Mobile FEES Swallow Diagnostics

03/13/2026

If you have ever looked at a Swallow study report and thought 'this tells me absolutely nothing useful,' you are not the problem.

The report is.

I have seen a LOT of reports that have minimal info, no compensatory strategies, or info about underlying impairments and the worst is recommendations Ive seen have been “nectar TL because the patient demo pe*******on with thin liquids.” No description of where the pe*******on was or about the pts response.

A high quality report should leave you feeling empowered and outline…
💖what the breakdown in function/ anatomy
💖a couple of targeted exercises to focus on
💖specific compensatory strategies that were trialed and effective.

Here is a FEES report from a recent swallow study that shows first hand how thorough and clarifying the report can be. Having quality reports and direction after a Swallow Study will allow your patients to have better outcomes and decreased risks re-hosp.

Our report includes pictures and descriptions from significant events during the study along with all the strategies and exercises that are recommended.

Save this for the next time you receive a report that leaves you with more questions than answers.

03/12/2026

If you have ever looked at a Swallow study report and thought ‘this tells me absolutely nothing useful,’ you are not the problem.

The report is.

I have seen a LOT of reports that have minimal info, no compensatory strategies, or info about underlying impairments and the worst is recommendations Ive seen have been “nectar TL because the patient demo pe*******on with thin liquids.” No description of where the pe*******on was or about the pts response.

A high quality report should leave you feeling empowered and outline…
💖what the breakdown in function/ anatomy
💖a couple of targeted exercises to focus on
💖specific compensatory strategies that were trialed and effective.

Here is a FEES report from a recent swallow study that shows first hand how thorough and clarifying the report can be. Having quality reports and direction after a Swallow Study will allow your patients to have better outcomes and decreased risks re-hosp.

Our report includes pictures and descriptions from significant events during the study along with all the strategies and exercises that are recommended.

Save this for the next time you receive a report that leaves you with more questions than answers.

03/05/2026

Here is what is actually happening in your patient’s throat during a swallow and why you cannot see it without a scope.

FEES is a birds eye view of the swallow~
just like we are all different on the outside... our anatomy is also unique on the inside!

Without the ability to see inside your patients’ throat, you are missing important information, like the path of the bolus, the possible residue after the swallow, abnormal tissue, aspiration that does not trigger a cough response, & whether or not the patient is able to fully expel material that has crossed the plane of the vocal folds when they do cough with aspiration.

Quality swallow studies are not just an option for some patients with dysphagia... patients with pulmonary issues, HNC, & trach/vent patients... being able to identify airway patency & assessing the health and mobility of the vocal folds is a requirement!

Save this for the next time you need to make the case for why your patient needs more than a bedside eval.

03/05/2026

Here is what is actually happening in your patient's throat during a swallow and why you cannot see it without a scope.

FEES is a birds eye view of the swallow~
just like we are all different on the outside... our anatomy is also unique on the inside!

Without the ability to see inside your patients' throat, you are missing important information, like the path of the bolus, the possible residue after the swallow, abnormal tissue, aspiration that does not trigger a cough response, & whether or not the patient is able to fully expel material that has crossed the plane of the vocal folds when they do cough with aspiration.

Quality swallow studies are not just an option for some patients with dysphagia... patients with pulmonary issues, HNC, & trach/vent patients... being able to identify airway patency & assessing the health and mobility of the vocal folds is a requirement!

Save this for the next time you need to make the case for why your patient needs more than a bedside eval.

03/03/2026

If you’ve been trying to figure out how to get competent with FEES this event could be a lifesaver!

I’m so proud to be a part of our state association Arkansas Speech & Hearing Association (ArkSHA) and to partner with Arkansas Otolaryngology Center, UCA Speech-Language Hearing Clinic to bring Ready, Set, Scope to Conway, AR!

⭐️We have a shortage of radiologists in our state and many patients are not getting quality swallow studies

⭐️We came together to offer this option in order to provide an affordable option for hospital based SLPs to be able to get comfortable passing the scope following an online or in person Basic FEES course.

⭐️Mentorship and Advanced FEES course is highly recommended following this event in order to continue your FEES journey!

⭐️I’ll be sharing more info on competency training, support and all the details you’ll need for adding FEES to your practice! Comment below or message me if you need info on Basic FEES course options or have questions about the event!

