Down the Hatch (The Swallowing Podcast) hosted by Ianessa Humbert, Ph.D. and Alicia Vose Ph.D - two SLPs who love to gab about swallowing
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DOUBLE FEATURE!
The Down the Hatch Swallowing Neurophysiology Series has released a double feature. Two full-length episodes on Cranial Nerve Examinations with Dr. Kendrea Garand and The Principles of Motor Learning for Feeding and Swallowing with Dr. Evangelos Christou.
Listen on iTunes or here:
https://soundcloud.com/down-the-hatch
96.3% of Speech Language Pathologists self-identify as female. In this episode of the Down the Hatch Podcast, we are joined by 4 male SLPs to discuss the female dominance of our profession. Our guests Ryan Bransky, Rick McAdoo, Dan Weinstein, and Anthony Avitabile engage in a deep, tangential discussion (trigger warning: strong language at times). But rest assured that our conversation eventually touches on many points that, at some point, you all may have considered. Does it matter that we are so heavily female dominated? Would patients be served better with more male SLPs? Would we earn more money, more respect with more male colleagues? Listen to our opinions and, please, share yours!
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/slpsofemale
Sensation is largely overlooked in swallowing science and clinical practice. Why? It's difficult to test and to interpret! In this episode of Down the Hatch (The Swallowing Podcast), special guest Rachel Mulheren, Ph.D., discusses sensation as it relates to swallowing. How are sensation and perception different? How do we use cranial nerve sensory testing to make clinical decisions about swallowing behavior? Can we learn about sensation during videofluoroscopic studies? Although swallowing sensation is poorly understood, we attempt to address these questions and more in this discussion.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/swallowing-sensation-and-perception
Do you decide which patients will have swallowing therapy or modified diets? Are you aware of your role in modifying Experience Dependent Plasticity as a clinician managing swallowing impairments? In this episode of Down the Hatch (Swallowing Podcast), co-hosts Ianessa Humbert and Alicia Vose continue the Swallowing Neurophysiology Series and discuss Experience Dependent Plasticity in dysphagia management with Dr. Phoebe Macrae.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/experience-dependent-plasticity-in-dysphagia-management
Access the full text manuscript about EDP in Dysphagia Management (Macrae and Humbert 2013) in the episode description in SoundCloud
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https://www.ianessahumbert.com
Swallowing Expert Educator Researcher About About Ianessa Humbert About Swallowing About Ianessa Humbert About Swallowing Learn Learn Here Learn Contact Facebook Instagram Twitter Contact Dr. Humbert to learn which teaching, speaking, or consulting option is best for your needs. These may include in...
Back by popular demand, Down the Hatch’s Swallowing Physiology Series is now focused on neural control! In this Swallowing NEUROPhysiology Series, hosts Drs. Ianessa Humbert and Alicia Vose focus on concepts related to the central nervous system, not just because it controls swallowing, but also because it is among the most poorly understood and highly requested topics among those who aim to learn more about swallowing. In this installment, we move beyond the peripheral nervous system (cranial nerves) and introduce concepts that include cranial nerve nuclei and central pattern generators within the brainstem that are essential to swallowing. Common questions like "Is swallowing a reflex" are discussed. Links to full text papers on this topic can be found in the description on Soundcloud (link below) or scroll down in this post description.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/swallowing-neural-control-101
Full links to papers:
https://www.ncbi.nlm.nih.gov/pubmed/11274347
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992653/
https://link.springer.com/article/10.1007/BF02407121
Part Deux! Is it racist for a white patient to ask for a white clinician? Do non-white clinicians need to consistently code-switch to function in predominantly white professional settings? Does our field really need to increase diversity or can we just manage by educating all SLPs on how to treat a diverse population? The gang is back together to address concerns that the field of Speech Language Pathology is 95% white female. Guests Jessica Forbes, MS, CCC-SLP and Anu Subramanian, Ph.D., CCC-SLP join hosts Alicia Vose and Ianessa Humbert in yet another candid conversation about being a white, brown, or other SLP in the field of Speech Language Pathology.
