George Barnes MS CCC SLP

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Rochelle Park, NJ
George Barnes MS CCC SLP

Med SLP specialist in MBSS, trach/vent, and aspiration pneumonia management. Mobile FEES provider. Making Swallowing Simpler

📍Greater NYC 🍎

12/19/2025

Advice needed for making this process less awkward. 👇

12/17/2025

What is one of the most dangerous things a patient can aspirate?

Hint: It’s something they’re always swallowing. Even when NPO.

🦠 Dry secretions, often resulting from strict NPO, can be more dangerous than thin liquids.

Why?

They’re stickier and often filled with pathogens.

❌ Strict NPO leads to severe complications like:

1. Xerostomia (dry mouth) and discomfort.

2. Thick secretions and mucus plugging that obstruct the airway.

3. Muscle atrophy of the swallowing mechanism from disuse.

🚫 We must not let the fear of that single, visible cough override our clinical judgment.

Learn more about when NPO is (and isn’t) appropriate and what we can recommend instead in this week’s article.

Comment “SLP” for full access.

12/16/2025

Think dysphagia after bariatric surgery is just a short-term issue?

🤯 Think again.

Studies report symptoms persisting up to 2 years post-surgery—and sometimes longer.

Dysphagia is a common, often underrecognized long-term complication affecting nutrition, healing, and quality of life.

Besides the development of major motility disorders, weight loss can also contribute to sarcopenia.

These issues require specialized care. See how we can help...

Learn more by visiting SwallowStudy.com to review the full article by Dr. Kevin Huffman titled, “Dysphagia After Bariatric Surgery:
Tackling Complications Through IDDSI Integration and SLP Care.”

12/10/2025

No, no you don’t. Not without an instrumental at least.

Tell me about your colleagues who seem to have x-ray vision and what you do to educate? 👇

12/08/2025

Despite the knowledge we’ve gained, the jury is still out on critical questions:

What is the precise relationship between dysphagia, aspiration, and pneumonia?

Do the risks of modified diets and liquids outweigh their costs?

Which dysphagia interventions are truly most effective, and for which patients?

🔬🔬🔬

But I truly believe that a lack of research is not a roadblock...

Instead, it’s a chance for us to be creative, to grow, and to strive for better.

Want to learn more? Comment “SLP” for this week’s full article.

12/05/2025

And it’s always on a Friday…

This was my life back in my nursing home days. Bathroom breaks were a privilege, not a right.

Tips for hiring additional staff to help? Comment below for those who need it! 👇

12/02/2025

Been there? Tell us 👇

12/01/2025

The swallow involves over 50 muscles—it’s a high-stakes juggling act over one of the most critical anatomical pathways in the human body:

The airway.

Yet, we often assess this complex, highly variable act with data from a single, rushed “snapshot.”

The greatest barrier to accurate VFSS today isn’t technology, but the variability in testing and interpretation.

This is why we must adopt the proper tools to capture the WHOLE physiological event.

Become the SLP who ensures an accurate interpretation of what’s really happening.

Check out my latest article, inspired by Dr. Sonja Molfenter, PhD, CCC-SLP, who reviewed and endorsed the article.

Comment “SLP” for full access 👇

11/25/2025

The fact that they never should have been on it to begin with is a talk for another day. For now… let’s just say you’re welcome.

Have YOU liberated a patient recently? 👇

11/24/2025

A patient is suddenly aspirating with normal brain imaging. Is this a permanent deficit?

In the medical SLP world, we constantly face the Chicken-or-the-Egg Dilemma...

When we see pneumonia and dysphagia, our mind instinctively jumps to a conclusion: The dysphagia caused the pneumonia.

But, is this always or even usually the case?

🥚🥚🥚

Reverse your logic: The issue often lies in the acute medical condition itself.

For example, sepsis and subsequent delirium often cause a sudden dysphagia, totally apart from the patient’s baseline function.

How can we use the clinical presentation to help differentiate these two, very different scenarios?

Comment “SLP” below for direct access to my latest article. Thank you to Dr. James Coyle for his help on this!

Address

96 Parkway
Rochelle Park, NJ
07662

Website

https://www.feesibleswallowsolutions.com/

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