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July 9, 2007

In today's news

Today the speech pathologist was scheduled to evaluate Emma's swallowing ability.
Her is a picture of Emma set in to X-ray for her Modified Barium Swallow.

A patient needing further investigation will most likely receive a Modified Barium Swallow (MBS). Different consistencies of liquid and food mixed with barium sulfate are fed to the patient by spoon, cup or syringe, and x-rayed using videofluoroscopy. A patient's swallowing then can be rated using the Penetration Aspiration Scale. The scale was developed to describe the disordered physiology of a person's swallow using the numbers 1-8 (Rosenbek et al., 1996). Not all examiners will use this scale.
(from wikipedia)
In this case, they used a bottle with various kinds of nipples.

emma%20off%20to%20x-ray.jpg

Emma was not happy with this test. She was hungry.

Emma's mom and I were not happy with what was recommended. Thickened feedings (breast milk and a gelling agent) with a cross-cut bottle nipple. Emma also managed to pull out her NG feeding tube.

It was not a good day. Stay tuned. Keep praying.

Posted by alicia at July 9, 2007 9:01 PM

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