Watch the WHOLE banter here: https://youtu.be/q6UwYxmz67s
The Coronavirus (COVID-19) pandemic has rapidly and drastically changed health care practice around the world. Many medical speech language pathologists are uncertain about how and whether to continue managing patients with swallowing impairments (dysphagia), and if so... which patients? In this episode of Down the Hatch, Ianessa Humbert and Alicia Vose discuss whether SLPs are essential practitioners at this critical time. We thank our special guests who have expertise in swallowing clinical practice for an informative conversation: Ed M Bice, Liz Nguyen, Edgar Vincent Clark, Dan Weinstein, Matt Ward, Megan Slp, and John Ashford.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/dth36-covid
Links to sources referenced can be found here:
pubmed.ncbi.nlm.nih.gov/25129577/
insights.ovid.com/clinical-pulmona…-used/4/00045413
pubmed.ncbi.nlm.nih.gov/9513300/
www.entnet.org/sites/default/fil…update3.23.20.pdf
www.entnet.org/content/academy-s…lyndZzV8qAPsb8XbI
annals.org/aim/fullarticle/276…workers-case-report
sacramento.cbslocal.com/2020/03/05/uc…est-negative/
www.newyorker.com/news/news-desk/k…lth-care-workers
www.ncbi.nlm.nih.gov/pubmed/25807865
www.ncbi.nlm.nih.gov/pmc/articles/PMC1459179/
CMS recommendations:
www.cms.gov/files/document/3182…recommendations.pdf
AAOHNS's statement as of 3/26:
www.entnet.org/content/academy-s…Wr3IKWSGq50ngQ8qc
CDC on minimization of transmission within different settings:
www.cdc.gov/coronavirus/2019-nc…s/guidance-hcf.html
Ventilation and PPE usage with aerosol transmission:
www.google.com/search?client=fir…althcare+premises
High-risk patient factors for severe illness from COVID-19:
www.cdc.gov/coronavirus/2019-nc…at-higher-risk.html
www.cisa.gov/sites/default/file…5xnicLOTjz1tN6O-4E
The Coronavirus (COVID-19) pandemic has drastically changed health care practice around the world. Many medical speech language pathologists are uncertain about how and whether to continue managing pa
The field of Speech Language Pathology is 95% white female. As a result, efforts to increase diversity in this discipline have been ongoing, yet somewhat unsuccessful. It is possible that issues surrounding the whiteness of SLPs could be better explored with open conversations about this matter. Is it a problem? Would more diversity improve patient care or training the next generation? This episode of Down the Hatch welcomes guests Jessica Carlene, MS, CCC-SLP and Anu Subramanian, Ph.D., CCC-SLP join hosts Alicia Vose and Ianessa Humbert in raucous, candid, controversial, and sometimes explicit, banter about being a white, brown, or other SLP in the field of Speech Language Pathology.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/dth-slp-so-white
“I just listened to your DTH podcast with Jim. In my humble opinion I think this podcast should be required listening for every SLP student and every SLP everywhere who deals with dysphagia….”
“To expose what has become a very comfortable lie in exchange for the integrity and power of the truth is likely the greatest kindness one human can offer to another… As a direct result, I will do better”
“Hi I just listened to Jim share his story. My heart was broken…”
“Honestly, this podcast really spoke to me and motivated me to push…”
There has been a very sincere response to the DO BETTER message that we push in Down the Hatch (The Swallowing Podcast). In this episode, Ed M Bice, Alicia Vose and Ianessa Humbert discuss these vibes, especially related to Jim’s case. It’s a wild, honest, passionate conversation. Recommendation: Listen with your adult beverage of choice!
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/response-to-the-give-hope-podcast
Head and neck cancer can cause devastating swallowing problems, requiring a unique approach. This episode of Down the Hatch (The Swallowing Podcast) includes guest Heather Starmer , M.A., CCC-SLP who has extensive clinical and research expertise in dysphagia due to head and neck cancer. In addition to basics that make this population distinct, we stomp all over a couple of soap boxes including whether residue is "a thing"! Despite limited time, you will find this to be a very informative podcast about a very special type of dysphagia.
Listen here or on iTunes https://soundcloud.com/down-the-hatch/head-and-neck-cancer
Link to her paper on Gabbapentin: https://www.ncbi.nlm.nih.gov/pubmed/24633355
“I don’t want to be too dramatic, but the NPO is almost like a death sentence … I really think that it should be the last recourse and not the beginning”. This is one of many sincere opinions from an individual who has been living with a significant swallowing disorder. In this episode of Down the Hatch, the swallowing podcast, co-hosts Alicia Vose and Ianessa Humbert have a conversation with Jim, who suffered a brainstem stroke, leading to dysphagia. His very candid experience is the heart of why service delivery by Speech Language Pathologists who manage dysphagia does not just potentially impact life, but also LIVELIHOOD.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/give-hope-reflections-on-living-with-a-swallowing-disorder
Click here to see a clip of this patients swallow: https://www.youtube.com/watch?v=OpFjLLDbS-c&feature=youtu.be
“If you’re listening to this podcast (still)… and you’re not frustrated its because you’ve realized they are not going to answer any one specific question…”
Experience does not make an expert. Being told what to do and seeking recipes may never deepen your knowledge in swallowing and swallowing disorders. Part 1 of "Experience versus Expertise" is in response to tremendous feedback requesting ideas on how to become an expert and, importantly, how to know who to trust as an expert in swallowing.
