Provide your patient with an evidence-based, cost effective, live video,
that is a GOLD STANDARD in swallowing diagnostics.
Your Patients Deserve the Best
First and foremost, you can NOT diagnose, assess, and treat what you can not see. We owe it to our patients to provide the most research based, comprehensive, cost effective assessment of swallowing. At Mobile Dysphagia Diagnostics, we provide mobile FEES (flexible Fiberoptic Endoscopic Evaluation of Swallowing) services. FEES has been found to be a GOLD STANDARD in assessment and management of oropharyngeal dysphagia. Recent research has shown that FEES and MBSS have a 97-100% inter-rater reliability, but did you know that FEES has been shown to be higher in specificity and severity in identifying penetration, aspiration, residue, and spillage? You do now!
Don’t be the swallowing police
A picture is worth a thousand words
How many times have you sent patients out with no communication between SLPs only to get recommendations that the patient can not or will not comply with? We work closely with the facility SLP to trial strategies that we know the patient is capable of implementing. If they are absolutely refusing thickened liquids, no way, no how, we cant possibly think that we should recommend honey thick liquids and move on the next patient! We have to trial all consistencies and then trial specific strategies.
This is also where the high definition image of the swallow comes in. If it is determined that thickened liquids or a modified diet are the best choices, we are now able to show the patient the exact moment that the bolus is falling in to the airway. This has helped several patients to see and understand our recommendations, and now adds VALUE and VALIDITY to our profession. I don’t know about you, but I’m not sure that I would trust an arbitrary report that just came in on an antiquated fax machine to now tell me that I can’t eat or drink my favorite foods, but when shown in real time, the causes and events of aspiration, it is very difficult to argue the camera. This has eliminated many arguments between patients, Speech Pathologists, and Nurses, because it is difficult to deny the truth. Remember; even the best, most experienced clinicians in our field, will make an error in their recommendations at the bedside, 70% of the time.
Seeing is believing
That which is oldest is not always best
We’re here for you
Our promise is that we will be to you within 1-2 business days from your request. If the family would like to be present, we are always flexible and willing to accommodate. We can come at a time convenient for you. You have productivity standards, we don’t! Also, you are able to bill the 92526 dysphagia treatment code WHILE assisting with the FEES procedure. You are NOT allowed to bill for the time that the scope is in the patient’s nose (usually 15 minutes), but all other time is productive, billable hours. We want you to be present, and we greatly value your input, as you know your patient best!
We always travel with snacks. (Who doesn’t?) But we are more than willing to use your kitchen’s food/thickened liquids (withOUT barium paste), as some facilities can differ greatly in their diet consistencies. We can also include ‘special requests’ or actual medication, whatever the patient wants to eat! Is your patient happy consuming the puree diet because he doesn’t want to wear those stupid dentures anymore anyways, but is always stealing the pancakes off his neighbor’s tray at breakfast? Have no fear, pancakes can be trialed!
How many times have you sent your patient out for an MBSS only to have them come back rejoicing that they passed and you’re left scrambling to find out what in the heck diet consistency “passed” means? This is especially fun on a Friday afternoon when no one from medical records at the hospital is answering the phone. We provide a detailed report (including color photos) to you BEFORE we leave. (We don’t want you to have to track us down on a Friday afternoon either, especially when Happy Hour is calling.) All reports and video recordings are backed up on secured, confidential storage for comparison of studies in future. We also can leave DVDs of the study upon request. Some medical directors often like to review the study as well. (And then you look real smart explaining to them what they are looking at.)