DtH 13: Expert Rant #1 with Dr. Catriona Steele

Down the Hatch (Swallowing Podcast) lucky number 13!
Dr. Catriona Steele, a prolific scientist and swallowing expert, launches the first episode in our series called EXPERT RANT on the following 3 topics:
1. Revisiting the Clinical Swallowing Evaluation from Down the Hatch 12: Screen versus Evaluation?
2. Do Penetration-Aspiration Scale scores of 4 and 6 actually exist?
3. Get more aggressive with your rehab!
Solutions: Clinicians and Researchers … JOIN FORCES!

3 Replies to "DtH 13: Expert Rant #1 with Dr. Catriona Steele"

  • Anonymous
    October 23, 2017 (3:06 am)

    Great podcast! I agree that the methods we use to assess deglutition should be as ecologically valid as possible. However, in terms of a screening tool to be most effective, it should tax the system to be certain that those individuals with dysphagia (across a range of severity) are identified (i.e., high sensitivity). As individuals with a healthy swallow, we are easily able to complete the Yale Swallow Protocol. For our patients, I do not simply want a screening tool to consist of small, 5-10ml sips that would fail to identify those patients with subtle deficits. I have seen excellent outcomes using the Yale Swallow Protocol and have been able to make diet recommendations with confidence. In my experience, it is one of the few protocols that has been accepted by physicians and allied health professionals in a tertiary care center. It would nice to see a multi-site trial into some of these well known screening tools. What are your thoughts on this?

    • Grace Lee
      November 9, 2017 (11:00 pm)

      From my understanding, the YSP may place greater than required stress on the respiratory system. So I am wondering if, as a sole measure, it is good in making diet recommendations. I do see that it is frequently used in academic medical centers and it has a lot of prestige tied to it given the institution that developed it (Yale University). If Yale developed this protocol, then it must work for the majority of patients. Dr. Humbert and Dr. Vose,
      do you use the YSP in clinical practice and/or have you found it to be the best screening tool currently available? Was it used often at Johns Hopkins and in what populations? Thanks much!

  • Grace Lee
    December 22, 2017 (7:26 pm)

    Hi Dr. Humbert,

    I saw the brochure to the 2018 DRS meeting:


    I have 2 questions:

    1. Will the Scientific Paper Presentation titles/topics be released? That would help determine if it aligns with practice.

    2. Given that I am just a clinician, will it be helpful to attend a research-focused conference? I don’t know research and am just a clinician right now. I don’t have a phd and am not sure if I will be looked down on at the conference.

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