Listen here (or on iTunes) to hosts Alicia Vose and Ianessa Humbert discuss how to deepen your knowledge in swallowing (or any topic):
https://soundcloud.com/down-the-hatch/experience-versus-expertise-part-1
The season finale of The Swallowing Physiology Series of the Down the Hatch swallowing podcast combines the pharynx and the UES. My favorite part is the end where Alicia Vose and I have a theoretical discussion about whether traditional swallowing exercises can truly impact these structures versus getting more practice doing plain old swallowing with a wide range of boluses.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/dth30-pharynx-ues
By the end of the podcast, hopefully you will understand why listing "incomplete epiglottic inversion" provides insufficient information about the cause of this type of LVC impairment. Enjoy this most recent release of the Swallowing Physiology Series focused on Laryngeal Vestibule Closure with Ianessa Humbert and Alicia Vose.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/swallowing-physiology-series-laryngeal-vestibule-closure
Laryngeal vestibule closure (LVC)is one of the most complicated and critical swallowing events, but it remains poorly understood. In this episode of Down the Hatch (The Swallowing Podcast), we continu
Should a swallow be triggered by the time the bolus enters the valleculae? Are premature spillage and swallow onset the delay the same thing? Check out the most recent Swallowing Physiology Series on Down the Hatch on the topic: SWALLOW TRIGGER! Join Alicia Vose and Ianessa Humbert with special guest Becca Huy as we discuss the ins and outs of this complicated and critical swallowing event.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/the-swallowing-physiology-series-swallow-trigger
Recently, an overwhelming 92% of clinicians responded “NO” to the question: Did you feel prepared to assess and treat swallowing disorders upon graduation (Plowman & Humbert 2018). 45% of SLP survey r
ASHA... What are you doing for your membership? For quality improvement of dysphagia management? This is a common question among ASHA members. In this installment of Down the Hatch (The Swallowing Podcast) Host Ianessa Humbert is joined by ASHA President hopeful Luis F Riquelme PhD and colleague Ed M Bice M.Ed, SLP to discuss ASHA's role in maintaining clinical competence among speech language pathologists, especially those engaged in dysphagia management.
Listen here or on iTunes
https://soundcloud.com/down-the-hatch/asha-what-have-you-done-for-me-lately
As part of the Down the Hatch Swallowing Physiology Series, we have posted a video of hosts Alicia Vose and Ianessa Humbert discussing a variety of videofluoroscopic images of swallowing (modified barium swallow study).
Enjoy.
https://youtu.be/lyjnWBlvQQU
Down the Hatch is a podcast about swallowing hosted by Ianessa Humbert and Alicia Vose. This MBS interpretation video is an example of how Ianessa and Alicia...
Base of Tongue Retraction AKA Posterior Lingual Propulsion AKA Oral Phase AKA "Squeeze Back"....
What is it? How does it work? How can it be assessed? In this second installment of The Swallowing Physiology Series of Down the Hatch (The Swallowing Podcast), hosts Alicia Vose and Ianessa Humbert are joined by Dr. Catriona Steele to discuss the ins and outs of this swallowing event.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/the-swallowing-physiology-series-base-of-tongue-retraction
Recently, an overwhelming 92% of clinicians responded “NO” to the question: Did you feel prepared to assess and treat swallowing disorders upon graduation (Plowman & Humbert 2018). 45% of SLP survey respondents think that more dysphagia courses would improve competency (McCoy & Desai 2018). To help address this need, Down the Hatch (The Swallowing Podcast) has launched The Swallowing Physiology Series, where several oropharyngeal events that are important for swallowing will be spontaneously discussed by hosts Ianessa Humbert and Alicia Vose. Further, we will indicate whether each event can be assessed in clinical evaluations versus instrumental evaluations. Since podcasts are audio only, consider subscribing to the Swallowing Training and Education Portal for detailed visuals of these events (stepcommunity.com).
