George Barnes MS CCC SLP

George Barnes MS CCC SLP Med SLP specialist in MBSS, trach/vent, and aspiration pneumonia management. Mobile FEES provider. Making Swallowing Simpler

📍Greater NYC 🍎

No, no you don’t. Not without an instrumental at least. Tell me about your colleagues who seem to have x-ray vision and ...
12/10/2025

No, no you don’t. Not without an instrumental at least.

Tell me about your colleagues who seem to have x-ray vision and what you do to educate? 👇

Despite the knowledge we’ve gained, the jury is still out on critical questions:What is the precise relationship between...
12/08/2025

Despite the knowledge we’ve gained, the jury is still out on critical questions:

What is the precise relationship between dysphagia, aspiration, and pneumonia?

Do the risks of modified diets and liquids outweigh their costs?

Which dysphagia interventions are truly most effective, and for which patients?

🔬🔬🔬

But I truly believe that a lack of research is not a roadblock...

Instead, it’s a chance for us to be creative, to grow, and to strive for better.

Want to learn more? Comment “SLP” for this week’s full article.

12/05/2025

And it’s always on a Friday…

This was my life back in my nursing home days. Bathroom breaks were a privilege, not a right.

Tips for hiring additional staff to help? Comment below for those who need it! 👇

Been there? Tell us 👇
12/02/2025

Been there? Tell us 👇

The swallow involves over 50 muscles—it’s a high-stakes juggling act over one of the most critical anatomical pathways i...
12/01/2025

The swallow involves over 50 muscles—it’s a high-stakes juggling act over one of the most critical anatomical pathways in the human body:

The airway.

Yet, we often assess this complex, highly variable act with data from a single, rushed “snapshot.”

The greatest barrier to accurate VFSS today isn’t technology, but the variability in testing and interpretation.

This is why we must adopt the proper tools to capture the WHOLE physiological event.

Become the SLP who ensures an accurate interpretation of what’s really happening.

Check out my latest article, inspired by Dr. Sonja Molfenter, PhD, CCC-SLP, who reviewed and endorsed the article.

Comment “SLP” for full access 👇

The fact that they never should have been on it to begin with is a talk for another day. For now… let’s just say you’re ...
11/25/2025

The fact that they never should have been on it to begin with is a talk for another day. For now… let’s just say you’re welcome.

Have YOU liberated a patient recently? 👇

A patient is suddenly aspirating with normal brain imaging. Is this a permanent deficit?In the medical SLP world, we con...
11/24/2025

A patient is suddenly aspirating with normal brain imaging. Is this a permanent deficit?

In the medical SLP world, we constantly face the Chicken-or-the-Egg Dilemma...

When we see pneumonia and dysphagia, our mind instinctively jumps to a conclusion: The dysphagia caused the pneumonia.

But, is this always or even usually the case?

🥚🥚🥚

Reverse your logic: The issue often lies in the acute medical condition itself.

For example, sepsis and subsequent delirium often cause a sudden dysphagia, totally apart from the patient’s baseline function.

How can we use the clinical presentation to help differentiate these two, very different scenarios?

Comment “SLP” below for direct access to my latest article. Thank you to Dr. James Coyle for his help on this!

Case study time…Trace, silent aspiration. Is this enough to make a patient NPO?Well, it depends, right? After an MBSS, E...
11/18/2025

Case study time…

Trace, silent aspiration. Is this enough to make a patient NPO?

Well, it depends, right?

After an MBSS, Edwin was made NPO for trace silent aspiration. Now, he’s distraught, dehydrated, and asking every nurse why he’s being “starved”.

The stakes are high in such a situation. How do you know what to do? How do you know what to say?

Let’s take a look at the research in my latest article on the topic. Thank you to Dr. James Coyle for review and feedback!

Comment “SLP” below for full access.

When the goal shifts from recovery to comfort, is there still a role for the SLP? The answer is a resounding yes. But it...
11/13/2025

When the goal shifts from recovery to comfort, is there still a role for the SLP?

The answer is a resounding yes.

But it’s a different territory from what we’re used to navigating.

So, how do you know what to do?

It’s best to think about it this way...

Make the shift away from a rehabilitation mindset, utilizing complex exercises and strategies, and high-tech solutions. Instead, keep it simple.

The key is to facilitate shared decision-making and help families ask the fundamental question: “What matters most right now?”

Keep it simple.

Finding solutions to simple problems—like sipping warm soup or eating chocolate pudding— may provide the bit of joy and dignity your patient is craving.

Our primary goal is to understand, not fix, so we can empower the patient to find some peace in their final days.

Want to learn more about the SLP’s role at the end of life? Comment “SLP” and I’ll send you this week’s full article. 👇

When the goal shifts from recovery to comfort, is there still a role for the SLP? The answer is a resounding yes. But it...
11/13/2025

When the goal shifts from recovery to comfort, is there still a role for the SLP?

The answer is a resounding yes.

But it’s a different territory from what we’re used to navigating.

So, how do you know what to do?

It’s best to think about it this way...

Make the shift away from a rehabilitation mindset, utilizing complex exercises and strategies, and high-tech solutions. Instead, keep it simple.

The key is to facilitate shared decision-making and help families ask the fundamental question: “What matters most right now?”

Keep it simple.

Finding solutions to simple problems—like sipping warm soup or eating chocolate pudding— may provide the bit of joy and dignity your patient is craving.

Our primary goal is to understand, not fix, so we can empower the patient to find some peace in their final days.

Want to learn more about the SLP’s role at the EOL? Comment “SLP” and I’ll send you think week’s full article.

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