January 6

The Waiting Game


How long have you had to wait when scheduling a MBSS? Lately, the shortest I have heard is 2 weeks and the longest is 2 months. What do you do in the meantime?

Do you treat the patient based on what you think is happening? This could be beneficial, however, you also might be providing therapy that is ineffective or even unnecessary. But can you wait?

Do you just hang out with the best recommendations you can make until the MBSS can be completed? Make conservative recommendations for diet? We know thickened liquids should not be used without imaging as they are not harmless but what if you think that the patient is aspirating thin liquids?

As I write this, I have no good answers. We have to do the best we can with what we have. 

At Midwest Dysphagia Diagnostics, I know that time matters. I don’t think you or your patients should have to wait and I don’t think your treatment plan should be based on your best guess. 

If you don’t have access to imaging, let me know. I can help you out with mobile FEES in Iowa or direct you to someone in your state. 

1-2 days or 14-60 days. Which sounds better for your patients?

I know I wouldn’t want to wait for treatment and your patients shouldn’t either. 



Clinical Focus, FEES, Mobile FEES, SLP, Swallowing, Treatment

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