Listen on Sound cloud here (or iTunes):
https://soundcloud.com/down-the-hatch/dth-26-oral-preparation
Recently, an overwhelming 92% of clinicians responded “NO” to the question: Did you feel prepared to assess and treat swallowing disorders upon graduation (Plowman & Humbert 2018). 45% of SLP survey r
Do you think we need more swallowing therapies? Do you hand out a standard list of therapy worksheets for many of your patients with swallowing problems? Have you ever thought "Tell me what to do!" when faced with making decisions about treating patients? In this installment of Down the Hatch (The Swallowing Podcast), Alicia and Ianessa discuss the dilemma facing many SLPs who treat dysphagia. Alicia Vose and Ianessa Humbert suggest focusing on the process of deciding whether therapy is needed and/or which therapy should be recommended, and we suspect that very little time is spent on clinical decision-making (rather just the ex*****on of therapy). This is a skill that SLPs should possess and this skill is required to actually provide the correct individualized treatment, rather than simply providing the same list of swallowing therapies for all individuals with dysphagia.
Do you think we need more swallowing therapies? Do you hand out a standard list of therapy worksheets for many of your patients with swallowing problems? Have you ever thought "Tell me what to do!" wh
The data are abysmal! In a recent publication, partly authored by Down the Hatch Hosts Alicia Vose and Ianessa Humbert, we reveal that SLP identification of swallowing impairments is poor to moderate. Why? Many could not differentiate disordered swallowing events from normal ones. In this installment with Special Guests Justine Zohar and Michela Mir (both Doctoral Students and SLPs with clinical experience), we discuss this proverbial Ground Zero.
Acceptance: This is the first STEP toward SLP competence in Dysphagia Management.
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/12-steps-acceptanceuse
To address feeding and swallowing impairments in the pediatric population, one requires highly specialized knowledge. Still, pediatric dysphagia is extremely understudied and underfunded and SLP clinicians often learn on the job. In this episode, Dr. Emily Zimmerman Lehman, an expert in pediatric dysphagia, primes the Down the Hatch (Swallowing Podcast) listening audience as well as hosts Ianessa Humbert and Alicia Vose on how to approach pediatric dysphagia.
Listen here or on iTunes:
https://soundcloud.com/down-the-hatch/into-the-mouth-of-babes-a-pediatric-dysphagia-primer
Hey everyone! I loaded many of the swallowing videos that I have created over the years for SLPs on my youtube channel given the many requests to make them readily accessible! View them here!
https://www.youtube.com/channel/UCq8_kb-4JkisYLtrHMQ8bnw/videos
Down the Hatch Podcast CEU Discount
Did you know? September 30 is International Podcast Day! We are celebrating by offering the Down the Hatch Podcast CEU Bundle for $75 ($25 off original price) for 1.65 ASHA CEUs from September 15 through September 30, 2018. Listen, learn and share with all your SLP friends today.
Click here to save: https://stepcommunity.thinkific.com/courses/down-the-hatch-ceu-bundle
The field of Communication Sciences and Disorders (CSD) faces a critical shortage of the faculty essential to train the future workforce of Speech-Language Pathologists and Audiologists. Despite a predominance of women in the field, men receive doctoral degrees, academic leadership positions, and ASHA awards at disproportionately higher rates than women. In this episode of Down the Hatch, Drs. Ianessa Humbert and Nicole Rogus-Pulia, authors of a recently accepted paper on this topic, explore how implicit gender bias may impact female advancement in CSD. The paper is accepted for publication in the American Journal of Speech-Language Pathology (AJSLP).
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/gender-bias-in-communication-sciences-disorders
Diet modifications and swallowing exercises are a mainstay in dysphagia rehabilitation, but do they truly prevent aspiration pneumonia or rehabilitate impaired swallowing? Do researchers have a responsibility to conduct studies that justify or refute frequent SLP use of thickened liquids, swallowing compensatory strategies and/or maneuvers? In this Down the Hatch episode, Dr. Ianessa Humbert and Alicia Vose (doctoral candidate) discuss the clinical decision to not prescribe thickened liquids as well as literature that addresses whether there is evidence to support swallowing exercises to rehabilitate dysphagia.
Listen here or on iTunes:
https://soundcloud.com/down-the-hatch/diet-exercise
Diet modifications and swallowing exercises are a mainstay in dysphagia rehabilitation, but do they truly prevent aspiration pneumonia or rehabilitate impaired swallowing? Do researchers have a respon
For the patients, caregivers, SLPs, medical professionals, researchers, administrators, industry partners, more...
