On this episode, Theresa sits down with Dr. Diane Longnecker, Assistant Professor at Baylor University and clinical researcher at Baylor Scott and White, and Jamie Anderson, medical SLP and clinical instructor at the University of South Florida, to talk about something a lot of clinicians have heard of but aren't quite sure what to do with: pharyngeal manometry. Jamie starts with a confession most of us can probably relate to — she rolled her eyes at it when she first heard about it. Now she can't imagine practicing without it. Dr. Longnecker walks us through why she started using it clinically back in 2019, what her very first case taught her about the limits of visual interpretation, and why she no longer sends a patient for UES management without it. They break down what pharyngeal manometry actually tells you that your modified barium swallow study and FEES simply can't, which patients belong in the referral pool, what the barriers to starting a program actually look like (reimbursement, analysis time, catheter placement), and why someone in this field needs to take ownership of the UES. If you've been curious about this tool but didn't know where to start, this conversation is a genuinely helpful place to begin.

Get the show notes and references: https://syppodcast.com/394

The post 394 – Pressure, Pumps, and the UES:The Case for Pharyngeal Manometry in Clinical Practice appeared first on Swallow Your Pride Podcast.

On this episode, Theresa sits down with Dr. Julie Cichero, a clinician, researcher, and one of the foremost experts in dysphagia with over 30 years of experience, to talk about something that has had a complicated reputation in our field: cervical auscultation. If you trained in the 90s, you probably learned it. If you trained more recently, you might have been told to ignore it. The truth, as it turns out, is a lot more nuanced than either camp wants to admit.

Dr. Cichero breaks down what the evidence actually shows, including sensitivities of around 91% and negative predictive values that should genuinely change how we think about using this tool at the bedside. She explains why it's not really about the "clink and clunk" sounds at all, and why the breathing pattern after the swallow is where the real clinical information lives. She also shares what proper training looks like, how cervical auscultation fits alongside instrumental assessment (not instead of it), and two clinical stories involving pharyngeal pouches that are honestly pretty wild.

Get the show notes and references here: https://syppodcast.com/393

The post 393 – Clinks, Clunks, and Clinical Confidence: Rethinking Cervical Auscultation – Julie Cichero BA, BSpThy(Hons), PhD appeared first on Swallow Your Pride Podcast.

On this episode of Swallow Your Pride, Theresa sits down with Ally Roberts, M.S., CCC-SLP, to talk about dysphagia management, patient-centered care, and the story behind Naturally Nectar. Ally shares what years in acute care, inpatient rehab, and outpatient swallow studies taught her about thickened liquids, clinical nuance, and the importance of listening to what patients actually want. They also get into the process of building a product for people with dysphagia that prioritizes dignity, nutrition, and real-world usability.

Get the references here: https://syppodcast.com/392
Website: https://naturallynectar.org

The post 392 – The Surprising Truth About Thickened Liquids: What Patients Really Want with Naturally Nectar appeared first on Swallow Your Pride Podcast.

In this episode, Theresa interviews Dr. Yvette McCoy, Assistant Professor at Moravian University, about her research on the connection between physical performance and swallowing function in older adults. Dr. McCoy discusses her dissertation, which found that upper body power strongly predicts swallowing-related measures, highlighting the value of integrating exercise science principles into dysphagia rehabilitation. The […]

The post 361 – From Exercise Science to Swallowing Success: A New Approach to Dysphagia Rehabilitation appeared first on Swallow Your Pride Podcast.

The proposed changes to CPT code 92507 have sparked a lot of discussion across the SLP community. Many clinicians are seeing numbers circulating online and understandably feeling worried about what this might mean for reimbursement and clinical practice. In this episode, Theresa sits down with Lysa Johnson, speech-language pathologist and regulatory compliance expert, to unpack […]

The post 390 – SLP Billing Changes: Breaking Down the 92507 Proposal appeared first on Swallow Your Pride Podcast.

