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Mobile FEES

Mobile FEES

So many times I am asked, how to get FEES in a building. The great part is that FEES is mobile! What does that mean to you?  That means that if you work in a facility, there are mobile companies that will bring their FEES equipment to your facility. Not sure where to start?  Check [...]

FEES Myths Part 4

FEES Myths Part 4

You know.   You can't see anything with FEES.   It is painful and dangerous to use FEES to assess your patients.   We've already discussed this though in my previous 3 posts, right? So what's the last myth we're going to discuss in FEES? FEES Myth #4.........   But, MBSS (Modified Barium Swallow Study) is the gold standard! [...]

FEES Myth #3

FEES Myth #3

You don't use FEES.  Maybe you don't believe in FEES because you've heard somewhere that it's dangerous. Myth #3........FEES is too dangerous for my patients. I'm pretty sure that if FEES were that dangerous, it wouldn't still be a thing.  I mean, if we're doing harm to patients with use of a procedure, it would [...]

Myths of FEES Part 2

Myths of FEES Part 2

This is going to be a big one. This is going to maybe go against everything you've ever heard or known. I mean, maybe I need a drumroll here...... FEES Myth #2 Busted......... You CAN see aspiration with FEES. There.....i said it. "Good agreement was found, especially for the finding of aspiration (90%)." (Regarding FEES) [...]

The History of FEES

The History of FEES

FEES FEES (Flexible Endoscopic Evaluation of Swallowing) is a procedure to assess the swallow.   Currently, a laryngoscope is passed transnasally (through the nose) and into the upper pharynx to observe the swallow and the swallow structures through a camera.    Picture from:  www.mc.vanderbilt.edu First Description FEES was first described in the literature in 1988.   The [...]

August Book Winner

August Book Winner

Congratulations Mary Burns!!   You are the winner of the August copy of The Adult Dysphagia Pocketguide! Please send me your address at dysphagiaramblings@gmail.com. Also, if you subscribe to Dysphagia Ramblings and start getting a million emails about changes.  Please bear with me.   I'm making changes to the site to enhance the experience.  I promise this [...]

Modified Barium Swallow Study: Gold Standard or Old News?

Modified Barium Swallow Study:  Gold Standard or Old News?

The Modified Barium Swallow Study, no matter what name is used, has been considered a gold standard for many years in the assessment of dysphagia.   Recently there has been a lot of debate about whether the MBSS continues to be the gold standard or if FEES (Flexible Endoscopic Evaluation of Swallowing) has taken the place [...]