 8. 2 day Endoscopy hands on practicum (Bartcyn@cs.com)
> 9. Re: 'absent' swallows (Interactive Therapeutics, Inc.)
> 10. Re: 'absent' swallows (Barbara C. Sonies)
> 11. Re: 2 day Endoscopy hands on practicum (Staci Otto)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Tue, 31 Jan 2006 15:04:56 EST
> From: CHAZMAN143@aol.com
> Subject: [Dysphagia] Re: Outpatient MBS questionaire
> To: dysphagia@b9.com
> Message-ID: <2db.1af9aeb.31111ce8@aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> We are currently revising our MBS intake questionnaire and wondering if
>
> anyone has one to share with our committee?
>
>
> ------------------------------
>
> Message: 2
> Date: Tue, 31 Jan 2006 17:02:08 EST
> From: Drirenect@aol.com
> Subject: Re: [Dysphagia] Pernicious anaemia
> To: EDolinger@christianacare.org, Mandeep.Bhabra@cddah.nhs.uk,
> dysphagia@b9.com
> Message-ID: <2b5.3c8d2da.31113860@aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> As Eric points out, webs are often associated with sideropenic anemia.
> In
> pernicious anemia, I wonder if this patient has reached the point of
> central
> nervous system compromise of the cortex and dorsal horns. Does she have
> any
> gait/balance problems?
> She also is bound to have gastric atrophy, probably motility problems as
>
> well and poor resistance to infection..
>
>
> ------------------------------
>
> Message: 3
> Date: Tue, 31 Jan 2006 19:06:17 -0500
> From: "The Millers" <rehab@thesafety.net>
> Subject: [Dysphagia] Please Remove
> To: <Dysphagia@b9.com>
> Message-ID: <000001c626c8$33414cb0$b9134845@Miller>
> Content-Type: text/plain; charset="iso-8859-1"
>
>
>
> ------------------------------
>
> Message: 4
> Date: Tue, 31 Jan 2006 20:12:01 -0500
> From: "Staci Otto" <otto@email.chop.edu>
> Subject: [Dysphagia] Pediatric Position!
> To: <Drirenect@aol.com>, <LOBSTERPAM@aol.com>, <dysphagia@b9.com>,
> <skware1@msn.com>
> Message-ID: <s3dfc4a4.066@email.chop.edu>
> Content-Type: text/plain; charset=US-ASCII
>
> Acute care position available- pediatric dysphagia experience a must!
> Opportunities to also contribute to several newly growing programs
> including voice clinic, airway clinic, and stroke program.
> Opportunities to treat pediatric patients in our acute care,
> rehabilitation center and outpatient clinics. Looking for individuals
> also interested in pursuing research. Experienced therapists only.
> Call/email for more information or fax your resume to
> Jennifer Burstein
> Coordinator, Speech-Language Pathology
> 215-590-7635
> fax 215-590-5641
>
> Staci Otto MS CCC-SLP
> Children's Hospital of Philadelphia
> 215-590-7636
>
>
>
> ------------------------------
>
> Message: 5
> Date: Wed, 1 Feb 2006 03:14:43 -0800 (PST)
> From: diane sellstrom <dianesellstrom98@yahoo.com>
> Subject: [Dysphagia] 'absent' swallows
> To: Dysphagia@b9.com
> Message-ID: <20060201111443.76982.qmail@web60822.mail.yahoo.com>
> Content-Type: text/plain; charset=iso-8859-1
>
> a recent discussion with a colleague has sparked a bit
> of debate within our department and i'd be interested
> to see what others think.
> I'd like to know if/when people use the term 'absent
> swallow', particularly when reviewing a
> Videofluoroscopy. If you do use it, how would you
> define it and when does it become e.g. a very weak
> swallow?
> Thanks,
>
> Diane
>
> __________________________________________________
> Do You Yahoo!?
> Tired of spam? Yahoo! Mail has the best spam protection around
> http://mail.yahoo.com
>
>
> ------------------------------
>
> Message: 6
> Date: Wed, 01 Feb 2006 08:13:51 -0500
> From: "Staci Otto" <otto@email.chop.edu>
> Subject: [Dysphagia] FEES courses
> To: <Dysphagia@b9.com>, <dianesellstrom98@yahoo.com>
> Message-ID: <s3e06dcb.033@email.chop.edu>
> Content-Type: text/plain; charset=US-ASCII
>
> Looking into FEES courses, i know a few posts recently went around about
> this- I am aware of Joe Murrays course in Phoenix in Feb... Crary and
> Mann course in Orlando in March... and it looks like the next Langmore
> course is in July???
