Episodes

  • Choking Risk

    Choking Risk
    May 5 2026
    Choking is one of those moments where everything goes from normal to crisis in seconds—but how well are we actually measuring that risk? In this episode of Speech Talk, Emily and Eva break down the integrative review “Dying for a Meal” to explore what really contributes to choking across populations. From who is most at risk to the foods most commonly involved, the research reveals that choking isn’t always as straightforward as we think—and dysphagia isn’t always the main factor. We dive into five key prevention strategies, including mealtime modifications, oral health, medication management, interdisciplinary care, and system-level training. But beyond the strategies, we tackle the bigger question: how do we balance safety with autonomy? Because when it comes to choking risk, it’s not just about what’s on the plate—it’s everything around it Citations Hemsley, B., Steel, J., Sheppard, J. J., Malandraki, G. A., Bryant, L., & Balandin, S. (2019). Dying for a Meal: An Integrative Review of Characteristics of Choking Incidents and Recommendations to Prevent Fatal and Nonfatal Choking Across Populations. American journal of speech-language pathology, 28(3), 1283–1297. https://doi.org/10.1044/2018_AJSLP-18-0150 -This article link contains the choking risk scale for use in your practice! Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    47 mins
  • Reseach but Make it Accessible

    Reseach but Make it Accessible
    Apr 21 2026
    Research is supposed to guide our practice—but what happens when we can’t actually access it? In this episode of Speech Talk, Eva and Emily get into the reality of paywalled research and what it means for evidence-based practice in speech-language pathology. Breaking down the article “The Effect of Open Access on Scholarly and Societal Metrics of Impact in the ASHA Journals,” they explore how access (or lack of it) shapes who reads, shares, and applies research. From citation counts to social media reach, the data is clear: the more accessible the research, the greater its impact. But with thousands of articles still behind paywalls, clinicians are often left out of the conversation. This episode gets real about the barriers SLPs face—and why making research more accessible isn’t just convenient, it’s essential for better patient care. Citations Long, H. L., Drown, L., & El Amin, M. (2023). The effect of open access on scholarly and societal metrics of impact in the ASHA journals. Journal of Speech, Language, and Hearing Research, 66(5), 1784–1796. https://doi.org/10.1044/2022_JSLHR-22-00315 ASHA website for free resource links! https://www.asha.org/siteassets/uploadedfiles/asha/research/ebp/finding-free-access-research.pdf Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the⁠ Human Content⁠ Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    33 mins
  • Does “Wet Voice” Actually Mean Dysphagia?

    Does “Wet Voice” Actually Mean Dysphagia?
    Apr 7 2026
    Does a “wet” voice really mean your patient is aspirating? In this episode, Eva and Emily unpack research that challenges one of the most common clinical signs used in dysphagia assessment, wet vocal quality. Turns out, what we’ve been trained to hear might not be as reliable as we think. The need for instrumentals hasn't gone away, but the biggest national providers of mobile FEEs has...So what happens when we know we can’t solely rely on bedside exams and access to gold standard tools is limited? Let's talk about it. Citations: Centers for Medicare & Medicaid Services. (n.d.). Skilled nursing facility consolidated billing. U.S. Department of Health and Human Services. https://www.cms.gov/medicare/coding-billing/skilled-nursing-facility-snf-consolidated-billing American Speech-Language-Hearing Association. (2023). The case for FEES in skilled nursing facilities. https://leader.pubs.asha.org/do/10.1044/leader.OTP.28072023.fees-snf-slp.36/full/ Weldon, K., Kelchner, L., Silbert, N., & Rule, D. W. (2023). Listening for dysphagia: Voice quality sequelae of material in the airway. Journal of Speech, Language, and Hearing Research. https://doi.org/10.1044/2022_JSLHR-22-0012 Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    45 mins
  • Thickened Liquids...It’s Complicated

    Thickened Liquids...It’s Complicated
    Mar 24 2026
    Thickened liquids are one of the most common recommendations in dysphagia management—but are they always the safest option? In this episode of Speech Talk, Emily and Eva review The Adverse Effects and Events of Thickened Liquid Use in Adults: A Systematic Review and dig into the real evidence behind thickened liquids. We talk aspiration risk, dehydration, pneumonia, quality of life, and why dysphagia management is rarely as simple as “just thicken it.” From the proxy problem in aspiration research to free water protocols and real-world SNF decision-making, this conversation explores why thickened liquids can help some patients, harm others, and almost always require careful clinical judgment. Because when it comes to dysphagia management… thickened liquids are complicated. Citations Abrams, S. W., Gandhi, P., & Namasivayam-MacDonald, A. M. (2023). The adverse effects and events of thickened liquid use in adults: A systematic review. American Journal of Speech-Language Pathology. https://doi.org/10.1044/2023_AJSLP-22-00380 Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    44 mins
  • The Difficult Dance: The SLP’s Role in Huntington’s Disease

