His beautiful wife left, and now Derek’s days are all the same–he sits in his dark basement, smoking and drinking and bemoaning the loss of his wife. Official synopsis: After being molested as a child, Nicole developed an unusual eating disorder–she was unable to swallow. No patient experienced a treatment-related or swallowing-related complication. Official Synopsis: By her late 20’s, Sandy had achieved the American Dream. I sure hope she did get her life back and in order. We present data from a prospective case series to define and measure effects of a systematic therapy for chronic pharyngeal dysphagia using adjunctive NMES. You do not “walk off” trauma. She was married with four beautiful daughters and owned a home she and her husband built themselves. R.I.P. I agree as well…there are no “winners” here. I grew up with her sister. Although bedside tests remain an important early screening tool for dysphagia and aspiration risk, further refinements are needed to improve their accuracy. This study aims to develop a scale to assess the safety and efficacy of swallowing during meal. We prospectively assembled an inception cohort of 128 hospital-referred patients with acute first stroke. This study found no significant rt-PA benefit on the 90-day efficacy This study aimed to translate We assessed swallowing function clinically and videofluoroscopically, within a median of 3 and 10 days, respectively, of stroke onset, using standardized methods and diagnostic criteria. It’s hard for anyone watching to know what’s going on in her head. So glad she’s doing well. Now, at 34, Chris feels that being gay has cheated him out of the things he wants most–marriage, children, and inclusion in his family. MAS scores were significantly different between groups 1 and 2. was enrolled, with 547 of these treated as assigned within 3 to 5 hours of The current approved use of rt-PA Her days consist of combining prescription drugs with a pint of vodka, and relying on her daughters to monitor both her diabetes and drinking. Yes Nicole is definitely alive. I was in treatment with her too and she is doing great! If so, is she still using the feeding tube? are you nuts or what? to be assessed by using both abnormal physiology and aspiration as diagnostic markers for dysphagia. This may the saddest and most tragic episode of Intervention that has ever aired. The use of videofluoroscopy in detecting aspiration did not add to the value of bedside assessment. Sandy This pilot randomized-controlled trial showed that the combination of rTMS and traditional dysphagia therapy significantly improved swallowing function in patients with poststroke dysphagia. That’s disturbing enough, but her inability to swallow is a traumatized response to being forced to perform oral sex on her friend’s father when she was a child. In 10 patients, meal observation was simultaneously conducted by 2 SLTs to assess inter-rater agreement. The man who did it admitted to it, got probation, and still lives in her neighborhood, triggering her over and over every freaking day. Janet The tube was supposed to be temporary, but 16 years later, Nicole still relies on the tube and can’t swallow any food or liquids. That’s disturbing enough, but her inability to swallow is a traumatized response to being forced to perform oral sex on her friend’s father when she was a child. The validity was assessed using the convergent validity. Dysphagia is one of the frequent neurological symptoms of stroke survivors, and occurs in about 30-60%, ... changing food consistency and viscosity, changing head posture, and modifying volume of food) (Logemann, 2008;Rogus-Pulia and Robins, 2013). determine had an excellent recovery at 90 days (P = .65). Despite the small anatomical size of the infarcts in the LACI group, many patients remained substantially handicapped. were no differences on any of the secondary functional outcome measures. the next selection identified 10 articles on the comparison of screening and videofluoroscopic findings and three articles Original Air Date: January 2009 It’s funny, you don’t even know how terrible these addicts look until you see them sober. The most frequently used technique for swallow evaluation is X-ray videofluoroscopy. To evaluate the evidence, THANK YOU. symptomatic intracerebral hemorrhage (ICH) (1.1% vs 7.0% [P<.001]), a symptomatic ICH (4.7% vs 11.4% [P = .004]), and fatal ICH (0.3% vs 3.0% [P<.001]). Early identification is important. She has bruises on her thighs and stomach and repeatedly hits her head with a hairbrush. Ugh they irritated the hell outta me! A standardized bedside assessment was performed by a physician. A pilot test was conducted on 40 patients, assessed by a speech and language therapist (SLT) while consuming a meal. Addiction: Heroin, Meth. Not once, but TWICE? That’s disturbing enough, but her inability to swallow is a traumatized response to being forced to perform oral sex on her friend’s father when she was a child. Needless to say, her self-esteem issues have seriously affected her life, yet she seems like a really good, caring, sympathetic person. There Background/aim: I hope no one “jumps” on you. Beautifully said, I’ve searched everywhere and can not find this episode nor can I find any kind of update on her. A total of 39 others were treated within 3 hours of symptom At presentation, a swallowing abnormality was detected clinically in 65 patients (51%; 95% CI, 42% to 60%) and videofluoroscopically in 82 patients (64%; 95% CI, 55% to 72%). May Nicole finally find peace and happiness on the other side. Recombinant Tissue-Type Plasminogen Activator (Alteplase) for Ischemic Stroke 3 to 5 Hours After Symptom OnsetThe ATLANTIS Study: A Randomized Controlled Trial, Bamford J, Sandercock P, Dennis M, Burn J, Warlow CClassification and natural history of clinically identifiable subtypes of cerebral infarction. Only a few studies assessing interobserver reliability of videofluoroscopy have been published. Original Air Date: March 2009 I mean seriously. Interventionist: Ken, Sharon POLL: What Did You Think of The Heroin Hub? Aims: Thirty-nine items were created and divided into 4 subscales. We found clinical and videofluoroscopic evidence of a swallowing disorder in 51% [95% confidence interval (CI) 42-60%] and 64% (95% CI 55-72%) of patients, respectively, and aspiration in 49% (95% CI 40-58%) and 22% (95% CI 15-29%) of patients, respectively. POLL: What Did You Think of The Heroin Hub? sensation (likelihood ratio = 2.5, 95% confidence interval = 1.7–3.7). Addiction: Alcohol (vodka) I mean seriously. MASA is valid and reliable with sensitivity of 73%, specificity of 89%, and provide good interrater and intrarater reliability (26. Seriously!!! within 3 hours after the onset of stroke symptoms. symptom onset.Objective Long-term follow-up studies are required to determine the independent functional significance of the findings of the bedside and videofluoroscopic examinations in predicting the occurrence of important outcome events such as aspiration pneumonia. At 6 months after stroke, 97 of the 112 survivors (87%; 95% CI, 79% to 92%) had returned to their prestroke diet. What’s Memorable: She hasn’t swallowed food or liquid in 14 years!