When Iām assessing orientation/remote memory and I ask my pt who the current president is, and they respond āthat assholeā...
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When Iām assessing orientation/remote memory and I ask my pt who the current president is, and they respond āthat assholeā...

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As a follow up to Swallowing Awareness Day, this is what it looks like inside when we swallow! This is called a Videofluoroscopic Swallowing Study (VFSS) or Modified Barium Swallow (MBS), which is a bit like an X-ray video that speech pathologists can use to observe a personās swallowing, and make note of any impairment that could place them at risk of choking or aspirating food or fluid into their lungs. Speechies use VFSS to assess the āsafetyā of someoneās swallow and to make decisions or recommendations about diet modifications such as purĆ©ed food or thickened fluids, in order to prevent choking, or aspirating and the development of pneumonia as a result. How cool are bodies? How cool is technology?? #swallowingawarenessday #dysphagia #speechpathology #900swallows . . . [Video description: short x-ray video of a personās head and neck facing sideways, as they swallow a mouthful of fluid. The video shows the dark fluid as it travels down the personās throat.]
Watching all the silent aspiration on my ptās VFSS like:
Yeeeaaahhhh so weāre gonna stay with NPO for now.Ā
When Iām assessing remote memory and ask my Pt to tell me about whatās been happening in the news lately...
...and theyāre able to recall current events accurately (yay!) but then start talking about how unfair the media is being to trump, how heās doing a great job and people need to give him a chance, etc etc...
*Resists temptation not to comment on āimpaired judgmentā in my documentation*
When the new grad RN on the unit tells me she wants to learn more about swallowing and asks if thereās anything I can teach her:
Education-seeking new grad RN: You can stay. I shall enlighten thee with swallowology knowledge!

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When I have a group session and my patients are horrible influences on one another and veer us off track/topic for 90% of the session.
This went a lot different in my mind
Patient on puree/HTL: āI can swallow perfectly fine.ā
Me:
Since graduating / becoming a real working SLP, any time I hear āBrocaās aphasiaā or āWernickeās aphasia,ā Iām like:
Raise your hand if your professors harped on this terminology when you were in school but then you entered the real word to realize NOBODY uses these terms clinically!