In this episode of Swallow Your Pride, Theresa sits down with Dr. Rabab Rangwala, PhD, CCC-SLP, to explore the science behind respiratory–swallow coordination in Parkinson’s disease and what it means for clinical practice.

They dive into how breathing patterns can influence swallowing safety, why patients with Parkinson’s may not fully perceive their swallowing impairments, and what recent research reveals about the relationship between patient-reported symptoms and instrumental findings. Dr. Rangwala also shares how her clinical experience shaped her research questions and why instrumental assessment plays a critical role, while still recognizing real-world access barriers.

This conversation bridges neuroscience and bedside care, offering practical insights to help medical SLPs strengthen their clinical clarity and better serve individuals with neurologic disease.

Get the references and special links to articles mentioned here: https://syppodcast.com/389

Dr. Rabab Rangwala is a speech-language pathologist and postdoctoral scholar at University of California, San Francisco. Her research focuses on the neural and behavioral control of swallowing and speech across healthy and clinical populations. Her work in dysphagia examines respiratory–swallow coordination, and objective assessment of swallowing impairments using wearable sensors, particularly in individuals with Parkinson’s disease and other neurologic conditions. In parallel, she conducts speech neuroscience research using neuroimaging, psychophysics, and computational modeling to understand how the brain supports complex motor behaviors such as speech production.
By integrating clinical insight with neuroscience and quantitative methods, Dr. Rangwala’s work seeks to improve our understanding of speech and swallowing disorders, with the goal of informing healthcare delivery, guiding treatment decisions, and ultimately improving patient quality of life.

The post 389 – Respiratory–Swallow Coordination in Parkinson’s: What the Research Actually Shows appeared first on Swallow Your Pride Podcast.

Dysphagia in Parkinson’s disease is not one-size-fits-all, and treatment decisions shouldn’t be either.In this episode of Swallow Your Pride, Theresa is joined by PD Dr. Bendix Labeit, MBA, neurologist and clinician-scientist, and Jule Hofacker, MSc, speech-language pathologist and PhD student in neurogenic dysphagia, to explore how Parkinson’s treatments impact swallowing. They discuss how dopaminergic medication […]

The post 388 – Parkinson’s, Swallowing, and Deep Brain Stimulation: What Clinicians Need to Know appeared first on Swallow Your Pride Podcast.

In this episode of the "Swallow Your Pride" podcast, bilingual SLP Margaryta Kuzman shares her expertise on pediatric feeding disorders in early intervention. She discusses the vital role of SLPs, the importance of early identification, and practical steps—ensuring safety, functional feeding observation, and interdisciplinary collaboration. Margaryta emphasizes family-centered care, the need for more specialized training, and offers resources for clinicians. She also introduces her platform, Kuzmin SLP, dedicated to empowering providers with evidence-based tools. The conversation highlights the challenges families face and the importance of empathy and teamwork in supporting children with feeding difficulties.

Get the show notes at: https://syppodcast.com/387

Margaryta Kuzmin, MA, CCC-SLP, TSSLD-BE, BCS-S is a bilingual speech-language pathologist based in New York City with over 15 years of experience working with infants, toddlers, and school-age children with complex communication, feeding, and developmental needs. She specializes in pediatric feeding and swallowing disorders, AAC, and working with medically complex populations. Margaryta is the founder of KuzminSLP, a professional education platform dedicated to empowering Early Intervention providers (SLPs, OTs, SI, PTs) with practical, evidence-based tools for real-world practice. Her work bridges feeding, language, literacy, and behavior, with a strong emphasis on functional outcomes for children ages birth to three. She is an award-winning clinician, published author, and frequent national and international speaker, and has received multiple awards throughout her career for her contributions to the field.

LINKS:

https://KuzminSLP.com

Instagram: @kuzminSLP

The post 387 – From Picky Eaters to Happy Eaters: Strategies for Pediatric Feeding Success appeared first on Swallow Your Pride Podcast.