Dysphagia Awareness: Care, Share, Be Aware.
https://www.youtube.com/watch?v=kByM0wztGLI&list=PLYUApPiu2r6XcfiTO3FVV3uQ49eWri-Q7
Does more pharyngeal residue mean that there is reduced pharyngeal pressure? Do greater pharyngeal pressures occur when swallowing thicker boluses? Does the Mendelsohn Maneuver reduce UES pressures? Dr. Corinne Jones of the University of Wisconsin (Madison) joins Down the Hatch (The Swallowing Podcast) as our special guest. We discuss Dr. Jones' area of expertise in High Resolution Manometry (HRM) research, including pharyngeal and UES pressures during swallowing.
Listen here or on iTunes
https://soundcloud.com/down-the-hatch/the-big-squeeze
You can now earn 1.65 ASHA CEUs for listening to the "Down the Hatch" swallowing podcast episodes with the launch of our STEP CEUs series. Learn more here: bit.ly/downthehatchceus
A podcast for dysphagia clinicians about hot topics in swallowing and swallowing disorders
Are you sure your dysphagic patients need strengthening? If so, can you define weakness or fatigue? In this episode, we discuss weakness and fatigue with Dr. Leo Ferreira, an associate professor in the department of Applied Physiology & Kinesiology at the University of Florida. He is a clinically trained physical therapist and scientist who studies muscle biology and weakness in chronic diseases. Our aim in this podcast is to encourage clinicians who treat dysphagia to re-think whether their patients are truly weak, versus whether they have timing, range of motion, or even sensory abnormalities. Listen, consider, and enjoy!
Listen here or on iTunes: https://soundcloud.com/down-the-hatch/wreak-havoc-are-you-sure-your-patients-need-strengthening
"If we've got an area of our field where somebody dies because we made a mistake, then we have got to have standards the same way every other medical profession does." Julie Barkmeier-Kraemer, Ph.D., CCC-SLP, a voice, swallowing, and airway disorder expert, roused up your Down the Hatch hosts Ianessa and Alicia and in our Expert Rant #2 (AKA "Passion Pi****ff"). Dr. Kraemer recommends SLP behaviors that win the confidence of physicians and, especially, for SLPs to avoid "lolly-gagging" into a medical institution (
"If we've got an area of our field where somebody dies because we made a mistake, then we have got to have standards the same way every other medical profession does." Julie Barkmeier Kraemer, Ph.D.,
Many have reached out to Alicia or I (Ianessa) to share improvements in patient care, university education, inter-professional relationships, and even institutional policy based on information learned on the Down the Hatch Swallowing Podcast. Well, it turns out that Alicia and I can also benefit from our podcast! After our most recent podcast, "50 Shades of Gray: Addressing the SLP relationship with Radiology", the following email was sent to encourage communication with Radiology to support SLP service needs at our institution. We are pleased with this positive step!
You can listen here or on iTunes if you haven't heard the episode: https://soundcloud.com/down-the-hatch/50-shades-of-gray-addressing-the-slp-relationship-with-radiology
Do you feel that SLPs are at the mercy of Radiology? Is there any chance that SLPs could run videofluoroscopy studies by themselves? In this installment of Down the Hatch (The Swallowing Podcast) our special guest is Jen Sirera R.T. (R), BHSc, CIIP, the Technical Director (and former Radiology Technologist) of Radiology at Shands Hospital at the University of Florida. We discuss access to fluoroscopy, increasing to 30 pulses per second, and recording MBS studies. Bottom line: SLPs should build a relationship with their Department of Radiology AND consider reaching out to mobile MBS and FEES companies to fulfill their patients' needs!
Listen here:
https://soundcloud.com/down-the-hatch/50-shades-of-gray-addressing-the-slp-relationship-with-radiology
INTRODUCING STEP: The All-In-One Learning Solution for Swallowing and Swallowing Disorders.
For $9/month, STEP membership offers you unlimited access to evidence-based courses and resources on topics covering normal swallow function, clinical bedside and instrumental evaluations, dysphagia therapy techniques and professional issues in dysphagia management; from basics to advanced. STEP membership provides students, instructors and clinicians with continuing education courses, podcasts and blog posts; created and curated by dysphagia experts you can trust. Think of STEP as your very own NETFLIX FOR SWALLOWING!
Explore our courses and join the STEP Community at www.stepcommunity.com. And before you go... turn the volume up and watch the video below to learn more.
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