>
> Anyone know of any others, if Susan L is doing any others sooner... or
> what other ones Joe M is doing???
>
> I'd also appreciate any individual feedback from any of you who have
> attended these courses. I need to get into a course pretty soon, but of
> course want a good one.
>
> Thanks
>
>
> __________________________________________________
> Do You Yahoo!?
> Tired of spam? Yahoo! Mail has the best spam protection around
> http://mail.yahoo.com
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
> Staci Otto MS CCC-SLP
> Children's Hospital of Philadelphia
> 215-590-7636
>
>
>
> ------------------------------
>
> Message: 7
> Date: Wed, 1 Feb 2006 13:56:45 -0000
> From: "Morgan Jennie \(RXP\) Speech & Language Therapy"
> <Jennie.Morgan@cddah.nhs.uk>
> Subject: RE: [Dysphagia] 'absent' swallows
> To: "diane sellstrom" <dianesellstrom98@yahoo.com>, <Dysphagia@b9.com>
> Message-ID:
>
> <7AC1D487490A924B99B34E671C61B26C041A2498@UHND_EX.xcddahn.nhs.uk>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Hi Diane,
>
> I only use the term 'absent swallow' (both at bedside and on
> videofluoroscopy) if there is no laryngeal movement in response to
> giving a bolus. Otherwise I would call it a (very) weak swallow if there
> was some laryngeal movement.
>
> Jennie
>
> -----Original Message-----
> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
> Behalf Of diane sellstrom
> Sent: Wednesday, 01 February 2006 11:15 AM
> To: Dysphagia@b9.com
> Subject: [Dysphagia] 'absent' swallows
>
>
> a recent discussion with a colleague has sparked a bit
> of debate within our department and i'd be interested
> to see what others think.
> I'd like to know if/when people use the term 'absent
> swallow', particularly when reviewing a
> Videofluoroscopy. If you do use it, how would you
> define it and when does it become e.g. a very weak
> swallow?
> Thanks,
>
> Diane
>
> __________________________________________________
> Do You Yahoo!?
> Tired of spam? Yahoo! Mail has the best spam protection around
> http://mail.yahoo.com
> _______________________________________________
> Dysphagia mailing list
> Dysphagia@b9.com
> http://lists.b9.com/mailman/listinfo/dysphagia
>
>
>
> ------------------------------
>
> Message: 8
> Date: Wed, 01 Feb 2006 09:09:23 -0500
> From: Bartcyn@cs.com
> Subject: [Dysphagia] 2 day Endoscopy hands on practicum
> To: asha-div13@lists.asha.org, dysphagia@b9.com
> Message-ID: <3BB454F9.10E9C126.0015B7D3@cs.com>
> Content-Type: text/plain; charset=iso-8859-1
>
> The two day hands on course with Drs Crary and Mann will be held March
> 11th and 12th, 2006 at the Best Western Lake Buena Vista Resort in
> Orlando, Florida
>
>
> ------------------------------
>
> Message: 9
> Date: Wed, 01 Feb 2006 09:17:04 -0500
> From: "Interactive Therapeutics, Inc." <info@interactivetherapy.com>
> Subject: Re: [Dysphagia] 'absent' swallows
> To: diane sellstrom <dianesellstrom98@yahoo.com>
> Cc: dysphagia@b9.com
> Message-ID:
> <6.0.3.0.2.20060201091349.01dfc8c8@mail.interactivetherapy.com>
> Content-Type: text/plain; charset="us-ascii"; format=flowed
>
> Diane,
> When I see such a swallow, I usually term it a "non-functional swallow"
> and
> state that the person will or will not have difficulty clearing their
> own
> secretions. This is usually accompanied by a request for a tonsil tip
> suction if the person is aware/alert and can do his own oral suctioning.
>
> At 06:14 AM 2/1/2006, you wrote:
>>a recent discussion with a colleague has sparked a bit
>>of debate within our department and i'd be interested
>>to see what others think.
>>I'd like to know if/when people use the term 'absent
>>swallow', particularly when reviewing a
>>Videofluoroscopy. If you do use it, how would you
>>define it and when does it become e.g. a very weak
>>swallow?