    The Difficult Dance: The SLP’s Role in Huntington’s Disease
    Mar 10 2026
    What does evidence-based practice look like when the disease is progressive, fatal, and relentlessly complex? This week on Speech Talk, Emily and Eva discuss clinical management of Huntington’s disease in long-term and residential care settings. Using a comprehensive 2007 primer for speech-language pathologists, we explore dysphagia progression, dysarthria, AAC challenges, behavioral supports, staff training, and the importance of early education. We also reflect on real-world clinical decision making with a late-stage patient — including thickened liquids, unintelligible speech, low-tech and high tech AAC, impulsivity, weight loss, and the emotional weight of progressive decline. Because sometimes evidence-based practice isn’t about fixing — it’s about guiding, adapting, and supporting with intention. Note to our listeners: Your headphones are not broken, the audio on this episode is a little funky (all Emily's fault). It is still worth a listen and we promise it won't happen again :) Citations Klasner, E. R., & Yorkston, K. M. (2007). A primer for speech-language pathologists managing clients with Huntington’s disease in a residential care facility. Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders, 17(2), 59–64. https://pmc.ncbi.nlm.nih.gov/articles/PMC4958906/ George Huntington (1872). On chorea. The Medical and Surgical Reporter. Huntington’s Disease Society of America. History of Huntington’s Disease. https://hdsa.org/what-is-hd/history-and-genetics-of-huntingtons-disease/history-of-huntingtons-disease/ BBC News. (2024). Experimental gene therapy slows progression of Huntington’s disease. https://www.bbc.com/news/articles/cevz13xkxpro Mentioned websites: Dysphagiaoutreach.org Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    37 mins
  • Bone Spurs & Bolus Flow: Cervical Osteophytes and Dysphagia

    Bone Spurs & Bolus Flow: Cervical Osteophytes and Dysphagia
    Feb 24 2026
    In this episode of Speech Talk, Emily and Eva dive into cervical osteophytes (aka bone spurs in the neck) and how they can mechanically impact swallowing. We break down what osteophytes are, why they form, and how they can present just like “typical” dysphagia — globus, coughing, choking, wet vocal quality — but may gradually worsen over time. We talk about imaging (Because how else would we even know it’s there!?), conservative management strategies like texture modification and suprasubglottic swallow, and when a surgical consult might be appropriate. Citations Bakshi, S. S., & Ramesh, S. (2021). Cervical osteophytes causing dysphagia: A case report. The American Journal of the Medical Sciences, 361(5), e43. https://doi.org/10.1016/j.amjms.2020.10.014 Lyrtzis, C., Poutoglidis, A., Stamati, A., Lazaridis, N., & Paraskevas, G. (2024). A case of dysphagia due to large osteophytic lesions in the cervical spine: A conservative approach. Cureus, 16(4), e59011. https://doi.org/10.7759/cureus.59011 Egerter, A. C., Kim, E. S., Lee, D. J., Liu, J. J., Cadena, G., Panchal, R. R., & Kim, K. D. (2015). Dysphagia secondary to anterior osteophytes of the cervical spine: A retrospective case series and literature review. Global Spine Journal, 5(5), e78–e83. https://doi.org/10.1055/s-0035-1546954 Park, B. J., Gold, C. J., Piscopo, A., Schwickerath, L., Bathla, G., Chieng, L.-O., Yamaguchi, S., & Hitchon, P. W. (2021). Outcomes and complications of surgical treatment of anterior osteophytes causing dysphagia: A single center experience. Clinical Neurology and Neurosurgery, 207, 106814. https://doi.org/10.1016/j.clineuro.2021.106814 Melbourne Swallow Analysis Centre. (n.d.). Cervical osteophytes and dysphagia. Retrieved February 13, 2026, from https://www.melbswallow.com.au/resources/cervical-osteophytes-and-dysphagia/ HealthCentral. (n.d.). Osteophytes (bone spurs). Retrieved February 13, 2026, from https://www.healthcentral.com/condition/spondylosis/osteophytes-bone-spurs Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    30 mins
  • Setting the Stage for Dementia Care

    Setting the Stage for Dementia Care
    Feb 10 2026
    How do we decide what to treat—and how—as dementia progresses? In this episode of Speech Talk, Emily and Eva break down the article Staging and Treatment Frameworks for Dementia Management by Mason-Baughman, Raupp, and Corman. We review how dementia is staged clinically, how those stages show up in communication and daily function, and what evidence-based treatment actually looks like across early, middle, and late stages. We walk through practical interventions for each stage—from compensatory strategies and functional maintenance in early dementia, to environmental supports and caregiver collaboration in moderate stages, to sensory-based and Montessori-informed approaches in late-stage dementia. We also discuss testing frameworks, documentation strategies, and how staging can guide ethical, realistic goal setting in long-term care. If you work with patients with dementia (especially in LTC or SNFs), this episode offers a clear, stage-based roadmap for treatment that supports dignity, function, and quality of life. Citations:Mason-Baughman, M. B., Raupp, S., & Corman, K. (2016). Staging and treatment frameworks for dementia management. Perspectives of the ASHA Special Interest Groups, 1(SIG 15), 53–62. https://pubs.asha.org/doi/10.1044/persp1.SIG15.53 Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    47 mins
  • Getting Ahead of Dysphagia: Prehab in Head & Neck Cancer

    Getting Ahead of Dysphagia: Prehab in Head & Neck Cancer
    Jan 27 2026
    Up to 80% of patients treated for oropharyngeal head and neck cancer experience swallowing dysfunction—but what if we intervened before impairment starts? In this episode of Speech Talk, Eva and Emily break down the evidence behind prehabilitation for head and neck cancer, drawing from the literature review by Loewen et al. We unpack what prehab actually is, how swallowing therapy before and during treatment can preserve function, and why prevention is becoming central to dysphagia care. We cover evidence-based swallowing exercises, dosing considerations, nutrition and psychosocial support, patient education, and real-world clinical takeaways—including why timing matters more than you think. If you work with HNC patients (or want to), this episode will shift how you think about dysphagia intervention timelines. Citations: Loewen, I., et al. (2020). Prehabilitation for head and neck cancer patients: A systematic review. Current Oncology, 27(4), e382–e395. https://pmc.ncbi.nlm.nih.gov/articles/PMC7789666/ Get in Touch: hello@speechtalkpod.com Or Visit Us At: ⁠www.SpeechTalkPod.com⁠ Instagram: @speechtalkpod Part of the Human Content Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices
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    31 mins