#speechpathology

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When I’m assessing orientation/remote memory and I ask my pt who the current president is, and they respond “that asshole”...

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As a follow up to Swallowing Awareness Day, this is what it looks like inside when we swallow! This is called a Videofluoroscopic Swallowing Study (VFSS) or Modified Barium Swallow (MBS), which is a bit like an X-ray video that speech pathologists can use to observe a person’s swallowing, and make note of any impairment that could place them at risk of choking or aspirating food or fluid into their lungs. Speechies use VFSS to assess the ‘safety’ of someone’s swallow and to make decisions or recommendations about diet modifications such as puréed food or thickened fluids, in order to prevent choking, or aspirating and the development of pneumonia as a result. How cool are bodies? How cool is technology?? #swallowingawarenessday #dysphagia #speechpathology #900swallows . . . [Video description: short x-ray video of a person’s head and neck facing sideways, as they swallow a mouthful of fluid. The video shows the dark fluid as it travels down the person’s throat.]

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Watching all the silent aspiration on my pt’s VFSS like:

Yeeeaaahhhh so we’re gonna stay with NPO for now. 

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When I’m assessing remote memory and ask my Pt to tell me about what’s been happening in the news lately...

...and they’re able to recall current events accurately (yay!) but then start talking about how unfair the media is being to trump, how he’s doing a great job and people need to give him a chance, etc etc...

*Resists temptation not to comment on “impaired judgment” in my documentation*

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When the new grad RN on the unit tells me she wants to learn more about swallowing and asks if there’s anything I can teach her:

Education-seeking new grad RN: You can stay. I shall enlighten thee with swallowology knowledge!

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When I have a group session and my patients are horrible influences on one another and veer us off track/topic for 90% of the session.

This went a lot different in my mind

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Patient on puree/HTL: “I can swallow perfectly fine.”

Me:

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Since graduating / becoming a real working SLP, any time I hear “Broca’s aphasia” or “Wernicke’s aphasia,” I’m like:

Raise your hand if your professors harped on this terminology when you were in school but then you entered the real word to realize NOBODY uses these terms clinically!