Mobile FEES Swallow Diagnostics
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FEES competency training, FEES biz consulting & support. On-Site Swallow Studies, high-quality images provided on a detailed report completed same day.
I spent years believing my hardest swallowing cases were mine to carry alone.
When a case didn’t add up, it was just me and the patients history & symptoms trying to piece everything together long after I made it home.
I told myself that was just what it meant to be a Med SLP in a rural area.
The first time I brought a case to a room of other FEES providers, that belief fell apart in the best way.
My confidence grew first. Verbalizing my clinical reasoning out loud and hearing experienced SLPs build on it showed me how much of a foundation I already had.
But what I wasn’t expecting... They named the things I could not see on my own. The finding I was underweighting. The history I skipped past. The question I forgot to ask. No amount of experience lets you catch your own blind spots, because they are blind for a reason.
If you are carrying your whole caseload by yourself and some part of you can feel there should be a better way to do this, listen to that.
It is right.
You were never meant to reason through the hard ones alone.
Comment or DM “FEES” for the link.
Our next round is June 24th @ 3 PM CST… recorded in case you can’t make it live.
I had the privilege of presenting on Flexible Endoscopic Evaluation of Swallowing (FEES) at the University of Arkansas today and as always… I’m leaving energized!
There is something special about being in a room with students who are stepping into this profession. This group brought thoughtful, insightful questions and a genuine eagerness to learn, including during a live FEES demonstration where I scoped a student volunteer so the class could see the exam in real time.
Thank you to the University of Arkansas for the invitation and the warm welcome.
Investing in the next generation of speech-language pathologists is some of the most meaningful work I do, and days like this remind me why.
The future of dysphagia management is in good hands. Did your graduate program allow for exposure to FEES? Comment below!
06/11/2026
Let me walk you through the downstream consequences of undetected aspiration and dysphagia in patients who were never referred for instrumental assessment...
⭐️ Hospital readmissions
Older adults with dysphagia get readmitted for pneumonia at nearly twice the rate of those without it, 6.7 versus 3.67 readmissions per 100 person-years (Cabré et al., 2014).
Pneumonia is one of the conditions tracked in the CMS Hospital Readmissions Reduction Program, so for every facility you serve, this is a patient safety issue and a financial one.
⭐️ Pneumonia
Stroke patients with dysphagia carry a 3 to 11 fold higher risk of pneumonia, and that risk climbs further with confirmed aspiration (Martino et al., 2005). A more recent meta-analysis put the odds of pneumonia and of death both around four times higher in post-stroke dysphagia (Banda et al., 2022).
The patients most likely to develop it are the silent aspirators, and studies of instrumental evaluations have found that a majority of aspirating patients show no protective cough at all (Garon et al., 2009).
A bedside eval is the least equipped to catch exactly the patients who need catching.
⭐️ Quality of life impact
Unmanaged dysphagia rarely stays in the throat. It moves into malnutrition, dehydration, and the slow withdrawal that comes when eating stops feeling safe, with anxiety, low self-esteem, depression, and social isolation tracking right alongside it (Ekberg et al., 2002).
You are the person who can change the trajectory.
Save this for the next time you need to explain to a referral source why this matters.
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2801 Old Greenwood Road
Fort Smith, AR
72903
