Dysphagia Evaluation Specialists

Dysphagia Evaluation Specialists Our guarantees include:

1. Arrival within 24-72 hours of receiving a consult request. Call or email us today to schedule an in-service or demonstration!

Valeria Krivelevich, MA, CCC-SLP, BCS-S
FEES Educator | Book Author | Mobile FEES Owner | Trusted endoscopy education for SLPs

🎉Enhance Your Scope!👇

https://lnk.bio/dysphagia.eval.specialists Dysphagia Evaluation Specialists is the leading provider of mobile Flexible Endoscopic Evaluation of Swallowing (FEES) services to skilled nursing facilities throughout New York State and New Jersey. We stand behind the principles of excellence, quality of life, and service to our community and work diligently to elevate the quality of dysphagia care for our patients by providing a safe, cost effective diagnostic tool directly to skilled nursing facilities. In cases of emergency we will come on the same day or morning immediately following receiving a consult request.

2. Arrival at a time that is convenient for your Speech-Pathologist so that they can take part in important decision making during the diagnostic process.

3. A highly detailed evaluation report with color images printed and handed in before we leave the facility.

4. Strong support for your Speech-Pathology staff in assisting them with development of a sound plan of care for their patients based on objective findings.

03/02/2026
02/28/2026

We have a winner!🎉 DM me so I can send the books to you!

02/27/2026

It’s Giveaway Time! ⏱️

The rules are simple.

1. Follow this page
2. Like this post
3. Tag two fellow SLP’s in the comments

I will pick a winner randomly tomorrow and I will send you a soft cover version of the Detailed surface anatomy of the pharynx and larynx book and the spiral bound version of the Describing anomalies for the SLP Endoscopist book.

Best of luck!

02/27/2026

Plica Ventricularis (aka Ventricular Phonation / Ventricular Dysphonia) 👄🎙️

Ever heard a voice that sounds rough, low-pitched, strained, or “pressed,”almost like it’s coming from above the true vocal folds? One possible reason is plica ventricularis, when the false vocal folds (ventricular folds) squeeze together and vibrate during voicing, instead of (or along with) the true vocal folds.

What it can look/sound like:
* Harsh/strained quality, reduced clarity
* “Effortful” voicing (talking feels like work)
* Often tied to excess laryngeal compression (a.k.a. hyperfunctional patterns)
Why it happens (common scenarios):
* As a compensatory strategy when true vocal fold vibration is limited (e.g., paresis/paralysis, injury, structural issues)
* Or as a functional/habitual pattern with muscle tension and “false fold takeover”

The encouraging part:�When true fold vibration is possible, voice therapy is often helpful. the goal is to reduce false fold squeeze, rebalance voicing, and improve quality and efficiency.

Voice specialists, tell us how you and/or your ENT colleagues have helped patients with this type of voicing pattern!
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I didn’t know how I was going to do this.I was a single mom.
Managing an invisible illness (POTS).
Trying to build a mob...
02/24/2026

I didn’t know how I was going to do this.

I was a single mom.
Managing an invisible illness (POTS).
Trying to build a mobile FEES practice in a competitive market.

There were moments I wasn’t even sure my body could handle the physical demands of the job.

But I knew one thing:

She would not grow up limited by our circumstances.

So I built.
I built when I was exhausted.
I built when doors didn’t open right away.
I built when I had to figure things out without a roadmap.
I built when doubt was louder than confidence.

My “why” was never just revenue.

It was her.
It was stability.
It was proving to myself that I could create something bigger than my circumstances.

But I’m not finished.

Yes, I’ve built something I’m proud of.
Yes, I’ve created income, impact, and independence.

But I still have goals.

Bigger ones.
More impact.
More growth.
More freedom.

Knowing your why doesn’t just carry you through hard seasons.

It raises your standard for what’s possible.

And if I can build this from where I started…tired, uncertain, figuring it out as I went, so can you.

Tell me your WHY 👇

When she was born, I didn’t know how I was going to do this.I was a single mom.
Managing an invisible illness (POTS).
Tr...
02/24/2026

When she was born, I didn’t know how I was going to do this.

I was a single mom.
Managing an invisible illness (POTS).
Trying to build a mobile FEES practice in a competitive market.

There were moments I wasn’t even sure my body could handle the physical demands of the job.

But I knew one thing:

She would not grow up limited by our circumstances.

So I built.
I built when I was exhausted.
I built when doors didn’t open right away.
I built when I had to figure things out without a roadmap.
I built when doubt was louder than confidence.

My “why” was never just revenue.

It was her.
It was stability.
It was proving to myself that I could create something bigger than my circumstances.

But I’m not finished.

Yes, I’ve built something I’m proud of.
Yes, I’ve created income, impact, and independence.

But I still have goals.

Bigger ones.
More impact.
More growth.
More freedom.

Knowing your why doesn’t just carry you through hard seasons.

It raises your standard for what’s possible.

And if I can build this from where I started…tired, uncertain, figuring it out as I went, so can you.

Tell me your WHY 👇

02/23/2026

Is belching on FEES worth documenting? YES. đź‘€

Belching is the release of air from the gastric system through the mouth, often accompanied by a noise, and yes, we see it during FEES. The medical term for belching is ERUCTATION.

But here’s the real question: does it matter?

In my reports, I always document it, because context is everything.

Here’s what I include:
�▫️ Frequency – Did it happen once or multiple times?�▫️ After which consistencies – Thin? Puree? Solids?�▫️ Was there backflow of the bolus?�▫️ Does it correlate with the patient’s symptoms? (coughing, discomfort, regurgitation, globus?)

Belching during FEES can be completely benign…
�OR it can point toward esophageal involvement.

If it occurs more than once and especially if it’s associated with backflow or symptoms, I strongly consider a GI consult.

Remember: FEES doesn’t stop at the larynx. Sometimes what we observe is a clue to what’s happening below.

Document the details. They matter.

Comment BOOK to check out my best selling anatomy and anomalies books which will give you access to over a hundred descriptive medical terms for FEES and Videostroboscopy.


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