>>Thanks,
>>
>>Diane
>>
>>__________________________________________________
>>Do You Yahoo!?
>>Tired of spam? Yahoo! Mail has the best spam protection around
>>http://mail.yahoo.com
>>_______________________________________________
>>Dysphagia mailing list
>>Dysphagia@b9.com
>>http://lists.b9.com/mailman/listinfo/dysphagia
>
> Cordially,
> Jan Lorman, M.A. CCC-SLP/A
> Interactive Therapeutics, Inc.
> P.O. Box 1805
> Stow OH 44224-0805
> U.S.A.
> and
> Senior Lecturer
> The University of Akron
> School of Speech-Language Pathology & Audiology
> 181 Polsky Hall
> Akron OH 44325-3001
>
>
>
>
> ------------------------------
>
> Message: 10
> Date: Wed, 01 Feb 2006 11:18:10 -0500
> From: "Barbara C. Sonies" <bsonies@comcast.net>
> Subject: Re: [Dysphagia] 'absent' swallows
> To: "Morgan Jennie (RXP) Speech & Language Therapy"
> <Jennie.Morgan@cddah.nhs.uk>, diane sellstrom
> <dianesellstrom98@yahoo.com>, <Dysphagia@b9.com>
> Message-ID: <C0064972.27D5%bsonies@comcast.net>
> Content-Type: text/plain; charset="US-ASCII"
>
> You can have some laryngeal elevation without a swallow- so absent
> swallow
> is when there is insufficient hyolaryngeal elevation to transfer a bolus
> regardless of tiny efforts which do not produce the physiological event.
> B. Sonies, Ph.d., ccc/slp BRS-S
>
>
>> From: "Morgan Jennie (RXP) Speech & Language Therapy"
>> <Jennie.Morgan@cddah.nhs.uk>
>> Date: Wed, 1 Feb 2006 13:56:45 -0000
>> To: diane sellstrom <dianesellstrom98@yahoo.com>, <Dysphagia@b9.com>
>> Conversation: [Dysphagia] 'absent' swallows
>> Subject: RE: [Dysphagia] 'absent' swallows
>>
>> Hi Diane,
>>
>> I only use the term 'absent swallow' (both at bedside and on
> videofluoroscopy)
>> if there is no laryngeal movement in response to giving a bolus.
> Otherwise I
>> would call it a (very) weak swallow if there was some laryngeal
> movement.
>>
>> Jennie
>>
>> -----Original Message-----
>> From: dysphagia-bounces@b9.com [mailto:dysphagia-bounces@b9.com]On
>> Behalf Of diane sellstrom
>> Sent: Wednesday, 01 February 2006 11:15 AM
>> To: Dysphagia@b9.com
>> Subject: [Dysphagia] 'absent' swallows
>>
>>
>> a recent discussion with a colleague has sparked a bit
>> of debate within our department and i'd be interested
>> to see what others think.
>> I'd like to know if/when people use the term 'absent
>> swallow', particularly when reviewing a
>> Videofluoroscopy. If you do use it, how would you
>> define it and when does it become e.g. a very weak
>> swallow?
>> Thanks,
>>
>> Diane
>>
>> __________________________________________________
>> Do You Yahoo!?
>> Tired of spam? Yahoo! Mail has the best spam protection around
>> http://mail.yahoo.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
>
>
>
>
> ------------------------------
>
> Message: 11
> Date: Wed, 01 Feb 2006 12:12:36 -0500
> From: "Staci Otto" <otto@email.chop.edu>
> Subject: Re: [Dysphagia] 2 day Endoscopy hands on practicum
> To: <dysphagia@b9.com>, <Bartcyn@cs.com>, <asha-div13@lists.asha.org>
> Message-ID: <s3e0a5c0.019@email.chop.edu>
> Content-Type: text/plain; charset=US-ASCII
>
> I posted two things recently, neither of which i have seen thus far-
> this is 1. a test and 2. an inquiry if anyone else is experiencing this
> thanks
>
> Staci Otto MS CCC-SLP
> Children's Hospital of Philadelphia
> 215-590-7636
>
>
>>>> <Bartcyn@cs.com> 02/01/06 9:09 AM >>>
> The two day hands on course with Drs Crary and Mann will be held March
> 11th and 12th, 2006 at the Best Western Lake Buena Vista Resort in
> Orlando, Florida
> _______________________________________________
> 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
>
>
> End of Dysphagia Digest, Vol 27, Issue 1
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