03/03/2026

03/03/2026

Have recent changes in hospital organization or radiology coverage affected your ability to complete instrumental swallow assessments in the adult setting? Looking for a reliable bedside option to better serve your patients? This collaborative workshop is designed for YOU. 🤝

Join us for READY, SET, SCOPE! – An Endoscopy Skills Lab on Saturday, April 11, 2026, in Conway, AR!
This hands-on, collaborative course brings together professionals across settings to strengthen bedside assessment skills and fulfill the technical requirement for FEES or videostroboscopy for Arkansas-licensed SLPs. Attendees will:
🔹 Discuss indications, contraindications, and risks of flexible endoscopy
🔹 Review equipment, patient preparation, and safety protocols
🔹 Perform and pass the endoscope under supervision (25 passes required)
🔹 Identify detailed anatomy of the nasal cavity, pharynx, and larynx
🔹 Differentiate between typical and atypical anatomy and function
🕣 8:30 A.M. – 3:30 P.M. (Registration opens at 8:00 A.M.)
📍 Integrated Health Sciences Building – Conway, AR
🎓 Earn 6 PDH
🍽️ Lunch included
⚠️ Spots are limited!
💲 $300 per person | $250 for ARKSHA members
Secure your spot today:
👉 https://www.eventbrite.com/e/1980635490068?aff=oddtdtcreator

02/27/2026

If you have ever had a patient discharged before you could get them a proper swallow study and you are still thinking about it — that is NOT overthinking.

That is your conscience!!

I remember very well the weight of the patients I could not get the right assessment for in time. It’s a frustrating process to realize that not only do you have to treat the patients, manage politics within the therapy team, but also advocate for your patient for things that you assumed would be standard practice!

It’s draining!

Unfortunately our healthcare systems do not always move fast enough to help us support our patients.

Please understand that the discomfort you’re feeling is a sign of how much you care — not a sign of failure.

Share this with a SLP friend who could use encouragement today! .

02/26/2026

Prior to starting my FEES competency journey, I worked in skilled nursing facilities for over 16 years. I met a patient who changed my entire career.

He was a retired Methodist minister—one of those people who radiate gentleness & grace even in the hardest moments. During a difficult time in my life, he was the person who reminded me I was still whole & worthy of happiness.

He had a swallowing disorder & strict NPO orders. No ice chips, just the mouth swabs.

It makes me cringe to think about it. 🤦‍♀️

At the time, I didn’t know what I know now.
I didn’t have FEES.
I didn’t have mentors.
I didn’t have the clinical clarity I give my patients today.

That moment became the turning point of my life.

I promised myself never again.

Never again would a patient’s outcome hinge on lack of access or lack of training, lack of ability to advocate for my patients.

Never again would I be the clinician who “just went through the motions and did what I was told.”

That promise is why I went began the journey to become a Mobile FEES provider.

Fast forward to today and I know that one of the reasons I work so hard and strive to continue to improve daily is my own way of righting the wrongs from the past.

Now that I know “more” I can do better AND I can help others to find the best treatments for their patients so they don’t have to look back with regret when they are reminded of their sweet patients.

The “way we have always done it” just doesn’t work for me anymore! If you have had a similar experience drop a 🤍 in the comments.

02/24/2026

I’ve been working with patients navigating swallowing issues for 25 years, and this is something I see differently now than I did even a few years ago.
🤍I used to focus heavily on how many times a patient was coughing and with what consistency.

🤍Now I care much more about energy conservation and airway protection, because that is what determines long-term quality of life.

🤍When we only focus on stopping a patient from coughing , we often miss the fact that they are easily able to expel aspirated material from larynx, which is why they are able to keep drinking favored liquids despite a cough.

🤍If you’ve been blindly thickening liquids beside because a patient coughed with thin and thinking “why is this not working,” this shift may change how you approach dysphagia treatment.

🤍Save this for the next time you need a reminder.

02/17/2026

When you’re explaining to your admin that your patient needs a swallow study and halfway through you start to doubt yourself…
That moment tells me a lot!
A lot of SLPs feel unsure when they begin advocating for their patients and need support.
One resource that can help is creating a referral triage based on changes in the indicators found in Dr. Langmore’s research.
If you’ve been navigating advocating for your patients and finding yourself unsure, this info can help support your findings.
Save this for next time you are doubting whether your patient needs a swallow study or not.

04/03/2024

We are seeking dedicated and passionate PRN/Part-time/Full-time Speech Pathologists in NWA and River Valley. Our mission is to serve patients who otherwise fall through the cracks in the system by offering mobile therapy. Our therapists can become Flexible Endoscopic Evaluation of Swallowing (FEES) Competent. We are offering health, vision, and dental insurance for full-time employees.
We are also committed to respecting our therapists, their knowledge base, and clinical judgment rather than putting profits above patients. Please call or text 479-222-1425 and send a resume to karena@therapistsinmotion.com