05/26/2026
Enrollment for Dysphagia Grand Rounds closes tonight. Before it does…here is one thing you can use tomorrow whether you enroll or not.
If you have ever struggled to justify a FEES referral to a resistant team, start here.
Three things I document every time:
1. The chart — recurrent pneumonia, unexplained weight loss, neurological history, prior intubation. That history is your foundation.
2. Bedside findings: wet vocal quality, multiple swallows per bolus, coughing during intake, oral residue. Document every single one specifically and objectively.
3. The mismatch: this is the one most SLPs miss. When the patient says they are fine but the objective picture tells a different story, document that discrepancy directly.
“Patient denies swallowing difficulty. However objective findings including wet vocal quality, recurrent pneumonia history, and unintentional weight loss are inconsistent with patient report and warrant instrumental assessment to rule out silent aspiration.”
Use this method. Let me know what happens.
And if you want the full experience…working through real cases, building clinical arguments, and learning how to get your patients the assessment they deserve
Enrollment closes tonight. Link in bio.
💛You have until midnight