[Dysphagia] (no subject)

[robmelch70 at hotmail.com (Rob Melchionna)]

Thank you for that. It's a pet peave of mine, "So and so failed his MBS". My response is always "Impossible! It's not a pass/fail test!"Rob Melchionna MS CCC-SLP> Date: Tue, 15 May 2007 16:53:53 -0400> From: bsonies at comcast.net> To: tweetsalong at aol.com; eripley at yahoo.com; dysphagia at b9.com> Subject: Re: [Dysphagia] (no subject)> > No one FAILS an MBS- this is an incorrect interpretation of the test-what do> you possibly mean by fails??!!! Did he aspirate on all textures, did he have> pooling for some, did he fail to produce any swallow, was there reduced> hyoid elevation or epiglottal lowering, did he penetrate into the vestibule,> did he attempt to clear the pharynx, did some bolus enter the esophagus???> These are among the observations one makes to analyze a swallow or set of> swallows--he can not FAIL.> Dr Barbara Sonies, BRS-S> > > On 5/15/07 4:44 PM, "tweetsalong at aol.com" <tweetsalong at aol.com> wrote:> > > Hello everyone-> >  > > I am looking for a little advice regarding one of my homecare patients.  This> > gentleman came to me as NPO back in the beginning of March.  I have been> > seeing him since then and have recertified him for services.  Today he went> > for a repeat MBS and failed once again.  I know that he has made some> > progress.  He is very motivated and practices his exercises 3 times a day.  I> > will continue to see him for the remainder of the certification period which> > ends at the beginning of July.  Should I recommend another MBS at that time or> > do I discharge him and encourage him to continue to pactice?  When do you draw> > the line as to how long you should continue services (especially if no> > progress has been made)?  I am waiting for the updated MBS to be faxed to me> > to see if anything at all has changed...> >  > > Any thoughts would be greatly appreciated...> >  > > Allie> > ________________________________________________________________________> > AOL now offers free email to everyone.  Find out more about what's free from> > AOL at AOL.com.> > _______________________________________________> > Dysphagia mail list: Normal and disordered swallowing information> > Dysphagia at dysphagia.com> > Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia> > Visit the new Dysphagia Web Forum: http://dysphagia.com/forum> > > _______________________________________________> Dysphagia mail list: Normal and disordered swallowing information> Dysphagia at dysphagia.com> Manage subscription: http://lists.b9.com/mailman/listinfo/dysphagia> Visit the new Dysphagia Web Forum: http://dysphagia.com/forum
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